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Home My WebLink AboutPermit Building 1976-3-11 r ,,-".~ ~ ~ .)0. . LANE COUNTY PERMIT FOR PERMIT NO 336-76 .... ~l , 1/ ~ CONSTRUCTION [X] A. G. Klocke NAME MOBILE HOME [] PLAN REVIEW [ ] 135 Greenvale Dr. ADDRESS CITY CHANGE OF OCCUPANCY [ ] $Drinafield Dreaon ZIP CODE PHONE DOwner o Contractor c:.:amiCll NAME ADDRESS CITY 747-2764 ZIP CODE PHONE OS Reg # NA Twp 17 Range 03 Section 26.2.2 Tax Lot 1400 Code Census Tract SubdivIsion 2nd Add GrovedfL'dt 4 Block 9 Acreage Width Access to Property {Road Namel Depth EXisting Structures on Property Residence Directions to Property Address 135 Greenvale Drive Just off Havden Bridae Way STRUCTURE (# BEDROOMSI rllrnnrt ,tn\":lnlD C;h"rI SO FT ':1':1;; ra ., lUI 71';? Iil I'; ':In VALUATION 4;('1/11 nn ,;':!;;'iiii ??77 00 SEWAGE DISPOSAL PUBLIC [] SEPTIC TANK [ OTHER [ ] PLUMBING INSTALLED BY OWNER [] OTHER [] NAMC WATER SUPPLY PROPOSED [ ] EXISTING [J [ ] PUBLIC [ ] COMMUNITY NAME [ ] PRIVATE WELL [ ] OTHER SPECIFY BUILDING "" nn PLUMBING 3%SURCHARGC 7., 'MOBILE HOMF WASTE DISPOSAL PLAN REVIEW TOTAL 74 7? CONSTRUCTION PERMITS & INSPECTIONS AND WATER POLLUTION CONTROL SPECIFICATIONS MIN SEPTIC TANK CAPACITY GALS MIN DRAINFIELD L1N FT MAX TRENCH DEPTH INCHES :;~ 3~~'I;~ vu , n.J::.:.. _~ .&.~... ".. ...... . ~ . 'IV,," I lUll ~UIJIlII "'liCU. _~A_.A__ ~~_A_~A_~~ ~ . IJU IIU\" JJUIIU WI 1,,11111 ........ ..., .....- -I" ....v....:;lI .... _,... .......... TYPE OF CONSTRUCTION ~" GROUP FIRE ZONE STAY 100' FROM ALL WELLS USE CLASSI F SETBACKS FT FROM CTR OF r(W FRONT'n! SIDE EXT FT FROM PROP LINE SIDE INT ~I REAR ~I ZONC nn AUTHORIZED SIGNATURES /s/ .1. F" _ Rn'1:'1: t'IV Hllrhllllnh ISSUANCE DATE M~~RU Tn~ ~~~v/~~";+~~~~" v . - 'lJ'1/7e; ..tl.... SLOG PERMIT - WHITE OFFICE COPY - WHITE COUNTY TAX - PINK PLUMBING - CANARY BUILDING - GREEN SANITATION - GOLDENROD IMPORTANT Call 6874065 to schedule all required construction Inspections Call 6874061 to schedule all required septic system InspectIOns All construction shall comply with the State BUidlmg Code 0 E a standards for subsurface sewage disposal and the State Plumbing Code All buildmgs require a certIficate of occupancy before being occupied (See Details on Reverse Side) ~~ (POST THIS PERMIT ON MAIN BLDG AT SITE) C5513 LANE COUNTY DEPT OF ENVIRONMENTAL MANAGEMENT COURTHOUSE ANNEX 135 EAST 6th EUGENE OREGON 97401 0' C H- 2-/2- j1l\u VJ:f\ /7 03 s:2& TAX LOT /~cJ--o -?3/ - 7 V SUBDIVISION:_ h-1~~ ~ b 0 LOT: BLOCK: <--- "~;. .. BUILOI~G,SITE EVALUATIO~ ~ BUILDING PERMIT APPLICATION NO. () SITE INSPECTION PLANNING DIVISION Not ADpl icable j:',t ~ l ( ) ( ) ( ) 1. 2. 3. 4. 5. Zoning Ordinance Compliance: Zone Subdivision Ordinance Compliance Required Access Building Site (Area, Other (see comments) Width, Frontage) I COMMENTS: APPLICANT DATE No Yes T)"tT 6. ( ) ( ) ( ) ( ) ( ) (I) ( ) ( ) PLANNING DIVISION ACTION PENDING: YESl ) NDl ) APPLICATION# BUILDING INSPECTION DIVISION Not ADDl icable ( ) ( ) ( ) ( ) 7. Plans Submitted 8. Soi 1 Stabi llty (footings) 9. Flood Plain 10. Other (see comments) COMMENTS: WATER POLUTION CONTROL Not ADD 1 I cab 1 e_ { ....y ( ) 11. Meets Department of Environmental Quality Standards. 12. Other (see comments) COMMENTS: No Yes T)W" ( ) ( ) ( ) ( ) ( ) ( ) No Yes T)TI ( ) ( ) CK'D BY: W/f ~'3 /'Jl.d-., 7 t, Setbacks from cll of road: ' Front ,W </tJ Sid.!L.fYtel ;ar Setbacks from Interior Side Rear 1 ines: .c 6 'fl/(E CK'D BY: g.ll. 3~ "'1~ DATE CK'D BY:~~ 3-~ ~70 U - - 0 DATE TO APPL I CANT: -{'>~ Building; Site Inspection' t _ ~ Can be approved. "')'J ( ) Cannot be approved at this tIme as Indicated on item NO. above. ? IO(~ Questions and further information On Items 1 through 6 contact the LANE- ~/ 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 ap'pllcation fee Is bein.q retu~ned under seoarate cover_ ~EPARTMENT OF tNVIRONMENTAL MANAGEMENI 135 Sixth Avenue East Eugene Oregon 97401 PHONE. 687-4065 LANE COUNTY PLANNING DIVISION PHONE: 687-4186 C55-28 '-, ~",,"~ I' : -.c. v--- {V'\ . ,\)0-.,,- t~v.' . . CONSTRUCTION [X] A. G. Klocke " . . LANE COUNTY PERMIT FOR: I PERMIT NO. JJG-7;; MOBILE HOME [ PLA'N REVIEW' [ ] I .13~ e~nvaln Or. CHANGE OF OCCUPANCY [ ] Springfield aragon ZIP CODE PHONE 747-27fA DOwner '" '0 Contractor NAME , ADDRESS CITY O.S. Reg. # Saw NAME WI ADDRESS CITY ZIP CODE PHONE .Twn 17 Range 03 Section 26.2.2 2m! Adtl GrevedrLlft 4 Tax Lot 1400 Code Census Tract Subdivision Blocl> 9 Acreage Width .. Access to Property (Road Na.Q1e). EI.. S . 1...">'\ \ ' xlstlng tructures Qn,fr.operty.' , , ~ , .' . ,. . ' Directions,to,Pmperty.. Address: '. . l Depth , Re;l tde~eEJ; :. '.' 'I.." .' \ 13~ Groellvale ~riv" JUst off Huyrlerl aridge liay ~ ST~UCTURE (# BEDROOMS), ,,'-.r'\"Jrt C'CI'i1~.. SheLl, SQ. FT. 331j [) 2 .~J) \ R\i2 ,0 ~ .3t1 VALUATION >;\141.00 133IU}!l " ,. ..\ -.\ 2277 .I}O SEWAGE DISPOSAL: PUBLIC [J SEPTIC TANK [ BUILDING ')/1. 'Jf' PLUMBING \ 3% SURCHARGC .72 MOBILE HOMF WASTE DISPOSAL PLAN REVIEW OTHER I PLUMBING INSTALLED B.Y: OWNER I I ()TH~R \] ~IAMF WATER SUPPLY: PROPOSED [ ] EXISTING .[ ] [ ] PUBLIC [ ] COMMUNITY. NAME: [ ] PRIVATE WELL [ ] OTHER. SPECIFY. TOTAL 24.72 CONSTRUCTION PERMITS & INSPECTIONS AND WATER POLLUTION CONTROL SPECIFICATIONS MIN. SEPTIC TANK CAPACITY: GALS. MIN. DRAINFIELD ':f( nn~~.".!.l rm 01n-Jo D1f'l'J1 n'!~M.J""'...4 i4f~ 09 t~d p~i~tina d~ih~i.,~; L1N. FT. MAX. TRENCH DEPTH '1ft """,. hll.',f ~4+~.Q... INCH ES TYPE OF CONSTRUCTION S:l GROUP 1 FIRE ZONE STA Y 100' F ROM ALL WELLS USE CLASSIF. SETBACKS. FT: FROM CTR. OF r!W: FRONT 40' . SIDE EXT. FT. FROM PROP. LINE: SIDE INT. Ii' REAR {;' ZONC Il!.\ AUTHORIZED SIGNATURES: /s( J. E. lJQ$S by Harhaugil llcl~y for Ql'u.'1llli1n1tarfull ISSUANCE DATE: ~Jl1l7(j dl fil \..:. 'J..',t -' ) . \ , . ~ , " 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 Stale Buidling Code, D.E.a. standards lor subsurface sewage disposal and the State Plumbing Code. All buildings require a certificate of: ~cupancy before beir:9,occupied. '. \\ .... .. "\ I '...... ;. \ (See Det~lIs'on Reve;se Side)) , ~.'''''' . BLDG. PERMIT - WHITE OFFICE COPY - WHITE COUNTY TAX - PINK PLUMBING - CANARY BUILDING - GREEN SANITATION - GOLDENROD IMPORTANT: > (POST THIS PERMIT ON MAIN BLDG. AT SITE) .... C55.t3 LANE COUNTY, DEPT. OF ENVIRONMENTAL MANAGEMENT COURTHOUSE ANNEX. 135 EAST 6th; EUGENE, OREGON 97401 i -...'" ~ " SITE INSPECTION APPROVED.Cl DISAPPROVED.Cl DATE INSPECTOR REMARKS FOUNDATION INSPECTION REMARKS 1/ D'SAPPROYED 7 D~Tf I NSPECTOR,_. ~ k -ca d-:f1~e_ J~b~ t./ ~/L/' 7 uSl I' jJ . - . (? '-- \ 1:- ApPROVED FRAMING INS~~~ ApPROVED / OISAPPROVEO / / DATE ~-' 9, REMARKS ..1~, f..H9/UM IJ ./)2--1,,(/ -, , 7G- INSPECTOR ~ ~- "0- , 1 I ," "'~1..,~ i'...... (' , ; - LATH OR SHEETROCK INSPECTION ApPROVED / I D. SAPPROVED L-I DATE REMARKS )?~ _, INSPECTOR FINAL INSPECTION ApPROVED @. DISAPPROVED .Cl DATE /-/!P-77INSPECTOR~AJ:;1'" REMARKS CERTIFICATE OF OCCUPANCY READY TO ISSUE ;---? NOT READY TO ISSUE / / DATE REMARKS --L:J 4;j,'j Cl},;- ( -( ':U/t"JV ~.]~'-7b /~ 13)A-N~ INSPECTOR t=J PERMIT if ~-..76 NO PERMIT WILL ~~ ISSUED UNTIL THIS APPLICATION .~S BEEN APPROVED APPLICATION FOR /' CONSTRUCTION c=J MOBILE HOME c=J PLAN REVUW c=J CIIMGE OF OC~ANCY c=J OWN~j yt~~h /.IT4!e1:/r44. 4Yd J;~iP 9ff{!o: CONTRACTOR ~- ~~~-~~~ Name Address C~ty I" Zip . Phone . . NOTE c::J OS ReG II Twp n Rang.n').,O sectio:,llp.2.d-- Tax Lot IYO\) SUbdiViSlOna2t1d W&P./.4Lot </ Block 9' Census Tract ~idth______Depth ACCESS TO PROPERTY (Road Name) - , I...L4I . t EX1st1ng Structures on Property I'I-~~~~~~~ .h Property LocatlOn - Address/Direc",ons ~'5:5' I.JfId.4Z/~~.lb/L.P) ~//~ cl// I ~ ~' I '/~ /if VY/7?-' Below fo r Of f ic e Use OnlyXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX::OCXXXXXXXXXXXXXXXXXXXXXXXXxxx..uacxxxxXXXXY'rx.,vv",,,rxxxxxxxxxx &4. 'lZd . dv~~ sy'B't .33.d> ~ oi'Sfl/IDS t'Y'/ Valuation ~/7d~ ~h/ all-#'/ /~! ::25-/ rYJ SaD /3S(}y c?' .. I _-'7-2.'77' , _6 :; ---t' Exist~ng Sewage Disposal System ~ g Publ1c c=J " Communl.ty c=J I , SEWAGE DISPOSAL Site Inspection # or New System Required c=J WATER SUPPLY Well Spring Other Name of Commun~ty or Public System FEES . J{,1J PLUMBING ,( Installed by Owner c=J PLUMBINC FEES' # of FJ.xtures \ l Cllr \~~a1nfield Required - Llueal Feet ~ lY-~ ~(!,-- >rhr#~ .. . - ,/J ~L, a '-- tdl/&' Other c=J Name Bldg Plumb lUg 3 % Surcharge Waste Disp Plan RevJ.ew Mobile Home Sewage Connection Water Connectlon TOTAL ,2-y, z:t PLANS FURNISHED FACILITY PERMIT c6 YES c=J NO q YES P NO S1gnature of Appl1cn /J W ;z;,(.J..,~ Fee Rece1ved By ~~d.-' - Date ~d. d.7'tG Min Sept2c Tank Capacity M OU..uA "'--.. /'" ( b Off '-<h"tJ !In Maximum Depth .A xl-> !a-,A..LP {~ u[,V--t..~ Type of ConstructJ.on ..j-y Group--....I Fire Zone Use C!assificatlon Bldg Setbacks - from Center of Front L/-/J Slde Int Road Rlght of Way ~ s~or Rear 6/ Zone /?ft PlANNING ~ --;, mh~/ DATE SANITATION DATE ~ _ ~U~LD~.. /: fi DATE ~Mh.Ju, ?-}'/!f' ~~~ 3-o/~7b COUNTY DEPARTMENT a E;'IRO~N 1\L MANAGEME~ - C55 11 LANE