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HomeMy WebLinkAboutPermit Building 1975-3-15 ~,.:;~:'\2~~'~~~~~:'.;~c~~!~P~'~~;;~~)'r:Yf!"" '" r "'~.;~}''f;'ZHr~:}:~':;~~'':;~'',~:\f~;\':''7(~'; ';, .:':t'71. " ....... ." 'j"" ,~ . '. 'LANE. cor ~y ~UILDING~ERMIT OR.. MO'BILE ME USE PERMIT - .i: ._ . BUilDING D'. . 'MH D PERMIT NO: , ;.; PROPERTY OWNER' '. MAILING ADDRESS ,'. . X!1Qt~~~!i~..:~~,... '.: ..' ..n....' . S"'r',i'no'f'Jn, ,l'd.: 0'...... ..1 ".'T"- n' ._,. =-= . ~... R ,,;'Hdcc: I-Orin ,,, ""' C:ONTRACTOR - '.' ,'.; .' . " . MA.llINGADDRESS CARL PERCELL. '2SB" Brooks ids., Eugene, Or~ PROPERTY LOCATION - INCLUDE: POST. OFFiCE 4L~3 ,0 I ack-stone. St:' :', .' PROPERTY LEGAL, DESCRIPTION":: METES, BOUNDS: . .1 st. Add. RQyaL:..i)~lle. . lot 'J~r ~lock: 3 .' ',J "'.'J:'. \ '.,' ,. --- ~>jI .'~ 'L-1/7 -'"'7~ P.HONE'"' 741,.-1623 -: '- . PHONE TWP -RANGE' . .SECTl.ON .1 t " 03 23~ 3;C.{ TAX LOTI'i'/J~ ./)'CODE. . . . .-11 7 tr{/l/ '..' EXISTING STRUCTURES O.N PROPERTY '; " 'OI:'1eH hig LEGAL ACCE'SSTO 'PROPERTY. CENSl!S TRACT , 20.;'Ed.,I$O APPL. NAME &' " MAI,lING .A,DDRESS '. FOR 'MOBltEHOME PERMITS ONt y ::, ~o. 'of Bedrooms STRUCTURES TO' BE B'UILT THIS,PERMIT. , . Remodo J eX i st i ng car.pGr~ . to f ~in i ty ,room. , JO.Hi'~l~ THOMAS ' . ..' PROPERTY SIZE":" FT. WIDTH, ; DEPTH AREA. '1 . . . Connect'to Existing Sewage Syste~' tJ TYPE.CONSTRUCTlO'N .' SQ'. FT. . #,BDRMS'- S;'N ' '42Q.@16,.1 0" . .'Add it i on of ,C6Jrvort '2 56@>2. 80 New'System . D VALUATION $,586.00 7i 6 . $0 :-6"p 302 .gO~ .' . ,~ '. . .' ,- .' .: ~'.-!-,' :.: . . , '. ,:SEWAGE 'DISPOS~L. "'J PUBLIC .'0' PtuMBING'INSTALLED BY ;'" " . ,'..,. . ., . OWNER 0: OTHER:. NAME. WATER.SUPPLY., . pGB(IC' IT ", ::0 OTHER .' BU.i'LDING.' , W,ASTE" DISPOS,AL; , ,PLuMBING . : ,P.LAN,~REV'IEW .' PARK TRAILE'R", . "I%s'!.lrcnarge SEP.TJC 'TANK.tJ '. .' OTI-!E~D: " ,&IoU.. U{,I', FEES, :. .. .''1: :' :'". :;.. ~ :.... . d.; . .' TOTAL " . t . ...: :.40.' , 'Ll-O ;'40. . 'COUNTy'BUILDING & SANITATlON'SPECIFICATlONS DRAIt-! F1E~D REQUIRED . : :'L1i'j, FT . TRENCH WlqTH, FT,", :.OR SQ: FT, . . ~.... .' . , .~ ~MIN, 'SEPTICTANK ~APACITY. '. . ym:HDlsT.' BOJ:<:' GAL. . f' .,~~ par't..o,fncw~ons'tf~c.iio~ to.betllithin lO'f~et o.j:~any',part:'of septic system, ,"" ',~. . . ~.' ~ .~ ,. . i !. . TYPE OF STRUCTURE ~..tJ: .: , OCCUPANCY' . -/ I ," . . ." \':1. . . ZONE ," RPI'" . PUBLIC UTIL. EASEMENT . '- '-'+- BLDG, SETBAt;:KS _' FT. FROM CTR:OF ROAD RIGI:iT OF WAY F~ONT l}Q I,'" SIDE It~T, 5' SI~(.EX''r, -~ AUTHORIZED ,SIGNATURE-.DATE l~lJ~l;c;,BOSS;BV, ~.HA~aAUGH REAR' 5' USE CLASSIFICATION , . J ,: SHOOt< p 'SCln i t.611ri~n . DATE 3:..17..75 Jh . BLDG. PERMIT':' WHITE OFFICE COPY - WHITE . COUNTY TAX,"':.PINK . PLUMBING'- CANARY . BUI'tDING "7 GREEN' SANITATION "':,GOLDENROD Call 687 -40~5 to: sch'edule all requiredinspJections. All. construc- tion shall' cOniply with Uniform Building' Code, D.E.Q. st~mdards IMPORTANT:' for subsurface sewage disposal .and county regul.ations' coverihg . 'plumbing. All bu!ldings require a certificat~ of occupancy before being occupied. ;.. .." ',' .: . ". (See Details on. Reverse Side) , FORM :t:: C55-.1~'" (POST 'THIS PERMIT ON MAINBLD'G.. A 1 SITE) , , . LANE COUNTY" DEPT. OF ENVIRONMENTAL MANAGEMENT.' . COURTHOUSE ANNEX; 135 EAST 6th, "EUGENE; OREGON 9~ 401 ,. LANE COUNTY ENVIRONMENTAL MANAGEMENT PLOT PLAN Name and Address of Owner Telephone: The building being,constructed under this permit will be used for Date this property was purchased Do you now, or did you ever own property adjacent to this tax lot? If so, please list those tax lot numbers or draw those properties on the plot plan below. drawing the location of all homes (including mobile homes) now on well as the location of the new building. "n':: :~~-=:-~-:-~-=~__ _ ,. ~~~;;:;~=~=*;;:=~~~=~1;~~::;:::::=~~~~~::::~~;~~~:::'u _-~~: - ~= -: -- - ---- ~ ---r=~~>:-< ~ -' 0r-~>;C .~ ~~:; , -~ -- --- :- - -~. -- ~ --- ---- I il9 - ... , " '" , '( ..I .;-~-~-r~>.\ t~===="==-===----'1 . . L - --- -;'" it I' , f'_l ~;~~;~~~d'~..:___~ ~.,_L_~',. ___ ~__~___ ____u___._ V~~-':. 'L ,- -,-,- r-- -- ~-- - \' l-.\-,,-,,<,r ~ '=,=" '(Jt~'--"(I '.~ -- - , ! : _ n~ L-----4~-, _ ... .., ,- ._,- -., , '1 ~ ~~=:: ::~- ~~;~Z~~~~~~,i~~~~-=~~~:"?~:=;~Jr u,_::~_ I,~-::----- ,-.- -, -- .- - "'~i ' .., I--~ - -- - I _ -:::;>- I I I f - ! ,--,- . -:1\;""': ,-_==JI:::;;;:=~----I-- =':::"_-"-=-:':--,' , :---:-1_,\, r.:J,- r' ():I,!;;;:J I" tl rr ,iF] ;"_, ," ',-' "=" - , _~~,_' , , ~'.,"~~ ~ !>'.J, ~~ ".,1:~'J :1 e i ' : ;-~~-' -~,--", l.;\~ =-=:'\:;V'ltCl rJ\ -, I' ", 'I "':' In, . <1 -+'1 ~;~ ;'" _ ;-:__'~ - -: . .:+ :-b . . ... 1..\' tk2~'- _.. ... / ~I' l~~ :~!~ \ -J ,f\l,"o, ,\..L..' 1l/..L" , . II., .., ~ ,-/, , ,I, .:)',~~ "i~'-; ,r:., ~ ! ' 'T~i_ __ __ _/ ""J' I j;~,... .cDU~ ~--,---JI~I-'-I-'I- -----------,- ----'-'---------1-" - --"--,:---'" tJM1Hi.o1\:l).:[rnAI. 'MGIJFr. Iii' '" : ! 'i- L"..' j L" '-" '~~~ --~-~--------~-- " '/ J, i C Indicate on your the property, as ______~_J i __ ~ __ ,._. , I" \. i , iO I'~ . '1.-' :<~. '--~ . i r i ,.. ------__--..J -1--- ,--- Name of Applicant (if different from owner): Address Telephone Applicant's Interest: Buyer c=J M74-99 Seller ~ Agent U ~ Map Tax Lo t Permit II ~ . " BU I,LD I.NG.. SITE EVALUATI ON ~S!L--tf- . NO. 41,<=t -IS" ' , < (vr- BOILDING PERMIT APPL I CATION () SITE INSPECTION PLANNING DIVISION, Not App 1i cab 1 e R~ () ( ) ( ) ( ) ( ) 1. 2. 3. ,4. 5. Zoning Ordinance Compliance: Zone Subdivision Ordinance Co~pliance Required Access Building Site (Area~ Width, Frontage) Other (see comments) COMMENTS: ' T ,-R 03. S Z-3TAX LOT SUBDl..SION: LOT: BLOCK:! I APPLICANT DATE No Yes () (vr 6. ( ) (~ ( ) ( ....r-- ( ) (~ ( ) ( ) CK'D BYl-llCM:'" ~/lohs Setback~ f}om cll of road: Front 401 S:1 ell: E)(teri E>f' Setbacks from interior lines: Side 5' Rea r 5' ..... ButLDING INSPECTION DIVISION PLANNING DIVISION ACTION' PENDING: Y'ESt ) NOt ) ApPLlCATION# 7. ' Plans Submitted ~. Soil Stability (footings) 9. Flood Plain - , 10. Other (see comments) , Not App 1 icab 1 e ( ), ( ) ( ) (V COMMENTS: WATER POLUTION CONTROL Not Applici"ble ( ) ( ) 11. Meets Department of Environmental Quality Standards. 12. Other (see cO!llments) COMMENTS: ,( No, '(es () ffl ( ) ~ ) ( ) ( ) ( ) ( ) CK'D Bvt/-iM-If.-'/ti , DATE 'No Yes () (.) () ( ) CK'DBVi~~ ://fi/16' \j DATE TO APPLICANT: X.o~~ Bui 1ding I Site . Inspection: N Can be approved. ' ( ) Cannot be approved at this time as indicated on item NO. above. Questions and further information on items l' through 6 contact the LANE- COUNTY PLANNING DIVISrON. Questions and further information on items 7 through 12 contact the LANE COUNTY BUILDING AND SANITATION DIVISION. () Will be held in this office until you can resolve the problems indicated. ( ) Is being re~urned. ( ) Your building permit a.Eplic~,.ng.!l~~"~Js beinueturned--1Lnder seoarate cover. ---DEPARTMENT OF ENVIRONMENTAL MANAGEMENT - 135 Sixth Avenue East Eug~ne Oregon 974bl PHONE: 687-4065 ' LANE COUNTY PLANNING DIVISION PHONE: 687-4186 "V\1/1~ J f{?~ C55-28 '~:;':~~~'~~: ,~-:;,:~,,-;c:- ::~n'~., :;;:;;>_- < ,q 19:'~7~:'t " 't\E USE PERMIT PERMIT NO. r LANE COU' BUILDING D , BUllDIN~ PE~MIT OR MOBILE r MH 0"" MAILING ADDRESS ~~ Blhe.ttG~ei1;" MAILI NG ADDRESS '.. PHONE V'OPERTY OWNER , Yf.:G~I~ f) , ,:f\~~ . , . \ C cli' t&,.rjl.l..A~VJ~'~"'kT '(' I L;;{~.i.fi' ....J.:.. \.L1:...:tt'!J...{~~L,~~l ~ , CQNTRACTOR \ '.~ o Zjt;)V"n~ffoid" Or^ 1~'"i#nG23 PHONE ,I,:'" , \';'~~~~RC6L~ ' ' 22~ t;h..~t) fcllo. :jaugOfi~t Or ~ , ,; PROPER'TY LQCATION - INCLUDE ~p~J:,o,:P.f.F!,<f,E' , ,i, ~;;) ~H(I~et$~<iiWtQ '$~ ' " " , : PROPERlY, LEGAL DESCRIPTION - METES, BOUNDS I I &~ 0: !.d4... t1uyaD ()eHo LeJ'C ~$) 'fTWP , RANGE SECTION' '1] I l B1Mk 3,' TAX LOT NO CODE CENSUS TRACT , ! 03 23 . , a(]....~~o~$t) ., ...~~. \J t", ,'t ~~,... \\.\;,\' ,~EXIStlNG STRU!:.TURESON ~ROPERTY ~o Vtm;~'f; ""~~ ~~~il~l!>t:~,g , LEGAL ACCESST(:)"'PRRPERTY' " , , , API'L. 'J@at~ ~ . . I, NAME, " ,}. I t 'I , . " & MAILING \ ;>,. .' "_.J . ~;};. ~ '. >\ . \~ .. , ~~. .~'.,1\""\0' '. \. \".,;'j'.'.',. ',',.~': PROP.ERl,',Y,\SIZE - FTJ'. \, , , ~'\"I :-\. ~ ~j -.J"'>J'~,,-1. . ",- '.. ., ~' ) ~... ~,"~';- \'{IDTH 'DEPTH ' AREA ' ~"'T ',.,.:'i~., (.\~ -t.~.l. Connect to "Exist{ng, Sew<;:lge Sysf~m 0 TYPE CONSTRUCTION. SQ, FT, # BDRMS ,s~t~ ' ,4~~'a(). H~ ,; , l ' ADDRESS. , FOR MOBILE HOME, PERMITS ONLY I ',No. of Bedroor:ns \, "'~ .'1,,' ,STRU'CTURES,TO BE BUILT THIS PERMIT ~C;!t,QtJol ~iatf~fi'~Ofj'~e; ~{) qemHv f'~ New System 0;1 VALUATION , C f';r\1~ _ An. " ;'. .,..:.~./'~. \!I~:; , , I ",~~~!:ehm,l!jlf' t~[f.t 2S~aob\~ " 'ff D " '1',0. ~' ',' ,8' ~o"'" '. ~,~ ') --",,-~~I--~ _._,~ o ~P2' l."O~ ,: . v'~/'"-'.O''''''';'-fi. .f .' . ' . , I ~',:'; SEWAGE. DIS~O.SAL " : PUBLIC 0 :.I .1... ~ ,_ BUILDING' ,. t , WASTE DISPOSAL , I ' PLUMBING" .~ .,. < " SEPTIC'fAt-:lI( " 'OTHEm "'i\JI . ~ ~ ,: PL,UMBING INSTALLED, BY, "OWNER'O " OTHER: NAME ,': WATE~SUPj>lY :PU~L1C d, ' o OTHER " " FEES , " , ! ',,', '. .. -, -\ :. . ." .$ ". '-', ,... -' - "''',~. :~ '!. ~ ";' ( -. ,;:. " J 1 ',", PLAN REVIEW I' " " 'PARK rRAILER "',',:' . l ',I 0 JJ'J\"w~tI'0'" gi. i .( ; , ~ 4u' I ! ' , . "',.. '~,' ":, , -f ' " , 'L~o"iiV ;,TCHAL ~ ' , , ;, I ' , 'H ," COUNTY 'BWILDIN!3.,& :,~AN{iATlQN SPECIFICATIONS " ;' l,MIN,.SEPT,!,C iANKCAP~CITY::" '~, .; ,," DRAIN fiELD 'REQU'IREq, ,~ , ' : " ) ,'j' WITHDIST, BOX. GAL:" . '-\\" ,>~,":' L1N, FT",' "TRENCH WIDTH FT,! 'O,R'SQ. H. ";:-: "~r',,;,)rt\J -Qr n,'C;i r;t:~~~i;tf~~i{0~' '!to !Y0HM.1\1,.'~ ,tri'~tJ): ~~a q;.c~ Art." ~~ olf;v,..oc~-t~,,~,. 'it,. o/~,tcmJo,' , , I.,'ff Il'-" '':. ' ~.... ,\, " ".,' 't \ t:.\~,~, 0 "Y ~';'"' 't ,'~,., " :<: . ,,~,.- '~{. ~-' . p~' i' . ;" .~ . ,', ". ,} ,:', ;- I. iI . :;:1, . .f~ .,1 :t . L.', ...' ,j ., , ,"'L" .. i:"t, t i;. ',' . ! ..., . Q;. ", "',~ , .,. 1" '~' 1;.' j ,-' f r ,. ,1.' \ . ,I ':; : , . "\".' , ",'. , , , 4 I ij TYPE OF ,STRUCTURE , , i ~.;r,~": . ' " . OCCUPANCY' a' ",', .... ~.~ONE ' PUBLIC UTI.L. EASEMEl'o!T ,,;',:1 l. I. ;1 'l>' . l BLDC:;, SETBACKS,__ FT, FROM CTR, OF ROAD'RIGHT'OF WAY , I'" u..ij~ , ' ~. 0 ..."" '~. !.FRONT, ,'V . , .. .SIDE INT, C/ SIDE EXT, 1 ".;" ' ( ,,;.,;"': AUtH9RI'ZEDS~~~ATURE - DATE' I .l-sfJJ 0 fJ, 0 (!0~'~ Il~V ~,t 0, ,~A~tf~IMe~'l ',' ':,,"'50 RE.AR, ' .- ~:o' ~:t{~~~c$mU~~i e~, ' USE CLA~SIFICATlON , . Q' '1 , ' ; 'j: DATtf~ ~r :. t' , j,;>' ~, J; ""1 ~ ,:.ll.,l~i t , " , ' , fBLDG. PE'RM,IT - WHITE '. OFFICE ,COP.Y - WHITE ,:,' fCOUNTY,TAX - PINK" jPLUMElING :-,-CANARY BUILQING - GREEN,.: . . . SANITATION- e:;'OLDENROD t,' '-, ,. '~ " '" "'.,' '-c;-; "~ :5... :~, _), 2l' . ~~. .' 'CaU 687-4,065 to'schedule aU required in~pecti~ns~ AU 'co;' st q,ic'::; ''\><.;:J;~ ~~ ~'~ "~<~" ~~:"":" tion;':siiCiJI ,comRIy,:<., with' Unif,orro, Building Code,D.E.Q. standards', ~ , " "" "1'" \ " ,"""-'... , -~\'\,y, ' '\: ~ '" I ' ',' .' IMP~T~ ,; .fpr~,~,u?s~rf?ce '~e~~ge 'oi 'o~aJ'arid ~o.unty regu atIons cc>vewig1'.~j " \'~,.....\ :" .,. 'Rlu.~bmg~~1I Qyrldmgs.'re \lIre a certificate 'of. occupancy before" ~ \ ,,~l\. b'..:\"~" \ !"~.)":~d""" ';\..,...J"'!........~\ . ' , ,r ." \ ',' '-",'. ,emg o~~.uple.,' \"", ' '" "I" .\ ~>~ ',::::\ \ ' , ,\(S~e. Details o,n ~~yerse" Sii;!e) , \" . \' . ," ~ < ",..:6,.;)."" :')""'- , ,.\-:-> y" \;..\i\:,;~~~'\~ .':~~ . ,'( " \ ",I 't (POST THIS. P~RMIT ,:,o.N:MAIN, ,BLDG;' At SITE) , ' LANE couNTY~ DEPoT. QF. ENVIRQNMENTAL MANAGEMENT " , ;.COURTHOl,lSE' ANN~X; 135;EAST6t~, EUGENE, .QREGON,97401' . , ,. ";,,' :' - . - - ',' '-' '1; , '"..' , ,." '., :;.':" :. .' '. ~ ' . . " , ~ ." .' .' '" . ,ll ~ ~,' .! .f ; ,~)'. , FORM == qs,'i3" '.. t :;~ ,;. SITE INSPECTION ApPROVED / I DISAPPROVED I I DATE INSPECTOR REMARKS -- FOUNDATION INSPECTIONP~~\. ~ }" ').OJ~t ","ovm I I O'rEO I I 0,,, I '''ECToe , ;d J;' Ir-- /1_ "~ . /i)// REMARK; ~-t!t. "',1; I ~'1'1~41U.Wf/ (/~4L-l J... A 0..., '7S"'(...:I( - ;: kl.l/t i( "U-rli..'~ ~4 - ~ "'~7 6"' (~/ / I FRAMING INSPECTION ApPROVED 1 / DISAPPROVED I / DATE INSPECTOR REMARKS LATH OR SHEETROCK INSPECTION ApPROVED / / DISAPPROVED I INSPECTOR I DATE REMARKS FINAL INSPECTI~/" ApPROVED / 1// DISAPPROVED / - I ",molfl / DATE it ).,3 ~ 1(( . I .......... REMARKS CERTIFICATE OF OCCUPANCY R.rADY TO I SS'UE / / NOT READY TO ISSUE / / DATE INSPECTOR REMARKS' 1 /1 ~ " ,,'j ,- /) /'J /,1 I ~J'!!f1~. ',! ;t~~, ,~r/,'H:",(./JI, ~A't';~/y {/Ct~'7/1 - ~/ ~- ,- '- 'il j if :il.; .tf " _. . - ~Jf' Cl d;1i ~'L/i!.,!f.; (,ifiHA>1.-! U1tt:U' Lj //3 f6A4~Ld y/C;~lr ; .. ~,9 Ii ....- . 't ". O.S. REG. II Twp. I ~, Range 03 Section ~.J ' Tax Lot sU~ionli(~~ Lot/.9' Block ACCESS TO PROPERTY (Road Name)~~ Existing Stru;tures on property:~ Property Location - Address/Directions: ~ ~.:..J I~{ iJ.r~O~: NO PERMIT P~CTION l~ I ....k I OWNER .J C t-\ r...J Name I CONTRACTOR C A~,-- Name ...L BE ISSUED UNTIL THIS APPLICP. PERMIT 4t \-.\ \q-'1~ )N HAS BEEN APPROVED APPLICATION FOR: MOBILE HOME PLAN REVIEW CHANGE OF OCCUPANCY I '$Of:=.\...::::::' i ~ '2.. 1"\ '"' '","\, -, ~ -.:tS Phone L. 'I~C.MA.s ~ 1'-\.<..\<5 ~ C-. Ltl.(~ Address Fity Zip GG~C' '1 Zip Phone P€l~<.....c...' I t) "0 ~\.cCSiO E- a'L-, Address City Code Census Tract Q.OvI&Of~D :3 Property Acreage Width Depth ~~.~.J,4-d;a ,~ Below fo r Of f ic e Use OnlyXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX ~ -tU~' ~;t-~f:>~ a,j2{), 1, ~- .;?;/:r' " ~~ @~.8f:) , ,,' ,', PLArRNISHED ' FACILITY PERMIT I I /' 1.J:>(l YES I I NO, I I YES ,l/'<l NO, ~CHEC~ i~\.~~ignature of APPlica'n~" ,j),{\- ../ /' Fee Received By: CL::.J( " Date ::5..-l a -l\ c:::-- , / ~ . I : Min. Septic Tank,Capacity , ' DraiJfield Re~ir~d - L~eal ,Feet, ~ Maximum Depth , ' N.t) )M/V+ b~h.eLtJ_f'--"Ih'+r ~ hL WttL Jh. 10+>-1; .0'41- ~t- o~, SI.:J~ , .. . '1/- ,~I I ' / J SEWAGE DISPOSAL: Site Inspection # WATER SUPPLY: Well Spring FEES: Bldg. Waste Disp. Plumbing Plan Review 4/ 0 I(J () Mobile Home 1% Surcharge ',< '10 TOTAL tF"o. t.f D Type of Construction I I l><t PLUMBING FEES: Water Connection - # of Fixtures / Group Fire Zone Use Classification