The URL can be used to link to this page

Home My WebLink AboutPermit Building 1976-11-22 < . ~. LANE COUNTY PERMIT F0.. \-. \ ~ \ '0 OS Reg # , \l.:J ' ,,~,'";;l, ~ Twn d,) Range (y, Section \ \ Tax Lot W. ~iY'\Codp ~, \ Iw"" ,-\- G::n '(:.'0"'- r \..-. r. I...--- SubdivIsion Lot ~---"", Block ~ """ ,. . I CONSTRUCTION [...:,l MOBilE HOME [Xl ---," \\ DOwner .$"1,( v.. \-\ r'.CH-, " ~("$~ ~ NAME - , '- iI'bOREsS- ~ . '-.:l " \ o Contractor ( . \ \. "c. '< 'r' \ A ~ v <"" "" ,., NAME ADDRESS --+ , Access to Property (Road Name) ~.r--.r.~\.... EXisting Structures on Property......----l.--...... ""~. ~ ~ Directions to.Property , .\;,';:~, . ..\. \r... Address \""'" ""'" , .-, ~\.- """::" ,', A ~~-... PERMIT NO \\ -\ \ t \..? '.>r: CHANGE OF OCCUPANCY [ ] ~..- PLAN REVIEW ( 1 ~r..,/ ""'lv . \2; -ur Y ~'\~t:. ~'r'\fl~\\ ~ L'" 1'\' ZIP CODE~ ~ \ ,...-. ,PHONE ...0 CITY ZIP CODE PHONE Census Tract Ac'eago Width ~"A '2:--..~ Depth l\ ~'.;"""""~J -~r.... .... , ...r-. \~\ ~'L t, OJ'\,..... '(StRUCTURE (# BEDROOMS) ',':--J \ SO FT G>" \ "\.-'P" \v. -l.... ....\.n ~0, ..\< \;\-\\-\ -. ,,-".\',r,.o ,-..:te, '\("'\~"C'\I~"''''''f'''\........\.. ,.....~_ ~\\-\... ~...l;:....""'::l...-"N.K ...::::.~ '0. r-':,..~ --l,...... .;;::, '>r, "'-..\. ~t:-...""-.. SEWAGE DISPOSAL PUBLIC [] SEPTIC TANK [ BUILDIN(; PLUMBINC' 3% SURCHARG" MOBILE HOME WASTE DISPOSAL PLAN REVIEW OTHER [ ] ;;:= ,.". C'~ \ (.... r......O ':-=. t) --.0...1_ r....C') TOTAL rl ,t\-..\-.....\\~ ~ Q~ ~ I VALUATION \. ~ '. c-\ .r.' PLUMBING INSTALLED BY OWNER [] OTHER [J NAMe WATER SUPPLY PROPOSED [ ] EXISTING [] [ ] PUBLIC [ ] COMMUNITY NAME [ ] PRIVATE WELL [ ] OTHER SPECIFY CONSTRUCTION PERMITS & INSPECTIONS AND WATER POLLUTION CONTROL SPECIFICATIONS MIN SEPTIC TANK CAPACITY GALS " - MIN DRAINFIELD L1N FT MAX TRENCH DEPTH INCHES FT FROM PROP LINE SIDE INT REAR ZONF -e x '-~, '~\ -S:;:OL,>. ",6~. C<;"...., /J ISSUANCE DATE/? CL,(A~_" I"... (J-/, /1- n. 'f (/J/-;;"" ~ Call 687 4065 to schedule all required construction inspections Call 687 4061 to schedule all required 7 ~ septic system inspections All constructIOn shall comply With the State BUldllng Code, 0 E a standards for subsurface sewage disposal and the Stale PlumblnQ Code All bUildings require a certificate 01 occupancy before being occupied TYPE OF CONSTRUCTION AA # GROUP , I' ... SETBACKS FT FROM CTR OF r/W FRONT 'I '\.0..... SIDE EXT '---'\,0 \-~-e. "r,\o.ce6 ~"...... ..\....\'\'~ AUTHORIZED SIGNA HIRES '\ /s/ ( \11" \ ~ ) ) SLOG PERMIT - WHITE OFFICE COPY - WHITE COUNTY TAX - PINK PLUMBING - CANARY BUILDING - GREEN SANITATION - GOLDENROD IMPORTANT FIRE ZONe STAY 100 FROM ALL WELLS USE CLASSI F (POST THIS PERMIT ON MAIN BLDG AT SITE) (See Details on Reverse Side) C5513 LANE COUNTY DEPT OF ENVIRONMENTAL MANAGEMENT COURTHOUSE ANNEX 135 EAST 6th EUGENE OREGON 97401 ~j- * ,_' - ,.f\~ At LANE COUNTY PERMIT FG.. PERMIT NOlGo '3K-r .;'- .-"'t., ')' \;VI. H 6?J If ~ 7&' t ~ I . CONSTRUCTION ["] MOBILE HOME [)(] PLAN REVIEW [] CHANGE OF OCCUPANCY [ ] 'Downe~':\-,.\:, ;t~0-'~ ~~'~~.~~~f~" . __ ~ NAME' '~~... ADDRESS CITY CUZJI( CODE '0 Contractor ;-", , ,. ' \ \ \'. \ 'I "" NAME ADDRESS CITY ZIP CODE , /\ PHONE PHONE. OS Reg #- Vi' </ Twp-l ,/-) , A-, \ \ . SubdivIsion Access to Property (Road Name) l/'l -? \/'y.:?,7Tax 4~' Range-<;'/ --::J Section f . Lot \~Code ~ ~ I . ,~ 9.L.. Block 3~ Acreagp -_~P;r'L').~'AL :":1,~ \' Census Tract " , L~l Width ~ Depth EXisting Structures on Property -. ", .... Directions to Properw . Address \//:4 ~y~ /J---._____-x A JO.--z.-..,. r I -, ...-"==' - ~ 124,/?',/ _ ~_~ ~ ff~.A/~; ~ " 'STRUCTURE (# BEDROOMS) SO FT , VALUATION , \.' ......,.. \. ' , \ . \ \., .. \ , , I , . , , '-. " , , \ . \,,'\- , ~, '"":)"\ _ ,,\ ' , , \ \ ( r " \ , yr-~ , Y- ., SEWAGE DISPOSAL PUBLIC [J SEPTIC TANK [ BUILDINC', PLUMBING 3% SURCHARGF MOBILE HOM" WASTE DISPOSA! PLAN REVIEW -~- OTHER [I (-..." ..\~ PLUMBING INSTALLED BY OWNER I] OTHER I I ~IAMF WATER SUPPLY PROPOSED [ ] EXISTING [] [ ] PUBLIC [ ] COMMUNITY NAME [ ] PRIVATE WELL [ ] OTHER SPECIFY , , ( ,(' (' I 'C-' l- TOTAL 1\ \ \ I., . (..... ( I ~i . \ CONSTRUCTION PERMITS & INSPECTIONS AND WATER POLLUTION CONTROL SPECIFICATIONS MIN SEPTICTANKCAPACITY -,- GALS MIN DRAINFIELD L1N FT MAX TRENCH OEPTH INCHES TYPE OF CONSTRUCTION /M # GROUP FIRE ZONe STAY 100' FROM ALL WELLS USE CLASSIF SETBACKS FRONT ' ~. \\ FT FROM CTR OF r/W .-...... SIDE EXT \.' FT FROM PROP LINE SIDE INT REAR ZONF , ., \ , ........ " , , , " AUTHORIZED SIGNAT(URES /s/ l 't.).\., "J J_ BLDG PERMIT - WHITE OFFICE COPY - WHITE COUNTY TAX - PINK PLUMBING - CANARY BUILDING - GREEN SANITATION - GOLDENROD IMPORTANT ISSUANCE DATE l.:,f.>~ ~ 'A I.,~ C; ,,../ / - (/ //1-;''; ~16 Call 6874065 to schedule all required constructIOn inspectIOns Call 6874061 to schedule all required septic system Inspections All construction shall comply With the State BUldllng Code DE 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) C55 \3 LANE COUNTY DEPT OF ENVIRONMENTAL MANAGEMENT COURTHOUSE ANNEX 135 EAST 6th, EUGENE OREGON 97401 J SLAB FLOOR PLUMBING GROUNDWORK ApPROVED 17 DISAPPROVED 17 DATE REMARK 5 GAS PIPING GROUNDWORK ApPROVED 17 DISAPPROVED 17 DATE REMARKS ROUGH PLUMBING ApPROVED 17 DISAPPROVED 17 DATE REMARKS ROUGH GAS PIPING ApPROVED CJ OISAPPROVEO CJ DATE REMARK 5 INSPECTOR INSPECTOR INSPECTOR INSPECTOR <. FINAL PLUMBING ApPROVEO I~ O'S.PPROVED CJ OATE12-2-7(_ INSPEc~~,&;J REMARKS FINAL GAS PIPING ApPROVED CJ DISAPPROVED 17 DATE REMARKS CERTIFICATE OF OCCUPANCY READY TO ISSUE 17 NOT READY TO ISSUE / / DATE REMARKS INSPECTOR INSPECTOR , , . . '. J I ,. I" -- ,- '. / . ", .. , -. , , "11<1..... LANE COUNTY PERMIT'FOR ~~., , '~', . 'i- ~ {\' I f.K; ...".t <'... f ,,~{~..""""'~?~J.I, .....lit. p~~J;~, ~I r_ .........~,...(r~ "'l~ -1 1 ~>:- -4 oJ _ '.1' ',J\, "" CONSTRUCTION. MOBILE HOME ~J PLAN REVIEW [J CHANGE OF OCCUPANCY [ ] o owne~\-;,:"\>,l. \~&'?;,.,' ' ~ 8:::1 QO"'.r~r-,,r ~~ \:..q ", NAME t...... ~ ADDRESS \ "tiTY ZIP CODE....{ ", PHONE , it"'': \'<< '" < · ' 1\ ~ o Contractor.. '-\:.t'~ ."'r~ 1'\ ~.t{\\fn1\.~~-'l ~:'\t\t"_Ji -t.-:,f"'~~~\~"\ t' >>... NAME ADDRESS CITY ZIP CODE PHONE ,?t;' PERMIT NO 1.... <' '\ "'\ '\ ~ :f'kj-..... "I ' 1',\ . "\ \c , , " OS Re.g .#:' Twn \'6, ~~"",~t,,: \l .....\."..,. \...~ ~ SubdivIsion '. '~t"~:;: Range...~ ' 'Section .t t". ~ \. "" ~n:;':\"" ~-~ Lot l' ,..:..t.:~ ".t,: \ \ Tax Lo;';' \,\. .i0C"Codp Census Tract , ' .'....'..1 ,.",", Block .. ',,,-t'lI '-~ Acreage Width ~~, Access to Property (Road Name) " >[ {C "\ \" -, , ,.J,'t . ,t"'t; , , ',."" ..... ~~ \:~ Depth E S .......,..- ~,"" \... , xlstlng tructures on Property~' ,..-. >c. < ,- \ ~-;"''''', , , , ""^' DirectionS- to,Property . Address" "\ '~,K:". ,. ,t' , \. "[' , "'. 'J f "" r . "', ,,:...J ... 9-. '\ t " , '-~~"./"''''- . .r ~ , .~ r>J ~ \, ~ -\ c' ., \~ \ 1"~i:;;f ^~ ,\, I ~;~ .' ~~CTURE ('If B.fDROO~SI ~ \. , ' '\"" Q:/\,'fV\-.\. ~ ''\-<;:D "'\"PnJ~, .., "\.."~~ ~u;)1. \"l"i~ <;;;' . 'L ~ ;.''", ". \. (>-.~_ \'lI:\~~l'l'ti"'~"'~ '\.~\ t $! ~ '\ K~. ~\' \01\\\~ FT ~ \' \f.\.Q \ R \ ""'l.. ~~~\.. ~-:~~,tr~.'" ~1 \1..\. .....,~ ";~l.l ~~~f:'. \ .,-....~ \:-, VALUATION ~\. '(!X,p '; " SEWAGE DISPOSAL , PUBLIC'!] SEPTIC TANK I I- OTHER [ ] ,...Jrt:Jt.- i ~,\"",~ PLUMBING INSTALLED BY OWNER I 1 OTHER r 1 ~IAMF '. t...n i'~~,,~ rj_/~Li.I.~ l ;. ~'t'Tj, "'-." < BUILDING ' ',PLUMBING 3% SURCHARGE 'MOBILE HOMF WASTE DISPOSAl PLAN REVIEW , " ~~ If. "t. f' '"'\.0/ , ' ~~:., (\, :' ..t!.ii,~'1 f ~ ~ (~ WATER SUPPLY PROPOSED , EXISTING ! ] PUBLIC [ ] COMMUNITY NAME [ ] PRIVATE WELL [ ] OTHER SPECIFY [ ] [ ] , r <> 'f" \,..\ ..._'"'.....~, CONSTRUCTION PERMITS & INSPECTIONS ANO WATER POLLUTION CONTROL SPECIFICATIONS. . MIN SEPTIC TANK CAPACITY GALS . -: ,H , ,MIN DRAINFIELD ,1-- ti~ .," ,... \\. ",' "'" - ,\.l 1 '~<t..,\. ~ ill: ~im'.\~l, '" . , [ ; " , " " . " . - ) r .' , . > .' . t . " " , TOTAL " , ,IN FT , , , MAX TR ENCH DEPTH INCHES .. " ,-- ~ TYPE OF CONSTRl!~I.oN AlIf GROUP FIRE ZONF STA Y 100 FROM ALL WELLS , USE,CLASSIF ., t . , , ~~,.~~ ... ~ ,. , - SETBACK,S ,~l FROM CJ;R OF rlW FRONT w.... SIDE EXT ."," \ - '"'' ~O/~fI'I' ~~ \...4~~.I-f" J. ,\?'~ 't ~ "'~ .r::N,." " .' , ~lo'\ ~\ \, '\., FT FROM PROP SIDE INT '*.>f .,," (,,, ',-, _ " .~ " LINE REAR ~); p -", n $ "'...{ , ZONF ~ '-f,<~1 < .. "\ .......~,.. ~ ~ f,'" \ ~ j AUTHORIZED SIGNATj:lRES', .. ~ \' ~\ ! ' is/ \. ~\'tl., ~ 1. "","it,.:<>. t ~ BLDG PERMIT - WHITE OFFICE -COPY - WHITE COUNTY TAX - PINK PLUMBING ~ CANARY BUILDING - GREEN SANITATION - GOLDENROD .\~ ~- IMPORTANT J j.~ JI3SUANCE DATE",,? ; . "",Z/1...;,<:J.....e 4 v~,,; tl. (f !J' II~ ~'> "'r~; 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 BUldllng Code DE Q standards for subsurface sewage disposal and (~e' State Plumbmg Code An bUIldings reqUire a certificate of occupancy before bemg occupied -. ~.~~~.. -'~--', (See Details on Reverse Side) " 1, ~: 000" ~\_rl , ". , , (POST THIS PERMIT ON MAIN BLDG AT SITE) LANE COUNTY DEPT OF ENVIRONMENTAL MANAGEMENT COURTHOUSE ANNEX 135 EAST 6th EUGENE, OREGON 97401 f ; -..,.. \ v '. ~. .\.,. _ J '. . . SITE INSPECTION ApPROVED Cl DISAPPROVED Cl DATE INSPECTOR REMARKS FOUNDATION INSPECTION ApPROVEO L-/ DISAPPROVED L-/ DATE INSPECTOR REMARKS FRAMING INSPECTION ApPROVED / / DISAPPROVED / / DATE INSPECTOR REMARKS LATH OR SHEETROCK INSPECTION ApPROVED L-/ DISAPPROVED ~ DATE INSPECTOR REMARKS FINAL INSPECTION ApPROVED S DISAPPROVED / / DATE ,/- ~ "77 I NSPECTOR ~ REMARKS CERTIFICATE OF OCCUPANCY READY TO ISSUE / I NOT READY TO ISSUE ;---y DATE INSPECTOR REMARK 5 j