HomeMy WebLinkAboutPermit Building 1977-12-09,4"2 +7Zbo
TRS, TL JOB LOCATION
LANE COUNTY PERMIT
Acreage or Lot Size
Contractor's O.S. #
Partition ing ) Completed Subdivision
Blo
APPLICANT'S NAME AND ADDR trqq Phone
Phone
Phone
OWNER'S NAME AND ADDRES s
CONTFACTOR'S NAME AND ADDRES
Mail permitto ( )Applicant ( )Owner ( )Contractor. ( )Prefertopickup. Call-(owner, etc.) when ready.
Lot
JTBUCTURES NOW ON THE PEOPEBTY_
THlsPERl\4lTlsFoB#BEDRool\4S-#PLUlv]BlNGcoNNEcTloNS-
\^JATER SUPPLY SEWAGE DISPOSA s.t. #
THIS PROPERTY IS WITHIN ONE MILE OF THE CITY OF . PLUIVIBING BY
I hereby certify that the above statements are true and accurate, and that I have the following legal interest in the property:
-owner
of record;
-contract
purchaseri
-
potential buyer;
-
realtor or agent. I further certify that (iI not the owner) I am authorized to act lor the owner of
record, ?nd that said oryoer is aware and approves of this action. I hereby agree to comply with a-ll applicable Codes relating rc this permit.
Date
-
Fee Paid S-Signatu re
() NEW ADDRESS () FACILITY PERIVIIT TO TRANSPORTATION DEPT.() SPECIAL PIVIT. AREA. IVIIN. ELEVATION
SANITATION
Minimum Septic Tank Capacity (Gallons)
Drainfield Required - Lineal Feet
Maximum Depth
Comments
B U.I LD ING
Use Classification
Comments:
Fire Zone
i
B Date:B Date
PLANNING REOUI REMENTS SATISFIED. B te .lssued
LANE COUNTY DEPARTMENT OF ENVIRONMENTAL [\4ANAGEMENT, 125 EAST 8TH AVE., EUGENE, OREGON 97401
c55.i3 ",-o. o.*,i,-WH,rE; ",,.::.:1:l::Ji:*'J::Ilil;:*:lT':Jl;.';*.""; oFF,cEcop.,-wH,rE
PHONE: 687 4394
,l
Date:
ZONE:SETBACKS: FRONT I SIDE FACING STREET (F ROM INT. SIDE YARD I REAR F ROIVI P/L)
TRS, T
Acreage or Lot Size
Contractor's O.S. #
APPLICANT'S NAME AND ADDR
JOB LOCATIO
Partition ing
LANE COUNTY PERMIT
) Completed Subdivision
Lot- Block_
Phone-
Phone-OWNER'S NAME AND ADDR
CONTFACTOR,S NAfu]E AND ADDRESS
-
Phon
Mail permit to ( IApplicant ( )Owner ( )Contractor, ( )Preferro pick up. Call- (owner, etc.) when ready
STRUCTURES NOW ON THE PROPERTY
)
THIS PERMIT IS FOR # B ED ROOIVIS-# PLUTVI B I NG CO N N ECT IONS
WATER SUPPLY SEWAGE DISPOSAL s.t. #
THlSPRoPERTYlSWlTHlNoNEtVllLEoFTHEClTYoF'PLUlVlBlNGBY
I hereby certify that the above statements are true and accurate, and that I have the following legal interest in the property:
-owner
o{ record;
-contract
purchaser;
-
potential buyer;
-
realtor or agent. I further certify that (if not the owner) I am authorized to act for the owner of
record, and that said owner is aware and approves of this action. I hereby agree to comply with all applicable Codes relating to this permit.
Fee Paid $-Date
-
Signatu re
( )NEWADDRESS ( ) FACILITY PERM lT TO TRANSPORTATION DEPT.- ( ) SPECIAL PlvlT. AREA. lvllN. ELEVATION:
-
SAN ITATION
Minimum Septic Tank Capacity (Gallons)
Drainfield Required - Lineal Feet
Maximum Depth
BUILDING
Use Classification
Comments:
Type of Construction
-Group -Fire
Zone
mments
Date:By
PLANNING REOUI REIVIENTS SATISFIED. B Date:Date lssued
ZONE: SETBACKS: FBONT SIDE FACING STREET (FROM C/L) lNT. SIDE YARD BEAR (FRO|\4 p/L)
LANE COUNTY DEPARTI\4ENT OF ENVIRONMENTAL MANAGEMENT, I25 EAST 8TH AVE., EUGENE, OBEGON 97401 PHONE: 687 4394
POST THIS PERMIT ON MAIN BUILDING AT SITE
c55'13
By:Date:
SLAB FLOOR
PLUMBING GROUND/ORK
Appnoveo E
ReManx s
D oorr_/- -f- ZtD r sappnovro I Nseecron
GAS PIPING GROUNO^/ORK
Ae pnov r o
REua Rx s
D DrsaepRovro D Dar e I Hspecron
ROUGH PLUMBING
Appnov t o
Reua nx s
a DrsappRovro aor, / s? Lrf ,r."..ro" #l-'
ROUGH GAS PIPING
Appnoveo D Drsappnove, D
ReManx s
Dar r I usercron
FINAL PLUMBING
Apenoveo m DTsAPPRovED
Re uanx s
ePpI xspecton
FINAL GAS PIPING
Ap pRov e o
Rr xanx s
DtsappRoveo Date I uspecron
CERTIFICATE OF OCCUPANCY
Rrrov ro lssue
ReuaRxs
Nor Rraov ro lssuE Dare I uspecron
D ,o",r3'J{?tr
lane courtyHOLD SIIP 6l!r---APPLICATION #
Nane
Addres s
p oCe
The above application is being held by the Permit Processing Section for the follow'ing
reasons :
Division:
Si gnature:
Di vision:
Si gnature:
Date
Date
This application will be held until If the information
requi red ab
Fees pai d f
the septi c
build'ing and plumbing portion of your application if cancellation 'is necessary.
In the event a Plannjng or sone other long-term problem exists over which you have
no control we will hold the permit until the oroblem is resolved and we rece'ive word
from you as to whether to proceed with permit issLtance or process a cancellation.
PERMIT PROCESSING SECTION - 687-4394
ove has not been furnished by that date your application will be cancelled.
or waste disposal systems (site inspections and/or applicatjons to install
tank and drai nfiel d) are nonrefundable. Some refund ma.y be made on the
c74-L39
Dote Permit No.3484-a7
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 it is the opinion ond iudgmentof 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 L.
or constructing the following focility'
1/\1 7No
#Q*^,#*"7JH"
By
Oaa for plocing, building
d Ba Q*oo r;T
I
n 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 permit, the Rules ond Regulotions Gov-
erning Focilities to be Permitted upon County Rood Rights-of-Woy, os set forth by the Lone Mon-
uol 50.190(.2) ony omendments thereto, ond ony other opplicoble regulotions, low or ordinonce.
Speciol Provisions:
l. Drivewoy will be constructed in occordonce 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 will be constructed in accordance with the attached sidewalk
specifications and draw'ing M98-49. The Standard Curb Type shall be
constructed unless otherwise specified.
This permit is revocoble qt 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 shqll hove been completed be-
fore [Y-ctt462( lb,wIS,.Expires 19_.
lnspected ond Approved Approved by Boord of County Commissioners
By
Dote
WHITE - OFFICE FIIE
YETTOW - REAL ESTATE
PINK _ PERMITTEE
ORANGE-BUIIDING & SANITATION DEPT
Director of Pu blic Wor
c74-129
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TRS,TL fifup r7/Z a S ri Jy'rao ,ar*''N* 2na<
Written oirections
*<ra-#:o 'l/*AlsC q9*Job Location ,).4 3 rrr u/rrdL o"a
3?L
({ Building Permit
Acreage or Lot Size ?ct
Partitioning#- ( ) Completed( ) Pending
APPLICANT'S NAME AND ADDRESS 'e Do*n
PLUMBING BY
( ) pRoPERTY rS WTTHTN ONE MrLE OF CrTY (lr,.i<{
INFORMATTON SHEET
( ) Site Feasibility Study for Septic Tank. Number of sites-
Test holes will be ready-
Subdivision 3a 4@ tQa,'oae Dao,<-E*l>*t<tLot fl Btoc
-Zt<--
Iv
none 3cr/r*>32 /
OWN ER'S NAME AND ADD R ESS, if dif ferent f rom applicant's Phone
PhoneDNTRACTOR'S NAME
Mail permit or results of Applicant ( )Owner ( )Contractor
Contractors o. S. + O23,/pQ Prefer to pick up ( owner, etc. ) when ready
STRUCT'IRES NOW ON
PROPOSED USE (this permit)
WATER SUPPLY existing or proposed well, etc. lf pubtic, name of system)
SEwAGEDlsPosALo.,,qosa'>S??+t-7<-(existingorpropo5edseptictank,etc.)sl.*9E2:2b
2s9v-Address
PROPE
ytotudStv
****r*r oFFlcE usE oNLY BELOW THIS LINE +r*r**r***rr*
, /
1 Ne* Address Necessary ( ) Facility Permit Necessary
zoN F SETBACKS: Front
( ) Special Permit Area. Minimum Elevation
Side Facing Street lnterior Side Yard Rear
-
(FROM CENTERLINE OF ROAD){FROM PROPERTY LINES)
To: Planning/Building lnspector/Sanitarian/sutueyor.
This applicant appears to have a problem with
Your assistance will be appreciated,
By Permit Processing Section
Response
By
DEPABTMENT OF ENV I RONMENTAL MANAGETVIENT
Permit Processing Section
'125 East 8th Avenue
687-4394c55-12
D ivision
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TRS, Ti.
Acreage or Lot Size
Contractor's O.S. #
APPLICANT'S NAME AND ADDRE ss
OWNER'S NAME AND ADDRE ss
Mail permitto ( )Applicant ( )Owner ( )Contractor. ( )Preferto pick up. Call
CONTRACTOR'S NAME AND ADDRESS
JOB LOCATIO
LANE COUNTY PERMIT
Partitioning #-( ) Completed Subdivision
Lot- Block-
Phone_-
Phone--
Phone-
(owner, etc.) when ready
.ITRUCTUBES NOW ON THE PROPERTY-I -- - -- _-_-
THlsPERMlTlSFoR#BEDRooML#PLUMBlNGcoNNEcTloNS-
\I/ATER SUPPLY SEWAGE DISPOSAL S.l. #
THlSPRoPERTYlSWlTHlNoNElVllLEoFTHEClTYoF.PLUlVlBlNGBY
I hereby certify that the above statements are true and accurate, and that I have the following legal interest in the property:
-owner
of record;
-contract
purchaser;
-
potential buyer;
-
realtor or agent. I further certify that {if not the owner) I am authorized to act for the owner of
record, and that said owner is aware and approves of this action. I hereby agree to comply with all applicable Codes relating to this permit.
Fee Paid $Signatu re Date
l NEW ADDRESS () FACILITY PERIVIIT TO TRANSPORTATION DEPT ( ) SPECIAL PMT. AREA. lvllN. ELEVATION:-
SAN ITATION
lVlinimum Septic Tank Capacity (Gallons)
Drainfield Required - Lineal Feet
Maximum Depth
Date
BUILDING
Type of Construction
ti se Classification
Comments
roup ire Zone
Comments
By:By Date
PLANNING REOUI REIVIENTS SATISFIED. By Date Date lssued
ZONE: SETBACKS: FRONT SIDE FACING STREET (FROM CiL) lNT. SIDE YARD REAR (FROM P/L)
LANE COUNTY DEPARTMENT OF ENVIRONMENTAL IVIANAGEMENT, 125 EAST BTH AVE., EUGENE, OREGON 974O1
POST THIS PERVIIT ON MAIN BUILDTNG AT SITE
c55'13 BLoG. PERMtT - wHtrE; BUtLDtNG - GREEN; pLUMBING - cANARy; sANlrATtoN - coLDENRoD; oFFtcE copy - wHtrE
PHONE: 687-4394 /
SITE INSPECTION
AppRovEo
Rruanx s
Dtsrppnoveo Dare NSPECTOR
FOUNDATION I NSPECTION
Appaov E o /- ,{- // ,n,,,,,o^D r sappRoveo Darr
Rrulnx s
FRAMING INSPECTION
AppRoveo
Reuanx s
DrsappnovEo D D^r, /-^ ?/-7 I I NSPEcToR
- 2 f-79g.<
LATH OR SHEET I NSPECT I ON
Appnovro
REuanxs
DrsappRoveo D oo,,2 -/y'-7-t I Nseecton
FINAL INSPECTION
Ap enov r o
Reuanxs
Dr slppnoveo I NSPEcToR
CERTIFICATE OF OCCUPANCY
Rraov ro lssuE
REmlnx s
Nor Rerov ro lssue Drte I NSPEcToR
,7
D /
oorr-//"'2{'7f
I
Permit No.Dote CURB CUT
PERMIT
IN THE BOARD OF COUNTY COMMISSIONERS OF LANE COUNTY
WHEREAS, the oltoched opplicotion hos been fully considered by the Boord of County Com-
missioners of Lone County, ond'ii is the opinion ond iudgmentof the Boord thotthe.soid opplicotion
should be gronted, qnd 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 qnd provisions contoined in the opplicotion.ond permit, the Rules ond Regulotions Gov-
erning Focilities fo be Permitted upon County-liood Rights-of-Woy, os set forth by the Lone Mon-
uol 5b.l 9O(2) ony omendments thereto, ond ony other opplicoble regulotions, low or ordinonce.
Speciol Provisions:
l. Drivewoy will be constructed in occordonce 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. S'idewal ks wi I I be constructed i n accordance w'ith the attached sidewal k
specifications and drawing M98-49. The Standard Curb Type shall be
constructed unless otherwise specif ied.
This permit is revocobte ot ony time, ond will be strictly odhered to ond no work other thon
thot specificolly mentioned obove is hereby outhorized.
This permif sholl be void unless the work herein contemploted sholl hove been completed be'
lnspected ond Approved
fore , l9-. ExPires 19_.
Approved by Boord of County Commissioners
By
Dote
By
WHITE _ OFFICE FIIE
YETI.OW - REAI. ESTATE
PINK _ PERMITTEE
ORANGE_BUILDING & SANITATION DEPT c74-129
{
Director of Public Works