HomeMy WebLinkAboutPermit Building 1977-03-29PERNNTT #
TRS, TL 3 e, /,4 #?r3 JOB LOCATION
Acreage or Lot Size
Contractor,s O.S. #
LANE COUNTY PERMIT
Lot- Block-
APPLICANT,S NAME AND ADDR
Phone
Phon o
owNER'a rrrAvrr AND ADDRE ss Phone
CONTRACTOR'S NAIVIE AND ADDRESS
Mail permitto ( )Applicant ( )Owne
STRUCTURES NoW oN THE PROPERTY
Fee Paid $-
r ( ) Contractor ( ) Prefer to Pick uP. Call
3// v/ 3 sisnature
PERIVIIT TO TRANSPORTATION DEPT
(owner, etc.) when readY
# B ED ROOIVIS=-# P LUIVIB I NG CO NNECT IONL-
THts pERvltT ls FoR
\I/ATER SUPPLY . SEWAGE DISPOSAL
THIS PROpERTy tS WtTHtN ONE lvllLE OF THE CITY OF-PLUIVIBING BY
owner of record;
-_contract p
I hereby certify that the above statements are tru
urchaser;
-
Potential buYer;
-
e and accurate, and that I have the follo
realtor or age nt. I further certify that
winq lega
(if not the owner)
I interest in the ProPerty
I am authorized to act for the owner of
record, and that said owner is aware and approves of t h is action. I her eby agree to comPlY with all applicable Cod es relating to this Permit
Date
IVIIN. ELEVATIONJ I rxEw ADDRESS () FACILITY
lVlinimum septic Tank capacity (Gallons)
Drainfield Required - Lineal Feet
lVlaximum Depth
() SPECIAL PIVIT' AREA
of Construction roup
-Fire
zone
Use Classification
SAN ITATION
Cornments
BUILDING
=- TYPe
Comments
B Date B
Date lssued
REAR F ROM /L)
EGON g14O1 PHONE: 687-4394
P LA NNING REOUIRETVIENTS SATISFIED. B Date
zo NE SETBACKS: FRONT SIDE FACING STREET (F ROTVI C/L)INT. SIDE YARD
LANr couNTy DEpARTIvIENT oF ENVTRoNIVIENTAL TvTANAGEIVIENT, 125 EAST BTH AVE', EUGENE, oR
POST THIS PERMIT ON MAIN BUILDING AT SITE
BLDG. PERMTT - WHITE; BUILDING - GREEN; PLUMBING - CANARY; SANITATIoN - GOLDENROD; OFFICE COPY - wHITE- 13
)
Date:
-
-.
Dote 3-29-77 Permit No.4g\-7'7
CURB CUT
PERMIT
IN THE BOARD OF COUNTY COMMISSIONERS OF IANE 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.
ORDERED, thot q permit be ond is hereby issued to Waarrer
for plocing, building
or constructing the following focility:
Icl-. 22, BIk 5, 2rd Add to Ga::den Park
upon the right-of-woy of County Rood f.,ls.
--,
Mile Post
ions contoined in the opplicotion
subi
ond permit, the Rules ond Regulotions Gov-
cond itions, ogreements,in strict conformity to the exhibits o ttoched hereto, ond ect to oll terms,
stipulotions ond provis
erning Focilities to be
uol 50.190(2) ony om
Speciol Provisions:
Permitted
endments
upon County
thereto, ond
Rood Rish ts-of-Woy,
opplicobleony other
os set forth by the Lone Mon-
regulotions, low or ordinonce.
2
3
Drivewoy will be constructed in occordonce with the ottoched drivewoy oPProoch specifico-
tions (Drowing M98-50).
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 roodwoy ond oreq in o neot,
occeptoble condition.
Sidewalks will be constructed in accordance with the attached sidewalk
specifications and drawing M9B-49. The Standard Curb Type shall be
constructed unless otherwise specified.
This permit is revocoble of 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 3-29-78 19-. Expires 19_.
lnspected ond Approved Approved by Boord of County Commissioners
By
A1 Drircr bv Susan I(ellel
By
PINK _ PERMITTEE
ORANGE _ BUITDING & SANITATION DEPT
Dote
WHITE _ OFFICE FILE
YETTOW - REAI ESTATE c74-L29
Director of Public Works
PERIVIIT #
TRS,JOB LOCATIO
LANE COUNTY PERMIT
Acreage or Lot Si Partitioning #-( ) Completed Subdivision
Contractor's O.S. #
APPLICANT'S NAME AND ADDR
OWNER'S NAIVIE AND ADDRE
CONTRACTOR'S NAIVIE AND ADDRESS
)Mail permitto ( )Applicant ( )Owner ( )Contractor. ( )Prefertopickup. Call
STRUCTURES NOW ON THE PROPERTY
Lot
-
B lock_
Phon
Phone=_-.-
Phone==.=---
(owner, etc.) when ready
)t*'t PERMtT ts FoR # BEDROOIVIS # PLUIVIBING CONNECTIONS
WATEB SUPPLY ,',' ' SEWAGE DTSPOSAL s.t. #
THIS PROPERTY IS WITHIN ONE IVIILE 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: _owner of record;
-contract
purchaser;
-
potential buyer;
-
realtor or agent. I lurther certify that (if not the ow ner) I am a;thorized 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 applicabie cojes relatin! to trris permit.
PLUIVIBING BY --
Date
-
Fee Paid $-Signature
( ) NEW ADDRESS ( ) FACILITY PERIVItT TO TRANSPORTATTON DEpr..-- () SPECIAL PtVlT. AREA. tVilN. ELEVATTON: _
SANITATION
lVlinimum Septic Tank Capacity (Gallons)
Drainfield Required - Lineal Feet
Maximum Depth
BUILDING
Use Classification
Comments
p Fire Zone
I corr.ntt
B B
PLANN I N REOUI REMENTS SATISFI ED. B Date lssuedZONE: :'SETBACKS: FRONT SIDE FACING STREET (F ROIVI C/L)INT. SIDE YARD REAR ,'(F ROIVIP/L)
LANE COUNTY DEPARTTVIENT OF ENVIRONIVIENTAL IVIANAGEIVIENT, 125 EAST 8TH AVE., EUGENE, OREGON g74O1
POST THIS PERMIT ON MAIN BUILDING AT SITE
BLDG. PERMIT - WHITE; BUtLDtNG - GREEN; PLUMBtNG _ CANARy; SANTTATTON _ cOLDENROD; OFFTCE COpv _ WHTTEc55-13
qc
Date:Date:
Date:
PHONE: 681-4394
SITE INSPECTION
Appnov r o
RruaRr s
DrsrppRoveo D oor- 4--S - 1 7 I rspectoR
FOUNDATION INSPECTION
App nov e o DTSAPPRovED Date I ruspecton
Rruanrs -??
FRAMING INSPECTION
AppRov E o
Rruanx s
DlsAPPRovEo Darr I NSPEcToR
LATH OR SHEITROCK INSPECTION
Ap pnov r o Dr sappRoveo I Nspeclon
RrMnnxs
F I NAL I NSPECT I
Dr sappaoveo D^rEJbnflt NS P E CTOR
AP PROv E O
Rruanx s
CERTIFICATE OF OCCUPANCY
Rraor ro lssuE n Nor Reaov ro lssue EI Drre-lHseecroR-
Reurnx s
l'u
n
&
d
D D*,.+//-??
D
THS, T JOB LOCATIO
LANE COUNTY PERMIT
Acreage or Lot Size-Partitioning #-( ) Completed
Contractor's O.S. #
APPLICANT'S NAME AND ADDRE ss
Subdivision
PERMIT #
Lot- Block _
OWNER'S NAIVIE AND ADDRES
CONTRACTOR'S NAIVIE AND ADDR
\Mail permitto ( )Applicant ( )Owner ( )Contractor. ( )prefertopickup. Call_(owner, etc.) when ready
Phone
Phone
Phone
STRUCTURES NOW ON THE PBOPERTY
Date
-
THIS PERMIT IS FO # BEDROOIVIS # PLUTVIBING CONNECTIONS
WATER SUPPLY SEWAGE DISPOSAL- S.I. #
THlSPRoPERTYlSWlTHlNoNEIVllLEoFTHEClTYoF.PLUlVlBlNGBY
I hereby certify that the above statements are true and accurate, and that I have the following legal interest in the property:
-owner
o{ record;
-contract
purchaser;
-
potential buyer;
-
realtor or agent. I further certify that (if not the ownerl 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 s'omply with all applicable Codes relating to this permit.
Fee Paid S-Signature
() NEW ADDRESS () FACILITY PERIVIIT TO TRANSPORTATION DEPT () SPECIAL PIVIT. AREA. IVIIN. ELEVATION
SAN ITATION
Comments
[Vlinimum Septic Tank Capacity (Gallons)
Drainfield Required - Lineal Feet
Maximum Depth
BUILDING
Type of Construction _Group
se Classification
Comments:
F ire Zone
B By Date
PLANN ING REOUIRETVIENTS SATISFIED. B Date Date lssued
ZONE SETBACKS: FRONT SIDE FACING STREET (FROIVI C/L) INT. SIDE YARD REAR / (rnou p/r-)
LAN E COUNTY DEPABTI\4ENT OF ENVIRONIVIENTA L MANAG EMENT, 125 EAST 8TH AVE.. EUG ENE, OREGON 97401 pHON E: 687-4394
POST THIS PERMIT ON MAIN BUILDING AT SITE
BLDG.PERMIT-WHITE; BUILDING-GREEN; PLUMBING-CANARY; sANITATtoN-coLDENROD; oFFtCECOpv-wHtTEc55-1 3
trQC
Date:
s
SLAB FLOOR
PLUMB ING GROUNCTI/ORK
Ap pnov ro
Rrurnx s
C/ Dr sappnove o D Dar e I Nseecron
cAS P lP I NG GROUNDI$/ORK
n DrsappRoveo D Dare I HspecronAp pnov E o
REua nx s
ROUGH PLUMBING
APPRovED
^//
DrsrepRoveo
Reuanrs
oate A- 4-n I Hs pe cro
ROUGH GAS PIPING
AP PROV E D
ReuaRx s
D DrsaprRove, D Drr e I Nspecron
F I NAL PLUMB I NG
APPROVED H
Rr ptanx s
DrsAPPRovEo D o^,,-w2/SPECTOR
FINAL GAS PIPING
Ap pnov e o
Reuanx s
D DrsAPPRovEo D DarE I Hs er cton
CERTIFICATE OF OCCUPANCY
Reaov ro lssue
REurRx s
Nor Reaov ro lssue Dare I xsercroR
3-3 -k 53 49s-tt
Lot 2? BtocL- 5---
TRS, TL Job Location
( ) Auilding Permit
INFORMATION SHEET
( ) Site Feasibility Study for Septic Tank. Number of sites-
Acreage or Lot Size 6o X sz,6s ( ) Would like to meet on site. Call (owner, etc.)
Test holes will be ready-
Partitioning #- ( )Completed( ) Pending
Subdivision J^J lJ * G<rdc
APPLICANT'S NAIVIE AND ADDRESS p6on" ??a - tt 7.'
Phone-OWNER'S NAME AND ADDRESS, if different from applicant,s
CONTRACTOR'S NAME AND ADDBESS PhO69-
Mail permit or results of site feasibility study to ( ) Applicant ( l Owner ( ) Contractor.( ) Prefer to pick up. Call ( owner, etc. ) when ready
STRUCTURES NOW ON THE PROPER 'v
J
PROPOSED USE (tfris permit)
WATER SUPPLY
SEWAGE DISPOSA
rDC v
S a
t
existing or proposed well, etc. lf public, name of system)
(existing or proposed septic tank, etc.) S.l #
AddressPLUMBING B
() PROPERTY IS WITHIN ONE MILE OF CITY ( )
**r**** oFFlcE usE oNLy BELOW THtS LtNE **********r**
( ) New Address Necessary
ZON tr
( ) Facility Permit Necessary
SETBACKS: Front Side Facing Street
(FBOM CENTERLINE OF ROAD)
( ) Special Permit Area. Minimum Elevation
lnterior Side Yard Rear
-
(FROI\4 PBOPERTY LINES)
To: Planning/Bui lding lnspector/Sanitarian/Surveyor.
This applicant appears to have a problem
Your assistance will be appreciated.
By Permit Processing Section
Response:
By
DEPARTM ENT OF E NV I RONIVIENTAL MANAG EN/I ENT
Permit Processi ng Section
125 East 8th Avenue
687-4394css-1 2
tvtston
4?/ <-{-r-,.^os
I V Permit No.Dote CURB CUT
PERMIT
IN THE BOARD OF COUNTY COMMTSSIONERS OF LANE COUNTY
WHEREAS, the qttoched opplicotion hos been fully conside-red !y tl't" Boord of County Com'
missioners of Lone il;t;-;"J'li i; th; opiiion ond iuisment of the-Boord thot the soid opplicotion
;i;ld L" g-;t"d, ond thot o 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 focility:
upon the right-of-woy of County Rood No.Mile Post
in strict conformitY to the exhibits ottoched hereto, ond subi ect to oll terms, conditions, ogreements,
stipulotions ond provisions contoined in the opplicotion ond perm it, the Rules ond Regulotions Gov-
erning Focil ities to be Perm itted upon County
thereto, ond
Rood Rights-of-Woy,os set forth by the Lone Mon-
uol 50.190(.2) ony
Speciol Provisions:
ony other opplicoble regulotions, low or ordinonce.
Drivewoy will be constructed in occordonce with the qttoched drivewoy opprooch specifico-
tions (Drowing M98-50).
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.
S'idewal ks w'il I be constructed 'in accordance w'ith the attached sidewal k
specifications and drawing M9B-49. The Standard Curb Type shall be
constructed unless otherwise spec'ified.
omendments
I
2.
3
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-
lnspected ond Approved
fore , 19-. Expires 19_.
Approved by Boord of County Commissioners
By
Dote
By
WHITE - OFFICE FII-E
YETTOW _ REAT ESTATE
PINK - PERAAITTEE
ORANGE _ BUII.DING & SANITATION DEPT.
Direclor of Public Works
c74-t29
a
#* ?2r fOL €/ 2/",r'uV /4eTRS, TL *
Plot PIan
Job Location (, mile post)
Subdivision
Street
2',4
___7__1_
Lot 22 Block 5
$ SVstem Approved fl System Disapproved fl Needs CorrectionFOR SANITARIAN'S USE ON LY
COMMENTS:
ature
FOR INSTALLER'S USE: Trench Depth It Filler Depth Bel
Sca le
Date
Tile
Tank Capacity lc ao Manuf actu
*lVleasured distance to well from tank -4-from drainfield to
60 #€f
L o4c*
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 Bth Avenue, Eugene 974O1
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CORRECTION NOTICE
IANE COUNTY DEPT. OF ENVIRONMENTAT MANAGEMENT
Construction Permits & lnspections Division
EUGENE, OREGON
This building or struclure does not conform to Lone County building regulotions, ordinonces or codes
os noted below,
lnspector- Date-1n^._-,^ RE-rNsPEcrtoN REQU|RED- FOR APPROVAT
Building Permit #
l'
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