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Home My WebLink AboutPermit Building 1977-11-163lo?-zz-7 3 2- TRS, TL ( x) Building Permit Acreage or Lot Size I5O 'x7 5 r ( lrregular ) Partitioning #- ( )Completed( ) Pending INFORMATION SHEET ( ) Site Feasibility Study for Septic Tank. Number of sites-( ) Would like to meet on site. Call (owner, etc.) Test holes will be ready- Subdivision Flrst Addi.tlon to Vera Delle Lot 7 Bloc APPLICANT'S NAME AND ADDRESS -TRUCTURES NOW ON THE PROPER ll tt Phonellti-ltbzgPhone-OWNER'S NAME AND ADDRESS, if different from applicant's Ptl?il permit or resultsof site feasibility study to (x )Applicant ( ) Owner ( ) Contractor. NTRACTOR'SNAMEANDADDRf$$ KEPIIART BUIIDEITS 159o South'rA" Sprlngfield, oregon Phone 20 ( ) Prefer to pick up. Call (owner, etc. ) when ready. None PROPOSED USE (this permit)butld a nev hone ,tna,Pa-rr- 5.D.3. WATEB SUPPLY Publtc (Ratobov Wat€! Dt6titct) (existing or proposed well, etc- lf public. name oI system) LSEWAGE DISPOSA I DroDosed septtc tank PLUMBING B Twtn Cttles Plunblnq ( x ) PROPE RTY lS WITH lN ONE M ILE OF CITY ( Snrinofleld (existing or proposed septic tank, etc.) S.l Address lOEr Bertelson Euoene, Oregon ****.*r oFFlcE usE oNLY BELOW THIS LINE ************* ,JIYETNecessarY ( ) Facility Permit Necessary SETBACKS: Front Side Facing Street (FROM CENTERLINE OF ROAD) ( ) Special Permit Area. lnterior Side Yard (FROM PROPERTY LINES) ): Planning/Building lnspector/Sanitarian/Surveyor. This applicant appears to have a problem with Your assistance will be appreciated. By Permit Processing Section Response: By DEPARTM ENT OF ENV I RONIVIENTAL MANAGEIVIENT Permit Processing Section 125 East 8th Avenue 687-4394c55-12 lvtston Job Location 1519 Vera Drtve ,/.2 t3z0 TRS, I JOB LOCATION LANE COUNTY PERMIT Acreage or Lot Size Contractor's O.S. # Partitioning #-( ) Completed Subdivision APPLICANT'S NAME AND ADDRE CONTRACTOR'S NAME AND ADDR FSS Mail permit to ( ) Applicant ( ) Owner () Contractor. ( ) Prefer to pick up. Call Lot- Block . OWNER'S NAME AND ADDRESS Phone Phon Phone- (owner, etc.) when ready )TRUCTURES NOW ON THE PROPERTY THIS PERMIT IS FOR # BEDROOIVIS-# PLUIVIB I NG CONN ECTIONS s.l. #I/ATER SUPPLY SEWAGE DISPOSAL THlSPRoPERTYlSWlTHlNoNEMlLEoFTHEClTYoF.PLUNnBlNGBY I hereby certify that the above statements are true and accurate, and that I have the lollowing legal interest in the property: -owner of record; _contract purchaser; - potential buyer; - realtor or agent. I further certiiy that (if not the owner) I am authorized to act for the owner oI record, and that said owner is awarq and appfoves of this action. I herebv agree to @mply with all applicable Codes relating to this permit. Fee Paid $-Signatu re Date ( ) NEW ADDRESS ( ) FAC|LtTy pERMtT TO TRANSPORTATTON DEPT.- ( ) SPECIAL Pl\4T. AREA. MlN. ELEVATION: - SANITATION BU ILs ING Minimum Septic Tank Capacity (Gallons)roup -Fire Zone Drainfield Required - Lineal Feet se Classification Maximum Depth Comments: Comments Date PLANNING REOUIREMENTS SATISFIED. B Date lssued: LANE COUNTY DEPARTMENT OF ENVIRONMENTAL I\4ANAGEMENT, 125 EAST 8TH AVE., EUGENE, OREGON 97401 POST THIS PERTVIIT ON MAIN BUILDING AT SITE c55.1 3 BLoG.PERMtT_WHITE; BUILDINGLcReeT, PLUMBING-CANARY; SANITATION-GOLDENROD; OFFICECOPY-WHITE PHONE: 687-4394 ) Date: Date: SETBACKS: FRONT t i SIDE FACING STREET (FROM C/L) INT. SIDE YARD REAR (FROM P/L) Dote Nov. I6t, , 197',, ORDERED, thot q permit be ond is hereby issued to Jack PERMIT IN THE BOARD OF COUNTY COMMISSIOiIERS OF LANE COUNTY WHEREAS, the ottoched opplicotion hos been fully conside-red !y tt" Boord of County Com' missioners of Lone c"r"ty, "nJ'i't i, the opinion ond iuigment of the-Boord thot the soid opplicotion ,i"rlJ b" gront"d, ond ihot o permit should be issued, now, therefore, it is hereby. Permit No.310 q-77 CURB CUT t, 1590 S rh rrArr Street, Spring fie1d, Oregon 97477 for plocing, building or constructing the following focility, Ist Addition to Vera Delle Lot 7 Block 4 (1519 Ver a Dr. Sp upon the right-of-woy of County Rood No. --, Mile Post .-----------.--------, in strict coniormity to the exhibits ottoched hereto, ond subiect to oll terms, conditions, ogreements, ,iipulotions ond [rovisions contoined in the op_plicotion.ond permit, the Rules ond Regulotions Gov- ".ling Focilities io il" iermitted upon county'iood Rights-of-W9y, os sel forth by the Lone Mon' uol 5-0.t90(2) ony omendments thereto, oni ony othJr 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 cqused by his operotion, leoving the roodwoyond oreo in q neot, occeptoble condition. 3. Sidewalks will be constructed in accordance with the attached sidewalk ip..iflcat'ions and drawing M9B-49. The Standard Curb Type shall be constructed unless otherwise specif ied. This permit is revocoble ot ony time, ond will be strictly odhered to ond no work other thon thot spec#icolly mentioned obove is hereby outhorized. This permit sholl be void unless the work herein contemploted sholl hove been completed be- 1or" November 16th, 1978 , "lg 78 Expires lnspected ond Approved Dote By PINK _ PERMITIEE ORANGE _ BUITDING & SANITATION DEPT I9_. Approved by Boord of County Commissioners By Al Driver / cad. WHITE - OFFICE FILE YETTOW _ REAT ESTATE Direclor of Public Works c74-t29 TRS, TL JOB LOCATIO LANE COUNTY PERMIT Acreage or Lot Si Partitioning # Contractor's O.S. + APPLICANT'S NAME AND ADDRE @/NEN'S NAIVIE AND ADDRE CONTRACTOR'S NAME AND ADDR Mail permitto ( )Applicant ( )Owner ( )Contractor. ( )Prefertopickup. Call THIS PERMIT IS FO Fee Paid $Signature () ruTW ADDRESS () FACILITY PERIV1IT TO TRANSPORTATION DEPT UATER SUPPLY SEWAGE DISPOSA Lot- B loek Phon Phone Phone (owner, etc.) when ready. # B ED ROONNS-# P LUTVIB I NG CO NN ECT IONS s.t. # Date () SPECIAL PIVIT. AREA. tVIIN. ELEVATION ) Completed Subdivision hnucrtses ruow oN THE PRoPERTY THlSPRoPERTYlSWlTHlNoNEt\4lLEoFTHEclTYoF.PLUIV|BlNGBY 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 for the owner of reord, and that said olvner is aware and approves.of this action. I hereby agree to complv with all applicable Codes relaling to this permit, SANITATION BUI[-DING -T lVlinimum Septic Tank Capacity (Gallons) Drainfield Required - Lineal Feet Maximum Depth ype of .Construction -Group -FireZone U se Classification Comments Comments ZONE SETBACKS: FRONT SIDE FACING STREET (FROIVI C/L) INT. SIDE YARD REAR (FRON/I P/L) LANE COUNTY DEPARTMENT OF ENVIRONMENTAL TVANAGEMENT, 125 EAST BTH AVE., EUGENE, OREGON 97401 POST THIS PERVIIT ON MAIN BUILDING AT SITE C55.1 3 BLDG.PERMIT-WHITE; BUILDING-GREEN; PLUMBING-CANARY; SANITATION-GOLDENROD; OFFICECOPY-WHITE PHONE:687-4394 trqc ) B Date: PLANN ING REOUIREMENTS SATISFIED. By:Date: Date: Date lssued: Dar e I Nsprctoa GAS PIPING GROUND/ORK AP PRov E o ReManx s D DrsrppRoveo D Dare I Nspecron ROUGH PLUMBING Arenoveo E Drseppnovro Reuanx s .;'r''zr I rspecronDare .?* ROUGH GAS PIPING AP PRoV E D Reurnx s Dr sappRoveo Dar e I Ns prcloa FINAL PLUMBING APPRovEo E DrsAppRovED Reuanx s oorr8 11:T?I Nsprcron rP/,1- FINAL GAS PIPING Apenov e o REuaex s C/ Drsappnovro D DatE I Nspscron CERTIFICATE OF OCCUPANCY Rraov to lssue REurnx s Nor READY ro lssuc Dare I xspecroR SLAB FLOOR PLUMBING GROUND,,/ORK AppRovro D Drsappnoveo D Reilrnx s TRS, T JOB LOCATIO Partitioning # LANE COUNTY PERMIT Acreage or Lot Size Contractor's O.S. # ) Completed Subdivision Lot Bloc k APPL|CANT,S NAME AND ADDRESq Phone- CONTRACTOR'S NAME AND ADDRESS OWNER'S NAME AND ADDRES s Mail permitto ( )Applicant ( )Owner ( )Contractor. ( )Prefertopickup. Call-(owner, etc.) when ready Phone Phone .,,TRUCTURES NOW ON THE PROPERTY THlsPERMlTlsFoR#BEDRooML#PLUlv]BlNGcoNNEcTloNL \ //ATER SUPPLY SEWAGE DISPOSAL S.I. # THlSPRoPERTYlSWlTHlNoNElVllLEoFTHEClTYoF.PLUIVlBlNGBY 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 lurther certify that (iI not the owner) I am authorized 10 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 $-Signatu re Date ( }NEWADDRESS () FACILITY PEBM IT TO TRANSPORTATION DEPT.- | SPECIA L PMT. AR EA. MIN,ELEVATION SANITATION BUILDING Type of Construction -Group ire Zone Comments ) [Vlinimum Septic Tank Capacity (Gallons) Drainfield Required - Lineal Feet Maximum Depth Date c"n.'"..'""1, Use classification BVBy Date PLANNING REOUIREMENTS SATISFIED. By:Date Date lssued ZONE SETBACKS: FRONT SIDE FACING STREET (FROIVI C/L) INT. SIDE YARD REAR (FROIVI P/L)) \,LANE COUNTY DEPARTMENT OF ENVIRONMENTAL IV1ANAGEMENT, 125 EAST BTH AVE., EUGENE, OREGON 91401 POST THIS PERVIIT ON MAIN BUILDING AT SITE C55-1 3 BLDG.PERMIT-WHITE; BUILDING-GREEN; PLUMBING-CANARY; SANITATION-GOLDENROD; OFFICEcoPY-WHITE PHONE: 687-4394 I ,F<, SITE INSPECTION o0,,2-24-78,*,,,rro^APPRovEo REMARKS DI SAPPROVED FOUNDATION I NSPECTION Ap peov E o Rrunnxs Drsappnovco n Dare 5-t ,)?l I ruspecton z -z- FRAM I NG Appnov r onL.<*>>t.'I(EMARK S I NSPECT I ON DrsrppRoveo D Dar r L INS CT I HsprcroR n-*---4i-^1- v S/--a-t.--r Uar-y'"/i-/.-*?*7 e4 c-vy'- z.-<-4c-,- Ap pRov r o Rrxanxs M Drsappnovro V Darr. i lo--7y txspEcron ) s__ t S_79M FINAL INSPECTION Ap pRov r o Drsrppnoveo DarrZ *'t-L -t? ,i lNsprcron RruaRx s C-'? - ?-(\ CERTIFICATE OF OCCUPANCY Reaov ro lssue RruaRx s d (L^r/ D ( D Nor Re aov ro lssuE D DorE_lusercron_ TRS, l ir- e-z) *' PIot Plan Job Location (Street, mile post Subdivision Jzu-a D ctJ E-PF r> tot 7 Btock 4 FO R SAN ITAR IAN'S USE ON LY COMMENTS: FOR INSTALLER'S USE: Trench Depth Q System Approved fl System Disapproved fl Needs Correction Date -*-1 Tank Capacity Manufacturer lVleasured distance to well from tank Scale Filler Depth B Tile L from drainfield- Wfl !\) Fn t ulF o -.l x .$ st.n \rL\=' + o-m 5v @an o)LEE o, E'(o o) E(oz JnPc(o ,oao IJJEfF z(, 6 6 LI (!Po C LEr fr \ INSTALLATION RECORD AND CERTIFICATE OF SATISFACTORY COMPLETION 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 Environmental Management, Public Service Building, 125 East 8th Avenue, Eugene 974O1 G**1< 1r{0,.,u e- /o, LF 2i' \O' rd \0' , rg' \o.{ i: I I t N c55-1 1 I I signature: .4' . a;o-r '- TRS, TL JOB LOCATIO LANE COUNTY PERMIT Acreage or Lot Si Partition ing ( ) Completed Subdivision Contracror's O.S. *Lot- Bloc APPLICANT'S NAME AND ADDRE qc.Phone- O\^/NER'S NAME AND ADDRESS CONTBACTOR'S NAt\4E AND ADDRESS Phon Phone- Mailpermitto()Applicant()owner()Contractor.()Prefertopickup.Call-(owner, etc.) when ready THIS PERMIT IS FO # B ED ROOIVIS-# PLUIVIB I NG CO NN ECT IONS WATER SUPPLY SEWAGE DISPOSAL S.I. # THlSPRoPERTYlSWlTHlNoNEMlLEoFTHEclTYoF.PLUlVlBlNGBY t hereby certify that the above statements are true and accurate, and that I have the {ollowing 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 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 $-Signatu re Date ( ) NEW ADDRESS ( ) FAC|LTTY PERTVilT TO TRANSPORTATTON DEPT.-( ) SPECIAL PlVlT. AREA. lvllN. ELEVATION:- STRUCTURES NOW ON THE PROPERTY- SANITATION [Vlinimum Septic Tank Capacity (Gallons) Drainfield Required - Lineal Feet lVlaximum Depth BUILDING Type of Construction Use Classif ication Comments roup Fire Zone Comments By' D"t", , By, D"t" PLANNING REOU IREMENTS SATISF lED. By: Date: Dare lssued: ZONE SETBACKS: FRONT SIDE FACING STREET (FROIVI C/L) INT. SIDE YARD REAR (FROM P/L) LANE COUNTY DEPARTMENT OF ENVIRONMENTAL NNANAGEMENT, 125 EAST 8TH AVE., EUGENE, OREGON 974O1 POST THIS PERNIIT ON MAIN BUILDING AT SITE C55-13 BLDG.PERMTT-WHrrE; BUtLDTNG-GREEN; pLUMBTNG-GANARy; sANrrATroN-GoLDENRoD; oFFtcEcopy-wHtrE PHONE: 687-4394 F'LAI'.J t-i l4 (' ( - =BUILDE[1-.J,,\('.K' ,{ I I Ii\r\t I t\ aolt I ]a .S I ! \ ...i U ll+' 1 ,to -1 l I I t0' /( I -t f \ I i I I l-- \ I : I I tOr-"- C' DJ \ J PLAt\l l?t4f ( -3 B UILDIK_ .,,,\(. K t .,t lo.' tQ '/( t I irir\ Tiql I 't a t! I \t g l{ I tI I 1 t.5L- I -+ -UJ \ I \ I ll+' 5 I .t I \ I i 1 ! \t r r't' fo PE otr a P. a t I I I ; I i I I I I i ii I i I t li 'I I i'I i l I llil ,I 'lil 'l ; ill I f, I Il . , a, { o r () (c., I I i ,, Il' ilt' i )l I :l it I l- :l il t I I