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HomeMy WebLinkAboutPermit Building 1976-08-13-_ LANE COUNTY PERMIT FOR PERI\,1 lT NO n Owner coNSTRUCTION t I lvloBlLE HOIVIE t I PLAN REVIEW t I CHANGE OF OCCUPANCY I l NAIVIE ADD R CITY N n Contractor CITY ZIP CODE PHONE NAIVE ADD RESS O.S. Reg. + Tw Range--- Section Tax Lot_-__--- Code- Census Tract- Subd ivision ----=------..--- Lot Access to Property (Road Name) Directions to Property - Address: B lock Acreage --Width Depth Existing Structures on ProPerty: STRUCTURE (# BEDROOIVIS)SO. FT VALUATION SEWAGE DISPOSAL: PUBLIC[] SEPTICTANK[] PLUIVIBING INSTALLED BY OTHEB [ ]OWNER L ]OTHER [ ] NAIVI F BUILDING- PLUIVIBING 3% SURCHARGE-- MOBILE HOIVIE WASTE DISPOSAL TOTAL WATER SUPPLY: PROPOSED I ] EXISTING t ] PUB LIC COIVIVIUNITY . NAME CONSTRUCTION PEBMITS & INSPECTIONS AND WATER POLLUTION CONTR OL SPECIFICATIONS IVIIN. SEPTIC TANK CAPACITY GALS.IVIIN. DRAINFI E LD--LIN. FT IVIAX. TRENCH DEPTH I NCH ES STAY 1OO' FROIVI ALL WELLS TYPE OF CONSTRUCTION- GROUP FIRE ZONE-- USE CLASSIF SETBACKS FT. FROIVI CTR. OF r/W FRONT SIDE EXT FT. FROTVI PROP. LINE: SIDE INT. - REAR ZON E AUTHORIZED SIGNATURES lsl ISSUANCE DATE BLDG. PEBMIT _ WHITE OFFICE COPY - WHITE COUNTY TAX _ PINK PLUMBING - CANAFY BUILDING - GREEN 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.Q. standards for subsurface sewage disposal and the State Plumbing Code. All buildings require a cerlificate of occupancy before being occupied. (See Details on Reverse Side) POST THtS PERMIT ON MAIN BLDG. AT SITE LANE COUNTY, DEPT. OF ENVIBONMENTAL MANAGEMENT COUFTHOUSE ANNEX, 135 EAST 6th, EUGENE, OFIEGON 97401c5s-r 3 PLAN REVIEW ] PRIVATE WELL ] OTHER . SPECIFY: t t t t 'a h,ILDIT.IG SI'iE EVALUATION {r'Vnl'r /7 SUBDIVISION: Lor-Seb_ N ButLDtNG pERlltr AppL tcATtoN No" ( ) srrE INSPECTIoN r?82 -7L .t APPL I CANT LOT:BLOCK: CKID Setb Front Setbacks from interio nes: Side Rear DATE PLANN I NG D tvlsl0N Not nlPsu cabl q P, tr 6. iii\l( ) (t 4-a t. Zoning Ordinance Compl iance: ZonefFf- 2. Subdivision Ordinance Compl iance 3. Requi red Access 4. guitaing Site (Area, }tidth, Frontage) 5. Other (see conrnents) r)() () () () c0r{ilENTS ) No( ) APPLI T ION#PLANNING DIVISION ACTIO PEND I NG: YES ( BUILDING INSPE cTl0N Dlvlsl0N Plans Submitted Soil Stabil lty (footings) Flood Plain 0ther (see conments) Not licable No 7 8 9 0 Yesw() () () CI() () ()CKI D BY CO}{MENTS:: lrrAT ER PoLUTI0N CoNTR0L Not I l. l{eets Department of Envi ronmental Qual ity Standards. 12. Other (see comments) Aool icabler Norur)YesrT ()() ()-1-)LCKIO BY: DATE C0HHENTS! - TO APPLI Y Bui lding / Site lnsPection: Can be approved" ) Cannot be apProved at this time as Questions and further information o indicated on item N0. n items I through 5 co s and further informat tr above. il ntact the LA NE- ion on iteiliT i G 0lVlSl0N" Question t rough 2 conta ct the LANE C0 BUILDING AND SANITATION lvlsl0N. ( ) llill be held in this office unt you can reso ve the p c55-28 Your bui ldin ems ind cated. ls being returned. ermi t lication f is b 135 Sixth Avenue East Eugene Oregon PHoNE: 687-4055 LANE COUNTY PLANNING DIVISION PHONE: r 97401 587-41 86 CI ?) PERIVIIT NO CONSTRUCTION [ ] IVIOBILE HOIVIE [ ] PLAN REVIEW [ ] CHANGE OF OCCUPANCY [ ] NAIVIE ADD R ESS C ITY ZIP CODE n Owner PHONE n Contractor NAN4E ADD RESS O.S. Reg. * Twp- Range- Section-Tax Lo CITY ZIP CODE Census Tract PHONE t Code Subd ivision - Lot Access to Property (Road Name) B lock Acreage Width Depth Existing Structures on Property: Directions to Property - Address STRUCTURE (# BEDROOIVIS)SO. FT VALUATION SEWAGE DISPOSAL PUBLIC I I SEPTICTANK t1 orHERll PLUIVIBING INSTALLED BY: owNER[] OTHER[] NArVr tr BUILDING P LU l\ilB ING 3% SURCHARGE IVIOB ILE HOIVIE WASTE DISPOSAL PLAN REVIEW TOTAL WATER SUPPLY: PROPOSED t ] EXISTING t] PUB LIC COVINIUNITY NAIVIE PR IVATE WELL OTHER .SPECIFY CONSTRUCTION PERMITS & INSPECTIONS AND WATER POLLUTION CONTROL SPECIFICATIONS IVII N. SEPTIC TAN K CAPACITY GALS N4IN. DRAINFIELD-LIN. FT IVIAX. TRENCH DEPTH- INCHES STAY lOO' FROIVI ALL WELLS TYPE OF CONSTRUCTION GROUP FIRE ZONE USE CLASSIF SETBACKS- FT. FROIVI CTR. OF rAfi FRONT SIDE EXT FT, FROIVI PROP. LINE SIDE INT REAR ZONE AUTHORIZED SIGNATURES ISSUANCE DATE /s/ c55-l 3 BLDG. PEBMIT - WHITE OFFICE COPY - WHITE COUNTY TAX _ PINK PLUI.,4BING - CANARY BUILDING - GREEN SANITATION - GOLDENROD IMPORTANT Call 687-4065 to schedule all required construction 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 ENVIRONMENTAL MANAGEMENT COURTHOUSE ANNEX, .I35 EAST 6Ih, EUGENE, OREGON 97401 LANE COUNTY PERMIT FOR: i.:L; -I D r s rppnoveo .) SITE INSPECTION Ap pRov r o RruaRxs Dare I ruspecton FOUNDATION I NSPECTION Ap pnov E o Rruanx s D I SAPPRoVED Dare I Hseecron FRAM I NG AppnovEo Re t,taRx s I NSPECT I ON DrsappRove o I NSPEcToR LATH OR SHTETROCK I NSPECT I ON D r sappRoveo Dnre I NsPEcroRAp pRov r o RrNlRx s FINAL INSPECTION AP PRov E o Rrua nx s * DTsAPPRovE , D oorr-l- >3-??I rusprcron CERTIFICATE OF OCCUPANCY Reaov ro lssur REMARK S D Nor Rerov ro lssur D DorE-I Hsprcron D D Dorr- NoTE:NoPERMITwILL.-IssUEDI]NfiLTIIIsAPPLIc,ATIoNn<snrptt:;,W,;:,ru[ APPLICATION FOR: coNSTRUcrroN E MoBTLE HoME owNER Pailuck , flulu E- PLAN REVIEW C}IAI'IGE OF OCCUPANCY na ---- /Address nlty Zi_-T rlnor.e ,va,;ii CONTRACTOR Name Address Clty zip Phone o. s. REG. il ,^Tap. 17 RanCe___eJ_lSect.ion Tax Lot .fO Code t, -Ol Census Tract 2O -/o'i9 /-Existing Structures on Property: NAN O.- ..,,Property Location - Address/Directlons NorTh <^trt d,/ t{ar7h )aA- .fTreeT + tr'<sT s,'4e, x Use Sprlng Sq. Pt 0,f,30 Pub1lc Comunity of Fixtures , fnrs CHECK Signature of Appl NO I Fee Received By: Drainfield Required - Lineal Feet {-s4 SEWAGE DISPOSAL: Slte Inspec tion /l WATER SI]PPLY: Well FEES: Bldg. Plunblng 3Z Surcharge Waste Dlsp. Plan Revlew Moblle Home *3p rtro Ins PLIJMB Name of Community or Public System Name Sewage Water ComectionConnecti.on PI.A.NS F'URNISHED FACILITY PERMIT YES H TOTAL Mln. Septlc Tank Capaci Date { ?:'r Maxlmum c55- 12 LANE COT]NTY DE ,TION: OF re zor,e 3 MANAGE},IENT Zorre DAlE gpe of cons rructloa-ff181fu!1)._c.oup-----E-rt Use Classificat Bldg Setbacks - frou Center pa6nr -;Stirr Side rnr of Road Right of !Iay: . .fr | +ftrr-ffir'€r-rdr DATE:*E ,-11 r--r Subdlvlsion Lot------Block----!roperty Lcreage f eete Widt\4$4(pepxhah& ,.,AccEss ro pRopERTy (goaa nane) 7D fu *Sfi Disposal system l----l or New System Requlred n 77,,eT f--l other f_-l NO I \ Rear t L