HomeMy WebLinkAboutPermit Building 1976-05-14L-J UWNEr
n Contractor
LANE COUNTY PERMIT FOR:PERIVlIT NO
coNSTRUCTI,N i I MloBlLE HotvlE t I 'LAN REvTEW t r .HANGE oF occupANcy t l
NAIVIE ADD R ztP DEL
HON
E
O.S. Reg. # __-
-
NA ADD RE
t
CIT ZIP CODE HONE
Twp- Range__- Section ,4rl tax Lo /07--Code
B lock Acreage ...---..----.----.---.-.---
Census Tract =_----_
Width
Depth
Access to Property (Road Name)
Existing Structures on property:
Directions to Property - Address
STRUCTURE (# BEDROOIVIS)
SEWAGE DISPOSAL
PUBLIC[] SEPTICT
27q
SO. FT
PLUIVIBING INSTALLED BY
VALUATION
ANKI ]oTHER [ ]OWNER [ ] OTHER t ] NAIVI tr
BUILDING
PLUIVIB ING
WATER SUPPLY: PROPOSED t
EXISTING t3% SURCHARGE--
MOBILE HOME
-
WASTE DISPOSAL
PLAN REVIEW
TOTA L
PUB LIC
COMIVIUNITY.NAIVIE:
PR IVATE WELL
OTHER - SPECIFY:_
CONSTR UCTION PERMITS & INSPECTIONS AND W N CONTROL SPECIFICATIONSATER POLLUTIO
IVIIN. SEPTIC TANK CAPACITY
GALS MIN. DRAINFIELD=-LIN. FT MAX. TRENCH DEPTH I NCH ES
STAY 1OO' FROiVIA LL WELLS
TYPE OF CONSTRUCTION G ROUP FIRE ZONE USE CLASSIF
SETBACKS- FT. FROIVI CTR. OF rAtu
FRONT SIDE EXT
FT. FROM PROP, LINE:
SIDE INT. REAR
-
ZONE
AUTHOBIZED SIGNATURES
lsl
ISSUANCE DATE
BLDG, PEFMIT - WHITE
OFFICE COPY - WHITE
COUNTY TAX - PINK
PLUMBING - CANABY
BUILDING - GBEEN
SANITATION - GOLDENROD
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, O.E.Q. standards
for subsurface sewage disposal and the State Plumbing Code. All buildings require a certilicate of
occupancy before being occupied.
(See Details on Reverse Side)
POST THIS PERMIT ON MAIN BLDG. AT SITE
LANE COUNTY, DEPT, OF ENVIRONMENTAL N4ANAGEMENT
COUBTHOUSE ANNEX, 135 EAST 6th, EUGENE, OBEGON 97401
c55-l 3
l
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K
BU It'.0 ING S ITE EVALUAT ION
BUILDING PERHIT APPLICATION NO
SITE INSPECTION
r_JL -R-e.=-s zL rtx Lor-
SUBDIVt--z0N:
LoT: 11 BLOCK: I
G6 /rt/
&q1--lc
()APPL I CANT
DAT
PLANNING-DIVISION
I " Zoning Ordinance Cornpl iance: Zone-P-[-
2. Subdivision 0rdinance Compl iance
3. Requi red Access
4. Building Site (Area, t./idth, Frontage)
5. 0ther (see comments)
r)()
()
()
()
Setbackffi
Front i,c.n{ ,#,'
--r=E-.*rt5 1 PuE
Not
Appl icable er.-dLitr €,-:b-lbCKID
Setbacks from interior lines:
Side S'Rear -77Tf
COHl.{ENTS:
No Yes
fl fi
6
PLAIil'IING D IV IS ITNTETIOTPEND ING: Y
BUILDING INSPECTION DIVISION
7. Plans Submitted
8. Soi I Stab i I i ty (foot i ngs )
9. Flood Plain
O. 0ther (see conments)
T-TAPPrcArt
Not
Appl i cable()
ti
ir dT() ()
() ()CKI D 2- 7L
COMMENTS:
ITATER PoLUT ION CONTROL Not
Appl icable No Yes
()r) m'
12.CK'D BY
DATE
cOl,tl.lENTs:
l{eets Department of Envi ronmental
Qual ity Standards.
0ther (see comments)() ()()
TO APPL!CANT:
r Building / Site lnspection:
Can be approved.
Cannot be approved at this time as indicated on item N0
dJ Questions and furt her information on items I through 5 contact t e
COUNTY PLANNING Dt VlStON. Questions and further information on items 7
through 12 contact the LANE C0 BUILDING AND SANITATION D VISION.
' You()
, ()above.
c55-28
Your bui ldi
n i cated.Will be held in this of
ls being returned.
ermit lication f is bein
i ce unt you can reso vet prob I ems
135 Sixth Avenue East Eugene 0regon
pHoNE. 697-4065
LANE COUNTY PLANNING DIVISION PHONE:
974o1
687-4186
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Dote May 1 4 197-l
ORDERED, thot o permit be ond is hereby issued to
.l430 Mohawk BIvd.
Permit No.899-76
CURB CUT
Ray Werner 1430 Mohawk BIvd
PERMIT
IN THE BOARD OF COUNTY COMMISSIONERS OF LANE COUNTY
WHEREAS, the ottoched opplicotion hos been fully considered by fhe Boord of County Com-
missioners of Lone 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.
Springfiel d ORegon 97477 for plocing, building
or constructing the following focility:
Ray Mar Park Lot 17 Block I North 28th Street
Springfield 0regon 97477
UPO n the right-of-woy of County Rood No.Mile Post
in str ict conformity to the exhibits ottoched hereto, ond subiect to oll terms, conditions, ogreements,
stipulotions ond provisions contoined in the OPPI the Rules ond Regulotions Gov-
os set forth by the Lone Mon-erning Focilities to be Permitted
uol 50.I90(2) ony omendments
Speciol Provisions:
icotion ond permit,
od Rights-of-Woy,Ro
ony other opplicoble regulotions, low or ordinonce.
Drivewoy will be constructed in occordonce with the ottoched drivewoy oPProqch specifico-
tions (Drowing M98-50).
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.
S'idewal ks wil I be constructed in accordance w'ith the attached sidewal k
spec'if ications and draw'ing M98-49. The Standard Curb Type shall be
constructed unless otherwise spec'ified.
upon County
thereto, ond
2
3
This permit is revocoble ot ony time, ond will be strictly odhered fo 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 May 14 D--lJ. Expires 19_.
lnspected ond Approved Approved by Boord of County Commissioners
Dote &/1,-*r-:,
By
WHITE - OFTICE FILE
YETTOW - REAT ESTATE
PINK _ PERMITTEE
ORANGE_BUITDING & SANITATION DEPT
Director of Public Works
c74-t29
By
r: Owner
LANE COUNTY PERMIT FOR:PERIVIIT NO
CONSTRUCTION [ ] IVIOBILE HOIVIE [ ] PLAN REVIEW [ ] CHANGE OF OCCUPANCY t ]
NAME ADD R ESS C ITY ZIP CODE PHONE
I Contractor
NAME ADD R ESS CITY ZIP CODE
Census Tract
PHONE
O.S. Reg. +
Tw f CodeRange- Section Tax Lo
Subdivision- Lot B lock
Access to Property (Road Name)
Acreage Width
Depth
Existing Structures on Property:
Directions to Property - Address
STRUCTURE (# BEDROOIVIS)VALUATION
SEWAGE DISPOSAL:
PUBLIC[] SEPTICTANKII orHER I l
PLUIVIBING INSTALLED BY:
OWNER[] OTHER[] NAM tr
BUILDING
PLUIVIB ING
3% SURCHARGE
MOBILE HOME-
WASTE DISPOSAL
PLAN REVIEW
TOTAL
WATER SUPPLY: PBOPOSED t ]
EXISTING t ]
PUB LIC
COVIIVIUNITY- NAIVIE
PR IVATE WE LL
OTHER .SPECIFY
CONSTRUCTION PERMITS & INSPECTIONS AND WATER POLLUTION CONTROL SPECIFICATIONS
IVIIN. SEPTIC TANK CAPACITY
GA LS MIN. DRAINFIELD LIN. FT MAX. TRENCH DEPTH I NCHES
STAY 1OO' FROIVI ALL WELLS
TYPE OF CONSTRUCTION- GROUP FIRE ZON E USE CLASSIF
SETBACKS- FT. FROIVI CTR. OF r/W
FRONT SIDE EXT
FT. FROIVI PROP. LINE
SIDE INT R EAR
AUTHORIZED SIGNATURES
lsl
ISSUANCE DATE
BLDG, PERMIT - WHITE
OFFICE COPY - WHITE
COUNTY TAX - PINK
PLUNiIBING _ CANARY
BUILDING - GREEN
SANITATION - GOLDENBOD
IMPORTANT
Call 687-4065 to schedule all required conslruction 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 certificate of
occupancy before being occupied.
(See Details on Reverse Side)
POST THIS PERMIT ON MAIN BLDG. AT SITE)
LANE COUNTY. DEPT, OF ENVIBONMENTAL I\4ANAGEMENT
COUBTHOUSE ANNEX, 135 EAST 6th, EUGENE, OREGON 97401
c55-l 3
t
SO. FT.
ZONE-
SLAB FLOOR
PLUMBING GROUNU/ORK
Ap pRov e o
RrMlRxs
D DrsappnovEo D Drr e I ruspecron
n
GAS PIPING GROUNDh/ORK
Ap pnov e o D DrsappRoveo D Dore-I ruseecron
Reua nx s
ROUGH PLUMBING
A PPRov E D
Relt a nx s
D Drsaepnoveo D Drr e D L I Nspecr
ROUGH GAS PIPING
AP PRov E D
Reuanx s
D r sAPPRovEo Dar e I tls ee cron
FINAL PLUMBING
APPROVED E DISAPPROVED
Re uanr s
Dart /)-O-Zt- lNspec
FINAL GAS PIPING
Ap pnov e o
Reul nx s
D r SAPPRovED I Ns pe cton
CERTIFICATE OF OCCUPANCY
Rraov ro lssue D Nor Rraov ro lssue D
REuaRx s
DarE IttSPECTOR
D
D Dore-
PR -'SED SEITAGE DtSPoSAL SYSTEH RECC
Complete toP part o, l,Ol.fil to signature and submit bott, copies wit
PERI.I
North 28th Street
rooms at sement ater v
h appl i cat i'on
I NSTALLER:
No.
NO
'egg.
GG
*ar
V n ts
c an
Y No Publ i c 0ther-ist
No. Compartments Gal . CaPaci tYFt. from well Stee I tr Concrete
n5l e mens ons:t
D i ameter DLht.,id
NAI{E
}1A I L ING
ADDRESS
Ray Warner
I 430 Mohawk
S rin fiel d Ore n 97477
nes-Ft.
4 6
TIF
For Sanitarian Use 0nly:
ln accordance with 1973 Ore
as evidence of satisfactory
I oca
Remarks:
x
e sPosa e
h Di str ibution Box:
strtr on-
No
oun roneetrorn
ll
Lot ne
Front
ISF
Side r
L
er Be ov{
ile tn
P
Date: l0 -(3 )L
gon Laws Chapter 835, Section 214 this certificate is issued
completion of a subsurface sewage disposal system at the above
tion.
fi. npproved: System lnstalletion conforms to current standards
i-l Oisapproved: Does not conform to current standards
ove Ti I
er)q.
6
.flBetween
Lines lOota
Ft
an ns t ructs
t/ousC
Ar7.E
L6f L,sa'
ptt
$,Y t gD{
0cT I I 1976 0
D?f <-- lo+*
ENVIRONMkNIRU MGMT.
E'+
N
,ft
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t/I
\t\t
>t tu re
r an
LANE COUNTYc55-11
STATE OF OREGON OEPARTHENT OF ENVIRONHENTAL QUALITY
gnat ure
.,n Owner
PERIVIIT NO
CONSTRUCTION [ ] IVIOBILE HOTVIE [ ] PLAN REVIEW [ ] CHANGE OF OCCUPANCY t ]
NAME ADD R ESS C ITY ZIP CODE PHONE
tr Contractor
NAIVIE ADD RESS CITY ZIP CODE
Census Tract
PHONE
O.S. Reg. +*
Tw Range- Section
Subdivision Lot
Access to Property (Road Name)vv
Tax Lot- Code
B lock Acreage Width
Depth
Existing Structures on Property:
Directions to Property - Address
STRUCTURE (# BEDROOTVIS)SO. FT VALUATION
SEWAGE DISPOSAL:
PUBLIC [ ] SEPTICTANK [ ] OTHER [ ]
PLUMBING INSTALLED BY:
OWNER[] OTHER[] NAM tr
BUILDING
PLU IV1B ING
3% SURCHARGE
IVIOB ILE HOIVlE
WASTE DISPOSAL
PLAN REVIEW
TOTAL
WATER SUPPLY: PBOPOSED t ]
EXISTING I]
PUB LIC
COIVIMIUNITY NAIVIE
PRIVATE WELL
OTHER - SPECIFY
CONSTRUCTION PERMlTS & INSPECTIONS AND WATER POLLUTION CONTROL SPECIFICATIONS
IVIIN. SEPTIC TANK CAPACITY
GALS.tVIIN. DRAINFIELD LIN. FT MAX. TRENCH DEPT I NCHES
STAY 1OO' FROIVI ALL WELLS
TYPE OF CONSTRUCTION G ROUP FIRE ZONE- USE CLASSIF
SETBACKS- FT. FROIVI CTR. OF r,Aff
FRONT SIDE EXT
FT. FROM PROP. LINE
SIDE INT R EAR ZON E
AUTHORIZED SIGNATURES
lsl
ISSUANCE DATE
BLDG. PERMIT - WHITE
OFFICE COPY _ WHITE
COUNTY TAX - PINK
PLUIVlBING _ CANABY
BUILDING _ GHEEN
SANITATION _ GOLDENROD
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
foi 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 SITE
LANE COUNTY. DEPT. OF ENVIBONMENTAL MANAGEMENT
COURTHOUSE ANNEX, 135 EAST 6th, EUGENE, OREGON 97401
c55'l 3
LANE COUNTY PERMIT FOR:
StTE INSPECTION
AppRovso
Rruanx s
D DrsappRoveo D Dare I ruspecton
FOUNDATION I NSPECTION
DTSAPPRovED 7'? "'APPROVED
REMA RK S
m Drr r I ttS
FRAMING INSPECTION
fr Drsrppnoveo D oort//-7-76 I Hsprcr
LATH OR SHEETROCK
Ap pRov E o
I NSPECT I ON
D r sAPPRovEo I Nseecton v,1
I
Rruanx s
FINAL INSPECTION
rt- D r srppRoveo /-J-a7 tNSPEcroRDareAP PRov E o
ReuaRx s
CERTIFICATT OF OCCUPANCY
Rraov to lssue
Rrulnx s
Dar E
/F-7b
Nor Rraov ro I ssue
7,{
I Hsprcron
/APPRov E o
Re ltanx s
o*, //- /F4
D
---=...k-.-
Dote Permit tr.r.
CURB CUT
PERMIT
IN THE BOARD OF COUNTY COMMISSIONERS OF IANE COUNTY
WHEREAS, the ottqched opplicotion hqs 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, ond 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 focilify,
upon the right-of-woy of County Rood No.
--,
Mile Post
in strict conformity to the exhibits ottqched hereto, ond subiect to oll terms, conditions, ogreements,
stipulotions ond provisions contoined in the opplicotion ond permit, the Rules ond Regulofions Gov-
erning Focilities to be Permitted upon County Rood Rights-of-Woy, os set forth by the Lone Mon-
uql 50.190(2) ony omendments thereto, ond ony other opplicoble regulotions, low or ordinonce.
Speciol Provisions:
I. Drivewoy will be constructed in occordonce with the ottoched drivewoy qpprooch 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 s'idewalk
specificat'ions and drawing M9B-49. The Standard Curb Type shall be
constructed unless otherw'ise 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-. Expires 19_.
lnspected ond Approved Approved by Boord of County Commissioners
By
Dote
By I
t\
wHtTE - OFFICE tltE
YETTOW - REAT ESTATE
PINK - PERMITTEE
ORANGE _ BUILDING & SANITATION DEPT,c74-t29
Direclor of Public Works
L(W,,t7o
NOTE: NO PERMIT m* BE ISSUED UNTIL THIS APPLIC,ATI--. HAS BEEN APPROVED
APPLICATION FOR
CONSTRUCTION MOBILE HOME PLAN EW C}IAI'IGE OF OCCUPANCY
OWNER
r--r CONTRACTOR
Name Address
ess
Clty
City
Po
o.s. REc. tt 2?2O
*o. l7 *n""--03 Sectlon Tax Cod c census rrr"rE0 l{O
Acreage l.lnAr?O o"ptlfi.OQsubdivlsion Pou-hto*) Arh Lot--u
ACCESS TO PROPERIY (Road Nane)
Existing SEructures on Property A
Property Location - Address/DLrectlons:
Slte Inspec tlon /l
,t S/rrct
Block
Dlsposal System
Public
Fixtures
or New System Requlred
Valuatlon
Water
Connectlon
FACILITY PERMIT
YES
Date
hIATER STIPPLY:
Well
Bldg.
Plumblng
3Z Surcharge
waste Dlsp.
Plan Revlew
Mob1le Horne
TOTAL
Mln.Septlc Tank
3-o . u-A
/ ln, O-T)
Other
PLIIMBING:
Installed
PLI]MBING
CASH
Sprlng comunity d Name of Courmunlty or Public system
Name
Sewage
ConnecEion >
PLANS F'I'RNISHED
Signature of
Fee Received
NO
Drain
a
Requlred - Ll-neal Feet
Sq. Ft
\
il
\
tlng S
cs5- 12 IANE COI]NTY DEPART}IENT ENVIRONMENTAL
Use Classiflca
/c
Type of Constructl 7.one tlon
Bldg Se
Front e Int.5'- frm Center of Road Rlght of
DATE:DATE:
d
f -l other f-l
&
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