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HomeMy WebLinkAboutPermit Building 1975-01-02Pm{rr{i A573 -?f IAI{E CCI]NTY Building DPARIMM{T OF EIWIROMENIIAL MAMGIMENI MCbilC IICTTE AFPLICATION FOR zuILDI}G PERMIT G. }OBIIE HCD,IE USEIUIE: t{o permit will be issued r:ortil this applicaticn has been aprprorred. PLEA^SE PRINI -Lt / t PROPBTY tfr}g::cltt D4 4" hoeU ,Z{TZ. ,1r.r-- r-- U rr,ip ,7 RAIGE oa sEC. /? ux ror 4_?8t_;ccnu Qmrsrrs mecr :j_!!$B,mro.%=rp *ru flw ACCESS TofroYRTy ltlo.ertq , Zda wruiu DErrJ oR ACBEAGE DESCRIBE DilSTIIG STRUCf,URES oN IIIE wovw:Y SOttz ii,i )lnUf APPLICAIU MME I',IAILIM ADDRESS -th MME ttres to /O Site hspection JL 1ts ter R:blic tj E>cis ting sen^iage disposal systern or nehr systgn Well [] Spring I Ocher Phrbi:rg Installed by Owner Other D wffi inspection fee trict Nare Bldg. Waste Dis. Pfurbirg Plan Revievi Ttailer 1% sr-rctrarge TOTAL Min / Fees I Cash E Check Pltrrbing JL 1r Sexrer connec inspection No Fees of fixtr-res Plans Signature of App Fee received Facility Yes E No te ty with dist. box: Gallons Lineal Feet c55-r2 t Side Int. S Sidcrftterttn SE Rear 6/,<)center way ZorteFront /rn II Depth_ or Sq. Ft . ,T dfc t2-27 Bu-rLBlNG s tre l!ALU4I-!-Ql'l t! (fsutDtNG pERmlr APPL!cATloN No. ( ) srrE tNSPECTIoN ,/_ts/ck r / 7 n :rZ s O" BrAx Lorj$bo SUBD IV I S*fl: LOT:BLOCK: PLANNING DIV!SION Zoning Ordinance Compl iance: Zone @ Subdivision 0rdinance Compl iance Requi red Access Building Site (Area, Width, Frontage) 0ther (see conments) APPL I CANT DATE Not furpl icabl e Yes CK!D6. Setback 11 I 2 3 4 5 () () () () () w(.)* LYuY ) ( ( ( Nofl() () () () Ffant . , Setbacks from inter Side or nes:6r Rear iF, , CO}tilENTS: FLANNTNG DrvrsroN-AeTlorpENDtNG: YES( ) No(APPTTCAT ION# BU ILD I NG I NS.PECT ! ON O IV IS ION Not I icable No () () () 7 8 9 0 Plans Submitted Soil Stabil ity (footings) Flood Plain 0ther (see ts) COHI.IENTS: Yes 8() () r) CKI D BY U'ATER POLUTION CONTROL I I . ileets Department of Envi ronmental Qual ity Standards. 12. 0ther (see cornments) Not I icable No Yesr) rT )() ()CKID BY:4 DATE COHI,IENTS: TO APPL I { )"'' CANT q5 Your Building / Site lnsPection: tl Can be approved. Cannot be approved at thi s time as indicated on item N0 Questions and further inf ormation on items I through 6 contact t LA LANNING DIVIS Questions and further informa tion on iteilil above. c t rou 2 contact t e E CoUNTY BUILDING AND SANITATIoN DIV-!!I-QN. IJill be held in this ofmce unafft,ou can resolve the problems !s being returned. c55-28 () () Your bui Idin pHoNE. 697-4065 LANE COUNTY PLANNING DlVtSlON PHONE: 687-4186 i nd i cated. rmi t li tion fee is n AL HA 135 Sixth Avenue East Eugene Oregon 974o1 I IANE COUNT sUILDING PERMIT OR MOBITE HO MHI UsE PERMIT PERMIT NO.BUILDING I ItOPERTY OWNER MAILING ADDRESS PHONE CONTRACTOR MAILING ADDRESS PHONE PROPERTY TOCATION _ INCTUDE POST OFFICE PROPERTY TEGAL DESCRIPTION _METES, BOUNDS l*r Aoort RANG E SECTION TAX LOT NO CODE CENSUS TRACT EXISTING STRUCTURES ON PROPERTY APPI-. NAME & MAITING ADDRESS LEGAI. ACCESS TO PROPERTY NI PROPERTY SIZE - FT. I WIDTH DEPTH AREA FOR No MOBILE HOME PERMITS ONLY of Bedrooms Connect to Existing Sewoge System f New System ! TYPE CONSTRUCTION se. FT # BDRMS VALUATIoN T SEWAGE DISPOSAT Puiuc n sEPTlc rANK tl OTHERD PLUMBING INSTATI.ED BY OWNER n OTHER: NAME F EES WATER SUPPTY PUBI.IC tr N OTHER BUILDING WASTE DISPOSAT PTUMBING PtAN REVIEW PARK TRAILER (. TOTAL 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 PUBTIC UTII. EASEMENT BLDG. SETBACKS FT. TROM CTR. OF ROAD RIGHT OF WAY FRONT SIDE INT, SIDE EXT. USE CTASSIFICATION REAR AUTHORIZED SIGNATURE _ DATE I DATE BIDG, PERMIT _ WHITE OFFICE COPY _ WHITE COUNTY TAX _ PINK PTUMBING _ CANARY BUITDING _ GREEN SANITATION _ GOLDENROD . Coll 687-4065 to schedule oll required inspections. All construc- . \ \ , tjon .rholl comply with Uniform Building Code, D.E.Q. slondqrds-- r '\. nnpORTANT: fbr subsurYoce se\/oge:diqpoool, ond counly regulolions covering plumbing. All buildirtgs require o ceriificote of occuponcy before i being occupied. \ '" (see Detoils ori Reversci.{aefA&lut \!.\ (posT THrs PERMTT ON MAIN BIDG. AT SITE) ,( IANE COUNTY, DEPT. OF ENVIRONMENTAT MANAGEMENT COURTHOUSE ANNEX, I35 EAST 6Ih. EUGENE, OREGON 9740I ronu * 655- 13 STRUCTURES TO BE BUILT TH PER SITE INSPICTION AP PRov E o Rruanx s Drsappnoveo Dare I Hspecton d FOUNDATION I NSPECTION Ap paov e o Reuanxs SAPPROVED Dar e I Hspecron FRAM I NG Appnov r o Re uanx s I NSPECT I ON D DrsrppnovEo D Dare I NspcctoR LATH OR SHEETROCK INSPECTION Ap pnov r o RrxaRx s D DrsAPPRovEo f7 Dar r lr.rspe cTon FINAL INSPECTION AP PRov E D Rrnenx s CERTlFICATE OF Rcaov ro lssue Rruenx s Dt PPROV E D Darr lNsp TOR PANCY D Nor Rraoy ro lssue D Dere I NsprcloR A6as-R{{rfr"il 0,, D fl fl J H Hg fl $FI*l s] rit I IANE COUNT BUILDING PERMIT OR MOBILE HO BUTLDTNG [_] MH E USE PERMIT PERMIT NO. PROPERTY (aWNER MAILING ADDR ESS PHOI.IE CONTRACTOR MAITING ADDRESS PHONE PRO PERTY LOCATION - INCTUDE POST OFFICE PROPERTY I-EGAT DESCRIPTION _METES, BOUNDS Lcr 2lil $ ttl.t-Er,l'i-lN:: PAr{K lsr Aonrrr,}r'i: RANG E SECTION1,4"2 e*Sm ,-,r S TRACTCODECENSU EXISTING STRUCTURES ON PROPERTY Dr*gr-t t t-rc APP[. NAME & MAITING ADDRESS a\43 Nonrx Jlrx TEGAT ACCESS TO PROPERTY tlonrn Jlttt PROPERTY SIZE _ FT. WIDTH DEPTH AREA FOR MOBILE HOME PERMITS ONLY No. of Bedrooms Connect to Existing Sewo e stem New System I VALUATIONSTRUCTURES TO BE BUILT THIS PERlvllT TYPE CONSTRUCTION BDRMS SEWAGE DISPOSAT ,rr,.,a t SEPTIC TANK tr oTHERn fxlSTlt{G PTUMBING INSTAIIED BY OWNER n OTHER: NAME (FEES WATER SUPPI-Y PUBuc dH tr orHER BUILDING WASTE DISPOSAT PLUMBING PTAN REVIEW PARK TRAILER,:,' TOTAL t- COUNTY BUILDING & SANITATION SPECIFICATIONS MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GAL. DRAIN FIETD REQUIRED tIN. FT TRENCH WIDTH FT.OR SQ. FT TYPE OF STRUCTURE OCCUPANCY ZONE PUBTIC UTI[. EASEMENT J BI.DG. FRONT SETBACKS FT. FROM CTR. OF ROAD RIGHT OF WAY USE CTASSIFICATION SIDE INT,5 t srDE ExT,REAR AUTHORIZED SIGNATURE _ DATE DATE BLDG. PERMIT _ WHITE OFFICE COPY _ WHITE COUNTY TAX - PINK PLUMBING _ CANARY BUILDING _ GREEN SANITATION _ GOLDENROD Call 687-4065 to schedule oll required inspections. All conslruc- tion sholl comply with Uniform Building Code, D.E.Q. stondords IMPORTANT: for subsurfoce sewoge disposol ond counly regulotions covering plumbing. All buildings require o cerlificole of occuponcy before being occupied. (See Detoils on Reverse Side) (POsT TH|S PERMIT ON MA|N BLDG. AT SITE) IANE COUNTY, DEPT. OF ENVIRONMENTAT MANAGEMENT COURTHOUSE ANNEX, I35 EAST 6th, EUGENE, OREGON 97,(OIronv * 655- 13 TAX LOT NO, se. FT s