HomeMy WebLinkAboutPermit Building 1985-10-14
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Lane County Authorization
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"'''';SHIP 17 , ,,!,NGE ^'"/ _1- SEg~N. j T'net> OOUT OF F~USE OF PROPERTY
'-'L.. "'::';'0 3 0 . ~ Residential 0 Industr~al
SJBOI~+TITnif. ap~"~c~ef1 h( o. I LO~I., Hlee I. B~ 0 Cc,rrunerc1al 0 Public.
LOCA;;J.I:" ADDRE~_{?~ - . 'U t45 ~ ., J'Y' /'"\,ZIP (')J-7~
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t11Jef:tl WOCj.~ECIFIC -. LV1' ./r dJ1(ftJ ') I DECUoRED 'VALUE
EDROOMS' - JJCiF-S'rORiES -- OV,UATe<i. :J,iY .~. / - !:lJroposed
. 0hQ.., 6YV2.-- nOY\.<L ~l oTTn we..t.,L. I!"\Existing
O;-i(i'S NAt'lE AND ~nC101l '" '- . I TELEPHONE NUMBER
CONTRA~~ r~O ~'"t~ (~~ ~L7=N~OO(o
'.RIUT TO BE MAILED TO (NAME AND AD~J\'\ ULld . CJAQ . ~~ ,"Lo,,"oNE NUMBER
I IlAVE CAREFULLY EXAMINED THE COMPLETED APPLICATIONuORMIT. d"d .10 he,,"y c",,~, .ntomat.o" heceon " tcue and coceect. and that I
have the following legal interest in the propetty~Downer of record; Dccmtrd,;t. plIn:ha::;er;Dauthoriz~d agent ~ _
I f:.:.rther certify that any and all work perforlned shall be done in aCl:oulanr;f;: wi th tb~ Ordinanc",s of Lantl County arid the Laws of the State of Oregon
pertaining to the work described herein, and th8.t NO OCCUPANCY will b.., made oE artY strll.ctm:e without the pemission of the Building Oivision. 1 fur-
ther certify that registration with the Builder's Board is in full force and effect. as rcr,uiced by ORS 701.055, that if "exempt the basis for exemption
is noted hereon, and that only subcontractors and employees who are in compliance with ORS 701.055 will be used on this project. I HAVE READ AND
CHECKED THIS APPLICATION THOROUGHLY. . "
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'.. .10-1 ;t OFFICE USE ONLY'
for:
Applica tionho r' c:. 0 ~
Permit. /.(\~r.-J-C::iJ
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READ THIS SECTION" CAREFULLY. "YOUR AUTHORIZATION' ~lAS BEEN BASED "ON THE FOLLOWING CONDITtONS!
o PLANNING/ZONING:' Plat :tn~)' ,I< 10 'Partl.tion it Parcel It. . Parcel Sue
"'"_ ...,", f" ,,_, ?;~y 'c, "",, """ ~J:>/ 'm :20 r
~: attfdff;!~~~~ ~~!O~~/h-/~-es r<V
~ ,SANITATION: S. I. # B. P. " Installation Record Issued? DYes 0 No
Installation Gallon Lineal Feet M.aximum Depth
Specifications: Tank IJ of Drainfield of Trenches
O""':'~' ~'::!J~~', /(L~ f-/,~oo/./~/k-~
I~J/r.t '. >hV (/ ~ ~. . . Date, (/Al-I'I~ ----Ft'
~ EXAMINATIQ, Type 1/- J,.j Group_t-1- / us~617RAGF
COM>!ENTS, CAL L FbR 'RFGJc.JIR~D ) JJ.5PEC77o.u;;;
Date:
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PERMIT APPROVED BY BUILDING OFFICIAL/DESIGNEE (oer ORS 456.805(li> DATE
LANE COUNTY DEPARTMENT OF PUBLIC WORKS LAND MANAGEMENT DIVISION. 687-4061,
125 EAST 8TH AVENUE. EUGENE, OREGON 97401
SEE REVERSE FOR INSPECTION INFORMATION
C 14-25 R84-
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SET8,"CKS i\~D OTHER CO,.OITIC::S Of' APPROVAL ~lUS1"<'BE: STRIC7LY OBSERVED. VIOLATION CA~ RCSULT IN REVO-
C';71o:.: Of 7!lIS perUlIT, CtT,\TIC:; UNDER PROVISIONS Of LANE eOU;':T,';; INFR,\CTION ORDI:;;"NCE. AND/OR OTHER
REMEDlES ALLOWED BY LAW,
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BUILDING OIV}SION:,
REQUIRED r::SPECTlONS:
" ,~ ". .. . 'r h"d ·
1.: FCllJndat~on Inspcct1.0n: To be made a ter trcnc es' are..excavate and forms erected. and when all
reatcrials tor the tQundation are Jc~iycrcd on the job. Where concrete from a central mixin9
plant (~~mmonly termed ~transit mixed-) is to be used, materials need not be on the job.
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2. Concrete Slab or Under-rloor Inspection: To be made after all in-slab or" under-floor buildin9
serVl~e c~Ulpment. conault, p1p1ng accessories, and other ancillary equipment items are in
place but beiore any concrete is poured or floor sheathing" installed, including th~ subfloor~
3.
~raminq & Insulation Inspections: To be made after the roof, all~ framing, fire blocking. and
rac:ng are 1n ?laC~ and all.plpes~ fireplaces, chimneys, and vents are complete and all rough
electrical and plumbing 'are approved. All wall insulation and vapor barrier are in place.
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Lath and/or Gvpsum' Board Inspection:. To be made after all lathing and gypsum board, ~.nterior
ana-exccrTOr,.ls.1n place but before any plastering is applied and beIore gypsum board-joints
alia fasteners'are taped and finished. '
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5. Final Insoection: 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 tho' point
indicated in each successive inspection without first obtaining the.approval of the building official.
s,ucn. 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:
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A. Block~Wall: To be.made after reinforcing is in place, but before any grout is poured.' This
rnspict10n is. required for each bond beam pour. There will be no approval urtil'the plumbin9
and electrical inspections have been made and approved,
B. wood Stove: To be made after ~ompletion of masonry (if applicable) and when installation is
compl~ 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.
1. Footings and piers to comply with State foundation requirements for mobile homes or a..
recommended by the manufacturer.
2. Mobile home minimum finish floor elevation shall be certified when required by a flood-
plain management letter.
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. SWlmmln9 Pool: Below grade when steel is in place and before concrete is poured. Above grade
when pool-rs-lnstalled.
,'IPPROVED PLANS MUST BE ON THE JOB SITE AT ALL TIMES DURING WORKING HOURS. TillS' PERMIT WILL ExpiRE
IF WORK DOES NOT BEGIN WITHIN 180 DAYS, OR IF WORK IS SUSPENDED OR ABANQONED FOR MORE TRANrieo DAYS.
SUSPENSION OR REVOCATION :~Y OCCUR IF TRIS PE~~IT WAS ISSUED ON THE BASIa OF INCOMPLETE OR ERRONEOUS
INFORMATION. '1
ANYO,NE .~R~~EEDING PAST THE POlNT or RE~UI.RED' INSPE~TIONS WILL. ~ SO AT THEIR OWN RIS.X. ,:
SUBSUR'FACE ~ ALTERNATIVE,~ OISPOSAL-SYSTE~IS: \
I'. Perm!ts"shall'be ~eff~~tlve fo'r on'o year. from the dat.e of...issuance. "
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2. Upon completing the construction for which a permit has been issued, the permit holder ahall'
notify the Lane County Department of Planning and community Development by submitting the
installation record form. The Department shall inspect the construction to determine if it
complies with the rules contained in this division. If the construction doel comply with such
rules, the Department shall i~sue a certificate of satisfactory completion to the permitlholder.
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~
Setbacks - Subsurface
F!"om:
Sewage Disposal
Septic ~
10'
10'.
S'
SO'
Drainfield
10'
10'
10'
100'
Interior property lines
Edge' of. road rtqht-of-way
Buildinq foundation
Wells, other water source~
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ACTI~TY INFORMATION ~HEET
kJne county
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tOMPLETE THIS SECTION. INCOMPLETE FORMS WILL BE REJECTED!
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/ PERSON MAKING REQUEST
/ Ko__SQ,22 ~,_,.___"_____n_m.
MAILING ADDRESS
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PROPERTY OWNER
. _u_.,.u_, ,. HATCING-ADDRESS
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v CiTY
7'1.1.- 'ii:006
. BUS INESS TELEPHONE #
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STATE
9' 7<1'7<;s/
ZIP CODE
CITY
STATE
ZIP CODE
.-S:::L W\ e
HOME TELEPHONE #
BUSINESS TELEPHONE #
HOME TELEPHONE #
2 PROPERTY ADDRESS
(IF DIFFERENT FROM MAILING ADDRESS)
3 MAP & PARCEL NUMBER
(REQUIRED INFORMATION)
(from tax maps in Department of Assessment and Taxation
or from tax statement)
"/7 <1-<- ~t. gO
I TOWNSHIP RANGE SECTION
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TAX LOT(S) OR PARCEL #
ZONING
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TOWNSHIP RANGE SECTION
TAX LOT(S) OR PARCEL #
ZONING
TOWNSHIP RANGE SECTION
TOTAL CONTIGUOUS PROPERTY IN SAME OWNERSHIP:
TAX LOT(S) OR PARCEL #
ZONING
ACRES
4 SUBDIVISION (if applicable)
5 REQUEST (state exactly what you plan to do)
LOT
BLOCK
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6 DIRECTIONS TO SITE: ~/;"k~_-....;';-, lik
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** FOR STAFF USE ONLY **
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NUMBER
ZONE/LAND USE:
BY: DATE:
DATE
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TIME IN:
OUT:
LAND MANAGEMENT DIVISION / 125 E. 8th AVE., EUGENE, OR 97401 / 687-4061
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