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Home My WebLink AboutPermit Building 1974-04-19IANE COUNTY BUTLDTNG E b-rLDlNG PERMiT OR MOBILE HOME iE PERMIT MH n PERMIT NO. PROPERTY OWNER MAITING ADDRESS PHONE CONTRACTOR MAII,ING ADDRESS PHONE PROPERTY LOCATION _ INCTUDE POST OFFICE PROPERTY I-EGAL DESCRIPTION _ METES, BOUNDS RANG E SECTION TAX LOT NO CODE CENSUS TRACT EXISTING STRUCTURES ON PROPERTYAPPT. NAME & MAII-ING ADDRESS TEGAT ACCESS TO PROPERTY PROPERTY SIZE _ FT. wrDTH ' DEprH AREA FOR MOBITE HOME PERMITS ONLY No. of Bedrooms STRUCTURES TO BE BUILT THIS PERMIT Connecl to Existin Sew TYPE CONSTRUCTION New BDR MS VALUATIONse. FT SEWAGE DISPOSAI. PUBUC tr SEPTTC TANK l l oTHERn PLUMBING INSTAIIED BY OWNER -I OTHER: NAME BUITDING WASTE DISPOSAL PLUMBING PTAN REVIEW PARK TRAITER TOTAT $FEES WATER SUPPTY PUBUC Tl TI OTHER COUNTY BUILDING & SANITATION SPECIFICATIONS MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: cAI. DRAIN FIELD REQUIRED TIN. FT TRENCH WIDTH FT.OR SQ. FT. TYPE OF STRUCTURE OCCUPANCY ZONE PUBI.IC UTIt. EASEMENT BIDG. SETBACKS FT. FROM CTR FRONT SIDE INT, OF ROAD RIGHT OF WAY ' stDE Exr. USE CLASSIFICATION REAR AUTHORIZED SIGNATURE _ DATE DATE BLDG. PERMIT _ WH ITE OFFICE COPY _ WHITE COUNTY TAX _ PINK PLUMBING _ CANARY BUII,DING _ GREEN SANITATION _ GOTDENROD coll 687-4065 to schedule oll required inspections. All consrruc- h,r poRrA Nr, l;"." . ;[: x,.,H':lo: U ! H [:::l : : I t ::: "ff *;,1;"',3;,"fl::lj; plumbing. All buildings require q certificotl of-occuponcy beforEbeing occupied. (See Detoils on Reverse Side) (POST THIS pERMtT ON MArN BrDG. AT SITE) IANE COUNTY, DEPT. OF ENVIRONMENTAT MANAGEA,IENT COURTHOUSE ANNEX, I35 EAST 6rh. EUGENE, OREGON 97,{OIronu {655-13 Building Permit Appl ication No. S i te lnspect ion Pre-Permit lnvest igat ion t+ \ '^,,(2,;AZ. 35 rnx LorZToD _CENSUS TRACTJSC- () () /-z APPL I CANT: NAh E ADDR P HONE DATE L/.NE COUNTY PLANN ING DEPAR M,lENT NOT e NO YES N;r|1E DriTE Zon i nq 0rd i nance Comp I i ance (zone V -)Subdivision 0rdinance Compl ianc Requ i red Access aool icable*-rJ--() () ) () () () () 2 () ) ( ( ( ( ') 4 5 Building Site (Area, Front age 0ther (see comments)%';A--" t/idth, , Setback) )() COHHENTS: BUILDING INSPECTION SECTION 6. Plans Submitted 7. Soil Stability (footings) 8. Flood Pl a in 9. 0ther (see Comments) aool icable-*Tr-( Yf NOT NO YES NAXE DATE $ (y) rt () () () () ()() COHHENTS: f'/ fu1lr SANITATION SECTION 10. Sewage Disposal ll. Usable Area 12. l,Jater Supply ll. 0ther (see Connnents) C OI4M E NTS NOT NO Y[5 NA/'lt:DATE le ( )() () ) 1 ( TO APP L ICAI,IT : Your Building Permit / Site lnspection Can be approved Cannot be approved at this t inre as ind icated on iteri, I'J0 Questions and further infornrat ion on iterr,s I throuqh ! tlrrouqh ll corrtact the Lan<, Courrty g.u i ld i-r.lq_:li!- -l.l11t/ill t,e held in this of f 'rc" rxri iT;;i, can'?*',rt..,., I a above. contact the Lane- on r tenrs b '; ion. 'q.\qffi r\)() COUNTY PLANN ING DEPARTHENT"Qrrtrs I ions ,rnd I'rrr I lrr--r infornrat ion () () () ls l.re ing I etu rned. Your buildinq pernr il" rtpplitat ion itatic>n Divi lrt, p rob lelrrs GTfcat,,<J. l-ee is be inq returrrcd urrder separdtc ctrr'cr LflNI: ( 0tIN I Y I'I i\NN ING DII'/\RI'HINT I l5 5i,xtlr A'r:rrut. [,rst, Eugerre, 0rtlgtru 97Ltl,lt l'lrtrNll 'ttl'l llll [:xt. 211 l/\Nl CUtlNlY tJtllll)lNG I Sr\NtTr\Tt0N DtVtSt0N 135 Sixih Avgrrur, [,,ts[, f ,r<;t:rr,., ()rr'r;on 97\Ol l'll0Nl 1tt2 llll tXT. 4tt N55-28 !!. !\/,.. rvr. ) () () () ( ( LANE COUNTY BI,.(DING BUILDING D MH E PERMIT OR MOBILE HOME E PERMIT PERMIT NO. PROPERTY OWNER MAILING ADDRESS L t Spr I ngf .T PHONE CONTRACTOR MAITING ADDRESS PHONE PROPERTY LOCATION - INCLUDE POST OFFICE rloht tlll rclrrl . h PROPERTY TEGAT DESCRIPTION -METES, BOUNDS O lrm RANG E SECTION TAX LOT NO CODE CENSUS TRACT I EXISTING STRUCTURES ON PROPERTY PgtGr b*rn. 1lt;p pl*APP[. NAME & MAITING ADDRESS TEGAT ACCESS TO PROPERTY PROPERTY SIZE _ FT. WIDTH DEPIH AREA FOR MOBILE HOME PERMITS ONLY No. of Bedrooms STRUCTURES TO BE BUILT THIS PERMIT Connect to Existing Sewoge System [] New TYPE CONSTRUCTION se. FT.BDRM VALUATION r*tl SEWAGE DISPOSAT PTUMBING INSTALTED BY PU BL IC BUILDING WASTE DISPOSAI. PTUMBING PTAN REVIEW PARK TRAIIER TOTAT SEPTIC TANK OTH OWNER OTHERI NAME WATER SUPPTY PUBLIC tr tr OTHER * ?6' CIQ $_ F EES COUNTY BUILDING & SANITATION SPECIFICATIONS MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GA[. DRAIN FIETD REQUIRED tIN. FT TRENCH WIDTH FT.OR SQ. FT, part of na Conlt ,v.r Sttlc oltloo Itlr TYPE OF STRUCTURE OCCUPANCY ZONE PUBI-lC UTlt. EASE/t{ENT BI.DG. SETBACKS FRONT FT. FROM CTR. OF ROAD RIGHT OF WAY SIDE INT. SIDE EXT. USE CTASSIFICATION REAR tt AUTHORIZED SIGNATURE _ DATE DATE BIDG. PERMIT _ WH ITE OFFICE COPY _ WHITE COUNTY TAX - PINK PLUMBING - CANARY BUILDING _ GREEN SANITATION _ GOLDENROD Call 687-4065 to schedule oll required inspeclions. All construc- tion sholl comply with Uniform Building Code, D.E.Q. stondordsIi PORTANT: for subsurfoce sglaroge disposol ond counly regulolions covering plumbing. AII bu\ldings require o certificote of occuponcy before being occupied. (See Detoils on Reverse Side) (posT THIS PERMTT ON MAIN BrDG. AT SITE) IANE COUNTY, DEPT, OF ENVIRONMENTAT MANAGEMENT COURTHOUSE ANNEX, I35 EAST 6th, EUGENE, OREGON 9740Ironu :t 655- 13 SITE INSPECTION AppRov e o DI SAPPROVED DarE I Nsrecton FOUNDATION INSPTCTION AP PRoV E D Re ulRx s Dr sappnoveo 6 - 74 ,NSPEcroDrr r FRAMI NG Appnov e o Rr Nanx s I NSPECT I ON oo,,/-7L'?tr I tsprcton LATH OR SHEETROCK Apenovro RruaRx s I NSPECT I ON D r s appRovEo Dare I NspEcton FINAL INSPTCTION, Ap pRov e o Rruanxs D r s lppnoveo Date I ruseecron CERTITICATE OF OCCUPANCY Reaov ro lssuE RrueRx s {4'tr-ry Rrurnx s dorsAPPRovEo D D Nor Re aov ro lssue D Dore_lrusee cron_ - IqOPOSED SEh'AGE OISPOSAL SYSTEH R )RD INSTALLER: Complete top par. of form to signature and submit both h ies with appl ication. PERM I 5?/- LT v ng Un ts B rooms Bat s oao Basement Yes No Water' Publ ic v 0ther-L i st UPP Septic Tank: Ft. from wel I e ht Stee I n D mens ons:Ft a vtli dth Oiameter 0 Concrete X No. Comp artment s T eD sPosa e th Distribution Box t str Gal. Ca acity No lns Len t*lAi'tE ilAILING ADDRESS r ut on-Pe eet f rornil ot ne F ti Front Length L nes-Ft. 4 Pl ot a e IFICATE OF For Sanitarian Use Only: ln accordance with 1973 Qregon Laws Chapter 835, Section 214 this as eviden locatio Side r er Ol,t, ile in Date: 6^ fO'74 certificate is issued of satisfactory cornpletion of a subsurface seurage disposal system at the above roved: System lnstalletion conforms to current standards approved: Does not conform to current standards Remarks: Ft" Between L i nes /o'lFi I lerrr. !Fi I ler Depth Itvpell lAbove Tilel in.|, i dth ns t ruct r see s ota Ft , /o'q o'I '--[l { I a /o' I : o't -t 2 Si tur c55-1I App Dis gnatan LANE COUNTY STATE OF OREGON OEPART}4ENT OF ENVIRONHENTAL QUALITY r an s lo' I IANE COUNTY BUI. ,NG PERMIT OR MOBIIE HOME UT APPLICATION PERMIT Ll -7PERMIT TYPE - BUILDING MOBILE HOME i_ OSC REG. # MAILING ADDRESS PHONEPROPERTY OWNER LEst,e c ilEtuc ? 5'i AT u(l )1o l, e \.?s a *? fYf CONTRACIOR MAITING ADDRESS PHONE (\E€G lV Ltt t< ri o r>,Sri \5 NAc S A,r,t= PROPERTY LOCATION _ INCI.UDE POST OFFICE 56t=f5i3r O(r PROPERTY TEGAT DESCRIPTION toT-Bt-ocK-suBDtv. RANGE >{: t: METES&EOUNDSDYES ATTACHED NO l7 aL 35 ?oo bn-o1 CENSUS TRACT3* tob sEc.TAX tOT CODE L r:rre q,t:ls( b ffiTUREs oN PRoPERw rF ANY I Itsugr* I o{a*, r f2i-i.r"a.o hosr.tc APPTICANT NAME AND MAITING ADDRESS 7511 tHvne'\ou RD. rEGAr AccESs 16 ppopsplv - p91[ psr,ts [ffi -['tr. urt gror., Rp. PROPERTY SIZE_WIDTH DEPTH AREA 6[ Connect to Existing Sewoge System f or New System R"q. E "r6 FOR MOBILE H E PERMIT ONLY Number of Bedrooms STRUCTURES TO BE BUITT THIS PERMIT Ga,rrla e-* TYPE CONSTRUCTION @ BEDROOMS VATUATION4 zs?L2qx3 I SQ. FT. s?q # U SEWAGE DISPOSAL PLUMBING INSTAIIED BY PU BTIC BLDG. WASTE DIS. PTUMBING PIAN REVIEW PARK TRLR. TOTAL SEPTIC TANK OTHER FEES WATER SUPPTY PUBLIC OTHER OWNER N OTHER NAME PTANS FURNISHED GN FACITITY PERMIT NO cAsH I CHECK PTUMBING FEES - FIXTURES FEE PUBLIC WATER CONNECTION FEE AP DATE DATE e FEE PERMIT #91.- COUNTY BUILDING & SANITATION SPECIFICATIONS MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GAL. DRAIN FIELD REQUIRED LIN. FT TRENCH WIDTH TT OR SQUARE FEET Dole DqIC BTDG. INS lv + TYPE OF STRUCTURE OCCU5 ZONE REAR € REAR YARD USE CTASSIFICATION PUBTIC UTIt. EASEMENT Dole BIDG. SETBACKS _ FT. FROM CTR. OF ROAD RIGHT FRO SIDE INT d Direclions to Find PropertY:A U \o 6 L.+{ ^to lu i \ Form # css-t2 SI DE IW $."t1 J q l^.e 't ct Ur<\7l. .ry COPY I _ OFFICE COPY 2_JOURNAL COPY 3 _ AUDIT \ n