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Home My WebLink AboutPermit Building 1975-09-02NorE: No PERMTT w BE rssuED uNrrl rllrs APPLrcArr- HAS BEEN o!ffi;ltJ4?Z'ZJ APPLICATION FOR: coNSrRUcrroN fx)(xl MOBILE TIOME PLAN REVIEW C}IAJ'IGE OF OCCUPANCY Rovce OseunN t66z senrNeoeue Ave. EueeNE, OnecoN 97\OlEEOWNER Name Address Clty ZLp Phone CONTRACTOR Name 2?.\.2 Address Tax Lot 520O Clty Code 1 g-o3 zip o. s. REc . // *r. 17 *,,,03 Census t l-Zo\>SecEion Subdivlsion Lot PR I NGDALE AVE. Bloc k_______Prop er ty ACCESS TO PROPERTY (Road Nane) Exlsting Structures on Property . HoUsE, GARAGE Property Location - Address/Direct.lons a6 Plr r o CovEn SEWAGE DISPOSA],: slte InsPec tion /l t t\x Existlng Sewgge Disposal Public ComunlEy Nane of Coununity or Publlc Systen WATER SIJPPLY Well B1dg. Waste Dlsp. Plumblng Plan Review Moblle Houe 1Z Surcharge Sprlng Other PLUI,IBING: Installed PLTJMBING 7.00 Owner ll ot Name Sewage Connection Water Connectlon PLANS FURNISHED FACILITY PERMIT ?1 CASH CHECK d( ",'tuNOYES Bv Mlrr-Signature of Applicant: Fee Recelved By BP Dare: g-?-15 NO TOTAL Mln. Septlc Tank Capaci Dralnfield Required - Lineal Feer Maximun Dep rh $pe of Constructl Fire Zone Use ClassiflcaEion Bldg Setbacks - from Center of Road Right of I'Iay: Front Side InE.*"", 5 zon" AGT(-(4L4a' LANE COI.TNTY DEPARII',IENT OF EIWIRONMENTAL DATE:DATE:7 c55-12 r--r other f] 1-21 LANE COUN1 BUILDING _ q? BUITDING PERMIT OR MOBILE HOIVTE USE PERMIT MH [_] PERMIT NO.ho:-r PROPERTY OWNER MAILING ADDRESS PHONE r ( lpF(:I1N CONTRACTOR MAILING ADDRESS PHONE PROPERTY TOCATION _ INCLUDE POST OFFICE PROPERTY TEGAI. DESCRIPTION _ METES, BOUNDS RANG E CODESECTIONTAX LOT NO CENSUS TRACT EXISTING PROPERTY House AND GARAG APPT. NAME & MAITING ADDRESS TEGAT ACCESS TO PROPERTY 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 TYPE CONSTRUCTION sQ. FT. # BoRMS VALUATION SEWAGE DISPOSAI PUBTIC N SEPTIC TANK tr oTHERn PLUMBING INSTALTED BY OWNER E OTHER: NAME BUII.DING WASTE DISPOSAI PTUMBING PIAN REVIEW PARK TRAII-ER (F EES WATER SUPPTY PUBUC tr tr OTHER .61., .?.1TOTAL 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 UTIt. EASEMENT BIDG. SETBACKS rT. FROM CTR. OF ROAD RIGHT OF WAY SIDE INT. . SIDE TXT. USE CLASSIFICATION F RONT \5'REAR it AUTHORIZED SIGNATURE _ DATE )17 DATE BLDG. PERMIT _ WH ITE OFFICE COPY _ WHITE COUNTY TAX _ PINK PI.UMBING - CANARY BUITDING - GREEN SANITATION - GOI-DENROD coll 687-4065 to schedule oll required inspeclions. All construc- tion sholl comply with Uniform tiuilding Code, D.E.Q. stondords IMPORTANT: for subsurfoce'sLwoge disposol ond counly regulolions covering plumbing. All buildings require o certificole of occuponcy before being occupied. (See Detoils on Reverse Side) (POST THIS PERMIT ON MAIN BIDG. AT SITE) LANE COUNTY, DEPT. Ot ENYIRONMENTAL ,v{ANAGEMENT COURIHOUSE ANNEX, I35 EAST 6Th, EUGENE, OREGON 9740I FoRM = C55- 13 BU ( G $ITE EVALUATION BUILOING PERHIT APPLICATION NO" SITE INSPECTION PLANNING DIVISION Zoning 0rdinance Comp I iance: Zone Subdivision 0rdinance Compl iance r /? x---Ls-rz- 1nlt0, szou- SUBDIV!- .rN:LOT: BLOCK;. /-\l[-]ir], ) I t\ -t2{ APPL I CANT OATE A Not I icable q3- ront Side-ffi" rom interior .l i nes: I 2 3 4 5 No Yes( ) (rI 6( ) (u []tit( ) (,) () () () CKID BY Setback F Setbacks f Side Rear Requi red Access Building Site (Area, Width, Frontage) 0ther (see cornments ) COHilENTS: BUILDING INSPECTION DIVISION Not Applise-E-!-e 7, Plans Submitted8. Soi I Stab i I i ty (foot i ngs )9. Flood Plain O. 0ther (see conments) COMMENTS: () ( r)(l) (/ ) No YesT\W() () () () () ()CK!D BY: I,ATER POLUTION CONTROL NOt Appl icable No YesM-r)rI (| () ()CKIO BY:7/.r 1?{ DATE COM}4ENTS: ll. l{eets Department of Environmental Qual ity Standards. 12. Other (see comments) TO APPLICANT: Yourtr,Building / Site lnspection: an be approved. annot be aPProved at this time as indicated on item N0" Questions and furt her information on items I through 5 contact the LANE- COUNTY PLANNING DIVISION"Questions and further information on items 7 above.h q'{b \ ()through l2 contact hrill be held in th ls being returned. the LANE COUNTY BUILDING AND SANITATI v ts l0N. rs ce unt I you can reso ve the p c55-28 Your bui ldin ems i nd i cated. ermit lica ion fee is AL MA NT 135 Sixth Avenue East Eugene 0regon PHoNE. 697-4055 LANE COUNTY PLANNING DIVISION PHONE: 97401 587-41 85 )I LANE COUN. / BUILDING BUTLDTNG - MH lI PERMIT OR MOBILE HOME USE PERMIT PERMIT NO. PROPERTY OWNER MAILING ADDRESS PHONE CONTRACTOR MAII,ING ADDRESS PHONE PROPERTY LOCATION _ INCTUDE POST OFFICE _ METES, BOUNDS /o /2A r- ANGE SECTION TAX LOT NO CODE CENSUS TRACT EXISTING STRUCTURES ON PROPERTY APPt. NAME & MAII.ING ADDRESS LEGAT 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 Existi Sewoge System New TYPE CONSTRUCTION se. FT BDRMS VALUATION stem ! SEWAGE DISPOSAT PUBLIC tr sEPTrc TANK tr OTHERE OWNER ! OTHER: NAME PTUMBING INSTALLED BY FEES WATER SUPPLY BU ITDING WASTE DISPOSAL PI.UMBING PLAN REVIEW PARK TRAII.ER PUBI.IC n oTHER TOTAL COUNTY BUILDING & SANITATION SPECIFIC ATIONS MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GA[' DRAIN FIELD REQUIRED tIN. FT TRENCH WIDTH FT.OR SQ. FT. OCCUPANCY ZONE PUBLIC UTIL. EASEMENTTYPE OF STRUCTURE FT. FROM CTR. OF ROAD RIGHT OF WAY SIDE INT. SIDE EXT. USE CI,ASSIFICATIONBLDG. SETBACKS FRONT REAR DATEAUTHORIZED SIGNATURE _ DATE BLDG. PERMIT - WH ITE OFFICE COPY _ WHITE COUNTY TAX - PINK PLUMBING _ CANARY BUILDING _ GREEN SANITATION - GOTDENROD coll 687-4065 to schedule oll required inspeclions. All construc' rioi .fi"ff comply wirh Uniform tiuilding Code, D.E.Q. stondords IMpORIANT: for subsurfoce'slwoge disposol ond counly regulotions covering-.. plr-bing. AII buildiigs require o certificole of occuponcy before being occupied. (See Detoils on Reverse Side) (posr THls PERMIT ON MAIN BLDG. AT SlrE) IANE COUNTY, DEPT. OF ENVIRONMENTAL MANAGEMENT COURTHOUSE ANNEX, I35 EAST 6Th, EUGENE, OREGON 9740I ronv * 655-13 SITE INSPECTION AppnovEo D DrsappRove, D Rruanr s Darr I Nspecton FOUNDATION I NSPECTION Appnovto Rr ulnx s D Drsappnovro V Dare I ruspecton FRAMING INSPECTI Appnoveo DrsaepRoveo D o^r, t) -/'f'2,{, RE uanr s PEC LATH OR SHEETROCK Ap pnov r o RruaRx s I NSPTCT I ON Dr sappnovrD Dar r I ruseEcton FINAL INSPECTION - -/'ApPnoveo IU DtsappRoveo ReMenx s o^,,[)-/,1 ,{d', CERTIFICATE OF OCCUPANCY Reaov ro lssuE Nor Rrroy ro lssue RrueRx s -7,f l/ / 2 Dare I Nsprcton