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Home My WebLink AboutPermit Building 1976-08-24pERI,rrr +AA6_UE HAS BEEN APPROVEDNOTE: NO PERI'IIT WI-- BE ISSUED UNTIL THIS APPLICATI APPLICATION FOR: CONSTRUCTION MOBILE }IOME Twp o Subd lvis ion J* ACCESS TO PROPERIY (Road Existing Structures on Property: Property Location - Address/Directions off e e SEWAGE DISPOSAL Slte Inspec tlon /l Address lr Address SectLot-1/,v Tax Lot Iot -f-Block Sq. Ft Disposal System Oqrner Other ce----re uat! ! : pep"hJ!!-' OWNER CONTRACTOR o.s. REG. # I WATER SI'PPLY: Well FEES: Bldg. Plumblng 3Z Surcharge Waste Dlsp. Plan RevLew Moblle llome TOTAL (( N"" Name Spring ?,4m Code ?roPert.y Acrea Census Tract Valuation Water Connection FACILIfi PERMIT YES A- or New System Required Name of Community or Publlc Systen A3la// of Flxtures Sewage Connectlon zr)O<L PLANS FURNISHED 7ws NO NO Signature of Appl icant:" Fee Recelved By rc.tr-/6-i7 I atit I I Exlstlng S PLIJMBING: Installed ,Mln.lc Tank Capacit ield Requir ed - Lineal Feet Maximum Type of Constructl / -r7 Flre Zone 3 Use Classification Bldg Setbacks ; Front il1 from Center of Road of Way: t r Rear t{ PIANNING:DA ING \cs5-r2 LANE COT]NTY Side OF rDATE: MANAGEMENT f.-"L It?o-s'.)" Sc{/J 17'{ll 7qL-lVe?# f---l Cidy zlp Phone /"? (,il"tb I n Owner LANE COUNTY PERMIT FOR PERI\1IT NO CONSTRUCTION [ ] IVIOBILE HOIVIE [ ] PLAN REVIEW [ ] CHANGE OF OCCUPANCY [ ] NAIVIE ADD R ESS CITY ZIP CODE PHONE tr Contractor NAIVIE ADD R ESS C ITY ZIP CODE PHO NE O.S. Reg. + Tw Range-- Sectio Subdivision Lot Access to Property (Road Name) '3.? Tax nt 3/f 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[]orHER [ ] PLUIVIBING INSTALLED BY: OWNER[]OTHER[] NAIVI tr BUILDING PLUIVIB ING 3% SURCHARGE IVIOB ILE HOTVIE WASTE DISPOSAL PLAN REVIEW TOTAL WATER SUPPLY: PROPOSED I ] EXISTING I ] PUB LIC COIVIMIUNITY . NAIVIE PR IVATE WELL OTHER-SPECIFY CONSTRUCTION PERMITS & INSPECTIONS AND WATER POLLUTION CONTROL SPECIFICATIONS IVIIN. SEPTIC TANK CAPACITY GALS IVIIN. DRAINFIELD LIN. FT MAX. TRENCH DEPTH I NCH ES STAY 1OO' FROIVI ALL WELLS TYPE OF CONSTRUCTION- GBOUP FIRE ZONE-- USE CLASSIF SETBACKS FT. FROI\,I CTR. OF rA.A/ FRONT SIDE EXT FT. FROIVI PROP. LINE: SIDE INT. REAR - ZONE AUTHORIZED SIGNATURES /s/ ISSUANCE DATE BLDG. PERMIT - WHITE OFFICE COPY - WHITE COUNTY TAX - PINK PLUMBING - CANARY BUILDING _ GBEEN SANITATION _ GOLDENBOD IMPORTANT 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. stanilardsfor subsurface sewage disposal and the State 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 ENVIFONMENTAL MANAGEMENT COURTHOUSE ANNEX, 135 EAST 6Ih, EUGENE, OREGON 97401c55.13 lvt-l/'v'l\ LANI CJ CREG CN .t:,- i.. ''i) RESI DfNCE FOR MR & r: ::BUILDER * JACK ir,,::, lr " P t . t Z r'-'1' .':*;1 ...r... {r" l:..' f*/fto'p trL o:l, :.t b, 4a ) sArYr?AT,oN ar ,pai'3rvrc co, ro Ito A T * t' "Axr.- - tl! "t:..' Jn d 'r. F 'r, lll .- t' I :i,IJ. i,^ tr " rY;' I- ,1 i r..9. I I {:. ,l 'i: a. !t. ! .: '. ,tu t'il ,.t-,.1'-.* ,.'ti' ,l ' ir'"' t. ' 1 ,1' "i {dr 2147_ NQBTH. r5: s_IRSET -. tr ,.1 9 .?. 2 ta'c:Q6lc.DF(.. c f it/i,t' I * Gu r cAr lLN (N N0. r-A-03 s 21 rAx LorR BU ILO I G SITE UAT ION (UILDING PERMIT APPL (,-slrE lNsPEcrloN PLANNING DIVISION 2 db4-7e SUBD!VI. JN: LOT:_BLOCK: - CKtD BY:/(71 6. setbacks rom APPL I CANT DATE Not I icable ) I 2 3 4 5 Zoning 0rdinance CornPliance: Zon Subdirision 0rdinance ComPl iance Reoui red Access guitaing Site (Area, width, Fron Other (iee conments) e tage) No Y:s 1-) TfI( ) il) r l ill( ) () {Front si Setbacks from interior I i nes: Side Rear FuAxxtHc otv tsToN-reTtl ilDT[NG:TrsTl MT-l AP r t0N# BUILDING I NSPECT t0N 0lvlsl0N Plans Submitted Soil Stabil ity (footings) Flood Plain 0ther (see corments) COMMENTS: Not 7 8 9 0 Aool i cabl e i)ti No Yesr)'trt() () () () () ()CKI D BY I },ATER POLUTION CONTROL I I . Heets Department of Envi ronmental Qual ity Standards. 12. Other (see cornments) t( ) Lrill be held in this of ( ) ls being returned. PLANN I 0 SION 2 contact t e LANE CO ce unt i No Yesr)M ()()() CKTDBY BUILDING AND SANITATI ON DIVISION. you can reso vet prob I ems Not Appf i cabl e () d- DATE -7 COI{HENTS: q TO APPLICANT: Your Building / Site lnsPection: U-Ycan be aPProved.( ) Cannot be aPProved Questions and furt c her information on items I through at this time as indicated on item NO ^ above. 5 contact the LANE- Questions and further informa tion on items 7 c55-28 1b Your bui ldin cated. rmit a licati fee is be n E G ENT 135 Sixth Avenue East Eugene Oregon 97401 pHoNE1. 6Al_4065 LANE C0UNTY PLANNING DtVlSl0N PHONE: 687-4186 COHI{ENTS: L[ffl;Canplete bp part of PRO' rorm to signatu :ED SEUAGE O,S P0SAL sysrElt RECORre and submit both copies with 75+7 r,l,ts4roons Bat B asement ter UPP vYeNoPubl ic 0ther-i st Concrete ER applicati on. G-e-ng n its pt c an. f rorn wel I Steel tr1Sons:t u,d Diame ter De th /C 7a A-r.^%4 fr S (eu.t6 Q,e L{0,e.7 2Vnes-t t No. Compartments Gal. Capacity e sPOSa eDistributi-on Box:Yes No0tstrutOn- Feet romll Found t ionotne Front menst \t{E IL'NG ORESS ->rg t r 4 Side 5 er e O\'ile ln te For Sanitarian Use 0nly: Datez /,O- Zat-=/ln accordance with 1973 Oregon Laws Chapter 835, Section 214 this certificate is issfed- -" 'e' as evidence of satisfactory cornpletion of a subsurface sewage disposal system at the above I ocat i on. E Approved: System lnstalletion conforms to current standards ff Disapproved: Does not conform to current standards Remarks: r L r c ota Ftotan Be tween Linesseens t ruc n er Depf Tile c55-II STATE 0F oREGoN oEPARTHENT 0F ENVtRoN|{ENTAL QUALtry gnature /o 7f' I €) / s-' n Owner LANE COUNTY PERMIT FOR PERTVIIT NO CONSTRUCTION [ ] IVIOBILE HOIVIE [ ] PLAN REVIEW [ ] CHANGE OF OCCUPANCY [ ] NANlE ADD R ESS CITY ZIP CODE PHONE n Contractor NAIVIE ADD R ESS C ITY ZIP CODE Census Tract PHONE O.S. Reg. + T Subd ivision Access to Property (Road Name) Range- Section-Tax Lo Lot - B lock t Code Acreage Width Depth Existing Structures on Property: Directions to Property Address STRUCTURE (# BEDROOIVIS)SO. FT VALUATION T SEWAGE DISPOSAL: PUBLIC[] SEPTICTANK[] PLUIVIBING INSTALLED BY OTHER [ ]OWNER [ ] OTHER t ] NAIVI tr BUILD ING PLUIVIB ING 3% SURCHARG E IVIOBILE HOIVIE- WASTE DISPOSAL PLAN BEVIEW TOTAL WATER SUPPLY: PROPOSED t ] EXISTING I ] PUB LIC COIVIIVIUNITY NAIVIE PR IVATE WELL OTHER SPECIFY CONSTRUCTION PERMITS & INSPECTIONS AND WATER POLLUTION CONTROL SPECIFICATIONS IV]IN. SEPTIC TANK CAPACITY GALS.tVIIN. DRAINF I E LD-LIN. FT IVIAX. TRENCH DEPTH I NCHES STAY 1OO' FROIVI ALL WELLS TYPE OF CONSTRUCTION G ROUP FIRE ZONE USE CLASSIF SETBACKS FT. FROIVI CTR OF TAff FRONT SIDE EXT FT. FROIVI PROP. LINE SIDE INT REAR ZONE AUTHORIZED SIGNATURES /s/ ISSUANCE DATE BLDG, PERI\4IT - WHITE OFFICE COPY - WHIIE COUNTY TAX - PINK.I{BING - CANAFY.^ - GREEN - GOLDENROD IMPORTANT POST THIS PERMIT ON MAIN B LDG. AT SITE Call 687-4065 to schedule all required construction inspections. Call 687-4061 to schedule all requiredseptic system inspections. All construction shall comply with the State Buidling Code, D.E.e. standardsfor subsurface sewage disposal and the State Plumbing Code. All buildingi require a certificate ofoccupancy before being occupted. (See Delails on Reverse Side) LANE COUNTY, DEPT. OF ENVIBONMENTAL I!4ANAGEMENT COUBTHOUSE ANNEX, 135 EAST 6th, EUGENE, OREGON 97401 SLAB FLOOR PLUMBING GROUNU/ORK Ap pnov E o REMrnx s Dr sappnovro Dnre I ruseecron GAS PIPING GROUND/ORK D DrsrppRovm D Dorr-Ir.tspEcronAp pnov r o REua nx s ROUGH PLUMBING Appnovro l\// DtsappRoveD D Dart /d -tr- 2(, lNseeuexM ReueRrs ROUGH GAS PIPING Ap pnov r o ReueRr s D I SAPPROVED Dar r l uspecron F I NAL PLUMB I NG ryDrsrpenove o D DortS-L2JJ.- r**r@Appnov e D REMARK S FINAL GAS PIPING Ap pnov e D ReMlRr s t-7 DtsaerRoveo t-7 Dare I Nsprcton CERTIFICATE OF OCCUPANCY Rraov ro lssur ReMnnrs D Nor Rraov ro lssue / / Dote-I Hsprcron LANE COUNTY PERMIT FOR PERIVIIT NO CONSTRUCTION [ ] IVIOBILE HOIVIE [ ] PLAN REVIEW [ ] CHANGE OF OCCUPANCY t ] N ADDRESS CIT ZIP CODE n Owner PHONE ! Contractor NAIVIE ADD R ESS CITY ZIP CODE Census Tract PHO NE O.S. Reg. + TwP- Range- Section-Tax Lot-- Code Subd ivision Lot B lock Acreage Access to Property (Road Name) Width Depth Existing Structures on Property: Directions to Property - Address STRUCTURE (# BEDROOIUS}SO. FT VALUATION SEWAGE D ISPOSAL PLUIVIBING INSTALLED BY: OWNER[ ] OTHEB[ ] NAMPUBLIC [ ] SEPTICTANK I] OTHERI]tr BUILDING PLUIVIB ING 3% SURCHARGE MOBILE HOTVIE WASTE D ISPOSA L PLAN REVIEW TOTAL WATER SUPPLY: PROPOSED I 1 EXISTING I] PUB LIC COVIMIUNITY NATVIE PR IVATE WE LL OTHER-SPECIFY CONSTRUCTION PERMITS & INSPECTIONS AND WATER POLLUTION CONTROL SPECTFICATIONS IVIIN. SEPTIC TANK CAPACITY GALS.MIN. DRAINFIELD LIN. FT IVIAX. TRENCH DEPTH I NCH ES STAY 1 IVIA WEF TYPE OF CONSTBUCTION GROUP FIRE ZON USE CLASSIFE SETBACKS- FT. FRONn CTR. OF rAfl FRONT SID E EXT FT. FBOIVI 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 - GOLDENBOO IMPORTANT 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 for subsurlace sewage disposal and the State Plumbing Code. All buildings require a celtificate of occupancy before being occupied. (See Details on Reverse Side) POST THIS PERMIT ON MAIN BLDG. AT SITE) LANE COUNTY, DEPT, OF ENVIRONMENTAL I.,4ANAGEMENT COURTHOUSE ANNEX, 135 EAST 6th, EUGENE, OBEGON 97401 c55-l 3 SITE INSPECTION Ap paov r o Reuanx s D r sappRoveo Dare I ruspecton FOUNDATION I NSPECTION APPRovEo Reuanxs -g Dr sAPPRovEo Darr I ruspecron FRAMING INSPECTION APPRov E o RettlRx s IZ DrsappnovEo D^rE /o /r>/> Z I NSPEcToR LATH OR SHEETROCK AepRovro N RrMa Rx s I NSPECT I ON D r SAPPRovED D oart /O- zz- 7L I NsPECTOR FINAL INSPTCTION AP PRov E o Rruanx s M D r sAPPRovEo D Dotr_3 - 3-o - 72 CERTIFICATE OF OCCUPANCY Rreov ro I ssue RrurRx s Nor Reaov to I ssue Dnre I Hsprcton D 7 trrrrrro^fi,L