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Home My WebLink AboutPermit Building 1973-10-30IANE COUNTY )ING PERMIT OR MOBITE HOME J APPIICATION OWNTR PERMIT TYPE _ BUILDING PERMIT J//8 * Z3MOBTLE HOME n OSC REG. # MAILING ADDRESS -A--Htt b f o MAIII ADDRESS PHONE PHONE V46 - J zt.{ CONTRACTOR PROPERTY TOCATION _ INCLUDE POST OFFICE2sZQ -n-*--lx t7a- PROPERTY TEGAT DESCRIPTION tOT_BI.OCK_SUBDIV. TWP RANGE Jn/- a-Ld /-t,l-**+t- Xr-z -{METES & BOUNDS ATTACHED YES NO SEC CODE CENSUS TRACT 7 APPTICANT NAME AND MAITING ADDRESS 5c> IF ANYDESCRIBE EXISTING STRUCTURES ON "" ^vt:i:;):Y - Ro ^w* o R PROPERTY SIZE-WIDTH DEPTH AREA FOR MOBILE HOME PERMIT ONLY Number of Bedrooms Connect to Existing Sewoge Syste m ! or New System R"q.I STRUCTURES TO BE BUITT THIS PERMIT a-l/, D, - I TYPE CONSTRUCTION I .b ag'# BEDRooMS VALUATIONZa../). f,q)/qgSQ. FT. 3,s-a g 2 /4?1,,to 'AGE DISPOSAT PTUMBING INSTATTED BY OWNER OTH ER NAME PIANS fURNISHED FAC II.ITY IT PUBI.IC TANK OTHER FEES WATER SUPPLY&4BI.DG. WASTE DIS. PTUMBING PLAN REVIEW PARK TRtR. TOTAT 0'3 PUBI.IC PTUMBING FEES FIXTURES FEE PUBTIC WATER CONNECTION FEE OTHER NO IVED BY APPI.IC NO /O 2 DATE DATECASH CHECK /3J .*s-,/ /5 -73 COUNTY BUILDING & SANITATION SPECIFICAIIONS DRAIN FIEID REQUIREDMIN. SEPTIC TANK CAPACITY WITH BOX: GAL. TYPE OF CTU RE ln 5 UN. rT OCCUPANCY TRENCH WIDTH ZONE OR SQUARE FEET REAR YARD USE CTASSIFICATION EASEMENT BLDG. SETBACKS - FT. FROM CTR. OF ROAD RIGHT OF W FRONT t SIDE INT SIDE EXT REAR (Dole Form # css-t2 PI.ANNING Dote BLDG. INSP,o- Directions to Find Property COPY I _ OFFICE COPY 2 -JOURNALCOPY 3 - AUDIT rAx r.or # !- ,/) {a-a.- Frt'* LANE COUNTY BUILDING |-.l ILDING PEP.MIT MHT OR MOBITE HOTV 'SE PERMIT PERMIT NO. PHONEMAITING ADDRESSPROPERTY OWNER CONTRACTOR PROPERTY TOCATION _ PHONEMAITING ADDRESS PROPERTY LEGAI. INCLUDE POST OFTICE DESCRIPTION _METES, BOUNDS RANG E TAX LOT NO CODE CENSUS TRACTSECTION44I EXISTING STRUCTURES ON PROPERTY APPT. NAME & MAITING ADDRESS LEGAT ACCESS TO PROPERTY PROPERTY SIZE - FT. WIDTH DEPTH AREA FOR MOBILE HOME PERMIT S ONLY Connecl to Existing Sewoge Sysrem fl New System !No. of Bedrooms TYPE CONSTRUCTION so. FT. # BDRMS VALUATIoN STRUCTURES TO BE BUILT THIS PER MIT PTUMBING INSTALIED BY SEWAGE DISPOSAI PUBTIC tr SEPTIC TANK owNER []OTHER: NAMEDoTHERn FEES WATER SUPPLY BUITDING WASTE DISPOSAL PTUMBING PtAN REVIEW PARK TRAITER PUEUC n tr OTHER $TOTAT COUNTY BUILDING & SANITATION SPECIFI CATIONS MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GA[' DRAIN FIETD REQUIRED TIN. FT TRENCH WIDTH FT OR SQ. FT OCCUPANCY ZONE PUBI.IC UTIT. EASEMENTTYPE OF STRUCTURE BLDG. SETBACKS,. FT. FROM CTR. OF ROAD RIGHT OF WAY FRONT . SIDE INT. . SIOE EXT. USE CTASSIFICATION REAR AUTHORIZED SIGNATURE - DATE DATE BLDG. PERMIT - WHITE OFFICE COPY _ WHITE COUNTY TAX - PINK PTUMBING - CANARY BUIIDING _ GREEN SANITATION _ GOI.DENROD Construction to comply with uniform building code ond county regulolions covering plumbing ond sewoge disposol. All buildings require o cerlificqle of occuponcy before being occupied. (See Stotement on Reverse Side) (posT THIS PERMTT ON MAIN BrDG. AT SITE) tANE COUNTY, BI.DG. & SAN. DIV., COURT HOUSE, EUGENE, OREGON 97,{OI onu 1* 655- 13 $ INDIVIDUAL SEWAGE DISPOSAL SYS-EM RECORD Installer: Complete top Part - form to signature and return both copies to Lane County Building Sanitation Department. ql yesil noK Instaf s Name ss ter J.c.76 c pplican Nane M ailing Address supptr v Other-ListPubIic c Ft. from well Steel fl Concrete ( No. Compartments length widrh Diameter Depth GaI. Capacity /0oo T eD spo Distribution Box:Yes d NofI r Fee-'- from tion / b Lot Line Fron belowLengthF L.$ 2.f(3.{q.Lo 5.6. -/r";t%ta,-, Fi11er lype / 14 ap,* T widrh I lines r ofE. /7-o sq Ft.Filler depthabovetile L in. 2o.o \ F o s a<o tjz o U o C( 0 CJ e{ o \9 33! o" $ 4 \R IEGIEI\ \lr IE [B JAN 15 1914 $NE COUNTY HEALTH UNII Sketch See instructions Date Signature For Sanitarian Use OnlY: ffitrrovea, System Installation Conforms to Current Standards n Disapproved: Does Not Conform to Current Standards Remarks: t- tK-77 Lane County Building & Sanitation Dept. Date: tarian SS c55-il ture :}St4 II I I I L +I I I I I I t I I i I I I i fll -l t-o tNG s ITE EVALUAT I ON JC, Bu i ld ing perm it Appl i cat i; No.J . - ^ TIL CENS US 2n/2 / _---- AX LOT APPL NrlltE ADDRES PHONE DATE l._.,,tT:l-s 8-_r \ , Site lnspection I Pre-Permit lnvest igat ion ,lt COUNTY PLANNING DEPARTHENT NOT NO YES NAI'i E DATE appl icable Zon i ng 0rd i nance Comp I i ance 1z"l''e R.A ) Subdivision 0rdinance Compl iance rI-( )(r (r (r GY ()5 Requ i red Access Bu i ld ing S ite (Rrea, Width, Frontage, Setback) 0ther (see comments) () ) () () ) ) () () O}4MENTS: BUILDING INSPECTION SECTION NOT NO NA}lE DATE aool icable*rr-( ) N YES ,X () 6. Plans Submitted 7. Soil Stability (footings) B. Flood Pl a in 9. 0ther (see Conrnents) () ()/o- 30 "?3 CO}{HENTS SANITATION SECTION 10. Sewage Disposal ll. Usable Area 12. I./ater Supply ]r3. 0ther (see Comments) NOT appl iqqb]s NO NA}tE a DATEYES (y K (.>I (() ) ) 1 ) ) ()() COI-,1H ENTS TO APPL I CANT: You r Building Permit / Site lnspection; can be approved. /p .-8O-738N- Cannot be approv6d at this time as indicated on iten, N0 above. Questions and further infornration on itenrs I through 5 contact the Lane- COUNTY PLANN ING DEPARTMENT. Q,uest ions .rnd turther infornrat ion on itffi 5 f- ) ) ) t hrough I l contact the Lane Cou ,Uy-_Etr=1 ld i,U__::rd_ .5qlr I i at ion D iv i s io!. Wi I I be held in this of icc until you can re-';olve tlre problenrs indicatt:d ls being returned. Your buildinq pernrit appl i<.at ion fee is being returned under separate cur'€r. L^N€ COTJN'I Y PI /\NN I NG DEPARTHENT l1t 5,i.xtlr Av(:rrue fast, Eugene, 0regon 97q0 I l"ntrNE 3q2.-llll l=Xl. 211 lr\Nt- C0UNI'Y tltllLDlNG t Sr\NlTATl0N DlVlSl0N l3t Sixt,h Avgrrur: [:ast, fttt;enr', 0reqon 9740 I l,fir)Nl : 342-t1la txT. 4ll 1155-2 t I,ANE COUNIY.- --JILDING PERMII OR MOBILE HO/rl, BUILDTNG [_-] MH I JSE PERMIT PERMIT NO. PROPERTY OWNER MAITING ADDRESS PHONE PHONEMAITING ADDRESSCONTRACTOR PROPERTY TOCATION _ INCLUDE POST OFFICE PROPERTY tEGAt DESCRI PTION _METES, BOUNDS RANG E SECTION TAX LOT NO CODE EXISTING STRUCTURES ON LEGAL ACCESS TO PROPE CENSUS TRACT PROPERTY RTY APPT. NAME & MAITING ADDRESS PROPERTY SIZE - FT. WIDTH DEPTH AREA ITS ONLYFOR MOBILE HOME PERM No. of Bedrooms Connect to Existing TYPE CONSTRUCTION PTUMBING INSTATTED BY New m BDRMS VALUATION m tr se. FT STNUCTUNES TO BE BUILT TH IS PERMIT SEWAGE DISPOSAI. PUBHC tr BUITDING WASTE DISPOSAT PI.UMBING PtAN REVIEW PARK TRAITER SEPTTC TANK n OWNER OTHER: NAMEOTH F EES WATER SUPPTY PUBIIC fI N OTHER $ TOTAT COUNTY BUILDING & SANIT ATION SPECIFICATIONS MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GAt. TYPE OF STRUCTURE BLDG. SETBACKS FRONT BIDG. PERMIT _ WHITE OFFICE COPY _ WHITE COUNTY TAX _ PINK PTUMBING _ CANARY BUILDING - GREEN SANITATION - GOLDENROD rT. TNOM CTR- OF ROAD RIGHT OF W SIDE INT SIDE EXT DRAIN IIEID REQUIRED TIN. FT OCCUPANCY REAR DATE TRENCH WIDTH FT OR SQ. FT PUBTIC UTIT. EASEMENT DATE code ond countY regulotions buildings require o certificqte ZONE USE CTASSIFICATION AUTHORIZED SIGNATURE - Conslruction to comply with uniform building covering plumbing ond sewoge disposol' All of occuponcy before being occupied' (See Stotement on Reverse Side) (POST THIS PERMIT ON MAIN BIDG. AT SITE) TANECOUNTY,BLDG.&SAN.DIV.,COURTHOUSE,EUGENE,OREGON9T4OI \ ronv jj c55- 13 E DrsAPPRovE, D Dare SITE INSPICTION App nov r o Rrtlanx s //-d41 I NSPEcToR FOUNDATION I NSPTCTION APPRovED REuaRx s D r sappnoveo Drr r I ruspecr FRAMING I NSPTCT ION AppRov e o RrNanx s d Dt snppnoveo t^,, / /- \tr'? ?I NsprctoR LATH OR SHITTROCK Appnovro Rruenr s I NSPTCT I ON Dr sappnove o f--l Darr I r.rspecron FINAL INSPTCTI Ap pRov e o Rrt,'ta nx s -x'3 Dr sappnoveo I rusprcron Cr ,7, CERTI F I CATT OF OCCUPANCY Reaoy ro lssur Rruanx s / / Nor Rraov ro lssue D Dare lruspecroR 2.o- /o263 I I - - \ \ D^r, {- l. f(ffi TANE COUNT} .- JITDING PERMIT OR MOBITE HOfV JSE PERMIT PERMIT NO.BUTLDTNG E MHE PROPERTY OWNER MAITING ADDRESS PHONE CONTRACTOR MAITING ADDRESS PHONE PROPERTY TOCATION _ INCI.UDE POST OFFICE PROPERTY TEGAT DESCRIPTION _METES. BOUNDS RANG E SECTION TAX LOT NO CODE CENSUS TRACT EXISTING STRUCTURES ON PROPERTY APP[. NAME & MAITING ADDRESS TEGAT 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 Sewo e TYPE CONSTRUCTION New BDRMS VALUATIONse. FT SEWAGE DISPOSAT PUBilc tr sEPTlc IANK tl oTHERn PLUMBING INSTATLED BY OWNER n OTHER: NAME BUITDING WASTE DISPOSAL PTUMBING PTAN REVIEW PARK TRAITER FEES WATER SUPPTY PUBLIC D N OTHER TOTAI. COUNTY BUILDING & SANITATION SPECIFICAIIONS MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GAt. DRAIN FIETD REQUIRED tIN. FT TRENCH WIDTH FT OR SQ. FT TYPE OT STRUCTURE OCCUPANCY ZONE PUBTIC UTIT. EASEMENT BTDG. SETBACKS - FT. FROM CTR. OF ROAD RIGHT OF WAY FRONT SIDE INT, SIDE EXT. USE CTASSIFICATION REAR AUTHORIZED SIGNATURE - DATE DAIE BIDG. PERMIT - WHITE OFFICE COPY - WHITE COUNTY TAX - PINK PTUMBING _ CANARY BUITDING _ GREEN SANITATION _ GOTDENROD Conslruclion to comply with uniform building code ond county regulotions covering plumbing ond sewoge disposol. All buildings require o certificole of occuponcy before being occupied. (See Stotement on Reverse Side) (POST THIS PERMIT ON MAIN BrDG. AT s!TE) IANE COUNTY, BLDG, & SAN. DIV., COURT HOUSE, EUGENE, OREGON 9740I ronr'l lf 6 55 - 13 7 SLAB FLOOR PLUMBING GROUNU/ORK Ap pRov e o Rrt\4lnx s N Dr sappnovro onr//-23 I ruspecron GAS PIPING GROUND/ORK AP PRoV E D Reua Rr s D r srppRovrD D Dare I rusprcron ROUGH PLUMBING Appnovro m DrsrepRoveo RrmaRxs oart // - / *?3 tnspec ROUGH GAS PIPING Appnoveo D DrsappcoveD D Re MaRr s Dnr r I usprcroR FI NAL PLUMBI NG ApeRovEo H DTsAPPRovED oart/-22,2r/I Nspec Rr uaRr s FINAL GAS PIPING AppRovEo D DrsappRovrc D RrManx s Dnre I Nseecron CERTIFICATE OF OCCUPANCY Reaov ro lssur Rruanxs D Nor Reaov ro lssuE D Darr_I HsprcloR