HomeMy WebLinkAboutPermit Building 1975-07-14LANE
BUILD
ITDING PERMIT OR MOBILE HO''': USE PERMIT
MH [] PERMIT NO.t945-75
MAI ADDRESS PHONE
KEPTIART EUILOERS South "Arr St
MAITING ADDRESS
iel
PHONE
PROPERTY LOCATION _ INCLUDE POST OFFICE
,', r:l--l ;fi'l-
PROPERTY I-EGAI. DESCRIPTION _ METES, BOUNDS
Vcra l}allc lst" edd.Lot 9 Block 2
RANG E SECTION TAX LOT NO CODE CENSUS TRACT
20-ED I 50t7?4 r 3'Z 6
Above
EXISTING STRUCTURES ON PROPERTY
Hone
APPt.
NAME
&
MAITING
ADDRESS
LEGAT ACCESS TO PROPERTY
Vara 0rivo
PROPERTY SIZE - FT.
wrDTH 100 DEPTH 120 AREA
FOR MOBILE HOME PERMITS ONLY
No. of Bedrooms Connecl to Existing Sewoge System f New System !
STRUCTURES TO BE BUILT THIS PERMIT TYPE CONSTRUCTION SQ. FT. # BDRMS VALUATIoN
Ih,vel I i ng 5N I163 @1.80 (r) 25,35r.40
Garegc 4ll @ 0
lnstall Scptic Systom
SEWAGE DISPOSAT Frlor
SEPTIC TANK
PTUMBING INSTATI.ED BY
PUBTIC
BUITDING
WASTE DISPOSAI
PTUMBING
PI.AN REVIEW
OWNER OTHER: NAME
FEES WATER SUPPI-Y
PUBTIC DF N OTHER
PARK TRAILER. t.,,: i' .
TOTAL
37.00
--I;m-"$ 242.28
COUNTY BUILDING & SANITATION SPECIFICATIONS
MIN. SEPTIC T,CAPACITY
WITH DIST. BOX: GAL.
DRAIN FIEID REQUIRED depth
r.rN. Fr l3o TRENCH wtfim FT.OR SQ. FT.
TYPE OF STRUCTURE OCCUPANCY
l6J
ZONE PUBTIC UTII.. EASEMENT
BLDG. SETBACKS FT. IROM CTR. OF ROAD RIGHT OF WAY
FRoNr 45 | srDE rNr. 5 I Eas t srDE Exr.
USE CLASSIFICATION
REAR rp U
AUTHORIZED SIGNATURE _ DATE
/s/J.f ,IOSS, gY, il"il IIII }IARBAUCH t. !Eq{" Sanitarh n
DATE
7-tr+-75 jh
BI.DG, PERMIT _ WHITE
OFFICE COPY _ WHITE
COUNTY TAX _ PINK
PLUMBING _ CANARY
BUITDING _ GREEN
SAN ITATION _ GOI.DENROD
Coll 687-4065 to schedule oll required inspections. All construc-
tion sholl comply with Uniform Building Code, D.E.Q. stondqrds!i PORTANT: for subsurfoce sewoge disposol ond county regulotions covering
plumbing. All buildings require o certificote of occuponcy before
being occupied.
(See Detoils on Reverse Side)
(POST THIS PERMTT ON MA|N BLDG. AT S!TE)
IANE COUNTY, DEPT. OF ENVIRONMENTAL MANAGEMENT
COURTHOUSE ANNEX, I35 EAST 6th, EUGENE, OREGON 9740Ironv -- 6 55 - 13
,, OWNER
C.:-\NTRACTOR
(
.3
IANE COUNT" BUILDING PERMIT OR MOBILE HO'IE USE PERMIT
E BUILDING ., MH
MAIt ING ADDRESS
'L, PERMIT NO.I 9h5-75
PHONEPROPERTYlrla 0r.
CONTRACTOR MAILING ADDRESS PHONE
PROPERTY LOCATION _ INCLUDE POST OFFICE
PROPERTY LEGAI PTION _ METES, BOUNDS
i'erc Slllr llt;i rdd. )Lrilt j. llocl I
RANG E SECTION TAX LOT NO CODE CFN"SUS TRACT
21
Abovc
EXISTING STRUCTURES ON PROPERTY
l*oli
,, APPI..
NAME
&
MAIIING
ADDRESS
TEGAT ACCESS TO PROPERTY
Ycru Drlvc
PROPERTY SIZE. FT.
a.a,.wtDTH I L-'' DEpTH I ;, .,AREA
FOR MOBILE HOME PERMITS ONLY
No. of Connecl to Existi Sewoge
TYPE CONSTRUCTION
tr New tr
sq. FT BDRMS VALUATIONCTURES TO BE BUILT THIS PERMIT
I 'l
1
x
,i
5.ro
I
i
tnrtrll fcptlc $yrtr
ISPOSAT PTUMBING INSTALTED BY
PUBI.IC SEPTIC K OWNER OTHER: NAME
WATER SUPPLY
PUBUC tr n OTHER
BU ITDING
WASTE DISPOSAL
PTUMBING
PLAN REVIEW
PARK TRAITER
FEES$
,AT
COUNTY BUILDING & SANITATION SPECIFICATIONS
MIN.TANK CAPACITY
wlTH DIST. BOX: GAt.
DRAIN FIELD REQUIRED
tIN. FT TRENcH vr/fdif, rr. J ' oR se. Fr. 9'$i
:
TYPE OT STRUCTURE OCCUPANCYt,:ZONE
Firc lonr I PUBTIC UTI[. EASEMENT
BTDG. SETBACKS FT. IROM CTR. OF ROAD RIGHT OF WAY
FRoNT 'i'' srDE rNT. i stor rxr.
USE CTASSIFICATION
REAR
AUTHORIZED SIGNATURE _ DATE DATEl,r.lt|l.Jr$[, lY, t{.*Itl$Otr fOfr iIIIII ilAnCAUBlt 8. ft{}0f,i Srnltrrh n l- llr75 lh
BIDG. PERMIT _ WHITE
OFFICE COPY - WHITE
COUNTY TAX _ PINK
PTUMBING _ CANARY
BIJIIDING - GREEN
SANITATION _ GOTDENROD
nu !i q55- 13
Coll 687-4065 to schedule oll required inspeclions. All construc-
lion sholl comply with Uniform Building Code, D.E.Q. stqndqrds
IMPORTANT: for subsurfoce sewoge disposol ond county regulotions covering
plumbing. All buildings require o certificote of occuponcy before
being occupied.
(See Detoils on Reverse Side)
(POST TH|S PERMTT ON MAIN BrDG. AT S!TE)
LANE COUNTY, DEPT. OF ENYIRONMENTAT MANAGEMENT
COURTHOUSE ANNEX, I35 EAST 6Ih, EUGENE, OREGON 9740I
OTHERN
SITE INSPECTION
Ap pnov r o
RrupRxs
Dts PROV E D D Darr I rusprcron
71.
(
I
FOUNDATION I NSPE
Ap pnov E o D r sappnovEo QZl %_
-8>
I HspecronDare
Rruanxs 5 ,
FRAMING INSPECTI
Appnoveo
Ret,tanxs
DrsappnovEo
erL
Dnr e ,r I NSPEcToR
,aoLe I
LATH OR SH
Ap pnov e o
Rrxanxs
PECT I ON
D t s lppnoveo D^,r9'-/f Tf,,NSpEcro t
FINAL INSPECTION
AP PRov E o
Rruanxs
Drsrppnoveo D Dnre
!t)l itl(I
I NSPEcToR
CERTIFICATE OF OCCUPANCY
Rraov ro lssue
RruaRx s
Dare
/?(6,7,f
Nor Rerov ro lssur
V.o,*
I Hspecron
L:
\
f
IANE COUNT.JUITDING PERMIT OR MOBILE HOI
OWNER
('EpHART 8UlL0tR5
MHE
MAILING ADDRESS
BUILDING
USE PERMIT
PERMIT NO.
PHONE
,q5-4{?9
CONTRACTOR MAILING ADDRESS PHONE
'igrnc'
PROPERTY I.OCATION _ INCTUDE POST OFFICE
PROPERTY LEGAL DESCRIPTION _ METES, BOUNDS
RANG E SECTION TAX LOT NO CODE
t7 c,?rt
CENSUS TRACT
Abwe
EXISTING STRUCTURES ON PROPERTYAPPI..
NAME
&
MAITING
ADDRESS
LEGAI. ACCESS TO PROPERTY
l(
PROPERTY SIZE - FT.
WIDTH DEPTH AREA
FOR MOBILE HOME PERMITS ONLY
No. of Bedrooms
STRUCTURES TO BE BUILT THIS PERMIT
Connect to Existing Sewoge m
TYPE CONSTRUCTION
New m
SQ. FT BDRMS VALUATION
il6, mf .to (r, 25,953.4ADrrlIIng5H
tirrugc
lnrtrll $aptlc Syttsffiic,'
PUBUC tr SEPTIC TANK & oTHERD
PLUMBING INSTALI.ED BY
OWNER E OTHER: NAME
$FEES WATER SUPPTY
PUBTIC
BUILDING
WASTE DISPOSAI
PTUMBING
PI.AN REVIEW
PARK TRAII.ER
TOTAT
OTHER
COUNTY BUILDING & SANITATION SPECIFICATIONS
MIN. SEPTIC TANK CAPACITY
WITH DIST. BOX: GA[.
DRAIN FIELD REQUIRED
tIN. FT TRENCH WIDTH FT.,,OR SQ. FT 5qs
TYPE OF STRUCTURE
5-t
OCCUPANCY
l&J
ZONE
f,lrt lonr !
PUBI.IC UTIT. EASEMENT
BIDG. SETBACKS
FRONT 45'
FT. FROM CTR. OF ROAD RIGHT OF WAY
srDE INT. ' srDE Exr.
USE CLASSIFICATION
'i
REAR
AUTHORIZED SIGNATURE _ DATE
Itf J.E.IOS5I tY, tl.lEllt0I fOR lIrIII HAISAIfiH i. !ll00K, Srnltrrb n
DATE
7.llr75 Jh
BIDG. PERMIT _ WH ITE
OFFICE COPY _ WHITE
COUNTY TAX _ PINK
PTUMBING _ CANARY
BUITDING _ GREEN
SANITATION _ GOI.DENROD
Coll 687-1065 ro schedule qll required inspections. All construc-
tion shqll comply with Uniform Building Code, D.E.Q. stqndqrds
IMPORTANT: for subsurfoce sewoge disposol ond counly regulolions covering
plumbing. ,All buildings require o cedificote of occuponcy before
being occupied.
(See Detoils on Reverse Side)
(POST THIS PERMIT ON MAIN BLDG. AT SlrE)
LANE COUNTY, DEPT, OF ENVIRONMENTAT MANAGEMENT
COURTHOUSE ANNEX, I35 EAST 6ih, EUGENE, OREGON 9740I
ronu * c5s- t3
I rs pr cron
SLAB FLOOR
PLUMB ING GROUND4,ORK
Ap pnov e o
Reuanx s
D Drsappnoveo D Drr e
GAS PIPING GROUND/ORK
Ap pRov e o
RguaRxs
D DrsappRovro D Dare.I ruspecroR
ROUGH PLUMEING
ry ODart /-D r sappRoveo
4-
,/l--r/J truspe cAppnov ro
Reue nr s
ROUGH GAS PIPING
AP PRoV E D
RrMaRr s
D DrsAPPRovEo D Dar r I ruspe C TOR
FINAL PLUMBING
APPRovEo M DTsAPPRovED
Re uanx s
Dare2- 2d-)4 tHspEc
FINAL GAS PIPING
Appnoveo D DrsAPPRovE, D
Reuanrs
Darr I Nspecton
CERTIFICATE OF OCCUPANCY
REaov ro lssue
ReulRxs
D Nor REaov ro lssur D Dare I rspecron
D
BUILOING SITE EVALUAT ION
I LD r Nc pERH rr AppL I cAT loN lto . 1{ qEr" 15
l.//'/ r fi R--oss =4rAxLor-SUBD lV l 5..lN:
LOT: BLOCK:
APPL I CANT
DATE
No Yes CKID BY:
>rl
VAt(
( ) srrE lNsPEcrloN
PLANNING DIVISION Not
licable
I
2
3
4
5
Zoning 0rdinance ComP I iance: Zone ()
()
()
()
(
(
(
Setbacks frorn interior Ii0es:Side -5 EA(T
Rear --r%
1-l Setbacks r c
Front
S ide-{*+ei+icr*
A.-6.k)-'-
(
(
(
Subdivision 0rdinance Compl iance
Reoui red Access
euitaing Site (Area, vJidth, Frontage)
0ther (see comments)
)
)
)
;)F.'IY
)
c0}fi.{ENTS:
PLANNTNG DIVISION ACTIO PENDING: YES() N0( )APPLI TION#
BU ILD I NG INSPECTION D tv ls l0N
Plans Submitted
Soil Stabil ity (footings)
Flood Plain
0ther (see conments)
Not
Appl i cab!e
7I
9
0
()
()
()
()
Nor)()
Yest()
()
()
()CKID BY:
COHI,IENTS:
},ATER POLUT ION CONTROL
COM},IENTS:
I I . l{eets Department of Envi ronmental
Qual i ty Standards"
12. 0ther (see cornments)
Not
Appl iceb!q()
No Yesc) rrl
()r(r()CKID BY:
DATE
TO APPL ICANT:ilding / Site lnspection:
?q
}F,::()Can be approved.
not be approved at this time as indicated on item N0
Questions and furt her information on items I through 6
c0u N NG DIVISI Questions and further informa tion on iteilE7
roug 2 contact t LANE COUNTY BUILD ING SAN TATION DIV 0N.
above.
t
Will be held in this of
ls being returned.
contact t LA
you can reso vet P I ems
s bein
AL ENT
4ot
ce unt i
it lication f
135 Sixth Avenue East Eugene Oregon !/
pxoHe: 687-4065
LANE COUNTY PLANNING DlVlSloN PHONE: 587-4186
c55-28
Your bui ldi
S
cated.
I
I NSTALLER:
PR^OOSED SEI.'AGE DISPOSAL SYSTEH RECO,-
Complete top part c form to signature and submit bot,.copies with app
PERMIT NO
I icart i on.
l9t+5-75
L
v ng Un ts
c an
rooms Bat
1470 Vera Drive
sement Water P vYes No Publ i c ther-i stt
Ft. f rorn wel I Steel tr Concrete
lns i e mens ons: Ft.
Len t.,idrh
NAilE Ke hart Bu i lders
HAILING
AODRESS
r5 0s rrArr Street
c rln field 0r
Conpartments Gal . Capaci ty
e sPosa eDiameter De th Distribution Box Yes
r str t
477
Feet frorn
trEI I
Lot Line
Front
On-Pe
Side
Foundat i on
r
hengtL
I
L i nes-
4.6.
For Sanitarian Use 0nly:
er e Gr,
ile tn
P
CERT I
Dat
ln accordance with 1973 0regon Laws Chapter 8 ction 214 this certificate is
as evidence of satisfactory completion of a
I ocat i on.
urface sewage disposal system at
El npproved: System lnstal letion conforms to current standards
ft Oisapproved: Does not conform to current standards
Remarks:
1S
th
7'3D-7r
sued
e above
Trench
l,/idth _^
Total. Sq.
Ft. R,L,
Ft. Between
Lines tn
er ePt
ove Ti le
nstruct ons
I
YI Ir
v
\
\r /eF/
(?Afttlu , /fZ
V
,{u
v
ar an s
LANE COUNTY
STATE OF OREGON OEPARTMENT OF ENVIRONMENTAL QUALITY
c55-II I ure
lllt- ,
4.-
Gff t7/66
NOTE
CONSTRUCTION
OWNER
CONTRACTOR
o.s. REG. /l \I\L
NO PERMIT WI - BE ISSI]ED I]NTIL THIS APPLIC.ATI\
APPLICATION FOR:
PERMIT /I
HAS BEEN APPROVED
e
x MOBILE }IOME PLAN REVIELI
'l \t\"-\tq21
??r
Name
Name
Address
o-
ess
Tax Lot
Ctty Phone
PhoneCty
*r. 17 *,,*" C)3.-,Section Code Census Trac
Subdlvlsion
ACCESS TO PROPERTY (Road Name)
,*p q
U, -o.D ..'. ,.-
Acreage l,Ildth loclDeprh-.!?Q-.S V/
Existing Structures on Property:
Property Location - Address/Directions \rtr \/. ,.-^- b. ,,) <_
Offlce Use
SEWAGE DISPOSAL:
Site Inspec tion /l
I'IATER STPPLY:
Well Sprlng
FEES:
Bldg.
Waste D1sp.
Plumbing
Plan Revlew
Mobile Hone
1Z Surcharge
ExlstLng Ser4,age Disposal Syst.em
Publlc
Conmunity
PLIJMBING:
Other
Other
PLI]MBING FEES:tl ll of
CASH
tion
Db
or New Required
ty or Publlc SystenName of
(a<
\y-t -/
.r ].xEures
Connectlon
FURNISHED
ES
,,' Slgnature of Applicant
Fee Recelved By:
L LWater
Connectlon
-=ff FACILITY PERMIT
YES
Date:
NO
TOTAL hr.
Mln. seprlc Tank capaclry--?-OO- Dralnfield Regrirred - Lineal r"ut-l-&O-----laxlnun Depth 3
Type of Construct / *-iZ' FLxe zone _-s Use Classiflcati" l2o-<- .
Bldg Setbacks - from
r.orr.--SSl
-,
Center of Road Rishtrof Wav:
slde rnt. 6' Ail-7'R)L 2o,,. PARear
cs5-12 I,ANE COI.INTY D T14ENT OF ENVIRON},IENTAL MANAGM{ENT
DATE:>€*DATE:DATE:BUILDING:
ry
o-t
(JZ-'75,-
37. --
6
(
(
CORRECTION NOTICE
IANE COUNTY DEPT. OF ENVIRONMENTAT MANAGEMENT
Conslruclion Permits & lnspections Division
EUGENE, OREGON
This building or slruclure does not conform lo Lone Counly building regulotions, ordinonces or codes
os noted belowt
REJNSPECTION REQUIRED
FOR APPROVAL
lnspector , Date-c55 -73
Building Permit #