HomeMy WebLinkAboutPermit Plumbing 1985-2-28
DjJJt i~JV
_ Lane Couty Authorization for'
/~/,- k; ,M;-#F40ff7
Applica tionv,,.-..'7 ~ ~ /
Perm~t #~') /r.....:;roY"
c:JTWO Copies of Plans
o Three Copies of Plot Plans
",",SHIP Z I RANGE /'). ~ I SE9:5"!l-7/ / /. 'lj) T~ f-/[JO,,..pF UMeCh/Plumbing Checklist
/ (/, ~ t::::7fc:x/ 'r.. Z'I'/T ,) /' C/C/ DLegal Interest Document
S:JBDIVISI&;'/PA TITION (if ~piiCabie) ~ ' I LOT/PARCEL I BLOCK Dplan Check Info Sheet
<<3:~S/ ;;4$~ M///J & -S/L1/J7/!TEL7J POO:::i:S;n:::;OPOTYIndustrial
ST~"') j'URRENTLT O~ rOPERTY / I7f ' 0
( _dtleCrt. - . -l25::l..commerc1al Public.
6'P;e;]~//::;A'~-t?k ~ZJ -m ,~/L7U) ~LJ
0/) ~~4?R M~~ ~-4L} /
#i)J); ~PSJ:O;)-77ECIFIC-/ n:./7? ~T/f,e'IJ()jy} - I
:;.::;r~s~ 4[J.: M~ # Od~ I <<r;;:~UPPLY~~A/h'L7,
,,'E~t/A:/(J 0ix7/ESJ': '- ~/.0'E .4- ~#"e
c:::ry/;:!ANffi/JJ,Or2:r-('ff, ,$;7#7 cCLE/J /:bE ~7~80
P~~m7E /?;7k-~/?""; / t?/'f?4? _ I~f:;:?-';ZL
(
I HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION FOR PERMIT, and do hereby certify that all information hereon is true and correct, and that I
have the following legal interest in the property: Downer of record; D contract purchaser; Dauthorized agent with evidence of authority attached.
I f:.:.rther 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 pennission of the Building Division. I fur-
ther 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 for exemption
is noted hereon, and that only subcontractors and employees who are in compliance with ORS 701.055 will he used on this project. I HAVE READ AND
C<;-;;-;;;I/J;;;L~/)~I-I 9-/t1-J/
- 'NAME (please print)
READ THIS SECTION CAREFULLY. YOUR fUTHORIZATION HAS BEEN BASED ON THE FOLLOWING CONDITIONS! ~~q;l
o PLANNING/ZONING: '-- .v,,"9~c.;:tc\:n4;lU ~ Parcel ~ Parcel Sire VL~~
'hmmum Setbacke' l CLtyont ~~ '" L. "de interior _.~ rear ~
COM.HENTS0~.~1('~ ^, ('~(' Q \.r~-
<::g, a fY'(\.. ~'? 0 --S7~ / U
I
Floodplain Fee $
Subsurface Fees $
Build ing ~ee $ ---=0. 'SO
M~ch/Plmbg Fee $
plans Check Fee $
State Surcharge $
DEQ Surcharge $
TOTAL FEE ,~$ 85..35
(PO.-t33.35)
PERMIT APPROVED BY BUILOING OFFICIAL/DESIGNEE (per ORS 456is{;tb o/z};/~TE
LANE COUNTY DEPARTMENT OF PUBLIC WORKS LAND MANAGEMENT DIVISION, 687-4061,
125 EAST 8TH AVENUE, EUGENE. OREGON 97401
SEE REVERSE FOR INSPECTION INFORMATION
" JI-V'/-' 1Z,.~~-t'~
~ l) I~ - SIGNATURE
- --.
- -.'
-r, "
.~
~"-
\\\,'< ~
~
'\
}J:( SANITATION: s. I. #
Installation
Specifications:
B, P. '"
Gallon
Tank
Lineal Feet
of Drainfield
CQl>.l.HENTS:
~ PLANS EXlIMINATION: Type~
COMHENTS:
Group A- ~
~I"D #B
TOTAL VALUATION $ ~='~
CONSTRUCTION AUTHORIZED BY THIS PERMIT
--
~ Description
r/)(/) , / J U/1)
/0 Evx:S7:I/J?
P:~T//~~4/n
Fixed Feel
Unit Cost
Sq. Ft.
~
31.82.
FOR OFFICE USE ONLY
LErr
DECLARED S VALUrb
3, 2/)0 ~
, Q ~'Y.posed
~J.stJ.ng
T~LEPHONE NUMBER
DATE
- .j \
oat~4 <3--\
if
Installation Record Issued? 0 Yes 0 No
Maximum Depth
of Trenches
Date, 9:!t-~ ~
useLull~~iJ(N/J."r~)
Date;
Z/Z8/t!/5
n
g2.S3
2.02,
C l4-25
-
.'
,
, '~
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 t{EuuJ;;1:.-; I'~U;~'J;C "GIVEN. Have the following information ready: permit number I. jOb address, type
of inspection, when it will be ready, your name and phone number, and any special directions to site.
BUILDING DIVISION:
REQUIRED INSPECTIONS:
1. Foundation Inspection: To be made after trenches are excavated and forms~ erected and .when all
materials tor 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.
2. Concrete Slab or Under-Floor Inspection: To be made after all in-slab or under-floor building
serv~ce equipment, c9ndu~t,.p~p1ng accessories, and.oth~r ancillary eq9ipment 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
bracing are in place and all pipes, fireplaces, chimneys, and vents are complete and all rough
electric~l and plumbing are approved. All wall insulation and vapor barrier a~e in place.
4. Lath and/or Gy~sum Board Inspection: To be made after all lathing and gypsum board, ~nterior
ana-exterIOr, ~s 1n place-ollE before a~y plastering is applied and before.gypsum boa~d 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 insp:ctions for the ~ork 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
rnspection 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 accGrdance 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 as
recommended by the manufacturer.
2. Mobile home minimum finish floor elevation shall be certified when required by a flood-
plain man~ge~en~ 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. Swimminq Pool: Below grade when steel is in place and before concrete is poured. Above grade
when pool-rs-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 MQRE THAN 180 DAYS.
SUSPENSION OR REVOCATION MAY OCCUR IF THIS PERMIT WAS ISSUED ON THE BASIS QF INCOMPLETE OR ERRQNEOUS
INFORMATION.
ANYONE PROCEEDING PAST THE POINT or REQUIRED INSPECTIONS WILL DO SO AT THEIR OWN RISK.
. SUBSQRFACE AND ~LTERNA1IVE SEWAGE 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 if it
complies~with~bhe ,rules contained in~thip.dlvisioF. If the construction does comply with such
rules I the Department shall issue a certificate of satisfactory completion to the permi tl" 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 certif~cate. 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 Sewaqe Disposal
"Septic Tank
From: Interior property lines
Edge of road right-of-way
Building foundation
Wells, other water sources
10'
10'
5 '
50 .
Drainfield
10 I
10'
10 '.
100'
, .
..... :
:.....-.
. ',~f.~,
, :\"'~' ....
",'" ;t.
,',,', '
. . .', . ..~,-" ....;.,.. l~l:..;.'d .'~ ;.....:\..-- ~...:~ ......_. '1 -t' ,"',.... '. :..~~.'; ~:.;I~rr-J. ~~:":'~:"/' :.~'.;, ";~/'. :'.'..;:. ~~. ":"~"'~";;.:.;:,>.:~:'::.~~>~~
.~ :' .... ,:: : .:~~: J..,':. :':~i,~' t.;:::~',,~.:2:-.'Y~~~\~;~~.~'r~~~!;J.~'r;t<~.{.{~Z.~I~~i'r;7':.;~::~:'d .:~~ i~f>!;~i~'~jt'~h~' ~'.t:;::i:~~;~R~~ ~~' *i~:ttr;'I~S~ :t~*..:.\
.":'::ifr,ir:::~;:;~.:~'-:~~~gt~~~~
.".... ':.":" ".
.;i<.~;...,.~""":,:,~,, '.,
-':I,I',.!,"'.j \ '.:..: ...;..
i.~.:.:.":,:/,.;,. '. ',;)' ..'.,'.<tr:. ".' .,.,<.,. '. ...,'. .... ""'1.1,',::: ",.,,,.t.~f' ..:.-..... '-',./"':"4 """Il:~~.. ..... -,...:;- ~",OO' ."::'.;'; . .' . - . '.. ,....1::l,..
\..::0: ,,'\Yr.~ ......, ....._{
;. .-. ,,' ,.:'1':,':1".'.'.",:,' ';~"'1'~J:'_..(4'~,':":1 i')' _...1;"".:-.".:...., ill "'l' 'I~ .,,' ,':".'" "/0' ::1;.... .,' .r'.r....,,,.,,..,,..,;;:,, ..._-;",......';T,r~
'. .' .' I "',,' \ ,Y ~-:. .'.,:' .~. ", .~... .~..:--..-.'..~. ..~.,)..:-.... .,.:.,' ~'. '-;.""" ~ ~,:... ~ .~, . 'l.~" '.S," ..,''7;:...~..;. '.j.;r;.'j
....,\. " ' . ,j,'~;..:.. "'/""':'7f;~~t..-:c:f'~'..I; j~'/;'.."""", " --, ""'1'1 '. 1 . ,. ,.....:...~i-~...t:~.'..2;.....,;1
. ,,' ;". , '!' t, ~ '.' ~'." : '.~ .: :'~':......~ ~:.;t,~.:"\.o.~t, . -,.',. ..:' . '- ,-; "L~'II..".,: J. ~; , .' : I:', ':'i.~"J .. ;:.:."J-f-' : . ....,':. I ~: ....: ;':'l" ~:
~~ .. f,'r- :';l..;-~'~:i.;:Tf,!
';,~..:i,.:. . ~ ,~,:"".,>:. .J,"'I :\, 10, ':.,:J...~i.~,...ti . ...~:t'.::!,.t:~:- "~ t "":-;\'~~/I' ~...,..... ',,' '. : I', . ..' ,I I ..:.....:.,...t........;...!J-:~t~.l\
,~ ..; ',. . :....: :- .:'., 5' :.:..:.t ~:'~.{'.r;;~:CtJ '~ .'<"':~::l.::~r.....,"t:-';. fl;.w ,~,",:,:<.:~:"':~~~,'h': .'" ~.;;.t~";,~,::... '1\''':: *~.~, :';. . .:. .,~: 'r. .-;
,~J.,:',~/7.~:-rir: ..1.'i"~;,-;
"!I"': ':...;. "'1 l;" """--,."..,,,t.,W"'t ..:;':1'~.'..:,~~I"'\~ .~. ':'~'t:"" f}.:.,,; . ....~ll..J', -.~:tl'~:".rl'-"" ,"t. -'.~. . . ~:':'''i.;.........,..,q{~F~.~
".'./ ' :' ,'.... ~..t..,'i'..."V."u.f.'J/.....~" f .~:t 0 i'~""'r"I"'1 '. ~ ..' .' ~"""'oJ'J'~'I'J'i""''''l
r' r ~ ", . ': '.',;." ':~', \.' '0..4. ..'~' ~ :.~: ........~;:.:'~:J '. '\" 'm'" ., 1\,-:;1 ...... ." . ~ .~.~'~_.~. ..'1. ~ "',c:;OLrl7:'~' ,: .oJ,'-;.' - ' ~\:..;..... 'r.!':v...e'.~'i
'.. ,I~. ,_,~~'~':~'':':,,:,i:.:~:;..;:,..,..:.....~;:;..~~~~-:.;...:r:.-:',; ;,;.-- ',.1 . ~.'i~'...' ;'I~:I:tt'~' ...;-...::/.J"::"~~~:':';;)':'.::{;t.:~;ri
~., '..~"\.;.'."""'..._...~.'_-:f.'I'..";,.~~,,!,."'~':..:' ;<-;.....,'l,..~.;,~-'... ',-!.:.' ~.,~ 1~,(."..,.j'1 ~.,),.:J 1-.f?IPE: .::. .,"r '-"':.'IJ:~'''r~.:lt.
"" '-' -,' ........:) ,...~.~.t'.~.,... '.,..........., ., .'. .~~ \\'5:'''' ~..u'. ~J." ". . .., . "~( ...,..~...~r\
."",...:,. ,.~.:,... ',....-';..-.'...'-.~.\...:"I,'Ii.f.'"'!I.,.~.. 'I"...:..... ;';:v.r1.!.. "..'V't~ ." ..r;! ..1', ..,.-.:r--...."'..:,.,...~,....,..'rt'~
:~.",~' '...:.~,~;:.. ~..j~'yi..j~~.~....';_:r1..,.;:.~.',T:.~.. ,\.' :t,:.:, ,," .:'/::~~.:..~'..~1:: _.t ~i:';:1 :', l.,...... '.'':,~'' '".. ':;.~ i./:{:~'r:;i\~;l
, ..... ._,." l;'l'...l,".\:...~.,.,. "l ~:,. ,'" "....~...., ..,".. ,~. Z7'''~'' ...." -'; ',.'" ~'~""', L......~..,..
,: r;"' , ,~'... '.' ,~;.-;'.l..:..;:..,,,.:.:~~.l!,.., ~':j;"'" ,'. .... '. t: < _>'.,'':.~';~.' ~ ~ . '.'l~ .~' I'~..:'u.';'>': 1;:..;..;,~...:"J;~.i1...:.
,'\ . " .,....'::.....,..l/l...,......::.;,;,.::.~.,i.,::' 1: Ni....~~: :.I\~..;.i:I'_.q.:,.L'... " . ~.:..'I'~/...:..r.~;..::..i:.~J1{S'
.. ,,:' ',:'-~~: ,,> ..~f,~'::,..H ,:;"..~'r:::,-':- ,,;'. ,:'~' " ", :F,": ';.f\:r~' f~,;j \1 '.; ,,'.',,:..,.,::,,: ":'""".,' ,,;,\':,'d"C';
,.....'l. ., :::, "f,':"1/':'';'.;... " "'1. ',:/,.,':'1 ,-~, ,..\ . Ii:'... ;.':";~~'.';'. ;'i,,"'~
""I7'F.~ee;:~' ,"","' "";'"'' /. ~ 'bId' w,'..r. ':',1, 1:-" ".,.,.,'.'..,', ,'iC.,,,, ,', >
: -. ,:' , .~ .. .: ,- ~. " . ~::.~.,' ~;.:),'.. '- ~.~~,:;.~:::.:.~.. :.~.:.:'.': ,;:.'~ ; :: ~. .i!.~;:;l.j:,:.~-:~~~i~; :~ ~.: ~ I ' , <:;~;: ~:: ,.,1;;:' ~:: ',' )':::: ii~,;;::j
.' ~ . "f ' j" ...~....~ '.~ . .. /.0 "0 Ii' .,~'..>..."l.....,...... \.j..r. I' '.'.' , ',.."" '...'{..'<
." '. .i;;}~.;.'"..>(:;::,. "- -' ( .~; Ji'iiii'1.~\g WI' ... , . . ...... ,'; .;3;'}4'1
, '. . ;;", "',"':,C"J.~!.", ,'" . t> ;%:f:i~/% ;,Y"',,, 1':>,'.';.,... r-\..; 'f'e~'LlNe'; \"',..;~:;0<,:.,;
, ", . ,'" .;" &!/; / / . %::. "::<::F.\;>~1':'" -"\": I " ': ;". ,," ":<;'~: (;''':;::-:::.'
.,', 200,,00 - -. .... ,.." ' ~ / / '" ':' '. ,." .... ....l'~ ~ :,j'" .:, ',;. ,."..:.?~:.::.~..'.:,.::~:~;);i.~~i
.,-- ':'..' ,,' ....' ::-.:J i ",' I' t~/~/y~:.>" t-{ I~ "'.' ,.,'::,:';,:"':~':~..i;?j
.. ~,' :,' Y/' .~?I; .,.,:...,',:'.'....,r'.'.1 "', ," " .'..."..'.,',j'..,',','",.,.::,',",,','~,.:~.:'.'.:.;'.',~;:.l:'~...~
6rt.'lvr&! Drive, ,:~:,'':,;'' <. .,:,:,:"~.:~.::,~,::.".""~.:T.;.'r,,,,.~:~x,:'~.,'~,~:,{,;~,i.,:;.r;_;;":..,'.~},~,:,:,,..;",,;,::i..,',:",':,;~,~,::,','. ~>,+XI; :v::::" . .,' //
//, \<:;'--1, .."". '., .>.\ .'.\ ' : .., ~;"..' ~.~,
---" '.'. ,< n ,^ "':d' ..,.1,;'., tl"::' ,; ',.c~:,:,-;~:'f~: '-:';';:l:"""(~"(':' i,".:~, ~": ,:,~;:Zf.:{
~ - - ",,;., "L~',.;.;; I 1':~ ~'''{,,\',':'(<;,~ I ;;:' r; .'^ "':';:'i;~A:,;~.~. '-:::.I',,"-::'~ ~ ~:. ~\~'~:~:~f~?
".., \:'>':::.;.~7::II"~~:.,;.."~"':,-,..:\-....I-:-: j}1/~r', .., ' '.,.. ,,''>' >:,~:';;':;~> ."d J,
" ,:,:.....'..j:...);V""LJ;,;,.,.. ,.', I ':.,' ~ I'll ";":":";->~'K:" '.:'t',' ':',:'f.,' ", ,'",:;.~~,;',~,/.:~,;:,.j
" '.. ",'.,1"",'''-' ,; 1- . --,-'- ... V' \..1 ,','^ .... ",'" '",',:, _
'\ ".. , , \ .....~ ~ - ".., ",:, ,',,'.";.'
' , ..' ,; ',; i, . "Ii -, "" j, \ ,-.'v C> ':, .U'.
,;,.',,<<:, /.;.:~?}-~";.... ,!~! ,1'::;;,(;" -:--:~,"1'0,,,:-,,.;>, 'I' '1- ..' ':,' ,:'" ;::.:,;::;".;:~
", '. ','''' ',' ,',.,.. ,'. "-u.;,;J 'I' ,_1.", .. -,,--..-4, \""",. J) ,,' "", ' , ,
':.~;~~::.;',\S:.\:;:::~}!:;;:':jj~,~f,:,~--,!-:I.-',; r..'; \-" :'" ,\', ".:., ;..._.~:, ; '-':':,<f,t":):,,:!'f '. .r' _';'~
"', ,,'.: ,.~: ' ' -4-- ':t-, ",',,:i: i' ~,- .?~y;". -tJ:' .!~.~:.::, '.~"""",., .,'.-".,..,''', ,{..,:,r,.'I,r,:,~,;...i,:",!,;,i
- - ,.:," .. .." ~l\r",~":~:::~j<:, I ~ ~ - 1 .. , ,,~
'.. I' .. ,,' \'f: - :,"," "'-"unp.'PAR~.i~:.,
',," "-.. "., .:;i, ~' :~:,',;:~,'~..",""',',,::,:,+,;.,',,.:,;','-' " r... '~.. ,,:.,'6PA~~,::",e?~}~
" " --' ,-~. .~ -<~-~.,' j" '. .,;..::~\..;~;'~~:~i$::.,.:,'.!
" .... . , ..' . ;" \ ~. I . - '.~. -" ,;' . , ........ ,.. ....~I. '''''- ,:\
',::.,t, .:',. I ,'~ '. ",V" 1 ~ . , ' "'~"'..~\tr;;..\f~,
':,:,::-E) -;.-_ J '-,::..:../.. ..~.:.. --, ~ :":'-': '::"',>/<<f.i}:
",.',..'.'.:,:.,,; (C?.".30"'~')'-"":'" ", ." ~_+.,.,'~.,;:.<".:.~~,,::,'J'.<'{i
;f.' . ..\ ,: . ";';:,':. ~.~. '. ,,\~.....l.!_ l' .". '. (".1"" '.,..'r :;..::',' '..., '., ,'~.!"'J'1.::1
,',',.:-.,...'.",',..',.,;'"..'.;,.',:.,.",;..I:',~'.'.',:.~'.,~",I.:,.",;,.,',',".~.::",".'::...., :,.'.' ". ,:.; ';:\~"'y.' r:.' ''J.;,:F ~.. ,.pAR\llNb'1"~OT ::= :....:-."/1 ""'\
~ ; :?'.f...t'.t;t'l.
, ,":," v"-:; ':: .:~,:,- '~:F:::.-,.~: C 1<A\'e~"-f.>U<;;FA.Ge':" .....E:)t;T~.!,::,_..~y:.U':\
" '., .".;.~~;..:.~::.:r..~.~~7;i.\i,l~ ".',., ~.,:.-: "',; .:' .....~:..'.Al.~.~~(~;.:~:~:~~.~
'nr:"(')rrllr.'^ ~rrv I j..'.. ';' '.
.' "
....f, .',:
"
"2d
, ,
\""\.
.'
,
~i~:.T:~~ ~.
---
f"
\'1:"J I..
f;i,.. ~.
~'t:,:"
t~;: ~".:.
~'f ,~" ," ".
~:i'''''~ .
W.\~.....,:, ..
j~:~\{tr~~:~.. .
-;..:.j....L;~ .~... ':' ,
t"",;'} .t'f'" " ..'
)011'i1'..~"" ..1:':'.<"....- ':
~~"......:,V',II.',,:.. :",
~():~~;tl,~~ ;'. .:, . .:."
'.....'?f..;~~. ::' '~". ';';:-' ,:.
",tj~::l':~~:~:. t....,:. . '.,
....."\.1 .t... ".. . '. .
V;:..,. ".~
......
/'70.00'
"
'.
'.~' .
. ,I.
,<
"
. ~ . -
'.:.'
....t
,
"
~. '.
, ..' :,;, ,,,,.,.-,.' CERTIFIC:ATF
. .
. .
1 ~ 1
.' .
.-1
"
. .
. III
"
,~. .
':'1 .
"
.. .
,
..
,~.' .
..
., I'.rl
1. .
"I
.,
':'. .
)'\ 1
;. .
"
. .
. .
.
W: 2 LANE COllNTY DEP'Y' [NV MGT RECEIPT
I. (,PF"I...IC,;:,rr,.!E::I-IOVf:\H' S "-!ITNESS j ,;DDI': 2~537 C;,":1E:: F,Wh
. TI...:Po: 1 70322440"i1 00 SUBDIV
~E::W BI...DG TYPE:: USE C BDRhS 0
OloNEF:: Nt'IE
. CODE ,;PPI... ND (,CTION DESCfUi"T:[[ll,j
BF:'
":' IF'
~. BP
~ BP
" BF'
:3 1'1"
~.l'
;:: 1,-'1...
, ['liT H
~. SUF~
~ :::'CI(
· SDS
~.PCI<
~I, ..
8.
~ f'AP' :
-0 ..' .,'f
1 SEW.! :
~. TAI(E::N
,
,
i
v
UNITS 001 STORIES
(.\DDF<
S(~ FT UNIT
:~; 2~:})'3B4 DI:'ITE OS) 'I Ofe
fW", SPF:INGFIEI..D, "";:E..
, (',T \:'1 I,' , [0,
L. .. I .J _
.I~nl Dr" .;., ("I{')'~ F'J.Jn~'F 7''')(- ~:l If "5(:.
'W... .... ..'f,.). '-,_ I "d '.:... .,....1 \.: ,. '..
COST V,o,LUAT10N
FEE
D,\YS
.
.
I..,C 2'573<34 C Ii''!)
NO. F1krUF<ES:
400i
~50..~:;O
NO,
CDh~NECTDF~S :
f'\E::CH(.\N I C,:,L FEE::
S:TATE SUF<CH(,F,C;E
F'l..AN CHECI( FEE::
i '5 . 00 E(,CH "
.
,4%
~?,.O~?
" r ,
.
6::;i:'
32..B:3
SREF
-<2.00
.
(,PI"
F~tl
1"'1"
SDS
SI
PCI<
OTH
IS'S
:;.~
.
Hl
CI\
o
i
EST. COHi"I...ETIOi'~
D(.lll:::
TOTAl... I'" E:E');')(
~:l3 .. ~5 ~:)
BY 1':1...1,'
I
,
,
.
'f'
.
.
r
.
.
ACTIVITY INFORMATION
.
SH EEl'
lane county
COMPLETE THIS SECTION. I NCOMPLETE FORMS WILL UL REJECTED!
? Tf;//E' (J7.to-,fvr./'''-'-r '7'Z-' -.rr~'o
--=v f.t~I,/ 'fE~S~N~K';rr:1:6u{lf
.'
. ":-'--t'
~--
'"'3 ') cf., fr'J'O / Jf-,
MAILING ADDRESS
(' o--<-t.-<.. -<-.
PROPERTY OWNEfl
J-.C;?''Lfl-",-. e ~~__ 'f?-.rJ",'
MAILING ADDRESS
E'v4.~
'c ITY
nv,-;,.? ~ ~OCfo '4,
STATE ZIP CODE
f (J p-cL
CITY
(J'yPjr,<"-f Cf If) J
'STATE ,. ZIP CODE
'7 ?.-G,-f'no
BUSINESS TELEPHONE #
I-{- r r; - f"G, Z--(;;
HOME TELEPHONE #
BUSINESS TELEPHONE #
HOME TELEPHONE #
. 2 PROPERTY ADDRESS
(IF DIFFERENT FROM MAILING ADDRESS)
3 MAP & PARCEL NUMBER (from tax maps in Department of Assessment and Taxation
(REOUIRED INFORMATION) or from tax statement)
/'/ /" ...,. >- - ~ -iI',//?
I- . ,/-=--- ~ I '- .....? ../ '/ .. - ~r-:;:- '~:.-? ___-
TOWNSHlf> RANGE SECTION TAX LOT~ PARCEL #
L_Z CZ?__~0~r; ,
TOWNSHIP RANGE SECTION TA'X LOT(S) O~{ PARCEL II
ZONING
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) --1~8L61
i1 c-- rt, 17/'J to c..v,
LOT
BLOCK
1')(....... "l-A
--- -.-.. .-
" ~/~:..J~/
-.--.. ---- - ---.- .--.... - --------
6 DIRECTIONS TO SITE: _1?,'r._o.~_.(..,.c>b.0Y7Pz.14.I'.'r-o
ffVl a-- l>-lA-..A V();'r~..Jl1.)l.-=
,.fffP (IKU-, ,I,.e~T,
--------___...____4___..___
** FOR STAFF USE ONLY **
NUMBER
DATE
"
'--;
;v
VJ
ZONE/LAND USE:
BY: DATE:
.
--i
r-:
Tlf1E IN:
OUT:
.". -------.. -'___'___'___n___
LAND MANAGEMENT DIVISION / 125 E. Rth AVE.. EUGENE. OR 97401 / 687-4061
lane county
~ PERMIT
PLANS REVIEW INFORMATION SHEET
.
NAt~E h.t.."l{\v ('"..q>naJ.:,,.J ,,-r _~~ utIli'" S it ),'w....'<ps
I . I (
PROJECT ARCHITECT/ENGINEER (ONE PERSON ONLY)
7Z-C3-r,$O
CONTACT (NAME)T!.. \ If' .../~<;. ~c (fl~o:'-'l. regarding plans review items. Phone ~-
BUILDING USE (CHECK THOSE APPLICABLE) Warehouse for [J combustible material, [J noncombustible material;
Industrial: [J combustible material processed, [Jnoncombustib1e material processed;
Garage: [J parking, [J repair; [J Office; [J Store; ~Church [JSchoo1; [J Assembly;
[J Other (specify)
FOR OFFICE USE ONLY
PERlIIT NUMBER
NEW [J , ADDN r&1 ' AL TERAT!ON [J /CONSTRUCT!ON TYPE: F,,1lJ.AA --<-
Ground Floor Area/Existing: \ New Area: /
/OCCUPANCY GROUP:
Total Area:
Basement Area:
(When applicable)
/Stories/Height in Feet:
It') /
Area Increases: Number of Sideyards
; Feet in Sideyards
HP-T
for' -2P___% increase
.
proposed for [J Area increases,
[JOther (specify)
Occupant Load (whole building) based on Table No. 33-A:
sq.ft./occupancy)
Sprinklers not proposed [J
~ One-hour construction
Special Inspection Agency: [J Northwest, [J Pittsburgh, [J Other (specify)
(when req'd by Sec. 305)
Mechanical Plans (HVAC) submitted [J ; no HVA; proposed~'
NOT! CE:
If you are unable to supply all the above information, have
complete this form and return to the Plans Review Section.
the requested information or N/A when not applicable.
the person who prepared the plans
All blanks shall be completed with
',>
THE PLANS REVIEW CANNOT BEGIN UNTIL THE ABOVE IS COMPLETED AND SUBMITTED.
BUILDING & SANITATION DIVISION/PLANS REVIEW SECTION
LANE COUNTY COURTHOUSE/PUBLIC SERVICE BUILDING/125 E. 8th Ave./Eugene, Oregon 97401/(503) 687-4061
.
TfJO~e.p ~ ClA2..IFICPrTloJ
OF- ::t'A-c~ cJ. t d-
~/I/~/W
.