HomeMy WebLinkAboutPermit Building 1976-05-14--/
LANE COUNTY PERMIT FOR PERMIT NO
CONSTRUCTION [ ] N1OBILE HOIVIE [ ] PLAN REVIEW [ ] CHANGE OF OCCUPANCY [ ]
n Owner
NAIVIE ADD R ESS CITY ZIP CODE PHONE
n Contractor
NAME
O.S. Reg. +
Tw
Subdivision- Lot
Access to Property (Road Name)
Range-- Section ,4,11u* Lot / o 3 cod"
ADD R ESS CITY ZIP CODE
Census Tract
PHO NE
B lock Acreage Width
Depth
Existing Structures on Property:
Directions to Property - Address
STRUCTURE (# BEDROONNS)SO. FT VALUATION
SEWAGE DISPOSAL:
PUBLIC [ ] SEPTICTANK [ ] OTHER [ ]
PLUIVIBI NG INSTALLED BY:
OWNER[] OTHER[] NAIVI tr
BUILDING
PLUIVIB ING
3% SURCHARGE_------=.---.-
TVIOBILE HOt\4E---
WASTE DISPOSAL
PLAN BEVIEW
TOTAL
WATER SUPPLY: PROPOSED t ]
EXISTING t ]
PUB LIC
COVIIVIUNITY NAIVIE
PR IVATE WELL
OTHER-SPECIFY
CONSTRUCTTON PERMITS & INSPECTIONS AND WATER POLLUTION CONTROL SPECIFICATIONS
IVIIN. SEPTIC TANK CAPACITY
GALS IVIIN. DRAINFIELD LIN. FT IVIAX. TR ENCH D EPTH I NCH ES
STAY 1OO' FROIVI ALL WELLS
TYPE OF CONSTRUCTION G ROUP FIRE ZONE USE CLASSIF
SETBACKS FT. FROIVI CTR. OF rM
FRONT SIDE EXT
FT. FROIVI PBOP. LINE
SIDE INT REAR ZON E
AUTHOR IZED SIGNATURES
/s/
ISSUANCE DATE
BLDG. PEBMIT _ WHITE
OFFICE COPY _ WHITE
COUNTY TAX _ PINK
PLUMBING _ CANAFY
BUILOING - GREEN
SANITATION - GOLDENBOD
IMPORTANT
Call 687-4065 to schedule all required construclion inspections. Call 687-4061 to schedule all required
septic system inspections. All construction shall comply wilh the State Buidling Code, D.E.Q. standards
for subsurface 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 SITE
LANE COUNTY, DEPT. OF ENVIRONN4ENTAL MANAGEMENT
COURTHOUSE ANNEX, 135 EAST 6th, EUGENE, OREGON 97401c55 -l 3
l
l
l
l
GG7,r 17-
ff
BUILO!NG SITE EVALUAT ION
BUILD!NG PERHIT APPLICATION NO
SITE INSPECTION
. 6?#-7b
LOT
SUBDIVISIONI L}T: /La BL0CK: /
()APPL I CANT
DATE
PLANNING DIVISION Not
licable CKID BY
Zoning 0rdinance Comp I iance: Zone Setbac
Front
sfilE-RrEErilrr.
Setbacks from interior lines:
Side
Rear
I
2
3
4
5
No Yes
fl fi
6 r ISubdivision 0rdinance Compl iance
Reoui red Access
eritaing Site (Area, Width, Frontage)
Other (see comments)
)
)
)
(
(
(t
PLANNING DIVISION ACTION PENDING: Y ( ) N0( )APPLICATI
BUILDING INS l0N Dlvlsl0N
7. Plans Submitted
8. Soil Stabil ity (footings)
9. Flood Plain
0. 0ther (see conrnents)
Not
Aool i cabl e
iI
Yes
w()
()
Nor)()
()
()CK'D BY ,,J --/ > -?b
COMMENTS:
WATER POLUT ION CONTROL Not
Appl icableTT No
CI
Yes
10ll. l{eets Department of Environmental
Qual ity Standards.
12. Other (see comments)() ()()7LcKr 0
DATE
cO!,ll,lENTs !
TO APPLICANT:
b&
You
.()()
r Building / Site lnspection:
Can be approved"
Cannot be'approved at this time as indicated on item NQe above.
Questions and further information on items I through 5 contact the LANE-
C0UNTY PLANNING DlVlSt0N" Questions and further information on items 7
through l2 contact the N COUNTY BUILDING AND SANITATION DIVISION
PrUill be held in this
ls being returned.
ce unt you can reso vet)
)
Your bui ldin
ems ind cated.
ermi t I i cation f bein
ENTAL ENT
135 Sixth Avenue East Eugene Oregon !/
PHONE | 697-4065
LANE COUNTY PLANNING DlVlSl0N PH0NE! 587-4186
40r
CO}IHENTS:
I
c55-28
Nf
b
,iJ
op
0
:
.l-_
I
*-., x--rr..L"A\{b-n <\. =\r
. E-L.g -r=,-t^<},q_-"
q> - a€'\
-\\ --sa11-:A€'
898-76
Dote t4ay 14 1976 Permit No.
CURB CUT
PERMIT
IN THE BOARD OF COUNTY COMMISSIONERS OF LANE COUNTY
WHEREAS, the ottoched opplicotion hqs 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, therefore, it is hereby.
ORDERED, thot o permit be ond is hereby issued to
Springfield 0regon 97477
Ray hlerner 1430 lvlohawk
for plocing, building
or constructing the following focilityt
Ray Mar Park Lot 16 Block I North 2Bth Street Springfield Oregon
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 provisions contoined in the opplicotion ond perm it, the Rules ond Regulotions Gov-
Rood Righ os set forth by the Lone Mon-erning Focilities fo be Permitted
uol 50..l90(2) ony omendments
Speciol Provisions:
ony other regulotions, low or ordinonce.
I. Drivewoy will be constructed in occordonce with the oftoched 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 s'idewalk
spec'ifications and drawing M98-49. The Standard Curb Type shall be
constructed unless otherwise specified.
upon County
thereto, ond
ts-of-Woy,
opplicoble
thot
This perm
specif ico ll
it is revocoble ot ony time, ond will be strictly odhered to ond no work other thon
y mentioned obove is hereby outhorized.
This permit sholl be void unless the work herein contemploted sholl hove been completed be-
fore t4
lnspected ond Approved
9 77 . Expires 19_.
Approved by Boord of County Commissioners
By
Dote Zl
By
WHITE - OFFICE FIIE
YETTOW - REAL ESTATE
PINK - PER\ ITTEE
ORANGE-BUIIDING & SANITATION DEPT.c74-L29
Direclor of Public Works
n Owner
LANE COUNTY PERMIT FOR:PERIVIIT NO
CONSTRUCTION [ ] IVIOBILE HOIVIE [ ] PLAN REVIEW [ ] CHANGE OF OCCUPANCY [ ]
C ITY ZIP CODENAiVIEADD R ESS PHONE
tr Contractor
NAME
O.S. Reg. +
Twp Range- Section
Subd ivision Lot
ADD R ESS CITY ZIP CODE
Census Tract
PHONE
Tax Lot Code
Access to Property (Road Name)
B lock Acreage Width
Depth
Existing Structures on Property:
Directions to Property - Address
STRUCTURE (# BEDROOIVIS)SO. FT VALUATION
SEWAGE DISPOSAL:
PUBLIC [ ] SEPTICTANK [ ] OTHER [ ]
PLUIVIBING INSTALLED BY:
OWNERI] OTHER[] NAIVI tr
PLAN REVIEW
TOTAL
WATER SUPPLY: PROPOSED t
EXISTING t
PUB LIC
COMIVIUNITY. NAIVIE
PRIVATE WELL
OTHER.SPECIFY
CONSTRUCTION PERMITS & INSPECTIONS AND WATER POLLUTION CONTROL SPEC]FICATIONS
IVIIN. SEPTIC TANK CAPACITY
GALS MIN. DRAINFIELD LIN. FT MAX. TRENCH DEPTH I NCH ES
STAY 1OO' FROIVI ALL WELLS
TYPE OF CONSTRUCTION GROUP FIRE ZONE USE CLASSIF
SETBACKS FT. FROIM CTR. OF rAN
FRONT SIDE EXT
FT. FROM PROP. LINE
SIDE INT R EAR ZONE
AUTHORIZED SIGNATURES
lsl
ISSUANCE DATE
BLDG. PERMIT - WHITE
OFFICE COPY - WHITE
COUNTY TAX - PINK
PLUIVBING - CANABY
BUILDING - GBEEN
SANITATION - GOLDENFOD
IMPORTANT
Call 687-4065 to schedule all required construclion 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 subsurlace sewage disposal and the State Plumbing Code. All buildings require a certificate of
occupancy betore being occupied.
(See Oetails on Beverse Side)
(POST THIS PERMIT ON MA!N BLDG. AT SITE)
LANE COUNTY. DEPT. OF ENVIBONMENTAL MANAGEMENT
COURTHOUSE ANNEX, 135 EAST 6Ih, EUGENE, OREGON 97401c55.13
BUILDING-
PLUIVIB ING
3% SURCHARGE_-
IVIOBILE HOIVIE-
WASTE DISPOSAL
SLAB FLOOR
PLUMB ING GROUNil^,ORK
AP PRov E o
Rrulnx s
D Drsappnovro D Dare I Hsprcron
GAS PIPING GROUND^/ORK
Appnov ro
Reurnx s
Dr sappnovro Dare I tsprcron
ROUGH PLUMBING
Ap pnov r o
Reuanr s
D r sappRoveo D Dorr_?- Ll-D/-.*lNspe
ROUGH GAS PIPING
AP PROV E D
Reuanx s
Dr sappRovEo Dar e I rus ee cton
F I NAL PLUMB I NG
Appnove o
Rrurnx s
M
illa' -
DI SAPPROVED
Fi 6.r^a
oarel]-J2%r*"fu
FINAL GAS PIPING
Ap pRov e o
Rsuanr s
D r srppRoveo Dare I NSPEcToR
CERTIFICATE OF OCCUPANCY
Reaov ro lssue
RruaRr s
D Nor Reaov ro lssuE D Drre I NSPEcToR
_r
l,
PROPOSED SEWAGE DTSPOSAL SYSTEM RECORD
INSTALLER: Complete top part of form to signature and submit both copies with application.
PERI{ IT NO 898- 76
GGb,'// f3ffapu 2752 North 28th Street
t'lo.- L i vln-s-0nit-i BeaTooms Baths Basement
Yes No
Water Supply
Publ i c 0ther-L i st
ePt c
Ft. f rorn wel I Steel tr Concrete No. Comp
lns e mens ons:
/ Gal . Capaci ty /d'@O
Len t ' Width
ER
t.
D i ameter
Ray Werner
I430 Mohawk Blvd
a rtmen t s
e sposa F e
th Di stribu ion Box:
t str ut
eet fromil
t ne
es No
Foundat i
r
NAHE
}TA I L ING
ADORESS
L
I
Springfiel dORegon 97477 Front S ide
L nes-t.
4 6
For Sanitarian Use Only:
tn accordance with 1973 0regon Laws Chapter 835, Section 214 this cer
as evidence of satisfactory conpletion of a subsurface sewage disposa
I ocat i on.
Mnpproved: System lnstalletion conforms to current standards
ft Oisapproved: Does not conform to current standards
Remarks:
tificate is
I system at
r
er oh,
ile tn
i ssued
the above
Y
Date: 8-3 -1L
Filler
Tvoe I *lriller Depth
lAbove Tilel- in.
Trench
hJ i dthl-
Total Sq
Ft. 3F(,
rtween
/a
Ft. Be
Lines
see instructions)?tt
fr toFr dl7 r
ttT -.*>,'!\
{,}}/a
$
t.
+Fr"0
ad F{'41F \
0
6Ff
4 B
{n N
i
RECE
F
R.
Vffitl
Ha&|li
-artr=€
1976
ST -_+IANE OOUNTY
ENVIRONMENTAL MGMT.
5r ture
an
LANE
anc55-11
STATE OF OREGON DEPARTMENT OF ENVIRONHENTAL QUALITY
ture
--------^-----
I
I
I
I - -,-'--
rate 'a- 3 l- 7[
fqpTLprmt- /l '
t\,NOTE:
NO PERMIT WILL BE ISSI]ED I]NTIL TIIIS APPLICATION HAS BEEN APPROVED
APPLICATION POR:
CONSTRUCTION MOBILE HOME PLAN REVIEW C}IA],IGE OF OCCUPANCY
OWNER
Name Address City Phone
CONTRACTOR ?lr-
ess C1
o.s. REG. tt ?? 20*r./7 x^ne" O3 s"",Tax Lot
ACCESS T0 PROPERTY (Road
Existing Structures on PropertY:
Property Locatlon - Address/Dlrectlons:
B Offlce Use
DISPOSAI:
Slte Insp ection /i
I,IATER STIPPLY:
Well Spring other
FEES:
N^*d 2214 lvfi ztn
jo.oo
PLIJMB 3
Census Tract
?roperty Acrea re --------w lart 7O o"pthlOA
.ua
Subdlvls
B1dg.
Plumblng
3Z Surcharge
Waste DlsP.
Plan RevLeto
Moblle Hone
TOTAL
Septic Tank
Type of Construc
Block
Existing S Dlsposal system l----l or New system Requlred W
Publ1c
Comunlty Name of Communlty or Public Systero
Installed Name
/i of Fixtures Sewage
Connectlon
llater
Connectlon
FACILITY PERMIT
2-
PLANS FURNISHED
Signature of
Fee Recelved
NO
Use Classiflcation
YEs I (.....'ffi
d"r-r),
Date
Maxlmum Je
Group
Requlred - Llneal Feet
Flre Zone
!c4
Sq. Ft
BO
Bldg Setbacks - from
*o* #/ t
Center of Road
Slde Int.
x.lght of Way:
n"".J' P(L€ ,"^" f,rl
DATE:DATE:
LANE COI]NTY OF EIVVIRONMEN MANAGM,IENT
-/7-
oroer l---l other I
r5*2,
n Owner
LANE COUNTY PERMIT FOR:PERN/IIT NO
CONSTRUCTION t ] I\IOBILE HOIVIE [ ] PLAN REVIEW [ ] CHANGE OF OCCUPANCY [ ]
C ITY ZIP CODENAMEADDRESS PHONE
tr Contractor
O.S. Reg. +
Tw
Subd ivision
Access to Property (Road Name)
NAI\4 E
Range- Section-Tax
Lot B lock
CITY ZIP CODE
Code Census Tract
Acreage- Width
ADD RESS PHONE
Depth
Existing Structures on Property:
Directions to Property - Address
I STRUCTURE (# BEDROOIVIS)SO. FT VALUATION
SEWAGE DISPOSAL:
PUBLIC [ ] SEPTICTANK [ ] OTHER [ ]
PLUTVIBING INSTALLED BY:
OWNER[] OTHER[] NAM E
BUILD ING
PLUIVIBING
3% SURCHARGE--
IVIOB ILE HOI\1E
WASTE DISPOSAL
PLAN REVIEW
TOTAL
WATER SUPPLY: PBOPOSED t
EX ISTING I
N)
UT
^t
PUB LIC
COVIIVIUNITY. NAIVIE
PRIVATE WELL
OTHER - SPECIFY i
N
c!
*CONSTRUCTION PERMITS & INSPECTIONS AND WATER POLLUTION CONTR OL SPECIFICATIONS
IVIIN. SEPTIC TANK CAPACITY:
GALS.IVI IN. DRAINF I E LD-LIN. FT MAX. TRENCH DEPTH I NCH ES
STAY 1OO' FROM ALL WELLS
TYPE OF CONSTRUCTION-- GROUP FIRE ZONE- USE CLASSIF
SETBACKS- FT. FROIVI CTR. OF rAfl
FRONT SIDE EXT
FT. FROIVI PROP, LINE
SIDE INT REAR ZON E
AUTHORIZED SIGNATURES ISSUANCE DATE
BLDG. PEBMIT - WHITE
OFFICE COPY - WHITE
COUNTY TAX - PINK
PLUMBING - CANAFIY
BUILDING _ GBEEN
SANITATION - GOLDENROO
IMPORTANT
Call 687-4065 to schedule all required construction inspections. Call 687-406'l 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 certificate ot
occupancy before being occupied.
(See Details on Reverse Side)
(POST TH!S PERMIT ON MAIN BLDG. AT SITE)
LANE COUNTY, DEPT. OF ENVIRONMENTAL MANAGEMENT
COURTHOUSE ANNEX, 135 EAST 6th, EUGENE, OREGON 97401
IN
\
N
lnt
SITE INSPECTION
Ap pnov E o
RrMaRx s
D DrsappRovrc D Dare I ruspecron
FOUNDATION I NSPECTION
AppRoveo DrsappRoveo Darr
Re lta nx s 6.-/76 €
I HspecroR
7
FRAMING INSPECTI
Appnov r o
Reulnr s
DrslppRove, D o^,, f .23- 7b I xsprcroR
LATH OR SHEETROCK
Appnovro
RruaRxs
I NSPECT I ON
Dr sappnoveo Dar e I Nspecron
INAL INSPECTION
Dr sappRoveo D oorrT-7- EZ I rspecroa
Reulnx s 9",L
CERTIFICATE OF OCCUPANCY
Rraov ro lssue
Rruanx s
Nor Rraov ro lssuE Dare
8?6-7a 2rtt x F
I ruspecron
D
I
E
Dote Permit No.
CURB CUT
PERMIT
IN THE BOARD OF COUNTY COMMISSIONERS OF LANE COUNTY
WHEREAS, the ottoched opplicotion hqs been fully considered by the Boord of County Com-
missioners of Lqne 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,
upon the right-of-woy of County Rood No.Mile Post
in strict conformity to the exhibits ottoched hereto, ond subi ect to oll ferms, conditions, ogreements,
stipulotions ond pro visions contoined in the opplicotion , the Rules ond Regulotions Gov-
Rood Rig os set forth by the Lone Mon-
ond permit
hts-of-Woy,
ony other opplicoble regulotions, low or ordinonce.
erning Focilities to
uol 50.'l9O(2) any
Speciol Provisions:
be Perm itfed
omendments
upon County
thereto, ond
l. Drivewoy will be constructed in qccordqnce 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 draw"ing M98-49. The Standard Curb Type shall be
constructed unless otherwise specif ied.
This permit is revocoble ot ony time, qnd 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
Dote
19-.. Expires I9_.
lnspected ond Approved
PINK _ PERMITTEE
ORANGE- BUITDING & SANITATION DEPT.
Approved by Boord of County Commissioners
By
By $'l
WHITE - OTFICE FILE
YEttOW - REAI ESTATE
Direclor of Public Works
c74-t29