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Home My WebLink AboutPermit Building 1975-12-30 . " ~.. ' , " . ee LANE COUNTY PE{RM IT Fe:e PERMIT NO.. ~",O'7 .,., -,(.'. ~. f' ......,. . ...1' . .;/ ~ ,.-' ,~ ('...'" , CONSTRUCTION [i{] MOBILE HOME [] PLAN REVIEW [] CHANGE OF OCCUPANCY [ ] ., 1O~i6 COTTO:-.iV.!OOD 3nro:n ADDRESS CITY ,;.IJGCI\i:~ Onr::GO~~ ZIP CODE ''';1; ,- " .'," , .1". ." . t t "o...~,.... o Owner [n~1'f V. F AIIL r: '( NAME PHONE o Contractor ~'nM': NAME ADDRESS CITY ZIP CODE PHONE' O.S. Reg. # i\Ill Twr 17 . Range 0,3 -, iST ADDITION .1\11:- N I n PUll( Section 'f~ ,.j) :;7 Tax Lot . ~7{at; Codf' Census Tract Subdivision Lot h Block {.. Acreage Width Access to Property (Road Name): ("nT~!~~\Jl'1nf'l ~:T '!:"l:"T Depth Existing Structures on Property: [.-tn~,'or Directions to Property. Address: t:~I~:~~!1:~0~r' ~~!~':~"!' . M rih;"P-fI Ii ~t.~~~~ ~ STRUCTURE (# BEDROOMS) SQ, FT. l_' INTn/lOp. "fALI.S TO ['Ie j:'IH'~T~',) I~! ,t"l>(I<;TIU~ ~4RAR~ ~OR OAOKROOM VALUATION !\'~I.1i . l'lP " SEWAGE DISPOSAL: PUBLIC [] SEPTIC TANK [ OTHER [ ] 1 r)'j20 PLUMBING INSTALLED BY: OWNER [] OTHER [] NAMI= WATER SUPPLY: PROPOSED [ ] EXISTING [] [ ] PUBLIC [ ] COMMUNITY, NAME: [ ] PRIVATE WELL [ ] OTHER, SPECIFY' BUILDING PLUMBING 3% SURCHARGE MOBILE HOMF WASTE DISPOSAl PLAN REVIEW ~ . [1;.') - ~.()() ow.?U TOTAL t,.21~ CONSTRUCTION PERMITS & INSPECTIONS AND WATER POLLUTION CONTROL SPECIFICATIONS MIN. SEPTIC TANK CAPACITY: GALS MIN. DRAINFIELD L1N. FT. MAX, TRENCH DEPTH INCHES TYPE OF CONSTRUCTION 51\\ GROUP I FIRE ZONF STAY 100' FROM ALL WELLS USE C LASSI F. SETBACKS, FT. FROM CTR. OF r!W: FRONT SIDE EXT. FT. FROM PROP. LINE: SIDE INT. REAR l' PU': ZONF AUTHORIZED SIGNATURES: /s/ J.E:. f}OCD DY HMlElAUGH ISSUANCE DATE: 12hoJ7S, DLM 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,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 SLDG, AT SITE) e55,! 3 LANE COUNTY, DEPT, OF ENVIRONMENTAL MANAGEMENT COURTHOUSE ANNEX, 135 EAST 6th, EUGENE, OREGON 97401 YESl ) NOl ) APPLlCATlON# Not Applicable No Yes ( ) "l) ~ (~ () ) ( ) ( ) ( ) ( ( ) ( ) CK'D -- BU I LD"I NG ': ITE EVALUA'fI ON e e ( ) ~8UILDING PERMIT APPLICATION NO.. () SITE INSPECTION PLANNING DIVISION c ~\ ? () %/1 ' I( . c)) I~) {"; .. _ )\ 1. 2. 3. 4. 5. Not App 1 icab 1 e ( ) ( ) ( ) Frontage) () ~ () " ~ .\ " Zoning Ordinance Compliance: Zone Subdivision Ordinance Compliance Required Access Building Site (Area, Width, Other (see comments) COMMENTS: \ PLANNING DIVISION ACTION PENDING: BUILDING INSPECTION DIVISION 7. Plans Submitted 8. Soil Stability (footings) 9. Flood Plain 10. Other (see comments) COMMENTS: WATER POLUTION CONTROL Not App 1 icab 1 e ( ) ( ) 11. Meets Department of Environmental Quality Standards. 12. Other (see comments) COMMENTS: ~a " TA. R S~N: LOT: S TAX LOT BLOCK: r~r/ly,,/ / / APPL I CANT DATE No Yes "l) ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) CK'D BY: Setbacks from ell of road: Front Side Exterior Setbacks from interior lines: Side Rear 6. BY: eJf~.2-'30--~" I DATE No Yes "l) ( ) ( ) ( ) CK'D BY: DATE TO APPLICANT: . . )fOU[ uilding I Site Inspection: t . <::' ~S" Can be approved. \:::;)~ Of/' () Cannot be approved at this time as indicated on item NO. above. ~ 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 buildin~ permit application ~e is being returned u~der seoarate cover. LlEPARTMENT OF ENV I RONMENTAL MANAGEMENT -- ,,' 135 Sixth Avenue East Eugene Oregon 97401 PHONE: 687-4065 LANE COUNTY PLANNING DIVISION PHONE: 687-4186 C55-28 ~ .. BU.I'~~'ING:.,S ITE EVALUAT ION ee ( ) ,BUILDING PERMIT APPLICATION NO. .() SITE INSPECTION .'1 PLANNING DIVISION Not App 1 icab 1 e ( ) ( ) ( () ) " t. () ( ) 1. 2. 3. 4. 5. Zoning Ordinance Compliance: Zone Subdivision Ordinance Compliance Requ i red Access ("C,lr;~) Building Site (Area, Width, Frontage) Other (see comments)",- COMMENTS: \, '2, "','1< I. " "',\', " / ' . , .', '., -:::::-, T.. R S S~N: LOT: TAX LOT BLOCK :J APPLICANT DATE ,I / '- No Yes () ( ) t) ( ) (/) ( ) ( ) ( ) ( ) ( ) CKID BY: Setbacks from ell of road: Front . Si de Exter i or Setbacks from interior lines: Side Rear 6. PLANNING DIVISION ACTION PENDING: YESl ) NOl ) APPLICATION# Can be approved. Cannot be approved at this time as indicated on item NO. above. 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 aeplication fee is being I:'eturn~d-!:!nder seoarate cover_ uc.rARTMENT OF ENV I RONMENTAL MANAGEMEN1" 135 Sixth Avenue East Eugene Oregon 97401 PHONE: 687-4065 LANE COUNTY PLANNING DIVISION PHONE: 687-4186 BUILDING INSPECTION DIVISION Not App 1 icab 1 e ( ) ( ;) (\r (0) 7. Plans Submitted . 8. Soil Stability (footings) 9. Flood Plain 10. Other (see comments) COMMENTS: WATER POLUTION CONTROL Not Applicable ( ) ( ) " " 1,1. 12. Meets Department of Quality Standards. Other (see comments) Environmental -, COMMENTS: , '\ ~, ., , TO APPLICANT: , ~' ~our/Building I Site Inspection: " "'" '" ;"\ .~ \' , ." \ ;. ,/,",' ,f: '/', '(A ( ) ,0 '\' ^ '\ ,-c' ( ) ( ) ( ) C55-28 No Yes () (X) ()(() ( ) ( ) ( ) ( ) CKID . ')/ " /} .1" ~;:;. d ./J..i .' .. . '" ., . //~ .,,~:/,,1 1..<!"'.. ."~ BY.', .. !/l'j</'? "'/'04'" /. ./. ,;;, ,- i '. . .v. ""-"I../{L:'::"/""'."y-/I. . r I DATE No Yes () ( ) ( ) ( ) CK'D BY: DATE ,.., /' " Ii D./ . .:. :, 0(1J(}~ CONSTRUCTION ~~)]~j M16'~ILE HOME [ ] I ' \ / , ;// \ o Owner ,~ \ LANE COUNTY PERMIT __ PERMIT NO. PLAN REVIEW [ ] CHANGE OF OCCUPANCY [ ] 'i ., NAME ADDRESS CITY ZIP CODE PHONE o Contractor NAME ADDRESS CITY ZIP CODE PHONE O.S. Reg. # Twr . Range Section Tax Lot Codp Census Tract , Subdivision Lot Block Acreage Width Access to Property (Road Name): " Depth Existing Structures on Property: Directions to Property - Address: ,,' , STRUCTURE (# BEDROOMS) SQ, FT. VALUATION 1. .. ,/', L . '\) SEWAGE DISPOSAL: PUBLIC [] SEPTIC TANK [ BUILDING PLUMBING 3% SURCHARGE MOBILE HOMI= WASTE DISPOSAL PLAN REVIEW OTHER [ ] PLUMBING INSTALLED BY: OWNER [] OTHER [] NAMF WATER SUPPLY: PROPOSED [ ] EXISTING [] [ ] PUBLIC [ ] COMMUNITY, NAME: [ ] PRIVATE WELL [ ] OTHER, SPECIFY: TOTAL CONSTRUCTION PERMITS & INSPECTIONS AND WATER POLLUTION CONTROL SPECIFICATIONS , MIN, SEPTIC TANK CAPACITY: ..., GALS MIN.DRAINFIELD L1N. FT. MAX, TRENCH DEPTH INCHES TYPE OF CONSTRUCTION GROUP FIRE ZONF STAY 100' FROM ALL WELLS USE CLASSIF, SETBACKS, FT. FROM CTR. OF r!W: FRONT SIDE EXT. FT, FROM PROP. LINE: SIDE INT. REAR ZONI= AUTHORIZED SIGNATURES: /s/ " ISSUANCE DATE: " J, 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, All buildings require a certificate of: occupancy before being occupied, (See Detai Is on Reverse Side) (POST THIS PERMIT ON MAIN BLDG. AT SITE) C55.13 LANE COUNTY, DEPT, OF ENVIRONMENTAL MANAGEMENT COURTHOUSE ANNEX, 135 EAST 6th, EUGENE, OREGON 97401 ee SLAB FLOOR PLUMBING GROUNDWORK ApPROVED / / DISAPPROVED / REMARKS GAS PIPING GROUNDWORK / DATE ApPROVED / / DISAPPROVED / / DATE REMARKS ROUGH PLUMBING ApPROVED / / DISAPPROVED / REMARKS ROUGH GAS PIPING ApPROVED / / DISAPPROVED / REMARKS , FINAL PLUMB I NG ApPROVED /~ DISAPPROVED / REMARKS' FINAL GAS PIPING ApPROVED / / DISAPPROVED / REMARKS CERTIFICATE OF OCCUPANCY / DATE / DATE ee INSPECTOR INSPECTOR INSPECTOR INSPECTOR / DATE ~-5-7~ INSPECT~~ ( / DATE READY TO ISSUE / / NOT READY TO ISSUE / REMARKS / DA TE INSPECTOR INSPECTOR . .' . . .~ N f)' I'I~: : I'I-:HHI T II Al'I.'!WVED 3;2 &7-7..:) #, NO 1'1~({MJ.l' W.I LL BE ISSUE/J lINTJ ,I, TillS ^,)I'.~i1lfA'I'I.()I'J liAS I\/::/::N # ee AI'I'I,ICATJCltJ FOJ(: .e ClllJSTI<\JCTlON ~ 11(1I\ I u: 1I0r-!E ['- 'I I'I:MJ REVIEI.J [~=] CIIAj,:Ci': OF O(I:IJI'/\.;O C~~ \ \ \ XI J OWNER ~dtJ{r,_t_51LIL~.. INamc / -ff!_~~ &~~~~~._&'7t:~V ,7?(qL__.~~Z-6950' Addn'ss C,Lty 7' '1..1 i' ' I hone ' I CONTRACTOR Nnme Address CLty Zi.'P Phone O,S, REG. II ", ~ Twp,' 17 . Range~ Section c2 7 Slibdivision--1d:.-MPV\ I (') Mr-Is:-Lot , XACCESS TO PROPERTY (Road Name) A.. #P'Y1l..Joocl ~ Tax Lot Code Census Tract "'I 4t, Block d7 Property Acreage \.Jidth Depth >\EXisting Structures on Property: ~~<;'c ',<"Property Location - Address/Directions: l~j~~~ ~ -- SEWAGE DISPOSAL: Site Inspection U / 'S'!),J() WATER SUPPLY: Well Public Spring Other FEES: Bldg. Waste Disp. Plumbing Plan ,Review Mobile Home 1% Surcharge <.-- PLlMBING: Instnlled TOTAL , .~ . D1d:- -Q-L'T " Other r" I Nnme ~ PLU$ Sewage Connection \.Ja ter Connection <.-- PLANS FURNISIIED FACILITY PERl-lIT I ~ I NO r I YES ~I~ Signature of APPlicant:X~,/1 ~ " ~ Fee ReceLved By: ep Date: '1--:?&7'.c; Min, Septic Tank Capacity Drainfield Required- Linen1 Feet__.___ l'!nximum Depth "..-------. ... .----- ~.- --'-.' . - .. . -..- -..- --.. _.. - .-- .-.....-...-..----- - ' , ---_..__._._~--.-.__. -----_. ---- --- --- --- -. -.- .----., -..- Type of Construction 'l?ii/ Group / ----- ---.-------------..--- .-.-.- Fire Zone Use Cinssificntion Bldg Setbacks - from Ce:1ter of Road Right of Way: Front Side In t. Side Exterior Rear 7 / Puff. Zone PlANNING: DATE: SANITATION: JJ ~ BUILDI)Ij: ,//~ DATE: (j/f:J~t4IL./ .2 -';3 o~ 7.r ENVIRONMENT; MA~AGEHEj , DATE: CI\' 12 LANE COUNTY DEPARTMENT OF