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Home My WebLink AboutPermit Building 1974-04-11LANE COUNTY BUTLDTNG E IITDING PERMIT OR MOBITE HOfV MHE ,SE PERMIT PERMIT NO. PROPERTY O':fNER MAII.ING ADDRESS PHONE coN TOR MAITING ADDRESS PHONE PROPERTY TOCATION _ INCI.UDE POST OFFICE PROPERTY LEGAL DESCRIPTION _ METES, BOUNDS RANG E SECTION TAX LOT NO.CODE CENSUS TRACT*3 EX STRUCTURES ON PROPERTY wel I APPT. NAME & MAII.ING ADDRESS LEGAT 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 TYPE CONSTRUCTION New BDRMS VALUATIONSQ. FT SEWAGE DISPOSAT PUBTIC tr SEPTIC TANK N OTHERE PLUMBING INSTATTED BY OWNER E OTHER: NAME BUITDING WASTE DISPOSAT PTUMBING PI.AN REVIEW PARK TRAII.ER TOTAI- FEES WATER SUPPTY PUBUC n N OTHER $- COUNTY BUILDING & SANITATION SPECIFICATIONS MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GA[. DRAIN FIEI.D REQUIRED IIN. FT TRENCH WIDTH FT OR SQ. FT TYPE OF STRUCTURE OCCUPANCY ZONE PUBTIC UTIt. EASEMENT It ural BLDG. SETBACKS FRONT FT. FROM CTR. OF ROAD RIGHT OF WAY SIDE INT. SIDE EXT. USE CLASSIFICATION REAR AUTHORIZED SIGNATURE - DATE IJ DATE BIDG. PERMIT _ WHITE OFFICE COPY _ WHITE COUNTY TAX _ PINK PTUMBING _ CANARY BUITDING _ GREEN SANITATION _ GOLDENROD Call 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 regulotions covering plumbing. All buildings require o cerlificote of occuponcy before being occupied. (See Detoils on Reverse Side) (posT TH|S pERMtT ON MAIN BrDG. AT S|TE) IANE COUNTY, DEPT. OF ENYIRONMENTAT MANAGEMENT COURTHOUSE ANNEX, I35 EAST 6Th, EUGENE, OREGON 97,{OIronu f655-13 t BU ILO ING S ITE EVALUAT ION Building Permit Appl ication No S ite lnspect ion Pre-Permit lnvest igat ion rs /c tltutq TAX LOT A k L.{/ &z ADDR S() PHONE DATE LIiNE COUNTY PLANNING DEPARTI1ENT NOT NO YES NAI'1E DATE appl icable Zon i ng 0rd i nance Comp I i ance (zone ,\47 )Subdivision 0rdinance Compl iance Requ i red Access (()) () ( 4-+-74 ( 2 ') 4 5 () ( Bu ilding Site (Area, Width, Frontage, Setback) 0ther (see comments) () ) () ) COHMENTS BUILDING INSPECTION SECTION 6. Plans Submitted 7. Soil Stability (footings) 8. Flood Pl a in 9. 0ther (see Comments) NOT NO IE6'l icqLte - YES N () NA}4 E DATE () rI N'(X () () () (()U - ?'rd COHHENTS: SAN I TAT I ON SECT I ON 10. Sewage Disposal ll. Usable Area 12. Water Supply 13. 0ther (see Comments) NOT appl icable NOY NA}iES DATE (f-( ) ( () () ) ( )(( C OM}4 E NTS rO APPL I CANT: Your Building Permit / Site lnspection Can be approved. Cannot be approved at this time as indicated on iteni N0. Questions and further infornration on iten,s I through 5 contact the Lane- COUNTY PLANN ING DEPARTMENT. Q.uest ions and ttrrther infornrat ion on iteil; 6 throuqh ll contact the Lane Cou nLy Buildin ! crird 5anltation Division.t/ill be held in this of f icc until you can res,olve tlre problems indicated.ls being returned. Your buildinq pernr it applirat ion fee is being returned under separate cv,/€r. q.qg( t(above. ( ( ( LANF COIIN1 Y },I /\NN ING DEP/\RTI'IENT lit Sizxflr Averrte Iast, Eugene, ()regon 97q0 I l"lrdNE 3lr2.t-ltt t]xt. 2)t IANI COUN.I.Y RUILDING E S/\NITATION DIVISION 135 SixCh Avglr-rr: East, Errqerrr', 0reqon 9740 I ,,HoNl .. 142*t)tt [xT. 4il M55 - 28 T APP I CANT: NA}l E R S ( () IANE COUNTY PERMIT TYPE - BUILDING .LDING PERMIT OR MOBITE HOMI 5E APPTICATION MOBILE HOME OSC REG. #5Sq7 PERMTT t'i v "7 MAILING ADDRESS €L PHt/, S S'-'R',.',OWNER L SE CO R -tN PROPERTY TEGAT DESCRIPTION TOT_BLOCK-SUBDIV. TWP MAIIING DRESS PHONE METES&BOUNDSNYES ATTACHED NO DA,rory ST ICE *I S '1-tk rk l7 RANGE 3 sEc.21 TAX LOT CODE CENSUS TRACTeo ED rqfB APPLICANT NAME AND MAITING ADDRESS DESCRIBE EX STRU TEGAT ACCESS TO PRO RTY _ ON PROPERTY IF ANY pqJ{ n W'W, PROPERTY SIZE_WIDTH DEPTH AREAtcl loo FOR MOBILE HOME PERMIT ONLY Number of Bedrooms BE BUII.T THIS P Connecl to Existing Sewoge System ! or New slem CONSTRUCTION SQ. TT BEDROOMS VATUATION \33 o PERMIT IDTH SEWAGE DISPOSAL PUBTIC BI.DG. WASTE DIS. PTUMBING PLAN REVIEW PARK TRLR. TOTAL MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GA[. SEPTIC TANK D OTH ER FEES WATER SUPPTY PUBTIC OTHER PTUMBING FEES _-TIXT[J-RES cAsH n sEwER cHECK n CONNECTION FEE PUBTIC WATER CONNECTION FEE COUNTY BUILDING & SANITAT DRAIN TIETD REQUIRED tIN. FT. TRENCH PTUMBING INSTATTED BY OWNER OTHER E NAME PIANS FURNISHED YES NO ONS OR SQUARE FEET FACILITY PERMIT NOYES DATE DATE3a.? TYPE OF STRUCTURE OCCUPANCY BLDG. SETBACKS - FT. TROM CTR. OF ROAD RIGHT OF WAY ZONE REAR YARD PUBTIC UTIT. EASEMENT Form # cs5-12 REAR USE CTASSIFICATION FRONT srDE rNT. 5 rections ro Find Properly: l4le* N PI.ANNING DOIE BIDG. INSP coPY | - oFFlcE COPY 2 _ JOURNAT COPY 3 _ AUDIT 2b.- IE ^- U ILDING PERMIT OR MOBILE HOI' _ USE PERMII PERMIT NO.LANE COUNT' BUILDING PROPERTY ER MH MAILING th gtr€t MAILING ADDRESS rluslllldr 0 PHONE i PHONE LOCATION _INCLUDE POST OFFICE PROPERTY f,orth 17 Fnopentv rrclt rl f hld DESCRIPTION _ METES, BOU NDS Sr&d lvlr lom 0 SECTION trt#t TAX LOT NO Bl6ct I CODE cir'rsus rnacrfRANG E *, 3. el *e-t4t7 EXISTING STRUCTURES ON PROPERTY tEGAt ACCESS TO PROPERTY APPT. NAME & MAITING ADDRESS -. i tl ': i.. PROPERTY SIZE _FT WIDTH DEPTH AREA ron ^aostle HOME No. of Bedrooms PERMITS ONLY Connect to Existin TYPE CONST RUCTION New se. FT BDR MS VALUATION srRucrunES rO BE BUILT ints peRulr lc*r roo)Frrrc PTUMBING INSTAIIED BY irwacr DlsPosAL OWNER OTHER: NAME PUBTIC BUITDING WASTE DISPOSAL PLUMBING PLAN REVIEW PARK TRAITER SEPTIC TANK FEES WATER SUPPTY PUBI.IC i] tr OTHER q TOTAT cou NTY BUILDING & SANITAT ION SPECIFICATIONS MIN. SEPTIC TANK CAPACITY DRAIN FIEI.D REQUIRED TIN. FT TRENCH WIDTH FT,OR SQ. FT, WITH DIST. BOX: GAt. TYPE OF STRUCTURE OCCUPANCY ZONE ti 1 i I PUBTIC UTIL. EASEMENT BLDG. SETBACKS FT. FROM CTR. OF ROAD RIGHT OI WAY FRONT SIDE INT. SIDE EXT. USE CLASSIFICATION REAR AUTHORIZED SIGNATURE _ DATE Jsfn Slrs* DATElpll-74 rl BLDG, PERMIT - WHITE OFFICE COPY _ WHITE COUNTY TAX _ PINK NG _ CANARY BUILDING - GREEN ,TION _ GOLDENROD colt 687-4065 to schedule oll required inspections. All construc. tion shqll comply with Uniform Building Code, D.E.Q. stondords IMPORTANT: for subsurfoce'sewoge disposol ond county regulotions covering plumbing. All buildings require o certificqte of occuponcy before being occupied. (See Detoils on Reverse Side) (POST rHtS PERl,ItlI ON MAIN BIDG. Ar slTE) IANE COUNTf, DEPT. OF ENVIRONMENTAL MANAGEMENI COURIHOUSE ANNEX, I35 EAST 6th, EUGENE' O EGON 97/IOI 'onu t 955- 13 ar- S I TE INSPECTION Appnovro RrManx s D DrsappRove, D I wspectoR 3-q IttsPe clon i./- -J,, /I Nsptcr I Hspecron I Nspec Darr FOIJNDATION I NSPECTION Appnoveo Rrurnx s FRAMING INSPECTION A ppRov E o REurnx s LATH OR SHEETROCK INSPECTION Ap pnov r o Rrurnx s FINAL INSPECTION Ap pnov r o Ret"tanrs Dt slppRoveo Dr sappRovro Darr DrsrppRoveD D oo* C27t - 7 a J/ // / Drsappnovso V Oor16' t ?t Oor, 7 -t7-7{ CERTIFICATE OF OCCUPANCY Rraov ro I ssue RrueRx s D Nor Rerov ro lssue D Dore_I uspecron ,I/,f o'zcl -,//t{/7 ! t