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Home My WebLink AboutPermit Building 1974-10-14.;IANE L-AUNTY BUILDING PERMIT OR MOBN- HOME USE PERMIT BUILDING[] MHI PERMITNO. PROPERTY O\A:.lER MAiLING ADDRESS .L EPHON CONTRACTOR ,.i_ MAIIING ADDRESS PHONE PROPERTY TOCATION - INCTUDE POST OFFICE .('.T,r L 1 , '.. ..l' PROPERTY TEGAL DESCRIPTION _ METES, BOUNDS t7 RANG E SECTION TAX LOT NO CODE CENSUS TRACTel+.3.3 eooo rg-olt EXISTING STRUCTURES ON PROPERTY lcus rAPPt. NAME & MAITING ADDRESS a!23 xonrx lJrx Srnest LEGAT ACCESS TO PROPERTYllrx Srneer -t PROPERTY SIZE _ FT. WIDTH DEPTH AREA FOR MOBILE HOME PERMITS ONLY No. of Bedrooms Connect to Existing Sewoge System I New System ! STRUCTURES TO BE BUILT THIS PERMIT TYPE CONSTRUCTION SQ. FT. = BDRMS VALUATION t'Cenporr SEWAGE DISPOSAT PUBUC tr SEPTIC TANK n oTHERfl PTUMBING INSTATTED BY OWNER E OTHER: NAME s 5 )- r F EES WATER SUPPTY PUBuc dxx n orHER BUII.DING WASTE DISPOSAL PI.UMBING PTAN REVIEW PARK TRAITER lSsuncmrer TOTAT COUNTY BUILDING & SANITATION SPECIFICATIONS MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GAt. DRAIN FIETD REQUIRED tIN. FT TRENCH WIDTH FT OR SQ. FT TYPE OF- STRUCTURE OCCUPANCY ZONE PUBTIC UTII. EASEMENT J BTDG. FRONT SETBACKS '-! FT. FROM CTR. OF ROAD RIGHT OF WAY<r stDE tNT. -/ SlOe ext. USE CTASSIFICATION REAR 5'. /s/ ,t/ c/ socr AUTHORIZED SIGNAIURE - DATE BY . C ]1ARBAUGH J Snoox/cAnrTArrAN DATE BIDG. PERMIT - WHITE OFFICE COPY - WHITE COUNTY TAX _ PINK PTUMBING _ CANARY BUILDING - GREEN SANITATION _ GOLDENROD Coll 697-4065 to schedule oll reguired inspeclions. All construc- lion sholl comply with Uniform Building Code, D.E.Q. stondords IIIiPORTANT: for subsurfoce sewoge disposol ond counly regulotions covering plumbing. All buildings require o cerlificote of occuponcy before being occupied. (See Detoils on Reverse Side) (posT THls PERMIT oN MAIN BIDG. AT SITE) I.ANE COUNW, DEPT. OF ENVIRONMENTAT MANAGEMENT COURTHOUSE ANNEX, I35 EAST 6th, EUGENE, OREGON 9740Ironut655-13 --l-o W?L lta-t,t Ql% BUILDING S ITE EVALUAT ION r+T l--l R-3-s &ag'ex Lor@o Sb-rlVlSl0N:ffi APPL I CANT DATE cK'D BY.su2r ro laltSetbacksffiFront +S Setbacks from interior lines: Side € ls (U/gUiLDING PERHIT APPL ICATION NO.fu ( ) -strE tNsPEcrloN rtffi?'ff _ .wrg.., o-to-n 3: oo D tv ls l0N Not Aool i cable"ryVYtage) (L)-- () l. Zoning Ordinance Connpliance: Zon' 2. Subdivision 0rdinance Compl iance 3. Requi red Access 4. Building Site (Area, t.,idth, Fron 5. Other (see cornments ) No Yesf) TE-6.() () () () () () () () Rear g cOt{t{ENTS:r! PLANNTNG DIVISION ACTION Plans Submitted Soil Stabil ity (footings) Flood Plain Other (see conments) ING: YES( ) N0(APPLICATION#) No Ves,/TIV() () () () () () 7 8 9 0 Not Aool icable*rr () () (')CKI D BYI E COHMENTS: WATER POL UT ION OL Not ti le No Yesr) TTI I . l{eets Department of Envi ronmental Qual i ty Standards. 72. Other (see comments)(CKID BY:lb E COHHENTS: TO APPLICANT: $1t" '' Iq r Building / Site lnsPecti Can be approved. Cannot be apProved at thi Questions and further inf throug Lrill be held in this office unti ls being returned. ermi t I ication 135 Sixth Avenue Eas PHONE. 687_4065 LANE COUNTY PLANNING on: s time as indicated on item N0"Jbove. 'ormation on items I through 5 contact the LANE- Questions and further information on items 7PLANN I NG S ON 2 contact t NE COUNTY BUILDING AND TION DIVISI a you can reso vet eP ems I cated. lBft#ft#rt Eugene Oregon 97401 DtVlStoN PHONE: 582-4186 c55-28 () () Your bui ldi BUILOING INSPECT!ON DIVIS ION I () () IANE C-JNTY BUTLDTNG [ ] BUILDING PERMIT OR MOBI. -. HOME MHE UsE PERMIT PERMIT NO. PROPERTY OW'IER MAILING ADDRESS $rx Srr::r ':rj. r'., . t-.".1I PHONE C ON TRACTO R MAILING DDRESS PHONE I I ltrrtr l5r* Stettr PROPERTY LOCATION _ INCLUDE POST OTFICE :,r,i, l'(.. PROPERTY LEGAL DESCRIPTION _ METES, BOUNDS ,1'RANGE SECTION TAX LOT NO CODE CENSUS TRACT Rtc*rno t, Hcf,rl EXISTING STRUCTURES ON PROPERTY '{ i ' APPI.. NAME & MAII.ING ADDRESS gt8! roru lJrr 3rr:rr TEGAL ACCESS TO PROPERTY Spr r lor r tlg Orccor 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 SQ, FT, f BDRMS VALUATION -l SEWAGE DISPOSAI PI"UMBING INSTALTED BY PUBIIC BU ITDING WASTE DISPOSAL PTUMBING PtAN REVIEW PARK TRAITER ..; i. :!l I ,' TOTAT SEPTTC TANK n F EES OWNER OTHER: NAME WATER SUPPTY PU BLIC Err tr .THER 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,i ZONE A PUBTIC UTII.. EASEMENT BtDG.sETBaf KS ROADFT. FROM CTR. OF SIDE INT. RIGHT OF WAY SIDE EXT. USE CTASSIFICATION FRO NT REAR lul ll t/ *tt AUTHORIZED SIGNATURE - DATE DATE BLDG. PERMIT - WHITE OFFICE COPY _ WHITE COUNTY TAX _ PINK PLUMBING _ CANARY BUITDING _ GREEN . SAN ITATION _ GOIDENROD Coll 687-4065 to schedule qll 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. All buildings require o certificole of occuponcy before being occupied. (See Detoils on Reverse Side)I(posr THrs pERMrr oN MAIN BLDG. AT SlrE) LANE COUNTY, DEPT. OF ENVIRONMENTAT MANAGEMENT COURTHOUSE ANNEX, I35 EAST 6Th, EUGENE, OREGON 9740Ironu *c55-t3 - OTHERN SITE INSPECTION Ap pnov r o ReNaRx s D r sAPpRovED Darr I rusprcron FOUNDATION I NSPECTION AppRoveo Rruanxs D DrsAppRovEo - Dare I ruseecroc FRAMI NG Appnoveo Reltanx s I NSPECT I ON DrsnppRovro D Drr ,E;l/?4,n,, Ap pnov t o Rrua ax s D DrsappRovro fa Dat E I Nspecton FINAL INSPECTION Ap pnov r o Reptanx s DrsappRovro D I ruspEcr CERTIFICATE OF OCCUPANCY Rrrov to I ssue Reuanx s D Nor Rraov to lssuc D 2o o?-T /& y23 Dar e I rusprcron \-/ LATH OR SHEETROCK INSPECTION tr7/01 NOIE PLEA.SE PRI.NI PROPRTY I,OCATTON pm{rr/i 2e ( f-7 y IAI{E CflINTY Buildirg ?t--/ DE,ARIMm.U OF mWIROlS,lm{IAL },IAMGEMm{I }bbile llcrne APPT.ICATION FOR zuII^DIIS PMMTT OR }4OBIIE HCN4E USE Ib permit will be issr:ed r-urtil this application has been approved. .l p a S rfrT ll3oco CCDE <,)CM{SUS rRAcr4O- / o_A u WIDIH / 7 ts DtrIT{ hO OR ACREAGE DESCRTBE DfiSTITG STRUGIURES ON TTIE PROPffiIY APPLIC.AI{I MME Pr{o{E +hstrf j lsr,+EnoNE 1.-l 'l I )d3 L* ADDRESS MME {f 6666p ADDRESS .f,..hr N ,vo liauage llasposal Site Inspection 1t Ecisting se$rage disposal systsn f] or ner/'/ system required D Water Supply: R:btic R Ois trict Nare well D Spring t_l Orher Bldg. Waste Dis. Plurbing Plan Rewievr Ttailer 1% srrctrarge /0, O O Fees Phnrbing hstalled by Guner Other Nanp: -- Plurbing Fees Sex,rcr connection Water connection -lF of fixtures inspection fee inspection fee ,10 D Cas!- W.&{eck Plans firnished Yes,R I{,o D Facility PernLlt with dist. box:lons Signa trre of Applicant Fee received Trench Depth Yes E B- (/ or Sq. Ft. teltt9l TOIAL /t, /o ty Lineal Feet c55-12 Side Int. 5 SC BIgd. setbacks-tt Front 45 t frcrn center of road right of way Rear { Zrlne RN sq o Ra:r-L*r-