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HomeMy WebLinkAboutPermit Building 1976-7-2 :-== ,,~ '. '1/ f , ' -.:/ ..., ~ .J ~ . 1 t ".~,,-.r, " \ o Contractor PERMIT NO \'(\\~\. / * "\ l, 8, ,"-\ \:, CONSTRUCTION [] MOBILE HOME [\t'J PLAN REVIEW [] CHANGE OF OCCUPANCY [ ] DOwner \.....1"'.-4'" S...,..". :-\.\., '_.:~ ~~, )))dV;':/\::\ S:,'r-\\ ^ .-^A NAME n ADDRESS-''- C'I~Y - - . 0> "'- ""n, "-"...-... ""- NAME '-.....---...r--.n f\ 'v' (~\ LANE COUNTY PERMIT Fa ) J , ADD R ESS CITY r '- t.J ............ .. Q".; ....... ,.....,.),... ZIP CODE \ - 'p..HONE "\.. '-\ \.\ \ . - Cy.:{'\..... '>-\ :~ ZIP CODE PHONE OS Reg # Twn \?" Range h 'J... Section \ "- ~..\, C\M - -.....-.-' ~ SubdivIsion ~ \~...\- Lot \ 1 l,., Block -/~\..f Acreago .. G,C)~_ \~ It... ,Access to Property (Road Name) \:\ .... \, hr",' \~". .. ~'" \~\r,..--.-. -.: T ax Lot Code Census Tract Width Depth EXisting Structures on Property C'.. " <, \... . \ p .., Addre~s.~ ,_~ \r, ^' (~-\, 0"'-+ ;-.,,~, -~, " s:.. ., \ A, , ....'\ DI'rectlons to Property '.STRUCTURE (# BEDROOMS) \, ') l, Yp '("',.."" -\ -~~\ -,<,,,, "K \ \SO FT C\\ ,,'l... \ 10 \.\ r,,", , \- .... ...... ~ ~ r:;:::, VALUATION ~ .-l'-\;::,,,,rt ''''Y'" , " .p \,,\ r: r "" P\.c. c -l _., ,- ~\r-:::;-,\L ..\~,' ~':;:c-\, ..__ -~l"~ "- SEWAGE DISPOSAL ~ PUBLIC [J SEPTIC TANK [J OTHER [ ] \y....u L\ r" () \ "::l (--, ('J PLUMBING INSTALLED BY OWNER [] OTHER [] NAMF WATER SUPPLY PROPOSED [ ] EXISTING [] [ ] PUB L1C , P; " <-" f) /1-/ LJ [ ] COMMUNITY NAMEz;rA?./7.7LJ Jk-,/.JTAA-'/ir...L-L [ ] PRIVATE WELL 7 ,~ [ ] OTHER SPECIFY BUILDING PLUMBING 3% SURCHARGE MOB I LE HOME '-::>..r "- ~- WASTE DISPOSAl PLAN REVIEW , U\~c...~ ,.4 \"';44 ~\ CONSTRUCTION PERMITS & INSPECTIONS AND WATER POLLUTION CONTROL SPECIFICATIONS MIN SEPTIC TANK CAPACITY GALS MIN DRAINFIELD L1N FT MAX fl-. h"),N::i.,L, ~6....11 ~A L I... hl\ ~...! A'\ .,_.- ~.i<h.-. . -, ! tY... IT ..1-':' -~-.... ..J-- _' -.. ,.;<:::1.0-;":' 7' -~.-.-, -/-. I TYPE OF CONSTRUCTION "",.,~ GROUP . FIRE ZON" . . TOTAL '::l..hl \"':1 TRENCH DEPTH ~'(lt.Mj) II INCHES ~..oI'...M"iV,l /'~\..6Jl<:,ol V p STAY 100' FROM ALL WELLS USE CLASSIF SETBACKS FT FROM CTR OF r/W FRONT \.-.\v!... I SIDE EXT \-..I.t:I....' FT FROM PROP LINE I>::.. SIDEINT ,~" REAR,-":)' ZON" ~ A , \''\-----.I.l AUTHORIZED SIGNATURES Isl q \ "::l \ \ \-\ \ _ N... \ 'If \ '\'\ --- , SLOG PERMIT - WHITE OFFICE COpy - WHITE IMPORTANT COUNTY TAX - PINK PLUMBING - CANARY BUILDING - GREEN SANITATION - GOLDENROD ::J. .? ISSUANCE DATE ~~.j Jo.~ I..~- ./h-J , ., 7 J. -1(, Call 6874065 to schedule all reqUired construction inspections Call 6874061 10 schedule all requIred septic system inspections All constructIOn shall comply with the Stale BUldllng Code, 0 E Q standards for subsurface sewage disposal and the Stale Plumbing Code All bUildings requIre a cerllflcate 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 ~'.--. '.. 'j .1-- 1r/ '. . . "1' ,)} "'.'~''1-'''' .: " ,-"1 ~~h"; '1~~ ; i '.. I I . CONSTRUQTION [~] j . ; '., ,0 Owner'\~, ci,\..t"t,:..' ':::::"'''''' A\", ."NAME , ,'...... , ~o Contractor. -'-'~""<('">'" "'. ,- ~,-~ NAME --. " 1 ,,-. o PERMIT NO. \\\\\ \:{- '",\\.0 b' '-\ 110 MOBILE HOME [~ PLAN REVIEW [J CHANGE OF OCCUPANCY [ '1. '^ ,~,\ ~< ~Jt~5~\~1 -.J\;~\~, \("\<{.~ ADDRESS CITY l.:ANE.,COUNtV PERMIT -'-' ( , FQI".) , '. , ADDRESS CITY ~' \'. \...\. ',.,.,. t _"'/ ~ ,::'"", ZIP CODE\ "PHONE \ . '-'\\..\In - ()~:..i"\""~\ . "~, ZIP' CODE PHONE O.S, Reg. # ',Twn \ ~)') Range l'')-_~ Section . .,~" J.; \x r" ',\ . .,,;) . ,\()-k.;~. \ '\ i' Subdivision' ' ~'\:' ,\ ,<, \. Lot .,', . r:" i{M;:~~" ,~'" (" \.t \-- 'Access to Property ,( Road Name): """'1' . : ....-.-""""",,; , ;"CA.... .,..... .. . ~ ~ Tax Lot . .. -~.. '----.--~~. ~ -\n ,B lock :....\\..t , . I .\ \ r.~ \r \ -~l 'I \", ~2"-I.' h {. .. " Cod? Census Tract Acreagp Width Depth :Existing Structures on Property: " ", .', '" '~:) , \ e- , .. '.. ' a. .4.\...1 \I.l\u " ,Directions to Property, Address: ;:\l<'\~t'\ , \" \r....\ 'i. , ....1i_ o ~ .-k.... :::-h'\.~c.", " ~ . r' D."pl:?\lIC\:.~'\" '.....'> " :sti'l,UCTURE ui BEDR?OMSI ~.) ., V, , ,... ""\ \C./ ,'(" \.I\<~ l' ' ,SQ. FT., \ ,\\,\).\r- \:\.,-, \' , .\ ;\ <.._, _' VA,LUATION ~_..J. \:.,.J.r'. 'ti.L- -l " ," j; i::l\ n (' ?" '"o'\l(i~"'V: \\r'..' F..v." . ",',SEWAGE,DISPOSAL: , ,""".. _' . - t ;.~;P.UBLlC ( J, SEPTIC TANK [ ] " - J . . ,~BUI~DINc; . PLUMBING ~3%jSURCHARG c, M(}BI,LE HOMF' "-?,J', WASTE DISPOSAL' PLAN REVIEW -,,\ J E'x'" ..\.". \ ''I.''I.~l .-.\ ... -.c. ~J."!l\~'~ " ....,) OTHER [ ] \..l , C\ C- \ "':' C~D, .....~.-.-~! PLUMBING I NSTALLED.....BY: OWNER [] OTHER [] NAMc WATER SUPPLY: PROPOSED ( ] . EXISTING ['J ( ] PUB L1C . / . ( J COMMUNITY, NAME:.;;-'r(' (Zz:;., , ' vI' ( ] PRIVATE WELL ( ] OTHER, SPECIFY: , ' . ~ ,.~: J,./ " ""'/ ,/lM/bl"<- ,(,.. " . ('\ ~/ ..:..~_\ \ '0: C.." l;.~ \<':). ~ ....\ CONSTRUCTION PERMITS & INSPECTIONS AND WATER POLLUTION CONTROL SPECIFICATIONS MIN. SEPTIC TANK CAPACITY: .~.."".....,...,."":,, .. , . '" . . GALS. MIN. DRAINFIELD L1N. FT. , MAX. TRE'NCH DEPTH. INCHES -, D-. ."""J. /.}e,.it II'IIlAI.:J.. ),,...."".. "''''...~ l!!i'J(i.~/;... ~...,..Jb....., d~SIi>A,<..1 .~",k>-.n'J I MA It '{A '_'"...1:,.. -.. ,j;T: J" ~ ,( if , , -, .I --, . STAY 100' FROM AIoL WELLS TYPE OF CONSTRUCTION "......U GROUP FIRE ZDNE USE CLASSIF. TOTAL ~\<,\. \ ~:j SETBACKS, FT. FROM CTR. OF rjW: FRONT ,,\~..... i SIDE EXT. \4t"_,f FT. FROM PROP. LINE: "" I SIDE INt. ....I>f..., . REAR;::' '-.. ZONF \;:t ^ \<,\.\ AUTHORIZED SIGNATURES: . /s/ '1C.\ \ ""'.) \ \ 'H. \ ~ t)"'L\ \ \ . \. \ -- ; BLDG. PERMIT - WHITE OFFICE COPY - WHITE COUNTY TAX - PINK PLUMBING - CANARY BUILDING - GREEN SANITATION - GOLDENROD t, ~~J ;J.)''iA,p't ../". ISSUANCE DATE: " ",';.'"1',, '. IMPORTANT: Call 687-4065 10 schedule all required construction inspections. Call 687~4061 10 schedule all required .septic system inspections. All donstruclion shall comply with the State Buidling Cpde., D.E.a. standards for subsurface sewage disposal and the State Plumbrng Code All buildrngs require a cerliflcate of, occupancy before berng occupied - ' . (See Details on Reverse Side) $ (POST THIS PERMIT ON MAIN BLDG, AT SITE) -'C55.'3 LANE COUNTY, DEPT. OF ENVIRONMENTAL MANAGEMENT COURTHOUSE ANNEX, 135 EAST 6th, EUGENE, OREGON 97401 SLAB FLOOR PLUMBING GROUNDWORK ApPROVED / / DISAPPROVED ~ DATE REMARKS GAS PIPING GROUNDWORK ApPROVED ;---? DISAPPROVED ;---? DATE REMARKS ROUGH PLUMBING ApPROVED / I OlSAPPROVED ;---? DATE REMARKS ROUGH GAS PIPING ApPROVED ~ DISAPPROVED ~ DATE REMARKS FINAL PLUMBING INSPECTOR INSPECTOR INSPECTOR INSPECTOR ApPROVEO JJ;;;;;:J' DI SAPPROVEO / / DATEj-.<;:-?2- I NSPECTO~~.u/~ REMARKS FINAL GAS PIPING ApPROVED ~ DISAPPROVED ;---? DATE REMARK 5 CERTIFICATE OF OCCUPANCY READY TO ISSUE ;---? NOT READY TO ISSUE / / DATE \ REMARKS INSPECTOR INSPECTOR . ( , , ~ ~ ~ ""7'bl~n~"lWT" .. v 4, '''.t?-j.'r~' f,,, , ~.. ~ ~ '1~hl~_~~1!"~t, ~""-t....~,,,,~l~f;-$~ ( f:' ~ f ~..' .(J r ~~_~ _~ >7,,, _~~~' ~ ~ ;' . r t ,t ./ \ -:;, ~J <'~ y ,.~;;:' ':: ,7 .. \- ~- ~rr:~~ T'~ ~~'!~ {'CANE COUNTY PERMIT Fa, ~J ,..~~ , . , " ", \_./' } PERMIT NO . \\\~ ~+ \-.,\l,.B"'-,!.o CHANGE OF OCCUPANCY [ ] ~ ("'"" ~ f' , ,t\- \..1 'f'\ ~ \ '~"r"_" ,n~, Zip CODE 'PJ-lONE. \.' . "-\\\\..,... C~\-\\"1. . ~ ZIP CODE PHONE _I , ~{ , CONSTRGCTION [] MOBILE ,HOME [vr PLAN REVIEW [ ] , . , '..i l' Q , . . . \ ~ ,', { """"" 'DOwner\.-.b1i>'TI'~:. '~,v",(.A~\.u. ~^,:;, h ADt.\" ."'"' .~ 1: NAME Y ADDRESS - ~ ~! ~"l Cl:( o Gonfractor .:.......~\ ".,',.... ~ NAME ADDRESS 1_,""",,, ',0\.. ~.\_C'. CITY- . " CITY o S Reg # " T~P >\ l?'" Range t'),,?> Section \ \ Tax Lot . ~,~" (\ '~3. ,. -'~-"-., ~ "'Subd,vl~o~ . .~~,~:\-.\ '<"'" l:\ Lot t.f"C.. ~,B, lock - ~ ~\..t Acreago f i}. 'IJ -- '*~ ~. ~~{.lJl."'~ ;;-. ~"~~11..."., it \ ..-'" \ ~'.i:':p'-ccess,t9 p'roperty (Road Name) Hct." ')t.,~ \:' ~'.... {,...... , ;J -1',,'1. ~)'",l ''1.''\ A \ ~ :~:k~lstlng St";uctures on Property>;>""" L" \C:.I~ \"" ~\r~:\'.. "'''~ , ~ ' A. (~,t_L <.Dlre~t'"ons to Property - Address ;~.( _~ \,,~ F\" ~,":~ \"...." II' ~~": ,J", . , , l. ~ "I ! ;; .. '" _ ,f <"STRUctURE;. 1!I'.8EDROOMSI \. ') t \"', \ 'ISO FT' i '::': .~\1t'^ ~.,~:,.;;.",-"l!. ' <-\:::,:. '~..... \A-i \ \ \ t.: '-.. \,,~ ht"'" ", , '~ ,'\(." _ole ~ \ ~ :"if'i{' {'-, ",,'J"i':b'\C\ /'i,'l" 6;'x' "", ". " '" \ '\~">.\J.. i::~:;l~it;.c.~yf~ ~...\~"'- ~~ 'Y, f"4 t ~~~H ,,\,~~) ~i~~E>>'_~f~'tPt~iP~~~~Il, ~..:.. ,;~' ~ '?';f'OBL'IC,'['1.]., _SEP.TIC TANK:!, ] OTHER [ ] ~j 'J ,~" ~~~ "''''~ .rite ~~-f.< ')~! ",~ ~~~fBli~t:D1IN~ 1- ..-) {' ~~, ~/ ~\.., ~ ~ '" ..'" - .. , ''''~'('''D V',PLUMBING;- ",. CO,' .. ',_~ 0/-< l'_~<j;\jl:'"J<'" "'~ ,,~.... \ '9f~"'\ ",,'" y'~":3%ISURCHARGE i ~"-""~ .", '(~ ":::MOB(~E HOME<' ;'''':;..;(',", C;:::;' ',,: WASTE"DISr,OSAL "'.,.. ,. l~ . I- , ,~ ,-" ,~ ;PL,AN REV.IEW... t:-" :',~~'~;~~ .~I~ T ~~ f! ~.;t9TA(::,} ;, ~~ii.\ a '"'~ ,,~,~'\irC~ ~..:'> ~' "" - ;~ \'''~\{~\ I" ' , 'CONSTRUCTION PERMITS & INSPECTIONS AND WATER POLLUTION CONTROL SPECIFICATIONS " ~;r . ~'1,,~MIN SEPTIC TANK CAPACITY " ~~"" j I'" . ,. ,GALS "-.' ,_~JMIN DRAINFIELO. L1N FT MAX TRENC~ ~EPTH" INCH&S'...r ~~,., . '~ "'f{#."/''' Abfltt lfIIt;;,lit-/., h,I1~"1 !''.JA<-,:,,' I!!Yt:l,&fi", ~~...J.u~. '~~_~"t(H ",^'~~h~ IMAtt -i~ _,'tf'd.- . "''''.;:J.....'1 '" "." I, , 't: ' .,~- -.. ./ ., .. , " STAY lOa' FROM Al3L WELLS ~~'<TYP(OF CONSTRUCTION "'~GROUP FIRE ZONE """::- USE CLASSIF ", ~ T" I > l' , , '~ Code Census Tract " Width Depth ~ ~ \11L,'i"''''_''''''O.4 , ~:(;.\~ ~ ~\ '" ...... VALUATION - ::l ''<:-~~t:\. , . PLUMBING INSTALLED BY OWNER [] OTHER [] NAMe WATER SUPPLY PROPOSEO [ ] .., " r,EXISTING I'J ~ "', . ", , /-'" .i',. I ] PUBLIC' ,:'~, ':' .It/' 1,,1 I ] COMMUNITY NAME lft~LV:u.., ..j(f'lf't.~,lfl'Wff'LV4' [ ] PRIVATE WELL 4Y '- ' '~". < ' [ ] OTHER SPECIFY .,. " . ." , , , .' -. , , , , . ' , " ',SETBACKS FT' FROM CTR OF rIW t' FRONT \...\l~ SlOE EXT ~f"",l ,FrF.ROM PROP L!j'JE ~ I SIDE IN! ....~, REAR 1",:;,;) '. ' . ~ ,1~ ( j'\ ~'I., ZONE ~A ' .\\,,~ '. AlJT!;IO~'ZEO\SI GNATU R~~ , /s/ ~ "'..)J ,"'\t(' t.'l.J \ \ , SLOG PERMIT - WHITE OFFICE COPY - WHITE IMPORTANT COUNTY TAX - PINK PLUMBING - CANARY BUILDING - GREEN SANITATION - GOLDENROD ~~:J )>./:;t, ,~'.- f ISSUANCE OATE - ~ '" .....l.r+>j::' <!" ~ I ,."..... . .. , t, Call 6874065 to schedule all required construction Inspections Call 687 4061 to schedule all required septic system inspections All constructIOn shall comply With the State BUldllng Code, D E Q 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) , , (POST THIS PERMIT ON MAIN BLDG AT SITE) .\ " , ;' C55 \3 , LANE COUNTY DEPT OF ENVIRONMENTAL MANAGEMENT COURTHOUSE ANNEX 135 EAST 6th E..UGENE OREGON 97401 <- , ." ,--.. I SITE INSPECTION ApPROVED .Cl DISAPPROVED .Cl DATE INSPECTOR REMARKS FOUNDATION INSPECTION ApPROVED / / DISAPPROVED ~/ DATE INSPECTOR REMARKS FRAMING INSPECTION ApPROVED / / DISAPPROVED 17 DATE INSPECTOR REMARKS LATH OR SHEETROCK INSPECTION ApPROVED ~/ DISAPPROVED ~ DATE INSPECTOR REMARKS FINAL INSPECTION ApPROVED ~ DISAPPROVED .Cl DATE !-1t::::J--7? INSPECTOR ~ REMARKS .- CERTIFICATE OF OCCUPANCY READY TO ISSUE 17 NOT READY TO ISSUE .Cl DATE INSPECTOR REMARKS