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Home My WebLink AboutPermit Building 1978-1-20 ~ LANE COUNTY PERMIT For PERMIT NO. 71 ~76 f;; " "...' '.. . CONSTRUCTION [X] MOBILE HOME [ PLAN R~EVIEW CHANGE OF OCCUPANCY [ ] DOwner DOh'lruld NAME Sam;:'! NAME I~A L Glmli'l 9RR Arnrlpl"~rm ADDRESS FI!Oj:lnA nr,-;:,nnrn CITY ~ . "'ZIP CODE 7/).(:,_ 71YI'7 . --PHONE o Contractor ADDRESS CITY ZIP CODE PHONE' . O.S. Reg. # Twp' 17 Range 0"2 Section 2'_- 3..1rax Lot~ zoo Code Subdivision 2~d addition M't.2}o ParI< t; Block A Acreagp Census Tract Width Access to Property (Road Name)' Llnrl131f'c:nn I ;>1'113 Depth Existing Structures on Property: n'!fiP 11 oj ITU1 ... Directions to Property - Address: qR~ Anfi~l"c:nn I ~niP rn1f'I'I~1f' n? 8~~~~cn~ 8 ~m~ ~~~ ;"'^",,~"'N":lm...' -"!l 1 01 'J7~." V'-N"-"_""II~' ..,,'v""'u STRUCTURE (# BEDROOMS) SQ. FT. VALUATION rhmnnfnn nn"~ 4~ ~v4~.4nn Cn~.~^ -..--...:/....:.1 ----. --.....--...j;j ....._VOloA::;I_ '::eo", ""e.... 11:n, ('If" SEWAGE DISPOSAL: PUBLIC [] SEPTIC TANK [ OTHER [ ] PLUMB!NG INSTALLED BY: OWNER [] OTHER [] NAMF WATER SUPPLY: PROPOSED [ ] EXISTING [] [ ] PUBLIC [ ] COMMUNITY - NAME: [ ] PRIVATE WELL [ ] OTHER - SPECIFY: BUILDING PLUMBING 3% SURCHARGE' MOBILE HOME WASTE 0 ISPOSA L PLAN REVIEW l:; nn ,,, TOTAL I;, It:. CONSTRUCTION PERMITS & INSPECTIONS AND WATER POLLUTION CONTROL SPECIFICATIONS MIN. SEPTIC TANK CAPACITY: GALS. MIN. DRAINFIELD L1N, FT. MAX. TRENCH DEPTH INCHES TYPE OF CONSTRUCTION C:~I GROUP , u FIRE ZONF STAY 100' FROM ALL WELLS USE CLASSIF. SETBACKS - FT. FROM CTR. OF r!W: FRONT SIDE EXT. FT. FROM PROP. LINE: SIDE INT. REAR ZONF AUTHORIZED SIGNATURES: /s/ J. Eo Boss bv Harbauah ISSUANCE DATE: 1 l'ln rit:, . t ,- "'4 II ..... _1"iI... ~ IJ~H 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 Buidllng 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 Deta; Is on Reverse Side) (- >----. <\,ll 11 . J "- ~- :ilJVV ---. ~il ~ "'" (POST THIS PERMIT ON MAIN BLDG. AT SITE) LANE COUNTY, DEPT. OF ENVIRONMENTAL MANAGEMENT COURTHOUSE ANNEX, 135 EAST 6th, EUGENE, OREGON 97401 iJr ". ,~ - ... .;. . .,. ~, - . -..<.,~ ~ r;~_ ;!';t' ..... ~' ... LANE COUNTY PERMIT For PERMIT NO. Ill",,?6' .. j4-;'~' .'~ ,0 .own"er CONSTRUCTION [X] MOBILE HOME [ . , < Oemt\i 1{! l G1G~ij NAME $W::JG) o Contracter ]. PLAN REVIEW CHANGE OF OCCUPANCY [ ] " ll'1j~ A*11&!1'S@W! ADDRESS t1W')(<lgiO ~~lIl;jfj~J'1l 0'/('h..,,1'g37 CITY ZIP CODE PHONE ., . O.S. Reg. # ITwr i1 - Range t~j Section 2.1' )']Tax Lot ~nd ~dd9l:hm ~i0!l1~$ ~Drl{ ~~ tSubdivision lot.. Block NAME tom ADDRESS CITY ZIP CODE PHONE / / Z OD I ij Codp Census Tract 8 Acreage Width ',Access to Property (Road Name)' AfJd~tfg@Jil l~~e. Depth Existing Structures on Property' ~~ni~<< ,Directions to Property - Address: 0G5 t~~~~S~~ L8~G ~~~9.n~~~n<< uuu&. . COffiGr> uY' A!rudflffiitJi't tmil12 nor( STRUCTURE (# BEDROOMS) C~%;f.;;:.1'ino .fiflOlr' ~lil F<:j)r\I~t~!i7.H ~t>.1r'n@~ SQ. FT. t~ \t ~fi~t: VALUATION llfirn.OO SEWAGE-DISPOSAL: PUBLIC [] SEPTIC TANK [] OTHER [ BUILDING ~.O({) PLUMBING, 3% SURCHARGF .15 MOBILE HOMF WASTE DISPOSAl PLAN REVIEW PLUMBING INSTALLED BY: OWNER [, ] . OTHER [] NAMF WATERSUPPL Y: PROPOSED [ ] EXISTING [] [ ] PUBLIC [ ] COMMUNITY - NAME: [ ] PR IVATEWELL [ ] OTHER - SPECIFY: TOTAL i}olS CONSTRUCTION PERMITS & INSPECTIONS AND WATER POLLUTION CONTROL SPECIFICATIONS MIN. SEPTIC TANK CAPACITY: GALS. MIN.DRAINFIELD L1N. FT. MAX. TRENCH DEPi)J-l INCHES TYPE OF CONSTRUCTION ~~l GROUP .>> . FIRE ZONF STAY 100' FROM" ALL WELLS USE CLASSIF. l~' SETBACKS. FT. FROM CTR. OF r/W: FRONT SIDE EXT. FT. FROM PROP. LINE: SIDE INT. REAR ZONF AUTHORIZED SIGNATURES: /s/ J. IT. G~s~ b.v H&;a"j)@~~'1 " ISSUANCE DATE: Y/2fJ/"lf. dlr,; BLDG. PERMIT - WHITE OFFICE COpy - WHITE . COUNTY TAX - PINK PLUMBING - CANARY BUILDING - GFJEEN.'-. . SANITATION 7.S'OtDENR0DI . .... \ '\- \.. "', ._ -:t, '. \.. - . <~ ~ 'l';;~, \.' C~II'687-4065\t~,sQhe'qule 'al!,r~quired cOQstruction inspections. Call 687-4061 to schedule all required IMPaRT-ANT' .....~-seplic 'system'injpectioQ.s."All construction 'shall comply with the State Buidling Code, D.E.a. standards . ..'. for subsurface sewage disposal and the Statei. Plumbing <;;OOe. All buildings require a certificate of: ..." ',\..,: . occupanC,nl8f~r~~,being occupied.. ' . ":-..' . ."._ . ... ',' j\......:,,~-''...;..., . \~.' '- " > i' " ,~(See Details on Reverse Side) '\ '.,'\, ~. h ~-~ ~."- :.~)- _'-.} _~ ", '""l"\"')"4<~..;';....i. ~"...\ \ .,. (POST THIS PERMIT ON MAIN BLDG. AT SITE) i, .' )":""\./ "'\...~..~_.; '-..: I":'.;': ~. . I ) ~ C55-13 LANE COUNTY, DEPT. OF ENVIRONMENTAL MANAGEMENT COURTHOUSE ANNEX, 135 EAST 6th, EUGENE, OREGON 97401 SITE INSPECTION ApPROVED / / DISAPPROVED / REMARKS. FOUNDATION INSPECTION ApPROVED / / DISAPPROVED / REMARKS FRAMING INSPECTION ApPROVED /. / DISAPPROVED / REMARKS LATH OR SHEETROCK INSPECTION ApPROVED / / DISAPPROVED / REMARKS ON /> (/ /, . ,<,Y, ,..-/ - D'tSAPPROVED / CERTIFICATE OF OCCUPANCY / DATE / DATE / DATE . / DATE / ... '1 . - / ....' DATE,) -I' tJ . ~ READY TO ISSUE ./ / NOT READY TO ISSUE / / DATE REMARKS INSPECTOR INSPECTOR INSPECTOR INSPECTOR \- . ?~) >~; . (/vj? INS P ECTOR 1:..____. ':/\. _ INSPECTOR /f? //// ,0/ / I., '7 ./A;..,/ /04//;1/ rJf--r /.1 ~ (/~ f:...t-;~ ., 'I _ fHf'., (;'~J? ,fif~ 1'ij-~ ~ , )' ,I I' .~" l.J;" . / '1 * NOTE: NO PERMI1 PERMITAft ":LL BE ISSUED UNTIL THIS APPLIC;. ...ON HAS BEEN APPROVED ~ c/-t /".~t--._. c.: 7/-?&, ... ~ APPLICATION FOR: ~c CONSTRUCTION I~ MOBILE HOME I ,j -:~ OWNER JJ ~ 'i A~ ./ "\ Name PLAN REVIEW ClUU~GE OF OCCUPANCY q g- s rl..,,-.A 2.A./.VC"f'.. Address' City 9~iP ~ h-. Phone ),/C '/09; I CONTRACTOR Name Address City Zip Phone - -- O.S. REG. II Twp. /7' Ra~ /) 3 Section SUbdivisi~nJr~~- U I . V ACCESS TO PROPERTY (Road Name) :,1.7 Tax Lot Code Census Tract Existing Structures on Property: I L"'/ Lot ~ '~~r ;</J~ . , Property Location - Address/Directions: 5' fri\ ~ ~--- .. ~~.+-~~ ~t Block 8". Property Acreage Width Depth ~cYJ /' - Below for Office Use OnlyXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX~XXXXXXXXXXXXXXXXXXXXX ./.~,. SEWAGE DISPOSAL: Site Inspection # Existing Sq. Ft. #B~6ms / ~. Co~ / / Sewage Disposal System I A(' or New System Required Public ~ L C_uniey I / N~" of Co_oiey 0' Public Sy"~ Valuation ';-:' - '!:. - r -#1A- ~.....\ , - ~~/ ..\.. ~~ Ak 171"'1../ t _ ....r~ /--. t2f~ .... --I J _ . ~ ~ ~..f2- r /i.5(). C) () WATER SUPPLY: Well Spring Other FEES: PLUMBING: 6: "0 Installed by Owner Bldg. PLUMBING FEES: Plumbing , /S~ # of 3 % Surcharge Waste Disp. Plan Revie~ / Mobile Home '7 {-;-: /J TOTAL LtLJ CHECK I Name Sewage Connection Water Connection PLANS FURNISHED , FACILITY PERMIT ~_ I I NO I I YES 4><'LNO Signature of APPlicant:~ ~~A. J. ~ Fee Received BY~~~ Date: /~/?~ /. I' ' Min. Septic Tank Capacity Drainfield Required - Lineal. Feet Maximum Depth Type of Construction - ./ b /1/ Group \ "'1 ~ Fire Zone Use Classification -..... Bldg Setbacks - from Center of Road Right of Way: Fron t Side Int. Side Exterior Rear Zone PlANNING: DATE: SANITATION: DATE, ffir';;n;U/ - /9"-' /' ~ ENVIRONMENTAlI~~AGEME'T C 55 - 12 LANE COUNTY DEPARTMENT OF