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Home My WebLink AboutPermit Building 1976-08-27LANE COUNTY PERMIT FOR PERIVIIT NO CONSTRUCTION [ ] I\,IOBILE HOIVIE [ ] PLAN REVIEW [ ] CHANGE OF OCCUPANCY [ ] NAIVIE ADD R DE < r Owner ! Contractor PHONE NAiVIE O.S. Reg. +r Twp- Range-- section .3,4Tu* Subd ivision Lot B lock Access to Property (Road Name) ADD R ESS CITY ZIP CODE Census Tract PHONE Code Acreage Width Depth Existing Structures on Property: Directions to Property - Address STRUCTURE (# BEDROOIVIS}SO. FT VALUATION SEWAGE DISPOSAL: PUBLIC [ ] SEPTICTANK [ ] OTHER [ ] PLUIVIBING INSTALLED BY: OWNER[] OTHER[] NAIVI tr BUILDING PLU IVIB ING 3% SURCHARG E IVIOBILE HOIVIE WASTE DISPOSAL PLAN REVIEW TOTAL WATER SUPPLY: PROPOSED I EX IST ING t PUB LIC COVIMIUNITY- NAIVIE PRIVATE WELL OTHER-SPECIFY CONSTRUCTION PERMITS & INSPECTIONS AND WATER POLLUTION CONTROL SPECIFICATIONS IVIIN. SEPTIC TANK CAPACITY GALS IVIIN. D RAINFI E LD-LIN. FT IVIAX. TRENCH DEPT I NCH ES STAY 1OO'FROIV] ALL WELLS TYPE OF CONSTRUCTION- GROUP FIRE ZONE USE CLASSIF SETBACKS- FT. FROIVI CTR. OF rAfi FRONT SIDE EXT FT. FROIVI PROP. LINE SIDE INT R EAR ZONE AUTHORIZED SIGNATURES ISSUANCE DATE BLDG, PEFMIT - WHITE OFFICE COPY - WHITE COUNTY TAX - PINK PLUMBING - CANARY BUILDING - GREEN SANITATION - GOLDENFQD IMPORTANT Call 687-4065 to schedule all required construction inspections. Call 687-4061 to schedule all required septic system inspections. All construction shall comply with the Slate Buidling Code, D.E.O. standards for subsurface sewage disposal and the State Plumbing Code. All buildings require a certificate of occupancy before being occupied. (See Details on Heverse Side) POST THIS PERMIT ON MAIN BLDG. AT LANE COUNTY, DEPT, OF ENVIRONMENTAL MANAGEI\4ENT COURTHOUSE ANNEX, 135 EAST 6th, EUGENE, OBEGON 97401 SITE BU-! LO ING; S ITE EVALUAT ON 2t /3"26 T S " QZt-&'Ax Lor- b{ruLDtNG PERMIT APPL t ( ) srTE TNSPECTIoN ON Yo.LOT: tst APPL I CANT DATE Zon i ng 0rd i nance Cornp I iance: Zone Subdivision 0rdinance Compl iance Not I icable CKID6. setbac No YesTIF( U-f()*Yii# I 2 3 4 5 Requi red Access Building Site (Area, Width, Frontage) Other (see connnents) () () () t",0""5?of rorn i nteriokVnes : om Front S id.ejrj-erior. Rear COI'IilENTS: FLANNrNcTrVrsr No(l APPL I CAT ION# BUILDING INSPECTION DIVIS!ON 7. Plans Submitted8. Soil Stability (footings) 9. Flood Plain 0. 0ther (see connnents) Not I icable ) No Yesr)6() () () () () ()CKID BY: COMMENTS: WATER POLUTI0N CONTR0L Not ll. l{eets Department of Environmental Aool i cabl e -...No Yesru r)rI 12.3ffi:l'i,:l'l3i#i;,r ( ) ( ) ( ) cK'DBy, t|\^q(,4s=27J ' DATE COilHENTS: TO APPLICANT: ALUU nt 6,7' Your- Building / Site lnsPection: t trf Can be approved. 1W ( ) Cannot be approved at this time as indicatedtt Questions and further information on items I on item N0" above through 6 contact the LANE- her information on items 7NNG DIVISION Questions and furt t contact the COUNTY BUILDING SAN TAT 0N Dlvlsl0 ( ) lrill be held in this ce unt you can reso vet ep em5 cated.( ) ls being returned.( ) Your bui lding permi! apPU'ge.J-r-gn.[ge*It-=E9iLg-tqturned under seDalelg-Cgvg.f* - 135 Sixth Avenue East Eugene Oregon 97401 PHoNE z 687-4065 LANE COUNTY PLANNING DlVlSl0N PH0NE: 587-4186 c55-28 J PLANNING DIVISION I I^A}IE COI'NIY ENVIRONMENT },IANAGEMENT Name and Address of 0,r^rner Telephone: The bullding belng constructed under this pernlt w111 be used for PLOT PLAN ,r^, Date thls property was purchased Do you now, or dld you ever olrn property adjacent to this tax lot? If so, pleasellst those tax lot nuubers or draw those properties on the plot plan be1ow. rr/i Indl-caEe on your drawlng the location of aLL homes (lncluding moblle homes) norr on the property, as wel-l as the locatlon of the new building. ,l Name of AppJ-lcant (lf dtfferent from owner): Address MaP Telep,hone Tax Lot Appllcantrs Interest: BuYer c74-99 Pernlt /lserler [-l Aeent [-l n Owner LANE COUNTY PERMIT FOR:PERIVIIT NO .T CONSTRUCTION [ ] IVIOBILE HOIVIE [ ] PLAN REVIEW [ ] CHANGE OF OCCUPANCY [ ] NAIVIE ADD R ESS CITY ZIP CODE PHONE n Contractor ADD R ESS ZI CODE Census Tract PHONE O.S. Reg. + Tw Range- Section LotSubdivision Tax Lot- Code B lock Acreage Width DepthAccess to Property (Road Name) Directions to Property - Address: Existing Structures on Property: STRUCTURE (# BEDROOIVIS)SO. FT VALUATION SEWAGE DISPOSAL: PUBLIC[] SEPTICTANK[]orHER [ ] PLUIVBING INSTALLED BY: OWNERI] OTHER[] NAIVI tr BUILDING- PLUIVIB ING 3% SURCHARGE MOBILE HOME--- WASTE DISPOSAL PLAN REVIEW TOTAL WATER SUPPLY: PROPOSED t 1 EXISTING t ] PUB LIC COMTVIUNITY . NAME PRIVATE WELL OTHER-SPECIFY CONSTRUCTION PERMITS & INSPECTIONS AND WATER POLLUTION CONTR OL SPECIFICATIONS IVIIN. SEPTIC TANK CAPACITY: GALS. MIIN. DRAINFIELD_-LIN. FT MAX. TRENCH DEPTH I NCHES EI STAY 1OO' FBOTVI ALL WELLS TYPE OF CONSTRUCTION G ROUP FIRE ZON USE CLASSIFF SETBACKS FT. FBOI\,1 CTR. OF rM FRONT SID E EXT FT. FROM PBOP. LINE: SIDE INT. - REAR ZONE AUTHORIZED SIGNATURES lsl ISSUANCE DATE BLDG. PEBMIT - WHITE OFFICE COPY - WHITE COUNTY TAX - PINK PLUN4BING - CANARY BUILDING - GBEEN SANITATION - GOLDENFOD IMPORTANT Call 687-4065 to schedule all required construction inspections. Call 687-4061 to schedule all required septic system inspections. All construction shall comply with the State Buidling Code, D.E.O. standards for subsurface sewage disposal and the State Plumbing Code. All buildings require a certiticate of occupancy before being occupied. (See Details on Beverse Side) POST THIS PERMIT ON MA!N BLDG. AT SITE LANE COUNTY, DEPT, OF ENVIRONMENTAL MANAGEMENT COUFTHOUSE ANNEX, 135 EAST 6th, EUGENE, OREGON 97401c55-t 3 I NAME SLAE FLOOR PLUMB I NG GROUNT$'ORK Ap enov e o REuaRx s l-7 Drsrepnovro D Dar r I HspEcron GAS PIPING GROUND/ORK D Drsappnoveo D Dar e I NsprcronAp pnov r o Rruanxs ROUGH PLUMBING AppRovED d Drsrppnove , D DorQ-/4t--ve I rspr Reua Rx s ROUGH GAS PIPING AP PRoV E D REuaRr s D r sappRovro I ruspecron rI NAL PLUMBING APPRovED M DrsAPPRovEo Rrurnx s oare/A-C-)G t*r*y^#fl/r) FINAL GAS PIPING Ap pnov e o RexaRx s D r SAPPRovED Drr r I NseEcron CERTIFICATE OF OCCUPANCY Rraov ro lssue ReuaRrs Nor Reaov ro lssuE Dare l nsprctoR D Dorr- LANE COUNTY PERMIT FOR PERt\lIT NO CONSTRUCTION [ ] IV1OBILE HOIVIE [ ] PLAN REVIEW [ ] CHANGE OF OCCUPANCY [ ] n Owner NAIVIE ADD R ESS CITY ZIP CODE PHONE 'n Contractor NAIVIE ADD R ESS O.S. Reg. + Twp- Range- Section-Tax Lo CITY Code Acreage - ZIP CODE Census Tract PHONE t Subd ivision Lot Access to Property (Road Name) B lock Width Depth Existing Structures on Property: Directions to Property - Address STRUCTUBE (# BEDROOIVIS}SO. FT VALUATION SEWAGE DISPOSAL: PUBLIC [ ] SEPTICTANK [ ] OTHER [ ] PLUMBING INSTALLED BY: OWNER[ ] OTHER[ ] NAM tr BUILDING PLUTVIB ING 3% SURCHARGE IVIOBILE HOIVIE- WASTE DISPOSAL PLAN REVIEW TOTAL WATER SUPPLY: PROPOSED t 1 EXISTING I] PUB LIC COIVIVIUNITY NAIVIE PRIVATE WELL OTHER .SPECIFY CONSTRUCT]ON PERMITS & INSPEGTIONS AND WATER POLLUTION CONT ROL SPECIFICATIONS IVIIN. SEPTIC TANK CAPACITY GALS.IVIIN. DRAINFIELD--LIN. FT MAX. TRENCH DEPT I NCH ES STAY 1OO' FROIVI ALL WELLS TYPE OF CONSTRUCTION GROUP FIRE ZON USE CLASSIFF SETBACKS FT. FROIVI CTR, OF TAff FRONT SIDE EXT FT. FROIVI PROP. LINE: SIDE INT. =- REAR ZONE AUTHORIZED SIGNATURES lsl ISSUANCE DATE BLDG. PEBMIT - WHITE OFFICE COPY _ WHITE COUNTY TAX - PINK PLUMBING _ CANARY BUILDING _ GREEN SANITATION - GOLDENBOD IMPORTANT Call 687-4065 to schedule all required construction inspections. Call 687-4061 to schedule all required septic system inspections. All construction shall comply with the State Buidling Code, D.E.O. standards for sub6urface sewage disposal and lhe State Plumbing Code. All buildings require a certificate of occupancy before being occupied. (See Details on Beverse Side) POST THIS PEBMIT ON MAIN BLDG. AT SITE LANE COUNTY, DEPT. OF ENVIBONMENTAL MANAGEMENT COUBTHOUSE ANNEX, 135 EAST 6th, EUGENE, OREGON 97401 c55 -l 3 SITE INSPECTION Ap paov E o Rruanxs H Dr sappnoveo Dare / /- 2-v6 I xspEcron'2 FOUNDATION INSPECTION APPRovED & DTsAPPRovED Reuanx s Dare z- 7L lxspecton FRAMING INSPECTION Appnov E o Re uanx s d Drsappnove o D ootz //- L -7Q I xspecron LATH OR SHTETROCK NSPECT I ON Ap pnov r o Reua Rx s Dr sappnoveo 1 I NspecDrr r FINAL INSPECTION ApPnovro B DrsappRovro Reuanx s Darr -7 I NsprcroR CERTIFICATE OF OCCUPANCY Reaov ro lssue ReuaRx s Nor Rrrov ro lssue DrrE I rspecton D ) ? / D 7^*oon- &^o"(*'( NO PERMIT WI. - BE ISSI]ED I]NTIL TITIS APPLI PERMTT tf-t tt/z C.ATION HAS BEEN APPROVED cq-7-' NOTE: CONSTRUCTlON MOBILE }IOME APPLICATION FOR: PLAN REVIEW OWNER +LI S Clty Phone {*? lct 77Csie{ ess ci PhoneName CONTRACTOR 2o.s. REG. /l Twp Sectlon Subd ivis ion Lot ACCESS T0 PROPERTY (Road Nane)4 ( Existing Structures on ProPertY: Property Location - Address/Directions:. DISPOSAL Site Inspec tlon /l Census Tract erty Acreage Wld th .Dep th_ Name of Community or Public Systen Name Sewage Water ConnectlonConnection PLANS FURNISHED FACILIfi PERMIT YES NO Signature of Fee Received By Date: Tax Lot Co lroP ft'/(/!' A 0 vut ,.r WATER SI'PPLY: Well Sprlng 0ther N 6 Sq. Ft 0ther ures Requi.red - Lineal Feet Flre Zone FEES: Bldg. Plunblng 3Z Surcharge Waete Dlsp. Plan Revlew Mobile Hone TOTAL lDt TyPe of Constructlon €/ PL Use Classlficat Offlce Use Sewage Disposal Sys Public Comunity by Owner ll ot 3 J Bldg Setbacks - from Center of Road RightS Rear c55-12 I,ANE COI'NTY of Way: OF ENVIRONMENTAL MANAGEI"IENT Zorre RA DA Fron ,Ksn"Int DATE:DATE: BntlanIrI Ll 4 I ) Mln. Septic Tank Capaclty-