HomeMy WebLinkAboutPermit Building 1976-9-13
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PERMIT NO.
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CONSTRUCTION [] MOBILE HOME [] PLAN REVIEW [] CHANGE OF OCCUPANCY [ 'J
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NAME ADDRESS CITY ZIP CODE . PHONE
LANE COUNTY PERMIT FOR:
...
0.5. Reg. #
Twn 1-:7 '.. Range '- ~ Section_ d) -:J. J. ~xLot 2f?ffJer Code L/-t, 2-
(J . "f)' f.) 0 -:- J( ~ -e. -
[Jt!iJ~i sion r: fl 0'2 J fjJ, 1.1 ) oli6, f Block.s-- . Acreage
Access to Property (Road Name)' (1/1,/1 rI;__4/;1 Ct (! (.I)~
Existing Structures on Property' 1--;;.)''".;1' .../-< ()-
Directions to Property - Address: ) 76 ~(;; CvI dtA: .& 0 - it) tk.A....d-
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V
Census Tract
Width
Depth
STRUCTURE (# BEDROOMS)
_. Ii II . J
)tj\ ,d1 /1.'1. ....; A j7
l f1;~ jr f JI ~ r /IA"V7 I /,
....,',.. 'h.)/lV f .-"-' -77
/(1. j' .;t?r/ , / "Al r
'-./ ",.......~ "[7
SQ. FT.
VALUATION
A
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L/ ;(' A\":: I /
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B'UILDING
PLUMBING
'3':(~ SURCHARGE
MOBI'-'E HOMF
WAS:P!= DISPOSAL
PLAN REVIEW ./
SEWtXGE DISPOSAL:
PUB'LIC[] SEPTIC TANK [] OTHER [
4 <I. 0 n
f.? ,/rt-,,)
7. u7
PLUMBING INSTALLED BY:
OWNER [] OTHER [] NAMF
WATER SUPPLY: PROPOSED [ ]
,EXISTING []
[ ] PUBLIC .
[ ] COMMUNITY -NAME:
~ '. .- .
[ ] PRIVATE WELL
[ ] OTHER - SPECIFY:
/' C';' '1 "" fl.... ,..~'
&-1 ";{_r'7'_"J. {J I. .1
....... r;..~e:.- rf I r'] t 1
,~".~.. ...."..--:"'._-'.~~...,...;;x.,'--::;:-,. ~.~
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'-TOTAL
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->,t., CONSTRUCTlorr PERMITS & INSPECTIONS AND WAfER Pt>t:L'tJTION.CONTROqSP"ECIFICATlONS
MIN. SEPTIC TANK CAPACITY:
GALS. MIN. DRAINFIELD
.J\iJl':{j/l..J.", ,'"., !:l.t'rtuA.A ~
/.1 fl, q I
~tk~
L1N. FT.
'Jfijft/..;,.. .....h" k
II . .
MAX. TRENCH DEPTH
/'J..---..rf t" .ta,c..;~ in F
(7
INCHES
~~ ",IA t7 ./ ,:.. ./ . "d' ..-.~ .
() . if -- -
. " STAY 100' FROM ALL WELLS
USE CLASSIF. hP.Jl.AA f~.1.t1r>.A~.I
TYPE OF CONSTRUCTION, ".,.~v GROUP
r
FIR E ZONF
..';1'
AUTftlo. i IZED SIGNATURES:
/s/ \":-31 C J g - f ',d)-
'// '- .. -
BdG PERMIT - WHiTE ' ", .
OFFICE COPY - WHITE
COUNTY TAX - PINK
PLUMBING - CANARY
BUILDING - GREEN .
SANITATION - GOLDENROD
FT. FROM ~B:Qp.. LINE:.&::.. I
SIDE INT. !--oS;;; I REAR R. >>
ttt.:i.'lJV
/J4~ ~ :~_~~,;'--vwll.".I ~ f/ d' / ;?? (I;'
{..r P" "'. ISSUANCE DATE:
7 c" Md.a.~/t:;~ruA q -) ~ ' I~
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Call 687-4065 to schedule all required construction inspections. Call'687-4061 to schedule all required
IMPORT ANT: septic system inspections. All construction shall comply with the State Buidling Code, DEO. standards
for subsurface sewage disposal and the State Plumbing Code. All buildings require a certificate. of
occupancy before' being occupied.
ZONF
f? ~!~
'" -- q ,
SETBACKS - FT. FROM CTR. OF r/W:
FRONT de:: I SIDE EXT.
I' -....(I'P .
(See Detai Is on Reverse Side)
(POST THIS PERMIT ON MAIN BLDG. AT SITE)
C55.] 3
LANE COUNTY, DEPT. OF ENVIRONMENTAL MANAGEMENT
COURTHOUSE ANNEX, 135 EAST 6th, EUGENE, OREGON 97401 '.
SLAB FLOOR
PLUMB ING GROUNa,.JORK
~
ApPROVED I
I DISAPPROVED I
REMARKS
GAS PIP I NG GROUN[}.,JORK ,
ApPROVED, I
I DISAPPROVED I
REMARKS
ROUGH PLUMBING
ApPROVED I
I DISAPPROVED I
REMARKS
.'
ROUGH' GAS P I'r I NG
ApPROVED I
I DISAPPROVED I
REMARKS
FINAL PLUMBING
,.....
ApPROVED /\// DI SAPPROVED I
R01ARKS /lU.J IU €-R
,u , i '- 1_
FINAL GAS PIPING
ApPROVED I
I DISAPPROVED I
REMARKS
CERTIFICATE OF OCCUPANCY
'READYTO ISSUE I
I DATE
I DATE
I DATE
I DATE
\, ~
, '\.
~t-.
,
.\
INSPECTOR
INSPECTOR
INSPECTOR
'l?
INSPECTOR
I DATE~-'~ INSPEC~.ztt'Z)
;:::-, .IU I c: #-.1 \
. z. t
I DATE
I .NOT READY TO ISSUE' I
REMARKS
I DA TE
INSPECTOR
INSPECTOR
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LANE COUNTY PERMIT FOR:
CONSTRUCTION
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DOwner' "%1. j.f ~
, Ii'.' NAME
t./ '\
o Contractor \
\ NAME
[] MOBILE HOME
.cfr"
PLAN REVIEW [ J
PERMIT NO.
~J;b'-7~
CHANGE OF OCCUPANCY [ ]
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/}IP CODE
-/
,
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/., /.
PHONE
) .. :' i "._
PHONE
ADD.R ESS
CITY
~ ;:..~
ADD F1 ~SS' ...
CITY
ZIP CODE
0.5. Reg. #
i '-) \
Twp I . , Range"
. ~:;~rl ~. t: ;(.
Subdivision;." . <," i
Section
J, -r~x Lot (i
Code ,-.j
L, Census Tract
"Lot
-. -'.' <.~
'B lock '~.....)
Acreagp
Width
Access to Property (Road Name):
,
:I
J' ;'~
. i
'. .~. /!j
. t"(~.....J
. . Depth
Existing Structures on Property:
I
j' " <"" _~1~
Directions to Property - Address:
, '. ",.AI' 'd,'" "
j 7/~5'~; t~I~~:J
,
rjl
r?- i
QvtJLuL
(lj
',i:i
'STRUCTURE (# BEDROOMS)
l'
SQ. FT.
VALUATION
;~~l'?':'
!L....t .J' ," ,f'
J" .
,;:;(
1-;/'
~ '.,i
~
l
f
l f
~I
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./
SEWAGE DISPOSAL:
PUBLI<:; [] SEPTIC TANK [
(/;/,
OTHER [
PLUMBING INSTALLED BY:
OWNER [] OTHER [] NAMF
WATER SUPPLY: PROPOSED [ ]
EXISTING []
[ ] PUBLIC
[ ] COMMUNITY - NAME:
[ ] PR IVATE WELL
[ ] OTHER - SPECIFY:
I.;
o.
,
"I
BUILDING
PLUMBING
:-'3% SURCHARGF
MOBILE HOMF
WASTE DISPOSAl
PLAN REVIEW
,-
. ,
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CONSTRUCTION PERMITS & INSPECTIONS AND WATER POLLUTION CONTROLlsPECIFICATIONS
MIN, SEPTIC TANK CAPACITY:
GALS. MIN, DRAINFIELD
,l.__,.t~l ?/
91
TOTAL
L1N. FT.
MAX. TRENCH DEPTH
INCHES
TYPE OF CONSTRUCTION
GROUP
FIRE ZONF
STAY 100' FROM ALL WELLS'
USE CLASSIF.
'-
SETBACKS - FT, FR.OM CTR. OF r!W:
FRONT ,/ , SIDE EXT.
FT. FROM ~ROP'tLlNE:
SIDE INT.._~' REAR
-~,
ZONF
",',
. -,.
,:!lJ;"
AUTHORIZED SIGNATURES:
",:"":.
i' ~ r -'~ J
/s/ . '1" ' ~#' J' ;f
. '~-.zr. ",~::t-..
Ii?,
I '. J
ISSUANCE DATE:
BLDG. PERMIT - WHITE
OFFICE COPY - WHITE
COUNTY TAX - PINK
PLUMBING - CANARY
BUILDING - GREEN
SANITATION - GOLDENROD
IMPORTANT:
Call 687-4065 to schedule all required construction inspections. Call 687-4061 to schedule all required",,- l' "
septic system inspections. All construction shall comply with the State Buidling Code, D.E.a. standards '--
for subsurface sewage disposal and the State Plumbing Code. All buildings require a certificate of;
occupancy before being occupied.
(See Details on Reverse Side)
(POST THIS PERMIT ON MAIN BLDG. AT SITE)
C55-13
LANE COUNTY, DEPT. OF ENVIRONMENTAL MANAGEMENT
COURTHOUSE ANNEX, 135 EAST 6th, EUGENE, OREGON 97401
,<#
J
SITE INSPECTION
""o.YEO N 0> 0' "',"OYE 0 I I 0, TE 10 - ';ft </'c, N"CO 'DO 7 A_:/
REMARKS
FOUNDATION INSPECTION
ApPROVED 1//'/- 0 I SAPPROVED
;/
REMARKS ~. <fP-
I
/ I DATE 1:2 -3 -7C' I NSPECTOR W~
L1.J~ @~ -I.-. ~ lov_~_7i:~
FRAMING INSPECTION
,
ApPROVED ~~ DISAPPROVED I
/
DATE I~ -~ -16
INSPECTOR
~
1/
REMARKS
LATH OR SHEETROCK INSPECTION
-'"
ApPROVED }.,L J DISAPPROVED I
;; ---
/ DATE /2-/5 ~1h INSPECTOR Qr-{d
I'~
REMARKS
. FINAL INSPECTION
ApPROVED ~/ DISAPPROVED I I DATE 7.-- 2---77 INSPECTOR )&rf
REMARKS
CERTIFICATE OF OCCUPANCY
READY TO ISSUE I I NOT READY TO ISSUE I / DATE
INSPECTOR
REMARKS