The URL can be used to link to this page

Home My WebLink AboutPermit Building 1977-07-20' 1757t717V ?4' z'z'- TRS, Tls..tr6n 21, r r? a, r r rr ur. Job Location__2t6r f,.- . rrfl. rep.e .t-r-er..rd, OFe^i g?l?? INFORMATION SHEET (x ) Building Permit ) Site Feasibility Study for Septic Tank. Number of sites ) Would like to meet on site. Call (owner, etc.) Acreage or Lot Size 991 t 99'Test holes will be ready- Partitioning #- ( )Completed( ) Pending Subdivision Vera Delle Flrgt Adlltloa Lot 17 Block I APPLICANT'S NAI\rE ANDADDRESS r.nhert qulld.'. 16!10 s6utt irr str..t splhot1.ldr oredor phone_-2.!6=!!Zt_ OWNER'S NAME AND ADDRESS, if different from applicant's Sqne aa aboue Phone- CONTRACTOR'S NAME AND ADDRESS llrm€ a3 a Phon e ^4ail permitorresultsof sitefeasibilitystudyto (x)Applicant ( )Owner ( )Contractor. ) Prefer to pick up. Call (owner, etc.) when ready. STRUCTURES NOW ON THE PROPE NONE PROPOSED USE (this permit) to hrud . boEc WATER SUPPLY Duhl t a (nol ntrrrr Llat-ar. Dl :tr{t)existing or proposed well, etc. lf public, name of system) SEWAGE DlsPosAL s.ptic tenk (exisring or proposed sepricrank, etc.) s.l PLUMBING B TYln Citteg Plunbtno (x ) PROPERTY lS WITHIN ONE MILE OF CIT I ( Sprlnsfteld Address lors Bertlsson Roed Eug€ne, Oregon ,,*****oFFtcE usE oNLY BELOW THIS LtNE r,*********** :"llpfNecessarY ( ) Facility Permit Necessary SETBACKS: Front Side Facing (FROM CENTERLINE O ( ) Special Permit Area. lVlinimum Elevat n Street lnterior Side Yard s:/Rear F ROAD}(FROIVl PROPERTY LINES) To: Planning/Building Inspector/Sanitarian/Surveyor. This applicant appears to have a problem with Your assistance will be appreciated. By Permit Processing Section Response: By D E PA R TIVI E N T O F E N V I R O N tVI E NTA L MANAG E IVI E NT Permit Processing Section 125 East 8th Avenue 687-4394c55-12 Division # / .i Ncarii-- +F, F ). ?n cra' * t4' 'l n il G,,1, "t i -_7 n' LL,. -,A:: "a .^.11.-, r,- 4-/,4i;: r l- I I I I I I *'t\ !\; _-_ I i t:-'! , i -.*--l it--r . lL---_- I Ilc'c)a: !, Ai^.1 ;,ijlj tC 7s' i te"Y.-T- fhi tc ; ! I--t- i i I : (.. .: I L I Y-_ I \q' J i t t i I I I \\ s \ Q.. r-_.l-+.q -__----;: ,.-;: ./."',^.:-,w,- ,//&.f I i Fr a(r'iiC. I r.lvl: ?u r')' CnN('.lF'ra': ,,&.\ r I I t II I I I I I I i t I I I I I It I II I IJ ii lt :j ir , ,i.*-*=- I I 2 k?r 3 PERMIT # TRS, TL JOB LOCATIO Partitioning # LANE COUNTY PERMIT Acreage or Lot Size Contractor's O.S. # CONTRACTOR'S NAME AND ADDRE APPLICANT'S NAME AND ADDRESS OWNER'S NAME AND ADDRESS ) Completed Subdivision Lot Blo ck Phone Phone Phone Mail permitto ( )Applicant ( )Owner ( )Contractor. ( )Prefertopickup. Call-(owner, etc.) when ready STRUCTURES NOW ON THE PROPERTY THlSPERMlTlSFoR#BEDRooML#PLUl\4BlNGcoNNEcTloNs- WATEB SUPPLY- SEWAGE DISPOSAL- S.I. # THlSPRoPERTYlSWlTHlNoNElVllLEoFTHEClTYoF.PLUtVlBlNGBY I hefeby certity 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 certily 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 () NEW ADDRESS () FACILITY PERMIT TO TRANSPORTATION DEPT il SPECIAL PMT. AREA. MIN. ELEVATION SANITATION BU ILD ING Minimum Septic Tank Capacity (Gallons)Type of Construction -Group ire Zone Drainfield Required - Lineal Feet Use Classification Maximum Depth Comments Comments By Date Bv Date Date - PLANNING REOUIREMENTS SATISFIED. By Date:Date lssued ZONE: SETBACKS: FRONT SIDE FACING STREET (FROlVl C/L) lNT. SIDE YARD REAR (FBOIM P/L) LANE COUNTY DEPARTMENT OF ENVIRONMENTAL [\4ANAGEt\4ENT, 125 EAST 8TH AVE., EUGENE, OREGON 974O1 POST THIS PERMIT ON MAIN BUILDING AT SITE c55-1 3 BLoG.pERMrr-wHrrE; BUTLDTNG-GREEN; pLUMBTNG-cANARy; sANrrATroN-GoLoENRoD; oFFrcEcopv-wHrrE PHONE:687'4394 \ Dote Permit No l'T 5'l - 17 CURB CUT ORDERED, thot o permit be ond is hereby issued to Re eyaeLD rt-D|Ll 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'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. lb7a 5, Z:' SLo ed or constructing the following focil EA u-e Lo('r rpon County hereto, ond for plocing, building 5 ZN. L ity: 3r t/# 5r. up-on the r[g J t-of-woy of County Rood No Mile Posf in strict conformity to the exhibits otfoched hereto, ond subiect to oll terms, conditions, ogreements, stipulotions ond provision s contoined in the opplicotio n ond permit, the Rules ond Regulolions Gov- Rood Rights-of-Woy , os set forth by the Lone Mon- ony other opplicoble regulotions, low or ordinonce. 1. Drivewoy will be constructed in occordonce with the ottoched drivewoy opproqch 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, Ieoving the roodwoyond oreo in o neot, occeptoble condition. 3. Sidewalks w'ill be constructed in accordance w'ith the attached sidewalk specifications and drawing M98-49. The Standard Curb Type shall be constructed unless otherwise specified. erning Focilities to be Permitted u uol 50.'l90(2) ony omendments tl Speciol Provisions: fore lnspected ond Approved 19-.. Approved by Boord of County Commissioners By e CA 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- , .p78 . Expires Dote By WHITE - OTFICE FILE YEI.IOW _ REAL ESTATE PINK _ PERMITTEE ORANGE-BUILDING & SANITATION DEPT. Direclor of Public Works c74-L29 t TRS, TL LANE COUNTY PERMIT Acreage or Lot S t7c Partitioning # Contractor's O.S. # APPLICANT'S NAIVIE AND ADDR trqq OWNER'S NAIVIE AND ADDR Mail permitto ( )Applicant ( )Owner ( )Contractor. ( )Prefertopickup. Call PERMIT # ) Completed Subdivision Lot Bloc k JOB LOCATION \t Phone-- CONTRACTOR'S NAME AND ADDBESS Phone- Phon (owner, etc.) when ready STBUCTU R ES NOW ONTHE PROPERTY 'I THIS PERMIT IS FO # B ED ROO IVIS-# P LUTVI B I NG CO N N ECT IONS WATEB SUPPLY SEWAGE DISPOSAL- S.I. # THIS PROPERTY ISWITHIN ONE IVIILE OF THE CITY OF 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; - reaitor or agent. I further certify that (il not the owner) I am authorized to act for the owner o{ 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 () NEW ADDRESS () FACILITY PERTVIIT TO TRANSPORTATION DEPT () SPECIAL PIVIT. AREA. IVIIN. ELEVATION,. - Date SANITATION lVlinimum Septic Tank Capacity (Gallons) Drainfield Required - Lineal Feet lVlaximum Depth BUILDING Type of Construction -Group -Fire Zone Use Classification Comments Comments: By PLANN ING REOUI REIVIENTS SATISFIED. Bv B Date: Date Date lssued ZON E:SETBACKS: FRONT SIDE FACING STREET (FROtVI C/L) INT. SIDE YARD REAR (FROIVI P/L) LANE COUNTY DEPARTIVIENT OF ENVIRONI\NENTAL IVIANAGETVIENT, 125 EAST 8TH AVE., EUGENE, OREGON 974O1 POST THIS PERMIT ON MAIN BUILDING AT SITE c55-13 BLDG. pERMrr - wHrrE; BUTLDTNG - GREEN; PLUMBTNG - GANARy; sANrrATroN - GoLDENRoD; oFFrcE copy - wHrrE PHONE:687-4394 trec I Date: I SLAB FLOOR PLUMBING GROUNDy/ORK Ap pnov ro RrxlRx s Drr r I HsercroR GAS PIPING GROUND/ORK Ap pnov r o Reua nx s D Drsappnove, D Drre I ruspecron ROUGH PLUMBING Appnoveo E DrsappRovro Rrua Rr s D oo,,-7/2-?/?Ir.rspEcron ROUGH GAS PIPING Ap enov E o Reua Rx s D r sappnoveo Drr r I Hs pE cron F I NAL PLUMB I NG APPROVEo E DISAPPROVED Reunnxs /-as-7ffn."r.ro. [?.{Darr FINAL GAS PIPING Ap pRov e o RruaRr s Dtsappnoveo DarE I NspEcron CERTIFICATE OF OCCUPANCY Reaov ro lssue ReuaRx s D Nor Reaoy ro lssus D Drre I rspecron D DrsrppnovEl D {?* D D PERTVIIT # TRS, TL JOB LOCATIO Partitioning # LANE COUNTY PERMIT Acreage or Lot Si Contractor's O.S. # ) Completed Subdivision Lot Bloc APPLICANT'S NAME AND ADDR trqq Phone Phone PhoneCONTBACTOR'S NAME AND ADDRESS ' OWNER'S NAME AND ADDRES s Mail permitto ( )Applicant ( )Owner ( )Contractor. ( )Prefertopickup. Call-(owner, etc.) when ready STRUCTURES NOW ON THE PROPERTY TH|S PERMIT lS FOR - . " # BEDROOMS_# pLUtVtBtNG CONNECTTONS_ \IJATER SUPPLY , SEWAGE DISPOSAL-s.t. # THlSPRoPERTYlSWlTHlNoNEtVllLEoFTHEClTYoF.PLUlVlBlNGBY I 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 lurther certily that (if not the owner) I am authorized to act for the owner oI 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 Date ()NEWADDRESS () FACILITY PERIV] IT TO TRANSPO BTATION DEPT.- | SPECIA L PIV]T. AB EA. I\4IN. ELEVATION SANITATION Minimum Septic Tank Capacity (Gallons) Drainfield Required - Lineal Feet lVlaximum Depth BUILDING Type of Construction Comments: roup ire Zone Comments B Date B Date PLANN ING REOUI R EMENTS SATISFIED Date lssued ZONE SETBACKS: FRONT (FROIVI C/L) INT. SIDE YARD EAR (F ROM P/L) LANE COUNTY DEPARTI\4ENT OF ENVIRONMENTAL MANAGEMENT, 125 EAST 8TH AVE., EUGENE, OREGON 97401 PHONE: 687,4394 POST THIS PERMIT ON MAIN BUILDING AT SITE BLDG'PERMIT-WHITE; BUILDING-GREEN; PLUMBING-CANARY; SANTTATTON-coLOENRoD; oFFtCECOp\/-WHtTEc55-1 3 Date: SIDE FACING STREET SIT[ INSPECTION Ap pRov r o RrulRx s 7 rA -ll rrspecronDare FOUNDATION I NSPECTION Ap pRov e o RrurRx s Dr sAPPRovEo ? -/ -:?I NspectonDrr r FRAMING INSPECTION Drsrpenove , D oorc h'L'7?.Qrt,J-I xsprcloRAPPRov E o Reuanx s LATH OR SHEETROCK INSPECTION D t s appRoveo Doo'Ma I NseEctonAp pnov E o RruaRx s FINAL INSPECTION DrsAPPRovEo D Darr /-r -fi I NSPEcToRAp eaov r o REuanr s CERTIFICATE OF OCCUPANCY REaov ro lssuE REuanx s D Nor REaov ro lssur D Dor.-lrusercron- Dtsappnove, D / Permit No.Dote CURB CUT PERMIT IN THE BOARD OF COUNTY COMMISSIONERS OF LANE COUNTV 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 for plocing, building or constructing the following focility, Speciol Provisions: l. Drivewoy will be constructed in occordonce with the ottoched drivewoy qpProoch 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 roodwoy ond oreo in o neot, occeptoble condifion. 3. S'idewalks will be constructed 'in accordance with the attached sidewalk specificat'ions and drawing M9B-49. The Standard Curb Type shall be constructed unless otherwise specified. This permit is revocoble of ony time, ond will be strictly odhered to ond no work other thon thot specificolly menfioned obove is hereby outhorized. This permit sholl be void unless the work herein contemploted sholl hove been completed be- upon the right-of-woy of County Rood No. -- in strict conformity to the exhibits ottoched heret stipulotions ond provisions contoined in the oppl erning Focilities to be Permitted upon County Ro uol 50.'l9O(2) ony omendmenls thereto, ond on o, ond subiect to oll terms, conditions, ogreements, icotion ond permit, the Rules ond Regulotions Gov- od Rights-of-Woy, os set forth by the Lone Mon' y other opplicoble regulotions, low or ordinonce. Mile Post 19_. Approved by Boord of County Commissioners By fore , l9-. Expires lnspected ond Approved Dote By WHITE _ OFf ICE FII.E YEII-OW _ REAI ESTATE PINK -'ERMITTEEORAN . BUITDING & SANITATION DEPT Direclor of Public Works c74-L29 ? TRS, TL t'7-3-24 if, Plot Plan Job Location (Street, mile post)25bZ Noet'r; Subdivision lS A.or-droU ,(o eA Dr,,s tYil y.Spe,\i6tr r r i-T) Lot l7 Block 3 FOR SANITARIAN'S USE ONLY COMMENTS: p-SVstem Approved fJ System Disapproved fl Needs Correction FOR INSTALLER'S USE: Trench Depth Tank Capacity loac lVlanufacturer lVleasured distance to well from tank F i ller h Below @ from drainfield €( ,t uJ F- o Z 6\t 1 \ \ ttL\ 6/)p\r E'WEq(r, ac)Es POEd _1 $ Eq=(Uo-vo- -\ ul E. : R o cr 9 0J roIo2 &u O f- T* It- (r) L +o-m ,/ Sca le: m o) (oP0c INSTALLATION RECORD AND CERT!FICATE OF SATISFACTORY COMPLETION When signed by the County Sanitarian, this certif icate 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 ( ,r.' .e-l, \"u .* ro'to' qN q0' > r( l? ll 5 * to, L t- _1 x - i- , r\o DT c55-1 1 Signature: Z n Date:il-1--77 t I I I PERIVIIT # TRS, TL JOB LOCATIO Partitioning # LANE COUNTY PERMIT Acreage or Lot Size Contractor's O.S. # ) Completed Subdivision Lot Block- APPLICANT'S NAME AND ADDR FSS O\^JNER'S NAIVIE AND ADDRESS CONTBACTOR'S NAME AND ADDRESS lVlail permitto ( )Applicant ( )owner ( )Contractor. ( )Prefertopickup. Call (owner, etc.) when ready Phone Phone Phone s.l. # STRUCTURES NOW ON THE PROPERTY- TH IS PERIV] IT IS FOR # B ED ROOIV]S-# PLUIVIBING CONNECTIONL WATER SUPPLY SEWAGE DISPOSAL THlSPRoPERTYlSWlTHlNoNEtVllLEoFTHEClTYoF.PLUtVlBlNGBY 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 f urther certily 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 S-Si gnatu re Date () NEW ADDRESS FACILITY PERI\4IT TO TRANSPORTATION DEPT.- | SPECIAL PIV]T. AREA, IUIN. ELEVATION: - SANITATION lVlinimum Septic Tank Capacity (Gallons) Drainfield Required - Lineal Feet lVlaximum Depth BUILDING Type of Construction -Group -FireZone Use Classification Comments: Comments B Date: PLANNING REOUI REIVIENTS SATISFIED. By: B Date lssuedDate ZONE: SETBACKS: FRONT SIDE FACING STREET (FROI\4 C/L) lNT. SIDE YABD REAR (FROM P/L) LANE COUNTY DEPARTIVIENT OF ENVIRONIMENTAL |\4ANAGEI\4ENT, 125 EAST 8TH AVE., EUGENE, OREGON 97401 PHONE: 687-4394 POST THIS PERMIT ON MAIN BUILDING AT SITE c55 13 Date: * I b7.'+I,i II I ,l -?- -.-_7 ti' .*L;':-".:.,: .^aAj ri .Jital r I I t : I{ G. N,-lJ-r r_ i ---l r__7s lc'oa nf" I :rgr'.;lC TAil1 . fil7 tt -T- I : it T-1.- I l I I I I t t I t \t.t ir (t ( \! s { a. \r-_-l+* __+ _J \7 :i .: .t t--.-*t i I ? I t Y i I I t I I I I I I I ?J'' - ' -.. '.:. : ^' v! r t /r- / cilic. I,^ivE )n nrt a/rN('. .tl I:r^,14.'{ ,a t1Z'T- 7-( r..__ I I I i i ! I I , I I I I t I I I I ! i I t I I