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Home My WebLink AboutPermit Building 1978-08-14t \$l TRS, T JO ANE COUNTY PERM!T Acreage or Lot Size Contractor's O.S. # oning # APPLICANT'S NAN4E AND ADDR FSS CONTRACTOB'S NAIVIE AND ADDRE qs i l/ail permitto ( )Applicant ( )Owner ( )Contractor. ( )Prefertopickup. Call THIS PERMIT IS FO ) Completed Subdivision Lot- Bloc OWNER'S NAME AND ADDRESS Phone Phone Phone STRUCTURES NOW ON THE PBOPERTY- \AJATER SUPPLY SEWAGE DISPOSAL (owner, etc.) when ready. # B ED ROOIVIS-# PLUIVIB I NG CO N N ECT IO NS s.l. # THlsPRoPERTYlSwlTHlNoNEMiLEoFTHEclTYoF-.PLU[nBlNGBY-- I hereby certify that the above statements are true and accurate. and that I have the lollowing legal interest in the property: -owner of record; -contract purchaser; - potential buyer; - realtor or agent. I lurther certily that (if not the owner) I am authorized to act for the owner of record, and that 9id owner is aware and approves oI this action, I hereby agree to comply with all applicable Codes relating to this permit. Fee Paid $-Signatu re Date () NEW ADDRESS () FACILITY PERMIT TO TRANSPORTATION DEPT () SPECIAL PIVIT. AREA. IVIIN. ELEVATION SANITATION lVlinimum Septic Tank Capacity (Gallons) Drainfield Required - Lineal Feet lVlaximum Depth Date BUILDING Type of Construction Use Classification Comments roup Fire Zone Comments By:By:Date PLANNING REOUI REIVIENTS SATISFIED. By:Date Date lssuedZONE: SETBACKS: FRONT SIDE FACING STREET (FROM C/L} INT. SIDE YARD REAR (FROI\4 P/L} LANE COUNTY DEPARTIVIENT OF ENVIRONMENTAL |\4ANAGEMENT, 125 EAST 8TH AVE., EUGENE, OREGON 97401 PHONE: 687-4394 POST THIS PERMIT ON MAIN BUILDING AT SITE c55-13 \ SITE INSPECTION AppnovrD Rrurnx s DrsaPPRovED D Dere I rsrEctoa FOUNDATION INSPE toN APPRovEo Reua Rx s D r s APPRovEo n o^,, lZ- r7-7{I ruspecton FRAMI NG I NSPECTI App nov r o Re uanx s Dr sAPPRovEo Dete I NsPEcroR LATH OR SHTET Ap rnov r o Rrua n . INSPECTION Dr sappnovEo D oort/a -27 -7{I NsPEcroR FINAL INSPECTION Ap pnov r o Rruanx s DI SAPPROVED {€2,*t-/t"*/a*J, n o^', 7-/f-F/I Nspecloe CERTIFICATE OF OCCUPANCY Rraov ro lssur REltaRx s D Nor Rraov ro lssuE n DrrE I NSPEcToR to 6-7y /ING PERMIT OR MOBITE HOME t PERMIT MH MAII.ING ADDRESS PE No. 806- A/ 4 PROPERTY OWNER PHONE MAITING AD PROPERTY ATION _ INCTUDE POST OFFICE o/,PHONE q .s SECTION TAX LOT NO CODE CENSUS TRACT PROPERTY D RIPTION - METES, BOUNDS ANG E EXISTING STRUCTURE5 ON PROPERTYAPPI.. NAME & MAITING ADDRESS tEGAI.TO _ FT. WIDTH DEPTH AREA FOR MOBITE HOME PERMITS ONLY No. of Bedrooms STRUCTURES TO BE BUILT THIS PERMIT Connect to Existin Sew TYPE CONSTRUCTION n New BDR MS VALUATIONse. FT SEWAGE DISPOSAT PLUMBING INSTATI-ED BY PU BLIC BUITDING WASTE DISPOSAI. PTUMBING PtAN REVIEW PARK TRAIIER TOTAI, SEPTIC TANK F EES OWNER OTHER: NAME WATER PUBr.rC tr tr OTHER r6.00 COUNTY BUILDING & SANITATION SPECIFICATIONS MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GA[. DRAIN FIEI-D REQUIRED tIN. FT TRENCH WIDTH FT.OR SQ. FT, Denied: Planned addition is over drainl ine TYPE OF STRUCTURE OCCUPANCY ZONE PUBI,IC UTIt. EASEMENT RA5N BLDG. SETBACKS FT. FROM CTR. OF ROAD RIGHT OF WAY USE CTASSIFICATION FRONT SIDE INT,SIDE EXT REAR 7, PUE AUTHORIZED SIGNATURE _ DATE DATE/s/ J.E. Boss by C.Harbaugh John Shook 8-9-74 BLDG. PERMIT _ WHITE OFFICE COPY _ WHITE COUNTY TAX _ PINK PTUMBING _ CANARY BUITDING _ GREEN SANITATION _ GOI.DENROD Coll 687-4065 to schedule oll required inspeclions. All construc- tion sholl comply with Uniform Building Code, D.E.Q. stondqrds IMPORTANT: for subsurfoce sewoge disposol ond counly regulotions covering plumbing. All buildings require o certificote of occuponcy before being occupied. (See Detoils on Reverse Side) (POST THIS PERMTT ON MAIN BrDG. AT S|TE) TANE COUNTY, DEPT. OF ENVIRONMENTAL A,{ANAGEAAENT COURTHOUSE ANNEX, I35 EAST 6rh, EUGENE, OREGON 9740Iroau *655-13 c'/Jei I /r*- u)qv' ltl,.u,=;o??* " a Ir \.\n\n ,*\\ fr U.B.C. 'Sec. J02 (o) ExPrRArroN EvERy pERMtr tssuEo 8Y THE Butt-ott'tc OrrtclAL UNDER THE PRovlsloNS oF THE Coor snltr- ExptRE BY LtMtrATtoN AND BEcoME NULL AND volo, lF THE BUILoING oR woRK AUTHoRTzED By sucH pERMrr rs Nor coMMENcED wtrHtN 50 olvs FRot/t rHE oATE oF sucH eERMtr, oR tF THE BUTLDING oR woRK AUTHoRt2eo av sucH PERMIT IS SUSPENOED OR ABANOONEO AT ANY TIME AFTER THE \{ORK IS COMMENCED FOR A PERIOO or 120 oAys, BEFoRE sucH voRK caN BE REcoMMENcEo A NEw PERMIT SHALL BE FlRsr oaTAtNEO SO TO DO, AND THE FEE THEREFORE SHALL BE oNE-HALF r'Xr'lXOUNr REqUIRED FOR A NEt PERt"llT FoR SUcH VORK, PROVIDED No CHANGES HAvE BEEN MADE OR WILL BE MADE IN THE ORTGINAL PLANS AND SPECIFICATIONS FOR SUCH YORX; AND PROVIDEO FURTHER THAT SUCH SUSPENSION OR ABANOONMENT HAs NOT EXCEEDEO ONE YEAR. +*****+*t+ U.B.C. Src. ]02(e) SusperstoN oR REvocArtoN Txe ButLDTNG 0FFtclAL MAY, tN trRtrtNG, susPEND oR REvoKE A PERMIT lssuEo uNDER pRovlstoNS oF THts CoDE vHENEvER THE PERMIT ls lssuEo lN ERRoR oR ON THE BASIS OF INCORRECT INFORMATION SUPPLIEO, OR IN VIOLATION OF ANY oRDtNANcE oR REGULATToN oR ANY oF THE PRovlsloNS oF THls CoDE. ,ll_ U.B.C. SEc. 3O\(o) REeutRED lNspEcrtoxs Txe Butr-orr'tc 0rrtctlL, uPoN NortFtcATtoN FRoM THE PERMIT HoLDER oR Hls AGENT, SHALL MAKE THE FOLLOWING INSPECTIONS AND SHALL EITHER APPROVE THAT PORTION OF THE CONSTRUCTION AS COMPLETED OR SHALL NOTIFY THE PERMIT HOLDER OR HIS AGENT WHERETN THE SAME FATLS To coMPLY t/trH THls CooE. (I) FOUNDATION INSPECTION: TO AE MADE AFTER TRENCHES ^RE EXCA. VATED ANO FORMS ERECTED ANO T'HEN ALL MATERIALS FOR THE FoUNDATtoN ARE oELtVERED oN THE JoB. Wxene concnerE FRoM Call A CENTRAL MrxrNG euaNr (cout'toNLY TERMED "TRANstr uixeo") ts 6874o65 ro BE usED, MATERTALs NEED Nor BE oN rHE JoB. ro (2) FRAME INSPECTION: To BE uAoE AFrER rHE RooF, ^LL FBAMING, SCHEDULE fIRE-BLOCKING, ANO BRACING ARE lN PLACE AND ALL PIPES, CHIMNEYS, AND VENTS ARE COMPLETE. (3) LATH/oR WALLBoARD INSPECTIoN: To BE MADE AFrER ALL LATHTNG lro/on wALLBoARD, INTERToR AND gxrERtoR, ls tN PLAcEi BUT BEFORE ANY PLASTERING IS APPLIEO OR BEFORE UALLBOARO JOINTS -AND FASTENERS ARE TAPED ANO FINISHED. (l+) rINAL IiEPECTIoN: To BE r.rADE AFrER BUTLoTNG rs coMPLETED AND REAOY FOR OCCUPANCY. ****+.***** ********** Cxreren 835, Sec. 2l}t Oneeox LAr,,s 1973; See luso O.R.S. Cxrerrn 4\9 (r) Crr-r- 6Bt-\o6> TO S CHE DUL E UpoN coMpLETTNG THE coNSTRUcrroN FoR wHrcH A PERMrr HAs BEEN rssuED UNDER sEcrroN 21J or rHls 1973 Acr, THE eERMrr HoLDER sHALL Norrry rHE DEpARTMENT. Txe orpanrurNT sHALL rNspEcr THE CONSTRUCTION TO OETERMINE IF IT COMPLIES T/ITH THE RULES oF THE coMMISsIoN. Ir Txe cONSTRUCTION DOES NOT COMPLY wITH SUCH RULES, THE DEPARTMENT SHALL ISSUE A CERTIFICATE OF SATIS- FAcroRy coMpLETroN To rHE pERMlr HoLDER. lF THE coNsrRucrroN DOES NOT COMPLY WITH SUCH RULES, THE DEPARTMENT SHALL NOTIFY THE PERMIT HOLOER AN,D SHALL REQUIRE SATISFACTORY COMPLETION BEFoRE lssutNG THE cERTtFtcArE. Fltlune ro MEET THE REQUIRE- XENTS FOR SATISFACTORY COMPLETION WITH!N A REASONABLE TIME coNsrrrurEs A vroLArroN oF sEcrrols 208 to 22O oF rHls l)'lJ Act. REFUND OF FEE Txe Lane Coururv DrprRruEur or EHvIRoNMENTAL MGT. I HAvING REQUESTEo REFUNo OF TEE TO:. OF Nllre Aoongss Appt-rcATtON FoR BUILDING PERMIT OENIEO, AND NO APPEAL OF SUCH DENIAL HAV I NG BEEN MADE. ApPI. ICATION FOR BUILDING PERMIT CANCELED. AppulcATtoN FoR BUILDING PERMlrr ovERPAYMENT. _ ZoH tuc Prr tT loN. Appu t cAT toN roR REsTIURANT L t ceruse. Appr. rcATtoN'ron CrnrtF IcATE ar SaHlrAT loN. AFpLtcATtoN ron PneututxaRv Stre lnsFEcTtott. Fon rxe FoLLowtNG REASoN: ArO txe AppL;CANT DESIRtNG THAT THE FEE BE REFUNDEDT rxC Dlrf ruoAuolT1NGlsREQUEsTEDToRErUNDTHEAMoUNToFs-, NUilEER _; lN THE CASE OF APPL ICAT ION FOR 6UILDING PERMIT rEE CHARGEO. c laR tF Frr'tlt{ce UNOER AT'PL I CAT ION , wHlcH ls THE ( ) Drre ,5-029-t2 a aa a a I BU I LD ING S ITE EVALUAT ION ( ) Building Permit Appl ication No. ( ) S ite lnspect ion ( ) Pre-Permit lnvest igat ion -jS t-f o -7 tlrn-Q CENSUS TRAL-rq B APPL I CANT: NA!4E '-',6,/,/t AX LOT 6 roct Llm'/1oa ,fu ll4aatr I ADDR PHONE DATE LANE COUNTY PLANNING DEPARTHENT NOT NO ffil icable - YES NA}l8 DATE Zoning 0rdinance Compl (Zone i anceRA ()() 2. Subdivision 0rdinance ESmpl iance 3, Requ i red Access 4. Bu i ld ing S ite (Area, t,lidth' Frontage, Setback) 5. Other (see comments) () () () () )) ( (() () CO},IHENTS: BUILD}NG INSPECTION SECT!ON 5. Plans Submitted 7. Soi I Stab i I ity (foot ings) 8. Flood Pl a in 9. 0ther (see Corments) NOT NO aool icable*-o-( ) () YES (/) () () () ())( DATE ()()()Vre -7*r COHHENTS: SAN I TAT I ON SECT I ON t0. ll. 12. t3. Sewage Disposal Usable Area I'later Supp I y 0ther (see Comments) NOT a-i'i't icable -' ()a/' t NO YES Q4 NA}1E ( () () () () ) () () ( COHH TO APPL ICANT Gniea tu(,\ rt-trrn d. () ()ryi our Building Permit / Site lnspection: Can be approved. Cannot be approved at this time as indicated on item N0.Ta-above. Questions and furt her information on items I through 5 contact the Lane- COUNTY PLANN ING DE PARTHENT" Questions and further information on items 6 throug contact t Coun Buildin and Sanitation Divisi n. Will be held in this office until you can reso vet p rob ems n cated. ls being returned.your building permit appl ication fee is being returned under separate cover. I.ANE COIINTY PI.ANNING DIVISION 135 Sixth Avenue East, Eugene, Oregon 9740L Phone (503) 687-4186 LANE COUMY ENVIRONMENTAL MAI.IAGEMEM 135 Sixth Avenue East, Eugene, Oregon 9740L Phone (503) 687-4065 c55-28 NA}tE DATE IANE COUNTY BUTLDTNG I IBUIL. .{G MHtr PERMIT OR MOBITE HOME US. PERMIT PERM,I[ NO. PROPERTY OWNER MAILING ADDRESS PHONE CONTRACTOR MAITING ADDRESS PHONE PROPERTY LOCATION _ INCTUDE POST OFFICE I n PROPERTY TEGAL DESCRIPTION - METES, BOUNDS lFr tr !, I 1 I , 'r i:: i .,. RANG E SECTION ,.r CODE rt TAX LOT NO CENSUS TRACTu fuatr*c*r EXISTING STRUCTURES ON PROPERTY IEGAI. ACCESS TO PROPERTY ,,3fi9r idge PROPERTY SIZE - FT, WIDTH DEPTH AREA FOR MOBILE HOME PERMITS ONLY No. of Bedrooms Connect lo Existing Sewoge System I New System ! STRUCTURES TO BE BUILT THIS PERMIT ttl x s*l TYPE CONSTRUCTION se. FT. # BDRMS VALUATION ddltl*n SEWAGE DISPOSAT PtUMBtNG INsrAt-tED BY PUBI-IC BUITDING WASTE DISPOSAT PI-UMBING PLAN REVIEW PARK TRAITER SEPTIC TANK OWNER WATER SUPPTY PUBTIC OTHER: NAME N OTHER FEES TOTAL COUNTY BUILDING & SANITATION SPECIFICATIONS MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GAL. DRAIN FIETD REQUIRED tIN, FT TRENCH WIDTH FT.OR SQ. FT. Banltdt !l ,inard a#l t ll Ert:r dr*l*lla TYPE OF STRUCTURE OCCUPANCY ZONE PUBTIC UTIT. EASEMENTxE BLDG. SEIBACKS FRONT FT, FROM CTR, OF ROAD RIGHT OF WAY SIDE INT. SIDE EXT. USE CTASSIFICATIONH REAR {}l J AUTHORIZED SIGNATURE _ DATE DATE BLDG. PERMIT * WHITE OFFICE COPY - WHITE COUNTY TAX _ PINK PTUMBING _ CANARY BUILDING - GREEN SANITATION _ GOLDENROD Coll 687-4Q65 to schedule oll required inspections. All construc- tion sholl comply with Uniform Building Code, D.E.Q. stqndords IMPORTANT: for subsurfoce sewoge disposol ond counly regulotions covering plumbing. All buildings require o certificote of occuponcy before (See Detoils on Reverse Side) (POST THIS PERMTT ON MAIN BLDG. AT SITE) IANE COUNW, DEPT. OF ENVIRONMENTAI. MANAGEMENT COURTHOUSE ANNEX, I35 EAST 6Th, EUGENE, OREGON 9740Ironu 1: 655 - 13 APPT. NAME & MAILING ADDRESS OTHERE - SITE INSPECTION App nov r o RruaRxs -- : Dr sAPPRovEo Dar r I ruserctoR FOUNDATION I NSPECTION Ap pRov E o Reuanxs D r sappnoveo Dare Ir.rspEcroR FRAM I NG Appnov r o Re Nanr s I NSPECT I ON Dr sappnovro Dar r I Nspecron LATH OR SHEETROCK Ap pnov r o RElt n cx s I NSPECT I ON Dr snppRovro I Nspecton FINAL INSPECTION Appnoveo ReMaax s Dr sappRoveo Dar r I rusprcron CTRTITTCATE OF OCCUPANCY Rraov ro I ssuE ReurRx s D Nor Rraov ro lssuE D Dare _lrsprcroR_ D I.ANE COUNTY BU ING PERMIT OR MOBILE HOME U. PERMIT BUILDING iI MH ! PERMIT NO. PROPERTY OWNER MAITING ADDRESS PHONE CONTRACTOR MAITING ADDRESS PHONE PROPERTY LOCATION _ INCTUDE POST OFFICE PROPERTY TEGAL DESCRIPTION - METES, BOUNDS RANG E SECTION TAX LOT NO.CODE CENSUS TRACT EXISTING STRUCTURES ON PROPERTYAPPt. NAME & MAITING ADDRESS LEGAI. ACCESS TO PROPERTY PROPERTY SIZE - FT. WIDTH DEPTH AREA FOR MOBILE HOME PERMITS ONLY No. of Bedrooms Connecl to Existing Sewoge System !New System ! STRUCTURES TO BE BUILT THIS PERMIT TYPE CONSTRUCTION so. FT. # BDRMS vALUATtoN SEWAGE DISPOSAI PUBLIC tr SEPTIC TANK tr OTHERE PLUMBING INSTATTED BY OWNER E OTHER: NAME BUITDING WASTE DISPOSAL PTUMBING PTAN REVIEW PARK TRAITER FEES WATER SUPPTY PUBUC D ! OTHER TOTAL COUNTY BUILDING & SANITATION SPECIFICATIONS MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GAL. DRAIN FIEI-D REQUIRED tIN. FT TRENCH WIDTH FT.OR SQ. FT. TYPE OF STRUCTURE OCCUPANCY ZONE PUBLIC UTIt. EASEMENT BLDG. SETBACKS FRONT FT. FROM CTR. OF ROAD RIGHT OF WAY SIDE INT. SIDE EXT. USE CTASSIFICATION REAR AUTHORIZED SIGNATURE - DATE DATE BLDG- PERMIT _ WHITE OFFICE COPY _ WHITE COUNTY TAX _ PINK PI-UMBING _ CANARY BUILDING _ GREEN SANITATION _ GOIDENROD Call 687-4065 to schedule oll required inspeclions. All construc' tion sholl comply with Uniform Building Code, D.E.Q. stondords IMPORTANT: for subsurfoce sewoge disposol ond counly regulqlions covering plumbing. All buildings require o cerlificole of occuponcy before being occupied. (See Detoils on Reverse Side) roau :f 655- 13 (posT THIS PERMIT ON MAIN BLDG. AT SlrE) IANE COUNTY, DEPT. OF ENYIRONMENTAT MANAGEMENT COURIHOUSE ANNEX, I35 EAST 6Th, EUGENE, OREGON 9740I $-- SLAB FLOOR .-/' PLUMB ING GR0UN[I^,0RK Ap pnov E o Rrurnx s D Drsaepnovro D Darr I rusercron cAS PlPl NG GROUND,'/ORK Appnov e o Rrua Rx s D DrsappRovEo D Dare I Nspecron ROUGH PLUMBING AppRoveo D Drsappnove, D Rrua Rx s Dare I Nspecron ROUGH GAS PIPING Ap pRov e o ReuaRx s D I SAPPROVED Dat e I usprcton F I NAL PLUMB I NG APPRovEo D DrsAPPRovEo D Re [raRx s Dare I ruspecron FINAL GAS PIPING AppRoveo D DrsappRoveo D RruaRx s Dare I us pe ctoR CERTIFICATI OF OCCUPANCY Rraov ro lssuE ReuaRx s D Nor Reaov ro lssue D Dor._I NSPEcToR BUIIDI? PERMIT MOBITE HOME USE.,% DESCRIBE EXISTI . LANE COUNTY PERMIT TYPE - BUILDING MOBILE HOME ora *aol. o 3-t r. CODE TEGAT ACCESS TO PE PROPERTY SIZE_WIDTH IL!CAT!ON PERMIT # $ CENSUS 3 ON EO DEPTH -7 PRO OWNERt PROPERTY TOCATION _N MAILING ADD PH PHONE 120 c MAILI D (- // EPO FFICET \,n PROPERTY LEGAT DESCRIPTION TOT_BLOCK_SUBDIV. TWP RANGE APPTICANT NAME AND MAII.ING ADDRESS a BOUNDS YES NO sEc.TAX tOT t52?_ IF 1 t AREA FOR MOBILE HOME PERMIT ONLY Number of Bedrooms Connecl to Existing Sewo ge System !or New System Req BE BUIIT THIS PERMIT TYPE CONSTRUCTION FT # BEDRooMS TION/6 VAI,UA 3Ll 6 SEWAGE DISPOSAT PU BLIC TANK PTUMBING.BY OTH ER NS FURNISHED OTHER FEES WATER SUPPTY FACITITY PERMITBtDG. WASIE DIS. PI.UMBING PI.AN REVIEW PARK TRI.R. PUBTIC cAsH ! SE\MER CH ECK ING FIXTURES OTHER YES YES NONO ATIONS )t;\) DATEL5-llz,-PU CONNECTION FEE COUNTY BUITDING & SANITAT DRAIN FIEID REQUIRED TIN. FT. TRENCH TOTAT MIN. SEPTIC TANK CAPACITY WITH DIST. BOX r OR SQUARE FEET prnmtr # SPEC I F DTH TT TYPE OF STRUCTURE '6 l/OCCUPANCY ZONE REAR YARD PUBTIC UTIT. EASEMENT RNBLDG. SETBAC KS _ FT. FROM CTR. OF ROAD RIGHT OF WAY USE CTASSIFICATION FRONT rections to Find Property: srDE rNT. /' I Dolec C BLDG. INSP REAR 2t COPY I _ OFFICE COPY 2 _ JOURNAL COPY 3 _ AUDIT Form # css-t2 I NAME tL.- T;iS, TL JOB LOCATIO Partitioning # LANE COUNTY PERMIT Acreage or Lot Si 7e Contractor's O.S. # OWNER'S NAME AND ADDR ) Completed Subdivision Lot- Block- APPLICANT'S NAME AND ADDR FSS Phone- Phone-ESS CONTRACTOR'S NAME AND ADDRESS - Phone STBUCTURES NOW ON THE PROPERTY Mail permitto ( )Applicant ( )Owner ( )Contractor. ( )Prefertopickup. Call (owner, etc.) when ready THlsPEBMlTlSFoR#BEDRooMs-#PLUMBlNGcoNNEcTloNL WATER SUPPLY SEWAGE DISPOSAL S.l. # THlSPRoPERTYlSWlTHlNoNEMlLEoFTHEClTYoF.PLUlVlBlNGBY I hereby certify that the above statehents are true and accuaate, and that I have the following legal interest in the property: -owner oI record; -contract purchaser; - potential buyer; - realtor or agent. I lurther 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 this action. I hereby agree to comply with all applicable Codes relating to this permit. Fee Paid S-Signatu re Date - ( } NEW ADDRESS () FACILITY PERI\4IT TO TRANSPORTATION DEPT.- () SPECIAL PI\4T. AREA. I\4IN. ELEVATION SANITATION Minimum Septic Tank Capacity (Gallons) Drainfield Required - Lineal Feet Maximum Depth Date BUILDING - rYPe or const8'lll?il*.* GrouP Comments: ire Zone Comments By By:Date: PLANNING REOUI REMENTS SATISFIED. By Date:Date lssued ZONE: SETBACKS: FRONT SIDE FACING STREET (FROI\4 C/L) tNT. S|DE YARD REAR (FRO|\4 p/Ll LANE COUNTY DEPARTMENT OF ENVIRONMENTAL IVANAGEMENT, 125 EAST 8TH AVE., EUGENE, OREGON 97401 POST THIS PERVIIT ON MAIN BUILDING AT SITE c55-13 BLDG.PERMtT-WHlrE; BUTLDTNG-GREEN; pLUMBTNG-GANARy; sANrrATroN-coLDENRoD; oFFlcEcopy-wHtrE PHONE ( u rl K x' LANE COUNTY DEPARTMENT OF ENVIRONMENTAL MANAGEMENT 125 EAST BTI. /ENUE, EUGENE, OREGON 97401 PIANNING DMSION Current zoning 4 Partltlonlng I [nending f]Completed Parcel No._ Partltlontnq Reou t red Other r ndustrlal - I ol Employeer CONSTRUCTION PER.TITS AND INSPECTION FEE(See abovc for I of bedrooms/l of employeea) t] i{obl lc Home S AVERAGE PROCESSING s N N Ulcu,(,. H HIt bIJrr c) dHoz },7 U, Coruncrc Other fI a Permanent Tempor!rtt Renewa 1 Sg. Ft. Valuatlon s tu s lotrI vtlu;rtion S.-,1 Plumblnq fixtures at* _ Sewerl{ater Conn. at 9, AO ,f3, tO?'/ t ,n c}t! al State Surchargc Plans Check Pea Change o! Occupancy Mlnlmtul rtructural Betb.cks : Frorq centerllne of Btrect3 Front Subtota I ?OTAL BUILDING PERHIT FEE s3, Ar- eacr. I llach B: s t s s I ot, Exterior stao /2 Frora lntcrlor lot linee: Side €' Rear d / f] Cor.ta'l plans sheet to applicant I CurU cut to aPpllcant Address [[- ri^ior^ Elevrtion l-- E' t< rPUBLTC r.AliDS tr PuBLrc rdoRxs tr EIIVI ROIII'JXTAL IIEALTII PacillLy Pernit Caah_ ChGcb I tlcc'd by TOTAI. S AFFIDAVIT: If thls permit is for an agricultural building, I hereby declare that this bulldingwill be used for agricultural purposes as allowcd by zoning and/or the State Building Code, andfor no other purpose. I further certify that the atatemenLs and other information sutmitted onthls application are true and accurate, and that I have thc. following legal interest in the 94r- Prolrerty: ewrrto purchase; - [, to thi8 Dermit. o^r. ?-6 -7Y lane county or that !omer of is knowl{rJ.tcabla of thrg irll applrr:.rLrle codes rclatlng er of record; contrnct purchaser; lesseei holder of an exclusive oplion <luly authori zeil-to act f or a pe rson wh-<i-has the Ii:-f lowing Ierlal intercst r application, if a,rm nor liie-Ewn-ar. f further ar toc Applicant I s Si,Jnature TIIIS IS YOUR RECETPT, AND DOES }IOT GIVE YOU PERMISSION TO BUILD. rOR INFOR}IATION AIOUT ?HE PROGRESS OP YOI'R APPI,ICATIO}I, CAI-I, I!iRMIT CONTROL, 687-{]57 (587.IIELP) Address Minlmum ElevaEion 6l!'-- HATER POLLUTION CoNTROL I ot Slt.ea_ N6u Slt. fnBpectlon(el_ SDS Con;tructton n Neu ! nepair Nurnb€r of Bedroomsr Please Prlnt -.Rerum Appllcation to Receptionist Lhen ConFleted APPLI ADDRESS ol,,lNER (IF DIFFERENT) ADDRESS ,-.PtrLlcATlcl lv t ty. PHoNE 747-4L75 Appolnrenr Dat. Office tlse Only PIIONE ZIP IP 6 LICENSE 1715 Hoz Haz I bzort EI r BH oz z \ t J--l uetr coupLErED pERurr ro AppLrcANT/or.rNER/coNTRAcroR (crRcLE oNE)[X] pnrrrn ro prcK up l. PRESENT USE OF PROPERTY (res residential- tdentlal; type of famtng; corerclal or lndEtrlal; vacant; etc 3G DESCRIBE STRUCTURES NOW ON THE PROPERI'Y. NOTT] AN\ SI'RIICTURES TO BE DEMOLISIIED. Flnrrqa I IM}IEDIATE PLANS }-OR THIS PROPERTY ('THIS APPLICATION)slab to make enclosed. porch - 4. FUTURE PLANS: o*u,_&}9 e!9d p_gt io-enc 1o s ing exist ing concr et e I \ \ o 5. PLOT PLAN Sketch (a) aL1 roads (b) bomdartes of property (c) exlstlng/proposed bulldings (d) exlsting/proposed silage disPosal areas (e) existtng/proposed wells (f) extsting/proposed drj.veways(g) easenents (h) dralnageways ' stream, creeks, any other pertlnenE feitures, If comrctalor industrial, shou frees tandlng slgns, parklng areas. INDICATE DII,.IENSIONS. -. :tt. rl ._t __. . i oEroox ll' a HFI H 2 o Foo b lq 0t I I 5. J- o tc. ll. t2. t3. 14. METH,D oF sLwAGE DrsposAr--S"Bffe-Tffi PROPOSED I,JATER STIPPLY I.IELL SPRING "TRE;_ ELECrRrcrry FURNT'*ED ,, SprTigfield Utility Board I{ATURAL CAS BY FIRE DISTRICT SCHOOL DISTRICT PLI}1BINC BEFORE YOUR APPLICATION CAN BE PROCESSED YOU MUST FURNISH: ---8'r*11 PLOT PLANS ( DIMENSIONED) ***********i******************** Do NOT WRITE tslll,Ou TIIIS LINE ****************r************** LECAL DESCRIPTION L hne county I i t' I I I I I l. I I rlrl I I I F+-. . D.,\TE LANE COUNTY DEPARTMENT OF ENVIRONMENTAL MANAGEMENT 125 EAST 8TH AVENUE, EUGENE, OREGON 97401 '|s oRE.-&gge-- q gggn --coNrRACroR :lli ohh C{p ordo FJ !dp a t! ,lI t' I .l .i isi: :\+i.\+{ *cgr,rERAL INFoRMATIoN : add bath and.slassed jrr patj-o on existi+g slab ?t EH B92c)11EO ro t t-l @1 EI N)r 6o. *L IP Io.Io 3{ E I I I .', a o *If plans are for comercial or industrlal use, descrlbe the proposal (type of business, materlal to be stored, number of eoployees, hours of operatlon, nolse or pollutlon factors and proposed Eethod of control, etc.). AtEach separate page if necessary.. VARTANCE rNFoRt"rATroN. PRrtposAL: o: E i.l i EI E c, atrI 9 {o o The property, or the lntended use thereof, ts subject to exceptlonal clrcGtances or condltlons not general1yapp11cab1etootherpropertleslnthe3arev1ctn1ty'naDelY, oH Eda, a o FJ k'e county 6r\: I soq/ 5n I I \S\ \q\\\\-'-"" I _s)2 ls\ 1r. I_ --_ . a.- ,{ \ ?12 ).r I ) ,t I t, a I j l I I trt- Ja a J + I t i i I \ ) ) I I(riq/qq$ r ,J at * D,S rl_ \ :Q)i.. I f- ---t .y'C . <',:& I I t- I t_ I I i MEMORANDUM lone county TO Envi ronmenta I Management Department FROM John S. Srneed SUBJECJ "our Emergency" DATE Bl 10178 Due to our "emergency" (backlog of permits) - starting today 8/10/78 the followjng changes are to be implemented until further notice: I . Al'l SIF0 work wi I I be done by John S. Smeed. 2. Refer no calls to_p1an examiners other than long distance or call backs(verifycall backs with plan examiners before referral df tfre call). Take messdgesfor all others and let them know that unless they leave a message what the ca'llis about, their call will not be returned, i.e.,don't indicate what the call is about no call wil 6l!r -- if the hone rnes S re urne ;t S nclu s SIFO too. 3 The public, including contractors, etc., are not to contact plan examiners unless they have an appointment; they can leave their name and the reason that they have to see the p'lan examiner and they will be contacted later regarding an a ppo'i n tment t ime . lermit Processing Section personnel are not to contact the plan examiners.All assistance and/or questions both internal and external shall be referredto SIFO. 4 al,rl7 I \ TO: l4AP I8-oz:-c,6-4-l T. L. 6Soo PLANNING PERMIT PROCESS]NG OTHER FROM: FLOOD PLAIN MANAGEMENT DEPARTI'IENT OF PUBLIC WORKS PH0NE - 687 -4195 SU BJ ECT : BUILDING PERMIT NUMBER 2-ta+. 18 PARTITION NUMBER SUBDI V IS ION OTHER S]TE IN FLOOD HAZARD AREA. DETAILED STUDY RECOMI'IENDATIONS: YES I/ NO L/'APPROX II4ATE STUDY NOT A SUBSTANIIAL II4PROVEMENT MINIIIUM FLOOR ELEVATION REQUIRED SITE IN DESIGNATED FLOOD HAZARD AREA EXTRA PRECAUTIONS MAY BE APPROPRIATE. DATE l- t9 -l I BY C-rvl (- 21 3il -70 TRS, T Acreage or Lot Size Contractor's O.S. # APPLICANT'S NAME AND ADDR OWNER'S NAME AND ADDR JOB LOCATIO Partition ing LANE COUNTY PERMIT ) Completed Subdivision Lot B lock Phone- Phon CONTFACTOR'S NAME AND ADDRESS Phone- Mail permit to ( )Applicam ( )Owner ( lContnctor. ( ) Prefer to pick up. Call- (owner, etc.) when ready. e STRUCTURES NOW ON THE PROPERTY THlsPERMlTlsFoR#BEDRooML#PLUl\48lNGcoNNEcTloNS- WATER SUPPLY SEWAGE DISPOSAL--s.l. # THlSPRoPERTYlSWlTHlNoNEMlLEoFTHEClTYoF'PLUlVlBlNGBY I hereby certify that the above statements are true and accurate, and that I have the following legal interest in the property: -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 oI record, and that said owner is aware and approves of this action. I hereby agree to comply with all applicable Codes relating to this permit. Fee Paid S-Signatu re Date ( }NEWADDBESS () FACILITY PERM IT TO TBANSPORTATION DEPT.- ( }SPECIALPIV]T. AREA. I\4IN. E LEVATION: - SANITATION [Vlinimum Septic Tank Capacity (Gallons) Drainfield Required - Lineal Feet Maximum Depth BUILDING Type of Construction Use Classification Comments: roup -Fire Zone{ Comments B B Date PLANNING REOUIREIVIENTS SATISFIED. B Date:Date lssued ZONE SETBACKS: FRONT SIDE FACING STREET (FROIVI C/L) INT. SIDE YARD REAR (FROIVI P/L) LANE COUNTY DEPARTMENT OF ENVIRONMENTAL IVIANAGEMENT, 125 EAST 8TH AVE., EUGENE, OREGON 97401 c5s-13 ,,-o. o.*,,r-wH,rE; ",,.::J"1::::Ji:fr'J*:iffiil;:fi::T,:Jl;::..""; oFF,cEcopy-wH,rE PHONE: 687-4394 Date: SLAB FLOOR PLUMB ING GROUNU^/ORK Apenov e o Reilrnx s D Drsappnoveo D Dar e I I rs pe cron GAS PIPING GROUNU,,/ORK Ap pnov E o REua Rx s D DrsAPPRovEo D Darr_I ruspecron ROUGH PLUMBING AppRovro E ReMaaxs Drsappnove, D Drr r /a '/6 ')E l Nsprcron P/ ROUGH GAS PIPING Appnovco D DrsappRovru D Rrxrnx s Dar e I Nseecron rINAL PLUMBING Appnov e o RruaRx s d Drsappnoveo D oorrr? 6-F/I Nsprcron FINAL GAS PIPING APPRovEo D Drsrppnoveo D Rrtlnx s Dare I xsprcron CERTIFICATE OF OCCUPANCY Reaov ro lssue ReunRxs D Nor Reaoy ro lssue D Drre I HspecroR lane county DATE 4-,*o - r / NAME:ot ADDRESS: rQ<<_7z y'r z RE: PERMIT * A/ 34-z7 This letter is to inform you of the final inspect'ion that is required under State law. State Building Code Section 305(e)-6 Final Inspection: To be made afterfinish grad'ing and the building completed and ready for occupancy. State Plumbing Code Section 3.I8(h) Covering and Using: No plumbing or drainage system, bujlding sewer, private sewer disposal system or part thereof shall be covered, concealed or put into use until it has been tested, inspected and accepted as prescribed jn this code. State Mechanical Code Section 305(a): When a installation of a mechani- cal system is complete a final 'inspection shall be made. Mechan'ical sys- tem regulated by this code shall not be connected to the energy fuel supply until authorized by the Building 0fficial. Our records indicate that the following fjnal inspection at the above mentioned structure needs to be made and the structure approved for occupancy. Buildins fI Plumbins t]Mechan i ca I Please call the Lane County Building & Sanitat'ion Division (687-4065) within l0 days to arrange for the final 'inspection. JOHN E. B0SS, Building Official Building & San'itation Division BY: MAP 4ryfr14ry couRTHousE-puBLIc sERvrc:'Jb?lB?-tt")tt't]lolo3+'li,lolr{-ilvIR.NMENTALcliil'5XEil-'5it8l"*',PHoNE ( s03)687-4065 lillil k coRREcTIoN NoTrcE: |ANE "::H.'*:'"';3I,,;}I'-,1$TIIIIILDMANAGEMENT li,:.?:l,i:s or s,ruc,ure does no, .onro,El:ji:;:::::)buirdins resuro,ions, ordinonces or codes f Kt I{'*r'a auj -*1 ,8"€,/qr- *9l-J-r.4-ry*a'*.. fi d-d-a-.4J ffi _f€ffireAtAt- ?,€-. -Q-d-4, \nspector Date=-rt *{ {, c55-13 Bu\\d\ngPerm\t +z+- r LAiiE CCili,{TY Il,llL,l ll;; ,. :.i;,:] i'iAT I0i',i D lv l5 l0N 135 i',\Si 5Ti'i iUItit'E r EUGEi'IE, 0REG0|{ 97q01 YOUR BUILOIN&I'lCB ILE HCME PERH IT IS BE ING }IELD FOR TI{E REASOIIS sl"ATED 0N THE BUILDING SITE EVALIIATl0t't sllFET. \''E \''/tLL HoLD THls APPLICATI0N ! F, A,T THAT T ll'lE , YOU HAVE NoT F URN lsHEt) UNTIL TI1E REQU IRED NF0RI1ATl0N, AS 5H0l'/N 0N THE ATTACIIMEI'IT, YoU R APPL t CAT ION I.I ILL BEcANcEi.I..EDANDoNE-HALFTHEFEEREFL,NDEDT0YoU.