The URL can be used to link to this page

Home My WebLink AboutPermit Building 1977-06-27PERTVIIT # TRS, T Acreage or Lot Size Contractor's O.S, # JOB LOCATIO Partitioning LANE COUNTY PERMIT ) Completed Subdivision Lot_- Block- APPLICANT'S NAME AND ADDR FSS Phone=__-,-- OWNER'S NAME AND ADDRES S Phon CONTBACTOR ,S NAME AND ADDRESS (owner, etc.) when Phone-__-.-.- ready.Mail permit to () Applicant ( ) Owner ( ) Contractor. ( ) Prefer to pick up. Call- S.TRUCTURES NOW ON THE PROPERTY rHlSPERMlTlSFoR#BEDRool!!s-#PLUMBlNGcoNNEcTloNL- WATEB SUPPLY- SEWAGE DISPOSAL_-.-......... -- S l' # THls PROPERTY ls wtrHtN oNE t\ltLE oF THE ctry oF.._.--.-.-. PLUMBING BY - I hereby certify that the above statements are true and accurate, and that I h -contract purchaser;potential buyer;realtor or agent. I f urther record, and that said owner is aware a is action. I hereby agree to Fee Paid g ave the following legal interest in the property: =--owner of record; certify that (if not tft. owner) I am authorized to act for the owner of comply with all applicable Codes relating to this permit' ( )NEW ADDRESS () FACILITY PERIVIIT TO TRANSPORTATION DEPT.- I SPECIAL PIVIT. AREA IVIIN. ELEVATION SANITATION lVlinimum Septic Tank Capacity (Gallons) [Vlaximum Depth vOffiffie OtS By: BU ILD ING Type of Construction c"r,n.,*, Use classification By roup ire Zone Date PLAN NING REOUIRE MENTS SATISFIED. B Date lssued LAN E couNTy DEpARTMENT oF ENVTRoNMENTAL tvtANAG Etvt ENT, 't 2b EAsr BTH AVE.. EUG ENE, oREGoN 97401 PHoNE: 687-4394 POST THIS PERMIT ON MAIN BUILDING AT SITE BLDG.PERMTT-WHtTE; BUtLDtNG-GREEN; PLUMBING-CANARY; SANITATIoN-GOLDENROD; OFFICECOPY-WHITEc55-1 3 615 60 Date: Date: ZON E:SETBACKS: FRONT SIDE FACING STREET (F ROl\n C/INT. SIDE YARD REAR (FROtVI P/L rl AMOUI{T Or DiAtt{ T|ELO ^S REqUtiEO sy LANs cour{Ty oEpAtrTr.ExT oF 3u I Lo I lrs Arlo sA}{ I TAT I OX otsTilEuTlox sox 10OO crulot{ gEprtc rlxr f,11t',tt t f k''ttt o\ t0n r NN oI \---( I I It ll/ rl ll I !r o:o or - jr,l {o {a lll o a ,n Fl{ .l I ! t. 4/l-L J P'TOPERTY L I Xf UATER I'ETEi z. 2 _ -gg.qo ot t=..,'qi y'rns, ,rt1- 03- L2- - '/ /- - L Li-L Job Location Written Directions ( ) Building Permit INFORMATION SHEET ( ) Site Feasibility Study for Septic Tank. Number of sites- Acreage or Lot Size Test holes will be rea Partitioning #- ( )Completed Subdivision Bloc( ) Pendi 'nO^..r \ t- t\\a*\i **-- .nnonul'l J - 25S$APPLICANT'S NAME AND ADDRESS OWNER'S NAME AND ADDRESS, if different from applicrnt't -fu-it- - -- 'Phone- Phone--CONTRACTOR'S NAME AND ADDRESS t ) Prefer to pick up. Call ( owner, etc. ) when ready Contractors O. S. # srpucru6Es Now oN TH E pRopE RTy +c\LLt.e- * F-r'.r.rE 3 PROPOSED USE (this permit)AAA Q*-i.. WATER SUPPLY SEWAGE DISPOSAL () PROPERTY IS WITHIN ONE MILE OF CITY (existing or proposed well, etc. lf public, name of system) (existing or proposed septic tank, etc.) S.l PLUMBING BY Address lli****oFFtcE usE oNLY BELOW THtS LtNE*l*r********' ecessa ry ( ) Facility Permit Necessary SETBACKS: Front Uaide Facing Street (FROM CENTERLINE OF ROAD} ( ) Special Permit Area. Minimum Ele lnterior Side Ya Rear (FROM PROPERTY LINES) rd-5-\^L_,n To: Planning/Building lnspector/Sanitarian/Surveyor. This applicant appears to have a problem wit Your assistance will be appreciated. By Permit Processing Section Response c55-12 By DEPARTMENT OF ENV I RONMENTAL MANAGEMENT Permit Processing Section '125 East 8th Avenue 687-4394 Division lail permit or results of site feasibility study to ( ) Applicant ( ) Owner ( ) Contractor. tor 7 4 AMOUT{T Or DiAtN rtELO lS REqUtRED By LAile COuilTy oEpAiTMEXT OF 8U I LO I lto Aro sAll I ?Ar I oI o I sTi I auT I ot{ Box 10OO cruuol sgprtc rAflr rl {Prrtrf bnl\ N cI\ NN ot \---( I I I L lrI 1l tl ll !? o Jo oa : 2 I? ln o {-ln o n,r trl{ I I I I I I I I I I I \l .{ I I I I I I I I I I I I I I I I I I I I I J t. It-+L l f, ,0 e l|t ERTY L I Xf, UATER IETEi a P ROP _ -cs 00f .t PERN4IT # TRS, TL JOB LOCATIO LANE COUNTY PERMIT Acreage or Lot Size Contractor's O.S. # Partitioning # APPLICANT'S NAME AND ADDRE ss CONTRACTOR'S NATVIE AND ADDRE IVlail permitto ( )Applicant ( )Owner ( )Contractor. ( )Prefertopickup. Call Fee Paid $ ) Completed Subdivision Lot Block ' OWNER,S NAME AND ADDRESS PhON e Phone- STRUCTURES NOW ON THE PROPERTY fH!SPEBlv]lTlsFoR#BEDBoo[,4L#PLUl\4BlNGcoNNEcTloNL \IJATER SUPPLY SEWAGE DISPOSAL s.l. # THlSPRoPERTYlSWlTHlNoNEtVllLEoFTHEclTYoF.PLUtVlBlNGBY I hereby certify that the above statements are true and accurate. and that I have the following legal interest in the property: -owner oI record; -contract purchaser; - potential buyer; - realtor or agent. I further certify that (if not the owner) I am authorized to act lor the owner of record. and that 9id owner is aware and approves of this action. I hereby agree to comply with all applicable Codes relating to this permit. Signatu re Date - SANITATION Minimum Septic Tank Capacity (Gallons) Drainfield Required - Lineal Feet Maximum Depth Date BUILDING Type of Construction Comments: By roup Fire Zone -Jmments By Date PLANNING REOUIREMENTS SATISFIED. By:Date Date lssued: ZONE SETBACKS: FRONT SIDE FACING STREET (FROIVI C/L) INT. SIDE YARD REAR (FROTM P/L) LANE COUNTY DEPARTIVIENT OF ENVIRONIVIENTAL IVIANAGEIVIENT, 125 EAST BTH AVE., EUGENE, OREGON 974O1 POST THIS PERMIT ON MAIN BUILDING AT SITE c55-1 3 BLDG.PERMTT-wHtrE; BUtLDTNG-GREEN; pLUMBTNG-GANARy; sANrrATroN-GoLDENRoD; oFFrcEcoplz-wHrrE PHONE: 687-4394 (owner, etc.) when ready. ()NEWADDRESS ( } FACILITY PERIUIT TO TRANSPO RTATION DEPT.- | SPECIALPIV]T.AREA. I\4IN. ELEVATION: - SITE INSPECTION Ap pRov r o Rruanxs D oor, {-v9-1?Dr sappRoveo I ruseecton FOUNDATION INSPECTION AP PRov E D Rruanxs Dr sappnoveo 4ft-7? -2/.? Dnrs I ruseecron TRAMING INSPECTION Appnovro Reuanx s Drsappnovro LATH OR SHEET I NSPECT I ON Ap pnov r o Rruanxs Dr sappaoveo Drr e I HspEcton a*Z F I NAL I NSPECT ION Ap pnov ro Reua nr s Dr SAPPRovED ,^rr?- L-77 I Nsprcroa CERTIFICATE OF OCCUPANCY Rerov ro lssue Rrua Rx s D Nor Reaov to lssue D Drr E I HspecroR \- -r \-r Cl oorr-7,/4 - 1 ?.,'rrrrro*-pg{ / D // tANE BUILDING ER a' Tn I NG PERMIT OR MOBITE H()UsE PERMIT PERMIT NO.rg0o-75MH MAILING ADDRESSl5\ Lrvnexce EueeNr, 0nreoH PH Ot.I E CONTRACTOR MAITING ADDRESS PHONE PROPERTY TOCATION - INCI.UDE POST OFFICE PrneDalr Avrrue DESCRIPTION _ METES, BOUNDS no AoorrroH Flnxotue Lor 3 '17 RANG E SECTION TAX LOT NO CODE CENSUS TRACT 2 t-200o3 TnrrusvssrERN lrvEsrgRs luc. EXISTING STRUCTURES ON PROPERTY i.i.),, APPL. NAME & MAITING ADDRESS LEGAT ACCESS TO PROPERTY 'i r i-r, . PROPERTY SIZE - FT. WIDTH DEPTH AREA FOR MOBILE HOME PERMITS ONLY No. of Bedrooms STRUCTURES TO BE BU LT TH S PERMIT Connecl to Existing Sewoge TYPE CONSTRUCTION New se. FT BDRMS VALUATION Drrlu t He 325 SEWAGE DISPOSAT PRIOR PI.UMBING INSTATTED BY PU BL IC BUITDING WASTE DISPOSAL PTUMBING PI-AN REVIEW PARK TRAIIER SEPTIC TANK F EES OWNER OTHER: NAME WATER SUPPTY PUBI.IC tr N OTHER TOTAT COUNTY BUILDING & SANITATION IFICATIONS MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GA[. DRAIN FIETD REQUIRED iTIN. FT900 TRENCH WIDTH FT. OR SQ. FT. TYPE OF STRUCTURE OCCUPANCY ZONE PUBTIC UTIL. EASEMENT N I &J Acr (RA) USE CI.ASSIFICATIONBLDG.,FT . IROM CTR. OF ROAD RIGHT OF WAY FRONT SIDE INT.SIDE EXT REAR AUTHORIZED SIGNATURE - DATE Snoor/saHrrARrAN I DATE BLDG. PERMIT _ WH ITE OFFICE COPY _ WHITE COUNTY TAX _ PINK PI.UMBING _ CANARY BUITDING - GREEN SANITATION _ GOLDENROD Call 687-4065 to schedule oll required inspections. ,All construc-tion sholl comply with Uniform Building Code, D.E.e. stondords IMPORTANT: for subsurfoce sewoge disposol ond county regulotions coveringplumbing. All buildings require o certificote of occuponcy befor- being occupied. (See Detoils on Reverse Side) (POST THIS pERMtT ON MAIN BrDG. AT S|TE) IANE COUNTY, DEPT. OF ENVIRONMENTAT MANAGEMENT COURTHOUSE ANNEX, I35 EAST 6th, EUGENE. OREGoN 9740Ironu * 655- 13 PROPERTY LEGAL OTHERN IANE COUNT\BUILDI BUTLD|NG [l MH NG PERMIT OR MOBITE fl USE PERMIT PERMIT NO. PROPERJY OWNER MAILING ADDRESS [uerxc; Onreor PHONEtll Leunrxer CONTRACTOR MAILING ADDRESS $rxr PHONE PROPERTY TOCATION _ INCTUDE 160! Prnr0ri.r_Avtrus PROPERTY I.EGAL DESCRIPTION - METES, BOUNDS rl RANG E o3 SECTION TAX LOT NO.CODE CENSUS TRACT Ei-400 Trrxlvtorgnt lrvrt?onl lrc. EXISTING STRUCTURES ON PROPERTYAPPT. NAME & MAII.ING ADDRESS TEGAI- ACCESS TO PROPERTY PROPERTY SIZE _ FT. WIDTH DEPTH AREA FOR MOBILE HOME PERMITS ONLY No. of Bedrooms Connecl to Existing Sewoge System f New System ! srRUcruRES To BE BUILT THts pERMtr rypE coNsrRUCTtoN se. FT. # BDRMS VALUATIoN &ruu tro l.eo SEWAGE DISPOSAT PUBTIC tr SEPTIC TANK tr OTHERE PLUMBING INSTATTED BY OWNER ! OTHER: NAME BUITDING WASTE DISPOSAL PI.UMBING PI.AN REVIEW PARK TRAIIER $_WATER SUPPTY PUB|.rC tr tr OTHER FEES l.6l ?ffi.6rTOTAL COUNTY BUILDING & SANITATION SPECIFICATIONS MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GAI.. DRAIN FIEI.D REQUIRED I.IN. FT TRENCH WIDTH FT. OR SQ. FT TYPE OF STRUCTURE OCCUPANCY r &J ZONE PUBI.IC UTII. EASEMENTrsr (M) BIDG. SETBACKS FT. FROM CTR. OF ROAD RIGHT OF WAY FRONT SIDE INT. SIDE EXT. USE CTASSIFICATION REAR AUTHORIZED SIGNATURE _ DATE Eoss ev Cnrnlri FlrFtltlcn DATE BLDG. PERMIT _ WHITE OFFICE COPY _ WHIIE COUNTY TAX _ PINK PLUMBING _ CANARY BUII-DING _ GREEN SANITATION _ GOLDENROD Coll 687-4065 to schedule oll required inspections. All conslruc- rion sholl comply with Uniform Building Code, D.E.Q. slondqrds 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 THls PERMIT oN MAIN B[DG. AT SITE) IANE COUNTY, DEPT. OF ENVIRONMENTAT MANAGEMENT COURTHOUSE ANNEX, I35 EAST 6Th, EUGENE, OREGON 97,{OI ronu * 655- 13 HC' l SLAB TLOOR PLUMts ING GROUND,./ORK \-, Ae pnov e o Reuanx s DrsAPPRovEo Drr e I Hspecron GAS PIPING GROUND/ORK Ap pRov r o Reuanxs D r sappRoveo Dare I rusprcron ROUGH PLUMBING AppRovro i77 DrsaeeRoveotp_, RenaRxs ,/,,/ z-7f ,*,,,Dar ROUGH GAS PIPING Appnov e o Reuanr s DI SAPPROVED Dar e I uspecton F I NAL PLUMB I NG AppnovEo m DTsAPPRovED Rr uanx s o*,?-&-2f. rNspecr FINAL GAS PIPING Ap pRov e o ReueRx s D I SAPPROVED Derr I ruspEcton CERTIFICATE OF OCCUPANCY REaov to lssue REulnx s D Nor Rraov ro lssue D Drre I HsprcroR D BU ILD ING ! ITE EVALUAT !!]N{T R-,, S . TAXLOT SUBOIVI>,ON:( )' sutLDtNG PERHtT APPLIcATIoN N0" ( ) strE tNsPEcrtoN PLANNING DIVISION APPL ! CANT DATE Not l. Zoning Ordinance Connpl iance: 2. Subdivision 0rdinance Compl i 3. Requi red Access4. Building Site (Area, width, 5. Other (see comments) Aool icable,12:"4() Frontase) ( )() CKID BY: 6. Setbacks rom c No Is:. llill( ) ('l) Front 5-d.?a /,.€ A Side Exteiior- -Setbacks from interior lines: Side Rear COHHENTS: PUANII ING D I V IS ION-TETMIITEND I NG : Plans Submitted Soi I Stabi I i ty (footi ngs) Flood Plain 0ther (see conments) COMMENTS: -NOrl APPL r CAT I Not A le Nor)() () () Yes. r,() () 7I 9 0 ( ( (CKI D BY % IJATER POLUTION CONTROL ll. Heets Department of Environmental Qual i ty Standards. 12. 0ther (see cornments) Not Appl Icab! q () fl Nor) ()()CK'D BY: DATE cOl{trENTS: TO APPLICANT: .Yogl Building / Site lnsP -\{ can be approved. ( l Cannot be apProved at Questlons and further me as indicated on item N0. above. rtion on items I through 5 contact the LANE- estions and further information on items 7 ection: ,l ,#this ti i nforma IN 0lvls!0N LANE Qu c BUILDING SAN ITAT IO tvlsl0trough2 contact t ( ) b/ill be held in this office unt you can reso ve the P c55-28 Your buildin ems I cated. ls being returned. rmi t lication fee i 135 Sixth Avenue East Eugene Oregon PHoNE. 687-4065 LANE COUNTY PLANNING DlVlSlON PHONE: I 97401 687-4186 LOT:_ BLOCK:_ 9/c il/ fm < - t_, BUILDING INSPECTION DIVISION I \/M. zA/2. I.ANE COUI BUTLDTNG l-_l BUIIDING ?ERMIT OR MOBILE HUME USE PERMIT PERMIT NO.MHtr PROPERTY OWNER MAITING ADDRESS PHONE CONTRACTOR MAITING ADDRESSa PHONE PROPERTY LOCATION _ INCLUDE POST OFFICE PROPERTY LEGAT DESCRIPTION _ METES, BOUNDS 7 .i RANGE SECTION TAX LOT NO CENSUS TRACTCODE EXISTING STRUCTURES ON PROPERTYAPPt. NAME & MAITING ADDRESS LEGAL ACCESS TO PROPERTYI PROPERTY SIZE _ FT WIDTH OEPTH AREA FOR MOBILE HOME PERMITS ONLY No. of Bedrooms STRUCTURES TO BE BUILT THIS PERMIT Connect 'to Existing TYPE CONSTRUCT m New m SQ. FT BDRMS VALUATION SEWAGE DISPOSAT PTUMBING INSTATTED BY PUBI.IC BUI[DING WASTE DISPOSAT PLUMBING PTAN REVIEW PARK TRAITER TOTAT SEPTIC TANK OWNER WATER SUPPTY PUBTIC OTHER: NAME OTH ER FEES $_ \tx1r SN COUNTY BUILDING & SANITATION SPECIFICATIONS MIN. SEPTIC TANK CAPACITY DRAIN FIETD REQUIRED I.IN. FTtwlTH DIST. BOX: GAL.TRENCH WIDTH FT OR SQ. FT. s.\\) TYPE OF STRUCTURE OCCUPANCY ZONE PUBI.IC UTIT. EASEMENT A,eT (eAl BIDG. SETBACKS FT. FROM CTR. OF ROAD RIGHT OF WAY FRONT SIDE INT. SIDE EXT. USE CTASSIFICATION REAR AUTHORIZED SIGNATURE _ DATE II DATE BTDG- PERMIT _ WHITE OFFICE COPY - WHITE COUNTY TAX _ PINK PLUMBING - CANARY BUITDING _ GREEN SANITATION _ GOLDENROD Coll 687-4065 to schedule oll required inspeclions' All construc- lion sholl comply with Uniform Eiuilding Code, D.E'Q. stondqrds IMPORTANT: for subsurfoce'slwoge disposol ond counly regulolions covering plumbing. All buildings require o certificote of occuponcy before being occupied. (See Detoils on Reverse Side) (posT rHIs PERMTT ON MAIN BIDG. AT SITE) I.ANE COUNW, DEPT. OI ENVIRONMENTAL MANAGEMENT COURTHOUSE ANNEX, I35 EAST 6Th, EUGENE, OREGON 9740I roau = 655- 13 ,-/ SITE INSPECTION Appnovro Re iranx s D t sappnoveo Dar e I Nsprcron FOUNDATION INSPTCTION Ae pRov E o Rrua nx s Drsappnovro ,, 1'- b- /{I Nspec |.t FRAMING INSPECTI App nov r o Re uanx s Dr slppRovro oorr S 'lf ,PECTO LATH OR SHE Ap pnov r o RrttlRxs I NSPECT I ON Dts ROVED Dare I Hseec- ?5't, J ?,l/-- FINAL INSPECTION APPRov E D ReManxs DrsappRoveo D Dare I ruspecroa CERTIFICATE OF OCCUPANCY Reaov ro lssuE Rruanx s D Nor Reaoy ro lssue D Dare /7 08-v,t /0 o€ I ruspecroR \, \ D roR!._-&L- /-l/1 /(,' , q PER},IIT /I t- NOTE: NO PERMIT I .., BE ISSUED UNTIL THIS APPLI ,r{ }IAS BEEN APPROVED CONSTRUCTION MOBILE }IOME APPLICATION FOR PLAN REVIEW ess tr OF OCCUPANCY OWNER Naue o.s. REG. tt_____@lz_E J]-*nse--41_s"" Nane ) - Address+/1'SA)53fr:v Z;ls g6sz*-- AJ<_Clty C ty zip tion J ? .Tax Lof - Code Census TracE j ?roper ry Acreage Width_Depth_ Ttrp. Subdivis ACCESS TO PROPERIY (Road Nane) t Existing Structures on Property:,Z)a,tE r lce Use SEWAGE DISP Slte Inspectlon WATER SI]PPLY Well FEES: Bldg. Waste Dlsp. Plunblng Plan RevLew Moblle Hone 12 Surcharge \ Sprlng 0ther /J7-otO'00,a,6 3 ao Publlc PLI]MBING Installed by Owner 0ther PLUMBING FEES of Fixrures CASH CHECK or New Syscen Requlred rrSq.1on 40 Comunity f of Connunlty or Pub1lc Systern Name Sewage Connectlon 2 Water ConnectLon J. \ FURNISHED YES Slgnature of Appl Fee Received By: FACILITY PERMIT Date NO TOTAL e64,6/ Min. Septlc Tank Capaclty-o Drainfleld Requlred - Lineal r..t / SI) u"xlmun Deprh g): $pe of ConsEructlon_Ilre Zone Use Classiflcation Bldg Setbacks - from Center Front * 3: '- slde rnt of Road Right of !,Iay . if sia"Exteri.or LANE COI]NTY D TT,IENT OF EIVVIRONMENTAL cJ Zone 7 DATE: c55- 12 r--_l Property Location - Address/Dlrectlons: ,,P"J"-ExlstLng Sewage Disposal System [--_--] 1,(,/ t I