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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