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Home My WebLink AboutPermit Building 1973-10-16LANE COUN - JITDING PERMIT OR MOBILE H,.. USE PERMIT PERMIT NO.BUTLD|NG I MHE PROPERTY OWNER MAITING ADDRESS PHONE CONTRACTOR MAILING ADDRESS PHONE PROPERTY I.OCATION - INCTUDE POST OFFICE PROPERTY TEGAI- DESCRIPTION -METES, BOUNDS r RANG E SECTION TAX LOT NO CODE CENSUS TRACT2A rzttu EXISTING STRUCTURES ON PROPERTYAPPT. NAME & MAIIING ADDRESS TEGAI- ACCESS TO PROPERTY PROPERTY SIZE_FI. WIDTH DEPTH AREA FOR MOBILE HOME PERMITS ONLY No. of Bedrooms STRUCTURES TO BE BUILT THIS PERMIT Connect to Existin TYPE CONSTRUCTION m New m se. FT BDRMS VALUATION SEWAGE DISPOSAL PUBLIC tr SEPTIC IANK E oTHERn PTUMBING INSTATI.ED BY OWNER n OTHER: NAME BUII.DING WASTE DISPOSAL PTUMBING PTAN REVIEW PARK TRAITER F EES WATER SUPPTY PUBilC tr tr oTHER TOTAT COUNTY BUILDING & SANITATION SPECIFICATIONS MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GAt. DRAIN FIETD REQUIRED LIN. FT TRENCH WIDTH FT.OR SQ. FT. TYPE OT STRUCTURE OCCUPANCY ZONE PUBTIC UTIt. EASEMENT BLDG. SETBACKS FRONT FT. FROM CTR. OF ROAD RIGHT OF WAY SIDE INT. SIDE EXT. USE CI.ASSIFICATION REAR AUTHORIZED SIGNATURE _ DATE DATE BTDG. PERMIT _ WH ITE OFFICE COPY _ WHITE COUNTY TAX _ PINK PLUMBING _ CANARY BUITDING _ GREEN SANITATION _ GOTDENROD Conslruction to comply with uniform building code ond counly regulotions covering plumbing ond sewoge disposol. All buildings require o certificote of occuponcy before being occupied. (See Stotemenl on Reverse Side) (posT THrs PERMIT ON MAIN BIDG. AT SITE) lANE COUNTY, BLDG. & SAN. DIV., COURT HOUSE, EUGENE, OREGON 9740I ronu !1 955-13 ( BU I LD ING S ITE EVALUAT ION Ja,T /-/ 8-4, 2(7s Nr'$1E ADDR Buiiding Permit Appl ication No. S i te lnspect ion Pre-Permit lnvest igat ion E S() ()PHONE DATE LANE COUNTY PLANNING DEPARTHENT NOT Zoning 0rdinance Compl iance (zone KU\ ) Subdivis ion 0rdinance Compl iance Requ i red Access Bu i ld ing S ite (lrea, Width, Frontage, Setback) 0ther (see comments) NO YES NA}.iE DriTE li ab le ()/o-t /-7 < ( ( ( ( ( 2 3 4 5 ) ) ) ) COHHENTS: EUILDlNG INSPECTION SECTION app_l icqb,t e YES ,1 NA},IENOTNO ((6. Plans Submitted 7 . Soi I Stab i I ity (foot ings) 8. Flood Pl a in 9. Other (see Corments) COHHENTS: () ) () (t2:to' :1"/ SANITATION SECTION t0. ll. 12. t3. Sewage Disposal Usable Area Water Supply 0ther (see Conments) NOT NO YES () NA}'1E aool icable-*rr-()X a F4 () ( ( () () COI'II,IENTS: TO APPL ICANT: Your Building Permil / Site lnspectio rn cated on item N0._above. Questions and further information on items I through 5 contact the Lane- COUNTY PLANNING DEPARTHENT" Questions and further information on itenrs 5 Lane Count Buildi and San itat ion D iv is ion. ce until you can resolve the prob em5 cated. ( ) Your buildinq permit application fee is being returned under separat€ cL-.rr'€r. LANE COUNTY PL^NNING DEPARTHENT LANE COUNTY BUILDING S SANITATION DIVISION ,16 Sl.xrlr lven0e East, Eugerre, 0rcgon 9740t 135 Sixth Averrue East, [rrclenr', 0regon 971+O; Fnour 3rr2..r3il Ext. 231 pHoNl. : 1\2-tJn tXT. 4il }{ Can be approved. /O -/5-73'( ) Cannot be approved at this time as through l3 contact the ( ) wil I be held in this o ( ) ls being returned. MIq-,R DATE () DATE gBra;lW *t )4/)4zL IANE COUN BUTLDTNG I IIDING PERMIT MHE OR MOBILE H( I )SE PERMIT PERMIT NO. PROPER,Y OWNER MAITING ADDRESS PHONE CONTRACTOR MAITING ADDRESS PHONE PROPERTY TOCATION _ INCI.UDE POST OFFICE PROPERTY LEGAI DESCRIPTION _ METES, BOUNDS -.-,/00RANG E SECTION TAX LOT NO CODE CENSUS TRACT EXISTING STRUCTURES ON PROPERTYAPPt. NAME & MAITING LEGAI. ACCESS TO PROPERTY ADDRESS PROPERTY SIZE _ FT, WIDTH DEPTH AREA FOR MOBILE HOME PERMITS ONLY No. of Bedrooms Connect to Existing Sewoge System I New System I STRUCTURES TO BE BUILT THIS PERMIT TYPE CONSTRUCTION SQ, FT. # BDRMS VALUATION \) SEWAGE DISPOSAT PUBt-tC n sEPTlc TANK PLUMBING INSTATTED BY F EES OWNER OTHER: NAME WATER SUPPTY PUBLIC tr N OTHER BUITDING WASTE DISPOSAI. PTUMBING PTAN REVIEW PARK TRAILER TOTAT co NTY BUILDING & SANITATION SPECIFICATIONS MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GAL. DRAIN FIETD REQUIRED tIN. FT TRENCH WIDTH FT TYPE OF STRUCTURE OCCUPANCY ZONE PUBTIC UTII. EASEMENI BTDG. SETBACKS FT. FROM CTR. OF ROAD RIGHT OF WAY FRONT SIDE INT. SIDE EXT. USE CLASSIFICATION REAR AUTHORIZED SIGNATURE _ DATE DATE BTDG. PERMIT _ WHITE OFFICE COPY _ WHITE COUNTY TAX _ PINK PTUMBING _ CANARY BUILDING _ GREEN SANITATION _ GOLDENROD Construction to comply with uniform building code ond covering plumbing ond sewoge disposol. All buildings r of occuponcy before being occupied. (POST THIS PERfvllT ON (See Stotement on Reverse Side) MArN BrDG. AT SrTE) co u nty require reg u lotionso certif icole ronv *655-13 tANE COUNTY,'BLDG. & SAN. DIV., COURT HOUSE, EUGENE, OREGON 9740I tt OR SQ. FT. - SITE INSPECTION AppnovEo Drsappnovro Dar e I ruserctoR *W,-eg"v0 FOUNDATION I NSPECTION Appnovro n DrsAPPRovEo [-1 aorr- Z'2O'?l nspecro REua Rx -/ FRAMI NG Appnov r o Re vanx I NSPECT I Drslppnoveo oo,,* / - 7J-D I NSPEcToR LATH OR SHEETROCK AppRovro Rrunnxs I NSPECT I ON Dr snppcoveo Dnre I NSPEcToR FINAL INSPECTIO Ap pRov e o DrslppnovE, D D*,*-t/-+ ( I ruspecton Rruanx s CERTIFICATE OT OCCUPANCY Rraov ro lssuE D Nor Rerov ro lssur D ReuaRx s Dnr e I ruspecron 2 fo6 2t-/oO D Zo v (*Zt Ef, Sed()v"R LANE COUN BUTLDTNG [] JITDING PERMIT OR MOBITE HC MHE JSE PERMIT PERMIT NO. PROPE:TY OWNER MAILING ADDRESS PHONE CONTRACTOR MAITING ADDRESS PHONE PROPERTY TOCATION _ INCLUDE POST OFFICE PROPERTY LEGAL DESCRIPTION _METES, BOUNDS RANG E SECTION TAX LOT NO CODE CENSUS TRACT EXISTING STRUCTURES ON PROPERTYAPP[. NAME & MAITING ADDRESS LEGAL ACCESS TO PROPERTY PROPERTY SIZE _ FT. WIDTH DEPTH AREA FOR MOBILE HOME No. of Bedrooms PERMITS ONLY Connect to Existing Sewoge System f, New System f] STRUCTURES TO BE BUILT THIS PERMIT TYPE CONSTRUCTION se. FT # BDRMS vALUATtoN SEWAGE DISPOSAT PUBIIC N SEPTIC TANK tr OTHERE PLUMBING INSTATTED BY OWNER E OTHER: NAlv{E BUITDING WASTE DISPOSAT PTUMBING PLAN REVIEW PARK TRAITER FEES WATER SUPPTY PUBUC tr N OTHER TOTAT COUNTY BUILDING & SANITATION SPECIFICATIONS MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GAt. DRAIN FIETD REQUIRED IIN. FT TRENCH WIDTH FT oR so. FT. TYPE OF STRUCTURE OCCUPANCY ZONE PUBLIC UTII. EASEMENT BI.DG. SETBACKS FRONT FT. FROM CTR. OF ROAD RIGHT OF WAY SIDE INT. SIDE EXT. USE CLASSIFICATION REAR AUTHORIZED SIGNATURE _ DATE DATE BTDG. PERMIT _ WH ITE OFFICE COPY _ WHITE COUNTY TAX _ PINK PTUMBING _ CANARY BUITDING _ GREEN SANITATION - GOLDENROD Construction to comply with uniform building code ond county regulotions covering plumbing ond sewoge disposol. All buildings require o certificoteof occuponcy before being occupied. (See Stotement on Reverse Side) (posT THIS pERMtT ON MAIN BrDG. AT S|TE) LANE COUNTY, BIDG. & SAN. DIV., COURT HOUSE, EUGENE, OREGON 9740I roav#C55-13 - SLAB FLOOR PLUMBING GROUNU/ORK APPRovED E Drsappnovro Re ttlRx s oort /2'/f-?3 I NspectoR L- GAS PIPING GROUND/ORK APPRovEo ReuaRxs Dr snppRovEo Dare I Hspecron ROUGH PLUMEING AppRoveo D DrsappnovrD D Rruanrs Dat e I Nspecron ROUGH GAS PIPING Appaovro D DrsAPPRovE, D RrMaRx s Darr IttspEctoR F I NAL PLUMB I NG AppRoveo N DrsappRovEo D o*rfuS_ Rruanx s I HspecroR FINAL GAS PIPING AppRovro RruaRr s D r sappaovro Dare I rusprcron CERTIFICATE OF OCCUPANCY Reaov ro lssuE Rrrqanxs D Nor Reaov ro lssuE D Dore_I t.tsprcroR * {f3LANE COUNTY PERMIT TYPE - BUILDING hEDING PERMIT OR MOBILE HOM, MOBILE HOME OSC REG. # MAILING ADDRESS I:E APPIICATION PERMIT If MAITING/e r ONE PHONECONTRACTOR PROPERTY I.OCATION - INCI.UDE POST OFFICE PROPERTY I.EGAI DESCRIPTION tOT_BTOCK_SUBDIV. TWP RANGE APPTICANT NAME AND MAITING ADDRESS g /-/ a-METES & BOUNDS ATTACHED IF ANY AREA YES NO SEC TAX tOT cooE CENSUS TRACT ao.< -o IBE EXISTING ON TEGAT ACC TO PROPERTY _NAME R PRO SIZE_\MIDTH DEPTHPg, FOR MOBILE HOME PERMIT ONLY Number of Bedrooms Connecl to Existing Sewoge System tr or New System Req tr STRUCTURES TO BE BUITT THIS PERMIT CONSTRUCTION FT S eronoorvrs vAt-uATloa{t t@z SEWAGE DISPOSAI PIUMBING INSTATI.ED BY PU BtIC BIDG. WASTE DIS. PTUMBING PTAN REVIEW PARK TRI.R. TOTAL SEPTIC TANK FEES WATER SUPPIY PUBTIC PLUMBING FEES OTHER YES OTHER E NAME ISHED NO ,TURE OF ICANT FACITITY PERMIT YES fl No 72t_73DATE DATE)r' 5,QoFIXTURES CASH ! 5sy7sp CHECK CONNECTION FEE PUBI.IC WATER CONNECTION FEE COUNTY BUILDING & SANITATION SPECIFICATIONS MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GAI. DRAIN FIETD REQUIRED TIN. FT. TRENCH WIDTH FI OR SQUARE FEET C TYPE OF STRUCTURE B[DG, SETBACKS - FT. FROM CTR. OF ROAD RIGHT ZONE REAR YARD USE CIASSIFICATION PUBtIC UTIL. EASE,\{ENT Form # css-t2 SIDE EXT REAR ,/2--- 72I Dole PLANNING Dqle BLDG. Ut r-rA FRONT SIDE INT. I Dote Directions to Find Property: COPY I - OFFICE COPY 2-JOURNAT COPY 3 - AUDIT d orHER tr $ =15, oo - -Frcrr