HomeMy WebLinkAboutPermit Building 1976-7-12
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....., $ LANE COUNTY PERMIT FOR:
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PERMIT NO,
1682-76
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DOwner
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MOBILE HOME [,.] PLAN REVIEW [ ]
I4V6H~~ Df.2-
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~_~~l?_~ESS' ""'1,1' VI I 'If;!
CHANGE OF OCCUPANCY [ ,]
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CONSTRUCTION [z):
CITY;;'I-~ fl-:1-~1~ ~ ~ 'ZI~iCOO-E::-1
PHONE
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o Contractor
Aluminum Wood Products Inc.
NAME ADDRESS
2148 ~lain
Sorinafield. Dreoan
CITY ZIP CODE
PHONE
O,S, Reg, #
1"w~ 18 Range 03 Section 02 Tax Lot 100 Code Census Tract
Subd ivision Fl1 bert Grove Lot 1 Block 1 Acreago Width
Access to Property (Road Name): Harbor Drive Depth
Existing Structures on Property'
Directions to Property - Address: 1468 Harbor Drive
STRUCTURE (# BEDROOMSI SQ, FT, VALUATION
Ca rDo rt existina slab 240 ill ,2.RO fin
SEWAGE DISPOSAL:
PUBLIC [ ] ...SEPTIC TANK [
BUILDINf' 1&.00
PLUMBING
3% SURCHARG" . 21
'MOBILE HOM"
WASTE DISPOSAl
PLAN REVIEW
OTHER [J
PLUMBING INSTALLED BY:
OWNER [ ] OTHER [] NAM"
WATER SUPPLY: PROPOSED [ ]
EXISTING []
[ ] PUBl'lC
[ ] COMMUNITY - NAME:
[ ] PRIVATE WELL
[ ] {)THER - SPECIFY:
TOTAL
7.21
CONSTRUCTION PERMITS & INSPECTIONS AND WATER POLLUTION CONTROL SPECIFICATIONS
MIN. SEPTIC TANk CAPACITY:
GALS MIN, DRAINFIELD L1N, FT. MAX-TRENCH DEPTH INCHES
:rYPE OF CONSTRUCTION
5N
GROUP
J
FIRE ZON"
STAY 100' FROM ALL WELLS
USE CLASSIF,
SETBACKS - FT, FROM CTR, OF r/VV:
FRONT 20 SIDE EXT.
FT, FROM PROP, LINE:
SIDE INT. ~ REAR
r
ZONI= nft Uti
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AUTHORIZED SIGNATURES:
/s/ 11_1=' Rnc:c:. hv l'"h:::'lrl ac: l.b",h20llrth
~
ISSUANCE'DATE:
BLDG. PERMIT - WHITE
OFFICE COPY ~ WHITE
COUNTY TAX - PINK
PLUMBING ~ CANARY
BUILDING - GREEN
SANITATION - GOLDENROD
IMPORTANT.:
.. ;;,'r.._;,--: o;~ - L_1
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C~II 687-4065 t~ schedule all required construction inspections: Call 687c4061 10 schedule all required
septic system inspections. All construction shall complY wilh the State Buidling Code, D.E.Q. slandards
for subsurface sewage disposal and the State Plumbing Code. All buildings require a certificate 01.
.occupari9 before being occupied. '
(See Details on Reverse Side)
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,(POST THIS PERMIT ON MAIN BLDG. AT SITE)
. C55.13
LANE COUNTY, DEPT. OF ENVIRONMENTAL MANAGEMENT
COURTHOUSE ANNEX, 135 EAST 6th, EUGENE, OREGO.N 97401
~ .....v.\.
BUILDI~G' SI1EEVALUATill!., 16t2- -7 ~
~,'BUllOING PER~IT APPLICATION NO.
() SITE INS,PECTlON
,
Not
PLANNING DIVISION AI; bl
, ~p I ca e
I. Zoning Ordinance compli.'!~rcel: zonel<fi -rK/l~)
2 Subdivision Ordinance Com~ ,ance ' ()
3: Requi red Access ., ) ~ ~
4. Building Site (Area, Widah, Fronta~e ( )
5. Other (see comments)
CO~~ENTS:
T !k'~' ()'3
SUBDIVISION:
,: ," . LOT:
APPL I CANT
DATE
,',-
S 0 ~TAX LOT" / es-v
BLOCK:
No Yes
T) 1'T
( ) ( )
( ) ( )
( ) ( )
( ) ( )
CK'p BY: ~. 6 ~)~.
6. Setbacks from cll of "'road : /;,r--J
Front ~6 I fu..... ~I e
. Side Exterior U ~ I '
Setbacks from interior lines:
Side
Rear
1\
,
PLANNING ,u,i.vi~ION ACTION PENDING: YES(, ) .Not) APPLlCATION#
BUILDING INSPECTION DIVISIO~,
Not
Applicable
( )
( l
( )
(l)
7. Plans Submitted
8. Soil'S'tabTlity (footings)
9. Flood Plain "
10. Other (see comments)
CO~~ENTS:
WATER POLUTION CONTROL
Not
Applicable
( )
( )
II. ~eets Department of Environmental
Quality Standards.
12. Other (see comments)
COMMENTS,:
~ j - ~ .
/
, . .., .- - . /
/
;
,
/
/
,.
No re.
l) , .wi'
( ) ( )
( ) ( )
( ) ( )
CK'D
By/fll /7~p,-/t~
DATE
No Yes
nn
( ) ( )
CK'D BY:
DATE,
TO APPL I CANT:
Your Building / Site Inspec~ion:
(LyCan be approved~'
f:::x&U (Il() Cannot be approved at this time as indicated on item NO. above.
U 1I'1f1 Questions and'further information on it~ms 1 through 6 contact the LANE-
1\ A COUNTY PLANN ING 0 I V I S ION. Ques t.i ons and further i nformat i on on items 7
through 12 contact the LANE COUNTY BUILDING AND SANITATION OIVISION.
( ) Will be held in this office unt:il you can resolve the problems indi'cated.
( ) I s be i ng ret'u rned. . ' ' ,
( ) Your building ,;>ermit appl ic'!..!.i..2!,_fe~_u~ing.,1:~tu,,=-l)!~.d-.-ill!ger sepA!:iite cover
DEPART~ENT OF ENVIRONMENTAL MAN~btMtNI
135 Sixth Avenue 'East Eugene Or'egon 97401
PHONE: '687-4065 .
LANE COUNTY PLANNING DIVISION PHONE: 687-4186
c55-28
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LANE COUNTY PERMIT FOR:
PERMIT NO. ~Ci:. :':'
CONSTRUCTION [ZB MOBILE HOME [] PLAN REVIEW [] CHANGE OF OCCUPANCY [ ]
,0 Owner
\ ,
o Contractor
.4"..... f~,~ '~~.., ~
NAME
.liii';"fi.;;l t:J:JJ Pv';:)':;Ci~1
NAME
'ill-:d ..~,.....'\....,_ ....<1'....
"ADDRESS' u_. -~ ~ ..
inc. ,:-r~~-:l ~.ki'in
ADDRESS
l'l'..,.....{'-...-.n<1r-.~A
CITyr. .....,J. ..,... .
('....t~:l"!';>;'3j.-" I
CITY
,.r:-,."...,. ,~..
'Zlp.CODE'
PHONE
..............,..,.
",;,;.\... ; ~
ZIP CODE
PHONE
o.s. Reg. #
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,,"" Section
(I 3. ;)-- ~]ll
" Tax Lot Code Census Tract
~ Block 1 Acreago Width
:1<.i1'1lcr !1?hn Depth
.Twp '~Range
Subdivision rn"UI'~
Cro\' D Lot
Access to Property (Road Name):
Existing Structures on Property:
Directions to Property. Address:
14(:j t-:nrt;Qr ~;r~v;z
STRUCTURE 1# BEDROOMS)
:UrD~r~ . e~15Cina sle~
SQ. FT,
VALUATION
~;~~ r"'_ 2.L~
, ~-'1
SEWAGE DISPOSAL:
PUBLIC [ ] .SEPTIC TANK [
i.a')
OTHER [ ]
PLUMBING INSTALLED BY:
OWNER [] OTHER [] NAMF
WATER SUPPL Y: PROPOSED [ ]
EXISTING []
[ ] PUBLIC
[ ] COMMUNITY. NAME'
[ ] PRIVATE WELL
[ ] OTHER. SPECIFY'
BUILDING
PLUMBING
3% SURCHARGe
MOBILE HOMF
WASTE DISPOSAL
PLAN REVIEW
.t::
TOTAL
1.;:1
CONSTRUCTION PERMITS & INSPECTIONS AND WATER POLLUTION CONTROL SPECIFICATIONS
MIN. SEPTIC TANK CAPACITY:
GALS. MIN, DRAINFIELD L1N, FT, MAX, TRENCH DEPTH INCHES
TYPE OF CONSTRUCTION
'.:.1
GROUP
,;
FIRE ZONE
STAY 100' FROM ALL WELLS
USE CLASSIF.
SETBACKS. FT. FROM CTR. OF I'!W:
-"
FRONT. ." SIDE EXT.
FT, FROM PROP, LINE:
"
SIDE INT. ,; REAR
"
ZONI=" ;.....,',",
AUTHORIZED SIGNATURES:
/sl J /'" :' i:~S ~)J ~,Ii1.r'h~3 ~:ar;V1~.r:h
ISSUANCE DATE:
7.,: -II. I \
,
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Call 687-4065 to schedule alt required construction inspections. Call 687-4061 to schedule all required
septic system inspections. All construCtion shall comply with lhe State Buidling Code, D.E.Q. standards
for subsurface sewage disposal and the Slate Plumbing Code. All buildings require a certificate of.
occupancy before being occupied. ".
. (S:e ~~Ia:ils on Reverse Side)
BLDG. PERMIT - WHITE
OFFICE COPY - WHITE
COUNTY TAX - PINK
PLUMBING - CANARY
BUILDING - GREEN
SANITATION - GOLDENROD
IMPORTANT:
(POST THIS PERMIT ON MAIN BLDG, AT SITE)
C55.\3
LANE COUNTY, DEPT. OF ENV!RONMENTAL MANAGEMENT
COURTHOUSE ANNEX, 135 EAST 6th, EUGENE, OREGON 97401
"
SITE INSPECTION
ApPROVED Cl DISAPPROVED Cl DATE
INSPECTOR
REMARKS
FOUNDATION INSPECTION
ApPROVED / / DISAPPROVED / / DATE
INSPECTOR
REMARKS
FRAMING INSPECTION
ApPROVED Cl DISAPPRQVED /7 DATE
INSPECTOR
REMARKS
LATH OR SHEETROCK INSPECTION
ApPROVED 1--1 DISAPPROVED ~ DATE
INSPECTOR
REMARKS
FINAL INSPECTION
APPROVED':/2Zl. DISAPPROVED / / DATE //-17- 7to
I NSPECTOQ ~
t/"
REMARKS
CERTIFICATE OF OCCUPANCY
READY TO ISSUE /7 NOT READY TO ISSUE Cl DATE
INSPECTOR
REMARKS
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/0 ?d' 7# Jldtcn /t/&8'?O~
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/f)62-7~
PERMI T 4F
BEEN APPROVED
NOTE:
NO PERMIT WILL BE ISSUED UNTIL THIS APPLICATION HAS
APPLICATION FOR:
SiOl-id. ,
'C!ty I
spi/d
City!
Tax Lot I t"} C> COdl
Block J LH~petty Acr~age
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l-I-AR cl!2 DKIlI!":
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Below fo r Of f ic e Use On1 vxyyyyyyyyyxxxxxxxxxxxxxxxxxxxxxxxxxxxxmexxxXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
(lj1/tVJeu::l- ..vij~' () r2<?O IIBedrooms Ih 7;;r:
~./~ 77 ~ ,a{/ itA r
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[==:J CONTRACTOR A/"""',, uHI,LJiJod
Name
CONSTRUCTION ~
CJ OWNER(' T J-IrtH-P/l
Name
O.S. REG. II
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~ 0 Range '<: \J./~ction
~iSion Fi/J..or-t anue
MOBILE HOME CJ
PLAN REVIEW C~J" ,CHANGE OF OCCUPANCY [:=J
/4b'6 /fdy.Anr Or.
Address
C} 7Lj 77
Zip
Phone
::</1-{ l?JVld':,
Pro Jucf..s Uk>_
Aaclress
Q7'177
Zip
7 ;;;1(;.-0501
Phone
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Census Tract
Lot
Width_Depth
Existing Structures on Property:
ACCESS TO PROPERTY (Road NamelJ:LJ4Q.?'D ~
kJ/A
/
Property Location - Address/Direc~ions:
.s <""- i?'.'\ ......:.... ~ \-= 11-:- L \,
\
SEWAGE DISPOSAL:
Site Inspection #
WATER SUPPLY:
Well
Spring ______
FEES:
iUdg.
Plumbing
3 % Surcharge
W.a_ste Disp.
Plan Review
Mobile Home
/< e-O'
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TOTAL
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Min. Septic Tank Capacity
Type of Construction
6/
1-4 f9?
.....(2Pc..OL..:>
I
Existing Sewage Disposal System
~Ubli1. c::::::J
Communi ty c::::::J
I
PLUMBING, ,
Installed by OWner IT::]
I
1/ of Fixtures
I
CJ
or New System Required c::::::J
Other
Name of Community or Public System
,Other c::::::J Name . .
PLUMBING FEES:
Sewage
Connection
Water
Connection
C:::] CASH
~
, \
Drain\iel~
\ I
\ I
\1
Group .-.::7"\\
\!
PLANS .FURNISHED FACILITY PERMIT
I~gnal:::cal t~O I $l!~~
Fee Received fj}!lizf Date:~(;.--ZfO
Required - Lineal Feet.
Maximum Depth
Fire Zone
Use .Classification
Bl?g Setbacks -
Front r
Side Int.
from Center of Road Right
.c::
~
of Way' ~
Side ~or ,
Zone
It{ fJ.. - m If\-
PIANNING, l. L\ntt.
-f/_if'7'1 r-171l
DATE'
~
Rear
SANITATION:
DATE: /I~/d ;f~~,,1?
ENVIRONMEN~L 'MANAGEMEN~
C55-12
LANE COUNTY DEPARTMENT OF