HomeMy WebLinkAboutPermit Building 1978-03-21"k v 17-03-33, {. .f iq /Z
PERMlT #h\\e\8
A\IENUE EUGM{E OREGON
JOB LOCATIO
LMAf,M OFF OF CENIM{NIAL TO RAYNER A\IENUE
LANE COUNTY PERMIT
ADD TO C,ABDB{ I/GY PARI(
Partition ing ) Completed Subdivision
Lot B
I/ARNER DEIIEIOPMUVT INC.,1430 I{OIIAY{K SPRT}GFIE,D ORrcCN 97 47lon"
/flaamwx
RS, T
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^S'Acreage
or
' Contractor
Lot Qi.a 75 X 108
's O.S. ##2420
APPLICANT'S NAME AND ADDR
OWNER'S NAME AND ADDR
CONTHACTOR'S NAME AND ADDRESS
746-L674
Phone-=__--.-
Phone_._.___--=--
Mail permit to (lot) Applicant ( ) Owner () Contractor. ( ) Prefer to pick up. Call
NChIE
(owner, etc.) when ready
STRUCTURES NOW ON THE PROPERTY
PEBMIT FOR NE!^I
THIS PERMIT IS FOR w ,5gg
RAINBOT/I Vts$ER DISIRICT
fE: $30 # BEDROOVIS 3 + PLUMBING CONNECTIONS
PROPGSD s.r. #74-852
SEWAGE DISPOSA
V & M PLI.]MBN{G
ner of record;
r the owner of
\IA.I;TJE
072.00
UJATER SUPPLY
NA PLUMBING BYTHIS PROPERTY IS WITHIN ONE t\4ILE OF THE CITY OF
I hereby certify that the above statements are true and accurate, and that I have the following legal interest in the ProPerty
contract purchaser potential buyer;realtor or certify that (if n ot the owner) I am authorized
reco rd,that said owner is aware and approves of this action' I
Fee id$5xH.\s
comply with all app licable Codes relating to this permit'
Date
3 rire zone
agent. I further
hereby agree to
-Signature
) NEW ADDRESS () FACILITY PERMIT TO TRANSPORTATION DEPT () SPECIAL PMT. AREA rvilN.ELE@
SANITATION BU ILD ING
Tvoeof Construction 1 GrouP
-frJ,rl t ^tU/AtP U se c lassi f i cati on
Comments:
,€E Nor6 o* F+da
(>o
<7
Minimum Septic Tank Capacity (Gallons)
Drainfield Required - Lineal Feet
Maximum Depth
Comments:
R,',r-r.u.a-rw lt(AcZZZZe..r[ q /^06\. -
Date B Date
I ssued
LANE COUNTY DEPARTMENT OF ENVIRONMENTAL MANAGEMENT, 125 EAST 8TH AVE., EUGENE, OREGON 974O1
POST THIS PERMIT ON MAIN BUILDTNG AT SITE
C55-13 BLDG. PERMIT _ WHITE; BUILDING - GREEN; PLUMBING - CANARY; SANITATION - GOLOENROD; OFFICE COPY - WHITE
, (FROM P/L)
Date.YoulNEMENTS SATTSFIED. B
REARSETBACKS: FRON DE FACING STREET (F ROM L) INT DE YAR
PHONE:687-4394
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OONSTRUCTION PERMITS & INSPECTIONS
s.B.c. sEc. 302(dl ExPtRATtoil
:fII",f-.1"1!.'-YP 9l lhe Buildins ofricial und€r th€ provi3ions of rhe code shalr €xpire by rimh.rion and become nul and void ifthe bu.rdins or workauuonzsd 0v such permit is nor commenc€d whhin lm dayt from ttE date of such p€rmit, or if the building or wort authorized by iuch permit is suspcnd€d orabandoned Jor a per-iod of.l20 davs tt any tim€ after th€ w;rk h commenceo. eefo;suit worr can be reco-mmenc€d a na,v p€rmii sh6l b6 rirst obrained to doso, and re t € therdor shall be orFhalf th. amounr required tor a ne , permit Ior such work, provided no changes have been made or wi be msd6 in th€ originatplaniand speciticationt for eich work; and provided, fuither, thn such ;uspensio" .iiur"a"i l"* r*
"or exceieded one year.
S.B.C. SEC. I2)c) SUSPENSTOI{ OR BEVOCATTOI{
T-hs Euilqing otfidal maY,..in wtitins, suspend or rcvoka a permit i53$d under provhions of the code whenever the p€rmit is isrusd in error or on the b.sisofrncorract rmormation supplied, or in viotation oI any ordinanceor reguhtion or.ny of the provisionsol this Code.
s8.c. sEc. 3o4(d) REOUIRED t]{SpECTtOils (cALLED tNSTPECT|ONS}
The Building Official, upon notiticarion f.om the permit holder o. his qent, shatt make th. Iottowing inspections {a ow 1 ro 3 working daysl, and sha eitherapprove that portion ot the con3truction as complsied or notify th€ permii hideror rris aeni wtrerein itre s;me Iailr to compty wirh rhir Ad;.(l) FoUNDATIoN INSPECTION: Tobe rnade sft€r trench6 ar6 eicavat6d. forms erectdi, ano sreetreinforcement is inptace {ifrequiredlAND BEFOBEANy@NCRETE IS POURED.(2) FRAlt4E lNsPEgIloN: To bs mad€ after fi6 roof, an framing, ina bbck ins and br6ces are in ptace and a tt roush p tu mbins, rough sl€ctraca I and tirept.ce,chimn€vs ard wnts sre complete. No-woRK sHAiL BE mVEREo UNTIL THts ['t-siEc od'Hl5 eiiN Mnoe aNo ne-PROVED- Th.h wi be no€pp.ovalfor cover untilthe plumbing and etectrical insp€ctions have been made and approved.{3) LATH AND/oR wALLBoARD lsHEErBocK) rNsPEcrloN, r; ; ;;;;i;;;iil;iiins and/or walboard, inrerior and exterior, is in prace; but beror€
14) F,NAL rNspEcroN, i:'fJ1g:""",iiJ':*i,:ii:,tr'i"B'*1ilU"^t"r'it'i6fif'B|ff;[%'+l*"
9,I$l,1$T-9ll9ns, ln,addition to th€ carr6d inipsctiom rpecitied abov€. the auiBins ofticiar may make o, ,equir€ any other inspecrions or any construc.rrcn woff to ascertain compliane with ths r,Iovidons of this code and oth€r trs which are;nforced by the D;vision of consiuctio. e"i.is ""a r""[.tioni
BLocK WALL l[sPEcTloN: To be made eft€r reinforcing is in place, bur b.fore any grour ir poured. This inrpecrion is requked tor each bond beam pour.There willb€ no approvstuntit rhs ptumbins and etect.icar inspections ira,e reen.JJ,iljlpp-*0.
FInEPLACE li{sPEcTlo ; To b. made after ths damper is in$attsd. but betor. tha chimney consrruction is started.
Il'loBlLE llotlE lNsPEcTloNs: An impection is iequired .lt6 the mobite home is connected to an appoved s€wer or septic system tor: $etb.ck requ irements,block ing, looting connection, tiedowns, ,iirting, and piumUirB connections.-
'
ANYONE PROCEEDING PAST THE POINT OF BEOUIRED IiISPECTIONS
wlLL DO SO AT HIS OWN RISK.
You mav rmks vour rsquest fo. insEcri.n. rFlween 8:ma.m. and 5:oo p.m. t\Ionday through Friday at the Depa(rnsnt oI Environmentat Management, pubticservica 8u ildinq, I 25 East 8t a,en," e,-.. ozlot, * *ll 687-A6t o;iiyi"s
"r"1"'
."iilir tn" t.rr"*ins: F lorence, 997-3461 ; oakridse, 782-22s8j cottaseGrov€, 942-4493.
TIG BIJILDI G PERMITMUSTaE POSTED At{o APPROVED PLANS lrn sTBE (,{ THE JoB stTE AT ALL TtMEs DUat c REGULARwoRKttlre HoURs.
WATER POLLUTION @NTROL
oAR CHAPTEa 3() Divkion 7 9'b6urr'e 'nd Alternative sewEs€ Dispos.lsubdiviiion standards for subsurface and Atrern.tive s€wage and NonwatercarriedWanB DitrDsat.
71_015 (71 A Pe.mit inued p.r,"Uant to thess rule. shallte sftestive Ior a p€riod of one year from the date of issuance.7l_0l7lll upon compl!'ting the consruction for which a rErmit ha. b€sn ilsrred the p€rmit hotder sha notity the Department. The Dspartnpnt shal inspecrth8 connruction to dltermine if it comoliB with ttE ru le! contain6d in rhis di"irl.". rt iri" co.tt ra." do$ compty with such rut6, th€ Dep6rtmenr shafi isuea cenlficat' ot sti'Iadorv comolstion ; th. n€rmit holdd. llihe;;;;].. ari *i Liprvvvi tr srich rute., rh€ Departrpnt shal notify rhe permir hotderald 3hall rsquire Etitfictorv comp.tion bsforei$uira r" ""niriot". iuirrr" ii, ii ii* Gri,'"."nt" ror satBractory mmptetion within a reasonabte rirn€ con-nrtutet a viotetion ofORS 454.606 ro i154.745 and thi.rute.
TRS, T
Acreage or Lot Size
Contractor's O.S. #
JOB LOCATIO
Partitioning #
LANE COUNTY PERMIT
) Completed Subdivision
I Lot Block
APPLICANT'S NAME AND ADDR
OWNER'S NAME AND ADDRE Phon
CONTFACTOR'S NAME AND ADDRESS Phone-
Mail permitto (l ) Applicant ( )Owner ( lContractor, ( ) Prefer to pick up. Call- (owner, etc.) when ready.
STRUCTURES NOW ON THE PROPERTY
THIS PERMIT IS FOR # B ED ROOIVIS-# PLUIVIB I NG CONNECTIONS
\A/ATER SUPPLY SEWAGE DISPOSAL s.l. #
TH IS PROPERTY tS WITH IN ONE I\4ILE OF THE CITY OF
-.
PLUMB ING BY
----
--; -
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;
-- realtor or agent. I further certify that (if not the owner) I am authorized to act for the owner of
of this action. I hereby agree to comply with allapplicable Codes relating to this permit.
Phone
contfact purchaser;
-
potential buyer;
, and that said owner is aware and approvesrecord
Fee Paid $
() NEW ADDRESS () FACILITY PERIVIIT TO TRANSPORTATION DEPT
.Signature (a) ai:; ',,- { i,} rnA *'4 4-
-
Date
() SPECIAL PIVIT. AREA. IVIIN. ELEVATION:
3\]\\\r;
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SANITATION
1T
BUILDING
Comments
Minimum Septic Tank Capacity (Gallons)
Drainfield Required - Lineal Feet
Maximum Depth
of
se Classification
ype Co nstruction roup
-Fire
Zone
Comments:
y o [C{a< aTOe^-T- q f o C,\
k-\?B Date
PLANN ING R UI EMENTS SATISFIED. B
ZONE
By:Date:
te lssued.. REAR r (FROM P/L)
Date \\\4-ta
\SETBACKS: FRONT' ,,SIDE FACING STREET (FROIM C/L) INT. SIDE YARD
LANE COUNTY DEPARTMENT OF ENVIRONMENTAL MANAGEMENT, 125 EAST 8TH AVE., EUGENE, OREGON 9]4O1
POST THIS PERMIT ON MAIN BUILDING AT SITE
C55-1 3 BLoG.pERMrr-wHtrE; BUtLDtNG-GREEN; pLUMBTNG-GANARy; sANrrATroN-coLDENRoo; oFFtcEcoPY-wHlrE
PHON E: 687-4394
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ORDERED, thot o permit be ond is hereby issued to
1430 ^\
Permit N". 4tE-78 -
CURB CUT
Deu
PERMIT
IN THE BOARD OF COUNTY COMMISSIONERS OF LANE COUNTY
WHEREAS, the ottoched opplicotion hos been fully considered by the Boord of County Com'
missioners of Lone County, ond'ii is the opinion ond iudgment of the Boord thot the_soid opplicotion
should be gronted, ond ihot o permit should be issued, now, therefore, it is hereby.
or constructing the following focility,
4qO RaY*e
Gtr-r eL-D geG"A for plocing, building
uf)Do,,1.rorJ a 6aer-per.)y Pae*
<.C.,Mile Post
L
uPon the right-of-woy ntyftr",
in str ict conformity to the exhibits ottoched hereto, ond subiect to
ond perm
oll terms, conditions, ogreements,
stipulotions ond p rovisions contoin ed in the opplicotion it, the Rules ond Regulotions Gov-
Rood Rights-of-Woy,os set forth by the Lone Mon-erning Focilities to
uol 50..l90(2) ony
Speciol Provisions:
be Permitted
omendments
upon County
thereto, ond ony other opplicoble regulotions, low or ordinonce.
Drivewoy will be constructed in occordqnce with the ottqched drivewoy oPprooch specifico-
tions (Drowing M98-50).
permittee will be responsible for the immediote removol of oll mud, dirt ond debris from the
;";l;;y ond rlghi;i;;tcoused by his operotion, leovins the roodwoyond oreo in o neot,
occeptoble condition.
Sidewalks will be constructed in accordance with the attached sidewalk
ip.iiiications inO arawing M9B-49. The Standard Curb Type shall be
constructed unless otherwise specified.
This permit is revocoble ot ony time, ond will be strictly odhered to ond no work other thon
thot specificolly mentioned obove-is hereby outhorized.
This permit sholl be void unless the work herein contemploted sholl hove been completed be-
fore 2t
lnspected ond APProved Approved
By
by Boord of CountY Commissioners
I
2.
3
Dqte e_I
By
WHITE _ OTFICE FILE
YETLOW - REAT ESTATE
PINK _ PERMITTEE
ORANGF- BUIIDING & SANITATION DEPT.
Direclor of Public Works
c74-r29
h)rae-cn Zl ,1976-
€;:#
7aTRS, TL
lfritten Directions
( ) Building Permit
Acreage or Lot Size 7S*/or
Partitioning #- ( )Completed( ) Pending
/7, RTtt -gu--33 Job Location e
RMATION SHEET
( ) Site Feasibility Study for Septic Tank. Number of sites-
Test holes will be read w_
Subdivision aJJ 4a 6q.Ju^ Loo,PdlJ
onJ4 Lot 2/ Btoc
APPLICANT'S NAME AND ADDRESS )qt -t I 7 /
OWNER'S NAME AND ADDRESS, if different from applicant's
CONTRACTOR'S NAME AND ADDRESS
Mail permit or results of site( ) Prefer to pick up. Call ':ryYIy dyto ( )Applicant ( )Owner ( )Contractor
(owner, etc. ) when ready Contractors O. S. # Z?2O
srnucru REs Now o N THE PBIPERIY Lfu
PROPOSED USE (this permit)A./x t<l Con<4*u r4-- o * Bedrcrms 5
WATER SUPPLY Ro,- ho^) q)>*-me of systeml
SEWAG E DISPOSAL A-AS\
It o
PLUMBING B Address
Pho ne
Phone
Phone
ffinoreRTY rs wrrHrN oNE MrLE oF crrY
(existing or proposed well, etc. If public, na6
(existing or proposed septic tank, etc.) S.l.
\SLs.=\.-*|*+ *oFFtcE usE oNLY BELOW THtS LINE**rr*l*rl.+*
( ) New Address Necessary
ZON F SETBACKS
( ) Facility Permit Necessary ( ) Special Permit Area. Minimum Elevation
Front
-
Side Facing Street lnterior Side Yard
--
Rear
{FROM CENTERLINE OF ROAD) (FROM PROPERTY LINES)
To: Planning/Building lnspector/Sanitarian/Surveyor.
This applicanr appears to have a problem with
Your assistance will be appreciated.
By Permit Processing Section
Response
By
DEPARTMENT OF ENVIRONMENTAL MANAGEMENT
Permit Processing Section
125 East 8th Avenue
687-4394c55-12
ivision
)
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TR$, TL ', Yr - r.->3 -3 '5+
PIot PIan
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Job Location (Street, mile post)
Subdivision r.l9
Ao*
e-v-tot 2l Btock 5
FOR SANTTARIAN'S USE ONLY: f SVstem Approved E System Disapproved tl Needs Correction
COMMENTS:
Si Date
FOR INSTALLER'S USE: Trench Depth Filler Depth Bel ile
Tank Capacity / ooo Manufacturer
Measured distance to well from tank from drainf ield
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INSTALLATION RECORD AND CERTIFICATE OF SATISFACTORY COMPLETION
When signed by the County Sanitarian, this certificate is evidence as per ORS 454.665 of sat-
isfactory completion of a subsurface sewage disposal system at the above location.
Return this form to: Permit Processing Section, Department of Environmental Management,
Public Service Building, 125 East 8th Avenue, Eugene 974O1
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Acreage or Lot Size
Contractor's O.S. *
OWNER'S NAME AND ADDRE
APPLICANT'S NAME AND ADDRE ss
JOB LOCATIO
LANE COUNTY PERMIT
Partitioning #--( ) Completed Subdivision
Lot '^ \ Btrcck "' '-"
Phon
Phone-
nePho
CONTRACTOR'S NAME AND ADDRESS
Mail permitto ( )Applicant ( )Owner ( )Contractor. ( )Prefertopickup. Call-(owner, etc.) when ready.
I -TRUCTURES NOW ON THE PROPERTY_
THIS PERMIT IS FOR .# BEDROOMS - # PLUMBING CONNECTIONS
WATER SUPPLY SEWAGE DISPOSAL
THIS PROPERTY IS WITHIN ONE MILE OF THE CITY OF PLUMBING BY
I hereby certify that the above statements are true and accurare, and that I have the following legal interest in the propefty:'Jilowner ot record;
-contlact
purchaser;
-
potential buyer;
-
reahor or agent, I furttEr certily that (if not the owner) I am authorized to actlor the owner of
record, and that said owner is aware and approves oJ this action. I hereby agree to comply with all applicable Codes relating to this permit.
S.l. #
Fee Faid $Date
l: )NEWADDRESS ( ) FACILITY PERI\4lT TO TRANSPORTATION DEPT. ' ( ) SPECIAL PMT. AREA. MlN. ELEVATION
Signature
SANITATION
Minimum Septic Tank Capacity (Gallons)
Drainfield Required - Lineal Feet
Maximum Depth
Comments
BUILDING
- '1 T of Construction L Grou p
Use Classif ication
ire Zone
Comments:
B Date:B
PLANNI Gfi EMENTS SATISFIED. By lssued:
ZONE:SETBACKS: FRONT REAR (FROM P/L}
LANE COUNTY DEPARTMENT OF ENVIEONMENTAL MANAGEMENT, t25 EAST 8TH AVE., EUGENE, OREGON 97401 PHONET 687-4394
Date:
POST THIS PERMIT ON MAIN BUILDING AT SITE
BLDG. PERMIT - WHITE; BUILOING - GREEN; PLUMBtttc - CANARY; SANITATION - cOLOENRODi OFFTCE COpy - wHtTE
DE FACING STREET (FROM C/L}INT. S DE YABD
c55-1 3
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TRS, TL JOB LOCATIO
LANE COUNTY PERMIT
Acreage or Lot Si Partitioning #
Contractor's O.S. #Lot B
APPLICANT'S NAME AND ADDR trqq Phon
Phon
Phon
OWNER'S NAME AND ADDRE qq
CONTFACTOR'S NAME AND ADDRE cq
Mail permitto ( )Applicant ( )Owner ( )Contractor. ( )Prefertopickup. Call-(owner, etc.) when ready
STRUCTURES NOW ON THE PROPERTY-
THIS PERMIT IS FOR
il
# BED ROOIVIS-# PLUTVIB I NG CO NNECTIONS
\^/ATER SUPPLY -SEWAGE DISPOSAL S.I. #
THlSPRoPERTYlSWlTHlNoNEMlLEoFTHEclTYoF.PLUlVlBlNGBY
I hereby certily that the above statements are true and accurate, and that I have the following legal interett in the propeny: lowner 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 this action. I hereby agree to comply with all applicable Codes relating to this permit.
Fee Paid $Signatu re Date
{ ) NEW ADDRESS ( } FACILITY PERI\4IT TO TRANSPORTATION DEPT.- ( } SPECIAL PIV]T. AREA. MIN. ELEVATION
SANITATION BU ILDING
Type of Construction
-Group -Fire
Zone
Use Classif ication
Comments:
By Date By Date
Minimum Septic Tank Capacity (Gallons)
Drainfield Required - Lineal Feet
Maximum Depth
PLANN ING REOUI REMENTS SATISFIED. By:Date Date lssued
ZONE SETBACKS: FRONT SIDE FACING STREET (F ROIVI C/L) INT. SIDE YARD REAR (FROtVI P/L)
LANE COUNTY DEPARTMENT OF ENVIRONMENTAL I\4ANAGEMENT, 125 EAST 8TH AVE., EUGENE, OREGON 97401
POST THIS PERMIT ON MAIN BUILDING AT SITE
c55'13 BLDG. pERMtr - wHtrE; BUtLotNG - GREEN; pLUMBtNG - GANARv; sANrrATroN - GoLoENRoD; oFFrcE coplz - wHtrE
PHONE:687 4394
NI
) Completed Subdivision
Comments:
*00
€tAB FLOOR
PLUMB ING GROUND,$/ORK
Ap rRov E o
RrMaRx s
m DrsappnovEo D D*,*A#L I Nsercron
GAS PIPING GROUND/ORK
AP PRov E D
REurnx s
D DISAPPRoVE, D Darr I Hspecron
ROUGH PLUMBING
APPRovEo M DrsapPRovEo
Ruxa nr s
o**1//- Ztr I ruspEcron RP
ROUGH GAS PIPING
APPRovED D DrsAppRovE, D
Reurnr s
Dar I rs pe cton
F I NAL PLUMB I NG
APPRovEo m Drsrppnove, D
Rr uanx s
o^r, 4 €-?E rxsprcroR hL
FINAL GAS PIPING
AppRoveo
Rr xanx s
Drsappnoveo DrrE I Hsercron
CERTIFICATE OF OCCUPANCY
Reaoy ro lssuE
Reulnx s
D Nor Reaoy ro lssue D Dere I NSPEcToR
EA
Ravxreg y'sltr.
47u
\(TRS, TL JOB LOCATIO
Acreage or Lot Size
Contractor's O.S. #
Partitioning #
APPLICANT'S NAME AND ADDR
OWNER'S NAME AND ADDRE
CONTRACTOR'S NAME AND ADDRES
Mail permitto ( )Applicant ( )Owner ( )Contractor. ( )Prefer pick up. Call
STRUCTURES NOW ON THE PROPERTY
THIS PERMIT IS FOR
Lot Block-
Phone
Phone
Phone
(owner, etc.) when ready
# B ED ROO N/IS-# PLUIVIB I NG CO NN ECT IONS
s.l. #WATER SUPPLY
-
S
LANE COU PERMIT
AGE DISPOSAL
) Completed Subdivision
THIS PROPERTY ISWITHIN ONE TVIILE OF THE CITY OF PLUIVIBING BY
I hereby certify that the above statements are true and accurate, and thit I have the following legal interest in the property:
-owner
of record;
-contract
purchaser;
-
potential buyer;
-
realtor or agent. I {drther certily that {iI 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 ag to comply with all applicable Codes relating to this permit.
Si ure
() NEW ADDRESS il FACILITY PERMIT TO TRANSPORTATION EPT.- ( ) SPECIAL PlVlT. AREA. IVllN. ELEVATION:---
SANITATION
Fee Paid S-
Comments:
By
Date
-
Minimum Septic Tank Capacity (Gallons)
Drainfield Required - Lineal Feet
Maximum Depth
Date
BUILDING
Type of Construction
c"rn,,,"fi,
Use classification
roup ire Zone
(
By Date
PLANN ING REOUI REMENTS SATISFIED. By Date Date lssued
ZONE: SETBACKS: FBONT SIDE FACING STREET (FROlVl C/L) lNT. SIDE YARD BEAR {FRO[/] P/L]
LANE COUNTY DEPARTMENT OF ENVIRONMENTAL |\4ANAGEMENT, 125 EAST 8TH AVE., EUGENE, OREGON 97401 PHONE: 687-4394
POST THIS PERMIT ON MAIN BUILDING AT SITE
BLDG. PERMIT - WHITE; BUILDING - GREEN; PLUMBING - CANARY; SANITATION - GOLDENROD; OFFICE COPY - WHITEc55-1 3
I
(
SITE INSPTCTION
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Dote Permit No
CURB CUT
PERMIT
IN THE BOARD OF COUNTY COMMISSIONERS OF IANE COUNTY
WHEREAS, the ottoched opplicotion hos been fully considered by the Boqrd of County Com-
missioners of Lone County, ond it is the opinion ond iudgment of the Boord thot the soid opplicotion
should be gronted, ond thot q permit should be issued, now, therefore, it is hereby.
ORDERED, thot o permit be ond is hereby issued to
for plocing, building
or constructing the following focilify:
3
upon the right-of-woy of County Rood No.Mile Post
in strict conformity to the exhibits qttoched hereto, ond subiect to oll terms, conditions, ogreements,
stipulotions ond provisions contoined in the opplicotion ond permit, the Rules ond Regulotions Gov-
erning Focilities to be Permitted upon County Rood Rights-of-Woy, os set forth by the Lqne Mon-
uol 50.190(2) qny omendments thereto, ond ony other opplicoble regulotions, low or ordinqnce.
Speciol Provisions:
l. Drivewoy will be constructed in occordonce with the ottoched drivewoy opprooch specifico-
tions (Drowing M98-50).
2 Permittee will be responsible for the immediote removol of oll mud, dirt ond debris from the
roodwoy ond right of woy coused by his operotion, leoving the roodwoyond oreo in o neot,
occeptoble condition.
Sidewalks will be constructed in accordance wit
specificat'ions and drawing MgB-49. The Standar
constructed unless otherwise specified.
he attached sidewalk
urb Type shall be
This permit is revocoble ot ony time, ond will be strictly odhered to ond no work other thon
thot specificolly mentioned qbove is hereby oulhorized.
This permit sholl be void unless the work herein contemploted sholl hove been completed be-
fore 19-. Expires t9_.
lnspected ond Approved Approved by Boord of County Commissioners
By
Dote
By
PINK - PERMITTEE
ORANGE _ BUITDING & SANITATION DEPT.
ht
dC
WHITE _ OFFICE FILE
YEI.TOW - REAL ESTATE
Director of Public Works
c74-L29
t