Loading...
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 p+++ F j * >otI r, 3 I,IJtrlF z (9 6 \ N {{ Y N .{ .N ,t \ O) E '((, o) E(oz J' c(! C) o- o- Nl ) \ $ $t Ng (oP0c co + o- co il"na f.f/ DT c55-1 1 t/ An \ 1 { 1 c S I 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' \ (\