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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 t,r.Ho dHoz €x Vt |ilr. o vtct,o.H, H vr Ho 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 s s }I("^( l- .:\t Minimum Elevation s s 3As 1-Zo f rOR INTOR.YATION A.BOUT THE PROGRESS OP YOI:R APPT,ICATIOIT, CALI, PI|RMIT CONTROL, 687-']57 (687.HELP) 6I\- I 60 \u1/ \ j1\.3P) 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 ? -e- 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 $-Signature Date() NEW ADDRESS ( } FACILITY PEBMIT TO TRANSPORTATION DEPT.- l SPECIAL PI\4T. AREA. I\4IN. ELEVATION SANITATION lVlinimum Septic Tank Capacity (Gallons) Drainfield Required - Lineal Feet Maximum Depth BUILDING a".r""* Use classification Type of Construction _Group Fire Zone B Date:B Date PLANN ING REOUI REMENTS SATISFIED By:Date Date lssued ZONE SETBACKS: FRONT SIDE FACING STREET (FROM C/L) INT. SIDE YARD REAR (FROM P/L) LANE COUNTY DEPARTMENT OF ENVIRONMENTAL TVIANAGEMENT, i25 EAST BTH AVE., EUGENE, OREGON 974O1 POST THIS PERMIT ON MAIN BUILDING AT SITE BLDG' PERMIT - WHITE; BUILoING - GREEN; PLUMBING - CANARY; SAN|TAT|oN - GoLoENRoD; oFFtcE copy - wHtTEc55-1 3 PHON E: 687-4394 ETRUCTURES NOW ON THE PROPERTY lomments: SITE INSPECTION Appnovro Reuanx s Dr sAPPRovEo DarE f- I -Z ? lNspe cron _ cl: RF M A RK-S FOUNDATION INSPECTI APPRovED Drr e I xsercton D r saepnoveo Dr srpenovro 7^7-7tsa- F ING INSPECTION APPRov E o -/, D RE uanx s .i LATH OR SHEETROq.T INSPECTION r\ APPROVED RruaRx s DTsAPPRovE o F7 Drr 'O- -'r I -..1- /-e I NsPEcroR F I NAL I NSPECT ION AP PRov E o Dt sAPPRovEo Darr 2 - 2z-7c, lNspe cron 7)--4' - ,7 ,.,i<Rrurnxs Ll CERTIFICATE OF OCCUPANCY Reaov ro lssuE Reuaax s D Nor Rreov to lssue n Dore-lt'tsrrcron- ---l o^',, /a- ?-d ,*t"rrro^-$U-{ - D -a<? /\ Pl ir\R i606 r'8" . -,i"a.) P,tSIDi_I.JCI rOF _ C.:-),? D N I_)Y l-i t,)'-)rc t ,i -il,i, {F loi, s I ,t'*"41''-4.' I {t l v s'. ,/1., Ll A cl<a \* fiG, 40r,5 10t's n c, 4e/,s 86,4c I, ^*- -{- r.{ fr fD ?/.ytO .-1- -Tr A I /o I t/a /6o Lrn. ,, ,.' ,\r t L r{/rrrt':a, fiAit /,: t,/pt.+ UJDFI:- rii?a/{- f c.1.7' A L i. 1,6 u/t,/S l->ct t.tT. .--, ARE'/, ',A C,(r{t - r ,r,'; o l''l I '-.- a. Ft'\- {60I+11,5' . I - -1-.*-,...a' lssQpte'O G, Lt-L.{ r5te \ER,\DqIVt IIDUSE Ftl.l. fLbOIL Er-Ev,46z.i, i, I I I I D.: ,t L----:- r-tl- t. #':-- oo{- jfY cEr t: D&l Y ? o. s f,r s-f 1al7'ac I t t I I n'x; I I 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 $-Signature NEWADDRESS ( } FACILITY PERMIT TO TRANSPORTATION DEPT.- () SPECIA L PI\4T. AR EA. MIN.ELEVATION:- Date - SANITATION 10 oo 3 b e.Lroor-u, Minimum Septic Tank Capacity (Gallons) Drainfield Required - Lineal Feet BUILDING Type of Construction Use Classification Fire Zoneroup/3-o Zr/Maximum Deoth'i1:'i'"'J'1";f,i" .list rihsa(ta'.- s '1s t'b,*, eti comments:(amstlomments: per plol ,clun, Slol loct f..l €ru,*t a-tl wells, r9)Date: 7 zt >g BB PLANN ING REOUIREMENTS SATISFIED. By:Date Date Date lssued ZONE SETBACKS: FRONT SIDE FACING STREET (FROtVI C/L) INT. SIDE YARD REAR (FROM P/L) LANE COUNTY DEPARTMENT OF ENVIRONMENTAL MANAGEMENT, 125 EAST 8TH AVE., EUGENE, OREGON 97401 POST THIS PERMIT ON MAIN BUILDING AT SITE C55.13 BLDG. PERMIT _ WHITE; BUILDING _ GREEN; PLUMBING - CANARY; SANITATION J GOLDENROD; OFFICE COPY - WHITE PHONE:687-4394 OWNER'S NAME AND ADDRESS a SLAB FLOOR PLUMBING GROUNU/ORK Apenov e o Reurnx s Drsappnovro Dar e I Nspecron GAS PIPING GROUND,VORK Appnov E o Reua nx s D DrsappRovro D DarE I Nspecron ROUGH PLUMBING Appnoveo E DrslppRoveD Reuaex s Dare 13 /9- /p tNseccroa p4 ROUGH GAS PIPING APPRovEo D DrsappRoveo D Reranr s Drr e I Nsercron FINAL PLUMBING Appnoveo @ Re uanx s D urr&-#ftDrsapenoveo I NspecroR & FTNAL GAS PIPING AppRoveo D DrsappRove, D Reuanx s Dare llrsee cron CERTIFICATE OF OCCUPANCY Reaov ro lssuE Re uanr s Nor Rraoy ro lssuE D Dere I NsercroR_ TRS, TL L7-O3-24-3.2 #' s 300 & 400 Flot PIan Job Location ile post) Subdivision FOR SANITARIAN'S USE ONLY COMMENTS: FOR INSTALLER'S USE Trench Depth Tank Capacity t000 Manufactu Measured distance m €rc ry 6 'd F -F. s) \f. Scale: Lot ,t a -Atocf Z App roved fl System Disapproved tl Needs Correction S nature:Date @ k Filler Depth T from drainf ield 6Acrl( ,d,g9 A$ \: 7 a, )i) ,l r0 ,?h 0 IN I u.l F.- o r\r'r.ifr\ Cft Ho 0c 0)tro "orl 0, 'r{r+.t o[ 'rlt{oa U'U' (D L!! trD trco=.o(o- {, E E+J(oHZqt 'o.ioEVoa o- IJJt a co I (o P6C rJool{ +Ja ={ rJ)oa o Ot\o Fl "N-t Y I I { t97B I; co F- Io\r\ Fl N + o- 00 urtt! 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 \,€ LlcJl{ 0cr lUab, c. La,, IY c55-1 1 , I I , TRS, T 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 I trqq 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 .--- { tu/)? t / 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