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Home My WebLink AboutPermit Building 1976-07-12NOTE: CONSTRUCTION pERr,rrr #-/ fl. NO PERI'IIT Wl.or BE ISSUED T NTIL TIIIS APPLICATIvd HAS BEEN APPROVED APPLICATION FOR: F S a(1 -).l L-21OWNER CONTRACTOR Address l-.or." City ztp t( Address City Zlp Phone o. s. Twp.Lot Code Census Tract subdivtston \4 Lq Block Property I,jid th_Depth_ ACCESS TO PROPERTY (Road Nane)Vooo-Dnioe- Exlsting Structures on ProperEy: Yf-Of-.-C-, Property Location - Address/Dlrectlons:tr-lrr {ue c. 1D a i o<-, e Use Existing Sewage Disposal System Public Spring _ Other Comunlty or New Systeo Requlred Name of CommuniEy or Public Systeo Valuatlon (a- SEWAGE Slte Inspec tlon /l I'IATER SUPPLY: Well PLUItsING: Installed by Owner PLi]MBING FEES: tt // of Fixtrires Sewage Connectlon Other Name ..\ork l a ckssn-\ B1dg. Plunbing 3% Surcharge Waste Dlsp. Plan Revlew Mobl1e l{one /49. -37-es- 5,55 7 5.-ad_?Water Coonectlon PLANS FURNISHED FAC TY PERMIT cor YESCASH CHEC( NO \0\.Signature of Appl Fee Recelved By:_ Date TOTAL seP tlc Tank Capaclty_field Required - Lineal t /5o Type of Constructl Use Classifl-catlon cs5- 12 vv I"ANE COT'NTY Flre Zone DATE: MANAGM',IENT tb Bldg Setbacks - from Center of Road Right of Way Front (]7\ stde rnt PIANNING:DATE:DATE:BUILDING: t 2 S 7( OWNER'S NAME AND ADDRE ss ,Z.z iSrO PERIVIIT # TRS, T JOB LOCATION LANE COUNTY PERMIT Acreage or Lot Si Partitioning #) Completed Subdivision Contractor's O.S. #Lot Bloc APPLICANT'S NAME AND ADDRE qq Phone Phone Phone Mail permitto ( )Applicant ( )Owner ( )Contractor. ( )Prefertopickup. Call-(owner, etc.) when ready STRUCTURES NOW ON THE PROPERTY .lrtspeRutrlsFoR*8EDRooML*PLUl\4BlNGcoNNEcTloNL U./ATER SUPPLY SEWAGE DISPOSAL-s.t. # THlSPRoPERTYlSWlTHlNoNElVllLEoFTHEClTYoF.PLUlVlBlNGBY t hereby certify that the above statements are true and accurate, and that I have the following legal interest in the property: -owner of recor.l; -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. Ln.l.uE iBqZ"u Signature CONTBACTOR'S NAME AND ADDRESS Fee Paid $- () NEW ADDRESS ! FACILITY PERMIT TO TRANSPORTATION DEPT () SPECIAL PIVIT. AREA. IVIIN. ELEVATION BUILDING Type of Construction -Group Date - Nilinimum Septic Tank Capacity (Gallons) Drainfield Required - Lineal Feet Maximum Depth Fire Zone Use Classification Comments ,lcmments By Date: By:Date PLANNING REOUIREMENTS SATISFIED. B ZONE SETBACKS: FRONT Date Date lssued (FROIVI C/L) INT. SIDE YARD REAR (FROIVI P/L) LANE COUNTY DEPARTIVIENT OF ENVIRONMENTAL IVIANAGEIVIENT, 125 EAST 8TH AVE., EUGENE, OREGON 97401 POST THIS PERMIT ON MAIN BUILDING AT SITE C55.1 3 BLOG.PERMIT-WHITE; BUILDING-GREEN; PLUMBING-CANARY; SANITATION-GOLDENROD; OFFICECOPY-WHITE PHONE:687-4394 \ SAN ITAT ION SIDE FACING STREET _/_) Dr+.{Sc.!..,./'y7 , /?44 fi ut', laa / 7 ro<t 7-') ./.or- i L( fr tac rc 3 .t' +L L-e p L A l{ ill i i,,I,.. _l /^ I I i rU { 'g-,{r& N a 'v)r'i \P ,,, \ \\ , ti\ rAf r\. rlr \ '.\\-rr 3 \l x I.() qfl q \, i -,, - .t 4* t.t\s-\f Job Locationtns, r hlritten Directions INFORMATION SHEET ( ) Site Feasibility Study for Septic Tank. Number of sites-( ) Building Permit AcreageorLot$ias /o6 x-/o c, Partitioning #- ( )Completed( ) Pendinq APPLICANT'S NAME AND ADDRESS OWNER'S NAME AND ADDRESS, if di m applicant's CONTRACTOR'S NAME AND ADDRESS permit or results of site feasibility study to ('>() Applicant ( ) Owner (X)Contractor Prefer to pick up. Call (owner, etc.) when ready Test holes y:"^'uo'tot /,y' gtocpJ Phone Phone Phone Contractors O. S , J€\ CI )<- \Gexisting or proposed well, etc. lf public, name of system) Subdivision ^ cz zP-(J' V7 tzst/ # .rz e/, o " n?il kt STRUCTURES N PROPOSED USE WATER SUPPLY OW ON THE PROPER (t rr it) () PBOPERTY IS WITHIN ONE MILE OF CITY SEWAGEDlsPoSAL(existingorproposedseptictank,etc.)S.i PLUMB tNG BY Address *****+***n******+**************+*********** OFFICE USE ONLY BELOW THIS LINE "*********r** ****+********* *+*****+** **++** ( ) New Address Necessary )ru E ( ) Facility Permit Necessary ( ) Special Permit Area. Minimum Elevation SETBACKS: Front Side Facing Street lnterior Side Yard Rear - (FBOM CENTERLINE OF ROAD)(FROM PROPERTY LINES) To: Planning/Building lnspector/Sanitarian/Surveyor This applicant appears to have a problem with Your assistance will be appreciated. By Permit Processing Section Response By DEPARTTVI ENT O F E NV I RONMENTAL MANAG EIVI ENT Permit Processing Section i25 East 8th Avenue 687-4394c55-12 lvrston ) PERMIT # TRS, T JOB LOCATIO LANE COUNTY PERMIT Acreage or Lot Size Contractor's O.S. # Partitioning # APPLICANT'S NAME AND ADDRE ss Mail permitto ( )Applicant ( )owner ( )contractor. ( )Prefertopickup. call Fee Paid S- ) Completed Subdivision Lot- Block- Phon OWNER,S NAME AND ADDRESS phone_ CONTFACTOR'S NAI\4E AND ADDRESS Phone- (owner, etc.) when ready STRUCTURES NOW ON THE PROPERTY - '[tspeRuttlSFoR#BEDRool\i]S-#PLUMBlNGcoNNEcTloNL \AJATER SUPPLY SEWAGE DISPOSAL s.t. # THlSPRoPERTYlSWlTHlNoNElVllLEoFTHEClTYoF.PLUlVlBlNGBY I hereby certify that the above statements are true and accurate, and that I have the lollowing legal interest in the propertY: -owner o{ record; -contract purchaser; - potential buyer; - realtor or agent. I f urther 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. Signatu re ( ) NEW ADDRESS ( ) FACILITY PERI\,llT TO TRANSPoRTATION DEPT.- ( ) SPECIAL Pl\4T. AREA. MlN. ELEVATION Date - SAN ITATION BUILDING Comments By: lVlinimum Septic Tank Capacity (Gallons) Drainfield Required - Lineal Feet Maximum Depth Date Type of Construction Use Classification roup Fire Zone Jomments By Date PLANNING REOUI REIVIENTS SATISFIED. By:Date Date lssued: ZONE SETBACKS: FRONT SIDE FACING STREET (FROtV] C/L) INT. SIDE YARD REAR (FROM P/L) LANE COUNTY DEPARTIVIENT OF ENVIRONIVIENTAL IVIANAGEIVIENT, 125 EAST BTH AVE., EUGENE, OREGON 97401 POST THIS PERMIT ON MAIN BUILDING AT SITE C55.1 3 BLDG. PERMIT - WHITE; BUILDING - GREEN; PLUMBING - CANARY; SANITATIoN - GoLDENRoD; oFFICE coPY - WHITE PHONE:687-4394 SITE INSPECTION AppRov r o Rruanxs DrsappRove, D oo',, 8-/a.- ?Z I NspecroR FOUNDATION I NSPECTION AppRovto fi-rc--77 I ruspecron Rruanrs FRAMING INSPECTION Appnov r o Re uanx s Dr slppnoveo Drt r 'o* I NSPEcro LATH OR SHEETROCK Ap pRov r o RrunRx s I NSPECT I ON D r s APPRovEo Drr E l nseecton FINAL INSPECTION D r sappnoveo 9-/o -a1 I NspectonDar rAp enov r o Reuanxs CERTIFICATE OF OCCUPANCY Rraov ro I ssuE ReurRx s D Nor Rraov ro lssue D Drr e I NsPEcroR DrsappnovEo V Dare ff LANE COUNTY PERMIT FOR PERIVIIT NO CONSTRUCTION [ ] I\,IOBILE HOTVIE [ ] PLAN REVIEW [ ] CHANGE OF OCCUPANCY [ ] NA I\,1E R ESS n Owner D Contractor NAtV]E O.S. Reg. +t Twp-- Range-- Section Subd ivision Lot 3,Tax Lo ?t 5/ 0 Code B lock Acreage ADD R ESS CIT ZIP COD Census Tract N Access to Property (Road Name) Width Depth Existing structures on Property: Directions to Property - Address STRUCTUR E ( # BED ROOIVIS)SO. FT VALUATION SEWAGE D ISPOSAL: PUBLIC [ ] SEPTICTANK [ ] OTHER [ ] PLUIVIBING INSTALLED BY: OWNER[-] OTHER[] NAIVI E BUILDING - PLUIVIB ING 3% SURCHARGE--- MOBILE HOIVIE--=- WASTE DISPOSAL PLAN REVIEW TOTAL WATER SUPPLY: PROPOSED t ] EXISTING t ] PUB LIC COMMUNITY. NAIV]E PRIVATE WELL OTHER SPECIFY CONSTRUCTION PERMITS & INSPECTIONS AND WATER POLLUTION CONTROL SPECIFICATIONS IVIIN. SEPTIC TANK CAPACITY GALS tVIIN. DRAINFIELD LlN. FT. "r MAX. TRENCH DEPT I NCH ES STAY 1OO' FROIVI ALL WELLS TYPE OF CONSTRUCTION G ROUP FIRE ZONE-- USE CLASSIF SETBACKS FT. FROIVI CTR. OF r,AN FRONT SIDE EXT FT. FROIVI PBOP. LINE: SIDE INT. . REAR ZON E AUTHORIZED SIGNATURES /sl ISSUANCE DATE BLDG. PEBMIT _ WHITE OFFICE COPY - WHITE COUNTY TAX - PINK PLU[.4BING - CANAFY BUILDING - GREEN SANITATION - GOLDENFOD IIVIPORTANT Call 687-4065 to schedule all required construction inspections. Call 687-4061 to schedule all required septic system inspections. All construction shall comply with the State Buidling Code, D.E.Q. standards for subsurface sewage disposal and the State Plumbing Code. All buildings require a certificate of occupancy before being occupied. (See Details on Reverse Side) POST THIS PERMIT ON MAIN BLDG. AT SITE) LANE COUNTY. DEPT. OF ENVIRONMENTAL I\4ANAGEMENT COUFTHOUSE ANNEX, 135 EAST 6th, EUGENE, OBEGON 97401c55.:3 BUI LO ING S IT E EVALUATION BU ILD ING PERI,I IT APPL ICAT IOI{ NO. SITE INSPECTION PLANNING DIVISION ff , J-1,_ *03r.a/vx Lor- SUBDIVI*ON:X LOT:BLOCK:a ()APPL I CANT DATE | . Zon i ng Ord i nance CornPl i ance: , 2" Subdivislon Ordinance Compl iar 3. Requi red Access 4. Building Site (Area, width, F 5. 0ther (see cornments) rom interior I ines: ,- _1=5-aZfrE Not Appl i cabl e :Z:"r46f1'|)' () rontage) ( )() CKID BY: Setbacks Setbacks f Side Rear rom Front --Sadcffi No Yesr)flI 6( ) (l)( ) (l )( ) (')()rK .<a CO}II{ENTS: PLANN ING O I V IS ION ACT IOI{ PE COH}{ENTS: 7. Plans Submitted 8. Soil Stabillty (footings) 9, Flood Plain O. 0ther (see comnents) !NG: YES( ) N0l APPLICATION#) NotIi ffi() () Nor)() () () ( ( (CKtD BY:z1 ITATER PoLUTI0N CoNTRoL Not Appl icab_l e No Yesr) TffI l. l{eets Department of Environmental -f ) Qual ity Standards. 12. Otft"t (tu" "**ents) ( )() ()CKI D DATE COH},IENTS: TO APPLICANT: dnV ing / Site lnspection: approved. be approved at this time as indicated on item N0 Questions and furt her information on items I through 5 contact t NE- fl COUNTY PLANNING DIVISION"ffiush-l 2 contact the LANE Questions and further information on items 7 BUILDING SAN TATION DIV Youy' Bui ldg/ can ae( ) Cannot above. A',) uJill be held in this ce unt you can reso vet prob c55-28 Your bui ldin PH0NEl. 687't+o65 LANE COUNTY PLANNTNG DlUlSl0N PHONE: 587-4186 ems s cated. ls being returned. rmi t a lication f is bein E E 135 Sixth Avenue East Eugene Oregon 974o1 7 BUILDING INSPECTION DIVISION I LANE COUNTY PERMIT FOR PERIVIIT NO CONSTRUCTION [ ] IVIOBILE HOIVIE [ ] PLAN REVIEW [ ] CHANGE OF OCCUPANCY t ] n Owner I NAM E ADD R ESS CIT ZIP CODE PHONE tr Contractor NAIVIE ADD RE SS CITY ZIP CODE Census Tract PHONE O.S. Reg. +r Twp- Range- Section_Tax Lo Subdivision Lot B lock Access to Property (Road Name) t Code Acreage Width Depth Existing Structures on Property Directions to Property - Address: STBUCTUR E (# BEDROOIVIS)SO. FT VALUATION SEWAGE DISPOSAL PLUIVIBING INSTALLED BY: OWNER[] OTHER[] NAIVIPUBLIC [ ] SEPTICTANK tl orHER[]F BUILDING PLUIVIB ING 3% SURCHARGE - IVIOBILE HOIVIE WASTE D ISPOSA L WATER SUPPLY: PROPOSED t EXISTING t PUB LIC COMMUNITY.NAME PR IVATE WE LL OTHER SPECIFY1.Al+.+s-r1tFW, TOTAL CONSTRUCTION PERMITS & INSPECTIONS AND WATER POLLUTION CONTROL SPECIFICATIONS MIN. SEPTIC TANK CAPACITY: GALS._--- MIN. DRAINFIELD LIN FT MAX. TRENCH DEPT I NCH ES I STAY 1OO' FROTVI ALL WELLS TYPE OF CONSTRUCTION G ROUP F IR E ZONE USE CLASSIF SETBACKS- FT. FROt\4 CTR. OF r,AtV FRONT SIDE EXT FT. FROIVI PROP. LINE: SIDE INT. REAR - ZONE AUTHORIZED SIGNATURES ISSUANCE DATE lsl BLDG. PEFMIT _ WHITE OFFICE COPY _ WHITE COUNTY TAX _ PINK PLUMBING - CANAFY BUILDING _ GBEEN SANITATION - GOLDENROD IMPORTANT (POST THIS PERM IT ON MAIN BLDG. AT SITE) LANE COUNTY, DEPT. OF ENVIRONMENTAL MANAGEMENT COURTHOUSE ANNEX, 'I35 EAST 6th, EUGENE, OBEGON 97401 Call 687-4065 to schedule all required cohstruction inspections. Call 687-4061 to schedule all required septic system inspections. All construction shall comply with the State Buidling Code, D.E.Q. standards foi subiurface sdwage disposal and the State Plumbing Code. All buildings require a certificate of occupancy before being occuPied. (See Details on Reverse Side) t t t t SLAB FLOOR PLUMBING GROUNU/ORK Ap pnov E o Dr sappnoveo Dar r I ruspecron Reuanx s GAS PIPING GROUNU/ORK Ap pRov r o Dr SAPPRovED Date I Hspecron Reurnxs ROUGH PLUMBING oarS-/ *-qL lNspe svrz6f'qLAPPROV ED Reua nr s Dr sappRoveo ROUGH GAS PIPING AP PRov E D ReurRxs -7 Dtsappnove, D Drr r I Ns PE croR FINAL PLUMBING / APPRovED /t// DtsAPPRovED Rr uanx s D Dareb -4_*1.I Nspe FINAL GAS PIPING AP PROV E D Rruanx s DAT E I NSPEcToR CERTTFICATE OF OCCUPANCY Reaov ro lssue REMARKS D Nor Rraov ro lssur t / Dorr_I NSPEcToR DrsAPPRovE, D €Inelr.yzPROP- :D SEI./AGE OISPOSAL SYSTEI'{ RECORD INSTALLER: tomplete top part of ruFrn to signa ture and s it both .-pies with appl ication. PERI.{IT NO L573-76 o ng Un ts Bedrooms asement ater u PYes No Publ i c the ist ePt c Ft. f rorn wel I Steel lns i e mens ons:t t Width D i ameter NAME ilAILING ADDRESS 1690 S. ilNt fie Le . Conpartments / Gal . Capaci ty /?, C.,,- t:,Concrete 97 477 e sPosa e th Distribution Box: YestrstrOn-Pe Feet t./El I rorn Lot Line Fr Side t/No Found ton R r O€S-t. 4 6. TE OF F I ocat i on. E, Approved: System Instal lation conforms to current standards'f-] Disapproved: Does not conform to current standards Remarks: er Oli, ile tn For Sanitarian Use Only: Date tn accordance with 1973 0regon Laws Chapter 835, Section 214 this certificate is i as evidence of satisfactory cornpletion of a subsurface sewage dlsposal system at t , t"z-lbssued he above Total Sq. Ft.'1 i a'tn e Lines e lt le ert. Between ot an see r nst ruct ons h,idt + Vrn,q ff -> l I I fl,. p({ >+ {. b { Ll.r lvl\ I I [, /e r 1 !1a wr 6 r 0f-r{r d(r I ) ,t, YAN K itp,'rAO l.)ra (, \- 1t- /1 t I ffi ,ECEIVE ffirIt F'r v l-0 r lu Fr v 8y,'q_ v i{uG 219V6ln; LANE EOUNTY ENYIRONME}ITAL MGMT. fl -u,.r j ar EC sc55-rI STATE OF OREGON DEPARTMENT OF ENVIRONHENTAL QUALITY gnature tr lo FT PERIVIIT NO CONSTRUCTION [ ] I\,IOBILE HOIVIE [ ] PLAN REVIEW [ ] CHANGE OF OCCUPANCY [ ] I Owner NAIVIE ADDRESS CITY ZIP CODE PHONE I Contractor -NAME ADDRESS CITY ZIP CODE PHONE O.S. Reg. + T Range- Section-Tax Lot- Code Census Tract Subdivision- Lot Access to Property (Road Name) B lock Acreage Width Depth Existing Structures on Property: Directions to Property - Address STRUCTURE (# BEDROOIVIS)SO. FT VALUATION SEWAGE DISPOSAL: PUBLIC [ ] SEPTICTANK [ ] OTHER [ ] PLUIVIBING INSTALLED BY OWNER[ ] OTHERI NAIVI tr BUILDING WATER SUPPLY: PROPOSED t ] EXISTING t] PUB LIC COI\4IVIUNITY NAIVIE PLUIVIBING 3% SURCHARGE IVIOBILE HOIVIE WASTE DISPOSAL PLAN REVIEW TOTAL PRIVATE WELL OTHER .SPECIFY CONSTRUCTION PERMITS & INSPECTIONS AND WATER POLLUTION CONTROL SPECIFICATIONS tVIIN. SEPTIC TANK CAPACITY: GALS.-- IVI IN. DRAINF IELD LIN. FT IVIAX. TRENCH DEPTH I NCHES STAY lOO' FBOIVI ALL WELLS TYPE OF CONSTRUCTION GBOUP FIRE ZONE USE CLASSIF SETBACKS- FT. FROIVI CTR. OF rAV FRONT SIDE EXT FT. FROI\4 PROP. LINE SIDE INT R EAR ZONE AUTHORIZED SIGNATURES lsl ISSUANCE DATE BLDG. PERMIT - WHITE OFFICE COPY - WHITE COUNTY TAX _ PINK PLUMBING _ CANARY BUILDING - GBEEN SANITATION _ GOLDENROD IMPORTANT POST THIS PERMIT ON MAIN BLDG. AT SITE LANE COUNTY, DEPT. OF ENVIRONN'lENTAL MANAGE[/4ENT COURTHOUSE ANNEX, 135 EAST 6th, EUGENE, OREGON 97401 Cail 687-4065 to schedule all required construction inspections. Call 687-4061 to schedule all required septic system inspections. All construclion shall comply with the State Buidling Code, D.E.Q. standards foi sublurface sewage disposal and the State Plumbing Code. All buildings require a certilicate of occupancy before being occupied. (See Details on Reverse Side) css-l 3 \-I LANE COUNTY PERMIT FOR. a S ITE INSPECTION Appnovro D DrsAPPRovEo D RettlRx s DarE I rus pr ctoR FOUNDATION I AP PROV E D Reur nx s ON Dr sAPPRovEo D Darr 7C'lkPEcroR b FRAMING INSPECTION APPRoVED Iru DrsAPPRovEo D Drr Re ltanx s 4 I NSPEcToR LATH OR SHEETROCK INSPECTION AppRovro N DrsappRoveo Rruanxs oo,,fu{f>G--I ruspecron FINAL lNSPECTION APPRovEo fX7 DtsrppRoveo Rruenx s {I NsetctonDare CERTIFICATT OF OCCUPANCY Reaov ro I ssuE Reuenx s D Nor Reaov ro lssur D Dore_ /6 / ?77 I Nspecron D /2 T.