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Home My WebLink AboutPermit Building 1976-09-15LANE COUNTY PERMIT FOR:PERIVIIT NO CONSTRUCTION [ ] IVIOBILE HOIVIE [ ] PLAN REVIEW [ ] CHANGE OF OCCUPANCY [ ] I Owner NA N/IE ADD R ESS CITY ZIP CODE PHONE I Contractor NAIVIE O.S. Reg. + Tw D Subd ivision Lot Access to Property (Road Name) Range-- Section ,o, t/40 o coa" ADD R ESS C ITY ZIP CODE Census Tract PHONE ( AX B lock Acreage Width Depth Existing Structures on Property: Directions to Property - Address STRUCTURE (# BEDROOIVIS)SO. FT VALUATION SEWAGE DISPOSAL: PUBLIC [ ] SEPTICTANK [ ] OTHER [ ] BUILDING PLUIVIB ING 3% SURCHARGE -- IVIOB ILE HOIVIE WASTE DISPOSAL PLAN REVIEW TOTAL WATER SUPPLY: PROPOSED t ] EXISTING t] PUB LIC COVIIVIUNITY NAIVIE PB IVATE WE LL OTHER-SPECIFY CONSTRUCTION PERMITS & INSPECTIONS AND WATER POLLUTION CONTBOL SPECIFICATIONS IVII N. SEPTIC TAN K CAPACITY GALS IVIIN. DRAINFIELD LIN. FT IVIAX. TRENCH DEPT I NCHES STAY 1OO' FROM 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. - REAR ZONE AUTHORIZED SIGNATURES /s/ ISSUANCE DATE BLDG, PEBMIT - WHITE OFFICE COPY - WHITE COUNTY TAX - PINK PLUMBING - CANABY BUILDING - GBEEN SANITATION - GOTDENROD IIVIPORTANT Call 687-4065 to schedule all required construclion inspections. Call 687-4061 to schedule all required septic syslem inspections. All conslruction shall comply with the State Buidling Code, D.E.Q. slandards for 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 N4ANAGEMENT COUBTHOUSE ANNEX, 135 EAST 6th, EUGENE, OBEGON 97401c55,13 PLUIVIBING INSTALLED BY: OWNER [ ] OTHER [ ] NAIVIE- t t t t . . ' _ LANE COUNTY PERMIT FOR: pERtvltT No. CONSTRUCTION [ ] TVIOBILE HOIVIE [ ] PLAN REVIEW t ] CHANGE OF OCCUPANCY t ] n Owner D Contractor NA ADDRESS CI CODE PH NAIVIE Range-- Sectio ADD R ESS LII Y Acreage IP CODE Census Tract PHONE o.S. Reg. # - Two-Tax Lot-_- Code_ Access to Property (Road Name) B lock Width Depth Existing Structures on Property: Directions to Property - Address STRUCTURE (# BEDROOIVIS)SO. FT VALUATION SEWAGE DISPOSAL PLUIVIB I NG INSTALLED BY: owNER[] OTHER[] NAIVIPUBLIC[] SEPTICTANK t ] OTHER BUILDING PLU I\{B ING 3% SURCHARGE IVIOBILE HOME_---=-- WASTE DISPOSAL PLAN REVIEW TOTAL F WATER SUPPLY: PROPOSED t ] EXISTING t ] PUB LIC COMIVIUN ITY - NAME PRIVATE WELL OTHER.SPECIFY CONSTRUCTION PERM ITS & INSPECTIONS AND WATER POLLUTION CONTROL SPECIFICATI ONS GALS.IVIIN. DRAINFIELD LIN. FT MAX. TRENCH DEPTH I NCH ES TYPE OF CONSTRUCTION G ROUP FIRE ZONE USE CLASSIF SETBACKS FT. FROI\4 CTR. OF rAff FRONT FT. FRO[/I PROP. LINE: SIDE INT. - REAR ZON E AUTHORIZED SIGNATURES lsl ISSUANCE DATE BLDG. PERI\4IT - WHITE OFFICE COPY - WHITE COUNTY TAX - PINK PLUN4BING - CANABY BUILDING - GBEEN SANITATION - GOLDENBOD IMPORTANT Call 687-4065 to schedule all required construction inspections. Call 687-4061 to schedule all required septic system inspeclions. All construction shall comply with the State Buidling Code, D.E.Q. slandards foi subiurface 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 IUANAGEMENT COUFTHOUSE ANNEX, 135 EAST 6th, EUGENE, OREGON 97401 Subdivision Lot_ IVIN. SEPTIC TANK CAPACITY: STAY 1OO' FROIVI ALL WELLS SIDE EXT. SLAB FLOOR PLUMB ING GROUNT$,ORK Apenoveo Dr sappnovEo Drr e I Hsprcron Reuanx s GAS PIPING GROUNMORK APPRovEo l- DrsAPPRovEo / /DarE I Hsprcron Reua Rx s ROUGH PLUMBING AP PROV E D Dr srepRoveo n Dare,I rsprcton RrMaRrs ROUGH GAS PIPING AP PROV E D D r sapPRoveo DAT E I Ns pr cron ReuaRr s FINAL PLUMBING APPROVED I SAPPROVED D oorr./]-?L t**rcr@ Rr uaRr s FINAL GAS PIPING i-7 Dtsrppnoveo /-7 Dare I NsprctonAP PRov E D Rruanx s CERTIFICATE OF OCCUPANCY REaov ro lssue D Nor ReaoY ro lssuE D Dare llrsprcron BUILUING SITE EVALUAT ION a T18 silEdlIiiST 0r,l: 02 s 06 TAX LoT 1400 ( 4 BUtLDtNc PERHtT APPLIcATIoN N0" 1873-76 ( ) srrE rNsPEcrloN PLANNING DIVISION NOt LOT:BLOCK:- Yes CK'D BY: Bill Sloat SetbacksffiFront 40 Side Exterior Setbacks from interior I ines:Side 5 Rear 5 COI{ilENTS: APPL I CANT DATE l. Zoning Ordinance Conpl iance: 2. Subdivision Ordinance Compl i 3. Required Access 4. Bui lding Site (Area, t.Jidth, 5. Other (see conrnents) Aool icable Zone RA ( ) ance -( )() Frontase) ( )() 6TT No 1-l() () () () "),J ")) ( ( ( ( PLANNtNG DIVISIOFAETION PENDING: Y BUILDING INSPECTION O!VISION 7. Plans Submitted 8. Soi I Stabi I i ty (foot i ngs) 9. Flood Plain O. 0ther (see connnents) r} APPL I CAT I Not Applj ca[Le No Yesr)w() () () () () () () [],] (4)CKID BY:.> COMMENTS: I U'ATER POLUTION CONTROL ll. Heets Department of Environmental () Qual ity Standards. 12. 0ther (see cornments) COI'11'IENTS: (1) Not Appltee_b_! B No Need replacement permit for subsurface .nes Dust dp -gu,Q-t-zb Rov DATE d sa1 s'stem om house () ()()CKID BY:tu erp p IU' fT om property lines. UU I feet. TO APPLICANT trtu YoupBuilding / Site lnspection: (Vf C.n be approved. (x) Cannot be approved at this t ime as indicated on item N0"t2 Questions and further informa tion on items I through 6 contact the !!XE- C0UNTY PLANNING 0lVlSl0N" Qu estions and further inFormation on items 7 through l2 contac;tt he COUNTY BUILDING D SAN TATION DIVISI 687 -406L above. 't5-28 Your buildin I ems n cated.Ui I I be held in this ls being returned. rmit ce unt you can reso vet Pr I i cation f is bein 135 Sixth Avenue East Eugene Oregon 97401 PHONE. 687-4065 LANE C0UNTY PLANNING DlVlSl0N PH0NE: 587-4186 d!.!u!-N.q-S!T EVAL T ION ( 4 BU I LD I NG pERr.r tr AppL I cAT t0N rco . ( ) strE tNsPEcrtoN PLANNING DIUISION Zoning Ordinance Cornpl iance: Zone RA Subdirislon 0rdinance Compl iance Requi red Access Bui ldlng Si te (Area, Width, Frontage) Other (see cornments ) COI{HENTS: T 1B o 02 S 06 TAX LoT 1400 SUBDIVISI : LOT:BLOCK:- APPL I CANT DATE CK|D BY; Bill Sloat Setbacks frqn c/l of road: Front 40 S ide Exterior Setbacks f rom i nterJilTiil6F S ide 5 Rear r873-7 6 Not Appl icable No Yes'f) Tt 6. () ( () ( () ( () ( () () () () () I 2 3 4 5 ") ") ")) PLANN]NG DIVISI ATPIIEATION# qulL0lNG tNsPEcTlo Not I icable No Yes Plans Submitted Soil Stabil ity (footings) Flood Plain 0ther (see conments) 7 8 9 0 r)() () () TT() () ()(CKID BY: DATE COMMENTS: - WATER POLUTION CONTROL Not Appl icable No Yes t{eets Department of Envi ronmental Qual i ty Standards. 0ther (see comments) G) TT CK|D BYs Roy Burns DATE tem 2 () ()() () COIfiENTS:(1) Need replacement permit for subsurface e er s must di osal rom rom prope v eet. TO APPL ICANT: Your Building / Site lnspection: ( ) Can be approved. --->(x) Cannot be approved at this time as indicated on item N0' Questlons and further information on items I through 5 above. COUNTY NN NG DIVISION Questions and further informat ion on ite;;7 t h roug 2 contact the LANE COUNTY BU D NG AND SANITATION DIVISION. 687-4O6L (x) tJill be held in this ce until you can reso ve the P contact t e LANE- c55- 28 Your bui ldin LANE COUNTY PLAN NING DlvlSl0N PHONE: 587-4185 ems i cated. ls being returned. it a I ication fee is b NME 135 Sixth Avenue Eas t Eugene Oregon 97401 PHONE:687-4065 Yz/ 5 Your appfication for a permit is being held for the reasons stated on the bu.ilding site evaluat'ion sheet. This addjtional jnformation is needed for the issuance of your permit; we will hold this application until 8/ 1'. If, at that time, you have not furnished the required information as /notedon the attachment, your application wi'll be ENV IRONMENTAL MANAGEMENT.l35 East 6th Avenue Eugene, 0regon 91401 BUILDING A7-1 MOBILE HOME:APPLTCATT0N N0. / g -?6 cancelled. However, if there is a planning division problem or some other long term problem of which you have no control, please advise our office by the above date; we may hold this permit until it can be issued. (ph. 687-4394) we hope you early attention to th'is matter wil'l help us to faciljtate issuing thepermit in question -N \ \ tn I N s\ Mailing Date: 7,/.a y,/Z e-7--------:?-- I I I I I I$(l'-i AI .9, IA'xr! 4/e I ttt: 6 -g q..tt.' ,b'L r' i' ii i, ! a'4 t!y ,.e' ,+ tj trr, L '-0r t III I :--i-:l: "lI a i :(I' l: li ii:i '. i! I ,il i i+ I : I ,I L'( .1r1 s(s',g Fo.r*Iqa',r* (, te S I ')-J L'. t.: e 7o / ,5 \ rrJo 0\ ( .l tI i, Ii T I I I I : i I I I !t. a I !I I I I I I I I I aI I ' I i i I iI i i t { i ! a i I I v\ I i ili..ii;'?.'ir I I / I 'tjIt,!r.-. LANE COUNTY PERMIT FOR:PERIVIIT NO CONSTRUCTION [ ] IVIOBILE HOIVIE [ ] PLAN REVIEW [ ] CHANGE OF OCCUPANCY [ ] I Owner NAIVIE ADDRESS C ITY ZIP CODE PHONE tr Contractor NAIVIE O.S. Reg. + Tw Subd ivision Lot Access to Property (Road Name) ADD R ESS CITY Acreage- ZIP CODE HONE Range- Section-Tax Lot- Code- Census Tract Block 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[] NAIVI tr BUILDING PLUIVIBING 3% SURCHARGE IVIOBILE HOIVIE WASTE DISPOSAL PLAN REVIEW TOTAL WATER SUPPLY: PROPOSED t ] EXISTING I] PUB LIC COIVIMIUNITY- NAIVIE PRIVATE WELL OTHER-SPECIFY CONSTRUCTION PERMITS & INSPECTIONS AND WATER POLLUTION CONTROL SPECIFICATIONS IVIIN. SEPTIC TANK CAPACITY GALS.IVIIN. DRAINFI E LD-LIN. FT MAX. TRENCH DEPT I NCH ES STAY 1OO' FROIVI ALL WELLS TYPE OF CONSTRUCTION- GROUP FIRE ZONE- USE CLASSIF SETBACKS- FT. FROIVI CTR. OF rAfl FRONT SID E EXT FT. FROIVI PBOP. LINE: SIDE INT. REAR - ZONE AUTHORIZED SIGNATURES /s/ ISSUANCE DATE BLDG. PEBMIT - WHITE OFFICE COPY - WHITE COUNTY TAX _ PINK PLUMBING - CANABY BUILDING - GHEEN SANITATION - GOLDENHOD 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 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 ENVIBONIV1ENTAL MANAGEMENT COUBTHOUSE ANNEX, 135 EAST 6th, EUGENE, OREGON 97401 SITT INSPECTION Ap pcov E o RrulRx s ffi Dr sappeoveD oore ,E- P-f C I ruspecr FOUNDATION INSPECTION Ap pnov r o REuaRxs W D r SAPPRovED Darr -3-I Nseecron FRAMING INSPECTION APPRov E o Re uanx s &Drsappnoveo *- I NSPEcToR LATH OR SHIETROCK INSPECTION Appnoveo d rrsAPPRovED"ffir r^ v-11 Dar r I NsPEcro Reuanx s FINAL INSPECTION Appnov ro Rruanx s ffi DrsAPPRovEo D Dare 1 - f- 77 tNSPEcroR CERTIFICATE OF OCCUPANCY Reaov ro I ssue ReuaRx s -7 Nor Re aov ro lssur t--7 Dare lrusprcton4' D oorzJ=,3_- 7 7_ I i-: II j. I I..1(l'-i AI -tr l t-x u, -.;-i ,til1l : iI a j- 0 .\rt\r\r:tfy',4 -6 q:". ,t b' \9 ur* .-.--('u, .oo3o* tIit :iit i!l! l!t1 t\ I i' I ,. te I I I i t torlr ler ,III :"t !! i It I '.L """ \ .1r1 ,3I J.J L',. u.l Q,sf$a_K. ilJ 7o / Foo.*Lrr1', tu. I ( ( ri I I t ; i l i I I I l ItII t t a , it tt I ir;i , ,,i I iII I I I I I I i ii ! .. I . Ii I Ii i It t t i" I I 6ocK 45- f.,7x- / 7 ,/ocrrrt (l p/of V/a-f ,€?z*-t + PERMTT + /'873-76 .NoTE: No PERMIT WILL BE ISSUED T,NTIL THIS APPLICATION HAS BEEN APPROVED APPLICATION FOR: CONSTRUCTION PLAN REVIEW L. t^]qrd 7 Name ess City one CONTRACTOR ess Lot C Census Tract o. s. REG. /l *r. !9 *nr" J ,".,l-on Subd ivis ion -ACCESS T0 PROPERTY (Road Name)50 Code l-q:tL B1o cx.-;{-rroperty I Acreage. ?q11 8t*<< Lot / 4xisting Structures -Jroperty Locallon - Addr Directions o for lce Use DISPOSAL Slte Inspec tion /i t Existing Sewage Disposal Sy s tem Public Cosununi or New System Required Name of Community or Public Systexo .Ja Valuatlon F WATER SUPPLY Well Spring Other FEES: Blde. Plumbing 3% Surcharge Waste Disp. Plan Review Moblle Hone -s*# @ffi PLUMBING: Installed by Owner Name PL w'7",Fixtures Sewage Connection Water Connection CASH PLANS FURNISHED YES Signature of Applicant Fee Received By: FACILITY PERMIT YES Date NO lOTAL fV1 "rr"* ,;{, DrainfieldMinTank Capaci Type of Constructlon ed - Lineal Feet zon"-- -3-use Class if lcat Maximun Dep aFlre Bldg Setbacks from Center of Road Right of llay: c55-t2 I.AI\E COUNTY DEPARTT4ENT ENVIRONMENTAL MANAGMVIENT Zorre pFrontSlde Int. a;- DATE:DATE: Ffl MoBTLE Holc f----1\ f. Ar-1-t other I I I t 'iymz SANITATIONT,4h/d,1*,q8-7t (?ffi.P*>ah'V/rdz .,q, {o0 /4 S7z,n?{, /r,/ TRS,T 4 )-o 6- Jq. /{P Job Location (Street, mile post 4r Subdivision Lot- Block --FloGPIan FOR SANITARIAN'S USE ON LY COMMENTS: -/*tt'"^^'h* LLW,.- -r** \J 3 E System Approved Di p >.,t t) (*"t Filler Depth Below T 6 rom drainf ield L-/ ^/^*,4bJ*"1 Si Date:/ r\0 \ FOR INSTALLER'S USE: Trench Depth 3 Tank Capac ity ta4ha,,*r. Manufactu lVleasured distance to well frorn tank 'I = fi frrqvt, m CEIVEil \ n \ \!0\n -\ t uJF 1: I l I l iR€ {t r-- a \DFEBI s1977 t' $ ry "31 I NJ an at7 o) Ea o)C '6 =o) E(oZ @ C(6 c) ao o a/ l')./ \JI / E EOUNTY MENTNI. MGMT.F z(, a 3d,lr$rs,I I a /> INSTALLATION RECORD AND CERTIFICATE OF SATISFACTORY COMPLETI d-t When signed by the County Sanitarian, this certificate is evidence as per ORS 454.665 of sat- isfactory completion of a subsurface sewage disposal system at the above location. Return this form to: Permit Processing Section, Department of Environmental lVlanagement, Public Service Building, 125 East 8th Avenue, Eugene 974O1 6 L 6) (ovac +o- m Sca le oD[ \l €F W P-,v- II c55-1 1 ^lilah,Lonttal'13,l,Y:j I FTB Br /,/8J?3 97 BUILDTruO N7 MOBILE HOME: Your application for a perm'it ENV I RONMENTAL MANAGEMENT I 35 East 6th Avenue ( Ma'il 'ing Date: 1, -22 Eugene, Oregon 97401 is bei APPLICATION NO . ,'8 - "*,-Q ng held for the reasons stated on the building s'ite ,?1 evaluation sheet.This additjonal 'information is needed for the jssuance of your permit; we wi I I hol d thi s appl i cat'ion unti I b If, at that time, You have not furnished the required information as no on the attachment, your application will be cancelled. However, if there'is a planning division problem or some other long term problem of which you have no control, please advise our office by the above date; we may hold this permit until it can be issued. (Ph. 687-4394) We hope you early attention to this matter will help us to fac'il'itate issuing the permit in question. ti t I CORRECTION NOTICE 0 * .10 :$f IANE COUNIY DEPT. OF ENVIRONMENTAL MANAGEMENT Construclion Permits & lnspections Division EUGENE, OREGON structure does not conform to Lone County building regulotions, ordinonces or codesIThis buildin, os noted be gor ,lowt RE.INSPECTION REQUIRED FOR APPROVAL lnspector- Date-c55-73 Building Permit # {, .SUPPLEMENT NO. Ot,lNER BUILDING PERMIT addres s phone CONTRACTOR address phone PROPERTY ADDRESS (Bui I ding Valuation)Revi sed ( []addi ti on [ ]correcti on ) Prior ()llt t amt. due refund 81 dg. Waste Pl umb. PIan R. 3%sur. TOTAL amt.pai amt.due Signature of App I i cant Date Fee Received By Date []cash []check LAN E couNrv orPffi Ep1fl[ffiffi-svEx1 c74-LL9 (