HomeMy WebLinkAboutPermit Building 1976-08-02.NE COUNTY PERMIT FOR:PERIVIIT NO
CONSTRUCTION [ ] IVIOBILE HOIVIE [ ] PLAN REVIEW [ ] CHANGE OF OCCUPANCY t ]
ADD RESS CITY ZIP CODE
n Owner
I Contractor
PHONE
NAIVl E ADD R ESS
O,S. Reg, +
Twp_-- Range-- Section-Tax Lot- Code
Subdivision- Lot B lock Acreage
Access to Property (Road Name)
CITY ZIP CODE
Census Tract
PHONE
Width
Depth
Existing Structures on Property:
Directions to Property - Address
STRUCTURE (# BEDROOIMS)SO. FT VALUATION
SEWAGE DISPOSAL PLUIVIBING INSTALLED BYPUBLIC [ ] SEPTICTAN OTHER [ ]Ktl OWNER [ ] OTHER trt 1 NArvr
BUILD ING
-
PLUIVIB ING
WATER SUPPLY: PROPOSED t ]
EXISTING t]
] PUB LIC
] CONNMUNITY-NAIVIE:
] PRIVATE WELL
I OTHER - SPECIFY:-
3% SURCHARGE
IVIOB ILE HOIVIE
WASTE DISPOSAL
-PLAN REVIEW
TOTAL
CONSTRUCTION PERMITS & IN
IVIIN. SEPTIC TANK CAPACITY:
GALS. MIN. DRAINFIELD
SPECTIONS AND WATER POLLUT
LIN. FT MAX. TRENCH DEPTH
CONTRO L SPECI FICATIONS
I NCH ES
roN
STAY 1OO' FROIVIA LL WELLSTYPE OF CONSTBUCTION-=- GROUP USE CLASSIF
FT. FROIVI PROP. LINE
SIDE INT R EAR
POST THIS PERMIT ON MA IN BLDG. AT SITE
FIRE ZON tr
SETBACKS- FT. FROIVT CTR. OF rAil
FRONT SIDE EXT
AUTHORIZED SIGNATURES
lsl
BLDG. PERr\4lT - WHITE
OFFICE COPY - WHITE
COUNTY TAX - PINK
PLUMBING _ CANARY
BUILDING - GREEN
SANITATION - GOLDENBOD
ZONE
ISSUANCE DATE
call 687-4065 to schedule ,ll ,99yll"d c.onstruction inspections. cail 687-4061 to schedute a1 requiredseptic svstem inspections. All construction sn"l "orpty *tiri rt'e stai" eLtdi;.''s E;;;, ;i]o. srandardsfor subsurface sewage disposal.and the staie Firnioing coo". ett ortroi^gi ie-q-u'tiJa-certiticate oroccupancy belore being occupred.
(See Details on Fleverse Side)
^LANE COUNTY. DEPT, OF ENVIRONMENTAL MANAGEMENTcouRrHousE ANNEX. 1s5 EASr 6th, eucer.rt, oAEdo-ri Siaor
NAI\,4E
IMPORTANT:
:r
LOING SITE T ION
()SITE INSPECTION
t (R x Zso.6a4ox wr fuo
SUBDIVISION:
fC ru r LD r NG .ERH rr AppL r cAr t 0N No . fr4/ nro LOT:_ BL0CK:-
APPL I CANT
DATE
PLANNING DIVISION NOt
Appl i cabl e
l, Zoning Ordinance Cornpl iance: Zone-ff,A-( )2. Subdirision ordinance Compl iance
-(
)3. Required Access ( )4. Bui ldlng Si te (Area, width, Frontage) ( )5. Other (see conments) ( )
COI{HENTS:
Nofl Yesfi
WW()
6
CKID
Setba omc
()
()
()
()
Front
S i d+-€*gerior
Setbacks from interior I ines:
Side
Rear
BUILOING INS l0N 0tvtst0N Not
7
8
9
0
Plans Submitted
Soi I Stabi I ity (footlngs)
Flood Plain
0ther (see conments)
Aool i cabl e*-Tr
ili
No Yesr)m() ()
() ()
() ()
(
CKID BY:
IATER POLUTION C0NTROL Not
-
ll. l{eets Department of Environmental
Qual i ty Standards.
12. 0ther (see cornments)
COHHENTS:
Appl icable No Yesry r)r-r
() ()()CKID BY:6
DATE
TO APPLICANT:
135 Sixth Avenue East Eugene Oregon 97401
PHONE z 587-4065
LANE COUNTY PLANNING DlvlSl0N PHONE: 587-4t86
c55-28
ry^
I
.:r4
COHMENTS:
Yopr Building / Site lnspection:jQ Can be approved.
1 ) Cannot be approved at this time as indicated on item N0 above.rW
Questions and further information on items I th rough 5 contact
l0N Questions and further information on i temstcontact t ING ANDLrill be held in this ce unt you can reso vetls bei ret urned.
it tt
n9
ui IYour b di
ems cated.
.,ILO i-NG S ITE EVALUAT ION
() BUILOING PERHIT APPLICATION NO"
( ) srTE tNSPECTIoN
PLANNING DIVISION NOt
Aool i cable.__::lrr-
()
()
taee) ( )()
COI{}IENTS:
T R s TAX LOT€
SUBOIVISION:
t-Of : BL0CK:-
APPL I CANT
DATE
CKID BY:
6 setbacksffi
Front I
Side Exterior
Setb acks from interior I ines:
S ide
Rear
No Yesr)rIo Zoning Ordinance Conrpl iance: Zon. Subdivision Ordinance Compl iance. Regui red Access
. Building Site (Area, Width, Fron. 0ther (see conrnents)
() ()
() ()
() ()
() ()
I
2
3
4
5
PLANN I NG V
BU ILD I NG I NSP ECTION DIVISION
Plans Submitted
Soil Stabil ity (footings)
Flood PIain
0ther (see conxnents)
COHMENTS:
Not
App! icable No Yesr]()
()
()
7
8
9
0
r)rI() ()
() ()
() ()CKID BY:
ll. l{eets Department of Environmental
Qual ity Standards.72. Other (see conments)
CO}II.IENTS:
Not
Appl icab]e Nor)
() ()()
Yes
TT
CKID BY:
DATE
TO APPL ICANT:
You()()
()b/ill be held
ls being ret
Your bui ldin I ication fee is
RONI,IENTAL
r Building / Site lnspection:
Can be approved.
Cannot be approved at this time as indicated on itom N0
Qu estions and further information on items I through 6 contact t
PLANN OIVIS ON Qu estions and further information on it ems 7th2 cont
above.
e
act t
this
ed.
ermit
e NE UNTY BU I qlNG AND SANtTATt 0tvtst0Ntnofice unti you can reso ve the purn
tu
ENT135 Sixth Avenue East Eugene 0regon 9l4}lPH0NE: 687-4055
LANE C0UNTY PLANNTNG DtVtstoN pHoNEs 6gl_4196
c55-28
()ems I cated.
at
WATER POLUTION CONTROL
()
I
REOEIVEr}*"6LaN 6rfFoll,r/flre 18-/ 6F
Srro 0a *6c. 2
- '6
PP r u o F, o / {' *n,htilf i?fl;t rr.
/*/6 4
g6
$>
\tl t
I eo,J-o sor/r-
,(>n+.
s
-
l$a\,
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et
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-
n Owner
r\lE COUNTY PERMIT FOR PERIVIIT NO
CONSTRUCTION [ ] TVIOBILE HOIVIE [ ] PLAN REVIEW [ ] CHANGE OF OCCUPANCY [ ]
NAME ADDRESS CITY ZIP CODE PHONE
n Contractor
NAME
O.S. Reg. +
Tw
Subdlvision Lot
Access to Property (Road Name)
ADD R ESS CITY ZIP CODE
Census Tract
PHONE
Range Section ' Tax Lot- Code
B lock Acreage Width
Depth
Existing Structures on Property:
Directions to Property - Address
STRUCTURE (# BEDROOIMS}SO. FT VALUATION
SEWAGE DISPOSAL:
PUBLIC [ ] SEPTICTANK [ ] OTHER [ ]
PLUMBING INSTALLED BY:
OWNER[ ] OTHER[ ] NAM tr
BUILDING WATER SUPPLY: PROPOSED t ]
EXISTING I ]
PUB LIC
COMIV]UNITY- NAME
PLUIV]B ING
3% SURCHARGE
IVIOBILE HOIVIE
WASTE DISPOSAL
PLAN REVIEW
TOTAL
PR IVATE WELL
OTHER SPECIFY
CONSTRUCTION PERMITS & INSPECTIONS AND WATER POLLUTION CONTROL SPECIFICATIONS
IVIIN. SEPTIC TANK CAPACITY
GALS.IVI IN. DRAINF I E LD- LIN. FT IVIAX. TRENCH DEPT I NCH ES
STAY 1OO'FROt\4 ALL WELLS
TYPE OF CONSTRUCTION G ROUP FIRE ZONE USE CLASSIF
SETBACKS FT. FROIVI CTR. OF r/W
FRONT SIDE EXT
FT. FROIVI PROP. LINE
SIDE INT R EAR ZON E
AUTHORIZED SIGNATURES
lsl
ISSUANCE DATE
BLDG. PERMIT - WHITE
OFFICE COPY - WHITE
COUNTY TAX - PINK
PLUMBING - CANABY
BUILDING - GREEN
SANITATION - GOLDENROD
IIVIPORTANT
Call 687-4065 to schedule all required construction inspections. Call 687-4061 to schedule all required
septic system inspections. All construction shall comply wilh the State Buidling Code, O.E.Q. standards
for subsurlace sewage disposal and the State Plumbing Code. All buildings require a certilicate of
occupancy before being occupied.
(See Details on Reverse Side)
POST THIS PERMIT ON MAIN BLDG. AT SITE
LANE COUNTY, DEPT, OF ENVIRONMENTAL MANAGEMENT
COUBTHOUSE ANNEX, 135 EAST 6th, EUGENE, OBEGON 97401c55.1 3
SLAB FLOOR
PLUMBING GROUNU/ORK
t
Ap enov r o
ReMlnxs
DI SAPPROVED
GAS PIPING GROUND/ORK
AppRov e D
Reua nx s
D DrsrppRovro D Dar r I Hspecron
ROUGH PLUMBING
A ppnov r o
Rexanrs
DI SAPPROVED Dar lnspe c
ROUGH GAS PIPING
Appnoveo D DtsrpPRovro D
Reuanx s
Dar r I rsprcton
FINAL PLUMBING
APPROvED
RrManx s
d DTsAPPRovE o D Dare /a1-77-77. I HsPec
FINAL GAS PIPING
Ap pnov r o
ReuaRx s
DrsAPPRovEo Dat r I NsPEcroR
CERTIFICATE OF OCCUPANCY
REaov ro lssur D Nor Rerov ro lssut D
Reulnx s
Dare I nsprcroR
D
D D
,r*#*\qq\I b
NOTE: NO PERI"IIT LL BE ISSI'ED I]NTIL THTS APPLIC.ATION HAS BEEN APPROVED
APPLICATION FOR:
CONSTRUCTION MOBILE HOME
Subdivis ion
ACCESS TO PROPERTY ad Name)
Existing Structures on ProPertY:
Property Location - Address/Directlons:
SEWAGE DISP
Site Inspection _x.
2
zLp Phone
City
\q -oI Census Tract
B1o "k---ProPerty Acreage Width-Depth-
ce(f
a1 System or New System Required
ty
Name
DCONTRACTOR
T'rop
WATER S
Well
Bldg.
Plunbing
3Z Surcharge
Waste DlsP.
Plan Revlew
Mobile Home
TOTAL
Name ess
O.S. REG. # \\
t
for
Lot
Existing
0ther
PLUMBING:
Installed by
11c
Spring
\CIc>
PLUI"IBING FEES:
\*.\ e^3 ri "t
CHECYIi
PLANS T'URN
Sewage
Connection
Water
Connection
IACILITY PERMIT
YES
Date
c)NO NOrlYES
Signature of icant:
Fee Received BY
CttyAddr es s
Sq. Ft
Drainfield Requlrgd - Lineal Feet MaxlmumMin. Septic Tank CaPaci
tj.ot '5'/ Group Fire Zo n.----$--Us e Class if icatType of Construc
B1de Setbacks - frm <Center of Road Ri.ght of Way:
ide Int.$iffi-11lf near 5 Zone
LANE COI]NTY D OF ENVIRONMENTAL MANAGEMENT
RA
-9
DATE:DATE:4 BUII.DING:DATE:
c55- l2
I
PERN4IT NO
, CoNSTRUCTION[ ] N/roBlLEHOrVlEt I PLANREVIEW[ ] CHANGEOFOCCUPANCY[]
n Owner
?P
ADD R ESS CITY ZIP CODE PHONE
NAME
n Contractor ilillr*"^
Twp-- Range- Section-Tax
Subdivision- Lot B lock
CITY ZI DE
Code- Census Tract
Acreage width
NE
NAN/IE ADDRE
O.S. Reg. #
DepthAccess to Property (Road Name)
Existing Structures on ProPertY:
Directions to Property - Address:^-7-7" -/ev/r vft-p w f44t,
SO. FT VALUATIONSTRUCTURE (# BEDROOIVIS)
SEWAGE DISPOSAL:
PUBLIC[] SEPTICTANK[]OTHER t ]
PLUIVIBING INSTALLED BY:
OWNERT ] OTHERI ] NAM tr
PLUIVIB ING
BUILD ING
3% SURCHARGE
IVIOBILE HON4E
WASTE DISPOSAL
PLAN REVIEW
TOTAL
WATER SUPPLY: PROPOSED t ]
EXISTING t]
PUB LIC
COVIIVIUNITY NAIVIE
PRIVATE WELL
OTHER . SPECIFY:
CONST RUCTION PERMITS & INSPECTIONS AND WATER POLLUTION CONTROL SPECIFICATI ONS
IVIIN. SEPTIC TANK CAPACITY:
GALS. IVIIN. DRAINFIELD---_---LIN. FT IVIAX. TRENCH DEPTH- INCHES
STAY 1OO , FROIM ALL WELLS
TYPE OF CONSTRUCTION GROUP F IR E ZONE-- USE CLASSIF
SETBACKS- FT. FROIVI CTR. OF TAIV
FRONT SIDE EXT
FT. FROIVI PROP. LINE:
SIDE INT.
-
REAR ZONE
AUTHORIZED SIGNATURES
lsl
ISSUANCE DATE
BLDG. PEBMIT - WHITE
OFFICE COPY - WHITE
COUNTY TAX - PINK
PLUMBING _ CANARY
BUILDING _ GREEN
SANITATION - GOLDENBOD
IMPORTANT
Call 687-4065 to schedule all required construction inspeclions. Call 687-4061 to schedule all required
septic syslem inspections. All construction shall comply with the Stale Buidling Code, D.E.Q. standards
foi subsurface sewage disposal and the Sta'te 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 -l 3
. .NE COUNTY PERMIT FOR:
tltltltl
SITE INSPECTION
Ap pnov r o
Rruanx s
Dare I ruspecton
FOUNDATION INSPECTION
APPROv E D
Rrul Rx s
Dr sappRovEo Drr r I ruspEcton
*Q<_
FRAM I NG
AppRov r o
Reuenx s
I NSPECT I ON
Dr sappRoveo Drre I xsprcron
LATH OR SHEETROCK INSPECTION
ApenoveoN DtsaPPRoveo / I DarE,,'7 ?I ruseEcto
ReulRxs
FINAL INSPECTION
AppRov r o Dar r
aJ - Z-7 7 lHspe cronk;
ry?z '/a Z.3-z-77 *^r<-
Reaov ro lssur
Rruenr s
D Not Rreov to lssue / I Dare I tspecron
DrsAPPRovE, D
C}
Drsaepnoveo D
CORRECTION NOTICE
I.ANE COUNTY DEPT. OF ENVIRONAAENTAT
'TAANAGEMENTConrlruclion Permits & lnspections Divicion
EUGENE, OREGON
This building or slruclure does nol conform to Lone County building regulotions, ordinonces or codes
os noted below,
c55-73 RE.INSPECTION REQUIRED
FOR APPROVAT lnspector--.-*- Date- r i.
Building Permit #
:.
-
l:{:
\
il"
Department of Commerce
BUILDERS BOARD
FOURTH FLOOR LABOR & INDUSTRIES BUILDING, SALEM, OREGON 97310 PHONE 378-4621
October L2, L978
Mr. Glen H. Giffen, Jr.
3940 Osage
Springfield, Oregon, 97477
RE: C1467
Dear Mr. Giffen:
In reviewing your Statement of Claim, it appears that the
claim is not timely filed.
Eor a claim to be considered timely filed, it must be received
by the Board within one year of the e:<piration date of the
certification of registration in force at the time the work
was completed.
Un1ess we hear othemise, the file will not be accepted as
valid within the scope of the HomebuiLders Law at this time.
If you have guestions, please contact us-
Very truly yours,
WALTER A. HASKINS, ChAiTMAN
Roy L. Erickson
Chief Investigator
PJ,E/1c
ROBERT W. STRAUB
oovtaNor
FL-46
Nov I { te?€