HomeMy WebLinkAboutPermit Building 1985-4-5
Lane cou,~ Authorizati~fO~
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S~BDIVISION/PARTITION (1f app11cable) I LOT/PARCEL
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FOR OFFICE USE ONLY
Applica tionl (7 -70_ CJ ~
Perml.t t ,-? / /- c7 v
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PROpoSED USE OF PROPERTY
~ Residential 0 Industrial
o Commercial 0 Public.
~~/h~~ ~,e?e6C/((
Ol/5I/TL;)'~ ~;9;;d~c.o h'A7e#~c I DEClARED · VALUE
. OF ;?.7//? I * OF sroys I *~/JC I WATER SUPPLY ~EtCL S;~m~~~
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I HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION FOR PERMIT, and ~o hereby certify that all info~tion hereon is true and correct, and that I
have the following legal interest in the property: Downer of record; Ocont.r<lct- purcha5er;~uthorized agent with evidence of authority attached.
I f~rther certify that any and all work performed shall be done in accoz:dancf> wi th the Ordi~ 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-
ther certify that registration with the Builder's Board is in full force find effect as required by ORS 701.055, that if.exempt the basis for exemption
is nuted hereon, and that only subcontractors and employees who are in compliance with ORS 701.055 will be used on this project. I HAVE READ IUlD
CHECKED THIS APPLICATION THOROUGHLY.
P4$ //4SLOU/
MAKE (p~ease printl
1. ,fJamJ ~~
4-?j"Bc;
DATE
READ THIS
SECTION CAREFULLY. YOUR AUTHORIZATION ~AS
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front t:;'5""
BEEN BASED ON THE FOLLOWING CONDITIONS!
!lkPLANNING/ZONING:
Minimum SetbaCkSj eL,
COMMENTS,/JJO ~
/
Parti tion #
Parcel #
Parcel Size
CL, side
interior
.<,",,1
rear
~/
~......-u
~~lu.4;
~
Gallon
Tank
Lineal Feet
of Drainfield
(")1:::....
Dau,,_'i-S--r;..;- ~i4- ~
Installation Record ISSue" DYes 0 No
Maximum Depth
of Trenches
~ANITATION: S. I. #
^- Installation
Specifications:
!1A5?-~
B. P. #
COMHENTS:
./ -
i PLANS EXAMINATION: Type I/-.- /../ Group
COM>lENTS :C/;) L { ,/:' c:> R ff'1=-r:r. U IRED
~
/(,-s--F..r-
)-1-/ Use GAR.lH3t
1.10. r Pk-r:!.T/OIV ("
Date:
-41
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Date:
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PERMIT APPROVED BY BUILDING OFFICIAL/DESIGNEE (Der ORS 456.865(1}) . DATE
LANE COUNTY DEPARTMENT OF PUBLIC WORKS LAND MANAGEMENT DIVISION, 687-4061,
125 EAST 8TH AVENUE, EUGENE, OREGON 97401
I ?'l6 f SEE REVERSE FOR INSPECTION INFORMATION C 14-25 R84-
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SETBACKS A!OO OTHER CO:mITIO:-JS OF APPROVAL ~lUST BE STRICTLY OBSERVED. VIOLATION CA~ RESULT IN REVO.
CA'rIO~ or TillS PER~llT. CITATIO:: UNDER PROVISIONS Of LANE cou::n",=; INFjl.ACTION OROI::ANCE, AND/OR OTHER
REMEDIES ALLOWED BY LAW.
WHEN READY FOR INSPCCTION, CALL 697-4065. A MINHlU~1 OF AT LEAST 24 IlOURS AOVAI:CE NOTICE FOR INSPEC-
TION REQLI::::;T::> NU::iT Ul:: GIVeN. Have t.ne tallowing information ready: permit number, job address, type
of inspection, when it will be ready. your name and phone nueber, and any special directions to site.
BUILDING DIVISION:.
REQUIRED INSPECTIONS:
1. Foundation Insecction: To be made after trenches are excavated'and forms erected and when all
materla~s tor tnc toundation are delivered on the job. Where concrete from a central mixing
plant (commonly termed -transit mixed-) is to bo used, ~aterials need not be on the job.
2. Concrete Slab or Under-Floor Inspection: To be made after all in-slab or under-floor building
serV1~e e~ment, conCu1t, p1p1ng accessories. and other ancillary equipment items are in
place but before any concrete is poured or floor sheathing installed, including the subfloor.
3. FraminQ' Insulation Inspections: To be made after the roof, all framing, fire blocking, and
braclng are 1n ?13Ce ~ 411 p1pes, fireplaces, chimneys, and vents are complete and all rough
electrical and plumbing are approved. All wall insulation and vapor barrier are in place.
4. Lath andlor GVl;lsum Board Inl!.Pection: To be made after all lathing and gypsum board, l.nterior
ana-extcrIOr, 1S 1n place out Detore any plastering is applied and b~fore 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 ~ork shall be done on any part of the building or str~cturo 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
rnspect10n 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
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 h~es or as
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. Swimmin9 Pool: Below grade when steel is in place and before concrete is poured. Above grade
when pool"""'ISinstalled.
APPROVED PLANS MUST BE ON THE JOB SITE AT ALL TIMES DURING WORKING HOURS. THDS piRMI~ 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'Or R~QUIRED INSPECTIONS WILL 00 SO AT THEIR OWN RISK.
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SUBSURFACE ~ ALTERNATIVE ~ DISPOSAL SYSTEMS:
1. Permits shall be effective for one year from the date of issuance.
2. Upon completing the construction for which a permit has been issued, the permit holder shall
notify the Lane County Department of Planning and Community Development by submitting the
installation record form. The Department shall inspect the construction to determine it it
complies with the rules 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 docs 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 Sewage Disposal
SePtic ~
10'
10'
5'
SO'
Drainficld
From:.
Interior property lines
Edge of road riqht-of-way
Building foundation
Wells. other water sources
10'
10'
10'
100'
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. W: 2 LANE COUNTY DEPT ,ENV MGT F~ECEIP': ~~. 07~05, D~T~ 04~~El.
Ar-H"ICANT ANSI..OW, PAM ADD" 4360 NOR fH SHH,,, TA 1..0OF, UJ[,E.NI._, OR,..[,[_
TI..O 1703150002702 SUBDIV. . LOT BI..K
NEW BLDG TYPE GAR USE R BDRMS 0 UNITS 001 STORIES OBLDGS 001 PHONE 683 1490
. OWNER NME UD I NG, HENF: I ETT A ,'1DDR 3'580 G{',i'1E FARM f,D., EUGENE, OF(EGON .
CODE APPL NO ACTION DESCRIPTION SQ FT UNIT COST VALUATION FEE DAY3"
.BF' GAf;:(.\GE 18% 13. ~)5 H,210 A.
BP ~
BP ;0
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IIEP LC 87905 NEWR 16210 122.50 i
.PI.. 0 FIXTUI~:ES: SWR: FT. WTF:: FT. J,AIN: FT ^ .!
MECH MECHANICAL. FEE ~
. SUR STATE SURCHARGE 4% 4.90 C
.PCI< PLAN .CHECI< FEE 6~)% 79.63. ~
SDS SREF I:;
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TOTAL FEE**
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EST. COMPLETION DATE
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ACTIVITY INFORMATION SHEET
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COMPLETE THIS SECTION. INCOMPLETE FORMS WILL BE REJECTED!
(from tax maps in Department of Assessment and Tax~tion
or from tax statement) ,
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ZONiNG
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'1 AN. "> I-C)W ..,. 't>t:::b ~ B1WL.1
~ PERSON MAKING REQUEST
f~ (,p 0 N S tt-A.~ 'T A- l..,p
MAILING ADDRESS
E:.u~~F-- (]v ~140~-
CITY STATE ZIP CODE
<: ) 1.9?l ~ 1~6
BUSI'NESS-TELEPHOmr-i HOME TELEPHONE #
2. PROPERTY ADDRESS
(IF DIFFERENT FROM MAILING ADDRESS)
3 MAP & PARCEL NUMBER
(REQUIRED INFORMATION)
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3i~JPt) PROPERTY OWNER
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MAILING ADDRESS
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CITY STATE ZIP CODE
BUSINESS TELEPHONE # HOME TELEPHONE #
'&- Z1{)~
TAX LOT(S) OR PARCEL #
11 O~ 16".al.
TOWNSHIP RANGE SECTION
TOWNSHIP RANGE SECTION
TAX LOT( S) OR PI\i<(:EL #
ZONING
TOWNSHIP RANGE SECTION
TOTAL CONTIGUOUS PROPERTY IN SAME OWNERSHIP:
4 SUBDIVISION (if applicable)
TAX LOT(S) OR PARCEL #
ZONING
LOT
ACRES
BLOCK
5 REQUEST (state exactly what you plan to do) BUIt...D tz..e4 \r;,E.~ CJI"'rl.-- 6~.f...
· 5 DIRECTIO';TO; ;;:;>- ~ ~=- ~ ; A '''6~)20 .
** FOR STAFF USE ONLY **
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ZONE/LANO USE:
BY: DATE:
TI ME IN: OUT:
.+~JA<> 0 ~
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NUMBER
DATE
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LAND MANAGEMENT DIVISION / 125 E. 8th AVE., EUGENE. OR 97401 /:/<_;,687-4061:.- --:,~~;;tt."