HomeMy WebLinkAboutPermit Building 1974-8-20
~ROPE~TY 9;t'NER
PETERSON J. D.
CONTRACTOR
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BUILDING 0
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PERMIT OR MOBILE""OME USE PERMIT'
PERMIT NO,
M-l 346.74
BUILDING
MH 0
MAILING ADDRESS
1945 HARVARD
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'PHONE
DRIVE
EUGENE:
OREGON
MAIliNG ADDRESS
~(N /r0 II' .. I, _ ,',' C).., PHONE
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. PROPERTY LOCATION - INCLUDE POST OFFICE
" NEW AREA ON HARBOR ,DRIVE SMAI.L' OAK TREE IN fRONT,OF' LOT
PROPERTY LEGAL DESCRIPTION - METES, BOUNDS
LOT 45 BLOCK '3
EUGENE, 'OREGON
FOR MOBILE HOME PERMITS ONLY
No, of Bedrooms
~ 2.TRUC::_"ILJ,!3}~__~ TQ,-~!; SYILT THIS PERMIT
T~_PARK MoBILE HOME
T,WP
18
APPl.
NAME
&
" MAIliNG
. ADDRESS
SEWAGE DISPOSAL
PUBliC 0
BUILDING
WASTE DISPOSAL
PLUMBING
PLAN ,REVIEW
PARK TRAILER"
TOTAL
RANGE
5'TH AOD I,TION TO fiLBERT GROVE
SECTION ,~"'\ TAX LOT NO. CODE
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EXISTING STRUCTURES ON PROPERTY
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CENSUS TRACT
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J. D. PETERSOtl
NONE
LEGAL ACCESS TO, PROPERTY
9-0 (P2 HARVARD DR 1 VE
PROPERTY SIZE - FT.
1945 HARVARD DR I VE
WIDTH
DEPTH'
,)
AREA
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Connect to Existing
TYPE CONSTRUCTION
'~'
New System 0
VALUATION
Sewage System D
SQ: FT: # BDRMS
-
SEPTIC TANK .0
OTHER[]
PLUMBING INSTALLED BY
OWNER 0 OTHER: NAME
WATER SUPPLY
.
FEES
50.00 '
q.oo
PUBLIC lIf
o OTHER
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30.00
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COUNTY BUILDING & SANITATION
"DRAIN' FIELD REQUIRED .
150
OR SQ, FT, 300
SPECIFICtiTlONS
WITH OIST. 'BOX: GAL
MIN. SEPTIC TANK. CAPACITY
TRENCH WIDTH FT.
900
; lIN, FT
DRAINF"nD TOBE,A MINIMUM,OF','I00 F'EET,F'RO~III'VER BANK
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"TYPE OF STRUCTURE
5N
- OCCUPANCY
ZONE
RA
PUBLIC UTIL. EASEMENT
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BLDG. SETBACKS u FT. fROM CTR. OF ROAD RIGHT O~: WAY
, , i='RONT.45 SIDE INT.' 5 'SIDE EXT
AUTHORIZED SIGNATURE - DATE
/5/ J. E. Boss BY C. HARBAUGH .
REAR
,USE CLASSIFICATIO~
,5,
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J CRUICKSHANK/SANITAR Ij\~"
DATE
'.8/20/74 OM
BLDG. PERMIT - WHITE
OFFICE COPY - WHITE
':COUNTY, TAX - PINK
PLUMBING...,. CANARY
BUILDING - GREEN
'SANITATION -GOLDENROD
IMPORTANT:
Ca!! 687.4065 to schedule all' required; inspections,' All 'conslruc.-
,tion shall' comply, with Uniform :Building Code, D,E,Q. standards
for subsur:face sewage disposal and county regulations covering
plumbing, All buildings requi~e a ,certificate pf occupancy before
being occupied. .. ~~
(See Details on Revers~ Side) ),
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I F'c;.RM:= C~5'"-13
(POST THIS PERMIT ON MAIN BLDG. AT"SITE)
.. 'LANE COUNTY. DEPT. OF ENVIRONMENTAL MANAGEMENT
,.CO~RTHOUS~'ANNEX, 135 EAST,6th, EUGENE, OREGON .97-401
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SLAB FLOOR' ,
PLUMB I NG(GROUNoWORK
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ApPROVED / ./ DI~APPROVED ;---? 1 DATE
REMARKS
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GAS PIP ING GROUNDNORK
ApPROVED F'" / 'DISAPPROVED / '. / DATE
REMARKS
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'ApPROVED ~ DISAPPROVED ;---? DATE
REMARKS
,ROUGH GAS PIPING" c.",. ,;,
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ApPROVE'O ~ 01 SAPPROVED. D- DA-TE
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REMARK S
F I NALPLUMBING
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ApPROVED -..k;,
DISAPPROVED
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DATEr P2.:'?f'rNSP~CT.lOR 1."7'~L
REMARKS
FINAL GAS,PIPING
ApPROVED / / DISA~P.RO~~D, /,.. / DATE
REMARK 5
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CEii:m'l CATE Or'O~CUPANCY
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NOT READY, TO_'I S,SUE
REMARKS
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INSPECTOR
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Building Permit Application No,
YnI!2,t/6 -7Y
APPLI CANT: r;j J' .
NAME ' /r"€ I'P V-- c::.tJ V\
ADDRESS
( )
( )
( )
Site Inspection
~lt6fu
PHONE
DATE
9-::2-"V
Pre-Permit Investigation
I.
Zoning Ordinance Compl iance
(Zone )
Subdivision Ordinance Compl iance
NOT
aDD I j cab 1 e
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() ()
() ()
NO
YES
NAME
DATE
LANE COUNTY PLANNING DEPARTMENT
3.
4.
Required Access
( )
( )
( )
( )
2.
Buil~ing Site (Area, Width,
Frontage, Setback)
Other (see comments)
5,
COMMENTS:
BUILDING INSPECTION SECTION NOT NO ~ NAME DATE
aDD'1 i cab I e
6. Plans Subm it ted ( ) ( )
7. Soil Stabil ity (foot i ngs) ( t~ ( ) ( )
8. Flood Plain ( ( ) ( ) fY 16~-'
9. Other (see Comments) ( ) ( ) ( ) R';.lo -~ t/
,
COMMENTS: ,
SANITATION SECTION NOT NO YES NAME DATE
aD'D1 i cab I e
10, Sewage Disposal ( ) ( ) !>4
11. Usab 1 e Area ( ) ( ) J><t ~
12. 'Water Supply ( ) ( ) cI-
13, Ot he r (see Comments) ( ) ( ) ( )
COMMENTS:
TO APPL I CANT:,
~I/Your
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( )
( )
( )
Building Permit / S~te Inspection:
Can be app roved,
Cannot be approved at this time as indicated on item NO. above.
Questions and further information on items I through 5 contact the Lane-
COUNTY PLANNING DEPARTMENT. Questions and further information on items 6
through 13 contact the Lane County Buildinq and Sanitation Division,
Will be held in this office until you can resolve the problems indicated.
Is being returned.
Your building permit appl ication fee is being returned under separate cover.
LANE COUNTY PLANNING DIVISION
135 Sixth Avenue East, Eugene, Oregon 97401
Phone (503) 687-4186
LANE COUNTY ENVIRONMENTAL MANAGEMENT
135 Sixth Avenue East, Eugene, Oregon 97401
Phone (503) 687-4065
C55-28
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SITE INSPECTION
,
ApPROVED ~
DISAPPROVED'~ DATE
INSPECTOR
RE~ARI~S
FOUNDATION INSPECTION
ApPROVED /
/ D'SAPPROVEO /
INSPECTOR
/ DATE
REMARKS
FRAMING INSPECTION
ApPROVED / / DISAPPROVED / I DATE
INSPECTOR
REMARKS
LATH OR SHEETROCK INSPECTION
ApPROVEO L-/ D,s APPROVEO /
/ DATE
INSPECTOR
REMARKS
FINAL INSPECTION
ApPROVED
~ DISAPPROVED -;,L--j; rJTE
HH ~1P~
INSPWR
/ () --q- 74 '(
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REMARKS
CERTIFICATE OF OCCUPANCY
READY TO ISSUE / I NOT READY TO I SSUE ~ DATE
INSPECTOR
REMARK 5
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\':::' ' ~;RO~OS&""~~WAGE DI~P~S'A~:' ~YSTEM RECORD
, ' 'Compl,et,e' top pact;~6t'."forin ..to, s i gn~turea(',d submi t both
//-L /Ja A /:) Y, ". ,; ,
.:~R I S, NAME "," ", PROPERTY 'ADDRESS'
~Ving Units Bedrooms Baths 'Bas'e~:~;~~'~ ~ter S~/*fo~' ~~..
,Yes No ,P'ub 1 i c L:/'Other~'L ist
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. RMIT NO; MH ,46-74
'co';~r:~te'~. compartm:eht,s ,y'L:a.\. Capaci ty /~e?-67,
Ti Ie DrsposaIFJeld:-' ,
Distribution Box:' ,Yes,,~o
Other ,~istri'but:on-Type '
, Septic Tank:
Ft. from'weJ I
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Inside
Le'nqth
OWNER
NAME
o imens i~l"'!,s:
Width
Ft.,
D i am'eter
Oepth
J. D. PETERSON
MAILlNG194'l' HA~VARD DR,IVE ,"
ADDRES,S EUGENE, OREGO N
Feet from,
WEll
Lot Li ne
Front '
I' Ft, Betwe, en
Li nes /61 '
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IFi 11 er.Jr-IFi n er Depth
Tiipe f ~_ AboveT i Ie ,9
Rear, '
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Foundat.ion
Length ~Lines-Ft, 'tT~ench:.l ,Total Sq.'
17'?2.7B. 4, 5.- 6. W,dthZ! Ft.1C't' '
~lcit Plan (see' instructions):
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, For San i tari,a(' '~se Onl~~, . CER.T,IFIC~TE OF SAT ~,SFACTO~~ CO~PLET~ON~c". - '. ~~7:q -/~-~,r . ,
In accordance w,th 1973. Oregon Laws Chap,ter 835. Section 214 thiS certlhcilte 1$ Iss.ued ,~,
,as :evidence 'of: satisfactory comple~ion or a _subsurfa~e'sewage disposaL,system ilt the above',
location. , , ", '
. 'JE:l'Approved: System Installation conforms to c':'rren'tstanda~ds
, 0 Di sapproved: _ Does not conform to current 'stancJards "
..Remarks: " ".. - - , .
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',~, - '.tarIan,rS~Si,gnature,
'.l\ E ,COUNTY '
ENV I RONMENTAL QUAL ITY , ,
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'STATE' OF OREGON DEP~RTMENT;OF
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, ~EPAR1MENI' OF ENVIRON1ENTAL MANAGEMEN~
PEPMl,TiF JJ? 1-/3'16 :-. 71/
Building
, Mobile Home
NCJI'E:
APPLICATION FOR BiJllDIN; PERMIT OR MOBIlE HCl1E USE
No permit will be issued until this' application has been approv~d.
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PLEASE PRINT
PROPERTY LOCATION
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. TWP /~. RAl'{;E f ,SEC, 2 ~ (/ TAX WT,ff CODE CENSUS TRACT '
WTNO, "75. BJ;.OCK .:s SUBDIVISION 5/4. a~/J.: 1'0 ~-I f",.J. ~
, PROPERTY. SIZE .
ACCESS TO PROPERTY /~.K' S'/J/(/ D ~ WIDTII rfj)DEPI'H / i (;, OR ACRElCE
DESCRIBE ExISTIN:: STRUCillRES' ON TIlE 'PRuJ:"r..K.L i .A0 #~
APPLICANl' . f' MAhrn:;. , .
NAME .Lo, Pet..~ /rS"'u....- ADDRESS /f'Y6: 1/,.t;lRy/;?Rt:'
wl'llKACI'OR MAILING,
, NAME AulJ=S
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Pole PHCNE..4 9Y".$'7 .(9'
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::iewage lJ:isposal:
Site Inspection ,if -- Exist~ seWage disposal system 0, or new system reqclred,~
Water,::iupply:' , ' --
fublic)lQ District NaIre ' , .WeIrD Spring O,Other
\ldg. . Fees, ' \ 1\' ,A
3.ste Dis. . -RV, 00 Plumbing Installed by <Mner Other' NaIre: JI.l-
\umbing 4 ' O{) , Plurnt\ing Fees ' S~r connection Water' connection
'an Review . 'f\ j f-\-' if of fixtures inspection'f~e " inspectiOn fee
\iler~ F) , eJ () .
tsur'char, ge, '. ~o~DCash " . Plans furnished. Facility Permit
. 'DCheck' Ye~ No ~. ^;;t:<flL'j Moygl
, / :. Signature of APplicant~~ /~ date
\ 9.'1, 0'-( . ~ee received by>~ date' 9. .,:?," 7y' -
'Septic tank capacity , 'Drainfield required '., "
dist. box: Gallonsqf)O Lineal Feet~ /.so, Ti:-ench Depth
r ;./ -6J k:> tr..: hz /n/MU/Vl of /do -r;.;''f:'
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itbacks-H. trorn center ot road right of way ,
\4--:<=s Side Int. ::s- -Side: Exh>rigr
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Use. Classification
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Job Location (Address) :J n (/) :::J
Permit 1/ fyJ H 9/2'7fHor_ '
Permit IF ,. " For'"
Permit 1/ 'For
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Permit 1/
Permit 'II '
Permit II
For
For
For
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Vicinity Map, .
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JOB LOCATION
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LANE COUNTY PERMIT
00 ')! jhd' " /1//1
Acreage or Lot Si7~ 7' . ... .... Partitioning #
Contractor's O,S. # _ " /V /T , , _
APPLICANT'S NAME' A'ND ADDRESS. Cf././!dLJl1,S/~~~/1 <'-.,,0 Yl-...il....->
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Subdivision ' u
Lot '7(0 Block
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OWNER'S NAME AND ADDRESC:
CONTRACTOR'S NAME AND ADDRESC:" ..... III ::>.-wA I
Mail permit to ( ) Applicant ( ) O,*ner ) Contractor, ( ') Prefer to pick up. Call I T<c/ =' II./{
STRUCTURES NOW ON THE PROPERTY, r);1:/-
THIS PERMIT IS FOR /M1.a.-a;J ~ ~ ce. CQ:/I)OaA...-C
, . ,r)~. d /),0. , '
WATER SUPPLY ~ '
7~b-37C'1
Phono
Phono'
Phono'
(owner, etc,) when ready.,
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# BEDROOMC: # P.LUMBING CONNE'CTION5--
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SEWAGE DISPOSAl
Y _.'../ /J.
T'HIS PROPERTY IS WITHIN ONE MILEOF THE CITY OF ~ ,PLUMBING BY
I hereby certify that the above .stateme~ts are true and ac~urate, and'that I have the following legal interest in the property: ~wner 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'app~oves of this action, I hereby"agree to cO')1p)y wi,th al! applicable'Cod,es relating to this permit,-. '-'j_____
, 17. &8 (lh/.8.-J ' . ,f-j<'/d<- //11, --JI<-L,?<..-G"/ ,;J- V- /
Fee Pa,d <l; " Signature / ' ,/.- Data
( ) NEW ADDRESS ( ) FACILITY PERMIT TO TRANSPO'RTATION DEPT, , , () SPECIAl,. PMT.1AREA, MIN, ELEVATION: /1, /J
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Comments:
Minimum Septic Tank Capacity (Gallons)
Drainfield Required - Lineal Feet
Maximum Depth
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..:J IV TYP'e of Construction .
,~~'fI-dr:lI'se Classification
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Comments:
SANITATION
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Group
Fire Zone
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PLANN!N.G,.R,I;,QuIF.1EMENTS SATISFIED. By: -7v"I'I,A..-t- - v Date:"""-7 - 1<0 Datjl,l.ssued: _'
?:!}NUCnlllf-f SETBACKS: f.,RPi\lll'A.* -,SjDE.FA,CIN!3 ;3l;R);EI (FROM CILl INT, SIDE YARD-.l REAR -::J (FROM PILl
LANE COUNTY DEPARTMENT OF E'NVIRONME~JTAl MANAGE~ENT 12fEAST 8TH AVE, EUGENE OREGON 97401 PHONE: 687-4394
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-- , POST T_HIS PERMIT ON MAIN BUILDING AT SITE
C55-13
BLDG, PERMIT -WHITE; BUILDING - GREEN; PLUMBING - CANARY; SANITATION'--'- GOLDENROD;' OFFICE COPY - WHITE
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SITE INSPECTION
ApPROVEO ~DISAPPROVEO C1 DATE ;z. -2-2--7;( INSPEC~OR
REMARKS
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FOUNDATION INSPE~ON
APPROVED.I:Zf' DISAPPROVED L_I
REMARKS Jt1..-,~ ~",L r::>e:'
DATE 1-3-1 t INSPECTOR-J2;A~
;ok ~ ":2--7-'2---"'757 ~nf'
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FRAMING INSPECTION
ApPROVED /~I SAPPROVEO
REMARKS ~i1
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LATH OR SHEETROCK INSPECTION
ApPROVEO L----I DISAPPROVEO ;----? DATE
INSPECTOR
REMARKS
FINAL INSPECTION
APPRovEO cz( D'SAPPROVEO C1 DATE/..2-:-//'" -$?-=3
REMARKS 5r - ".A_J",_ '1 Jo,____ f:t-';' ~;
INSPECTOR ~
b-~~7'; )t,d
CERTIFICATE OF OCCUPANCY
REAOY TO ISSUE / / NOT REAOY TO ISSUE ,r---y DATE
INSPECTOR
REMARK S