HomeMy WebLinkAboutPermit Building 1976-7-22 (2)
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_ LANE COUNTY PERMIT FOR: .'
PERMIT NO, 1775..76
.'i.,J
"
CONSTRUCTION [xl MOBILE HOME [] PLAN REVIEW [l CHANGE OF OCCUPANCY [ ]
DOwner
HOtla rd D1 ckens
NAME
3201 Enterorise Road. Cresl~el1
ADDRESS CITY
97426 Aq5-2665
l<P CODE PHONE
XXiD Contractor ~1aster Construction Co. 4150 W. 11th. EUGene 97402
NAME ADDRESS CITY
484-1020
ZIP CODE
PHONE
O,S, Reg, #
Tw~
17
Range . 03
Section_22.4,4Tax Lot
/iRnn _ Code
lq-n3
Census Tract
Subdivision
Lot
Bloc~
Acreago
Width
Access to Property (Road Namel:
r,~"", F"rIll Rn""
Depth
Existing Structures on Property:
Hnll<:p
Directions to Property, Address:
li1 r.:"mP F"rIll Rn~tl 'p"ingi'i..1" n""gnn
STRUCTURE 1# BEDROOMS) SQ, FT,
GCll"am' - NOT TO RF IIC;Fn FOR mMMFRr.TAI PIIRPn"F" RF;4
VALUATION
t4 li7Q ?n
SEWAGE DISPOSAL:
PUBLIC [>i SEPTIC TANK [
OTHER [ ]
PLUMBING INSTALLED BY:
OWNER [l OTHER [] NAMF
WATER SUPPLY: PROPOSED [ I
EXISTING []
[xl PUB L1C
[ 1 COMMUNITY, NAME:
[ ] PRIVATE WELL
[ I OTHER, SPECIFY'
BUILDING
PLUMBING
3% SURCHARGF
MOBILE HOMF
WASTE DISPOSAl
PLAN REVIEW
.,., nry
~_..:-
nc
TOTAL
~? 01:_
\..,
CONSTRUCTION PERMITS & INSPECTIONS AND WATER POLLUTION CONTROL SPECIFICATIONS
MIN, SEPTIC TANK CAPACITY:
GALS, MIN,DRAINFIELD L1N, FT, MAX, TRENCH DEPTH INCHES
TYPE OF CONSTRUCTION
1:..
GROUP
,
FIRE ZONF
STAY 100' FROM ALL WELLS
USE CLASSIF,
SETBACKS, FT, FROM CTR, OF rfW:
FRONT t;n SIDE EXT,
FT, FROM PROP, LINE:
SIDE INT, r:: REAR
r::
ZONF
u___
AUTHORIZED SIGNATURES:
/s/
J. Boss by Charlie Harbaugh
ISSUANCE DATE:
7122176 hn
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 687-4061 10 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)
(POST THIS PERMIT ON MAIN BLDG, AT SITE)
C55.\3
LANE COUNTY. DEPT. OF ENVIRONMENTAL MANAGEMENT
COURTHOUSE ANNEX, 135 EAST 6th, EUGENE, OREGON 97401
aUILDiNG.SITE EVALUATION ~
X BUILDING PERMIT APPLICATION NO. !7"'1S "" 7~
() SITE INSPECTION
PLANNING DIVISION Not
Applicable
1. Zoning Ordinance Compliance: Zone~t1~ )
2. Subdivision Ordinance Compliance ::;--t)
3. Required Access ( )
4. Building Site (Area, Width. Frontage) ()
5. Other (see comments) ( )
COMMENTS:
T 17~03s ~o/'4LOT 't.?'tnt
SUBDII1~:
LOT: BLOCK:
APPlI CANT
DATE
No Yes
() TI 6.
( )(( )
( ) ( )
( ) ( )
( ) ( )
CK'D BY: W/!J, J~~ 7(.
Setbacks from cll oftJoad~
Front ..57J
S I de Exhr-i-o'r
SetbacKS from interior lines:
Side <'"
Rear ~
PLANNING DIVISION ACTION PENDING: YESl ) NDl ) APPLICATION#
BUILDING INSPECTION DIVISION
Not
Applicable
( )
(H
I )
7. Plans Submitted
8. Soil Stability (footings)
':3. Flood Plain
10. Other (see comments)
COMMENTS:
\
WATER POLUTION CONTROL
Not
!\pplicable
( )
( )
11. Meets Department of Environmental
Quality Standards.
12. Other (see comments)
COMMENTS:
No !u.
() Vn
( ) ( )
( ) ( )
( ) ( )
CK'D
By:eJ! 7::15 ~ 'It
, DATE
No Yes
()TI
( ) ( )
CK'D BY:
DATE
TO APPLICANT:
Yp~ Building I Site Inspection:
(-) Can be approved.
~,~ () Cannot be approved at this time as indicated on item NO. above.
~~ I ^ Questions and further information on items 1 through 6 contact the LANE-
U '\~ COUNTY PLANNING DIVISION. Questions and further Information on items 7
j\p' 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'pl ication fee Is beinq .~~t.\I.r:.~~d under seoarate cover.
DEPARTMENT O~ E~VIRONMENTAL MA~Au~~tNI
135 Sixth Avenue East Eugene Oregon 97401
PHONE: 687-4065
LANE COUNTY PLANNING DIVISION PHONE: 687-4186
C55-2B
~.~
," . ".:-,...
..;-.....r
; ~B.oiL~i.;NG..SITE EVALUATION '.~ ,'JX
. H ~ , ,;
:(*f" BUILD'ING PERMIT APPLICATION NO. 1775~ - 7&
" . .
() SITE INSPECTIDN
i
PLANNING DIVISION
~ 1.
f:.t.. 2.
,.
i 3.
4.
'5.
Not
Applicable
Zoning Ordinance Compliance: Zone~J..,~~l )
Subdivision Ordinance Compl iance /"-;"--( )
Requi red Access ( )
Building Site (Area, Width, Frontage) ()
Other (see comments) ( )
COMMENTS:
T I;.'; ';;:'~'~~iL'~T tf1z-~,
SUBDIVI , :
LOT: BLOCK:
APPL I CANT
DATE
No Yes
() TI 6.
( ) ( )
( ) ( )
( ) ( )
( ) ( )
CK'D BY: [-'./13 '1};~7t.
Setbacks from cll oft-road:'
F ron t ..!)'lJ
S i de Exter-j'or'
SetbacKS from interior
Side
Rear
lines: '
<.;
~
BUILDING INSPECTION DIVISION
PLANNING DIVISIDN ACTION PENDING: YES\ } NO\ } APPLICATION#
7. Plans Submitted
8. Soil Stability (footings)
'"9. Flood Plain
10. Other (see comments)
Not
Applicable
l )
(I)
( )
~ )
\
COMMENTS:
. ~~
, -.
~ '
>:
.. WATER POLUT ION CONTROL
Not
Appl icable
l )
( )
~, 11.
Meets Department of
Qual i'ty Standards.
Other (see comments)
Environmental
12.
l'
,
COMMENTS:
~
t
~
No Yes
()m
( ) ( )
( ) ( )
( ) ( )
CK'D
By:~1! 7"/~',. 7t
DATE
No Yes
()D
( ) ( )
CK'D BY:
DATE'
~~
~ TO APPLI CANT:
; Yo~r Building / Site Inspection:
(~ Can be approved.
(I. U () Cannot be approved at th i s time as i nd i cated on item NO. above.
~'t, I ^ Questions and further information on items I through 6 contact the LANE-
V \~ COUNTY PLANNING DIVISION. Questions and further information on items 7
\0' through 12 contact the LANE COUNTY BUILDING ANO SANITATION DIVISION.
r\1\ l ) Will be held in this office until you can resolve the problems indicated.
. \ ( ) Is being returned.
( ) Your building ~ermit application fee is bein9 retu~~~d und~ seoarate cover.
.EPARTMENT OF ENVIRONMENTAL AANAGEMI:.I-lI
135 Sixth Avenue East Eugene Oregon 97401
PHONE: 687-4065
LANE COUNTY PLANNING DIVISION PHONE: 687-4186
(
f.
", C55-28
. . .":.....~ ...':-".,. ..'
.,
. LANE COUNTY PERMIT FOR: .'
PERMIT NO,
CONSTRUCTION [,J MOBILE HOME [J PLAN REVIEW [J CHANGE OF OCCUPANCY
DOwner
'......,. I' ~ -.~ ~:...
~., '" ,." ."
:~~-:. :'::.' ," '""
":i
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".'"7j'.C' .
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,....--'"' ,.",
,J-.(,"
NAME
ADDRESS
, ~ ~~, j
CITY
ZIP CODE
PHONE
n Contractor
"::':,.:,' f ~.:~; .>~~, :~:~<
1'..
': ~i
NAME
ADDRESS
CITY
r " "".l'"
J . :.~, .
ZIP CODE
PHONE
O,S, Reg, #
,Twn
" '
~. ,
Range
"I'':
Section
"" r ^
1 ':"J ......Tax Lot
r:fJ)
Codp
.\.' --.,.
Census Tract
Subdivision
Lot
Block
Acreage
Width
Access to Property (Road Name):
":~:.-l Fi"il'. ~ ~'-::,~1
Depth
Existing Structures on Property:
Directions to Property, Address:
:~ r:-:'~ ~'(1fCj ";:ll~.. ~~?c]~lt'rJ~'J:!
.--."......l'
, ~ \ -.,;,
'STRUCTURE (# BEDROOMS)
, .. .:~.' ~
SQ, FT,
VALUATION
r,' "
, '
. '-'A"f"~
~;;. :~
" ~:'"~.
...."
,--"
, J:j
c'..", ,:';
. ,....-..1>....
SEWAGE DISPOSAL:
PUBLIC [I SEPTIC TANK [
BUILDING
PLUMBING
3% SURCHARGE
MOBILE HOM"
WAsTE DISPOSAl
PLAN REVIEW
OTHER [ ]
PLUMBING INSTALLED BY:
OWNER r I OTHER I I NAME
WATER SUPPLY: PROPOSED [ ]
EXISTiNG [I
['I PUBLIC
[ I COMMUNITY, NAME:
[ I 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
'j
FIRE ZONE
STAY 100' FROM ALL WELLS
USE C LASSI F,
SETBACKS, FT, FROM CTR, OF r!W:
FRONT SIDE EXT,
FT, FROM PROP, LINE:
SIDE INT, . REAR
_ ZON"
AUTHORIZED SIGNATURES:
/s/
"--':=;::->~ '>: ,::'"'7:~~~ T~^41
ISS,UANCE DATE:
::' :,1"
BLDG. PERMIT - WHITE
OFFICE COPY - WHITE
COUNTY TAX - PINK
PLUMBING - CANARY
BUILDING - GREEN
SANITATION - GOLDENROD
IMPORTANT:
Call 687-4065 to sChedute'all'require-d 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 01
occupancy bel ore being occupied.
(See Details on Reverse Side)
(POST THIS PERMIT ON MAIN BLDG, AT SITE)
C5:1.\3
LANE COUNTY, DEPT. OF ENVIRONMENTAL MANAGEMENT
COURTHOUSE ANNEX, 135 EAST 6th, EUGENE, OREGON 9740t
.
.
.
SITE I NSPECTI ON
ApPROVED Cl OISAPPRQVED Cl DATE
INSPECTOR
REMARKS
FOUNDATION INSPECTION
ApPROVED 1--/ DI SAPPROVED 1--/ DATE
INSPECTOR
REMARKS
FRAMING INSPECTION
ApPROVED / / DI SAPPROVED / / DATE
INSPECTOR
REMARKS
LATH OR SHEETROCK INSPECTION
ApPROVED ~ DISAPPROVED ;----? DATE
INSPECTOR
REMARKS
FINAL INSPECTION
APPROVED; 01 SAPPROVED .Cl
REMARKS-JM ".A./' ".-I)
DATEI -/7 - 711 NSPECTOR ~
Y , ~~~(1~;/l.f~ l'-i)
CERTIFICATE OF OCCUPANCY
READY TO ISSUE .Cl NOT READY TO ISSUE .Cl DATE
INSPECTOR
REMARKS
/2-
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