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Home My WebLink AboutPermit Building 1973-05-09Dttr. ,rta a t?r rtrn t ttn Ttntt I i rANE co.l,rv BUIDING pERMrr oR MoBil.E h t,r-ZR n z< t>4 Tax lnr BUILDING T-I MHtr ME USE PERMIT PERMIT NO.PROPERT'' OWNER MAILING ADDRESS 789-73 PHONErcnPil{'JCONTRACTORMAILING ADDRESS PHONE o PROPERTY LOCA TION _ INCTUDE POST OFFICE Cor ner of As i",i. PROPERTY LEGA T DESCRIPTION _METES, BOUNDS rlo P t-r(Bil,'Lo RANG E SECTION TAX LOT NO CODE CENSUS TRACT,2 rt EXISTING STRUCTU RES ON PROPERTY tl ichol ron Con c 'i! APPt. NAME & MAITING 2076 E I.EGAT ACCESS TO PROPERTY PROPERTY SIZE _ FT 0r. FOR MOBITE HOME PERMITS ONLY No. of Bedrooms WIDTH DEPTH AREA STRUCTURES TO BE BUILT rnts penr'ati Connect to Existin Sewoge TYPE CONSTRUCTION SQ. FT New m! BORMS VALUATION m dditl - bod 2@t2 04 SEWAGE DISPOSAI. PUBUC D SEPTIC TANK n oTHER! PI.UMBING INSTAITED BY owNER !OTHER: NAMEBUII.DING WASTE DISPOSAT PI.UMBING PI.AN REVIEW PARK TRAII.ER (F EES WATER SUPPI.Y PUBTIC ! tr OTHER COUNTY BUILDI NG & SANITATDN DRAIN FIEI,D REQUIRED tIN. FT SPECIFICATIONSMIN. S EPTIC TANK CAPACITY WITH DIST. BOX:GAT TYP E OF STRUCTURE BI.DG. SETBACKS FT Ex I sts OCCUP,ANCY I TRENCH WIDTH FT ZONE USE CLASSIFICATION OR SQ. FT. PUBTIC UTIT. EASEMENT FROM CTR. OF srDE tNT. li ROAD R FRONT IGHT OF WAY SIDE EXT. AUIHORIZED SIGNA,TURE _ DATE REAR I DATE G. t{. GraBTDG. PERMIT _ WHITE OFFICE COPY _ WHITE COUNTY TAX _ PINK PTUMBING _ CANARY BUITDING _ GREEN SANITATION - GOTDENROD roau !i 655- 13 ) !:.1'jl_r:t':l 13.compty with uniform buitdinscovenng ptum.bing ond sewoge disposol. All-ot occuponcy before being occupied. . code ond county regulotionsbuildings require o clrtificote (See Stotement on Reverse Side) (posT THIS pERMtT ON MA|N B|DG. AT SrTE) TANE COUNTY, BTDG. & SAN. DIV., COURT HOUSE, EUGENE, OREGON 9740I Qu est ions and further informat ion COUNTY P LANN ING DEPARTMEN T. Quest on items I through !ions and further inf contact the Lane- ormat ion on iFm,; 6 rrlr. () () () t hrou sh l3 contact the Lane Count Buildin and San i !ation Division.Will be held in thils being returned. Your building permit application fee is being returned under separate cover. s off ice until you can reso vet p rob ems indicated. LANE COUNTY PLANNING DEPART}IENT I lrr S i xt h /\r.,en0e Eas t , Euqerre, Oregon g74}l l'll(!Nl ; tlrl,-lill tX.[. ?il LANE COUNTY BUILDING 6 SANITATION DIVISTON 135 Sixth Avenue East, Eugene, Oregon gl4}l PHoNE | 342-t3t I EXT. 4t I ---Tl* T' |ANE CO, ry BUTLDTNG E BUITDING PERMIT OR MOBITE MHT )ME USE PERMIT PERMIT NO. PROPERTY-. OWNER MAILING ADDRESS PHONE CONTRACTOR MAILING ADDRESS PHONE PROPERTY TOCATION _ INCLUDE POST OFFICE PROPERTY TEGAT DESCRIPTION _ METES, BOUNDS RANG E SECTION TAX LOT NO CODE CENSUS TRACT EXISTING STRUCTURES ON PROPERTY rl APPt. NAME & MAITING 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 Connecl to Existing Sewoge TYPE CONSTRUCTION New m BDRMS VALUATIONSQ. FT SEWAGE DISPOSAT PUBTIC E SEPTIC TANK n orHERn PTUMBING INSTATLED BY OWNER n OTHER: NAME BUITDING WASTE DISPOSAT PTUMBING PtAN REVIEW PARK TRAITER t FEES WATER SUPPLY PUBUC n tr OTHER TOTAT COUNTY BUILDING & SANITATION SPECIFICATIONS MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GAI-.t DRAIN FIETD REQUIRED TIN. FT TRENCH WIDTH FT.OR SQ. FT. TYPE OF STRUCTURE OCCUPANCY ZONE PUBTIC UTIt, EASEMENT BLDG. SETBACKS FRONT FT. FROM CTR. OF ROAD RIGHT OF WAY stDE tNT. . stor rxr. USE CTASSIFICATION REAR AUTHORIZED SIGNATURE - DATE DATE BTDG. PERMIT _ WHITE OFFICE COPY _ WHITE COUNTY TAX - PINK PLUMBING _ CANARY BUILDING _ GREEN SANITATION _ GOTDENROD Conslruction to comply with uniform building covering plumbing ond sewoge disposol. All of occuponcy before being occupied. code ond countY regulotions buildings require o certificote (POST THIS (See Stotement on Reverse Side) PERMIT ON MAIN BLDG. AT SITE) & SAN. DIV., COURT HOUSE, EUGENE, OREGON 9740I - FoRM*css-13 TANE COUNTY, BIDG - SLAB FLOOR PLUMB ING GROUNO,VORK Ap pnov r o ReuaRx s D Drsappnovrc D Drrr I rusprcroR GAS PIPING GROUND^/ORK Ap pnov r o REua Rx s D r sappRoveo Dare I Hsprcron ROUGH PLUMBING AppRoveo D DrsappRovro D Rrua Rx s Dat e I ruspecton ROUGH GAS PIPING AppRovro D DrsAppRovEo D Rrptanx s Dar e I rus pr cron F I NAL PLUMB I NG AppRovro D DrsappRovm D RE uanx s Darr I NseectoR FINAL GAS PIPING AppRovro D DrsrppRovm D Reuanx s Darr It'rsprcron CERTIFICATT OF OCCUPANCY Reaov ro lssur REua nr s D Nor Reaoy ro lssue n oareJ-/6-) 3 -/, r-/Rfr/'1_l nspecro - - - I.ANE COI TY BUILDING t-l BUITDING PERMIT OR MOBILE )ME USE PERMIT PERMIT NO.I't MH MAII,ING ADDRESS PHONE NG ADDRESS I CONTRACTOR ll Y. PHONE PROPERTY TOCATION _ INCI-UDE POST OFFICE It PROPERTY TEGAI-IPTION - METES, BOUNDS RANG E SECTION TAX LOT NO CODE CENSUS TRACT llctplron funs STRUCTURES ON PROPERTY lhrr( APPt. NAME & MAII.ING ADDRESS .t LEGAI. ACCESS TO PROPERTY PROPERTY SIZE _ FT. WIDTH DEPTH AREA FOR MOBILE HOME PERMITS ONLY No. of Bedrooms Connect to Exisling Sewoge System ! New TYPE CONSTRUCTION SQ. FT BDRMS VALUATION m STRUCTURES TO BE BUILT THIS PERMIT SEWAGE DISPOSAT PUBIIC tr SEPTIC TANK tr oTHERn PTUMBING INSTALTED BY OWNER E OTHER: NAME (FEES WATER SUPPTY PUBUC tr [] orHER BUILDING WASTE DISPOSAI PIUMBING PLAN REVIEW PARK TRAITER TOTAL COUNTY BUILDING & SANITATION SPECIFICATIONS MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GAL. DRAIN FIETD REQUIRED I-IN- FT TRENCH WIDTH FT.OR SQ. FI. TYPE OT STRUCTURE OCCUPANCY ZONE PUBTIC UTII. EASEMENT BI.DG. SETBACKS FT, FROM CTR. OI ROAD RIGHT OF WAY FRONT SIDE INT. SIDE EXT. USE CTASSIFICATION REAR AUTHORIZED SIGNATURE _ DATE DATE BIDG. PERMIT _ WH ITE OFFICE COPY - WHITE COUNTY TAX _ PINK PTUMBING _ CANARY BUITDING _ GREEN SANITATION _ GOLDENROD Conslruction to comply with uniform building code ond covering plumbing ond sewoge disposol. All buildings r of occuponcy before being occupied. (See Stotement on Reverse Side) county require reg ulotions o certif icote (posT THIS PERMTT ON MAIN BLDG. AT SITE) LANE COUNTY, BI.DG. & SAN. DIV., COURT HOUSE, EUGENE, OREGON 9740I ronu5655-13 PROPERTY ^OWNER I I / SITE INSPECTION Appnovro D DrsAPPRovEo D Rerlnxs Dar E I Nspecton FOUNDATION INSPECTION Dr sappnoveo NSPECTOR eAppnovro Reuanx s FRAMI NG AppRov e o Reulnx s I NSPECT I ON L/ Drsrppnovg o D DarE I NSPEcToR LATH OR SHEETROCK INSPTCTION Ap pnov r o Rruanx s Dare I NSPEcToR FINAL INSPECTION AppRov r o Reuanx s D r SAPPRovED oort /2'f - AJ Ir.rspEcton CERTIFICATE OF OCCUPANCY Reeov ro lssuE Reuanx s D Nor Rraov ro lssur D Dor._ 7 tr?- 73"/ /7F I NSPEcToR D oort 11-ll -21t D DTsAPPRovE o F7 IANE COUNr , BUIIDING PERMIT OR MOBIIE HC,,,E USE APPLICATION PERMIT TYPE - BUILDING T MOBILE HOME I'IOSC REG.#PERMTT # Z/ q NG ADDRESSMAI a OWNER MAITING PH' PHO b PROPERTY TOCATION _ INCTUDE POST OFFICE PROPERTY TEGAI I.OT_BTOCK_SUBDIV TWP RANGE & BOUNDS ATTACHED sEc.TAX LOT CODE NSUS TRACT 2aa )l-n Z-Z-DESCRIBE EXISTING STRUCTURES ON PROPERIY IF ANY(4*--, *,n Z.L- 'il--z'-e-APPI,ICANT NAATE AND MAITING ADDRESS TEGAL To PRoPERTY - RoAD NAME oR # PROPERTY DEPTH AREA FOR MOBILE HOME PERMI Number of Bedrooms ONLY STRUCTURES TO BE BUITT THIS PERMIT Connect to Existi Sew 'stem TYPE CONSTRUCTION SQ. FT or New m BEDROOMS VALUATION a)a-3a occ SEWAGE DISPOSAT PUBTIC SEPTIC TANK PI.UMBING INST,BY OTHER OWNER FEES WATER SUPPTY PTANS FU ED PUBTIC OTHER YES NO PIUMBI FEES s F APPI. FIXTURES CASH D BY CHECK CONNECTION FEE PERMIT #PUBI-IC WATER CONNECTION FEE COUNTY BUILDING & SANIT N SPECIFICAIIONS DRAIN FIEI.D REQUIRED TIN, FT.H WIDTH FT BI.DG. WASTE DIS. PTUMBING PLAN REVIEW PARK TRtR. {1 E NAME OR SQUARE FEET REAR YARD FACITITY PERMIT YES fl No DATE'-73 DATE PUBI.IC UTIL. EASEMENT 33. *z'TOTAT ,'AIN. SEPIIC TANK CAPACITY WITH DIST. BOX: GAL. TYPE OF STRUCTURE BLDG. SETBACKS _ FT. FROM CTR. OF ROAD RIGHT OF WAY o SIDE INT SIDE EXT REARFRONT SANITARIAN Dole Direclions lo Form # css-t2 nd Properly: ING Dole BLDG. INSP. USE CTASSIFICATION Dole'- 7J COPY I _ OFFICE COPY 2 -JOURNAICOPY 3 - AUDIT