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Home My WebLink AboutPermit Building 1974-05-30LANE CO - TY BUILDING PERMIT OR MOBILE )ME USE PERMIT PERMIT NO.BUILDING MH MAILING ADDRESS 6pR r Nor t EDr 0 PHONE PROPERTY OWN ER J PHONEMAILING ADDRESSCONTRACTOR PROPERTY LOCATION _ I NCLUDE POST OFFICE PNOPTNTY TEGAT DESCRIPTI ON _ METES, BOUNDS tor 6 Br-ocx l?no. ADD. Et- Box t rl RANG E ?t'"22r-'CENSUS TRACTODESECTIONt4rZr7EXISTING STRUCTURES ON PROPERTY Dve lr- r NG-GARAGEAPPI.. NAME & MAITING ADDRESS LEGAL ACCESS TO PROPERTY PROPERTY SIZE - FT WIDTH DEPTH AREA FOR MOBILE HOME No. of Bedrooms PERMITS ONLY Connect to Existing Sewog e System f New System ! STRUCTURES TO BE BU ILT THIS PERMIT TYPE CONSTRUCTION sQ. FT. # BDRMS VALUATION ADo I T l!N--Felrt uv Roou 20 X 15.8 5-N 3,8}to. g x t5.8 r50 ( loxa0 PLUMBING INSTALTED BYSEWAGE DISPOSAT PUBTIC BUILDING WASTE DISPOSAT PTUMBING PI,AN REVIEW PARK TRAILER SEPTIC TANK OTH OWNER OTHER: NAME FEES WATER SUPPTY PUBr.rc tr tr orHER TOTAL COUNTY BUILDING & SANITATION SPECIFICATIONS MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GAL. DRAIN FIELD REQUIRED TIN. FT TRENCH WIDTH FT OR SQ. FT TYPE OF STRUCTURE OCCUPANCY ZONE PUBI.IC UTII.. EASEMENT BLOG. SETBACKS FRONT FT, TROM CTR, OF ROAD RIGHT OF WAY SIDE INT-SIDE EXT USE CLASSIFICATION REAR 1' PUE AUTHORIZED SIGNATURE _ DATE J. SH00K, SrN t rt t rrn DATE -?0-74 .r BI.DG. PERMIT _ WHITE OFFICE COPY _ WHITE COUNTY TAX - PINK PLUMBTNG _ CANARY BUITDING _ GREEN SANITATION _ GOLDENROD Coll 687-4065 to schedule oll required inspeclions. All construc. tion sholl comply with Uniform Building Code, D.E.Q. stondords!i PORIANT: for subsurfoce sewoge disposol ond county regulotions covering plumbing. All buildings iequire o certificote of occuponcy before being occupied. (See Detoils on Reverse Side) (posT THts PERMTT oN MA|N BrDG. AT S|TE) I.ANE COUNTY, DEPT. OF ENYIRONA,{ENTAT MANAGEMENT COURTHOUSE ANNEX, I35 EAST 6Ih, EUGENE, oREGoN 9740Iu lfCS5-t3 BU S ITE EVALUAT ION r / 7-R-Ois 24 rax C US TRACT2nd E/ Em- tAPPLICANT: -,,NAo4E Lon c, Js /c4 LOT -4 B-Z ( ) Building Permit Appl ication No. ( ) Site lnspection ( ) Pre-Permit lnvest igat ion % ADDRESS w PHONE OATE NOT appl icable NO YES ( () 2 Zon ins ord inance i"rio^rJi\.iroal subd ivis ion ord inance ffice ()()(Y f (4- () () ()6- ts"Z * ,-^-, - ) 3. Requ i red Access 4. Bu ild ing S ite (Rrea, Width, Frontage, Setback 5. Other (see comments)() () ( -{- aY. >-f ) -,. COHI'IENTS: EUILDlNG INSPECTION SECTION NOT NOffit icable -*Tl-( ) YES tr, () 5. Plans Submitted 7, Soil Stabil ity (footings) 8. Flood Pl a in 9. 0ther (see Comrnents) COH}AENTS: ( () ( () (d'. F qe!4{ SAN !TAT ION SECT ION Sewage Disposal Usable Area Water Supply 0ther (see Comments) CO},I}4ENTS: NOT YE5N.q () () () () () ( ) ) ) DATE I icable 10. n. t2. 13. ( ( TO APPL ICANT: 4q *F si Your Building Permit / Site Inspection: ,s Can be approved.( ) Cannot be approved at this time as indicated on item N0. above. Questionsandfurtherinformationonitemslthroughsc6in.iffit-ane. COUNTY PLANNING DEPARTMENT. Questions and further information on iE;E 5 t hroug h 13 contact the Lane County Bu i lding and San iq!!o!_gf_Y1t ron. Will be held in this office until you can resolve the problems indicated. ls being returned. Your building permit appl icat ion fee is being returned under separate cover. () () () I,ANE COUMY PI,A,NNING DIVISION 135 Sixth Avenue East, Eugene, Oregon 9740L Phone (503) 687-4186 Id,NE COUMY ENVIRONMENTAL MANAGM'{EIVI 135 Sixth Avenue East, Eugene, Oregon 97401 Phone (503) 687-4065 c55-28 LANE COUNTY PLANNING DEPARTHENT NA}{E DATE NAI',IE DATE ( LANE COu-fY BUILDING BUILDING I MH I PERMIT OR MOBILE .-JME USE PERMIT PERMIT NO. PROPERTY OWNE:R J MAILING ADDRESS PHONE CONTRACTOR MAITING ADDRESS PHONE PROPERTY LOCATION _ INCTUDE POST OFFICE PROPERTY TEGAT DESCRIPTION -METES, BOUNDS RANG E SECTION TAX LOT NO CODE CENSUS TRACT EXISTING STRUCTURES ON PROPERTY APP[. NAME & MAITING ADDRESS LEGAI. 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 Existin Sewoge TYPE CONSTRUCTION x New SQ. FT BDR MS VALUATION SEWAGE DI PUBUc tr SEPTIC TANK t] OTHERI PI-UMBING INSTATLED BY OWNER I-I OTHERI NAME BU ITDING WASTE DISPOSAT PTUMBING PLAN REVIEW PARK TRAITER F EES WATER SUPPTY PUBUC !tr OTHER TOTAT COUNTY BUILDING & SANITATION SPECIFICATIONS MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GAL. DRAIN FIEID REQUIRED I.IN. FT TRENCH WIDTH FT OR SQ. FT. OCCUPANCY ZONE PUBTIC UTIT. EASEMENT BIDG. FRONT SETBACKS FT FROM CTR. OF ROAD RIGHT OF WAY SIDE INT. SIDE EXT. USE CTASSIFICATION REAR AUTHORIZED SIGNATURE _ DATE DATE BLDG. PERMIT _ WHITE OFFICE COPY - WHITE COUNTY TAX _ PINK PLUMBING _ CANARY BUILDING _ GREEN SANITATION _ GOTDENROD Coll 687-4065 to schedule oll required inspections. All construc' tion sholl comply with Uniform Building Code, D.E.Q. stqndords IMPORTANT: for subsurfoce sewoge disposol ond counly regulotions covering plumbing. AII buildings require o cerlificole of occuponcy before being occupied. (See Detoils on Reverse Side) (POST THIS PERMTT ON MA|N BrDG. AT S!TE) LANE COUNTY, DEPT. OF ENYIRONMENTAT MANAGEMENT COURTHOUSE ANNEX, I35 EAST 6th, EUGENE, OREGON 9740I-:,nu j C55-13 rr} <- TYPE OT STRITTIJRE I SITE INSPECTION AppaovroDDrsAppRovEof]]Dare ReF{nnxs I ruspecron FOUNDATION I NSP loN Ap pRov t o ReManxs DrsAPPRovEo V Dare 6 -'tz-?(Ittspe clon FRAMI NG AppRov e o I NSPECT I ON Dr srppnovEo Reu LATH OR SHEETROCK INSPICTION Ap pRov e o Rrurnx s D r sappRoveo Dar e 7 Drr r I HsprcroR I uspecTon L -'t t FINAL INSPECTION Ap pnov e o Rruanxs Dt slppnoveo D Drr Ir.rspEcron ,r- ?/ CERTIFICATE OF OCCUPANCY Reaov ro lssue Rru aRx s D Nor Rcaoy ro lssuE n Drre 8 ?g-ry{ I ruspecron 3t wffii lu 4/ BUILDING PERMIT OR MOBILE Hr--rlEIANE COUN PERMIT TYPE - BUITDING ER ll USE APPTICATION PERMIT # L MOBTLE HOME IOSC REG.# MAILING ADDRESS a MAILING ADDRESS S 716 -85 s *1 PHON PHONECONTRACTOR PROPERTY TOCATION _ INCTUDE POST-OFFICE ;2772 /U. I lst Btoc APPTICANT NAME AND MAITING ADDRESS DESCRIPTION SUBDIV. RANGE CENSUS TRACTo-E ON NAME OR # DEPTH METES & BOUNDS ATTACHED IF ANY YESPRO toT NO a._ TWP 1 SEC.TAX LOT CODE DESCRIBE EX LEGAL ACCESS PROPERTY SIZE_WIDTH Z 7 AREA FOR MOBILE HOME PERMIT ONLY Number of Bedrooms Connect to Existin Sewoge tr or New mR TYPE CONSTRUCTION SQ. FT BEDROOMS VALUATIONBUILT THIS PERMIT SEPTIC TANK 4o x /sr q x ls' XA S tl tl 4cro PTUMBING INSTATTED BY OWNER E OTHER NAME PTANS FURNISHED NO PERMIT # FACITITY PERMIT YES NO 3ao 3r O cro SEWAGE DISPOSAT PUBTIC BLDG. WASTE DIS. PTUMBING PIAN REVIEW PARK TRTR. q1 --ud- OTH ER FEES WATER SUPPTY PUBTIC PLUMB - FIXTURES cAsH ll CHECK NECTION FEE PUBTIC WATER CONNECTION FEE OTHER FEE ,TE DATE 3- TOTAI- COUNTY BUILDING & SANITATION SPECIFICATIONS MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GAL' DRAIN FIEI,D REQUIRED [IN. FT. TRENCH WIDTH FT.OR SQUARE FEET TYPE OF STRUCTURE occ BTDG. SETBACKS _ FT. FROM CTR. OF ROAD RIGHT OF WAY FRONT srDE rNT. { srDE Exr ions to Find Property: - dN ZONE REAR YARD PUBTIC UTIT. EASEMENT USE CLASSIFICATION t2Dote BLDG. INSP HU Form # c55-tz REAR COPY I _ OFFICE COPY 2 _ JOURNAI. COPY 3 _ AUDIT i ,)/^