HomeMy WebLinkAboutPermit Building 1975-06-09it'l
IANE COUNTY-NUILDING PERMIT OR MOBILE HOTI. USE PERMIT
PERMIT NO.BUILDING MH tryo-i5
PROPERTY
Ktrxlnr, Jlcrson C.t69O Sourn A Srnerr
PHOT.I EMAITING ADDRESS
CONTRACTOR
Sams
MAITING ADDRESS PHONE
PROPERTY LOCATION - INCTUDE POST OFFICE
PROPERTY LEGAT DESCRIPTION _ METES, BOUNDS
RANG E SECTION,3.2 TAX LOT NO@a{CODE CENSUS TRACT
t7
Jecxsor C. Kepxrnt
EXISTING STRUCTURES ON PROPERTY
Hor.rc
APPT.
NAME
&
MAITING
ADDRESS
LEGAI. ACCESS TO PROPERTY
VERa DR r vr
PROPERTY SIZE _ FT.
WIDTH DEPTH AREA
FOR MOBILE HOME PERMITS ONLY
No. of Bedrooms Connect to Existing Sewoge System ! New System !
Dvgt-u lt.ro
STRUCTURES TO BE BUILT THIS PERMIT TYPE CONSTRUCTION SQ. FT, # BDRMS V ALUATION
i25,331
Grrrce ,o4 o 5.3o z,6Tt.zg
At r. Lors APPR0YEo \lzt /tS
SEWAGE DISPOSAT
PUB[IC tr SEPTIC TANK tr oTHERn
PTUMBING INSTATTED BY
OWNER n OTHER: NAME
BUITD!NG
WASTE DISPOSAT
PLUMBING
PTAN REVIEW
PARK TRAITER
T6TAI
$WATER SUPPI-Y
PUBLIC fI f] OTHER
FEES
lSsuncnrnce
COUNTY BUILDING & SANITATION SPECIFICATIONS
MIN. SEPTIC TANK CAPACITY
WITH DIST. BOX: GAI-.
DRAIN FIELD REQUIRED
I.IN. FT TRENCH WIDTH FT.OR SQ. FT.
TYPE OF STRUCTURE OCCUPANCY ZONE PUBI,IC UTII.. EASEMENT
BIDG. SETBACKS FT. FROM CTR. OF ROAD RIGHT OF WAY USE CLASSIFICAIION
FRONT I SIDE INT.SIDE EXT REAR I
AUTHORIZED SIGNATURE _ DATE
Snoox/slnrrARrAN
DATE
BLDG, PERMIT _ WHITE
OFFICE COPY _ WHITE
COUNTY TAX _ PINK
PTUMBING _ CANARY
BUILDING _ GREEN
SANITATION _ GOLDENROD
Call 687-4065 to schedule oll required inspections. All construc-
tion sholl comply with Uniform Building Code, D.E.Q. stondords
IMPORTANT: for subsurfoce sewoge disposol ond county regulolions covering
plumbing. All buildings require o cerlificote of occuponcy before
being occupied.
(See Detoils on Reverse Side)
(POsT THIS PERMIT ON MAIN BIDG. AT SlrE)
LANE COUNW, DEPT. OF ENVIRONMENTAT MANAGEMENT
COURTHOUSE ANNEX, I35 EAST 6th, EUGENE, OREGON 9740I
ronv !f 955- 13
\Yc+rBU I LO IIIG S ITE EVALUAT ION
/Vf eurLDrNG pERr,lr AppLtcATtoN no. /zloS
T_ \__S TAX LoT_
SUBDIVIST-r{:
LOCK:_
APPL I CANT
DATE
OTL
( ) srrE rNsPEcrloN
PLANNING DIV!SION
Zoning 0rdinance Comp I iance: Zone
Not
I i cable No CKID BY
Setback
fi
r)()
()
()
()
()
()
()
6 s romI
2
3
4
5
Front
Side Exterior
Setbacks from i nterior I ines:
Side
Rear
c0r{ilENTS:
Subdivision 0rdinance Compl iance
Requi red Accessguilaing Site (Area, width, Frontage)
0ther (see corments )
PLANNING DIVISION ACTION PENDING: Y ( T NOil APPLICATI
BUILDING INS t0N Dlvlsl0N
7. Plans Submitted
8. Soil Stability (footings)
9. Flood Plain
O. 0ther (see conments)
Not
Aool i cabl e-t-17-
( r)
( l)(t)
f{()
()
No
CI()
()
()CK'D BY
CO}.IHENTS:
},ATER POLUT !ON CONTROL
COHHENTS:
Not
Appl icable No
()rr)
()()
I l. l{eets Department of Envi ronmental
Qual ity Standards.
12. Other (see cornments)CKID BY:
DATE
TO APPLICANT:
aA
/A
Your
+(
Building / Site lnspection:
Can be approved"
Cannot be app roved at this time as indicated on item N0
Questions and further information on items I through 5 contict e
c0u NNING OIVISI Questions and further information on items 7
throug 2 con tact the LANE couNTY BUILDING AND SANITATI0N DLV!!!-Q-N..
in this office until you can resolve the problems
above.
vb E
()
)
c55-28
i nd i cated.Will be held
ls being ret
Your buildin
urned.
rmi t a I i cation fee bein
EI.ITAL G ENT
135 Sixth Avenue East Eugene Oregon !/
PH,NE- 597-4o65
LANE COUNTY PLANNING DlVlSlON PHONE: 587
401
-4t 86
BU ILD ll'tc'S ITE EVALUAT l0N
BUILDING PERHIT APPLICATION NO.
SITE INSPECTION
PLANN I NG Dtvlsl0N
sUBfim r-,{3
T
APPL I CANT
\s TAX LOT
LOT: BLOCK:()
()
DATE
Not
Appl!cablq No Yesr) T-I 6.
CKID BY:
Setbacks fTonr c7l- o?-ioaEl
Front
Side Exterior
Setbacks from interior llnes:
Side
Rear
l" Zoning Ordinance Conrpliance: Zone
2. Subdirision 0rdinance Compl iance
3. Required Access
4. Building Site (Area, width, Frontage)
5. Other (see conrnents)
COI{HENTS:
() ()
() ()
() ()
() ()
()
()
()
()
()
PLANNING 0lVlS|ON ACTION PENDING: YES( ) N0() TPP[-leAr ]oN#
BUILDING INSPECTION DIVISION
7. Plans Submitted8. Soi I Stabi I i ty (foot i ngs)
9. Flood Plain
I O. 0ther (see conments)
Not
Aool i cabl e*-Tr
()
()
YesNor)()
()
()
rT()
()
()()CKtD BY:
DATE
COHI,IENTS:
},ATER POLUTION CONTROL Not
Appl icable
ll. ileets Department of Environmental
Qual ity Standards.
12. Other (see comments)
No Yesr)1.I
DATE
CO}I},IENTS:
r)
() ()()CKIO BY:
TO APPL ICANT:
Your Building / Site lnspection:( ) Can be approved.( ) Cannot be approved at this t ime as indicated on item N0 above.
Questions and further informat ion on items I through 5 contEcT t
PLANNING DI s ON Questions and further information on
he LANE-iteilf7
c55-28
Your buildin
pnbNE. 687-4065
uAr.rE couHTY PLANNING DlvlsloN PHoNE: 587-4186
lems in cated.)
)
t 2 contact t e E COUNTY
Will be held in this office unt you can reso
!s being returned.
ermit I ica tion fee is bein
BUILDING ANO SAN TATION DIVISI
vet p
AL ENT
135 Sixth Avenue East Eugene Oregon 97401
------\
Permit No 12go-15
CURB CUT
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.
ORDERED, thot o permit be ond is hereby issued to Jacxsol C Krpnln T
l59O Sourn A SrnEEr SpnINGFIELD Oneeor for plocing, building
or constructing the following focilityt
VEna DeuLE lsr Aoolrton Lor 10 Br-ocx 2 t47B vena DRrvr SpRtruertelo
upon the right-of-woy of County Rood No. _-- , Mile Post -'--,
in strict coniormity to the exhibits ottoched hereto, ond subject to oll terms, conditions, ogreements,
sfipulotions ond provisions contoined in the opplicotion ond permit, the Rules ond Regulotions Gov-
erning Focilities io be Permitted upon County tiood Rights-of-Woy, os set forth by the Lone Mon-
uol 5b.190(2) crny omendments thereto, ond ony other opplicoble regulotions, low or ordinonce.
Speciol Provisions'
I. 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.
3 SroEweurs wtt-t-
SpectFrcATtoNS
BE CONSTRUCTED IN ACCORDANCE W ITH THE ATTACHED S IDE\.'ALK
AND oRAwrr.rc t"98-l+9. Tne SraruoARD CURB rypE SHALL BE
CONSTRUCTED UNLESS OTHERWTSE 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 June 1916 19-,. Expires r 9__.
'lnspected ond Approved Approved by Boord of County Commissioners
By
Dote
By
WHITE _ OFFICE FItE
GREEN _ RESIDENT ENGINEER
PINK _ PERMITTEE
BTUE _ ROAD SUPERVISOR
ORANGE - BUITDING & SANITATION DEPT
YETTOW _ REAT ESTATE
Director of Public Works
c98-7 9
Dqte
-
Dote Permit No
CURB CUT
PERMIT
!N 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 it is the opinion ond iudgment of the Boord thot the soid opplicotion
should be gronted, 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 sublect to oll terms, conditions, ogreements,
sfipulotions ond provisions contoined in the opplicotion ond permit, the Rules ond Regulolions Gov-
erning Fqcilities to be Permitted upon County Rood Rights-of-Woy, os set forth by the Lone Mon-
uol 50.190(2) ony omendments thereto.. ond ony other opplicoble regulotions, low or ordinonce.
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.
15
tr}}.
?r
(r 1
l,r
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 shqll be void unless the work herein contemploted sholl hove been completed be-
fore '19-. Expires 19_.
lnspected ond Approved Approved by Boord of County Commissioners
By
Dote
By
r
tf
\
#'
tu
!,tj tt
WHITE _ OFFICE FIIE
GREEN - RESIDENT ENGINEER
PINK _ PERMITTEE
BLUE _ ROAD SUPERVISOR
ORANGE _ BUITDING & SANITATION DEPT
YELIOW_ REAT ESTATE
Director of Public Works
c98-7 9
/
IANE COUNTY'BUILDING PERMIT
BUILDING I MH E
OR MOBILE HOI!.. USE PERMIT
PERMIT NO.
T
PROPERTY OWNER
cx*sl{ c
MAITING ADDRESS PHONE
CONTRACTOR MAILING ADDRESS PHONE
PROPERTY TOCATION - TNCLUDE POST OFFICE
PROPERTY LEGAL DESCRIPTION - METES, BOUNDS
RANG E SECTION TAX LOT NO CODE CENSUS TRACT
EXISTING STRUCTURES ON PROPERTY
:APPL.
NAME
&
MAITING
ADDRESS
^\ \-I.EGAT ACCESS TO PROPERTY
PROPERTY SIZE _ FT.
WIDTH DEPTH AREA
FOR MOBILE HOME PERMITS ONIY
No. of Bedrooms Connect to Existing Sewoge Syatem ! New System !
STRUCTURES TO BE BUILT THIS PERMIT TYPE CONSTRUCTION SO. FT. r BDRMS VALUATION
I
i t.
h
SEWAGE DISPOSAT PLUMBING INSTATTED BY
PUBT IC SEPTIC TANK If
BU ITDING
WASTE DISPOSAL
PTUMBING
PLAN REVIEW
PARK TRAITER
r EES
OWNER
WATER SUPPIY
PUETIC
OTHER: NAME
OTH
TOTAT
COUNTY BUILDING & SANITATION SPECIFICATIONS
MIN. SEPTIC TANK CAPACITY
WITH DIST. BOX: GAL.
DRAIN FIEI.D REQUIRED
tIN. FT TRENCH WIDTH FT. OR SQ. FT.
\1t-\-t $
I
TYPE OF STRUCTURE OCCUPANCY ZONE PUBTIC UTIL. EASEMENT
BLDG. SETBACKS
F RONT
FT. FROM CTR. OF ROAD RIGHT OF WAY
SIDE INT. SIDE EXT.
USE CI.ASSIFICATION
REAR
AUTHORIZED SIGNATURE _ DATE DATE
BIDG. PERMIT _ WH ITE
OFFICE COPY _ WHITE
COUNTY TAX _ PINK
PLUMBING _ CANARY
BUIIDING _ GREEN
SANITATION _ GOLDENROD
Coll 687-4065 to schedule oll required inspeclions. All construc-
tion shqll comply with Uniform Building Code, D.E.Q. stondords
IiIPORTANT: for subsurfoce sewoge disposol ond county regulolions covering
plumbing. All buildings require o certificole of occuponcy before
being occupied..
(See DCtoils' on Reverse Side)
(posT THIS pERMtT ON MAIN BLDG. AT SrrE)
IANE COUNTY, DEPT, OF ENVIRONMENTAL MANAGEMENT
COURIHOUSE ANNEX, I35 EAST 6th, EUGENE. OREGON 97,101rocu = 655-13
'.1
OTHERE
SITE INSPECTION
AppRovEoDDrsAppRovEoDDare
RruaRxs
I ruspecron
FOUNDATION I NSP t0N
Ap eRov e o TE SP-TOR
Rc uanx s
- ?{,.
I *7,'
\.fr tlzltSta
FRAMI NG
Appnov e o
RE uenx s
I NSPICT I ON
Tfr DrsappnovEo / (.
I xspecron
/r-
s'.'*l--'
(.t
a,Dar E
LATH OR SHEETROCK I"NSPECT ION
Ap pRov E o
REuaRxs
/tz -.l-"r'L €} ,1,
7
DrsappRoveo [-a Darr,7, l,-\'-','"{ rNSpEcroR
FINAL INSPECTI
Appnov e o
Reuanx s
DrslppnovEo Darr ?"I Nseec
0
8,1,
CERTIFICATT OF OCCUPANCY
Renov ro lssuE
ReueRx s
D Nor Re aov ro lssuE D Dorc_lrusre croR_
I '/it /|r7"/ i' )',F
DrsappRoveo V z
7
LANE COUNT}.JUILDING PERMIT OR MOBILE HOA USE PERMIT
PERMIT NO,BUILDING fI MHI
PROPERTY OWNER MAITING ADDRESS PHONE
CONTRACTOR M,AIIING ADDRESS PHONE
PROPERTY LOCATION _ INCI"UDE POST OFFICE
PROPERTY I.EGAL DESCRIPTION _METES, BOUNDS
RANG E SECTION TAX LOT NO CODE CENSUS TRACT
EXISTING STRUCTURES ON PROPERTYAPPt.
NAME
&
MAITING
ADDRESS
I.EGAT ACCESS TO PROPERTY
PROPERTY SIZE _ FT.
WIDTH DEPTH AREA
FOR MOBILE HOME PERMITS ONLY
No. of Bedrooms
STRUCTURES TO BE BUILT THIS PERMIT
Connect to Existing Sewo e
TYPE CONSTRUCTION
New
BDR MS VALUATIONSQ. FT
SEWAGE DISPOSAT
PUBLTC tr SEPTTC TANK OTHERE
PTUMBING INSTALI.ED BY
OWNER E OTHERT NAME
BUITDING
WASTE DISPOSAL
PTUMBING
PTAN REVIEW
PARK TRAII.ER
$FEES WATER SUPPIY
PUBUC tr tr OTHER
TOTAT
COUNTY BUITDING & SANITATION SPECIFICATIONS
MIN. SEPTIC TANK CAPACITY
WITH DIST. BOX: GAL.
DRAIN FIELD REQUIRED
TIN. FT TRENCH WIDTH FT.OR SQ. FT
TYPE OF STRUCTURE OCCUPANCY ZONE PUBI.IC UTII.. EASEMENT
BIDG. SETBACKS FT. FROM CTR, OF ROAD RIGHT OF WAY
FRONT SIDE INT. SIDE EXT.
USE CTASSIFICATION
REAR
AUTHORIZED SIGNATURE - DATE DATE
BTDG. PERMIT - WH ITE
OFFICE COPY _ WHITE
COUNTY TAX _ PINK
PTUMBING _ CANARY
BUITDING _ GREEN
SANITATION _ GOTDENROD
Coll 687-4065 to schedule oll required inspections. All conslruc-
tion sholl comply with Uniform Building Code, D.E.Q. stondqrds
IIVTPORTANT: for subsurfoce sewoge disposol ond counly regulolions covering
plumbing. All buildings require o certificote of occuponcy before
being occupied.
(See Detoils on Reverse Side)
(POST THIS PERMIT ON MAIN BIDG. AT SlrE)
LANE COUNTY, DEPT. OF ENVIRONMENTAL MANAGEMENT
COURTHOUSE ANNEX, I35 EAST 6Th, EUGENE. OREGON 9740I
ronv !t655-13
I Ns ee ctoR
SLAB FLOOR
PLUMB ING GROUND^,ORK
Ap pRov e o
Reurnx s
D r saPPRovEo Dar e
GAS PIPING GROUND^/ORK
APPRovEo
REuanxs
DI SAPPROVED Dar e I Nspecton
ROUGH PLUMBING
APPRovEo iT7 DrsappRove o
!-*'
RexaRrs
)- r-/)Dar lnspr
ROUGH GAS PIPING
APPRovED
ReuaRr s
Dr SAPPRovED I usprcroR
F I NAL PLUMB I NG
APPROVED @ DISAPPROVED
Rrurnx s
Drr - /. a -2e tNSpEcroR
FINAL GAS PIPING
Appnoveo
RrManx s
D I SAPPROVED Drre I Hs pr cron
CERTIFICATE OF OCCUPANCY
Rraov ro lssur
Reuanxs
D Nor Reaov ro lssuc D Dore-I xseecton
D
D Dorr-
D
PROP^SED SEWAGE DISPOSAL SYSTEH RECORP
INSTALLER: Complete top part of /rm to signature and submit both ;pies with application.
PERHIT NO 129i_-7vt R
JSBrt/ Bp,a,by VEne Dn r ve
Yes No Public //Other-List
Sept i c Tank:
Ft. f rorn wel I
n5 e mens ons:
L th u,idth
OWNER
NAME
}tA IL I NG
ADDRESS
1 6qo OU
Steel n Concrete Cornpartments Gal. Capaclty
e sposa e
0 i ameter th Distribution Box: Yes No
t str ut on-Pe
t
Feet from
}JEI I Foundat i on tt
0oa
te:rs rss
r
Jecxsotr C &epHlnr
H c
Lot Line
Front Side /o
Il€S-t
4.6
c IF TE OF SATISFACTORY
For Sanltarian Use 0nly:
ln accordance with 1973 0regon Laws Chapter 835, Section 214 this certificate
q R r
er Ot,
it ln
L t L
p,-+75
ueo
as evldence of satisfactory completion of a subsurface sewage disposal system at the above
to":gqupproved:
system lnstal lation conforms to current standardsl-l Disapproved: Does not conform to current standards
Remarks:
renc
}Jid
etween
Lines
an see str on
BnYR 4 IV
t
I
1l o'
l
Iij *'
*$cY
T oFrti,'
{lI
c.l
-**.E s E I E
J U L o.)0 7 5
Alfl
t1 t
F,,h3ilf;,ffiyn,,
JettcbSe
ture
c55-I1 tar a
i
1.:'
COUNTY
t{#STATE OF OREGON DEPARTMENT OF ENVIRONHENTAL QUALITY
gnature
INSTALLER I S NA}IE
w tf{
/l\
b
\4I
.j
PERMTT t,l2?O-75
NOTE: NO PERMIT hrIL- BE ISSUED UNTIL THIS APPLIC,ATIC
APPLICATION FOR:
HAS BEEN APPROVED
CHAI'IGE OF OCCUPANCY
zlp
11 1 L-/Y,1
CONSTRUCTION
OWNER
Name
CONTRACTOR
o.s. REc. //t
Trrp. Raage Sec tion
Subdlvis !*
L-s-.. C s61
F MOBILE }IOME
Address
Address
Tax Lot
Ctty
City
Phone
Code ceosus rrr"rS-lU5
ACCESS T0 PROPERTY (Road Name)I *,-.-O"-t-
ExisEing Structures on Property
Property Location - Address/Direct
J
lo rroct- --groperty Acreage w ,Urnilpplo"rrt -1U1{'/
tlv. o1
Sq. Ft.
or New Systen Required
{
Va
D
Site Inspection 1-54 4)Exlstlng Sewage Disposal
Pub1lc
Other Comunlty
PLUMBING:
Installed by Owner
5
WATER ST]PPLY:
Well
Bldg.
Waste Dlsp.
Plurnblng
Plan Revlew
Mobll.e Home
lZ Surcharge
Spring
,/, ,iX
/
@ 3,oll of Water
Connectlon
FACILIfi PERMIT
YES
er
of Comorunity or Public System
Name
PLIJMBING
1o a)
Sewage
Connection
PI-ANS FURNISHED
CASH YES
CHECK Slgnature of
Fee Received By
Drainfleld Requlr ed - Lineal Feet
Da l<ol-7-75
NO
fa
NO
{TOTAL
Min. Sept 1c Tank Capacity Maximum Dep rh 3_
Type of Construction Flre Zone Use Classification
Bldc Setbacks - from
,,"i,_A(l____:
Center of Road Rlsht
slde rnt. 6l
'of Way:
tuSLde Exterl0r
,
c55-12 LANE COI]NTY TMENT OF MANAGE,IENT
zo^" r€4
TEDATE:
PLAN REVIEW T--l
!(r4
I
/2 /, ooc5.oo34, oD