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Home My WebLink AboutPermit Building 1973-04-27TANE COUNI BUITDINE PERMIT OR MOBIIE HO USE PERMIT PERMIT NO.BUTLDTNG E MHE PROPERTY OWNER MAITING ADDRESS PHONE CONTRACTOR MAII.ING ADDRESS PHONE PROPERTY LOCATION _ INCTUDE POST OFFICE PROPERTY TEGAL DESCRIPTION _ METES, BOUNDS H RANGE SECTION TAX LOT NO CODE CENSUS TRACT,4,2 d zz n) EXISTING STRUCTURES ON PROPERTYAPPT. NAME & MAITING ADDRESS Y I.EGAI, ACCESS IO PROPERTY PROPERTY SIZE - FT. WIDTH DEPTH AREA FOR MOBILE HOME PERMITS ONLY No. of Bedrooms Connect to Existing Sewoge System !New System !STRUCTURES TO BE BUILT THIS PERMIT TYPE CONSTRUCTION se. FT. # BDRMS vALUATtoN SEWAGE DISPOSAT PUBUC Tl SEPTIC TANK -oTHERI-l PIUMBING INSTATTED BY OWNER E OTHER: NAME BUITDING WASTE DISPOSAL PLUMBING PI,AN REVIEW PARK TRAITER FEES WATER SUPPI.Y PUBUC D N OTHER TOTAL COUNTY BUILDING & SANITATION SP ECIFICATIONS MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: cA[. DRAIN FIEI.D REQUIRED TIN, FT TRENCH WIDTH FT.OR SQ. FT. TYPE OF STRUCTURE OCCUPANCY ZONE PUBTIC UTIL. EASEMENT BIDG. SETBACKS FT FROA,I CTR. OF ROAD RIGHT OF WAY USE CTASSIFICATION FRONT SIDE INT,SIDE EXT REAR AUTHORIZED SIGNATURE - DATE DATE BI,DG. PERMIT _ WHITE OFFICE COPY _ WHITE COUNTY TAX _ PINK PLUMBING _ CANARY BUILDING _ GREEN SANITATION _ GOIDENROD conslruction to .comply. with uniform buirding code ond counry regulotionscovering plumbing ond. sewoge disposol. Ali- building. ,.qrir. o certificoteof occuponcy before being ociupied. (See Stotement on Reverse Side) (posT THts pERMtT ON MA|N BrDG. AT S|TE) tANE COUNTY. BIOG. & SAN. DIV., COURT HOUSE, EUGENE, OREGON 9740I ronu*655-13 d"\ ( ) S ite tnspect ion ( ) Pre-Permit lnvest igat ion - Building Permit Appl icat ion No, 7N- B $TAX LOTw VLL.aAPPL I NAHE ADDRE PHONE DATE LANE COUNTY PLANN ING DEPAR THENT NOT appl icable ( ) NA}lE DATE Zoning 0rdinance Compl iance (Zone 2 Subdivis ion 0rdinance Compl iance ) ) () 3. Requ i red Access 4. Bu ild ing S ite (Area, }Jidth, Frontage, Setback) 5. 0ther (see comments) \ ) ) () () () ( () CO}IHENTS: BUILDlNG INSPECTTON SECTION NOT NO YES able - NA},IE DATE 6. PIans Submitted 7. Soi I Stab i I ity (foot ings) 8. Flood Pl a in 9. Other (see Conments) CO},IHENTS: () () () ()( () () )()(4:zA *7J SAN ITAT I ON SECT ION 10. Sewage Disposal I l. Usable Area 12. l/ater Supp I y 13. 0ther (see Comments) aool icable-*TI--( () ) NOT NO YES * r4 & () ( ( ) () () DATE COHHENTS: TO APPL ICANT: Your Building Permil / S'yte lnspectjerrf)(ffiLu "pproved . 4-20 -kl@'44 ( ) Cannot be app roved at t h is t imla6 ina icated on i tem N0 above. Questions and further information on items I through S ciffilT6fLane- COUNTY PLANNING DEPARTMENT.Quest ions and further informat ion on it6; 5trough 13 contact t Count Buildi and Sanitat ion Divis ion( ) t.tiil be hetd in this( ) ls being returned.( ) Your building permit appl ication fee is being returned under separate cover. L/\N[ c0uNTY PLANNING DEPARTI.IENT LANE couNTy BU|LDtNG s sANtrATtoN DtvtstoNl'tr, Sixth l\r'ente ["ast, Euqene, 0reqon 97401 135 Sixth Avenue East, Eugene, 0r-egon 97!ol l,ItrNr : tlr?-lilt lxt.zjt pHoN[: 342_t]ll ExT. 4ll of ice unt you can resolve the prob ems cated. BU I LU ING S ITE EVALUAT ION NO YES Wr * NA}18 //- TANE COUNI BUTLDTNG E BUltDIt\€ PERMIT OR MOBIIE HC MHE USE PERMIT PERMIT NO. PROPERTY OWNER MAILING ADDRESS PHONE CONTRACTOR MAILING ADDRESS PHONE PROPERTY LOCATION _ INCTUDE POSI OFFICE PROPERTY TEGAI DESCRIPTION -METES, BOUNDS RANG E SECTION TAX LOT NO.CODE CENSUS TRACT EXISTING STRUCTURES ON PROPERTY APPI.. NAME & MAITING ADDRESS LEGAI. ACCESS TO PROPERTY PROPERTY SIZE - FT. WIDTH DEPTH AREA FOR MOBILE HOME PERMITS ONLY No. of Bedrooms Connect to Existing Sewoge System New System n STRUCTURES TO BE BUILT THIS PERMIT TYPE CONSTRUCTION se. FT. # BDRMS VALUATIoN SEWAGE DISPOSAT PUBTIC tr SEPTIC TANK tr OTHERE PTUMBING INSTALTED BY OWNER n OTHER: NAME FEES WATER SUPPLY PUBUC n tr OTHER BU ITDING WASTE DISPOSAL PI.UMBING PTAN REVIEW PARK TRAILER ( TOTAT COUNTY BUILDING & SANITATION SPECIFICATIONS MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GA[. DRAIN FIETD REQUIRED tIN, FT TRENCH WIDTH FT OR SQ. FT. TYPE OF STRUCTURE OCCUPANCY ZONE PUBLIC UTIL. EASEMENT BLDG. SETBACKS FT. FROM CTR. OF ROAD RIGHT OF WAY FRONT SIDE INT. SIDE EXT. USE CLASSIFICATION REAR AUTHORIZED SIGNATURE - DATE DATE BIDG. PERMIT _ WH ITE OFFICE COPY _ WHITE COUNTY TAX - PINK PTUMBING _ CANARY BUITDING _ GREEN SANITATION - GOTDENROD Construction to comply wirh uniform building covering plumbing ond sewoge disposol. All of occuponcy before being occupied' code ond counly regulolions buildings require o certificote (See Stotement on Reverse Side) (posT THIS PERMIT ON MAIN BIDG. AT SlrE) TANE COUNTY, BLDG. & SAN. DIV., COURT HOUSE, EUGENE, OREGON 9740I roau j'c55- i3 SITE INSPECTION Appnoveo Rexenxs D r sapenoveo Dare l nspecron FOUNDATION I NSPECTION AppRovro Rruanx s Dr srppRovro Dare I ruspecron FRAMI NG APPRov E o Re ulnx s I NSPECT I ON Drsappnoveo Dar E I Nsprcron LATH OR SHEETROCK Ap pRov r o Ret'taRx s I NSPECT I ON DrsrppRoveo f7 DarE I Nspecton FINAL INSPECTION Ap pRov E o Rs!4anx s Drsappnoveo Dare I rspectoR CERTIFICATE OF OCCUPANCY Reeov ro lssuE Reurnx s Drr e I HsprcroR I El D D D Nor Rrroy ro tssuE D INDIVIDUAL SEWAGE )TSPOSAL SYSTEM RECORDlnstaller: Complete top part form to signature and return both copies to Lane County Building Sanitation Department. t'| W Instal SS r JCleCo3 Vz3 No Public ffi other-List Ft. from well Steel I Concrete I No. Compartments Gal. Capacity Bedrooms Baths BasementYesE uoE Lengtir Applican Name M ailing Address width S Ft. .lo a .5.5. 6 Diameter Depth F Distribution Box:Yes [t No fl Other S on- Feet from Lot Line below ,/a )i 1-ri trrri Ar-vl BlRrxlnr Trench width 2 Total sqlrt.between ft. "?c I ltines ra er IL ry<*Type Fi11 Filler depthabove -.tile ! - in-Sketch See in truc Date D-Signature For Sgrftarian Use onIY: E]-epproved, System Installation Conforms to Current Standards tr oisapproved: Does Not Conform to Current Standards Remarks: '?o Dare: *{zq 1 I I I I -t / /J1A ?,o / / //t--L-/ / t/ / N /L - ._- -t NE,*) 3r 33 I RECEIV DT,IAWI g 1s7{ / / ignature Lane County Building & Sanitation Dept. cs5-tr t z.3 2222 Yo r aNDA Avrrurrr I I I I IANE COUNTY T TYPE _ BUILDING BUITDING PERMIT OR MOBILE HOME MAIIING ADD MAILING ADDRESS HOME USE APPIICATION aG 7o 313REG. #PERMIT OWNER ONE PHONECONTRACTOR PROPERTY TOCATION _ I PROPERTY TEGAI toT-BtocK-suBDtv, TWP APPTICANT NA'{E AND MAITING ADDRESS POST OFFICE ./_ CENSUS TRACT & BOUNDS YES ATTACHED AREA NO sEc.TAX TOT CODE d 4--9o-€.bl 6 EXISTING STRUCTURES ON PROPERTY IF ANY TEGAT ACCESS PROPERTY _NAME OR SIZE_WIDTH DEPTH FOR MOBILE HOME PERMIT ONLY Number of Bedrooms STRUCTURES TO BE BUITI THIS PERMIT Connecl to Existing Sewoge System or New TYPE CONSTRUCTION SQ. FT VATUATION L PTUMBING INSTAI.TED BYSEWAGE DISPOSAT PUBTIC tr SEPTIC TANK BTDG. WASTE DIS. PI.U}tBING PI.AN REVIEW PARK TRI.R. t Ro, o-q> OTHER OWNER PLANS FURNISHED YES NO OTHER NAME FEES cAsH ! CHECK WATER SUPPTY PUBTIC - FIXIURES NECTION FEE PUBI-IC WATER CONNECTION FEE OTHER FACITITY PERMIT YES N NO SIGNATU OF APPTICANI ED BY DATE 7 TOTAT 40 .A4 RMIT # COUNTY BUILDING & SANITATION SPECIFICATIONS ,'AIN. SEPTIC TANK CAPACITY WITH DIST. BOXI GAL. DRAIN FIETD REQUIRED uN. FT. 2e TRENcH wrDTH FT >J ,rrr600OR SQUARE NG Dole BLDG TYPE OF STRUCTURE OCCUPANCY BTDG. SETBACKS _ FT. FROM CTR. OF ROAD RIGHT OF WAY FRONT SIDE INT. SIDE EXT, Directions to Find Property ZONE REAR YARD EASEMENT Form # 655-12 REAR USE CTASSIFICATION u7o -73 Dote COPY I _ OFFICE COPY 2_JOURNAI COPY 3 _ AUDIT A CITY COUNTY HEALTH DEPARTMENT BuuDlNG & SnuTATrcN Srcrronr COURTHOUSE -2ND FLOOR TELEPHONE DI 2-I3II EUG ENE. OREGON TITP.r_uRANGE VALEI{TINE PARK SEC. /7-r'-z REQUEST FOR S I TE I NSPECTI ON Darr DECEVBER 7, 1959BY.rlcl( l{azt tTT co[eERcE tHvEsruEN?, 1061 CHARNELTON EUCENE. ORECON LoT 3, BLocK 2, VALENTINE PARK TEL. NO SITE: PURPOSE: COI{STRUCT I ON OF RES I DENCE. t.c. DI SPOS I TI ON: THE ABOVE SITE IS SUITAELE FOF CONSTPUCTIO\j. (lr APPRovED, PLEASE BRTNG THts FoRM AND LEGAL DESoRtpTtoN oF THE pRopERTy ro rHts oFFtcE wHEN AppLyt NG FoR BU I L0 t Nc Renu r r. ) OATE oECEMBER ?, 1959 SANITARIAND. T, OHLSEN, R.S. .r+-o39's4