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HomeMy WebLinkAboutPermit Building 1976-6-15 r I~ ~\\ ,"''JI .'" " , ..fI, . ~ -~ 3'1' LANE COUNTY PERMIT FOR: PERMIT No12:n.7p I PLAN REVIEW l ?4/ln H'lVrlt:>n ! ADDRESS L .... ~'i.? W~+ yo C::+roaa+ ADDRESS CONSTRUCTION [ Xl MOBILE HOME [ ] / l'iix Lot i?nn , Ii! I Block _ I 1..l';II\.II'fo"" D;'Yl",.InCl r DOwner I Sl"d..ro)"l>n NAME .lnhn r.,,~drl\f NAME b Contractor O,S, Reg, # 17 l?Oqn "l Range Section ?.Il Tw~ Subdivision NA Lot Access to Property (Road Name): Existing Structures on Property: JJ^'I~.o. Directions to Property, Address: STRUCTURE 1# BEDROOMS) P~~it Tn~Arl~f+4nn ~v~o"A~nn SEWAGE DISPOSAL: " PUBLIC [ ] SEPTICTANK'[] '\ '\ OTHER [ I BUILDING PLUMBING 3% SURCHARGE, ~~ MOBILE HOMF WASTE DISPOSAL PLAN REVIEW " nn " " \ \ \, \ TOTAL ji; ".'!.2... . , ?/I.1ln V4+,..h.o.rJ ., i I I t , I / , I , I I , " [ ] CHANGE OF OCCUPANCY [ 1 C::nt"'inn-Fi al rI O\'"antu"lo Q7/J77 . CITY - ZIP CODE PHONE CITY <::"""oInn+";0.1...n"".o.nnn . -~ ZI"P CODE 7A7_ 7J:l~h PHONE Codp lonll Census Tract Acreagp Width Dri Depth I ~:lIo\lI".on i" , 1:1:....."'1'10 OA - -;;1- SQ, FT. VALUATION '21: Ii\ ~.f. ~~ t-~i:'<:) nn y--......".... PLUMBING INSTALLED BY: OWNER [ I OTHER [I NAM" WATER SUPPLY, PROPOSED [ I EXISTING [] [ I PUBLIC [ ] COMMUNITY: NAME: [ ] PRIVATE WELL [ ] OTHER, SPECIFY: CONSTRUCTION PERMITS & INS~ECTIONS AND WATER POLLUTION CONTROL SPECIFICATIONS MIN, SEPTIC TANK CAPACITY: GALS, MIN, DRAINFIELD , I '\ \, L1N, FT, \. ~ \ \ \ \lFIRE ZONF \ TYPE OF CONSTRUCTION 5~J GROUP SETBACKS, FT, FROM CTR, OF rlW: FRONT t;n SIDE EXT, AUTHORIZED SIGNATURES: Is! .1 t Rnec hu Wn...hotll'fh -- ~- -. --~.. . ,; ': :~. BLDG. PERMIT- WHITE OFFICE COPY - WHITE COUNTY TAX - PINK PLUMBING - CANARY BUILDING - GREEN SANITATION - GOlDENROD IMPORTANT: T MAX, TRENCH DEPTH INCH ES STAY 100' FROM ALL WELLS USE CLASSIF, ,FT, FROM PROP, LINE: SIDE INT,'~ 'REAR ?n ZONe aCT "~_I"_.. .L!_._ ....___. ".........J 1'01,1 \.<llIJ.J ISSUANCE OATE: 6/15/76 d1m 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.a. standards for subsurface sewage disp.osal and ,the Stale Plumbing Code. All buildings require a certificate of occupancy before being occupied. (POST THIS PERMIT ON MAIN BLDG, AT SITE) (See Details on Reverse Side) ~' /' /' , - C55.13 LANE COUNTY, DEPT, OF ENVIRONMENTAL MANAGEMENT COURTHOUSE ANNEX, 135 EAST 6th, EUGENE, OREGON 97401 r LANE COUNTY PERMIT FOR: PERMIT No.'I:,:.)': ,.?' ,...., ; CONSTRUCTION [J:] MOBILE HOME [ PLAN REVIEW [] CHANGE OF OCCUPANCY [ ] DOwner '1 S0.1')1''1V'G1 NAME JO:t>1 :13UCl'lrl'J NAME i;:-{):) i::~:4] ;:~'.~jr:' ADDRESS t1~.,! ~ ~:1t:~,. ADDRESS ";;';ft\lnnf~r~ll l~l~(fr.:' r:~,~ir CITY ZIP CODE ~.'tr2;!~~ ~;".,_., i~'~1pl -fr;' l/~;l CITY ZIP CODE .! PHONE ;,1,1__'0' .;', PHONE '0 Contractor O,S, Reg, # .Tw~ 11 Range " Section ~r fax l.!.ot ;'111: '" 1'".... ',. l!> Subdivision ':.1 Lot Bloc~ Code ,,-.. ;' ,. , Census Tract Acreage Width Access to Property (Road.Name)' .>......t~r lM":7,"~ '~f' Depth Existing Structures ~Jn Property: !!O:JGd Directions to Property. Address: 2..1~'l Prvrhn :1Mrk,. ~II STRUCTURE (# BEDROOMS) Per. ,ii' fm' I',c;';'\lticn Ett~sn~tn"1 itH!:')(!r- SQ, FT, VALUATION ::;'i ;) 1{;, 1 f tit'"': t~;) , , " - .'~ SEWAGE DISPOSAL: PUBLIC [] SEPTIC TANK l BUILDING ;'.fm PLUMBINr. ,', 3% SURCHARGEJ1" ",. MOBILE HOM" WASTE DISPO?AI PLAN REVIEW OTHER [ PLUMBING INSTALLED BY: OWNER [J OTHER [] NAMC ~ \" ., \1..i:,. . ~:J ~~.~ W",T,ER sUPPLy,:JtBseO,SED [ ] EXISTING [] .j.~. ~ ~ -~ , "[ ] [ ] [ ] [ ] PUBLIC COMMUNITY, NAME: PR IVATE WELL OTHER, SPECIFY' TOTAL 5.12 CONSTRUCTION PERMITS & INSPECTIONS AND WATER POLLUTION CONTROL SPECIFICATIONS MIN, SEPTIC TANK CAPACITY: GALS, MIN,DRAINFIELD L1N, FT, MAX, TRENCH DEPTH INCHES TYPE OF CONSTRUCTION II" GROUP 1 FIRE ZONF STA Y 100' FROM ALL WELLS USE CLASSIF, SETBACKS, FT, FROM CTR, OF r!W: FRONT ;)" SIDE EXT, FT, FROM PROP, LINE: SIDE INT, 1:: REAR .:,j ZONC or'...' r1.. AUTHORIZED SIGNATURES: Isl J" :., ;Jos'; by t1ar:;rJJ'1;1 ISSUANCE DAcE:'I' ,..,' , "fn.{fl~ Ij~r.~:alt flU" ,.J--' \\1 r.i1 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 State Buidling Code, D.E.a. standards tor subsurface sewage disposal and the Stale Plumbing Code. All buildings require a certificate of: occupancy before being occupied. (See Details on Reverse Side) I , , " (POST THIS PERMIT ON MAIN BLDG, AT SITE) .- __ C55.1:;J LANE COUNTY, DEPT. OF ENVIRONMENTAL MANAGEMENT COURTHOUSE ANNEX, 135 EAST 6th, EUGENE, OREGON 97401 , , ,~ .r :;t. I > SITE INSPECTION ApPROVED Cl OISAPPRO.VED Cl DATE REMARK S . c' INSPECTOR /, FOUNDATION INSPECTION ~~ ApPROVED ~'SAPPROVEO L-/ DATE&' -7 2---1& INSPECTO(~ rO_i' ~ REMARKS FRAMING IN~bl// ApPROVED DI SAPPROVED /7 DATE IJ -;1.; 1,6" REMARKS LATH OR SHEETROCK INSPECTION ApPROVED L----/ DISAPPROVED ~ DATE REMARKS FINAL INSPECTION ApPROVED Cl DISAPPROVED Cl DATE REMARKs(I~~ -,MJ7 /"'-;~ ?/f:-- (j( 7' ,",""i~ 0/ INSPECTOR INSPECTOR t.-?- ~ - ,L. '".R'~. /I V 1~~-?7 CERTIFICATE OF OCCUPANCY READY TO ISSUE / / NOT READY TO ISSUE Cl DATE REMARKS tJt- /J - .;,..t .tJ,_ ~ -;;:1W 1.;l.31-'l~--X:!~ .z. 1/ f' () INSPECTOR 71/,13. ~ILDrNu SITE EVALUATION ~ MC/GH- . CXl BUILDING PERMIT APPLICATION NO. () SITE INSPECT I ON 173/-76 . ,PLANNING DIVISION Not Applicable 1''-" Zoning Ordinance Compl iance: Zone''f:lt..;r ( ) 2.-. Subdivision Ordinance Compl iance ( ) 3.' Requ i red Access ( ) 4; Building Site (Area, W~dth, Frontage) () 5. Other (see comments) ( ) COMMENTS: T 17 '~1!'j,,05 S 24 SUBDIVISI~: LOT: TAX LOT Uo BLOCK: . APPL I CANT DATE No Yes T)H 6. ()H ( ) +-t ( )--H' ( ) ( ) CK'D BY~.--<A' ~7-71. Setbacks from c/l 0 road; Front .50 Side [)(~_. : ~:- Setbacks from interior l~es: Side /.S Rear ~. BUILDING INSPECTION DIVISION PLANNING DIVISION ACTION PENDING: YES( ) NO( } APPLlCATlON/l_. 7. Plans Submitted 8. Soil Stability (footings) 9. Flood Plain 10. Other (see comments) Not Appl icable - () ( ) ( ) ( ) COMMENTS: " WATER POLUTION CONTROL Not Appl icable ( ) ( ) II. Meets Department of Quality Standards. 12. Other (see cbmments) Environmental COMMENTS :'____ ~~-~ '. -~-- ._-...-,.-~_......... ~..,.- No Y' r~ rt ( ) ( ) ( ) ( ) CK'D BY@!/' &~JJ(-1v . DATE T)tr ( ) ( ) CK'D By:,_~~i-,.-q-1b U 'cJ bATE c~__ ._,_..'_. TO APPLICANT: \our .B~iidirig /Site Inspection: \0 J>r Can be approved. .1 / () Cannot be approved at this time as indicated on item NO. above. I ~~ ~ Questions and further information on items 1 through 6 contact the LANE- ~ ~" COUNTY PLANNING DIVISION, Questions and further information on it~ms 7 Ii' 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 permit aepl ication fee Is bein9 ~~t,u~n,~d_under se'2.QDlte covei=-. DEPARTMENT OF ENVIRONMENTAL MANA~~M~NI l35,~i~th Avenue East Eugene Oregon 97401 PHONE: ~87-4065 .,.. LANE COUNTY PLANNING DIVISION PHONE: 687-4186 C55-28 ~':~,:: ":~"" ~'.:','.l::'~:'.~; :, ':',~; .~~.'.: ~ .', _t! I {I,' .\<~ ';. I \ ~ , : . i :?;':. (.\ !;':;. < ":, ~~1.~1N~\~:~;,!fe~~~~~~~':;:j , ~"j;-:~":I":'kl;1k:,,~ '1:,Y"!',: . .' . . ~~~t~~:~SrU~ /}(:;';':',:,:,!,. i1. 'Ir >1'''1" . '_ . ~~~l~V;':\;:"G",1"':,:;,:: ,~, :; ,J~r , " 'I, . ., " . " ~', _ . '~,~':l'l,~~. ,r; i,~:;~ '.' :':~ t'... '; ~ I . 1!.'t , J." '.: ,-, .~ ./.. .., , . 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