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Home My WebLink AboutPermit Building 1974-05-22IANE COUN-, BUTLDTNG E BUITDING PERMIT OR MHE MOBIIE HO,V{E USE PERMIT PERMIT NO. .] I PROPERTY OWNER MAILING ADDRESS PHONE CONIRACTOR MAITING ADDRESS PHONE PROPERTY LOCATION - INCLUDE POST OFFICE PROPERTY LEGAL DESCRIPTION _ METES, BOUNDS It RANG E SECTION ,4, 1 TAX LOT NO# r/o/CODE CENSUS TRACT {exnv Bexsn EXISTING STRUCTURES ON PROPERTY Oh,ELL I NG APPT. NAME & MAITING ADDRESS TEGAL ACCESS TO PROPERTY .i PROPERTY SIZE - FT. WIDTH DEPTH AREA FOR MOBILE HOME PERMITS ONLY No. of Bedrooms Connect to Existing Sewoge Sysrem f New System tr STRUCTURES TO BE BUILT THIS PERMIT TYPE CONSTRUCTION SQ. FT. # BDRMS VALUATION l0x8O FnAHE SEWAGE DISPOSAT PUBLIC tr SEPTIC TANK E oTHERn PI.UMBING INSTATTED BY OWNER E OTHER: NAME $FEES WATER SUPPTY PUBUC E N OTHER BUITDING WASTE DISPOSAI PTUMBING PTAN REVIEW PARK TRAITER TOTAL COUNTY BUILDING & SANITATION SPECIFICATIONS MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GAt. DRAIN FIEID REQUIRED TIN. FT TRENCH WIDTH FT.OR SQ. FT. ur No ptnT or Nfy coNErRucTtox ovfR SEpTrc Dtsposru SygTEx. TYPE OF STRUCTURE OCCUPANCY ZONE PUBLIC UTIT, EASEMENT .J BI.DG. SETBACKS FT. FROM CTR. OF ROAD RIGHT OF WAY FnONt il .r Stor tNr. 1/' ,r: i 'I S|DE ExT. USE CLASSIFICATION REAR AUTHORIZED SIGNATURE - DATE J.E. Boes av Cmrles HARtAUoH J. 5i'loox DATE BLDG. PERMIT _ WH ITE OFFICE COPY _ WHITE COUNTY TAX _ PINK PLUMBING _ CANARY BUITDING _ GREEN SANITATION _ GOLDENROD Coll 687-4065 to schedule oll required inspeclions. All construc- tion sholl comply with Uniform Building Code, D.E.Q. stondqrds II,IPORTANT: for subsurfoce'sLwoge disposol ond county regulolions covering plumbing. All buildings require o cerlificote of occuponcy before being occupied. (See Detoils on Reverse Side) (posT THrs PERMTT oN MAIN BLDG. AT SITE) LANE COUNTY, DEPT, OF ENVIRONMENTAT MANAGEMENT COURTHOUSE ANNEX, I35 EAST 6Ih, EUGENE, OREGON 9740Ironu tg55-13 BU. INd S ITE EVALUAT ION ( ) Building Permit Appl ication No. ( ) S ite lnspect ion ( ) Pre-Permit lnvestigation *\ Js/ci flDt-l-7 APPL I CANT NN'lE L-Z/B-L ADDR PHONE DATE LANE COUNTY P LANN ING DEPARTMENT NOT () (l () NO I . Zon ing 0rdinance Compl iance (Zone 1f,/ 2. Subdivision 0rdinance Compl iance 3. Requ i red Access 4. Bu i ld ing S ite (Area, uridth, Frontage, Setback) 5. 0ther (see comments) YES NA}4E eabc ) ) () (( ( ( ()() bry {*t r1> y COil}lENTS: BUILDING I NSPECTION SECTION NOT NO YES M () DATE aool icable--Tr-()5. Plans Submitted 7. Soi I Stab i I ity (foot ings) 8. Flood Plain g. Other (see Conments) () ( ( () () () ) ) 'J-'7/'f4 CO}.IHENTS: SAN ITATION SECT!ON 10. Sewage Disposal I l. Usable Area 12. Water Supply 13. 0ther (see Comments) NOT NO YES icable (() () () () ) () () () ) ) ) C0l'tllENTS: - TO APPL ICANT: (;^t\1r"6 Your Building Permit / Site lnspection: }d' Can be approved. '() Cannot be'approved at this time as indicated on item N0 above' Questions and further information on items I through 5 contact the-Lane-- couNTy PLANNING DEPARTMENT. Questions and further information on items 5 throug contact t Count Buildi and Sanitation Division Will be held in this of ce unt i you can reso ve the problems "","a.ls being returned. your buitaing permit appl ication fee is being returned under seParate cover () () () I,ANE COUNTY PI,ANNING DIVISION l-35 Sixth Avenue East, Eugene, Oregon 9740L Phone (503) 687-4186 LANE COUMY ENVIRONMENTAL MANAGE}'IEM 135 Sixth Avenue East, Eugene, Oregon 97401 Phone (503) 687-4065 c55-28 ) DATE I NA},IE DATE fi LANE COUI _ / BUILDING '_-] BUIIDING PERMIT OR MOBItE HtzME USE PERMIT MH I PERMIT NO. PROPERTY OWNER MAITING ADDRESS PHONE CONTRACTOR MAIIING ADDRESS PHONE PROPERTY TOCATION - INCLUDE POST OFFICE PROPERTY LEGAT DESCRIPTION - METES, BOUNDS T RANG E SECTION TAX LOT NO CODE CENSUS TRACT TI' EXISTING STRUCTURES ON PROPERTY rAPP[. NAME & MAII.ING ADDRESS TEGAT ACCESS TO PROPERTY PROPERTY SIZE - FT. WIDTH DEPTH AREA FOR MOBILE HOME PERMITS ONLY , No. of Bedrooms Connect to Existing Sewoge System TYPE CONSTRUCTION se. FT New m BDRMS VALUATIONSTRUCTURES TO BE BUILT THIS PERMIT SEWAGE DISPOSAT PTUMBING INSTALTED BY OWNER I OTHER: NAMESEPTIC TANK ! OTHEREPUBt_rC I BUITDING F EES WATER SUPPTY PUBr.rC tr n oTHER $_ WASTE DISPOSAT PIUMBING PtAN REVIEW PARK TRAII.ER COUNTY BUILDING & SANITATION SPECIFICATIONS MIN. SEPTIC TANK CAPACITY WITH DIST. BOXI GAL. DRAIN FIEI.D REQUIRED I.IN. FT TRENCH WIDTH FT OR SQ. FT f ftB ptr? ot TYPE OF STRUCTURE OCCUPANCY ZONE PUBTIC UTIt. EASEMENT BLDG. SETBACKS FRONT FT. FROM CTR, OF ROAD RIGHT OF WAY SIDE INT. SIDE EXT. USE CTASSIFICATION REAR AUTHORIZED SIGNATURE - DATE DATEmfsIT BLDG. PERMIT _ WHITE OFFICE COPY - WHITE COUNTY TAX _ PINK PLUMBING - CANARY BUITDING - GREEN SANITATION _ GOTDENROD 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 regulotions covering plumbing. All buildings require q certificqte of occuponcy before being occupied. (See Detoils on Reverse Side) (posr rHls PERMIT oN MAIN BLDG. AT SITE) LANE COUNTY, DEPT. OF ENVIRONMENTAL MANAGEMENT COURTHOUSE ANNEX, I35 EAST 6th. EUGENE, oRfgON t'7401 ronu lf 655- 13 L - SITI INSPECTION Ap pnov r o Rr ttaRx s Dtslppnoveo Drre I ruspecron FOUNDATION INSPECTION AppRoveo Rrnanxs Dr sappnoveo Drr r 0 -'3 -r4 I rusprcton FRAMING INSPECTION AppRov e o Rr uanx s Dr slppRoveo ooru $'n'1/I xsercroR LATH OR SHEETROCK AppRovro Rrtt a Rx s , INSPTCTION Dr sappRoveo Dar r IttsPe CtOn F I NAL I NSPECT I Ap pRov e o ReMaax s D r srppaoveo oor, ,6.1'7/I Nsetcton CERTIFICATE OF OCCUPANCY REaoY ro lssuE ReuaRx s D Nor Rerov ro lssuE D Dnre _ t/-7 (// tr/37 I NSPEcToR D d D eJ* # LANE COUN * BUILDING PERMIT OR MOBITE HOME UsE APPLICATION PERMIT TYPE - BUILDING X MOBILE HOME ! OSC REG. #PERMTT #?o y '?/ MAITING ADDRESS CONTRACTOR PHONE PROPERTY I.OCATION _ INCTUDE POST PROPERTY IEGAL DESCRIPTION LOT-BLOCK_SUBDIV. TWP RANGE 3 sEco)dG ug /,9 METES&BOUNDSDYES ATTACHED NO AREA TAX tOT CODE CENSUS TRACT DESCRI EXISTING STRUCTURES ON PROPERTY IF ANY tEGAt TO PROP NAME oR # PROPERTY SIZE-W DEPTH APPLICANT NAME AND MAITING ADDRESS FOR MOBILE HOME PERMIT ONLY Number of Bedrooms STRUCTURES TO BE BUILT TH PERMIT Connect to Existin TYPE CONSTRUCTION System I or New System R SQ.,t.@ sL BEDROOMS VATUATION /ct X SEWAGE DISPOSAT PTUMBING INSTALI.ED BY PUBUC tr BLDG. WASTE DIS. PTUMBING PTAN REVIEW PARK TRLR. TOTAT SEPT OTH ER F EES WATER SUPPTY PUBI-IC PLUMBING - FIXTURES cAsH E CHECK ONNECTION FEE PUBTIC WATER CONNECTION FEE OWNER OTHER PLANS FURNISHED FACILITY PERMIT YES f]OTHER NO SIGNATURE OF ERMIT DATE DA /{, oo ro 2 COUNTY BUILDING & SANITATION SPECIFICATIONS MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GAL. DRAIN FIETD REQUIRED tIN. FT. TRENCH WIDTH FT.OR SQUARE FEET t-++ TYPE OF STRUCTURE OCCUPANCY BLDG. SETBACKS _ FT. FROM CTR. OF ROAD RIGHT OF WAYv/ 5s 7- NT SIDE INT, i-ections to Find Property: COPY I - OFFICE COPY 2 _ JOURNAL COPY 3 _ AUDIT ZONE REAR YARD USE CTASSIFICATION PUBLIC UTIL. EASEMENT Ie PLANN BLDG. INSPDqle SIDE EXT 7, PUL - 7/'? Dqte Form # c:s- t2 ""ffh"U'rE R, HEDx t/ * //7/3,s7ryJZ/Z 2/z-q"37 / raatrNb ADDRESS pHoNE -,*-r/Sa,+r-9-- s f, ctd