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HomeMy WebLinkAboutADMIN 7/3/2008 1:11:12 PM Permit Septic Tank 15692 ,--- ---- l <, , I LANE C~"'TY BUILDING\, ) BUILDING PERMIT OR /y\~ OX);' MAI({lJll ADDRESS '75 'OUTH A i(AILlNG ADDR'~~ fro C nENNIAL . MOBIL~ -,OME /'/H ., USE PERMIT PERMIT NO, ~ .~ 7' -", P20PERTY OWNER '" ," .II i,CW"~ CONTRACTOR I<",,["T MILi, ':lUILDER PROPERTY LOCATION - INCLUDE POST OffICE SOUTH 2ND TO HARSOR DRlvr SPRINGr,PLD PROPERTY lEGAL DESCRIPTION - Mm'l:, '-' "", rILd[~T G~ovr 5TH AODITleN SP.INQrt~ . O"r." PHONE ('. , PHONE II. ..' SPR I NQr I r p vRE~1 LOT 1 ~~~ H~RBOR DRIVE EJLOCK b u.~ Len NO, ','roO Twe RANGE SECTION CODE I' ;3 ; ~/3~ EXISTING STRUCTURES ON PROPERTY HARSO," L'II' VE l{~Al ..(CCES~ TO PROPERTY Ho~p CENSUS TRACT .1< , ~ APPL. NAME & WILBUR MARCUM SIZE-I\. MAILING ADDRESS FOR MOBILE HOME PERMITS ONLY No. of Bedrooms STRUCTUR~~ -I~ BE ~UILT THIS PERMIT PERMIT TO INSTALL SEWAGE OlSPOIAL STITEM W,\~[~ DEPTtj AREA Co,nnect to {Jijsting Sewage System 0 New System 0 f(qfft ~~~!:iTRu~-TrO~ SQ. FT. :: BDRMS VALUATION ~IT TO PARK ~BILE HO~E PR 'Cil SEWAGE DISPOSAL PUBLIC 0 SEPTI~ TA~~ n BUILDING $ WASTE DISPOSAL PLUMBING PLAN REVIEW PARK TRA)LER 2' - SUlleNA !r\E PLUMBING INSTALLED BY Q)NNER 0 OTHER, NAME WATER SUPPLY r/'\j~ ' ,lli).lP, 4.00 FEES .!!{~fj~ n o OTHER TOTAl - MIN, s(~~k TANK CAPAciTY ,WITH DISl. BOX, Vj\l,-- \- ]0.00 .08 I)4.oe :9lfNTYBUILDING & SANITATION SPECIFICATlQ('l; DRAIN FIELD REQUIRED 15(. 30[PT" pt" FT ..2c~IJjrn "'I~~ fT, 900 pp/SQ, FT, TYPE d~ STRUCTURE .. OCCUPANd I zoNE PUBLIC UTIL. EASEMENT BLDG. SETBACKS FT. FROM CTR. OF ROAD RIGHT OF WAY _...:;;;l~QAR FR~_IUIN SIDE IN(,:AST1'PUE SIDE EXl. AUTHORIZED SIGNATURE - O)dE 1/ J. c:. .....S~ IT HAR9AUl1H REAR USE ClASSlFlc'XI\\)N 10' flUE DATE SHOOK SANITARIAN 7/15/75 BLDG. PERMIT - WHITE OFFICE COPY - WHITE COUNTY TAX - PINK PLUMBING - CANARY BUILDING - GREEN SANITATION - GOLDENROD Call 687,4065 to schedule all requi,ed inspections. All construe, tion shall comply with Uniform Building Code, D.E.Q. standards IMPORTANT: for subsurface sewage disposal and county regulations covering plumbing. All buildings require a certificate of occupancy before being occupied. (See Details on Reverse Side) FORM = C55- \3 (POST THIS PERMIT ON MAIN BLDG. AT SITE) LANE l-~_ _.". I, DEPT. OF ENVIRONMENTAL MANAGEMENT COURTHOUSE ANNEX. 135 EAST 6th, EUGENE, OREGON 97401 BUILD.lNG sn~ EVALUATION ~~-/C# NO .ejj! 5 R~ - ?S . , , -"0. () BUILDING PERMIT APPLICATION () SITE INSPECTION PLANNING DIVISION Not App 1 i cab I e 1. Zonin9 Ordinance Campi iance: ZonerlH1_M H'( ) 2. Subd i vis ion 0 rd i nance Comp I i ance ( ) 3. Requ i red Access ( ) 4. Building Site (Area, Width, Frontage) () 5. Other (see comments) ( ) COMMENTS: T t: R Oc2s / I TAX LOT SUBDIVISION: LOT: BLOCK: {V/rA fUll I / R J-h'/! APPL I CANT DATE No Yes () () ) ( ) ( ) () ) () ) CK'D BY: Setbacks fram c/l of road:.(, Front :r"'..: ~~ S'd ., ~ I e Exterior - Setbacks from interior lines: Side ~'k.J 7/ E Rear ,/ ~ ... 6. PLANNING DIVISION ACTION PENDING: YES\ ) NO\ ) APPLICATION# BUILDING INSPECTION DIVISION Not App 1 icab 1 e , ( ) ~) ( ) ) 7. Plans Submitted B. Soi I Stabi I ity (footings) 9. Flood Plain 10. Other (see comments) COMMENTS: WATER POLUTION CONTROL Not Appl icable ( ) ( ) 11. Meets Department of Environmental Quality Standards. 12. Other (see comments) COMMENTS: ~)TM! ( ) ( ) () () ~~A~ () () CK'D Byr;:l'h_'---pATr-li/'?,J No () ( ) ~ CK'D BY: ~t 7J6!~~ ~ DATE v TO APPLICANT: Your Building I Site Inspection: L ..k-J......Can be approved. ,l:l~-( ') Cannot be approved at this time as indicated on item NO. above. ~Ii .;;~ Questions and further information on items 1 through 6 contact the LANE- f ~ 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 Rermit ~~plication fee is ~einq ~eturn~p under separate cover JI;PARTMEln OF tNV I RON MENTAL AANAt,;EMEN'1 135 Sixth Avenue East Eugene Oregon 97401 PHONE: 687-4065 LANE COUNTY PLANNING DIVISION PHONE: 687-4186 C55-28 . . LANE CC" '''JTY BUILDING BUILDING PERMIT MH '=:IV MAILING ADDRESS OR M0BILL .OME USE PERMIT PERMIT NO, e----- PP.OPERY'''' l.!lWNER ,,"""ual PHONE .. ';".~ I ..j L ~ CONTRACTOR L F MAllI~G ADDRESS . ~ ,. PHONE . . .~, I' 0 PROPERTY LOCATION -INCLUDE POST OFFICE \" I't)}. t R r.. i. I'" ). PROPERTY LEGAL DESCRIPTION - METES, BOUNDS .,j': ," ')... i~(. 1 ~i...o TWP RANGE SECTION TAX LOT NO . ~ CODE CENSUS TRACT - APPL. NAME , ~1,' (,rot EXISTING STRUCTURES ON PROPERTY I. U; I v{ & LEGAL ACCESS TO PROPERTY f( r MAILING ADDRESS FOR MOBILE HOME PERMITS ONLY No. of Bedrooms STRUCTURES TO BE BUILT THIS PERMIT v ., c I T t .. I JAr J. \ PROPERTY SIZE - FT. WIDTH DEPTH AREA Connect to Existing Sewa~e System C New System q TYPE CONSTRUCTION s'b, FT. = BDRMS VALUATION , A 1.~ I: f ~k.li.1~ SEWAGE DISPOSAL PUBLIC 0 SEPTIC TANK n OTHERO BUILDING . , WASTE DISPOSAL '. . . PLUMBING PLAN REVIEW , PARK TRAILER , "'i t FEES PLUMBING INSTALLED BY OWNER 0 OTHER: NAME WATER SUPPLY PUBLIC 0 o OTHER TOTAL $_ MIN. SEPTIC TANK CAPACITY WITH OIS1. BOX: GAL ,'J: COUNTY BUILDING & SANITATION SPECIFICATIONS DRAIN FIELD '~UIRED 11 "!"fc L1N. FT TRENCH WIDTH FT. OR SQ. FT. "" TYPE OF STRUCTURE OCc;UPANCY . ZONE PUBLIC UTIL. EASEMENT BLDG. SETBACKS - .; ,. FT. FROM CTR. OF ROAD RIGHT OF WAY A(" 'PL. SIDE INT. .. SIDE EX1. AUTHORIZED SIGNATURE - DATE ,. JAI..l~ USE CLASSIFICATION ~, " FRONT REAR DATE , . I,Ch.~ A 4 111"- I, BLDG. PERMIT - WHITE OFFICE COPY - WHITE COUNTY TAX - PINK PLUMBING - CANARY BUILDING - GREEN SANITATION - GOLDENROD Call 6B7,4065 to schedule all required inspections, All construc, tian shall comply with Uniform Building Code, D.E,Q. standards IMPORTANT: for subsurface sewage disposal and county regulations covering plumbing. All buildings require 0 certificate of occupancy before being occupied, (See Details on Reverse Side) '-ORM :::: C~S-1) (POST THIS PERMIT ON MAIN BLDG. AT SITE) LANE COUNTY, DEPT. OF ENVIRONMENTAL MANAGEMENT COURTHOUSE ANNEX, 135 EAST 6th, EUGENE, OREGON 97401 .... -... . . SITE INSPECTION ApPROVED Cl DISAPPROVED Cl DATE INSPECTOR REMARKS FOUNDATION INSPECTION ApPROVEO / I DISAPPROVED r----J DATE INSPECTOR REMARKS FRAMING INSPECTION ApPROVED .cJ OISAPPROVEO Cl DATE INSPECTOR REMARKS LATH OR SHEETROCK INSPECTION ApPROVEO L::J DI SAPPROVED L-/ DATE INSPECTOR REMARKS FINAL INSPECTION ApPROVED Cl OISAPP)ROYEg P REMARKs.-lj,I1,.Uf (jJ ~ ~, DATE ~ J / - 7 {{fA / INSPECTOR CERTIFICATE OF OCCUPANCY READY TO ISSUE Cl NOT READY TO ISSUE Cl DATE INSPECTOR REMARK 5 Hltlr;.?! 11~ JOtJS" ~~ :t> '1 V-J;, .;J;:;~ p. . ~?+t/<. 1 I . . LANE CC" ''IlTY BUILDING _ BUILDING PERMIT OR MOBILl MH D MAILING ADDRESS ,OME USE PERMIT PERMIT NO. PROPERTy" OWNER PHONE CONTRACTOR MAIliNG ADDRESS PHONE PROPERTY LOCATION - INCLUDE POST OFFICE PROPERTY LEGAL DESCRIPTION - METES, BOUNDS TWP RANGE SECTION TAX LOT NO. CODE CENSUS TRACT APPL. NAME & EXISTING STRUCTURES ON PROPERTY LEGAL ACCESS TO PROPERTY MAILING PROPERTY SIZE - FT. ADDRESS FOR MOBILE HOME PERMITS ONLY No. of Bedrooms STRUCTURES TO BE BUILT THIS PERMIT WIDTH DEPTH AREA Connect to Existing SewQHe System 0 New System 0 TYPE CONSTRUCTION ~~. FT. ;::: aDRMS VALUATION SEWAGE DISPOSAL PUBLIC 0 BUILDING WASTE DISPOSAL PLUMBING PLAN REVIEW PARK TRAILER , FEES PLUMBING INSTALLED BY OWNER 0 OTHER; NAME WATER SUPPLY SEPTIC TANK 0 OTHERD PUBLIC 0 o OTHER TOTAL I MIN. SEPTIC TANK CAPACITY COUNTY BUILDING & SANITATION SPECIFICATIONS DRAIN fiELD REQUIRED WITH DIST. BOX: GAl. UN. fT TRENCH WIDTH FT. OR SQ. fT. ,. TYPE Of STRUCTURE OCCUPANCY ZONE PUBLIC UTll. EASEMENT BLDG. SETBACKS FT. FROM CTR. OF ROAD RIGHT Of WAY USE CLASSifiCATION FRONT SIDE INT. SIDE EXT. AUTHORIZED SIGNATURE - DATE REAR DATE BLDG. PERMIT - WHITE OFfiCE COpy - WHITE COUNTY TAX - PINK PLUMBING - CANARY BUILDING - GREEN SANITATION - GOLDENROD Call 687,4065 to schedule all required inspections. All construc, tion shall comply with Uniform Building Code, D.E.Q. standards IMPORTANT: for subsurface sewage disposal and county regulations covering plumbing. All buildings require a certificate of occupancy before being occupied. (See Details on Reverse Side) '-ORM == CSS-13 (POST THIS PERMIT ON MAIN BLDG. AT SITE) LANE COUNTY, DEPT. OF ENVIRONMENTAL MANAGEMENT COURTHOUSE ANNEX, 135 EAST 6th, EUGENE, OREGON 97401 SLAB FLOOR PLUMBING GROUNDWORK ApPROVED / / DISAPPROVED Cl DATE REMARK 5 GAS PIPING GROUNDWORK ApPROVED Cl DISAPPROVED r-7 DATE REMARKS ROUGH PLUMB I NG ApPROVED Cl DISAPPROVED Cl DATE REMARKS ROUGH GAS PIPING ApPROVED Cl DISAPPROVED Cl DATE REMARKS FINAL PLUMBING ApPROVED R DISAPPROVED Cl DAT{J-1 u .:J> I REMARK 5 FINAL GAS PIPING ApPROVEO Cl DISAPPROVED / / DATE REMARKS CERTIFICATE OF OCCUPANCY READY TO ISSUE Cl NOT READY TO ISSUE r-7 DATE REMARKS INSPECTOR INSPECTOR INSPECTOR INSPECTOR INSP[CT~ V INSPECTOR INSPECTOR . . ,. r--- md,(U (Jaa ~ -:l~7-.f71/ tpy}~/) A~~ fJt NOTE: NO PERMI' ILL BE ISSUED UNTIL THIS APPLIL,,"ION HAS /1;1-/ 3d'3- 7S- phkIT if BEEN APPROVED ~ , < APPLICATION FOR: CONSTRUCTION [8J MOBILE HOME [X] PLAN REVIEW c:::J C!W;GE OF OCCUPANCY c:::J ,.y,emp l>et!.?/... 97-/77 (;,,1.7- f?70 City,/ Zip Ph~ 170 t&, 4",1/_'M/aL...::5./Jb/I' '7/". 9<i/6 City {{t/ -- Phone ~ER aJ/~H..e ~.eeLL-u. 5-1S' ~;'a:M ,q Name / Address c=J CONTRACTOR /J/UR.T /hu.-- ,1fJ~L/td?L Name Address O.S. REG. 1/ 1Wp. / ( Range~. sect~/ / ~ Tax Lot f;:z.otJ Subdivieion ;::;/"b/p./.#~ ~ /~ Block {; ACCESS TO PROPERTY (Road Name) ~;j)~ Existing Structures on Property: ~,,~ ~-5" af'/) Code Census Tract l(j-/t:.< I Property Acreage Width______Depth Property Location - Address/Directions: ~A.d-,-Iz:, ,~, ,~~~~,t,-.d- r-- ') /) /") ~ cA-(,oN c.-,h~--f) ",_ I :Je10W or Office Use OnlvxxxxxxxxxxxxxxXXXXXXXXXXXXXXXXXXXJ\.XXXY:p::XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX1C)c~~ ~ ~ IJ... 0 'Sq. Ft. flBedrooms Valuat!on. '.t;l/tJ, ~../~ , J I -f}./.4 /H2;t-.. J.I ,'(2 E> n. , L," -- 11 ~ ,. - -~ ' , '. .' ,/-- t/, "/_6 ~...,.; i~ D r1 __ vVI"/_~.......J.-c'"j ::/~U(/ Spring _ ~ Existing Sewage Disposal System c====J Public c:::8J Commun i ty [==:J Other ./ or New System Required ~ of Community or Public System FEES: PLUMBING: Installed by Owner c:::J Bldg. Waste Disp. / f)(UrV PLUMBING FEES: Plumbing , ~,(j-O 1/ of Fixtures \ Plan Review Mobile Home ~:?D. () () 1% Surcharge ,nll C] CASH 61.$ TOTAL J~1.d/r ~ Sewage Connection :L Water Connection ~ PLANS FURNISHED FACILITY PERMIT r-7""'O ______ ' ~ LLd-u;S c====J NO ~'YES0. NO Signature of Ap can / I .. ." .,.d.~ '?~~"_- -'1-7..5: Min. Septic Tank Capacity CWo Drainfield Required - Lineal Feet IE\<:> Maximum Depth '1 Type of Construction M/1 Group J Fire Zone Use Classification Bldg S;~acks - f~om Center of Road tfJ.t of W~~ Front--4J ~, ~Side Int. 7 'll t;;Si:re Exte~~r Rear IO'PCU;;Zone~-M J-/ CSS-1Z LANE COUNTY ~~ION'1 ;I;~(l1 DA,TE: ~ I BU!::;;;l"e~ t:/i-1J D~1MENT OF ENVIRONMENTAL MANAGEMENT I PIA~ DATE: ?~ 3 .7~