HomeMy WebLinkAboutPermit Building 1976-4-30
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LANE COUNTY PERMIT FOR:.
PERMIT NO,
7GG.. 7/:
CONSTRUCTION
B. Jordan
[Xl
MOBILE HOME [ ]
Box 264 A
PLAN REVIEW
Route 10
[] CHANGE OF OCCUPANCY [ ]
Eugene Oregon 97~Ol
CITY ZIP CODE PHONE
Eugene Oregon 485-0665
CITY ZIP CODE PHONE
DOwner
o Contractor
NAME
Larry L
NAME
9328
Beaman
ADDRESS
1243 Hayes
ADDRESS
O,S, Reg, #
Twn
17
Range...2_ Section
14
Tax Lot
1300
Code
4-22
Census Tract
Subdivision NA Lot Bloc~
11/'7
Access to Property (Road Name): ? Daadman Ferry Rd
Acreagp
Width
Depth
Existing Structures on Property:
House and 3 Out Buildings
Directions to Property. Address:
Oi!adman Ferry Rd
STRUCTURE 1# BEDROOMSI
p('l~m.:t' fnr (;;n"';:'lnp
SO, FT,
~7? Iil ~ ''In
VALUATION
<!;"l!l"l1l'in
SEWAGE DISPOSAL:
PUBLIC [] SEPTIC TANK [
OTHER [J Exist
PLUMBING INSTALLED BY:
OWNER I 1 OTHER I I NAME
BUILDING
PLUMBINr:
3% SURCHARGF
MOBILE HOW'
WASTE DISPOSAl
PLAN REVIEW
28.00
"A
WATER SUPPLY: PROPOSED [ J
EXISTING []
[ J PUBLIC
( ) COMMUNITY, NAME:
( ] PRIVATE WELL
[ ] OTHER. SPECIFY'
TOTAL
?Q 011
CONSTRUCTION PERMITS & INSPECTIONS AND WATER POLLUTION CONTROL SPECIFICATIONS
MIN, SEPTIC TANK CAPACITY:
GALS, MIN, DRAINFIELD L1N, FT, MAX, TRENCH DEPTH INCHES
TYPE OF CONSTRUCTION'Ln
GROUP
"
FIRE ZON~
STAY 100' FROM ALL WELLS
USE CLASSIF,
SETBACKS, FT, FROM CTR, OF rNoJ:
FRONT 50 SIDE EXT,
FT. FROM PROP, LINE:
SIDE INT, 5 REAR
5
ZON~
Am-
AUTHORIZED SIGNATURES:
/s/ J. E. Boss b,y I'ia rbauqh
ISSUANCE DATE:
~:cKav for Grav/sanitarian 4/30/76
C:ln
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 687-4001 10 schedule all required
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)
affr/IJ~, -
(POST THIS PERMIT ON MAIN BLDG, AT SITE)
C,'.13
LANE COUNTY, DEPT. OF ENVIRONMENTAL MANAGEMENT
COURTHOUSE ANNEX, 135 EAST 6th, EUGENE, OREGON 97401
uk/t, If
BUiLDINI:. SITE EVALUATION .~r?-
rtvf', , -"
y~ IJUILDING PERMIT APPLICATION NO. --;c, c.- 7~
() SITE INSPECTION
PLANNING DIVISION Not
- ~Plirble
1. Zoning Ordinance Compliance: Zone )
2. Subdivision Ordinance Compliance ( )
3. Required Access ( )
4. Building Site (Area. Width, Frontage) ()
5. Other (see comments) ( )
COMMENTS:
T I... R () 3 S.l.LTAX LOT ~3o-t;
SUBD I vWto'N:
LOT: BLOCK:
APPLI CANT
DATE
No Yes
T)W. 6.
( ) ( )
( ) ( )
( ) ( )
( ) ( )
CK'D BY: I~, '2--1 ~ ,7'-
Setbacks from ell of ro~d:
Front :,--rJ
Side...Ex~~, lor
Setbacks from interior lines:
Side t:;'
Rear ,_
-
PLANNING D.lVISION ACTION PENDING: YE5~ } NO~ } APPLICATlON#
BUILDING INSPECTION DIVISION
Not
Appl icable
~( ~
( )
)
7. Plans Submitted
8. Soil Stability (footings)
9. Flood Plain
10. Other (see comments)
COMMENTS:
WATER POLUTION CONTROL
Not
App I icab t.e
(0
( )
II. Meets Oepartment of Environmental
Quality Standards.
12. Other (see comments)
COMMENTS:
No Yes
T)M
( ) (>>
( ) ( )
( ) ( )
CK'D By/Q H ~-~7...?~
DAT~
No Yes
T) TI
( ) ( )
CK'D BY:~,
4- -vb .7J-h
DATE
TO APPL I CANT:
Your Building I Site Inspection:
..,( ~an be approved.
o'll" ( ) Cannot be approved at this time as indicated on item NO. above.
(I/~l>~ Questions and further information on items I through 6 contact the LANE-
1 ~~ COUNTY PLANNING DIVISION. 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 permit appl ication fee Is being,x~tu~ned under seoar"te cover.
llEPARTMENT OF ~NVIRONMENTAL AANAliEMENI
135 Sixth Avenue East Eugene Oregon 97401
PHONE: 687-4065
LANE COUNTY PLANNING OIVISION PHONE: 687-4186
C55-28
I
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LANE COUNTY PERMIT FORe
/.,.../
PERMIT NO,
CONSTRUCTION [J MOBILE HOME [] PLAN REVIEW ( I CHANGE OF OCCUPANCY [ J
l Owner
NAME
ADDRESS
CITY
ZIP CODE
PHONE
, Contractor
NAME
ADDRESS
CITY
ZIP CODE
PHONE
O,S, Reg, :
Twn
Rangp
Sect ion
Tax Lot
Code
Census Tract
Subdivision
Lot
Bloc~
Acreagp
Width
Access to Property I Road Name)'
Depth
Existing Structures on Property'
Directions to Property Addrp..'
STRUCTURE (: BEDROOMSI
SQ, FT
VALUATION
SEWAGE DISPOSAL
PUBLIC I I SEPTIC TANK I
BUILDINC
PLUMBINr.
3% SURCHARGF
MOBILE HOM~
WASTE DISPOSAl
PLAN REVIEW
OTHER I I
PLUMBING INSTALLED BY,
OWNER I I OTHER [I NAM~
WATER SUPPL Y: PROPOSED [ I
EXISTING [I
[ I PUBLIC
[ I COMMUNITY NAME.
[ I PRIVATE WELL
[ ] OTHER SPECIFY
TOTAL
CONSTRUCTION PERMITS & INSPECTIONS AND WATER POLLUTION CONTROL SPECIFICATIONS
MIN, SEPTIC TANK CAPACITY:
GAlo MIN, DRAINFIELD L1N, FT, MAX, TRENCH DEPTH INCHES
TYPE OF CONSTRUCTION
GROUP
FIRE ZON~
STAY 100' FROM ALL WELLS
USE CLASSIF,
SETBACKS FT, FROM CTR, OF rlW:
FRONT SIDE EXT,
FT, FROM PROP, LINE:
SIDE INT REAR
ZONF
AUTHORIZED SIGNATURES
Is,
ISSUANCE DATE
SLOG PERMIT WHITE
OFFICE COPY WHITE
COUNTY T AX PINK
PLUMBING - CANARY
BUILDING GREEN
SANtT A TlON - GOLDENROD
IMPORTANT:
Call 687-4065 to schedule all required construction Inspeclions Call 687-4061 10 !,:hedule all reqUIred
<:.!plic system inspechons_ All construction shall comply with the Stale Buidhng Codf' D.LQ standards
IOf Subsurface sewage disposal and the Stale Plumbing COde All buildHlQS reqUire a C&I'IIIIcal8 01
occupancy before bemg occupied
($08 Details 0f1 Reverse Side)
(POST THIS PERMIT ON MAIN SLOG, AT SITE)
C \!",T
lANE COUNTY. DEPT OF ENVIRONMENTAL MANAGEMENT
COURTHOUSE ANNEX, 135 EAST 6th, EUGENE OREGON 97401
.
SITE I NSPECTI ON
ApPROVED C1 OISAPPROVED C1 DATE
REMARK S
FOUNDATION INSPECTION
ApPROVED I .......-/'..'..-DISAPPROVEO L-I DATE J-.../2 "lit.
REMARKS
FRAMING INSPECTION
ApPROVED ~ DISAPPROVli /7 DATE /")
REMARKS ./Jti4/"I-IHd j//;) ~J2 -1/'> fd.-...
,
,
LATH OR SHEETROCK INSPECTION
ApPROVEO ~ DISAPPROVED r----? DATE
REMARKS
FINAL INSPECTION
ApPROVED 0 I SAPPROVEO C1
REMARKS
CERTIFICATE OF OCCUPANCY
.
INSPECTOR
I NSPECTORM .
-.... -
INSPECTOR
INSPECTOR
DATE_,r:27df;NsPECToM/
READY TO ISSUE C1 NOT READY TO ISSUE C1 DATE
REMARK 5
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INSPECTOR
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