HomeMy WebLinkAboutPermit Building 1976-1-9
r ...
,
.'
LANE COUNTY PERMIT FOI
PERMIT NO. 20-76.
!::. ,.
\,.
,><
,.
CONSTRUCTION [X,]
MOBILE HOME [] PLAN REVIEW
492 WEST BROADWAY
ADDRE:SS
'i'iO EAST ~4TH
ADDRESS
CHANGE OF OCCUPANCY [ ]
EUGENE OREGON 343-2257
CITY ZIP CODE PHONE
EUGENE OREGON "llf'l-2901
CITY ZIP'CODE PHONE.
DOwner 'H. E. MAYNARD
, , ~. N~ME
. ..' PAUL T BINDAS
o Contractor NAME
.. 128n
O.S. Reg. #
Subdivision
Range o'.'!
5TH ADDITION
r II F,U'RT (;,ROV~
/I-~::z..
....:.:. Tax Lot
~ //t1tJ
..z
Codp
Census Tract
Twr 18
Section
TO
Lot
<;6 Block
2
Acreagp
Width
Access to Property (Road Name).
IMI ANn WAV
Depth
Existing Structures on Property:
Mnt::! II r ~nMt"
Directions to Property. Address:
.r-~
\..~ .
INI ANn
WA~
~
~P~-INGF'I~L[,)
OR~GON q7477
STRUCTURE (# BEDROOMS)
P~DUIT r:nc q;uno AM'" rADDt\DT
SQ. FT.
~R4 Ii! C;. ~n
VALUATION
:1;20,<;.20
:l; Q!IO.80
.
.:ji~~{o.w
SEWAGE DISPOSAL:
PUBLIC [J .SEPTIC TANK [] OTHER [ ]
BUILDIW' ;:>4.m
PLUMBING
3%SURCHARGF .7';
MOBILE HOMF
WASTE DISPOSAL
PLAN REVIEW
EXIST
PLUMBING INSTALLED BY:
OWNER [] OTHER [J NAMC
WATER SUPPL Y: PROPOSED [ ]
EX ISTING []
[ ] PUBLIC
[ ] COMMUNITY - NAME:
[ ] PR IVATE WELL
[ ] OTHER - SPECIFY:
TOTAL
24.72
CONSTRUCTION PERMITS & INSPECTIONS AND WATER POLLUTION CONTROL SPECIFICATIONS
MIN. SEPTIC TANK CAPACITY:
GALS. MIN. DRAINFIELD L1N. FT. MAX. TRENCH DEPTH INCHES
I'll<
TYPE OF CONSTR UCTION
"'., GROUP
~
FIRE ZONE
STAY lOa' FROM ALL WELLS
llSE CLASSIF.
SETBACKS - FT. FROM CTR. OF r/W:
FRONT 4'i' SIDE EXT. 7'PUE EAST
FT. FROM PROP. LINE:
SIDE INT. 110' REAR
'i NORTH ZON C
\ AUTHORIZED SIGNATURES:
/s/ J, E. Boss BY HARBAUGH
McKAY BY GRAY/SANITMIAN
ISSUANCE DATE:
1/9/76
OlM
BLDG. 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 687-4061 to schedule all required
septic system inspections. All construction shall comply with the State Buidling Code, D.E.a. standards.
for subsurface sewage disposal and the State Plumbing Code. AIi buildings require a certificate of .
occupancy before being occupied.
(See.oetails on Reverse Side)
~
~ X"'" '\,
(POST THIS PERMIT ON MAIN BLDG. AT SITE)
C55.t3
LANE COUNTY. DEPT. OF ENVIRONMENTAL MANAGEMENT
COURTHOUSE ANNEX, 135 EAST 6th, EUGENE, OREGON 97401
BU Il.D'ING S'!TE' EVALUAT ;O~" , ,-J0o/', C f-(
c ~~' BUIL~ING:PERMIT APP~ICATION NO,' .~r ~ ~
,( ) SITE INSPECTION
"
"
PLANN I NG , 0 I V I S ION " , Not
. . . " . ADpl i cab 1 e
1. Zon i ng Ord,i'nanc", ConJpnance: Zone rJlI-M U( )
2, Subdivision Ordinance Comp,1 iance ~( )
3., Required Access,'" . " ( )
!j.. Building Site' (Area, Width, Frontage) . C)
5. Other (see comments) <. )
COMMENTS:
,
S - {)2- 'TAX LOT
, 'k/', BLOCK: .-.
......::- ."'f',
APPU CANT- '
DATE
. No Yes
T)W6..
( ) (if'
( ) ('1/
( ) (~)
( ) ( )
'CK'D BY;' tf,f3g, 7 ~ 7 f,
Setbacks from ell o~road:
Front f5 (s,yv.#.)
Side' Exterior !,Ll? (,,-,~..-
Setbacks from inter i or 1 ilies: . )'
Side . ,7~U"[6--~
Rear .., .J:;'
PLANNING DIVISION ACTION PENDING: YES( ). NO( , ) APPLlCATION#
BUILDING INSPECTION DIVISION '
, Not
ADDI icable
( J,
( ')'
( )
( )
. 7..
8.
: 9,
! o.
~lans Submitted., . ~
Soil Stability (footingS)'
'Flood Plain
Other (;ee comments)
COMMENTS:
.~,
.)..
I'
WATER POLUTION CONTROL.
.-', Not
ADD I i cab le'
(v)
()
I
11. Me",ts 'Oepartmen't Of .Envi ronmehtal
QU!l1 ity Standards.
12.. Otrer (see comments)
COMM~NTS:
. No Yes .:'
'l-) Uf
( ) n '
(') ().,
( ) (),
..
B~e1/~-~.r;i
I DATE
CK'D
,
'No Yes
T) n,
, ( ) ()
" .
. . . - .
BY~ctf*-/ -R'. -'/Co .
V. . U . DATE
CK.'D
.,
. .~~'
TO APPLICANT:'. . .' .
I Your Build.ing I Site Inspection:
. ,,,-XCan'be approved;' "
, (~-'(') Cannot be approved at this time as inc{jcafed on item NO. above,
_n-n~'fJ. Questions and further informati~n 'on items .1 through 6 contact the LANE-
t/:\ . COUNTY PLANNING DIVISION. Questions and further inform~tion on items 7 ,
\ .> . . through 12 contact the LANE COUNTY BUILDING ANO SANITATION DIVISION. ,
. . -'(:> Wil1'be held in',this office until you can resolve the-problems indicated, , ;",
" (,) Is being returned. '
() Your. building permit ap-pl ication fee is being 'r~tu~ned' under 2.W..aJ:l'te cover',
. DEPARTMENT OF ENV I RONMENTAL. MANAGEMl::Nr ' -
" ' 135. Sixth Avenue Eas.t Eugene Oregon -97401- '
, . PHONE: 687-4065
LANE COUNTY PLANNING'DIVISION PHONE; 687-4186
.,.
C55-28
,
r.
......"--~
~.
.
r
LANE COUNTY PERMIT FG
PERMIT NO.
~.-,'"
f.u '" ~l.
CONSTRUCTION [X] MOBILE HOME [] PLAN REVIEW
CHANGE OF OCCUPANCY [ ]
;
o Contractor
P""L T BI~OAfl
NAME
1::8p
1~.?2 \l.'UT 6"4~~O\IIAY
ADDRESS
5~ EAST 31;,."
ADD R ESS
EuafiNr
CITY
EI.lGi! Ii",
CITY
O~a~~ j~3'''i~~~
ZIP CODE PHONE
nllPc'(t.~I.'t .,.'t, -j ",.~"'.<t
liV _..... ti .'Vt "'t,':;/,.,
. ZIP CODE PHONE
DOwner
Ii. E:. 04A V~'''1l0
NAME
O.S. Reg. #
T 18
.' wp
Subdivision
0"
Range 'J
5TH "OOIT10!>l
s: I U!tFlT C,;ove;
Sectiop
TO
Lot
r."
.~
Tax Lot
'j6
Code
Census Tract
'16
Bloci-'
2
Acreage
Width
Access to Property (Road Name):
IfiLAhD l4"Y
Depth
Existing Structures on Property:
t.flm I L f t '(i:4t
Directions to Property - Address:
~ INUIlO WI\7
-c;......--.(
Sil'l:I!<'G1'II:LD O!ti:lKoN :n4n
'STRUCTURE 1# BEDROOMS)
P~"MI1' 1'0;: SHill' AIlD CAk;JIDnT
SQ. FT.
~;)4 C 't. ':0
VALUATION
t20~.20
$ (~,).t}O
10____1 ....
,<,\-i"~fv.\.{t.:
SEWAGE DISPOSAL:
PUBLIC [J SEPTIC TANK [] OTHER [
124.00
[XISf
PLUMBING INSTALLED BY:
OWNER [J OTHER [] NAMF
WATER SUPPL Y: PROPOSED [ ]
EX ISTING []
[ ] PUBLIC
[ ] COMMUNITY NAME:
[ ] PRIVATE WELL
[ ] OTHER - SPECIFY.
"
BUILD IN'"
PLUMB IN'"
3% SURCHARG"
MOBILE HOMF
WASTE DISPOSAl
PLAN REVIEW
.72
TOTAL
24.7c
'. CONSTRUCTION PERIViITS & INSPECTIONS AND WATER POLLUTION CONTROL SPECIFICATIONS
MIN.,SEPTIC TANK CAPACITY V'1'-
)GALS. MIN. DR:.<>.iHFIELD L1N. FT. MAX. TRENCH DEPTH INCHES
,\ ~-< Iii
) . ; ,
, .
. -~ \-: ! '.
TYPE,OF'CONSTRuc;rION
.,~. . I \
'./
"iN
GROUP
1.1 ~v-. l'
- tl< W--
FIRE ZONE
STAY lOa' FROM ALL WELLS
USE CLASSIF.
{.
1 -
t,.!//JI'
'V
n~tf\IIS1'
FT. FROM PR9J(.,L1NE:
SIDE INT. J REAR
5 NoR'.. ZON"
'-
. SETBACKS'-
, .
F~pNT '
-L.
;:.'
iP AUTHORIZED SIGNATURES:
. /s/ J. r;. SOS,llI \OY HARGAUlW :t1t:NAY 6" G,"ln/ll"'NI'l'AiIlAN
^~, ~ '\-~ ''''j ,;~;~ "
BLDG. PERMIT - WHITEr Call 687~4065, 10 sthedule'ali'requi'red.construclion inspections. Call 687.4061 to sChedule all required
OFFICE COPY - WHHEl'" septic system inspections All construction shall comply With the State BUldllng Code, D E Q standards
COUNTY TAX -.1PINKi ,,'- . IMPORTANT: for subsurface sewage disposal and the State Plumbing Code All bUildings require a certificate of.
PLUMBING -_ CANA~Y \ ~ "', _ occupancy before being occupied ' , .'
BUILDING-GREEN\-I ,...,.,......~)~ \ "", '\. I "I, " '~'- \ \ J
SANITATION'_~:GOLDE..NROD"~ "'<t=,~~ ~. S_ J., :::.. <'..1', I , ~j\J~et:P\etaJls,o~nRe~e~seSlde)<tJ '\. "
,\x:~~- \ _.,~, ~(PC)S~~TI;lIS"PERMI!ON MAIN BLDG. AT\ITE),
'f;j __ LANE COUNTY, DEPT. OF ENVIRONMENTAL MANAGEMENT
COURTHOUSE ANNEX, 135 EAST 6th, EUGENE. OREGON 97401
C55.13
~J:./ROM CTR.OF r!W:
, .SID E EXT.
,p
ISSUANCE DATE:
1/9/76
t;.-hr:
". ~
,,~'*..~.
.,.., ", ...;,'"
~ ",.
., .
..,Jir
c..I.
I NSPECJ/6N
~,/....
'i.~)?
.,:'1' SITE
,.
. ~'tr'~-
ApPROVED r; DI,S-~APPROVEO C1 DATE
INSPECTOR
REMARKS
fi.
..
FOUNDATION INSPECTIPN
ApPROVED I I DISAPPROVED I IJ].TE INSP&C eR/I
~J..l ~ .... . J/
REMARKS f) Ir C-o ""A,.,/p,A:u-.i /1;7;;:; /J,~ Ie; ~ ft? f.,(({:
/ .'1
~f
FRAMING INSPECTIPN
ApPROVED r; DtSAPPROVED r; DATE
INSPECTOR
REMARK 5
LATH OR SHEETROCK INSPECTION
ApPROVED L-I DISAPPROVED I
I DATE
INSPECTOR'
REMARKS
FINAL INSPECTION
ApPROVED C1 DISAPPROVED r; DATE
INSPECTOR
REMARK 5
,
,
CERTIFICATE OF OCCUPANCY
READY TO ISSUE / I NOT READY TO ISSUE r; DATE
INSPECTOR
REMARKS
,J.O-7(p
6kf~/-1 .
- $t7~ AA!.91/ vC0-~ tJ.2. -J~~
7 /M1f~~~\ <;#Jw g~~
" . . ..~
,.
(t7 ..
,-~. !
/-~ ,
\
NOTE: NO PERHIT Wi
BE ISSUED UNTIL.TH~S APPLI~TJ
PERHI~t? - 70
HAS BEEP APPROVED
APPLICATION FOR:
CONSTRUCTION ~
MOBILE HOME C=:J
PLAN REVIEW [=::J . CHANGE OF OCCUPANCY C=:J
.f ~ AI ~ "N'" ';X nt.,#"", . </9L ""= )f_'"",M 6x;6~r:"~ 3</,. zZ> 1
. Name ' Address City/ lip Phone
. CONTRACTOR ;::ZV'-.. 7. ;Y""",-;-s ~"oG 3'1l!ft'L= 6V'<:E-A/C.od 9'7;.,1e.,S'. ,?.:/-S-Zc;l; i
~ '6/ Jame ;10 i,n, -;:n,r,e~s~ io~' - U4.rZ;/hOne
O.S. REG. II /- E-V;.".""C! ~~~~ ~U -=Ff=- ~
Twp. J <J- .Range c7:5 If;"ltion 1.if..I 62--Tax Lot ~G Code
s(i;~~~ ;;,(.~ot S-rp Block -:)" Property Acreage
ACCESS TO PROPERTY (Road Name) IN L/1:.v,., ,t/.4"-
Census Tract
Ii "/8'3
Width______Depth
Existing Structures on <Property:
2..'-1 -/C;6
/.J? 0/311..1: I-H rn C
//
//
Property Location - Address/Directions:
.:h> S- ~-
r"v"'-/l.~'" J~
'v fl. ;I
E'J L-:-~-r_ ~7--' L~'IP
. // ~
.<<;/~,2/,vc.,c; F< D
/ '
/ ~
,
/"
.,
Below for OJf ic e Use On! vXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXYVVyyYV,rvXXXXXXXXXXXXXXXXXXXXXXX'
s!A-fJ +-'e-a/)fJtJYl~C //,;X ';j~ 3'i:~{)~. 36edrooms,//:7~a~~ dO
I. '-J-- / L/ ,V;;J L/ 3 "3G6)ri..I?o / C(' L/ o. FeL-
1 / ..::Jq'7 f_ ,Il ?)
/-
Existing Sewage Disposal System ~ew System Required c====J
r:=J
SEWAGE DISPOSAL:
Site Inspection 11_
Other
Conununfty r:=J
WATER SUPPLY:
Well
Public.
Spring
Community or Public System
FEES:
;J L/ on
PLUMBING:
Ins tall ed
by Owner L7-i ~
FEES: i.l! If
If all Fl.xtures '
Sewa e
Connection
Water
Connection
Bldg,
Plumbing
3 % Surcharge
Waste Disp.
PLUMBING
.1~
TOTAL
/
rJtf, ~
C]
~
,
CASH (
~
PLANS FURNISHED
FACILITY PERMIT
Plan ~eview
Mobile Home
--- . .
L.==::::J YES C=:J NO . /'J2=J. YES ~
Signature of AP~' 'c~nt: ~--;;;c/A J~~
'FeeReceived~y: _' Date:/-~-7S-
. 'J. .
Min. Septic Tank Capacity
Drainfield Required - Lineal Feet
Maximum Depth
.~~
Type of Construction
SN
--
Group~
Fire Zone'
Use Classification
Bldg Setbacks - from Center of Road Right of Way:
Front L/'~- Side Int'1l'-fll~ Side E;.xterior
'( 0"&1')
'10
'_ / AI"...,J./.,")
u \.'
. ~
Rear~?-;:-';"'-- ,-:': '7nne
,
,
PlANNING:
~'1t~7c,
C55,-lZ
" ;o/'NI~ATION:. . DATE: ILl-. BUILDING:{'/ / DATE.
.-vr.~ ~ 1-6'-7(.. ?ffJ~ /-g-7tR
II' (1' if I
LANE COUNTY DEPARTI1ENT OF ENVIRONl1ENTAL MANAGEHENT
I
DATE:
/,