HomeMy WebLinkAboutPermit Building 1983-1-19
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COMPLETE TH'S BLOCK'\ PLEASE OSE BLACK 'NK AND PR'NT. (11
PANGE tl O? I SV'b: ~.:< I Tl7'~~OUT OF
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'7;;;;;:7: ' ~~ A. -h: ~~ ~ ~Dcomrnemal OFublic
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. ~F BEDRoo,~ ' OF ~ . L' OF ;;P~// 1 w~ SUPPLY ~L/ ~~~~~
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CON,., ..,~/ ND A~ / ~ - 4' . 7~1:"~~~~ -
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certify that any and all work. performed shall be done in accordance with the Ordina1cos of Lar7::o~nt.y ,me! :..h{' 1..:1""'3 of th.' SU,le or O,.....pn )":taiuin'j
to the work described herein, and that NO OCCUPANCY will be made of any structur'l without the permission of the Budding Oivision. I furt-ll'~r c, I'';:i Ir
that registration with the Builder's Board is in full force and effect as requjr'!d by ORS 701.055, that if cxo;-mpt the basis for <cxcmpticm if' T1Clt,.d
hereon, and that only subcontractors and employees who arc in compliance with ORS 701.055 will be us'?d on this project. I HAVE READ AllD CIlEC'!:ED TillS
APPLICATION THOROUGIlLY.
FOR OFFICL USE ONLY
TOI<"SH1P /? J
fUBDIVI51~P~RT1TlON
APPlicati~~ ~~
Permlt # 1/:7 /"-IJ~
DTwo Copies of Plans
n'I'wo Copies of Plot Plans
Dnechanical Checklist
o Plumbinc; Checklist
I Dplan Chec}: Info Sheet
5/I/l/2(J/I) bE~
NAME (please: print)
SIG~i;"TURE
.~ /I//t!!'~
~'~'ller
o Con;:.r3.c:':J:...
UAgUlt
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Ni:l1.mUm Sctoack~:
N /71_312-77.//-
Zon' f :Partit~on " 0~ Parcel
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front. / / L, S1.d(. 1.ntcr1.or
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Parcel SHeS /7.19
recJl" ~O'
o PLANNING/ZONING:
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Comments:
Date:
/-/7- F3
\-'Zo-Pi~
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[J
_ r&t FLOODPLAIN: In flood hazard art.!a?
=Jt"RURAL ADDRESS ING: GRID CDDRDINAn
9("Sl'.tHTATION: s, 1. #
Installation Gallon
Specific:ations: Tank
~~-BC
~ No U Yes, see attached
N E
sheet.
Date:
Date:
B, p, .-:?t77tJ-7.f'
lnstallation Record Issu~d? ~Yes [] No
Lineal Feet
of Drainfi(.!ld
Maximum Dept:,
of Trenchefi
Comments: Jk.....J .I-
)1.,~k:" M,~/" N $../bA,1
VJ~.J..-
Rr{)r-'
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n_/"Il,-;/" j, A~~.. ~
P-4-r.....:i .L"t 711- 7 Y
dvm/!.. I)
Date:
JY./4- /5=)
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~PLANS EXAMINATION:
Comments:
SEE REVERSE SIDE OF PO"' " ,. c'
gr..lt'lnC::IIAS:C:;; F'nR INSTALl.t\."Ji4
RE!:rUIREMEi':TS.
Type _
Group
-
Use
MM-
Date:
I/z.oa~
I I
u
CONSTRUCTION AUTHORIZED BY THIS PERMIT
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esc~t~
. ro.y
/L/jr ;;~ / j9/'h
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r ~~;~ ~.#L,
, ~OT~L VA'f~N $
;-t::t:: DUE ~ sD. 70
Sq, Ft,
Fixed Fee/
Unit Cost
Floodplain Fee
Subsurface Fees
/~ ~-,-
- $ p~ '
5:-$ ~ 1~~L
./ -./~.
S V?..d'1'", -:---
$- af') .00-
$ //2 !Z2
$
~~,5P~
State Surcharge 4 f#! ~" ..!_-:'!'-
TOTAL FEE /5/ J.Q. $ / L!?/.? 4 t?J
Building Fee
Sewer/Storm Drain/Water
P':';',:ITS FO~< ALL EL[CTRICAl \'. :,~,<
.:....~...~:: :::UR:": :-:::;.: ::;: :::.TE.
OF OREGON, DEPARTi,iENT OF
Plumbing Fixtures
Mechanical
Plans Check Fee
"V'''Il~U:.j'\""I;.. ~"'':',",ln.,\d'\'" ~C.""II\"'I"'.
PERMIT APPROVED BY BUILDING OFFlcr.:OL/nCSIGNF.E
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(;er ORS 456.805 (l)) -
FEESB::~'Sh
Date, /~/:J'-~..f
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,/zo/8z3
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DATE
LANE COUNTY DEPARTMENT OF PLA.IIJNING & CO~L'lUNITY DEVELOP~IENT / 125 CAST EIGHTH AVENUE, EUGENE, OREGON 97401
SEE REVERSE FOR INSPECTION INFORMATION
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SETBACKS AND OTHER CONDITIONS OF APPROVAL MUST BE STRICTLY OBSERVED, VIOLATION CAN RESULT IN REVOCATION 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 HOUR ADVANCE NOTICE FOR INSPECTION REQUEST MUST BE
GIVEN, Have the following information ready: Permit number, job address, type of inspection, when it will be ready,
your name and phone number, and any special directions to site.
BUILDING DIVISION:
REDUIRED IIlSPECTIONS
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 (colll1lonly termed Iltransit mixedll) is to be used,
materials need not be on the job,
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 subfloor,
3) FRAMING & INSULATION INSPECTIONS: To be made after the roof, all framing, fire blocking and bracing are in place and
all pipes, fireplaces and chimneys and vents are complete and all rough electrical and plumbing are approved, All
wall insulation and vapor barrier are in place,
4) LATH AND/OR GYPSUM BOARD INSPECTION: To be made after all lathing and gypsum board, interior and exterior, is in place
but before any plastering is applied or 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
requi red. .
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 masonrv (if applicable) and when installation is camelete.
Installation shall be in accordance with an approved nationally recognized testlng agency a"d the manu-
facturer'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 as recommended
by the manufacturer.
(2) Mobile home minimum finish floor elevation shall be certified when required by a floodplain
management letter,
(3) Mobile home tiedowns, when required, and Skirting shall be installed and ready for inspection
within at least 3D days after occupancy, Tiedowns and skirting shall be installed per enclosure.
0, SWIMMING POOL: Below grade when steel is in place and befQre concrete is poured, Above grade when pool
is 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 DR ABANDONED FOR MORE THAN 1BD DAYS, SUSPENSION DR 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 HIS OWN RISK
SUBSURFACE AND ALTERNATIVE SEWAGE DISPOSAL SYSTEMS
(I)
(2)
Permits shall be ~ffective for one year from the date of issuance,
Upon completing the constructio~ for which a permit has been issued the permi! holder shall notify.the
Department by submitting the, installation record' form. The Deparbment shall lnspect the constructlon ~o
determine if it complies with the rules contained in this division. If the construction does comply wlth
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 fo~ satisfactory
completion within a reasonable time constitutes a violation of ORS 454,605 to 454,745 and thlS rule.
Setbacks - Subsurface Sewaoe Disposal
From: Interior property 1 ines
Edge of road right-of.way
Building foundation
Wells. other water sources
Seotic Tank
10'
10'
5'
50'
Drainfield
10'
10'
10'
100'
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TRS, TJ
15 DJ... /)tc, l./~ 700
Plat
Plan
Subdivision
Lot
Block
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?i'703
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5iweR. tl'lDO
nO~~Jf Vicinity Map
1lc74-150
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APPLICANT GERL, SHARON
TLI 1802064200700 SUBDIV
.EW BLDG TYPE USE R BDRMS 0 UNITS 001 STORIES
.. OWNER NME ADDR
.. CbDE APPL NO ACTION DESCRIPTION SQ FT UNIT COST VALUATION
eBP
BP
BP
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LANE COUNTY DEPT ENV MGT RECEIPT I 6983 DATE 01318.;
ADDR 3703 GARDEN AVE., SPRINGFIELD. OREGON .
LOT BLK 1;
. IBLDGS 001 PHONE 686 9263.~
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47.
65%
,
FEE DAYS ,
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30.00 .
1.20
19.50 .~
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epl, NO. FIXTURES;
MECH
SUR
.'CK
, I I PL , LC 6983 SUPP
SUR
epCK
NO. CONNECTORS:
MECHANICAL FEE
STATE SURCHARGE
PLAN CHECK FEE
15.00 EACH =
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SEQU:
TAKEN
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APP
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BY RLH
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FP,
SDS
SI
PCK
OTH
ISS
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TOTAL FEE**
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50'.70
EST. COMPLETION DATE
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