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
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