HomeMy WebLinkAboutPermit Building 1978-07-10&t\t-?B
TRS, TL 17-n?-r
I{ritten Oirections Vera Drlve off Delrose Avenue
-.?c--'- 40a u6 DJob Location 'l 6'1 2 Ver"r Drive Sprinsfleld. Ore son 97h77\t
( x) Building Permit
Acreage or Lot Size 1O5i x I
INFORMATION SHEET
( ) Site Feasibility Study for Septic Tank. Number of sites-
Test holes will be ready
Subdivision \Je-rza rflp; le CaCd r*r o'r,r Lot \ R gtoc JPartitioning #- ( )Completed( ) Pending
APPLICANT'S NAME AND ADDRESS Kenhart Bul lders 15sO South rtArt St reet Sprlngfleld, Oregon
R'S NAME AND ADDRESS, if different from applicant's
RACTOR'S NAME AND ADDRESS Keohart Builders 1590 South ilArr Street SprlngfieId, Oregon
Mailpermit or resultsof site feasibility study to ( x) Applicant ( ) Owner ( ) Contractor( ) Prefer to pick up. Call ( owner, etc. ) when ready
STRUCTURES NOW ON THE PROPE Nane
v
/-"l\/N E
JNT
Phone zb6-bbzs
Phone-
Phone 7b6-bbzq
Contractors O. S. # t?L6
PROPOSED USE (this permit)Bulld a new home # Bedrocrns three
WATER SUPPLY bubltc Ralnbow Irster D16t!1ct (exisling or proposed well. etc. lf public, name of system,
SEWAGE DISPOSAL septlc qqnE&!e!eEe4)b:saqa
PLUMBING B Twln CitLes Pluubllas
(existing or proposed septic tank, etc.) S.l
Address 1o55 Eerte'l sen oene. Oreoon
(J PROPERTY IS WITHIN ONE MILE OF CITY
******..r*r*.*".r*** oFFtcE usE oNLY BELOW THtS LtNE :*r****++r+*+
New Address Necessa rY
ZON
( ) Facility Permit Necessary
SETBACKS: Front \\S Side Facing Street
( ) Special Permit Area. Minimum El ion
lnterior Side Y Rear w
To: Planning/Building lnspector/Sanitarian/Surveyor.
This applicant appears to have a problem
Your assistance will be appreciated.
Response
(FROM CENTERLINE OF R
By
By
DEPARTMENT OF ENVIRONMENTAL MANAGEMENT
Permit Processing Section
125 East 8th Avenue
687-4394
(FROM PROPERTY LINES)
Permit Processing Section
c55-1 2
.e-
Division
G\-,
LANE COUNTY DEPARTMENT OF ENVIRONMENTAL MANAGEMENT
125 EAST H AVENUE, EUGENE, OREGON 974(
ING DIVISION Current Zon AVERAGE PROCESSING
Ko4f
B
+
Prrtltlonlng l-- leendlng f]CornpletedParccl No._
Partl tlonlnq Requlred
Other r
x-
x'
fj
HArEn POLLUTION CON"ROL I of Strea_
llau Slt. Inepoctlon(gl
SDS Con!tructl,
Nuarber o[
Councrclal,/Industrlal - I o! Empl.oyeea
Other
id
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CONSTRUCTION PEF.YITS AND INSPECTION(See abovc for I of bedroorns/l of enrployeea)
t] :{obl t. Horao s
tr permanent
A remporarlt
Renewa I
FI t lon
FEE
sgs
s
s
TotaI V!Iuntion S
/O pYt Aing fixtures at
<2,' sor"rnater conn. at
Each
-ROO r"cn
subtota I
TOTAL BUILDING PERHIT FEE
ln
o
tssed
r(j
at Statc SurchargG
Plans Check Fec
Change of Occupancy
l,llnimurn rtructural setbacks :
Frot! centerlina of streets Front
Ex te
Froo intcrlor lot lines: Side
Con-;u' I plans sheet to
rioj Slde5 .;' )qe-
3O
onJ
5
u,trx
PUBLIC L.ATiDS
PUBLIC }TORXS
appllcant. -F..l Curb cu
i,^k,,"",
V di.- D,'uq-y Pernit
t to at)pllcant
tion
are true and accurate, and that I have Lhe followi ng legal interest in the
EIryI IIEA
Ca ah c Ilcc 'd by TOTAI, S
AFI'IDAVIT: If thls permit is for an a gricultural building, I hereby declare that this bulld in9
andvill be used for agricultural purposes as .rIlowed by zoning and/or the State Buildi ng code,for no other purpose. I furth er certify that the statements and other information submitted onthis app
protrc rtyto pu
apP
to
ri
of record; contrnct purchaser; _ lcssee; holder of an exclusive optiony authorized-Lo act for ! person wh-o-has chc t6flowing lerlal inrerest:bne colrnty; or tlrat the omer of record isliii owiier. -I' further rgrce to comply wr.th all know I f' d.l L.able of thrs
l,Ie codcs rclatlngn
Dat€I icant'a Si,lnature
TIIIS IS YOUR RECEIPT, AND DOES NOT GIVE YOU PERMISSION TO BUILD
L-
Address
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Minimum Elevation
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3As
1-Zo
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rOR INTOR.YATION A.BOUT THE PROGRESS OP YOI:R APPT,ICATIOIT, CALI, PI|RMIT CONTROL, 687-']57 (687.HELP)
6I\-
I 60
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430>
JOB LOCATIOTRS, T
LANE COUNTY PERMIT
Acreage or Lot S t7e Partitioning ) Completed Subdivision
Contractor's O.S. #Lot B lor:k
Phon
Phone--
Phone-
Mailpermitro()Applicant(}owner()contractor.()PrefertopickUP.call-(owner,etc.lwhenready.
,tRucrunes ruow oN THE PBoPERTY
THlSPEBMlTtsFoR#BEDRooML#PLUl\i]BlNGcoNNEcTloNL
s.t. #WATER SUPPLY SEWAGE DISPOSAL
THlSPRoPERTYlSWlTHlNoNEMlLEoFTHEClTYoF.PLUMBlNGBY
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 further certify that (if not the owner) I am authorized to act ior the owner of
record, and that said owner is aware and approves of this action. I hereby agree to comply with all applicable Codes relaling to this permit.
Fee Paid $Signature Date
il NEW ADDRESS il FACILITY PERMIT TO TRANSPORTATION DEPT.( )SPECIAL PlVlT. AREA. tvllN. ELEVATION:-
SANITATION BU ILD ING
Minimum Septic Tank Capacity (Gallons)Type of Construction roup ire Zone
Drainfield Required - Lineal Feet ti se Classification
Maximum Depth Comments:
Comments
By:Datel By Date
PLANNING REOUIREMENTS SATISFIED. By:Date:Date lssued
ZONE SETBACKS: FRONT SIDE FACING STREET (FROM C/L) INT. SIDE YARD REAR (FROM P/L)
LANE COUNTY DEPARTMENT OF ENVIRONMENTAL MANAGEMENT, 125 EAST 8TH AVE., EUGENE, OREGON 97401
POST THIS PERMIT ON MAIN BUILDING AT SITE
C55'13 BLDG.pERMtT-wHtrE; BUtLDtNG-GREEN; pLUMBtNG-GANARy; sANtrATtoN-GoLoENRoD; oFFtcEcopy-wHtrE
PHONE:687-4394
APPLICANT'S NAME AND ADDRESS
OWNER'S NAME AND ADDRESS
CONTRACTOR'S NAME AND ADDRESS
--71-1 I
TRS, i'L 17 -en i : .; -.aa- -jcu -y--q n o Job Location 16I ? Verr ftrr{se Sorlnaf leld. Ore son 97b?7
!{ritten Directiryts Vera Drlve o.tf Delrose Avenue
( xi Building Permit
Acreage r:;' Lst Size 1O5 | x 1OO
INFORMATION SHEET
( i Site Feasibility Study for $eptic Tank. f.lumber of sites
Test lroles will be
Fartitioning#-*---".-_- ( )Completed( l Pending
e;a-.-
APPLICANT'S NAMH AND ADDRESS Kephart Eu!Iders ]69O South ,A* Street Sprlng{teld, Oregon Phorre 7h6-4llze
olAt\l Et\l /t R'S NAMe AND ADDRESS, if different from applicant's
RACTOR'S NAIJIE AT{D ADDRESS Kephart $ui.Iders 16?0 South ,Arr Street Sprlngfleld, Oregon Phone :lr6-!lzc
Maii permit or resultsof site feasibility study to ( x)Applicant { }Owner ( }Contractor
{ } Prefer to pick up. Call (owner, etc. ) when ready.Contractors O" S. * 1716
STHUCTURES NOW ON THE PFOPE R
PROPOSED USE (rhis permit)Butld a ner* hose # Mrrrrns
WATER SUPPLY publta trEtrbot 'rater Dlstrlct /\ -(exiiling or proposed well, etc. lI public. name o, systBm)
Subdivision \Jepe
readv
---
,dprle - lE G&{rhw-r,r Lot -\R. - g1r.
Phone
SEWAGE DISPCSA septlc tank (proPosed)Ln*{a
PLUMBING BY lPwtn C{ttes Fl.uubinq
(existing or proposed septic tank, etc.) S.l
Address 1065 Bartelsen Oreaon1:
( J PROPERTY rS WITHtN ONE Mll_E OF CtTY
*OFFICE USE ONLY BELOW THIS LlNE....*.+..1r.
I t"t ,']w Address Ne cessarY ( ) Facility Fermit Necessary ( ) Special Permit Area. Mininrum
To: Planningl8uilding lnspector/Sanitarian/Surveyor
This applicant appears to have a proi:rlem with
Your assistance will be appreciated.
Respanse
SETBACKS: Front -bS Side Facing Street lnteriol Side
E leva
Rear r\x,iE--
(FTtOM CENTEHLiN[ OF 8OA
By
By
DEPARTMENT OF ENVI RONMENTAL MANAGEMENT
Permit Processing Section
'125 East 8th Avenue
687-4394
{FR0f,1 PROptIRTY t. i r"JHS]
Permit Prr:cessing Sect ion
c55"r ?
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f.r ivis ion
fmt-J---
\
TO
FROM:
FLOOD PLAIN MANAGEMENT
DEPARTI'IENT OF PUBLIC WORKS
PH0NE - 687 -4195
SUBJECT:
BUILDING PERMIT NUMBER ZI19 - ?B
SUBDIVISION
l4AP l-l-o3-24-V'Z I.L. ZoZ
PLANN I i'IG
PERMIT PROCESSING
OTHER
PARTITION NUI'IBER
OTHER
SITE IN FLOOD HAZARD AREA. YES NO
DETAILED STUDY
NOT A SUBSTANTIAL II4PROVEI'4ENT
MINII1UM FLOOR ELEVATION REQUIRED
APPROXiMATE STUDY
SITE IN DESIGNATED FLOOD HAZARD AREA
EXTRA PRECAUTIONS MAY BE APPROPRIATE.
RECOMI,IENDATIONS:
seE- =ru. 8844Z4c
DATE a-9-BY Q-wt(b
lane countyHOLID SI,IP il!'
-
APPLICATION #
Name
Address
Zi p Code
The above application'is being held by the Permit Processing Section for the following
reasons:
Division:
Si gnature :
Division:
Si gnature :
Date
Date
Thi s appl"ication wi I I be hel d unt j I
required above has not been furnish
If the information
ed by that date your applicat ion will be cancelled.
Fees paid for waste disposal systems (site inspections and/or appfications to install
the septic tank and drainfield) are nonrefundable. Sone rcfund ma.y be made on the
building and plumbing portion of your appfication if cancellation is necessary.
In the event a Planning or some other long-term problem exists over which you have
no control we will hold the permit until the problem is resolved and we receive word
from you as to whether to proceed with permit issuance or process a cancellation.
c74-t39
PERMIT PROCESSING SECTION - 687-4394
b
TRS, T
Acreage or Lot Size
Contractor's O.S. #
JOB LOCATIO
Partitioning #
LANE COUNTY PERMIT
) Completed Subdivision
Lot-- Block-
APPLICANT'S NAME AND ADDRE ss
OWNER'S NATVIE AND ADDRESS
CONTBACTOR'S NAME AND ADDRESS
Phon
Phon
Phone-
p
Mail permitto ( )Applicant ( )Owner ( )Contractor. ( )Prefertopickup. Call-(owner, etc.) when ready.
lHlsPERMlTlsFoR#BEDRool\4L#PLUMBlNGcoNNEcTloNL
\A/ATER SUPPLY SEWAGE DISPOSAL--s.l, #
THlSPBoPERTYlSWlTHlNoNEMlLEoFTHEClTYoF.PLUIVIB ING BY
I hereby certify that the above statements are true and accurate. and that I have the following legal interest in the property:
-owner
oI record;
-contract
purchaser;
-
potential buyer;
-
realtor or agent. I further certify that (il 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 clmply with all applicable Codes relating to this permit.
Fee Paid $-Signature Date() NEW ADDRESS ( } FACILITY PEBMIT TO TRANSPORTATION DEPT.- l SPECIAL PI\4T. AREA. I\4IN. ELEVATION
SANITATION
lVlinimum Septic Tank Capacity (Gallons)
Drainfield Required - Lineal Feet
Maximum Depth
BUILDING
a".r""*
Use classification
Type of Construction _Group Fire Zone
B Date:B Date
PLANN ING REOUI REMENTS SATISFIED By:Date Date lssued
ZONE SETBACKS: FRONT SIDE FACING STREET (FROM C/L) INT. SIDE YARD REAR (FROM P/L)
LANE COUNTY DEPARTMENT OF ENVIRONMENTAL TVIANAGEMENT, i25 EAST BTH AVE., EUGENE, OREGON 974O1
POST THIS PERMIT ON MAIN BUILDING AT SITE
BLDG' PERMIT - WHITE; BUILoING - GREEN; PLUMBING - CANARY; SAN|TAT|oN - GoLoENRoD; oFFtcE copy - wHtTEc55-1 3
PHON E: 687-4394
ETRUCTURES NOW ON THE PROPERTY
lomments:
SITE INSPECTION
Appnovro
Reuanx s
Dr sAPPRovEo DarE f- I -Z ? lNspe cron
_ cl:
RF M A RK-S
FOUNDATION INSPECTI
APPRovED
Drr e I xsercton
D r saepnoveo
Dr srpenovro
7^7-7tsa-
F ING INSPECTION
APPRov E o -/,
D
RE uanx s .i
LATH OR SHEETROq.T INSPECTION r\
APPROVED
RruaRx s
DTsAPPRovE o F7 Drr
'O- -'r I -..1- /-e I NsPEcroR
F I NAL I NSPECT ION
AP PRov E o Dt sAPPRovEo Darr 2 - 2z-7c, lNspe cron
7)--4' -
,7
,.,i<Rrurnxs Ll
CERTIFICATE OF OCCUPANCY
Reaov ro lssuE
Reuaax s
D Nor Rreov to lssue n Dore-lt'tsrrcron-
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TRS, TL-JOB LOCATIO
Partition ing
LANE COUNTY PERMIT
Acreage or Lot Size
Contractor's O.S. #
)Completed Subdivision
Lot Block-
APPLICANT'S NAME AND ADDR trcc Phone-
Phone-
Phone-CONTBACTOR'S NAME AND ADDRESS
Mail permitto ( )Applicant ( )Owner ( )Contractor. ( )Prefertopickup. Call-(owner, etc.) when ready
STBUCTURES NOW ON THE PHOPERTY
iHtS pEBMtT tS FOR # EEDROOMS-# PLUMBING CONNECTIONL
WATER supply-- SEWAGE DISPOSAL- S.l. #
THlSPRoPERTYlSWlTHlNoNEMlLEoFTHEClTYoF.PLUlVlBlNGBY
I hereby certify that the above statements are true and accurate. and that I have the following legal interest in the property:
-owner
oI record;
-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,
Fee Paid $-Signature
NEWADDRESS ( } FACILITY PERMIT TO TRANSPORTATION DEPT.- () SPECIA L PI\4T. AR EA. MIN.ELEVATION:-
Date
-
SANITATION
10 oo 3 b e.Lroor-u,
Minimum Septic Tank Capacity (Gallons)
Drainfield Required - Lineal Feet
BUILDING
Type of Construction
Use Classification
Fire Zoneroup/3-o
Zr/Maximum Deoth'i1:'i'"'J'1";f,i" .list rihsa(ta'.- s '1s t'b,*, eti comments:(amstlomments:
per plol ,clun, Slol loct f..l €ru,*t a-tl wells,
r9)Date: 7 zt >g BB
PLANN ING REOUIREMENTS SATISFIED. By:Date
Date
Date lssued
ZONE SETBACKS: FRONT SIDE FACING STREET (FROtVI C/L) INT. SIDE YARD REAR (FROM P/L)
LANE COUNTY DEPARTMENT OF ENVIRONMENTAL MANAGEMENT, 125 EAST 8TH AVE., EUGENE, OREGON 97401
POST THIS PERMIT ON MAIN BUILDING AT SITE
C55.13 BLDG. PERMIT _ WHITE; BUILDING _ GREEN; PLUMBING - CANARY; SANITATION J GOLDENROD; OFFICE COPY - WHITE
PHONE:687-4394
OWNER'S NAME AND ADDRESS
a
SLAB FLOOR
PLUMBING GROUNU/ORK
Apenov e o
Reurnx s
Drsappnovro Dar e I Nspecron
GAS PIPING GROUND,VORK
Appnov E o
Reua nx s
D DrsappRovro D DarE I Nspecron
ROUGH PLUMBING
Appnoveo E DrslppRoveD
Reuaex s
Dare 13 /9- /p tNseccroa p4
ROUGH GAS PIPING
APPRovEo D DrsappRoveo D
Reranr s
Drr e I Nsercron
FINAL PLUMBING
Appnoveo @
Re uanx s
D urr&-#ftDrsapenoveo I NspecroR &
FTNAL GAS PIPING
AppRoveo D DrsappRove, D
Reuanx s
Dare llrsee cron
CERTIFICATE OF OCCUPANCY
Reaov ro lssuE
Re uanr s
Nor Rraoy ro lssuE D Dere I NsercroR_
TRS, TL L7-O3-24-3.2 #' s 300 & 400
Flot PIan
Job Location ile post)
Subdivision
FOR SANITARIAN'S USE ONLY
COMMENTS:
FOR INSTALLER'S USE Trench Depth
Tank Capacity t000 Manufactu
Measured distance m
€rc ry
6
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F
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s)
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Scale:
Lot ,t a -Atocf Z
App roved fl System Disapproved tl Needs Correction
S nature:Date
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k
Filler Depth T
from drainf ield
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INSTALLATION RECORD AND CERTIFICATE OF SATISFACTORY COMPL
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 E'nvironmental Management,
Public Service Building, 125 East 8th Avenue, Eugene 974O1
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Acreage or Lot Size
Contractor's O.S. #
Comments:
By
JOB LOCATIO
Partitioning #
LANE COUNTY PERMIT
) Completed Subdivision
Lot Bloc k
APPLICANT'S NAME AND ADDRE qq
OWNER'S NAME AND ADDRE ss
CONTRACTOR'S NAME AND ADDR Phone
Mail permitto ( )Applicant ( )Owner ( )Contractor. ( )Prefertopickup. Call-(owner, etc.) when ready
Phone-
Phone--
STRUCTURES NOW ON THE PROPERTY
TH IS PERMIT IS FO # B ED ROOIVIS-# PLUTVIB I NG CONN ECTIONS
WATER SUPPLY-- SEWAGE DISPOSAL- S.I. #
THlSPRoPERTYlSWlTHlNoNEMlLEoFTHEClTYoF.PLUt\4BlNGBY
I hereby certify that the above statements are true and accurate. and that I have the following legal interest in the property:
-owner
oI record;
-contract
purchaser;
-
potential buyer;
-
realtor or agent. I {urther certify that (il not the owner} I am authorized to act for the owner oI
record, and that said owner is aware and approves oI this action. I hereby agree to comply with all applicable Codes relating to this permit.
Fee Paid $-Signature Date
NEWADDBESS I FACILITY PERI\4IT TO TRANSPOBTATION DEPT.- () SPECIA L PMT. AR EA, MIN.ELEVATION
SANITATION BUILDING
Minimum Septic Tank Capacity (Gallons)
Drainfield Required - Lineal Feet
Maximum Depth
Date
Type of Construction
Use Classif ication
Comments:
roup ire Zone
By:Date:
PLANNING REOUI REMENTS SATISFIED. By Date Date lssued
ZONE:SETBACKS: FRONT SIDE FACING STREET (FROM C/L) INT. SIDE YARD REAR (FROM P/L)
LANE COUNTY DEPARTMENT OF ENVIRONMENTAL MANAGEMENT, 125 EAST 8TH AVE., EUGENE, OREGON 97401
POST THIS PERMIT ON MAIN BUILDING AT SITE
c55-13 BLDG.pERMtT-wHtrE; BUtLDtNG-GREEN; pLUMBtNG-GANARy; sANtrATroN-coLDENRoD; oFFlcEcopy-wHrrE
PHONE:687-4394
7
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CORRECTION NOTICE
LANE COUNTY DEPI. OF ENVIRONMENTAL MANAGEMENT
Conslruclion Permits & lnspections Division
EUGENE, OREGON
g or slruclure does nof conform lo Lone County building regulotions, ordinonces or codes
,low:
tr
This buildin
os noted be
,u'7') 1 ,r?'Lr-r
f05,,e z) ,Q-ff-u /*-*-uri-e^-l ,y'tlt-,a-e"Zal'
P .--- {
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/
RE.INSPECTION REQUIRED
FOR APPROVAL
lnspector Date -
/{7
c55-73
Building Permit #
CORRECTION NOTICE
IANE COUNW DEPT. OF ENVIRONMENTAT MANAGEMENT
Construction Permifs & lnspections Division
EUGENE, OREGON
This building or slructure does not conform to Lone County building regutotions, ordinonces or codes
os noted below:
r
RE.INSPECTION REQUIRED
FOR APPROVAT
lnspector- Date-c55-73
Building Permit #
IDDIII CNAL lil.pciut^ Tlcnl BEQTTTRED , . .
Submlt tho fo]lonlng lfcmr to thc Bulldlng 0fflcle1 at lceat fuvea4e pdor',to lnstallatlon. Rcturn ihla forn rrlfh tno coploa of rll ""qfi!"d-inrcnoettof, W-r,,teL Oluuf*r+url*-t T//rr9 D4/4dz F?> ,?aq qL;
7/La"
2/'*L" ,
a/'-a"&t@7?55
Slgned r
.Bu1ldlng Perrnlt No.2t fi44
App}lcant
Job [ocatlon lr lt
Bullding Inopector TAMO
a