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Home My WebLink AboutPermit Building 1975-08-20t. IANE COUNTY BUILDING BUTLDTNG [-:] MH E PERMIT OR MOBITE HOME USE PERMIT PERMIT NO,-7 PROPERTY OWNER MAITING ADDRESS Lae PHONE CONTRACTOR MAITING ADDRESS PHONE PROPERTY I.OCATION _ INCTUDE POST OFFICE Aspen up PROPERTY I-EGAL DESCRIPTION _METES, BOUNDS RANG E SECT IO N TAX LOT NO I 0400 CODE CENSUS TRACT ti 03 EXISTING STRUCTURES ON PROPERTYAPPT. NAME & MAII.ING ADDRESS LEGAI ACCESS TO PROPERTY PROPERTY SIZE - FT. WIDTH DEPTH AREA FOR MOBILE HOME PERMITS ONIY No. of Bedrooms Connecl lo Existing Sewoge Sysrem f New System ! STRUCTURES TO BE BUILT THIS PERMIT o rks hoD TYPE CONSTRUCTION se. FT. # BDRMS vALUATtoN SEWAGE DISPOSAT PUBUC n SEPTTC TANK n oTHERn exiEt PLUMBING INSTATTED BY OWNER [I OTHER: NAME $F EES WATER SUPPIY PUBUC tr tr OTHER BUITDING WASTE DISPOSAL PI.UMBING PTAN REVIEW PARK TRAIIER TOTAT o, COUNTY BUILDING & SANITATION SPECIFICAIIONS MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: cAt. DRAIN FIETD REQUIRED I-IN. FT TRENCH WIDTH FT.OR SQ. FT, rtot bu i I d w ith in l0 fect of e:(iatlnq scwaqo d Icposel systenr. TYPE OF STRUCTURE OCCUPANCY ZONE PUBI.IC UTII,. EASEMENT BLDG. SETBACKS FT. FROM CTR. OF ROAD RIGHT OF WAY USE CI.ASSIFICATION FRONT SIDE INT.SIDE EXTr1 REAR AUTHORIZED SIGNATURE _ DATE DATE s-Petrasek l'or Rnbert Lowrv/a*n i tsr lan J.E. Boss bv Chelres Harbaus BLDG. PERMIT _ WHITE OFFICE COPY _ WHITE COUNTY TAX _ PINK PLUMBING _ CANARY BUILDING _ GREEN SANITATION _ GOTDENROD Coll 687-4065 to schedule oll required inspections. All construc-tion sholl comply with Uniform Building Code, D.E.e. stondordsII PORTANT: for subsurfoce sewoge disposol ond county regulolions covering plumbing. All buildings require o certificote of occuponcy befori being occupied. (See Detoils on Reverse Side) (POST rHrS pERMtT ON MAIN BLDG. AT SITE) TANE COUNTY, DEPT. OF ENVIRONMENTAL MANAGEA.{ENT COURTHOUSE ANNEX, I35 EAST 6Th, EUGENE, OREGON 9740Ironut655-13 PI D +P\,\d.I i I a-q t) ?.t.,fffi''' !fi#-, ^cl,6a A \ \ I \ I i t ootS , i1,!tqf a*- a *,,l Do aG/ --?l t i I \ \ __-. -- { 'l t d, I I \ i \U'g \ l+-\ {,J, rli i a\ \, 5'' !,) i .l$ ? it. {,i d! '*. iln -rrd W q/ ,)<'U(..- -q ir lt (f C Anoui!, ,edi, it(.'!+ ., t!1-s' rlllr'fr :i,. {r th"" tllitti u4.r!- i\# t ,'{, t:ltlta a. r'l:t a ri io,,IL'>l \; ri I _ _.-.__ it,r3,'il<* 4.e H6U!LOING SITE EVALUAT ION E* ( ) BUILDING pERHtr APPLlcATloN N0. J <a'/---( ()SITE INSPECTION PLANNING DIVISION Not A ti le s TAX LOT L0T:_ BLOCK:_ R SUBDlvrSl0N: lltru^.qLAPPL I CANT DATE No Yesr) Tl- 6. () () () () () () () () CKID BY: Setbacks rorn rl. Zoning Ordinance Compl iance: Zone rR-q -2, Subdirision 0rdinance Compl iance - 3. Requi red Access 4. guitaing Site (Area, Width, Frontage) 5, 0ther (see cornments) o Side Exterior Setbacks from i nterior I ines:side s's_GE-g Rear COI{I{ENTS: ( ( Front PLANN I NG O I V I S ION-TETIOTPEND I NG : Plans Submitted Soil Stabil ity (footings) Flood Plain Other (see conrnents) COMMENTS: (-TAPPEICAT I Not licable No 7 8 9 0 (I ) ) ) ffi() () () CI() () ()CK'D BY t WATER POLUTION CONTROL I | . Heets Department of Envi ronmental Qual ity Standards. 12. Other (see comments) Not A le No Yesr) rT ,,/ /Kil'',/zCKID BY: DATE COHHENTS: () ()) TO APPLICANT: Yoqr/ Building / Site lnsP ( ) Can be aPProved. ( ) Cannot be aPProved at Questions and further NNING DIVIS ection: this time as indicated on item N0 information on items I through 5 contact t " Questions and further information on items BUILDING SAN ITAT ION D S ON ve the prob ems i cated. above. v(s t rou9 2 contact t NE ( ) },i I I be held in this ce unt you can reso ( ) ls being returned.tt+=ryiffitiitiltft#ftdt: 135 Sixth Avenue East Eugene 0regon 97401 fffiIt;rrffl-lffi-rNG DrvtsroN pHoNE: 587-4185 c55-28 BUILDING INSPECTION O !VIS !ON 4 LANE COUNTY BUILDING PERMIT OR MOBILE HOME USE PERMIT BUILDING i-.'T MH I PERMIT NO. PROPERTY OWNER MAILING ADDRESS PHONE CONTRACTOR MAIIING ADDRESS PHONE PROPERTY I.OCATION _ INCLUDE POST OFFICE PROPERTY TEGAL DESCRIPTION _ METES, BOUNDS RANG E SECTION TAX LOT NO,CODE CENSUS TRACT EXISTING STRUCTURES ON PROPERTYAPPt. NAME & MAII,ING ADDRESS LEGAI, ACCESS TO PROPERTY PROPERTY SIZE _ FT. WIDTH DEPTH AREA FOR MOBILE HOME PERMITS ONLY No. of Bedrooms Connecl to Existing Sewoge System I New System tr STRUCTURES TO BE BUILT THIS PERMIT TYPE CONSTRUCTION se. FT. # BDRMS VALUATIoN SEWAGE DISPOSAT PUBTIC D SEPTIC TANK tr OTHERE PTUMBING INSTATLED BY OWNER E OTHER: NAME F EES WATER SUPPTY PUBLTC tl tr OTHER BUILDING WASTE DISPOSAT PTUMBING PLAN REVIEW PARK TRAII.ER ( TOTAI. 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 PUBLIC UTI[. EASEMENT BLDG. SETBACKS F RONT rT. FROM CTR. OF ROAD RIGHT OF WAY SIDE INT. SIDE EXT. USE CLASSIFICATION REAR AUTHORIZED SIGNATURE - DATE DATE BIDG. PERMIT _ WHITE OFFICE COPY _ WHITE COUNTY TAX _ PINK PI.UMBING _ CANARY BUILDING _ GREEN SANITATION - GOTDENROD Coll 687-4065 to schedule oll 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 cerfificote of occuponcy before being occupied. (See Detoils on Reverse Side) (POST THIS PERMIT ON MAIN BLDG. AT SlrE) LANE COUNTY, DEPT. OF ENVIRONMENIAL MANAGEMENT COURTHOUSE ANNEX, I35 EAST 6th, EUGENE, OREGON 9740I FoRM = C55-13 SITE INSPECTION App nov r o ReuaRxs Dr sappnoveo Dare I ruspecroR FOUNDATION I NSPECTION APPRovEo Reun nx s D Drsappnoveo n Da I uspecron FRAMING INSPECTION Appnoveo Re ulRx s D DrsAPPRovEo D Drre I NSPEcToR LATH OR SHEETROCK INSPECTION Ap pRov r o RruaRx s D r sappRoveo I Hseecton FINAL INSPTCTION AP PRov E o Rruanx s DrsAPPRovEo D oorrif-L 7!- rNSpE CERTIFICATE OF OCCUPANCY REaov ro lssuE RrurRx s D Nor Rraov ro lssue D Drre J (.){-/0 to I NSPEcToR D D Dore- PERMIT ON HAS BEEN APPROVEDNOTE: NO PERMIT ^LL BE ISSITED TNTIL THIS APPLIC/. APPLICATION FOR: coNSrRucrroN [-n# o'rNER fr I /.* MOBILE TIOME PLAN REVIEW CHAI.{GE OF OCCUPANCY 7 /c * Tdrr7/rart ld?r) Setuau 4* ,Forrr. q4y,r/ --7 N" e Add;Ea- z ess Tax Lot clti-'T Ztp Phone zrp CONTRACTOR ty one o.s. REG. /l Twp \(>LTC:s S""aiorr3\Code censue,r""rJ4?6 .rA L-LSubdlvls \Y\<*r\-e. ACCESS TO PROPERfi (Road Nane) Existing SEructures on Property Property Location - Address/Dlrections: <3 SEWAGE Site Inspectlon Block (,tn e\ Sq. Ft Existing Sewage Dlsposal Sys Pub11c Couurunlty Acr Name of Conmunlty or Publl-c Systen Name \ WATER SUPPLY: Well -FEES: Bldg. Waste Dlsp. Plumbing Plan Revlew Mobile llone sntrns){( q C,O Other PLT]MBING: Installed by O,roner ll of 3 Surcharge .3q PLANS YES Signature of Fee Received By:. Sewage Connectlon Water Connectlon FACILITY PERMIT Date NO NO TOTAI, Min.ic Tank Capacl 1e1d Feet Maxlmum ,--(*o tL.<j< Tvp e of Constructlon Flre Zone Use Classification Bldg Setbacks - frou Center of Road Right of Way: Front side rnt. *y LANE COI]NTY Side /, ENVIRONMENTAL I,DING ,M 7't c55- l2 DATE:DATE: ,l//u <e ,/ F Xame O.-,-J--- ottrer I ,J ar? fon,