HomeMy WebLinkAboutPermit Building 1976-11-12
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LANE COUNTY PERMIT FOR:
PERMIT NO.
cJ7J)/-7h.
CONSTRUCTION [] MOBI LE HOME [] PLAN REVIEW [-] CHANGE OF OCCUPANCY [ ]
Downer.4i> 4/7() UA-'1 .IA ~KR IJtrl1 ~ A.A~Y7Ii ~ ~
~~~~tract:' ~:~~;y(! &./11-- ji!t:/0REwA;; 9/4C:Y 9'itKJ /ZIP CLJ)Jif~ 9'?QQ
" j;AlJ17 - . ~....-. 'ADDRESS · -----LJY .. . ZIP CODE PHONE.
O.S. Reg. #
Twr .1 7 Range 3 'Section_ 3.3. ! TL Lot 9n .s=codp
Census Tract
Subdivision Lot Block Acreagp
Access to Property (Road Name): 04, h,1.A-(!7/i_), ~./"h 11 ~
Existing Structures on Property: ~./Fr7.s1.A1 Jl -dJ
Directions to P.roperty - Address: SI? [(" ~._~)
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Width
Depth
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STRUC&l:,~RE (:# BEDROOMS)
. ;j() A t1.al? ..-,
1/ rr
v
SQ. FT.;r) ~ J
~h () (&~. -!""'1()
VALUA~I9-~/
.~ () R- X
.. ~. ....
BUILDING
PLUMBING
3% SURCHARGF
MOBILE HOMF
WASTE DISPOSAl
PLAN REVIEW
SEWAGE DISPOSAL:
PUBLIC [] SEPTIC TANK [ (]~GTHER [
_~ ? ~ 1'3.-(')
Cjt:..,
PLUMBING INSTALLED BY:
OWNER [] OTHER [] NAMF
WATER SUPPLY: PROPOSED [ ].
EXISTING . [ J-,
[ ] PUBLIC i;J_ /-l:,I/l.. _ II ,
.[~]_COMMUNITY - NAME: VJv A~<2?r:a;LUY.-r'i<1."i
[ ] P..R'I-V'f\'TI"i,rv ELL .. - ~
[ ] OTHER - SPECIFY:
TOTAL
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4/ // //11
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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 CONSTRUCTION a;A! GRClUP
. ::=r
FIRE ZONI=
.-:r
-
STAY 100' FROM ALL WELLS
USE CLASSIF. d.t.~C'(f/C2/.:'J t-/
f ' ~ f
SETBACKS. FT. FROM CTR. OF r/W:
FRONT. <7')! SIDE EXT.
......., .......
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FT. FROM PBqr LINE: .-'J. I
SIDE INT. '7 REAR. ff
"- .
l() ..M f= c~f'
ZONE
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AU;r~ORIZED SIGNATURES:
/s/ '..~?' (. 11~-J..::J~"1 0
u --
BLDG. PERMIT - WHITE
OFFICE COpy - WHITE
COUNTY TAX - PINK
PLUMBING - CANARY
BUILDING - GREEN
SANITATION - GOLDENROD
ISSUANCE DATE:
.!i\c(IlH/J.l,uu,,/IIAt:\h).. ()~. A..AA~ L,.f.. GL~~)
. .0- . - ~-(I .,. -, I - .~ . -' - tf ~fi '-" J ,~.. L
Call 687-4065 to schedule all required construction inspections. Call 687-4061 to sChedul{~1 reJQred .1.. -.
IMPORTANT: 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 Detai Is. 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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SITE INSPECTION
/'
ApPROVED ~L
DISAPPROVED /
/
DATE
//~ '3.<J -7~ I NSPECTORO,UJ7
I (/
REMARKS
FOUNDATION INSPECTION
'"
ApPROVED~ DISAPPROVED /
/ DATE 1- 3 -17 I NSPECTORYt'(;d... _
REMARKS r~ DK - A"HAfk_ ft).~T~~b~
!.,~ ..--' ~ C r ,'-f? ,-. --1!-- - P J I' - ~.... - '7'/'.. c9f'~...R _ I'
FRAMING INSPECTION
/'
ApPROVED ~/ DISAPPROVEO /
/ DATE /-'-'77 INSPECTOR ~~
REMARKS
LATH OR SHEETROCK INSPECTION
ApPROVED /
/ DISAPPROVED /
/ DATE
INSPECTOR
REMARKS
/~~
FINAL INSPECTION
ApPROVED /~ DISAPPROVED /
1"
/
DATE 1- ~ - 7'
INSPECTOR
Q~
REMARKS
CERTIFICATE OF OCCUPANCY
READY TO ISSUE / / NOT READY TO ISSUE / / DATE
INSPECTOR
REMARKS
/ /