HomeMy WebLinkAboutPermit Building 1976-04-27n Owner
LANE COUNTY PERMIT FOR:PERIVIIT NO
CONSTRUCTION [ ] I\IOBILE HOIVIE [ ] PLAN REVIEW [ ] CHANGE OF OCCUPANCY [ ]
NAIVIE ADDRESS CITY ZIP CODE PHONE
n Contractor
NAME ADD RESS CITY
Acreage
t-b.otn -
ZIP CODE
Census Tract
PHONE
O.S. Reg. +
Twp-Range-- Section 'j'(T3x 1e1 JiO 6e6.
Subd ivision Lot
Access to Property (Road Name)
B lock Width
Depth?-,..-
Existing Structures on Property:
Directions to Property - Address
STRUCTURE (# BEDROOIVIS)SO. FT VALUATION
SEWAGE DISPOSAL:
PUBLIC [ ] SEPTICTANK [ ] OTHER t ]
PLUIVIBING INSTALLED BY
OWNER [ ] OTHER t I NAI\4 F
BUILD ING
PLUIVIB ING
3% SURCHARGE _-----
IVIOBILE HOIVIE
WASTE DISPOSAL
PLAN REVIEW
TOTAL
WATER SUPPLY: PROPOSED t
EX ISTING t
PUB LIC
COIMMUNITY. NAIVIE
CONSTRUCTION PERMITS & INSPEGTIONS AND WATER POLLUTION CONTROL SPECIFICATIONS
IVIIN. SEPTIC TANK CAPACITY
GALS IVIIN. DRAINFIELD LIN. FT MAX. TRENCH DEPTH I NCH ES
STAY 1OO' FROTVI ALL WELLS
TYPE OF CONSTRUCTION-- GBOUP FIRE ZON USE CLASSIFE
SETBACKS FT. FROIVI CTR. OF rAff
FRONT SIDE EXT
FT. FROIVI PBOP. LINE:
SIDE INT.
-.
REAR ZON E
AUTHORIZED SIGNATURES
/s/
ISSUANCE DATE
BLDG. PERMIT - WHITE
OFFICE COPY - WHITE
COUNTY TAX _ PINK
PLUMBING - CANARY
BUILDING - GREEN
SANITATION - GOLDENROD
Call 687-4065 to schedule all required construction inspections. Call 687-4061 lo schedule all required
rMpoRrANr' i3i::;#;",TJ:ffi:lfT"iHi:i!'iffiti:il Ei.}fll,,u 3"f i?1",?ii!11133 ?#,i,r"';'3,i1i"t"13'ii
occupancy belore 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
t
PRIVATE WELL
OTHER . SPECIFY:
^JV1 t/cf
| . Zon ing Ord i nance Compl i ance: Zone-rg 4-
2o Subdirision ordinance Compl iance n-T
3. Requi red Access
4, euilaing Site (Area, tridth, Frontage)
5, 0ther (see comments)
But 0tNG. s I E EVALUAT
( ) BU|LD|NG PERHIT APPLICATI0N N0" -,<- 7 - 26
( ) srrE tNSPECTToN
PLANN ING D IVIS ION NOt
T
APPL I CANT
s TAX LOT
s[8ffii3 tvd!
DAT
A I icable cK'D BY zZ / --at-Ze
5 et ba cks"Fffi-c7T5ilioad : -
Front A {
Side Exterior g-f
Setbacks from interiof I ines:
Side 2
COHMENTS:
)
)
)
(
(
No Yes
1-l (D- 6
s titl( ) (lD
( ) (t)
PLANN ING D !V IS ION_AETIOtr-PEND ING: Y
BUILDING INSPECTION DIVISION
Plans Submitted
Soi I Stabi I ity (footings)
Flood Plain
0ther (see conments)
T0Tl APPi- r CAr r otr#
Not
7
8
9
0
Aool icable*rr
()
()
()
Yes
Tfi,()
()
()
Nor)()
()
()CKI D - La--l b
COMMENTS:
I,,ATER P0LUT I OI-Q0NTR0L
ll. Heets Department of Environmental
Qual ity Standards.
12. 0ther (see cornments)
Not
App! r qab-! t
()
No Yes -'Ttr
CKIO BY:
DATE
COMHENTS:
() ()()
TO APPL ICANT:
Your Building / Site lnsPection:
-1b, t3
J/" b\
Can be approved.
Cannot be aPProved at this time as indicated on item N0"
Questions and furt her information on items I throug h 6 contact the LANE-
c PLANN I 0 tv ls l0N.Questions and further in formation on iteilfr
t I 2 contact the LANE C0 BUILDING AND SANITA ON DIVISI
( ) uill be held in this office unt you can reso ve the p
ls being returned.
rmi t a licati
135 Sixth Avenue
PHONE | 687-4065
above.
c55-28
Your bui ldi
LANE COUNTY PLANNING DIVISION PHONE:587-4t86
ems cated.
L0T: BL0CK:
I
a\
Oregon 97401
t'
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1
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Dote April 27 1976 Permit No.768-76
CURB CUT
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 County, ond ii is the opinion ond judgment 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
I 86I Yenta Spri ngfi e'l d 0 regon 97 477
Burt Watson
for plocing, building
or constructing the following focilityt
6th Addition Yolanda Park Lot 9 Block 3 2437 17th Place
Speciol Provisions:
l. Drivewoy will be constructed in occordqnce with the qttoched drivewoy qpProoch 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'idewalks will be constructed in accordance with the attached sidewalk
specifications and drawing M98-49. The Standard Curb Type shall be
constructed unless otherwise specified.
2
3
upon the right-of-woy of County Rood No. -.-
in strict conformity to the exhibits ottoched heret
stipulotions ond provisions contoined in the oppl
erning Focilities to be Permitted upon County Ro
uol 50..l90(2) ony omendments thereto, ond on
o, ond subiect to oll terms, conditions, ogreements,
icotion ond permit, the Rules ond Regulotions Gov-
od Rights-of-Woy, os set forth by the Lone Mon-
y other opplicoble regulotions, low or ordinonce.
Spri ngfi e1 d
Mile Post
0regon 97477
Approved by of County
By
This permit is revocoble ot ony time, ond will be strictly odhered to ond no work other thon
thot specificotly mentioned obove is hereby qulhorized.
This permit sholl be void unless the work herein contemploted sholl hove been completed be'
1or" Apri I 27 , 19 77 Expires 19--..
Inspected ond Approved
Dote
By
WHITE - OFFICE FILE
YETTOW _ REAL ESTATE
PINK - PERMITTEE
ORANGE-BUITDING & SANITAIION DEPI.
Director of Public Works
c74-L29
(
D Owner
LANE COUNTY PERMIT FOR PERIV]IT NO
CONSTRUCTION [ ] IVIOBILE HOIVIE [ ] PLAN REVIEW [ ] CHANGE OF OCCUPANCY [ ]
NA N,lE ADD R ESS CITY ZIP CODE PHONE
tr Contractor
NAI\,1E
Twp- Range Sectio
Subdivision Lot
Tax Lot- Code
B lock Acreage
ADD R ESS CITY ZIP CODE
Census Tract
PHONE
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 DISPOSAL:
PUBLIC [ ] SEPTICTANK [ ] OTHER [ ]
PLUIVIBING INSTALLED BY:
OWNER[]OTHER[] NAIVI E
BUILD ING
PLUIVIB ING
3% SURCHARGE
IVIOBILE HOI\4E-
WASTE DISPOSAL
PLAN REVIEW
TOTAL
WATER SUPPLY: PROPOSED t ]
EXISTING t]
PUB LIC
COVIVIUNITY . NAIVIE
PR IVATE WELL
OTHER SPECIFY
CONSTRUCTION PERMITS & INSPECTIONS AND WATER POLLUTION CONTROL SPECIFICA TIONS
IVIIN. SEPTIC TANK CAPACITY:
GALS. IVIIN. DRAINFIELD-LIN. FT IVIAX. TRENCH DEPT I NCHES
STAY 1OO' FROIVI ALL WELLS
TYPE OF CONSTRUCTION GROUP FIRE ZON USE CLASSIFF
SETBACKS FT. FROIVI CTR. OF rAfl
FRONT SIDE EXT
FT. FROIVI PROP. LINE:
SIDE INT.
-
REAR ZON E
AUTHORIZED SIGNATURES ISSUANCE DATE
lsl
POS
BLDG, PERMIT - WHITE
OFFICE COPY - WHITE
COUNTY TAX - PINK
PLUt\4BlNG - CANABY
BUILDING - GREEN
SANITATION _ GOTDENBOD
IMPORTANT
T THIS PERMIT ON MAIN BLDG. AT SITE
LANE COUNTY, DEPT- OF ENVIRONMENTAL MANAGEMENT
COURTHOUSE ANNEX, 135 EAST 6th, EUGENE, OREGON 97401
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 subsurface sewage disposal and the State Plumbing Code. All buildings require a certificate ol
occupancy before being occupied.
(See Deiails on Reverse Side)
O.S. Reg. +
SLAB FLOOR --
PLUMBING GROUNU/ORK
Ap pRov e o
Rrua Rx s
Drr e I ruseEcron
GAS P IP I NG GROUND,VORK
Ap pnov E o
REuaRx s
D Drsappnovrl D Darr I Hsprcron
ROUGH PLUMBING
Dr sappRovEo Dar e I NspecronAppnov r o
Reltlnxs
ROUGH GAS PIPING
AP PRoV E D
Re ltaRx s
D DrseppRovro D Drr r I NspEcton
F I NAL PLUMB I NG
AppRoveo M Dtsappnovro
RE unRr s
Darr/fi -ty'76 lNspe
F I NAL GAS
AP PRov E o
ReuaRx s
P IP ING
D l saPpRovED Dat e I Nsprcton
CERTIFICATE OF OCCUPANCY
REnov ro lssue
Reulnx s
Nor Rerov ro lssue Dare I xspEcron
D DrsappnovEo D
D
n Owner
LANE COUNTY PERMIT FOR:
CONSTRUCTION [ ] IVIOBILE HOIVIE [ ] PLAN REVIEW [ ] CHANGE OF OCCUPANCY [ ]
NA N/IE ADD R ESS C ITY ZIP CODE PHONE
tr Contractor
NAIVIE ADD R ESS CITY ZIP CODE
Census Tract
PHONE
O.S. Reg. +
Tw Range- Sectio Tax Lot- Code
Subd ivision
Access to Property (Road Name)
Lot
-
B lock Acreage width
Depth
Existing Structures on Property:
Directions to Property - Address /t-h
STRUCTURE (# BEDROON/S)SO. FT VALUATION
SEWAGE DISPOSAL PLUIVIBING INSTALLED BY:
OWNER[] OTHER[] NAIVIPUBLIC t ] SEPTICTANK t I orHER[ ]tr
BUILDING WATER SUPPLY: PROPOSED I ]
EXISTING t]
PUB LIC
COIVIIVIUNITY NAIVIE
PLUIVIB ING
3% SURCHARGE
IVIOBILE HOIVIE
WASTE DISPOSAL
PLAN REVIEW
TOTAL
PRIVATE WELL
OTHER-SPECIFY
CONSTRUCTION PERMITS & INSPECTIONS AND WATER POLLUTION CONTROL SPECIFICATIONS
IVIIN. SEPTIC TANK CAPACITY
GALS IVIIN. DRAINFIELD-LIN. FT IVIAX. TRENCH DEPTH I NCHES
STAY 1OO' FROIVI ALL WELLS
TYPE OF CONSTRUCTION- GBOUP FIRE ZON USE CLASSIFE
SETBACKS- FT. FROt\4 CTR. OF rAff
FRONT SIDE EXT
FT. FROI\4 PROP. LINE:
SIDE INT.
-
REAR ZONE
AUTHORIZED SIGNATURES
lsl
ISSUANCE DATE
BLDG. PEBMIT - WHITE
OFFICE COPY - WHITE
COUNTY TAX - PINK
PLUMBING - CANABY
BUILDING - GREEN
SANITATION - GOLDENROD
IMPORTANT
(POST THIS PERMIT ON MAIN BLDG. AT SITE)
LANE COUNTY, DEPT, OF ENVIRONMENTAL MANAGEMENT
COURTHOUSE ANNEX, 135 EAST 6th, EUGENE, OREGON 97401
Call 687-4065 to schedule all required conslruction inspections. Call 687-4061 to schedule all required
septic system inspections. All construction shall comply with lhe State Buidling Code, D.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)
PERIVIIT NOnL-/
/
SITE INSPECTION
App nov r o
RruaRr s
DrsappRoveo Dare I Hsptcton
FOUNDATION I NSPECTION
APPROVED
REMARK s
Dt AP PROV E D EAD I Hspecron
(G)
FRAMING INSPTCTION
Appnov
ReNaRx
ED Dts EO Dar E PEcroR W/;r/
-2 Z
LATH OR SHIETROCK INSPECTION
Appnoveo @ DrsappnovEo
YRrt.t l Rx s
lr.,spEcrona?
,4,+I *//
FINAL INSPECTION
AppRov ro
REuanx s
d o,sAPPR.'ED Drl E r-rNSPEcroR Qlr l -
4
7-
CERTIFICATE OF OCCUPANCY
REaov ro I ssue
RruaRx s
D Nor Re aov ro lssue D Dore-lrusrrcron-
c- 7L /r
D
D
D ,o,,-?y'S/7g
? W^tr
(/
\
Permit No.
CURB CUT
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 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 focilityt
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 provi sions contoined in the opplicotion mit, the Rules on d Regulotions Gov-
by the Lone Mon-
2
3
erning Focilities to
uol 50.190(2) ony
Speciol Provisions:
ond per
hts-of-Wbe Permitted upon County Rood Rig oy, os set forfh
omendments thereto, ond ony othe r opplicoble regulotions, low or ordinonce.
Drivewoy will be consfructed in qccordonce 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
roodwoy ond right of woy coused by his operotion, leoving the roodwoyond oreo in o neot,
occeptoble condition.
Sidewal ks wi I I be constructed 'in accordance wi th the attached s'idewal k
specjfications and drawing M98-49. The Standard Curb Type shall be
constructed unless otherwise spec'ified.
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 sholt be void unless the work herein contemploted sholl hove been completed be'
lnspected ond Approved
fore , 19-. ExPires 19_.
Approved by Boord of County Commissioners
By
Dote
By
WHITE - OFFICE FITE
YETLOW _ REAT ESTATE
PINK - PERMITTEE
ORANGE _ BUITDING & SANITATION DEPT
Direclor of Public Works
c74-129
Dote
PERMTT 1t-%&*
NOTE: NO PERMIT WTLL .,8 ISSI]ED I]NTIL THIS APPLICATION dAS BEEN APPROVED
APPLICATION FOR:
CONSTRUCTION MOBILE HOME PLAN REVIEW
OWNER
City zrp#I o ;u1CONTRACTOR
o.s. REG. $ 7-7i(
Nane dress z7p
census rr^", 11'165
Sq. Ft.
Sec
nk
1.\
ACCESS T0 PROPERTY (Road Nane)
Existing Struct.ures on ProPerty:
Property Location - Address/nlrections:
for O lce Use
SE!ilAGE DISPOSAL:
Slte Inspection
WATER SUPPLY:
Well Sprlng
FEES
Bldg.
Plumblng
3% Surcharge
Waste DlsP.
Plan Review
lIobile Hone
Tax Lot Code
Block Acreage Wid
c
Sewage Dlsposal SYstem or New System Requlred
Public
comunity A Name of Communlty Public System
by Owner ott-'er 4 Name
@a*
-T1---7,
t};.lg!Depth,(yL't )
ltu
PL ING FEES:
CASH
CHECK
of Fixtures Ser.rage
Connectlon
PLANS FURNISHED
F=7-vus
SignaEure of Appl
Fee Recelved BY:.
Water
Connectlontl 2_
NO
FACILITY PERMIT
Date:
NO
TOTAL e?r;T
!11n. S Tank Capac 1ty-le1d Required - Llneal Feer Maxlmun
5
Type of Construction Ilre Zone Use Classlfication
Bldg Setbacks - frm Center of Road Rlght of Way: ^ n,t€
r,"i, /{ s:d. r"r. 7 PqF slde Exterlo.---ZJ----.R""' 1 {WE :,on" /i< 4
DATE:DATE:
)b6
c55-r2 LANE COIINTY DEPARTI"TENT OF EIWIRONMENTAL
2-,
S
(
BUILDING:,6