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Home My WebLink AboutPermit Building 1975-04-28LANE l.^''NTY BUITDING PERMIT OR MOBI BUILDIN,.. .I MH T HOME USE PERMIT PERMIT NO. PROPERTY OWNER MAILING ADDRESS PHONE CONTRACTOR MATLING ADDRESS i0Box 2876 PHONE PROPERTY LOCATION - INCLUDE POST OFFICE {onrn l?rx ro PnGpEnrv PROPERTY TEGAL DESCRIPTION - METES, BOUNDS 2588 N" lTth RANG E SECTION TAX LOT NO CODE CENSUS TRACT 4 El 0+ EXISTING STRUCTURES ON PROPERTY ':Erlus lxvglt APPL. NAME & MAITING ADDRESS OX LEGAL ACCESS TO PROPERTY lr :'- EuGgrsg, 0nccoN PROPERTY SIZE _ FT. WIDTH DEPTH AREA FOR MOBILE HOME PERMITS ONLY No. of Bedrooms Connect to Existing Sewoge System I New System I STRUCTURES TO BE BUILT THIS PERMIT ,letx TYPE CONSTRUCTION se. FT. # BDRMS VALUATIoN Srcoxo JOb so.r i.',- SEWAGE DISPOSAT PTUMBING INSTATTED BY PUBTIC SEPTIC TANK tr BU ITDING WASTE DISPOSAT PI"UMBING PTAN REVIEW PARK TRAII-ER ' i lc r: TOTAT F EES OWNER WATER SUPPTY PU BL IC OTHER: NAME OTHER $ eog,5i COUNTY BUILDING & SANITATION SPECIFICATIONS MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GA[. DRAIN FIETD REQUIRED TIN. FT TRENCH WIDTH FT. : '- 'I OR SQ. FT TYPE OF SIRUCTURE OCCUPANCY PUBTIC UTIT. EASEMENTZONE BLDG. SETBACKS FRONT FT. FROM CTR. OF ROA.D RIGHT OF WAY SIDE INT. SIDE EXT. USE CTASSIFICATION REAR AUTHORIZED SIGNATURE _ DATE OOII/SAil$TARIAH DATE BLDG. PERMIT _ WHITE OFFICE COPY - WHITE COUNTY TAX - PINK PLUMBING _ CANARY BUILDING _ GREEN SANITATION _ GOLDENROD 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 county regulolions covering plumbing. All buildings require o certificote of occuponcy before being occupied. (See Detoils on Reverse Side) (POST THIS PERMTT ON MA|N BLDG. AT SrTE) LANE COUNTY, DEPT. OF ENVIRONMENTAT MANAGEMENT COURTHOUSE ANNEX, I35 EAST 6rh, EUGENE, OREGON 9740Ironv * 655- 13 OTHERN II_ SUPPLEMENT TO BUILDING PERMIT NO^ Lone County, Oregon OWNER CONTRACTOR MAILING ADDRESS ILING ADDRESS -PROPERTY ADDRESS I ADDTTION:I CORRECTTON: CHANGE RESULTS IN: .A REFUND OF FEE, OR n ADDIT]ONAL FEE: BUILDING SEPTIC TANK SANITARY CONNECTIONS TOTAL DATE FEE PAID s_Date-- s trtr Cash Check LANE COUNry DEPT. OF HEALTH & SANITATION supplement Ng .1934 5t, B G St e-!lTION T ST*IVISION: APPL I CANT DATE TAX LOTs ( ) BUTLoTNG pERHrr AppLiaATroN No. ( ) strE rNsPEcrtoN PLANNING D lvlst0N Zon i ng Ord i nance Cornpl i ance: Z Subdivision 0rdinance Compl iance Requi red Access COI{ilENTS: Bui lding Site (Area, Width, Frontage)Other (see cornments) () () () BLOCK Setbacks from i nter i or I i nes: Side Rear iiii"ii;ffi Front ya' side Exteriorr I € Not A I icable No Yesf) lt 6.()(y)( ) (r)( ) (/l) ( ) ( ') I 2 3 4 5 PLANN I NG 0rvtston ACT ION-PENDT NG: YESf-f No ( I ATPI I CAT t0N# BUILDING INSPECTI0N DtVlStON Not 7 8 9 0 Plans Submitted Soi I Stabi I ity (footings) Flood Plain 0ther (see connrents ) COMMENTS: Yes w() () I icab Nor)() () ()CKID BY:q'tu I.,ATER POLUTION CONTROL CO}IHENTS: ll. l{eets Department of Environmental Qual ity Standards. 12. Other (see comments) Not Appl i cabl e ) No Yesr) YT ()\, ( ()LCKID BY: DATE TO APPLICANT: {- ( Y ( ( our Building / Site lnsPection: ) Can be approved. ) Cannot be approved at this ti Questions and further informa C0UNTY PLANNING DlVlSl0N" Qu me as indicated on item N0 tion on items I through 5 contact t LA above. through l2 cont act the LANE COUNTY B D NG ANO SANITA estions and further informa vet tion on iteils-T 0N Dlvl5l0N. P( ( ) },ill be held in this off ce unt i you can reso c55-28 Your bui ldin ems indicat ed. ls being returned. ermi t I i cati fee is n AL 135 Sixth Avenue East Eugene Oregon PHoNE 2 697_4065 LANE COUNTY PLANNING DIVISION PHONE: ENT 97401 587-4t 85 *--i / LANE 1UNTY BU\LDTNG PERMIT OR MO - HOME USE PERMIT PERi'A\I NO BUlLDlt --MHN PROPERTY OWNER CONTRAc,TOR I'.TATTTHC ADDRESS I.AA\L\NG ADDRESS PHONT PHONT PROPERTY TOCATION _ INCTUDE POST OFFICE PROPERTY LEGAL DESCRIPTION - METES, BOUNDS RANG E SECTION TAX LOT NO CODE CENSUS TRACT EXISTING STRUCTURES ON PROPERTYAPP[. NAME & MAITING ADDRESS LEGAI- ACCESS TO PROPERTY PROPERTY SIZE _ FT. WIDTH DEPTH AREA FOR MOBILE HOME PERMITS ONLY No. of Bedrooms Connect to Existing Sewoge System [ ]New System tr STRUCTURES TO BE BUILT THIS PERMIT TYPE CONSTRUCTION sQ. FT. # BDRMS VALUATIoN SEWAGE DISPOSAI PUBUC n SEPTIC TANK n oTHERn PI.UMBING INSTATI.ED BY OWNER TI OTHER: NAME BUITDING WASTE DISPOSAT PI.UMBING PTAN REVIEW PARK TRAILER s F EES WATER SUPPTY PUBUC !N OTHER TOTAL MIN. SEPTIC TANK CAPACITY wlTH DIST. BOX: GA[. COUNTY BUILDING & SA DRAIN FIEI.D REQUIRED I.IN. FT NITATION TRENCH WIDTH FT. SPECIFICAIIONS OR SQ. FT. TYPE OF STRUCTURE BIDG. SETBACKS FT. FROM CTR FRONT OF ROAD RIGHT OF WAY SIDE EXT. OCCUPANCY ZONE USE CLASSIFICATION PUBTIC UTIT. EASEMENT REAR AUTHORIZED SIGNATURE _ DATE DATE BI.DG. PERMIT _ WHITE OFFICE COPY - WHITE COUNTY TAX _ PINK PTUMBING _ CANARY BUITDING - GREEN S,ANITAIION _ GOI.DENROD cdll 687'4065 ro schedure--orr required inspecrions. A, consrruc- , { poR rA N r: }:,.," . i !: J;".I'll# J: rt;Hj m r*1 " :;1;;,r; *,, :ll,:iit f *#':.t,$l'rb u i rd i i e s'"; ; i;''."'r rirl, il ;;';;,;;;.i'o"ro rJ (See Defoils on Reverse Side) (POsr rHtS PERlr,:"l"mii,."x.-#11,,"#,:,",:[.]I[tfi[::#],ii, FoRM .* C 55 _ J3 SIDE INT. SLAE FLOOR PLUMB ING cROUNDt4llRK A p pRove o REMnRx s GAS PIPING GROUND/ORK AppRoveo D DrsrppRovro REuanxs ry Drsappnoveo D DArE :;- /2 - 2f rrusprcroa '-{ Darr I wspEcron ROUGH PLUMBING APPRovED /V7 Dtsaepnove o Reuanrs D oorr{-r182-tr,tspec ROUGH GAS PIPING Appnovro ReulRr s D DtsappRoveo D Dar r I ruspecron FINAL PLUMBING APPROVED N Re t"ir Rr s D r sappRoveo ao.,? -2 l-I NspectoR FINAL GAS PIPING Ap pRov r o Reuanx s f--7 DtsapPRovro / /Dnte I t'rs pE cron CERTTFICATE OF OCCUPANCY Rraov ro lssuE n Nor REaov ro lssut C/ Drre lxsercron- ReulRx s J ._.tl,lttVtf fO SAUDTNG lone County,Oregon PERA,I 5-q R.,XOWNER CONTRACTOR PROPERTY ADDR I ADDITIoN: o - S\-r ILING ADDRESS MAILING ADDRESS \r\\r tr ooRRECTION CHANG LTS lN: tr REFUND OF FEE, OR ADDITIONAL FEE BUIhDING SEPTIC TANK SANITARY CONNECTIONS TOTAL DATE FEE PAID $-7-T."u> .?.n.g; LANE COUNITY DEPT OF HEALTH & SANITATION 'supplement Ng .1934 \bq -L/-- iF*;*' ls - LANE C' '\ITY BUILDING PERMIT OR MOBII' '{OME USE PERMIT BUILDING -,1 MH tr PERMIT NO. PROPERTY OWNER MAITING ADDRESS PHONE CONTRACTOR MAII-ING ADDRESS PHONE PROPERTY IOCATION _ INCI.UDE POST OFFICE PROPERTY LEGAL DESCRIPTION - METES, BOUNDS RANG E SECTION TAX LOT NO CODE CENSUS TRACT EXISTING STRUCTURES ON PROPERTYAPPt. NAME & MAILING ADDRESS \ \o\.t $TEGAT ACCESS TO PROPERTY PROPERTY SIZE - FT. WIDTH DEPTH AREA FOR MOBILE HOME PERMITS ONLY No. of Bedrooms Connecl to Existing Sewoge System f New System I STRUCTURES TO BE BUILT THIS PERMIT TYPE CONSTRUCTION se. FT f BDRMS VALUATToN SEWAGE DISPOSAT PUBTIC N SEPTIC TANK tr OTHERT PLUMBING INSTAIIED BY owNER n oTHER, NAME BU ITDING WASTE DISPOSAL PTUMBING PLAN REVIEW PARK TRAILER F EES WATER SUPPTY PUBLTC tr tr OTHER $_ TOTAL COU UILDING & SANITA ON SPECIFICATIONS MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GAI.. DRAIN FIETD REQUIRED I-IN. FT TRENCH WIDTH FT TYPE OF STRUCTURE OCCUPANCY ZONE PUBLIC UTIL. EASEMENT BI.DG, SETBACKS FT. FROM CTR. OF ROAD RIGHT OF WAY USE CLASSIFICATION FRONT SIDE INT.SIDE EXT REAR AUTHORIZED SIGNATURE _ DATE DATE BLDG, PERMIT WHITE OFFICE COPY _ WHITE COUNTY TAX - PINK PLUIY\BING - CANARY BUI[DING _ GREEN SANITATION. GOTDENROD coll 687-4065 to schedule oll required inspections. A, consrruc-tion sholl comply wirh uniform Eiuilding dtl",-'o.e.o. srondqrdsIIvIPORIANT: for subsurfoc.e'slwoge disposoi ;il-;;i,"i.;1ls;lotion. coveringplumbing. All buildings require q cerrificqte of occuponcy beforE being occupied. (See Detoils on Reverse Side) (posT THls PERMIT ON MAIN BLD@ AT SlrE) LANE COUNTY, DEPT. OT ENYIRONMENTAT MANAGEMENT COURTHOUSE ANNEX, I35 EAST 6Ih, EUGENE, OREGON 9740I ronv = 655- 13 OR SQ. FT. a & SITE INSPECTION Appnov r o Rruaaxs D r sAPpRovE Dare I Nspecron FOUNDAT I O AppRovro N I NSPECT Rru aRx s h D r sappRovro Dare lNs - t "7,5 FRAMING INSPECTI App nov r o Reu Drsappnov o oor, 04 - ?s'/ ar- I NseecroR LATH OR SHEETROC PECT I ON Ae paov E o RrttrRx FINAL INSPECTION DrsappRovE o f--J Dnr 3 I NSPEcro -?tr e-"{Ap pRov r o ReuaRxs Dr slppRoveo DarE I NspEcro CERTIFICATE OF OCCUPANCY Reaov to lssur D Nor Rraov ro lssue D Dnre llseecroR- RruaRx s 7&{-r5-/7 / ) PERMIT /i NOTE: NO PEk._ - WILL BE ISSUED TNTIL THIS APP*.iATION HAS BEEN APPROVED APPLICATION FOR: Qgs-qS, CONSTRUCTION F MOBILE }IOME PLAN REVIEI,I CHAI{GE OF OCCUPA}ICY OWNER S ilq z..-6 Address City zip , ba;727 vCONTRACTOR Name o.s. REG. /l Twp Sect Subdivl,s Existing Structures on Property: Property Location - Address/Dj.rections: f oct------.'1f-rroperty Acreage ess City one 3.ITax Lot,Code Census Tract LoE i,,id afi4loepttl\;! Str ACCESS TO PROPERTY (Road Nane)sn -\.f,.{\ +)sg6(\\ UseBelowr Sq. Ft Existlng Sewage Disposal Systeul Pub11c Comunity "S D 8CC,Valuation Sb Br-t\,-e or New System Requlred of Corornunity or Publlc Systen GA Site Inspectlon WATER SI'PPLY: Well FEES: BIdg. Waste Disp. Plunblng Plan Review Moblle Hone 1Z Surcharge TOTAL r-\ -5i1 Sprlng 0ther PLWBING: Installed by Orsner CASH PLTN{BING FEES: \ \ E r3 lr or Fi*tures \{=_ Sewage Connection PLANS FURNI YES Signature of Fee Received By Water Connection FACILITY PERMIT YES Date: \h*{ .oo 6q oo L\-o* Name NO NO a\-[1 Min. Septic Tank Dralnfleld Requ lred - Lineal Feet Maxlmum Dep th Type of Construc Flre Zone Use ClassiflcatLon Bldg Setbacks - frm Center of Road Rlght of I'Iay: Frortt /e side rnt. f, Slde Exterior Rear .S-zone Aef (nrr\ cs5- ra LANE COI]NTY D TT,IENT OF E}WIRONMENTAL MANAGM',IENT DATEDATE:BUILDING: \ (sC) capactty-flQf)--