HomeMy WebLinkAboutPermit Building 1975-11-17 (2)
. .
.l-' d- "131 ,II" LANE COUNTY PERMIT FOR: (II', PERMIT NO. 3056-75
',. 0o...fV\..Q...... W~~) ,,_Y
CONSTRUCTION [X] MOBILE HOME [] PLAN REVIEW [] CHANGE OF OCCUPANCY [ ]
.~>
o Contractor
H~Ntll "G CONSTRUCT I ON CO
NAME
1h~ C~M~ ~AgM ~nAn
ADDRESS CITY
2878 FRIENDLY STREET
ADDRESS CITY
c:::.DP I tJr.u:; I t"1" ()Q~~nl\l 726... .,.~",6
ZIP CODE PHONE
EUGENE OREGON <4<-72~7
ZIP CODE PHONE
DOwner .'(\1-4'" AMnln"p,q
NAME
O,S, Reg, # lQ81
Two,
17
Range
m Section2?4.4 Tax Lot
hooo
Codp O1Q.o-:l
Census Tract
Subd ivision
Nh
Lot
Block
Acreage
Width
Access to Property (Road Name):
r..6.MC" J:"'(tQU Qno\n
Depth
Existing Structures on Property'
J.fnll~r' AI'JI"'I r.:AI::"'~~
Directions to Property. Address:
OH HOI I ow ROA"
T"RN I FFT AT 7-11 STORE:
STRUCTURE (# BEDROOMS)
AnOITIt'lN
SQ, FT,
?ho "" FT. @ lh.10
VALUATION
l!\41811.o0
SEWAGE DISPOSAL:
PUBLIC I] SEPTIC TANK [
OTHER [
PLUMBING INSTALLED BY:
OWNER [J OTHER [] NAMF
WATER SUPPLY: PROPOSED [ ]
EXISTING []
[ ] PUBLIC
[ ] COMMUNITY. NAME:
[ ] PRIVATE WELL
[ ] OTHER - SPECIFY:
j
BUILD IN'"'
PLUMBING
3% SURCHARG"
MOBILE HOM"
WASTE DISPOSAL
PLAN REVIEW
~::>.OO
12.00
1. <2
TOTAL
4".~L
CONSTRUCTION PERMITS & INSPECTIONS AND WATER POLLUTION CONTROL SPECIFICATIONS
MIN. SEPTIC TANK CAPACITY:
GALS, MIN, DRAINFIELD L1N, FT, MAX, TRENCH DEPTH INCHES
OK 00 NOT BUILO WITHIN ~ rEET OF SEPTIC TANK OR WIT~IN 10 rEET or DRAINrIElD:
TYPE OF CONSTRUCTION
"iN GROUP
FIRE ZON"
STAY 100' FROM ALL WELLS
USE CLASSIF,
SETBACKS - FT, FROM CTR, OF r!W:
FRONT 4~1 SIDE EXT,
"
FT, FROM PROP, LINE:
SIDE INT, REAR
5
ZON"
RA
AUTHORIZED SIGNATURES:
/s/ J. Eo Boss BY HARBAUGH
McKAY rOR GRAY/SANITARIANS
ISSUANCE DATE:
11/17 /75
DLl4
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 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)
~
(POST,THIS PERMIT ON MAIN BLDG. AT SITE)
C55.!3
LANE COUNTY, DEPT. OF ENVIRONMENTAL MANAGEMENT
COURTHOUSE ANNEX, 135 EAST 6th, EUGENE, OREGON 97401
BUJLDING SITE EVALUATION
~/(If
...1/)5 t - 2-
'-
.
j><f' BU ItD I NG PERM IT APPL I CAT I ON NO.
() SITE INSPECTION
PLANNING DIVISION Not
App I icab I e
I. Zoning Ordinance Compliance: Zone~ . ()
2. Subdivision Ordinance Cempl iance f\, fJ.- ( )
3. Required Access ( )
4. Building Site (Area, Width, Frontage) ()
5. Other (see comments) ( )
COMMENTS:
. ;)-~/Y)/~ .~ ...~
T /,7.. r:j3.s .. -TAX LOT (p t>-tJ?)
SUBDIVI :
LOT: BLOCK:
APPL I CANT n. ~l\ Q l"I rv--
DATE
No Yes
T) 11 6.
( ) ( )
( ) ( )
( ) ( )
( ) ( )
BUILDING INSPECTION DIVISION
PLANNING DIVISION ACTION PENDING: YESl ) NOl ) APPLICATION#
7. Plans Submitted
8. Soil Stability (footings)
9. Flood Plain
10. Other (see comments)
Not
Aool icable
( )
( I)
( )
( )
,
COMMENTS:
WATER POLUTION CONTROL
Not
AoollcabljY
('1'
( )
II. Meets Department of Environmental
Quality Standards.
12. Other (see comments)
COMMENTS:
No Yes
T)1M
( ) (i
( ) ( )
( ) ( )
No Yes
T) 11
( ) ( )
CK'D BY: ~ ,{ () 7tcv. 7S-
Setbacks from c/I of road:
Front. r-S--="
Slde.!,><terlor t.t.C
Setbacks from Interior'llnes:
Side ~
Rear ~
CK'D By{~1dJtUHj;/-t7-7{
-'M-I'DATE
CK'D BY:?-ALbrn~4.'7.5 .
DATE
TO APPLICANT:
ff 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 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 OIVISION.
( ) Will be held in this office until you can resolve the problems indicated.
( ) Is being returned.
( ) Your bulldinq permit aEpllcation fee Is bein.q..~\lturn~d under seo"r"tp. covp.r.
"~rARTMENT Of tNVIRONMENTAL MAW\liEMENI
135 Sixth Avenue East Eugene Oregon 97401
PHONE: 687-4065 ,
LANE COUNTY PLANNING DiVisION PHONE: 687-4186
C55-28
~
>
. LANE COUNTY PERMIT FOR: .
PERMIT NO,
,
CONSTRUCTION [] MOBILE H,OME [] PLAN REVIEW [] CHANGE OF OCCUPANCY
DOwner
NAME
ADDRESS
CITY
ZIP CODE
PHONE
o Contractor
NAME
ADDRESS
CITY
ZIP CODE
PHONE
O,S, Reg, #
~
Twn
Range
Section '
Tax Lot
Codp
Census Tract
Subd ivision
Lot
Block
Acreage
Width
Access to PropelJ.Y lRo~me): '
f'
Depth
Existing Structiires on Property'
- ,- .>--~-
- .~ - ~- \:. --. :- ~:, ---- ~:~-;.-
~ -..
. ,\
" \\
,'.\,
';.>
Directions to Property. Address:
" .
STRUCTURE 1# BEDROOMS)
SQ, FT,
VALUATION
( C,,-'
, '
SEWAGE DISPOSAL:", \".~. ,"PLUMBING INSTALLED'BY: ...', ~, '
PUBLIC [] SEPTi'd'ANK~['~I'. <O'fH~R~I~~~- ~"'~WNE'~'r-~ (;rf~e-R~["] V~J)\M"~~k."-'l--'..
BUILDING' ,,- ;':,''0~X.w.A'''ER<SUP'P-Ly:tPROPPS.Ei:i~10T -2<-j~ :~':_
PLUMBING .. C '\ \ EXISTfNG '[] "',
3% SURCHARGE [ ) PUBLIC.
MOBILE HOM" [ ) COMMU'NITY. NAME:
WASTE DISPOSAL~I [ ] PRIVATE WELL
PLAN REVIEW Ii ,>,: [ ] OTHER. SPECIFY:
TOTAL
I.
CONSTRI~CTlON PERMITS & INSPECTIONS AND WATER POLLUTION CONTROL SPECIFICATIONS
MIN, SEPTIC TANK CAPfl,CITY:
GALS, MIIJ, DRAINFIELD
II- .
L1N, FT,.
. "
, , MAX..TRENCH DEPTH
U. ...i~,
INCHES
;~
.;1
\
o
\
\
\
STAY 100' FROM ALL WELLS
USE CLASSIF,
.
II~' "....
TYPE OF CONSTRUCTION
I
GROUP
FIREZONF
,.
SETBACKS. FT, FROM CJR, OF r/W:
FRONT ~;IDE EXT.
II
FT. FROM PROP, LINE:
SIDE INT, REAR
ZON"
AUTHORIZED SIGNATUI1ES:
.. II
Isl
ISSUANCE DATE:
'y..',"
, '
" . ~l
> ,
Call 687~065 to schedule;all required construction inspections. Call 61:17-4061 to schedule all required
septic system inspections. All construction shalt comply with the Slate Eluidling Code, D.E.a. standards
for subsurface sewage disposal and the Stale Plumbing Code. All buildings require a certificate of
occupancy before being occupied, \ ""
. , \.,.. (~ D~lails ?n Reverse Side)
BLDG. PERMIT - WHITE
OFFICE COPY - WHITE
COUNTY TAX - PINK
PLUMBING - CANARY
BUILDING - GREEN "ie, -',
SANITATION - GOLDENROD!'" '\~ ,
II
IMPORTANT:
(POST THIS PERMIT ON MAIN BLDG. AT SITE)
C55., 3
LANE COUNTY, DEPT. OF ENVIRONMENTAL MANAGEMENT
COURTHOUSE ANNEX, 135 EAST 6th, EUGENE, OREGON 97401
.
.
,
. . .
.
SITE I NSPECTI ON
ApPROVED Cl DISAPPROVED Cl DATE
INSPECTOR
REMARKS
FOUNOATION INSPECTION
ApPROVED 1--1 01 SAPPROVEO ~I j;ATE,
REMARKS /)/{ tz, -ilk /iMtJiii1't~
~' . / I
II
.
I NSPECJO?;!
/1, J /1 ~ 7J1"ct!/
'-"
,0 ",,..
/l.,/, t:
FRAMING INSPECTION
ApPROVED Cl O,SAPPROVED 1 1 OATE ,,}
REMARKS~-+~ f'~ /:;:z.~ Id~'76-1i _
~J J: II, /~.II ~-. ,.- ~('"
, ~ ';~~~:'1 _ . :"-:';---<:"~A2/{[Y':L/'
.IfII K:ij>=~~ - ;= 7.{.~
-- , . - -1 /
INSPECTOR
jl;"<X/A--j6 t
LATH OR SHEETROCK INSPECTION
ApPROVED 1--1 DISAPPROVED 1--1 DATE
INSPECTOR
REMARK 5
::::~,:~'~' ~,d!d =.
REMARKS lV1r.o..
DATE
f~/4,J~
I
INSPECTOR
fJi'
.
CERTIFICATE OF OCCUPANCY
READY TO ISSUE Cl NOT READY TO ISSUE Cl DATE
REMARKS /1 .1
l / /11-7/.
/)_./,/// ff//.,~.
r / fl'. /J':t,-t-/'--t.' f/{
/7
SD,t/(; ~'1f Ct.M(j.~-<1 / & .y,h/W~ f/a/tr
INSPECTOR
, .
.1
LANE COUNTY PERMIT FOR::.'
"..,....'
PERMIT NO,
(' ,C
-, ..' ,~ -0\' t. l
v . - It"
#0/.,'
CONSTRUCTION [~;] MOBILE HOME [J PLAN REVIEW [J CHANGE OF OCCUPANCY [ ]
o Contractor
r~,-;~r:']:e~;-Q (~~:1~:;r:~I~,:J rto
NAME
,t? t"A"t'Ii tt...,.'fc''! rnrv t,
AODRESS CITY
t:':_~1::. wnJffj~~.! n12<t':'11
ADORESS CITY
r:"':;)Q:t_~r-_o H..* n n. 1"6-:-: -;r~':4t/l'i'I"'''''
ZIP CODE PHONE
:~UC;':f;'~:~ C~."'f.'.a~_; ~,~j~..iJ;.\--lY
ZIP CODE PHONE
,0 Owner r~tW &7."r.':".f.t4.
NAME
F:!1
O,S. Reg, #
Tw~
~i
Range.
Gl Section[:'(.b.iJ Tax Lot
(e-,' ')
Cod~ 10""'",,,;1
Census Tract
Subd ivision
f.''\
Lot
Block
Acreage
Width
Access to Property (R oad Name):
,
(1'....'1~"~ ~tJ~i~ ~,;fi~
Depth
Existing Structures or,. Property:
f~:::":.r1>;) ,"'''';::1 CnF'"~,OO
Directions to Property. Address:
l'il.1' l ~J.~o;, nCA 0
'i..::;~) Mi;77 (;17 in I; C1?3~r.,
STRUCTURE (# BEDRCOMSI
ft.:D'fI"C,'j
'SO, FT,
ELf).<';O IW. (J 1(,.10
VALUATION
r:\CI,:).,{::J
.SEWAGE DISPOSAL:
PUBLIC [] SEPTIC H,NK [
OTHER [
PLUMBING INSTALLED BY:
OWNER [I OTHER [I NAMF
WATER SUPPLY: PROPOSED [ I
EXISTING [J
[ I PUBLIC
[ I COMMUNITY. NAME:
[ ] PRIVATE WELL
[ I OTHER. SPECIFY:
BUILDING
PLUMBIN'"
3% SURCHARGF
MOBILE HOM!'
WASTE DISPOSAL_
PLAN REVIEW
:t2.cc
~i'l.W
U .~~<l
TOTAL
11 ~'" -- ')
,.1.':'-J
CONSTRlJCTION PERMITS & INSPECTIONS AND WATER POLLUTION CONTROL SPECIFICATIONS
MIN, SEPTIC TANK CAPI,CITY:' .J
GALS, ,MII~, DRAINFIELD L1N, FT, MAX, TRENCH DEPTH INCHES
.;J' '.,;,J l~f [.:;11,0 \:ll'fIHfJ d Ir'T\' ct' G;:PT~r, TAJ;:/\ CO IiIlflHtJ W f'!1G? (If L-."Uf((VIG~:l1
TYPE .oF CaNSTRUCTlaN
~/;l GROUP
ij
FIRE zaNE
STAY 100' FROM ALL WELLS
USE C LASSI F,
SETBACKS. FT"F~aM crR, .oF r/W:
FRONT ',) SIDE EXT,
~
FT, FRaM PROP, LINE:
SIDE INT, REAR
5
ZON"
,~
AUTHqR IZED.SIG.NA TU{~E? :"'~",.
<i, to. ..!Jii;. (Wfl..~~,~...."
/s/
'^-('.~ 11~- C"h..lrv-....,,^-,^' 'J
...-._.....:~)t.l \..-..... ,,,~N..a......:..JI,.IIUJ\lfl_
ISSUANCE DATE:
i\(i1n:J
(~ .:.
BLDG. PEAMIT - WHITE
OFFICE COPY - WHITE
COUNTY lAX - PINK
PLUMBING - CANARY
BUILDING - GREEN
SANITATION - GOLDENAOC'
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 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)
(POST THIS PERMIT ON MAIN BLDG. AT SITE)
,
C5:l.13
LANE COUNTY, DEPT. OF ENVIRONMENTAL MANAGEMENT
COURTHOUSE ANNEX, 135 EAST 6th, EUGENE, OREGON 97401
.
.
.r
,
SLAB FLOOR
PLUMBING GROUN[MORK ~
APPROVED,JK! DISAPPROVED Cl DATE/I-/8';'- INSPEc,..,._
, I
REMARKS P/;;?:I- //-r: 1:/-,"'" /') 1-1 . -r-O 41 t"'?-- J ~ / ~ - / \- 4"L~
,-:,/:/.P~ ~ ~~;/l M 1'"''''''' ~e.l...r.."'...4, /'-::../....!~ .'~- ~< 7
-,
GAS PIPING GROUN[MORK
ApPROVED ;---? DISAPPROVED Cl DATE
INSPECTOR
REMARKS
ROUGH PLUMBING
ApPROVED !Xl DISAPPROVED Cl DATV.! ~c,-7 51NSPECTOR
REMARKS
r-4N
tf/
ROUGH GAS PIPING
ApPROVEO Cl DISAPPROVED Cl DATE
INSPECTOR
REMARKS
FINAL PLUMBING
ApPROVED
f];;:j 01 SAPPROVED Cl DATE ,-.R?-7(
- (
INSPEC ~. t. ~
~~
REMARKS
FINAL GAS PIPING
ApPROVED Cl DISAPPROVED Cl DATE
INSPECTOR
REMARK 5
CERTIFICATE OF OCCUPANCY
READY TO ISSUE Cl NOT READY TO ISSUE ;---? DATE
INSPECTOR
REMARKS
~