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HomeMy WebLinkAboutPermit Building 1983-6-16 (2)h 4')`i% S FOR OFFICE USE ONLY Lane County Authorization for: Apphcatio /] _ e ( __ / 1 Permit # ��"� • OU r linn un p .ITAw"�'l_J-Yp✓. [I]Two Copies of Plans / Three Copies of Plot Plans Tow;:sHlp RANGE ION TAX LOT oUT OF ❑Mech/Plumbing Checklist 17 05- Z3 ❑ Legal Interest Document SJBDIV II\1S/dART ION (ifff applicable LOT/PA EL B Plan Check Info Sheet LOCATION ADDRESS 'STREET TY IP PROPOSED USE OF PROPERTY , 3T'!O Ia • a . ( y_.ar11.0-1 - AO ' x32111 ' ✓Residential Clndustrial ST: OTC.- S S . U"WY ON •RO a re STdip ('�'� i CLAW. I. n Commercial I ( Public• • DI: TIO]S TO-6I� '� . /�, f ,, .. ar •�1 Ira g!9_Iiya!,,..l.V TU l . I. 010A•All - al 1 1 _ . 41. OF DESCRIPTION R O P O S E D - BE SPECIFIC - DECLARED $ VALUE OF BEDRO S # OF ST IES ( MPL Rd") WATER SUPPLY piopOSed /y!/!Q�/M_ ��l//////��((0)) I ri Existing OWN "S N1AMt: AND ADDRESS + /�, ,I • , �� �1 010 ,, TE PH=NE,NU•coo.- CTOR'S AME AND OS' N Ill./Y,•1.'GD/ . _ AP AP L , . NUMBER Ja.. J _ — �� /_ 1 _ �`1_4 1 • Al . iJ ■ 6 PE dIT TO B P • LED 'NE D ADDRESS) �' E ONE / B 0 ail° . /i &IL, � tt •�r& ' . 444- I `� I HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION F.:ERMIT, and do hereby ce.t that all information hereon is true and correct, and that I have the following legal interest in the property:❑owner • record; ❑contract purchaser;❑authorized agent with evidence of authority attached. I further certify that any and all work performed shall be done in accordance with the Ordinances of Lane County and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without the permission of the Building Division. I.fur- cher certify that registration with the Builder's Board is in full force and effect as required by ORS 701.055, that:if exempt the basis foi exemption is noted hereon, and that only subcontractors and employees who are in complia. e.with ORS 701.055 will be used on this project. I HAVE READ AND CHECKED THIS APPLICATION THOROUGHLY. / .. NAME (please print) V q SIGNATU• / D TE READ THIS SECTION CAREFULLY. YOUR AUTHORIZATION HAS BEEN BASED ON THE FOLLOWING CONDITIONS! //77 ❑ PLANNING/ZONING: Zone .I, Partition # Parcel # .Parcel�/SSize is . / C Ir// /(, 1 Minimum Setbacks: �L, front V,� L, side /T��. interior V rear w.—V COMMENTS: O,L w... ' ., I , •. mow! , ��.&L l/ I I i�- 8 41. .0 . OIL' . AA t_J*/l °kI/� i_� hI71lI. . / Date: `� , ,• .,m 4a ft FLOODPLAIN: In flood hazard area?®No n Yes, SEE ATTACHED SHEET. Date: S. ._ — - „vow.• ANITATION: S. I. # B. P. # Installation Record Issued?n Yes ❑No Installation Gallon Lineal Feet , Maximum Depth Specifications: Tank of Drainfield ' of Trenches COMMENTS: Q/Zn,aQ 0'. i I • .0 , r Wes• • . n. Date:. / •_ /CPV✓ PANS EXAMINATION: Type ►^y� 1�\ Group µ- L �/. Use 5,( AMS 1 L_ CO'DIENTS: � M2.. !1J5PQ1bAIS G7( • • 2444- VI/.. . • - CALL, fop- ALL. Cn4CQ l JSPEGTfOAS 1 AST Er) //OM //P s _ ' bate:. alie - TOTAL VALUATION $. CONSTRUCTION .AUTHORIZED BY THIS 'PERMIT - //��^ • Fixed Fee/ - Floodplain•Fee' $ IO.1�•J ` Description Sq. Ft. Unit Cost_ Subsurface. Fees $ 00 rn� (� Building Fee $ . • I/b4-� , ' I — �{, Msch/Plmbg Fee' , �� �f �j A I ' I - Q % -Plans Check Fee. _, . r N � I� , •.State ,Surcharge I. - ' �b 1/), / DEQ Surcharge�.7 .F),00_ ■■ I 7I (� �G \ I Y TOTAL FEE $$ I�}c�. 1kpJ • laF{,jµp 47,95 BY BUILDING OFFICIAL/DESIGNEE (per ORS 6.805(1)) � / / DATE ' LANE COUNTY DEPARTMENT OF PLANNING & COMMUNITY DEVELOPMENT / 125 EAST EIGHTH AVENUE, EUGENE, OREGON 97401 SEE REVERSE FOR INSPECTION INFORMATION 1 . . ' , r, -a SETBACKS AND OTHER CONDITIONS OF APPROVAL MUST BE STRICTLY OBSERVED. VIOLATION •CAN RESULT IN REVO- CATION-OF THIS PERMIT, CITATION UNDER PROVISIONS OF LANE COUNTY'S INFRACTION ORDINANCE) AND/OR OTHER . REMEDIES; ALLOWED BY LAW.. -.- --- - - -- - -• -- - - WHEN READY FOR INSPECTION., CALL 687-4065. - A MINIMUM' OF AT LEAST. 24 HOURS ADVANCE NOTICE FOR'INSPEC-:' TION REQUESTS MUST BE GIVEN. Have the following information' ready:, 'permit number, job address, type - of inspection, when it will be ready, your name.and.phone number7 ,and any special .directions-to site. BUILDING DIVISION: . 1 _, +.• REQUIRED INSPECTIONS: 4 ` . , 1 1.- Foundation Inspection: To be made after trenches are excavated and'forms erected -and when all materials for the foundation are delivered on the job. Where concrete from a:central mixing plant (commonly. termed "transit mixed") is to be used materials; need not be on the:job _ j 2. Concrete Slab or Under-Floor Inspection: To be made 'after all in-slab or'under-floor building service equipment, conduit, piping accessories, and other ancillary equipment items are in . place but before any concrete is poured or floor sheathing installed, including the subfloort • • • ' - -3. • Framing 6 Insulation fnspections: To be made after: the roof-,- al-l 'framing,' fire-blocking; -andl . bracing are in place• and all pipes,`,,fireplacee, chimneys, and vents are complete and all rough ' electricaliand plumbing are approved. , All'wall,insulation and vapor 'barrier are in place., ,4. • Lath and/or Gypsum Board Inspection: To be made after allilathing and gypsum board, interior 1 and exterior, is in pie but-before' any plastering is•applied and before gypsum board joints and fasteners are taped and finished. ` . 5. Final Inspection: To be made after the building is complete and before occupancy. APPROVAL REQUIRED. No work shall be done on any part of' the building or Structure, beyond the point indicated in each successive inspection without first obtaining the approval of the building official. Such approval shall be given only after an inspection shall have been made of each successive step in the construction as indicated by each.of the inspections required. 'NOTE: All .building permits require inspections'for the work authorized, such as but not limited to: A. Block Wall: To be made after 'reinforcing is in place, but before any grout is poured. This ' • inspection is required for each bond beam pour. -There will be no approval until the plumbing ' and electrical inspections have been made and approved. - , B. Wood Stove: To be made after completion of masonry (if applicable) and when installation is complete. Installation shall be in accordance with an approved,'.nationally recognized testing agency and the, manufacturer's_ installation instructions. C. Mobile Home: An inspection is required after the mobile home is connected to an approved sewer or septic system for setback requirements, blocking, footing connection, tiedowns, skirting, and plumbing connections. - ' - ' • C 1. - Footings and piers to comply with-State• foundation 'requirements for:mobile homes or -as • ' I. • recommended by the manufacturer. 2. Mobile home minimum finish floor elevation shall be certi,f,ied when required by a flood- '_ f• plain management letter. A. • 3. Mobile home tiedowns, when required, and skirting shall be installed and ready for inspec- tion within at least 30 days after occupancy. Tiedowns and skirting shall be installed per enclosure. . D. Swimming Pool: Below grade when steel, is in place and before concrete is poured. Above grade when pool-ii—Installed. - APPROVED PLANS MUST BE ON THE JOB SITE AT ALL TIMES .DURING WORKING HOURS. THIS PERMIT WILL EXPIRE IF WORK DOES NOT BEGIN WITHIN 180 'DAYS,-OR IF WORK IS SUSPENDED OR ABANDONED FOR MORE THAN 180 DAYS. SUSPENSION. OR REVOCATION MAY OCCUR IF THIS PERMIT WAS ISSUED ON THE BASIS OF INCOMPLETE OR ERRONEOUS INFORMATION. - - - •-ANYONE PROCEEDING PAST THE POINT OF REQUIRED INSPECTIONS. WILL DO SO AT THEIR OWN RISK. • , SUBSURFACE ANDi'A'LTERNATLVEr SAGE DISPOSAL SYSTEMS:' , • 1. Permits shall-be. effective, for.one..year--.from• the•date^of.issuance:— tt, 2. Upon .cgtpleting the, construction for, which a;permit,has been issued the, permit_holder shall notify th'e-,.Sane County-.DgpaK,tilent of.Alanni-ng:.and..Commug ty,Dev�elopment by•submitting 'the ) • installation record form. The Department shall inspect the construction to determine if it • complie .. i.th.•thetrples contained.in this division. If the construction does comply with such _ rules, the Department shall issue a certificate of satisfactory completion to the permit( holder. • If the construction does not comply with such rules, the Department shall notify the permit holder and shall require satisfactory completion -before issuing the certificate. Failure to . meet. the requirements for satisfactory completion within a reasonable time constitutes a vio- lation of ORS- 454.605 to 454.745 and this rule. . .'satbacks - Subsurface Sewage Disposal ' •. I Septic Tank Drainfield 1 I • 1 . : - -- . , . From: '-_Interior property lines 10' ' 10' _ ' Edge of road right-of-way - - 10' - 10' - - -- - •Biiilding foundation 5' 10' ;Wells, other water sources . '50' 100' - , 1:4,•14-25..x; is ti. . 1; r • lane county OFFICIAL USE ONLY CHECKLIST : . A p i./ .L___ . PLUMBING/MECHANICAL Permit. #Qi� X53 • APPLICANT INFORMATION: ��,, . ' C 7c aid— ,-Cc 91 rn rn yr- • . ?C. OLS �` 0 • • (Name or Firm P ease .Print) . ()(Mailing Ad ess , dirty or Town) (Zip Code) PLUMBING CONTRACTOR", ❑'Yes Firm ' Cont. OSR# Address ' ❑ No❑Self • MECHANICAL CONTRACTOR ❑ Yes Phil( Cont. :OSR# • Address ❑ No❑Self. . • PLUMBING ! Type of Fixture Number of Each Fee On Each Total Sink: $ 5:00 . Lavatory (Wash Basin) 5.00 Tub (with or without shower) 5.00 • Shower, separate 5.00 Water Closet (toilet/urinal) ' 5.00 • Dishwasher .5.00 Disposer (garbage grinder) 5.00 . Washing Machine 5. 00 Water Heater 5.00 Floor Drain - 5.00 Server -lst 50ft. 15.00 each additional 100 ft. . _ .10.00 _ Water Service--1st 100 ft. • 15.00 each additional 100 ft. ' 10.00 Storm and Rain Drain--lst 100 ft. . . 15.00 each additional 100 ft. �� _ • 10.00 _ INE'`r 5.00 • _ . Special Waste Connection 0)Ly Sewage -and Sump Pump (ejector) 5.00 ' Mobile Home Sewer and Water 10.00 . Other (specify)MmF`( HOSE 6LEt / 5.00•SUB-TOTAL (Minimum $10.0p) . .. . /©.00 1 TOTAL FEE . MECHANICAL - ' Type .of Equipment ,. Number of Each . Fee on Each . Total Mechanical Permit Base Fee . $ 10.00 Furnace up, to 100,000 BTU/II $ 6.00 Furnace over 100,000 BTU/H 7. 50 • Clothes Dryer Vent 3.00 . - ' Bathroom Ventilation Fan T, Duct _ 3.00 Range Hood with Mechanical Exhaust • 4. 50 Wood Stove 6..00 • Air Conditioner Only 6.00 l4 lt ,� 6.00 4.00 • • Floor Furnace 6.00 Gas Piping System 1 to 4 Outlets . • Per Outlet • .50 p I ., t ) PUMPS / 5590 0 5.0 0 SUB-TOTAL e( . • I TOTAL FEE • - - , wow ' lIMPP lw - il. • • • 40 . . . . . 0 . . . LI ..i • • ' , • . , , • • . . - • . • . • • - . . . • • • . , • • • / . " • . e . . . „ • , . , ,, • H • • . ., , ( ' r • . • - , • ,, • , • • • ' . I - / • . , „ .. , II 4110 ' . . . . 40 ' • IP - • . 40 . , , 40 • . . , .. . . , . . . • W : 2 ' LANE COUNTY DEFT ENV MGT RECEIPT 0 91903 DATE 06071• APPLICANT EMERALD, SWIMMING POOLE ADDR 1885 N. EUGENE, OREGON TL4 1703230000200 SUBDIV LOT FiLK .... • NEW BLDG TYPE USE R BDRMS 0 UNITS 001 STORIES OBLOGS.; 001 PHONE 688 1090W OWNER NME ADDR 1 ' 1 CODE APPL NO ACTION. DESCRIPTION • SO. ET UNIT COST VALUATION FEE DAYS • BF' II : i• BP !.. BR . . T 40 BP - . . II DP ' ' m • C BP LC 91983 POOL . • 60.00 = • ri... NO. El X TURES : NO CONNECTORS : 15. 00 EACH = 40 MECH . , MECHANICAL FEE • D SUR STATE SURCHARGE 4% . . • ,All PCK PLAN CHECK FEE 65% 39,00 41 EDE SREF I . 1 i EP 10,00 II, , . .. I c A T G : APE RA FP ,\DS S I PCK 0TH I SS ' 'I SIEWU : 0 i TAKEN BY CAD EST. COMPLETION DATE . • . TOTAL FEE:** 109.00 CK I 41 40 . • • • • • • • • • • • • • • • ' I ;• • • • • • • • ' I I V • • ID• 11 • • • 4 : LANE COUNTY DEPT ENV MGT RECEIPT 0 91983 DATE 06074 APPLICANT EMERALD SWIMMING POOLS, ADDR 1885 HWY 99 , EUGENE, OREGON TLI: 1703230000200 S'UBDIV LOT BILK •.NEW BLDG TYPE: USE R BDRMS 0 (UNITS 001 ; TORIES 1 BLI)GS 001 PHONE 688 1 09Q OWNI:::IR NISI::: ADDR CODE APP ..: NO ACTION DESCRIPTION SO P UNIT COST VALUATION FEE DAYS • BP • P BP • Ii P • BR . • Pi. NO. FIXTURES : 1 NO. CONNECTORS : . 15.00 EACH = 5_O0 • MECH MECHANICAL FEE i 6 . 50 SUR STATE SURCHARGE 4% 0 , 26 • PC:K P1..AN CHECK FEE 65% 1 :3 . 98 •• FL LC 91983 SUI"'E'' . _ • •• • CATG : APP I A FP EDS S]: PCK 0TH I:S'S • SEQU : 0 0 11 i TAKEN BY RL.H EST. COMPLETION DATE: TOTAL FEE**. 36434 CK 411 • • "'LANNING & COMMUNITY DEVELOPMENT bane county ACTIVITY INFORMATION SHEET THIS SECTION. INCOMPLETE FORMS WILL BE REJECTED! - a 1 "pe f4 a e � UZUJf� � © l e S PERSON MAKING REQUEST / PROPERTY OWNER / ( fl S }}r 9-'91 Na k S y/r �3 4 /4 V,c MAILIN AESS MAILING ADDR S n �(/G;et-te O/zie 17VO S/2/ Nq c:i CiTY STATE ZI CODE \ CITY / STATE ZIP CODE 6n--1050 ,7 � ? 74/0 BUSINESS TELEPHONE # HOME TELEPHONE # ,;24/ 2 SINESS TELEPHONE # HOME TELEPHONE # 2 PROPERTY ADDRESS ( IF DIFFERENT FROM MAILING ADDRESS) 3 MAP & PARCEL NUMBER (from tax maps in Department of Assessment and Taxation (REQUIRED INFORMATION) or from tax statement) C _rD) ZOO TOWNSHIP RANGE SECTION TAX LOT(S) OR PARCEL # ZONING TOWNSHIP RANGE SECTION TAX LOT(S) OR PARCEL # ZONING TOWNSHIP RANGE SECTION TAX LOT(S) OR PARCEL # ZONING TOTAL CONTIGUOUS PROPERTY IN SAME OWNERSHIP: ACRES 4 SUBDIVISION ( if applicable) LOT BLOCK 5 REQUEST (state exactly what you plan to do) 6 DIRECTIONS TO SITE: eisP 111 /Ale err) (54•/y1 to 1 n—m, o Den n,,,,- Fein 1-m B h/- / ** FOR STAFF USE ONLY ** NUMBER 6 —c7 N ZONE/LAND USE: DATE BY: DATE: TIME IN: OUT: 23r' p Q2 (7�G3- WANCEL-L*TION•/REFUND/AUTHORIZATION• PERMIT 11 9( 9-8 3 NAME (PLEASE PRINT) Doti Dr'c. ' /YL,E•.'S ADDRESS 3415 J3AL.D/ Via) UU • i • APPLICANT OWNER O. CONTRACTOR ( ) REASON FOR CANCELLING PERMIT (OR APPLICATION) O & FAY MEAT 01 FEEA IT. SIGNATURE DATE FEES PAID FOR WASTE DISPOSAL SYSTEMS (SITE INSPECTIONS AND/OR APPLICATIONS TO INSTALL THE SEPTIC TANK AND DRAINFIELD) ARE ORDINARILY NONREFUNDABLE. SOME REFUND MAY BE ON THE BUILDING, PLANNING, OR PLUMBING PORTIONS ACCORDING TO THE AMOUNT OF THE PERMIT/APPLICATION PROCESSED. AUTHORIZATION FOR POSSIBLE REFUND: ' % BUILDING PERMIT FEE $ 9,,5` % MOBILE HOME FEE $ PLUMBING PERMIT FEE $ PLAN CHECK FEE $ STATE SURCHARGE FEE $ SEPTIC DISPOSAL FEE $ % SITE INSPECTION FEE $ % LAND USE APPLI. $ PPA OR NPA (PLN AMD)$ PRE-APPLICATIONS $ RECORDING FEES $ PARTITIONS $ % COPIES & ORDINANCES $ '•��R' MINUS $25.00 FOR PROCESSING FEE $ 4//, - TOTAL AMOUNT TO BE REFUNDED , $ 7.95 SIGNATURE FDA < Ct� DATE (�/! /) r•1 TO DEPARTMENT OF `I'NANCE: � BUILDING PERMIT REFUND $ 7 9� 24-08-74/ACCT 42120/PROG 041 Receipt II 4 zee STATE SURCHARGE REFUND $ 24-08-74/ACCT 42124/PROG 041 Receipt # u. SEPTIC DISPOSAL REFUND $ _ 24-08 X74/ACCT�44�133/P,ROG 043 Receipt II C SITE INSPECTION REFUND $ 24-08-74 PACCT. 42134/,YROG 043 Receipt II LAND USE APPLICATIONS $ 24-08-74/A4T 421504PROG 035\,Receipt II PLAN AMENDMENTS $ 24-08-74/ACCT 42150/PROG 013 Receipt II PRE-APPLICATIONS $ 24-08-74/ACCT 46202/PROG 034 Receipt II RECORDING FEES $ 24-08-74/ACCT 46210/PROG 035 Receipt II PARTITIONS $ 24-08-74/ACCT 46202/PROG 035 Receipt II COPIES & ORDINANCES $ 24-08-74/ACCT 44419/PROG 034 Receipt\ TOTAL AMOUNT REFUNDED $ 'N PLEASE MAKE CHECK PAYABLE TO: NAME ������ �� .� f ADDRESS/ ,e5 /4;„G "// $197 ,U _ / ��Z--- 9.E•ARTMENT—Op PLANNING & CO I NIT7 DEVELOPMENT ;n COURTHOUSE/PUBLIC SERVICE:BUILDING 125 EAST 8TH AVENUE, EUGENE, OREGON 97401 • C i . . /-72- 3-?3 T Zz)i--) . W'F'IVIVREFUND AUTHORIZATION PERMIT # 9f 9--5 NAME (PLEASE PRINT) 7012) cD' 'j ADDRESS �Y VI EL .1 Cam.) - P. APPLICANT OWNER CONTRACTOR ( ) REASON FOR CANCELLING PERMIT (OR APPLICATION) 0 v 1�. FAYmelor of IT. SIGNATURE DATE FEES PAID FOR WASTE DISPOSAL SYSTEMS (SITE INSPECTIONS AND/OR APPLICATIONS TO INSTALL THE SEPTIC TANK AND DRAINFIELD) ARE ORDINARILY NONREFUNDABLE. SOME REFUND MAY BE ON THE BUILDING, PLANNING, OR PLUMBING PORTIONS ACCORDING TO THE AMOUNT OF THE PERMIT/APPLICATION PROCESSED. AUTHORIZATION FOR POSSIBLE REFUND: ' % BUILDING PERMIT FEE $ 7 95- % MOBILE HOME FEE $ % PLUMBING PERMIT FEE $ % PLAN CHECK FEE $ % STATE SURCHARGE FEE $ % SEPTIC DISPOSAL FEE $ % SITE INSPECTION FEE $ % LAND USE APPLI. $ % PPA OR NPA (PLN AMD)$ % PRE-APPLICATIONS $ % RECORDING FEES $ % PARTITIONS $ % COPIES & ORDINANCES $ MINUS $25.00 FOR PROCESSING FEE $ it1/i TOTAL AMOUNT TO BE REFUNDED $ 7.9S CN SIGNATURE ` I:,LM1 " /DATE (o —7 4:14 I TO DEPARTMENT Of if'. INANCE: 9-5- � BUILDING PERMIT REFUND $ 7 — 24-08-74/ACCT 42120/PROD 041 Receipt #‘2Z; L, e STATE SURCHARGE REFUND $ 24-08-74/ACCT 42124/PROG 041 Receipt # SEPTIC DISPOSAL REFUND $ 24-08-74/ACCT 42133/PROG 043 Receipt # SITE INSPECTION REFUND $ 24-08-74/ACCT 42134/PROG 043 Receipt # LAND USE APPLICATIONS $ 24-08-74/ACCT 42150/PROG 035 Receipt # PLAN AMENDMENTS $ 24-08-74/ACCT 42150/PROG 013 Receipt # PRE-APPLICATIONS $ 24-08-74/ACCT 46202/PROG 034 Receipt 13 RECORDING FEES $ 24-08-74/ACCT 46210/PROG 035 Receipt # PARTITIONS $ 24-08-74/ACCT 46202/PROG 035 Receipt # COPIES & ORDINANCES $ 24-08-74/ACCT 44419/PROG 034 Receipt # TOTAL AMOUNT REFUNDED $ ...7 hillik PLEASE MAKIECK PAYABLE TD• NAME �� / 14 ADDRESS ♦ I L:�_�.l� �w 199 ✓ "/ ,9 / �' /J �/ -2,---_ I :v•ARTMEN . PLANNING & COMMUN ' ' DEVELOPMENT COUR —OUSE/PUBLIC SERVICRAUILDING 125 EAST 8TH AVENUE, EUGENE, OREGON 97401 Ai