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Home My WebLink AboutPermit Building 1975-05-20LANE COUNTY B["'DING PERMIT OR MOBILE HOME I'-E PERMIT BUILDING ;- /\H I , iRMtI NO. PROPERTY OWNER MAIIING ADDRESS PHONE CONTRACTOR MAIIING ADDRESS PHONE PROPERTY TOCATION _ INCIUDE POST OFFICE PROPE EGAL \trft A/,JETJ RANG E S ION TAX LOT NO A - CODE CENSUS TRACT "1, ? #23 td EXTSTTNG STRUCTURES ON pROpERTyAPPI. NAME & MAITING ADDRESS TEGAT ACCESS TO PROPERTY PROPERTY SIZE - FT. WIDTH DEPTH AREA FOR MOBILE HOME PERMITS ONLY No. of Bedrooms STRUCTURES TO BE BUILT THIS PERMIT Connect to Existin TYPE CONSTRUCTION System ! New m BDRMS VALUATIONse. FT SEWAGE DISPOSAL PTUMBING INSTALTED BY PU BL IC BUITDING WASTE DISPOSAT PTUMBING PTAN REVIEW PARK TRAILER SEPTIC TANK oTHERn OWNER OTHER: NAME WATER SUPPTY PUBLIC f] fI OTHER FEES TOTAL COUNTY BUILDING & SANITATION SPECIFICATIONS MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GA[. DRAIN FIETD REQUIRED I.IN. FT TRENCH WIDTH FT.OR SQ. FT, TYPE OF STRUCTURE OCCUPANCY ZONE PUBTIC UTIL. EASEMENT BLDG, SETBACKS FRONT FT. FROM CTR. OF ROAD RIGHT OF WAY SIDE INT. SIDE EXT. USE CLASSIFICATION AUTHORIZED SIGNATURE _ DATE DATE BI.DG. PERMIT _ WHITE OFFICE COPY _ WHITE COUNTY TAX - PINK PLUMBING _ CANARY BUILDING _ GREEN SANITATION _ GOLDENROD Coll 687-4O65 to schedule oll required inspections. All construc- tion sholl comply with Uniform Building Code, D.E.Q. stondords IMPORTANT: for subsurfoce sewoge disposol ond counly regulolions covering plumbing. AII buildings require o certificote of occuponcy before being occupied. (See Detoils on Reverse Side) (POST rHlS PERMIT ON MAIN BLDG. AT SlrE) LANE COUNTY, DEPT. OF ENVIRONMENTAL MANAGEMENT COURTHOUSE ANNEX, I35 EAST 6th, EUGENE, OREGON 9740I roev * 655- 13 ( REAR BUlLulN G SITE EVALUATION ^:;1-tt- " t t/r --( r_.1 -Z_R.^.71 .Itf rAxLor_ SUBDIVISI0N:. )( () BUILDING PERHIT APPLICATION NO SITE INSPECTION Zoning 0rdinance Cornpl iance: Zone Subdivision 0rdinance Compl iance Requi red Access Bui ld i ng S i te (Area, Width, Frontage) 0ther (see cornments ) COHHENTS: cK'D BY: ZZ -{- / 3- ZfSetbacks-iitrcWFront 4 Side Exterior-/ " /- Setbacks from interior I ines: 0cKBLLOT J 1.f,n\.\ A DATE Not I icable No Yes APPL I CANT 5.I 2 3 4 5 r)rI() () () () () () () () () ()Side Rear PLANN IHc DIV]sTONTTIffi PENDI[GaYEs-(--r-mIl mFETeArTon-fl- BUILDING INSPE cTl0N Dtvlst0N Plans Submitted Soil Stabil ity (footings) Flood Plain 0ther (see conments) COHMENTS: Not I icable 7 8 9 0 ) No Yes TtX() () () ()CKI D .l- -zo -fg,' WATER POLUTION CONTROL I l. l{eets Department of Envi ronmental Qual ity Standards. 12. 0ther (see cornments) COH}.iENTS: Not-tr No Yesr)rI () ()CKID BY:?{ DATE TO APPLICANT: Your Building / Site lnspection: .^{ J<} Can be approved. - l: /')t( ) Cannot be approved at this time as indicated on item N0 bove. Lr'Ll':; Questlons and further information on items I through 6 cffiiiilI6@-/ ' ftr COUNTY PLANNTNG DlVlSloN" Questions and further information on items 7*J' [Frough 12 contact the LANE EQUNTY BU!LD|!!G AND SANITAII0N-,qIV|S!0N.( ) will be held in this or ated. ( ) ls being returned.( ) Y"" b'it9|"q6ffi* ".lfiifi,iffifr,llti 135 Sixth Avenue East Eugene Oregon 97401 pHoNE. 597-4055 UlHe COUNTY PLANNING DlVlSlON PHONE: 687-4185 c55-28 t" PLANNlJq .p tV ts t 0.N I IANE COUNTY BUTLDTNG [] BI'UDING PERMIT OR MOBILE ,AH T HOME ' -E PERMIT ,.ERMIT NO. PROPERTY OWNER MAILING ADDRESS PHONE CONTRACTOR MAITING ADDRESS PHONE PROPERTY LOCATION - INCLUDE POST OFFICE P ESC MET BOUNDS 3 RANG E SECTI ON TAX LOT NO CODE CENSUS TRACT EXISTING STRUCTURES ON PROPERTYAPPL. NAME & MAILING ADDRESS TEGAT ACCESS TO PROPERTY PROPERTY SIZE - FT. WIDTH DEPTH AREA FOR MOBILE HOME PERMITS ONLY No. of Bedrooms STRUCTURES TO BE BUILT THIS PERMIT Connecl to Existi Sewo c stem TYPE CONSTRUCTION SQ. FT New System ! BDR MS VALUATION SEWAGE DISPOSAT PTUMBING INSTALTED BY OWNER n OTHER: NAMEPU BL IC BUILDING WASTE DISPOSAI. PTUMBING PTAN REVIEW PARK TRAII.ER SEPTIC TANK FEES WATER SUPPTY PUBUC n tr OTHER $ TOTAT COUNTY BUILDING & SANITATION SPECIFICATIONS MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GAI.. DRAIN FIETD REQUIRED TIN. FT TRENCH WIDTH FT,OR SQ. FT. TYPE OF STRUCTURE OCCUPANCY ZONE PUBI.IC UTIT. EASEMENT BLDG. SETBACKS FT. FROM CTR. OF ROAD RIGHT OF WAY FRONT SIDE INT. SIDE EXT. USE CLASSIFICATION REAR AUTHORIZED SIGNATURE _ DATE DATE BI.DG. PERMIT _ WHITE OFFICE COPY _ WHITE COUNTY TAX _ PINK PTUMBING _ CANARY BUILDING _ GREEN SANITATION _ GOLDENROD Coll 687-4065 to schedule oll required inspections. All construc- tion sholl comply with Uniform Building Code, D.E.Q. stondords Ii PORTANT: for subsurfoce sewoge disposol ond county regulolions covering plumbing. All buildings require o certificote of occuponcy before being occupied. (See Detoils on Reverse Side) (POST IHIS PERMIT ON MAIN BIDG. AT SlrE) LANE COUNTY, DEPT. OF ENVIRONMENTAT MANAGEMENT COURTHOUSE ANNEX, I35 EAST 6Th, EUGENE, OREGON 9740I ronv 4655-13 I SITE INSPECTION AppRovEo D DrsappRovro D Reuanxs Dar e I NSPEcToR FOUNDATION I NSPECTION n DrsAPPRovEo V Darr I ruspecronAPPROVED RruaRx s FRAMING INSPECTION Appnoveo D DrsAPPRovEo D Re tqaRx s Darr I xspecron LATH OR SHTETROCK AppRovEo RruaRx s I NSPECT I ON DrsappRovrD Darr I Nsercton F I NAL I NSPECT ION ApPRov eo ReuaRxs @,NSPEcDtsaPPRovEoDa CERTIFICATE OF OCCUPANCY Reaov ro lssuE REuaRx s D Nor Rraov ro tssuE D Drre I ruspecroc ,F)q -73 D PERMTT # \tF\0 \SNOTE: NO PERM]T WILL I ISSUED I'NTIL THIS APPLICATION IL - BEEN APPROVED APPLICATION FOR: OWNER CONSTRUCTION MOBILE IIOME PLAN REVIEI^I CHAi{GE OF OCCUPA}ICY zip zip Cn City City Name Name ess - er--,d q\O.S. REG T\+p Section Subdivls ACCESS TO PROPERTY (Road Name) Existing Structures on property Property Location - Address/Directions: "..\rc-q..d"\q-oTax nn census Tract P" {$D/ov Acreage i,Jid th_Depth_ Below ffice Use e Sq. Ft edrooms ion SEWAGE DISP sLte InsPectlon WATER STIPPLY: Well Ex1stingSewageD1sposa1syste.|--lorNewSystemRequired Public Spring Other Name of Courmunlty or Public System NameBlds=:?r,( a<S- FEES Waste Dlsp. Plumbing Plan Reviero Mobl1e Houre 12 Surcharge PLUMBING: Installed by Owner PLIJMBING FEES: /l of Fixtures Sewage Connection Water Connection PLANS FURNI YES CHECK \t)\\Signature of Fee Received By: NO FACILITY PERMIT YES NO TOTAL ant:\a \- Min. Septlc Tank Capaci Drainfleld Required - Lineal Feet Maximum D.pth- I Type of Constructi Fire Zone I.ANE COTINTY TMENT OF ENVIRONMENTAL Use Classification 2 0-N- Bldg Setbacks - from Center of Road Right of Way: tront /t 4 side rnr.Side Exterior Rearlu ,/n cs5- 12 DATE tr otrrer f--] F ffir TANE COUNTY BUILDING , BI'U DING PERMIT OR MOBILE HOME ' ''E PERMIT ,-ERMIT NO.,4H PROPII.TY OWN ER MAILING ADDRESS PHONE Yotruon SFRrHorrrLD onrqon CONTRACTOR MAIIING ADDRESS J PHONE PROPERTY TOCATION _ INCLUDE POST OFFICE PROPERTY tEGAt OESCRIPTION - METES, EOUNDS Lorl&l TlxLor l80O Br.ocrS&l+ RANG E 'i SECTION CODE t9-olrq,e TAX LOT NO_te 300 CENSUS TRACT 7 J Bolltl EXISTING STRUCTURES ON PROPERTY APPT. NAME & MAII.ING ADDRESS Srue TEGAT ACCESS TO PROPERTY PROPERTY SIZE - TT. WIDTH DEPTH AREA FOR MOBILE HOME PERMITS ONLY No. of Bedrooms Connect to Existing Sewoge System tl New System STRUCTURES TO BE BU'LT THIS PERMIT TYPE CONSTRUCTION sQ. FT. # BDRMS VALUATIoN SEWAGE DISPOSAL PUBIIC tr SEPTIC TANK N OTHERE PI-UMBING INSTATTED BY OWNER N OTHER: NAME BUII.DING WASTE DISPOSAT P[UMBING PTAN REVIEW PARK TRAITER TOTAL FEES WATER SUPPTY PUBUC n15.ffil $______- OTH ER COUNTY BUILDING & SANITATION SPECIFICATIONS MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GA[. DRAIN FIETD REQUIRED tIN. FT TRENCH WIDTH FT OR SQ. FT lrstlr-r- l0 rf,ET Or OnAlrLlitf, l0r rtET $sutH or rxg Exlt?lro rIELD ?o aEPLAcf, Ll!{E RETIOYEO FOR ?HE POOL iEE PLOT FLA TYPE OF STRUCTURE OCCUPANCY ZONE PUBTIC UTI[. EASEMENT BLDG. SETBACKS FRONT FT. FROM CTR. OF ROAO RIGHT OF WAY SIDE INT. SIDE EXT. USE CTASSIFICATION REAR 5r AUTHORIZED SIGNATURE _ DATE DATE BLDG. PERMIT _ WHITE OFFICE COPY _ WHITE COUNTY TAX _ PINK PTUMBING _ CANARY BUILDTNG _ GREEN SANITATION _ GOLDENROD Call 687-4065 to schedule oll required inspections. All construc' tion sholl comply with Uniform Building Code, D.E.Q. stondords IMPORTANT: for subsurfoce sewoge disposol ond counly regulotions covering plumbing. ,All buildings require o cerlificole of occuponcy before being occupied. (See Detoils on Reverse Side) (posr TH|S PERMIT ON MAIN BLDG. AT SITE) LANE COUNTY, DEPT. OF ENVIRONMENTAT MANAGEMENI COURTHOUSE ANNEX, I35 EAST 6Th, EUGENE, OREGON 9740I roau *655-13 f A'.--r -i---l i I !l Sx,rlpgr ( Turb, .l--r'lAaiq i,a,tt !. vtn:,,.1t,r, 0klE( Yai,* lL^ Clriot,rtd'rtrr 1 . ' ../ oj,rf"' ) i r I ''-,.'-.tl \;*l I f,ffrt" 1\ -r ,of .-. -o ft 1i &$u -1,it t/f \n? J,':'i' {; ^r\'l?''' ,1' r2 ? \0,' t I I .r,.)ri,' I -r A^.,?" I I -'1/'-"(' r,,,.i . rt4D' I al.,)I l I I ; i I ( t I ld.lr} i\ tt i\ il '. I !7.'L l^. ^ rc I i...: ,r I ? t j' {- hI 'r4 ., , I I I I \l tl ; t i : , l I I n :-i!!i'k*/r,t 's:,i -t-!n' y''rnr ) f II I t I i I i ll' !,, P I I l'"n I I I ! - -.l. r c i I f; i I BiJ ti-0 ING SITE EVALUATION ( )--'surLDtNG pERHlr AppLtcATtoN N0. ( ) strE tNsPEcrtoN PLANNING DIVISION Not I icable | " Zoning Ordinance Cornpl iance: Zon 2. Subdivision Ordinance Compl iance e T R SUBDIUISION. LOT: BLOCK: APPL I CANT DATE 3. Required Access ( )4. Bui ldlng Si te (Area, Width, Frontage) ( )5. Other (see conments) ( ) CO}I}.IENTS: No Yesr)rI 6. () () () () () () () () CKID BY: Setbacks fron c/l of roadl Front Side Exterior Setbacks from interior lines: Side Rear PLANN ING DIVISION ACTION PENDING: YEs( ) N0( )APPL I CAT ION# BUILDING INSP l0N Dlvlst0N Plans Submitted Soi I Stabi I ity (footings) Flood PIain Other (see conrnents) COMHENTS: Not I icable No ( ( 7 8 9 0 () () r)() () () Yes TT()) ) )CK.D BY: DATE WATER POLUTION CONTROL I I . l{eets Department of Envi ronmental Qual ity Standards.12. Other (see cornments) COHHENTS: Not Aool icablere I {) No Yesr) Ip ( ) rfll CK! D 7t DATE TO APPLICANT: Questions and further in COUNTY PLANNING DIVISION Your Building / Site lnspection: ( ) Can be approved.( ) Cannot be approved at this time as indicated on item N0 above. fo throughtlill be 2 contact t LANE COUNTY BUILDING AND SANITATION DIVISION. held in this of ated. ls being returned. ermit I ication rmation on items I through 5 contEctThe LANE- Questions and further information on iteilET NV f_ee_*t_s*_!"eji ng.-!glu rned unde r s eDa EBIEJEXEI: RTNMENTA 135 Sixth Avenue East Eugene Oregon ! PHONE | 687-\065 74or c55-28 () () Your buildin LANE COUNTY PLANNING DlVlSloN PHoNE: 687-4186 _s TAX LoT_ NorE: No PERMTT IfrLL Br. rssuED I]NTTL THrs AppLrc,ATroN Hes APPLICATION FOR PERMTT tta-yo lr BEEN APPROVED' CONSTRUCTION MOBILE HOME PIJ,N REVIEW6 F owNun \: CONTRACTOR Name Addr es s zl-p Phone Name O.S. REG. // 1\,rp tion Subdivis ion J ACCEss TO PROPERTY (Road Name) Y o\a."^Su Address City zip Phone Tax Lot'\ a Oq: Code \9 *s:le Census Tracr Block3__lroperty Acreage Wldth\glDepth \a_S Existing Structures on Property \S,o.-r"R.€- +\tProperty Locatlon - Address/Directlons: Below for Offlce Use Sq. Ft t SEWAGE DISPOSAL: Slte Inspec tlon /l WATER SI,]PPLY: Well Sprlng O!her Exlsting sewage Disposal System &or New Systen Required Publlc Comunlty Name of Conmunlty or Publlc Systen FEES:PLI,I{BING Installed by Owner PLI'MBING FEES Other Name /5-. o o Bldg. Waste Disp. Plumblng Plan Revlew Mob1le llone 1Z Surcharge TOTAL ,/froo Mln. Septlc Tank Capacl type of Construction F of Fixtures Flre Zone PLANS F'I]RNISIIED Sewage Connection Water ILIIY PERMIT YESCASH CHECK Dralnfield Signature of Fee Recei EL.so ,,-J/-ZL_ Fee Date l"laximun Depth Use Classification Bldg Serbacks - from CenEer of Road Right of Way: Fronr Slde Int._i Side Exterior Rear Zone PIANNING:DATE:DATE:BUII,DING: 2 c55- r2 LANE COT]NTY DEPARTI,IENT OF E}WIRONMENTAL MANAGEMENT DATE i---r t Pcof -BJas-