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Home My WebLink AboutPermit Building 1976-05-27! Owner LANE COUNTY PERMIT FOR PERIVIIT NO CONSTRUCTION [ ] IVIOBILE HOIVIE [ ] PLAN REVIEW [ ] CHANGE OF OCCUPANCY [ ] CITY ZIP CODENAMEADD R ESS PHONE tr Contractor NAIVIE ADD RESS CITY ZIP CODE PHONE O.S. Reg. +r Subd ivision Lot B lock Access to Property (Road Name) Code Census Tract Acreage Width Depth Existing Structures on Property Directions to Property - Address: STRUCTURE (# BEDROON4S)SO. FT VALUATION -rt SEWAGE DISPOSAL: PUBLIC[] SEPTICTANK[]orHER [ ] PLUIVIB I NG INSTALLED BY: OWNER[ ] OTHER[ ] NAM E BUILDING WATER SUPPLY: PROPOSED t ] EXISTING t ] PUB LIC COIVIVIUNITY.NAIVIE PLUIVIB ING 3% SURCHARGE IVIOBILE HOIVIE WASTE DISPOSAL PLAN REVIEW TOTAL PR IVATE WE LL OTHER .SPECIFY CONSTR UCTION PERMITS & INSPECTIONS AND WATER POLLUTION CONTROL SPECIFICATIONS IVIIN. SEPTIC TANK CAPACITY GALS I\4IN. DRAINFIELD LIN. FT IVIAX. TRENCH DEPTH I NCH ES STAY 1OO' FROIVI ALL WELLS TYPE OF CONSTRUCTION GROUP FIRE ZONE USE CLASSIF SETBACKS FT. FRON4 CTR. OF rAV FRONT SIDE EXT FT. FROTM PROP. LINE SIDE INT REAR ==-t- ZONE- AUTHORIZED SIGNATURES lsl ISSUANCE DATE BLDG. PEBMIT - WHITE OFFICE COPY - WHITE COUNTY TAX - PINK PLUMBING - CANARY BUILDING _ GREEN SANITATION _ GOLDENROD 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.Q. standards for subsurlace sewage disposal and the State Plumbing Code. All buildings require a certificate of occupancy before being occupied. (See Details on Reverse Side) (POST THIS PERMIT ON MAIN BLDG. AT SITE LANE COUNTY, DEPT. OF ENVIBONMENTAL MANAGEMENT COUBTHOUSE ANNEX, 135 EAST 6th, EUGENE, OREGON 97401c55.13 Twp: Range- section "l'hu* rorl((N -_BIU LO I NG S ITE EVALUAT ION ru./rr T SUB s TAX LOT .br(* LD I NG PERH tr APPL ! cnr I o[ xo . '() slrElNsPEcrloN PLANNING OIVISION llC}{o *JL LOT:BtOCr: 'r * APPL I CANT DATE Not Appl icable CKID BY Setback No Yes ll ffi6 s romI 2 3 4 5 Front -Sriffittc*ier Setbacks from interior I n6S: Side Rear I I c0r{ilENTS: Zoning 0rdinance Compl iance: Zone1(h'[- Subdivision 0rdinance Compliance Ce*)Requi red Access Building Site (Area, Width, Frontage) 0ther (see cornments ) ) ) ) ) I( ( ( ( ( PLANN ING DIVISION ACTIO YEs(TTOrTrFrl BUTLDING INSPECTTON O!VISION Plans Submitted Soi I Stabi I ity (footings) Flood Plain 0ther (see corments) Not licable No 7 8 o 0 Yest() () 1-I() () ()CKI D " zr/. ?(, COHMENTS: IdATER POLUT ION CONTROL COI{}'iENTS: ll. Heets Department of Environmental Qual ity Standards. 12. 0ther (see comments) Aool icable, Norcr)rT Not Yes () ()()CK'O BY 5 )J-- DATE TO APPL I CANT: .4{ Building / Site lnsPection: Can be approved. Cannotbe'approvedatthistimeasindicatedonitemN0"#bove. Questions and further information on items I through 6 contact tle !A[g- C0UNTY PLANNING DlVlSl0N. Questions and further information on items 7 c55-28 ems ON cated.through l2 contact the LANE BUILDING ) uill be held in this of ce unt you can reso vet urned. SAN ATION DIVIS ls being ret Your bui ldin ermi t I ication f s bei e prob 40r135 Sixth Avenue East Eugene Oregon !/pxoxe 697_4065 LANE COUNTY PLANNING DIVISION PHONE: 587-4186 I PERIVIIT NO CONSTRUCTION [ ] IVIOBILE HOME [ ] PLAN REVIEW [ ] CHANGE OF OCCUPANCY [ ] n Owner NAME ADD R ESS CITY ZIP CODE PHON E n Contractor NAME ADD R ESS Range $} Section aq Tax Lo t Subdivision- Lot B lock Access to Property (Road Name) CITY ZIP CODE Census Tract PHO NE O.S. Reg. + Code Acreage width Depth Existing Structures on Property: Directions to Property - Address STRUCTURE (# BEDROOMS)SO. FT VALUATION SEWAGE D ISPOSAL: PUBLIC [ ] SEPTICTANK [ ] OTHER [ ] PLUTUBING INSTALLED BY: OWNERT]OTHER[] NAIVI E BUILDING PLU IVIB ING 3% SURCHARGE IVIOBILE HOIVIE WASTE DISPOSAL PLAN REVIEW TOTAL WATER SUPPLY: PROPOSED t ] EXISTING t ] PUB LIC COIVIIVIUNITY NAIVIE PRIVATE WELL OTHEB-SPECIFY CONSTRUCTION PERMITS & INSPECTIONS AND WATER POLLUTION CONTROL SPECIFICATIONS MIN. SEPTIC TANK CAPACITY GALS.MIN. DRAINFIELD LIN. FT MAX. TRENCH DEPTH I NCH ES TYPE OF CONSTRUCTION G ROUP FIRE ZONE-- USE CLASSIF SETBACKS FT. FROIVI CTR. OF rAN FRONT SIDE EXT FT. FRON/I PROP. LINE SIDE INT R EAR ZON E AUTHOBIZED SIGNATURES ISSUANCE DATE BLDG. PEFIi/IT - WHITE OFFICE COPY - WHITE COUNTY TAX - PINK PLUMBING - CANABY BUILDING - GREEN SANITATION - GOLDENROD IIVIPORTANT Call 687-4065 to schedule all required construction inspections. Call 687-4061 to schedule all required septic syslem inspections. All construction shall comply with the State Buidling Code, D.E.Q. standards for subsurface sewage disposal and the State Plumbing Code. All buildings require a certificate ol occupancy belore being occupied. (See Details on Fleverse Side) (POST THIS PERMIT ON MAIN BLDG. AT SITE) LANE COUNTY, DEPT. OF ENVIBONi/ENTAL MANAGEi/ENT COURIHOUSE ANNEX, 135 EAST 6th, EUGENE, OFIEGON 97401 LANE COUNTY PERMIT FOR: STAY 1OO' FROIVI ALL WELLS SLAB FLOOR PLUMB ING GROUNB^,ORK Ap pnov e o Rruanx s D Drsrppnovso D Dare lr.rsprcton GAS PIPING GROUND/ORK Ap pRov e D REuanxs D DrsrppRovEo D Dar e I Hsercron ROUGH PLUMBING Appnoveo D DrsapeRove, D Rexanx s Dare I Nsprcron ROUGH GAS PIPING Ap pRov E o Re uenx s DrslppRovro Dar e I useecron F I NAL PLUMB I NG APPROv E o Reurnr s Dl SAPPRovED D oo,rf'41--74 lNs F I NAL GAS Appnoveo Reuanx s PIPING C/ DrsaPPRovE, D Dar e I Ns pe cron CERTIFICATT OF OCCUPANCY Rraov ro lssuE REuenx s Nor Rraov ro I ssuE Darr I NSPEcToR D LANE COUNTY PERMIT FOR PERIVIIT NO n Owner CONSTRUCTION [ ] IVIOBILE HOTVIE [ ] PLAN REVIEW [ ] CHANGE OF OCCUPANCY [ ] ZIP CODENAN/ E ADD R ESS CITY PHONE n Contractor NAN/IE O.S. Reg. + Tw Subd ivision Access to Property (Road Name) ADD RESS CITY ZIP CODE Census Tract PHONE Range- Section-Tax Lot- Code Lot - B lock Acreage Width Depth Existing Structures on Property: Directions to Property - Address STRUCTUR E (# BEDROOTVIS}SO. FT VALUATION SEWAGE DISPOSAL: PUBLIC[] SEPTICTANK[]oT.HER [ ] PLUIVIBI NG INSTALLED BY OWNER[] OTHERT] NAIVI tr BUILDING PLUIVIB ING 3% SURCHARGE_- IVIOBILE HOIVIE WASTE DISPOSAL PLAN REVIEW TOTAL WATER SUPPLY: PROPOSED t ] EXISTING t] PUB LIC COVIIVIUNITY - NAIVIE PRIVATE WELL OTHER - SPECIFY CONSTRUCTlON PERMITS & INSPEGTIONS AND WATER POLLUTION CONTROL SPECIFICATIONS IVIIN- SEPTIC TANK CAPACITY GALS I\4IN. DRAINFIELD LIN. FT IVIAX. TRENCH DEPTH I NCH ES TYPE OF CONSTRUCTION- GROUP FIRE ZON USE CLASSIFF SETBACKS- FT. FROt\4 CTR. OF rM FRONT SIDE EXT FT. FBOIVI PROP. LINE SIDE INT R EAR ZONE AUTHORIZED SIGNATURES /s/ ISSUANCE DATE BLDG. PERI\4IT - WHITE OFFICE COPY - WHITE COUNTY TAX - PINK PLUMBING - CANAFY BUILDING - GREEN SANITATION - GOLDENROD IIVIPORTANT 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.Q. standards for subsurface sewage disposal and the State Plumbing Code. All buildings require a certificate of occupancy before being occupied. (See Details on Reverse Side) POST THIS PERMIT ON MAIN BLDG. AT SITE) LANE COUNTY. DEPT. OF ENVIBONMENTAL MANAGEMENT COURTHOUSE ANNEX, 135 EAST 6th, EUGENE, OREGON 9740,1c55,t 3 STAY 1OO' FROTVI ALL WELLS SITE INSPECTION Ap pnov E o REuaaxs D r sappRoveo Drr e Ir.rspEcron FOUNDATION INSPECTION Ap pRov r o Rrulnxs Dr sappRovEo Dare I ruseecron FRAMING INSPECTION A ppnov r o Rr ulnx s Dr slppnoveo Drr r I us ee cron / LATH OR SHEETROCK INSPECTION AppRovEo D DrsAPPRovEo F7 Rrua Rx s Dar r I ruspecron FINAL INSPECTION Ap pRov r o RruaRx s Y DTsAPPRovE o D Darr / /-{-7L I ruspEctoR CERTIFICATE OF OCCUPANCY Rerov ro lssue RrueRx s Nor Rrrov ro lssue Drre I uspecroR //c 6 -7b ruy**9v7tr x iz,t?, D ,,llP,,O-78 NoTE: No PERMIT }T-- BE ISSIIED IINTIL THIS APPLIC.ATIUN HAS BEEN APPROVED CONSTRUCTION a OWNER I i eg L Name Addres s z7p Phone 2-coNTRAcToR S'.ltat<- e-s Qr Address Tax Lot 1p Census Tract Phone O.S. REG. /I .)CodelbpSectlon Subdivls Lot ACCESS T0 PROPERTY (Road Name)L /5 erty Existing StrucEures on Property:I l*o,n e- Property Location - Address/Dlrections: Use SEWAGE Slte Inspec tlon /i WATER ST'PPLY: Well Sprlng _Other Existlng Sewage D sa1 Systen Pub Valuatlon Nane of Conmunlty or Publlc SYsten Name b '('.'1) ty FEES: Bldg. Plunblng 3Z Surcharge Waste Dlsp. Plan Revlew Moblle lloue TOTAL Mir. Septlc Tank Capacl ty. Type of Constructlon PLB,IBING: Installed by PLI]I,IBING CASH CHECI( Fixtures PI.ANS FURNISHED Sl,gnature of Fee Recelved By Requ lred - Lineal Feet NO Maxlmum Sewage Connectlon Water Connectlon FACILIfi PERMIT Date: YES L Bldg Setbacks I from Center ,'orr. 46t alde rn of Road -lt.t Rlght of I'Iay: {*dr- nlgrfttr Rear c55-r2 I,ANE COT]NTY ENVIRONMEN I ,7bDATE:DATE: APPLICATION FOR:d ,/ r"r"rg"Y{d wl.tray,{!-ieet. tfh- 0 r..eO .?. zs C1/,r7 fCl--lq- Zor"___Us e Clas s j,f icatloL