HomeMy WebLinkAboutPermit Building 1976-5-11
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I,.ANE COUNTY PERMIT FOR
PERMIT NO'. ,906-76
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CONSTRUCTioN [.X] MOBILE HOME [] PLAN REVIEW [.] .CHAi\JGE OF OCCUPANCY [ ]
George Gurso ,- P.O.'Box'"3752 Eugene.Oregon
: ~
,0 Owner
o'Cbntractor
. NAME
Excel Construction-
NAME
1 0242
ADDRESS
2610 West 5th
CITY . ZIP CODE
. Egu~ne 'Or.ego'n.
PHONE.
484:"9888 .
ADDRESS
CITY
'ZIP CODE
PHONE
. O.S, Reg. #
'". '
. Tw!"
17 Range O::l. Section ?7.::L ~ Tax Lot
1 ROO-
. Cod~
, 01 q-O~ . Census Tract
t."'
,. _,'t.
Subd'ivision
NA
Lot
. Block
Acreagi:>
Width
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Access to P~opertY (Road NalT)e):
AnciArc:nn I .mA
Depth
.,'. ," -.f'
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,.' Existing Structur~s on Property:
~ . ' .
. . Hri'r"J e:.:i. . . .
,Directions to Prciperty . Address:
tn~~ An~r~nn I ~n~ "nrinnfiAlnn~nnn
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STRUCTURE (# BEDROOMS). ":,. ,. .. . SQ. FT. .
. 'Permi t for Fi re Damage to, the:. House '..
!nstall Smoke Uetector.
VALUATION
: $15 ,000
.i "
SEWAGE DISPOSAL:'
PUBLIC [ ]SEPTIC'TANK [ ]
. ,
BLJILDING '72.QO
~LUMBING
,. .3% SURCHARGF
::..'MOBILE HOME.
WASTE D.ISPOSA l
. PLAN REVIEW
OtHER [
, .'~ . ." .
PLUMBING INSTA~:LE.D'BY:.
OWNER ['.] OTHER'[ r "NA'MF
WATER SUPPL Y:,PROPS>SED . [ ]
,'.EXISTING'. [ 1
[ ] PUBLIC
[ ] COMMUNI"]-,Y:::" NAME: .
[] PRIVA~EWELL:: '" " .'
[ ] OTI-;lER - SPECiFY:':"
, .
2.16
TOTAL
74.16
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CONSTRUCTION PERMITS & fNSPECTIONS AND WATER POLLUTION'CONTROL SPECIFICATIONS
" MIN.. SEPTIC TANK CAPACITY: " ,', :.~'.
'GALS. MIN. DRAINFIELD L1N. FT.. MAX. TRENCI'{D'EPTH'.' INCHES
'"'- 1- ".
TYPE OF C.ONSTRUCTION . 5N
GROUP 1.
FIHE ZON~
STAY lOO'FROM ALL WELLS ~
, U,SE CLA.SSI F.
:-i-
..
~ETBACKS. FT. FROMGTR: OFr/W:
.,' FRONT ,'SIDE EXT.
FT.FR()M PROP.TINE:':
SIDE INT." REAR
ZGNF
AUTHORIZED SIGNATURES:
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.. /s/ J. E.Boss bv Harbauah
. , ISS\JANCE pATE: .
.5/1117f;' ,. ttlm
IMPORTANT:
. . . . .
CalL 687~4065 to.' schedule all required constructio.n. i'2~'pecti,?ris..'l.C~11 f18(4061 to.sc~edule all re.quired
septic system inspectio.ns. All co.nstructio.n shall co.mp.ly:~i.th the State'Suidling 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 Deiails on Reverse Side) .'
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BLDG. PERMIT'- WHITE
OFFICE COPY - WHITE
: COUNTY TAX - PINK
PLUMBING"':' CANARY
BUILDING .-GREEN
SANITATION - GOLDENROD
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C55:\3.
(Po~n THIS~'PERMIT ON MAI'N BLDG. 'AT "SITE)
LANE COUNTY', DEPT. OF ENVIRONMENTAL MANAGEMENT .
COU~THOUSE ANNEX, 135.E,AST6th, EUGENE, OREGON 97401
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BUILDING S~TE EVALUATION
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NO. 7t;r:; ~ l&
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() BUILDING PERMIT APPLICATION
() SITE INSPECTION
T /" R J 3 S 07 /.3-J-AX LOT /?O (J
SUBDI".:iION:
LOT: BLOCK~
PLANNING DIVISION
Not
App 1 icab 1 e No
( )
( .
/.
Width, Frontage) ~i
,. Zoning Ordinance Compliance: Zone
2. Subdivision Ordinance Compliance
3. Required Access
4. Building Site (Area,
5. Other (see comments)
COMMENTS:
v
CK~D BY:
etbacks from ell of road:
Front
Side Exterior
Setbacks from interior lines:
Side
Rear
.,.
PLANNING DIVISION ACTION' PENDING: YESt ) NOt ) APPLICATION#
Not
App 1 i cab'l e
l1 ( ) (
!v )()
1/ Y ~'
II /'
it /
/
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BUILDING INSPECTION DIVISION
Not
App 1 icab 1 e
( )
(/ )
( )
, )
7. Plans Submitted
8. Soil Stability (footings)
9. Flood Plain .
10. Other (see comments)
COMMENTS:
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WATER POLUTION CONTROL
11.
Meets Department of Environmental
Quality Standards.
Other (see comments)
12.
COMMENTS:
No Yes
r) (1'"")-
( ) ( )
( ) ( )
( )( )
CKID
B&i .s-'-It:J~7b
DATE
DATE
TO APPLICANT:
Your Building I Site Inspection:
r~ txr Can be approved.
:1 'U (5 Cannot be approved at this time as indicated on item NO. above.
.{...-\\r' .rJ:) Questions and further information on items 1 through 6 contact the LANE-
:J .~~ COUNTY PLANNING DIVISION. Questions and further information on items 7
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 bu i1 ding perm it app 1 i c~..!..L2D_}e.~. is !?e i n9 returned UIJ9~..r seoarate cover_
ucrARTMENT OF ENVIRONMENTAL MANAGEMENT
135 Sixth Avenue East' Eugene Oregon 97401
PHONE: 687-4065
LANE COUNTY PLANNING DIVISION PHONE: 687-4186
C55-28