HomeMy WebLinkAboutPermit Building 1976-10-19
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LAN~ COUNTY PERMIT FOR:{1t
PERMIT NO.
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CONSTRUCTION [,)(J' MOBILE HOME [ ]
o Owner ~\:..,.
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NAME
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NAME
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ADDRESS'
'PLAN REVIEW [J CHANGE OF OCCUPANCY [ ]
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r.r CITY ZIP CODE PHONE r
o Contractor
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ADDRESS
CITY
ZIP CODE
PHONE
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Range
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Section
~ 2--Tax Lot /? 0 0
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Acreage
X),S-
Census Tract
O.S, Reg. #
Subd ivision
Lot Block
Access to Property (Road Name):~/h'I.J. -!fa/J
Existing Structures on Property: ......."h A ~ "
Diredions to Property, Address: 07 t1 /) !;,- N I
-j/ A Ilt I" ,Q /0 ./II? "'---' , O/} +-cA .n--)A
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STRU'CTUR.t'(# BED ROOMSI -- -0
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'_!"-)~'- '1"!" .J-y -' A</j r -
V
Width
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./
. Depth
-h; r7 (i2?..-rvt./. J/)/) h1 - /1/,..,/., 1\ S;
.7,/ '<!--,.( -I- /1 ~-hj, J1A 'zC;, 7"f./A a - __ . -
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SQ. FT. VALUATION
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C:i>i=r1b.1
PERMIT AKl:e,
SEWAGE DISPOSAL:
PUBLIC [] SEPTIC TANK [
BUILDING.
PLUMBING
3% SURCHARG"
MOBILE HOM"
WASTE DISPOSAL
PLAN REVIEW
Pfl&-..{
TOTAL
OTHER [ ]
PLUMBING INSTALLED BY:
OWNER I I OTHER f] NAMF
WATER SUPPLY: PROPOSED [ ]
EXISTING [)
[ ] PUBLIC
[ ] COMMUNITY. NAME:
[ ] PRIVATE WELL
[ J OTHER - SPECIFY:
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CONSTRUCTION PERMITS & INSPECTIONS AND WATER POLLUTION CONTROL SPECIFICATIONS
MIN. SEPTIC TANK CAPACITY:
GALS MIN.DRAINFIELD L1N. FT. MAX. TRENCH DEPTH. INCHES
TYPE OF CONSTRUCTfON,.,.c:-" ^ I GROUP
-r
FIRE ZONF
."3'
STAY 100' FROM ALL WELLS
USE CLASSI F. rtLr __ J ..A.. ., (",
/
SETBACKS, FT. F..!!~ CTR. OF r!W:
FRONT -)~ SIDE EXT.
~ -
FT. FROM PRQl',L1NE:
SIDE INT. j"" REAR
:J() / zONJi aT
(j'
AUTHORIZED SIGNATURES: M/
/s/ (,j, 9 (_ j () - /x - 7 t,
v =
BLDG. PERMIT - WHITE
OFFICE COPY - WHITE IMPORTANT'.
COUNTY TAX - PINK
PLUMBING - CANARY
BUILDING - GREEN
SANITATlON - GOLDENROD
/ ISSUANCE DATE:
mci"'lk,ml.1 Ii) -lq -lob r/(f.J,1 12_, 'ld'i,. ; ~./,,9--.,,':..
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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.Q. standards
fQ( subsurface sewage disposal and the State Plumbing Code. All buildings require a certificate 01
occupancy before being occupied.
(See Details on Reverse Side)
(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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LAN~ COUNTY PERMIT FOR: .
o Contractor
;1 , ..1
~ J.::c FtJU.:~
NAME
tI J:.1 It: ~ lJ..t.d
NAME
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#f~11'1-')
ADDRESS'
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ADD R ESS
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PERMIT NO.
:, .,: ;)J"'/L
e~ _" -' .<:;7
] CHANGE OF OCCUPANCY [ ]
9"'/17 7'/':;' tlu/J J
CITY ZIP CODE PHONE
CONSTRUCTION [j{
MOBILE HOME [ ]
PLAN REVIEW [
DOwner flT:.J n
.$tt//i1
O.S, Reg, #
Twp t"L Range
;;;
('J
Section
"") ,./",('
",' ".... Tax Lot . ..I ' ..
,
CITY
COdJ:(!.J, f4
I
ZIP CODE
PHONE
Census Tract
Subdivision
Lot
Namel.J'.tn
1/
,
"
. -
Block
,
,
,I ..::1
Acreage
Width
Access to Property (Road
:; ,r;'
.....
] .
Depth
-
Existing Structures on Property:
.~
, Di~~2ti?n~, to_Pr.pperty , Address:
:1'_..1~ ,,, .. 1:- ~ 'I ..\~. Z
"; " A ' -, r ( '" ~" 1/
STRUOTU<lE (# BEDROO,MSI
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. 't"'V'j' .
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,..... ';' ...
......(.....
,.
F~-
,
. ,
..
tA.__~
SQ, FT.
I
VALUATION
--
n ~~L-:: C0l.1i..,J".1 S~E\...lf\t. i"'j;,:i,lV\lI
. -- t.
I"\~~~/"'\
SEWAGE DISPOSAL:
PUBLIC [J SEPTIC TANK [
OTHER [
PLUMBING INSTALLED BY:
OWNER I J OTHER [ 1 ~!"'MF
WATER SUPPLY: PROPOSED [ ]
EXISTING []
[ ] PUBLIC
[ ] COMMUNITY - NAME:
[ J PRIVATE WELL
[ ] OTHER - SPECIFY:
BUILDING
" PLUMBING
, 3% SURCHARG"
MOBILE HOM"
WASTE DISPOSAL
PLAN REVIEW
..' ',.J (
tOTAL
.1 -00-' ~.-'
" ..., ~',l..
, " ,< .-"1") ,.J..,,"'Y
~ " /.;, i1'l'" ..... t=" .r
t-:. ff ~.,.- r, I'
CONSTRUCTION PERMITS & INSPECTIONS AND WATER POLLUTION CONTROL SPECIFICATIONS
MIN. SEPTIC TANK CAPACITY:
GALS MIN. DRAINFIELD
..,
.1.1-1
..-
".
': l'
L1N. FT. .
MAX. TRENCH DEPTH
INCHES
.,....
TYPE OF CONSTRUCTION,Y-"" p J GROUP
':1""'"
FIREZON"
p
........
. STAY 100' FROM ALL WELLS
USE CLASSIF. /."t.u' J 4.. A.IM
. .. /,
SETBACKS, F,l FJ;l~ CTR. OF rfIN:
FRONT .......... SIDE EXT
-- .
FT. FROM PR,&lPtLlNE:.. ..') ^ I
SIDE INT.D REAR. dLi
1:!1"'I~
ZON~U '0. f
J
AUT~ORIZED SIGNATUR.~S: /~' /
/s/ ", f L I., -If; 7("-,,
e
BLDG. PERMIT - WHITE
OFFICE COPY - WHITE
COUNTY TAX - PINK
PLUMBING -'- CANARY
BUILDING - GREEN
SANITATION - GOLDENROD
IMPORTANT:
. ., IS.SUANCE. DATE:
. J/1' , . I ..-.J!<'" J ~ iI
H\~I''''l' u'i)' Iv 'Il' Jf;>. ",-.;t. k. !i.~.';;"'J>"""..' ^'-', /1f1. "JI'J;'.r..;z,~
I" . .. ,/.? .. -
~ . ' , ~
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 Cooe, O.E.Q. standards
lor 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)
C55.13
LANE COUNTY. DEPT. OF ENVIRONMENTAL MANAGEMENT
COURTHOUSE ANNEX, 135 EAST 6th, EUGENE, OREGON 97401
.
.
SITE I NSPECTI ON
ApPROVEO -$- O,SAPPROVEO Cl DATE/O - ?--7- .1b;NSPECTOR H
REMARK 5
FOUNDATION INSPECTION
DATE 1/- t/- 7f, I NSPECTORQO-.,(,
10 - ...<;- 7 LV r;k_r-/_
-
APPROVE07;Z::f- D,SAPPROVEO L-/
REMARKS ~~ > OK
-1-0 ~
FRAMING INSPECTION
ApPROVED .c7 DISAPPROVED / / DATE
INSPECTOR
REMARKS
LATH OR SHEETROCK INSPECTION
ApPROVED L-,/ OISAPPROVEO .c=J DATE
INSPECTOR
REMARKS
FINAL INSPECTION
.-; /
ApPROVED /:-....!. / OISAPPROVEO Cl DATE...) - / - .'1 7 I NSPECTOR 'Pi-... '-l
REMARK 5
CERTIFICATE OF OCCUPANCY
READY TO ISSUE / / NOT READY TO ISSUE Cl DATE
INSPECTOR
REMARKS
i
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