HomeMy WebLinkAboutPermit Building 1976-3-4 (2)
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__ LANE COUNTY PERMIT FOR: e
PERMIT No~.32-76
CONSTRUCTION [Xl MOBILE HOME
DOwner ;<cnneth L Aljxi:::r
NAME
o Contractor Same
NAME
O.S. Reg. # NA
Two, 1U Range 2
1 st foieadow Green
Subdivision
[l PLAN REVIEW
1146 Dondea
ADDRESS
CHANGE OF OCCUPANCY [ 1
Spri ngfi e 1 d Oregon 747 -694.;
CITY ZIP CODE PHONE
ADDRESS
CITY
ZIP CODE
PHONE
Section
Est
Lot
l>,i4ax Lot
17
Bloc~
12200
1
Code
Census Tract
Acreage
_ Width
Access to Property (Road Name)'
Dondea
Depth
Existing Structures on Property:
Dvle11 in~
1146 Dondea
Directions to Property - Address:
STRUCTURE 1# BEDROOMS)
!lrlrlition R",rlrnom ,,,/1 I ivinn Rn
SQ. FT.
?Hllil 1'" 1n
VALUATION
~'.l'.lR1 nn
SEWAGE DISPOSAL:
PUBLIC I] SEPTIC TANK [
OTHER [ I
PLUMBING INSTALLED BY:
OWNER I) OTHER I I ^IAIV1~
WATER SUPPLY: PROPOSED [ ]
EXISTING [J
[ ] PUBLIC
[ ] COMMUNITY - NAME:
[ ] PRIVATE WELL
[ ] OTHER - SPECIFY:
BUILDINr,
PLUMBING
3% SURCHARGF
MOBILE HOMF
WASTE DISPOSAl
PLAN REVIEW
?Q nn
QA
TOTAL
?Q QA
CONSTRUCTION PERMITS & INSPECTIONS AND WATER POLLUTION CONTROL SPECIFICATIONS
MIN. SEPTIC TANK CAPACITY:
GALS. MIN. DRAINFIELD L1N. FT. MAX. TRENCH DEPTH INCHES
nJ( R~c:t\rl nn nln+ nl ~n cllnmof+-+otf
TYPE OF CONSTRUCTION !iN
GROUP
r
FIRE ZONE
STAY 100' FROM ALL WELLS
USE CLASSIF.
SETBACKS - FT. FROM CTR. OF rlW:
FRONT 61 SIDE EXT. S 7'oue
FT. FROM PROP. LINE:
SIDE INT.N !'i I REAR
In'PIIEzONF PI!
AUTHORIZED SIGNATURES:
/s/ .1, I'" Rn~~ Iw U~..h"nhh
~f(~" ~I"ttl'l r.:""!\uJr~..."+!'O""""'",,
ISSUANCE DATE:
3/4/76 dlm
-.... _.-.
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 Stale 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)
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(POST THIS PERMIT ON MAIN BLDG. AT SITE)
C55.13
LANE COUNTY, DEPT. OF ENVIRONMENTAL MANAGEMENT
COURTHOUSE ANNEX. 135 EAST 6th, EUGENE, OREGON 97401
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Use 'Only:
Approved: System Installation ConfoI'1lls to Current St,lndards
o DisaPl'roved: Does Not Conform to CUrrent St.andards
Remarks: ._ __ .-"'""t!
I<z. 7 -?-
S iqr.a ture
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Date:
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.sanita~c:n Dept.
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Bl1IL~~~'G SITE EVALUATION _ eJ!\J-! CAlf'
~ BUILDING PERMIT APPLICATION NO. 3~2 -7.(.
() SITE INSPECTION
PLANNING OIVISION Not
Appl icable
1, Zon i ng Ord i nance Comp Ii ance: Zone (.{ 1-' ( )
2, Subdivision Ordinance Compliance ., I ()
3, Required Access ( )
4. Building Site (Area, Width, Frontage) ()
5. Other (see comments) ( )
COMMENTS:
T 17. ()J, S f,./,3 TAX LOT /.2 ~
SUBOIVIS .
LOT: BLOCK:
APPL I CANT
DATE
No X9l
\) () 6.
( ) ( )
( ) ( )
( ) ( )
( ) <1)
PLANNING DIVISION ACTION PENDING: YESl ) NOl ) APPLICATIO~
BUILDING INSPECTION DIVISION
Not
Applicable
( )
( )
( )
( )
7. Plans Submitted
8. Soil Stability (footings)
9. Flood Plain
10, Other (see comments)
COMMENTS:
WATER POLUTION CONTROL
Not
Applicable
<..-Y .
( )
11. Meets Department of Environmental
Quality Standards.
12. Other (see comments)
COMMENTS:
r) tR
() n
( ) ( )
( ) ( )
No Yes
\) TI
( ) ( )
CK'D BY: ~.}.. 7rht-1. 7 L
Setbacks from ell of road:
Front (, I
Side Exterior 7 r.f'k~
Setbacks from Interior lines:
Side J)"
Rear /6 I PinE'
CK'D Bd:!]1I
3,' '3- 'II.,
DATE
CK'D BY: Y1'Y\~
U 0
'3 ~3~1 '-
DATE
TO APPLI CANT:
Your Building I Site Inspection:
~ M Can be approved.
;) () Cannot be approved at th i s time as I nd i cated on i tern NO. above.
~~~(~ Questions and further information on items 1 through 6 contact the LANE-
:7 COUNTY PLANNING DIVISION. Questions and further Information on items 7
, 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 bulld~'permit ap'plication fee Is beinq returned under separate cove~_
vEPARTMENT OF ENVIRONMENTAL MANAGEMENT
135 Sixth Avenue East Eugene Oregon 97401
PHONE: 687-4065
LANE COUNTY PLANNING OIVISION PHONE: 687-4186
~ C55-28
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. LANE COUNTY ~ERMIT FOR: .
PERMIT NOt,',',;"
CONSTRUCTION [ill
MOBILE HOME
I
[ ]
we
L ~....
PLAN:REVIEW
r"'r"~~
l;.~ .,_,.0
J CHANGE OF OCCUPANCY [ ]
Sl"ri:l:JY~r.~O '):rcC3;) b'"J. :i,,':
CITY ZIP CODE PHONE
DOwner' tt::;:::Jill Q. t\~)1~O"
'0 Contractor
NAME
0.r-~Y)
....'-.,.....
ADDRESS
~.S. Reg. #
NAME
~!A
ADD R ESS
CITY
ZIP CODE
PHONE
Twn
!J
~n~
Range ;2
::'C(:~1 {j~Cl1
Sect ion
~n"l:
Lot
1:' · "
.. 'Tax Lot
l22CJ
Code
Census Tract
Subdivision
17
Bloc~
Cone:!!)
l
Acreagp
Width
Access to Property (Road Name):
Existing Stru~ture's~on Property:
Depth
,
.'
~
r~';;.11 i 1qJ
."\1 .
Directions tD Property - Address:
1100 CCiJ('::21:l
STRUCTURE 1# BEDROOMS)
~r' .\^ c." ""-'I" ~('f~m"
Ih..,lll>\~',.."," 1'\ ,~_ I ~J..j
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O~~OQ.L~~_ \
.--"...........) ...\,\. N~~ - ~
SO. FT.
2W Q ~6. ~3
VALUATION
- ':;~: '; ..,:. ~
,,-,
. ,
SEWAGE DISPOSAL:
PUBLIC [] SEPTIC TANK [
OTHER [
PLUMBING INSTALLED BY:
OWNER I 1 OTHER I I "'AME
BUILDING
PLUMBING
3% SURCHARGF
MOBILE HOMF
WASTE DISPOSAl
PLAN REVIEW
~: ~A( < I
J:,1
WATER SUPPLY: PROPOSED [ I
EXISTING [J
[ ] PUBLIC
[ ] COMMUNITY - NAME:
[ ] PRIVATE WELL
[ ] OTHER - SPECIFY'
TOTAL
':)("1 -,.,
,-tll..".'-.'\.
11
"
CONSTRUCTION PERMITS & INSPECTIONS AND WATER POLLUTION CONTROL SPECIFICATIONS
MIN. SEPTIC TANK CAPACITY:
GALS. MIN.DR'AiNFIELD L1N. FT. MAX. TRENCH DEPTH INCHES
';!( !J..:;.):::J GR D]O\; r,1/:;] St.:to1C~O(1
.
'i(~~
TYPE OF CONSTRUCTION
",;j
GROUP
a
FIRE ZON"
. ,__;., J'ST:AY 100' FROM ALL WELLS
f" "\
USE CLASSIF. '
~h it
". ..
SETBACKS - FT.:F.IROM CTR. OF rlW:
FRONT " SIDE EXT. I) i"pu:;;}
FT. FROM.PROP. LINE:
SIDE INT.:'J J' REAR
l>i '
"(\t -:-. '1" I- 1 "1\
· .. "--ZONF' ,,'
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BLDG. PERMIT - WHITE
OFFICE COPY - WHITE
COUNTY TAX - PINK
PLUMBING - CANARY
BUILDING - GREEN
SANIT A liON - GOLDENROD
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'>-'~"'~'/ <7,.,,,, (,~,.;I""~.,,,..-.~[.. ,.j
1\ ,....-",.\ (,,,:[ !'.r,t _vl~:..J.J44l~.t" I.,:' ..\0-
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II 687-4065 to schedule.all_'requir construction inspections, all 87-4 1 to schedule all requ red
septic system inspections. All c'onslruction shall comply with the State Buidling Code, D.E.a. standards
IMPOR~ANT: for.subsurface sewage aisposal and the State Plumbing Code. All buildings require a cerUflcate of
occuPc;.~cYbefC!re~ingoccupied. ,"",', 1...''-" "\.':
" (See Details'on Reverse Side) ~ '\
/ " " !
t,t". t . .
ISSUANCE DATE:
~A~/~
1/'\ f"
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A..
AUTHORIZED SIGNATURES:
, .. I' ...,' _, N-.
/s/ ~J. i.~. .}):}O l}f ..On,jG~:.lrJ
......:j.
(POST THIS PERMIT ON MAIN BLDG. AT SITE)
C55.13
LANE COUNTY. DEPT. OF ENVIRONMENTAL MANAGEMENT
COURTHOUSE ANNEX. 135 EAST 6th. EUGENE. OREGON 97401
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SITE I NSPECT I ON
ApPROVED Cl OISAPPROVED Cl DATE
INSPECTOR
REMARKS
FOUNDATION INSPECTION
ApPROVED 1/ Dtz:1SAPP, OVEO ~I /}'."
REMARKS tf) /( 11 ~/,}~--u
/
I
I NSPECT.?,,!O.
" " 1 fl-'Y" k:
-
0h
FRAMING INSPECTION
ApPROVED m DISAPPROVED I I
. ()
DATE. 1(.- J-~ J 1~lf/tf6R
t3./
REMARKS
LATH OR SHEETROCK INSPECTION
/'
ApPROVED ~I DI SAPPROVEO
1/ DATE Iv -J-
iJ
~~ INSPECTO~
//).' J
(<./ -----/
REMARKS
FINAL INSPECTION
/' )/1
o",~-J-7 y,.,,,,/ If! tV
ApPROVED ~ DISAPPROVED .c7
REMARKS
CERTIFICATE OF OCCUPANCY
READY TO ISSUE / / NOT READY TO ISSUE Cl DATE
INSPECTOR
REMARK 5
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$;;:<-'Jt:--~ il-
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. .. PERMIT fl;33.,,)-;?..t
NO PERMIT WIL ISSUED UNTIL THIS APPLICATIO~ BEEN APPROVED
NOTE:
APPLICATION FOR:
CONSTRUCTION ~
MOBILE HOME CJ
l, A l),'JI-1 ER.. J 14.~
PLAN REVIEW
CJ
CHANGE OF OCCUPANCY c=J
fXl
OWNER KEAJN En\
Name
.- .
Address
DOfJ"DYt S {J RIIJ6-I'::JE-1.. D en '177
City '7
City ,/ Zip
Census Tract
7l../7-1o 9 L{o
Phone
.,
[=:J
CONTRACTOR
Name
Address
Phone
O.S, REG, 0
-
/~
Twp. J gRange:.J Section fu , I.. '3 Tax Lot Code //
Subdiviaioni tr Al-l, f'\EA1<JW (q.tEG.IJ [~ot / "7 Block I prop-.~ Acreage
ACCESS TO PROPERTY (Road Name) T\(}0DEPt //
Existing Structures on Property: "RES, DE:~ ,#&
/14(, 7)owTJE-Ef
/
/
Width______Depth
Property Location - Address/Directions:
Below for Office Use OnlYXXXXXXXXXXXXXX~xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx
....-,/l/}. /!J /I . o. h Sq, Ft. @/t,to O"d50~ Valuation
~~-/~ ~f/Vl1"rbt.J ~/tJ '-7) ~lKJ;()iJ
/ . ,/ /
if .1
W k
,0
~lS~~g Sewage Disposal System
V Public ~
Other Comm.unit~
f'
SEWAGE DISPOSAL:
Site Inspection n
WATER SUPPLY:
Well
Spring
~ or New System Required CJ
~e of Community or Public System ~
Bldg,
Plumbing
3% Surcharge
Waste Dlsp.
Plan Review
Mobile Home
;l1r.oD
PLUMBING:
Installed by Owner ~
Other ~ Name
FEES:
.?"(/
,
PLUMBING FEES:
~f Fixtures
Sewage
Connection
Water
Connection
PLANS FURNISHED
FACILITY PERMIT
TOTAL ~ oJ"
~
CHECK
'tx:::'l YES [=:J NO ../ q A YES ~ NO
Signature of APPlican~ 1. (~~(~
Fee Received By:;j)t g C' _ ~ Date: _"!? -.J - 71':.
Min. Septic Tank Capacity
f)f /,,,,-, d dh- Iff
Drainfield Required - Lineal Feet
"-''''-- ....."".~...:..~~
,
Maximum Depth
Type of Construction
'"
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15 "Iv'"
Group
I
Fire Zone
Use Classification
Bldg Setbacks -
Front~
from ~er of Ro~ght of Way: S~f
Side Int. 1.1 ~I Side Exterior 7 jJJ(6RearAflJt &
Zone
eA-
PLANNING:
\ · r{J4
Y II
'1/~ ,1"
DATE:
SANITATION: DATE:/!:.. . BUIj}DI,Naf )/} ~ D).lE:'
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COUNTY DEPARlMENT OF ENVIRONMEN "-L MANAGEME~T
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LANE