HomeMy WebLinkAboutPermit Building 1976-1-14
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"I LANE COUNTY PERMIT FOR: it;
PERMIT NO. 36-76
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CONSTRUCTION [X] MOBILE HOME [] PLAN REVIEW [
CHANGE OF OCCUPANCY [ J""
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DOwner' 'BrandelJfeld. Fred
, NAME
ltJ Contractor A..n~ WhIt..
NAME
LeaburQ, Or.
AODRESS CITY
ZIP COOE'
PHONE
343-4247
PHONE
.
q81 Filmore, Euaene. Or.
ADDRESS
97402
CITY
ZIP COOE
O.S. Reg. # Ilaw.
Twn I:'
Range-1l~
Sect ion-2.' - 4 - 4 Tax Lot 6200
Code
19-03
Census Tract 21-300
Subdivision N6
Lot
Block
Acreage
Width
Access to Property (Road Name):
r..Amp, F:fIrm Rd_
Depth
Existing Structures on Property'
nw,,11tnn
Directions tD Property. Address:
lC~ r.~A ~~rm Rd_
STRUCTURE (# BEDROOMS)
SQ. FT.
VALUATION
Re-roo~lng & Change eaves
Est. Cost
I
1,100.00
SEWAGE DISPOSAL:
PUBLIC [J SEPTIC TANK Ix] OTHER [ 1
PLUMBING INSTALLED BY:
OWNER I laTHER r 1 NAME
BUILDING
PLUMBING
3% SURCHARG"
MOBILE HOM"
WASTE DISPOSAL
PLAN REVIEW
Pena 1 ty Fee
TOTAL
11.00
.33
WATER SUPPLY: PROPOSED [ ]
EXISTING [J
[ ] PUBLIC I
~] COMMUNITY - NA,ME:
[ ) PRIVATE WELL I
[ ] OTHER - SPECIFY:
Ralnb01lJ
11.00
22.33
CONSTRUCTION PERMITS & INSPECTIONS AND WATER POLLUTION CONTROL SPECIFICATIONS
MIN. SEPTIC TANK CAPACITY: I
GALS MIN. DRAINFIELD L1N. FT. MAX. TRENCH DEPTH INCHES
I
TYPE OF CONSTRUCTION
GROUP
FIRE ZON"
STAY 100' FROM ALL WELLS
USE C LASSI F.
SETBACKS - FT. FROM CTR. OF r!W:
FRONT SIDE EXT.
FT. FROM PROP. LINE:
SIDE INT. REAR
ZON"
t"
AUTHORIZED SIGNATURES:
/sl J. E. BOSS. BY W, MORELOCK
ISSUANCE DATE:
1-14-76 jh
BLDG. PERMIT - WHITE
OFFICE COPY - WHITE
COUNTY TAX - PINK
PLUMBING - CANARY
BUILDING - GREEN
SANITATION - GOLDENROD
IMPORTANT:
Call 687-4065 10 schedule all required construction inspections. Call 687-4061 to schedule all required
septic system inspections. All construction shall comply with the Slate 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)
C!iS.13
LANE COUNTY, DEPT. OF ENVIRONMENTAL MANAGEMENT
COURTHOUSE ANNEX, 135 EAST 6th, EUGENE, OREGON 97401 i
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(POST THIS PERMIT ON MAIN BLOG. AT SITE)
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'4.BUI~DING SITE EVALUATION .
( ) . BUILOING PERMIT APPLICATION NO.
() SITE INSPECTION
PLANNING DIVISION Not
AplJl icabl~
1. Zoning Ordinance Compliance: Zone J ()
2. Subdivision Ordinance comPlianCfJ/ ()
3. Required Access (
4. Building Site (Area, Width, Fron g ( )
5. Other (s~e comments)
T <~.R o.3s--,.).'(.tT'AX LOT b..2r>1l
SUBOIVI N:
LOT: BLOCK:
APPL ICANT4..-- ~~./~
OATE //''''/"/?7 ,,-
, "..
CK'O BY:
Setbacks from cll of road:
Front
Side Exterior
Setbacks from interior lines:
Side
Rear
COMMENTS:
\
./
./
/
PLANNING DIVISION ACTION PENDING: YES( ) NOl ) APPLICATION#
Not
Applicable No Yes
Environmental () r) TI
() (~
.// ~
vt'/
/1 :,x::
/Ji~
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1./
BUILDING INSPECTION DIVISION
Not
Applicable
( )
( )
( )
( )
7. Plans Submitted
8. Soil Stability (footings)
9. Flood Plain
I D. Other (see comments)
COMMENTS:
WATER POLUTION CONTROL
11. Meets Oepartment of
Quality Standards.
12. Other (see comments)
COMMENTS:
r) myes
( ) ( )
( ) ( )
( ) ( )
CK'O BY:W'P14 - /.. /4-'7k
DATE
CK'D BY:
DATE
TO APPLI CANT:
Your Building I Site Inspection:
~tan 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-
COUNTY PLANNING OIVISION. Questions and further information on items 7
through 12 contact the LANE COUNTY BUILDING AND SANITATION DIVISION.
( ) Will be held in this office until you can resolve the problems indicated.
( ) Is being returned.
( ) Your building I?ermit aEplication fee is bein.q..~~tu~n,!l.d under seoarate cover.
.EPARTMENT OF i::NVIRONMENTAL MANl\liEMEtotl
135 Sixth Avenue East Eugene Oregon 97401
PHONE: 687-4065
LANE COUNTY PLANNING DIVISION PHONE: 687-4186
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C55-28
. 'l,B~ It;l~lS SITE EVALUAT ION :I\~:
( ). ~UILDING PERMIT APPLICATION NO. 30-?C,
( )
T ~;'.--R o.3S.,.?,.;>.'(.(tTAX LOTb-2",
SUBDIVI N:
'-.' -
LOT:
BLOCK:
SITE INSPECTION APPLlCANTg..-",_ .J:,_/~~./f:M!.:'..t;:~
, DATE //~/ 74' ..-
PLANN I NG 0 I V I S ION Not Il. .. -"
, Appl i cabrtle. No _Yes' - /CK'D BY:
I. Zoning Ordinance Compliance: Zone I () v' ~) ~/6. Setbacks from cll of road:
2. Subdivision Ordinance Compl iance !1 / () () (....) Front .
3. Required Access II (/) C,Y'() Side Exterior
4. Building Site (Area, Width, Front'age) ( ),....-Y( ) ( ) Setbacks from interior lines:
5. Otryer (see comments) / ' (..---) () ( ) Side':' /, './1)
, / Rear
COMMENTS: /
/'
..
;
;'
PLANNING DIVISION ACTION PENDING: YESl
i
BU1LOING INSPECTION DIVISION
} NOl } APPLICATlONl/
7. Plans Submitted
8. Soil Stability (footings)
9. Flood Plain
10. Other (see comments)
Not
Appl icable
( )
( )
( )
( )
No Yes
\) r:r
( ) (:)
( ) (1)
( ) (()
CK I D BY :lL~ P11
I~ I q.. 7.!:-~
OATE
COMMENTS:
COMMENTS:
Not
Applicable No Yes
Envl ronmen.tal () \) ~
() () (....)-
/l/ ~
.fUr-'
/I.rv/(.
/!(-fi
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f/
CK'D BY:
WATER POLUTION CONTROL
II. Meets Department of
Quality Standards.
12. Other (see comments)
OATE
TO APPLI CANT:
Your Building I Site Inspection:
I
'(,<) Can be approved.
( ) Cannot be approved at this time as indicated on item NO. above.
Questions and further information on items 1 through 6 contact the LANE-
COUNTY PLANNING OIVISION. Questions ,and further information on items 7
through 12 contact the LANE COUNTY BUILOING AND SANITATION OIVISION.
( ) Will be held in this office until you can resolve the problems indicated.
( ) Is being returned.
( ) Your building permit application fee is .beinq ~~tur:.(litd undJU:.....S"oarate cover_
DEPARTMENT OF tNVlRONMEN1AL HANAlil::MI:.NI
135 Sixth Avenue East Eugene Oregon 97401
PHONE: 687-4065
LANE COUNTY PLANNING DIVISION PHONE: 687-4186
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C55-28
.'
. LANE COUNTY PERMIT FOR: .
t...-
..
.
PERMIT NO
CONSTRUCTION [J MOBILE HOME [ ] PLAN REVIEW [] CHANGE OF OCCUPANCY [ )
Owner _
NAME
- - --
ADDRESS
CITY
liP CODE
PHONE
Contractor
NAME
ADDRESS
CITY
ZIP COOE
PHONE
O.S. Reg. "
Twp
Range
Section
Tax Lot_
Code
Census Tract
Subdivision
Lot
Block
_ Acreage
Width
Access to Property (Road Name):
Depth
Existing Structures on Property:
Directions to Property Address:
S-rf1UCTURE I" BEDROOMS)
SQ. FT.
VALUATION
SEWAGE DISPOSAL:
PU~~II; i i SEPTIf< TANK I
BUILDING
PLUMBING
3% SURCHARGr
MOBILE HOME
WASTE DISPOSAL_
PLAN REVIEW
OTHER I 1
PLUMBING INSTALLED BY
OWNER I 1 OTHER I i NAME
WATER SUPPLY: PROPOSED I i
EXISTING I I
I ] PUBLIC
[ ] COMMUNITY NAME
I I PRIVATE WELL
I J OTHER SPECI FY
~.
TOTAL
CONSTRUCTION PERMITS & INSPECTIONS ANO WATER POLLU1ION CONT Ad\. Sl'tCIFICATIONS
MIN. SEPTIC TANK CAPACITY'
GALS, MIN, DRAINFIELO L1N. FT MAX, TRENCH DEPTH _ INCHES
TYPE OF CONSTRUCTION
GROUP _
FIRE ZONE,
STA Y 100' FR-(J't.\ ALL WCLLh
USE CLASSIF
SETBACKS FT
FRONT
FRdM d~ OF rf'vV:
SIDE EXT
'"'
FT. FROM PROP LINE
SIDE INT. REAR
ZONE
AUTHORIZED SIGNATURES:
Is
ISSUANCE OA TE
SLOG PERMIT WHITE
OFFICE copy WHITE
COUNTY TAX PINK.
PLUMBING - CANARY
BUILDING - GREEN
SANITATION - GOlDENROO
IMPORTANT:
Call 687-4065 \0 schedule all reQuired canstruchon inspections. Call 687-4061 10 .chedule all requited
~ptlC system Inspections. All construChon shall comply with the State BU1dhng Cooe, D.E.Q standards
lor subsurface sewage disposal and the Stal", Plumbing Cooe All bUildings reqUirE a c".-llhcate at
r:upancy tlPfOff! being OC/:Upled
(See [)(>Iails on Rever~~ Side)
(POST THIS PERMIT ON MAIN BLOG. AT SITE)
LANE COUNTY OEPT OF ENVIRONMENTAL MANAGEMENT
COURTHOUSE ANNEX 135 EAST 6th. EUGENE OREGON 97401
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SITE I NSPECTI ON
ApPROVED Cl 01 SAPPROVED Cl DATE
INSPECTOR
REMARKS
FOUNOATlON
~ ..c::t;~~~~ .
OATE "L~~-::. oJ 2P}\.j~"t~ '.~P-
ApPROVEO
REMARKS
FRAMING INSPECTION
ApPROVED Cl Ot SAPPROVEO 17 DATE
INSPECTOR
REMARKS
1
.
LATH OR SHEETROCK INSPECTION
ApPROVED L----I DISAPPROVED ~ DATE
INSPECTOR
REMARKS
"
FINAL I NSP;;~'
ApPROVED DISAPPROVED ~
1~ ".Jjd'~ &(
DAT~ W/eINSPECTOl-':1:...
REMARKS
CERTIFICATE OF OCCUPANCY
REAOY TO ISSUE Cl NOT REAOY TO ISSUE Cl OATE
INSPECTOR
REMARKS
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