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HomeMy WebLinkAboutADMIN 7/7/2008 12:32:20 PM Permit Building 15689 .1)"; . \:~. ~.-- ......r."...-r!I- ~.I:. ~- ,\(ij :- '..... . ..... ..., " 1/ PERMIT NO, <....::ff-' ""'" \--'\ """'\' \ \..; (, \.~ ~i_\'" "\ \c CONSTRUCTION [] MOBILE HOME PLAN REVIEW [J CHANGE OF OCCUPANCY [ ] . , ~ - -, '. . o Own~r\\("'-"" \~r'\<,,, <.,r... ,~OP4~ A'-'v\-=30'.d'~~,. ~", .:""',,,' , ~- _. NAME ... ., ADDRESS' -' - --: '. "CITY (_ .. ZIP CODE '\ PHONE: ",~;. o Contractor \ '\ \("~,"< rn \.- r'~','''';' IC,\r'\ .'C,. I..("~..\,;, <-:'~----..",,;r, ~\.., , N'A'ME- ADDRESS \.CITY ZIP'C~DE. '\ PHONE;' \. / \" --..-, . ' ,\\ [' -- Twn \ ~ Range (....0, Sec;ion "'-;\8 Tax Lot '-;;:::\--, \ \'''- \ (~ ,~,\ \ O,d~(:Q, S'bd' , ,'0 .,""\ \::::"0\.)4.1:' "n BI k A~ce~:':~o:rop~rty (;oad Nameo)t \-\ ~ ~ \ "';" I !~..,.. . '. ()' '. -- r' LANE C9UNTY PERMIT Fe..) , . O,S, Reg, # ~ 7,r, Code Census Tract ":1 \ ~" Acreage Width { r.... D - Depth Existing Structures on Property: " Directions to 'Property - AsJdress: <=>...... ('-" C''<.''''- c-~ ':Jr-..,L-.. \\~ .\'....n", ~\, .' , tL_l:: ST,RU~URE(#BE~ROOMS)_ ." _, \ ., \' \\.SO FT ;' \ \.' \ c:-..\ -">,, 4,' ("" ". \"'\ \ r, "-_ \.. <_ 'r\ <C':,.", ,,\... J \.>-..(",~v -....} \<:"-.,' 0 ,..>-<:C -\. -1..", ('\ \~",:-.",~'....\ fA \. -..., ,,\' \" ~,.. '. ';C' ,;:_~_i:' ~ .~...., ~.",,;;.-.-....-;,-,,.,,,"*~~ '" , "(',ilJu) A-'~' h r::j~'Jie.''p.#A 4 ,,/"'--1' ' tJ - ~\- PLUMBING INSTALLED BY: OTHER [ J':;::::;; , y, c: OWNER [ I OTHER [I NAMF VALUATION SEWAGE DISPOSAL: PUBLIC [I SEPTIC TANK [ BUILDING PLUMBING 3% SURCHARGE 'MOBILE HOMF , WASTE DISPOSAl PLAN REVIEW \( ), (""Ie ~ ~~ (" WATER SUPPLY: PROPOSED [ I EXISTING [] [ ] PUBLIC [ ] COMMUNITY.. NAME: [ I PRIVATE WELL [ j OTHER.. SPECIFY: ",-' TOTAL ~\( 11/~ ,:1iJ.hO .. \ ,~,() (\ , (\ \A '-C' C'\< ") \'~\ ' \~' 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-)FI)FR,DM CTR, OF r!W: FRONT SIDE EXT, FT, FROM PROP, LINE: SIDE INT, <:" I REAR ~ I ~_L\ . A'UTH0RIZED SIGNATURES: /s/ 'J C (' 11- /,;), 7?' f ~ - , BLDG. PERMIT - WHITE OFFICE COpy - WHITE COUNTY TAX - PINK PLUMBING - CANARY BUILDING - GREEN SANITATION - GOLDENROD 1,' !{,:.. ISSUANCE DATE: CI 1n4!n"~ /~m. ///1 "j /-;1_' clft'~..., .....1.., L, iJ_/" .. () I v 0 I' ,.. /7' . ,~ - c._V ", _' 4',' .~~" Call 687-4065 to schedule all required-construction inspection! tall 'k61--to~ule all required IMPORTANT: septic system inspections, All construction shall comply with IheStale Buidling Code, D.E.a. standards lor subsurface sewage disposal and the Stale 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 -~~ --,; - '~;"'''' -"-'.,~ . <:fr~::,,;.~;~~r~~~~~;~~~#.'~~f':i<(r~;L~~~r:C,~t?~~'!i;:~~'~i~':~~'I""" if"'"PERMITN6';;.' "r , ~/., ,'" ,,;qT:!{~i.;):'7f'" >:::::~::' ":;-:,~:", " 'l: , ,~,,' .,~ '- ;:~,"' .~.~ ,:J:L\ ~ ~i\p ,', CONSTRtICTlbN'[ r'MOBILE'HOME f PLAN REVIEW (] CH'ANGE OF OCCUPANCY [ 'j I" " 'D.' ,;,'w'n'ie' 'r('..;"~'~ ';~~:~':', '.~',t(;'\'l":::,' : " " ' ~.."'.... ,t,"'-' ;: ).~1. ,,..,,,}J,' -.-; ,...- ~"J~t I.ML- ":'~$' " ..' u ':r......'1...: ..-.....~, '-'lIij.. ',-,- ",....,. ....". '-,.. =-l:f.....!'i.Z~.,ji....,,_.- "\::VX....~..-"...";tci.,,,',:.. ,".:17...~" ~ c_"<..:,..,.....v,."".l.. ."'-~ , ",6.~J~~r~c:;r;\'\';i\~)t~:'~~~'.';\t1, ,\,' l\,\,~~DRESS ':*;!'1t\.C' \\,CI\{,::;'~\~' ' "t~ co:~ "' . '\ PHON~\ '~:~:;,~~.:~~,.~,~;,;'.,~',,~," ',:i'; '~~,\.,.,',~,;~.<:;8..',i,'.~' \''';'1Cl !:\DDRESS \,CITY ZIP'CqDE '<~ PHONE ,T'Wn,\:1{~7'~'Range;t~":r'ij,5; Sectior, '~'f\ ..Tax Lot i~JC') Codp Census Tract, , .....II!,.:J;l,1~.1t.4.l.I'I..... .\0,'- - .jljf"'-~'" '€\~<,;[lk'., f/":j ll,~t...,,;:;;,:, ':~j:'r~~~~:,~ ~'J-:j.....t~, :\...lk-'<',"'"tI'tf.,,~""-~1-'J,.... ~~~'".' , ~ , Sub.dlvlslon " """ ',I:.ot ~'Block-, ,.'!} ,...,. " ..' .oJ,_ 'i \_:'" . - '--.~ ';';i;.N-, . 'h \Ac'ces';'to Property I RoacLName)\:\t\ "\c..:.:r'''. '"' " l";,\,," ";,,,. it ,', ~'.; ~'. .. . ". '.." c " _, ~--"""'~ Acreago Width , , .'. . .. ~ . . . . .. . - .. .. ':Existing' 'Sttuctures.'on 'Property", ". . ... .. , . '" ' ."', '..". _'_.;"-~'i''';.'' :<,(. .' . Direction's to'Property , Addre~s: " -.. I '.;a' . '. / \ Depth '>i-i!,'; ..:~ ( ~..\t::~:;t. 'I,,, "...~ C ,\~. '''j, . \\t" " -.'_<,i;,..'\,.....:J'.;,.'i.>i ';,..~. \ ,< ' "< -':::'", .,\,' ,.', " :;,,:, .'.' s'T'~UC:rURS (.# BEDROOMS} \/%-'. , ,".f ,\ \,i ~? ~T.. , .~ \:,' '\~:t,t,f:-;,'j.,~\t.t -'\."~\' \ f.';"\;,.,:lf;~t :4~, i;,~\-L. ,~' 'J> ."".-....._.,., '\;_',~ ._-C~?J;ti ~';<<t~: - \ I'tJb: \;"~<'";I'O~-"'r-;,*~ o:~, .-~~\ 't::;\ t..i~.~;)~'f;"-":'" :'4.^"_:-','-1 {!\ ~ ~,',' .',.',",.._ ~.,...~::';~ ;r\_",.,.-',.,.~'., .:-'.~__..:~'j,_..:"--,,_.2:,',:~~,'-,.. '_)O....;;.......,,-..~,.~'""',;;_..,.~, ~~,""'*-;r,~~~~..J"y._~. ~.... ~ .~ ..~ ...",' <..,"~ ._""~~ ^-~.~~~ J ."".~~er&:;;.a'~,,;p~1-..a.\:~-1\'"":~~lr!J~ u_, K '/..' "b'"",~ " 1l"! ,', ,~,' "., '. '" . . "-">1 ' 'L.:';P'!;f;;."j';~ri-'~ (2: >v-~' r; t:;::t/.,:tIl.tti,A:"~";t'''!.~''''~'';'~J''' tfr. (l 'J ... , ,::,"" ?l\ PLUMBING INS I ALLED BY OTHER '['] ~" ,.!"". r,::~ OWNER II OTHER [I NAMe, VALUATION ..i .;.".'i"""'- SEWAGE DISPOSAL: PUB lIC [ ) SEPTIC TANK [ ] BUILDING' PLUMBING \t ,'\<f "':L"y 3% SURCHARGe''':;,).,C~''J 'MOBILE HOMF ~ WASTE DISPOSAL PLAN REVIEW , ~~,:\. L 'TOTAL ~ . , ,'-j,,: """ if"J.".,,"J,"J. F.'l ,. , .'*t. ' () '. .,'....:::.,' '.." : \ "':~'.(:)l~\),~,'~ <:4\d: "~h\'V~,;~ "llr~ ~:' CONSTRUCTION PERMTTS & INSPECTIONS AND WATER POLLUTION CONTROL SPECIFICATIONS MIN, SEPTIC TANK CAPACITY. ''1' GALS, MIN, DRAINFIELD' . "l.' lIN, FT, MAX, TR ENCH 0 EPTH INCHES '.-,;' " " TYP~()F CONSTRUCTION , .~-~~ . GROUP FIRE ZONe STAY 100' FROM ALL WELLS USE CLASSIF, .;. , \\ , SpBAC,I<S~F.TAfR,.oM CTR, OF r!W. F~ON:r .:'!,J (,.l" SIDE EXT, . . --~ ! . FT, FROM PRO, P,./,d{NE.."..," . It'"""o/' SIDE INT, ,,&.,' REAR \-....... :.<,;.;,,~~ A : 4; J. zONt";~,', . " , , ~, ;~ AUTH,OR IZED SIGNATURES:., ." ''"',- .. ", r" r I r _ ' .:1~ 7 "'" /s/ - "'A1ojaI:' tt,{~. j. I 'l!!""- -:~,;;''f:. ..I ' BLDG. PERMIT - WHITE OFFICE COPY - WHITE COUNTY,TAX - PINK PLUMBING - CANARY BUILDING - GREEN SANITATION - GOLDENROD ,,^,pfi Iii. '. '~'(."i'l..i"" f"l"" ~SUANCE DAT~ ,tl,; , _n("C'i"i-;..l~'"W:.o\:-,.;;:w -h/J ',~/ J!'~ "~.i?W",.~~t.J' /PU' ~.I~. ,t: .. call~87:06; 10 ilhed:eal, reqUjre~' construci~' inspectj:.l"'i:t~~t to~e al~~i-red .;} IMPORTANT' septiC system inspections. All construction shall comply with the Stale BUldling Code. D.E.Q. standards " . fOflsubsurface sewage disposal and the Statel,Plumbing Code. All buildings require a certificate of ~..., ' occupancy belo~e being occupied. .", . ~ (See Details on,Reverse Side) C55.13 '(POST THIS PERMITON MAIN BLDG. AT SITE) LANE COUNTy,.DEPT_ 'OF ENViRONMENTAL MANAGEMENT COURTHOU.SE AN~EX~p5 EAST 6th'-EUGENE: ORE,~ON 97401 . ~<,-,~.,,( , . '\"'1' ,'," ~....:-{. , f' ,.... !>' ,; SITE INSPECTION '-' / 1/, D',5APPROVEO C1 )/,;-;::/ -~ I' DATE ,..-.-. lJ.. / INSPECTOR /1 "-17_ 7~_ Jl,.~ v ~ ' ApPROVED REMARKS /'I ~- ,t/ ,/ -, ....... '~..r-- '" '\ ,- ,......-~-- FOUNDATION INSPECTION .>~ ApPROVEO JL.:-: D'i,Se.PPROVEO ~/ REMARKS DATE j - / /.- 7(' I NSPECTOR-/'t.~ ~ I REMARKS INSPECTOR FRAMING INSPECTION ApPROVED Ii DISAPPROVED 1 I 1 LATH OR SHEETROCK INSPECTION DATE INSPECTOR ApPROVEO ~/ DISAPPROVE REMARKS I I I , FINAL INSPECTION ApPROVEO ~DISAPPROVEO r; REMARKS DATE / - r I~ "";:-1 INSPECTOR (lJ".tf!-- , ' " J" CERTIFICATE OF OCCUPANCY READY TO ISSUE / I NOT READY TO ISSUE r; DATE INSPECTOR REMARK 5