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Home My WebLink AboutPermit Building 1976-04-23n Owner LANE COUNTY PERMIT FOR PERM IT NO CONSTRUCTION [ ] IVIOBILE HOfVIE [ ] PLAN REVIEW [ ] CHANGE OF OCCUPANCY [ ] ADD R ESS ZIP CODENAMECITY PHONE tr Contractor e3.3. Ll Range--Section Q fax CITY ZI CODE Code- Census Tract Width Depth NAIVIE ADD R ESS PHON E 0.S. Reg. + Tw Ld ??P Subd ivision Lot B lock Acreage Access to Property (Road Name): ". ,trDlulY r.. Existing Structures on ProPertY: Directions to Property - Address STRUCTURE (# BEDROOIVIS)SO. FT VALUATION !r SEWAGE DISPOSAL PUB LIC SEPTIC TANK [ ]OTHER I BUILD ING PLUTVIBING 3% SURCHARGE--_--==--- MOBILE HOME- WASTE DISPOSAL PLAN REVIEW TOTAL CONSTRUCT ION PERMITS & tVIIN. SEPTIC TANK CAPACITY GALS MIN. DRAINFIELD--------------.-----'---- OWNER[ ] OTHERI NAIVI WATER SUPPLY: PROPOSED t ] EXISTING t 1 F INSPECTIONS AND LIN. FT PUB LIC COMMUNITY. NAME: PRIVATE WELL OTHER-SPECIFY: WATER POLLUT ION CONTROL SP ECIFICATIONS IVIAX. TRENCH DEPT I NCH ES L WELLSSTAY 1001 FROM AL FIRE ZONE- USE CLASSIF TYPE OF CONSTRUCTION SETBACKS- FT. FROIVI CTR' OF rAV FRONT SIDE EXT GROUP FT. FROIVI PROP. LINE SIDE INT REAR ZON E ISSUANCE DATE AUTHORIZED SIGNATURES lsl c55 -l 3 "'di[133USJl-1?,'3!ElJl1?i't"t'A'"Y6Hloo"'ff il".' BLDG. PEBMIT - WHLT-E OFFICE COPY - WHIIE COUruTY TAX - PINK PLUMBING - CANAHY 3X l\?'l-f"- T35f o' n, *oo cail 687-4065 to schedure a1r,required construction i""p"'1i9H;Siil"tBl,lT"LI3;"JB:J:"1!t'""^ii"* #::;fm;:fi:r"'t"i*1""'lf:Ht:1il'Fi#fJI"U''3":! "rii-u-'iro-i"si iequire a ""'t-iLal" ot o""rpin"v belore being occupied (see oetairs on Beverse side) IMPORTANT (POST THls PERMIT ON MAI!\BLD G. AT SITE) PLUTVIBING INSTALLED BY: I 86ILOING SITE EVALUATION () ()BUILDING PERHIT APPLICATION NO SITE INSPECTION PLANNING DIVISION Zoning 0rdinance Cornpl iance Subdivision 0rdinance Compl \\It+sU6'd'i-v I. JN T -R S TAX LOT LOT:_BLOCK: APPL I CANT DATE Not Appl icable CK.D BY: Setbacks No Yes |lffi6 a() () () () () I 2 3 4 5 : Zone_$fuA* I ance o Requi red Access Bui lding Si te (Area, Width, Frontage) 0ther (see connnents) COI4HENTS: Front ga Side Exterior Setbacks from interior I ines: Side f Rear PLANNING OIVISI APPLICATION# BUILDING INSPECTION DIVISION 7. Plans Submitted 8. Soil Stability (footings) 9. Flood Plain O. 0ther (see conunents) COHMENTS: Not I icable No Yes 1\T() () () r)() () ()CKID BY:Z' WATER POLUTION CONTROL ll. Heets Department of Environmental Qual ity Standards. 12. 0ther (see comments) Not Appl icable No-TT- () Yes14r) () ()cKr 0 BY w&/**r 4,Ll-16-v---u DATE COHHENTS: TO APPLICANT: q' rmit a Building / Site lnspection: Can be approved. Cannot be app roved at this time as indicated on item N0 Questions and further information on items I through 5 contEcT t LA c0u DIV st0N Questions and further information on items 7 t rou9 2 contact t COUNTY BUILDING N DIVISION lri I I be held in this ce unt you can reso vet eP em s indicated. ls being returned. above. f 9 g.j_s*.[e i n q t: e ! u r! e d- u n-C-*- q e D.ar-ele--qgYer -[6N'i,r E[itAL munc Eh e ur 135 Sixth A venue East Eugene Oregon 97401 PHONE z 687 -4065 Iica n c55-28 Your bui ldin LANE COUNTY PLANNII{G DIVISION PHONE:687-4t 86 -trilar l,.r i tdd aumhr: Living Y.l.r tupdt by: Publ tl,t* loal: Dirtoncc i lrqrid ccpocity dngorol lield rxh linc unilr Bcdroomr '-- Bothr rc ryrltm lndrviduol trttcm lrom vc.ll feet Moterrol qDO 9ol. lnrrde lcnqth ll. Liqurd dcPth lnrloller'r nome ' . Building Permrt number ?ropetty oddresr Eosement: Yes llc CommunrlY i;rtitn lio ol cr.n'l,or"' It. ln:rde vrdlh f Dr'.t<tn<t lr;nr Wtil l'leotert L't I'nc [ "t IcunJrili'-n D,;,,r I I .t(ecorct .,, 'nolvloual Jcw,lgc l)'-rrs:ll J) )tcltl' TO 8E COMPLETED BY INSTALLTR: NIMIT ISSUID TO:'---c-l f t.rit Hi"res Cnrpor'rt i r'n )lrrr--- - l*dlieg oddrtrr -. ,-,1 -i c Dirlrrbulion bor' Ycr :t t 15' l,lo /5o 3 150 af 1'tr Othe It lt. lr. t, It cl tcacl qron loologe betrccn ltnar ol lrltcr molcriol: Gro'cl i'.-2. cl fillrl nolcrrot orcr lrle ? + rnchcr Itl(r tta.crxrrdr' 11111111 Qtlt\ rtll 'r' -.' n t lo1'/- Othtr ,l 6..r'u - lOt , mit- Dlrrtrr- it*rl hrgth ir l, t ( t t' IG.l, . il I I r- n Owner LANE COUNTY PERMIT FOR PERIVIIT NO CONSTRUCTION [ ] IVIOBILE HOIVIE [ ] PLAN REVIEW [ ] CHANGE OF OCCUPANCY [ ] NAME ADD B ESS C ITY ZIP CODE PHONE D Contractor NAIVIE ADD R ESS CITY ZIP CODE Census Tract PHONE O.S. Reg. + Twp- Range Section-Tax Lo t Code Subd ivision Lot Access to Property (Road Name) B lock Acreage Width Depth I Existing Structures on Property: Directions to Property - Address STRUCTURE (# BEDROOTVIS)SO. FT VALUATIONI SEWAGE DISPOSAL: PUBLIC [ ] SEPTICTANK I ] OTHER [ ] PLUIVIBING INSTALLED BY: OWNER[]OTHER[] NAIVI E BUILDING PLUIV]B ING 3% SURCHARGE IVIOBILE HOIVIE WASTE DISPOSAL PLAN REVIEW TOTAL WATER SUPPLY: PROPOSED t EXISTING I PUB LIC COIVIIVIUNITY- NAME PRIVATE WELL OTHER-SPECIFY CONST RUCTION PERMITS & INSPECTIONS AND WATER POLLUTION CONTROL SPECIFICATIONS IVIIN. SEPTIC TANK CAPACITY GALS IVIIN. DRAINFIELD LIN. FT MAX. TRENCH D I NCH ES STAY,IOO'FROIVI ALL WELLS TYPE OF CONSTRUCTION GROUP FIRE ZONE USE CLASSIF SETBACKS FT. FROIVI CTR. OF r,A,A/ FRONT SIDE EXT FT FROIV] PROP. LINE SIDE INT R EAR ZON E AUTHORIZED SIGNATURES lsl ISSUANCE DATE BLDG. PEFMIT - WHITE OFFICE COPY - WHITE COUNTY TAX - PINK PLUMBING - CANABY BUILDING _ GREEN SANITATION - GOLDENROO TMPOBTANT POST THIS PERMIT ON MAIN BLDG. AT SITE) LANE COUNTY. DEPT, OF ENVIBONMENTAL MANAGEMENT COURTHOUSE ANNEX. 135 EAST 6th, EUGENE, OBEGON 97401 Calt 687-4065 to schedule all required construction inspections. Call 687-4061 to schedule all required septic system inspections. All construction shall comply with lhe State Buidling Code, D.E.Q. standards loi subjudace sewage disposal and the State Plumbing Code. All buildings require a certificate of occupancy belore being occuPied. (See Details on Reverse Side) c55 -l 3 t t t t SLAB FLOOR PLUMB ING GROUND^,ORK I rusercronAp pnov r o REulnx s DrsAPPRovEo cAS PIPING GROUND^/ORK Appnov r o REur nx s D I SAPPROVED Dare I rusprcron ROUGH PLUMEING Appaoveo /V'/ DrsappRoveo Rrlt anx s Dore A:3,O_'?L lHspecr OR ROUGH GAS PIPING Ap pnov E o RrltaRxs DI SAPPROVED Drr E I rusprcron FINAL PLUMBING AppRovro E Drsnppnovro Rr ptaRx s D Dott?/-Z-?{,*trr@ FINAL GAS PIPING Ap pRov r o Rrua Rr s DtSAPPRovED Dare ItrspEcron CERTIFICATE OF OCCUPANCY Rraov ro lssue Reuanrs D Nor Reaov ro tssue m Dare I xspecron D Dor.- D n U UWNET LANE COUNTY PERMIT FOR PERMIT NO CONSTRUCTION [ ] TVIOBILE HOIVIE [ ] PLAN REVIEW [ ] CHANGE OF OCCUPANCY [ ] NAIVIE ADD RESS CITY ZIP CODE PHONE n Contractor NAI\4 E O.S. Reg. + Twp- Range- Section Subd ivision Lot ADD R ESS CITY Code Acreage - ZIP CODE Census Tract PHONE Tax B lock Access to Property (Road Name) Width Depth Existing Structures on Property: Directions to Property - Address STRUCTURE (# BEDROOIVIS)SO. FT VALUATION SEWAGE DISPOSAL: PUBLIC [ ] SEPTICTANK [ ] OTH ERI PLUIVIBI NG INSTALLED BY: owNER[] OTHER[] NAIVI E BUILD ING PLUN4B ING 3% SURCHARGE MOBILE HOME- WASTE DISPOSAL PLAN REVIEW TOTAL WATER SUPPLY: PROPOSED t ] EXISTING t] PUB LIC COMMUNITY - NAIVIE PRIVATE WELL OTHER . SPECIFY CONSTRUCTION PERMITS & INSPECTIONS AND WATER POL LUTION CONTROL SPECIFICATIONS IVIIN. SEPTIC TANK CAPACITY GALS.t\4IN. DRAINFI ELD-- LIN. FT MAX. TRENCH DEPTH I NCH ES ST AY lOO' FROIVI ALL WELLS TYPE OF CONSTRUCTION_==- GBOUP FIRE ZONE- USE CLASSIF SETBACKS- FT. FROIVI CTR. OF rAN FRONT SIDE EXT FT. FROIVI PROP. LINE SIDE INT REAR _-- ZONE- AUTHORIZED SIGNATURES lsl ISSUANCE DATE BLDG. PERMIT - WHITE OFFICE COPY _ WHITE COUNTY TAX _ PINK PLUMBING - CANABY BUILDING _ GREEN SANITATION _ GOLDENROD IMPORTANT POST THIS PERMIT ON MAIN BLDG. AT SITE LANE COUNTY, DEPT. OF ENVIRONMENTAL MANAGEMENT COURTHOUSE ANNEX, 135 EAST 6th, EUGENE, OREGON 97401 Call 687-4065 to schedule all required construclion inspections. Call 687-4061 to schedule all required ."priily.i". inspections. All construction shall comply with the Slate Buidling Code, D.E.O standards ioiiuo6rrtace sewage disposal and the State etumOing Code. All buildings require a certificate of occupancy before being occuPied. (See Details on Beverse Side) c55-l 3 SITT INSPECTION Appnoveo D DrsrppRoveo D Re urnx s Dare I ruspecton FOUNDATION INSPECTION AppRov Rrua nx Dts PROV E DED TE I Hspecron ( FRAMING INSPECTI Appnovro Re uenx s oor, ;{'/ f - 7( rnspe crDr sappRoveo I LATH OR SHEETROCK INSPECTION Appnovro V tprsaeeRovro f-a I Hsp TOR Rrt'r l Rx s FINAL INSPECTION Ap pnov e o Reuaax s Dtsappn ED Dar r Dar E P E CTOR /, q U44 7 I CERTIFICATE OF OCCUPANCY Reaov ro lssue RrurRx s DarE F/3-76 Nor Reeov ro I ssur ?v, I NspecroR NOTE: NO PERMIT I{. BE ISST,ED I,NTIL THIS APPLICATI APPLICATION FOR: coNSrRUcrroN ^Kl MOBILE HOME PLAN REVIEW PERMTT *-%_-4 HAS BEEN APPROVED C}IAi'IGE OF OCCUPANCY OWNER Sifs.r/ N J .tH Name o Address 1ty ((o,,t {ctieo 5-9o lt)r( 27 /,1 7vo.,- . t?s-7 z>-. Census Tract c1 lvp o. s. REG. /l tion ACCESS TO PROPERIY (Road Name)HoLl ooR / Tax Lot Co de------' erty Acr eage-tl tdth?2-Dep.h-ZA- Existing Structures on ProPertY: Property Location - Address SEWAGE DISP1 Site InsPec tlon /l WATER SUPPLY: lle11 Sprlng _ Bldg. Plurnblng 3% Surcharge Waste DlsP. Plan Revlew Mobile Hone 36,a-o . r"4 tions Publlc Othe? Comunlty PLI,JMBING: Installed bY Ovner PLII{BING FEES:CI3,o-o of CASH 1on Name of CommunitY or Publlc Systen t/0 = Sq. Ft edrooms Exlsting Sewage DlsPosal SYs 0ther F Name Sewage Connectlon/;e Signature of Applicant: Fee Recelved BY: ed-L ineal Feet Water Connection FAClLIfi PERMIT YES &NO Maximum DePth = PLANS II'RNISI{ED F vns NO TOTAL Min. SePtlc Tank CaPacl CHECK Drainf fflce Usefo type of Cons tructlon Bldg I Front Setbacks - from. Center of Road Right of WaY:,-Stde Int. J Side Ilre Zone Use Class ification Rear DATE: c55-12 I,ANE COI'NTY D SANITATION: ENVI DATE: {c? e7- Zo1]^e tts l--l &z/-