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Home My WebLink AboutPermit Signage 1974-03-01BUILDING PERMIT OR MOBITE HOME UsE APPTICATIONLANE COUNTY PERMIT TYPE - BUILDING MOBILE HOME []OSC REG.# MAITING ADDRESS PERMIT co PROP OWNER PROP TION - INCLUDE PHONE c) METES&BOUNDSEYES FFICE €t=:i?*)YIII PROPERTY LEGAT DESC C ENSU TRACT DEPTH ATTAC H E D AREA NO GE TAx r,oT #CODEl)3 a 3 d----o PROPERTY SI APPI-ICANT NAME AND MAITING ADDRESS 4rt-e*rt&PROPERTY IF n -./1fu4- BE EXISTING STRUCTU ROAD NAME OR(s c 75 FOR MOBILE HOME PERMIT ONLY Number of Bedrooms Connect to Existi Sewo e System ! or New System TYPE CONSTRUCTION SQ. FT BEDROOMS VATUATION PTUMBING INSTALI,ED BY tr "*K URES TO I BUILT TH IS IT f) J-Ja t1 SEWAGE SAT FEES WATER SUPPTY PUBLIC OWNER OTHER NAME PTANS FURNISHED YES NO FACITITY PERMITBI.DG. WASTE DIS. PTUMBING PTAN REVIEW PARK TRLR. OTHER YES Non f -{a ,TURE 9F AZrPI.UMBING FEES - FIXTURES CASH E CHECK CONNECTION FEE DATE RECEIVED BY DATE ,./-r,:/tr/z vea_- ecy{tr X TOTAT PUBTIC WATER CONNECTION FEE COUNTY BUILDING & SANITATION SPECIFICATIONS MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GAL. TYPE OF STRUCTURE DRAIN FIETD REQUIRED tIN. FT. TRENCH WIDTH FT OCCUPANCY ZONE OR SQUARE YARD IC UTIL. EASEMENT - FT. FROM CTR. OF ROAD RIGHT OF WAY FICATION Form # css- t2 NING 4 Dole BLDG.SP USE Dote ' srDr rNr. c> Htr#FRONT SAN IT Directions to Find Property Dote REAR COPY I _ OFFICE COPY 2 _JOURNAT COPY 3 _ AUDIT TOT_BLOCK_SUBDIV. a---, PUBUC tr SEPTTC rANK n OTHER ns /5 x-a 3t 1- tt)..3.".U"^*\(a $ IANE COUNTY BUILDING PERMIT OP. MOBILE HOME USE PERMIT MH I PERMTT NO.BUILDING PROPERTY OWNER MAII-ING ADDRESS PHONE CONTRACTOR MAITING ADDRESS PHONE PROPERTY LOCATION - INCLUDE POST OFFICE PROPERTY TEGAL DESCRIPTION _METES, BOUNDS RANG E SECTION TAX LOT NO CODE CENSUS TRACT EXISTING STRUCTURES ON PROPERTYAPPT. NAME & MAII.ING ADDRESS LEGAL ACCESS TO PROPERTY PROPERTY SIZE - FT. WIDTH DEPTH AREA FOR MOBILE HOME PERMITS ONLY No. of Bedrooms Connecl to Existing Sewoge System I New TYPE CONSTRUCTION SQ. FT BDRMS VALUATION m STRUCTURES TO BE BUILT THIS PERMIT SEWAGE DISPOSAI PUBTIC tr SEPTIC TANK tr OTHERE PTUMBING INSTALLED BY OWNER ! OTHER: NAlv{E (FEES WATER SUPPTY PUBUC tr N OTHER BU ITDING WASTE DISPOSAT PTUMBING PLAN REVIEW PARK TRAII.ER TOTAT COUNTY BUILDING & SANITATION SPECIFICATIONS MIN. SEPTIC TANK CAPACITY WITH DIST, BOX: GA[. DRAIN FIETD REQUIRED tIN. FT TRENCH WIDTH FT OR SQ. FT TYPE OF STRUCTURE OCCUPANCY ZONE PUBTIC UTI[. EASEMENT BLDG. SETBACKS rRONT FT. FROM CTR. OF ROAD RIGHT OF WAY SIDE INT, SIDE EXT. USE CTASSIFICATION REAR AUTHORIZED SIGNATURE _ DATE DATE BLDG. PERMIT _ WH ITE OFFICE COPY _ WHITE COUNTY TAX - PINK PLUMBING _ CANARY BUII,DING _ GREEN SANITATION _ GOTDENROD Construclion to comply with uniform building code ond counly covering plumbing ond sewoge disposol. All buildings require of occuponcy before being occupied. (See Stotement on Reverse Side) reg ulotions o certif icole (posT THrs PERMIT ON MAIN BLDG. AT SlrE) LANE COUNTY, BIDG. & SAN. DIV., COURT HOUSE, EUGENE, OREGON 9740I roau t 655- 13 BU I LD ING S ITE ETALUA T ION Building Permit Appl ication No. S i te lnspect ion Pre-Permit lnvest igat ion I s- s. T l- -q, '? s R ,1, t/gax Lor_Zk__;-D_CffiS- TilET - /(APPL I CANT NA/I1E ADDR d ) PHONE DATE L/iNt C0UNTY PLANNTNG D EPARTI.IENT NOT NO YES appl icable I . Zon i ng Ord i nance Comp I i ance -Tl-( )GT NA/'1E Dr\TE (Zone Subd iv is ion 0rd inance t.\I -,4* 'Comp I i ance ( 2 ') 4 5 Requ i red Access Building Site (Area, l./idth, Frontage, Setback) 0ther (see comments) ;- 'Zr -e -3 a'; - -rt ) ) )( () () () ()() C ENTS *.I r<\ t^-\ BUILDING INSPECTION SECTION 5. Plans Submitted 7. Soil Stability (footings) 8. Flood Pl a in 9. 0ther (see Comments) NOT NO Eii't icru te - I YES (n () () () NA}48 DATE l-T--( ) I ( (4 COHHENTS: SANITATION SECTION NOT NO YES NAI'IE DATE aool icable-*rr-(10. Sewage Disposal ll. Usable Area 12. ly'ater Supply I 3. 0ther (see Comments) COMHENTS: ( () () () ()() {/ TO APPL I CANT 3-q 0P B Your Building Permit / Site lnspect ion Can be approved. Cannot be approved at this time as indicated on iten, N0. above. Quest ions and further infornrat ion on itenrs I through S coi-t"ct tf,e Lane- C0UNTY PLANN ING DEPARTHENT" Quest ions and ftrrther informat ion on iffi 5 t hroug h l3 contact the Lane County Building.,nd 5anltation Division. Will be held in this of f icc unt il you can resolve llre problems indicated. ls being returned. Your buildinq pernr it applicat ion fee is being returned under separate cur'€F. ( ( ( LANF COI'N I Y I'I /\NN ING DEPARTHENT li5.5i;xtlr Avr:rrue Iast, Eugerre, 0regon 97q0 I l'tl0NE 3U2."1'llt {,xt. 231 IAN[, COI.JNI.Y TJTJILDING E S/iNITATION DIVISION 135 5ix[h Avgrrur: [iast, Ertqetrr', 0rcgon 97401 Pl10N1 : 342* t )ll [xr. ,{ I I M55 - 28 () 7T_ I IANE COUNTY BUILDING PERMIT OR MOBITE HOME USE PERMIT BUTLDTNG E MH I PERMIT NO. PROPERTY OWNER MAITING ADDRESS PHONE CONTRACTOR MAII.ING ADDRESS PHONE PROPERTY IOCATION _ INCTUDE POST OFFICE PROPERTY TEGAL DESCRIPTION -METES, BOUNDS RANG E SECTION TAX LOT NO CODE CENSUS TRACT EXISTING STRUCTURES ON PROPERTYAPPL. NAME & MAITING ADDRESS TEGAI. 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. # BDRMS VALUATION SEWAGE DISPOSAT PUBr.rC tr SEPTTC TANK X OTHERE PTUMBING INSTATIED BY OWNER E OTHER: NAME BUII.DING WASTE DISPOSAI. PI,UMBING PLAN REVIEW PARK TRAITER FEES WATER SUPPTY PUBr.rC n tr OTHER TOTAI COUNTY BUILDING & SANITATION SPECIFICATIONS MIN. SEPTIC TANK CAPACIIY WITH DIST. BOX: GAT. DRAIN TIEI.D REQUIRED TIN. FI TRENCH WIDTH FT,OR SQ. FT. TYPE OF STRUCTURE OCCUPANCY ZONE PUBTIC UTIt. EASEMENT BLDG. SETBACKS FT. IROM CTR, OF ROAD RIGHT OF WAY FRONT SIDE INT. SIDE EXT. USE CLASSIFICATION REAR AUTHORIZED SIGNATURE _ DATE DATE BI,DG. PERMIT _ WH ITE OFFICE COPY _ WHITE COUNTY TAX - PINK PTUMBING _ CANARY BUII,DING _ GREEN SANITATION - GOTDENROD Construction to comply with uniform building code ond county regulolions covering plumbing ond sewoge disposol. All buildings require o certificote of occuponcy before being occupied. -'(Se! Stotement on Reverse Side) THIS PERMIT ON MA|N BLDG. AT SrTE)(POST ronu 1f 955- 13 TANE COUNTY, BLDG. & SAN. DIV., COURT HOUSE, EUGENE, OREGON 9740I n\- _i I I SITE INSPECTION Appnovro D DtsappRovro D Rruenxs Dare I nspecton - I FOUNDATION INSPECTION AppRoveo REuanx s D Drsrppnoveo V Dare I ruspecron FRAMI NG AppRov e o Reuanx s I NSPECT I ON Dr sappnovEo D Darr I NSPEcToR LATH OR SHTETROCK INSPECTION Aepnovro RenaRxs Dr sappnovro DarE I NsPEcroR FINAL INSPECTI Ap pnov e o RrMaRx s Drsrppcoveo c^,.3'/l'74 l I rus pr cron CERTIFICATE OF OCCUPANCY ReaoY TO ISSUE ReurRx s D Nor READY ro lssur D Dare ?aV7 qo 76 I ruspeclon IANE COUNTY BUITDING PERMIT OR MOBITE HOME USE PERMIT BUILDING E MH E PERMIT NO, PROPERTY OWNER MA!LING ADDRESS PHONE CONTRACTOR MAILING ADDRESS PHONE PROPERTY TOCATION _ INCTUDE POST OFFICE PROPERTY TEGAI DESCRIPTION _ METES, BOUNDS RANG E SECTION TAX LOT NO CODE CENSUS TRACT EXISTING STRUCTURES ON PROPERTYAPPT. NAME & MAITING ADDRESS TEGAI. ACCESS TO PROPERTY PROPERTY SIZE _ FT. WIDTH DEPTH AREAFORMOBILE HOME PERMITS ONLY No. of Bedrooms STR UCTURES TO BE BUILT THIS PERMIT Connecl to Existin Sewoge m TYPE CONSTRUCTION SQ. FT New BDRMS VALUATION SEWAGE DISPOSAI PUBI-IC SEPTIC TANK OTHERE PTUMBING INSTALLED BY OWNER ! OTHER, NAr\ E BUII.DING WASTE DISPOSAT PI.UMBING PI,AN REVIEW PARK TRAITER FEES WATER SUPPTY PUBTIC tr OTHER TOTAI. COUNTY BUILDING & SANITATION SPECIFICATIONSMIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GA[. DRAIN FIETD REQUIRED TIN. FT TRENCH WIDTH FT,OR SQ. FT. TYPE OF STRUCTURE OCCUPANCY ZONE PUBI.IC UTIL. EASEMENT BI-DG. SETBAC KS FT. FROM CTR. OF ROAD RIGHT OF WAY usE cr,AsstFtcATtoN FRONT SIDE INT,SIDE EXT.REAR AUTHORIZED SIGNATURE _ DATE DATE BLDG. PERMIT - WHITE OFFICE COPY _ WHITE COUNTY TAX - PINK PLUMBING _ CANARY BUII.DING _ GREEN SAN ITATION _ GOI.DENROD construction to comply with uniform building code ond countycovering plumbing ond sewoge disposol. alI burldings requireof occuponcy before being occupied. (See Stotement on Reverse Side) reg ulotions o certif icole (POST THIS pERMtT ON MAIN BrDG. AT SrTE) I.ANE COUNTY, BIDG. & SAN. DIV., COURT HOUSE, EUGENE, OREGON 9740I ronu Jf 655- 13 .II SLAB FLOOR PLUMBING GROUND/ORK Apenoveo Rrt,tlnx s D DrsrppnovEo D Dnr r I rspecron GAS PIPING GROUNDT^/ORK D DrsrppRovru D Dare I HsprcroaAp pnov E o Reuanx s ROUGH PLUMBING APPRovEo Y/ Drsappnovro "r*' Reulnrs oortJ -/V-7q lrusprc ROUGH GAS AP PROv E D ReManx s PIPING D DrsrppRovE, D Dar e I HspecroR F I NAL PLUMB I NG APPRovED fV1*r-' Rruanxs Dartf- 2/-7q lNsp FINAL GAS PIPING AP PRov E D REuaax s D r sappeoveo I NsPEcroR CERTIFICATT OF OCCUPANCY Reaov ro lssuE Rrunars D Nor Reaov ro tssuE D Dare I NSPEcToR DrsAPPRovEo D D Dorr-