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HomeMy WebLinkAboutPermit Building 1974-11-20 _-...c~.: ."'\:'). ~ "'~,,:;.: ..T:.'.~""i"""'~~;'.~' ..".1.-.... ",. , ! i BUILDING . PERMIT OR MOBIH,jOME USE P.ERMIT . . - . t . MH 0 I PERMIT NO, M~I~.IN?,"ADD~ESS I'. ',! 1:;1"t- IVlt.l'lL\:I L,vvr'. MAILING ADDRESS ^^.u\W /.-0 0 It) " .,.1545 {v\J1 I. i LAr~E - lEiI'l"\ GO TO ~,,!D $T~ ON R fQKT ., MENLO l.OO~' Gp r6 i I, TAX LO,T NO. ::: ' CODE " .27'; 3;'3 '~.?S-t:JZ)':., 1\ ' EXIST!~'G. ~TRUCTURES ON ,PRO~ERty I :,";'DliJELLING, i LEGAL' ACCESS', TO'PROPERTY I "',;...., '. 'ME:NLP lOOP I . PROPERTY SIZE ''':'''H: , ,.,' DEPTH' ....~ '/ . ,.' ...' > /1 tt~ , . . '~i ~f1.i':1~ ;~~.' . ...~ ' <~ - ,"",' ~...~, . ,; LANE Cl UY I;WILDING IKJ( PROPERTY OWNER, ,,' . -' ~~~. :\ f . P~UL. j'~. 'SR.;IKQ"CH I . CONTRACTOR i- ... 'f, I, ,. ~~'~, . ,PROPERTY LOC~TION:':"::IN<:;LUDE POST .OFFICE ; , . 1094':M[;~LO lOOR-J '.CE~:rENNIAl TO' ~,No.eRSQN PROPERTY LEGAL DESCRIPTION - ME,TES; BOUNDS'1091f. MENLO'PUR ~t 8:SlK3' . TW.P SECTION RANGE 1.7 .....:03.. . APPl. ..".... NAME ,& I MAILING ' ADDRESS . - r: PAUL' ,,L S~.' KOCH ", ," , . FOR MOB'llE HOME .PERMITS ONLY ; No. of Bedrooms , . STRUCTURES.TO I?EBU.lLT THIS P,ERMI.T', "'f't;'''''''';: 1"- ,".' . "/'3))1/ 7/'/ 0( ~ 7 7- /-v 'I ; EIliGENE, OREGON 214~ 74 PHONE . 71~7" 714lt . ':- . ;~. PHONE 'ij .-..11 .' .." ,-.., 'i<;" . CENSUS TRACT . ~ . I ,I , ,.'~ AREA : ~ t I .1 Conned to EXistir:19:sew'age"system 0 New System D,:!' I TYPE'.<::ONSTF;luCTION.',:, SQ. FT". . ,# BDRMS '. . VALtJ.t\TION :! '149'@,2.80:'- I. I' I I I . ! I '. I , I. .r .: r, . I ' I t W'AT R- 'SUPPl'y' .- . t.. '. . ..E " . :-<', , .( :' ...", pUBu6, d' 4 :",.;.6' '> ~.." . ;" ~. ~- ':~.' ".- '-.' : . (: ~ . .... " -;.- J. :(", " ',",. '!f'.:, ...,,' ," \; , ~ I.;, . " .. . . . . ~ ',' ,~" '.'". II ":" '..;j)~i .~.~:' . ,{ . ' ,.', .., ."5~Ofii. "":'1, ' ~ ., COUNTY: BUiLDING &-sANIT A TI0N~PECIFICAT!ONs ',D.RA'I!,! ,FIE~D REQUIRED ; , " .' ',. .-; :LI~>'FT' . ." ,j Tm;CH':WI~'T'H;~T::' , I . ,USE. 'ClASSIFI<::ATION . 1 ' '. >""",~"., . i SIDE INT.')" .'SIQEEXT,,', . REAR I '15, .ZGI;Hs..~<RA'" [ .. ,AUTHPRiZED'SIGNAlURE'-DATE,... '.. 1 ...DAT.E. " . , I' J'. Eo . 60sSBY. CHARLIE ,HARBAUGH' 'SAN I TARI!AN JOHN SHOO. K .11....20....7.. 4( ~I .' r ..1. . '... ,,' " '. , ',' . ' I Cbll.'687-40~5'to;sch;edule.'all require~ inspe'ctions.:AII constr'uc.- I ti~m, sh~lIcomF>ly' '-".(ith Uniform BuildIng CO~~I D,E:Q. stand~rds I IMPgRTAN1;: fqr su~surfa'd~' s~wage.disp9sal aridcountyr~gulati6nscqveririg. . pl,~m?jn,g.~H:b.uildings 'require 'acertjfica~e'of occlJpancy' b~fore . be,mg 'occu,p,ed. '. .", ," " .,.'. , .,' .....- , .'. "(SeeDetails pn Reverse .Side) , STORAGE BLDG.. J.' . ., .... " '. :. . ...,Y'. SEWAGE' .DISPOSAL ',' " ~.. ..-- S~PTlC. TANI\ '. 0 PUBilC tJ .BUILDING. - . WASTE DISPOSAL '. PLUMBING' ,'hAN REVIEYV' PARK TRAJLE~ ' ,::OTHERD: ., , :,','~OQ;. " ~,FHS: : ~~ .. . .. -' :.:. ," ,', . , '., $.' " .... . ..: . , ~ '. "';C,,,,;, ': '\ , ~ :. ; ",' . 1''- \,": : TOTAL . r ~~ . .MIN. 'SEPTIC .TANK :CAPACIT,Y.': ' 'WITH: DIST, BOX, GAL, j'>. ,'j. . , I , I J " I.' r: ,.j , :: ' 't" ' 1YPE .oF' STRUCTURE :, :OCCUPANC)' ;;:. J" . 1'1.. ':;] ;. I , ':1 " ')'!'N' . BLDG. .SETBACKS FRONT 'l~i) '.,. " _ FT.' FROM CTR.:OF 'ROAD R(GH"T:OF WAY' ,/s/ BLDG. PERMIT -'WHITE ' . OFFICE COPY.- WHITE , ,COUNTY TAX:":' PINK ;" p'LUMBIt-!G i-7 CANARY .' \ BUILDING ~ GREEN .;: SANITATlqN~ GOLDENR()D ,: . ~ ~. . i.'.. :-;. , '419,32; <.< .' .; J. t: , ..t. \. . - :,.;." ..;" \. ., '. .. " ; :-' ',', ~ ~. . ,.:, ,'. PLUMBI.NG::,IN~T!>tLED . BY . : 'oWNER d:,~,'bTHER:' NAME' " , , '. . f , \ ... l ~ . . I CHHER:' , i ;. :1" .:." .-:' '<.,,< . " '} I" ", : :. . ,; . '. ',OR SQ:. F.t: t ~',., ^,,'.' '. ,", . ." ;":" to: ~'7 /:\..: ;~J '. j. '~,". ~,:, . ! i , . ". """:_' .,,i ',' j , ." :~ONE.".: ~... . ~ PUBL'lc-UTIl: .EASEMEN('" '- ' I . ~-~'.-~ :i:~-"-~'..:/,( ""'~"" '., '__~ ? " :, :: : .:>. ~ "l. . _ . . ',t: 'I I . '.", '~ (Post"THIS, P.ERNUi .O~ MAIN..;BLDG~ AT SitE). ',' . '.lANE COU~TY, DEPT. OF~N~IRONMENTAl' ~ANAGEMENT" . COURTHOUSE ANNEX, 135.EAS! 6th,'EUGENE;' OREGON.97401 . . . ., ..,,', . ~, ::,t-\'.,.:,:~"." . . . FORM, it C55-13:, "I ~. . T() wPc I'-/~ JS ~ BU I ~O I NGI.!S ITE EVALUAT ION ""/ G H - ~ II-I~ () Bl;-lLDINji-PERM,IT/APPLlCATlON NO. e::<3Y'!_?~, () SITE INSPECTION , , ' PLANNING DIVISION Not . App 1 i cab 1 e Zoning Ordinance Compliance: Zone~~___( ) Subdivision Ordinance CompHance, ( ) Required Access ( ) Building Site (Area, Width, Frontage) () Other (see comments) r ( ) 1. 2. J 3. , 4. 5. COMMENTS: T \ '7 R t) s S :27 TAX LOT SUBl.,. V I S I ON: J~eV\ 10 1-b 'K LOT: 55 BLOCK:! '3 -kc,Ch II - j<[" APPLICANT DATE \, No Yes r~ f~ 6. ( ) (') ( ) '(~) ( ) <' \) CKID BY:~ /;-/8-/~ Setbacks'from cll of road: Front , ~..r- S ide Exterior '- Setbacks from interior lines: Side ~ Rea r r PLANN I NG D I V I S ION ACTI ON PENDI NG: YES ( j NO () APPLI CATI ON# BUtLDING INSPECTION DIVISION, Not App 1 icab 1 e ( ) (' ) ( ) (/ ) 7. Plans Submitted 8. Soi 1 Stabil ity (f\?oti'ngs) ~ 9. Flood Plain 10. Other (see comments) \ COMMENTS: WATER POLUTION CONTROL Not App I i c'fb 1 e ( ) ( ~ II. ~Meets Department of Environmental Quality Standards. 12. Other (see comments) COMMENTS: ""'- No Yes r) kr) , ( ) ( ) ( ) ( ) ( ) ( ) CK'D Ba~~ DArE -) No Yes r} ( ) ( ) ( ) CK'D BY' J~ II/;q (1'-( DATE -' TO \APPL ICANT: " Your Building / Site Inspection: \' (')0;1 '" N ,Can be approved. ,\V"'oL 0 () Cannot be approved at this time as indicated on item NO.. above.- ~, Questions and f~rther information on items 1 through 6 contact the LANE- COUNTY PLANNING DIVISION. Questions and further information on items 7 I 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 returne~. ( ) Your bu il a i n9 perm it app 1 i c~..t~2D..~f~~l.s_bei n!J re~urned under sepJU:iite cover_ uEPARTMENT OF ENVIRONMENTAL MANAGEMENT 135 Sixth Avenue East Eugene Oregon 97401 PHONE: 687-4065 LANE' COUNTY PLANNING DIVISION PHONE: 687-4186 C55-28 (1'[' '-"t'o ':O'Of""",--,-,.,!:,:";"O:;::"'-iC,7.-',?:"'7:"r"l""" 1:::.' --.-.,.~,^- w-'\"j-....'; -,:::-,." ',~ '"''r'~- O~ . ~:'J ". ~- '-;.'~';;"-'~"f-:-7~\: ;:;.,r-..,;~'t':~:'-'P~."-,,,,.....,:l'- -";---; O:~,.:--',,:r:'i: ":.... ."-"" ,.'.; ,. ._~,.,r_ '~~; I' :-,' ;'-~ r':- ~-,--" ~~~'.. ';" "':, .~ 1 ,-.--.,."",;:",-~ ,~~ :;! ,l t l .;~ :i . " . \ , LANE Cl ,.JTYBUILDINGj PERMI;T OR MOBIL~ . jOME USE' PERMIT BU.ILDING [K;!' MH '0 PERMIT NO, MAILING ADDRESS n.,'4- ~~l.() t~OO!J {/<. I. . MAILING ADDRESS '(f~~E~ ~tQCt4 , ~'i44"1l; PHONE '. . ' '1\"? 7" :.;'/, ., .q. 1-' .p+', PHONE I j I' " I \i j' '~ -(,i- ' .~ ;. i P~OPERTY OWNER '. . r-,AUi. J. " CONTRACTOR I ' 5wt. KOCiW . ... .~,"\' ~,,)~ .f;~t~.."\ '. ,: . PROPERTY LOCATION:'" INCLUDE 'Pp'ST rOFIitE . : '::". l~~ )lltLO l,~~ CZtNTttfJHAL : 'j PROPERTY LEGAL DESCRIPTION - METES" BOUNDS L . . $,}t ~O 'A~1( . : \. f l.~ tl.t..ft j IT.W'P. R.ANGE SECTION t." - ('. 4-' . . to .1t1t{~~$O!ilUtt.l, '.: l,tf' . \to '1'., tl'f6 $ r. ON <<. (Vn' . ~t lil 0 t oet> ,-,I';. .;' d . ' , Jf"'~" , .. TAX' LOT NO. CODE CENS.US TRACT 0] ,27 . APPl. PA.V\. J",S.h .t'{QCtJ EXISTING. STRUCTURES ON PROPERTY '*G:U. . W$ i'l NAME I'j. .&. (! ,."1 ': ' , ". I .MAllING i;' I:' ::'" L ADDRESS (: FOR MOBILE HOME P.ERMITS , I '. ' . ".!N9.' of .Bedrooms . . LEGAL ACCESS TO PROPERTY ~.t,.b '-09i;t- . PROPE.RIY SIZE...,.. FT, WIDTH DEPTH AREA ! ONLY 'STRUCTURES TO BE 'BUILT THIS PERMIT Con~ect ~to" Existing Sewage TYPE coNSTRUCTION SQ 149@'2.60 System O. FT. # BDRMS . '_ 10; 4 t\~L ji New System 0'1 VALUATION $t~)..G(1ltUtI~ .r ~ ; ..' .; I, kj :"~.::<> ".~ \.\ ,\. \', .""" "'\ "'4,,,,' )... \. P.lUMBI.NG INSTAllED BY , .'-, , ','>,)-:'0..1 . ,'" j., '1 < I r ,,I ! \' o' !I: :. OniER[] ',' ,1'iIi nn-" ..;;1"'~'" , FEES OWNER o 'OTHER: 'NAME WATER. SUPPLY, . I .PUBlIC .. 0 o OTHER t: 1 '".,. "'., ~ .':'.e ,,,Q'j' '\'M:d . I .1\. \~ :J~V_J l.t': 'f" t". COUNTY ~l'JILDING\& sANITATJ()N SPECIFICATIONS DRAIN FI'ElD REQUIRED .' , . .,' ..' J.- lIN.: FT, r TRENCH WJD:rH FE . . ~T I- 1 -"-\ t. (. ~ i . ORSQ: Ft t 1 'j: h , ~ , .-: . ". ',' " . <,: -"}-i . , l' ~ ~ ..:+: ;. :, "ZONE" . . ,PUBLIC UTll.: EASEME.NT . .:, . USE CLASSIFIC.ATION ' ld1f.t. ... ~': L: ,., ~. I. ,. J ':, t . {.' ~ .. ~. [,' \' ~, .. U ',J ~, . [.. L t. :;F~~2~~t5. ~.:\? ., . ", DATE I, .1 1"':~'()...;< t: ' .i'~ - ;' I; ,. o~ "r . ~ , , . , ' .. 'I _ . " . C911687 :4065' to .sehedul~' all required insRedions. : All construe- i ,~ , 'A '~;;"', '..ti9t;!. ~h911 .~9mply.with.Uniform Building Code, 'D.E.Q. 'stan"dar,ds! -( \ \)-:)'IMP-~RTAI'lIT:":';fdr' sul)surfac~......~eWag:e 'disposal and county, regulations eoveri~g \ , plurribing~ All buildings require a eertifi~ate of occupancy before ,:;b.e}nQ:oeeupied. . ".: '. \' . " . . .- j .1 ) .,', ' \;:(5' . "D .1".' R !, "'s"a' )'. \ ' . , '" ' 1'~,' 'I, e, e, .. ' eta. ,I 5 .011 '~",lfrse". I. e, ..." .' ...'''(. ."i<~ \"~, .,.~. .' (Post THIS ,'PERMITON' M~IN ~lDG., AT- SITE) -lANE COUNTY,DEPT.<;>rENYIR,ONMENTAL~ANAGEME~T" '. ' COURTHOUSEANNEX;.'135 'EAST 6thj':EUGENE, OREGON 9740i- " " ' - 0 "',0' ,0, ' '., !:,' L'~. ~~J~.> ~---'~ , - . ,;,,:,,;,~, . .;10., ~ ,~~_~ :.\ SITE INSPECTION ApPROVED / / DISA~PROVED / / D~TE / REMARKS FOUNDATION INSPECTION ApPROVED / v / DISAPPROVED / ) ~;. fI..1rr / DATE REMARKS FRAMING INSPECTION ApPROVED / / DISAPPROVED / / DATE REMARKS LATH OR SHEETROCK INSPECTION ApPROVED / / DISAPPROVED / / DATE REMARKS FINAL INSPECTION ApPROVED 41-/ DISAPPROVED / / DATE / - j.~,,/16- REMARKS CERTIFICATE OF OCCUPANCY READY TO ISSUE / / NOT READY TO ISSUE / / DATE REMARKS INSPECTOR ''''''TO~ INSPECTOR INSPECTOR /1 I """To,a) (3.1 INSPECTOR " - ~ ,/&/1 -;/ /1 I ~/ _a. '\'f;r /)-1/-'11 /,//...e-i.q/(./4'1,A-oiI,;w I /."k.-:"'7 I ,tSl/lI-7r /~/! /01'1 P/~ ~ ,~ iI '. .... t'lliMITif J} J 'I '1- :1 /- IANE COUN'IY BUllding ><- DEPAR'lMENI' OF ENVIRONMENTAL MANAGEMENT Moblle Home APPLICATION FOR BUIIDJN; t'12<MIT OR MOBIIE HCME USE NOl'E No pemt m.ll be lssued untll tins appllcation has been approved PLEASE PRINT --p ~ PRut'tK'IY LOCATION / cJ 9" r./ ~ ()/ ~ - ~ ~~ ~ -~~_//' ~ ~~~ ()~ ~- ~ ~ 9-z? 'zt- /t)7t/.t 'IWP I 7 RAI.\GE li.3 SEC ~ 7 TAX wr if CODE wr NO ~ BLOCK 3 SUBDIVISION ~~ ~ A. ,,_. fl , PRuYlli.'IY ?IZE ACCESS 1D PRut'r..K'IY '~ ~ WIDIH Dlli'"ul DESCRIBE EXISTIN; STRUClURES ON TIlE PRut'l2<IY ~-A~~ APPLICANT MAILllG D2. f ".L/ / NAME /({JC)/ .;f//fuL ~, J!-t. AulJKt$S /u yt/-/~ d~ PHCNE 7'l17- '?J~t/ OONTRAt.:1VK .... 11 MAILING ' / NAME AulJMSS ~.--" cth. ,/PHONE BELOW FOR OFFICE USE ONLYi~~~~h~~~h~~h~~bW~~~~hhAhh~h;~h~A~~~rld~~rl,~~~~rlddbny~~~~~~AAA~~~A~~~~~~~~* 111 CENSUS TRACT3:2 -- ,;} 0 (') OR ACREICE Str~es to be builtfMoblle Home , ~O;) /R"p7~. 0-' v~ C7 sq ft @ ~ t ~1Fbedroarns J t.I 9. 7 C / ! ,f valuatlon A// 9', ,"f~ ,/ // :Jewage Disposal A- / Slte Inspectlon if ;V, J Ex1.sting sewage disposal system G or new system reqmred 0 ,/ Water Supply , /' PubllC 0 Distrlct Name ~ ~ ..... We'll 0 Sprmg 0 Other Bldg ,1-. ~ c:) Fees ~ Waste D1S Phnnbmg Installed by Owner Other Name - Plumbing Plumbmg Fees Sewer connection Water connectlon Plan ReVl.ew .----=IF of flXtures mspection fee inspectlon fee Traller 1% surcharge " i'J /i...-'" {"5(Cash Plans fum3t" ed Facility Permit 5 b1eck Yes~ No 4 )lf2}zo. No ~ Slgnature of Appllcan . A{a./;/- ./r'~ datell~/f-Jy Fee recelved byy~ datel/:../rr-7 y Drainfleld reqmred . Lineal Feet Trench Depth or Sq Ft TOTAL I~O,S Min Septlc tank capaclty Wlth dlSt box Gallons / Type of Structure I V Occupancy...::r Flre Zone Use Classlflcatlon