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Home My WebLink AboutPermit Building 1974-04-09) IANE COUNTY Bt,--llNG PERMIT OR MOBILE HOME t .-. PERMIT MH f PERMIT NO.BUILDING PROPERTY ER MAITING ADDRESS PHONE CONTRACTOR MAITING ADDRESS PHONE PROPERTY LOCATION _ INCTUDE POST OFFICE l-i PROPERTY LEGAL DESCRIPTION_METES, BOUNDS RANG E SECTION TAX LOT NO CODE CENSUS TRACT EXISTING STRUCTURES ON PROPERTY APP[. NAME & MAILING ADDRESS LEGAT ACCESS TO PROPERTY = PROPERTY SIZE - FT. WIDTH DEPTH AREA FOR MOBILE HOME PERMITS ONLY No. of Bedrooms STRUCTURES TO BE BUILT THIS PERMIT Connect to Existing Sewoge m TYPE CONSTRUCTION FT New m BDR MS VALUATION IANE COUNTY SPECIAL PERMIT AREA SEWAGE DISPOSAT PUBUC tr SEPTIC TANK tr OTHERE PLUMEING INSTATTED BY OWNER E OTHER: NAME BUITDING WASTE DISPOSAI PTUMBING PtAN REVIEW PARK TRAITER TOTAT FEES WATER SUPPI.Y PUBUC tr N OTHER $_ COUNTY BUILDING & SANITATION SPECIFICATIONS MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GAt. DRAIN FIETD REQUIRED I.IN, FT TRENCH WIDTH FT OR SQ. FT TYPE OF STRUCTURE OCCUPANCY ZONE PUBLIC UTIt. EASEMENT BLDG. SETBACKS FT. FROM CTR. OI ROAD RIGHT OF WAY USE CTASSIFICATION FRONT SIDE INT SIDE EXT REAR AUTHORIZED SIGNATURE - DATE DATE BLDG. PERMIT _ WH ITE OFFICE COPY _ WHIIE COUNTY TAX - PINK PI.UMBING _ CANARY BUITDING - GREEN SANITATION _ GOI.DENROD Coll 687-4065 to schedule oll required inspeclions. All construc- 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 certificote of occuponcy before being occupied. (See Detoils on Reverse Side) (POSI TH|S PERMTT ON MA|N BLDG. AT S!TE) IANE COUNTY, DEPT. OF ENYIRONMENTAT IAANAGEMENT COURTHOUSE ANNEX, I35 EAST 6Ih, EUGENE, OREGON 97,{OIFoRM # c55-13 I \ ry,O,, Q-\Jr i -a(A \ N N Fs\.ti.x"o o ot, tt N ) U t/ I U G lorx. r 16* e9 -t-I 4 a\7ro I /l i t \ q,l pY h y'y 0 \ \ \1, r-) dU I LO ING S ITE EVALUA T ION gt itcing permit Appl icat ion i--o. S i te lnspect ion Pre-Permit lnvest igat ion 8,c }P I#^#s'ztt rax V-z LOT r}(APPL ICAN[: Nr\flE ADDR ) ()PHONE DATE L/iNE COUNTY PLANNING DEPA RTHENT 2. Subd iv is ion 0rd inance Comp lTance Zon i ng Ord i nance Comp I i ance(Zoneae;T ) fl-( ) ( () () ( NOT NO appl icable N;111E Di\TE ) ? 4 5 Requ i red Access 8u i ld ing S ite (Area, u/idth, Frontage, Setback) 0ther (see comments) ()f, ."^'-- ,/-lr-' ( () () ( () () CO}tIl ENTS : BUILOING INSPECTION SECTION 6. Plans Submitted 7. Soil Stability (footings) B. Flood Pl a in 9. 0ther (see Comments) NOT NO YES appl icable $ ((() NAJ'IE DATE r) I () ( () () () () )() )( M COHHENTS: SANITATION SECTION 10. Sewage Disposal I l. Usable Area l'2. Water Supply I l. 0ther (see Comments) aool icable*rr-(() () NOT NO YES NA},lE D TE q1 ) ) 1 ( ( ) C OM}lt NTS TO APPL ICANT: \AK {Y Your Building Permit / Site lnspect ion Can be approved. Cannot be approved at this t"ime as indicated on iten, N0. above. Quest ions and further infornrat ion on iten,s I through S .ontJct-tTe Lane- C0UNTY PLANN ING DEPARTHENT" Q-uesr ions and furtl.rer infornrat ion on iteff 5 through l3 contact the Lane Coun_ff_A_yj_!_qilg_jLIL Sanitation Division. I.lill be held in this ot?Tfcl-nfil yor can re,-fu" t-ire pro6l?rr,s 6f'fc"t,,,J. ls being returned. Your buildinq pernr it applir.ation flee is being returned under separate cur'€r. ( ( ( LrlNf CO(IN.I Y I'I i\NN ING DEPART},IENT lf I Si;rtlr Av(rnue Iast, Eugerte, 0rcgtrn 97qOl l'trtrNE 3{2-llll t=)tt. 211 lANt- COUNIY utJltl)lNG & S/\NlTATl0N DlVlSl0N l3tsixth Avqrruc East, Ertqerrr', 0reqon 9740I Pll0Nl'. 142-t)ta tXT. 4ll M55-28 YES ( /,{'// LANE COUNTY BbI(DING PERMIT OR MOBITE HOME IXsE PERMIT BUTLDTNG E MH E PERMIT NO. PROPERTY OWNER I MAITING ADDRESS PHONE CONTRACTOR MAITING ADDRESS PHONE PROPERTY TOCATION _ INCTUDE POST OFFICE PROPERTY TEGAT DESCRIPTION _METES, BOUNDS RANG E SECTION TAX LOT NO CODE CENSUS TRACT EXISTING STRUCTURES ON PROPERTY APPt. NAME & MAITING ADDRESS TEGAT ACCESS TO PROPERTY PROPERTY SIZE _ FT. WIDTH DEPTH AREA FOR MOBILE HOME PERMITS ONLY No. of Bedrooms STRUCTURES TO BE BUILT THIS PERMIT Connect to Existing Sewoge stem TYPE CONSTRUCTION SQ. FT New slem BDRMS VALUATION PER'MIT Ar(ErNTY SPECIAL SEWAGE DISPOSAT PUBUC tr SEPTIC TANK oTHERn PTUMBING INSTATLED BY OWNER n OTHER: NAME BUITDING WASTE DISPOSAL PTUMBING PIAN REVIEW PARK TRAITER TOTAI- F EES WATER SUPPLY PUBUC n tr oTHER t $--- COUNTY BUILDING & SANITATION SPECIFICATIONS MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GA[. DRAIN FIEID REQUIRED TIN. FT TRENCH WIDTH FT.OR SQ. FT TYPE OF STRUCTURE OCCUPANCY ZONE PUBTIC UTIT. EASEMENT BLDG. SETBACKS FT. FROM CTR. OF ROAD RIGHT OF WAY FRONT SIDE INT. SIDE EXT. USE CIASSIFICATION REAR AUTHORIZED SIGNATURE _ DATE DATE BLDG. PERMIT - WHITE OFFICE COPY _ WHITE COUNTY TAX _ PINK PTUMBING - CANARY BUITDING _ GREEN SANITATION _ GOTDENROD Coll 687-4065 to schedule oll required inspeclions. All construc- tion shqll comply with Uniform Building C;de, D.E.Q. stondqrds IMPORTANT: for subsurfoce'sewoge disposol ond county regulolions covering plumbing. All buildings require o cedificote of occuPoncy before being occupied. (See Detoils on Reverse Side) (posT THls PERMIT ON MAIN BIDG. AT SITE) TANE COUNTY, DEPT. OF ENVIRONMENTAT MANAGEMENT COURIHOUSE ANNEX, I35 EAST 6Ih, EUGENE, OREGON 9740I roau t 655-13 -SITE INSPICTION Ap pRov E o RrManKs Dr sappnoveo Darr I ruspEcron -I FOUNDATION INSPTCTION Ap pnov e o Rruanx s D r sappRoveo I rusprcton FRAMING INSPECTION AppRovro /U7 DTsAPPRovED Rrltlnxs Dar r I Hs pr croR LATH OR SHEETROCK INSPECTION AppRovro H Drsappnovro F-'J Dar e RrttlRxs I Nseecron FINAL INSPECTION Ap pRov e o ReuaRxs D r sappRoveo l nspecroa CERTIFICATE OF OCCUPANCY Rraov ro lssuE Re ttlRx s D Nor Rerov ro lssuE D Do.e_I uspecron /,t q-ft#dr?Ory D o^',4-/'f-4 € a D oo.,,4-!&_ ?/ 4-t4. LANE couNrY BUil.Dtt\-- pERMtr oR MoBil.E HoME usE I UcATtoN /24'zzPERMII TYPE _ BUIIDING MOBII-E HOME [I OSC REG. #PERMIT PROPERTY OWNER MAILING ADDRESS2 PHONE PHONE METES & BOUNDS ATTACHED CONTRACTOR PROPERTY I.OCATION _ IN E POST OFFICE PROPERTY LEGAL DESCRIPTION r,oT-Br.ocK-suBDtv, TWP RANGE APPTICANT NAME AND MAITING ADDRESS FOR MOBILE OME LY Number of Bedrooms STRUCTURES TO BE BUITT THIS PERMIT MAIIING ADDRESS YES NO SEC.rAx toT # DESCRIBE EXISTING TEGAT CENSUS TRACT DEPTH m PROPERTY _ sQ. rr, SIZE-WIDTH Connect lo Existing Sewoge TYPE CO IF ANY oR# AREA or New Req. BEDROOMS VATUATION PTUMBING INSTATTED BY BtDG. WASTE DIS. PTUMBING PI.AN REVIEW PARK TRLR. OTHER OWNER N OTHER NAME FEES WATER SUPPTY PTANS FURNISHED PUBTIC OTHER YES NO PTUMBING FEES F IXTU RES CASH ! 5pyysp RECEIVED BY cHECK !CONNECTION FEE PERMIT #PUBTIC WATER CONNECTION FEE COUNTY BUILDING & SANITATION SPECIFICATIONS DRAIN FIEI.D REQUIRED I.IN. FT. TRENCH WIDTH TT SQUARE FEET FACITITY YEs fl NO DATE ^2e- DATE QooTOTAL MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GAI. OF APPT .{n TYPE OF STRUCTURE OCCU \BIDG. SETBACKS _ FT. FROM CTR. OF ROAD RIGHT OF W ZONE REAR YARD PUBTIC UTII.. EASEMENT 'orm # cs5-12 PI.ANNING -7 USE CI.ASSIFICATION Dole FRONT SAN ITARIAN Directions to Find Property SIDE INT { srDE Exr. -'-nrrn 6. DOIE BIDG. INSP. COPY I - OFFICE COPY 2 - JOURNAI. COPY 3 _ AUDIT 1, SEWAGE DISPOSAT PUEUC ! SEPTIC TANK n lVt