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HomeMy WebLinkAboutPermit Building 1976-5-14 NOTE ~;:;~I c~El1sUED J Me.-- Ie-If- PERMIT if HAS BEEN APPROVED Cjgl-76 ~ UNTIL THIS APPLICATI \ x c=J OWNER ;:", nlL.l / A Q n ;-,-!.." u.M a + l7 aLL Ii-y V Name Address '\ ~ONTRACTOR l\\.or+l-l E.,,QK &:iri,oR< 75CJMOJoJ ~ v Namer ~r:)Y;Y Address 17 Range 05 sectwnj.-:J.;) .J.::2Tax Lot CONSTRUCTION ~ APPLICATION FOR MOBILE HOME C=:J PLAN REVn,W C=:J ClUu~GL OF OCCUPANCY c:J <:',01td tity Zip '1 L/l- $iOll 3 Phone I rJ" OJ} II Cl.ty qllj,.b~ Z1p '137-."S""D5 Phone o S ReG II Twp 60-0 Code tj-oS Census Tract ~, Subdl.visJ.on Lot Block Property Acreage ~ ACCESS TO PROPERTY (Road Name) I 7,2 S Co \Oh : q \ r 1? Ensting Structures on Property ~)&C' -, 5C\rz:l~ ~roperty Location - Address/Directions ----CJ;l f)" C,DLoNI f I "e.. ,~k 17 '~ 0/\ ('"t'I ",-,<,_ F""I2.PI If "'Ad, ,,,).. ~ , Below fa r Of f ice Use On! vXXXXXXyv''Yyyvvyv'nrvv.xxXXXXXXXXXX~XXXXXXXXxyyvvyvv~nr~xxxxxxxxxxxxxxxxxxxxxxxxxxxxx:xxx C~I'\0i2-- 0+ rnnf \ ;^e/ql F~drL'~~ 9;;1r7~ Lt ') v~:C;OO - ,Q "'- ,-\ \J <.:.. +r.-r / / de po. " / - i I^C II) '\ P~,VV\hi~ ~~:G~n~~:~~~~ iI~ 16-7J ExistJ.ng Sewa Disposal System ~or NeWC-;ystem Required C=:J Pubhc C=:J 7" -- v::, Spring ______ Other Community ~ Name of Community or Public System / -::6 W1dth______Depth <."'" -1-11 o-T [fa 1-1- it;'e ( WATER SUPPLY Well FEES ~UMBING ,'<.(g, .- stalled b CJ Other CJ Name Bldg - PUMB1{ , Plumbing ---- I. oX ,~F1xtures Sewage 3 % Surcharge Connection Waste Disp Plan Rev1ew I PLANS FURNISHED Mobile Home CPo. ;H ~C=:J ----- TOTAL -37 00-. S1gnature of App11cant Fee Received By ...., .<1 ~ ..> Water Connectl.on FACILITY PERMIT Min Sept1c Tank Capacity ~" 1 ~ N., II.~) r;<; ro,_ Jr Ii J....~ / ("'l~ J4..(" A <12 -..h~), .. t"t, N'~4- Atp",. f_rl I - I . - , Type of Construction 6- fl( Group Date :;- 10/?b infield Requ1red - L1neal Feet ~1iJ "l'- It:; I ~, ., f ~ ~~ p.v... "",~..i- /1'\.<< rX Maximum Depth ...J?,( SV ~ s;/~,.tf' ~.J{~.. l:,__ ~ -..;,.,_i...~ ,,,,--/-. "- ~~ -'- J Fire Zone ~ Use Class1ficat1on Bldg Setbacks - from Center of Road Right of Way Fran t S1de Int S1de Exter10r Rear Zone PlANNING DATE I/SANITATION DATE /I ~ILDING do f) # ->>ATE rv\ 'f (tv! / (<\ I( t1 t ~>1 If -/2-- -,10 H'P ~1}tf {",A; 0'- /iI -7 b I' /I V . I COUNTY DEPAR1MENT OF ENVIRONMENTAL MA~AGEMENT (55 12 LANE . i ~ LANE COUNTY PERMIT FOR PERMIT NO 931- 76 "." CONSTRUCTION [] MOBILE HOME [J PLAN REVIEW [ ] DOwner Earl Lillard NAME North Fork Buil ders NAME Stewart Realty ADDRESS CITY 750 Main Street ADDRESS CITY CHANGE OF OCCUPANCY [ ] Spr1 ngfi el d Ore 747-8043 ZIP CODE PHONE Lowe 11 OreQon ZIP CODE PHONE o Contractor OS Reg # 1 3584 Tw; 17 Range 03 Section 22.1.2 Tax Lot 500 Code 4-05 Census Tract SubdiVISion NA Lot Block Acreagp Width Access to Property (Road Name) , 1725 Colonial Drive ~ f Depth EXisting Structures on Property -Hou~e and Garaoe Directions to Property Address 1725 Colonial South of Bplt Unp nn (.;amr-> Farm Rrl' STRUCTURE (# BEDROOMSI Permit for Ch,1I1P nf Rnnf I inp SO FT Adrlitinn nf ?nd ~tnrv VALUATION <<lilinn nn SEWAGE DISPOSAL PUBLIC [J SEPTIC TANK [ BUILDING ,~ nn PLUMBIN(; 3% SURCHARGE 1 OR MOBILE HOME' WASTE DISPOSAl PLAN REVIEW OTHER [J 1915-71 PLUMBING INSTALLED BY OWNER [] OTHER [] NAME' WATER SUPPLY PROPOSED [ ] EXISTING [] [ ] PUBLIC [ ] COMMUNITY NAME [ ] PRIVATE WELL [ ] OTHER SPECIE'Y TOTAL 37,08 CONSTRUCTION PERMITS & INSPECTIONS AND WATER POLLUTION CONTROL SPECIFICATIONS MIN SEPTICTANK CAPACITY GALS MIN DRAINE'IELD ~~~~or-> Tn~t~llprl ~~ non~ir ;.'J nprndt mllc:t hA t~"~n nut L1N FT MAX TRENCH DEPTH IInrl~... Dc.nnft- 1Q11;_71 Tof C;::ev+.orrJ C!hrllflti ehnld' Ann thA CVCT~m ~n~i~A INCH ES :3ntl r...nne n-F' ~:I"'II~ . . TYPE OE' CONSTRUCTION 5N GROUP I E'IRE ZON" STA Y 100' E'ROM ALL WELLS USE CLASSIF SETBACKS E'T E'ROM CTR OE'rlW FRONT SIDE EXT FT FROM PROP LINE SIDE INT REAR ZON" AUTHORIZED SIGNATURES /s/ J. E- B05s hv Hamauoh ISSUANCE DATE M~K~v TA~ ~~~v/cnni+~~;~n ~/1717C. ..11M BLOG 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 6874061 to schedule all required septic system Inspeclions All construction shall comply With the State BUldlmg Code 0 E Q standards for subsurface sewage disposal and the Stale Plumbing Code All bUildings reqUire a certificate of occupancy before being occupied (See Details on Reverse Side) C5513 LANE COUNTY DEPT OF ENVIRONMENTAL MANAGEMENT COURTHOUSE ANNEX 135 EAST 6th EUGENE OREGON 97401 w:~~ , (POST THIS PERMIT ON MAIN BLDG AT SITE) ......,,...-+,,..-,....-. -~. ----.~I.<~.-- . , .~ ~ " / '.' '- ~ ~ LANE 'COUNTY PERMIT FOR: . '-.' .. PERMIT NO. !en: -7; '. ,. ':'_ "'t.~'1',_,,,- l& _Tw~ 17 NAME [;orth For:; Buil ::lam NAME , ~5a4 03 Section 2;2,1.2 Tax Lot . 50!) 'J PLAN REVIEW [ { $i:etiai't Ileal ty ADDRESS . CITY i'q~ ~la go Stl'\'ilO'l; ADDRESS . CITY CHANGE OF OCCUPANCY [ ] Spr1ngf~C1'i:i OrB 747<I)[;~ ZIP CODE PHONE lOl1011 Dragon ZIP CODE PHONE .' t CONSTRUCTION [J MOBILE HOME [ f;",rl Lilloi'd o Ow~er o Contractor O,S, Reg. # .J Range Code 4-0'; _ Census Tract Subdivision filA Lot Block Acreage Width Existing Structures on Property: 172$ ~o~omta1 Drive .~ -l:Quse and Gal'or.'ll Depth / A~cess to Property (Road Namel: . pirections to Property. Address:, 1725 Colonial Soutb of C~lt lin~ on Oar~ Fam Ild' .' .fl ~,~ .STRUCTURE (# BEDROOMS) . . P:m1l1t. for Cb({,(!~ of Hoof L1M! SQ. FT. Addition of ~fld StOry :.._'1' ., VALUATION $5fiq/).nO , I I . _t.\;\ '. '\~ '.\ -~.)_'...... '". -1 '~,",.. j ,~[.i " ~..... _\ SEWAGE DISPOSAl~ ~\"~ t \ - ". ~~ tr-<')"l$\~.f~.I'iU'l;;BING"INST-}(])L1=\b\BY) \ - PUBLIC [ I ,SE~TIC TANK.I J OTHER [,J 19E"n 'OWNER [ I. OTHER [] NAM~ :m~()O 'n " .. ~;;AT'ER SUPPLY 'P'R~P;SEii' [ ] EXISTING [] ., " ., I I .i(;- ~~~~ BUILD IN'" PLUMBING 3% S.l)RCH.ARG ~ MOBILE.HOMF WAST.EDISPOSAI PLAN REVIEW l.mJ ;-. [ ] [ ] [ ] [ ] PUB L1C COMMUNITY, NAME: PRIVATE WELL OTHER. SPECIFY: TOTAL .'11.:':1 CONSTRUCTION PERMITS & INSPECTIONS AND WATER POLLUTION CONTROL SPECIFICATIONS MIN. SEPTIC TANK CAPACITY: GALS . MIN. DRAINFIELD _L1N. FT.' MAX. TRENCH DEPTH INCHES :'0l13ne HlstilleCl liS ropa1r tlOIlel" Pernl1t t91!i-n If SSyte;') sl113;;l1:1 show any -;1nO$ of i'ul1ure 11 \i2f1,'1!: must. DQ tr.~(m Ottl: aOd tl'le llYliten tepal red . TYPE OF CONSTRUCTION Q'~ GROUP 1 FIRE ZONE STAY lOa' FROM ALL WELLS USE CLASSIF. SETBACKS. FT. FROM CTR. OF r/W: FRONT SIDE EXT. : FT. FROM PROP. LINE: SIDE.mT. REAR ZONF AUTHORIZED SIGNATURES: Isl J. E. Boss by Ha:roaugh ISSUANCE DATE: j;ict<uy for GraY/slmitarinil 5/170a. cl'hr. C55.13 . I .J _.' I Call 687.4065 10 schedule'all"requiredconstruction.inspections. Call 687-4061 10 schedule all required- septic system inspections. AII'c'on'struclion sh~all comply with the Slate Buidling Code, D.E.Q. standards IMPORTANT: for subsurface!sewage disposal and the Stale Plumbing Code. All buildings require a certificate 01; occupancy before being occupied,' ... .,\' .,...... '. ~ I.. J .~..... 'j= ,\ , ~" (SeeDelailsonR,everSeSide)..\,\., ..'.\ .'~~,.'- '"' '-- .' . . .. - \ \ ...... '" . , l....;)--J~. _ ~_~I ~-) j....-~,~~_).~,.: _;"..._....J (POST THIS PERMIT ON MAIN BLDG. AT SITElr", " . '/. I . LANE COUNTY,.DEPT. OF ENVIRONMENTAL MANAGEMENT COURTHOUS,E ANNEX, 135,EAST 6th, EUGENE, Of'!,EGON 97401. .; I ;. v .\' . .' , I' BLDG. PERMIT - WHITE OFFICE_COPY - WHITE COUNTY TAX - PINK PLUMBING - CANARY BUILDING - GREEN SANITATION - GOLDENROD ') ../ ,. ~~' ". 1;.. SITE INSPECTION ApPROVED Cl DISAPPROVED Cl DATE INSPECTOR REMARKS FOUNDATION INSPECTION ApPROVED ~I DISAPPROVED ~I DATE INSPECTOR REMARKS FRAMING INSPECTION ApPROVED IX I DISAPPR::!ED /7 DATE ~~h INSPECT}f~1. " R2':R.KS ~p7~_ .#~4 tV -, .~~,ij tP~CV 7 ~~ ~1fU, (:r If -~II.' -?f/l)Jr - j re- ,NAJr~~/~ ~ ~ ~~~LfJtt~ '1'~;j(J'id'~1 / f/ LATH OR SHEETROCK INSPECTION ApPROVED ~I DISAPPROVED I I DATE 5? t3/7 h INSPECTOR ~ REMARKS FINAL I NSPECT I ON ApPROVED m DI SAPPROVED Cl DATE-/(!:'f'I.h.l. INSPECTOR ~~ ~ REMARKS CERTIFICATE OF OCCUPANCY READY TO ISSUE Cl NOT READY TO ISSUE / / DATE INSPECTOR REMARKS ,", j) // ,/.' . .// f / r /j"""- A'YI-1tK1!;'('- fs d~ L/!f/~' / ?~,j G--tJ-,.~