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Home My WebLink AboutPermit Building 1976-04-09! Owner LANE COUNTY PERMIT FOR PERIVIIT NO CONSTRUCTION [ ] I\IOBILE HOIVIE [ ] PLAN REVIEW [ ] CHANGE OF OCCUPANCY [ ] NAI\,1E ADD R ESS CITY ZIP CODE PHONE n Contractor NAN/ E O.S. Req. + Twp- Range-- Section Subdivision- Lot ,.Tax Lo t ?17 Code B lock Acreage ADD R ESS CITY ZIP CODE Census Tract PHONE Access to Property (Road Name) Width Depth Existing Structures on Property: Directions to Property - Address STRUCTURE (# BEDROOTVIS)SO. FT VALUATION SEWAGE DISPOSAL PLUIVIBING INSTALLED BY: OWNER[]OTHER[] NAIVIPUBLIC t ] SEPTICTANK tl oTHER[]tr BUILDING P LU N,lB ING 3% SURCHARGE IVIOB ILE HOIVIE WASTE DISPOSAL TOTAL WATER SUPPLY: PROPOSED t ] EXISTING t ] PUB LIC COMIIVIUNITY . NAIVIE PRIVATE 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 lOO' FROIVI ALL WELLS TYPE OF CONSTRUCTION GROUP FIRE ZON E USE CLASSIF SETBACKS FT. FROIVI CTB. OF r/W FBONT SIDE EXT FT. FROIVI PROP. LINE SIDE INT R EAR ZONE AUTHORIZED SIGNATURES /s/ ISSUANCE DATE BLDG. PEBMIT - WHITE OFFICE COPY - WHITE COUNTY TAX - PINK PLUMBING - CANAFY BUILDING - GHEEN SANITATION _ GOLDENROD 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. standardsfor 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 ENVIRONMENTAL T/ANAGEMENT COURTHOUSE ANNEX. 135 EAST 6th, EUGENE, OBEGON 97401c55.13 PLAN REVIEW C Y T S APPL I CANT DATE 4- rxx LoT- t4* )-Y BUILD!NG PERt'tlr APPLIcATI0N N0' ( ) slrE lNSPEcrloN BU ite srr EVAL t0N PLANN I NG D lv ls l0N Zoning 0rdinance CornP Subdivision 0rdinance COI{HENTS L BLO Not I icable No CKID Setb acks rom Front S{.ffirnffur Setbacks from inter Side Rear D m 1-t() () () () 6 r ) ) ) ( ( ( I 2 3 4 5 I iance: Zone Compl i ance Reoui red Access ;;ii;iis sit" (Area, vlidth, Frontase) 0ther (iee conrnents) ior I 0N#PLANN I NG D IVISION ACT ON PEND I : YES() N0() APPL r Bu tLD I NG t NSPECT ! oN--qlvl!!-9N Plans Submitted Soi I Stabi I I ty (footi ngs) Flood Plain 0ther (see comnrents) COI'IMENTS: Not Aool i cabl e ( r) (/ ) (l ) \ No Yes (, () () 1.l() () () 7 8 9 0I CKID BY: b,ATER POLUTION CONTROL COHHENTS: I I . Heets Department of Envi ronmental Qual i ty Standards. 12. Other (se. co*ments) Not Appl iqa!_!e() No Yesr) TH' () ()()CKIO BY DATE TO APPLICANT: ,46b8 Your }{() Building / Site lnsPection: Can be aPproved. Cannot be aPProve d at this time as indicated on item Questions and furt her information on items I through NTY N NG DIVIS Questions and further info N0- abov 6 contact the LANE- rmation on items 7 throu 2 contact t E COUNTY BUILDING A SAN IT ATt0N DlVl5l0N. Will be held in this o ce unt i you can reso vet Pr I ems ls being returned. rmit li tion fee is tn AL 135 Sixth Avenue East Eu gene Oregon 97401 PHONE:587-4065 c55-28 ) ) Your bui ldin LANE COUNTY PLANNING DIVISION PHONE:687-4186 n cated. e. I rLANE COUNTY PERMIT FOR:PERIVIIT NO CONSTRUCTION [ ] IVIOBILE HOIVIE [ ] PLAN REVIEW [ ] CHANGE OF OCCUPANCY [ ] rI Owner NAIVIE ADD R ESS CITY ZIP CODE PHONE r Contractor NAIVIE O.S. Reg. + Twp- Range- Sectio Subdivision Lot Tax Lot-- Code ADD R ESS CITY Acreage - ZIP CODE Census Tract PHON E B lock Width DepthAccess to Property (Road Name) Existing Structures on Property: Directions to Property - Address STRUCTURE (# BEDROOTVIS)SO. FT VALUATION SEWAGE DISPOSAL: PUBLIC[] SEPTICTANK[]OTHER [ ] PLUIVIB I NG I NSTALLED BY: OWNER[] OTHER[] NAIVI E BUILDING PLUl\ilB ING 3% SURCHARGE- IVIOBILE HOIVIE WASTE DISPOSAL PLAN REVIEW TOTAL WATER SUPPLY: PROPOSED t ] EXISTING t ] PUB LIC COVIMIUNITY NAIVIE PRIVATE WELL OTHER .SPECIFY CONSTRUCTION PERMITS & INSPECTIONS AND WATER POLLUTION CONTROL SPECIFICATIONS IVIIN. SEPTIC TANK CAPACITY GALS tV}IN. DRAINFIELD LIN. FT IVIAX. TRENCH DEPTH I NCH ESnt nl STAY 1OO' FROIVI A LL WELLS TYPE OF CONSTRUCTION G ROUP FIRE ZONE USE CLASSIF SETBACKS FT. FROIVI CTR. OF r,Afi FRONT SIDE EXT FT. FROIVI PBOP. LINE SIDE INT REAR ZON E AUTHORIZED SIGNATURES lsl ISSUANCE DATE BLDG. PERMIT _ WHITE OFFICE COPY - WHITE COUNTY TAX - PINK PLUMBING _ CANARY BUILDING _ GBEEN SANITATION - GOLDENROD IIVIPORTANT POST THtS PERMIT ON MAIN BLDG. AT SITE LANE COUNTY. DEPT, OF ENVIRONMENTAL MANAGEMENT COUFTHOUSE ANNEX, 135 EAST 6th, EUGENE, OBEGON 97401 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 foi subsurface sewage disposal and the State Plumbing Code. All buildings require a certificate of occupancy before being occupied. (See Details on Reverse Side) SLAB FLOOR PLUMB ING GROUNMORK AppRov r o Rrurnx s D r slppnovro Dnr r I ruspectoR GAS PIPING GROUND/ORK AppRov r D Reua nx s D r snppnovro Dare I ruspecron ROUGH PLUMBING l-AppRovro W Drsappnovro D Darc-T-_ZZ-gL Reul nx s ,*trrrr@ ROUGH GAS PIPING Ap pRov E o RrurRx s Dr sappRoveo DarE I ruspecron FINAL PLUMBING APPRov E o Reurnx s I SAPPROVED D Dare ?-7-9b lNspe cr FINAL GAS PIPING Ap pnov e o Reua nr s D r sappRoveo Drt e I Nspecron CERTIFICATE OF OCCUPANCY Reaov ro lssue Rruanx s Nor Reaov ro I ssuE DarE I xsprcron D D D D PR SED SEU'AGE D I OSAL SYSTE}.I RECOT-I INSTALLER: Complete top Part or r-orm to signature and submit bot .opi es wi th app PERMIT NO licati on. 71 -76 GGt/ Del rose Basement Yes No ater ubl ic . Cornpartments v ng ts B rooms Bat s t c Ft. from well Steel tr Concrete lns i r mens NAME HAILING ADDRESS ons:e sPosa e !,i D i ameter th Distribution Box: Yes t str ut OO-pe hart rom I 690 South A Street F ne rIn Side nes-Ft. 4.5 OF Approved: System lnstallation conforms to current standards Disapproved: Does not conform to current standards r 0th -List Gal. Capacity /aea er ile i I Feet WEI I Lot L Front r tLen ot anP ou, 2 I ocat i on. ONT For Sanitarian Use Only: Da ln accordance with 1973 Oregon Laws Chapter 835, Section 214 tnis certificate is as evidence of satisfactory cornpletion of a subsurface sewage disposal system at te: iss the {,', *tC *"L ued above FE Remarks: rn F er pt ove Ti le Trench Lridthe Total Sq. Ft.7,e o Ft. Betldeen Lines I O se df lt Mb il (rnt t((r S,t'h' l0 D ool !o rr I F , ,;o t'7 +.t l'a \ { L 0 1llt; t' F*tro { e Itt \ V A 0 ,o v r \ tl baa*5n an LANE COUNTY STATE OF OREGON OEPARTHENT OF ENVIRONHENTAL QUALITY c55-r1 9na / lg I Y I ) 7 , s n Owner PERIVIIT NO CONSTRUCTION [ ] I\IOBILE HOIVIE [ ] PLAN REVIEW [ ] CHANGE OF OCCUPANCY [ ] NAIVIE ADD R ESS CITY ZIP CODE PHONE D Contractor NA I\4 E ADD R ESS CITY ZIP CODE Acreage- Width PHO NE O.S. Reg. + Tw Subd ivision Lot Access to Property (Road Name) Range- Section-Tax Lot- Code- Census Tract B lock Depth Existing Sftuctures on Property: Directions to Property - Address STRUCTURE (# BEDROOIVIS)SO. FT VALUATION SEWAGE DISPOSAL PLUIVIBING INSTALLED BY OWNER [ ] OTHER t I NAlvi trPUBLIC [ ] SEPTICTANK t] OTHERTI BUILDING-WATER SUPPLY: PROPOSED t ] EXISTING t ] PUB LIC COIVIVIUN ITY - NAIVIE PLU N,lB ING 3% SURCHARGE IVIOBILE HOIVIE- WASTE DISPOSAL PLAN REVIEW TOTAL PR IVATE WE LL OTHER-SPECIFY CONSTRUCTION PERMITS & INSPECTIONS AND WATER POLLUTlON CONTROL SPECIFICATIONS IVIIN. SEPTIC TANK CAPACITY GALS.I\4IN. DBAINFIELD LIN. FT IVIAX. TRENCH DEPT I NCH ES STAY 1OO' FROIVI ALL WELLS TYPE OF CONSTRUCTION G ROUP FIRE ZONE- USE CLASSIF SETBACKS- FT. FROIVI CTR. OF rAff FRONT SIDE EXT FT. FROTVI PROP. LINE SIDE INT REAR ---- ZONE- AUTHORIZED SIGNATURES /s/ ISSUANCE DATE BLDG, PEBMIT _ WHITE OFFICE COPY - WHITE COUNTY TAX - PINK PLUMBING - CANAFY BUILDING - GREEN SANITATION - GOLDENROD IMPORTANT POST THIS PERMIT ON MAI N BLDG. AT SITE Call 687-4065 to schedule all required c.onstruclion inspections. Call 687-406'1 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 building6 require a certificate ofoccupancy before beinq occupied. (See Details on Reverse Side) LANE COUNTY, DEPT. OF ENVIRONi/4ENTAL MANAGEMENT COURTHOUSE ANNEX, 135 EAST 6th, EUGENE, ONTEON SZ+OT LANE COUNTY PERMIT FOR:{x LI 1- SITE INSPICTION AppRovro RruaRx s Dr slppnovro D Dare I ruseecton FOUNDATION I NSPECTION AppnovEo D Drs REur nx s b ROVED Dar r I ruspr OR L,f b&'/. FRAM I NG APPRovEo Re Nlnx s I NSPECT I ON DrsAPPRovEo D o^',r,f'/O ,FA I NSPEcro lr' LATH OR SHEET ,I NSPECT ION DrsAPPRovEo F1 o^rr.F l7 .rb I HseectAPPROVED RrNrnx s rINAL INSPECTION oorrlL-.2-ffir*d,,lAp pRov r o Rruenx s DTSAPPRovED CERTIFICATE OF OCCUPANCY REaov ro lssue Reulnx s Nor READY ro lssur Drr e d - rdi /.1 ,/J* I NSPEcToR F{77 NOTE: CONSTRUCTION OWNER CONTRACTOR S.. r...- o.s. REG. # 11 I |to v ,-/ PERMTT #_D_7J* NO PERMIT WIL -dE ISSIIED IINTIL THIS APPLICATIOT- IIAS BEEN APPROVED APPLICATION FOR: MOBILE }IOME PLAN REVIEW o o ?s{ Y Address Address Tax Lot City ty Phone Census Tract erty C e________W id th_D e p th_ 2,/Twp Subdivision tion Code 8m O ,.{3 Block y/nccnss ro PRoPERTY (Road Nane)'-f> i v-os <- Existing Structures on Property: Property Location - Address/Directlons:Y A Below for O SEWAGE DISPOSAL: Site Inspec tion /l WATER STIPPLY Well o Spring Sq. Et Existing Sewage Disposal System Public Comunity or New System Required Name of Community or Public Systen p 8D o i Other FEES Bldg. Plumbing 3Z Surcharge Waste Dlsp. Plan Revlenr Moblle Home PLUMBING: InsEalled by Owner PLUMBING FEES: 1c /l of Fixtures Sewage Connecti-on Other Name c93 d eWater Connection CASH PLANS FURNISHED Signature of Appl Fee Received By FACILITY PERMIT YES Date: NO NO TOTAL Septlc Tank Capaci Drainfleld Required -ineal Feet Maximum Dep th Type of Constructi-on Flre Zone Use Classification Bldg Setbacks - from Center ,.or.- #A'/ side rnr of Road Right of Way:e't. - :nffiiEiEi-a Rear c55- 12 LAI{E COI]NTY DEPAR'OF -17 },IANAGEMENT ,"^"PA DA -?tDATE:DATE \ i A5ff?7 a-K Mln.