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Home My WebLink AboutPermit Building 1976-3-23 c " ~....t ), \ CONSTRUCTION ['Of] MOBILE HOME [] PLAN REVIEW [] CHANGE OF OCCUPANCY [ I LANE COUNTY PERMIT FOR I PERM IT NO 486-76 "- I DOwner Tim D. Hooton NAME Rt. 1 Box 424 Springfield, Oregon ADDRESS CITY 747-7105 ZIP CODE PHONE o Contractor NAME ADDRESS CITY ZIP CODE PHONE OS Reg # Twn 16 Range 02 Section 06.1. Jrax Lot 9600 Codp 19-02 Census Tract SubdiVISion Douglas Garder~ot J Block 17 Acreage 1(2 Width Access to Property (Road Name) Jasper Road Depth EXisting Structures on Property house, garage, utility porch, chicken coop Directions to Property Address Jasper road third house on south side just past Laurel Ave. STRUCTURE 1# BEDROOMSI Foundation under garage SQ FT VALUATION 408.00 SEWAGE DISPOSAL PUBLIC [] SEPTIC TANK [ 5.00 OTHER [ ] PLUMBING INSTALLED BY OWNER [] OTHER [] NAM" WATER SUPPLY PROPOSED [ ] EXISTING [] [ ] PUBLIC [ ] COMMUNITY NAME [ ] PRIVATE WELL [ ] OTHER SPECIFY BUILDING PLUMBING 3% SURCHARG<' MOBILE HOMF WASTE DISPOSAL PLAN REVIEW .15 TOTAL 5.15 CONSTRUCTION PERMITS & INSPECTIONS AND WATER POLLUTION CONTROL SPECIFICATIONS MIN SEPTIC TANK CAPACITY GALS MIN DRAINFIELD L1N FT MAX TRENCH DEPTH INCHES TYPE OF CONSTRUCTION "" GROUP T FIRE ZONE STA Y 100' FROM ALL WELLS USE CLASSIF SETBACKS FT FROM CTR OF r/W FRONT SIDE EXT FT FROM PROP LINE SIDE INT REAR ZON<' AUTHORIZED SIGNATURES Isl ISSUANCE DATE J.E. Boss IHarbau2h 3-23-76 bD SLOG PERMIT - WHITE OFFICE COpy - WHITE COUNTY TAX - PINK PLUMBING - CANARY BUILDING - GREEN SANITATION - GOLDENROD IMPORTANT Call 6874065 to schedule all reqUired construction InspectIOns Call 6874061 to schedule all reqUired septic system inspections All construction shall comply With the Slate BUldlmg Code 0 E Q standards for subsurface sewage disposal and the Slate Plumbing Code All bUildings reqUire a certificate of occupancy before being occupied (See Delalls on Reverse Side) (POST THIS PERMIT ON MAIN SLDG AT SITE) C5513 LANE COUNTY DEPT OF ENVIRONMENTAL MANAGEMENT COURTHOUSE ANNEX 135 EAST 61h EUGENE OREGON 97401 i J -J - _ .....' . - _ _ . ., i'\ tc= o <;;= II' (l:> - - - -1-. .-.-. -. - ~-~~~~. -. -') .r ~'-I~ II ~~ r---, f 0 } p' j..: ~ - ~ .J: : (j) - ~ \..../ ~r JJ 166 I, ~ 70~ ~L> - .. ,. .---' . ' LANE COUNTY PERMIT FOR: PERMIT NO, , t;ONSTRUCTION [] MOBILE HOME [] PLAN REVIEW [] CHANGE OF OCCUPANCY [ ] DOwner NAME ADDRESS CITY ZIP CODE PHONE o Contractor NAME ADD R ESS CITY ZIP CODE PHONE O,S, Reg, # Twr Range Sect ion Tax Lot Codp Census Tract SubdivisiDr, Lot Block Acreage Width Access to Property (Road Name): Depth Existing Structures on Property' Directions to Property, Address: STRUCTURE (# BEDROOMSI SQ, FT, VALUATION SEWAGE DISPOSAL: PUBLIC [J SEPTIC TANK [ BUILDING PLUMBING 3% SURCHARGI' MOBILE HOMI' WASTE DISPOSAl PLAN REVIEW OTHER [ I PLUMBING INSTALLED BY: OWNER [J OTHER [J NAMI' WATER SUPPL Y: PROPOSED [ J EXISTING [J [ J PUBLIC [ ] COMMUNITY, NAME: [ ] PRIVATE WELL [ J OTHER, SPECIFY' TOTAL CONSTRUCTION PERMITS & INSPECTIONS AND WATER POLLUTION CONTROL SPECIFICATIONS MIN, SEPTIC TANK CAPACITY: GALS MIN,DRAINFIELD L1N, FT, MAX, TRENCH DEPTH INCHES TYPE OF CONSTRUCTION GROUP FIRE ZONF STAY 100' FROM ALL WELLS USE CLASSIF, SETBACKS, FT, FROM CTR, OF rlW: FRONT SIDE EXT, FT, FROM PROP, LINE: SIDE INT, REAR ZONI' AUTHORIZED SIGNATURES: /s/ ISSUANCE DATE: BLDG. PERMIT - WHITE OFFICE COpy - WHITE COUNTY TAX - PINK PLUMBING - CANARY BUILDING - GREEN SANIT A nON - 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 lhe Slate Buidling Ccx:le, D.E.C. standards for subsurface sewage disposal and the Slate Plumbing Code. All buildings require a certificate 01 occupancy before being occupied. (See Details on Reverse Side) (POST THIS PERMIT ON MAIN BLOG, AT SITE) LANE COUNTY, DEPT. OF ENVIRONMENTAL MANAGEMENT COURTHOUSE ANNEX, 135 EAST 6th, EUGENE, OREGON 97401 C!5!5.13 SITE INSPECTION ApPROVED Cl DISAPPROVED Cl DATE REMARKS FOUNDATION INSPECTION co ~, , INSPECTOR ApPROVED L-! REMARKS a;li' DISAPPROVED L-/ DATE, hi INSPECTOR ~~';J, ,of~<< <<. d "'-;;z;,z ~ () .&'<:'C---L-f;'.. ---O,N-rff'':-'7' #.t..ytQ{(tr/t::'('-z', ,,"f-Z-.>-76 I . ~ F ~!I ,FRAMING INSPECTION ApPROVED / / DISAPPROVED 17 DATE REMARKS LATH OR SHEETROCK INSPECTION ApPROVED! ! DISAPPROVED ~ DATE REMARK 5 / FINAL INSPECTI~ ApPROVED Jjz:j DISAPPROVED / / ,., )')J' DATE} " I; /!p REMARKS CERTIFICATE OF OCCUPANCY READY TO ISSUE / I NOT READY TO ISSUE Cl DATE ReMARKS ~ INSPECTOR INSPECTOR - j I NSPECTfIf (L~ I , ' .- INSPECTOR AI' , cH- ISSUED UNTIL THIS A~LIcA'nON PERMIT fff!?6-&? ,,,,S BEEN APPROVED NOTE' NO PERMIT WILL APPLICATION FOR CONSTRUCTION c::xJ MOBILE HOME OWNER T;'W\ D. ~U,-k" \ ~ Name CONTRACTOR CJ PLAN REVnW c::=J C1UU,GE OF OCCUPANCY [:=J R+ .i 1h X 4~t.{ c~FflJ q 7'-/17 7'-11,7/0,,\ Address Zip Phone Address Cl.ty l1p Phone c. :: ~p ~ Rank:>;-' ~t::' 6. CO) I /. T~ Lot ~ ~D~cte \C{;6' ~census Tract -,n' ~ ~ I I Subd1vis1On Dr.U{\I<<.. <bClr(X(1'l<; Lot ~ Block Ii'[ Property 7Acreage Ij;} Widtbq(,.lS~DePth ;:;)6-0.r. u n ~ I' ACCESS TO PROPERTY (Road Name) 1'"a.<;T,,'r 'Rei.. -Q,,~ I '. . ho..se. Ilttr1.c\\e~ (Vi.'(0Ji-l& {,\-t$.lc~ect~td,t~;)fJv-rL ,dllCke"A (CIlQ I ~t \YJk lMJ I ,., I V .+.,I':J J ---'- ) ,\ c. Property Locat~on - Address/Dl.rect1Ons ~_ ~ ~~ (J 'i 'i ~ Y iV'! ~FY". , - , 3r rl 11 rrr)~ A11. S e-rq.'fh SI d;!~/: ' \.0 SPfJ r-:-& cL , + 5 ~/k~/~. Below fo r 0 f f ic e Use On!XXXXXXXXxxxxxxxxXXXXXXY','r'r'r~r'rYY'r'r'rxxxxxxxxxxXxZXXXXXXXXXXXiixxxX~xxxixxXxxxXXXXXXXXXXXX ~~ i ~ ,~ \ S_q Ft I ffBedrooms Valu~ti5m C- ~ C>~ ~>--- \...~ ",,$" UV'-('\..(J'--' C\nmq.O~ '-In!) .- tY " \.1 $ ;.' t:;KJ [=:J Name EX1stl.ng Structures on Property SEWAGE DISPOSAL Site Inspection # WATER SUPPLY Well Spn.ng _ FEES Bldg Plumbing 3 % Surcharge Waste Disp Plan Review Mobile Home ,c:; -- I ItS TOTAL 5,/~ Min Septic Tank Capacity I , , II EXlst1ng Sewage Dlsposal System publ1/ c=J Commwuty c=J J " c=J or New System Required c====J Name of Community or Public System Oth r ) PLm;\BING Insblled by ~n " II , PLOOING Fj; 1 I ~ I / 1 ~ oJ' ~/l L---i CHECK Other c====J Name Sewage Connection Water Connection FACILITY PERMIT PLANS FURNISHED ~ c=J NO ~YES ~ ~}J )/O;~ Date 3-/7- ,Y.-h Signature of Appllcant Fee Rece1ved By ,~.",~~ '--'-- Drainfield Requ1red - L1neal Feet Maximum Depth Type of Construction .J /( f Group ~ '7 'f- Fire Zone Use Class1ficat1on Front Side In t Bldg Setbacks - from Center of Road R1ght of Way Zone PIANNING DATE S1de Exter10r Rear SANITATION DATE /J.- BUIWING /),1 ~ DAT~ / If,1[) ~).(./ ~ c ~ L ';2. , P &I ENVIRONMENTfi ~NAGEME'T (55 12 LANE COUNTY DEPARTMENT OF