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HomeMy WebLinkAboutPermit Building 1976-10-25 S!!i~' . ..-= V LANE'~~UNTY PERMIT FO::") n7f?5-~;J _ 70 . I COI~STRUCTION [] MOBILE HOME [,-]---PLAN REVIEW [] CHANGE OF OCCUPANCY [] 1/ o Owner (l11Jd~M(YI.C1(Z. 'A-I;- ~2Rfss!ff?/T! ~'iTf/)-!& 9~tjloZ ~t~;~X~i o Contractor Y-171 17'/> r?J(-A/ NAM..~ ~ ADDRESS CITY ZIP CODE PHONE'~1 ~ O.S. Reg. "" Twp I f Ran'ge..:3 Section J I 'j... ~ax Lot :5.<:;J1J Code JL-{tkff-()"~ './ ' Subdivision :;1"'.1 :,.if!i~'! Lot '7-0 Block . ~ Acreago Access to Property (Road Name): rt,J/}A A--n..A j /J,;, /~ J.-f / , .- . - ,', Census Tract Width Depth . Existing Structures on Property: ~ -ij), J?.. Directions to Pr,operty . Address:'~f),1:. .;::). .g,/(J,4:~ ",'~;. - ~t:_/__ --:? /LeI! * rAIl') /1 h-' /M. .I u '....:..: .;{./' 01.=1 ...;JJ/7 ,Ii,,' A"J . /,- ffr.JA/ . . -- - 0" 0" ST~l!CTURE'I# BEDROO~)7/" /"--,,,rYl /L.ILI.I'17-. "4:{.ff hi" 1/""'--,/- ') /"/1' frJ/'fJ..//.J7 . fA J.~A/",.. \ '-..-_. -,/ SO. FT. ('3) VALUATION SEWAGE DISPOSAL / d fCj- 7 b PUBLIC [] SEPTIC TANK Ic.!]- OTHER [ ] BUILDING PLUMBINC 3% SURCHARGC MOBILE HOMF WASTE DISPOSAL PLAN REVIEW , ~ PLUMBING INSTALLED BY: OWNER [J OTHER [] NAMc WATER SUPPL Y: PROPOSED [ ] EXISTING [] [ iJ_PUB L1C [ ] COMMUNITY. NAME: [ ] PRIVATE WELL [ ] OTHER. SPECIFY: /D. no . ,,~l') ,..JLnn TOTAL J!:; b-,.~,r) r ~~!lJ.- G-... (\ 00, , " 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 ZONE STAY 100' FROM ALL WELLS' USE CLASSIF. SETBACKS. ~}. FROM CTR. OF r/W: FRONT "1 ~ I SIDE EXT. , - FT. FROM PROP. LINE: . ~ / SIDE INT.. " I REAR _) ZONF f? 1f-!l1 H AUHlORIZED SIGNATURES: Is/"-} C; (' In -,:)n-/?' (J "-- ' .. BLDG. PERMIT - WHITE OFFICE COPY - WHITE COUNTY TAX - PINK PLUMBING - CANARY BUILDING - GREEN SANlT A TION - GOLDENROD ISSUANCE DATE': . 11 Ih(k J r;, WA 1('),.,.1 ..-zt., (].?' A..-rA J ~_ Q., .ne, . ()' - J - //<71')-.....5".:.' 91.. {f eaW687-4065 to-schedule all required constructi.on inspections. Call.687-4061 to sChedule all required IMPORTANT: septic system inspections. All construction shall comply with the State Buidling Code. D.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) C55.13 LANE COUNTY. DEPT. OF ENVIRONMENTAL MANAGEMENT COURTHOUSE ANNEX. 135 EAST 6th. EUGENE, OREGON 97401 TRS TL-1Jc c~ - I j,;),;). . , jpiot I Plan" " . .. j -' \;.1 . ~. '. " . ' Vicinity Map. ~50D Permit II 'Permit Ii' Permit II . Job Location (Addres~;) n (", :J /yJ H 542- 7V6or...:.., ,. .. For" For rIJo,<, rkr.vl,../ LM..J , . Permit II Permi t II Permit'll , 0. ...I,.,....<'~/ '-~ "<: ....~ N .7 . '." '.... . for ~~r "or 'r-. , . ~ . -- ~ ~' ',', -c- ,.l.o'...... .,.(~ "-~', . (; ~ ,~ o. -~"~",, -, .i.... I.' .' . - '~"~ ..... ~ '-'~. v "-- k2 ~ ~~ I ,. 'j"::;: qo' ' " ..';'>.::!. ,." :....~, . ; . . ~ . ::~ '" . . ',' ,: ':;~r:~~~~::;~.,::~ ci ,"~ -- .... "r - ~ <, H.,. I' - '-'.". "'~-'- ...._.~..... .,".- PERMIT NO. . /i; H St.,/} , /(. . CONrRUC~ION [ ] "'y9BI~E HOME ['-J- PLA~ REVIEW.[ i] .. CHAN~E(?F OCCUPA~7r/72 " ./ II D Owner (?!j...;yf,:,~ IJI...:...I1-;! '.l c;, 7\" __/~//-,{ r/",,'&' d 17{/77 -1/1''1-//, ~f ...t NAME r l' -ADDRESS...... CITY ZIP CODE .r r "PHONE ' . & /'"./ D Contractor {II, .. '" NAME ;S~'J"i'~rJ ,4\ .., ' . '~..., .. .' ",.., ,LANE"COUNTY PERMIT FO ADDRESS CITY ZIP CODE PHONE O,S. Reg, #, / (, ~. Jw:, .6. Range,-~ ,.;;;k . ,J I I- !,t' ,j' Subdivision ,,-, /. ~,/;I' ./-, 2 Section! .' ~. Tax Lot ,c.... _ Lot ...'.0 -:';' <..; 'J '-"-}p Code Census Tract :/0 Block -~ Acreage . Width ,Access to Property (Road Name)' O'.j/-"., ,',.t J. .D/?/..,.-r: j Depth Existing Structures on Property: / " .'--..-- Directions to Property. Address: ...:) (" t;.,:;,z //<i.: A ,~'l_'" .. ";j{-. ;1 !>J, J : 1. lj,...J _ ..(, > ,- J '7.. .' /~. ~ c .L..~'$. - .'(~-- ..::' "" t"~ .' ;' ..... p r-.... " "STRUCTURE (# BEDROOMS)'; .1 ~ I"~ "r~ ., " " ," r:: ""AI' / ,,' _ f , \ '.. /'.. I /'f} SO. FT. " ~, ...., ..... ..I VALUATION ,) l -'. -j ~ ./ "S~WAGE DISPOSAL:. / </ ;';_ "; i~ PUBLIC [J SEPTIC TANK Ic..J- OTHER [ ] ,li,'tj.. , BUILDING.' ;PLUMBING . I I" 3% SURCHARGF MOBILE HOMF , WASTE DISPOSAl PLAN REVIEW r , PLUMBING INSTALLED BY: OWNER I I OTHER I I ~IAMF WATER SUPPLY: PROPOSED [ ] EXISTING [] [ 1]_ PUB L1C [ ] COMMUNITY. NAME [ J PR IVATE WELL [ ] OTHER. SPECIFY: . .-':'{" t./,;. . (' 1-' 1/' \ to.. C ~ l\c.!\.- G a....QO_, CONSTRUCTION PERMITS & INSPECTIONS AND,WATER POLLUTION CONTROL SPECIFICATIONS MIN, SEPTIC TANK CAPACITY: ,"'" ....;. \ "-.J GALS, MIN, DRAINFIELD L1N, FT, MAX, TRENCH DEPTH INCHES TOTAL .... / ~/" ~r...J, TYPE OF CONSTRUCTION GROUP FIRE ZONE STAY'lOO' FROM ALL WELLS' USE CLASSIF, SETBACKS. FT, FROM CTR, OF r/W: FRONT 21 <)' 'SID E EXT, FT. FROM PROP. LINE: .t::" I SIDE INT. :C::' I REAR_J ZONF P ;1-/// H AlHHORIZED SIGNATURES: isi"'-../.: C; (. J tl1"!'~(>' V BLDG. PERMIT - WHITE OFFICE COPY - WHITE COUNTY TAX - PINK PLUMBING - CANARY BUILDING - GREEN SANITATION - GOLDENROD ISSUANCE DATE: Ih ' Jh(.rG.<,./. "u 10 ~) !',-, ::c: /.:,...,' f I..~", ,;;,.., . (/. -, .. . Call'687-4065 to'schedule all required construction Inspections. Call 687-4061 to schedule all required IMPORTANT: septic system inspections. Ail construction shall comply with the State Buidling Code, D.E.Q. 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 Bl.:DG, AT SITE) C55.13 LANE COUNTY, DEPT. OF ENVIRONMENTAL MANAGEMENT COURTHOUSE ANNEX. 135 EAST 6th, EUGENE. OREGON 97401 ~,.-......-.-,"._--- _.-....-.. -..... .....,...'-.-. ......... SLAB ,FLOOR PLUMBING GROUNDWORK " '. ""; .: ApPROVED. / - / ~ DISAPPROVED /7 REMARKS' GAS PIPING GROUNDWORK , , ApPROVED "I / DISAPPROVED /7 '- REMARK,S ROUGH PLUMBI NG ApPROVED / / DISAPPROVED .Cl :DATlE REMARKS' R(MARKS. ." , ~'. ~. ,:"~'--v-'~>':' "' '~ ,;, , T, DATE INSPECTOR ., ;,. D~TE INSPECTOR " I-NSPECTOR F IN~L PLUMB I N.G. APPROv'~6'[tzrDI~APPROVEO .ClD:~3.?,"2:'~>'I~~~ECJ:O~~ ~/~~J) 'REMARKS " .:. ~ : J, FINAL GAS PIPING . :~ 1.--"; ApPROVED .Cl DISAPPROVED /., .'/ DATE INSPECTOR REMARKS CERTIFICATE OF OCCUPANCY "'. NOTJ RE:ADY~ TO ISSUE ":f77 DATE ". '-.., " " ,~"READr iTO "I ssut '.' '/7 REMARKS .' IN-?F'ECTOR ., . "' I~( .'; ',1 -' " . ,,{ " ,-' , '. . , .. o . PERMIT NO, ' Ill!1 5,1;;;; 1{; ,CO.NSTRUCTION [-] ,MOBILE HOME [t-j- PLAN REVIEW [ ,] CHANGE OF OCCUPANCY! ] r7'/~1 "ll ~. 1'1' (....~./ ./' ) ."j ""~ . (J "'\. 7lI7~" . 1ft:' ",;.:I;i-1, "," .' .11 'J -of. < -7~ ,Ir;-.--.f ~_ '-; ,'r ,"r} {;Y;'7If7Z . ~ . '-, -.n DOwner ("",..f>.ltiL_, ....~. r.?I. .,,1.,1. ,,; c." __ " ,;' ,,,,,.~,,.\, I /tI'J.~//"'''''-:f . ". NA ME .~- j_ -., --ADDRESS v CITY I"" ZIP co E # 'PHON€ <, ~, /",,,., " /1"1' " ,~. -,,", , o Contractor'" l r: /'. f /{~! ,-' .. NAME 'r%,r.'Vl "'f\ !f.l .. ,.~, f~ .,. ~h' ," '""l":'" \..-~~:..,. ( I' '-'" LANf""c6uN'rY':PE'HIVIIT F(",) ~r";:';,,, ADDRESS CITY ZIP CODE PHONE O,S, Reg, ii. \ T'wn /? Range,3 Section j I J. 4ax Lot ;:3::;; CJ , '1 4 . _ 1-'(" -~ - _ _ . _ . \ ....?G / ""'1 . .,/;"(1;.\,1.(",,,. ,.'. / / - ,tl Subdivision 5'ri,.,p,!,.l' LOL_:/ (,@ Block ~-". , Cod8, Census Tract - Acreage Width Access to Property (Road Name)' ,,1..;>- /: . ~l..t '".' '.~ I .of. (~ .\.1': J_;c-/_ .," ,'"orl".'.,- , -"", .. i .f!, fl'" , ~.E..,/j,_I';',; ",--..... _J Depth . . ...".~, g-, Existing Structures on Property: .; l:".J:..~._ _," ,f , .-", 1'1 /. -"1 '''''I,,,... A" -, Directions to ,Property, Address:,.,J ,.->,~, 'Y', LI.A..,.t:" {X,..:L." ~, 'r)~r:::.l...;" J _ L1.~ __ ~"'_~:' r /: .,i- ~,.,~. :I ,t::f'J~. l' f1 ..... ':::,:,:~~,-",j';'::..1.' ;\~~.'. ""'.- ;'\'1'-. : ,'!'::i I't . '1" I ' .,I') p', <~.(' , rf'~. ~.""" 'STRUCTURE (# B-EDROOMSI~l , 1~~':1 -1 . ',' . 1'.'- .,~. ('''''J!;..-,J'i .: ,,_, 1"1 ".'. ~'. ~"1..,,"/J t ".';~." " -t" SQ, FT, r:;:>) I , 1 "l..~'.. VALUATION -,,/ .--f ,- _'~' _. /,::< ...;~I .,...~i l..' >) SEWAGE DIS~OSAL: : /1/e1:--"1l>,: PUBLIC [ j' SEPTIC TANK l"i-'"OTHER [ I ~ PLUMBING INSTALLED BY: OWNER [] OTHER [] NAW' WATER SUPPL Y: PROPOSED [ ] EXISTING [J [ 4""PUBLlC [ ] COMMUNITY, NAME: [ ] PR IVATE WELL [ ] OTHER, SPECIFY: , BUILDIN(; PLUMBING 3%' SURCHARGC MOBILE HOMF WASTE DI,SPOSAL PLAN REVIEW /.,r \ r'~' . ;vJ,t!J . ........-.. J.-I-!:, " f, l:"'~ r;; . ',,; ('O~~ Cu"lw.l (K'<11tth- CONSTRUCTION PERMITS & INSPECTIONS AND\WATER,POLLUTION CONTROL SPECIFICATIONS MIN. SEPTIC TANK CAPACITY: GALS, MIN, DRAINFIELD .. .''.'" TOTAL .f.; 6",.6fi '." '-- L1N, FT, , MAX, TRENCH DEPTH INCHES , -) TYPE OF CONSTRUCTION GROUP FIRE ZONE STAY 100' FROM ALL WELLS USE CLASSIF, SETBACKS, Fl,j, F,SOM CTR, OF r/W: 'l " I FRONT .., SIDE EXT, FT, FROM PROP,L1NE: /:'" I SIDE INT. 5' REAR..J ?~}.l "'IN ZONE~.I"11 AUT'HORIZED SIGNATURES: ''- ; (~(' / f''I '')~ /s/ ,..1 7" . _.. t j..'-("":.;./ ... V BLDG._PERMIT - WHITE OFFICE COPY - WHITE COUNTY TAX - PINK PLUMBING - CANARY BUILDING - GREEN SANITATION - GOLDENROD , ISSUANCE DATE: , It::. rtv:rti.J.t./(,:.~-: ,6)..) J;:'" 01' /l.....,f.-L 1..'1- ,Qiu..,IL ( i" ." .... '.'r ,. .I l ',9. I.t.- CaW687-4065 to~sthedule all required construction inspections. Call 687-4061 to schedule all required IMPORTANT: septic system inspections. All construction shall comply with the State Buidling Code, DEO. 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) ; LANE COUNTY, DEPT. OF ENVIRONMENTAL MANAGEMENT COURTHOUSE ANNEX, 135 EAST 6th, EUGENE, OREGON 97401 ~~'" .-.,~.... C55.\3 SITE I NSPECTI ON ApPROVED .Cl DI.SAPPROVED .Cl DATE REMARKS . ..". Y FOUNDATION INSPECTION ApPROVED L-/ DISAPPROVED L-I DATE REMARKS FRAMING INSPECTION ApPROVED .C1 DISAPPROVED / / DATE REMARKS LATH OR SHEETROCK INSPECTION ApPROVED / I DISAPPROVED ;----y DATE REMARKS FINAL INSPECTION ApPROVED g; DISAPPRDVED I I DATE /-../..77 REMARK 5 CERTIFICATE OF OCCUPANCY READY TO ISSUE / / NOT READY TO ISSUE ;---y DATE REMARKS INSPECTOR INSPECTOR INSPECTOR INSPECTOR INSPECTOR ~ INSPECTOR ~ .