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Home My WebLink AboutPermit Building 1973-03-27- IANE CO' 'TY BUTLDTNG L BUITDING PERMIT OR MOBITE MHE )ME USE PERIIIIT PERMIT NO. 3)t PROPERTY OWNER MAITING ADDRESS Rybka, Hes PHONE CONTRACTOR MAII.ING ADDRESS PHONE Honor & Assoc. Bul ldcrs 3s5 llorth 5th Cregwcl I . Oreqon PROPERTY LOCATION _ INCLUDE POST OFFICE PROPERTY I.EGAL DESCRIPTION _ METES, BOUNDS RANGE 03 SECTION 23.3,4 TAX LOT NO, gBoo CODE | 9-03 CENSUS TRACT 2l-l00t7 Honor 6 Associates Builders EXISTING STRUCTURES ON PROPERTY Owel I lng APPT. NAME & MAITING ADDRESS 355 North 5th TEGAT ACCESS TO PROPERTY Crcrwel l, 0regon PROPERTY SIZE _ FT. WIDTH DEPTH AREA FOR MOBILE HOME PERMITS ONLY No. of Bedrooms STRUCTURES TO BE BUILT THIS PERMIT Rcpelr Celllngs frqn fire dxrege Connect to Existi Sewoge m tr New TYPE CONSTRUCTION se. FT BDRMS VALUATION Estl.I,8oo SEWAGE DISPOSAT PUBTIC - SEPTIC TANK n OTHERN PLUMBING INSTALIED BY OWNER n OTHER: NAME 18.0 F EES WATER SUPPTY PUBLIC EI tr OTHER BUITDING WASTE DISPOSAT PTUMBING PI,AN REVIEW PARK TRAITER ( TOTAT $ COUNTY BUILDING & SANITATION SPECIFICATIONS MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GAL. DRAIN FIETD REQUIRED I,IN. FT TRENCH WIDTH FT.OR SO. FT TYPE OF STRUCTURE OCCUPANCY ZONE PUBTIC UTIT. EASEMENT 5il BI.DG. SETBACKS FT. TROM CTR. OF ROAD RIGHT OF WAY FRONT SIDE INT. SIDE EXT. USE CI.ASSIFICATION REAR AUTHORIZED SIGNATURE _ DATE John Cruickshenk R^S DATE I sl J.E 3-2 7-73 BLDG. PERMIT _ WHITE OFFICE COPY _ WHITE COUNTY TAX _ PINK PTUMBING _ CANARY BUILDING _ GREEN SANITATION - GOLDENROD Conslruction lo comply with uniform building code ond counly regulotions covering plumbing ond sewoge disposol. All buildings require o certificqle of occuponcy before being occupied. (See Stotement on Reverse Side) (posT THls PERMIT ON MAIN BLDG. AT SITE) LANE COUNTY, B[DG. & SAN. DIV., COURT HOUSE, EUGENE, OREGON 9740I ronv l*655-13 BU ILD ING S ITE EVALUAT ION w T /7 R a3 s Z1.dflx rcr %o ocINmffi_%doJ!- C- t/oF-tsfBuilding Permit Appl ication No. S i te lnspect ion Pre-Perm it lnvest igat ion HrPL I NAHE ADDR S PHONE DATE ) () LANE COUNTY PLANNING DEPART}4ENT NOT NO YES NAI'I8 DATE cable Zon ing 0rd inance Compl i ance(Zone ) 2. Subdivision 0rdinance Compl iance 3. Requ i red Access 4. Bu ild ing S ite (Area, }Jidth, Frontage, Setback) 5. 0ther (see comments) () () ) () () () () ( ( () ) ) 7Z>7\ COI,II.IENTS: BUILDING INSPECTION SECTION 6. Plans Submitted 7. Soil Stabil ity (footings) 8. Flood Plain 9. Other (see Conments) NOT YES N() () NO () () () aool icable ,{ N N DATE :()() COHHENTS: SANITATlON SECTION NOT NO YES NA}1E DATE ()I0. ll. Sewage Disposal Usable Area () )()s/kf> 4v/A NA}lE Ei6t icable-=q- fi I.ANE C( .{TY BUTLDtNG E BUITDING PERMIT OR MOBITE .{OME UsE PERMIT MH E PERMTT NO. PROPERTY OWNER MAITING ADDRESS PHONE CONTRACTOR MAIIING ADDRESS r t Airoc. 0uildrr PHONE PROPERTY LOCATION _ INCLUDE POST OFFICE PROPERTY LEGAL DESCRIPTION _ METES, BOUNDS /200, RANG E r, SECT I ON TAX LOT NO CODE CENSUS TRACT _ r i' , ,r ': ,i EXISTING STRUCTURES ON PROPERTY lllnAPPT. NAME & MAITING ADDRESS 155 il'arth 5th LEGAT ACCESS TO PROPERTY Cmsrl I, PROPERTY SIZE _ FT. WIDTH DEPTH AREA FOR MOBILE HOME PERMITS ONLY No. of Bedrooms Connecl to Existing Sewoge System I New System I STRUCTURES TO BE BUILT THIS PERMIT TYPE CONSTRUCTION se. FT. # BDRMS vALUATtoN \ SEWAGE DISPOSAT PUBTIC tr SEPTIC TANK !OTHERE PIUMBING INSTATLED BY OWNER n OTHER: NAME (FEES WATER SUPPTY PUBUC trl tr OTHER BUITDING WASTE DISPOSAL PTUMBING PI,AN REVIEW PARK TRAII.ER TOTAT COUNTY BUITDING & SANITATION SPECIFICATIONS MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GA[. DRAIN FIETD REQUIRED TIN. FT TRENCH WIDTH FT OR SQ. FT. TYPE OF STRUCIURE OCCUPANCY ZONE PUBTIC UTIT. EASEMENT BLDG. SETBACKS FT. FROM CTR. OF ROAD RIGHT OF WAY FRONT SIDE INT. SIOE EXT. USE CTASSIFICATION REAR AUTHORIZED SIGNATURE _ DATE John Crulckthrnkr R.S DATE B[DG. PERMIT _ WH ITE OFFICE COPY _ WHITE COUNTY TAX _ PINK PI.UMBING _ CANARY BUII-DING _ GREEN SANITATION _ GOTDENROD Conslruction to comply with uniform building code ond county covering plumbing ond sewoge disposol. All buildings require of occuponcy before being occupied. (See Stotement on Reverse Side) reg u lotions o certificole (posT THls PERMIT ON MAIN BIDG. AT s!TE) IANE COUNTY, BLDG. & SAN. DIV., COURT HOUSE, EUGENE, OREGON 9740I ronu:f955-13 q SITE INSPTCTION Appnov r o Re ttanx s Dr srppRoveo Drrr I Nspecron FOUNDATION I NSPECTION AppRoveo REuanxs Drsappnoveo Dare I ruspEcron FRAMING INSPECTION AppRov e o Drslppnoveo Dar E I xspecron Re ulnr s LATH OR SHEETROCK INSPECTION Appnovro RrulRxs Date I Nsprcton FINAL INSPTCTION AppRov e o ReManrs D r s appnovEo Dare "!,''-I ruspecroR CERTIFICATE OF OCCUPANCY REaov ro lssur Rruanx s Nor Reaov ro lssue I HspecroR J.6 a A Darr ? / -/0a(t F{*?s I D D DrsappRove o [-a D 4-#i ?,'d IANE COUNI, PERMIT TYPE _ BUILDING BUITDING PERMIT OR MCBITE HOME USE APPTICATION MOBILE HOME OSC REG. #PERMIT 73 MAILING ADDRESS ADDRESS e 3,rT PHONE oil o tocATtoN -I.UDE POST 00 PROPERTY I.EGAI DESCRIPTION TOT_BI.OCK_SUBDIV. TWP RANGE fr-f, // 4-k. 3 METES & BOUNDS n YEs ATTACHED NO IF ANY AREA oC sEc. PHONEf,7: TAX I.OT37oo CODE IEGAI ACCESS TO PROPERTY SIZE_WIDTH 3:- EXISTING STRUCTURES ONt CENSUS TRACT NAME OR DEPTH APPI.ICANT NAJTAE AND ,YtAltlNG ADDRESS FOR MOBILE HOME PERMIT ONLY Number of Bedrooms Connecl to Existing Sewoge System fl or New System R.q. E J SEWAGE DISPOSAT PTUMBING INSTATI.ED BY PUBI.IC BTDG. WASTE DIS. Ptu}tBING PTAN REVIEW PARK TRIR. TOTAI. SEPTIC TANK OTHER FEES WATER SUPPTY PUBTIC PTUMB FEES - FIXTURES CASH E CHECK ECTION FEE PUBTIC WATER CONNECTION FEE OWNER PLANS FURNISHED YES NO SIGNATURE OF PERMIT OTHER NAME FACITITY PERMIT OTHER YES DATE 3 -2J- DATE3'22"73 o6 BY z/ z F"23 COUNTY BUILDING & SANITATION SPECIFICAIIONS MIN. SEPTIC TANX CAPACITY WITH DIST. BOX: GA[. DRAIN FIELD REQUIRED tIN. IT. TRENCH WIDTH TT.OR SQUARE FEET OCCUPANCY I ZONE REAR YARD USE CTASSIFICATION PUBIIC UTII.TYPE OF STRUCTURE BI.DG. SETBACKS _ fT. FROM CTR. OF ROAD RIGHT OF SIDE INT reclions lo Find ProPerlY: Dole PIANNING SIDE EXT REAR Dote BLDG. lN ,s Dote Form # 655-12 COPY I _ OFFICE COPY 2 - JOURNAT COPY 3 - AUDIT @affi,/-- t lj