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Home My WebLink AboutPermit Building 1976-8-13 ',..., J\.- ~~, \.:( '..:i'- ~,t" ",. .' LANE COUNTY PERMIT FOR: . PERMIT No.I.1H 373-76 CONSTRUCTION [ 1 t-larian o Contractor NAME Same NAME NA MOBILE HOME [Xl PLAN REVIEW [J CHANGE OF OCCUPANCY [ ] l Beach 1755 Curti S Street Eugene Oregon 485-0084 ADDRESS CITY ZIP CODE PHONE DOwner ADDRESS CITY ZIP CODE PHONE 0.5. Reg. # ,Twn 17 Range~_ Section 15 Subdivision NA Lot Tax Lot ~700 - ~ Code 4-22 Census Tract .~ ") :I:? Block Acreage Width Game Farm Rd Depth None 3535 Game Farm Rd 1'1I0..n.. Or..onn Q7110l - , Access to Property (Road Name):-;<;35 Existing Structures on Property: Directions to Property - Address: STRUCTURE (# BEDROOMS) SQ. FT. P..rmit Tnr Mnh11.. ~nmA DDrm'ft. f-n Tncf-;:\11 C:&t.t"~nc ni<:pnc:::.1 c:.vcf-om 2 Bed VALUATION SEWAGE DISPOSAL: PUBLIC [J SEPTIC TANK [ BUILDING PLUMBING /1. or, 3%SURCHARGF ,~ MOBILE HOMF ~n nn WASTE DISPOSAL ?<; nn PLAN REVIEW OTHER [ ] 76-575 PLUMBING INSTALLED BY: OWNER I I OTHER I I NAME WATER SUPPLY: PROPOSED [ I EXISTING [] [ ] PUBLIC [ ] COMMUNITY. NAME: [ ] PRIVATE WELL [ ] OTHER - SPECIFY' TOTAL 59.12 CONSTRUCTION PERMITS & INSPECTIONS ANO WATER POLLUTION CONTROL SPECIFICATIONS MIN. SEPTIC TANK CAPACITY: GALS. 7SQ MIN.DRAINFIELD 100 L1N. FT, MAX. TRENCH DEPTH ~r," INCHES Drainfield to b~ locatpd pa~t of ~tak..ri Mnhi1.. Hom~ ~it... TYPE OF CONSTRUCTION GROUP FIRE ZON" STAY 100' FROM ALL WELLS USE CLASSIF. SETBACKS - FT. FROM CTR. OF r;W: FRONT 50SIDE EXT. FT. FROM PROP. LINE: SIDE INT. 11; REAR ?O ZON" ar.T :'0 AUTHORIZED SIGNATURES: /s/ J. E. Boss by Rhodes ISSUANCE DATE: Cruickshank/sanitarian 8/13/76 dlm 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 septic system inspections. All construction shall comply with the State BuidJing 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) C5!l.13 LANE COUNTY, DEPT. OF ENVIRONMENTAL MANAGEMENT COURTHOUSE ANNEX, 135 EAST 6th, EUGENE, OREGON 97401 ~~~lOI'N~_ SITE. EVALUATION .~~ .K2. BUILDING PERMIT APPLICATION NO.IJ1J.i 313-7fD () SITE INSPECTION PLANNING DIVISION Not A~l icable 1. Zoning Ordinance Compliance: Zone~JD ( ) 2. Subdivision Ordinance Compliance ( ) 3. Required Access ( ) 4. 8uildlng Site (Area, Width. Frontage) () 5. Other (see comments) ( ) COMMENTS: T n ai b~ S /~ TAX LOT~~ S~: LOT: 8LOCK: APPL I CANT DATE No Yes r~~~' ( ) ( ) ( ) ( ) CK'D 8v..;-lh-r1J-~ 6. Setbac~ ell of roa~: Front /5l) Ei't!u IiHttlriRr Setbacks from interior lines: Side Is:' Rear <?--A , BUILDING INSPECTION DIVISION PLANNING DIVISION ACTION PENDING: YES( ) NO( ) APPLICATIONH 7. Plans Submitted 8. Soil Stability (footings) 9. Flood Plain 10. Other (see comments) Not flpp I icab I e ( ) ( ) ( ) ( ) COMMENTS: WATER POLUTION CONTROL Not Appl icable ( ) ( ) 11. Meets Department of Environmental Quality Standards. 12. Other (see comments) COMMENTS: No Yes I) TI ( ) ( ) ( ) ( ) ( ) ( ) CK'D BY: ~ '1-/~-76 DATE No Yes l)~ ( ) ( ) DE>> CK'D 8 TO APPL I CANT'~ ~ Y u 8uilding I Site inspection: '~ Can be approved. ( ) Cannot be approved at this time as indicated on item NO. above. ~ Questions and further information on items I through 6 contact the LANE- JJ}-'!~ COUNTY PLANNING DIVISION. Questions and further information on items 7 ~. /I~' through 12 contact the LANE COUNTY BUilDING ANO SANITATION DIVISION. bI, ( ) Will be held in this office until you can resolve the problems indicated. ~ ( ) Is being returned. ( ) Your building permit ep'pl ication fee. is bein.q,.~~tu~n.!l.d under seoarate cnv..r. DEPARTMENT OF tNVIRONMENTAL HANA~EM~NI 135 Sixth Avenue East Eugene Oregon 97401 PHONE: 687-4065 LANE COUNTY PLANNING OIVISION PHONE: 687-4186 C55-28 . . . ~LANE' COUNTY ENVIRDNMEa MANAGEMENT . PLOT PLAN Name and Address of Owner Telephone: The building being constructed under this permit will be used for Date this property was purchased Do you now, or did you ever own property adjacent to this tax lot? If so, please list those tax lot numbers or draw those properties on the plot plan below. Indicate on your drawing the location of all homes (including mobile homes) now on the property, as well as the location of the new buildin~. ~.~.~-~. ~i; ~~;~~~~~'~lj ~~i;~=~= ;~~ ~j~~_:~l~~~~~~._ ~ t~~~~~~~~~~~~~~: . -- - - . - - ey ~-- ~I;" _ __ __ = _ _ __ - - __ - _ . _ _ _ . __.. . _ _ __ __ __ __ . _ __ n _ =:::---:::====:~Q~~DJG5=:===:===============~===============_ .- - -.- -..- .._, -" - -- ,-, - ., .u_ -. -. . -. -- _ -.- _ ,.n .- nO' -" _ -. ,.- _ -- -. __'Ii- ._ _ . _ _ _ ,. _n ._ _ .., _, _ .." _ _ ~ ~ ~~ _ ~i;' = ~ ~~ ~, ~~m i t~ ~~ _. = ~ ==: ~ m= ~= ~~ ~t: .:....;:.. ~ ~= - .=,= =... = = -;~r~:;:~ ~ --, C,! ~m===. -,., = -. =-== = i ,. -= = -- + v- '.. _;~~ ..:1, ::;! ...-.... _'... _t__~~~.~_ ==_:~. _ ~... _ ......... ... -. ,.. '_ ~ ~ ~~' -:~ ~n u ~~ ~..i _ _ ._ ... r; ~; S ~ '.~ ,.~ l- .-. '_'0 .~: -~- .~. ~~ ~:. - .:,~ -. --. ~~ _: = = .:~':-t :..: - '-:,:..:.- -.....,~ =.. .'-E;~~~!~'1C~='-.::. _;.:::::-:' ':: -; - - - i" 0/ & ,= ~ ~ :,' ~!~ . .-.. - - - - - - - - - - -- - - - -- - - - - - - - - - - - -. - ---- - - - -- --t.. .. -- - -.. - - -- ,.... Name of Applicant (if different from owner): Address Telephone Applicant's Interest: Buyer D Seller 0 Agent 0 C74-99 Map Tax Lot Permit II " . . . LANE COUNTY PERMIT FORe PERMIT NO f.;;l 37J-70 " o Contractor NAME $(r.O [ll] PLAN REVIEW [] CHANGE OF OCCUPANCY [ ] 1755 Curt1a $~roQ~ ~ugJno Or3~O~ 485-0034 ADDRESS CITY ZIP CODE PHONE CONSTRUCTION [] MOBILE HOME f.lar-'1on L Boach DOwner O.S. Reg. # NAME r~1 ADD R ESS CITY ZIP CODE PHONE . Twn 17 Range 3 Sect ion 15 Tax Lot 3J1GO Code 4-22 Census Tract Subd ivision IlA Lot Block SGr.:O Vlli"iil Rd Acreagp Width Access to Property (Road Name): Depth Existing Structures on Property: f:!li'lO Directions to Property. Address: :il535 (0:::0 Fam Rd Eynone Cronan ~7401 STRUCTURE 1# BEDROOMS) Po~1t ~or [ln~'11o Pr.rn1t to Xontnl1 SQ. FT. 2 Ccd VALUATION 1~~9 Ss~nn~ D'Isr.Qoal SVBtc~ SEWAGE DISPOSAL: PUBLIC [] SEPTIC TANK [ BUILDING PLUMBING 3% SURCHARGE MOBILE HOMF WASTE DISPOSAL PLAN REVIEW OTHER [ J J1G-!375 PLUMBING INSTALLED BY: OWNER [] OTHER [] NAM" WATER SUPPLY: PROPOSED [ ] EXISTING [J [ ] PUBLIC [ ] COMMUNITY. NAME: [ ] PRIVATE WELL [ ] OTHER. SPECIFY: 4.00 1? 30.r.O '''.0:1 TOTAL ------Sg. 12 CONSTRUCTION PERMITS & INSPECTIONS AND WATER POLLUTION CONTROL SPECIFICATIONS ~ MIN. SEPTIC TANK CAPACITY: GALS. I'tJ8 MIN.DRAINFIELD 100 L1N. FT. MAX. TRENCH DEPTH 36" INCHES r:1'Gl~nOld 1:0 1J0 lcCBt.eCl eMt oV seakotl f':JMlc 110lJl:l Site: TYPE OF CONSTRUCTION GROUP FIREZONF STAY 100' FROM ALL WELLS USE CLASSIF. SETBACKS. FT. FROM CTR. OF rlW: FRONT l:lJSIDE EXT. FT. FROM PROP. LINE: SIDE INT. 15 REAR 20 ZONe ftSY 20 AUTHORIZED SIGNATURES: Is/ J. Il. I)O~S \)y flimcios ISSUANCE DATE: Cru'lcko~Bnk/so~1tQf1ao G/13/7G dlD . 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 septic system inspections. All construction shall comply with the State Buidling Code. D.E.Q. 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) C5S.13 LANE COUNTY. DEPT. OF ENVIRONMENTAL MANAGEMENT COURTHOUSE ANNEX. 135 EAST 6th, EUGENE, OREGON 97401 , . SLAB FLOOR PLUMBING GROUNDWORK ApPROVED ~ DISAPPROVED ~ DATE REMARKS GAS PIPING GROUNDWORK ApPROVED ~ DISAPPROVED ~ DATE REMARK 5 ROUGH PLUMBING ApPROVED ~ 015APPROVED C1 DATE REMARKS ROUGH GAS PIPING ApPROVED C1 DISAPPROVED ~ DATE REMARKS FINAL PLUMBING ApPROVEO ~ O'SAPPROVEO C1 DATE_9-;2 '7~'(. REMARK 5 FINAL GAS PIPING ApPROVED ~ DISAPPROVED C1 DATE REMARKS CERTIFICATE OF OCCUPANCY READY TO ISSUE / / NOT READY TO ISSUE ;---? DATE REMARK 5 . INSPECTOR . INSPECTOR INSPECTOR INSPECTOR I NSPECT~ c;,;f/-, I INSPECTOR INSPECTOR . . .. -~ . INSTALLER: Complete top PRO~D SEWAGE DISPOSAL SYSTEH RECOR. ~ part of~rm to signature and s~bmit both ies with applicat'io'n.." :"iI! PERHIT NO.MiA ~1ry_y"/O PROPERTY ADDRESS , ' INSTALLER'S NAHE Tf3./J SO f T6- /... P/lr N No. Living Units Bedrooms Baths Basement Yes No Water SuPpJy Public ~ Other-List Septic Tank: Ft. from well Oimensions: Width Steel 0 Ft. Oiameter Concrete It:r No. Compartments Tile Oisposal Field: Oistribution Box: Yes ~ Other Oistribution-Type V Feet from WEll Lot Li ne Front 1Ft. Between Lines /0 Gal. Capacity / 000 Inside LenQth OWNER NAHE Oepth No MA-R IAN 86A C-H HA I LING I 7 or; t:; C. u ~ ..,.. / S ADDRESS Ii'!~r 0Y84(\h cp40l Le~th of Li~~ l~ench I Total Sq. .5025/)3. 4. 5. 6. Width2 Ft.:2 00 :'lot Plan (see instructions): Foundation Side Rear IF i 11 er).:; IF i 11 er Oepth IF ill er Be I ow TvpeJ UAbove Tile2 inJrile bin. O~/)DMIJJ:lg Fl5ntt'( RO 'tLJO,).. R-ECEIVE D fly = --- AUG2 G 1976 LANE COUNTY ENVIRONMENTAL MGMT. ^ l::l ~ "'^ Ii ). yJ ~{&1l- jJ RAy t; L 0 ell"" JJ , cvyt~~ ,. wlty ~ bJ.!} _ h.f!J) /Ob' . 'T\' ~ - ~ . \..- 0 r- C/1~/l-O h~ f(''l '- r 'fff:t. ~I S i Qnature .?rb.Arll-uV A~V,?; CERTIFICATE OF SATISFACTORY COHPLETiCiN ~ f; For Sanitarian Use Only:. Oate: 8',:L77.(; In accordance with 1973 Oregon Laws Chapter 835. Section 214 this certificate is iss d as evidence of satisfactory completion of a subsurface sewage disposal system at the above location. ~ Approved: System Installation conforms to current standards ~ Disapproved: Ooes not conform to current standards Remarks: ~ ~ ~ \ 'v Date jj,. 1/(';'- 2->-7 b C55-11 ~~(~E1~) , V'LANE COUNTY STATE OF OREGON OEPARTHENT OF.ENVIRONHENTAL QUALITY