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Home My WebLink AboutPermit Building 1973-09-05X LANE COUNTY P' ''.DING PERMIT OR MOBIIE HOME I-(SE APPLICAIION PERMIT TYPE _ BUILDING MOBILE HOME osc REG. *53a;L PERMIT PROPERTY OWNER PHONEMAITING ADDRESS MAILING ADDRESS ut, t*'ll {r'I CONTRACTOR -7 PHONE S4-r--t e PROPERTY TOCATION - INCTUDE POST OFFICE t i5?':-u:[tji:illl'' :b 4 z-u * s,uz- .e"-4/ E-#^, ,824 t-Y.l)i1',i&?ts-" ot I'j TWP sEc.Wcooe crNESJirEi-RANGEo2 DESCRIBE EXISTING STRUCTURES ON PROPERTY IF ANY a l-*lrt>+ TEGAL ACC TO PROPERTY - ROAD NAME OR APPTICANT NA,TAE AND MAITING ADDRESS ta,il<;ox f csae*6. Or< gTfOS /3 3 PROPERTY SI DEPTH AREA ronmoaffi Number .of Bedrooms Connect to Existing Sewoge System ! or New System R.q. E STRJ,ICTURES TO BE BUITT THIS PERMIT,/0,*-11-*TYPE CONSTRUCTION BEDROOMS VATUATION k).2a. /{7SQ. FT 4 t 5/3att- o 24 SEWAGE DISPOSAT PTUMBING INSTAIIED BY PUBTIC BTDG. WASTE DIS. PTUIIIBING PI.AN REYIEW PARK TRTR. SEPTIC TANK OTHER FEES WATER SUPPTY PUBI-IC PTUMBING FEES FIXTURES CASH E CHECK .r4 FEE 3,a OTHER OWNER E OTHER su,urc (euT7Zn<jeru PTANS FURNISHED FACITITY PERMIT YES Notr YES NO DATE (1,*.r-- RECEIVED BY !# TOTAT PUBTIC WATER CONNECTION FEE COUNTY BUILDING & SANITATION SPECIFICATIONS DRAIN FIETD}TIN. SEPTIC TANK CAPACITY wlTH DIST. BOX: GAL. e€e FcZ / ?'2 r_tN. REQU IRED "t TRENCH wrDTH FT,OR F EET USE CTASSIFICATION /-)(-< TYPE OF STRUCTURE BLDG. SETBACKS _ FT.CTR. OF ROAD RIGHT OF l'e f." 5 REAR YARDOCCUPANCY PUBTICZONE Form $ g55-12 b SIDE EXT REAR e-Dole FRONT SIDE INT Dote Dote B[DG. INSP Directions to Find Prope coFY I - oFFlcE COPY 2 _ JOURNAL COPY 3 - AUDIT ,du--t.l - /)4 +a @3.€) 6 <-rr [- I IANE COUNT\ BUTLDTNG f JUIIDING PERMIT OR MOBITE HOI MHE i USE PERMIT PERMIT NO. PROPERTY OWNER MAITING ADDRESS PHONE CONTRACTOR MAILING ADDRESS PHONE PROPERTY TOCATION _ INCTUDE POST OFFICE hv{/ PROPERTY LEGAT DESCRIPTION _ METES, BOUNDS \ RANG E SECTION TAX LOT NO CODE CENSUS TRACT EXISTING STRUCTURES ON PROPERTYAPPt. NAME & MAITING ADDRESS TEGAL ACCESS TO PROPERTY PROPERTY SIZE - FT- WIDTH DEPTH AREA FOR MOBILE HOME PERMITS ONLY No. of Bedrooms Connecl to Existing Sewoge System New System I STRUCTURES TO BE BUILT THIS PERMIT TYPE CONSTRUCTION SQ. FT. # BDRMS VALUATION SEWAGE DISPOSAT PUBr-rC ! SEPTIC TANK tr OTHERT PTUMBING INSTATTED BY OWNER E OTHER: NAME BUITDING WASTE DISPOSAI. PTUMBING PtAN REVIEW PARK TRAITER TOTAI. FEES WATER SUPPTY PUBUC tr tr OTHER 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 PUBTIC UTII. EASEMENT BI.DG. SETBACKS FT. FROM CTR. OF ROAD RIGHT OF WAY FRONT SIDE INT, , SIDE EXT. USE CTASSIFICATION REAR AUTHORIZED SIGNATURE - DATE DATE BIDG. PERMIT _ WH ITE OFFICE COPY _ WHITE COUNTY TAX _ PINK PLUMBING _ CANARY BUILDING - GREEN SANITATION - GOI,DENROD Construclion to comply with uniform building code ond counly covering plumbing ond sewoge disposol. All buildings require of occuponcy before being occupied. (See Stotement on Reverse Side) reg ulotions o certif icote (POsT THIS PERMIT ON MAIN B[DG. AT SITE) tANE COUNTY, BTDG. & SAN. DIV., COURT HOUSE, EUGENE, OREGON 9740I ronrq # C55- 13 ,4,2 4 730a ( BU I L.O ING. S iTE EVALI.IAI ION 5 \_I X Buildins Permit Appl icat ,"^ *". / 78f-73 Site Inspection Pre-Permit lnvest igat ion llr\j'tE ADDR PHONE DATE )5 () () LANE COUNTY PLANN ING DEPARTHENT I i ance eE-l 2. Subdivision 0rdinance C-omtliance 3. Requ i red Access 4. Bu i ld ing S ite (Area, l.,idth, Frontage, Setback) 5. 0ther (see comments) Zoning 0rdinance Comp (Zon rr (). NOT NO fiEt icable -() YES (r (+ (-Y DATE ) () () () () () () () () COH},IENTS: BUI LDTNG INSPECTION SECTION 6. Pl ans Subm itted 7. Soil Stability (footings) 8. Flood Plain g. 0ther (see Conrnents) NOT NO EEI'r iceble ( YES *f () () ) () () () (4 () (fi NAI-tE C0HHENTS: . ()() SANITATION SECTION NOT NO NA}48 DATE 10. Sewage Disposal I l. Usable Area 12. I,/ater Supp I Y 13. 0ther (see Comments) COMHENTS: TO APPLICANT: Building Permit / Site lnspect ion:You r X Can be approved.7-/2 -7;lz','above.Cannot be approved at this t inre as indicated on item N0. 6tl8-Questions and further inform ation on items I through 5 contact the Quest ions ancj further informat ion on i tems 6 Count Buildin and San i tat !on D vrsron. Will be held in this o ce unt you can reso lve the problems i cated. is being returned. Your building permit aPplication fee is being returned under seParate cover' YES aool icable-ffio (X () () () () () () () () () () () I.ANT COUNTY PLANNING DEPARTMENT 13, 3ixth Aven0e East, Eugene, 0regon PI{ONE: 3l+2-illl EXT. 231 LANE COUNTY BUILDING; SANITA.TION DIVISION I35 Sixth Avenue East, Eugene, 0reQon 971'Al PHONE: 342-i3tl EXT. t+ll97401 NAI,'{E ql^ DATE qrz t'|J {#-&r' () t rou g contact t IANE COUNT. BUTLDTNG E EUILDING PERMIT OR MOBITE HO. MHE USE PERMII PERMIT NO. PROPERTY OWNER MAILING ADDRESS PHONE CONTRACTOR MAILING ADDRESS PHONE PROPERTY TOCATION _ INCTUDE POST OFFICE PROPERTY TEGAT DESCRIPTION - METES, BOUNDS RANG E SECTION TAX LOT NO.CODE CENSUS TRACT EXISTING STRUCTURES ON PROPERTYAPPL. NAME & MAII.ING ADDRESS LEGAT ACCESS TO PROPERTY PROPERTY SIZE - FT. WIDTH DEPTH AREA FOR MOBILE HOME PERMITS ONLY No. of Bedrooms Connect to Existing Sewoge System ! New System I STRUCTURES TO BE BUILT THIS PERMIT TYPE CONSTRUCTION SA. FT. # BDRMS VALUATION SEWAGE DISPOSAT PUBTIC tr SEPTIC TANK N oTHERn PTUMBING INSTALTED BY OWNER n OTHER: NAil{E BUITDING WASTE DISPOSAT PTUMBING PI,AN REVIEW PARK TRAITER TOTAI. F EES WATER SUPPTY PUBTTC tr tr oTHER COUNTY BUILDING & SANITATION SPECIFICATIONS MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GA[. DRAIN FIEI.D REQUIRED LIN, FT TRENCH WIDTH FT OR SQ. FT TYPE OF STRUCTURE OCCUPANCY ZONE PUBI.IC UTIL. EASEMENT BLDG. SETBACKS FT. FROM CTR. OF ROAD RIGHT OF WAY FRONT SIDE INT. SIDE EXT. USE CLASSIFICATION REAR AUTHORIZED SIGNATURE _ DATE DATE BLDG. PERMIT _ WH ITE OFFICE COPY _ WHITE COUNTY TAX _ PINK PLUMBING - CANARY BUITDING _ GREEN SANITATION _ GOLDENROD (POST THIS TANE COUNTY, BTDG Conslruclion to comply with uniform buildin covering plumbing ond sewoge disposol. Al of occuponcy before being occupied. (See Stotement on Reverse Side) PERMTT ON MAIN BIDG. AT SlrE) code ond county regulolions buildings require o cerlificote g I ronu # C55-t3 & SAN. DIV., COURT HOUSE, EUGENE, OREGON 9740I s_ wr*0 v {*ltFf LOOR PLUMBING GROUNU/ORK Appnovso D Drsrppnovm D Dnre / A-L NSPECTOR Rruanrs {f a GAS PIPING GROUND/ORK D DrsAPPRovEa D Darr I rusprcronAPPRovTD REuaRx s ROUGH PLUMEING APPRovED / .{-/ DrsaepRove o -7- Rruanrs Dart//l o -77 lNspec ROUGH GAS PIPING Ap pRov e o Re ptnRx s D r sappRovro I ruseecron F I NAL PLUMB I NG APPRoveo )K Dtsappcoveo oarr\Ltl*f-I NSPEc Re t'trnx s a FINAL GAS PIPING Ap pRov r o Re uanx s DrsappRoveo Dare I rusercron CERTIFICATE OF OCCUPANCY Rraov ro lssue RrunRxs Nor Rraov ro lssuE Dare l nsprcroR D Dorr- TANE COUNT\ BUTLDtNG E /UIIDING PERMIT OR MOBIIE HO' MHN USE PERMIT PERMIT NO. PROPERTY OWNER MAITING ADDRESS PHONE CONTRACTOR MAITING ADDRESS PHONE PROPERTY TOCATION _ INCTUDE POST OFFICE PROPERTY TEGAI DESCRIPTION -METES, BOUNDS RANG E SECTI ON TAX LOT NO CODE CENSUS TRACT EXISTING STRUCTURES ON PROPERTYAPPt. 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 Connecl to Existi TYPE CONSTRUCTION System ! New m BDRMS VALUATIONSQ. FT SEWAGE DISPOSAI PUBTIC N SEPTIC TANK tr OTHERD PLUMBING INSTATI.ED BY owNER n oTHER: NAME BUILDING WASTE DISPOSAT PI.UMBING PTAN REVIEW PARK TRAII.ER FEES WATER SUPPTY PUBUC n tr OTHER TOT,At $_ 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 PUBTIC UTIt. EASEMENT BI.DG. SETBACKS FRONT FT. FROM CTR. OF ROAD RIGHT OF WAY SIDE INT. SIDE EXT. USE CTASSIFICATION REAR AUTHORIZED SIGNATURE - DATE DATE B[DG. PERMIT _ WHITE OFFICE COPY _ WHITE COUNTY TAX _ PINK PTUMBING _ CANARY BUITDING - GREEN SANITATION _ GOI.DENROD Construction to comply with uniform building code ond county covering plumbing ond sewoge disposol. All buildings require of occuponcy before being occupied. (See Stotement on Reverse Side) reg ulotions o certif icole (POST THIS PERMTT ON MAIN BrDG. AT S!TE) IANE COUNTY, BTDG. & SAN. DIV., COURT HOUSE, EUGENE, OREGON 9740I ronu t 655-13 ,;_ SITE INSPECTION Appnovro D DrsAPPRovEo Rruanx s Datr lrqsprcton FOUNDATION I NSPECTION DTSAPPRovED Darr //-f,"7C I rusprctoRAPPRovED Rrurnxs FRAMI NG Appnovro Re Nlnx s I NSPECT I ON ,-/- DtsAPPRovEo D Darr 2/-I rserctoR ./ 7 LATH OR SHEETROCK Ar pRov r o I NSPTCT I ON Dr sapeRovED7 Darr I NSPEcToR '7*-7RE\,1*n F I NAL I NSPTCT ION Ap pnov e o Renan D r slppaoveo Oorc b 2/ " 7 NSPECT ."vt/i, CERTIFICATE OT OCCUPANCY REaov ro lssur Rrun Rx s D Nor Rraov ro lssur D DarE I HsprctoR /7 ?-73-et 6{2 O_/t/yg I I \ u'fl - INDMDUAL SEVIAGE DISPOSAL SYST-I'I RECORD Installer: Complete top part c form to signature and r-etu-ln both copies to Lane County Building Sanitation Department. (_ Installer s NamefP No Wa Public Q- Other-List ( Bedrooms 3 Baths'L-Basement yes E No El-- Applican Name M ailing Address Lensrh 0 widrh/y'-r-Diameter T eD spos F Depth !-Distribution Box:Yes El- No fl Other D Feet from FLot Line below { Length L:70 2.00 s. s-Ft. 4. 5. 6. I T width 3 To{dI sqlFt.between f,E. /s-d ltir,"" Ll , FiLler rvpe /rL I rirre 7^-li??x" r depth 2-' i.r -Sketch See instructions Date (/ture For g6nitarian Use OnIY: ! il appro.r.a, System Installation Conforms to Current Standards ! oisapproved: Does Not Conform to Current Standards Remarks: */z'r ,v - tl-- I t \l lo^ t +) .JJ\r <a \ s I -J q) E-t I I I ! lr _-f- tI Ui\iE $(iUhITY HEALTH UNII +" o-374FEBUl g Lane County Building c Sanitation Dept. Date: tarian sS c55-il ture Ft. from well Steel I Concrete [}.- No. Compartments / Ga1. CapacLty. /dtt-o s-- a-\ q? t t I