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Home My WebLink AboutPermit Building 1975-12-22LANE COUNTY PERMIT q PERIVIIT NO CONSTRUCTION t ] IVIOBILE HOIVIE [ ] PLAN REVIEW [ ] CHANGE OF OCCUPANCY [ ] NA ADD R ESS CITY ZIP CODE NE tr Contractor ' ' NAIVIE ADDRESS CITY ZIP CODE PHONE ! Owner O.S. Reg. + Tw Subdivision- Lot Access to Property (Road Name) Range- 5u"r;on . ?-{ Tax 0 Code Census Tract B lock Acreage - Width Depth Existing Structures on Property: Directions to Property - Address STRUCTURE (# BEDROOIVIS)SO. FT VALUATION SEWAGE DISPOSAL: PUBLIC [ ] SEPTICTANK [ ] OTHER [ ] PLUIVIBING INSTALLED BY: OWNER[] OTHER[] NAM E BUILD ING PLUMB ING 3% SURCHARGE IVIOBILE HOIVIE- WASTE DISPOSAL PLAN REVIEW TOTAL WATER SUPPLY: PBOPOSED t ] EXISTING t ] PUB LIC COVIIVIUN ITY NAIVIE PR IVATE WELL OTHER .SPECIFY CONSTRUCTION PERMITS & INSPECTIONS AND WATER POLLUTION CONTROL SPECIFICATIONS tVIIN. SEPTIC TANK CAPACITY GALS.IVIIN. DRAINFIELD LIN. FT N{AX. TRENCH DEPTH I NCH ES STAY lOO' FROIVI ALL WELLS TYPE OF CONSTRUCTION G ROUP FIRE ZON E USE CLASSIF SETBACKS FT. FROIVI CTR. OF r/W FRONT SIDE EXT FT. FROIVI PROP. LINE: SIDE INT. BEAR ZON E AUTHORIZED SIGNATURES ISSUANCE DATE BLDG. PEBI\4IT - 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 with the State Buidling Code, D.E.Q. standards lor subsurlace sewage disposal and the State Plumbing Code. All buildings require a certificate of mcupancy before being occupied. (See Details on Beverse Side) POST THIS PERMIT ON MAIN BLDG. AT SITE LANE COUNTY, DEPT. OF ENVIFIONMENTAL l'/ANAGEMENT COURTHOUSE ANNEX, 135 EAST 6th, EUGENE, OREGON 97401 PERIVIIT NO CONSTRUCTION [ ] I\IOBILE HOIVIE [ ] PLRN REVIEW [ ] CHANGE OF OCCUPANCY I ] NAIVIE ADD R ESS CITY ZIP CODE LANE COUNTY PERMIT ' I n Owner PHON E n Contractor NAIVIE ADD R ESS L ITY ZIP CODE PHO NE O.S. Reg. +r Twp- Range_ Section Subd ivision Lot Tax B lock Code Acreage---_- Census Tract Access to Property (Road Name) width Depth Existing Structures on Property Directions to Property - Address: STRUCTU B E ( # B ED ROOIVIS)SO. FT VALUATION SEWAGE DISPOSAL PLUIVIBING INSTALLED BY: OWNER[] OTHER[] NAIVIPUBLIC [ ] SEPTICTANK tl orHER[]E BUILD ING PLUIVIBING 3% SURCHARGE IVIOB ILE HOIVIE WASTE DISPOSAL PLAN REVIEW TOTAL WATER SUPPLY: PROPOSED t ] EXISTING t ] PUB LIC COIVIMIUNITY . NAIVIE PRIVATE WELL OTHER .SPECIFY CONSTRUCTION PERMITS & INSPECTIONS AND WATER POLLUTlON CONTROL SPECIFICATIONS IVIIN. SEPTIC TANK CAPACITY GALS.I\1IN. DRAINFIELD- LIN. FT MAX. TRENCH DEPTH- INCHES STAY 1OO' FROIVI ALL WELLS TYPE OF CONSTRUCTION GROUP- FIBE ZONE USE CLASSIF SETBACKS- FT. FROIVI CTR. OF r,AN FRONT SIDE EXT FT. FROIVI PROP. LINE SIDE INT REAR - ZONE- AUTHORIZED SIGNATURES lsl ISSUANCE DATE BLDG, PERMIT _ WHITE OFFICE COPY _ WHITE COUNTY TAX _ PINK PLUMBING _ CANABY BUILDING - GREEN SANITATION - GOLDENROD IIVIPORTANT POST THIS PERMIT ON MAIN BLDG. AT SITE LANE COUNTY, DEPT, OF ENVIBONMENTAL II4ANAGEMENT COURTHOUSE ANNEX, 135 EAST 6th, EUGENE, OREGON 97401 Ca[ 687-4065 to schedule all required construclion inspections. Call 687-4061 to schedule all required septic system inspections. All construction shall comply with the State Buidling Code, O.E.O. standards foi subsurlace sewage disposal and lhe State Plumbing Code. All buildings require a certilicate of occupancy belore being occuPied. (See Details on Reverse Side) J Ap pRov E o Rruanxs DI SAPPROVED Dar e I rusprcron SITE INSPTCTION FOUNDATION INSPECTION APPROV ED Rruanxs D r s APPRovEo Drr e I NsPEcroR .?a"/(6 d( FRAMING INSPECTION Drr E I rseecri, "i,r/ APP Rov E o Re uanx s Dr SAPPRovED LATH OR SHTETROCK T ION D r s APPRovEo Dorc tl -7 -7 6-r*trrc (/a\,},/,Ap pRov E o RrManx s rINAL INSPECTIONq D^,, y' /,/,, //4,2t\-.-u/y''JAP PRov E o REMo*xs CERTIFICATE OF OCCUPANCY DISAPPROVED lN P Reaov ro I ssur Rruanx s D Nor Rraov ro lssue D I NS PE cTOR '7n -t .' tl-.1g '\C'- /t-g_i36, Drr e /t I !, D U D Bu rLo_tJ,rG s ITE EyALUAI]_qN l.{ru f LDING pERl4tr AppLlcATtoN NO" 3Zzb45 ( ) srrE rNsPEcrroN rZ_R_eE-_s ZL rnx Lor_ sL-;lulstott:t-OT: I BLoCK: jl =)id () () () I 2 3 4 5 APPL I CANT DATE PLANN I NG 0tvtst0N Zoning 0rdinance Cornpl iance: Z Not I icable No CKID6. set Yesm?rtiLT() fl() () () () Subdivision 0rdinance Compl iance Requi red Accessguilaing Site (Area, Width, Frontage) 0ther (see comments) c Front Si^de.frt*ior Setbacks from interior I Side 6 nes:I t Rear s' COI{ilENTS: APPL I CAT ION# BUILDING INSPECTION DIVIS ION 7. Plans Submitted 8. Soi I Stabi I ity (footings) 9. Flood Plain I O. 0ther (see cornrnents) Not Appl icab!q() ( r) Iq No Yesr) rff() () () () () ()CKI D BY I 2'/0"'ld COMMENTS: b,ATER POLUT ION CONTROL Not Appl icabler)No Yes --Tr\tr rdr t I | . l{eets Department of Envi ronmental Qual ity Standards. 12. Other (see comments)()CKID BY: DATE CO}4}.IENTS: TO APPL ICANT: ou Building / Site lnspection: Can be approved" Cannot be approved at this time as indicated on item N0. q Questions and further information on items I through 6 contact the LANE- COUNTY PLANNING DlVlSl0N. Questions and further information on items 7 through I 2 CONIACI thE LANE COUNTY BUILDING AND SANITA rloN_D_l,ul_llpN. bove. 4/v will be held in this of@lve the problems ls being returned. L}a 'l-)tr t c55-28 Your bui ldin i nd i cated. rmit a I ication fe is L 135 Sixth Avenue East Eugene 0regon 97401 pHSNE | 6A7_4065 LANE COUNTY PLANNING DlVtSl0N PHONE: 587-4186 INSTALLER: Complete top part of form to s i PRoPoSE EITAGE DISPOSAL SYSTET'I RECORD and submit both coptes with appl-2 rt l6 PERH TNO i cat i on. 3226-75 No. Living Units Bedrooms Baths Basement Yes No }/ater Supply Publ i c 0ther-List Sept i c Tank: Ft. f rorn wel I lns i e l mens ons: t I.,idth Steel tr D i ameter D Concrete No. Compartments e sPosat Gal . Capaci ty No Fou ti ER h Distribution Box: Yes str ut OO-Petr NAME HAILING ADDRESS Ro r llorrison 2 North l6th Feet wEr I Lot L Front rom ne Side R ar Lengt nes-t. 4.6 For Sanitarian Use Only: er ov, ile ln i Date: ln accordance with 1973 0regon Laws Chapter 835, Section 214 this certificate is issued as evidence of satisfactory completion of a subsurface sewage disposal system at the above I ocat i on. F npproved: System lnstallation conforms to current standards I-l Oisapproved: Does not conform to current standards Remarks: (-U,{,1' ,r__h ... / \ l- 7 1Z }Jidt r ota Ft etweent i nes erF e I r le -' rn er Dept an SE r c ful,toS^-- //-:-=.----\r / / &r*. Ll i.4I,- ";?1 4\q/ a, )d?-i7 ,,','/1 '',, c55-r1 @ainf{rANE COUNTY STATE OF OREGON DEPARTH€NT OF ENVIRONI.TENTAL QUALITY t ate I TY PERMTT tt_S J J_*?,f II9TE: NO PERM' .fILL BE ISST'ED TINTIL THIS APPL. A?PLICATION FOR: MOBILE }IOME PLAN REVIEI^I IION HAS BEEN APPROVED CHAi.IGE OF OCCUPANCYCONSTRUCTIONxw X OWNER CONTRACTOR o. s. REG. /l t Address Tex Lot 7 ty City p Tvp lon ACCESS T0 PROPERTY (Road Name) ,roL2-/') Code Census Tract -1 Pro perty Acreate___-___Width_Depth_ o Lot Block 7rt Existing Structures on Property Property 1on -s/Dlrectlons:rft Below fo B1-dg. Waste Dlsp. Plunbtng Plan Revlew Moblle llone j% surchatge t Sq. Ft.Valuatlon SEWAGE DISPOSAL: Slte Inspectlon WATER ST'PPLY: Well FEES zl'o="t t Exis Othe PLT'MBING: Installed ll 2<or New Systeno Requlred Name Sprlng 3 6 - oo 0ther PLIJ}IBING //Sewage Connection Water Connection Sewage Disposal Sys Pub11c Comunity ll ot Owner PLANS FURNISHED FACILITY ?ERMIT /.0 f gToV-CHECK Dralnfleld Requir YES YES Signature of Applicant: Fee Recelved By Date ed - Llneal Feet I I Ilaxlnun Dep th a*'^ NO NO TOTAL Mln. Septic Tank Capaci cfh. type of corstrrctLor-------={fi1(-.ctorp----l--Fi re Zone Use ClassiflcaElon Bldg Setbacks - frm Center of Road Right of Way: Fronr AE^r Slde rnt. B' si@ Rear c55 - l2 I.ANE COI]NTY D SANITATTON: OF ENVIRONMENTAL DATE:DATE: / t Nane of comunity or Publlc systen ea;* DATE: SUPPLEMENT NO. Ot^lNER BUILDING PERMIT bA a rCSS p ne CONTRACTOR address phone tl,PROPERTY ADDRESS (gui tding Valuation)Revi sed ( []addi ti on [ ]correcti on ) Prior () amt.pai amt.du amt. due refund e_ tlI] 81 dg. Waste Pl umb. Plan R. 3%sur. TOTAL Signature of Applicant Fee Received CI Date lcash []check c74-Llg LANE COUNTY DE Date EMENT