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Home My WebLink AboutPermit Building 1976-5-5 -' - ~- ., '_.~ ;../ ) . LANE COUNTY PERMIT FOR. PERMIT NO. CONSTRUCTION [:: ] MOBILE HOME [. ] ... PLAN REVIEW CHANGE OF OCCUPANCY [ ] o Contractor "r.::!,MIl(G:l NAME f~r(;t';(J ::il1 NAME ;")5:; ~nloi (ih'~:OOL i~'J::1l!:! ADDRESS :l.DUtr-~. SOl: 1 ~3 I' ADDRESS 5:~'. Jt~,':: ~l:~~ C:l DOwner CITY tli;-. V11~ CITY ZIP COD. O:~~r.:l:l ZIP CODE PHONE 7171'1-:'. PHONE O.S. Reg. # Twn, 'i? .:2L1 Subdivision 1 :~34.n Range J3 _ Section h:.'o~rl Pur:, 2? ./. 3ax Lot ~-C:-' RbOI ~ I t~de Census Tract Lot /' Bloc~ r , Acreagp Width Access to Property (Road Name)' C.Rl('li(;:I~.f",n:: A"~nl'~ Depth Existing Structures on Property: '!nl'c:.C" Directions to Property. Address: /:,p.., ~j)}'tj, i~rl t:~ R;l'i-"i "';""nn"'l"~I'ln STRUCTURE (# BEDROOMS) il:~';", f:n'" f\dI'Ji...in:1 SQ. FT. ~':i~ !;o ft VALUATION ,;:~7t;': .0') SEWAGE DISPOSAL: PUBLIC I ] SEPTIC TANK [ OTHER [ txis', PLUMBING INSTALLED BY: OWNER [] OTHER [] NAM" WATER SUPPL Y: PROPOSED [ ] EXISTING [J [ ] PUBLIC [ ] COMMUNITY. NAME: [ ) PRIVATE WELL [ ] OTHER. SPECIFY' BUILDING ':": "\n PLUMBING 3% SURCHARGE""":: .'" MOBILE HOM" WASTE DISPOSAl PLAN REVIEW TOTAL ";~ ~, n ~ CONSTRUCTION PERMITS & INSPECTIONS AND WATER POLLUTION CONTROL SPECIFICATIONS MIN. SEPTIC TANK CAPACITY: GALS. MIN.DRAINFIELD UN. FT. MAX. TRENCH DEPTH INCHES ':';.'1' l ';"1''':. ';:'\"':"":.1 ,,'1' n"'t'"':.c n.r- ';':1"' "V"1'!:;,.,('i.,lrl t.,-H';, ~l"''''' n,.~r1';';'';n:-; TYPE OF CONSTRUCTION , -I .1, GROUP i 1\1 FIRE ZON" STAY lOa' FROM ALL WELLS USE CLASSIF. SETBACKS. FT. FROM CTR. OF r/W: FRONT 10:. SIDE EXT. FT. FROM PROP. LINE: SIDE INT. REAR. ZON" !' AUTHORIZED SIGNATURES: /sl ~.~ E. ~OS~ :.1" 1'::'"'r:)t'!I(i:-l ISSUANCE DATE: r. 'I r;"n"/~-IH'~~",~,.t"'lI II. "-j. I :1 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 Ihe Stale Buidling Code, D.E.a, standards lor subsurface sewage disposal and the Slate Plumbing Code. All buildings require a certificate 01 occupancy before being occupied. (See Details on Reverse Side) /~.........../';:/ ..' /',Yh [C-, (POST THIS PERMIT ON MAIN BLDG. AT SITE) , l C~5.13 LANE COUNTY. DEPT. OF ENVIRONMENTAL MANAGEMENT COURTHOUSE ANNEX, 135 EAST 6th, EUGENE, OREGON 97401 BUILD'ING..SJTE EVALUATION f/i5&/cH J>< BUILOING PERMIT APPLICATION NO. 9 eft -7L () SITE INSPECTION PLANNING OIVISION Not ~p licable I. Zoning Ordinance Compliance: Zone ( ) 2. Subdivision Ordinance Cempl iance ( ) 3. Required Access ( ) 4. Building Site (Area, Width, Frontage) () 5. Other (see comments) ( ) T I... R O...3s ..2:2-TAX LOT S~N: LOT: BLOCK: APPLI CANT DATE No Yes () TI 6. ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) CK'DBY: ~. goCvP-76, Setbacks from c/I of r9~d: Front ~~ Side ~r- Setbacks ~om interior lines: Side ~ Rear Lr COMMENTS: / PLANNING DIVISION ACTION PENDING: YES~ } NO~ } APPLICATIONH BUILDING INSPECTION DIVISION Not Appl icable ( ) ~ 7. Plans Submitted 8. Soil Stability (footings) 9. Flood Plain 10. Other (see comments) COMMENTS: WATER POLUTION CONTROL Not Applicable (lO ( ) II. Meets Department of Environmental Quality Standards. 12. Other (see comments) COMMENTS: No ~ T)X'1 ( ) ( ) ( ) ( ) ( ) ( ) No Yes T)TI ( ) ( ) CK'D BY:{? /i~t/-7 ~ OATE CK'D By:~j ~ S3-'7/. . ~ / DATE TO APPLI CANT: I. )(L ~~r Building / Site Inspection: ~ 0' ,~ Can be approved. . ^ iJ I\~( ) Cannot be approved at th i s time as i nd i cated on i tern NO. above. ~-j:;' Questions and further information on items I through 6 contact the LANE- ~I COUNTY PLANNING DIVISION. Questions and further information on items 7 ~ through 12 contact the LANE COUNTY BUILDING AND SANITATION DIVISION. f) ( ) Will be held in this office until you can resolve the problems indicated. ( ) Is being returned. ( ) Your building permit ap'pl ication fee is beln.'] .~etu~n.~d under seoiU:i'tP. r.nvp.r. DEPARTMENT OF ~NVIRONMENTAL HANAGEMcNI 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 [J MOBILE HOME [] PLAN REVIEW [J CHANGE OF OCCUPANCY [ ] DOwner II NAME ADDRESS CITY ZIP CODE PHONE o Contractor NAME ADDRESS CITY ZIP CODE PHONE 0.5. Reg. # Tw:, Range Sect ion Tax Lot Codp Census Tract Subdivision Lot Block Acreagp Width Access to Property (Road Name)' Depth Existing Structures on Property: , ..,. Directions to Property. Address: STRUCTURE 1# BEDROOMS) SQ. FT. VALUATION SEWAGE DISPOSAL: PUBLIC [J SEPTIC TANK [ BUILDIW: PLUMBING 3% SURCHARG" MOBILE HOMF WASTE DISPOSAL PLAN REVIEW ,. \ \ PLUMBING INSTALLED BY: OWNER [J OTHER [] NAM" WATER SUPPLY: PROPOSED [ ] EXISTING [] [ ] PUBLIC [ J COMMUNITY. NAME' [ ] PRIVATE WELL [ ] OTHER - SPECIFY: OTHER [ ] 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 FIRE ZONE STAY lOa' FROM ALL WELLS USE CLASSI F. SETBACKS. FT. FROM CTR. OF rlW: FRONT SIDE EXT. FT. FROM PROP. LINE: SIDE INT. REAR ZONe AUTHORIZED SIGNATURES: /s/ ISSUANCE DATE: BLDG. PERMIT - WHITE OFFICE COPY - WHITE COUNTY TAX - PINK PLUMBING - CANARY BUILDING - GREEN SANITATION - GOLOENROD 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 Slate Buidling COde. D.E.a. standards for subsurlace sewage disposal and the Stale Plumbing Code. All buildings require a certiflcate of occupancy before being occupied. (See Details on Reverse Side) (POST THIS PERMIT ON MAIN BLDG. AT SITE) C5S.13 LANE COUNTY, DEPT. OF ENVIRONMENTAL MANAGEMENT COURTHOUSE ANNEX, 135 EAST 6th, EUGENE, OREGON 97401 , . SITE I NSPECTI ON . ApPROVED Cl OISAPPROVED Cl DATE REMARKS FOUNDATION INSPECTION INSPECTOR ApPROVED / / DISA~PROVEO ~/ DATE INSPECTOR "....,f;j~,,~~ f~:~,/;~~_ FRAMING INSPECTION ApPROVED ~ DISAPPROVED REMARKS LATH OR SHEETROCK INSPECTION /' ApPROVEO ~I DISAPPROVED REMARKS CJ 1t1/1.~. ~ ~H. /1/ 17/~q ~ DATE U "r I f/ INSPECT~6-?-'L./ . ,. . . g{, e/ ~I (~ f. .- // //, ~ /J//4 Dm .7 ""b . / ~ NSPEee ~ (~I ApPROVEO OISAPPROVED .C1 REMARKS CERTIFICATE OF OCCUPANCY READY TO ISSUE CJ NOT READY TO ISSUE CJ DATE REMARKS INSPECTOR . NOTE: NO PERMIT.L BE ISSUED UNTIL THIS APPLIcAN HAS APPLICATION FOR: PEJ:f~ -7(, BEEN APPROVED . CONSTRUCTION c:===J CJ OWNER_hrNF.. ~~AI Name CONTRACTOR U.11I6 if/I Name c:::::::J D.S. fJfJOfJ(~'5 Lj() RangeD3 Twp. ACCESS TO PROPERTY Existing Structures on Property: MOBILE HOME c:===J h53~ Addres liLtI ~ 19s. Address prope)lY Location - Address/Directions: ~A...P ~ CHANGE OF OCCUPANCY c=J 9?t.jrJ/ Zip fJ.2L105- Zip /f ct.? -IJ-'< I Phone -- Phone Code Census Tract Width______Depth ~hJc/~ ?I / Below fo r Of f ie e Use Onl YXXXXXXXXXXXXXXXXxxxx~xxxxxxxxxy,ro;r'rV''''r'nrxxxxxx'''rv'''rvv''{xxxXXXXXXXXXXXXXXXXXXXXXXXXXJ9Q9OCXXXXX t2d~f-; -0 ) / _~~>r peSo) ,~~/qUC:i.Oo-o I I SEWAGE DISPOSAL: Site Inspection U WATER SUPPLY: Well Spring FEES: Bldg. Plumbing 3 % Surcharge Waste Disp. Plan Review Mob lIe Home 3G. .DO /.op., TOTAL .3/].nX_ ,Mtt;iC /6"1paf~-~( Type of Construction -, / -V IV BIdg Setbacks -~rom Center of Front doe:; Side Int. , EXist/ng Sewage Disposal System ~ Public CJ Community ~me of I or New System Required c=J Community or Public System PLUMBIN\ Install., by Owner PLUMBINI FE : of :JJ/ff._~ ~." Connection Water Connection PLANS FURNISHED FACILITY PERMIT c:::J ~E3 c:===J N~ C ,,0 Signature of Ap cant:Q ~ J Fee Received By~n _ Date:, .3!J-7t Maximum Depth -,~/ "l&~p) .?//~"..,..j Group ; ~,- , . Fire .Zone Use Classification Road Ri~f Way: /" c:.; Sid~erior Rear <,..-. /P_/J-, PLANNING: nATE: U~ . :3 D tLM-7.~ . C55-IZ LANE Zone ~ITf'TI~ nATE: ~~~...tJ. L?;D~: .L.7.tJ.~ S-.J..7C ~_.-=__I 'fZ .5"'JI..'7~ COUNTY D;PA~TMENT;JZ ENVIRONMENTA MANAGEMENT .