HomeMy WebLinkAboutPermit Building 1976-05-20n Owner
LANE COUNTY PERMIT FO PERIVIIT NO
CONSTRUCTION [ ] II1OBILE HCIVIE [ ] PLAN REVIEW [ ] CHANGE OF OCCUPANCY [ ]
NA IVlE ADD R ESS CITY ZIP CODE PHONE
n Contractor
NA I\4 E ADD R ESS C ITY ZIP CODE
Census Tract
PHONE
O.S. Reg. +
's'htu*rc, 318 code-Tw
Subdivision
Access to Property (Road Name)
Range-- Section
Lot
-
B lock Acreage Width
Depth
Existing Structures on Property:
Directions to Property - Address
STRUCTURE (# BEDROOTVIS}SO. FT VALUATION
SEWAGE DISPOSAL:
PUBLIC[] SEPTICTANK[]
PLUN/IBING INSTALLED BY
orHER [ ]OWNER I OTHER [ ] NAIVI tr
BUILDING
PLUIVIB ING
3% SURCHARGE
IVIOBILE HON4E----'----------'-.---'--
WASTE DISPOSAL
PLAN REVIEW
TOTAL
CONSTRUCTION PERMITS & INSPECT roN
IVIIN. SEPTIC TANK CAPACITY:
GALS.----=-=--- IVIIN. DRAINFIELD.-----*--LIN. FT
WATER SUPPLY: PROPOSED t ]
EXISTING t ]
PUB LIC
COM[NUNITY-NAIVIE:
PRIVATE WELL
OTHER-SPECIFY:-
S AND WATER POLLUTIO N CONTROL SPECIFICATIONS
IVIAX. TRENCH DEPT I NCHES
ST AY 1OO' FROIVI ALL WEL LS
TYPE OF CONSTRUCTION_=--_- GROUP
SETBACKS- FT. FROIVI CTR' OF rAN
FRONT SIDE EXT
FT. FROIVI PROP. LINE:
SIDE INT.
-
REAR
FIRE ZONE USE CLASSIF
ZON E
ISSUANCE DATE
AUTHORIZED SIGNATURES
BLDG, PERMIT - WHITE
OFFICE COPY - WHITE
COUNTY TAX - PINK
PI UMAINO - CANABY
BX 1...\?'l'% - To'5f r. *, o o
IIVIPORTANT
'I
septic system i nspecti
required constructi
construction shall
on inspections Call 687-4061 to schedule all required
Call to schedule all
compl y with the State Buidling Code, D.E.O. standardsons. All
for subsurface sewage
occupancy belore being
disposal and the State Plumb ing Code. All buildings
occupied.
(See Details on Reverse Side)
c55 -l 3
require a certificate ol
(POST THIS PERMIT ON MAIN BLDG. AT SITE)
LAN E COU NTY, DEPT. OF E NVI PON M ENT}L_MANAGE IV1 ENT
cciuniiousi rr'LNrx, rss iesr stn' EUGENE' oREGoN e7401
LANE COUNTY PERMIT FC PERI\,1IT NO
tr Owner
CONSTRUCTION [ ] IVIOBILE HOTVIE [ ] PLAN REVIEW [ ] CHANGE OF OCCUPANCY [ ]
NAIVIE ADDRESS CITY ZIP CODE PHONE
n Contractor
O.S. Reg. +
Tw Range- Sectio
CITY
Acreage
ZIP CODE
Census Tract
NAIVIE ADD R ESS PHONE
Tax Lot- Code
B lockSubd ivision Lot
Access to Property (Road Name)
Width
Depth
Existing Structures on Property:
Directions to Property - Address
STR UCTU R E ( # B ED ROOIVIS)SO. FT VALUATION
SEWAGE D ISPOSAL PLUTVIBING INSTALLED BYPUBLIC[] SEPTICTANK tl orHER[]OWNER t I orHER I ] NAIVI F
BUILDING
PLUIVIB ING
3% SURCHARG E
IVIOBILE HOIVIE-
WASTE DISPOSAL
PLAN REVIEW
TOTAL
WATER SUPPLY: PROPOSED t ]
EXISTING I ]
PUB LIC
COIVIMIUNITY . NAIVIE:
PRIVATE WELL
OTHER-SPECIFY:-
CONSTRUCTION PERMITS & INSPE CTIONS AND WATER PO LLUTION CONTROL SPECIFICATIONS
IVIIN. SEPTIC TANK CAPACITY
GALS IVIIN. DRAINFI ELD=--=-- LIN. FT IVIAX. TRENCH DEPTH I NCH ES
STAY 1OO' FROIVIALL WE LLS
TYPE OF CONSTRUCTION---- GROUP FIRE ZONE USE CLASSIF
SETBACKS" FT. FROIVI CTR. OF riW
FRONT SIDE EXT
FT. FROIV PROP. LINE
SIDE INT REAR ZONE
AUTHOR IZED SIGNATURES ISSUANCE DATE
BLDG. PERMIT - WHITE
OFFICE COPY - WHITE
COUNTY TAX - PINK
PLUN4BING - CANARY
BUILDING - GREEN
SANITATION - GOLDENROD
IMPOBTANT
losT TH|S PE RMIT ON !4AtN BLDG AT SITE
call 687-4065 to schedule all required construction inspeclions. call 6g7-4061 to schedule all requiredseptic svsrem insoections. arr construciion;h"ri;;;ilftji;the stare Buidring code, D.E.o. standards:::ff:""$t3:i;ffi 3"""r,";S! ";Jin" sl,ili' pi,#di,U 'i"0". arr o,rroi,!I ie"qt',e- a'irriricate or
(See Details on Reverse Side)
c55-r 3
"btX?""3,yS.'I','"T,1,:5,'lJ+%",iY[,Uli,..yd#4"%Til1,
@
SLAB FLOOR
PLUMBING GROUND/ORK
Ap pnov r o
Rrurnx s
Dr srppRovro Dar r I NsprcroR
GAS PIPING GROUND/ORK
Ap pnov r o D Drsrppnoveo D Darr Ir,rspEcron
REua nx s
ROUGH PLUMBING
AppRov r o
Rrurnxs
Dr srppRoveo Darc l-7V - V/- I uspe c
ROUGH GAS PIPING
AP PROV E D
ReuaRr s
DtSAPPRovED Dar r I ruspecton
FINAL PLUMBING
Appnovro ffitsAPPRovED D D'"A.-J -%e- lNsprc
Re Manr s
FINAL GAS PIPING
Ap pnov e o
REuaRx s
D r sapPRovEo Dar r l uspEcron
CERTIFICATT OF OCCUPANCY
ReaoY ro lssur
RE lal nx s
D Nor Reeov ro lssuE D Drre-lNSPEcroR-
BUILOIN6 ITE EVALUAT ION arr/ctt r-)- -* O-Ls Z* vx Lor-
SUBDI *J ION:
BUTLDTNG PERHTT APPLlcnftoN tlo " Qtart,L Lof: 3 BLOCK:4-
( ) srrE INSPECT!oN
PLANNING OIVISION
cKl
Zoning 0rdinance Cornpl iance:Setbacks
Frontq€{d:r{rrtlr*.+
Setbacks from interior lines:
Side J ' Ftt€
Rear -T@
COI'iHENTS:r
APFL I CANT
OATE
Not
i cabl e No )
I
2
3
4
c
Subdivision 0rdinance Compl iance
Requi red Access
Building Site (Area, Width, Frontage)
0ther (see cornments )
()
()
()
())
)
(
(
(
Yes
M6
ffi()
r)
PLANNT NG D I v I s |ON-TCTT0N-PFNDTNGaYES( --r N0( l APPLICATION#
BUILDING INSPECTION OIVISION
7 Plans Submitted
Soi I Stabi I ity (footings)
Flood Plain
Other (see conrnents)
B.
No Yes
1-l 8() ()
() (),Cir,fu/d-tt:W
Not
Appl i ce[Lq()
iri CKID BY T DATE
TMMENTS:
WATER POLUTION CONTROL
ll. l{eets Department of Environmental
Qual ity Standards.
72. Other (see cornments)
Not
Appl icable No Yes
()r) Tx,'
() ()()CKIO BY
DATE
COH},IENTS:
tht
tr*$
TO APPLICANT:
Your Bui lding / Site lnspection:
AT()Can be approved.
CannotbeapprovedatthistimeasindicatedonitemN0"-above
Questions and further information on items I through 6 cffiSFtEe-$IE-
CoUNTY PLANNING DlVlSl0N. Questions and further information on iteilfi
tEiough-|2 contact the LANE CqUllT-r BuILD_INSI\ND SANITATIoN Dry!:lpN.
( ) Ui l l 6" fruf d in this of ated.
( ) ls being returned.( ) Your building permi!, ?ppl i.gg,ggg_tge -is=Egin.g.,,!g..L-u,r=!r,gd unis[ retl-ara.te-ggvef*-'ErliVi R6 N MENTEf m NAGEtre ttr
135 Sixth Avenue East Eugene 0regon 97401
PHoNE z 687-4065
LANE COUNTY PLANNING DlVlSl0N PHONE: 587-4186
c55-28
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E"l.DE NCf F cR:l,l'4R.&i\,1 R:r,. L)ALI l3R0W
.-*"*#
----+rF-.irrF4f,6
BUII"DER:JACK. KE.
Rt323
PI-.I ART
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Dore May 20 1976 Permn No.992-76
CURB CUT
PERMIT
IN THE BOARD OF COUNTY COMMISSIONERS OF LANE COUNTY
WHEREAS, the ottqched opplicotion hqs been fully considered by fhe Boord of County Com-
missioners of Lone County, ond'ii is the opinion ond iudgmentof the Boord thotthe.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 Kephart Bui I ders
1690 South A Street Springfield 0Regon 97477 for plocing, building
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,
stipulotions ond frovisions contoined in the opplicotion ond permit, the Rules ond Regulotions Gov-
erning Focilities io be Permitted upon County'Rood Rights-of-Woy, qs set forth by the Lone Mon-
uol 5b.190(2) ony omendments thereto, ond ony other opplicoble regulotions, low or ordinonce.
or constructing the following focility:
I st add fn l/an: Ilol I o I nt K R,l nnlz 2571 15th Stree
Speciol Provisions:
l. Drivewoy will be constructed in qccordonce 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 w'ill 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 19 77 Expires 19_.
Inspected ond Approved Approved by Boord of County Commissioners
By
Dote b
By
WHITE - OFFICE FIIE
YETTOW - REAT ESTATE
PINK _ PERMITTEE
ORANGE - BUITDING & SANITATION DEPT
&
Direclor of Public Works
c74-t29
I NSTALLER:conprete top 0",.'l?'ll::'li;":l:::'::r'51:T.T:31'*ith appr icitton.??a;71
PER}{IT NO
GG
v ng Un ts
/LL R y $e+-tftftlt-"
ater
Publ i c 0ther-L i s t
Gal . Capaci ty
e
nd ton
roofns t s Basement
Yes Notc
Ft. f rorn wel I Steel tr Concrete o. Compartments
lns mens ons:e sPosa
L th Width 0iameter D h Distribution Box Yes
t r str ut OO-Pe
NAME Ke
eet rom
MAILING
ADDRESS
t.J il
P
/o d
No
ne
Front Side
L th ov{
n
ot an
Date si nat u re
c
ln accordance with 1973 Oregon Laws Chapter 835, Section 214 this certificate is issu
Date:A-ro -?AFor Sanitarian Use 0nly:
as evldence of satisfactory cornpletion of a subsurface seurage disposal system at the above
I ocat i on.f?Q npproved: System tnstallation conforms to current standards
l-I 0isapproved: Does not conform to current standards
Remarks:
r
,J
L
6
L nes-Ft.
4 l.lid
ota
Ft
Sq.
aO,Ft. Between
tines ,/rl n
er ept
e I t le
see nstruct ons e Le ,M :.,,|
or-T / Ltzt ,2 f'7
Itr
ot+ t 4c
lo
IO FT
o.
1o
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t.
{/l o btti
N
a
c55-11 LANE COUNTY /
STATE OF OREGON OEPARTHENT OF ENVIRONMENTAL QIIALITY
otf,
T
)U
$'I
,
v
)-+
n Owner
LANE COUNTY PERMIT F(
CONSTRUCTION [ ] MOBILE HOIVIE [ ] PLAN REVIEW [ ] CHANGE OF C
ADD R ESS CITYNAIVIE ztP cc
n Contractor
NAIVIE
O.S. Reg. +
Range- Secti
Subdivision- Lot
ADD RESS CITY ZIP CODt
Tax Lo Codet
Acreage Width
Depth
B lock
Access to Property (Road Name)
Existing Structures on Property
Directions to Property - Address:
STRUCTURE (# BEDROOIVIS)SO. FT VALUATION
SEWAGE DISPOSAL:
PUBLIC [ ] SEPTICTANK [ ] OTHER [ ]
PLUIVIBI NG INSTALLED BY:
owNER[] OTHER[] NAIVI F
BUILD ING
PLUMBING
3% SURCHARGE_--
MOB ILE HOIVIE
WASTE DISPOSAL
TOTAL
WATER SUPPLY: PROPOSED t 1
EXISTING I]
PUB LIC
COMIVIUNITY - NATVIE
PRIVATE WELL
OTHER . SPECIFY
CONSTRUCTION PERMITS & INSPECTIONS AND WATER POLL UTION CONTROL SPECIFICATIONS
IVIIN. SEPTIC TANK CAPACITY
IMIN DRAINFIELD LIN. FT IVIAX. TRENCH DEPT I NCH ESGALS.
STAY 1OO' FROTVI ALL WELLS
TYPE OF CONSTRUCTION_- GROUP FIRE ZON USE CLASSIFF
SETBACKS- FT. FROIVI CTR. OF rAN
FRONT SIDE EXT
FT. FROM PROP. LINE:
SIDE INT.
-
REAR ZONE
AUTHORIZED SIGNATURES
lsl
ISSUANCE DATE
BLDG. PEBMIT _ WHITE
OFFICE COPY _ WHITE
COUNTY TAX - PINK
PLUMBING _ CANARY
BUILDING - GREEN
SANITATION - GOLDENROO
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 certllicate of
occupancy before being occupied.
(See Details on Reverse Side)
POST TH!S PERMIT ON MAIN BLDG. AT SITE
LANE COUNTY, DEPT. OF ENVIBONMENTAL MANAGEMENT
COUHTHOUSE ANNEX, 135 EAST 6th, EUGENE, OREGON 97401
Census Tract -
\^a
PLAN REVIEW
%"
t^
'br>
oo
bo,Dare I ruspecton
lts P PROV Dar E I ruspecron
v-
\
FRAMING ll'r oECTt€il
/
Appnoveo L7 Drsrppnoveo
Reuanr s
Drrr Y-/o.71 I rsprcron
LATH OR SHEETROCK INSPECTION
Ap pnov r o
Rrurnx s
m DrsnppRoveo [-a oorr/- A2'%
I Nseecr
FINAL INsPTCTION
Appnoveo N DrsrppRoveo
Reulnr s
oo,,-iAeAA 11,1spEs1s7w7
CERTIFICATE OF OCCUPANCY
Rreov ro lssuE D Nor Rraov ro lssur
RruaRxs
TE
fr,;-/6 ZgFr ('/6
I ruspecron
q92-7e
NOTE: NO PERM:IILL BE ISSIIED T'NTIL THIS APPLi
APPLICATION FOR:
Pi,AN REVIEI,I
PERIIIT /l
IION HAS BEEN APPROVED
CIIAi{GE OF OCCUPANCY
OI"INER 6^a7
Address ty
t:CONTRACTOR
o.s. REc. ll I 'l t t-
,7
City one
Twp Section
Subdivl-s ion
ACCESS TO PROPERTY (Road Name)
Existing Structures on Property:
Property Locatlon - Address/DirectLons:
for ice Use
SEWAGE
Site Inspectlon
WATER SIJPPLY:
Well Spring Other
FEES:
A Name of community F'
Tax Lot Code us Tract
th_Depth_
Sq. Ft ValuatLon
Existing Sel^7age D Systen l---l or New System Required l--l
Public
Systen
YES
,{
Bldg.
Plumblng
3Z Surcharge
Waste Dl-sp.
Plan Revl,ew
Moblle Home
TOTAL
.34,,*t oo
Other
Sewage Water
ConnectionConnection
PLANS FURNISHED FACILIfi PERMIT
I-?n-+"rs
Signature of
Fee Received By Date
- Lineal Feet lsn Maxlmum t"pxt .flQt'
Fixtures
le1d Required
a
-1.
NO
Septlc Tank Capaci to
type of Construc Flre Zone Use Classification
,8O
PLTJMBING:
Installed by Oroner
PLUMBING FEES:
#
CASH
Bldg Se from Cen,ter ,l/ o.-t-Slde Int
qE,Road Righ-l of Wav'.'^ 7' /c<&-**Rear
-t
LAI{E COI]NTY E}WIRONMENTAL
RA
DATE:DATE:
7
c55- 12
DATE:
CONSTRUCTION ET MOBILE HOME T__--lP
,
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