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HomeMy WebLinkAboutPermit Mechanical 1976-07-22LANE COUNTY PERMIT FOR:PERTVIIT NO. CONSTRUCTION t ] IVIOBILE HOTVIE [ ] PLAN REVIEW [ ] CHANGE OF OCCUPANCY [ ] ! owner NArvrE ADDRESS - - c,,y zrp cooE +to*E tr Contractor NAIVIE ADD R ESS CITY ZIP CODE PHONE O.S. Reg. + Tw Range- Section Tax Lot- Code- Census Tract Subd ivision - Lot B lock Acreage Width Access to Property (Road Name)Dept Existing Structures on Property Directions to Property - Address: STRUCTURE (# BEDROON4S)SO. FT VALUATIONrt! SEWAGE D ISPOSAL: PUBLIC[] SEPTICTANKT]orHER [ ] PLUIVIBING INSTALLED BY: OWNER[] OTHER[] NAIVI F BUILDING- PLUIVIB ING 3% SURCHARGE=.---- IVIOBILE HOIVIE=--- WASTE DISPOSAL PLAN BEVIEW TOTAL WATER SUPPLY: PROPOSED t ] EXISTING t ] ] PUB LIC COMIVIUNITY . NAME dIvl PRIVATE WELL OTHER .SPECIFY o o ),i- SPECTIONS AND WATER POLLUTION CONTROL SPECI F ICATIONSCONSTRUCTION PERMITS & 1N tVIIN. SEPTIC TANK CAPACITY GALS.MIN. DRAINFIELD---=--LIN. FT IVIAX. TRENCH DEPT I NCHES ti STA , FROM AL E LLS GROUP FIBE ZON USE CLASSIFtrTYPE OF CONSTRUCTION SETBACKS - FT. FROt\4 CTR. OF rAtV FRONT SIDE EXT AUTHORIZED SIGNATURES FT. FBOI\4 PROP. LINE: SIDE INT. =- REAR ZON E ISSUANCE DATE lsl c55.1 3 LA N E Co U N TY, D E Pr. o F E N v I B O N M E N T A L. M A!4-GFl'.'l ^EI r c'ciiiiiidUsr ilrGx, rgs EASr 6rh, EUGENE, oREGoN e7401 BLDG, PEBMIT - WHITE OFFICE COPY - WHITE COUNTY TAX - PINK PLUMBING - CANABY BUILDING - GBEEN slutrrrtou - GOLDENROD IMPORTANT: call 687-4065 to schedule all required construction rnspections. call 687-4061 to schedule all required JJpiiI iv.i,i,i, i;.;"ii"";. nrr ""J".vr"iiii" "i"ri "o.pii *ith the srat" Buidlins code, D.E.o. standards for subsurface ""*"9" o,"poJJ lr-riJ'iii" StrG iiumUing CoOe err buildingi require a certificate ol occupancy before being occuPied (See Details on Reverse Side) ST THIS PERM IT ON MAIN B AT SITE I SITE INSPECTION Ap pnov r o RrunRxs DtsappRovEo Darr l nsprcton FOUNDATION I NSPECTION Ap pRov r o D r s appnovr E I ruseecton Re urnx s t-?, FRAMING INSPECTION e-<,-ee Drslppnove, D Dnrr -iz_g I rspecron L4^L, * | a-797-< LATH OR SHTETROCK INSPECTION Appnoveo D Drsappnoveo f-a Darr I Nspecton Rruanx s FINAL INSPICTION Appnovro Reuaax s ru Dr slppRoveo Darr '7- I xspecroR CERTIFICATE OF OCCUPANCY Reaoy ro lssuE ReuaRx s D Nor Reaoy ro lssuE D Dare lruspEcron (//ora-/,-^ 79 r-- /t- 03 02, z + /'-l',,t-' LANE COUNTY INSPECTION RECORD PHUNT ERO[^JNLR'5 NAIVIL L-0-.1 1t DIRECTIONS TO SITE ,-1 SITE ADDRESS PERMIT NUMBER FOOTING / FOUNDATION INSPECTiON OR MOBILE HOME SET UP INSPECTION Approved Correcti on D'isapproved Date Insp ector CONCRETE SLAB / UNDER-FLOOR INSPECTIONApproved Correctjon_ Djsapproved_Date i ns pec tor UNDER SLAB / PLUMBING GROUNDWORK INSPECTIONApproved Correction D'isapproved__Date inspector i?OUGH PLUI'IBING INSPECTION Approved Co rrec t i on Dj sapproved Date I nspector I-RAM NG INS ECTIONTIP Approved Correction----Disapproved_ IDa te I nspector INSULATION / VAP OR tsARRIER I SPECTI ONNApproved Correcti on--Di sapproved_lDate I ns pec tor App roved Correcti on _Disapproved Date Inspector FINAL PLUMBiNG INSPECTIONApproved Correct'ion Di sapproved Da te I nspector FINAL WASTE DISPOSAL SYSTEM INS PECTiON Approved Correcti on_--Di sapproved Date I ns pector N Approved Correcti on_Disapprovea -iat€&3-g/ 1n5pector BIL HOME CERTIFICATE OF OCCUPANC TEMPORARY CERTIFICATE OF OCCUPANCYApproved--_Correcti on Di sapprroved Form Cl4-L97 Date __Inspector /5co ntL_/ /1 \ l.t)e (.p'l? I RI w J D c.l* (2 ,\€,\Ll V LATH / GYPSUM tsOARD I T.U I IUN I Owner LANE COUNTY PERMIT FOR:PERI\1IT NO CONSTRUCTION [ ] I\,IOBILE HOTVIE [ ] PLAN REVIEW [ ] CHANGE OF OCCUPANCY [ ] NAME ADD R ESS CITY ZIP CODE PHONE I Contractor NAIVIE ADD R ESS CITY ZIP CODE PHONE O.S. Reg. + Tw Subd ivision Range-- Section-Tu, Lot €€ode_=-- census Tract Lot-- Block Acreage -- Width DepthAccess to Property (Road Name) Directions to Property - Address: STRUCTURE (# BEDROOIVIS)SO. FT VALUATION SEWAGE DISPOSAL PLUIVIBING INSTALLED BY PUBLIC t ] SEPTICTANK t] OTHER[]OWNER [ ] OTHER t I NAtvt tr BUILDING PLUIVIB ING 3% SURCHARGE--- IVIOBILE HOIVIE WASTE DISPOSAL PLAN REVIEW TOTAL WATER SUPPLY: PROPOSED t ] EXISTING t] PUB LIC COIV}IVIUNITY - NAIME PR IVATE WELL OTHER.SPECIFY: CONSTRUCTION PERMITS & INSPECTIONS AND WATER POLLUTION CONTROL SPECIFICATIONS IVIIN. SEPTIC TANK CAPACITY GA LS IVIIN. DRAINFIELD LIN. FT MAX. TRENCH DEPTH I NCH ES STAY 1OO' FROM ALL WELLS TYPE OF CONSTRUCTION- GROUP FIRE ZON USE CLASSIFE SETBACKS- FT. FROIVI CTR. OF rAil FRONT FT. FROIVI PROP. LINE SIDE INT REAR - ZONE- AUTHORIZED SIGNATURES lsl ISSUANCE DATE BLDG. PEBMIT _ WHITE OFFICE COPY - WHITE COUNTY TAX - PINK PLUI\4BING _ CANARY BUILDING _ GREEN SANITATION _ GOLDENBOD IMPORTANT POST THIS PERMIT ON MAIN BLDG. AT SI LANE COUNTY, DEPT. OF ENVIBONN4ENTAL MANAGEMENT COUBTHOUSE ANNEX, 135 EAST 6th, EUGENE, OREGON 97401 Call 687-4065 to schedule all required construction inspections. Call 687-4061 to schedute atl requiredseptic system inspections. All construction shall comply with the Stale Euidling Code, D.E.Q. stanilardsfor subsurface sewage disposal and the State Plumbing Code. All buildingi require a certificate of occupancy before being occupied. (See Details on Beverse Side) c55.r 3 TE Existing Structures on Property: SIDE EXT. BUILOING SITE EVALUATION N BUIIDING PERHTT APPL ( ) srrE rNsPEcrroN PLANNIN6 DIVISION \S4ctl- rcArroN nil/blo-7a T .{ SUBDIVISION: s TAX LOT Not Jppl icable X!, LOT:BLOCK: Front Setbacks from interior IrBs:Side Rear APPL I CANT DAT I 2 3 4 5 Zoning 0rdinance Cornpl iance: Zonu_KT- Subdivision 0rdinance Compl iance Requi red Access Building Site (Area, Width, Frontage) Other (see conments) cxro gvr)6. Setbacks ftorn c/ I of road:F() () () () r)() () () () Yesw.6ktt COHHENTS: PIANNING Drvtstffi(--T N0(T-mmlmr Im# BUILOING INSPECTION OIVISION Not I icable No CI() () () Y 7 8 9 0 Plans Submitted Soi I Stabi I ity (footings) Flood Plain Other (see comrnent COHMTNTS: COHHENTS I T.'ATER POLUTION CONTROL ll. l{eets Department of Environmental Qual ity Standards. 12. 0ther (see cornments) , Not Appf i cabl e No Yes ,/Ttw CK!D BY: CKID BY: ( () ()() ) DATE TO APPLICANT (/ : Your Bui lding / Site lnsPection: UY ca" be approved. (tzf Cannot be approved at this t ta above ,1p ime as indicated on item N0" Ouestions and further informat ion on items I through UNTY DlVlSl0N" Ouestion rther i nf 5 contact-IFe !ANE- ormation on items 7 SAN TATION D ON ve the prob ^' t )l{ he LANE COU \t0 ill be held in this office unt rough 2 contact t ) ls Ueing returned. s and fu BUILDING you can reso( ( c55-28 Your bui ldin ems s nd i cated. rmit I ica fee is AL 135 Sixth Avenue East Eugene Oregon PHoNE z 687-4055 LANE COUNTY PLANNTNG DIVISION PHONE: 97401 587-41 85 I BUILDING SITE EVALUAT ION ( ) BUtLotNG pERHtr AppLtcAT!0N N06_ ( ) srrE rNsPEcrroN PLANI'I ING D lV lS lON Not Aool i cablee *-17- -t I() tage) ( )() COITHENTS: l. Zoning Ordinance Cornpliance: Zon 2o Subdivision Ordinance Compl iance 3. Requi red Access4. Building Site (Area, width, Fron 5" 0ther (see conrnents) APPL I CANT DATE No Yes 6. Setbacks-Trom cZ- oF Front fl() () () () r)'() ) ) ) ( ( ( road Side Exterior Setbacks fronr interior I ines:side #'Rear ..{a '*. PLAnN Nc D.VIS TTP-PrTeAr IoN# 7. Plans Submitted8. Soi I Stabi I ity (footings) 9, Flood Plain 0. 0ther (see corments) Not Appl icqbLe(I () () () No Yesr) TT() () () () () ()CKI D BY: DATE COMMENTS:|-: I,ATER POLUTION CONTROL Not Aool i cabl e r)rINo Yes I l. l.leets Department of Environmental Qual ity Standards. 12. Other (see comments)() ()()CKID BY: DATE COHHENTS: TO APPLICANT: Your Building / Site lnsPection: ()Qanbe (i-YCannot Quest i COUNTY r approved" be approved at this time as indicated on item N0 " l.O , , .,.=.b ons and further information on items I through 6 contact the LANE- G DlVtSlON" Questions and further information on items 7 throug Lri I I b 2 contact the LANE COUNTY BU D NG AND SANITATIO D e held in this of ce unt i I you can reso ls being returned. VISION ve the p() () c55-28 (Your bui ldin PHoNE. 697_4065 LANE COUNTY PLANNING DlVlSl0N PHONE: 587-4185 ems indicate d. ove. rmi t a I i cation f s bein NTAL ENT 135 Sixth Avenue East Eugene Oregon 974o1 T R S TAXLOT SUBDIV!SION:LOT: BLOCK: u CKID BY:,'4ff"7 L BUILDING INSPECTION DIVISION I -_ \-T ( er. G,(R/nER , pRopERrr owrvee) a\J>] aq aq C{ ca o -l\ Nj bo7 = o .s7' REE ED BY JUN2 91976 LAN E COUNTY TMENTAL MGMT. /42.o /73.87 DoRRrs srR€Fr \a )r ,L ilI trtl N2-0 (nAarq(ll i A, t I 60 S H€D C ttttD eear3PLAYsrRueral.R€s TWP /E PA,vae -3*?€crto,v -2, { 74x tor /Soo / teot Co be /? -oa Mrcceftt€7r€ /etcrt .LoT 7Scasp /e 4rc. s . 6e )A ra FRopepry pu Re,q4s€b.. OJ o- 1 Roprf/orr^tw" i"./7?€ Sours ibo'srR€€r -SF4tue rtaz b, Oif.r-gz+iZ ?Aone, 726-A2?6 Jcrne- /? 76 To ACCom Plrvf 4 ppL /c4 r/o/vfoR EurzD/,yG pERtt tfFoR CA,?A 0f a4,x so. ?oRcH EXBQNG Hoas€ I iI rl o. I I / 4ct 5o- rkor'l'E:ul; €''--** ' i Lr P.P LV 13 0' h6( o I .3 IR o{"i',{:! o,'ttv) \---- *'rrre IG,!pr CN YAv/€vR.v x 7lr3 G IGP 4 flOtV .--< €, ,1 P t.. a.v \ G4QAe€ Pose s(! I I I.-t Ocr /2 ENVIRON ', /773 / I ro-71 a I \ \ \ \ \ ! ,,/7 *-| -i,: px t,ria \I I I CONSTRUCTION pERMrr +///O*76 NO PERMIT WILL BE ISSUED I]NTIL THIS APPLIC.ATION HAS BEEN APPROVED APPLICATION FOR: MOBILE }iOME PLAN REVIEW CHAJ{GE OF OCCUPA}ICY X o*u* ?o Name CONTRACTOR \ *0. /8 *,,g" .3 s." Address Q , 2 rax Lor /5OO {/?-o2 Census Tractlbol Name o.s. REG. il tion Block erty ,L6 )g' lccnss ro PRoPERTY (so^a xr eWT \ A*i"ting Structures on Property: \-.2'Property Location - Address/Dlrections: Subdivision Below for ice Use Site Inspec tion /l D I^Iidth Existlng Sewag 7 i,,0 #:ll-iLH"sprlng Other PLUMBlNG Install by owner PLi]MB]NG Comnunity Name of Conmunity or Public Sys Name FEES: Blds. Plumbing 3% Surcharge waste Disp. Plan Review Mobile Hooe Fixtures . Sewage Connection Water Connection TOTAL CASH CHECK PLANS TURNISHED 7 vns Signature of Appl Fee Received By FACILITY PERMIT NO Wno Date Min. SeDLlc Tank Capacis'K lgu'a ty.Requ lred - Lineal Feet dL Llaximum Ztf- tvp e of ConstrucEion Fire Zone Us e Classification Bldg Setbacks - from Center of Road Right of Way: Front !*"at Side rnt 5 gi'#ior -lRear S c55- l2 I-A,NE COT]NTY OF ENVIRONMENTAL Zone KA DATE:DATE: a Y\,4J. NOTE: l-r City Zip Phone { d or New system Required f-l 2v,-_--;TT otter I I Da te TO _Land D j vi sion Section _Reg iona I Pl ann i ng _Pl ann i ng Research _- _-Zon i ng Enforcerlent ___Envi ronnrental Heal th t -l,Jater Pol I ution Control --Soils Data _Fl ood Management --Transportat'ion Pl anni ng -Assessment & Taxat'ion --Pa rks Di vi s'ion _Lane Real Estate Div. __Lane Publ ic Safety . Lane Public Lands . . Lane Legal Counsel - '._ llous i ng & Comm. Dev . Extension Service Transit District Reg. Air Pol. Auth _5ru te Fo re s try EAct - ___State Hi ghrvay. Dj vj sion _ __State Envi ron. Qual i t_v ___State Dept. of Lancs __#tate Fjsh & Gar;re =,\tT- --State Geol. & l'fineral indus __State Veteri nari an _Dunes Nat' I Rec. Area _S'iuslaw Nat'l Forest _l^lillamette Nat'l Forest __Bureau of Land l,lgmt. Soi I Conservati on Serv'i ce _Corps of Engi neers _Fed. Av'iation Authority --Fed. Conrnun jcations Cor,rn. _f- Othe r PUZ*u AOCBESS rvr L- 0ther __La ne __Lane _Lane _-l,later District School District v--Fire DistrictsPFLQ ? _Bounda ry Conrmi s s'i on Po rt of S i us'l aw -0.l an Dept- a ity of --El.fEB --_N . l^l. Natu ra I Gas _r--Pacif.ic N.l,J. Bell _Pacific N.W. Power _Tri-Agency Dog Control -LCDC.__ Neighborhood Group Fronr: LANE COUNTY LAND MANAGEIllENT DIVISiON.l25 East Bth Avenue, Eugene, 0regon 97401phone: 6€F4-oE] i:i] "_:;?i'd,,1. . r'r \ J A request for land use action, as described on DATA SUMI,IARY: Journal No. PA i 3 Z a -++ App licant -Rce=-r t.lx Cxr..rp P rope rty Address lt9'5 S . Data Summary and attached schemat'ic has reen ant impact js evident, please send comments impacts on received by the Planning Division.If significto Land Management D j v"isi on by Specific concerns of your agency should be addressed in addition to adverse general livability of the area and its future development. For additional information, contact Ce:*E (JE-E-ta -'\r- .-t. Zone Di stri ct Lot si ze Map Tax Lot l?+ +!_- 'ct-' PR0P0SAL : lp-p.e_D-l_l]_ 1.E:;. jr -l 3=\A_\_PBN&rE. a3r-r3, COI4MENTS (Reverse S i de l{ay Be Used ) : "t )/ r, L 1 '- L-<, L/ l i)1/<-,'t_1--:-v__!-_\. rri. ".r..-l€; -.,LlLr 74/%u; lia'i1'r? rrp.lG €\ trc t { il,, /^-tiE/l rt* ruofp a ilLy) ,k, .-,-.-1 DHIVEI^lAy HOU5E I ! \n 6ARA6E 30 p' ORATN FTELD \YAfER S7PPLy FRo^t SUg 'EPfrc {-/rv-}r 2?: C"r -l ,\ PROPO>.El) Fait,lL, R ,rt aC! o" /?3. 81' Dt&rra R rrt Pktfu.eo $1?c /(' I L /Sca 1165t, t) TrotO*l u' sr 1K r: 7//-17 h \ ,.1 DcR8,s srfruEJ-(rerv nrE RDaD\ -._,----