The URL can be used to link to this page

Home My WebLink AboutPermit Building 1976-1-5 LANE COUNTY PERMIT FL PERMIT NO 3296~ 75 ... ......., ....- . , ,'Y , CONSTRUCTION [X] MOBILE HOME [] PLAN REVIEW [J CHANGE OF OCCUPANCY DOwner AI I ~~l I AU!:! NAME o Contractor SAM. NAME Ill" I"~~T 'l7T" ADDRESS CITY I="II(.U"N~ ORI="GON ZIP CODE <11<- <010 PHONE ~ ADDRESS CITY ZIP CODE PHONE OS Reg # <I Twp III Range n";l Section 11 1'. Zfax Lot ~ ij'~ Codo Census Tract SubdiVISion f' I LBERT '1TH Lot <8 Block ~ Acreago Width Access to Property (Road Name) l-tAQJ:tnn I)D Depth EXisting Structures on Property .'nM~ Directions to Property Address 2018 HARBOR DRIVE STRUCTURE (# BEDROOMS) P.RMIT .OR STORAGE AREA SO FT 2< x 12 276 @ 'i.40 VALUATION $1462.80 SEWAGE DISPOSAL PUBLIC [] SEPTIC TANK [ OTHER [ ] EXIST PLUMBING INSTALLED BY OWNER I] OTHER I 1 NAMF BUILDING PLUMBING 3% SURCHARG" MOBILE HOMF WASTE DISPOSAL PLAN REVIEW 1" nn ~ h" WATER SUPPLY PROPOSED [ ] EXISTING [] [ ] PUBLIC [ ] COMMUNITY NAME [ ] PRIVATE WELL [ ] OTHER SPECIFY TOTAL 10;,40; CONSTRUCTION PERMITS & INSPECTIONS AND WATER POLLUTION CONTROL SPECIFICATIONS MIN SEPTIC TANK CAPACITY GALS MIN DRAINFIELD L1N FT MAX TRENCH DEPTH INCHES UK TYPE OF CONSTRUCTION '1N GROUP J FIRE ZONF STAY 100 FROM ALL WELLS USE CLASSI F SETBACKS FT FROM CTR OF rlW FRONT 40;' SID E EXT "i FT FROM PROP LINE SIDE INT REAR "i ZONF RA MH AUTHORIZED SIGNATURES Isl J, E, Boss BY HARIMUGH McKAY fOR GRAV/sANITARIANS ISSUANCE DATE 1/5176 OLM SLOG PERMIT - WHITE OFFICE COPY - WHITE COUNTY TAX - PINK PLUMBING - CANARY BUILDING - GREEN SANIT A liON - GOLDENROD IMPORTANT Call 6874065 to schedule all required construction inspectIOns Call 6874061 to schedule all reqUired septic system inspections All construction shall comply with the State BUldling Code 0 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) C5513 LANE COUNTY DEPT OF ENVIRONMENTAL MANAGEMENT COURTHOUSE ANNEX 135 EAST 6th EUGENE OREGON 97401 o "" ,~//~ SITE EVALUATION -... 1'-:1 "" "" ~ J /'...-: ~/ PERMIT APPLICATION NOr"": " - -- ... ." c , ,.. ~ ,BUILDING - ~,,\#'" -\:;....... ~ -7"~-j',- ,"" P)O::'BlJILDING ./ -'" ( ) 3z,4f(,. -75'" SITE INSPECiTlON i / T B R 06 S If'Z-'Z..TAX LOT . SUBDIVISION' LOT: iSeJ BLOCK: <:<: APPL I CANT DATE PLANNING DIVISION Not I AeDlicable No Yes I. Zoning Ordinance Compliance: ZoneR",q-mUt () () TIT 6. 2. Subd i v I S I on 0 rd I nance Comp II ance () () (.) 3, Required Access. () () (\) 4. Building Site (Mea, Width, Frontage) e:!).l/J<(k)' (I ) 5. Ot~er (see comments) () () <J\! COMMENTS: PLANNING OIVISIO~ ACTION PENDING: YESl ) NOl ) APPLICATION# , BUILDING INSPECTION DIVISION Not ADDI icable ( ) ( ') ( ) ( ) I 7. Plans Submitted 8, Soi I Stabi I ity (footings) _~. Flood Plain 10, Other (see comments) COMMENTS: WATER POLUTION CONTROL Not ADDI icable ( ) ( ) II, Meets Department of Environmental Quality Standards. 12. Other (see comments) COMMENTS: \ CK'D BY:~ 1Z,-'2.C;-7:S; Setbacks from ell of road: Front 46 ' Side-Exterior .- Setbacks from Interior lines' Side ~ Rear .(5 . No ffls \) ( ) ( ) ( ) ( ) ( ) CK I D No Yes \)~/ ( ) ( ) By/~AL-~"7~ I DATE , CK'D BY:~GI~ 12.-:?rI-it) U U DATE TO APPL I CANT: Y~~Building I Site Inspection: ~/q Can be approved, ..,\. ()\ Cannot be approved at th 1St I me as i nd I cated on I tern NO. above. .I -(1i7 Questions and further Information on Items 1 through 6 contact the LANE- \/VJ' ~ COUNTY PLANNING DIVISION. Questions and further .nformation on items 7 '1)'\ through 12 contact the LANE COUNTY BUILDING AND SANITATION DIVISION. ( ) Will be held in'thls office until you can resolve the problems indicated. ( ) Is being returned, ( ) Your buil d I nQ perml t apel.!..s:a.!.i~!,_fe~i.~el n,9 x~tur:.n,~d under seD,qrll~f)\f"r ----DEPARTMENT OF ENVIRONMENTAL MANA~EMtNI 135 Sixth Avenue East Eugene Oregon 97401 PHONE: 687-4065 LANE COUNTY PLANNING DIVISION PHONE: 687-4186 C55-28 NOTE NO PERMI'" WILL BE ISSUED UNTIL filLS APPL nON liAS IlI,CN PLHMI r 1/ '<:.:29t-75 Al'PROVLD AI'PIICAfION I OJ{ >CJ CONSTRUCTION ~ MOBILL llOMJ:: OWNeR ~,t?d.... /' .;..~~/~ ~;I'.a/?u t1~ '~y 97.(/t'J,'> Zep ~=14{3 -;;'rJ/("j Ph'one Nlme ~ PI AN RrVIIII /-><?~ .37~ Address ['=:J {J1AI,Ll 01 ocr IJPAdt. y c==J c===J CONTRACTOR Name Adclre~s City Glp Phone o S RLG II Y Twp I r;- Range q ~ Sect10n SubdiviS10n F//J;r7 ~ lot .36 ~.J-!lN1'Y Ar ' /1 Tax Lot Code .Census Tract Bloch. ,~ Property Acreage Wlclth______Depth I X ACCESS TO PROPERTY (Road Name) ! XExl~tlng Structures on Property .r/U_./r.v1--'2- I A Property Locat1on . Address/Duect1On, d<('} / .P ~/J"/ A// I I / Below for Office ~ao~ 1 Use OnI y XAXXXXXXXXXAXXXXJ0.,XXXXXAXXXX)J(XXXXXXxxxXXXXX\ X}{\ XXXXXXYAAXMXXXAXXX.{},XXXXXAXK.\XXXXXXXXXXXXXXXXX}. ~a ~ ~t;'I-;" J7~0((;J6.s0 / / / va')'!:/!,;;; ,t]) SEWAGE DISPOSAL Site Inspect~Qn # EXlstlng Sewage Dlsposal System l'iame of WATER SUPPLY Well Spn.ng _ Other or New System Required CJ Commun1ty or Public System ;c:; ~ ~~ FEES PLUMBING /5.~ Installed by Owner ~ BJdg Waste D1Sp PLUMBING FEFS Plumblng Plan ReVlew f Mobile Home 'J 1% Surcharge lJ 15- ~;/ /"'1, l./~ TOTAL CHECK ther I 1 Name Sewage Connectlon Hater Connectlon PLANS }URNISHED FACILITY Pr..RHIT c:J YI:S / c:J YES .J,...Lq NO Appl1cant . ~'~A4'lr e;.p Date /;L';;,({-l\ Slgnature of Fee Received By Min Septic Tank Capacity Dralnfleld Required - Lineal Feet Maximum Depth 1'" """"- Type of Constructlon 6N Group ..---:J Flre lone Use Classlflcatlon Bldg Setbacks - from Center of Road Rlght Front 4<:' S1de lnt -.6' of Hay ~ DATe ~......?_t;-7'r LANE , C55 12 lone"oJ4-J91I..t. // SA(~ION DATE /!:,~ BUI~Jt~ /Jp DATE '0^4fu! K h -~~J-n ~f?Il-. / - ;Z -!Jb COUNT~ DEP~RTMENT (); ENVIRONMENTA MANAGEl'IErh Sl":'~ =__nu__ Rea 1---..6' -=----'" LANE COUNTY PERMIT F0... PERMIT NO, ,,. . CONSTRUCTION [] MOBILE HOME [J PLAN REVIEW [] CHANGE OF OCCUPANCY [ J DOwner NAME ADDRESS CITY ZIP CODE PHONE o Contractor NAME ADDRESS CITY ZIP CODE PHONE O,S, Reg, # Twn Range Section Tax Lot _ Code Census Tract Subdivision Lol. Block. Acreage Width Access to Property (Road Name):. Depth Existing Structures on Property: . Directions to Property - Address:' ' ~, \' , ~ ..~ " STRUCTURE (# BEOROOMSI SQ, FT. VALUATION SEWAGE DISPOSAL: PUBLIC [J SEPTIC TANK I BUILDING PLUMBINr. 3% SURCHARGF MOBILE HOME WASTE DISPOSAL PLAN REVIEW OTHER I ] PLUMBING INSTALLEO BY: OWNER [] OTHER [] NAMF WATER SUPPL Y: PROPOSED [ ] EXISTING I] [ I PUBLIC [ I 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 FIR E ZONji STAY 100' FROM ALL WELLS USE CLASSIF, SETBACKS, FT, FROM CTR, OF r/W: FRONT ___ SIDE EXT, FT, FROM PROP, LINE: SIDE INT, REAR ZON~ AUTHORIZED SIGNATURES: M.. ISSUANCE DATE: BLDG. PERMIT - WHITE OFFICE COPY - WHITE COUNTY TAX - PINK PLUMBING - CANARY BUILDING - GREEN SANIT A liON - GOLDENROD IMPORTANT: Call 687-4065 10 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 fOf 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) LANE COUNTY, DEPT. OF ENVIRONMENTAL 'MANAGEMENT COURTHOUSE ANNEX. 135 EAST 6th. EUGENE,.OREGON 97401 SITE I NSPECT I ON ApPROVED ~ DISAPPROVED ~ DATE REMARKS FOUNDATION INSPECTION INSPECTOR ApPROVED I, ~ DISAPP~OVED 1 I, D~TE _ I NSPE,.?7j ;I, REMARKS..d./( ~ iLi;Af/_~ ~ I~';a:r~&_ A+I, ({4Ir../ ~ /~ ~Y2~/~"~ r.:;; (--:-n FRAMING INSPECTION ApPROVED .L1 01 SAPPROV(O Cl DATE REMARK S LATH OR SHEETROCK INSPECTION INSPECTOR ApPROVED ~I DISAPPROVED ;----y DATE REMARKS /j' FINAL INSPECTION . // d ApPROVED Cl DI~DVED Cl REMARKS I ./ CERTIFICATE OF OCCUPANCY INSPECTOR DATE , ;."~ ,{) .3 :;2 I') /tNSPECTO{jt~ READY TO ISSUE / / NOT READY TO ISSUE Cl DATE REMARK S INSPECTOR / 0'''-)_ . j:} A, / 1--7'" , "'. I .4' , ,}l7 I.J'U/foWVtfi.{tt"71 't,~' //';..-"'-;'7'fJl'Ii'..r-J iF v ,7/' ,. // _ Iii / '~~'Tf ;] ~ _ .j.' u.r: cZ~p" 1"-4 ,'J./ '1 ".. }4. :;j/.- ~: r,' - i . I." I /; - ...{.~:(L 40 <<j:Jt..rtr.e-:-. ,);;: 'If., '7,).... cta.f~-dZ ,?'" /", ". ..