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HomeMy WebLinkAboutPermit Building 1975-06-23[ANE COUNTY /q'7 3"'7s u.-,TDING PERMIT OR MOBITE HOME. .JE PERMIT MH I PERMTT NO. 'lBUILDING texlus InvAstment MAILING ADDRESS Eugene, Oregon PHO}.I E 9740? CONTRACTOR MAITING ADDRESS PHONE PROPERTY I.OCATION _ INCTUDE POST OFFICE Turr l{. m N.I6th frurr Hayden Brldge Rd. to flrst culdsac on left. Corner lot. PROPERTY LEGAL DESCRIPTION _ METES, BOUNDS RANG E 03 SECTION TAX LOT NO CODE CENSUS TRACT 20-ED-l 5017,e.{ # 3 8oo EXISTING STRUCTURES ON PROPERTY none APPT. NAME & MAITING ADDRESS TEGAT ACCESS TO PROPERTYI. l6th PROPERTY SIZE - FT. WIDTH DEPTH AREA FOR MOBILE HOME PERMITS ONLY No. of Bedrooms Connect to Existing Sewoge TYPE CONSTRU ON n New se. FT BDRMS VALUATIONSTRUCTURES TO BE BUILT THIS PERMIT SEWAGE DISPOSAL PUBUC n SEPTIC TANK n OTHERE PLUMBING INSTATI.ED BY OWNER n OTHER, NAME (F EES \MATER SUPPLY PUBUC n BUII.DING WASTE DISPOSAT PIUMBING PTAN REVIEW PARK TRAII,ER TOTAT 25.00 $_''- -- X OTHER COUNTY BUILDING & SANITATION SPECIFICATIONS MIN. SEPTIC TANK CAPACITY wrTH D|ST. BOX: GAI-. '1, DRAIN FIELD REQUIRED uN.FT'. TRENCHwrDTHrt.i -'-; oRse.FT,300 TYPE OF STRUCTURE OCCUPANCY ZONE PUBTIC UTI[. EASEMENT BLDG. SETBACKS FT. FROM CTR. OF FRONT SIDE INT. ROAD RIGHT OF WA Y SIDE EXT. USE CLASSIFICATION REAR 7, PUE AUTHORIZED SIGNATURE - DATE DATE /r/ ,t. E. Boss av Cx. HrnBruoH Sxoox/srrrrARrlN BI.DG. PERMIT _ WHITE OFFICE COPY _ WHITE COUNTY TAX - PINK PLUMBING - CANARY BUII.DING - GREEN SANITATION - GOTDENROD Coll 687-4065 to schedule oll required inspections. All construc- tion sholl comply with Uniform Building Code, D.E.Q. stondords- Ii PORTANT: for subsunfoce sewoge disposol ond counly regulolions covering plumbing., All buildings'require o certificqle of occuponcy before . bqing occupied.' I (See Detoils on Reverse Side) (posT THls PERMTT ON MAIN BIDG. AT SITE) LANE COUNTY, DEPT. OF ENVIRONMENTAT MANAGEMENT COURTHOUSE ANNEX, I35 EAST 6th, EUGENE, OREGON 9740I ronu t 655- 13 OWNER I,AIr{E COI]NTY ENVIRONMENTAL T"IANACTMENT PLOT PLAN Name and Address of Owner Telephone:=-- The building being constructed under this permit will be used for Date this property was Pu rchased Do you now, or did you ever own property adjacent to this tax lot? If so, please list those tax 1ot numbers or draw those properties on the ploE plan below.- Indicate on your drawing the location of a1l homes (including mobile hornes) now on the property, as well as the location of the new building. A -1 l l eL \).,,_,, ! t 1 t I L I I .l \ I I r I I I Ip ,1,u Name of Applicant (if different from owner): Address Teleph one Map Tax Lot Applicantrs Interest: Buyer M74-99 Sel-l-er Agent Permit /i J t / \ {n () ggl!0 r NG "s lrE. EV4LUAT I oN BUI!DING PERHIT APPLICATION NO. /479-?< SITE INSPECTION Not I ic ble Zon i ng 0rd i nance Cornp I iance: Zone \?-r Subdivision 0rdinance Compl iance Reoui red Accessguitaing Site (Area, VJidth, Frontage) Other (see conrnents) TlL oS s z* rAx Lor SUBDIVISIO,*LOT: BLOCK: APPL I CANT DATE PLANNING DIVISION cK'D BY &f alu /xSetbacksffi Front Side Ex Setbacks from Side Rear ter i or i nter I 2 3 4 5 No YesI-l CtI 6. lrtyi()(A) () () () () () or nes: COI{HENTS: PLANNTNG DlVlSl0N ACTION PENDING: Y (TNo( ) APPLIcATIo BUILDING INSPECTION DIVIS ION Plans Submitted Soil Stabil ity (footings) Flood PIain 0ther (see conrnents) Not 7 8 9 0 Aool icable*--Tr U)(l )() w() ()CKID BY Nor)() () () COHMENTS: t.,ATER POLUT ION CONTROL Not I l. l'leets Department of Environmental Qual ity Standards. 12. Other (see comments) Aool icable No CI TD (, Yes ()()CK'D BY: DATE CO}t}lENTS: TO APPL ICANT: V through l2 contact t ( ) tli I I be held in this ,h \4; 6 Your Building / Site lnsPection: f\) C"n be approved. tJc"nnotbe.approvedatthistimeasindicatedonitemN0.#bove. Questions and further information on items I through 5 contact the LANE- COUNTY PLANNING DlVlSt0N" Questions and further information on items 7 he LANE NTY BUILDING AND SANITATION D VISION. ce unt you can reso vet ePr c55-28 Your buildin LANE COUNTY PLANNING DlVlSlON PH0NE: 687-4186 I ems cated. ) ls Ueing returned. rmit a I ication fee is bein NTAL 135 Sixth Avenue East Eugene Oregon t pH9NE | 6gl_4065 74ot Re*itrE Tr.J, lt't'''t I I NSTALLER: ^?POSEO SEWAGE DISPOSAL SYSTEH R lDComplete toP parl uf form to signature and submit borh copies with application PERI'1 TNO 't\t3-Jj JSNonrn 16rn No. L V rooms Basement Yes No s ater u P Publ ic v 0ther-L i st ePt c Ft. frorn well Steel ns ons: th 1,,id NA},TE Rrx tus lr'rvrsruerur MAILING ADDRESS P0 Box No. Cornpartments Gal .capacl ty I AOO e sPosa e Di tribution Box Yes NoterstrutOn- ne Concrete h Foundat i on Eueenr, OREGoT'r Front 5t /a Be oh, ile tn OF F c0H For Sanitarian Use 0nly:l4c 76 ln accordance wi th 1973 Oregon Laws Chapter 835, Section 214 this certifica i s i ssued as evidence of satisfactory cornpletion of a subsurface sewage disposal system at the above I ocat i on.fF npproved: System lnstallation conforms to current standards fJ Disapproved: Does not conform to current standards Remarks: r L I P iameter - t.J lteet L nes-Ft. 4 Width r I sq. tod etween/oFt. B Lines er ept ove Ti le Vin r c on , d b {b 0I RECEIUf,". D By 1 f JAN 2 i.r 1970 LANE COUNTY ENVIRONMENTAL MGMT. I na ure tar an LANE COUNTY STATE OF OREGON DEPARTHENT OF ENVIRONHENTAL QUALITY c55-1I ure tr I i s PERMIT /I NOTE: NO PERMIT WILL * ISSI]ED UNTIL MIIS APPLIC'ATION ., BEEN APPROVED APPLICATION FOR: CONSTRUCTION K MOBILE }IOME PLAN REVIEW CTIA}IGE OF OCCUPA}ICY rx owxsn/PFdlftS Ta) Vps*naAff P,O,Dox AzTb 4t*Evr ?t\o* ? gb!+ Z-t"L ---- N;;;Add;Es s City zip Phone CONTRACTOR 6A*te Name Address Tax Lot City Code zip Phone o. s. REG. /i d/ 5-y *r. l7 *"gu O 3 s." subdivlslon Dlge=l(OS f ACCESS TO PROPERfi (Road Name)fi/,/6tft tion "t--A-property census trr.t 20 -rD- /-$7 Lot B1o Exlsting Structures on Property ?lo--,o Property Location - Address/Oirections:rP L ?? t A %, /6 Below for Offlce Use Sq. Ft Valuatlon SEWAGE DISPOSAL: A>Z3a-.a,a!) sire rnspecrr"" k*.8*,Existing Sewage Disposal System or New System Required WATER SUPPLYI Well FEES: B1dg. I,laste Disp. Plumbing Plan Review Moblle Home 1Z Surcharge Public Community fu,DSpring0ther PLUMBING Installed by Owner .?tf; eD PLI'ltsING FEES --**tt of Fixtures Dr Name of Conmunity Public System Other r Signature of Applicant Fee Received By Water Connection FACILITY PERMIT YES Date: S tlon HED CASH NO TOTAL 2'f, o tl Mln. Septlc Tank Capacl 8o'u ed - Lineal Feet l(=o 2ield Type of Construction Group \--- Fire Zone LANE COI]NTY D OF EIWIRONMEN Use Classlflcation ,2J- Bldg Setbacks - from Center of Road Fronr 40: slde rnt. .{ Right of Way:h'Side Exterior Rear cs5- 12 DATE: i---l A\+ Acreage tr/ iarl[Do"pth-/.!r, +---*"