HomeMy WebLinkAboutPermit Building 1976-3-4
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LANE COUNTY PERMIT F( )
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PERMIT NO, 307-76
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,,:CONSTRUCTION [ 1:
,
MOBILE HOME [] PLAN REVIEW [ ]
CHANGE OF OCCUPANCY
, '0 Owner,
Homer Anderson
NAME
2026 InlandWav
ADDRESS CITY
SorinQfield OreQon
ZIP CODE
[ ]
726-0!P92
PHONE
'0 Contractor
Same
NAME
AQDRESS
CITY
Z.IP CODE
PHONE,
O,S, Reg, # NA
'Twn 'HI Range 03 Section
5th add to Fil bert Grove
Subdivision Lot ,<!ff'
1L2,;Tax Lot
",
. ,,'Y',i
Codp
Census Tract
17-186
33
Block
6
Acreagp
Width
/
Existing Structures on Property:
, XlUUl!ll1~Ul
MH
~n'l\. Tn1;\nrl J,;\\,
INland Way
Depth
Access to Property (Road Name)'
Directions to Property' Address:
STRUCTURE 1# BEDROOMS)
P..rmit fnr r."..nnrt
SQ, FT,
ll;'<'lil ?Rn
VALUATION
t14RQ:nn
SEWAGE DISPOSAL:
PUB L1C [] SEPTIC TANK [
OTHER [ ]
PLUMBING IN$TALLED BY:
OWNER [J 0THER [J NAM"
BUILDING
,PLUMBING
3% SURCHARG"
MOBILE HOMF
WASTE DISPOSAL
PLAN REVIEW
11'; nn
WATER SUPPLY:
PROPOSED [ ]
EXISTING [J
IV,
[ ] PUBLIC ,
[ ) ,COMMUNiTY,NAME:
[ ] PRIVATE WELL
[ ] OTHER, SPECIFY:
TOTAL
11:; 4"
CONSTRUCTION PERMITS &-INSPECTlONS AND WATER POLLUTION CONTROL SPECIFICATIONS
MIN, SEPTIC TANK CAPACITY:'
GALS, MI,N, DRAINFIELD L1N, FT,
(.)1( On nni- hlli1 A'n\lolr" co,,,,,;),,, 1 -I no "
MAX, TRENCH DEPTH
INCHES
TYPE OF CONSTRUCTION 5N
GROljP
.1
FIRE ZONE
STAY 100' FROM ALL WELLS
USE CLASSIF,
SETBACKS" FT, FROM CTR, OF ,/W:
FRONT 45' SIDE EXT, 5
FT, FROM PROP, LINE:
SIDE INT, REAR
7,1
ZONe IlA MA
AUTHORIZED SIGNATURES:
/s/ .1 j:' Rnec h" l.,hu"hAllnh
M,.Vnu ~n._ ~.......u sanitarians
..~., .-..-...",
ISSUANCE DATE:
3/4/76 ,
d1m
BLDG. PERMIT - WHITE
OFFICE copy - WHITE
COUNTY TAX - PINK
PLUMBING - CANARY
BUILDING - GREEN
SANITATION - GOLDENROD
",,1.l:} f
IMPORTANT:
Call 687-.4065 to schedule all required construction inspections.Call:687~4061 to,schedule all required
septic system iQspec/lOns, All construction shaJJ comply with the Slale Buidling COde, D.E.Q. standards
tor subsurface sewage disposal and the State Plumbing Code. All buildings require a certificate of
occupancy before being occupie.d . '
(See Details on Reverse Side)
(POST THIS PERMIT ON MAIN BLDG. AT SITE)
C55.13
LANE COUNTY, DEPT. OF ENVIRONMENTAL MANAGEMENT
COURTHOUS,E ~NNEX, 135 EAST 6th, EUGENE, OREGON 97401
.,w,'.:
.
BUI Lp.lN'G ,:; lTE EVALUATION,
'-:'
, \ i' M,. 1 .~,,(J,j1iP 1'/ ;"'jd..l
. ~ ~ v"'/F48(' T :-4!!j}() ,R tJ..J S_../.2/7- TAX LOT
/} A 7 7'J SU~DIVISION:
--::; l/ - b LOT: BLOCK:
r
~ BUILDING PERMIT APPLICATION NO..
() SITE I NSPECTI ON
PLANN I NG 0 I V I S ION Not,
, App Ii cab I e
I. Zoning Ordinance Compl i.1mce: Zone t{~-VJJ9t )
2. Subdivision Ordinance Compl iance " ,( )
3. Requi red Access ( )
4. Building Site' (Area, W'id'th, Frontage) ()
5. Other (see' comments) (.)
COMMENTS:
APPL I CANT
DATE
"
No Yes
T) TI 6.
( ) ( )
( ) ( )
( ) ()
( ) ( )
BUILDING INSPECTION DIVISION
PLANNING DIVISION ACTION PENDING: YESt, ) NOt } AP~~I,C~!!.O..N1L
7. Plans Suomitted
8. Soil Stability (footings)
9. Flood ~Iain
10. Other (see ,comments)
'Not
Appli'cable
( )
( \'
( "
( ,
COMMENTS:
WATER POLUTION .CONTROL
Nof
App'jjeasle
(, ;..y
d
II, Meets Department ~f Envir6nmental
Qual i ty Standards.
12. Other (see comments)
COMMENTS: ~. '
-.. ...."
No Yes.
T't1f
(~ n
( ) ( )
( ) ( ).
No Yes
T)n
j
() d
CK'D BY: 7fIlq. ';;7 if...d 1(,
Setbacks from cll of road:
Front 4'~
SiJ:l" Ext::~'::~ ..
Setbacks from interior lines:
Side ~
Rear
7
tRijj By:{'3/1~;i:.3-N.,
, U DATE
CK'D BY:
ZJ"q~ D~;;-IL
TO' APPlICANf:'
, ~~'B'u'fl'd'i;r1'g' (Site Inspection:
( ~ Carl' b~e approveCl: , , '
1~ (), 6tN,'n'of. b'e< app'ro,y'ed:it this time as indicated on item NO, ,ab'ove:
'2/'-t' ~ ci'ues{i~on5' an,!' fu-rth'er i nforniat i on on items , through 6 contact the LANEC:
J, , C6UNT.V:phAi-fiHNC' .D:ili'l'S'I\ON,. ,Q,:,e,5,t ions and further ,i nformat i on on i telTls' 7
, thr,ough'l'2 contact-fhe ,LANE COUNTY BUILDING AND,SANITATION, D.IVISION; , .
( r ~i II be't,e1'd i'ri' ttHs office' until you can ,resolve the problems ,indic:ted:
(') Is being, returned'. ,. ' . "
( ) Your" flui I'd i ng perm it ap-plTC'.fti:on; le'e i sb,e'i n,9 ~~tu~ned unde'r separate cover,
"cPARTMENT OF ttWI RONMENTAL MANAGEMENT
13'5 STxth Avenue East' Eugene Oregon 97401
PHONE: 687-4065' '
LANE :COUNTY PLANN', NG . D I V I S I ON PHONE: '687 -4186
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C55-28,'
C:.' ., ,!~
... ,"'M"
'!)tI"9~4 ?i'e .Let#Nd..
(!tuH.ft41Vf
--.-
P. O. BOX 494
EUGENE. OREGON 97401
PHONE AC 303 688-8661:5'-
.
.
CERTIFICATE OF INSPECTION AND SPECIFICATION
DOUGLAS FIR LUMBER COMPANY
For,: H.om~r, Anderson
#2 & Btr,Rough
2x12 24/20
I, t~e undersig~ed, being an authorized representative of Douglas Fir Lumber Co
do hereby certify the material contained in this shipment to be on or above,
,Of
grade according to the rules contained in WCLIB Rules #16 and that same was
in good condition when loaded.
Signed
Douglas Fir Lumber Co
, RECEIVED
, ,
Bv /1#A._~: I.. ",,-/ /{;J,---
By __
Ar'r\ 2:2 1::J/b
*~
LANE COUNTY
ENVIRONMENTAL MGMT.
LANE COUNTY PERMIT FOK:
PERMIT NO, :.iJ/'''....
,
~
CONSTRUCTION ;J:
o Owner
Homer Andor'$fJll
NAME
MOBILE HOME [] PLAN REVIEW
ZClZ6 In1.md Way
ADDRESS
CHANGE OF OCCUPANCY [ ]
S~rincff9id Cre;~n 72a.,~!,
CITY ZIP CODE PHONE
to Contractor SIlI'lil
NAME
ADDRESS
CITY
ZIP CODE
PHONE
rIA
O,S, Reg. #
Tw;, 10 Range 03 Section
5th ac..d to Fl1bert Grow
Subdivision Lot
n .2.iTax Lot
Code
~ Census Tract
1",', "
33
Bloc~
6
Acreago
Width
Access to Property (Road Name):
IIUI'UIt
nn and Way
Depth
Existing Structures on Property:
Htl
\
Directions to Property, Address:
2026 Inland'Yav,
'STRUCTURE (# BEDROOMS)
Permit fur CarDort
SQ, FT,
2\32 ()2.r.O
VALUATION
$1489.00
, ,
BUILDING - '....J
PLUMBIN(;
3% SURCHARGe
MOBILE HOMF
WASTE D ISPOSA I
PLAN REVIEW
SEWAGE DISPOSAL:
, \
PUBLIC LJ ,SEPTIC TANK [] OTHER [
lS~',
\J\' C I, . \',
1.5 _.~..... I
., '-
PLUMBING INSTALLED BY:
OWNER [] OTHER [J NAMF
WATER SUPPLY: PROPOSED [ ]
"EXISTING []
[ ]
~, []
"\'~'[ ]
'\.'
[ l
PUBLIC
COMMUNITY, NAME:
PRIVATE WELL
OTHER, SPECIFY'
TOTAL
15.46
CONSTRUCTION PERMITS & INSPECTIONS AND WATER POLLUTION CONTROL SPECIFICATIONS
MIN, SEPTIC TANK CAPACITY:
GALS, MIN, DRA~lIELD '" L1N, FT.,
UP; uo not bu1lDlvvcr sewer nil&. -', -...)
MAX, TRENCH DEPTH'
~
INCHES
TYPE OF CONSTRUCTION ;'i;
GROUP
oJ
FIRE ZONC
STAY 100' FROM ALL WELLS
USE CLASSIF,
SETBACKS, FT..F.IjWM CTR, OF rtw:
FRONT ;) SIDE EXT,
:;
FT, FROM PROP, LINE:
SIDE INT, REAR
7'
,,"
ZONC''''
AUTHORIZED SIGNATURES:
Isl ". E. Boss lW tlal'l;lIl1gh
i~"ay for Gray unftnrhms
ISSUANCE DATE:
.'/"/"
~,i "l' (!',
till:}
BLDG. PERMIT - WHITE
OFFICE COPY - WHITE
COUNTY TAX - PINK
PLUMBING - CANARY
BUILDING - GREEN
SANIT A liON - GOLDENROD
IMPORTANT:
Call 687-4065 to schedule all required construction inspections. Call 687-406~ to schedule all required
septic system inspections. All construciion 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 oc,:upied., . .... , .
. ~ (See Details on Reverse Side) '\
'. .... ~ - .~
,
(POST THIS PERMIT ON MAIN BLDG. AT SITE)
C5S.13
LANE COUNTY. DEPT, OF ENVIRONMENTAL MANAGEMENT
COURTHOUSE ANNEX, 135 EAST 6th, EUGENE, OREGON 97401.____
. ~i
APPLICATION FOR:
NOTE: ,NO PERMIT WILL BE ISSUED UNTIL THIS APPLICATION HAS
PERMIT If :=r 0 7-7 (;
BEEN APPROVED
CONSTRUCTION . [2T .
MOBILE HOME c=J
PLAN REVIEW c=J'
CHANGE OF OCCUPANCY 'c=J
Name
- , ;;{ D,';; t, -r2J'- ..J?t..o""7' In...;;:: fa.. , 'f7'1i7 :::77c'.O/9,;t.
Address . City I jilp' Phone' .
0.5. REG. # ----
Twp.~pJ"nge t'J 3 Section .//. ;;,.':2" Tax Lot
Subd~Sion:.J ' d.:....y-:)l,L. ,. ' Lot 3_=3, Block_t.
ACCESS TO PROPERTY (Road Nam~)~A....L.-._'... ~ I~ <<--<-L
Exis,ting Structures on Property: ~ ~ _ .
..2., 01 ;; < 12.../~~
- /
/
.-' Below fo r Off ice. Us e' Onl vXXXXXXXXXXXXXXXXXXXXXXXXXXXXJ9CXXXXXXJQP'XxxxXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
'~c~it/Uk) I,:t:-l,} ;l.yo IIBedrooms /:/frt:;~ t ()
I ' <-<;r.'''?7) (b'1 ___ / ./ '
/
/
\ Existing sef:a e Disposal' sy~tem ~
Public [=::J ,
t~~r I Community J'"" I Name of
"-"UMBING:
I: '5 taIled
~~
'L/c . ~.-eA / ~/p. ~
OWNER
CJ
.-2~
'1---
CONTRACTOR
Name
Address
Property Location - Address/Direc~ions:
SEWAGE DISPOSAL:
Site Inspection #
WATER SUPPLY:
Well
Spring, _
FEES:
[=::J
-
Other ".[=::J Name
Bldg.
Plumbing
3 % Surcharge
Waste Disp.
Plan Review
/0: ao
P:OOING
it of Fixtures
t./,<:'"
J
[=::J CASH
.~'
City
Zip
Phone
Code'
Tract
17-/rc
Width______Depth
/A/'J...
.-fd
or New System Required c====J
Conununity or Public: System .b'~..
',J-r
Sewage
Co~nection
Water
Connection
Mobile Home
PLANS, FUFJ:hsHED
FACILITY PERMIT
I2::J YES' c=:J NO CJ YES ~ NO
Sign~ture'of, APPlica.nt):~ ~4-( ~_a,:._...,~~ ~
,Fee R~cei~ed'BY~_~ ~ ,Date:.;2-.,2,?~ U
, .
TOTAL
/ 6': q,~.,
Min.
Septic Tank Capacity
. %-k. - M ,...,.ILfd- Ou.~
Drainfield
Required - Lineal.
kJ.~
~
, /'
Type of 'Construction ~ It!
, _ Group 'J
Fire Zone
Bldg.'Setbacks - from Center ot
Front- ([;(...- Sb:lt:: _Ul~.
, -
'" ,
Road ,Right of Way:
'~
~'
Side Exterior
Feet
Maximum Dep.th
-Pf~
fl, __ '
Use ,Classification
Rear
~
^;g '-/71 kf
< Zone
~AJt: -;-7 --J- ffi--7 (,
'4~~#:~~ ~-)'-;1: m~tlt 3_JJ7Z,TE:
COUNTY DEPARTMENT (fF ENVIRONME~L'~NAGJENT ' ,
DATE:
(55-12
LANE