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Home My WebLink AboutPermit Building 1975-11-21 :-' Ii". , . LANE COUNTY PERMIT FOP PERMIT NO. 3093-75 .... ~ 'j~ . ~:;. CONSTRUCTION Dol ! I~~ MOBILE HOME [ 1 PLAN REVIEW [ ] CHANGE OF OCCUPANCY [ ] ",C! Owner p n t(^MC" , -NAME' 881 ANO~~SON LAN. ADDRESS rUG.M~ OR.aoN q7~1 CITY ZIP CODE 747-6r:;.n . PHONE i~ o Contractor SAM. ' . NAME ADDRESS CITY ZIP CODE PHONE O.S. Reg, # I\IA Twr 17 Range n":a Section :n. ~ _ ':2 Tax Lot , ... .... 1A()() Code 1Q~n':l Census Tract Subdivision i\:lENLo -PA~i< Lot Block 3 Acreage Width Access to Property (Road Name): ^f\1he-DQI'\M ft At<.tJ? .....t.._..u_.. ~....._ Depth Existing Structures on Property. f)uPt.x Directions to Property - Address: n. 4NOVRSON AND MI"NIO loop 881 AtJOI"RSiOIl1 I tlNI" NmnH OC: CtrNTF"NNIlIL IN NORTI1 IF:AST ~OR(\'rp. GRr;"FN OUPLr;u: STRUCTURE (# BEDROOMS) CHAtJG I NO GARAGF TO IF AM I L Y ROOM SQ. FT. 27~ @ 10.80 VALUATION :k2Q48. !~ SEWAGE DISPOSAL: . PUBLlCrr;X]IS'SEPTICTANK [l OTHER [ ] BUILDING 24.00 PLUMBING 3% SURCHARGF .. 72 MOBILE HOMF WASTE DISPOSAl PLAN REVIEW PLUMBING INSTALLED BY: OWNER [] OTHER [] NAMF WATER SUPPLY: PROPOSED [ ] EXISTING [] [ ] PUBLIC [ ] COMMUNITY - NAME: [ ] PRIVATE WELL [ ] OTHER - SPECIFY: TOTAL 24.72 CONSTRUCTION PERMITS & INSPECTIONS AND WATER POLLUTION CONTROL SPECIFICATIONS MIN. SEPTIC TANK CAPACITY: GALS MIN. DRAINFIELD ~~A L1N. FT. MAX. TRENCH DEPTH INCHES TYPE OF CONSTRUCTION 5N GROUP FIRE ZONF STAY 100' FROM ALL WELLS. USE CLASSIF. SETBACKS - FT. FROM CTR. OF r!W: FRONT ~JA SIDE EXT. FT. FROM PROP. LINE: SIDE INT. REAR ZONF AUTHORIZED SIGNATURES: Is! J.; E. Boss BY HARli)rtU~H ISSUANCE DATE: CRUICKSHANK BY McKAV/SANITARIANS 11/2;/75 DLM 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 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 Details on Reverse Side) ~\Y\ (POST THIS PERMIT ON MAIN BLDG. AT SITE) CS5-13 LANE COUNTY, DEPT. OF ENVIRONMENTAL MANAGEMENT COURTHOUSE ANNEX, 135 EAST 6th, EUGENE, OREGON 97401 \ . ,~utLDrNG SITE EVALUATION JC/~ ell R . SUBD~ ~ION~ .l II)>' ",~~ I~ _ ' ~ ,~ L.OT-: ( ) ( ) BUILDING PERMIT APPLICATION NO. SITE INSPECTION 1. :! Not! . i Appl icable, Zon i ng Ord i nance Compl i ance: Zone i' (.!' , Subdivision Ordinance Compliance ( Requ i red Access (~;', Building Site (Area, Wrdth, Frontage) (: Other (see comments) (.\ PLANNING DIVISION 2." 3. 4. 5. COMMENTS: . S TAX LOT BLOCK:! . APPL I CANT DATjE No Yes () ( ) ( ) () ( ) ( ) ( ) ( ) ( ) ( ) 'CK'D~(1-14-7.s:- 6. Setbacks from ell of road: Front Side Exterior Setbacks from interior lines: Side Rear BUILDING INSPECTION DIVISION PLANNING DIVISION ACTION PENDING:'YESt ) NOt ) APPLICATlON# 7. Plans Submitted 8. Soil Stability (footings) 9. Flood Plain . 10. Other (see comments) Not: A pp 1 i cab 1 e ( ) (I) ( ) ( ).. COMMENTS: WATER POLUTION CONTROL Not App 1 i cabw ( "'" . ( ) 11. Meets Department of Environmental Quality Standards. 12. Other (see comments) COMMENTS: . No Yes () ,~ ( )1 ) ( ) ( ) () ( ) CK'D BYa.;f~ fAT Ell 'iqv70~ No Yes () ( ). ( ) ( ) CK'D BY:~I'n~T~-1S- TO APPLICANT: ~our Building I Site Inspection: , Can be approved. /1[: ( ) Cannot be approved at this time as indicated. on item NO~ above. 0.....'.) Questions and further information on items 1 through 6 contact the LANE- Il/7)?3' COUNTY PLANNING DIVISION~ Questions and, furtherinformatio"n on items 7 \ I. 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 a{plication fee i.s.being ~~t\lrn~d_under SeRari!te S(over. DEPARTMEN'r OF ENV I RONMENTAL MANAGEMENl . 13i Sixth Avenue East Eugene Cregon 97401 PHONE: 637-4065 LANE COUNTY PLANNING DIVISION PHONE:' 687-4186 C55-28 ,",'0 . , ~' .. LANE COUNTY PERMIT FOR PERMIT NO. 3~""1] l'! CONSTRUCTION [~.fl] MOBILE HOME I 1: PLAN REVIEW [] CHANGE OF OCCUPANCY [ ] tH~ ~r:;~t~adt..! t~~ ~4tJi!>lle4l\ &nE7GmJ fD7l:m ,1~~1tt>f:rrn . ADDRESS CITY ZIP CODE PHONE DOwner t'.t)_ W:tlU~~ n NAME o Contractor StJ.~g NAME ADDRESS. CITY ZIP CODE PHONE O.S. Reg, # ~:! .Twr ~',.f Range lil~, .Subdivision t(;r~.H\.@ P~nt{ Section 8'q"'3\..3 Tax Lot 1E1lln Code UQ",O';( Census Tract Lot E "'1 '3 Acreagp Width Block .Accessto Property (Road Name)' t!.t'qf'~~ ~.M111' Depth Ex:isting Structures on Property:. 1Zt!l.'1?t.!r,t; DiteCtions to. Property - Address: . ~w M.1J;)CH\l!1Q!23 fM):l~ i~~;.!'J~Q l\lt}lll t:i;:H ~~Mt!~GQN LAt-.}f ~~~;il~~ ow Gif.J;':ti]Cm:: n C<~ c t;i fJzm)'t~ II ACt)]' lb!i)~~jf.\J. e',fg (J:C"4 (j;;;.lpt.,ltt.; ;STRUCTURE (# BEDROOMS) t&t};:.\f;lr;lWf3 l1M4A~ '10 f't\Mte.V ~~~ SQ. FT. 21~A (~ W..eo VALUATION <^t....o{'"J'lf l l''1t\ l~_....i"\.\""".o~v SEWAGE DISPOSAL: PUBLlCI~H]lGl'SEPTIC TANK [] OTHER [ ] -:;'1'.\ fl1"!. BUILDING ~'-9~II;Ii<;' PLUMBING .3%SURCHARGF ,,1f MOBILE HOMF WASTE DISPOSAl PLAN REVIEW PLUMBING INSTALLED BY: OWNER [] OTHER [ ] : NAME WATER SUPPLY: PROPOSED [ ] EXISTING [], [ ] PUBLIC [ ] COMMUNITY - NAME: [ ] PRIVATE WELL [ ] OTHER - SPECIFY' TOTAL ~1.13:o '"fa CONSTRUCTION PERMITS & INSPECTIONS AND WATER POLLUTION CONTROL SPECIFICATIONS MIN. SEPTIC TANK CAPACITY: GI,\'LS. MIN. DRAINFIELD L1N. FT. MAX. TRENCH DEPTH INCHES >-Ji\t,I~ . :~~ '", TYPE OF CONSTRUCTION ~N GROUP Ii FIRE ZONF STAY 100' FROM ALL WELLS USE CLASSIF. SETBACKS -~n.r FROM CTR. OF r!W: FRONT' SIDE EXT. FT. FROM PROP. LINE: SIDE INT. REAR ZONF .: BLDG. PERMIT - WHITE OFFICE COpy - WHITE . COUNTY TAX - PINK PLUMBING -'CANARY BUILDING - GREEN . SANITATION - GOLDENROD ISSUANCE DATE: J' I IiOLictJMe:l1~ . \ (:RtH~~[)HM,~~ ~Vt..-1t{tt1'J1/~_St;pvtJn.HH1B 1i'il~8Jrj ~,~t~ \ ,_).. .. ~ '\ -', '::-- ".\... .. ',... .... -.:"~. ,..... \,' :._1\ ..', '''..' ,'''' ,,\ ,,":..I\'{ \<: ,. ", '\...\\... \ ...1. ~ '\- ,_. '\ '\ .:><\JoaII168!:-4065"to schedjJle,all,requlred constructlC;ln tnsp'ectlOn~. C.all..687-4061 to schedule all required I MPORT ANT'" - septic system InspectlOns.",A.11 construction shaWcomply with the State BUldling Code, D.E.a. standards ", ..:.: for subsurface,.sewage disposal .and~he $tate Plumbing C~e. All buildings require a' certificate of: , ,),\ '. \, . occupancy,b~f?r\l being occupied. \ ,.".. ".. \ (",':; ':, f\ .;:,..~ .'} '- ,.. .',y,,:.. _' \,">[ ..'I -J-(See.D..etails.onReverseSide)" .. :, '\ '., '.; AUTHORIZED SIGNATURES: /s/ . J/~ E:.. %~5$ '$'1 (POST THIS PERMIT ON MAIN BLDG. AT SITE).. ':" \, 'J'. . .... ,'>:.or' LANE COUNTY, DEPT. OF ENVIRONMENTAL MANAGEMENT COURTHOUSE ANNEX; .135 EAST 6th, EUGENE, OREGON 97401 .. ~. ~C55.'3.. '... .... } "_, ", ......t .' . '# SITE INSPECTION ApPROVED / / DISAPPROVED / / DATE INSPECTOR REMARKS FOUNDATION INSPECTION ApPROVED / / DISAPPROVED / / DATE INSPECTOR REMARKS FRAMING INSPECTION ApPROVED / / DISAPPROVED / / DATE INSPECTOR REMARKS LATH OR SHEETROCK INSPECTION ApPROVED / / DISAPPROVED / / DATE INSPECTOR REMARKS DISAPPROVED / . 4/"~. I/( / DATEr/li ~/J f-' 1'fJ I NSPECTO'fJil.,.. ApPROVED REMARKS CERTIFICATE OF OCCUPANCY READY TO ISSUE / / NOT READY TO ISSUE / / DATE INSPECTOR REMARKS h ,fl / /0 'j}' .I,;:i~7T /1 "-'ifl- --I:. // . / / /17 _..,~ ( A/'''lVI../''V''" {'~-J" (,'. ../ {...(,.',,.f~//t{/'l? /I L-If'-v;rF:r '" (I l . Ii' . 1 ,'/ /} '3L)c;:r-)//- /~...l' fret I a/j~-U~ ,~~ -- ~ ~ . NOTE: NO PERMIT "LL BE ISSUED UNTIL THIS APPLICf PERMIT iF 30 Po -7S- )N HAS BEEN APPROVED APPLICATION FOR: ,/ I / I OWNER v \ CONS'TRUCT!ON ~. MOBILE HOME . 1 ,/;1/1 J/{j' ~? Name '- Ale~ rt::' PLAN REVIEW' I CHANGE OF OCCUPANCY I I tf fl ~~c/o),<'tfA~/#' /'V~rP/l(l'?/fil '~7Y7-ttS // - Addre~s: City" Zip Pnone CONTRACTOR Address City Zip Phone O.S. REG. II Twp. /7 Range cJ 3 Section 027.3;:1 . Tax Lot/?-O 0 Code _/7---e..) Census Tract . , Ul h/~/1)L SubdivisionP"~u..o- ~/e. I. Lot / . Block <.3 Property Acreage Width Depth ACCESS TO PROPERTY (Roa~ Name) "' ~t:J)....~ ,L/!/ /. Existing Structures on Property: .' " ~ I)" !~/ .,o,V / Property Location- Addr~ss/Directions: j7'? I 1/l,A/"'/t:?v. r't1 ~ A ~/p..- 'n tjh/{ tL,+ 'rl.tf.: . ' , /' . J "....-yJ (:) /2 n C(O~ /tHV I A L 0 (! ('Jvh 0 ,J;..C-t_ EJ.A/r.!~.!'~/l. '" r" 'C./}/J.." d d Q'r.. {r'?' t? QA/' OIA-JPLe}(- / . Below for Office Use OnlyXXXXXXXXXXXXXXxxxxxxxxxxxxXXXXXXXXXXXXXXXXXXXXlOOQ{XXXXXXXX~XXxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx' _ // ' .,,/ r- _ A 0 .Sq. FL~,' @) /0, roll eclroom.s Valuation CAlff""n '~G2/z;t- ~\}:t1m--.J., :1.73.. G/) ~?~1r":~D WATER SUPPLY: Well Spring E~ist~ng Sewage Disposal System Public r~ or New System Required SEWAGE DISPOSAL: 'Site Inspection II Bldg. Waste Disp. Plumbing Plan Revi~~ Mobile Home ,3.% Surcharge ~'j V.. c9-O PLUMBING: Installed ~y ---. Other Name of Community or Public syste~ ~~ r FEES: Name- PLUMBING FEES: ..- . Sewage Connection Water Connection PLANS FURNISHED FACILITY PERMIT ",7~ , CASH _ ~. Yl CHECK ,,,,", ~,' ., d..".x.j ......YESI I NO I I YES L ~NO Signature of' AP~licant.:r.cU- ~ ~'_ Fee ReO~'V"d?~ Daw //-/~-7.\ Drainfield Required - Lineal Feet ' Maximum Depth TOTAL tit Y. ?.L- Min. Septic Tank Capacity ~~.~ Type of Construction .. r- - -.!J- N . Group J Fire Zone Use Classification Bldg SetbaJ/La from Center O,f Road Right of Way: Front' .4.y." Side<,In.t._. '''M E-AL"Ll.Or Rear. L..UUl:: ----= P~NNIN '.' " ~E: ~ -/Q-7s <--'" . C55-12 LANE ~ANITATION: , '.' ~ATE: . BiiJfiNG: A 0' DATE: -'W\.~ ~'~'d-~~ 1l~l1~l$" F~[ //~}ft "/1/( COUNTY DEPA~1~1E~T OF ENVIRONMENTAL MANAJEMENT .