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HomeMy WebLinkAboutPermit Building 1984-9-13 ~;:\ ~c~ Lane County Authorization for: Mr{LbrfnJ ~ O~I?5h n7<n-lrlll~(lll DTWO Cop>es of plans ! I l 7) 0 Three Cop.les of Plot plans roW'SHIP I RANGEO~ I SE~03N .3, -'? I TAX~";:'~CJOUT OF~ DMech/Plumb>ng Checkhst 17 .;...,J -~ v..::2C..X-U DLegal Interest Document SJBDIVISION/PARTITION (d apph.cable) . I LOT/PARCEL I BLOCK D Plan Check Info Sheet LOC2JjZ1SS rb0 t O(l1A- ~ Oen n M d CITY ZIP PDO:::>~S:n:::1ROPD\ndustnal ~~~ONo;~ ',~' Bltt~:n;j ~er~ DPubhC Al\Q~ ~~nri _\..1r)-'Qyd.k'Cw._ nR~ Dt P';;,':.o.:,"\ W':(\j BE~CIFIC ..J...,..,. .....-I. L' ( vOUJ.J:/nrv (+i,...J c,..J I YU.....rn'ALW I I \ lrJ ( U 1Jf'1 Lun-,(' ~Un'~Et I # O~. I #~O, I :oKi~ ~-X U ~~~~~~ R'S NAME ~ADDRESSb2f It fYYVL (]'7{ f1~ ,) L) ~~N~ N CTOR'S NAM:t?pR # rf~. . ~I()_ I ~ ~j in 1 /m::~~b' ~^fh1~. i '.c. (rl 1 rn I~ELEPHONE mmBER I HAVE CAREPULLY EXN~INED THE COMPLETED APPLICATION FOR PERMIT \and do hereby ccrtlfy that all lnformatlon hereon lS true and correct and that I have the followl.ng legal .l-nterest 1n the property Downer of record 0 contract purchaser ~"iuthorlzed agent wlth eVldence of authorlty attached I f_rther certlfy that any and all work performed shall be done ln accordance 'iolth the ordl~ of Lane County and the Laws of the State of Oregon pcrtalnJ..ng to the work descrlbed hercln, and that NO OCCUPANCY wlll be made of any structure wlthout the pen11SS10n of the BUlldlng Dlvls10n I fur- ther certlfy that regl.stratlon w1.th the BUllder's Boilrd 15 10 full force and effect as required by ORS 701 ass, that 1.f eKempt the bas1S for CKemptlon 15 noted hereon and that subcontractors and employees who are J.n compl1.ancc wl.th ORS 701 ass wl11 be used on th1.s proJect I HAVE READ AND CJj;;:JlCATI ;~~ ." -r- N'-A t ~. ~h6JI-t} -NAME (please pnnt) - ~ SIGNATURE DATE ..."- - FOR OFFICE USE ONLY Appl>cat>OnL~/' ~/'~ __ t/~~ PermJ.t It_7fi'//~' /17 , DE~S $ VALUE ,/J, tJZ/ READ THIS SECTION CAREFULL~YO R AUTHORIZATION HAS BEENJ\SED ON THE FOLL~NG ~ 0 ~\ o PLANNING/ZONING L.vne Part~ t~on # . Parcel # T'l ,. I>I~mmwn Setbacks eL, front \...\~~\ncL~L' s~dei'\.~~ ~ntenor '-- ~U~ CO'L'lENT00.A. k., ~ >--' ~('\ ~~ U '- "-x~J;>. ~+\~" CONDITIONS' Parcel s>zA("'f"W' \2.(J rear ~ O'i- J-t. .........- <:';'A -;:;- rr-r\\!o' .. ~l('-.-~~.\ S I # / B P # . Installahon Record Issued' 0 Yes 0 No Installat~on Gallon L1.neal Feet Max~mwn Depth Spec1.f~cat~ons Tank of Dra1.nf~eld of Trenches CmL'IENTS kR~ '),0",) n~Jh../ /O!r~ #V.P*&;'-:'--~__~/~.J ~ .r~ Ar:- .-<1rn;::~ ._tJ.___%..!, .~'-<.Qj @,...~~ ~(,(1t>AA..~ t&r/A_._ ' , Date -311-''1 ~ )( PLANS EXAMINATION Type fA,) - Group ~ Use - COMflENTS J!1~~~.m..I,6A-k} ~.# r -&~!.fl UM...J\ \ \,' (J '<:::::. DatU, I '- =y., /~ I ~~I ~ ff- ~ "" Date , 1-13--~L/ ( f D TOTAL VALUATION $ CONSTRUCTION AUTHORIZED BY THIS PERMIT -- Descr1.ptJ.on (~~/ ~/., ~ ~ ~:4 LANE COUNTY DEPARTMENT OF PUBLIC WORKS LAND MA~AGEMENT DIVISION, 687-4061, C 14- 25 125 EAST 8TH AVENUE, EUGENE, OREGON 97401 SEE REVERSE FOR INSPECTION INFORMATION Sq Ft /%(}p FJ.xed Fee/ UnJ. t CO~ Z. .3t/ Floodpla1.n Fee Subsurface Fees TOTAL FEE $ $ $ $ $ $ $ $$ ...L2, C J!.- (::;W~<d lf~~h~Kee State Surcharge DEQ Surcharge ~~- -- " , ", ...i , -' 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 follow.lng lnformatlon ready permlt~ numl5er, .,Job address, typ~ of .lnSpectlon, when lt wlll be ready, your name and phone number, a~d any speclal dlrectlons to slte BUILDING DIVISION REQUIRED INSPECTIONS I 1 Foundatlon Inspect.lon To be made after_trenches are excavated and forms erected and when all_ mater.lals for the foundatlon are,del.lvered on the Job Where concrete from a central ffilxlng plant (commonly termed "translt m.lxedll) lS to be used, materlals need not be on the Job _ _ ___ _.44_ _ t . 2 Concrete Slab or Under-Floor Inspect.lon To be made after all In-slab or under-floor bUlldlng serVlce equlpment, condUl t, .p-!-plng_ac~essorles,_andJ. other anclllary_ equ.lpment 1. terns are In ~ place but before any concrete lS poured or floor sheathlng lnstalled, lncludlng the subfloor. , ' 3 -Framlnq ~ Insulatlon Inspectlons -Tolbe-made after the~roof,~a~l-framlng, flre blocklng, and bracing are In place and all p1.pes, flrepIaces, chlmneys, and vents are complete and all rough~ electr.lcal and plumblng are approved All wall lnsulat.lon and vapor barr.ler are In place" . -- .-- -- - - ..... - - - - - I f' -- :-- I ---- 4. Lath and/or Gypsum Board Inspectlon To be made after all lathlng and gypsum board, 'nterlor ana-exterIOr, is_in place but before any plasterlng .lS applled and.before_9Ypsum board JOlnts and fasteners are taped and f.lnlShed 5. Flnal Inspect.lon To be made.~fter the bU1ldlng lS complete and before occupancy r v" APPROVAL REQUIRED No work shall be done on any part of the bUlldlng or structure beyond the pOlnt .lndlcated In each succeSSlve .lnSpectlon wlthout flrst obtaln1ng the approval of the bU1.1d.lng offlclal Such approval shall be glven only after an ~nspectlon shall have been made of- each successlve step In the constructlon as .lndlcated by each of the 1.nspect1.ons requlred NOTE All bUlldlng permlts requlre lnspectlons for the work authorlzed, such as_~ut not l~mlted to A Block Wall To be made after relnforclng lS 1n place, but before any grout lS poured Thls 1nspect1on 1.S requlred for each bond beam pour There wlll be no approval untll the,plumblng and electr1cal lnspectlons have been made and approved B Wood Stove To be made after completlon of masonry (If appllcable) and when lnstallatlon .lS compl~ Installat1.on shall be ln~accordance wlth an approved,~_nat.lonally recognlzed testlng agency and the manufacturer's lnstallatlon 1nst~uctlon? C Mohlle-Home An lnspectlon lS requlred after the moblle home ls-Connected to an approved sewer or septlc system for setback requlrements, block.lng, footlng connectlon, tledowns, sklrtlng, and plumb.lng connectlons.. - - ~ - -.... . - --- I Footlngs and p.ler~-to comply w1th State foundatlon~requlrements for mob1le-homes or as recommended by the manufacturer 2 Moblle home.mln1mtun fln.lsh floor elevat.lon shall be certlf.led when requlred-by a- flood- p~a.ln _rnaz:ag;:.m~n_t_letter ,_.... _ _ _ _ _.... . 3 Moblle home t.ledowns, when requ1.red, and sklrtlng shall be lnstalled and ready for .lnspec- t10n W.lthln at least 30 days after occupancy Tledowns and sklrtlng shall be lnstalled per enclosure ~ ~ #I SW1.mm1.ns Pool Below grade when steel 1.5 In place and before concrete lS poured when pool-rs-lnstalled APP~OVED,PLANS MUST BE ON-THE JOB SITE AT ALL TIMES DURING WORKING HOURS THIS PERM~T WILL EXPIRE IF_WORK DOES NOT BEGIN WITHIN 180 DAYS~ OR-IF~WORK~IS SU5PENDED~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~'~". _i j .J !'..... .....~..\...~......J ':.h.4~' \.. ..I_)~ .....1\0.,. \. V ~_.. ~r~~NYONE PROCEED!NG ;PAS~ THE POINT or REQUIRED INSPECTIONS WILL DO SO AT TtIFIR. qWN R,ISK J)... J '_ J ~ D Above grade' Dra.lnfleld , 10' 10 ' 10 ' laO' I '\ , , " . ~....... " ~. \ , . , \ , l r"il'.,... . ",'<ir\1'.1 '. '.. . . "". .... . . F'lCco~sTiucn-O" (0 . .<>0.....,.... I-t....o.t11.o lrtCUU1Tl tvt...u..t 0.'....0.... .'''OJ l..f.......1 ,no ....oorl~~ 4 OWNERS ADDRESS UN fl / "ICES I 50" .~ DESC'''''ON I FEfT - I X I - I -"'1'-...J..;-- I I X I I V O~ 1.~..A.w (" _ "4 If ~t>--<I () 0-1 _ ,;' I d ~()I I ~ ~tP~. P-_..l-\ I I ('1.--1 LX v:-.L~ I"ir.~ r I I]C lv-x --!~ I I I X I U cD'/<. I I I X I / D' I I 1- -:l- X p. -1J<':.:;..i I "\ I I r 0 'Lx I..? Ii I n-Jr.A/ I I X . I e-6'/. I I X I I ~~~I I I'x -I ' ~\ ~9...~ I I ILxl, PK'~.-_ J I I I x., I I I X I I : .- I' - -. I I I :~' (___!L ~/ (h) I g.-J~ --r I I I OWNEP r ." 020 r. I [....:.' _ ~ OAf' 19_ FIGUPEDBY CHECKED BY PHON~ 2 3 5 6 7 8 9 10 II 12 13 14 15 16 17 18 19 20 21 I X X X I X I X I X I X 3 y'{ ~~r' 22 23 24 25 26 X X 27 28 I X I X WE AGREE TO FUPNISH THE ABOVE ITEMS FOP lHE SUM OF ( _FOR I TOTAl"ET In AM()(J~T I "TEN"~ I 15 fq,~ I J./. 't ;;;, ~ l~. , -~ ----.-:9 ...... , ~ I I I I I I I J-s'"" J ~ rl' 'H,~I j Il '", I I I I I I . I I ~----j__ I / "'7)~ ,+-i\/-~Y I 'I 14:2s;.'1 I r~ s (~i 1 -; -"'I I I I I I I I I I I I I I I , ,(I() ,- -' ... \.. . J a i1l I"'} :"" I I I I I I I I I ACCEPTEn 10_ ~ .~AU.Jt., Po- du4,-,J-- . I u r '()"Y ~'--l - ,- ~\ I (! '..-J~ ,,[ 0" '" l 1-1..1 ~ .jLJv _ /"AAI '..r_.c......_/~ ~ -((J.~A;.JiL- &... Q; . " I. .r-A f:-- L_ - ~q. t"';:'~ 0 , ~ t"'I...."" ([- . I./..~......., '1. P:UP~ ,U O~.~ ~ "- fu.s-I p-~ li ""1'-'1/ '-~ ,,':--O.n \ I ~ ..J...../ 1; ._ r; 1 - I t'" P ". ......ODILINO SPECIALISTS ESTIMATE TO 1\ 1\.">" ADDRESS OWNER OWNEPS ,r"'lpESS DE5CRIPTION "'HT I ;'CfS I I '.,.....-1 L( X r 'f1/~L I V/t 0 I X I -/ I~ lox3~ I ( C/..x~/n I X 1 I X I 5Pf LEcNG1H X rA- 2 3 X 4 5 6 7 8 9 10 II X X f 'In r u,~ X x x X X X X X X X X X X X 12 13 14 15 16 17 18 19 20 21 22 23 24 25 I I V 28 x I~/ "r WE AGPEE TO FURNISH THE ABOVE ITEMS FOR THE SUM OF $ 7 ~ U 26 x GY Ii'" 27 x FOB PROVIDED THIS ESTIMATE IS ACCEPTED WITHIN FROM THIS OAT' ;a. p~ EXAMINE THIS ESTIMATE CAIlEFUlLY~ AS WE AGREE TO FURNISH ONLY THE ARTICLES NAMED AND DHCl!18ED HEREON All AGREEMENTS CON 1 . . T1NGENT UPON STRIKES ACCIDENTS all OTHER CAUSES . OF DELAY BEYOND OUR CONTROL I Ir'lP \\ /'\.:l 'j ", / \;:) I I I I I I I I I I~ I ( -r7J FHl TQIAlfE[l 1. ,0" .- 19_ . . ~lr;~;~" M~' . -. - .1, t\ flll~')"-' f -: __' /' ~ l.. OAI' 19_ FIGUPEDBv {I CHECKED BY PHO'I' .. P....,t A/,\QUtJT EXTENSION / :2..'w ---- "Ll,W I q ');0 L b 5(. 7 G,,Fe t~ I , , c" '"l- ? e't f(.. MJ . y1 '(,- ...{. I ~ C\J r J '. 11:- J.(l,g ~ ~ <Iff ~ ~) JJ- fS-'/"Q 1 5(,,'" 1 I J 'f ll"\ 12-1 0 "" I_I s- ,..'<> 1 U-:J f'o 1 HC3p" I I I 6 'It> ,."., '- , l.{,lI\> I "36 L\:> I /6/ '" 1 ]" 'f L...:) I 1)/ t~ 1 '-/;1.-4-"01 5\!-1>P 116CJ5 !L ~ I tf'f v.. ..n 'f:;:, I (, ~ w b .{'" :14 1 1../ y5 "frY ..J !_ I ..l h5"\t I I' I 1 1 ; t'"II -:----.... ACC'L^'- ~ Q:-Q_ ';- BY~\ CUSTOMER S COpy MOOI1l 8IJ~.""f~ f()llM$ INC M Lne COU'lty ACTIVITY INFORM^TION SHEET ~ ~ COf,IPLETE TH IS SECT ION I NCOMPLETE FORM, WILL III HlJlC flU I I ~l,c. G....j I C\J PERSON MAKING REQUEST ,.F f f' 1:> ""-'r'F ~ f- . . MAILING ADDRESS " l-g 9;11.... . C TY f u- 5cF '((, ~JSINESS TELEPHONE # !J~~ STI,'TE {J-f--S-f-l-b HOME TELEPHONE # Q7'C6'1- 'Z [P CODE _"DOl\. r,,~ h~ PROPERTY OWNER d k ;. 'f c ~A I~L tiit'ADDRESS j'fci~f i' .1 J f);;"JE ZIP CODE '? L/7- OS- J f BUSINESS TELEPHONE #. fiOME TELEPHONE # . 2 PROPERTY ADDRESS (IF DIFFERENT FROM MAILING ADDRESS) 3 MAP & PARCEL NUMBER (REQU I REI!. I NFOR11A TI ON) (from tax maps ln Department of Assessment and Taxatlon or from tax statement) 17-117- :I-j-J-),. TOWNSHrP' RANGE SECTION 3 o~ V J TAX LOT(S) OR PARCEL # R- ZON ING To1Msjffp RANGE SECTION TAX LOT(S) OR PARCEL # 70flING TOWNSHIP RAriGE SECTION TAX LOT(S) OR PARCEL # ZONING TOTAl CONTIGUOUS PROPERTY IN SAME OWNERSHIP ACRES 4 SUBDIVISION (If appllcab1e) . LOT-6 oltlr BLOCK 5 REQUEST ('tate exactly ~Ihat you plan to do) ()lJ {f-'f.(j 0 Dc""..." H'lO >", l~':7-~J~d!L~ u.'~_~J~ h,~.. ~.:; <f. DIRECTIONS TO SITE . _ _ _ __ J ------ ------- - - ----- --- ** FOR STAFF USE ONLY ** oJ NUMBER -i ;0 V> . DATE -i r- ZONE/LAND USE BY DATE l.-\l( T H1E IN OUT - - ------ -- --- --~- -- - -- ------- - ------ ---- LAND MANAGEMENT DIVISION / 125 E Rth AVE EUGENE. OR 97401 / 687-4061 'I 1 , .\ ,i,l !lH , . .' , !lr '1 II ;; 'r - , II \,j tlF'I'1 II:"NT cnilt','" flL n ~ -. )...;:>")' ...1~20~"OOO 1'1'-"-1 hl.u/, "iY:'I_ UI,INLJ' I\:fll ':UDb_ ,,1"1-1 Nfl ..,r r ~J3e Y~l- . LiP HI' =: '..;/.' < .:: ~~ 1-' 1__ ...'Lq 6U.d lUll) ~') F- 1;;-' 1 );,1: -' F r'L ~ 'lLC:1 S'JI-' o · C',- K ~ <'DS :I. ~I -, r l f~ 11.( ....t ell J f:\I{" :_1',1 flJ':- <) \.', !<l_1I ))()I~ ,....UT\!JJ v' 1j,\'L :-~ Evr ll,~ ()l-!'T I fvV riLT-r 1.,'1 ('1= I f'T :: "~416t14 l)fir~- '_)0 ~OC'Lf' till l'! l:;, "rM~ '1 CH(; rr {IC ,\;F'1~~1 N{~F--l! IMi), ,Jl~Fl~n!'~ lOT t'U :;'~lL 1) i-; ,:. {)l) I ?Hnr'1!_ 14-/ (Y:;;,')\/ 1 !l, n: 1:(l1J~1l, () UI~l r,~ I..J\: I S' fOP rLS ADL>I~: ,;1, 1- T : III, T ,;nI'J ))1-SI:h [['1 ,ON NUM GOIINL C:'J':S I'll. r;IIIiN [C'^i/. I r L S I" f ,. oS I Hiell(i/::I, I 1 'I (IIJ CIII' [I: I l ,- ,"'1-' '';OJ,..... 1'(1 If 1/....1_ <IV).' ,j.1 I ('m'lI-'Ll.1 J UN -',~,: I I CI( r-;'1S r /.11 I J (rT II} I f-EIM T",;Y'Z' ~p~ ..11 'l~~,,()l... r-(l';11 - / /1 .. ~=>( 1 I' A"' 'U, :i 9 ~ () ~ ..~, 4:{ 4_\ [1111 [,' ,) ,- " HI Hi!_ 1- U H I ~)' <; j ,'II , 1 ~