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Home My WebLink AboutPermit Building 1976-03-23LANE COUN F. PERMIT FOR PERIVIIT NO CONSTRUCTION [ ] IVIOBILE HOIVIE [ ] PLAN REVIEW [ ] CHANGE OF OCCUPANCY [ ] ! Contractor NAIV]E ADD R ESS O.S. Reg. + Twp Range-- Section Tax tot 3&) so." Subd ivision Lot B lock Acreage Access to Property (Road Name) Existing Structures on Property CITY ZIP CODE Census Tract PHONE Width Depth Directions to Property - Address: STRUCTURE (# BEDROOIMS)SO. FT VALUATION SEWAGE DISPOSAL: PUBLIC [ ] SEPTICTANK [ ] OTHER [ ] PLUIVIBI NG INSTALLED BY: owNER[] OTHERI] NAtVt tr BUILD ING PLUIVIB ING 3% SURCHARGE MOB ILE HOIVIE WASTE D ISPOSA L PLAN REVIEW TOTAL I PUB LIC COIVIMIUNITY . NAME PR IVATE WELL OTHER-SPECIFY CONSTRUCTION PERMITS & INSPECTIONS AND WATER POLLUTION CONTROL SPECIFICATIONS IVIIN. SEPTIC TANK CAPACITY GALS IVIIN. DRAINFI ELD- LIN. FT MAX. TRENCH DEPTH I NCHES STAY 1OO' FROIVI ALL WELLS TYPE OF CONSTRUCTION- GROUP FIRE ZONE USE CLASSIF SETBACKS FT. FROIVI CTR. OF r/W FRONT SIDE EXT FT. FROM PROP. LINE: SIDE INT. - REAR ZONE AUTHORIZED SIGNATURES ISSUANCE DATE lsl BLDG. PEBMIT - WHITE OFFICE COPY _ WHITE COUNTY TAX _ PINK PLUr\4BlNG - CANABY BUILDING _ GREEN SANITATION - GOLDENROO IMPORTANT Call 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 for subsurface sewage disposal and the State Plumbing Code. All buildings require a certificate of occupancy before being occupied. (See Details on Reverse Side) POST THIS PERMIT ON MAIN BLDG. AT SITE) LANE COUNTY, DEPT. OF ENVIRONIvIENTAL MANAGEMENT COUBTHOUSE ANNEX, 135 EAST 6th, EUGENE, OBEGON 97401 - Qr,trngr NArvlE - ADDRESS ctrY ztP coDE PHoNE WATER SUPPLY: PROPOSED I ] EXISTING I ] ls.yr{tBUIstE g/ALUAT l0 ()BU r LD r NG pERIl rr AppL tcniiotl tto. SITE INSPECT!ON T SUBDIL-ION: LOT:BLOCK: APPL I CANT DAT Nofr cKrD By r% g/t e./> dY 5. () PLANNING DIVISI.ON NOt Appl i cabl e f . Zoning Ordinance Compliancez Zonep1fualy'( ) 2. Subdivision Ordinance Compliance r- ' ( ) 3. Required Accest ( )4. Building Site (Area, width, Frontage) ( ) 5. 0ther (see comments) ( ) Setbacks f rqn c/l 6f rciadz Front v -fSide Exterior ) Setbacks from i nterior I ines: Side r Rear CO}'IilENTS: () () () () PLANNlNG0lV|slrNAcTT0N-PENDtNG:YE5()N0()APPLlcATl0N# BUILDING INSPECTION DIVIS ION Not I icable No 7. Plans Submitted 8. Soi I Stabi I lty (footings) 9. FIood Plain 0. 0ther (see conrnents) COMMENTS: Hf '()() () r)() () ()CKID B 3-Z z-? l,rATER POLUTION CONTR0L Not Appl icable No Yqs I I . Heets Department of Envi ronmental --TF r) TT Qual i ty Standards" 12. 0ther (see comments)() ()() CK'DBY: DATE COHI,IENTS: TO APPLICANT: 9LT MX 8,, () Building / Site lnspection: Can be approved" Cannot be approved at this time as indicated on item NOe above. Questions and further information on items I through 5 contact the LANE- couNTy PLANNING DlVlSlON" Questions and further information on iteilil7 through l2 contacturill be held in th ls being returned. the LANE COUNTY BUILDING AND SANITATION DIVISION. is of indicated. c55-28 Your bui ldin rmit a lication fee is ENT 135 Sixth Avenue East Eugene Oregon 97401 PHONE z 687-4065 LANE C0UNTY PLANNING DlVlSl0N PHONE: 587-4186 R S TAX LOT I BUTLDING PERHIT APPLICATION NO. SITE INSPECTION PLANNING DIVISION Not I icable T R s TAX LOT SUBDlb-l0N: LOT :- BLOCK:- APPL I CANT DAT CK'D BY: 6 Setbacks-Trorn cIl of road: Front Side Exterior () () No Yesr) 1-Il. Zoning Ordinance Compl iance: Zone- 2. Subdivision 0rdinance Compl iance 3. Requi red Access 4. guilaing Site (Area, width, Frontage) 5" Other (see comments) ( () () () () () () () () Setbacks from interior I ines: Side Rear COHMENTS: () () FMNN-IN6TIV. SIT-N_TETTOtrFEND MG : YES il NO ()AFPETCAT I ON# BUILDING INSPE CTION D!VISION 7. Plans Submitted8. Soil Stability (footings) 9. Flood Plain O. 0ther (see cornments) Not I icable No Yes ) r)() () () rT() () ()CKID BY: DATE COMMENTS: I.IATER POLUTION CONTROL ll. Heets Department of Environmental Qual i ty Standards. 12. Other (see comments) DATE c0l,tllENTs: Not Appl icable No--rT r)YesrT () ()()CKIO BY: TO APPLICANT: Your Building / Site lnspection:()ca()ca Qu c0 t n be approved" nnot be approved at this estions and further info DIV s l0N rou9 2 contact the LANE time as indicated on item N0" abov rmation on items I through 5 contact the LANE- Questions and further information on items 7 COUNTY BUILDING AND SANITATION DIV 0N. ce unt you can reso vet prob I ems() () Will be held in this o ls being returned. c55-28 Your buildin s n cated. 6 rmit a Iication fee is bein ENTAL G 135 Sixth Avenue East Eugene Oregon !/ pno*E. 597_40b5 LANE COUNTY PLANNTNG DlVlSloN PH0NE: 687-4186 40r BUILDING S ITE *JALUAT IOI I n Owner PERIVIIT NO CONSTRUCTION [ ] I\,1OBILE HOIVIE [ ] PLAN REVIEW [ ] CHANGE OF OCCUPANCY [ ] CITY ZIP CODENAIVEADD R ESS PHONE tr Contractor N ADD R ESS CITY Code Acreage - ZIP CODE Census Tract PHONE O.S. Reg. + Subd ivision Access to Property (Road Name) Range- Section Tax Lo Lot -- B lock t a ola width Depth Existing Structures on Property: Directions to Property - Address STRUCTURE (# BEDROOIVIS)SO. FT VALUATION SEWAGE DISPOSAL: PUBLIC [ ] SEPTICTANK [ ] OTHER [ ] PLUMBING INSTALLED BY OWNER OTHER NAM WATEB SUPPLY: PROPOSED t ] EXISTING t 1 PUB LIC COIVITVIUN ITY . NAIVIE E- BUILDING PLUIVIB ING 3% SURCHABGE _- IVIOB ILE HOIVIE WASTE DISPOSAL PLAN REVIEW TOTAL I PRIVATE WELL OTHER .SPECIFY CONSTRUCTION PERMITS & INSPECTIONS AND WATER POLLUTION CONTROL SPECIFICATIONS IVIIN. SEPTIC TANK CAPACITY GALS IVIIN. DRAINFIELD LIN. FT.MAX, TRENCH DEPTH- INCHES STAY 1OO' FROIVI ALL WELLS TYPE OF CONSTRUCTION GROUP FIRE ZONE- USE CLASSIF SETBACKS FT. FROIVI CTR. OF r,AN FRONT SIDE EXT FT. FROIV] PROP. LINE SIDE INT R EAR ZON E AUTHORIZED SIGNATURES lsl ISSUANCE DATE BLDG, PERMIT _ WHITE OFFICE COPY - WHITE COUNTY TAX - PINK PLUMBING _ CANARY BUILDING _ GFEEN SANITATION - GOLDENROD IMPORTANT Call 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.O. standards lor subsurface sewage disposal and the State Plumbing Code. All buildings require a certiticate of occupancy before being occupied. (See Details on Reverse Side) POST THIS PERMIT ON MAIN BLDG. AT SITE LANE COUNTY, DEPT. OF ENVIBONMENTAL MANAGEMENT COUHTHOUSE ANNEX, 135 EAST 6th, EUGENE, OREGON 97401cs5-l 3 LANE COUt\. / PERMIT FOR' 'J t SLAB FLOOR PLUMBING GROUND/ORK Ap rnov e o Rrurnx s D Drsrppnoveo D Dar e I Nsprcron GAS PIPING GROUND/ORK AP PRov E D Reua Rx s D r sappnoveo a Dar e lNsprcron ROUGH PLUMBING Appnoveo Rruanx s I rusprcron ROUGH GAS PIPING Appnovro D DrsrppRovro D Rr uaRx s Dar r I Nsprcron F I NAL PLUMB I NG -/ APPRoVED M Drsrepnoveo Rr uanx s D Dorr_?- R-- ?6 I rspect FINAL GAS PIPING APPRovEo Rr uaRx s D r sappaoveo Dar e I xspecron CERTlFICATE OF OCCUPANCY Rraov ro lssue RruaRxs D Nor Rerov ro lssur D Dare Ir'rspEcroR ffiTAPPRovED D Dore-."- -74- n Owner LANE COUN r , PERMIT FOR PERIVIIT NO CONSTRUCTION [ ] I\IOBILE HOIVIE [ ] PLAN REVIEW [ ] CHANGE OF OCCUPANCY [ ] NAIV]E ADD R ESS CITY ZIP CODE PHONE n Contractor O.S. Reg. + T Subd ivision - Lot Access to Property (Road Name) NAME ADD R ESS Range- Section-Tax Lo CITY ZIP CODE Census Tract PHONE t Code B lock Acreage Width Depth Existing Structures on Property: Directions to Property - Address STRUCTUR E ( # BEDROOIVIS)SO. FT SEWAGE DISPOSAL: PUBLIC [ ] SEPTICTANK [ ] OTHER [ ] PLUIVIBING INSTALLED BY: OWNER[] OTHER[] NAIVI F BUILD ING PLUIVIB ING 3% SURCHARGE IVIOBILE HOIVIE WASTE DISPOSAL PLAN REVIEW TOTAL WATER SUPPLY: PROPOSED I EX ISTING t PUB LIC COVIVIUNITY . NAIVIE PR IVATE WELL OTHER-SPECIFY CONSTRUCTION PERMITS & INSPECTIONS AND WATER POLLUTION CONTROL SPECIFICATIONS IVIIN. SEPTIC TANK CAPACITY GALS IVIIN. DRAINFIELD LIN. FT IVIAX. TRENCH DEPT I NCH ES STAY 1OO' FROIVI ALL WELLS TYPE OF CONSTRUCTION- GBOUP FIRE ZONE USE CLASSIF SETBACKS- FT. FROIVI CTR. OF rAff FRONT FT. FROIVI PROP. LINE: SIDE INT. REAR - ZONE AUTHORIZED SIGNATURES ls/ ISSUANCE DATE BLDG. PEBMIT - WHITE OFFICE COPY - WHITE COUNTY TAX - PINK PLUMBING - CANARY BUILDING _ GREEN SANITATION _ GOLDENROD IIVIPORTANT (POST THIS PERMIT O N MAIN BLDG. AT SITE) LANE COUNTY. DEPT. OF ENVIBONMENTAL MANAGEMENT COUFTHOUSE ANNEX, 135 EAST 6th, EUGENE, OBEGON 97401 Call 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.O. standards for subsurface sewage disposal and the State Plumbing Code. All buildings require a certificate of occupancy before being occupied. lSee Details on Beverse Side) c55-l 3 nL/ VALUATION SID E EXT. 7 SITE INSPTCTION App nov E o Rruanx s Dr sapenoveo Dar r I Nsprcton FOUNDATION INSPECTION APPROVED Dr snpenoveo Drre i;/., .- ,7 /r,REuaRxs NSPq.c,TO,t(t ,l FRAMI NG A ppnov e o Rrn S ( I NSPECT I ON Dr SAPPRovED Dar E NSPECTOR I LATH OR SHEETROCK INSPECTION D DrsappRove o f-a Darr I HseEctoRAP PRov E o Rruanxs FINAL INSPECTION AP PRov E o Rruanx s Dr srppRovEo Dnrr I Nsprcron fr.rt CERTIFICATE OF OCCUPANCY Rrlov ro lssuE ReNaRx s D Nor Rraov ro lssue D Dore-lNseecroR- qqr76 &/6 6 L- a D ? ,7 ---'Y PERMIT /I VL/T/,b NOTE: NO PERMTT I.I._,,- BE ISSUED IINTIL THIS APPLIC'AT. HAS BEEN APPROVED APPLICATION FOR: CONSTRUCTION MOBILE HOME PLAN REVIEW CHAI'IGE OF OCCUPANCY OWNER o$L I tl 7{ Name dres 1ty CONTRACTOR Name ess Ctty O. S. REG. /I T\+p G=t\tlon J J,/.3 rax Lor Census Tract ro"t--.1&-rroperty Acreage tr/idth_Depth_B (r,ccrss ro PRoPERTY (Foad Nane) \ o \run, L,^, (Existing Structures on Property:$t -*- Property Location - Address/Directlons: fo t Use Sq. Fta 3 o SEWAGE DISPOSAL: Slte Inspec tlon /l WATER SIJPPLY: Well FEES Bldg. Plunblng 3% Surcharge Waste Disp. Plan Revlew Moblle Horne PLITIEINGjEES: @3(X /l of Flxtures Sprlng 0ther Existlng Sewage Dlsposal System Publ1c Comunity Installed by Owner Name of Conmunl.ty or Publlc Systen Name Sewage Connectlon Water Connection PLANS FURNISHED YES Signature of Appl Fee Received By FACILITY PERMIT Date TOTAL 5t.(O CASH CHECK NO Mln. Septlc Tank Capacl Dralnfleld Requl"red - Lineal Feer Maxlmum u)o c55-12 o I,ANE COI.INTY D SANITATION: EIWIRONMENTAL Use ClassificatlonTypeof Constructlon Flre Zone Bldg Setbacks - froo Center of Road Rlght of Way: Side Int..s Side Exter DATE:DATE:DATE: e/ l- -_-l otter fl atr- $1A_-),( Rear tl