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Home My WebLink AboutADMIN 7/3/2008 1:11:08 PM Permit Building 15690 I' I . ' LANE COUNTY PERMIT For " PERMIT NO, ~!H ,>,.2-75 , CONSTRUCTION [] MOBILE HOME [X] PLAN REVIEW [J CHANGE OF OCCUPANCY [ DOwner PAtH r NnRr'AT NAME ?on? 1-4 AfnHH,l n~, \1[' ADDRESS C;Pl:IINt:'.J"'I:"Il"'l C"ISl:'t':I"J..l 0;h77 CITY ZIP CODE .... .. PHONE o Contractor ,~I ~D~~Mt I ~N 'i7~ c:.r~IITI-4 ^ AclOF!1");S C::Of:tI,.'f:!"- CITY 1:"1 h (lprr.:.f\'" , ZIP CODE o7h 77 - . , PHONE 0.5. Reg. # * Tw~ 1;" Range J 3 tl'-'?3(jO o Sectio~.:7, . ~Tax Lot----"f'P N Codp Census Tract 17- h Subdivision r, LBERT GROVE Lot 1'5 Block .3 Acreagp Width Access to Property (Road Name): HARBOH OH I V[ Depth Existing Structures on Property: "'",or Directions to Property, Address: 2002 HARBOR DRIVE r IL8[1 T GROVE SPR1NGrlrLO GREGO' STRUCTURE 1# BEDROOMS) SQ, FT, VALUATION c" .... ~t........,.... u.......... <'roc' I ""Cl.T A. I r'f"t 2 BEDROOM 21~52- 75 SEWAGE DISPOSAL: PUBLIC (J SEPTIC TANK [ BUILDINr. PLUMBING 3% SURCHARG!:. MOBILE HOMF WASTE DISPOSAL PLAN REVIEW OTHER [ J PLUMBING INSTALLED BY: OWNER [I OTHER (] NAMF' WATER SUPPLY: PROPOSED [ ] EXISTING [J [ I PUBLIC [ ] COMMUNITY, NAME: [ I PRIVATE WELL [ J OTHER, SPECIFY: 4,(J() .1? 1(),()() TOTAL 'lll,l? CONSTRUCTION PERMITS & INSPECTIONS AND WATER POLLUTION CONTROL SPECIFICATIONS MIN, SEPTIC TANK CAPACITY: GALS, MIN, DRAINFIELD L1N, FT, MAX, TRENCH DEPTH INCHES OK BlAt,EO ON PLOT PLAN SUBM I THO TYPE OF CONSTRUCTION MH GROUP FIRE ZONF STAY 100' FROM ALL WELLS USE CLASSIF, SETBACKS, FT.,FROM CTR, OF rfW: FRONT 12' ruE SIDE EXT, ')' FT, FROM PROP, LINE: SIDE INT. REAR 'j' ZONF ~A ~ 1 14' PUE '" CENTER or THE LOT AUTHORIZED SIGNATURES: /sl r- .::tnc:c i..l~.m!A.'r'!~ ISSUANCE DATE: Mrl.{llv I.n.... ~....~., I':AWIT"""""I 11 ....-', r~ .. n' .. BLDG. PERMIT - WHITE OFFICE COPY - WHITE COUNTY TAX - PINK PLUMBING - CANARY BUILDING - GREEN SANIT A nON - GOLDENROD IMPORTANT: Call 687-4065 to schedule all required construction inspections. Call 687-4061 to schedule all required septic system inspeclions. All construction shall comply with the Slale Buidling CocIe, D.E.a. standards fOf subsurface sewage disposal and the Slate 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) C55.13 LANE COUNTY, DEPT. OF ENVIRONMENTAL MANAGEMENT COURTHOUSE ANNEX, 135 EAST 6th, EUGENE, OREGON 97401 - . . " . 'LANE COUNTY ENVIRONMEl<lAL MANAGEMENT PLOT PLAN. A JJ N;V and Address of [Mner-2.tZ.o..'J....__lL-ct/l.j~ ia--'y~~ ~~ " ./I..e-7' ~ 9' ? tL2-::?________ Telephone:,......2.1L2.~.3:..b_-+~ Q.-yz~ The building being constructed under this permit will /10 ~ . 'Z...-'"'- . Date this property was purchased ~. be used for .r- /q76 Do you now, or did you ever own property adjacent to this tax lot? If so, please list those tax lot numbers or draw those properties on the plot plan below. ~ Indicate on your drawing the location of all homes (including mobile homes) now on the property, as well as the location ~f the n~' buildin\. - u, . I ,,- 'I' - - At16'j[~1'_:..~~.~.:;yt) -:'::-':} , , - - 'I_'~,::J::J" ':'~, n ({ l ~., - - - - ~. - -- -' ,~.- - '" , , -- --, ' , , '...., , - -- .., ~. if ....... --:;'p _.- "--- ~_. ------.----- t~:' -= --', ," -- :'~ ~ ~ :!: -::i . _ .:. ~ ~ ~ ::: :::: __ no ,-= -= -.:::: ' - h,.. ' :: , .. , ,: :: ::: ': -l.~. : .~.~ ~ ~' . . -r' .' ,p--, _I. ,.11):;:: I. _ : WJ D ,) ,.. '~\fI - , , ' \" , - -- --. .. . \. ~ - i - "I ,,1_ ..,L .,,~..I "I' ,- I',',,\~,-..I.',," , H - 1 - --, "1"['''' --- ",', :'::':'_,~~.-, "_-=':'~,=':'~' =_-+___..::~_ _n_ _ ____ , J~ ' ,/)J "I:' ,', '::= >, ::.-!: r :.~,:: ' : t-1T' I ....."'~_~ Q: I ". , ".. c ~ : " 'J ' , ' , ~" ,'I . ,-: \ i:',' f ' I, ~ - --- 1 - , It.{! f? {}, ~> .',.,-~'~y~~l-: - ":::~I-' t-;::.::".' ~~::.~.::=T.:I=:r-- __~_q~yf/~~' _~, 1 :::a7ti p (,0,),..-' , ,,' ~ _ " .." ...., --I, ,_ "n" I'l' ....I' ..,,' .."',, , no, ,__ _ I .. , . r:-1--jll- - .- -..-. -I i '" ; ~'~ 1= ': I:'I~ In-----T--- I , I " '[ '" , , -- \' " '.' .' -- .., II , - --1- - - - -- - - -- -- - - - 't - -- -, - , I '..' I ' ., ~.I "," - "" II ,I 1 I ~ It' ~ 'I :::: I' , I--"::_~~ 1-1- - f.. I, .. I ,___ , ~ -- , r, C '. ,'I I' I I ,II II [i l' 'fl-i 'I ' -- -' T I 1 1 'I I : I I ___L J.. __ ,_ , I I , I I 1 'I ---- , Iff' '{,3 --J )- , Name of Applicant (if different from owner): Address Telephone Applicant's Interest: Buyer c=J Seller c=J Agent c=J M74-99 Map Tax Lot Permit 11/l!/I-.5-{?-?~- '. . G-G- MT"~~) ,03 S MIl ;:-0 _ '7!J siiiiO:rJlslo~:. NO. f1 0.1'.2 /, LOT: /1 TAX LOT BUILO(NG SITE EVALUATION t<< ~ BUILDING PERMIT APPLICATION () SITE INSPECTION BLOCK: APPLICANT OATE PLANNING DIVISION Not Applicable No Yes 1. Zoning Ordinance CampI iance: Zone I?A-MI+i) T) W6. 2. Subdivision Ordinance CampI iance \ I(..}/ () ( L.--- 3. Required Access () () (y 4. Building Site (Area, Width, Frontage) () () ( 5. Other (see comments) () () ( ) ,~ (I~~~~~- /'-1 ~ r,u ,6. i.;A (f~..LI,-,' 'I i'.rI CK'D BY: ~, /,f /I/p. 7s-' Setbacks fram c/l of road: Front ~S'-- .:;IJ~ :..~_. :_r Setbacks fram interior Side Rear I in8s: S .s- COMMENTS: PLANNING DIVISION ACTION PENDING: YESl ) NOl ) APPLICATIONN BUILDING INSPECTION DIVISION Not Applicable ( ) () ( ) ( ) '~..... r) '!fJ:J4I ()~/ ~ ~ ~ ~ CK'D BY:ttJ~//I'J.O '7.I~ '"'"?fATE 7. Plans Submitted 8. Soil Stability (footings) 9. Flood Plain 10. Other (see comments) COMMENTS: WATER POLUTION CONTROL Not App 1 i cab Jo6 V> ( ) No Yes T) TI ( ) ( ) CK'D BY :CJ.acltl/lctM--1/1<X ' "15 -r:;- UoATE 11. Meets Department of Environmental Quality Standards. 12. Other (see comments) COMMENTS: TO APPLICANT: Your Building / Site Inspection: ?~can be approved. ~,~ \() Cannot be approved at this time as indicated on item NO. above. \ (l~ Questions and further information on items 1 through 6 contact the LANE- \ ' ',J.~ COUNTY PLANNING DIVISION. Questions and further information on items 7 , ' . through 12 contact the LANE COU~TY BUILDING AND SANITATION DIVISION.. , , ( ) Will be held in this office untl you can resolve the problems indicated. ( ) Is being returned. ( ) ,Your buildinl,l permit appiic~.!.i..Q-"_Jee Is bei(ln retyrned undr-r !jf.paril.1" ~f'v,,~ .- UEPARTMEIH OF ENVIRONMENTAL MI4A~..j.\r..rt 135 Sixth Avenue East Eugene Oregon 97401 PHONE: 687-4065 LANE COUNTY PLANNING DIVISION PHONE: 687-4186 C55-28 . .c::--' . LANE COUNTY PERMIT Ft PERMIT NO, . CONSTRUCTION [] MOBILE HOME (] PLAN REVIEW [] CHANGE OF OCCUPANCY [ "JA!.'L I ~~! r.'iT NAME o Contractor ALr.,,, 1<1,'-'" NAME DOwner t. J~~ UiR:ilO'1 Oi"....1 ...; ,..,&;r I . I ~) 'r'tl.oJ . ~~ l ! AOORESS CITY ZIP CODE PHONE '-.;',\ ~OIJT ~t A P , i{i.(" I' i h Opr,'1DlIf "i,. ADDRESS CITY ZIP CODE PHONE 0.5. Reg. # . Twn I Range '{ Section S~bd' ,C;tIIJ; !UH ~1 ("\<IV!. Lot u IVISlon 1 ' Tax Lot '" Code Census Tract I ~. .J..1 Block . '3 Acreagp Width Access to Property (Road Name)' 'A.ac~ ;)~'I'd Depth Existing Structures on Property: ~o;.; Directions to Property, Address: ~:.:.. HA'~JO~ OR f -It r':'-~f 'f:i OVl' SPAI'lQ, It~n OHCOO, STRUCTURE (# BEDROOMS) SQ, FT, :? Jr C~I')OH VALUATION "\"}~ I ~ HI<"'. .fjl. I ;f~.. j.t. . f':' , . , SEWAGE DISPOSAL: PUBLIC [J SEPTIC TANK [ BUILDING PLUMBIN(; 3% SURCHARGF MOBILE HOME WASTE DISPOSAl PLAN REVIEW OTHER [ ] PLUMBING INSTALLED BY: OWNER I] OTHER [] NAMF WATER SUPPLY: PROPOSED [ ] EXISTING [] [ ] PUBLIC [ ] COMMUNITY, NAME: [ ] PRIVATE WELL [ ] OTHER, SPECIFY: C'~: .., .11. ilJ .1~C TOTAL '),~. j ,.' CONSTRUCTION PERMITS & INSPECTIONS AND WATER POLLUTION CONTROL SPECIFICATIONS MIN, SEPTIC TANK CAPACITY: GALS, MIN, DRAINFIELD L1N, FT, MAX, TRENCH DEPTH INCHES 'oJY- ~^!H:!) 0... t"I..eIT i l.. p.~ :iUfU"lI. f n TYPE OF CONSTRUCTION . I GROUP FIRE ZONE STAY 100' FROM ALL WELLS USE C LASSI F, SETBACKS ',FT. FROM CTR, OF rNV: FRONT I~:'L SIDE EXT, 1'1" I..Jt I"" ~:t,r- {it Of T,f FT, FROM PROP, LINE: SIDE INT, REAR )' ZON'" 1(,\ f AUTHORIZED SIGNATURES: Is/ J .~I.!f.)~ lM'~' J \/(;u i',Uu 10. ...", ,;;;/1. i TA;i j ~I' ISSUANCE DATE: II /2~ /r, (K. 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. AU construction shall comply with the State 8uidling 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 Details on Reverse Side) (POST THIS PERMIT ON MAIN BLDG. AT SITE) C55.13 LANE. COUNTY. DE.PT. OF ENVIRONMENTAL MANAGEMENT COURTHOUSE ANNEX, 135 EAST 6th, EUGENE. OREGON 97401 SITE INSPECTION ApPROVED Cl REMARKS DISAPPROVED Cl DATE FOUNDATION INSPECTION ApPROVED ~/ DISAPPROVED ~/ DATE REMARKS FRAMING INSPECTION ApPROVED /---y 01 SAPPROVED / / DATE REMARKS LATH OR SHEETROCK INSPECTION ApPROVED L----I DISAPPROVED ~ DATE REMARKS FINAL I NSPECT I ON ApPROVED Cl DISAPPROVED Cl DATE REMARKS CERTIFICATE OF OCCUPANCY READY TO ISSUE / / NOT READY TO ISSUE Cl DATE REMARKS . INSPECTOR INSPECTOR INSPECTOR INSPECTOR INSPECTOR INSPECTOR . . , ('\ '--n ) ~, PERMIT NO, I." I 9--':'- ('; . . . LANE COUNTY PERMIT FO,_/ CONSTRUCTION [] MOBILE HOME [r.] PLAN REVIEW [] CHANGE OF OCCUPANCY [ PAUL r 100.. ,1 NAME o Contractor AL.rf'F II f,u. t... NAME DOwner c."JCJ2 H...OR n.. v,. ADDRESS f.'.\7C; ~nlJ'TN A A OO'RESS q"..Ik<n'-lrtn ()",rn.ftH ul1n7 CITY ZIP CODE .. . PHONE .Po"; t"l(~r'-J I'J 0#~r::.n'" CITY ZIP CODE o1hn ... .. PHONE O,S, Reg. # · Twn Itl Range 3 Section 11 Tax Lot 1<; Codp Census Tract 17-1( ;J Subdivision f ILllERY G~O\'l Lot 35 Block Acreago Width Access to Property (Road Name): HARIIOR DRlvr Depth Existing Structures on Property: ..""'" Directions to Property, Address: 2002 HAkuO~ DRIVE r I ~8r ~T GpOVI !:I'M INer IHe OR(UO< STRUCTURE (# BEDROOMS) SQ, FT, to ... M..,..... t- ~^",., <:.r.c hU~TAI i ru ;: lJ~tlPo(m VALUATION ~~:;~"'l' SEWAGE DISPOSAL: PUBLIC [] SEPTIC TANK [ BUILDING PLUMBING 3% SURCHARGF MOBILE HOME WASTE DISPOSAl PLAN REVIEW OTHER [ 1 PLUMBING INSTALLED BY: OWNER r I OTHER r I NAME WATER SUPPLY: PROPOSED [ ] EXISTING [I [ ] PUBLIC [ ] COMMUNITY, NAME: [ ] PRIVATE WELL [ ] OTHER, SPECIFY' ~.oo .12 ~O.OO TOTAL \~.12 CONSTRUCTION PERMITS & INSPECTIONS AND WATER POLLUTION CONTROL SPECIFICATIONS MIN, SEPTIC TANK CAPACITY: GALS, MIN DRAINFIELD LlN, FT, MAX, TRENCH DEPTH INCHES lJi\ I:''''S( D (IN 1"lOT PLAN ~lJ!31>11 TnT TYPE OF CONSTRUCTION j;iH GROUP FIRE ZONF STAY 100' FROM ALL WELLS USE CLASSIF. SETBACKS '.F:r,FROM CTR, OF r/W: FRONT rl,~J:.. SIDE EXT, :,-' Ill' PUf IIf cn an ..r I'H llT FT, FROM PROP, LINE: SIDE INT, REAR 5' ZONF RA AUTHORIZED SIGNATURES: Is/ .J.. r. ~O&8 t"AFU'.l~r..i1 t4rJ(AV &"0. r..AAiY I~ANIT.4J11!A.t ISSUANCE DATE: !ll?ld/<; "'.. 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 Details on Reverse Side) (POST THIS PERMIT ON MAIN BLDG. AT SITE) C5'5.13 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 ~ DISAPPROVED ~ DATE REMARKS ROUGH GAS PIPING ApPROVED ~ DISAPPROVED ~ DATE REMARKS FINAL PLUMBING ApPROVEO J5i?;J DISAPPROVEO ~ DATr2=J. '} t- REMARKS FINAL GAS PIPING ApPROVED ~ DISAPPROVED ~ DATE REMARKS CERTIFICATE OF OCCUPANCY READY TO ISSUE ~ NOT READY TO ISSUE / / DATE REMARK S . . INSPECTOR INSPECTOR INSPECTOR INSPECTOR I NSPEC'I'fJ"f.....,.;-Y INSPECTOR INSPECTOR Concrete ~NO. Compartments Tile Disposal Field' DepthS Distribution Box: ~ Other Distribution:t~p~ "If INSTALLER: PROPO Complete top part of form INSTALLER'S NAME B-t- ft'1 Q)Q e 1i\'UiW , No. Livin1 ~ni\~ led rooms Batts Sept Ie Tank: Ft. from well Steel 0 Inside Dimensions: Ft. Len,llth <i? Width S Diameter OWNER NAME A-LJ:;,PJ" I+t L ,,J SEWAGE DISPOSAL SYSTEM RECORD to signature and submit both copIes with appl icatlon. '" PERMIT NO. r11 -/l-5;Jd:-/,6 PROPtKIY AUUKt~~ f!:J:7(j~OA" Basemen ~~pply Ye5 No.J ..~" . Other-List Ga 1. Capaci ty ~()O No HAILING FIr>, ll"'l~A-tJot'J ADDRESS ~ -') 1'1?1J,/6-~ ,(< 0 0 IC_ Length of Li nes-Ft. l Trenc~ I Total Sq'r .7b2.S033D4. 5. 6. Widt~ Ft.~C> 'lot Plan (see instructlonsl: Feet from WEll Lot Li ne Front 't. Betweep .ines 10 Side Rear /FillervlFiller ~ept~. IF!lley_B:low Tvoe(~ Above Tlle~lnJrlle UJ In. t . - - ~ ~- ~D' fi()S \'or\ ,.( . f) ~ ~ 'c. ~ '1 \,It- ,~ - -- ~ ~ ~so /fO) l ~ ,,/\ ~ Q-o~ k 'e.} I ,'!l.> IlDS Foundation .5' - ,r -a Q. ~ ~-~"~ ~ -7 1 .. ~ 'J( ~ )'C I ' -.0 - J" lr) ~ jJ. ~ 1.;..:.\0 Date -//",.../) - Si tu :iI~~' ~virL(..i.o'V' !' I CERTIFICATE OF ~'SF!CTO Y C P TION- 1 c; For Sanitarian Use Only: Date:1,2..1-- ..J In accordance with 1973 Oregon Laws Chapter 835. Section 214 this certificate is issued as ~vidence of satisfactory completion of a subsurface sewage disposal system at the above location. ~ Approved: System Installation conforms to current standards c::J Disapproved: Does not conform to current standards Remarks: ~~\ ~~i~~anls Signature ~~E COUNTY STATE OF OREGON DEPARTMENT OF ENVIRONMENTAL QUALITY C55-11 NOTE: NO PERM!' ILL BE ISSUED UNTIL THIS APPLII f PERMIT ft/'J/J-..j-y':' [ON HAS BEEN APPROVED CONSTRUCTION c====J APPLICATION FOR: MOBILE IIOME ~ PLAN REVIEW c====J CHAJ,GE OF OCCUPANCY c====J c:::=J OWNER ;:J A /} L F: ' /V/)!:JE'I? T 't)O~ ;)14.....,t.~1 CONTRACTOR alt:J ~.Addres:; '} ';-dt!"~ If ,~e Address City I~~ z~; Phone )<c:::J ~?'/ 7 'J Zip Phone O,S. REG. II X Twp. .' q' Range ~ Section J J Tax Lot 'SUbdiViSiOn$./~;I ~~ Lot .''5 ~- Block XACCESS TO PROPERTY (Road Name) ')f ttd~ f1JA~ ~Existing Structures on Property: ;"110 IVE )< p~rtYA 1ocatio~ - ~~r:s/:::t~n~: ~ D oR '){ 4.-1.~ rJ1~ /T!.rt.-V -.;,- ~~ t'P~ '9>'7;>;)/ Below for Off ice use~vxxxxxxxxxxxxxxxxxx.::::xxxyx~~j{XXXXXXXXXXXXXXXXXXXJQPiX){xXXXX~XXXXX){XXXXXlCl<X ~ ~ ~ 1l J ~ _~'S'q. t't. #Bed~ - 't1aluat{on - V ' ~ / ~ Code Census Tract 17~/U Property Acreage ? Width~Depth~ /jJ~ . -- -- SEWAGE DISPOSAL: C) J\-, ....- Site Inspection II ~ 7"-' cr -)1,} Existing Sewage Disposal System or New System Required c====J WATER SUPPLY: Well Spring Other Pub lic c::::::::J Community Name of Community or Public System hi, t90 PLUMBING: Installed by Owner Other c====J Name FEES: Bldg. Waste Disp. Plumbing Plan Review PLUMBING FEES: _I II Sewage Connection ,yo Water Connection C) 0/, Mobile Home S% Surcharge ;:AI?,Ot1 ,/.:L- c:::J ~rRNISHED drlFACILlTY PERMIT ~ ","S c====J NO y~ yo .L Signature of Applicant: ~ ~ ~ Fee Received ~:" d _ ~ate: //.h ~/?~---.-" /' '/ TOTAL 3Y,/. Min. Septic Tank Capacity &-L d....~VJ~,J ""'-- Drainfield Required - Lineal Feet fJl.i'b ~"--- _-;'.J~;-H7d" Maximum Depth Type of construction~GrOup I Fire Zone Use Classification ,. BIdg r_t~acks - from Center of Road Right of Way: /J ~ ~ ~ ~ FronWtlf,-:> Side Int. .5 &J.,~ ...J..~",uc;;' Rear~'-- Zone 1'<-- A - 'A r '" I PU~. ~ (4~h~'>.rJ ,;/~) ~ PLANNI~:' DATE: SANITATION: DATE: ~~UILDING: tI 'DfTEo v,lf--~ ' I f N O!i ,7 ,- '1rJq(n tI ffi'fJ ~ I/-I,f .7:5 f ,,/ -!..1"J~ti" j /:...1 ~ . JI' CIS," LANE COUNTY DEPARTMENT of ENVIRONMENTA MANAGEMENT