HomeMy WebLinkAboutPermit Building 1976-8-10
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. LANE COUNTY PERMIT FOR: .
PERMIT NO. 1:'/:,.7;,
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CONSTRUCTION [:(] MOBILE HOME [] PLAN REVIEW [] CHANGE OF OCCUPANCY [ ]
o Contractor
Dr I)zn,lis i;cCa),'i'zrty
NAME
D A Ccr~icnc~c Inc
NAME
85G.3
[l::'lcL-,:Oi1d f'(;rry Rd
ADDRESS CITY
Box 2592
ADDRESS CITY
S:Ji'iiPfie1d
ZIP CODE
I"uqene Or2C!on
ZIP CODE
Or:::('O:1 71~;i .1:-:
PHONE
DOwner
3l:,3-.j~~~J
PHONE
O,S, Reg. #
Twn
11
Range
03 Section 1[:,
Tax Lot 900
Codp OOIl-04.
Census Tract
Subdivision
i!A
Lot
Block
Acreage
Width
Access to Property (Road Name)'
DeaCffiono 6firrv Rd
Depth
Existing Structures on Property'
See P1 1:i1
Directions to Property - Address:
GfofP.2 Farm :<d to n~adlji'oncl F~I'TV Rd
STRUCTURE 1# BEDROOMS)
Pr:;yh; for f.cIrlH:'lCi~ J':~r1(1ii1 i1nr.' ::,
"-:"i;,;:;::1inCi :;nv'lllC raritions
SO, FT.
L it 'I nc' I<oo;n
f:~t. Cas'\:
VALUATION
S2'tOOiJ
SEWAGE DISPOSAL:
PUBLIC [] SEPTIC TANK [] OTHER [ I
BUILDING lOfJ.ll1
PLUMBING
3% SURCHARGF ::;.'JI!
MOBILE HOM~
WASTE DISPOSAL
PLAN REVIEW
PLUMBING INSTALLED BY:
OWNER I 1 OTHER I I NAMF
, 0'
WATER SUPPLY: PROPOSED [ ]
EXISTING [J
[ ] PUBLIC
[ ] COMMUNITY 0 NAME:
[ ] PRIVATE WELL
[ ) OTHER - SPECIFY:
TOTAL
111. ~r,
CONSTRUCTION PERMITS & INSPECTIONS AND WATER POLLUTION CONTROL SPECIFICATIONS
MIN. SEPTIC TANK CAPACITY:
GALS. MIN. DRAINFIELD L1N, FT, MAX. TRENCH DEPTH INCHES
":1 t):l~""i' nr tit3 f2:'! cC::1~~:~ur..i:inn i:n 'lP n"R1' nnv J:"nrt. nf pr,,, n,d c:{-';;-;n ~r:.l;-.tlt:'\ rH r.:rn~ 0:;"
- ,
f)VfJ~:C;:I:
TYPE OF CONSTRUCTION
,""
:11_
GROUP
i ;;.,1
FIRE ZON~
STAY 100' FROM ALL WELLS
< USE CLASSIF, 1"~.
SETBACKS - FT, FROM CTR, OF rfW:
FRONT Jll SIDE EXT,
FT. FROM PROP, LINE:
SIDE INT. Hi' REAR 20'
ZON~
~~T
AUTHORIZED SIGNATURES:
Is/ J. E. ~OGS oy r~~1 ~ SO~
ISSUANCE DATE:
JC;l~ Crt:ic~sl1,n:(/Silil1t&i"i l'il ,,/1317'.
.:1
BLDG. PERMIT - WHITE
OFFICE COPY - WHITE
COUNTY TAX - PINK
PLUMBING - CANARY
BUILDING - GREEN
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.a. 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)
c~~.' 3
LANE COUNTY. DEPT. OF ENVIRONMENTAL MANAGEMENT
COURTHOUSE ANNEX, 135 EAST 6th, EUGENE. OREGON 97401
&}f;c:
(POST THIS PERMIT ON MAIN BLDG. AT SITE)
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ENVIRONMENTAL MANAGEMENT.
135 East 6th Avenue
Eugene, Oregon 97401
Mail i ng
Date: . t1t1!, /0
BUILDING Ii( MOBILE HOME: j j APPLICATION NO. '17(, -7~
Your application for a permit is. being held for the reasons stated on the building site
evaluation sheet. This additional information is needed for the issuance of your permit;
we will hold this application until-'lu....a..2" . If, at that time, you have not
furnished the required information ~~/d 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 (Phone: 687-4394)
We hope your early attention to this matter will help us to facilitate issuing the
permit in question.
M74-134
"5tlt~1 ,-J
BUJ.LDIN6' SITE EVALUATION . _" .-
~JLDING PERMIT APPLICATION No.J.J..16-7b
() SITE INSPECTION
PLANNING DIVISION Not
. ~~-.l.i cable
I . Zon i ng 0 rd i nance Comp I i ance: Zo"'IJI'I I ()
2. Subdivision Ordinance Compliance ( )
3. Requi red Access ( )
4. Building Site (Area, Width, Frontage) ()
5. Other (see comments) ( )
COMMENTS:
~UB~~.:O.'S s_/4- TAX LOT 9LD
LOT: BLOCK:
APPL I CANT
DATE
/
CK'D ~ ~~-7~
Setbacks~rOm c/I of r~a~)
Front 5U
No
T) 6.
( ) ( )
( )
( )
( )
...:: 1.:.. B........ ;....
Setbacks from
Side
Rear
Inter i or I ~nes:
IS'
,.,,') ,
PLANNING DIVISION ACTION PENDING: YESl ) NOl ) APPLICATION#
BUILDING INSPECTION DIVISION
Not
Appl icable
l )
m
7. Plans Submitted
8. Soil Stability (footings)
9. Flood Plain
10. Other (see comments)
COMMENTS:
No Yes
T)W
( ) ( )
( ) ( )
( ) ( )
CK'D BY~~J..v/)P./f.oJ:.G
DATE
WATER POLUTION CONTROL Not
Appl icable No ~
II. Meets Department of Envl ronmental' () T) ~
0.011., S,",d"d,. 'fJ..I4fJ Ii
1:~HH::::: (see comme:,s!A I< a~ r,~,. 4AAL~-:~~) ~ ~ d_'~ ::~:Y: \ 'lJ DA ~
! J1.I~""~", 'f-:..J__ /,'J fl~"J .~~""'- a.~""oI)4'
f_~"'J_ l"<.....f:,,,v J/ /lJ?5--..i)~_4_,_'ll.
~ ) -'J---7
~
TO APPLICANT:
Your Building I Site Inspection:
V , Jvr Can be approved.
QtI fII-1() Cannot be approved at this time as indicated on item NO. above.
(\1 Questions and further information on items I through 6 contact the LANE-
\' 1 COUNTY PLANNING DIVISION. Questions and further information on items 7
rl I through 12 contact the LANE COUNTY BUILDING AND SANITATION DIVISION.
~ ( ) Will be held in this office until you can resolve the problems indicated.
( ) Is being returned.
( ) Your building permit ap'olication fee is beingret~rn~d under separatp. cover.
DEPARTMENT O~ ENVIRONMENTAL HANAG~MtNI
135 Sixth Avenue East Eugene Oregon 97401
PHONE: 687-4065
LANE COUNTY PLANNING DIVISION PHONE: 687-4186
CSS-28
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. LANE COUNTY PERMIT FOR: .
f.
PERMIT NO,
CONSTRUCTION H MOBILE HOME [] PLAN REVIEW [] CHANGE OF OCCUPANCY [ ]
DOwner
NAME
ADDRESS
CITY
ZIP CODE
PHONJ (
/'
PHONE
o Contractor
NAME
ADDRESS
CITY
ZIP CODE
O,S, Reg, #
Twn
Range
Section
Tax Lot
Code
Census Tract
Subdivision
Lot
Blocv
Acreago
Width
"-',~ .-
Access to Property (Road Name):
Existih(; Structures on Property:
\,. ~..
Depth
Directions to Property - Address:
..,
STRUCTURE (# BEDROOMS!.
. , ('. ~
SQ. FT.
VALUATION
SEWAGE DISPOSAL:
PUBLIC [J SEPTIC TANK I
BUILDING
PLUMBING
3% SURCHARGo
MOBILE HOMF
WASTE DISPOSAl
PLAN REVIEW
OTHER [ ]
PLUMBING INSTALLED BY:
OWNER I I OTHER I 1 NAMF
WATER SUPPLY: PROPOSED [ )
EXISTING [J
[ ] PUBLIC
[ ] COMMUNITY - NAME:
[ ] PRIVATE WELL
[ ] 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 ZONO
STAY 100' FROM ALL WELLS
USE C LASSI F,
SETBACKS. FT, FROM CTR, OF rN!:
FRONT SIDE EXT,
FT. FROM PROP, LINE:
SIDE INT, REAR
ZONF
AUTHORIZED SIGNATURES:
/s/ 0
ISSUANCE DATE:
BLDG. PERMIT - WHITE
OFFICE COPY - WHITE
COUNTY TAX - PINK
PLUMBING - CANARY
BUILDING - GREEN
SANITATION - GOLDENROD
IMPORTANT:
Call 687-4065 to schedule all required construction inspections. Calt 687-4061 to schedule all required
septic system inspections. All construction shall comply with the Slate Buidling Code, D.E.O. standards
for subsurlace sewage disposal and the Slate 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)
Ci55.13
LANE COUNTY, DEPT, OF ENVIRONMENTAL MANAGEMENT
COURTHOUSE ANNEX, 135 EAST 6th, EUGENE, OREGON 97401
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SITE I NSPECTI ON
APPROVED.c; DISAPPROVED.c; DATE
INSPECTOR
REMARKS
FOUNDATION INSPECTION
ApPROVED 1--/ 01 SAPPROVED 1--/ DATE
INSPECTOR
REMARKS
FD.1?~.s
OK':
..?/~ //:::>6 __~_
,
-
~
FRAMING INSPECTION
ApPROVED Cl 01 SAPPRQVEO .c; DATE
INSPECTOR' .
REMARKS
LATH OR SHEETROCK INSPECTION
ApPROVEO .[:><1.... DISAPPROVED L-/ DATE //J. ].t).1~ INSPECTOR ~
REMARKS
FINAL INSPECTION
ApPROVED P DISAPPROVED .c;
REMARKS
DATE /_/7-7? INSPECTOR
9&L.
pi
CERTIFICATE OF OCCUPANCY
READY TO ISSUE / / NOT READY TO ISSUE L:::7 DATE
INSPECTOR
REMARK S