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Home My WebLink AboutPermit Building 1974-04-05LANE C ,{TY BUTLDTNG E BUIIDING PERMIT OR MOBlti.*{OME USE PERMIT MH I PERMIT NO. PROPERTY OWNER MAILING ADDRESS PHONE CONTRACTOR MAILING ADDRESS PHONE PROPERTY IOCATION _ INCLUDE POST OFFICE PROPERTY LEGAT DESCRIPTION - METES, BOUNDS RANG E SECTION TAX LOT NO CODE CENSUS TRACT Joseph U. Shapitk EXISTING STRUCTURES ON PROPERTY APPT. NAME & MAITING ADDRESS LEGAL ACCESS TO PROPERTY PROPERTY SIZE - FT. WIDTH DEPTH AREA FOR MOBILE HOME PERMITS ONLY No. of Bedrooms STRUCTURES TO BE BUILT THIS PERMIT Connect to Existi Sewo e TYPE CONSTRUCTION New 'stem se. FT. # BDRMS VALUATIoN .l SEWAGE DISPOSAT PUBTIC N SEPTIC TANK tr OTHERD PTUMBING INSTATLED BY OWNER E OTHER: NAlv{E FEES WATER SUPPTY PUBUC n tr OTHER BUITDING WASTE DISPOSAI PTUMBING P[AN REVIEW PARK TRAITER TOTAT ( COUNTY BUILDING & SANITATION SPECIFICATIONS MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GA[. DRAIN FIETD REQUIRED tIN. FT TRENCH WIDTH FT.OR SQ. FT. TYPE OF STRUCTURE OCCUPANCY ZONE PUBTIC UTII.. EASEMENT BLDG. SETBACKS .- FT. TROM CTR. OF ROAD RIGHT OF WAY USE CTASSIFICATION FRONT SIDE INT.SIDE EXT REAR AUTHORIZED SIGNATURE _ DATE DATE BTDG, PERMIT _ WHITE OFFICE COPY _ WHITE COUNTY TAX _ PINK PTUMBING _ CANARY BUII.DING - GREEN SANITATION _ GOLDENROD Call 687-4065 to schedule oll required inspections. All construc- tion sholl comply with Uniform Building Code, D.E.Q. sfondords hiPORTANT: for subsurfoce sewoge disposol ond county regulolions covering plumbing. All buildings require o cerlificole of occuponcy before being occupied. (See Defoils on Reverse Side) (posT THls PERMIT ON MAIN BIDG. AT SITE) IANE COUNTY, DEPT. OF ENVIRONMENTAT MANAGEMENT COURIHOUSE ANNEX, I35 EAST 6th, EUGENE, OREGON 9740I ronu$q55-13 JS'/'H ( ) Buitdins permit App't-lcation r". ?4V-Zl ( ) Site lnspection ( ) Pre-Permit tnvest igat ion 2 ,7 rAx Lo T SO/,-7, 2 flaf S E NAhE ADDR PHONE DATE L/iNt COUNTY PLANNING DEPARTITENT NOT NO YES NA}1 E DrrTE Zon i ng Ord i nance Comp I i ance(zone,4?f Subdivision 0rdinance Compl ian Requ i red Access eppl icable ) ce (I (tr () () () ({ () vr (tr ) 2 ') 4 5 () () ( () Bu i ld ing S i te (Area, h, idt h, Frontage, Setback) 0ther (see comments) ().7 7**-.- 3-.a8-z;/ COM}4ENTS: BUILDING INSPECTION SECTION 6. Plans Submitted 7. Soil Stability (footings) 8. Flood Pl a in 9. 0ther (see Conrnents) NOT NO EFp't icab le() (\, rlr (\) YES NAHE () () () ( ( ) /c /() () COHHENTS: SAN I TAT I ON SECT I ON 10. Sewage Disposal ll. Usable Area 12. Water Supply I l. 0t her (see Comments) () () () () ) ()() ) () () NOT NO YES E DATE cable - ) ( CO}1},IENTS: TO APPL I CANT: Ll-5 6?fr Your Building Permil / Site lnspection Can be approved. Cannot be approved at this time as indicated on iten, N0.above. Questions and f COUNTY PLANN ING urther infornrat ion cln itenrs I through 5 contact the Lane- DEPARTMENT" Quest ions .rnd further infornat ion on itefi 5 ( ( ( throuqh l3 contact the Lane courrlf_a_gildi13j!.r 5anitation Division. IJil I be held in this otFff,Tnf:ilr, .*;;,-lre r ilTfcatr:d. ls being returned. Your buildinq pernrit applitat ion fee is being returned under separatc crry'€r'. LANF COTIN'IY I'I /\NN ING DEPART}4ENT I ,lf 5 i,xf lr Averr0e Iast, Eugerre, 0r cg()n 97\Ol l'lttrNE 3{2 l'ttl E)tl. 231 lANt: C0tJNl'Y titJlLDlNG & S/\NlTATl0N DIVIS l0N l3t Six0h Av€rrurr East, Irrrlerrr', 0reqon 9740 1 Pr{oNlt 1q2-tlt| [xr. 4ll M55 - 28 DATE ,r// ( tANE ITY BUILDING PERMIT OR MOBItt. -JOME USE PERMII . PERMIT NO.BUILDING MH PROPERTY OWNER MAITING ADDRESS PHONE I CONTRACTOR MAITING ADDRESS PHONE I Gae- o t&{l&Bt PROPERTY LOCATION _ INCLUDE POST OFFICE PROPERTY LEGAL DESCRIPTION _ METES, BOUNDS SECTION TAX LOT NO CODE CENSUS TRACTRANG E EXISTING STRUCTURES ON PROPERTY APPt. NAME & MAII.ING ADDRESS h S, ihtltkr LEGAT ACCESS TO PROPERTY llit 3 PROPERTY SIZE _ FT. WIDTH DEPTH AREA FOR MOBILE HOME PERMITS ONLY No. of Bedrooms Connect to Existing Sewoge System !New System ! STRUCTURES TO BE BUILT THIS PERMIT TYPE CONSTRUCTION se. FT. # BDRMS VALUATIoN mlly fril Adlt lO{? SEWAGE DISPOSAL PUBrrc f]SEPTIC TANK tr OTHERE OWNER n OTHER: NAME PLUMBING INSTATLED BY (F EES WATER SUPPTY PUBLIC N N OTHER BUILDING WASTE DISPOSAL PIUMBING PTAN REVIEW PARK TRAITER !l ITOTAI. COUNTY BUILDING & SANITATION SPECIFICATIONS MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GAL. DRAIN FIEI.D REQUIRED tIN. FT TRENCH WIDTH FT.oR so. FT, tut m Frft of rqt ofirrtructlfr (ilrr 3iliilsgs Sltoorsl TYPE OF STRUCTURE OCCUPANCY ZONE PUBTIC UTIt. EASEMENT BIDG. SETBACKS FT. FROM CTR. OF ROAD RIGHT OF WAY SIDE INT. SIDE EXT. USE CLASSIFICATION FRONT REAR / J.E, Eorr AUTHORIZED SIGNATURE - DATE DATE BI.DG. PERMIT _ WHITE OFFICE COPY _ WHITE COUNTY TAX _ PINK PLUMBING _ CANARY BUILDING _ GREEN SANITATION - GOTDENROD Coll 687-4065 to schedule oll required inspections. All construc' tion sholl comply with Uniform Building Code, D.E.Q. stondords IMPORTANT: for subsurfoce-sewoge disposol ond counly regulolions covering plumbing. AII buildings require o cerlificole of occuponcy before being occupied. (See Detqils on Reverse Side) (posT THls PERMIT ON MAIN BIDG. AT SlrE) LANE COUNTY, DEPT. OF ENVIRONMENTAT TAANAGEMENT COURIHOUSE ANNEX, I35 EAST 6Th, EUGENE, OREGON 9740I ronu lf 655- 13 Dare SIT[ INSPECTION AppRov r o Re uaRx s D r s appRov D I nseectoR FOUNDATION I NSPECTION Ap pRov E o D r s appRoveo DarE I useecton Reua nx s -v c FRAMING INSPECTION Appnov r o Rruanx s ru DrsappnovEo D Darr -30-I Nsprcron e LATH OR SHEET Ap pnov r o REurnxs I NSPTCT I ON Dr snppnoveo ,or, ,-6'(u 7 4 {4I uspEcro et FINAL INSPECTION Ap pRov r o Rruanx s -.'Dtsrppnoveo D oo-,, b'-: i 1('tNSPEcroR CERTIFICATE OF OCCUPANCY Reaov ro I ssuE RrurRx s |{'t-F( -2,rE,{ % ,J/ I HsprcroR LI D Nor Rraov ro lssur D Drre LANE COUNTY BUITDING PERMIT OR MOBILE HOME UsE APPTICATTON ?/? - 7/ PERMIT TYPE - BUILDING y' MOBILE HOME I=']OSC REG.#PERMIT PROPERTY OWNER + 4LENE L Zs-te-7/- et*,g,ziVXsrr tyi^?ic sT ,Z DD iTt ail @#'i',i&?B-" ot l'j MAITING ADDRESS MAILING ADDRESS IA, LOCATION _ INCTU ICE Yl. 2/ PROPERTY TEGAT DESCRIPTION LOT-BI.OCK_SUBDIV.VErxlt u fz*T TWP GE SEC.r,lx Lor f CODE CENSUS TRACT DESCRIBE EXISTING STRUCTURES ON IF ANYAPPTICANT NAME AND MAITING J l{ooss l"AJ 77/4 GtRaar ar? -/ ^/GS ts ADDRES. ET:GENE OR E 2?o FOR MOBILE HOME PERMIT ONLY Number of Bedrooms 4dE Z/ * +i+s t il6f ret6LEGAT ACCESS TO PROPERTY _ ROAD NAME OR PROPERTY SIZE_WIDTH DEPTH o AREA 37oa 4 Connecl to Existing Sewoge Syste m ! or New System Req.E STRUCTURES TO BE BUITT THIS PERMIT Kor-.n aZ/ TYPE CONSTRUCTION hn /Z---,-,^e ?l)'Ct2.oo ?vtr.oa SQ. FT.# eEDRooMS VALUATToN T/rr,r,2 u a SEWAGE DISPOSAT PTUMBING INSTATTED BY PUBTIC SEPTTC TANK tl oTHER n o FEES WATER SUPPTY PUBTIC PLUMBING FE OWNER OTHER NAME PLANS FURNISHED YES NO NATURE OF APPTICANT FACITITY PERMIT OTHER YES DATE BtDG. WASTE DIS. PTUMBING PLAN REVIEW PARK TRI,R. 7- FEE RECEIVED BY DATECASH CHECK SEWER CONNECTION FEE PERMIT PUBTIC WATER CONNECTION FEE COUNTY BUILDING & SANITAT|ON SPECI DRAIN FIEID REQUIRED TIN. FT. TRENCH WIDTH FT. 27,ooTOTAI MIN. SEPTIC TANK CAPACITY wlTH DIST. BOX: GAI. S OR SQUARE FEET al TYPE OF STRUCTURE OCCUPANCY ZONE REAR YARD PUBTIC UTIT. EASEMENT€ l'/t BTDG. SETBACKS _ FT. FROM CTR. OF ROAD RIGHT OF WAY USE CI.ASSIFICATION FRONT SIDE INT Dote rections to Find Property: SIDE EXT -nrrn 5 t'3-38-Dole BLDG. INSP. a COPY I _ OFFICE COPY 2 - JOURNAI. COPY 3 _ AUDIT Form # q55-12 A *sif Dote