HomeMy WebLinkAboutPermit Building 1976-6-15
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LANE COUNTY PERMIT FO'
PERMIT NO, 11 it - 'l"
CONSTRUCTION [01 MOBILE HOME [] PLAN REVIEW [] CHANGE OF OCCUPANCY [ ]
DOwner
Thnm.. A Ahilrr
NAME
;O?:i HRl"hnr !'lrivr.
ADDRESS
C;nrinnfi"lrl O....n
CITY . ZIP CODE
PHONE
o Contractor
Mnllnt:dr: C:h~rtn"" J..fnmlOC: P ') qny 1 n::un
NAME ADDRESS CITY
7hh~
J:"lInQn~ ()v-r:loOfln
ZIP CODE
h~ h...
PHONE
O.S, Reg, #
;/,,1, ,;;,
Section_. Tax Lot
5th Add
Lot ?l Block
?In:
Codp
Cens'Js Tract
Twp 1 Q Range 1
~i1 bcrt Grove
Subdivision
~
Acreagp
Width
Access to Property (Road Name):
Harbor Dri ve
Depth
Existing Structures on Property:
f,bbi 1 e Home
Directions to Property - Address:
2023 Harbor Drive East to Sorinofielrl
Ovpr th? Hill to Filb~rt Grnvp
South on Inn Avo '11 'J'
STRUCTURE 1# BEDROOMS)
Pprorni t f'nW" r;H"nt\r1-
SQ, FT,
Rf'n Iil '~ qn
VALUATION
~??4n nn
SEWAGE DISPOSAL:
PUBLIC [J SEPTIC TANK [
BUILDIN" 24,00
PLUMBING
3% SURCHARG" .72
MOBILE HOMF,
WASTE DISPOSAl
PLAN REVIEW
OTHER [ )
PLUMBING INSTALLED BY:
OWNER [J OTHER [I NAM"
WATER SUPPLY: PROPOSED [ J
EXISTING [I
[ J PUBLIC
[ I COMMUNITY, NAME:
[ ) PRIVATE WELL
[ ] OTHER, SPECIFY:
TOTAL
24,72
CONSTRUCTION PERMITS & INSPECTIONS AND WATER POLLUTION CONTROL SPECIFICATIONS
MIN, SEPTIC TANK CAPACITY:
GALS, MIN,DRAINFIELD L1N, FT, MAX, TRENCH DEPTH INCHES
Annp~r, thillt t~A M$-I ic: n'''f''~rl ~i,..o,..tl\1 ()t\ ""nn ~1= rhn ~v;<:'t-;.,,., ,.f",,..4...1.;...,.,... T.f' +~.:...
- ,
,l,nlllr4 f~i' it wnllln ho na"'~C't':'l"'\I to", "''''I"\''''''+-''' ~h."\ .........h.:'... h............... .....~ ...............:._ +oL.... ["'..____
".........
TYPE OF CONSTRUCTION
Sf,! GROUP
J
. --.- _u_ ...---"- "~"- -. -STAY 100' FROM AlL'WELLS
FIRE ZONE_ USE CLASSIF,
SETBACKS - FT, F.ROM CTR, OF r!W:
FRONT ::IV SIDE EXT,
FT, FROM PROP, LINE:
SIDE INT, 5 REAR 7
ZONii
RA
AUTHORIZED SIGNATURES:
Isl J. E. Boss by Hal'bauqh
t~cKav for GrilV
ISSUANCE DATE:
f,1l~/7h film
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 Slate Buidling Code. D.E.O. standards
lor 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, DEPT. OF ENVIRONMENTAL MANAGEMENT
COURTHOUSE ANNEX, 135 EAST 6th, eUGENE. OREGON 97401
B,UllD~NG SITE EVALUATION ..2.'..~. -~ f'>L/~ R S
...- . .Jt'-li.v (I,SUBD. .SiON:
() BUilDING PERMIT APPLICATION NO. //L L: -7 lOT:
() SITE INSPECTION APPLICANT
DATE
PLANNING DIVISION Not
_ '\PP 1 I cab I e
1. Zoning Ordi nance Comp Ii ance: Zone~ ...,~( )
2. Subdivision Ordinance Compl iance' ( )
3, Requi red Access ( )
4, Building Site (Area, Width, Frontage) ()
5. Other (see comments) ( )
COMMENTS:
No Ye
() (I; 6.
( ) ( ,
~ ~ ~,II)
( ) y )
PLANNING DIVISION ACTION PENDING: YES( ) NOl ) APPllCATIONH
BUilDING INSPECTION DIVISION
Not
Applicable
l~)
( )
( )
)
7. Plans Submitted
8. Soil Stability (footings)
9. Flood Plain
10, Other (see comments)
COHHENTS:
WATER POlUTION CONTROL
Not /
Appl icabYe
(.-1
( )
II, Meets Department of Environmental
Quality Standards.
12. Other (see comments)
COMMENTS:
No ~
()
( ) ( )
( ) ( )
( ) ( )
No Yes
() TI
( ) ( )
TAX lOT
BLOCK:
CK'D BY: ~ ~-/. "'7 ?
Setbacks ~}~ ~/l of road:
Front ~
Side Exterior ___
Setbacks from interior lines:
Side .s-
Rear ?
CK'D Bell ~ -/t!-7~
DATE
CK'D BY:C;4tY\~ to,t.j ,-'16
U 0 DATE
TO APPLICANT:
Your Building I Site Inspection:
"1 ~ k1 Can be approved,
111/" '( ') Cannot be approved at this time as Indicated on item NO, above.
~~ 1 ?(/ Questions and further information on items I through 6 contact the lANE-
~'\ COUNTY PLANNING DIVISION, Questions and further Information on items 7
through 12 contact the lANE COUNTY BUilDING AND SANITATIO~ DIVISION,
( ) Will be held in this office until you can resolve the problems indicated.
( ) Is being returned,
( ) Your bulldinQ germit a~plication fee is beln~ r~turn~d under separat,r ~nvp.r.
JlI!:PARTME~T OF ~NV I RONMENTAl AANAGEKtNI
135 Sixth Avenue East Eugene Oregon 97401
PHONE: 687-4065
lANE COUNTY PLANNING DIVISION PHONE: 687-4186
C55-28
'.
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LANE COUNTY PERMIT FC
PERMIT NO,
CONSTRUCTION (] MOBILE HOME (] PLAN REVIEW (] CHANGE OF OCCUPANCY ( ]
DOwner
NAME
ADDRESS
CITY
ZIP CODE
PHONE
o Contractor
NAME
ADDRESS
CITY
ZIP CODE
PHONE
O,S, Reg, #
Tw~
Range__ Section
Tax Lot
Codp
Census Tract
Subdivision
Lot
Block
Acreage
Width
Access to Property (Road Name)'
Depth
Existing Structures on Property:
Directions to Property - Address:
STRUCTURE (# BEDROOMS)
SQ, FT,
VALUATION
~,
SEWAGE DISPOSAL:
PUBLIC [I SEPTIC TANK [
BUILDING
PLUMBIN"
3% SURCHARGE
MOBILE HOMC
WASTE DISPOSAL
PLAN REVIEW
OTHER [
PLUMBING INSTALLED BY:
OWNER [I OTHER [I NAMF
WATER SUPPLY: PROPOSED [ ]
EXISTING [I
[ I PUBLIC
[ ] COMMUNITY, NAME:
[ ] PRIVATE WELL
[ I 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
FIRE ZONC
STAY 100' FROM ALL WELLS
USE CLASSIF,
SETBACKS, FT. FROM CTR, OF r(W:
FRONT SIDE EXT.
FT, FROM PROP, LINE:
SIDE INT, REAR
ZONC
AUTHORIZED SIGNATURES:
Isl
ISSUANCE DATE:
SLOG 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_D, standards
for subsurface sewage disposal and the Stale Plumbing Code. All buildings require a certificate of
occupancy before being occupied
(See Details Oil Reverse Side)
(POST THIS PERMIT ON MAIN BLDG. AT SITE)
C5!5-'3
LANE COUNTY, DEPT, OF ENV1RONMENTAl MANAGEMENT
COURTHOUSE ANNEX, 135 EAST 6th. EUGENE. OREGON 97401
,-
I
+
.
SITE INSPECTION
APPROVED.cJ DISAPPROVED.cJ DATE
INSPECTOR
REMARKS
FOUNDATION INSPECTION
ApPROVEO 1--1 .?' SAPP~VEO 1 7/ DATE 1.
REMARKS tJ/( t~//~~
7 1/
!I'
INSPECTOR
(p - 2 a. 7'(,.61
4'")/
t~,...-' .
FRAMING INSPECTION
ApPROVED 1j/7DISAPPRDVED .cJ DATE 7-2-1t,
INSPECTO~
(f) r;
REMARKS
LATH OR SHEETROCK INSPECTION
ApPROVED r-7 DISAPPROVED 1--/ DATE
INSPECTOR
REMARKS
FINAL INSPECTION
ApPROVED dDISAPPROVED .cJ DATE 1--2 -1t
I //1 1)1'./~
NSPECTO/~ I r ,. ,
REMARKS
CERTIFICATE OF OCCUPANCY
READY TO ISSUE .cJ NOT READY TO ISSUE .cJ DATE
INSPECTOR
REMARK S
(if::~~. r'r" ~/lf_ fl'~7q
-#///vC'---7r; &$/"/ ~{)P?3 ~~--r
0,0
I(OTE: NO PEIDIIT .LL BE ISSUED UNTIL THIS APPLIC
/1"-76
PERMI T iF
ON HAS BEEN APPROVED
APPLICATION FOR:
CONSTRUCTION ~.
MOBILE HOME c:::::J
CHAl;GE OF OCCUPANCY c====J
PLAN REVIEW c:::::J
c:::::J OWNER Thomas A. Aharr
Name
c::=l CONTRACTOR Mountain Shadow Homes
t.lame
2023 Harbor Drive
Address
726-014'5
Phone
SprinVfield. Ore.
thy Zip
PO Box 10881
Address
"RllQ'f\nA. Ore
tHy
Q?40?
Zip
6~o-;,~m
O.S, REG, II 7663
18 3
Twp. Range
Subdivision Filbert Grove 5th Ad. Lot 21
ACCESS TO PROPERTY (Road Name) Harbor Drive
Sec tion 2 & 11
Tax Lot 2100
Block ~ ~
Property Acreage
Code
Census Tract
Width 83,o>.Pth~
Existing Structures on Property: Mobile Homex
Property Location' AddresslDirections: 2023 Harbor Drive / East to Springfield,South on 2nd Ave.,
Over the hill to Filbert Grove -- Mobile home park
Below for Office Use OnlYTXXXXXXXXXXXXXX~XXXXXXXXXXXXXXXXXXXXl\X)O\){XXXlW""uU'.'l.=~
Ij /) ~ (J IV.- ~ x'lo \1qlSWD2 m Ulledrooms ;;)~q~n. CJ()
SEWAGE DISPOSAL:
Site Inspection #
isting Sewage Disposal System ~ New System Required c:::::J
Public c:::J
Community c:::J
WATER S~"
Well _ Spring
FEES:
Bldg.
Plumbing
3 % Surcharge
Waste Disp.
Plan Review
Mobile Home
TOTAL
Name of Community or Public System
AtrO
---,
PLUMBING:
Installed by Owner
PLUMBING FEES:
# of Fi
Sewage
Connection
Water
Connection
.7 :::L
PLANS FURNISHED
FACILITY PERMIT
.
o CASH
/
OJ'I. /2- Ll.4 CHECK
Signature of Ap
Fee Received B
~
ate: 6-1-~
~-YES
Min. Septic Tank Capacity Drainfield Required - Lineal Feet Maximum Depth
..fff 17ff<'" UJ J ~d:'/ Yk f}V)~,~.' :A ~d -J :::":+fL ~ +Jf ,1] y-1.",
(JA/"5f>~ dh:u,~ J~M - J''-<LJ ~~, RW ""'#I~ '!fbr.fj,
Zf,ufn/lL ,;;f "J/J\Jd IAI; 1....2.L.u..j~ J.!fq. ~ NJfJ,?,,"fn '-(.Af. rn.A-t, fo
'-I\fi>KJ ":",,,; A'f'lJ] ,/~ ~~ ~ ' (/
Type of Construction \~ N Group ~ I Fire Zone Use Classification
.
Bldg Setbacks - from Center of Road Right of Way:
Front.r::-c:z:=:l> Side Int. ...:s;- Side Exterior
"lANNING:
~/
J CSS-12
Rear;7 Zone Ji;JrA -,/t{H
-nJ<IJ:XJt+t-"+'!l' If;f ~(?~'-JJ(-j/~
LANE COUNTY DEP)!aTMENT OF ENVIRONMEN.6.L MANAGEMENT I -'. ,
-
DATE:
4 -/ - -:?d