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Home My WebLink AboutPermit Building 1973-04-10LANE COUNT'UILDING PERMII OR MOBITE HOI MHE USE PERMIT PERMIT NO.BUILDING PROPERTY OWNER MAILING ADDRESS PHONE CONTRAC ING ADDRESS PHONE Or PROP ERTY TOCATION _ INCIUDE POST O E P TEGAI DESCRI BOUNDS ^t ANG E SECTION TAX LOT N CODEo.#CENSUS TRACT ?L 5.Ll 32OO EXISTING STRUCTURES ON PROPERTYAPPt. NAME & MAITING ADDRESS LEGAL TO c- PROPERTY S WIDTH ,_ FT. '7 DEPTH AREAFOR MOBILE HOME PE ITS NLY No. of Bedrooms Connect to Existing Sewoge System ! New SystemSTR UCTU RES TO BE BUILT THIS PERMIT TYPE CONSTRUCTION Sq. FT, # BDRMS VALUATION SEWAGE DISPOSAI PUBUC tr SEPT|C TANK n oTHERn PI-UMBING INSTATI-ED BY OWNER N OTHER: NAME BUII.DING WASTE DISPOSAT PTUMBING PI.AN REVIEW PARK TRAII.ER (m I EES WATER SUPPTY PUBLIC N tr OTHER TOTAI, MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GAt . TYPE OF STRUCTURE 5N COUNTY BUILDING & SANITATION SPECIFICATIONS DRAIN FIETD REQUIRED LIN. FT OCCUPANCY TRENCH WIDTH FT. ZONE OR SQ. FT. PUBI.IC UTII. EASEMENT JBI.DG. SETBACKS FT FROM CTR. OF ROAD R IGHT OF WAY USE CI.ASSIFICATIONFRONTSIDE INT, AUTHORIZED SIGNA SIDE EXT ,TURE _ DATE REAR DATEijr,h CrBI,DG. PERMIT _ WHITE OFFICE COPY _ WHITE COUNTY TAX _ PINK PTUMBING _ CANARY BUITDING - GREEN SANITATION _ GOTDENROD 4 C_onstruction to .comply. with uniform buildingcoveyi69 plum,bing ond. sewoge Jirforoi Allot occuponcy before being ociupied. , code. ond county regulotions ourrdrngs require o certificote (See Stotement on Reverse Side) (posT TH|S pERMtr oN MA|N B|DG. AT S!TE)IANE COUNTY, BTDG. & SAN. DIV., COURT HOUSE, EUGENE, OREGON 9740I:onu g g55- 13 ) l^c Snr I rl -l lgt -t vC rl i o '.1' o E. IID ING S ITE EVALUAT ION T,/7 CENC ' IS NAI'IE ADDR PHONE -* ,N() \--' Building Permit Appl ication No. S i te lnspect ion Pre-Perm it lnvest i gat ion()DATE LANE COUNTY PLANNING DEPART}.I ENT NOT NO YES NAI'1E app I icab lel. Zoning 0rdinance Compl iance 2. subdivis ion oro,"jlll"6rPfi;le 3. Requ i red Access 4. Bu i I d ing S i te (Area, [./ idt h, Frontage, Setback) 5. 0ther (see comments) rr-()() () () ( () () () () () ( () () () CO},IHENTS: BUILDlNG INSPECTION SECTION NOT NO YES le NAI'IE DATE 6, Plans Submitted 7. Soi I Stab i I ity (foot ings) 8. Flood Plain 9. 0ther (see Conrnents) CO}A}AENTS: ()() () () ()() ( ()( -r SANITATION SECTION 10. Sewage Disposal I l. Usable Area 12. Water Supply I3. 0ther (see Comments) COMI'1ENTS NOT appl icable NO YES NAME KT (,) (4 () () () ()(J () () () ( TO APPL ICANT: Your Buildi ng Permit / Site lnspection:(fr"n be approved.y'- {, ,n 7()Cannot be approved is t ime as indicated on item N0.above.Questions and further in format ion on items I through !contact the Lane-COUNTY PLANN ING DEPARTH ENT.Qu est ions and further info rmat ion on i6; 5 () tli rough contact the Count Buildi and San itat i on Division.I I be held in this o f ce unt i you can resolve the ems nd i cated.()ls being returned.p ()Your bui lding permit appr icat ion fee is bein g returned under separate cover. t LANE CO 135 Six PHONE: \ LANE COUNTY PLANNING DEPARTI"IENTI l5 S ixrh t\r,en0e East, E,r;;;;;:' 0re<;onl'll()Nl ; l/r]-lill tXI. 2.ll 9740t UNTY EUILD'NG S SANITATION DIVISIONth. Avenue East, Eusene, ;L;;; '' 9740t342-t3tt ExT, 4l I w R S TA:'Lor 3//-#-lo 6-4 DATE ( 7i'"- DATE F I IANE COUNI\.-UILDING PERMIT BUILDING E MH E OR MOBITE HOI.-- USE PERMIT PERMIT NO. PROPERTY OWNER MAITING ADDRESS PHONE CONTRAC R MAIIING ADDRESS PHONE PROPERTY TOCATION _ INCLUDE POST OFFICE PROPERTY TEGAI DESCRIPTION _METES, BOUNDS RANG E SECTION TAX LOT NO CODE CENSUS TRACT EXISTING STRUCTURES ON PROPERTYAPP[. NAME & MAITING ADDRESS ACCESS TO PROPERTY PROPERTY SIZE - FT. WIDTH DEPTH AREA FOR MOBILE HOME PERMITS ONLY No. of Bedrooms Connect to Existing Sewoge Sysrem ! New System ! STRUCTURES TO BE BUILT THIS PERMIT TYPE CONSTRUCTION SQ. FT # eoRnrs vALUATtoN SEWAGE DISPOSAT PUBTIC tr SEPTIC TANK tr OTHERE PTUMBING INSTAILED BY OWNER n OTHER: NAME BUILDING WASTE DISPOSAT PTUMBING PI.AN REVIEW PARK TRAITER F EES WATER SUPPTY PUBr.rc n tr OTHER COUNTY BUILDING & SANITATION SPECIFICATIONS MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GA[. DRAIN FIETD REQUIRED I.IN. FT TRENCH WIDTH FT OR SQ. FT, \rr--&t\\ TYPE OF STRUCTURE OCCUPANCY ZONE PUBI.IC UTII.. EASEMENT BI.DG. SETBACKS FRONT FT. FROM CTR. OF ROAD RIGHT OF WAY SIDE INT. SIDE EXT. USE CTASSIFICATION REAR AUTHORIZED SIGNATURE _ DATE DATE a BI.DG. PERMIT _ WHITE OFFICE COPY _ WHITE COUNTY TAX _ PINK PIUMBING _ CANARY BUITDING _ GREEN SANITATION _ GOLDENROD Construction to comply with uniform building code ond county regulolions covering plumbing ond sewoge disposol. All buildings require o certificote of occqponSy before being occupied. (See Stotement on Reverse Side) (POST THIS PERMIT. ON MAIN BIDG. AT SITE) TANE COUNTY, BLDG. & SAN. DIV., COURT HOUSE, EUGENE, OREGON 9740I ronu 1i 655 - 13 $ Tc)TAT s S ITE INSPECTION Appnovso Remanxs DI SAPPRoVED Dare I ruspEctoR a FOUNDATION I NSPECTION AppRoveo REuaRx s D DrsappRoveo Drr e I rusprcton FRAMING INSPECTION Appnovro / L,/ Dr sAPPRovEo Reuanx s -,'ff' F)Drtr I Nseec LATH OR SHEETROCK INSPTCTION Ap pRov E o RrurRr< s D r sappnoveo Dar e I Hspecton FINAL INSPECTI Ap pnov e o ReueRx s Dt slPpnoveo Dare 13 I ruspec CERTIFICATE OF OCCUPANCY Reaov ro lssur ReurRx s Nor Reaov ro lssur Dare I HsprcroR ,fq z/.r0fr,.M ,R,/- lra D D Dffi IANE COUNTY F '!.D!NG PERMIT OR MOBILE HOME 'ISE APPLICATION PERMIT TYPE _ BUILDING PROPERTY PROPERTY TOCATION - INCTUOE POST OFFICE PROPERTY TEGAT DESCRIPTION TOT_BI.OCK_SUBDIV TWP MOBILE HOME I OSC REG. # MAITING ADDRESS ,2<5a MAil.t ADDRESS q4 PERMIT CENSUS TRACT METES & BOUNDS ATTACHED YESt<NO sEc.TAx r.oT #CODE DESC EXISTING STRUCTURES ON IF ANY AREA or New R BEDROOMS VATUATION ACCESS PROP SIZE-WIDTH ,2D- PTH ./ ADDRESS FOR MOBILE E PERMIT Number of Bedrooms STRUCIURES IO BE EUILT THIS PERMIT Connect to Existi TYPE CONSTRUCTION SQ. FT APPTICANT NAME AND MAITING @2 SEWAGE DISPOSAT PTUMBING INSTATTED BY PUBTIC BIDG. WASTE DIS. PTUAABING PTAN REYIEW PARK TR[R. SEPTIC T OTHER FEES WATER SUPPTY PUBTIC PI.UMBI EES OWNER S TU RE FACII.ITY PERMITtu--:> NO OTHER ISH ED 4/ OTHER YES NO ICAN.T DATE DATE ad- CASH CHECK NECTION FEE 5, oo PUBTIC WATER CONNECTION FEE PERMIT # COUNTY BUILDING & SANITATION SPECIFICATIONS DRAIN FIELD REQUIRED tIN. FT. TRENCH WIDTH FT. TOTAT MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GA[.OR SQUARE FEET TYPE OF STRUCTURE OCCUPANCY ZONE REAR YARD PUBI.IC UTIT. EASEMENT BLDG. SETBACKS _ FT. FROM CTR. OF ROAD RIGHT OF WAY FRONT SIDE INT. SIDE EXT. USE CTASSIFICATION REAR torm # css-t2 DoleDote PLANNING Dole BLDG. INSP Direclions to Find Property coPY r - oFflcE COPY 2_JOURNAT COPY 3 - AUDIT NAME n'//