HomeMy WebLinkAboutADMIN 7/3/2008 1:11:06 PM Permit Building 15686
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LANE COUNTY PERMIT FOO
PERMIT NO
448,7f,
,
" CONSTRUCTION [ )]
Paul Nobert
MOBILE HOME
[J PLAN REVIEW
2022 Harbor Drive
ADDRESS CITY
5335 Main Street
CHANGE OF OCCUPANCY [ ]
Springfield Oregon 747 8095
ZIP CODE PHONE
Spri ngfle 1 dOregon 746-9886
ZIP CODE PHONE
DOwner
o Contractor
NAME
Economy A~ming
NAME
12589
ADDRESS
CITY
OS Reg #
Tw~ 18 Range---.l_ Section 2.3.3 Tax Lot
5tn Addition to Filbert Grove Acres
SubdiVISion Lot..,~ Block
Code
Census Tract
~
Acreago
Width
Access to Property (Road Namel
<;nllth <;..rnnti <;t......t
Depth
EXlstll1g Structures on Property
Mnhilo J.lnmo
Directions to Property Address
?on? J.I~rhnr I1rivo
STRUCTURE 1# BEDRbOOMS1
A~m'ng lor MO lie nome
576 @ Z?uOT
VALUATION
$1612.80
SEWAGE DISPOSAL
PUBLIC [] SEPTIC TANK [ OTHER [ I
BUILDING 17 An
PLUMBING
3% SURCHARGF 1;1
MOBILE HOMF
WASTE DISPOSAL
PLAN REVIEW
PLUMBING INSTALLED BY
OWNER I I OTHER r] ~IAM,~
WATER SUPPLY PROPOSED [ ]
EX ISTING []
[ ] PUBLIC
[ ] COMMUNITY NAME
[ ] PRIVATE WELL
[ ] OTHER SPECIFY
TOTAL
17 1;1
CONSTRUCTION PERMITS & INSPECTIONS AND WATER POLLUTION CONTROL SPECIFICATIONS
MIN SEPTIC TANK CAPACITY
GALS MIN DRAINFIELD L1N FT MAX TRENCH DEPTH INCHES
<::+~It"+ut"o n1:.,.0.... '''HI::a.p^Y'.o ...o~;+ ",~e ~nn' ';0..1 -F1'\r" IJ-Il1 nnl \I no+ :Io_nnlO'.,....,~A hu 1 =:11'\0. """lIn+"
RlIil/-hn:J n~:-,+ ::10+ C"1I,.h "'~mo.:tor- Ut"O" m.-:.+ ~:t.~~~ ~'!:'=~';"': 1",,,^ i''::~A-~;''~-...i:A-i.;.(:~ ~...-- -..,
.......f,.~...l......"" ........ ....~....;^ A...."...._ ...... _........ ..:.......".( --- - - STA-Y 100' FROM ALL WELLS
TYPE OF CONSTRUCTION' GRO'UP- FIRE ZONE USE CLASSIF
SETBACKS FT FROM CTR OF rlW
FRONT SIDE EXT
FT FROM PROP LINE
SIDE lNT REAR
ZONF
AUTHORIZED SIGNATURES
Isl
J. E. Boss bv Hal'billloh
ISSUANCE DATE
1/10/7~ tilm
SLOG PERMIT - WHITE
OFFICE COPY - WHITE
COUNTY TAX - PINK
PLUMBING - CANARY
BUILDING - GREEN
SANITATION - GOLDENROD
IMPORTANT
Call 6874065 to schedule all required construction inspectIOns Call 687-4061 to schedule all required
septic system InspectIOns All construction shall comply With the Stale BUldling Code DE Q standards
for subsurface sewage disposal and the Slate Plumbing Code All buildings reqUire a certificate of
occupancy before being occupied
(See Details on Reverse Side)
')
/):;11/(/
(POST THIS PERMIT ON MAIN BLDG AT SITE)
C5513
LANE COUNTY DEPT OF ENVIRONMENTAL MANAGEMENT
COURTHOUSE ANNEX 135 EAST 6th EUGENE OREGON 97401
ENVIRONl1ENTAL MANAGE"lE
135 East 6th. Avenue
Euqene, Oregon 97401
Malllng Date 3-/~-7t,
APPLICATION NO. 1/4'8-7 tp
.J cj -{ €'-/
BUILDING
[0
MOBILE HOME c==J
Your appl1cat1on for a perm1t lS be1ng held for the reasons Gtated
on the bUlld1ng s~te evaluat10n sheet. Th1S add1t1ondl 1nformat1on
lS needed for the lssuance of your perm1t, we w1ll hold th1S ap-
pllcat.1on unUl.O/,C//. /9;. /1/7(, If, at that Ume, you have
not furn1shed the requ1red 1nformat1on as noted on the attachment,
your appl1cat1on w1ll be cancelled and one-half (1/2) the fee re-
funded to you However, 1f there lS a plann1ng d1v1s1on problem or
some other long t.erm problem of Wh1Ch you have no control, please
adv1se our off1ce by the above date; we may hold th1S perm1t unt]l
1t can be lssued (PHO~~ 687-4394)
We hope your early attent.1on to th~s mat.ter w~ll ho]p us to EaC1l-
ltate lssulny the pcrmlt 1D questJon.
BUILDING SITE EVALUATION
.
() BUILDING PERMIT APPLICATION NO. ~)I Jr-?'~
() SITE INSPECTION
PLANNING DIVISION
Not
Appl icable
l )
( )
( )
( )
( )
1.
2.
3.
4.
5.
Zoning Ordinance Compliance: Zone
Subdivision OrdInance Compliance
Requ ired Acces s
BUIlding Site (Area, Width, Frontage)
Other (see comments)
COMMENTS:
T I - R:5 S2-.j' 5'TAX LOT .?S-
sUB5 I . I S I ON: _.;:~ fA'AA ~ A+f./--"--
LOT: ~ 0 BLOCK:.3
APPLICANT E {' /J?7a7J} y.: /fWD I )~ pi'
DATE I U
No Yes
T) TI 6.
( ) ( )
( ) ( )
( ) ( )
( ) ( )
CK'D BY:
Setbacks from c/l of road:
Front
Side Exterior
Setbacks from interior lines:
Side
Rear
PLANNING DIVISION ACTION PENDING: YES~ ) NO~ ) APPLICATION#
BUILDING INSPECTION DIVISION Not
ApplIcable No Yes
7. Plans Submitted l) D<? TI
8. Soil Stability (footings) ~ () ( )
9. Flood Plain () () (X) /(yJ/
10. Other (se1::e.comment~s) -# ___-'. () I, ('~ )}--rCK1D;YL1//J"" DATI-/f'7j.
COMMENT~ : 11J'I1..f) nUUd~~ '
~ ~ A((2AA~fg.-p- P-'ff~.Ar?k;~
_ . //;., 7-' (1/--' ,] /)
r JC-{Y'.A~ d ~ "?' ?-t1/'-::'f'Y':3 - ",?!.. -';'7 t t-L-
WATER POLUTION CONTROL
Not
Applicable
l )
( )
11. Meets Department of Environmental
Quality Standards.
12. Other (see comments)
COMMENTS:
.)
/'
/
No Yes
T)TI
( ) ( )
CK'D BY:
DATE
TO APPLICANT:~
Yo Building I Site Inspection:
0-J //1 Can be/approved.
I\r C ot be approved at th 1St i me as i nd I cated on i tern NO. -1, } () above.
I,' I uestions and further Information on Items 1 through 6 contact the LANE-
J"V~ COUNTY PLANNING DIVISION. Questions and further Information on Items 7
~, through 12 contact the LANE COUNTY BUILDING AND SANITATION DIVISION.
~ 0\~ () Will be held in this office until you can resolve the problems Indicated.
'f" 1JJ () Is being returned.
( ) Your bUilding permit applicat'9n fee is bein9 returned_,\L~der spoarat@ cov@r,
DEPARTMENT OF ENVIRONMENTAL MANAGEMENT ... .....
135 Sixth Avenue East Eugene Oregon 97401
PHONE: 687-4065
LANE COUNTY PLANNING DIVISION PHONE: 687-4186
C55-28
~
,
c.!
LANE COUNTY PERMIT FC'''')
'-../
PERMIT NO, 44
.
,
CONSTRUCTION [ )]
MOBILE HOME [ ]
o Contractor
Pdul lo!J,'rt
NAME
C-..VrJ'1 'wn11'Q
NAME
1 ;~:'}r.,IJ
'1(';/
..'-'"
PLAN REVIEW
Halwr 'a'h'.
[ ]
CHANGE OF OCCUPANCY [ ]
:;~Jr'in~.fi,.lt, '!r( n 147 '"
ZIP CODE PHONE
Spl"i nt., fl' l,..lr" 'on 7 4t ;~
ZIP CODE PHONE
DOwner
ADDRESS CITY
533~ "TIn Stl"1!et
AOORESS
CITY
O,S. Reg. #
Tw~
1.,
- S . 2.3.J T L
ectlon ax ot
F i I' ",rt Grove t.cr'ts
Lot 1~ Block
Code
Census Tract
Range
,\","1.1',;1 /.,
Subdivision
Acreagp
Width
Access to Property (Road Name):
Soutll S~_vlld ~~r'~o(,t
Depth
Existing Structures on Property'
"ol'l1ll HOll'!
Directions to Property, Address:
it. J2 IIU1)(1 ('
r'1'~ So.
STR.YH~~lI1S1BEq.R~Clq~SI:(",~,
;7', 1 PC?: FT,
VAWATION
!t lo~t.\.; )
SEWAGE DISPOSAL:
PUBLIC [J SEPTIC TANK [ OTHER ( J
BUILDING 1: .an
PLUMBING
3% SURCHARGE .51
MOBILE HOW:
WASTE DISPOSAl
PLAN REVIEW
PLUMBING INSTALLED BY:
OWNER [J OTHER [J NAMF
WATER SUPPL Y: PROPOSED [ ]
EXISTING (I
[ ] PUBLIC
I J COMMUNITY, NAME:
I ] PRIVATE WELL
[ ] OTHER, SPECIFY:
TOTAL
\ . J 1
CONSTRUCTION PERMITS & INSPECTIONS AND WATER POLLUTION CONTROL SPECIFICATIONS
MIN, SEPTIC TANK CAPACITY:
GALS, MIN,ORAINFIELD L1N, FT, MAX, TRENCH DEPTH INCHES
rllCWre placod ~.fOrll 118f1llH wes ~Plllle(; for. i I i Jnly 'Jilt approVed bv J.lnC' county
ild1nl: Oetlt. lit such ttlU! liS How J;lCt label H:), 11')'1 live ,load and ~1'l1\ 11ft is
t<i...;i!C to ollt 10 cover as rf''JUi rcJ STA Y tOO' FROM ALL WELLS
TYPE OF CONSTRUCTION GROUP FIRE ZONE. USE CLASSIF,
, ' '
SETBACKS, FT, FROM CTR, OF r/W:
FRONT SIDE EXT,
FT, FROM PROP, LINE:
SIDE INT, REAR
ZONE
AUTHORIZED SIGNATURES:
/s/
J. ~. ,Jf ~ ~)' 1\1 rh;, .:'J!l
ISSUANCE DATE:
1/ jiJ/lt- ,,1
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 10 schedule all required
septic system inspections. All construction shall comply wllh the State Buldllng Code, O.E.O, standards
lor subsurface sewage disposal and the State Plumbing Code. All buildings require a certificate 01
occupancy before being occupied.
(See Details on Reverse Side)
(POST THIS PERMIT ON MAIN BLDG. AT SITE)
C!55.13
LANE COUNTY, DEPT. OF ENVIRONMENTAL MANAGEMENT
COURTHOUSE ANNEX, 135 EAST 6th, EUGENE, OREGON 97401
\,
SITE INSPECTION
ApPROVE:D Cl OISAPPROVED Cl DATE
INSPECTOR
REMARKS
FOUNDATION INSPECTION
ApPROVED ~/ DISAPPROVED ~/ DATE
INSPECTOR
REMARKS
FRAMING INSPECTION
ApPROVED / / 015APPRDVED /7 DATE
INSPECTOR
REMARKS
LATH OR SHEETROCK INSPECTION
ApPROVED / / DISAPPROVED ~/ DATE
INSPECTOR
REMARKS
FINAL INSPECTION
INSPECTOR
READY TO ISSUE
/ /
OAT
, -r;u~P4Cd
I~ "~~nA/ft~/V-~1
~ v;rr " .tIJ
ff./ j// ,1 .-/V" 7l..f
1 1
NOT READY TO ISSUE / / DATE
CERTIFICATE OF OCCUPANCY
INSPECTOR
REMARKS
.....--. ..-r. ,I ~ " ...
)' 1'-1 / t t (r4-~
I~, !I'l
IftfJ -161'"M ,< ao;z 7I~ Ri)~
.'
t,
,
NOTE
NO PERMIT ~_~L BE
(y Cjtff-t,6
C ''\ \ PERMIT IF
ISSUED UNTIL THIS APPLICA'_JN HAS BEEN APPROVED
,
.
APPLICATION FOR
PLAN REVIEW c=J CHAi'GC OF OCCUP AllCY c::::::::J
79'7 - g{)'1~
~ OWNER PAM I No R<?)"/- ,204)"~~.1~.&r.fJr, 'Vv'J'p'PkdJ) c} 74/7 7#7-7.:.-,J/.S-
Name ..- Address City Zip Phone
~ CONTRACTOR'hRJ/JZJm'jlJuh,J/".va "\"'i""':;~ /l7B,,,J ,GNA.'<q[~/l:> 4l747? ;?cM,-7'-,1\6
o S ReG rJ!;) Sf cre / Address "CHy' JZiP Phone
~ /~J.Jrnge...8 Section.::..J.--: 3,3 Tax Lot Code Census Tract
~u~('Jf~-~";iRPr.-;-h tl!1nll~ J!j~~:-.--Lot Q" <;- Block.3 Property ACreagl! WJ.dth_Depth
ACCESS TO PROPERTY (Road Name) 'fvul! <:'cc~h:><; 1-. I
Existl.ng Structures on Property /)1,) "j;j:)", C~ /.# t?
; . ?-O-O;L dJ a h.lo-tuJ iJA..-/
j/
/I
CONSTRUCTION
~
MOBILE HOME
c=J
Property Locat:;fOu Address/Directions
1
!f1!4l/llf.
f'
-'U"' J ~~ ,?f~ /lJ ~
..,., ;; 2 2 ~ 1\
ry:~~i1 \1 r R I") 1"1'
EXl.stl.nJ Sewage Dl.sposal System
Below fo r Of f l.C e Use On! yXXXXXXXXXXXXXYYYYYVYVXJO<.XXXXXXXXXXXXXXXXXXXXXXXXXXXX::o.1Xxxxxxxxxxxxxy'{vY'rv~rv.xxxxxxxxxxxxxx
L~ ;Vi S7 ~r;jd.ntooms /67s,onro
~ f .
/I
/I
I
or New System Required c=J
SEWAGE DISPOSAL
Site Inspection #
WATER SUPPLY
Well
Spr~ng
Other
Pubhc c=J
Communlty c=J
~
/
IName of Communlty or Publ1c System
,
~i-J
PLUMBING I
Installed by Owner c=J
I
PLUMBING FEES
\
\
Water
Connection
FEES
Bldg
Plumbing
3 % Surcharge
Waste D1Sp
Plan Review
/7-trO
FACILITY PERMIT
~ c=J NO c=J YES ~
S1gnature of A~A'/"~ ~d.~~
Fee Received B ;(J2' Date ,~-L~"
/- '7
.lI.1'<\'I1 I . "
L 5'1 n :,;;?:::tlf!lA ee l3E nr/;"rUJ17WJr'W)/SeaAFP-;;iD--;: (J n~X1mUW;Z~~ AIL Y (;- E T
4 'PPlJV~J) ~'I l.ANE CfJl.I"IIIT't Rr/J~ OF?, AT SUAH+ TIMI: AS
/-IfJJ'{VM~'1 J..../HtJEL S1'AT''N4 L-IVcLOA.DA)l/1J W/N/)LIF'r /~
A-r7"AB.H~f> Tn PATIO ~(Jv€n/4S IiFQU,II?t:'D
. - '"' ..
Mobile Home
TOTAL
, ( 7.~ I
C] CASH
,/,
~ CHECK
~
Type of Construction
Group
F1re Zone
Use Class1f1cation
Bldg Setbacks - from Center of Road R1ght of Way
Fran t
Side Int
Side Exter10r
Rear
Zone
SANITATION
J ,AUILDING /J / DATE
1-I'?/~~ ':1"'2.~"'?6
ENVIRONMEN~L~N~GEMENT '
PlANNING
DATE
DATE
C55 12
LANE COUNTY DEPARTMENT OF