HomeMy WebLinkAboutPermit Building 1976-6-7
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LANE COUNTY PERMIT F-'.,>
PERMIT NO, M-l 249-76
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CONSTRUCTION I:X] MOBILE HOME [] PLAN REVIEW [
CHANGE OF OCCUPANCY [ ]
o Contractor
Ms. Jacaueline Nickel
NAME
None
NAME
175 Greenac res
ADDRESS
Soace #7,
CITY
Euaene Oreaon
ZIP CODE PHONE
DOwner
ADDRESS
CITY
Bus: 687-7858'
ZIP CODE PHONE"
'O,S, Reg, # NA
Twn 18 Range
5th Addition
Subdivision
3 Sectio~l
to Fll bert Grove
Lot
Tax Lot
Code
Census Tract
Block.
3
-?-creage
Width
Access to Property (Road Name):
Harbor Dri ve
Depth
,Existing Structures on Property:
None
".Directions to Property' Address:
r-- ----. _' .f". .
, 2044 Harbor Drive
.1:
STR UCTU R E (# B ERflOOMS)
Park Mobile Home:
SQ, FT,
VALUATION
#3 Bedrooms
"
SEWAGE DISPOSAL:
PUBLIC [J SEPTIC TANK [
."
OTHER (]' 2451-75
PLUMBING INSTALLED BY:
OWNER [] OTHER [J NAMF
WATER SUPPLY: PROPOSED [ ]
,EXISTING [J
[ ] PUBLIC
[ ] COMMUNITY, NAMF'
[ ] PRIVATE WELL
[ ] OTHER: SPECIFY:
BUILDING
PLUMBING
3% SURCHARGF
, MOBILE HOMC ~n
WASTE D ISPOSA I
PLAN REVIEW
A nn
1?
nn
TOTAL
':l4 l?
CONSTRUCTION PERMITS & INSPECTIONS AND WATER POLLUTION CONTROL SPECIFICATIONS
MIN, SEPTIC TANK CAPACITY:
GALS, MIN, DRAINFIELD L1N, FT, MAX, TRENCH DEPTH INCHES
Mnhi1a Unma tn hll3 ;II minimum n+' ~ '&,00+ <F'v-nm ron"'.';... .ft"'(,,~",.1 1n oI:.....^"" .....-....
~ ,- ," - - . ... --. - .-
rI)<'O;lIin~;t)'rf ;n(!f-A'1.o.rI II"An... D",,,,,,,.f+ ?lIk1~7k
TYPE OF CONSTRUCTION
GROUP
FIRE ZONC
STAY 100' FROM ALL WELLS
USE CLASSIF,
SETBACKS, FT, FROM CTR, OF r/W:
FRONT 45 SIDE EXT,
FT, FROM PROP,
SIDE INT, l;
LINE:
REAR ,~n'
. GreeRway
ZONF
RA
t~H '
AUTHORIZED SIGNATURES:
/s/ .1. l' Rncc hv 1',,11.....
ISSUANCE DATE:
McKay for Gray/sani tar1 an, ; 6/7/76
dlrn
BLDG. PERMIT - WHITE
OFFICE COPY - WHITE
COUNTY TAX - PINK
PLUMBING - CANARY
BUILDING - GREEN
SANITATION - GOLDENROD
, ,
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Call 687-4065 to schedule all required construction inspecii~ns. Call 687-4061 to schedule all required .
IMPO R T ANT: septic system inspections. All construction shall comply with the Slate Buidling Code, OED. standards
for subsurface sewage disposal and the Slate Plumbing Code All bUildings reqUIre a certificate of
occupancy before being occupied ,(. l/
, ISee Del.", 0" Re""e SIdel fl!:-'l/t,~/
(POST THIS PERMIT ON MAIN BLDG, AT SITE) , ' I V ____
LANE COUNTY DEPT OF ENVIRONMENTAL MANAGEMENT ~
COURTHOUSE AN~EX 135 EAST, 6th, EU~ENE, OREGON 97401
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C55.13
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E~At1JATION ,D-~' ....,:-i :,')'k1 ~/j.~j~(~/;f '7(~U:~~IO~: 03s )1 TAX LOT
PERMIT APPLICATION NO. "I ,. f' L LOT: L./."2 BLOCK: ~
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: BU I.LD I<NG'~S 'TE
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(><( BUiLDING
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. ( ) 'SITE INSPECTION
,:
. APPL I CANT
DATE
PLANN I NG D IIi I S ION Not 0!-? 1. '::! .~'t.:"
, . ~plicable No Yes CK'D BY: ttll .>. "".. .;:1./...
1. Zoning Ordinance Compl iance: ZoneRA..rnH t) T) H 6. Setbacks from cfl of road:
2. Subdivision Ordinance Compl iance '() () (,-0) Front 4S'
Requi red Access () () (....). S.i'de-Exted'or
Bui lding Site (Area, Width, Frontage) () () (....) Setbacks from interior llines': f
Other (see comments) () () ( ) Side ;&'. ~.( k'v,
.....~i~ /. . /7 ,J:),/ .' Rear \9)'
COMMENTS: '/..Al.' /...1'...(....,..(..<0.-1 <...:- tC--1 /l...€.-<!,A..j 'f""j'~_1 AY IJ/Vi-.-../f? h,-""".>--...{.
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.\~LANNING DIVISION ACTION PENDING: YESl ) NOl ) APPLICAT!ON#
3.
4.
5.
I/J
,J.I-
BUILDING INSPECTION DIVISION
Not
Applicable
( )".
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(I/)~
(V)
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Applidble
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.},. . . PLan.s Submi tted
. 8. Soil' Stability (footings)
...9. Flood Plain
'10. Other (see comments)
- ~ .."
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COMMENTS:
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CK'D
.'- ~ .-' .......
..~ :-~-"7-":'; ".!i 't
BY., .~,:. -"It /:, ) . /..._ )-,7/.
DATE
,
WATER POLUT'ON CONTROL
'II. Meets Department of Environmental
Quality Standards.
12. Other (see comments)
No
T)
( ) ( )
CK'D
BY: (~\ln C~L<1
U U
o -"f.-'lb
DATE
Yes
B/-
COMMENTS:
TO APPLICANT:
i _' ~o~r Building I Site Inspection:
"\ '- ,? _.(>::) Can be approved.
q ",:,\ () Cannot be approved at this time as indicated on item NO. above.
. J '..1 Questions and further information on items 1 through 6 contact the LANE-
','" COUNTY PLANNING DIVISION. Questions and further information on items 7
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 buildin~ permit applic~.!.ig-,,_Jeeis being returned under_sep.<U:l!te cover,
-DEPARTMENT OF ENVIRONMENTAL-MANAGEMENI
135 Sixth Avenue East Eugene 'Oregon 97401
r PHONE: 687-4065 .
LANE COUNTY PLANNING DIVISION PHONE: 687-4186
C55-28
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ENYIRONMENTALMGMT.
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LANE COUNTY PERMIT F(
PERMIT NO.
t"Ji 249.76
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CONSTRUCTION [(Xl MOBILE HOME [ 1
.', ,';6 Owner 149, Jaccjool ina Nickel
NAME
PLAN REVIEW [] CHANGE OF OCCUPANCY [ ]
175 GreQflaC~ll Sllt'ce fJ7 Eugl!ne Orogon
ADDRESS CITY ZIP CODE PHONE
0' Contractor Rone
NAME
ADDRESS
CITY
Bus: 687-7358
Z'P COOE PHONE
9.S. Reg, #
W\
..Twn 18 Range 3 Sectio~l
. 5th Addition to FflOOn Grove
:Subdivision'. Lot
Tax Lot
Code
Census Tract
Block
3
Acreage
Width
"
Access'to Pr()perty (f;load Name'"
Harbor Oriva
Depth
Existing Structures on Property: '
Hol'lo
".D.irections to Property - Address:
,- ,.'
2044 Harbol" Drfve
'STRUCTURE (#BEDROOMSI
, Par&: ltIbne HClIl3
S0. FT,
VALUATION
()! Bedrooms
.
,
';
SEWAGE DISPOSAL: PLUMBING INSTALLED BY:
PUBLIC I ] SEPTIC TANK I OTHER [ ] 2Ll51-75 OWNER I ] OTHER [ ] NAMF
BUILDING WATER SUPPL Y: PROPOSED fJ
PLUMBINr: '4.00 EXISTING I]
3%,SURCHARGF . .12 I] PUB L1C
MOBILE HOMF 30.00 I] COMMUNITY. NAME:
WASTE DISPOSAl I] PRIVATE WELL L -
PLAN REVIEW ['] OTHER - SPECIFY'
TOTAL 34.1~
\
CONSTRUCTION PERMITS & INSPECTIONS AND WATER POLLUTION CONTROL SPECIFICATIONS
MIN. SEPTIC TANK CAPACITY:
GALS, MIN.DRAINFIELD L1N, FT.. MAX. TRENCH DEPTH INCHES
t<lrlbflG HOlil3 l:o be n minillilli1l n9 5 9G"'~ fmm ncmHc ~11",1t llnti ln, .,,,,..t 9""",
dl1'llinfiC!ld fns~Elllfld lindeI' P<F!mi~ 2451.75
TYPE OF CONSTRUCTION
GROUP
FIRE ZON~
STA Y 100' FROM ALL WELLS
USE CLASSIF,
SETBACKS. FT. FROM CTR, OF rlW:
FRONT 4& SIDE EXT,
FT. FROM PROP.
SIDE INT. !i
LINE:
REAR 150'
GreelltlQY
ZON~
RA
t.Jl
AUTHORIZED SIGNATURES:
/s/ J. E. Boss by Fuller
ISSUANCE DATE:
McKay i'or,.GrDYlllsnftar1an 6/7/76
dlm
C55_l3
. Call 687-4065 to schedule all required construe lion _inspections~ Call 687-4061 to schedule, all required
IMPORTANT: septic system inspections, All construction shall comply'wlth the State Buidling Code,' D.E,Q, standards
for subsurface sewage disposal and the Stale Plumbing Code All bUildings reqUire a certificate of
occopoocy befoce beoo9 oceop'" V
(POST THIS PERMIT ON MAIN BLD:~e:~"':lc;~':cses"e' t.,x.~7fI{--\_~#.
LANE COUNTY DEPT OF ENVIRONMENTAL MANAGEMENT [.) 1
COURTHOUSE ANNEX 135 EAST 6th, EUGENE, OREGON 97401
BLDG. PERMIT - WHITE
OFFICE COPY - WHITE
COUNTY TAX - PINK
PLUMBING - CANARY
BU!LDJNG - GREEN
. SANITATION ,- GOLDENROD
"
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SLAB FLOOR
PLUMBING GROUNDWORK
.,
ApPROVEO /7
"
DISAPPROVED /7
REMARKS
GAS,P I P I,NG GROUNDWORK
Af'PROVED"; / OISAPPROYED ./7 DATE
REMARKS .
ROUGH PLUMBING
ApPROVED ~ DISAPPROVED ~ DATE
REMARKS
ROUGH GAS PIPING
DATE
" '
ApPROVED ~ DISAPPROVED .0 DATE
REMARKS
FINAL PLUMBING
,
"
ApPROVED /7 DtSAPPROVEO- ~
Rb.tARK 5
FINAL GAS PIPING
'.
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INSPECTOR
INSPECTOR
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INSPECTOR
INSPECTOR
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DATE~:"I9.-P(.,
"
ApPROVED ~ DISAPPROVED j' / DATE:
\..
REMARK S
CERTIFICATE OF OCCUPANCY
"
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I NSPECTQR"
REAOy',TO 'ISS,UE 'j 'j NOT ~EAOY TO ISSUE /7 DATE
REMARKS
INSPECTOR
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LANE COUNTY PERMIT F-~,~:
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PERMIT NO.
!'::I! ~;4~'~I"J;
CONSTRUCTION [0:] MOBILE HOME [] PLAN REVIEW
CHANGE OF OCCUPANCY [ ]
DOwner '7:;. .kcC;:::JHr:o 'Jicl'.-:,l
NAME
'0 Contractor :~{l:;~
17';; ~rellnacre'J SiJace!i1
ADDRESS CITY
E:J!K:il& Oretif.m
ZIP CODE PHONE
r.:~S: ;~J-7::5~1
ZIP CODE PHONE
NAME
ADDRESS CITY
O.S. Reg. #
Tw:, 18 Range
, St'- Ad:J1tion
Subdivision
f'.~
" s,'l
- ectlon
to Filbert GroVE:'
Lot
Tax Lot
Code
Census Tract
Access to Property (Road Name):
Block
Harbor I)rivll
3
Acreage
Width
Depth
Existing Structures on Property:
:lonc
Di(ections to Property - Address:
20/1..'1 Harbor Drh':l
,
STRUCTURE (# BEDROOMS)
"et!'; 'iObHl'I IltW:ll'
SQ, FT.
.:n Sadrccs
VALUATION
~
~l
.
\
SEWAGE DISPOSAL:
PUBLIC [J SEPTIC TANK [
OTHER [] i!4S1-75
PLUMBING INSTALLED BY:
OWNER [] OTHER [] NAM"
WATER SUPPLY: PROPOSED [ ]
EXISTING []
[ ] PUBLIC
[ ] COMMUNITY. NAME:
[ ] PRIVATE WELL
[ ] OTHER - SPECIFY:
BUILDING
PLUMBING
3%,SURCHARGE
MOBILE HOM"
WASTE DISPOSAL
PLAN REVIEW
4.,)1\
_ 1 ~
30.M
TOTAL
~-1. l:?
CONSTRUCTION PERMITS & INSPECTIONS AND WATER POLLUTION CONTROL SPECIFICATIONS
MIN. SEPTIC TANK CAPACITY:
GALS, MIWD'BAINFIELD L1N. FT MAX. TRENCH DEPTH
',j0l'J1Ie !fOp:'l.,'l:n\;f::'.\!'i <11rI1i1lUlc 0>11\1> ff:ot from :ml'tlc tar:1: Bnd 1'J f<l('1: frn]
,:!n111f1l!M-..jnst,ollll'd 1J1l:!"" ;1'-'lmH, ,zit:i1.,75
~ " -.'\ - y
INCHES
TYPE OF CONSTR UCTION
GROUP
FIRE ZONE
, ", STAY 100' FROM ALL WELLS
USE CLASSIF.
SETBACKS. FT. F~OM CTR OF r(W:
FRQNT <, SIDE EXT.
FT. FROM PROP,
SIDE INT. :i
LINE:
"11:........
REAR r:J"
~..~
' ,..:,d4Wlj
ZONF
HJl
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AUTHORIZED SIGNATURES:
/s/ oJ. ::. JeSll b,v Fulloll'
.,' " _ I ISSUANCE DATE:,
. ,'on {:lr ,t'?\f 'lJ'1Uill"1!lI, !,on'
"
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BLDG. PERMIT - WHITE
OFFICE COPY - WHITE
COUNTY TAX - PINK
PLUMBING - CANARY
BUILDING - GREEN
SANITATION - GOLDENROD
Call 687-4065 to schedule all required construction inspections. Call 687-4061 to schedule all required
IMPORTANT', septic system inspections, All construction shall comply with the Stale Buidling Code, D.E.Q. standards
for subsurface sewage disposal and the Slate Plumbing Code. All, buildlnQs require a certificate of:
occupancy before being occupied, '\ . \" \" '-, \, -. \. \' I
~, .,..,.1... \'\ '. ' ,\' I," '\" ~ " .," -\ "\
\:" '\ " : \ , '..; (See Details o~ Reverse Side) , ~ f.v '. \.
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(POST THIS PERMIT ON MAIN BLDG, AT SITE)
C55.\3
LANE COUNTY, DEPT. OF ENVIRONMENTAL MANAGEMENT
COURTHo.USE ANNEX, 135 EAST 6th, EUGENE, OREGON 97401
..-......
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SITE INSPECTION
ApPROVED Cl
DISAPPROVED Cl DATE
REMARKS
FOUNDATION INSPECTION
ApPROVED ~ DISAPPROVED;----? DATE
1-
RE~ARKS
FRAMING INSPECTION
ApPROVED /---y DI SAPPROVED / / DATE
Rn~ARK 5
LATH OR SHEETROCK INSPECTION
ApPROVED L-/ D'SAPPROVED L-/ DATE
REMARKS
FINAL I NSPECT I ON
ApPROVED Cl DISAPPROVED / / DATE
REMARKS
If "/; f
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'/7:"'"
CERTIFICATE OF OCCUPANCY
READY TO ISSUE /. / NOT READY TO ,IsSUE / / DATE
REMARKS
INSPECTOR
INSPECTOR
INSPECTOR
INSPECTOR
INSPECTOR
</-/'..-7?
INSPECTOR
11 II:J. {i f' 7 ~ 1r.ce/~/.,(()'I if 7tf:Z~
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NOTE:
NO PERMI'l ..!ILL BE ISS,UED UNTIL THIS APPLICATION lIAS
PERMITIF!!1!1- ~VP-lb
BEEN APPROVED
APPLICATION FOR:
~
OWNER
Ms.
',MOBILE HOME QQQ0' PLAN REVIEW CJ 'CHMGE OF, OCCUPANCY CJ
, /7,s-&4-a - "'-u-a ~? . ~?"oAusiness1J
Jacqueline Nickel ~~r-' ,.- , "r ~'r; _" :., Oregon-7...... 687-7858,
Name Address City ~ Zip Phone
None
CONSTRUCTION CJ
r====J CONTRACTOR
O.S. REG. II
Name
None
Address
City
. Zip
Phone
Twp.
18
Range
J
Section 11
Census Trac t
- //1----1 [~
Existing Structures on Property:
Tax Lot Lot 4JB1QckCode . ,
... , /
Subdivision 5th Add.Filbert Grove Lot4>>1IP'" t!f' Block .3 Property Acreage
.5). 0" <I ,{/"lA-&"U L~ ~
I
Below for Office Use OnlvXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX~XXXXXXXXXXXXXXXXXXXXXXXXXXXXA1\.r I;
0". _ ~. ' nJ,' _ _ Sq. Ft. / IIBedrooms
~~.%A~ '/~ ' ~~
, /
/
I
Harbor Dnve
None
WidtI90. 0 Deptn124~14
90.le X lJ2~97
ACCESS ,TO PROPERTY (Road Name)
Property Location - Address/Direc~ions:
" . '''VYYV~xxxxxxxxxx
Valuation
SEWAGE DISPOSAL: ,/.,-"}---.___
Site Inspection #_~ y~, - ~
ExlS t iug
~
or New System Required CJ
WATER SUPPLY:
Well
Spring
Other
FEES:
PLUMBING:
Installed. by Owner
Other CJ Name
Bldg.
Plumbing
3 % Surcharge
Waste Disp.
Plan Review
Mobile Home
4."0
./~
PLUMBING FEES:
--:- 'If of Fix u es
Sewage
Connec tion :;:; '"
Water
Connection ~ ,.
~tl,oV
c=J CASH
---
~ CHECK
PLANS FURNISHED
~(.Qr
~YES CJ
FACILITY PERMIT
TOTAL
_'? 4, 1..2-
Signature of
Fee Received By:
Min. Septic Tank Capacity
-m,A. c..Jt, k.
JA~Lin
v /;
Drainfield Required - Lineal Feet
o..~,(J ':;-' ~ "-,-,,,,/{c
,'~,<l"j,.<.Uo~ I~,n I~ . MDOL4-5-1 -"'JS, I
Maximum Depth
'--(t7~_ cY--d /- () r ~
Type of Construction
Group
Fire Zone
Use Classification
Bldg Setbacks - from Center of Road Right of Way:
Front zf:;,' Side Int. _c; I
;:'___',:,-"'!L'
I c:.1t.a.~lIIAV'
Rear ISO Zone RA-M~
(55-12
SANITATION: ,& _ ~':)E: ~~~'~r")
'"'~/~ .+)J.,/~ '.~'./-/
LANE COUNTY DEPA~ENT oY ENVIRONMENTALJMANAG~NT
PlAtjNt~ .
c---N,(,V\ to -~ -, '='
DATE:
DATE:
h. -'7-~tiL-