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HomeMy WebLinkAboutPermit Building 1976-07-22PERMTT # lf NOTE: N0 PERMIT IfILr, ,lE ISSUED llNTIt THIS APPLIC,ATIOi\ .rAs BEEN APPRoVED APPLICATION FOR: CONSTRUCTlON PLAN REVIEW CTIAI{GE OF OCCUPANCY o*r* Joe C Ober*oo// /6i7f/r?d r Gqqene V72b/ 7-za 7a6A. Name Addres s cjlxy - V zip Phone CONTRACTOR er e// r ,-7 7 tn A/m00 Eu c Name Address City zip 3 section J&t /',J rax r,ot Tdaa /-*sCode Census Tract 6Z Phone o. s. REG. /l ACCESS T0 PROPERTY (Road Name) Existing Structures on Property C re y'e- S erry Acrease I.I idth/Q-Deptt -2!!_S- /rofruo{)el ,v &- au A e Property Location - Address/Directlons: e Use SEWAGE DISPOSAT: Slte Inspec tion // WATER SUPPLY: I^Ie11 Spring Other / Ft Sys r=or New System Required Name of Community or Public System 0 Water Connection PLANS FURNISHED FACILITY PERMIT YES YES Signature of Appl Fee Received Date Valuation "/-r.spo Publie Coomunity Existing S el^7age PLI]MBING: Installed by Owner PLUMBING FEES: ll ot 4/ao ,a?,72 BIdg. Plumblng 3Z Surcharge waste Disp. Plan Review Mobile Home TOTAL Ff cesn CHECI( Mln. S tlc Tank Drainfield Requ ired - Lineal Feet Maximum Type of Constructi Fire Zone Use Classificatlon Bldg Fron PIANNING: Setbacks - from Center of Road Right of Way: e Int.{Slde Exterior 1/ { rc^,-v DATE:SANITATION:DATE:fi TE:BUlLDING: css-12 LANE COI]NTY DEPARTMENT OF ENVIRONMEN MANAGM,IENT Zone ,. d MoBTLE HoME I---l r--r fre,* , 72- NO L ] UWNET LANE COUNTY PERMIT FOR PERIVIT NO CONSTRUCTION [ ] IVIOBILE HOIVIE [ ] PLAN REVIEW [ ] CHANGE OF OCCUPANCY [ ] NAI\{E ADD R ESS CITY ZIP CODE PHONE D Contractor NAIVIE O.S. Reg. +r Twp- Range- Sectio Subd ivision Lot Tax Lot- Code B lock Acreage ADD R ESS CITY ZIP CODE Census Tract f, Access to Property (Road Name) Width Depth Existing Structures on Property: Directions to Property - Address STR UCTUR E ( # B ED ROOIV4S)SO. FT VALUATION SEWAGE DISPOSAL: PUBLIC [ ] SEPTICTANK [ ] OTHER [ ] PLUIVIBI NG INSTALLED BY: OWNER[] OTHER[] NAIVI tr BUILDING PLUIVIB ING 3% SURCHARGE IVIOBILE HOIVIE- WASTE DISPOSAL PLAN REVIEW TOTA L WATEB SUPPLY: PROPOSED I ] EXISTING t] PUB LIC COMMUNITY.NAME PRIVATE WELL OTHER.SPECIFY CONSTRUCTION PERMITS & INSPECTIONS AND WATER POLLUTION CONTROL SPECIFICATION S MIN. SEPTIC TANK CAPACITY GALS MIN. DRAINFIELD-LIN. FT IVIAX. TRENCH DEPT I NCHES STA Y 1OO' FROIVIALL WELLS TYPE OF CONSTRUCTION GROUP FIRE ZON USE CLASSIFF SETBACKS- FT. FROIVI CTR. OF rArV FRONT SIDE EXT FT. FROIVI PROP. LINE: SIDE INT. - REAR AUTHORIZED SIGNATURES /sl ISSUANCE DATE BLDG, PERMIT - WHITE OFFICE COPY - WHITE COUNTY TAX - PINK PLUMBING - CANARY BUILDING - GBEEN SANITATION - GOLDENFOD IMPORTANT (POST THIS PERMIT ON MAIN BLDG. AT SITE LANE COUNTY, DEPT. OF ENVIBONMENTAL MANAGEMENT COURTHOUSE ANNEX, 135 EAST 6th, EUGENE, OREGON 97401 Call 687-4065 to schedule all required construclion inspections. Call 687-4061 to schedule all requiredseptic system inspections. All construction shall comply with the State Buidling Code, D.E.Q. stanbardsfor subsurface sewage disposal and the State Plumbing Code. All buildings require a certificate of occupancy before beinq occupied. (See Details on Reverse Side) c55-t 3 ZONE=.- o3 s 'o//lo, wr 96 dnBULOING SI E T ION BU I LD ING PERI,I I T APPL I CAT ION NO. ( ) srrE tNsPEcrloN PLANNING DIVISION 5"2* t77o -7L T SUBD I V I uN:x DATE Not I icable No Yes :-B CKID BY:UPt /f9ry4!/ ZdsetbacksffiFront 4 ,f - APPL I CANT , t.I 2.' 3. 4.; 5. Zoning 0rdinance Comp I iance: Zone Subdivislon 0rdinance Compl iance r)m ilLd 6 Requi red Accessguilding Site (Area, Width, Frontage) 0ther (see conments) Side Exterior { {Setbacks from interior lines:side g Rear AZ- ( ( ) ) ) ) CO},I}tENTS:P,A PLANN I NG IVIS BUILOING INSPECTION DIVISION 7. Plans Submitted8. Soi I Stabi I lty (footings) 9. Flood PlainO. 0ther (see corments) COHI,IENTS: sA Not I icable YNor)() () () () () () ( ( (CKID BY:)?.a ,J },ATER POLUT ION CONTROL I I . l{eets Department of Envi ronmental Qual ity Standards.12, Other (see cornments) Not Appl icablg> No Yes7Tr) rT () ()()cK'D BY I Af^(&-t "-)o -)6UDATE COH},IENTS: TO APPLICANT: U ^b Youy Building / Site lnspection: Llf can be approved.( ) Cannot be approved at this time as indicated on item N0. above. Questions and further information on items I through 6 contact the LANE- CoUNTY PLANNTNG DIVIS!0N. Questions and further information on iteilf7 t h rough I2 contact the LANE COUNTY BUILDING AND SANITATION OIVISION.ffi'I ( ( ) ) Will be held in this office un-tll you can resolve the problems ls being returned. c55-28 Your bui ldin i nd i cated. rmi t I ication f sbe AL 135 Sixth Avenue East Eugene 0regon 97401 pHoNE. 0Al_4065 LANE C0UNTY PLANNING DlvlSl0N PHONE: 587-4185 t! r)l!ru\: I I I i ] i p' !.t t i lt.t ,'t '7 t' bd. E i,l, .,tJtDi'i-) 1' t/ I -t L'-\F 1 I i \0}' t*) ,1. t*U Clq $JiF I t' i r-rr,' , ' , ,:.) u (' 1' .l) v LJ ,: .J \.)I I II i : *--ad VC t'ri i-' fittxIi'1t",1" LANE .'#,l q .''ft,: t\' ,',,i. ,: l I I , I I I I I i I I F \ir N -! L.1 iav t P/o / r)n' 44' ,ilr' = / '" / OWlr4 Jttc C Obc'r "foc // PA'ns '5fttv'i€ Aoy' ,2 0 /oe/ / tolL'ttre /7 Pd7. /5" ,l' 7 il),i /r, /. .'r,t f / i;.:, 't' / DJtt'/, ." .) / .1 ,l rt,r" C' o - lo e.)n-,c: 6rKtt Yr//'7( rFffiu&, ,lULi u'l3ib ffi {"t LL" S./ ) liihrP couNTY IiiYi,,iol\i'4t]ITAL t/lGMT. / 7?o -7t E-- ^I t'- I i;' I I I / I Owner LANE COUNTY PERMIT FOR:PERt\4IT NO CONSTRUCTION [ ] N1OBILE HOIVIE [ ] PLAN REVIEW [ ] CHANGE OF OCCUPANCY [ ] NAME ADD R ESS CITY ZIP CODE PHONE D Contractor NAME Tax Lot- Code B lock CITY Acreage - ADD RESS ZIP CODE Census Tract PHONE O.S. Reg. +t Tw Range- Section Access to Property (Road Name) Width Depth Existing Structures on Property: Directions to Property - Address STRUCTURE (# BEDROOIVIS)SO. FT VALUATION SEWAGE DISPOSAL: PUBLIC [ ] SEPTICTANK [ ] OTHER [ ] PLUMBING INSTALLED BY: OWNER[] OTHER[] NAIVI E BUILDING PLUMBING 3% SURCHARGE_-- MOBILE HOME WASTE DISPOSAL PLAN REVIEW TOT.AL WATER SUPPLY: PROPOSED t ] EXISTING t] PUB LIC COMTVIUNITY-NAIVIE PRIVATE WELL OTHER-SPECIFY CONSTRUCTION PERMITS & INSPECTIONS AND WATER POLL UTION CONTROL SPECIFICATIONS IVIIN. SEPTIC TANK CAPACITY GALS.IVIIN. D RAINFI ELD- LIN. FT MAX. TRENCH DEPT I NCH ES TYPE OF CONSTRUCTION-- GROUP FIRE ZON F USE CLASSIF SETBACKS- FT. FROIVI CTR. OF rAV FRONT SIDE EXT FT. FROI\4 PBOP. LINE SIDE INT R EAR ZONE AUTHORIZED SIGNATURES ISSUANCE DATE lsl BLDG. PEBMIT - WHITE OFFICE COPY - WHITE COUNTY TAX _ PINK PLUMBING _ CANARY BUILDING _ GBEEN SANITATION _ GOLDENHOD IMPORTANT (POST THIS PERM IT ON MAIN BLDG. AT SITE) LANE COUNTY, DEPT, OF ENVIRONMENTAL MANAGEMENT COURTHOUSE ANNEX, 135 EAST 6th, EUGENE, OREGON 97401 Calt 687-4065 to schedule all required construction rnspections. Call 687-4061 to schedule all required *ptii iy.tu- inspections. All construction shall comply with the State Buidling Code, D.E.O. standards ioisuO6urtace sewage disposal and the State Plumbing Code. All buildings require a certificate of occupancy before being occuPied. (See Details on Reverse Side) Subd ivision Lot - t t t t STAY 1OO' FROIVI ALL WELLS SITE INSPECTION AppRovED RruaRx s Dt sappRoveo Date I xs pr cron FOUNDATION INSPECTION Appnovro Dar r I ruspecron Rr urnx s 6 *:r ar FRAMING INSPECTION __z_AppRovro & DtsAPPRovEo Reuenx s Dar r /- tA- )/txsetcroav LATH OR SHEETROCK INSPECTION AppnovEo D DTsAPPRovE o Fl Dore_ Re urnxs hZ;zt-C* I rusprcron rINAL INSPECTION Ap pRov E o ReMeax s d DrslppRovto I ruspecron CERTIFICATE OF OCCUPANCY Reaov ro I ssue ReuaRx s Nor Reaov ro I ssue Drr e I t.lspecroR tf0Ar ?? d.//q fr"* \ D D DrsAPPRovEo fa D oorrr/- ,/7-72 ) /