HomeMy WebLinkAboutPermit Building 1976-03-17CONSTRUCTION [ ]
LANE COUNTY PERMIT 1 PERMIT NO
N'IOBILE HOIVIE [ ] PLAN REVIEW [ ] CHANGE OF OCCUPANCY [ ]
n Owner
NAIV]E ADDRESS CITY ZIP CODE PHONE
n Contractor
NATVIE ADD R ESS CITY ZIP CODE PHONE
O.S. Reg. +t
Tw
Subd ivision Lot
Access to Property (Road Name)
tot {f h coo"Census Tract
Acreage width
Depth
Range- Section X
B lock
Existing Structures on Property:
Directions to Property - Address
STRUCTURE (# BEDROOIVIS}VALUATION
SEWAGE DISPOSAL:
PUBLIC [ ] SEPTICTANK [ ] OTHER [ ]
WATER SUPPLY: PROPOSED t ]
EXISTING t ]
PUB LIC
COMIIVIUNITY. NAIVIE
BUILDING
PLUIVIB ING
3% SURCHARGE
MOBILE HOIVIE
WASTE DISPOSAL
PLAN REVIEW
TOTAL
PRIVATE WELL
OTHER SPECIFY
CONSTRUCTION PERMITS & INSPECTIONS AND WATER POLLUTION CONTROL SPECIFICATIONS
IVIIN. SEPTIC TANK CAPACITY
GALS,IVIIN. DRAINFIELD LIN. FT MAX. TRENCH DEPT I NCH ES
STAY 1OO' FROIVI ALL WELLS
TYPE OF CONSTRUCTION- GROUP FIRE ZON USE CLASSIFtr
SETBACKS- FT. FROIVI CTR. OF rAV
FRONT SIDE EXT
FT. FROM PROP, LINE:
SIDE INT.
-
BEAR ZON E
AUTHORIZED SIGNATURES ISSUANCE DATE
BLDG. PERMIT - WHITE
OFFICE COPY - WHITE
COUNTY TAX - PINK
PLUMBING - CANARY
BUILDING _ GREEN
SANITATION _ GOTDENBOD
IMPORTANT
Call 687-4065 to schedule all required construction inspections. Call 687-4061 to schedule all required
septic system inspections. All construction shall comply with the State Buidling Code, D.E.Q. standards
for subsurface sewage disposal and the State Plumbing Code. All buildings require a certiticate of
occupancy berore being occupied.
(See Details on Reverse Side)
SO. FT,
PLUIVIBING INSTALLED BY:
OWNER [ ] OTHER [ ] NATVIE-
(POST THIS PERMIT ON MAIN BLDG. AT SITE)
LANE COUNTY. DEPT. OF ENVIRONMENTAL MANAGEMENT
COURTHOUSE ANNEX. 135 EAST 6th, EUGENE, OBEGON 97401
BUIL9ING S ITE EVALUAT IO]',%
Q/ aurLDrNG PERMTT APPL rcA
( ) srrE tNsPEcrtoN
PLANNING DIVISION
Gc,/cf
rlor No.?22.7L
r /Z *-Oz t-?$rox Lor-s"-ol!T$i6'n.l--
LoT z f sL0eK:
APPL I CANT
DATE
Not
I icable
I
2
3
4
5
Zon i ng 0rd i nance Cornp I iance: Zone
Subdivision 0rdinance Compl iance
Requi red Access
COI{}tENTS:
Building Site (Area, tridth, Frontage)
Other (see conments)
()
()
()
Side Exterioffi.
Setbacks from interior I inei:
S ide SlRear 7, A)€
Nofl()
()
()
()
YesWO(rvr(r
()
CKID
Setbacks
Front
PLANNING DIVISIO NACTtoN PENDW ) APPTTC-ArToffi
BUILDING INSPECTION DIVISION
7. Plans Submitted8. Soi I Stabi I ity (footings)
9. Flood Plain
O. Other (see conments)
COMHENTS:
Not
Appl i ca!l 9()
(r)(lt
()
I
t
No Yes,Tt plf( Y('.)() ()
() ()CKID BY:3- /{-
WATER POLUT ION CONTROL Not
Appl icab!q No Yesr)r) GtI l. l{eets Department of Envi ronmental
Qual ity Standards.
12. Other (see cornments)cK,D BY, Zl).Jr* 3-lz-tt() ()()re r
V
COHIIENTS:
TO APPLICANT:
Your
6?fr6
Building / Site lnspection:
Can be approved.
t
Cannot be apProved
Questions and furt
t rou9
Will be held in this
ls being returned.
at this time as indicated on item N0
ce unt i I you can reso
above.
,.?7 her information on items I through 5 contact the
NG DIVISION"Questions and further information on items 7
2 con tACt thE LANE COUNTY NG AND SANITA 0N Dlvlsl0N.
vet pr
c55-28
()
Your bui ldin
pxoNE. 687-4065
uANe couxTy pLANNING DIvlstoN PHoNE: 582-4185
ems indicat ed.
rmit a I icat fee is
RONIl
u
135 Sixth Avenuts East Eugene Oregon 9740l
/7 /
March '17 76 Permit No 323-76Dote
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 it is the opinion ond iudgmentof the Boord thot the soid oppiicotion
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 Kephart Builders
1690 South A Street Spring field 0regon 97477 for plocing, building
or constructing the following focility,
lst addt. to Vera Delk Lot I Block 4 2539 15th Street Sprinqfield 0re.
upon the right-of-woy of County Rood No.
--,
Mile Post
in strict conformity to the exhibits ottoched hereto, ond subiect to oll terms, conditions, ogreements,
sfipulotions ond provisions contoined in the opplicotion ond permit, the Rules ond Regulotions Gov-
erning Focilities to be Permitted upon County Rood Rights-of-Woy, os set forth by the Lone Mon-
uol 50.190(2) ony qmendments 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.
3. Sidewalks will be constructed in accordance with the attached sidewalk
specifications and drawing M98-49. The Standard Curb type shall be
constructed unless otherwise 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 Menah 'l 7 19 77 Expires 19_.
lnspected ond Approved Approved by Boord of County Commissioners
By
Dote (
By
WHITE - OFFICE FII.E
GREEN _ RESIDENT ENGINEER
PINK _ PERMITTEE
BTUE _ ROAD SUPERVISOR
ORANGE_BUIIDING & SANITATION DEPT
YETTOW _ REAI. ESTATE
Director of Public Works
c98-7 9
Dote Permit No.
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 it is the opinion ond iudgment of the Boord thot the soid opplicotion
should be gronted, qnd 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:
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.
upon the right-of-woy of County Rood No.
-in strict conformity to the exhibits ottoched heret
sfipulotions ond provisions contoined in the oppl
erning Focilities to be Permitted upon County Ro
uol 50.19O(2) ony omendments 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
Expires 19_.
Approved by Boord of County Commissioners
By
6 ,'yb L
,l l
v
This permit is revocqble 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 , 19-_.
lnspected ond Approved
Dote
By
WHITE _ OFFICE FIIE
GREEN - RESIDENT ENGINEER
PINK _ PERMITTEE
BtUE - ROAD SUPERVISOR
ORANGE_ BUITDING & SANITATION DEPT.
YEI.IOW _ REAI ESTATE
Direclor of Public Works
c98-7 9
LANE COUNTY PERMIT T '
'v'
PERIVIIT NO.
CHANGE OF OCCUPANCY [ ]CONSTRUCTION [ ] IVIOBILE HOIVIE [ ] PLAN REVIEW [ ]
1690 Soutjt ALphart Bullderrn Owner
NAME ADDRESS CITY ZIP CODE PHONE
3mtr Contractor
O.S. Reg. +
NAME
17 03Range Section
t A#t tton to tlsm Dcl k
Subdivision- Lot
ADD B ESS
Tax Lot'-.-- Code- Census Tract-
B lock Acreage Width
lSth Stt"cet D
CITY ZIP CODE PHONE
24
Access to Property (Road Name)
Existing Structures on ProPertY
Directions to Property - Address:lraPFSS: 25i0 lEth Btrmt
SO. FT VALUATIONSTRUCTURE (# BEDBOOIVIS)56t il 3 8od:34 095.e0
536r63S.
SEWAGE DISPOSAL
SEPTIC TANK [ ]OTHER [ ]
PLUIVIBING INSTALLED BY:
owNER[]OTHER[] NAIVI FPUBLIC [ ]
BUILDING-
3% SURCHARGE ---=-
WATER SUPPLY: PROPOSED I ]
EXISTING I ]
IVIOBILE HOIVIE
TOTAL e62,i[5
PUB LIC
COTVIIVIUNITY . NATVIE
PR IVATE WE L L
OTHER-SPECIFY:-
CONSTRUCTION PERMITS & I NSPECTIONS AND WATER POLLUT ION CONT L SPECIFICATIONS
FT.
o
TYPE OF CONSTRUCTION
t50 LIN MAX. TR D EPT HES
F ALL WELLSSTAY 1
SETBACKS FROIVI CTR. OF rA,A/FT.FT. FROIVI PROP. LINE
SIDE EXT 05'SIDE INT REAR
-
ZONE NA AfrT
FRONT
AUTH9RIZED SIGNATURES: ISSUANCE DATE:
J, f. Eotr
BLDG. PEBMIT _ WHITE
OFFICE COPY - WHITE
COUNTY TAX - PINK
PLUMBING _ CANAFY
BUILDING - GREEN
SANITATION - GOLDENBOD
IMPORTANT
POST THIS PERMIT ON MAIN BLDG. AT SITE
LANE COUNTY. DEPT. OF ENVIBONMENTAL MANAGEMENT
COUBTHOUSE ANNEX. 135 EAST 6th, EUGENE, OREGON 97401
Call 687-4065 to schedule all requlred construction inspections. Call 687-4061
septic system inspections. All construction shall comply with the State Buidling
foi sub6urface sewage disposal and the State Plumbing Code. All buildings
occupancy before being occupied.
(See Details on Fleverse Side)
to schedule all required
Code, O.E.Q. standards
require a certificate ol
c55.13
PLAN REVIEW
IVIIN. SEPTIC TANK CAPACITY:
GALS. IVIIN. DRAINFIE tn
SLAE FLOOR
PLUMBING GROUND/ORK
Ap pnov e o
RrManx s
/ / Dr srppnovr o F-a Dnrr I HspEcron
GAS PIPING GROUND/ORK
Ap pnov r o
RruaRx s
D Drsappnoveo D Datr I Hspecron
ROUGH PLUMBING
Appnov e o
Ret"ta Rx s
Drs OVED Itrspecron
ROUGH GAS PIPING
AppRovro D DrsappRoveo D
Re uaRx s
Dar e I r'rs pE ctoR
F I NAL PLUMB I NG
Appnov e o
Reuanx s
DtsrppRoveo -/ / Darrd-tfi1-g;,rtrr@
FINAL GAS PIPING
AppRoveo D DrsappRoveo D
Rsuanx s
Darr I rus pE cron
CERTIFICATE OF OCCUPANCY
Rraov ro lssuE
Reuanxs
D Nor Rerov ro lssuE D Da re I rsprcron
D Drre-
(auxe/ lc{i;r-
pn,posEr^:lrAcE DtsposAL sysrEtt ^rrodQ/
n. g9-
INSTALLER: Complete top part of forrn -o signature and submit both copr with appl ica tion.
323-76PERI'I I NO
r/$ r.
L e LT Gray2539 l5th Street
No tv ng n tS rooms Basement
Yes No
s ater uPp Y
Publ ic 0ther-ListSeptic Tank:
Ft. f rorn wel I Steel
lns e mens ons:t
Len th t.,idth D i ameter
NAME hart Builders
HAILING
Aooness
1 A
Spri ngfi e'ld 0regon
Leng nes-Ft.
5
ot an
Concrete No. Compartments
Feet from
tJEl I
Lot Line
ront
Gal . Capaci ty
e sPosa
Distribution Box Yes No
er str u on-
o@
Foun ati
Side R
L er ow
ile
I
For Sanitarian Use Only:Date/C -20 Zd
tn accordance with 1973 0regon Laws Chapter 835, Section 214 this certificate is issued
as evidence of satisfactory cornpletion of a subsurface sewage disposal system at the above
I ocat i on.F<l npploved: System lnstallation conforms to current standards
l-l Disapproved: Does not conform to current standards
Remarks:
F
bove Ti le
er Dep
|ridt
ren
7,
So.oi2 Ft. Between
Lines / O
nst ruct onssee
4n
I
lo /o
7{to to I5
frn,O
si ture
an an
LANE UNTY
c55-r1
STATE OF OREGON OEPARTI4ENT OF ENVIRONHENTAL QUALITY
gnature
n
u
n
s
LANE COUNTY PERMIT T PERIVIIT NO
CONSTRUCTION [ ] IVIOBILE HOME [ ]PLAN REVIEW [ ] CHANGE OF OCCUPANCY [ ]
I Owner
NAME ADDRESS CITY ZIP CODE PHONE
o Contractor
NAtV]E ADD R ESS
O.S. Reg. +
Twp- Range- Section-Tax Lo
CITY ZIP CODE
Census Tract
PHONE
t Code
Subdivision- Lot
Access to Property (Road Name)
B lock Acreage Width
Depth
Existing Structures on Property
Directions to Property - Address
STBUCTURE (# BEDROOIVIS}SO. FT VALUATION
SEWAGE DISPOSAL:
PUBLIC[] SEPTICTANK[]OTHER t ]
PLUMBING INSTALLED BY:
OWNER[] OTHER[] NAM E
BUILDING
PLUIVIBING
3% SURCHARGE
IVIOB ILE HOIVIE
WASTE DISPOSAL
PLAN REVIEW
TOTAL
WATER SUPPLY: PROPOSED I
EX IST ING I
PUB LIC
COIVIIVIUNITY NAIV]E
PRIVATE WELL
OTHER . SPECIFY
CONSTRUCTION PERMITS & INSPECTIONS AND WATER POLLUTION CONTBOL SPEC!FICATIONS
IVII N. SEPTIC TAN K CAPACITY
GALS.N4IN. DRAINFIELD LIN. FT IV]AX. TRENCH DEPT I NCH ES
STAY 1OO' FROIVI ALL WELLS
TYPE OF CONSTRUCTION G ROUP FIRE ZON F USE CLASSIF
SETBACKS FT. FROt\4 CTR. OF rM
FRONT SIDE EXT ZONE
AUTHORIZED SIGNATURES ISSUANCE DATE
BLDG. PERMIT - WHITE
OFFICE COPY - WHITE
COUNTY TAX _ PINK
PLUMBING _ CANABY
BUILOING - GBEEN
SANITATION _ GOLDENROD
IMPORTANT
ti
Call 687-4065 to schedule all required construction inspections. Call 687-4061 to schedule all required
septic system inspections. All construction shall comply with the State Buidling Code, D.E.O. standards
for subsurlace sewage disposal and the State Plumbing Code. All buildings require a certificate of
occupancy before being occupied.
(See Details on Reverse Side)
(POST THIS PERMIT ON MAIN BLDG. AT S!TE)
LANE COUNTY, DEPT. OF ENVIRONMENTAL MANAGEMENT
COURTHOUSE ANNEX, 135 EAST 6th, EUGENE, OREGON 97401c55-l 3
FT. FRON4 PBOP. LINE:
SIDE INT.
-
REAR
SITE INSPICTION
Appnovro E DrsappRoveD
Rruanx s
Dar e //-7-a(I rusprcron
FOUNDATION INSPECTION
AppnovE
Reurnxs
DarISAPPEO Ir -I Nspecro
I
FRAMING INSPECTION
Aeenoveoff Drsappnovro D
ReulRx s
Drt E t/-7-7L I rseecroe
LATH OR SHEETROCK INSPECTION
Appnovro D DrsapPnove o F7 Drr E I NseEcton
Rrunnx s
F I NAL I NSPECT ION
ApPRov E o
Renaaxs
.g Dr slppaoveo I rspectonDar r
CERTIFICATE OF OCCUPANCY
Rraov to I ssue
RrurRx s
D Nor Reaov ro lssur D Drre
-?b ad 7 Zrc
I Hsprcron
)-
o
NOTE:NO PERM. - ,fILt BE ISSUED I'NTIL THIS APPL..rroN HAs BEEN ;XH+Irr&%
K
X
f-- coNrRAcroR
CONSTRUCTION
OWNER
o.s. REG. /l
I\"rp.3 .Section
Subdi'
ACCESS TO pROpERTy (Road Name)
Exlsting Structures on property
ProPerty Locatlon - Address/Dlrectlons:
Site Inspection /l
WATER STJPPLY:
I,Ie11 Sprlng her
B1dg.
Plunblng
3Z Surcharge
Wa8te Disp.
Plan Review
MobLle Houe
TOTAI,
Min Septlc Tank
APPLICATION FOR:
MOBILE HOME PLAN REVIEW
OI o\-,
ress
Tax Lot
S€.-
Exlstlng Serrage Dlsposal System
Pub11c
Comunity
Other
Fixtures
CHAI'IGE OF OCCUPANCY
Code Census Tract
or New Systen Requlred
Name of Conmunlty or public Systeo
Nane
)_one
F
I ,2
r
th_Depth-.--
1on
Sewage
Connectlon
PLANS FURNISHED
Signature of Applican
Fee Recelved By:.
Water
Connectlon
FACILITY PERMIT
a a
talled by Olrner
ING FEES:/o #
CASH
Requlred -Feet
CltyAddress
(,
eUs
Ilpe of Constructl
t
DATE
Fire Zone
4<'
DATE:
ClassificationUse
BIdg Setbacks -_ from Center
Front 4.5, r
,1de rnr
Rear Zone
&.y
I
cs5- 12 I,ANE COI'NTY D EIWIRONMEN
7
DATE:
of Right of Way: