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Home My WebLink AboutPermit Building 1975-05-19I lb6'7s PERMIT /f NOTE: NO PER_ r'WILL BE ISSUED IINTIL T'IIIS APP---.jATION HAS BEEN APPROVED APPLICATION FOR: CONSTRUCTION ry MOBILE }IOME /S€n 00 s,3/Op2OWNER o. s. REG. il Name s conmrcror Shh *{- Name Address City Zlp Phone *r. /!,Section b Tax Lot Code Census Tract s-,n P roperty Acreage l^liCth_Depth_Subdivision a 't / BlocTE-k J ACCESS TO PR0PERTY (Road Name) 5 3 Existing Structures on Property: Property Location - Address/Directions:00 s.3/ Below or ice Use SEWAGE DISPOSAL: Site Inspection #Existlng Sewage Disposal Spring Other Public Comunity FEES:PLIJMBING: Installed by Owner 0 or New System Required Name of Community or Public System Name Sewage >Water ConnectionCoflnectlon PLANS TURNISHED TACILITY PERMIT NO YES Valuation2o WATER SI]PPLY: Well B1dg. Waste Dlsp. Plumblng Plan Reviero Mobile Home 12 Surcharge TOTAL PLIJMBING FEE,g|.)4(2 -1 ll of ures Other Signature of Fee Received . o-o 10.@ -qa:qe .-.----.---.---- Date sq.F!. Min. Septic Tank CapacL Drainfield Required - Lineal Feet Maxlmum D epth- Type of Constructi Fire Zote Utse Classi-flcation cs5- r2 LANE COUNTY D OF EIWIRONMENTAL /,t{,.,"Bldg Setbacks - from Front 4' r Center of Road Right of Way: Stdernr. (/ s:tds+xrrric*x"ur'7 DATE:DA ldaunt tity /zLp Phirne r----l L LANE C^UNTY BUILDING PERMIT OR MOBI' HOME USE PERMIT BUILDINu I MH [] PERMTT NO. PROPERTY OWNER PHONE CONIRACTOR MAILING ADDRESS PHONE PROPERTY LOCATION _ INCLUDE POST OFFICE PROPERTY LEGAT DESCRIPTION _ METES, BOUNDS RANG E SECTION ,X,rlo* 'l'o., )ft / go 6"'CENSUS TRACT APPt. NAME & MAII.ING ADDRESS LEGAL ACCESS TO PROPERTY PROPERTY SIZE - FT. WIDTH DEPTH AREA FOR MOBILE HOME PERMITS ONLY No. of Bedrooms Connect lo Existing Sewoge System !New System ! STRUCTURES TO BE BUILT THIS PERMIT TYPE CONSTRUCTION se. FT. # eoRprs VALUATIoN SEWAGE DISPOSAL PTUMBING INSTATI,ED BY PU BL IC BUITDING WASTE DISPOSAT PTUMBING PTAN REVIEW PARK TRAII.ER . ' I 1.1,, TOTAT SEPTIC TANK OTHE OWNER OTHER: NAME WATER SUPPIY PUBr.rC n n oTHER F EES COUNTY BUILDING & SANITATION SPECIFICATIONS MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: cAl". DRAIN IIETD REQUIRED TIN. FT TRENCH WIDTH FT.OR SQ. FT. TYPE OF STRUCTURE OCCUPANCY ZONE PUBLIC UTIT. EASEMENT BTDG. SETBACKS FRONT FT. FROM CTR. OF ROAD RIGHT OF WAY SIDE INT. SIDE EXT. USE CLASSIFICATION REAR AUTHORIZED SIGNATURE - DATE DATE BLDG. PERMIT - WH ITE OFFICE COPY _ WHITE COUNTY TAX _ PINK PTUMBING _ CANARY BUILDING _ GREEN SANITATION _ GOLDENROD IMPORIANT Coll 687-4065 to schedule oll required inspeclions. All construc- tion sholl comply with Uniform Building Code, D.E.Q. slondords for subsurfoce sewoge disposol ond counly regulotions covering plumbing. All buildings require o certificote of occuponcy before being occupied. (See Detoils on Reverse Side)\ (POST THIS PERMIT ON MAIN BLDG. AT SITE) IANE COUNIY, DEPT. OF ENVIRONMENTAT MANAGEMENT COURTHOUSE ANNEX, I35 EAST 6Th, EUGENE, OREGON 9740I ronuf655-13 MAILING ADDRESS EXISTING STRUCTURES ON PROPERTY tIEIlCtl t!- B G[it\1 rE'\}) iStB LAIIE I \itrI 3t gru To txDrcAn NOtTxn[Y DntcTtoN Signo?ur G.c c ,"..- (\ . , *\-l\-i r .eXLY: Disopproved f G a 6ANI'ARIAN i;- l__-. -_. Dougl as Fenn Monil3 Tdol mnber: Liriql riil-l_ lYoirr r99ly by: ?lllk S.rtic toal: Dirtocr trr rlt__ Totol 3cl. ladd. I tr. Lrq.ad Tlh dirycol ficld:Dbtribrrioa bor?tG{?f eocl lir Torol hrgrl lViltl cI rrrcl Totcl t6or horojr tlbfoxe bctncr Ercr Typc ol filtcr roterinl: GurlDqtl of fill:r rtrrbl orrr rrtrEtrcrtaorn! \i Fl \-A.:u:cr-t' -_- luildiag ptmit umbc.)l---- l'r'i ?.otcrtl oddrsr G,rri losemcnt: Yes - Comnulity rystem No. of It. lridc yidtl en trilla Lc t,hfr[-E NoI lndividrol Feet ,r. a ,r. Non 'rti Ollcr- h. Dbtoncc from: ,r.feettf. Ncorest ,f. lot linc: Front Side rY Reor .-l fr. fouadotiq--- /L: Ieet.Otfcr---. Depth of filtcr noteriot beneoth tile l--t - feet nches.hcf.r' It o"r.-9:-Ih-:G fol USt OF S^N Syrtalr oppolcrfly ri5 rot fl fractin rotidocbrily, oad ir ?hcrcforc opproved for occup, t nots ITATV,il4 HL\LIH UIN -/ BUILOING SIT E EVALUATION BUILOING PERHIT APPLICATION NO SITE INSPECTION 5s/t . t/6s -zS Not Aool i cabl e zone l,ffi n"" -( )() rontage) ( )() T tA a-a us_ob rnx Lor_M_ SubslVlSl0N: LOT:BLOCK:- APPL I CANT 1 n DATE Yes CKID BY5. Setbacks rom c Front *)Sid+Ixterie*- Setbacks f Side Rear rorn interior I nes: {( () PLANN I NG D tv ls l0N Zoning 0rdinance Cornpl iance: Subdiviston 0rdinance Compl ia Requi red Access Building Site (Area, Width, F Other (see cornments ) I 2 3 4 5 No]-l() () () ()w() C0I{}TENTS: FmN[]NtrTlVr s rEN-reTIorPEND I NG: YEs ( ) N0 ()APPTI CAT ION# BUILDING INSPECTION DIVISION Plans Submitted Soi I Stabi I ity (footings) Flood Plain Other (see corrnents) () () ()CK'D BY ,O Not 7 8 9 0I Aool i cabl e-"--rr I ffi() () No CI cOr,tl.rENTS: WATER POLUTION CONTROL Not Appl i qab-!e ll. l{eets Department of Environmental - ( ) Qual ity Standards. 12. 0ther (see cortnents) ( ) No Yesr,T ( ) (t)CKID BY DAT COH}.IENTS: TO APPL!CANT: 4 ( ) trill be held in this( ) ls being returned.( ) your buildins permit applig-aJ.io--11 ENV I on: s time as indicated on item N0"Jbove. ormation on items I through 5 contact the LANE- Questions and further information on items 7 ce unt you can reSO vet prob fee is bein R NTAL 135 Sixth Avenue Eas t Eugene 0regon 97401 PHONE:687-4065 Jour Building / Site !nsPecti L) Can be approved.-(') Cannot be approved at thi Questions and further inf COUNTY PLANNING DIVISION. throug h 12 contact the LANE COUNTY BUILDING AND SANITATION DIV c55-28 LANE COUNTY PLANNING DIVISION PHONE:587-4t 86 ems n cated. C IANE C^'INTY BUIIDING PERMIT OR MOBIT' HOME USE PERMIT BUTLDTNG-. MH I PERMIT NO. PROPERTY OWNER MAILING ADDRESS PHONE CONTRACTOR MAITING ADDRESS PHONE PROPERTY TOCATION _ INCTUDE POST OFFICE PROPERTY TEGAL DESCRIPTION _ METES, BOUNDS RANG E SECTION TAX LOT NO CODE CENSUS TRACT,J.q lfto EXISTING STRUCTURES ON PROPERTY APPt. NAME & MAITING ADDRESS tEGAt ACCESS TO PROPERTY PROPERTY SIZE _ FT. WIDTH DEPTH AREA FOR MOBILE HOME PERMITS ONLY No. of Bedrooms Connecl to Existing Sewoge TYPE CONSTRUCTION New m BDR MS VALUATION m STRUCTURES To BE BUILT THIS PERMIT se. FT SEWAGE DISPOSAT PUBr.rC n sEPTlc TANK n OTHERE PTUMBING INSTALTED BY OWNER E OTHER: NAME F EES WATER SUPPTY PUBr-lC tr N OTHER BUITDING WASTE DISPOSAI PI.UMBING PTAN REVIEW PARK TRAITER TOTAL $- -COUNTY BUILDING & SANITATION SPECIFICATIONS MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GAt. DRAIN FIEI-D REQUIRED tIN. FT TRENCH WIDTH FT.OR SQ. FT, TYPE OF STRUCTURE OCCUPANCY ZONE PUB[IC UTIT. EASEMENT BI.DG. SETBACKS FRONT FT. FROM CTR. OF ROAD RIGHT OF WAY SIDE INT. SIDE EXT. USE CLASSIFICATION REAR AUTHORIZED SIGNATURE - DATE DATE BI.DG, PERMIT - WHITE OFFICE COPY - WHITE COUNTY TAX _ PINK PTUMBING _ CANARY BUII,DING _ GREEN SAN ITATION _ GOI-DENROD Coll 687-4065 lo schedule oll required inspections. All construc' tion sholl comply with Uniform Building Code, D.E.Q. stondords IMPORTANT: for subsurfoce sewoge disposol ond counly regulolions covering plumbing. All buildings require o certificote of occuponcy before being occupied. (See Detoils on Reverse Side) (posT THrs PERMTT ON MAIN BLDG. AT SlrE) IANE COUNTY, DEPT. OF ENVIRONMENTAL MANAGEI{ENT COURTHOUSE ANNEX, I35 EAST 6ih, EUGENE, OREGON 9740I ronu * 655- 13 S ITE INSPECTION AppaovEo Rruanxs DrsappRoveD Darr I ruspectoR FOUNDATION I NSPECTION Ap pnov e o Rruanx s 6@(,I SAPPROVEO -7 I Hsp cToDare j- FRAM I NG APPRovEo Re uenx s DrsappnovEo I NSPECT I ON f"i itoL--v" (-): / ;Dar I tspecr / LATH OR SHEETROCK TNSPECTION AepRovEo Rrua nx s D r s appnovEo Dar r I NSPEcToR FINAL INSPECTI or"^ou fo Reulnx s Dr srppRoveo 7-/fr,",,Dare CERTIFICATE OF OCCUPANCY Reaov ro lssuE Rrul nx s //b3- 75 //rur{,3y l--1 \- 0./'i 1' D Nor Rraov ro lssuE D Dorr_lltsercroR_ LANE C ''NTY BUILDING- - BUITDING PERMIT OR MOBI' MHI HOME USE PERMIT PERMIT NO. PROPERTY OWNER MAIIING ADDRESS PHONE CONTRACTOR MAILING ADDRESS PHONE PROPERTY LOCATION _ INCLUDE POST OFFICE PROPERTY TEGAL DESCRIPTION - MEIES, BOUNDS RANGE SECTION TAX LOT NO CODE CENSUS TRACT EXISTING STRUCTURES ON PROPERTYAPPI.. NAME & MAII-ING ADDRESS TEGAT ACCESS TO PROPERTY PROPERTY SIZE - FT. WIDTH DEPTH AREA FOR MOBILE HOME PERMITS ONLY No. of Bedrooms Connect to Existing Sewoge Sysrem I New System STRUCTURES TO BE BUILT THIS PERMIT TYPE CONSTRUCTION sQ. FT. # BDRMS VALUATIoN SEWAGE DISPOSAT PUBLIC tr SEPTIC TANK tr oTHERn PTUMBING INSTATTED BY OWNER E OTHER: NAME F EES WATER SUPPI.Y PUBUC n N OTHER BUITDING WASTE DISPOSAT PTUMBING P[AN REVIEW PARK TRAITER TOTAT s COUNTY BUILDING & SANITATION SPECIFICATIONS MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GA[. DRAIN FIETD REQUIRED TIN. FT TRENCH WIDTH IT OR SQ. FT TYPE OF STRUCTURE OCCUPANCY ZONE PUBLIC UTIL. EASEMENT BTDG. SETBACKS FT ROM CTR. OF ROAD RIGHI OF WAY FRONT SIDE INT. SIDE EXT. USE CLASSIFICATION REAR AUTHORIZED SIGNATURE _ DATE DATE BLDG. PERMIT _ WHITE OFFICE COPY - WHITE COUNTY TAX _ PINK PI.UMBING - CANARY BUILDING _ GREEN SANITATION _ GOLDENROD Call 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 regulolions covering plumbing. All buildings require o certificole of occuponcy before being occupied. (See Detoils on Reverse Side) (posT THrs PERMIT ON MAIN BLDG. AT SITE) LANE COUNTY, DEPT. OF ENVIRONMENTAL /I4ANAGEMENT COURTTIOUSE ANNEX, I35 EAST 6Th, EUGENE, OREGON 9740Iroau 5 655-13 SLAB FLOOR PLUMB I NG GROUNU,/ORK Appnoveo D Dr slppnovro Dar e nruo^*t-Ze-18 1. ,/ 1 t.s D u t I NseecroR -----.7- GAS PIPING GROUND^/ORK Ap pnov r o Reur nx s D DrsaPPRovED D DarE I ruspecron ROUGH PLUMBING AppRovEo N Drsappnove, D oorr( -//-2f- Reua Rx s lrsprc ROUGH GAS PIPING Ap pnov e o ReMaRx s DrsappRovEo Dar e I rusprcron F I NAL PLUMB I NG APPRovED g DTsAPPRovED RruaRxs aart/. -2 ?- 7C I NSPEcToR FINAL GAS PIPING Ap pnov e o Reulnx s DTSAPPRovED Darr I Hs pe cton CERTIFICATE OF OCCUPANCY Rerov ro lssue RrllaRx s Nor Reaov ro I ssuE Dare I rsprcron D