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HomeMy WebLinkAboutPermit Building 1974-10-18 ~ ~ '---. ." , PERMITff "215(0'--14 LANE COONIY, " Building : ~~ ," DEPlIR'IMENI OF EN\tIRON1ENrAL'MANAGEMENl'~~il~ Borre' ~ ' . . APPLICATION FOR BUii.nm;'PERMIT' OR MOBII.EHCl1E lJS~o ~~~':'" NOl'E: No pennit wiE be issued until this application has' bef~~~oved, ~~~TIONI+'[?d.4h;f," J C;(C,,//pj-- R /lad/' 'q p~ /;~:;fJ'/~ /C'/' - / !' ;. '@ " '" oS' 9(, "I' " 1:... ~"" oS'l' v . SEC, . q- 'TAX LOT ff2.., 00 CODE I q -0 I 'CENSUS', 'rRAcJ':'~~E -2OU ~.' -, LOT NO, . BLOCK SUBD.IVISION Ii ../' ,. . I rr;; PROPERlY SIZE ./ I" '.. ACCESS' 10 PROPrnlY JaS()pyo . J.(;;;'dWIiJrn . 'j' DEPrH /OR ACREJCE ,.; -{- CJr- DESCRIBE EXISTm; STRUduREs' ON 'lliE PRvnKu:'.' . ': /. .. AP~ I ~ < t2101i c; . 'J7/)ho~ ~~. f((?tf;} flp:ir/7;(' PROOF: 7t{ 7-9 t':;./(' W~AACIDR~ a/l" .' ~~:;~J~~<7 4~Jit1ftPR~ .' i, ...-- - " - - - ...,,-'!.', , " .J" . -. _ BE:I:...Cl\T FOR OffICE USE' ul~-r~~"-}',:, :.:. ;,;.m'OO'.i. ;. :.:.:.:. .".:.:.:.:.:-. ~"~':~'-:'-"Mn'",:\-"" ",(i'~~~..nn...... ...... .,....'7dr;':-J,.'j'... n ,. ..;. ...-.n n .-. ,-.1. ~ .~I . '. I 1WP I~ RAN:;E'. ,') , il{q)b' !~'.. '..', 1,1tbedroorns . ,,{{~;,.I. IT 17 ~ l';)a.lrlr,(Sf?, #(iD ;:;'.00 "/ I ,~~g~.:~~~~~:ff ;tA- 'EXistirig'~~~~e.di~posa+.sy,lem!! o..ornew'systaTIreq~red 0 ttel1ef'A Water Supply: '" ' ,~ / ,,' .K Public 0 District Naire 'M- {Well 0 . Spring 0 Other , Bldg, ,5', F~e~ \,' ;',' ,II').' ' ' Waste Dis, ' ' plun1,ing' InstjlUed by CMi\er Other Name: Plumbirlg , Pl~ing Fees ' Sewer. cormectidn Water cormection Plan R?view )Y'ii'flfA tjf" fix1:ui;~s If-sp:ctiDR fee" inspection, fee h d n to, . Trailer 1% sUt'cl:1arge ,~tructures to be built/Mobile Home. '<1, +/lJ... '" ~/.::> b (,i//'Ii!-J~ -, I' /. valuation .' ~2-</~ ou " ,f)s n ca~h" . d Check . ." " . , ' . Plans furnished' Facility Pennit " 'Yes,~,!A", .t,yep~~o~ 1/ Signa'ture of Applicaritt-~'<v1 /7/ ~ dateJ(:>J(~ J( , Fee rec~ived by ~ -w-i.lJlJl'I',ctate ro-i~-7f " -';.' Dra~ield requir:ed . - II \ , . Lmeal Feet Trench ~pth ' , or Sq, Ft, TOrAL S,oc.;- MiD', Septic tank capacity" with dist. box:' Gallons'" . ^" . ," .',.'. ,<i , :: lfire Zone Use Classification -=>/ A rn ~ p .,f, ff 0 b b \ , , I {/ '-4,.: :'Rear 's- ZoneA..::: 7"" , date Pi . ~ , . )\t't . , /4:7- / ~;'7'Y / C55-12 " , j , ,"r' ; " ) 11 ;"H -c:~' I " , :2 f. . , . v " 0 k ~,_,_, ' ~::'O:}(l0(l22Z0H1XL,DT ," UPD,",TE F'f'1'<:TI TJ-.,I /',........ .,...---.... (' DEl.. ORIGIN:. I...f'iNDUSE - - - ZONING HISTORY - - - DATE CASE # * ZONE' '08'1382 82-51 /U INITIAL r:."IGT 910(,) , . . I ,\.\ " c::::::,.;~6 ~ K'--- ~"',~....... & \Q\L ,II I ,.. " ,: czQ: <;' ., r-.-' :i,. '. i;~ . , ;" . '~ 'J ADD DATE 040'~)f:~O (')~506B(') 03f".l::>B1 1;:.'17D1 O~'5'i "j B2 0i30B4 , f,Dl.. IB NE!4MAP: ' Pt,I:;:CEL Cf.l;:t:=Pr Bp..-fjH2 i r:W--116D Fp,,'3(l00 Hp....::?~)4B BF',...(-)43'~ BP--O~:6B !'Pll Iri' r; .~ /1 , . t)~ TAX INFO CEZONE MO!:;:E INFO CITY: HISTO!',y ,.,......, ,.. .". e'IS'....r.]I"" "'.clDE' l'llf I'. II I...."\l t...!..... ," I TEMP MH'!:;:ENEWAL I TEMP MH RENEWAL FD'"DENUI... FLOOD I TEMP MH RENEWAL i TEMP nH RENEWAL I TEMP MH RENE~A~ rr ~ Q0-v0K" " . - ~~ ,''-Hf~~l , d.-ISvr7t.f USE PERf-4I~,.; " "PERMIT'1j&,.~6_74 ' " .'c . 0. 'PHONE . 0;0"" .,,:, Sorihafielil. Oreaon. ~',/'''47,-q624 ~(::) >,)' -.... /!,HONE ."" ~O" /.s- ~o _~ ~ ~~ :;(' ~~ o$'/, ....." . , , v.. '0 ' ~.... '~ ~ ~. 0$' 1l /;0 . .~ LANE COUNTY BUILDING XX! BUILDING MH 0, - MAIL.ING ADpRESS RR #. Box 177 ~AllING ADDRESS .PERMIT OR' MOB,ILE HOME PRqPERTY O_"YNER Roner. 'Joseoh G. CONTRACTOR Same PROPERTY lOCATION,.,.... INCLUDE POST OFFICE 43rd and Jasoer Road .' ,.. ," PROPERTY lEG.~l, '9ESCRIPTION.--: METES,.'BOUNDS -" " :1...,....-:. I;' , , ': '.,;., \.. --, ! TWP ~- RANG,E;, " 18 02 .'J;' ..,c,S;;<;:}ION ,..'05 TAX U;:H NO. .COpE. C~NSU.S TRACT NAME & MAILING ADDRESS FOR .MOBILE HOME PERMITS OJjLY ",,,, ,c, No. 'of. Bedrooms Same . , ~-,' ,';t'-. " " ' ',~']q:.O] ,..,' 3';-200 _,;'-',EXl s~a S:.R~\ l~RES: .<:h~' PRqPERTY , 'DweH.ina,. aaraC[e" outbuildinas . . LEGAL AC PROPERTY . Jas!!er 'Rbad ' PROPERTY SIZE",:,"" H. 3700 , '....-. APPl. .' :' .' -.,,' .... WIDTH -' 'DEPTH AREA '.. :':.' f ~ . '. ' . Connect"~'o_ Exis!irig "Sewage, S'ystem 0 TYPE,CONSTRUCTION., . .SQ, f:"T: . ~BDRMS ~TRWCTURES TO BE BUILT TH1~_PERMlr Stnraae Su i'1d'ina and Hnhhv shn;;'~' ..~ , . , '.\ _\~-',J' Ne~ System n V~LUATION' RO (@ 2~Rn :5774, nn ",," \ , . ~ " (r~ ~'.. i 'I ,'" , .,: . ',.,:-~.. '~ '1 . ,~ ..-",... .; J. -'~ .' ~ -,'.. " SEWAGE DISPOSAL P,UBUC, 0 BUILDING WASTE DISPOS~L PLUMBING PLAN REVIEf PARK TRAILER 1% surfarge TOTAL SEPTIC TANK o ,', "OTHERO'" ,:$.5,00, 'FEES' :.''';-:- ;'~ PLUMB'NGlINSTAL~ED BY -OWNER 0 '~OTHER: NAME' WATER'SUPPlY .-J' ,'- .' ',', "'J~' ;1. :,PUBLIC! D.' o OTHER. j ...' {'I . , :"~" - - . . ~ ," ...'" .' ,', . " " .' ...' ..., "t'.,' ':,"" ",' ",' i- f_ :.1 ,,05 .., "",' . 5',05" ; ,'COUNTY BUILDING-&.SANITATlON. SPECIFICATIONS ";"-J , .'.'~;".....' " '" " ,"f.. . ' ,~-' , ' f..','t- " MIN. SEPTIC 'T~NK CAPACITY WITH DIST. :BOX; GAL DRAIN FI~lp ~EQUIRE~ UN. FT. TRENCH WIDTH'iFT; OR SQ. FT. No't- app] i cab] e " ." '. -".' . .' '-' -...;;.,,'" ..... , '~~>'.' '" .'( 'c'-' ~ '>, ""_ '.. I. ,',.... " f'" .".' " , " - }.,; '. , ""',-,l "1. <:'1;_ " TYPE OF STRUCTURE ~" -: ~ . OCCUPANCY. \:'ZONE. ". PUBLIC UTll. EASEMENT ./-, f ". ':f ',--...-"" .,;.', BLDG.' SETBACKS __ H. FROM CTR. OF'- ROAD 'RIGHTOF WAY . ",<>,'" ,,'~ l '. FRONT SIDE INT,' .-J) , SIDE- EXT. . '~ AUTHORIZED SIGNATURE -'DATE' . ." .) :' .'.,_ :~\I:I.:.' :: U~_E ClI>:SSIFICATlON REAR .,~:'- 1-"""', ": -'i<:, -. . 'I' DATE 10-22-74 slf ,-,. 0,'''' ""0 JohnS'h66k :' BLDG. PERMIT':.- WHITE OFFICE COPY'- WHITE COUNTY "T AX - PINK PLUMBING'- CANARY BUILDING - GREEN SANITATION - GOLDENROD , Call 6B7.4065 to sd;ed~le all '(equired inspections, All construc- tion shall comply with Uniform Building Code, D,E.Q, standards IMPORTANT: for subsurface sewage disposal and county regulations covering plumbing. -All buildings require a certificate of occupancy before being occupied. . . . '(See Details on' Reve'rse' Side) FORM::: C55-13 (POST THIS PE~IT ON MAIN BLDG. AT SITE) . LANE COUNTY, DEPT. OF ENVIRONMENTAL MANAGEMENT . COURTHOUSE ANNEX, 135 EAST 6th, EUGENE, 'OREGOr-f 97401 , . , , . ^ ~ -:, " , {': , " .i, ,,~ " ,. :-' ,..v .c' ......_; ~,{. '" " ,,,= ..... .' ~~i;':'~\;'~'~""3> , " '. " .~ -J ..i1': "~ r,:~. .. "1 ~ -, ;.l~\_::";._ t1: .', . j"!,..:.r: L~" \: ! \ ! JI ':.. ')1 i -I ("~: )..; ~ i;r.;j 'J , , .,.',' .' '" U.8.C. SEC. 302 (D) EXPIRATION' EVERY PERMIT ISSUED BY THE BUllDl,NG OFfIC'l'AL,.!J~DER THE PROVISIONS Of THE ,J.f) CODE SHALL EXP'-IRE' BY LIMITATION .AND BECOME NULL AND VOID, IF THE "BUilDING OR WORK AUTHORIZED BY ,SUCH' PERMIT (S'NO:," COMMENCED I,/ITHIN 60 DAYS FROM "THE ~ DATE OF SUCH PERMIT, OR IF,THE BUllOIN~ OR WORK AUTHORIZED ~y SUCH PERMIT ..}' IS SUSPENDED OR ABANDONED AT ANY TIME AFTER THE WORK IS COMMENCED FOR A PERIOD I) J'~~ 'l?O DAYS; BEFORE 7UCll,__"':'OR....K CAN BE RSCJ~~ENCEO A NEW PERM1,T.)SHALLBE FIRST - OBTAJ~'N.ED_SO TO DO,'~ND THE'rEE TH[R[f'ORE SHALl-SE ONE-HALF THE: AMOUNT REQUI~ED FOR A NEW PERM!T FOR SUCH WDRKJ 'PROVIDED NO CHANGES HAVE ,BEEN' MADE ,OR V1LL :~ 11. ,rBE:,M~DE I,,!_,T.~E 'OR,!,_GI~Ay,P~A'NS:~',A~W ,SPECIFI_CAT.l0,NS ~OR SU.CH WORK; A~D .~~OVIDED . fURTHER THAT, SUCH SUSPENSION 'OR.ABANOONMENT HAS NOT EXCEEDED ONE YEAR. ,*', ,,*. ':*C:2:,jr.:, * * . *. * . . ,U.B.C. SEc..30?(E} 'SUSPEN-S~lqN OR REVOCATION THE BUILDING OFFICIAL MAY, IN'WRITING,. SUSPEND OR REVOKE A PERMIT ISSUED UNDER PROVISIONS' O~'THIS"COOE'VH[NEVER THE PERMIT IS ISSUED IN ERROR OR' .~'~ ON THE BASIS OF' fNCORRECT-"I'NFOFtMATION SUPPLIED, OR IN,VIOL:ATION'OF'ANY ORDINANCE OR REGULATION OR ANY OF THE PROVISIONS OF THIS CODE., ' llt.:,.~.. . 'C;!')_:"? '.fd(k;l_, . .. . .' . . . .. . U~B~C.' SEC~ 304(0) REQUIRED, \NSP[CTICHS THE',BUILDING ~FF1CIA~!' UPO.N N.O!!F~I:ATIO~"FROM THE PERMI~ HOLDE~ ?~ H!S AGENT, SHALL -MAKE THE F?LLOWING INSPECTIONS. AND SHALL EITHER ,APPROVE THAT' PORTIOfl! OF THE CONSTRUCTION AS COMPlET'E!) OR SHAll NOTIFY THE PERMIT HOLDER OR' HIS AGE'NT WHEREIN THE SAME FAilS TO COMPLY, WI,TH THIS CDDE~ , ,\ . ('1) fOUNDATION -j:NSPECTlON: To BE MADE AfTER T~ENCHES ~RE EXCA- VATED AND, F..ORMS ERECTED' AND WHEN All MATER'IA,~S, FOR THE . FOU'NOAT 1 ON ARE DEL I VERE D ON' THE. JOB~ WHERE' 'CONCRE'TE'FROM- A CENTRAL':MtXING PLANT (COMMONL; TERM~O "TRAN'SI'T:'M,'X'ED'.') I'S TO BE USED,- MATER I ALS: NEE:D NOT BE ON 1.I:IE JOB. (~) FRAME INsPECTiON: To BE ~ADE AfTER THE ROOF, ALL fRAMING, FIRE-B~OCKING, AND BRACI~G ~RE IN PLACE AND All 'PI~ES, CHIMNEYS, AND VENTS ARE COMPLETE. " . (3) LATH/OR. WALLBOARD INSPECTION:, To -BE MADE' AFHR,AL:l lATH'ING AND/OR WALLBOARD, INHRIOR .AND EXTERIOR, IS IN PLACE; BUT BEfORE ANY' PLASHR I NG I'S APPLlEDOR BEr'ORE: WAL:LBOAR'D'.!JO I NTS' - . "-i.'. ANO.fASTENERS'ARE.TAPED.AND fINISHED._ (4') FINAL' INS'RECTlON: TOlBE MADE AfTER BUILD1NG,IS'.'COMPLETED'AND READY' FOR OCCi.H~A-N'cY :'-, ,......_ ,- ......, ~. CALL ~7;-4065 TO SCHEDULE . * : *:' ':'*' , * *;' *' . . . CHAPTER 835, SEe, 214 (I) 1973; SEE ALSO O~R~S:. CHAPTSR 449 OREGON LAWS CALL 687-4065 TO SCHEDUtE UPON COMPLETING THE ~oNSTRUCT1~N fOR' WHICH A PERMIT HAS BEEN I.SSUEO UNDER sEe-TloN 213 Of TH.is 1973 ACT, THE PERMIT HOLDER SHALL "NOTIFY 'THE -DEPARTMENT'- THE'-DEPARTMENT SHALL INSP'ECT THE CONSTRUCTION TO DETERMINE If IT COMPll.ES WITH THE RULES 9F" THE COMMISSION. IF THE.CONSTRUC:T.!ON DOES NOT COMPLY WITH SUC~ RULESJ: THE DEPARTMENT- SHALL ISSUE'A CERTIFICATE .OF SATIS- FACTORY COMPLETION TO ",!"HE PERMiT HOLDER. If THE CON.STRUCTlON- DOES NOT COMPL'Y WITH SU'CH. RULE'S, THE DEPARTMENT. SHAl:l. NOT In: . ",,, _ -." ,.,.,," " . f""-' )- THE PERM'IT HOLDER A.NO SHALL 'REQUIRE. SA.TISfAC.TORY C.O,.,?U::TION BEFORE ISSUING -THE CERTlf'ICA1.i. FAILURE TO MEET THE'REQUIRE- MENTS FOR SATISfACTORY COMPLeTION WITHIN A.REASONABLE TIME. CONSTITUTES A VIOLATION OF SEC'TIONS 208 TO 220 OF 'nils-.1973 ACT.. d";" -J.... ;, .(-l,' '. .' i~ , ,.,..' ~, .., ,I; "","\ r".! (; ~ -.'..' Ii", " -..,) .;, './ ~ <: . ~'l" i ,- , J ,. "'.' '(' .....!. :"'1 .... ,. ~ uq 1"":L '1..'::: ". ,II ;:~ f ~ ;;:'~ ,,~, ..." ~ I ~.. 'J"; '~,:.l ",' " .,' .l,. "J, " 'J' ,I.,; SQ.;.:-'.~ 'l{'c ,I ,- -'c " " " ," ',,-, iJ,,,,,t- :p? ~( .' , '~-' ( ,(;"i..~ :-:' 'r'.-:.:"(~ 1'\./.4) r' !:~ ~.~Lj"t, ,I "/I." ".~':I ~ f _l.~;.:...,.... :' '~ii'" .' ,.... ;,;' ~ ....,.;,;(. ':1=, o 0,.';; ~ .~, '. -1" /&"i'7'1 , " \ R E ,F U N D o F FEE THt LANE COUNTY DEPARTMENT OF ENVIRONMENTAL MGT. I HAVING REQUESTED REFUND OF FEE TO:- Josep h G, Rona r NAME ; , APPLICATION/FOR BUILDING " ~ HAVING BEEN MAtiE, " r \ \ OFRR #, I\', ~\ \ I , ~ " Box 177, ~nrlnn.ln~~ ADDRESS ".......,......,. :/ PER M I T DENIED, AND NO APPEAL or SUCH DENIAL :," ..!1L.. ApPLICATfON FOR BUILDING PERMIT CANCELED, APPLICATION rOR BUILDING PERMIT, OV'ERPAYMENT. ZONING PETITION, APPLICATION rOR RESTAURANT LICENSE. ApPLICATION'fOR CERTIFICATE OF SANITATION. , APPLICATION fOR PRELIMINARY SITE INS~ECTlON. FOR THE fOLLOWING REASON: PErl:1lt c"ncel'ed flt oppllccnt's request; If" c. rc- Is refundeble, '. AND THE APPLICANT DESIRING THAT THE FEE BE, REfUNDED, THE DIRECtAR Ar FINANCE AND AUDITING IS REQUESTED TO REFUND THE AMOUNT ~r $2.53 , (UNDER A~PLICATION NUMBER ~J5G-74 IN THE. CASE OF APPLICATION fOR BUILDING PERMIT), WHICH IS THE fEE CHARGED. DATE Octobor 23. 1974 ~.'LS'- ~vd (.lonn t. 1l0SS, Udector ,-sy: JohnsS. Smeed. Pctlng Drrect~r ConstructIon Permits & Inspectloil Di". 55.029-12 J 0 W ~C 10 :.... --:< I o~ 7 y BU I LD.! tlG, 5J 'tE EVALUAT I ON ," ZFROvYI LO rc", \ 0 -'M ;".?Y () BUILDING PERMIT APPLICATION NO., () SITE,INSPECTION 'PLANN I NG 0 I V fs ION " 1. 2. 3. 4. 5. Zoning Ordinance, ComplianceiZone Subdivision Ordinance Compliance Requ ired Access Building Site (Area, 'Width, Frontage) Other' (see comments) COMMENTS: , PLANNING DIVISION ACTION ,PENDING: YESt BUILDING INSPECTION DIVISION 7. p,i ans Subm'itted ,.. 8. Soil Stability (foot!ngs) 9.' Flood Plain 10, Other (see comments) ;, COMMENTS: " WATER POLUclON CONTROL 11., Meets Department of Environmental Quality Standards. 12. 'Other (see comments) COMMENTS: 'j' ) NOt ) APPLlCATlON#, 'Not ADD) icab Ie No Yes t, ) \l'TI ( ) ( ) ( ) ( ), ( ) ( ) ( ) ( ) ( ) CK'D BY,: ~H lfSf'o-7tJ . A;~bl' t ) ( ) ( ) ( )'" ( ) Not ADD 1 i 1a~ 1 e \ ) TO APPLI CANT: . , Your Buil,ding I S'ite 'Inspection: Can be approved. ) > Cannot be approved at this time as indicated ~n 'item NO. above. Quest ions and further i nformati on',oni tems 1 ,through 6 contact the, LANE- COUNTY PLANNING DiVisiON. 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 returned. /, ^ ,^ , , , ' . Yourbu i 1 ding perm it aep 1 i c",.g2.'l.Jee is be i nq return~d un,ger se'2Jl.!:.l'te cover. , . _EPARTMENT OF ENV I RONMENTAL MANAGEMEt'l1 ' , 135 Sixth 'Av'enue East Eugene' Oregon 97401. PHONE: 687-4065 " LANE COUNTY PLANN I liG 0 I V I S 101i. PHONE: 687-4186 ,( ) ( ) ( )' ( ) ( ) / C55-28 , " ~ T I~' R2's SUBDIVI,SIOIi: LOT: :5 TAX' LOT 5760 BLOCK: APPLICANT. DATE KO 1\\IZK 10 -1'$4c7i./ lio 'Yes T)TI ( ) ( ) ( ) ( ), (,) () (J ( ) CK'D BY: 6. '. Set~acks from cll 'of road: .Front Side Exterior Setbacks from' interior .1 ines: Side Rear I I , ' \ /,\(1 VUl " , , DATE No Yes \) TI ," ( n ) BY: -qlfij riP' :~ JrJ j 2/7'1 DATE CK'D .J , I, ~