HomeMy WebLinkAboutPermit Building 1978-8-9
Fitcll. same as ~
Sarna . \ ,/
Jesse Brixlks. 4725 Daisv< ~
) Contractor. ( ) Prefer to PiCJ</UP.. Qa1I.'
House.. Shed . ,
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. THIS PERMIT ISFOR GaraaeB40 =. ft. 1# BEDROOM<: lUJ>. # PLUMBING CONNECTIONS Nll.
WATER SUPPLY NA SEWAdEDISPOS;l'-
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THIS PROPERTY IS WITHIN ONE MILE OF THE CITY OF NlI. 7 PLUMBING BY J,m
I hereby certify, that the above .statements are true and accurate, and that !)fave the following legal interest in the property: _owner of record;
contract purchaser; _ potential buyer; _ realtor or agent. I futther certify that (if not the owner) I am authorized to act for the owner of
record, and that s;lid owner is aware and ~pproves of this action. I hereby)a'gr~e to comply with all applicable Codes relating to this permit.
Fee Paid $, ,53.60 . _,," Signature /s/ Fitch Dat? 7-21-78 . , .
(nil) NEW A,dDRESS ( 1)';;FACILlTY PERMIT TO TRANS~9R'TATION DEPT (na) SPECIAL, PMT. AREA MIN. ELEVATION: /V1t
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17-03-27.1 TL 100
JOB LOCATION
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Acreage or Lot Size
Contractor's O,S, # 8537
Partitioning '#
APPLICANT'S NAME AND ADDRFC:<:
OWNER'S NAME AND ADDRES<:
CONTRAQ0R'SNAME AND ADDRESC::
Mail permit to (KK) Applicant ( ) Owner
/
STRUCTURES NOW ON THE PROPERTY
SANITATION
; . \ - -
Minimum Septic Tank Capacity (Gallons)
Drainfield Required . Lineal Feet
;ommen~s: M> ~::;r:~ep~? -/-rU cf-iM-O-
'Pe. vJ i ~~ ,10 ti O~[r6-\~~'e.-(d..
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: I 55 Greanvale Driw, Springfield,
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OR 97477
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LANE COUNTY PERMIT.
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Subdivision NA
Lot
Block
) Completed
Phone
Phci.ne
Phone
(owner, etc.) when reaiJy.
747-QllOO
747-"!lnQ
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S.I. #
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BUILDING
-e-A./Type of Constructi~nA./- /r:;roup
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/, .'" - - ~ ~ -. ,llse Classification
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Comments;
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F ire Zone
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By:&', g.;yQl/ / 1If'1r1i3i4~t:iI};:t-Date7h/ 17~
PLANNING REQUIREMEN~S'SATISFIED. By: 'Roger'Hollis
ZONE: RA SETBACKS: FRONT 45' SIDE FACING STREET
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By:
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_ ~ Date:.R -:-.9- "7 /~.
Date 1;;'~ed~-.'6-/(g-16
INT. SIDE YARD 5' REAR 5' (FROM PILI
"Date: 7-2"1-76
na (FROMC/L)
PHONE: 687-4394
LANE COUNTY DEPARTMENT OF ENVIRONMENTAL MANAGEMENT 125 EAST 8TH AVE. EUGENE OREGON 97401
, ," " , ,
C55-13
POST THIS PERMIT,ON MAIN. BUILDING AT SITE
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EBLDG. PERMIT"":" WHITE; BUIL..:DING,- GREEN; PLU~BING - CANARY; SANITATION - GOLDENROD; OFFICE'COPY ~ WHITE
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SITE INSPECTION/ ~
ApPROVED d O'SAPPRDVED Cl DATE 7-2/-], INSPECTOR~rl_
REMARKS;1~~ "h f /.J.e:: ,f - 2./-7){ (#" t.....L
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FOUNDATION INSPECTION
ApPROVED ~/ D'SAPPROVEO ~/ DATE
REMARKS ~ ()/::" +: ./kn....-,~ C?_7j-7d
INSPECTOR
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FRAMING INSPECTION
ApPROVEO /~/ DISAPPROVED 1/ DATE
\\.\~-"1"O INSPECTOR
:5I.-o....>c.o.or'"
REMARKS
LATH OR SHEETROCK INSPECTION
ApPROVED ~VED ~
DATE
INSPECTOR
REMARKS C/ - tl ~ ~~..Il I_..-A -
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P_/7
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FINAL INSPECTIO~
ApPROVED ~ DISAPPROVED 1/
DATE 5- ~-7rINSPECTOR~r-!!
REMARKS
CERTIFICATE OF OCCUPANCY
READY TO ISSUE / / NOT READY TO ISSUE / / DATE
INSPECTOR
REMARKS
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Permit No.
CURB CUT
PERMIT
IN THE BOARD OF COUNTY COMMISSIONERS OF LANE COUNTY
WHEREAS, the attached application has been fully considered by the Board of County Com-
missioners of Lane County, and it is the opinion a nd judgment of the Board that the said application
should be granted, and that a permit should be issued, now, therefore, it is hereby.
ORDERED, that a permit be and is hereby issued to
(.). E. ):'-, ,f"CI~1
55 Q>r?c~)\/lll.r ")t'r'I".' ['({lId
~~ constructingJ1t>3'llowing fa~i1ity: > ) } -
II'-f -(')?.-J_"7 1\ (,~r. (',{.J '-:;~'l'lri 1\
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upon the right-of-way of County. Road No, \~t::;, I , Mile Post ,
in strict conformity to the exhibits attached hereto;" and subject to all terms, conditions, agreements,
stipulations and provisions contained in the application and permit, the Rules and Regulations Gov-
erning Facilities to be Permitted upon County Road Rights-of-Way, as set forth by the Lane Man-
ual 50.190(2) any amendments thereto, and any other applicable regulations, law or ordinance.
(" .n (1 A'"'y"\for placing, building
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Special Provisions:
1, Driveway will be constructed in accordance with the attached driveway approach specifica-
tions (Drawing M98-50),
2, Permittee will be responsible for the immediate removal of all mud, dirt and debris from the
roadway and right of way caused by his operation, leaving the roadway and area in a neat,
acceptable condition.
3. Sidewalks will be constructed in accordance with the attached sidewalk
specifications and drawing M98-49. The Standard Curb Type shall be
constructed unless otherwise specified.
This permit is revocable at any time, and will be strictly adhered.to and no work other than
that specifically mentioned above is hereby authorized.
This permit shall be void unless the work herein contemplated
for,. " '" I l \ \- ~J. \ '... r::' , 19 -;2:0. Expires
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Inspected and Approved
shall have been completed be.
,19_.
Approved by Board of County Commissioners
By
By
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I 'H I I 'r r ./("l /\ \ ')
,~, o"ire~'to; of (PulJlfc W;;ks
Date
(I,
WHITE - OFFICE FilE
YellOW - REAL ESTATE
PINK - PERMITTEE
ORANGE - BUILDING & SANITATION DEPT.
C74-129
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CORRECTION
NOTICE
LANE COUNTY OEPT OF ENVIRONMENTAL MANAGEMENT
Construction Permits & Inspections DIVISion
EUGENE, OREGON
This bUilding or structure does not conform to lane County building regulations, ordinances or codes
as noted below
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Building P~t # -d ~ &/1) - /'x/
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C55-73 RE.INSPECTION REQUIRED
FOR APPROVAL
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TRS, TI
17-03-27.1 TL 100
JOB LOCATlON---;
5~ Greenvale Dr~ve, ,SprlIlgf~eld, OR 971177
A>
LANE COUNTY PERMIT
Acreage or Lot SI!e
Contractor's 0 S # 8537
PartltlonlDg_~
NA
) Completed SubdivIsion
~ Lot
NIl.
Blocl<
APPLICANT'S NAME AND ADDRESC:
OWNER'S NAME AND ADDR"C:C:
CONTRACTOR'S NAME AND ADDR"c;c; t
Mail permit to (XX) Applicant ( ) Owner (
F~tch. same as above
Same
Jesse v..uuj.s. 4725 DaJ.SV
) Contractor ( ) Prefer to pick up
Call.
Phonp 747-9400
Phone
Phonp 747-5009
(owner, etc ) when ready
STRUCTURES NOW ON THE PROPERTY
House, Shed
THIS PERMIT IS FOR
Garlroe 840 sa. ft.
# BEDROOMS NIl. # PLUMBING CONNECTION~
, ,
WATER SUPPLY
NIl.
SEWAGE DISPOSAL
m.
S I #
Nl>.
THIS PROPERTY IS WITHIN ONE MILE OF THE CITY OF
NA
PLUMBING BY
=
I hereby certify that the above statements are true and accurate, and that I have the follOWing legal Interest In th? oroperty _owner of record,
contract purchaser, _ potential buyer, _ realtor or agent I further certify that (If not the owner) I am authOrized to act for the owner of
record, and that said owner IS aware and approves of th,s action I hereby agree to comply With all applicable Codes relatlDg to this permit
Fee Paid !l: 53.60 S,gnatur? /s/ F~tch Date 7-21-78 . I A
(na) NEW ADDRESS ( >)'<FACILlTY PERMIT TO TRANSPORTATION DEPT (na) SPECIAL PMT AREA MIN ELEVATION /Vh
SANITATION
BUILDING
....7~A JType of Construction //>1- /r;roup
~~ - - -' A -.Use Classlflcatlo~
_ C~~-~cr
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F Ire Zone
MInimum Septic Tank Capacity (Gallons)
DralDfleld Required. Lineal Feet
MaXimum Depth , .JJ
, _ Comments I/o ~~- 01- ~S +n.A.. c.r(M'JL .L;:;,
\ De (fJ I ~\4 10 tt b -fU c!xG...\",41 <L.
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By&,&'((A.lf./~.A~ate7h//7fl By G-<JL..__ Lt. Date X-9--:r%C
PLANNING REdulREMENTS SATISFlru By 'lbqer' Hollis ....Date 7-il-78 Date Issued '6 -; 0-/!J
ZONE RA SETBACKS FRONT 45' SIDE FACING STREET DC_ (FROM CIL) INT SIDE YARD 5' REAR 5' (FROM P/L)
LANE COUNTY DEPARTMENT OF ENVIRONMENTAL MANAGEMENT, 125 EAST 8TH AVE, EUGENE, OREGON 97401 PHONE 6B7'~9.t..
POST THIS PERMIT ON MAIN BUILDING AT SITE
,
C5513 {SLOG PERMi"T - WHITE BUILDING - GREEN PLUMBING - CANARY SANITATION - GOLDENROD OFFICE COPY - WHITE
.
.
LANE COI "'TY DEPARTMENT OF ENVIRONME~'~o.L MANAGEMENT
120 EAST 8TH AVENUE, EUGENE, OREGv,' 97401
AFFIDAVIT If this permit 15 for an agrIcultural bUl1dln~. I hereby decllre that thIS buildIng
will be used for agrIcultural purposes .1<' lllowcd by zonIng and/or the State BUIldIng Code. and
for no other purpose I further certIfy that the statements and other .lnfOrm1.tlon suhmltted on
this apPl1:&on are true and accurate, a ld that I h~ve th0 followIng legal tnterest In the
property own~r of n..cord, ranLe let purCh"ser. If .,<ice holr\Lr of i'ln C.XClUSlV{' optIon
to purchas __duly duthorlH.a-ta 'ILl {or a pcr~on ....h-ohJ.'i lh.... roTIOl'o'lng leq"l Int~"r(..5t
01 ttnt the OW/1Pr of record 1<; kno I. d~!clblc of thIS
applicatIon, if I lil nott.ll."owTH:!-r-f further ..l<Jrcy}. comply wIth III a _Iu lJl codes rclatlnq
to thlS permt t (II ~
Date _?~/- 7.J?: Appl1c.:'Int's SlrJn'\ture( CI./~_~
~LANNING DIVISrON
PlIrtitlon1n9 t
Parcel ~lo
I?fJ
Current ZonIng
Dpcnd Ing
Dcompleted
PlIrtitioninQ Reouired
Others
JZJ
WATER POLLUTION CONTROL
New Site Inspect1on(s)
50S Construction [] New
Number ot BedroomSI
. ot Sites
o Repair
3- _
commer~l' ~u lo~l - I
Other /17./ A
.. -
,
ot Employees
~
CONSTRUCTION PER.'iITS AND INSPECTION
{See above tor . of bedrooms/' of employees)
o ~obi Ie Horne $
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Permanent
Temporary
Renewal
Sq Ft
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Valuation
/:,3 Ql7 $
$
$
$
r_ 3.(10 ~
'P, $
Each S
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Total V,lu~tlon $
Plumbing fixtures at $
SewerjW,ter Conn ~t ~
rach ,
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$
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$ /~, rv
$
Subtotal
.\ State Surcharge
Plans Check Fee
Change ot OCcupancy
TOTAL BUILDING PERMIT FEE
Minimum structural setbacks
From centerline ot strLet Front
~6(
From interior lot llnLS
[J Co~'l plans sheet to
Exterlor Side
Slde~~ Rear
applicant 0 Curb cut to applicant
~n,~um Elev't,on
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PUHLIC LAIlDS
o Address
~cllitY
Pernlt
PUBLIC WORYS
EfNIRO......L IT'\L IIE:ALTII
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AVERAGE PROCESSING
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TilIS IS YOUR RECE.IPT, 1>..'W DOFS "lOT GIVe YOU peRMISSION TO nUlLO
FOR INFOR."\ATIO"l A.BOUT THE PROGRESS OF yO! R I,PPLIC^TIOl CALI 1'1 RMIT cmnROL, 687-4)')7 (687-HSIPl
T'leac.e r-nlt - H...tllrn At'pliLar}On to
RPCf'ptlon <;r \-.'hrn CO!!'I l~fec
\ppointrm-nr Ddlf'
OfflC~ Use Only
APPLICATION
APPLICANT \ \/~;>). C. pJ. 'r,." J-i PIIONE /.I-I? - q.).j tJ.tJ
ADDRESS~'" "" H1f~1f,/ Vtltl.. i:F .1.7,/. CHy2f1:3:J~ArAUJ. q'7~ /' ?
Owt.ER (IF DIFHRE~T) p{tAAP.-tAkhJL tJl.J.) PHONE
ADDRESS ___ ~_ CIty ,~IP
eONTRACrOR :l""~., <; j:: B-15Qi)jR,.<: PHONE ?>> 7 .>OcJ9
~SS.I..J?~r:'" Ohl~-X._~ _ CONTRAC10R'SORC ST~TEL1CF"lSE ~_~~
L MAlI COHPLFTED PERMIT TO APPLICA',r~(.QNTRAC10R (CIRCLE ONF)~ PREFFR TO PICK UP CALL
1 PRESENT USE OF PROPl:.l<fY (residential, type of farming commercia] or industrial, vacant, etc )
<<FS IDEo -rj A /_
DI:.SC.RIBI: ~TI\UCTURI:.<; NOW ON THe PROPfR1Y NOlI:. AN\ c,IHIICTURr~ LO Ill. Dl:.hOL1S1!}f)
thO tiS;:::: _4.F1J:f Pf2N~_.2.2.JEI7
IMMlDIATE PLA% WR THIS PROPERfV (fillS APPLICATION) ARE
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4 FUTURE PLAl\S
PLOT PLAN Sketch (a) all TO ,ds (b) bounduie'J of plOpcrty (c) eXisting/proposed bUlldlngs (d) existing/
propo<;ed sE'wage dispo'Jal anas (L) existing/proposed wells (f) existlng/proposed driveways
(g) easements (h) drain<lgu...aY:J, .,tream"l, creeks, any other pertinent features If corrnnercial
--.::r industrial, show freest'lnding signs, parb.ng areas INDICATE DIMENSIONS
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9
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TOTAL LOT SJ7E OR ACREACE
~ETHOD OF ~IWAGF nI~POSAL
SITL I~SP~CTION 1EST HOLES READY
'TYJ />) J.-!.
ph.OrOSED W \ n R <;('PPI Y
ELUTRICIT\ FlJR,\I~IJ~D By
WLl L
SPRING
LAKE
PUBLIC ),(
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hATURAL (AS BY
FIRE DI"TRIc.T _-1i~)"J PJ~ I/L.-.._ _
SCIIOO! OlSTRIel C; 17 Pi' I AI A ,"0.E t. f7
rfL1fBI'\r BY A/1'1NF
******************************** 00 NOr WRITt Il~] ow Till'; ] INE *******************************
BrFORE lOUR ^I'PLr(,~\1 IO'll CAN Br J'ROCFS';I U You '1u~r rURNl<;1l
8~xll Plor PLA~<; _______LEGAL DESLRIPTION
(DlMEt.SIO\rD)
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B\_('-f/~_ j:? ~..n.A{L_h_______.Dm 7- '2-/~77
LANE COUNTY DEPARTMENT OF ENVIRONMENTAL MANAGEMENT
125 EAST 8TH AVENUE, EUGENE, OREGON 97401
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Water Pollutlon Control Dlvlslon
Envlronmental Manaqement Department
125 East 8th Avenue
Eugene, Oreqon 97401
LOCATION
Twp.! 7 Ranqpt/ 3
(Complete
Subdlvlslon Name
Sectlon ;27 (Tax Lot # / tTcJ
the follow~ng, ~f apDl~cable)
'.ot # Block #
~
~ystem located on thlS property has ever falled by dlScharqlng sewage upon
the ground surface or lnto publlC waters, by clogglng or backlng up, or ln
any other manner
~ I have lnformatlon that the eXlstlng subsurface sewage dlsposal sys-
tem located on thlS property has falled In the past by dlscharglng sewage
upon the ground surface or lnto publlC waters, by clogglng or back1ng up, or
In some other manner, and that
D The system has not been repa 1 red
I have no lnformatlon that the eX1st1ng subsurface sewage d1sposal
O The system has been repa1red and has operated
Slnce the repa1r wlthout other fa11ures
Date(s) repa1ren ,
cont1nuously
I have had personal knowledge of the performance of the eX1st1ng
subsurface sewage d1sposal system located on th1S property for_~~
years and months
The eXlstlng sewage d1sposal system conslsts of.
/!I'd T X N Ptv>'!
a) Sept1c tank has A gallon capac1ty
b) Number of drawllnes...LV"'r "".LfIlfltlW
c) Length of dra 1 n 11 nes N>>-r <1'UVLfJ/.J.~N' ,
d) Dlstr1but1on box? Yes .t~ No
The eXlst1ng septlc system was lnstalled~Mr 2'> .Y'~reti!k::;,
under Lane County BU11dlng Perm1t #
Th1S system last served a dwelllng hav1ng ~ bedrooms (lnclude all
rooms WhlCh could be used as a bedroom, though actually used for other
purposes such as for a den or a sew1ng room) OR, lf for commerc1al use, th1S
system last served an establ1shment hav1ng employees, and gallons/
day sewage flow ThlS system was last used on P~.El;F/V '/ (Date).
In case of an addltlon, the new portlon wlll be
eXlstlng dralnfleld. ~(
APPLICANT ~~ E ~
PROPERTY OWNER :xl. Yes 0 No
DATE 7-:z/-/,er-
feet away from the
C74-156
WATER POLLUTION CONTROL DIVISION I
125 EAST 8TH AVENUE I PUBLIC SERVICE BUILDING
ENVIRONMENTAL MANAGEMENT DEPARTMENT
EUGENE OREGON 97401 I 15031687-4061