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Home My WebLink AboutPermit Building 1974-10-15,"t.2'.44) USE PERMIT PERMIT NO. ?aq brTy aoh&74 TANE COUN'. - BUILDING PERMIT OR MOBITE HOME BUTLDTNG .- MH I PROPERTY OWNER MAII-ING ADDRESS PHONElllB soutr lprx Srnrer Spntxcrts.r-o one, 7l+&o5t\ CONTRACTOR MAILING ADDRESS Jrcx E. l"krz PHONE PROPERTY LOCATION _ INCLUDE POST OFTICE PROPERTY LEGAL DESCRIPTION_METES, BOUNDS :,I- I I : ' J : RANG E SECTION 6/\/e ;2cb CODE CENSUS TRACT EXISTING STRUCTURES ON PROPERTY APPI., NAME & MAITING ADDRESS 1 I!8 Sourn Jlrx STREET TEGAI ACCESS TO PROPERTY J$rn Stneer 5pn r rcr r glo ORgesnt PROPERTY SIZE-FT. WIDTH DEPTH AREA FOR MOBILE HOME PERMITS ONLY No. of Bedrooms Connect to Existing Sewoge System ! New System ! STRUCTURES TO BE BUILT THIS PERMIT Flmtuv Roor.r AgDtT tor'l TYPE CONSTRUCTION sQ. FT. # BDRMS VALUATIoN 360 e r6,to SEWAGE DISPOSAT PLUMBING INSTATTED BYt'lA sEPTrc ,ANK OTH OWNER OTHER: NAME WATER SUPPIY PUBr.rC tr n OTHER PU BL IC BUII.OING WASTE DISPOSAT PI,UMBING PtAN REVIEW F EES Pucr- r c PARK TRAILER TOTAI. COUNTY BUILDING & SANITATION SPECIFI NS MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GAt.Ex t srs DRAIN FIEID tIN. FT R}OUIRED 65 IJE PTH TRENCH WIDTH FT.' OR SQ. FT. TYPE OF STRUCTURE OCCUPANCY ZONE PUBI.IC UTIT. EASEMENT BLDG. SETBACKS FRONT ' FT. FROM CTR. OF ROAD RIGHT OF WAY USE CTASSIFICATION SIDE INT 5 t SIDE EXT REAR 5', AUTH OR I ZED SIGNATURE _ DATE J Sroor/sANrrARlAN DATE BLDG, PERMIT _ WH ITE OFFICE COPY _ WHITE COUNTY TAX _ PINK PLUMBING - CANARY BUITDING _ GREEN SANITATION - GOLDENROD Coll 687-4065 to schedule oll required inspections. All conslruc- tion sholl comply with Uniform Building Code, D.E.Q. stondqrds IMPORTANT: 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 THIS PERMTT ON MAIN BrDG. AT SITE) TANE COUNTY, DEPT. OF ENVIRONMENTAT MANAGEMENT COURIHOUSE ANNEX, I35 EAST 6Ih, EUGENE, OREGON 97,[OI FoRM * C55-13 $' 'T-o u) t'c /0- 7- 7? /,'oo riu t uo um's trE EvALuAT toN -q-sh,!,f*r AX LOT,&,nL CENSUS TRACTcFl+FoY4 lrft tO -<l-7/ S.,, ( ) Building Permit Applicat ( ) Site lnspection ( ) Pre-Permit lnvestigation oo iClJ- ionYJ. 2o APPL I C NA}4E ADDR s PHONE DATE LANE COUNTY PLANN ING DEPART}IENT NOT NO YES 16'r icable - NAHE OATE I . Zon ing Ord i nance Comp I i ance -(_T(Zonu_) 2. Subdivision ordinance Gffiice ( ) () () (r () 3. Requ i red Access 4. Bu i ld ing S ite (Area, tJidth, Frontage, Setback) 5. Other (see comments) Jn^L () () () () () ) ( () ( COI.I}IENTS: BUILDlNG INSPECT ION SECT ION NOT NO Ei'E't icable -rT YES t{ () DATE )5. Plans Submitted 7. Soi I Stab i I ity (foot ings) 8. Flood Pl a in 9. 0ther (see Conrnents) COh}tENTS: ) () () () () ) ) ) ( € fr-'za SAN ITAT lON SECTION NOT YEST9 () () aool icable-T)-(( ( 10. il. t2. Sewage Disposal Usable Area Water Supply () ()) 13. 0ther (see Conrnents)() ()) COHI4ENTS: TO APPL ICANT: _il,Y'{1 Your Building Permit / Site tnspection: l0 4-/Can be app roved. Cannot be approved at this t Questions and further inform COUNTY PLANN I NG DEPART},IENT. ime as indicated on item N0 above. at ion on items I through 5 contact the l=ane- Quest ions and further informat ion on iT6; 5 9'( ) () () () through l3 contact t he Lane Coun Buildi and Sanitation Division .rtua.Will be held in this of ice unt i you can reso vet e prob em5 ls being returned. Your buitaing permit appl ication fee is being returned under seParate cover. I,ANE COI]NTY PI,ANNING DIVISION 135 Sixth Avenue East' Eugene, Oregon 9740L Phone (503) 687'4L86 I,ANE COUNTY ENVIROMENTAI, I',IAI{AGM,IEM 135 Sixth Avenue East, Eugene, Oregon 9740L Phone (503) 687-4065 c55-28 NAI'IE DATEMzr i POSED SEWAGE OISPOSAL SYSTEM RECORD INSIALLER: Complete top part b-f form to signature and submit both copies wit I i cZLion. PERil I NO Pandy Bry B 11lB Sr. 39th St::rqrt ""Sprin6f J a td r Ore . No.LivinsUnits Bedyoms f?.l,Jater Supply Publ icx 0ther-List hs Basement Yes No Septic Tank: Ft. frorn wel I Stee I Concrete n No. Compartments I Gal . C.apqci ty.1UU ns Le h -'vri OWNER NAI'TE mens ons:t. HAILING ADORESS F ? rii*,,,i 1 Sr th rln -"-* Diameter gbh sr.Feet WEI I Lot Line Front e sPosa th Distribution Box: Yes x NotstrutOO-yPer rom 1o1 7rt7 F Side ton r Length L i nes-Ft 4 6' nature CERTIFICATE lsF For Sanitarian Use 0nly: ln accordance with 1973 0regon Laws Chapter 835, Section 214 this 0 er Be ov, ile ln 3y L Date certificate is iss as evidence of satisfactory completion of a subsurface seurage disposal system at the above 'Appror"d: System lnstal lation conforms to current standards Disapproved: Does not conform to current standards Remarks: IH HWT II;:"iA etween er Lines lnove Ti le er Dept rt Pl an (see nst ruct ons bt o I s lol gl rncuu d,€at n *frt-Jrm< nECEIVED $rr ocT2 51971 I une couNrY NVIBONMEilTAL MGIllT. a COUNTY STATE OF OREGON OEPARTMENT OF ENVIRONMENTAL QUALITY anc55-It gnat ure tr e 5 - !': LANE COUNT. -^BUIIDING PERMIT OR MOBILE HOME USE PERMIT BUILDING TI MHE PERMIT NO. PROPERTY OWNER MAITING ADDRESSIt$ $owr.r 39"x 3"trf, $mrrsrfro 0*r, PHONE CONTRACTOR MAILING ADDRESS PHONE i ., .! TION _ INCTUDE POST OFFICEt lt ier?H t8 e* HrtH $ritit !i J.3rtI nlr5 rulr Rr*rt *t Jrlfir ltergve*r1l taltr $?c PROPERTY LEGAL DESCRIPTION _ METES, BOUNDS &ra Af rrtorr WrrLr;Errt lirrc* RANGE SECTION TAX LOT NO CODE CENSUS TRACT EXISTING STRUCTURES ON PROPERTY LEGAT ACCESS TO PROPERTY APPT. NAME & MAITING ADDRESS tt$ $anrr Srnt $?rt ftrffirf Lo &soa $rr prrrn SrzE - FT. DEPTHWIDTH AREA FOR MOBILE HOME PERMITS ONLY No. of Bedrooms Connect lo Existin TYPE CONSTRUCTION se. FT New System BDRMS VALUATIONSTRUCTURES TO BE BUILT THIS PERMIT Ido 3 r6,to -t SEWAGE D PI.UMBING INSTATLED BY PUBTIC BU II.DING WASTE DISPOSAI. PLUMBING PtAN REVIEW PARK TRAIIER TANK OWNER WATER SUPPTY OTHER: NAME F EESs 1 PUBLTC n N OTHER ,\ ALTOT COUNTY BUILDING &TATION IFICATIONS MIN. SEPTIC TANK WITH DIST. BOX: GAt. DRAIN FIETD REQUIRED TIN. FT TRENCH WIDTH FT OR SQ. FT. TYPE OCCUPANCY ZONE PUBI,IC UTII.. EASEMENT BtDG.SETBACKS ROADFT. FROM CTR. OF SIDE INT- RIGHT OF WAY SIDE EXT. USE CTASSIFICATION FRONT REAR AUTHORI ZED DATE d em*ltttt?ttrt*DATE BLDG. PERMIT _ WHITE OFFICE COPY _ WHITE COUNTY TAX _ PINK PIUMBING - CANARY BUILDING _ GREEN SANITATION _ GOTDENROD Coll 687-4065 to schedule oll required inspeclions. 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 THIS PERMIT ON MAIN BLDG. AT slrE) LANE COUNTY, DEPT. OF ENVIRONMENTAT MANAGEMENT COURTHOUSE ANNEX, I35 EAST 6Th, EUGENE, OREGON 9740I ronu 3c55-t3 orHER! Er- -. I D r sappnoveo SITE INSPECTION Ap pnov E o REmaRx s Dare I rus prcton FOUNDATION INSPECTION AP PRov E D DtSAPPRovED Drr e I rusercron Rsurnxs ,(6 2z- FRAMING INSPECTION APP ROv E D Re ttaRx s Dl SAPPRovED 1142 '7(Da I xspec D- LATH OR SHTETROCK I Ap pnov e o ,cT t0N RovED D Dar '/z I r.rs pEDtsapp Rrtt l Rx s FINAL INSPECTION Ap pRov e o Rcuanx s D I SAPPROVED oorr..V a/" ff rNSPEcro ,"''O ' /*---fi F - el. CERTIFICATE OF OCCUPANCY REaov ro lssue Reuanx s D Nor Rraov ro lssuE D Tof c' 7 tl / /€tr Drr E 3 I Nsprcron D d -7 Po"(rAI{E CCUNTY BuildinS DPARIMNI OF BWIROtiMD{IAL }'IAMGEMB{I }4cbile tIorc APPLICATION FOR zuILDI]G PERMIT OR MOBII,E HC},IE USE No permit will be issued r-u:til this application has been approvedNOTE PLEASE PRINI PRoPRIY LocAflct{ -laLz So 3? nLwt tQnttt 51. *- Jasp"+t /2,!- fr^r.rv n ?^.3 ?a s+,n d- LP/-?AL- Tr,JP l8 RAI\cE lL sEC b.rl,Z-rx wt r,or rw. f 0 Brno( 4 suBDnrusror{ZncL- II 4 CCDE +- CENSUS TRAGr € ^ffi t*r lr r, *, *1*. M,q uo *_T&ft ACCESS To PRoPERIYW I DESCRTBE DflSTI}G STRUCTI.]RES ON TTIE PROPRIY PMPERIY SIA r^tIDTH fu isoDE5,fl 1o oR ACBEAGE ei+ 5 brM i-r,, t[" do/ bu o +p*qL %z tuces to MT4E MAILI}G ADDRESS So .{h W Po qq A PIIoNE 6qq-Jbit sq (OGtq Nc ooO L lierrrage llisposal: Site Inspection ter Rrblic JL1r ser^iage disposal systsn f] or nex,rr systan required n Well I Spring \ll Other Plu$ing IkrrE GU,OO Fees/S,ooBfdg. Waste Dis. Plurbing Plan Revieur Ttailer l% sr-rctrarge TOIAL ,fri'Eb Ixstalled by Grner Other l{ane: -' Fees Sel^rer conneccion -w-ffi of fixttres inspecticn fee inspection fee fi::mished Facility PernLitlYesNo Signatr-re of App Fee received with dist. box lons Lineal Feet Ttench or Sq. Ft rtf sE elassifiCttion c55-L2 Side Int . 5 Side:E*erior-Rear 6: a-v-2/ center ?qre RA, way Front I