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Home My WebLink AboutPermit Building 1975-01-22LANE '^UNTY BUILDING PERMIT OR MOB BUILDI ER MHtr MAILING ADDRESS HOME USE PERMIT PERMIT NO. I l-,, Spa r arcr r etD OntooN PHOt.I E CONTRACTOR MAILING AD DRESS Sourn A 5pn r rcF r Er.o Onqcor PHONE KgpxeRt Bu t r-ogns PROPERTY TOCATION - INCI.UDE POST OFFICE 250J ttonru l4fx PROPERTY TEGAT DESCRIPTION _ METES, BOUNDS ,l..,,.l.:,.|-l,:,l-:,,.....l..,,^| RANGE SECTION '*'vli *t CODE CENSUS TRACT t7 '"3,3 Krpnent tsutr.ogns EXISTING STRUCTURES ON PROPERTYAPPt. NAME & MAII.ING ADDRESS l59o Sourx A LEGAI. ACCESS TO PROPERTY NoRrn I4ra StR r rcr I rto Onecon PROPERTY SIZE - FT. WIDTH DEPTH AREA FOR MOBILE HOME PERMITS ONLY No. of Bedrooms STRUCTURES TO BE BUILT THIS PERMIT Connect to Existin Sew TYPE CONSTRUCTION SQ. FT 'il 1 ,S 16. l0 New System I BDR MS VALUATION Grnrcs I8o e ,.3o $?, No $rrr lrspecrloH SEWAGE DISPOSAT PTUMBING INSTATI.ED BY PUBTIC BUITDING WASTE DISPOSAL PIUMBING PtAN REVIEW PARK TRAI TOTAL SEPTIC TANK OTH F EES OWNER OTHER: NAME WATER SUPPI.Y PUBI.IC OTHER LER COUNTY BUILDING & SANITATION SPECIFICATIONS MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GAL.900 DRAIN TIEI.D REQUIRED uN. FT l5O TRENCH WIDTH FT Jir,-'ilOR Se. FT TYPE OF STRUCTURE 5N OCCUPANCY taJ ZONE PUBI.IC UTII.. EASEMENT BI.DG. SETBACKS onoNr 45' FT. FROM CTR. OF ROAD RIGHT OF WAY SIDE INT. SIDE EXT.REAR IOI PUE USE CLASSIFICATION AUTHORIZED SIGNATURE _ DATE DATE lf css- t: BTDG. PERMIT _ WHITE OFFICE COPY - WHITE COUNTY TAX _ PINK PTUMBING _ CANARY BUILDING _ GREEN SANITATION _ GOTDENROD JonN Sroox T ,t Coll 687-4065 to schedule oll required inspections. All construc- tion sholl comply with Uniform Building Code, D.E.Q. stqndqrdsIi 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 THIS PERMTT ON MAIN BIDG. AT S|TE) I.ANE COUNW, DEPT. OF ENVIRONMENTAL IAANAGEMENT COURIHOUSE ANNEX, I35 EAST 6th, EUGENE, OREGON 9740I - pio. r,t'i- Y '1 ngrlot@ 14;'.ilu i r-o iHc PERt't lr nppir"cnr t0N No. ( ) srrE lNsPEcrloN PLANNING DIVISION T '7 n^oz s Z* TAX LOT sthllvlsl0N:/"2-LOT:BLOCK: t/\APPL I CANT DATE A Not Ii le Yes c*o agt/Qft/n/K Setbacks-Tffic7T-df roCd :Front 4S:' Side Exterior 4t<t Setbacks from interior I ines: S ide 5'Rear /O' PoE 6 No 1-l() () () () I 2 3 4 5 Reoui red Access Building Site (Area, Width, Frontage) Other (see cornments ) Zoning 0rdinance ComPliance: Zone Subdivision 0rdinance Compl iance f, () () () COI{MENTS: PLANNTNG DIVISION ACTION PE BUILDING INSP t0N Dlvlsl0N Plans Submitted Soil Stabil ity (footings) Flood Plain 0ther (see conrnents) IrGa YES ( ) No (APPL I CAT ION# Not I icable No Yes 7 8 9 0 r)il() () () () () ()CKI D BY COMMENTS: WATER POLUTION CONTROL COM}IENTS: I l. l'leets Department of Environmental Qual ity Standards. 12. 0ther (see comments) Not Appl icable-rT No Yesr) rrI ( ) rh()CKID BY:7{ DATE TO APPLICANT: c55-28 LANE C0UNTY PLANNING DlVlSl0N PH0NE: 587-4186 t tl t/ I 2 You() () r Building / Site lnsPection: Can be approved. Cannot be approved Questions and further information on items I through 6 . --.above.contact the LANE- at this time as indicated on item N0 Your bui ldin ems 5con t act Will be held in this ls being returned.it Questions and further informat ion on items 7 NG ce unt you can reso VE IS LANE T'UNTY BUITDING PERMII OR MOB BU|LD|N-_,J MH E HOME USE PERMIT PERMIT NO. OWNER MAITING ADDRESS PHONE CONTRACTOR MAITING ADDRESS PHONE PROPERTY LOCATION _ INCLUDE POST OTFICE t PROPERTY IEGAT DESCRIPTION -METES, BOUNDS RANG E SECTION TAX LOT NO CODE CENSUS TRACT EXISTING STRUCTURES ON PROPERTY APPL. 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 Existing Sewoge m TYPE CONSTRUCTION se. FT New BDRMS VALU ATI ON SEWAGE DISPOSAT PUBLIC N SEPTICJANK E OTHERE PTUMBING INSTATTED BY OWNER n OTHER: NAME BUITDING WASTE DISPOSAL PTUMBING PtAN REVIEW PARK TRAITER $FEES WATER SUPPTY PUBUC tr E OTHER TOTAL COUNTY BUILDING & SANITATION SPECIFICATIONS MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GAL. DRAIN FIELD REQUIRED tIN. FT TRENCH WIDTH FT.OR SQ. FT. TYPE OF STRUCTURE OCCUPANCY ZONE PUB[IC UTIL. EASEMENT BLDG. SETBACKS FRONT rT. FROM CTR. OI ROAD RIGHT OF WAY SIDE INT. SIDE EXT. USE CTASSIFICATION REAR AUTHORIZED SIGNATURE _ DATE DATE BLDG. PERMIT _ WH ITE OFFICE COPY _ WHITE COUNTY TAX _ PINK PLUMBING _ CANARY BUITDING - GREEN SANITATION _ GOTDENROD Coll 687-4065 to schedule oll required inspections. All construc- tion sholl comply with Uniform Building Code, D.E.Q. stondqrds IMPORTANT: for subsurfoce sewoge disposol qnd counly regulolions covering plumbing. AII buildings require q cerlificole of occuponcy before being occupied. (See Detoils on Reverse Side) (posT TH|S PERMTT ON MA|N BLDG. AT SITE) IANE COUNTY, DEPT. OT ENVIRONMENTAT MANAGEMENT couRTHousE ANNEX, I35 EAST 6rh, EUGENE, OREGON 9740Ironv = 655- 13 -! SLAB FLOOR PLUMB I NG GROUNU/ORK Ap rRov r o RrMa nx s Dat r I rusprcron GAS PIPING GROUND/ORK Ap pRov e o Reue nx s D Drsrppnoveo D Dare I rusprcroa ROUGH PLUMBING A ppRov r o Reua nx s & DrsapeRovr o D Dare 2 *lZ -ZS tNspEcroR ROUGH GAS PIPING AppnovEo D DrsappRovro D Rrurnx s Dar e I lrs pr cron FINAL PLUMBING Apenove o K DrsAppRovEo D os&._- ?f t Rruanx s NSPECTOR FINAL GAS PIPING AppRoveo D DrsAPpRovE, D ReMaRx s Date I Ns pE cron CERTIFICATE OF OCCUPANCY Reaov ro lssue ReuaRxs Nor Rerov ro lssur Dare I rsprcroR / 7 Drsrppnoveo F7 D I tr'' IANE 'JNTY BUlLDll.tv-I BUIIDING PERMIT OR MOB,*,,HOME USE PERMIT PERMIT NO.MH OWNER MAILING ADDRESS PHONE CONTRACTOR MAILING ADDRESS I I t 'i. PHONE PROPERTY TOCATION _ INCTUDE POST OFFICE PROPERTY LEGAI DESCRIPTION - METES, BOUNDS RANG E SECTION TAX LOT NO CODE CENSUS TRACT i:i,, r r EXISTING STRUCTURES ON PROPERTYAPP[. NAME & MAITING ADDRESS rs6 sffi& t LEGAL ACCESS TO PROPERTY PROPERTY SIZE - FT WIDTH DEPTH AREA FOR MOBILE HOME PERMITS ONLY No. of Bedrooms Connecl to Existing Sewoge m TYPE CONSTRUCTION New m SQ. FT BDRMS VALUATIONSTRUCTURES TO BE BUILT THIS PERMIT i-\lm SEWAGE DISPOSAT PLUMBING INSTALIED BY PUBLIC BUITDING WASTE DISPOSAT PLUMBING ,, PI.AN REVIEW K OWNER OTHER: NAME WATER SUPPTY PUBLIC tr ER FEES \t,\ :R, ) PARK TRAILER TOTAL COUNTY BUIL DING & SANITATION SPECIFICATIONS MIN.IC TANK CAPACITY WITH DIST. BOX: GA[. DRAIN FIETD REQUIRED I.IN. FT ] TRENCH WIDTH FT.OR SQ. FT. +\ TYPE OF STRUCTURE OCCUPANCY ZONE PUBTIC UTIT. EASEMENTteJ BLDG.SETBACKS FT. FROM CTR. OF ROAD RIGHT OF USE CI.ASSIFICATION FRONT SIDE EXTSIDE INT *3,REAR AUTHORIZEO SIGNATURE _ DATE DATE BIDG, PERMIT _ WHITE OFFICE COPY _ WHITE COUNTY TAX _ PINK PLUMBING - CANARY BUILDING _ GREEN SANITATION _ GOTDENROD coll 687-4065 to schedure orr reguired inspections. Ail construc- ,M p o RTA N T, l;l', i!: li,,H t Iy; [ : yil f:::i :;X. ::: "f]; i:; i;,,:; ""H1:#;plumbins. Att buitdinss require o clrtificor! "i;;;;;;.i'b"for"being occupied. (See Deroils on Reverse Side) (POSI TH|S pERMtT oN MA|N BrDG. AT S!TE)LANE COUNTY, DEPT. OF ENVIRONMENTAT MINIOTMTUT COURTHOUSE ANNEX, I35 EAST 6th, EUGENE, OREGON 9740Ironu * 655- 13 r- SITE INSPECTION Appaove o RrueRxs ry I rusprctonDar r FOUNDATION I NSPECTION Dr sAPPRovEo oo,, Z-//) ' 7,f I Nspecr RruaRxs 'U I FRAMI NG I NSPECTI Appnoveo ARK S Dt APPROVED T -etu I NSPEcToR a LATH OR SHTETROCK CTION D r sAPPRovE o F1 Dar I ruseecton i{'."Appnovro RrMaRr s e I D I SAPPROVED DaT r I Nspecro ReNanr s ? CERTIFICATT OF OCCUPANCY Reaov To lssuE D Nor Rraov to lssue D Dor.-lNSPEcroR- RruaRx s I / 22-'1 /vt DrsappRoveo D APPRovEo M FINAL INSPECTION APPRovED E{ 7 PERMTT tt_l)2-t, NOTE: NO PERI CONSTRUCTION WILL BE ISSUED I]NTIL THIS APPI APPLICAIION FOR: MOBILE }IOME PLAN REVIEW .TION HAS BEEN APPROVED C}IAi{GB OF OCCUPANCY OWNER {Y1,-lk u^--No l{o;.1-, Sp+lA 1't{'72 Name Z Address City zip Phone tl ll City zip )LV Phone 1 O.S. REG. /I lttt, mp. l) n^n "-3-2/ CONTRACTOR Section Subdivlsion ACCESS T0 PROPERTY (Road Nane) Existing Structures on Property Property LocatLon - Address/Dlrections Tax Lot Code Census Tract Lot I Block Pro perty wid thbo-Depth-Fl?-7 Y*t Below lce Use Sq. Ft Exlstlng Sewage DLsposal System Pub11c Comunity or New System Requlred Name of Communlty or Publlc ,/0 SEWAGE DISPOSAL: Slte Inspection WATER SIJPPLY: Well ll { Sprlng Other / Bldg. waste Disp. Plumbing Plan Revlew Mob11e Hone 1% Surcharge q6.,b !3c.- oc- 3/-.o PLUMBING: Installed by Ormer PLUMBING FEES:9o of FLxtures Name Sewage Connection Water Connectlon Other /.22 Z wF PLANS FURNISHED FACILITY PERMIT CASH TOTAL t7927 CHECK Mln. Septlc Tank Capacity--qQQ- Dralnfleld type of Construction YES NO Signature of icant Fee Recel YES NO th Date /t7->{{ I Maximum Dep Use Classification - Lineal Bldg Setbacks - from Center of Road Right of Way: Int.Ext ex 10 t ---:*S: -_!". 1tdf9i-ron "-RA PIA.NNING:c*ffir/t>/z{DATE:SKf*' t/at /1'r BUTLDTN.:DATE; .1-----7---rT- c55-12 d= ! !;E5 : syr, 4 /). prorr' 4-5' stde