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Home My WebLink AboutPermit Building 1977-11-142 2 *g///\TRS, T Acreage or Lot Size Contractor's O.S. # APPLICANT'S NAME AND ADDR OWNER'S NAME AND ADDRESS JOB LOCATIO Partitioning # LANE COUNTY PERMIT ) Completed Subdivision Lot Block -*- -t'n'l Phone Phone-- Phone-CONTRACTOR'S NAME AND ADDRESS Mail permit to ( ) Applicant ( ) Owner () Contractor. ( ) Prefer to pick up. Call (owner, etc.) when ready. STRUCTURES NOW ON THE PROPERTY : TH1S pERtvlT tS FOR .,. .. . ,. # BEDROONIS-# PLUI\4BING CONNECTIONL \IJATER SUPPLY Comments SEWAGE DISPOSAL F.t. # THIS PROPERTY IS WITHIN ONE IVIILE OF THE CITY OF PLUIMBING BY I hereby certify that the above statements are true and accurate, and that I have the following legal interest in the property: -owner o,f record; _contract purchaser; - potential buyer; - realtor or agent. I lurther certify that (if not the owner) I am authorized to act for the owner of record, and that 9id 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 ( ) FACiLtTy pERt\4tT TO TRANSPORTATTON DEPT.- ( ) SPECIAL Pl\4T. AREA. l\41N. ELEVATION: - SAN ITATIOT\BU IL D ING Type Construction -Group lVlinimum Septic Tank Capacity (Gallons) Drainfield Required - Lineal Feet Maximum Depth ire Zone Comments: Date PLANN ING REOUIREMENTS SATISFIED. B Date:Date lssued: ZONE SETBACKS: FRONT . SIDE FACING STREET (F ROrvr C/L) rN LANE COUNTY DEPARTIVIENT OF ENVIRONMENTAL MANAGEMENT, 125 EAST 8TH AVE., EUGENE, OREGON 97401 POST TTiIIS PERMIT ON MAIN BUILDING AT SITE C55-.I3 BLDG.PERMIT-WHITE; BUILDING-GREEN; PLUMBING-CANARY; SANITATION-GOLDENROD; OFFICECOPY-WHITE PHONE:687 + "/d, Date - Use Classification l 11 I Date: REAR . (FROIVI P/L) 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 Counfy, 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. Dote November l6th.L977 Permit No. CURB CUT ORDERED, thot o permit be ond is hereby issued to Jack art, 1590 S rrArr Street, Springfield,Oreson 97477 rth for plocing, building or consfructing the following focility, lst Addition to Vera Delle Lot 18 Block 3 (2548 North 15th r-) UPO n the right-of-woy of County Rood No.Mile Post oY, os set forth by the Lone Mon- in str ict conformity to the exhibits ottoched hereto, ond subiecf to oll terms, conditions, ogreemenfs, ions contoined in the opplicotion mit, the Rules ond Regulotions Gov-stipulotions ond provis erning Focilities to be uol 50.'190(2) ony om Speciol Provisions: Permitted endments upon County thereto, ond Rood Rig ond perr hts-of-W ony other opplicoble regulotio ns, low or ordinonce '1. 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 w'ith the attached sidewalk specifications and drawing M9B-49. The Standard Curb Type shall be constructed unl ess otherwi se spec'if ied. This permit is revocoble ot ony time, ond will be strictly odhered to ond no work other thon thot specificolly mentioned qbove is hereby quthorized. This permit sholl be void unless the work herein confemplofed sholl hove been completed be- fore , 19 '7 8 Expires lnspected ond Approved Dote 19_. Approved by Boord of County Commissioners By Al Driver / e, By WHITE _ OFFICE FITE YETTOW _ REAI. ESTATE PINK _ I ITTEE ORANGE-BUILDING & SANITATION DEPT Direclor of Public Works c74-L29 ?r11 _11 32//'772548 North 15th Street TRS,T,Job Location INFORMATION SHEET ( x) guitoing Permit ( ) Site Feasibility Study for Septic Tank. Number of sites-( ) Would like to meet on site. Call (owner, etc.) Acreage or Lot Size 901 x 99'9o Partitioning #- ( )Completed( ) Pending Test holes will be ready APPLICANT'S NAME AND ADDRESS Jack Kephart 1690 South rrAn Street SpringfleJ.dr Oregon 97477 Phone Phone 74tu4429 OWNER'S NAIVIE AND ADDRESS, if different from applicant's CONTRACTOR'S NAM E AND ADDRESS l(.phrFt F'rird.n. r6qo s6"th nn' stncrt snFlng?i.rd, nn.gon q?d77 Phone ?,9 Mail permit or results of site feasibility study to ( x) Applicant ( ) Owner ( ) Contractor ( ) Prefer to pick up. Call (owner, etc. ) when ready STRUCTURES NOW ON THE PROPE NNNtr 1d Subdivision F{ nst Adcll tl nn to Ucra tlel I e Lot 18 Bloc PROPOSED USE (this permit) WATEB SUPPLY oi,hl i. (B.r^b^u U-t.r nlslrr-i) (existing or proposed well, etc. if public, name oI system) SEWAGE DISPOSA (existingorproposedSeptictank,etc.)S.l.#- Address 1l'155 EErt-elanrr EUqsoc, firpgnnPLUMBING BY Tuin CltiEs Plumbing ( t{ PROPERTY lS WITHIN ONE MILE OF CITY ( Sprinsfteld I .+.1*rlOFFlCE USE ONLY BELOW THIS LINE.*u*r**r*r** ( ) New Address Necessary ZON F ( )Facilit SETBACKS: Front y Permit Necessary/ ( ) Special Permit Area Side Facing Street lnterior Side Yard (FROM P lvliginumJ-ROPERTY LI EI Rear N ES)(FROM CENTERLINE OF ROAD) To: Planninq/Building lnspector/Sanitarian/Surveyor. This applicanr appears to have a oroblem with Your aisistance will be appreciated. By Permit Processing Section Response By DEPARTTVI ENT O F E NV I RONMENTAL IVIANAG EM ENT Permit Processi ng Section 125 East 8th Avenue 687-4394c55-12 lvtslon ) PLAN RI5C\-2 T fl1 eo Cf a\a s(/) - /o-T' Tlr ! II f,-h-rof.IrS NOTE-: Do\A{r.J SpOttTS + DRAr rrr lO Qt-l R,B ) n S S i r./ EC, irFJ\DE Er -t ',r. @ Cfrne IOO.O' z 54 8 !t ,l 6', tl ali ll ITI liir:! i1l rillrt,!'l t Eiir:l it F-! --t P 1/*f,3,:-:* ..:: -,:=: :=-:.*l il rl Ir l I I I I I .s.fi /5D /^,/y'/', ff R,E lc,t [Cr*ts A/f* fi ll ! lr I :|u'o t: l- l l* l.S' '. r.li-rot.s' I \ c til l-l i'tt' o I E f*- ao'sB'-t7tr1 A I I P I :,9A-TlO'l I .{, !,li I l: ti I ! l8'Oe.rrrr. l) ,d>.' TRS, TL rz-5-Z4 6b 5r.Job Location (Street, mile post Subdivision lot I8 Btock - 5Plot Plan FO R SAN ITA R IAN'S USE ON LY COMTVIENTS: SSyste, Approved fJ System Disapproved tl Needs Correction N Si Date ? FOR INSTALLER'S USE: Trench Depth Tank Capacity larn [\4anufacturer lVleasured distance to well from tank fl \e <-o\ from drainfield - Filler Depth Be le 4*AvQ / I -l ! f, dl Y v dt fl @tn 6)LE! o).: '(lJ 0) E(oz -og C(oo o. uJl- o r-u GlF I FJ r l,x ti Oog 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 -( ,I ? I V Scale: N +o-mDco Lg (o PoC U & c55-1 1N TRS, TL JOB LOCATIO LANE COUNTY PERMIT Acreage or Lot Size Contractor's O.S. + Partitioning #( ) Completed Subdivision Lot- Block- APPLICANT'S NAME AND ADDRE qc Phone Phone Phone OWNER'S NAME AND ADDRESS CONTFACTOR'S NAME AND ADDRE Mail permitto ( )Applicant ( )Owner ( )Contractor. ( )Prefertopickup. Call-(owner, etc.) when ready STRUCTUEES NOW ON THE PROPEBTY THIS PERI\4|T lS FOR # BEDROOMS_# pLUtVIBtNG CONNECTTONS_ WATER SUPPLY SEWAGE DISPOSAL s.l. # THlSPRoPERTYlSWlTHlNoNEMlLEoFTHEClTYoF'PLUIVlBlNGBY I hereby certily that the above statemenls are lrue and accurate, and that I have the following legal interest in the property: -owner of record; -contract purchaser; - potential buyer; - realtor or agent. I Jurther certily that (if not the owner) I am authorized to act {or the owner oI record, and that said owner is aware and approves of this action. I hereby agree to compty wirh all applicable Codes relating ro this permit. Fee Paid $-Signature Date() NEW ADDRESS () FACILITY PERIVIIT TO TRANSPORTATION DEPT ( ) SPECIAL PMT. AREA. lvllN. ELEVATION:- SANITATION Minimum Septic Tank Capacity (Gallons) Drainfield Required - Lineal Feet Maximum Depth BUILDING Type of Construction c",.n.""t, Use classification roup Fire Zone Comments Date: PLANNING REOUIREMENTS SATISFIED. B By: Date:Date lssued ZONE SETBACKS: FRONT SIDE FACING STREET (FRONN C/L) INT. SIDE YARD REAR (F ROrvr P/L) LANE COUNTY DEPARTMENT OF ENVIRONMENTAL MANAGEMENT, 125 EAST 8TH AVE., EUGENE, OREGON g74O1 POST THIS PERVIIT ON MAIN BU!LDING AT SITE BLDG'PERMIT-WHITE; BUILDING-GREEN; PLUMBING-CANARY; SANITAT|oN-GoLDENRoD; oFFtCEcopy-wHtTEc55-1 3 PHONE:687-4394 Date: t-ao' PLAN RI5O\-2 5g'lart-..| T I;d Ck t.s.,o(/t t07 TlP! CI I I a!a r*' ,\53u.r,Eo .3p,\DE El-i-',,. @ CrrRe too.o' 2548 NOTL: DO\^IN SPOUT5 + DRAIillO (t-lRE it ilil it i,i: i, l! it ii ,l l8'Orr.\(rE, () /50 l/*f,s.*:.*#-f=-.EB rljt r q' / r?) //tu/, 17 R.e 7t Ae*N*A/f* l_ \l)ri-iII a+t' 9 6 P. :"rria!tO't' , I q I I I I I F.F.ELEU;ioe.r' *.-:.:- lr ,l l; lli. ! I I i TRS, TL JOB LOCATIO LANE COUNTY PERMIT Acreage or Lot Size Contractor's O.S. # Partitioning #) Completed Subdivision Lot Block- APPLICANT'S NAME AND ADDR trqq Phone Phone Phone OWNER'S NAME AND ADDR Mail permitto( )Applicant ( )owner ( )Contractor.( )Prefertopickup.Call-(owner, etc.) when ready STRUCTURES NOW ON THE PROPERTY CONTRACTOR'S NAME AND ADDRESS- \^JATER SUPPLY SEWAGE DISP6SA THIS PERMIT lS FOR # BEDROOI1S_# pLUtV]BtNG CONNECTTONL 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 of record; -contract purchaser; - potential buyer; - realtor or agent. I further certify that (it notlhe owner) I am authorized to act {or the owner of record, and that said owner is aware and approves of this action. I hereby agree to comply with all applicable coies relating to this permit. Fee Paid $Signatu re Date() NEW ADDRESS () FACILITY PERMIT TO TRANSPORTATION DEPT.- () SPECIAL PIVIT. AREA lvllN. E LEVATION: - SANITATION Minimum Septic Tank Capacity (Gallons) Drainfield Required - Lineal Feet Maximum Depth BUILDING - rvpe of const8,lli?il.r*. Group Comments: : Fire Zone Comments B PLANN ING REOUI REMENTS SATISFIE Date: D. Bv:Date:Date lssued: Date: ZONE:SETBACKS: FRONT SIDE FACING STREET (FROIVI C/L) INT. SIDE YARD REAR (F ROM P/L) LANE COUNTY DEPARTMENT OF ENVIRONMENTAL MANAGEMENT, 125 EAST 8TH AVE., EUGENE, OREGON g74O1 POST THIS PERMIT ON MAIN BUILDING AT SITE BLDG' PERMIT - WHITE; BUILDING - GREEN; PLUMBING - CANARY; SANtTATtoN - coLDENRoD; oFFtcE copy - wHtTEc55-t 3 PHON E: 687-4394 trcc Ll/oob S.l=4tr FLOOR PLUMB ING GROUNU^/ORK Aepnovro m DrsrppRovro RrManxs Dar e 1 - J 3-ZttNsPEcroR GAS PIPING GROUND/ORK Appnov E o Rruanx s D r saPPRovED Dar e I rspecron ROUGH PLUMEING APPRovEo n DrsaepnoveD Rrxa Rr s D oott &- 3J7g I rsprcron a .e-e ROUGH GAS PIPING Aepnov e o Reuenx s Cl DrsappaovEo fl Drr r I rs prcton FINAL PLUMBING APPRovED @ Dtsrppnoveo Reuanx s ,.,r5-/ 7- 7f R*I Nsprcton FINAL GAS PIPING AppRoveo D DrsappRoveo D Rexlnx s Dare I rusprcron CERTIFICATE OF OCCUPANCY Reaov ro lssur D Nor Rraov ro lssuE D Reuenx s Da re I rspecron D TRS, T Acreage or Lot Si Contractor's O.S. # APPLICANT'S NAME AND ADDR JOB LOCATIO Partition ing LANE COUNTY PERMIT ) Completed Subdivision Lot- Block OWNER'S NAME AND ADDRES S Phon Phon CONTFACTOR'S NAME AND ADDRESS Phone- Mail permit to ( ) Applicant ( ) Owner () Contractor. ( ) Prefer to pick up. Call (owner, etc.) when ready. STRUCTURES NOW ON THE PROPEBTY TH;S pERtvlT tS FOR # BEDROOMS-# PLUMBING CONNECTIONL \AJATER SUPPLY SEWAGE DISPOSAL s.l. # THlSPRoPERTYlSWlTHlNoNEMlLEoFTHEClTYoF.PLUlVlBlNGBY I hereby certily that the above statements are true and accurate. and that I have the iollowing legal interest in the property: -owner ol record; _-]contr""t purchaser; - potential buyer; - realtor or agent, I further certify that {iI not the owner} I am authorized to act Jor 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 ( ) NEW ADDRESS () FACILITY PERIVIIT TO TRANSPORTATION DEPT.- () SPECIAL PIVIT. AREA. IVIIN. ELEVATION SANITATION Minimum Septic Tank Capacity (Gallons) Drainfield Required - Lineal Feet Maximum Depth Date BUILDING Type of Construction Use Classification Comments By roup ire Zone Comments By:Date: PLANNING REOUI REMENTS SATISFIED. By:Date Date lssued ZONE: SETBACKS: FRONT SIDE FACING STREET (FROM C/L) lNT. SIDE YARD REAR (FROlVl P/L) LANE COUNTY DEPARTMENT OF ENVIRONI\4ENTAL IIANAGEMENT, I2S EAST 8TH AVE., EUGENE, OREGON 97401 PHONE: 687-4394 POST THIS PERMIT ON MAIN BU I LDING AT SITE c55r 3 trqq Date - I SITE INSPECTION AppRovro RExrnxs Drsappnoveo oare f - /-a9 I Nspecron FOUNDATION I Appnoveo Reuanx s toN Dr sappnovro Darr 2 - L8- 7f tNsPEcroR %1 FRAMING INSPECTION ApeRov e o Re ltenx s Dt srppnovEo oort 2 'Ltr- 7l I Hsprcron LATH OR Sl:l[ET Ap pnov r o ReHanxs NSPECT I ON DrsappRovEo Dar I xspecton FINAL INSPECTION APPRoV E D Reuanx s Dr sepecovEo oor- -f- 7 /*7 I I Nspecroa 2rn-Z CERTIFICATE OF OCCUPANCY RErov ro lssue Reuanx s D Nor REAoY ro lssue D Drr e I NSPEcToR '-' - '<-7 ? Dqte Permit No. CURB CUT PERMIT IN THE BOARD OF COUNTY COMMISSIONERS OF LANE COUNTY WHEREAS, the qttqched opplicotion hos been fully considered by the Boord of County Com- missioners of lone County, ond'ii is the opinion ond iudgmentof the Boord thot the.soid opplicotion should be gronted, ond ihot o permit should be issued, now, fherefore, it is hereby. ORDERED, thot o permit be ond is hereby issued to for plocing, building or constructing the following focility' uPon the right-of-woy of Counfy Rood No. in strict conformity to the exhibits otto ched hereto, ond heostipulotions ond provisions contoined in t Mile Post ect to qll terms, conditions, ogreements, perm it, the Rules ond Regulotions Gov- os set forth by the Lone Mon' pplicot Roqd subi ondron erning Focilities to uol 50.I90(2) ony Speciol Provisions: be Permitted unty regulotions, low or ordinonce.omendments ond ony other Drivewoy will be constructed in occordonce with the ottoched drivewoy opprooch specifico- tions (Drowing M98-50). permittee will be responsible for the immediote removol of oll mud, dirt ond debris from the ioodwoy ond right of woy coused by his operotion, leoving the roodwoy ond oreo in o neot, occeptoble condition. Si dewal ks w'il I be constructed i n accordance w'ith the attached sidewal k spec'ifications and drawing M9B-49. The Standard Curb Type shall be constructed unless otherwise specified. This permit is revocoble ot ony time, ond will be strictly qdhered to ond no work other thon thot speciiicolly mentioned obove is hereby outhorized. This permit sholl be void unless the work herein contemploted sholl hove been completed be- fore , 19-, ExPires ts-of-Woy, opplicoble 19-.. Approved by Boord of County Commissioners By upon Co thereto, Rish 2 3 lnspected ond Approved Dote By WHITE - OFFICE TILE YEI"IOW - REAL ESTATE PINK _ PERMITTEE ORANGE_BUIIDING & SANITATION DEPT Direclor of Public Works c74-L29