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Home My WebLink AboutADMIN 7/3/2008 1:11:11 PM Permit Building 15691 ., . . o LANE COUNTY PERMIT FOO PERMIT NO \;....-c11 -...:::.:' 3161-75 " ~.- ;r ~~. , . ."('CONSTRUCTION [xl MOBILE HOME [] PLAN REVIEW [J CHANGE OF OCCUPANCY [ 1 .' ~ DOWner CITY - - - ZIP CODE .,l"7-0.,,,,, 'PHONE PIlII1 Nnp,rPT NAME ~f'li7l? I-iADnt'\D nDI"'" ADDRESS ~~~..,~~.~. ~ n~_An~. o Contractor C;A~MI1' NAME ADDRESS CITY ZIP CODE PHONE OS Reg # * o.::? 3..:$ .iF P'?~ Twn JF, Range n':l Section ~ Tax Lot 0..;7"(/ Code 5TH AOIHTION TO SubdivISion F I LElERT GROV( Lot.r; Block' Acreage Census Tract ':1<;_400 Width Access to Property (Road Name) t:nIlTI-l ?..." C:"'O~.f"T Depth I EXlstll1g Structures on Property ttA/'"\~I. r Unu>e- , , Directions to Property Address ?nn? LlAI"H2^'" f"lDlIU.... r'l Q^....... ~...... ~......._..- eo......... ..._ STRUCTURE (# BEDROOMS) DECK BEHIND MOBil. HoM' SO FT 4~::> !Iil J,o;n VALUATION t~ ()() SEWAGE DISPOSAL PUBLIC [] SEPTIC TANK [ OTHER [ ] BUILDING 7.00 PLUMBING 3% SURCHARGF .2t MOBILE HOMF WASTE DISPOSAL PLAN REVIEW PLUMBING INSTALLED BY OWNER [J OTHER [] NAMF' WATER SUPPLY PROPOSED [ ] EXISTING [] [ ] PUBLIC [ ] COMMUNITY NAME [ ] PRIVATE WELL [ ] OTHER SPECIFY TOTAL. 1.21 CONSTRUCTION PERMITS & INSPECTIONS AND WATER POLLUTION CONTROL SPECIFICATIONS MIN SEPTIC TANK CAPACITY GALS MIN DRAINFIELD L1N FT MAX TRENCH DEPTH INCHES No PART or TH~ A~rK TO Ar nV~R ~~u^n~ nICP^"., .f"1~1~. TYPE OF CONSTRUCTION 'iN GROUP " FIRE ZONF STAY 100' FROM ALL WELLS USE CLASSIF SETBACKS F4T FROM CTR OF rfW FRONT " SIDE EXT 'i FT FROM PROP LINE SIDE INT REAR " ~ ZONF n.ll ~i111 AUTHORIZED SIGNATURES /s/ J. Eo Boss BY HARBAUGH r..r:1AY/~f,.NITM.:JI^'" ISSUANCE DATE 1?h /7r::.. ....,.. 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 6874061 10 schedule all required septic system inspectIOns All construction shall comply with the State BUldllng CocIe D E Q standards for subsurface sewage disposal and the State Plumbing Code All buildings reqUIre a certlflcate 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 -:5~~1+ BUILDJNG'SITE EVALUATION , ~ \X'BUILDING PERMIT APPLICATION No.3/t'l-7s () SITE INSPECTION PLANNING DIVISION Not ADDl icable I. Zon i ng Ord I nance Camp 11 ance: Zone r<. ~ '/Kllfl ) 2. Subd i v IS i on 0 rd i nance Camp II ance I' . ( ) 3. Required Access ( ) 4. Building Site (Area, Width, Frontage) () 5. Other (see comments) ( ) COMMENTS: T If R 03 S pl/fTAX LOT SU8DlvISION: LOT: BLOCK: APPLICANT ILJ'i'\\'\M- DATE No Yes T) TI 6. ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) CK'D BY: /(/1:?, k JtpV,) ,['"' Setbacks from c/l of road: F~ont~ _' 9~ s..f,.j:. _"'....:.. I or Setbacks from interior li~: Side ,S Rear ~ ~ PLANNING DIVISION ACTION PENDING: YESt ) NOt ) APPLICATION# BUILDING INSPECTION DIVISION Not ADD I. cab 1 e ~ ~ (f> 7. Plans Submitted 8. SOil Stability (footings) 9. Flood Plain 10. Other (see comments) COMMENTS: WATER POLUTION.CONTROL Not ADD 1 icab 1 e ( ) '( ) 11. Meets Depart~ent of Quality Stanaards. Other (see comments) Environmental .. 12. , '. COMMENTS: . -. -- No YeS T)'Wf ( ) ( ) ( ) ( ) ( ) ( ) CK'D By&I~-;;!..r-?6- , I DATE No Yes T)N ( ) ('V CK'D BY:'~A :J. 0/fJ<Jl.h/' DATE TO APPLICANT: I ~~~Building / Site Inspection' -1~ ~Can be approved. \'J".;\-"p ( ) Cannot be approved at thiS tilrie as indicated on Item NO. above. ~ ~~ Questions and further informatloH 6n Items 1 through 6 contact the ~- \:) 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. ( ) Y_,:,~!:....bu i 1 ding perm it aeD 1 i ca!,~Q.'lJe~_!.s be i n9 retlJ'r.ned.. under .,gu>..il.!:i'te cover, '" , DEPARTMENT OF ENV I RONMENTAL MANAGEMENT 135 Sixth Avenue East Eugene Oregon 97401 PHONE: 687-4065 . LANE COUNTY PLANNING DIVISION PHONE: 687-4186 CS5-28 '"" .,- ....... ~ . (, LANE COUNTY PERMIT FC"-) '--- PERMIT NO, 44 . " . CONSTRUCTION [ )] P.t.1J11ob.,rt MOBILE HOME [] PLAN REVIEW [ ] ,:(r.;;~ lia l'bo I' D!"tv') o Contractor NAME tl~OfU'j;~"j ;llJm1'~9 NAME 1 .~i){>~l ADDRESS CITY 533~ "'<1111 Street CHANGE OF OCCUPANCY [ ] ~i~r'il\,!ri, lL 'jrt"y,n 747,.':,)":, ZIP COD~ PHONE Spri n~ f1-:~ 1 r.1J!"I!:'-:\)iI 7 ~t... :Y:C:~~J(' ZIP CODE PHONE DOwner ADDRESS CITY O.S, Reg, # Twp '" ". S ' 2.3.J T L ectlon ax ot r i ! ;;Sort Grove Acret Lot ~~ Block, Codp Census Tract Range ."1 .~(:~;it1(!li L,;. Subd ivision Acreagp Width Access to Property (Road Name): Soutn St,o"J ~ tr!~<et Depth Existing Structures on Property: "ot'll tl Ho:!'! Directions to Property, Address: 2(032 Ilill'r.'or dn. STR.YS,TH~! \'51I;JED,-,f),(N~S)H.f)H '>7€ ,I S,? FT, VALUATION !' It"..: .,,)1) SEWAGE DISPOSAL: PUBLIC [] SEPTIC TANK [J OTHER [ ] BUILDINC' 17 .00 PLUMBING 3% SURCHARGF .51 MOBILE HOMF WASTE DISPOSAL PLAN REVIEW PLUMBING INSTALLED BY: OWNER I 1 OTHER I 1 NAMF WATER SUPPLY: PROPOSED [ ] EXISTING [] [ ] PUBLIC [ J COMMUNITY, NAME: [ ] PRIVATE WELL [ ] OTHER, SPECIFY: TOTAL \ i . ~ 1 CONSTRUCTION PERMITS & INSPECTIONS AND WATER POLLUTION CONTROL SPECIFICATIONS MI N, SEPTIC TANK CAPACITY: GALS, MIN, DRAINFIELD L1N, FT, MAX, TRENCH DEPTH INCHES ",\'uctllro placed ",!f()rl! P&I"IIl1l WllS <1!>lllleu for. ill ~nly get apProv~,d b" l,1m~ cVunti :;,'lld1n," O.,,>t. at tu-ch th'le as How Iilet lAhel H,l: 1;'1<1 Hve load and wind lift is 3, 't;!(;:l<!Q to N::: 10 :OV\ill" liS rnw1rnd STA Y 100' 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. t". ~:,u~'.:. by ,\.rh:,,:-).l!l ISSUANCE DATE: ~/ :.0/ 76 <i If,, 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 BLDG. AT SITE) CS5.13 LANE COUNTY, DEPT, OF ENVIRONMENTAL MANAGEMENT COURTHOUSE ANNEX, 135 EAST 6th, EUGENE, OREGON 97401 SITE I NSPECTI ON APPROVED.Cl DISAPPROVED.Cl DATE REMARKS FOUNDATION INSPECTION ApPROVED L-/ DISAPPROVED L-/ DATE REMARK 5 FRAMING INSPECTION ApPROVED ;---y DISAPPROVED ;---y DATE /1. REMARKSA''-M4 .~~.. <f~ -../I:;L-"'/J-- 7fd- LATH OR SHEETROCK INSPECTION ApPROVEO / / DISAPPROVED ;----y DATE REMARKS FINAL INSPECTION ApPROVED ~APPROVED '1.. -9~7b DATE~.:?/ .Cl REMARK 5 CERTIFICATE OF OCCUPANCY READY TO ISSUE ;---y NOT READY TO ISSUE ;---y DATE REMARKS d /}' ), /t: d / .rftJ4::'~ , . . INSPECTOR INSPECTOR INSPECTOR INSPECTOR 4 INSPECTO{~ INSPECTOR :3 / ~ '1-7,) - ?;1.>;'1'1&~ ;< 00;2. 7/~~ , . C~ r , (~- I ~*",~,~, -: ~ ; :lIII~1 ,~ :~.~ ~,_",.I".m ..~t-...:'i"'. ...... I ~ ~:::;-U:: POBox 300 250 North "A" Street Springfield, Oregon 97477 Telephone 746,8451 Oct.ober 10, 1975 Hr. Larry Olson LdI1e County Surveyor 135 LasL OUI Street 'Cunene Ol'enon C'_ J b SUDJr:;CT' GlscIaJl'Jer of InteresL In Puullc uCJll\-Y eJsellcnL In [llbcI't Grove 5th l\ddl\-lon, 810ck 3, Lot.., 35, 36, dnd 37 (recorded In Dook 6u,pa~c 4 Ldnc County Oregon lleed Records). I llbcrt Grove JS d serVlce area reccn\-ly aCQulrcd uy Sprln~[lcld Utlll\-Y Doard [rom Pacl[lc rOWel' and Ll['hC. '\n dP')<.l,'cnL engl.neel 109 er r or 111 or'...q[1.nal lnstJlla-Llon 0 i undcrgroun(l eIec\-rlc po"er dnd LelcpholJc c"bIes rcsul\-E d In \-hc",e cJules Lelnp (Jlaced oui. SJ de suuJcc-L ed5(..,nen l. ,\ pprunr .La-Lc C~lSC ncn1...,s hJve suuscqucnLly ucen secured from property owners LOl elE.ctrl- cal pOHer, street.. llf-h Llng and (,OItl,nUOJ cat-lons sys-LePls. ThlSlS \-0 lnLorl,1 you thot Sprln['fleld UtlLlLy l;oard h.1S no fur thcr lnt.erest HI suLJ ec. t eiiscl,lcnC. Sll1cerely, J" /) // ~ ... _~::---{'J; C 1f:r'"-I.64if' \;) " ')'\. < - .I:'o.rv 1..t1 () ~ P yne -'Supt.. oC O!-l~d-LjOIlS and fnglncerln:.; 'lOP' bc '~I ~J NOTE NO PERMIT LL BE ISSUED UNTIL THIS APPLIC PERMIT #,;]/ C, 1/-;0- ON HAS BEEN APPROVED ' APPLICATION FOR MOBILE HOME CJ I~' OWNER PA ,) 1 A/,oj hER T :1c'o <. ~ Name Address C:=J CONTRACTOR .---;;;7 - -"'-- CONSTRUCTION ~ PLAN REVnW CJ J/ ~"c>1 JI/) CHANGe OF OCCUPANCY c:::::::J Cl.ty ~r/~~:. )-rP'?J6; Name Address City l1p Phone OS RLG II lWp 1?'.":"J"J},seY1.on ~. +~I / Tax Lot SUbdiVl.Sl.orf~~_ I/~ 35'" Block -, Property Acreage ACCESS TO PROPERTY (Road Name)4,...,....,........7.7.fI :::J .-,.,-,/' ~ EXl.stwg Structures on Property ~ /',.0~ 2-... -----R... . Corle Census Tract ? S:-tftJ 6 W,dth {.::> Depth :2 ;I." " Property Location - Address/Dl.rectl.ons 17 C?~:< :u ~'v-, ItjJ~ ~~ ?~'/~-"-<-V./.4 , ",,7 ~ , / /// Below fo r Of f ie e Use OnI vXXXXXXXXXXXXXXXXXXXXXXXAXXXXXXXXXXXXXXXXXXXXxxxxxxxx."OOCXXXXXXXXXXXXAXXXXXXXXXXXXXXXXXXXXXXXXXXXA d~ -/~4# #:;,rl-~ / IIBedrooms Z~~~ / / / SEWAGE DISPOSAL Site Inspection # Existing or New System Required c====J WATER SUPPLY Well Sprlng Other ~'ame of Community or PubllC System FEES PLUMBING -; Installed ~ Owner /- t7 0 I PLUMllIN~EES ".y II ~ I / . -'Jl / (. D<5_-cJ~ / 7 ' ..:;) / c:::::::J CHECK Other CJ Name Bldg Waste Disp Plumbing Plan Review Mobile Home 3% Surcharge Sewage Connec tJ.on Water ConnectJ.on PLANS FURNISHED FACILITY PERMIT ~Vl<C::_ TOTAL SJ.gnature of Fee ReceJ.ved A:=ntNO B~~/-- By ~ 'Date A'ac - ?s- P / Min SeptJ.c Tank CapacJ.tv AI.... $1..4_1 r If). --;" 091 c... DraJ.nfield RequJ.red - LJ.neal Feet cd7.- tP .-.,-..Je.. '+7~ ~ <- Maximum Depth uu<---t. LJ. ,_L I A/L~ ~ - Type of ConstructJ.on OAf -- Group "-I Fire Zone Use ClassJ.fJ.catJ.on Front Bldg Setbacks - from Center of tlS' SJ.de rnt Road RJ.ght of Way .s- SJ.de ~ Rear -!:,~ Zone R /J - fJ1/.t C55 12 DATE SANITATION Il.4. / ~~:": VV'. , I LANE COUNTY DEPARTMENT OF DATE j t1J1~ /J DATE ok _ d.f?,/^"'-JI7r -;:1'11'>- I '6?- 11-;2 g - / j ENVIRO~NTAL ~NAGEMENT PlANNING t 1!le9.. 2 :? l1Ai1J 7-{