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Home My WebLink AboutPermit Building 1976-02-19n Owner LANE COUNTY PERMIT FOR PERA/IT NO CONSTRUCTION [ ] IVIOBILE HOTVIE [ ] PLAN REVIEW [ ] CHANGE OF OCCUPANCY [ ] CITY ZIP CODENAIVIEADD R ESS P HONE n Contractor NAN{E O.S. Reg. + Subd ivision Lot Access to Property (Road Name) ADD R ESS C ITY ZIP CODE PHO NE Twp- Range-- Section Tax Lot- Code- Census Tract B lock Acreage - Width Depth Existing Structures on Property: Directions to Property - Address STRUCTURE (# BEDROOIVIS)SO. FT VALUATION SEWAGE D ISPOSAL: PUBLIC [ ] SEPTICTANK [ ] OTHER [ ] PLUIVIBING INSTALLED BY: OWNERT]OTHER[] NAN4 E BUILDING PLUIVIB ING 3% SURCHARGE_- IVIOBILE HOIVIE WASTE DISPOSAL PLAN REVIEW TOTAL WATER SUPPLY: PROPOSED I ] EXISTING t] PUB LIC COVIVIUNITY . NAIVIE PRIVATE WELL OTHER-SPECIFY CONSTRUCTION PERMITS & INSPECTIONS AND WATER POLLUTION CONTROL SPECI F ICATIONS IVIIN. SEPTIC TANK CAPACITY: GALS, IVIIN. DRAINFIELD--LIN. FT MAX. TRENCH DEPT I NCH ES STAY 1OO' FRON/I ALL WELLS TYPE OF CONSTR UCTION GROUP FIRE ZON F USE CLASSIF SETBACKS- FT. FROIVI CTR. OF rAlV SIDE EXT. FT. FROIVI PROP. LINE: SIDE INT. - REARFRONT ZONE AUTHORIZED SIGNATURES lsl ISSUANCE DATE BLDG. PERMIT - WHITE OFFICE COPY - WHITE COUNTY TAX - PINK PLUMBING - CANABY BUILDING _ GBEEN SANITATION - GOLDENROD IMPORTANT POST THIS PERMIT ON MAIN BLDG. AT SITE) LANE COUNTY, DEPT. OF ENVIBONN4ENTAL MANAGEMENT COURTHOUSE ANNEX, 135 EAST 6th, EUGENE, OBEGON 97401 Cail 687-4065 to schedule all required construclion inspections. Call 687-4061 to schedule all required septic system inspections. All construction shall comply with the State Buidling Code, D.E.Q. standards foi sub6urface sewage disposal and the State Plumbing Code. All buildings require a certificate of occupancy before being occupied. (See Details on Beverse Side) $Jtt C H-k c'l'h,'ro, / , 3-ILDING SITE EVALUATION BU ILD I NG PERI,I IT APPL ICAT ION NO.7 57*ru LOT :_ BLOCK:- T s lvls, ( ( ) srrE TNSPECTIoN PLANN ING DIVISION APPL I CANT DATE Not I i cable l44rlg , ts *o# I ANoflCKID BY: 6. I " 3:ll?3,:i:l"8;ff":il:' ;ffii;,*:"*74'- 3" Requi red Access 4. guitaing Site (Area, }Jidth, Frontage) 5" Other (see cornments) () () () () Setbacks Frorn c/l of road:Front / O S i de Exter i or Ll l) Setbacks f rom i nt er i oi 1 ii-es :fi() () ()Side Rear COI{ilENTS: TG.YES_(l -mll.APP r0N#PI.ANNING DIVISION TETTOTPEND I BU ILD I I NSPECT I ON 0lvlsl0N Not I icable No CI Yes n() () 7 8 9 0 Plans Submitted Soil Stabil ity (footings) Flood Plain 0ther (see conments) I I . l{eets Department of Envi ronmental Qual ity Standards. 12. 0ther ise" "or*ents) Aool icable- No Yesrc r)17 ) ) () () ()CK' D BY z- COHMENTS: '=:!:= I'ATER POLUT I 0NC ROL Not Building / Site lns Can be aPProved. Cannot be aPProved a Questions and furthe CKIO BY: me as indicated on item N0 () ()() COHHENTS: TO APPLICANT: DATE above.b JourI pect i on : t this ti rr inf orma,#c4:l tion on items I through 5 contact t NE- PLA N NG 0lvls ON Qu estions and further information on items rough 2 contact t COUNTY B DING A SANTTATION DIV }Jill be held in this of ce unt i I you can reso ve the P urned. t ls being ret Your bui ldin rmi t a Ii ion f is b 135 Sixth Avenue East Eugene 0regon PHoNE: 687'4065 LANE COUNTY PLANNING DIVISION PHONE: 97401 587-4r 86 c55-28 ems S ION cated. I 61 PERMIT /T NOTS: NO PERMIT WILL t.T ISSIIED T'NTIL TIIIS APPLIC,ATION Til,S NTNU APPROVED APPLICATION FOR: CONSTRUCTION MOBILE TIOME PLAN REV]EW CItAi,iGE OF OCCUPANCY 7to OWNER Name ess Ci ztp Phone CONTRACTOR City Phone O.S. REG # ess fe /Twp Yo..r* L 0^ Subdivision fbT0 PROPERTY (Road Name) -rZxlstine structures on Property: l-fn , a o /Property Location - Address/Dlrections /"d,. Below r OffLce Use F Valuat ao SEWAGE DISPOSAL Site Inspec tion /l {\i#Exlstlng Sewage Disposal System 'pub11c W [-l or New System Requlred r'' Name WATER SI]PPLY Well Bldg. Plumbing 3Z Surcharge I'Iaste Disp. Plan Revlew Mobile Home TOTAL Spring of Couununlty or Public Systen PLI'MBING: Installed by Ot^rner PLIJMBING FEES: f lrl., tt ot lw r' er Namew* Sewage Connection PLANS ISHED YES Slgnature of Appl Fee Received By Water Connectl-on FACILITY PERMIT YES NO rcz f-- lZ*11- NO rhMin. S Tank Capac ttv.Drainfield Required - Lineal Feet Maxinum Dep 1}pe of ConstrucElon Fire Zoru________U".Class ification Bldg Setbacks - from Center of Road Ri.ght of Way , 4O slde {-f slde ExEerlor *aFronInt.Rear cs5-12 LANE COT'NTY II"IENT EI{VIRONMENTAL 7'vuti Zone ,TE:DATE:SANITATION DATE: -1 Tract Acreage Width_Depth_ 40"co [,2n r-l. LANE COUNTY PERMIT FOR PERIVIIT NO n Owner CONSTRUCTION [ ] IVIOBILE HOIVIE [ ] PLAN REVIEW [ ] CHANGE OF OCCUPANCY I NAN/E ADD R ESS CITY ZIP CODE PHONE n Contractor NAIVIE ADD R ESS O.S. Reg. + Twp- Range- Section-Tax Lot- Code CITY ZIP CODE Census Tract PHONE Subd ivision Access to Property (Road Name) Lot - B lock Acreage Width Depth Existing Structures on Property: Directions to Property - Address STRUCTURE (# BEDROOIVIS}SO. FT VALUATION SEWAGE DISPOSAL: PUBLIC [ ] SEPTICTANK [ ] OTHER [ ] PLUIMBING INSTALLED BY: OWNER[] OTHER[] NAIVI tr BUILDING PLUIVIB ING 3% SURCHARGE IVIOBILE HOIVIE WASTE DISPOSAL PLAN REVIEW TOTAL WATER SUPPLY: PROPOSED t ] EXISTING t] PUB LIC COMIIV]UN ITY - NAI!1E PRIVATE WELL OTHER . SPECIFY CONSTRUCTION PERMITS & INSPECTIONS AND WATER POLLUTION CONTROL SPECIFICATIONS IVII N. SEPTIC TANK CAPACITY GALS.I\4IN. DRAINF I ELD- LIN. FT IVIAX. TRENCH DEPTH I NCH ES STAY 1OO' FROIVI ALL WELLS TYPE OF CONSTRUCTION- GROUP- FIRE ZONE USE CLASSIF SETBACKS- FT. FROIVI CTR. OF rAN FBONT SID E EXT FT. FBOIVI PROP. LINE: SIDE INT. - REAR ZONE AUTHORIZED SIGNATURES /s/ ISSUANCE DATE BLDG, PEBMIT - WHITE OFFICE COPY - WHITE COUNTY TAX - PiNK PLUN4BING - CANARY BUILDING _ GBEEN SANITATION - GOLDENBOD IMPORTANT Call 687-4065 to schedule all required construction inspections. Call 687-406'l 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 Fleverse Side) POST THIS PERMIT ON MAIN BLDG. AT SITE LANE COUNTY, DEPT. OF ENVIBONMENTAL MANAGEI\4ENT COURTHOUSE ANNEX, 135 EAST 6th, EUGENE, OREGON 97401 SITE INSP[CTION AppRovEoDDrsappRovrDf]]Drre Rruanxs I ruspecron FOUNDATION INSPECTION Ap pnov r o D r sappRoveo ,) '1.-/2r 41, . Dar e I NspecroR RrulRxs ,2(:7{ ,j*r FRAMING INSPECTION. Appnov r o Re uenr s D r slppcovEo f ,t /ul r; Dor. 5 '(p- ./ L,t l nspec 2/ /'1.t, LATH OR SHEETROCK INSPECTION Ap pRov r o Dt SAPPRovED Dar r -3-'%,I NsPEc Revr 5 FINAL INSPTCTION Ap pnov e o ReMenrs /-z-7y' ,NSPEcroRD I SAPPROVED Dat e CERTIFICATE OF OCCUPANCY Rraov ro I ssue REulnx s D Nor Rrrov ro lssuE D I xsprctoR x 3Y-7G l,tlt Drr r ,3? - (/tt