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Home My WebLink AboutPermit Building 1975-10-09/ IANE COUNTY BUITDING BUILDING --l MH fI PERMIT OR MOBILE HOME UsE PERMIT PERMIT NO.ehl l-ffi MAILING ADDRESS 9pRrr GF IELD ORCCOU PHONE LI ING CONTRACTOR MAITING ADDRESS PHONE PROPERTY LOCATION _ INC[UDE POST OTFICE ?733 t'lonrn 2tsr SrntHcrtguo oneoo$ PROPERTY LEGAT DESCRIPTION - METES, BOUNDS lh Brocr 1 SECTION TAX LOT NO,,4,e f,a737 cooE CENSUS TRACTRANGE 3I EXISTING STRUCTURES ON PROPERTY hrell I mcAPPT. NAME & MAITING ADDRESS LEGAI, ACCESS TO PROPERTY t{ontx 2lsr PROPERTY SIZE - FT. WIDTH DEPTH AREA FOR MOBILE HOME PERMITS ONLY No. of Bedrooms STRUCTURES TO BE BUILT THIS PERMIT Connecl to Existin TYPE CONSTRUCTION m New m 5.10 se. FT BDRMS VALLJATION SEWAGE DISPOSAT PUBLIC D SEPTIC TANK tr orHERn PTUMBING INSTALTED BY OWNER ! OTHER: NAME F EES WATER SUPPTY PUBUC tr tr oTHER BU ILDING WASTE DISPOSAL PLUMBING PLAN REVIEW PARK TRAIIER TOTAL COUNTY BUILDING & SANITATION SPECIFICATIONS MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GA[. DRAIN FIEI.D REQUIRED I.IN. FT TRENCH WIDTH FT.OR SQ. FT )o Nor eutLD ovER sElrAGE DlSPosAL sYgTEx OCCUPANCY ZONE PUBLIC UTI[. EASEMENTTYPE OF STRUCTURE J BLDG. SETBACKS FT. FROM CTR rnoNr , stDE lNT. OF ROAD RIGHT OF WAY . SIDE EXT.REAR USE CTASSIFICATION 7'PUE AUTHORIZED SIGNATURE _ DATE Siroox BY PETRASEI( DATE J. E BI-DG. PERMIT _ WHITE OFFICE COPY - WHITE COUNTY TAX _ PINK PLUMBING _ CANARY BUILDING _ GREEN SANITATION _ GOTDENROD Colt 687-4065 to schedule oll required inspections. All construc' tion sholl comply with Uniform Building Code, D.E.Q. stondords IMPORIANT: for subsurfoce sewoge disposol ond county regulotions covering plumbing. All buildings require o certificole of occuponcy before being occupied. (See Detoils on Reverse Side) (POST IHIS PERMIT ON MAIN BLDG. AT SITE) IANE COUNTY, DEPT. OF ENVIRONMENTAT A,{ANAGEMENT COURTHOUSE ANNEX, I35 EAST 6Th, EUGENE, OREGON 9740I ronu = 655- 13 4*?/tr 'u ? ,tf, \> c. F 7/'tq5*- C)(- l ('\ F. s! ts *, I'l Rs\q \ \ \t\ l\. \r \ \\ e \ \D$' \.,1 // a h ? Z / 7r,c{7 - \-\ =l (t-T sut L0 tNG pERtt tr APPL I cAr t ox tlo " ( ) srrE rNsPEcTroN PLANNING DIVISION J5 T s'z*+$ax LorzJZL LOT :_ BL0CK:_S ION: APPL I CANT DATE Not Appl i cablezon"fu( )ance (*) l r, No YesI-I CI 6. () () () () (\-Y( t() () CKID SetbaI " Zoning Ordinance CornPl iance: 2. Subdivision 0rdinance ComPl i 3. Requi red Access 4. Buildlng Site (Area, width, 5 " 0ther (see cornments ) cks rom c ,Front Siffirnsrtor Setbacks from interior I ines: .fo Frontage) ( ()Side Rear COIHENTS: D! BUILD!NG TNSPECT!ON DIVISION Plans Submitted Soi I Stabi I i ty (footi ngs) Flood Plain 0ther (see ) COHMENTS: A Not I icable 7I 9 0 rNo Yesr) TT() () () ()m() 0t( )CKID BY: ,/2 ITATER PoLUT!0N CoNTRoL ll. l{eets Department of Environmental Qual ity Standards. 12. Other (see comments) Notli le No Yesr) TT CKID B J6 DATE COHHENTS: () ())K TO APPL!CANT: -.r Your Bui ld !7{can ae-( ) Cannot Quest i COUNTY in9 / Site lnspection: approved. be.approvedatthistimeasindicatedonitemN0.#bove. ons and further information on items I through 6 contact the LANE- t }, I Y () () 4 rouill be held in this s being returned. rmit a I i cation ce unt i I you can reso _fS"g_ j:-^q,e ! nq rel, rJ,ed.,=r!*dq.r-@ RfiIMENTA t Eugene Oregon 97401 DlVlSt0N PHONE: 687-4185 G DlVlSlON" Questions and further information on items 7 2 contact the E COUNTY BUILDING AND SANITATION D vtsl0N. ve the prob ems cated. 135 Sixth Avenue Eas PHoNE: 687-4065 LANE COUNTY PLANNING c55-28 our buildin Bu r.l-0 t.1'tG s rTE- EV4LUAT.T0[/t /* SUb I u 2 .r' ( /n.R+-- (\5'rR> ;l5\n( (. (\r /'r'7, 6 b 1 { (t I U ,'1 ,r,I.r I ljrl \ 1 N $- J { :) \- '"1-. ( ,\i \, \ ( l ic , 3'.) Cr'. Ki \-S \,\\ r' i I L-r- I L h \ , ,. l"'r . )\, l/rN'- f-tt l)_- --t ,t \'' ^- '(-_,' ..t- >r0( :v I' )K,,u \ / 2s0 of ,2c ^ ,_/ & / tt'z' o :" ,. ,!' i I I I I I i IANE CO[TNTY BUILDING -fl BUILDING PERMIT OR MOBITE -HOME UsE PERMIT PERMIT NO. PRO PE OWNER MH MAILING ADDRESS PHONE CONTRACTOR MAITING ADDRESS PHONE PROPERTY TOCATION _ INCLUDE POST OFFICE PROPERTY TEGAT DESCRIPTION _ METES, BOUNDS RANG E SECTION TAX LOT NO CODE CENSUS TRACT EXTSTTNG STRUCTURES ON PROPSTYAPPt. NAME & MAILING 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 Sewoge System I New stem TYPE CONSTRUCTION SQ. FT BDRMS VALUATION SEWAGE DISPOSAT PUBilC n SEPTTC TANK fl oTHERn PTUMBING INSTAILED BY OWNER n OTHER: NAME BU ITDING WASTE DISPOSAT PTUMBING PLAN REVIEW PARK TRAIIER F EES WATER SUPPTY PUBr.rC n tr OTHER TOTAI- COUNTY BUILDING & SANITATION SPECIFICATIONS MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GAL. DRAIN FIETD REQUIRED tIN, FT TRENCH WIDTH FT OR SQ. FT TYPE OF STRUCTURE OCCUPANCY ZONE PUBTIC UTII.. EASEMENT BLDG. SETBACKS FT. FROM CTR, OF ROAD RIGHT OF WAY FRONT SIDE INT, SIDE EXT. USE CI.ASSIFICATION REAR AUTHORIZED SIGNATURE _ DATE DATE BLDG. PERMIT _ WH ITE OFFICE COPY _ WHITE COUNTY TAX _ PINK PTUMBING _ CANARY BUILDING _ GREEN SANITATION _ GOLDENROD Call 687-4065 to schedule oll required inspections. All construc- tion sholl comply with Uniform Building Code, D.E.e. stqndords IMPORTANT: for subsurfoce sewoge disposol ond counry regulolions coyering plumbing. AII buildings require o certificote of occuponcy before being occupied. (See Detoils on Reverse Side) (POST TH|S pERMtT ON MAIN BrDG. AT S|TE) IANE COUNTY, DEPT. OF ENYIRONMENTAL MANAGEMENT COURTHOUSE ANNEX, I35 EAST 6Ih, EUGENE, OREGON 9740Iroav a 655- 13 SITE INSPECTION Ap ppov r o Rruanxs D r srpenovEo Der r I nsprcton FOUNDATION INSPECTION APPROVED t5 PR DrsappRovro Rr RK FRAMING INSPECTION Drr r Darr I NspEcton I NSPEcToRAPPROv E o RetteRxs LATH OR SHEETROCK INSPECTION D r SAPPRovED Dar e Ir.rspEctonAPPRovEO Rruanx s FINAL INSPECTION AP PRov E o Reuanxs oor_ /r-7 '-? lo t*u,,SAPP EO TOR /, 4 C IFICATE OF OCCUPANCY Reaov ro I ssuE f7 Nor Re aov to lssue / t Dore- LI RruaRx s lHsprcroR J/tr'76 x/ >t n D xl PERI'{IT # Aq//'2J NOTE: No PERI'I ;[ILL BE ISSI]ED IINTIL TI{IS APPL. IION HAS BEEN APPROVED APPLICATION FOR: CONSTRUCTION MOBILE TIOME PLAN REVIEWre4-K OWNER e.tLL 7 7 *6b3 Name Address .ty Phone CONTRACTOR o.s. REG. /l Twp Subdivis io ACCESS TO PROPERTY (Road Nane) Address Tax Lot ty Census Tract erty Acreage Wldth_Depth_ Sect 6d Code Lot /q Block4 Exlsting Structures on ProperEy: Property Location - Address/Dlrectlons Below or ice Use f ExlsEing Sewage Disposal Sys Pub11c Comunity PLl]MBING Installed by Owner PL1MBING FEES of ES Required .41/L )o Valuatlon * Name of Cornmunity or Public System Name Sq SEWAGE Site Inspec tion /l WATER STIPPLY: Well FEES: Bldg. Weste Dlsp. Plunblng Plan Review Moblle llone 3 surcharse f;,*/z/ Fz TOTAI Ro- aroSpring ?, oo 0ther Other -e2 EK Sewage Connection PLANS FURNISHED [-)Q vrs NO Signature of Appl ica*t( Fee Recelved By: {/.{' Water Connection FACILITY PERMIT ?,ao I_RI NO ^/f'a7 Date: Mln. Septlc Capacl Maxinum Type of Constructi FLre Zone Urse Classificatlon Bldg Setbacks - from Center of Road Rlght of Way: rront 40' slde rnt. 5 s+d=Bntcriar-, c55 - l2 LANE COUNTY DEPAR]]'{ENT OF ETWIRONMENTAL Zor:e { PIANNING:DATE:.?r ,TION h DATE 7 Depth- v