HomeMy WebLinkAboutPermit Building 1976-1-14 (2)
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"I LANE COUNTY PERMIT FOR: it;
PERMIT NO. 36-76
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CONSTRUCTION [X] MOBILE HOME [] PLAN REVIEW [
CHANGE OF OCCUPANCY [ JI'"
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DOwner' . BrandelJfeld. Fred
. NAME
ltJ Contractor A..n~ WhIt..
NAME
LeaburQ, Or.
ADDRESS CITY
ZIP CODE'
PHONE
343-4247
PHONE
.
q81 Filmore, Euaene. Or.
ADDRESS
97402
CITY
ZIP CODE
O,S. Reg. # 11aw.
Twn I:'
Range..1l~
Sect ion...2.' . 4.4 Tax Lot 6200
Code
19-03
Census Tract 21-300
Subdivision N6
Lot
Block
Acreage
Width
Access to Property (Road Name):
r..Amp, F:fIrm Rd_
Depth
Existing Structures on Property'
nw,,11tnn
Directions to Property. Address:
lC~ r.~A ~~rm Rd_
STRUCTURE (# BEDROOMS)
SQ. FT.
VALUATION
Re-roo~lng & Change eaves
Est. Cost
I
1,100.00
SEWAGE DISPOSAL:
PUBLIC [J SEPTIC TANK Ix] OTHER [ 1
PLUMBING INSTALLED BY:
OWNER I 1 OTHER i 1 NAME
BUILDING
PLUMBING
3% SURCHARG"
MOBILE HOM"
WASTE DISPOSAL
PLAN REVIEW
Pena 1 ty Fee
TOTAL
11.00
.33
WATER SUPPLY: PROPOSED [ ]
EXISTING [J
[ ] PUBLIC I
~] COMMUNITY. NA,ME:
[ ) PRIVATE WELL I
[ ] OTHER. SPECIFY:
Ralnb01lJ
11.00
22.33
CONSTRUCTION PERMITS & INSPECTIONS AND WATER POLLUTION CONTROL SPECIFICATIONS
MIN. SEPTIC TANK CAPACITY: I
GALS MIN. DRAINFIELD L1N. FT. MAX. TRENCH DEPTH INCHES
I
TYPE OF CONSTRUCTION
GROUP
FIRE ZON"
STAY 100' FROM ALL WELLS
USE C LASSI F.
SETBACKS. FT. FROM CTR. OF rlW:
FRONT SIDE EXT.
FT. FROM PROP. LINE:
SIDE INT. REAR
ZON"
t"
AUTHORIZED SIGNATURES:
/s/ J. E. BOSS. BY W, MORELOCK
ISSUANCE DATE:
1-14-76 jh
BLDG. PERMIT - WHITE
OFFICE COPY - WHITE
COUNTY TAX - PINK
PLUMBING - CANARY
BUILDING - GREEN
SANITATION - GOLDENROD
IMPORTANT:
Call 687-4065 10 schedule all required construction inspections. Call 687-4061 to schedule all required
septic system inspections. All construction shall comply with the Slate 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!iS.13
LANE COUNTY, DEPT. OF ENVIRONMENTAL MANAGEMENT
COURTHOUSE ANNEX, 135 EAST 6th, EUGENE, OREGON 97401 i
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(POST THIS PERMIT ON MAIN BLDG, AT SITE)
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'4.BUI~DING SITE EVALUATION .
( ) . BUILDING PERMIT APPLICATION NO.
() SITE INSPECTION
PLANNING DIVISION Not
AplJl icabl~
1. Zoning Ordinance Compliance: Zone J ()
2. Subdivision Ordinance comPlianCfJ/ ()
3. Required Access (
4. Building Site (Area, Width, Fron g ( )
5. Other (s~e comments)
T <~.R o.3s-,.;>,'{'tTAX LOT b..2r>1l
SUBDIVI N:
LOT: BLOCK:
APPLICANT4..... ~~/~
DATE //'<;?/ '/?7 ./
, "..
CK'D BY:
Setbacks from cll of road:
Front
Side Exterior
Setbacks from interior lines:
Side
Rear
COMMENTS:
\
./
/
/
PLANNING DIVISION ACTION PENDING: YES( ) NOl ) APPLICATION#
Not
Applicable No Yes
Environmental () r) TI
() (~
.// ~
vt'''/
/1 :,x::
/ti~
'/
1/
BUILDING INSPECTION DIVISION
Not
Applicable
( )
( )
( )
( )
7. Plans Submitted
8. Soil Stability (footings)
9. Flood Plain
10. Other (see comments)
COMMENTS:
WATER POLUTION CONTROL
11. Meets Department of
Quality Standards.
12. Other (see comments)
COMMENTS:
r) myes
( ) ( )
( ) ( )
( ) ( )
CK'D BY:W'P14 - I.. /4-'7k
DATE
CK'D BY:
DATE
TO APPLI CANT:
Your Building I Site Inspection:
~tan be approved.
'\)- Cannot be' approved at this time as indicated on Item NO. above.
Questions and further information on items I through 6 contact the LANE-
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 building I?ermit aEplication fee is bein,q.x~tu~n.!l.d under seoarate cover.
.EPARTMENT OF tNVIRONMENTAL MANl\liEMEt-t1
135 Sixth Avenue East Eugene Oregon 97401
PHONE: 687-4065
LANE COUNTY PLANNING DIVISION PHONE: 687-4186
. ~~~()
Y \ 'tJ\
C55-28
. 'l,B~ It;l~lS SITE EVALUAT ION :I\~:
( ). ~UILDING PERMIT APPLICATION NO. 30-?C,
( )
T /';'.--R o.3S.,.?".;>.'(.(tTAX LOTb...2",
SUBDIVI N:
'-.' -
LOT:
BLOCK:
SITE INSPECTION APPLlCANTg..",.. .J.:,_/~./&/f:M!.:'-<::~
, DATE //~/ '74' ...-
PLANN I NG D I V I S ION Not Il. ' -"
, Appl i cabrtle. No _Yes" /CK'D BY:
I. Zoning Ordinance Compliance: Zone I () v' ~) ~/6. Setbacks from ell of road:
2. Subdivision Ordinance Compl iance !1 / () () (....) Front .
3. Required Access II (/) t....)/() Side Exterior
4. Building Site (Area, Width, Front'age) ( ),...,Y( ) ( ) Setbacks from interior lines:
5. Otryer (see comments) / . (/) () ( ) Side':' /, ./ I)
, / Rear
COMMENTS: .........
./
-'
;
;'
PLANNING DIVISION ACTION PENDING: YESl
i
BUILDING INSPECTION DIVISION
} NOl } APPLICATlONl/
7. Plans Submitted
8. Soil Stability (footings)
9. Flood Plain
10. Other (see comments)
Not
Appl icable
( )
( )
( )
( )
No Yes
\) r:r
( ) (:)
( ) (1)
( ) (()
CK I D BY :lL~ P11
I~ I q.. 7.!:-~
DATE
COMMENTS:
COMMENTS:
Not
Applicable No Yes
Envl ronmen.tal () \) ~
() () H-
/l/ ~
.fU/
/I.rv/(.
/!(-,A'
I ''/
f/
CK'D BY:
WATER POLUTION CONTROL
II. Meets Department of
Quality Standards.
12. Other (see comments)
DATE
TO APPLI CANT:
Your Building I Site Inspection:
I
'(,<) Can be approved.
( ) Cannot be approved at this time as indicated on item NO. above.
Questions and further information on items 1 through 6 contact the LANE-
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 building permit application fee is ,beinq ~~tur:.(litd undJU:.....S"oarate cover.
DEPARTMENT OF tNVIRONMEN1AL HANAlil::MI:.NI
135 Sixth Avenue East Eugene Oregon 97401
PHONE: 687-4065
LANE COUNTY PLANNING DIVISION PHONE: 687-4186
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C55-28
~ "
. LANE COUNTY PERMIT FOR: .
/
','
.
PERMIT NO.
,.", ..,...
~,>-,,,,)
CONSTRUCTION [:] MOBILE HOME [] PLAN REVIEW [
CHANGE OF OCCUPANCY [ ]
DOwner ., . ::_~_...~jc'2(;o C::.:-j
NAME
,
;8 Contractor I~~.~::~-;t?: .::0 l:0
l, :~ ,,~;~::) ~ j:J
1">>
\.,. 0
ADDRESS
CITY
; )i)t~28
CITY
ZIP CODE:
PHDNE
""\1.' "0('- ~o'J
:,- ,)'"G .'~-~'i
.;'~D
:~~ U:---:;7':':~ l~C; ;:;;~. C?..
NAME
ADDRESS
ZIP CODE
PHONE
O.S. Reg. #
: ~:: '::;
Tw:, r;--"
"-'
Range ,.:
Sectior' r;,;:.!).J\ Tax Lot ()~:~:~~
Code
"(\ ",....
,,-',...2)
('''' n",,--..
Census Tract (;"o~__,,,
Subd ivision '\ Lot B loc~
, ..-~-:- ~.- - --' -"- :.---:~,,:,-.:~~,,"-->..\,! -
Access to.!?roperty'(R6ad'Name): ' l..."
'. \, .... - ,. -.--\
Existing Structures on Property: ,::-::'JDu':',
Acreagp Width
--~~....."
'-"':>~~DePth
.;t...}
Directions to Property. Address:
D~-~~) ~.--::,; [.',"':D [~(!D
STRUCTURE (# BEDROOMS)
SO. FT.
VALUATION
"........../~ ,oJ u ,;.:.:.:~~,) C':":'0:""',)
'-.l (:::;. l,: ~': ::
c ;,; \j~/,)O\''';
SEWAGE DISPOSAL:
PUBLIC [I SEPTIC TANK PI OTHER [ 1
.;"";';
PLUMBING INSTALLED BY:
OWNER I I OTHER I I W\MF
WATER SUPPLY: PROPOSED [ I
EXISTING [.I
BUILDING
PLUMBINr.
3% SURCHARGF
MOBILE HOME'
WASTE DISPOSAl
PLAN REVIEW
~. :::;~-:-'7 V:~~
U DoC:
'. '~,'
II I PUB L1C
[ J COMMUNITY. NAME:
[ I PRIVATE WELL
[ I OTHER. SPECIFY:
f:c' :~:;:-::)
.:
..
,,-'
D U o(~J
TOTAL
,'" ...,
(;,.::.;.)(}
CONSTRUCTION PERMITS & INSPECTIONS AND WATER POLLUTION CONTROL SPECIFICATIONS
MIN. SEPTIC TANK CAPAc'lTY: .
GALS. MIN. bRAINFIELD
--:~-..,
,'I' . "" UN. Fif.
"'-I \ \."" - \
,
MAX. TRENCH DEPTH'
INCH ES
",\
TYPE OF CONSTRUCTION
GROUP
FIRE ZON~
STAY 100' FROM ALL WELLS
USE CLASSIF.
SETBACKS, FT. FROM CTR. OF rlW:
FRONT SIDE EXT.
FT. FROM PROP. LINE:
SIDE INT. REAR
ZONF
AUTHORIZED SIGNATURES:
/s/ (~o. 0 ....~;:)o JV Do C~'~:' ..~,.~
ISSUANCE DATE:eo~i;--.i7:) < :,
BLDG. PERMIT - WHITE
OFFICE COPY - WHITE
COUNTY TAX - PINK
PLUMBING - CANARY
BUILDING - GREEN \ .
SANITATION - GOLDENROD "
IMPORTANT:
,
Call 687-'4065 to schedule all r~quired 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 Slale Plumbing Code. All buildings require a certificate of.
occupancy before being occupied.
, \ '.'
) ~ '" -(See ~.ela~~s on ~~verse Side)
,
(POST THIS PERMIT ON MAIN BL.:DG, AT SITE)
CSS.13
LANE COUNTY. DEPT. OF ENVIRONMENTAL MANAGEMENT
COURTHOUSE ANNEX, 135 EAST 6th. EUGENE. OREGON 97401
.
.
~.J
.- .'
.
SITE I NSPECTI ON
ApPROVED Cl OISAPPROVED Cl DATE
INSPECTOR
REMARKS
FOUNDATION
~ ..c:::t;~ ~~~ .
DATE "L~~-::. oJ 2P}\O~"t~ '.~p'
ApPROVED
REMARKS
FRAMING INSPECTION
ApPROVED Cl Ot SAPPROVEO 17 DATE
INSPECTOR
REMARKS
1
,
LATH OR SHEETROCK INSPECTION
ApPROVED L----I DISAPPROVED ~ DATE
INSPECTOR
REMARKS
"
FINAL I NSP;;~'
ApPROVED DISAPPROVED ~
1~ .,.Jjd'~ &(
DAT~ WIlt- I NSPECTOl.. ':1:...
REMARKS
CERTIFICATE OF OCCUPANCY
READY TO ISSUE Cl NOT READY TO ISSUE Cl DATE
INSPECTOR
REMARKS
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