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HomeMy WebLinkAboutPermit Building 1975-11-21 ,.., . :'~ >r--'~""" . ',;1' ;:c-r' '~ :1' -, (.'.... J . ' \ . .<. ;~~.~'.~" .~~-~ ~~ ,-. . '''\'' " "-1.. ,:', l I, . lANE COUNTY PERMIT Fa: PERMIT NO. 308~l-75 ;';'" CPNSTRUCTION JX l .;. . MOBILE HOME '[ pLAN REVIEW CHANGE OF OCCUPANCY [ ] ~.. ~ ;0 Owner '11'1t'1 \I :~I\);q~tllO NAME '~D Contractor: SAt'lE. NAME, ADDRESS '~PDI ""r:&r2. rrr t\ ODC"nnt.." 071177 p , CITY ZIP CODE' , , Pf;iOI\J.E";,,, , 741:':'1'559 CITY ZIP CODE PHONEi'('", 1QQ7 I.l\iia Nn, \,JA v 1:\'bbRESS'~ 'o.S. Reg. #' NA Twp 18 ' ,Range 3 "Section t>1'L 3.3Tax Lo~ liTH' ADOI nON, FiLBERT GROVE Lot 42 ' Block 7t.oO Code Census Tract :Subdivision 2 " Ac~eagp Width Access to Property (Road !\lame)' , tNI 'ANn' ViA V Depth Existing Structures on Property' Directio(lS to Property" Address:, '('.AIH'nRT ,f)\.tf!'1 I I Nr. :1 -' 1007 1~1I' ANn WAY STHlH::TUHE (# S'EDROOMS) " tA~pn~. IMTA n~Qia~ SQ. FT. VALUATION $" ~.4o.oo i:\7& ~. ~L~' '" . ~ I .....1.1: ,.~,_SEWAGE DISPOSAL: 'PUBLIC [] SEPTIGTANK [ OTHER [ PLUMBING IN$TALLEDBY: ,.oWNER r 1 (:,HHER r ,] NAME _4~ '" , , WATER SUPPLY: PROPOSED [ ] EXISTING [] [ ], PUBLIC ,', [] COMMUNITY,NAME: [ ] PR IVATE WELL [ ] OTHER, S,pECIFY: BUILDING , 'PLUMBING 3% SURCHARGE MOBILE HOMt , WASTE DISPOSAL PLAN REVIEW 1~ on '" TorA L 1~~%i:; CONSTRUCTION PERMITS8i INSPECTIONS AND WATERPQLLLlTIONCONTROL SPECIFICAT,IONS MIN, SEPTIC TAN"KCAPACITY: GALS MIN, DRAINFIELD L1N, FT. MAX. TRENCH DEPTH INCHES TYPE OF CONSTRUCTION !:iN' GROliJP- :, FIRE ZONF STAY 100' FROM ALLWELLS USE CLASSIF. SETBACKS', 'FT.. FROIVICTR,OF r/W:, FRONT ' NA ' SIDE EXT'. FT. FROM PROP.'L1NE: SIDE INT. , ' REAR ZONF . ~ . , - 'AUTHORIZED SIGNATURES: /s/ :J"., E~ Boss', BY HARe AUGH , '11 /21/75 ' ,ISS.UANCEDATE: . DLM , BLDG, PERMIT - WHITE OFFICE COPY - WHITE COUNTY TAX:"'" PINK PLUMBING -.: CANARY , BUILDING - GREEN ' SM!ITATION - GOLDENROD I MPOFfPWT: : . ;.. ; .~: ' C~II 687A065 to ,schedule all required' const[uctioh 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 bEffore bei~g occupied, .. (See Detai Is on Reverse Side) . . . . (POSTTHIS'PERMIT"ON MAIN BLDG. AT SITE) ,~.; " C55-1'3 . i' LANE COUNTY,DEPT, OF ENVIRONMENTAL MANAGEMENT' COUR:rHOUSE ANNEX, 135 EAST 6th; EUGENE,OREGON:97401 ~"'" _,:, ."_ : ~ "';-..'t. ',. . - .~-+-:. , ". ,:"'... ..,... :: -:.__ 3:'.~_'; _ " -... . ~ " .. '.,.. "" # . :. . . -,":.. {" ~ -- _' , _rt "'. ~._ " '1.~~,~"LA~NI'NGDI:VI;SI O~,!\~TI:d~~l{~.~,Q;I.t~G: \.y ~S~(!'J, 'NOr. '~:,)',APpLJCAtllQ~~~: ~:~~lt~:si:~:~~;:~:.;~~ '?~:~;iif}.... ~p~ltr!~ 1 e' ;~)~~fC'Z',:~,."" ..... .. '"(,~ ... . .;, .,' . . .... ..' , 8 Soil Stabl1-lty(footlngs)r....>. ,.' (l ,( l ()r ~'....... "..."... ' , '~/,..'F1dod:'P'lciin:~~:' ';-:>:>;:,<':',>~r','c ""',' (")', ';(~.".f~(:)r:~,:)d~:~~f. ")f1'4V~'~:')(::,<~,,', ':; ~~:'lO'>;:'Other O(s;ee:6omm:eh't:~l "," -' '-', TJ-)'" .;;,Y:'.).~(Jr ~,"~'::~~~Ck"D',BY:( 'jI>LJd#'#ai%,tli~ir-~ "c:':C~MMENTS:: :L :::"" "<~~:':":':'~~':~:~~ :.'::' '_:\,;;?~;:~'~<:',,::, ':' .,';:,':,.,<t~'::<~:i;~i,.'.f: ~::, ,f~::~:::~c:.:,>.': ~ , >~~<'l~tT~ .~"'> ' :: ::-. .~.:. ..., ~ --" . -,' ... :., ~.. . .'--. '",. ::;... .'.-.-.-. . .. ~. - .'.." .. . .. - . ~'. '.:.' - . .. 1 , # -.... , . ... . - - .' .", ......,:- '. ., " , . .. . - - ~'.. . ~r: n ' . - . .-,-','--:;: ...._- . _.- ..- -- ~ ... ~. ~ #- . . - ., . ~.~ -.....".. '. -::'" :':.. -. . '- : ~ - .... ~. .. '. ~~~.:. 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' , :' t,hrougp .1 ~" co~tact,." the ,LANE COUNT.Y ;BU I,LD 1 NG AND -SAN I;rATI ON 0,1 V 1'5 I ON ~ ':, :, ' ,'.< :;'" " ,() W,H) -.!>:e,. h~ 1 ~(::iJr:Jr Ls;:'eff.i ce,l.!l)~ i l',:yOl,l' c~n:,~,es~l~e:~~he~ p!.ob 1 em,s ,'Jnd i cated,.:' ,~,,:';' ':." . < ,.f '.: ' ":';" ( )- JS",bEdR'g r~et.~r,n'eq~" ,:' ;->' ': ',-':','::,\:: ':',:,\'.q~'.' , ",\ ~ : \: ,':: '. ': ' ',', >, " ',..0:...: :" .,''; .." "~ (.) -Your ,buHc{i~g :ee'rmi,t' 'aeP-li's~.!~L2~.}~;e', 'is'~:Be_i~n9' r,e-td'r:n~(Cunder~sep~-':~.~' c6~~: ..', ,,' "",,', ,,', ',' ",.uEPARTMENF:OF.:ENVIRONMENTAUMANAGEMENr.." '~, ", , , " ,: 'i<' .... ..". ,~:,,:?:'~:~t:r}~~~~~<~x~,~~~~4~.6~:,:~,a~,~?l~~f6~:t~'d?~g~~f~c~.~{~,o:~:,::.',' ,::,,, ,':, ',:, , : ,..::... ....';."-.:, :'" " .;-:,~;<:_~~;~~>,>:Lp"~~~ ,COUN,T:Y' ?~AN~ING DJ\(J~IQN~~~qN~'(,6.87-4186,:, ':,- .:' "C55,-'2'~;' ''',e,',:.;';!:2{ ,; ,:", ',"~ ' " :~i;':~.'\{"/;.::, ~'~-"""'! ' '", -, ,:',.. .. .. , ..... ....;. LANE COUNTY P,ERMIT FO~ PERMIT NO, .~ " -,/ ., j~ 'I' I CONSTRUCTION [i\] MOBILE HOME [,] PLAN REVIEW CHANGE OF OCCUPANCY [, ] DOwner ,,-,,it. V.. dt<lA~Rf"~Jw NAME =\.;c~fl ~HiilN-D WAY "A D'D R ESS" ~~:p;-~;; .-':t1r' a ?'l"O :l:h{~ftfi<' (,~ l4l / CITY ZIP CODE . PHONE o Contractor ;(.~~,,\~'lt /~i f~ :!~ : NAME ADDRESS CITY ZIP CODE PHONE O.S. Reg. # ~f~ ;\~,I~ Twr .~ Range .:< Section . a.1lf Ac.!H' ~ OiiJ f~U'tm'f W{~...-!:: Lot 4~ t'! Tax Lot Code Census Tract Subdivision Block B Acreage Width Access to Property (Road Name): iHLa'~fJ WAV Depth Existing Structures on Property' (,~~",l~~-"),~T iNEtlll~l~!t Directions to Property - Address: i.~i;l hil..ilHI) WAf :STRUCTURE (# BEDROOMS) C~.::f~~t i )otto BARiUM: SO, FT, VALUATION (', ),,1,,' +t~"'h;i.,fft,~ q:r6 ~u 2.. F)O SEWAGE DISPOSAL: PUBLIC [] SEPTIC TANK [] OTHER [ ] BUILDING 1'i.00 PLUMBING 3% SURCHARGE ~ljt; MOBILE HOMF WASTE DISPOSAl PLAN REVIEW PLUMBING INSTALLED BY: OWNER [] OTHER [] NAMF WATER SUPPLY: PROPOSED [ ] EXISTING [] [ ] PUBLIC [ ] COMMUNITY, NAME: [ ] PRIVATE WELL [ ] OTHER, SPECIFY: TOTAL 15.'5 CONSTRUCTION PERMITS & INSPECTIONS AND WATER POLLUTION CONTROL SPECIFICATIONS MIN, SEPTIC TANK CAPACITY: GALS MIN.DRAINFIELD L1N, FT. MAX. TRENCH DEPTH INCHES TYPE OF CONSTRUCTION 5N GROUP J FIREZONF STAY 100' FROM ALL WELLS USE CLASSIF. SETBACKS (1FT, FROM CTR, OF r/W: FRONT Wi' SIDE EXT, FT. FROM PROP. LINE: SIDE INT. REAR ZONF AUTHORIZED SIGNATURES: /s/ ,>>. f... ?;$t)$$ bY !iAf-tliiAV"U """ 1t/'2~1 {'i ISSUANCE DATE: ;', f.}(, BLDG, PERMIT - WHITE OFFICE COPY - WHITE COUNTY TAX - PINK PLUMBING - CANARY BUILDING - GREEN <. ,\." \- ' SANITATION - GOLDENROEl:- ,', ' "~ \ . J~t'~.~l ,S::--~'~-'J .,'" ~'''~~''';:-'''~''''--~')'. "\I"~.~~~J~' .'. \ I.. .,.\" '\. Call 687-4065 to ;tqedule all reqUIred construct~on 'Jnspect70ns Call 687-4061 to schedule all required ", IMPORTANT' I septic system inspections, All construction shall comply with the State Buidling Code, D,E,Q, standards , 'j' ,".' , tor sUbsurf,ace sewage diSPO. sal and the State Plumbing Code, All buiidings require a certificate of" \ " " \\ occupancy before being occupied, , ' " , " '''" .....~~':.\~~'} "'-.' ',..) '.:.', '''" ' ... '",,,,:(See De~il,s.,?n 'Revers~~Side\ ,\\ ",-: \,." ~, , I ~ ,'\ \ '\ \ ,,,~~,\ :'}S,.', '-\ " ' (POST THIS PERMIT ON MAIN BLDG. AT SITE) C55.13 LANE COUNTY, DEPT, OF ENVIRONMENTAL MANAGEMENT COURTHOUSE ANNEX, 135 EAST 6th, EUGENE, OREGON 97401 v " , (.....~ I - ;,"~1, SITE' I NSPECT I ON , "" " ApPROVE.D /, / ;" .t. :... DISAPPROVED /1 DA+t, INSPECTOR REMARKS, FOUNDATIO~' INSPECTION ApPROVEO 'j: / DISAPPROVEO/ / DATE INSPECTOR REMARKS' I I I I FRAM'ING INSPEqlON " ... 'I '. " ApPROVED' 1 j 01 SAPPROVED / I DA fE, INSPECTOR REMARKS I I I " , LATH 'OR SHEETROCK INSPECTION ApPROVED / / DISAPPROVED / , I , / 'DbE, INSPECTOR REMARKS F I NA~ 'I N~P-ECT IO~,,/", .. /, ApPROVED "/ I.t / 01 SAPPROVED / , " /l .; ", '" .. ,. :' ';127f~>f'P:,"~' _- I) "#'.;:t , t.,",..-' .", '. _ ,'_ {, ,,?, / 1- ..!~ J~sPECflojl.' i7 1.1 ~. , / ,DATE REMARKS I I I I I ctR~IFICAtE OF OCCUPANCY READY TO I~SUE' j / NOT READY TO ISSUE / ,/' DAT~ I r (V~/1 ~!J,Ur- /'*7.....M.. I ~ i/rc~~.ar: , " , ' .. ,,' /i,' / .. ; 'I ~~" '~) ;Y{)7fl/-7S-Y;f~p-" /<?77~J{, Pi' INSPECTOR REMARKS' :- . .. , .~. ',", . ' J." , .' >, , " ;,L , .C,~ -, . '.piRMiT~i/'3[)~lf~1S-- P,ERMI,T,..,~d, BE': ISSUED, UNTIL THIS APFD]CA,_ON1IAS BEEN' -APPROVED; - 1"" "".~ .",-: .. ..'~ ., .,i' ". .~: ,,- ~ "i .. ~ -'."' >'~". ,NQ'l;'E': ":, NO, " ,'... APPLICATION,FOR: ~ /' ,C?~S;~UCT~eN , 1><~:>;,,~~BI'~,E~::l]O~i' ' ' I,"~ ,PLANRF;VI~W/I, :<0 ,,' ' }, ~;""~WN~R/fzit(/f3/~:,i:;';~'~/q":;:7 Lj;~to{i;;{~;~,;~/I,,~' ," \', ,', >~ " ~ ,., AddreSS,::,;(<J,.,~'~~""{~,~:;~':,,"":'Z~P~: 'I: ,~O~IR6CTOR ' ~'?'~r, Namet ., : Address'.', "City, . " .' 'i ",.-.<" 'I, .' :. t .' ',', 9 J):7";' '/6;' ~c; ',Ppone, -,;.,. '. ,.1 o. s. ~EG,. ....11 'I , ""/"~' ' " ,v, ':,' ,-.;." ~i>. ~ " "7) ~~ge', ","" Sestlori'. .. 'Tax Lot . <<: .C,ode" "S~b~iv'ision. a2..-/c:i;~ I~'!!;;: 'J..... LO:t:':: ' Lt;l.' BlOCk'::;::~'" P~OP~'~fY"A~ieag~' " , ",,' - /"., 1-ta.a.A.""'" vol-, ' ',., ,-'" , :'.' . , "'" , ,.'., , _ , ACCE~S'~<PROPERTY(:~O~~: ~~m~)' T-~.\~ ~~'~.~",::,'.,: ,..'.'~~.",'~,~,c', >"';:;.' ,. ,ExJ,stil"\~: ~tructtires ml<:Property:' ,,' ,p~,;~~,r{Y:Loca,~,~~)U: - Addr~~~!D{~,e:c~'i(!n:!"/:- Zip Phone , . ~. ~ :- ~"" ,CEOns'us Tract', Width Deptn ., ''1' .,~, . /. ". /' : /:r: ::.' Y , '.' -. . . .-',,' . .' . . .." ~, . - . . ; :c ,', 'B'elow for Office . ;:,'. .eJ~ r ~. ^ ~:~'D '~'" "', ,V-rO; ,~;';}(;it," ':-"'-';" 'Us e OnryXXXXXXXXXXXXXXXX:X:XXXXXXXxXXXXXXXXXXXXXXXXXXXXXXXXXXXxXxX'XXXXXX'XX~X:XXXXXXXXXXXXXXXXXXXXXXXXXXX" , " ',Sq" FL.; .' 'f :~,,:,>":-,:-!!~eZ6om~,~, .'"' ;"'" ~Val~at,ion-. --", ~~~"~"~:~(Y:::'" ,l':' "":~~,, , ,~.Ofl~ ../" J,~,~j) : ~::' '~'i:- t:::F::.X': - " :1Ni7,c trl' 1->0- ,,::.;,::,~:I,-9':::X_" ",,"-f,'?f,"'T', - , ,~ ;:..>- ;", . -i;'~."~, .~ Bldg. ',{~. 'r~'O,O .~..~'. ~- .~: .-. ~ ::-, ,SEWAGE ,DISPOSAL: ~S:tte"In'sp'ectj.on Ii '. S.pririg ,: ~.:.~,~x~s,t\~~ Se--:age Dlspo~al: System '," :' < -':\'X' . Public, ,.1'..;: I o 'er ',d .. commun'i:ty.:' 'I I' '#.. ::. ,/-" New "System~e<juir;;d :',1' ,; r ';-:~':~: -.;~ :'; ':.' . '-",. . -._ i.......... ~. WATERSuPPL~,:' Well, :..'~ ' , . J"." ... .', ,.' ';." 6f:cqlmn~nj,ty 'orptib,ri,-'c:~Y.st~lI\: . .",' . . . ~ . . FEES: ,', ','PLUMBING': ';" , . ;::::~~F::~r. ~1,~6 , 1:U~ Fixtures ~. .'; Waste D~~p'. PlUl!lbing ',;, Plan' 'Review Mobile; Home:, " '. ~ surchar~~" ,!:.;' ~. .." : ~" '='. . '. , ' " y S'-,\~r '., 1 ,,~ewage "" " ,_~,' ,Co,nIle~t~ort .' Water;,'~' ' '" ,'.,' fo;n'n~~tlo~', ",;: -<:, , ' , "PUNS F,URNiSIIEl5:.', ' F.A~ILITYi PE~IT . .' .' ~~ '. '- ;~. ." - "';"'~' -"',/': ~ ,I..~N~_I:~~~. YES ,-~-, I -NO ~,' ,: :s.i~ia'ture:, of AP'piic~~t:~dQ ~~e.q/L " :' ";'>~ee Rece:i.veci'BY:'~' 'D';ite;:',~I('_"':l~,-~ . ,< ~ ~~ ..... ~,.:~" r~.. . ~.~ ~: ": ~ .:~. - ~. ~ 1 .~~"" . 1 "T9TAL ... '[. 0/ " ., Min. Septif: Tank Cap,acity, ' '" :~~iaj,infi~1d Required:" .I::~heal: Fe1t' , .' .. ~ .'~ ',:'- ,- ;,,' ,':'p-, .;: 6N~d: c>Gt6~'P,;N-': ,: '1 '.....- MaxiniuID:ipepth ,~_' J._ ,.R,_ ''.. ..... ,'.:. ;;-,,' ".:">. ~ -'.' ,: ~:.- ..: .. .." . ~i .l: . :.~ ~, ': . (. '. .... ' ',,'" "..", , . ,~" ~ ~ "t ' , , ',...- " .".:.0' "1;' ..:; .-' '" ~'.. . ,~::':ijpe 9f'C~'I1l3h~tti6h Fire 'Z~rie~:: \:- ;...;, "'. ~ .. .~~. .: ~ .. ' .. ... .~ ',.tl-:: ":'.,.. Bldg ,~e,t.b"c.1J:' ,- 'from, c~,nt;e:i of ,Raad 'Rfgn t~ '~:f :W~y:: ' Front IV/A. .~~ae .-tnt. .~, "Side; Exterior"', " ., /" " , 'J' " " . ..' :,': ' ,- , '~~"'~;'--.I"f''., ___,BA~Ei, , ~#:,." -,..,.-,..~:;,~ ",,:. . ' . -.', .. .. '" .;....- 'F:" '.., 'MNK,COUNTY DEPARTMENT OF o I . .~~?-r~...t"'~~" "~-5",.Zone "::. . ~"" " :r. " '''''-. " -~.' , :/2A ':'P1/ Ii:;':?':':' ,: ' k'rt.'~'- n '.'" ,.' ", - ~ , :::' -SA"NITATION: , ,DA#:/~J4; BUIWI~Gj()/ :DATE:'j, . ' l!1:?!J4#.~ filL Il.~rf '* 7'~' ENVIRONMEJ~~L '~~~~~ENT; , ' -' . . ~lj' :.- . l ~ C55" 12