HomeMy WebLinkAboutPermit Building 1983-4-28
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. . FOR OFFICE USE ONLY
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o V ~ ~fp. /'J ~ /?"V DLegal Interest Document
S:JBDIVISI N/PARTITION ;~f apphcable) I LOT/PARCEL' I'BLOCK Dplan Check Info Sheet
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STRUCTURES CURRENTLY ON PROPERTY. ,
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" OF ~E~ [' OF SroR~ - r 11 0:4//))E5 I WATER SUP~~~ ~~~~~~
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I ~AREFULL,{ ;XAMINEO- THE ~~ED APPLICATION FOR PERM~T. and do hereby certify that all :nformation hereon is true "and corC(~ct, and that I
have It: following legal interest ~he property, Downer of record; 0 contract purchaser; ~uthorized agent with evidence of authority attachl!d.
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 permission 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 exC!mption
is noted hereon, and that only subcontractors and employees who are in compliance with ORS 701.055 will be used on this project. I IU\VE READ AND
CHEm12DNTHD/;Z~/ ~~~
, NAME (p,e.,. print) . - ./ / SIGNATURJj;./~
L~;{~
READ THIS SECTION CAREFULLY. YOUR AUTHORIZATION HAS BEEN BASED ON THE FOLLOWING CONDITIONS:
[] PLANNING/ZONING,
ZOne
Partition"
Parcel #
Parcel Size
~\inimum SetbackS::7? CL,~t /4 dL' side .".;? ~rior .dZ.
=': ~~A'7.A? 7- ~ .?~-1-"r7
~~~~~~. .. Oate, ~$-;/3 ~
o FLOODPLAIN: In fl~azard area? 0 No 0 Yes, SEE ATTACHED SHEET. Date: " n
Installation
Specifications:
Gallon
Tank
Lineal Feet
of Drainfield
Installation Record Issued? 0 Yes 0 No
Maximum Depth
of Trenches
[] SANITATION: S. 1. i
B. P. #I
CON}lENTS :
Date:
n
~PLANS EXA1-lINAT~e ~ \ Group
CO>C'lENTS: I'tl?j AIfl-~~~-:j;"""
12..o:?
Use
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CONSTRUCTION AUTHORIZED BY ~ PERMIT
Fixed Feel
Unit Cost
Sq. Ft.
Floodplain
Subsurface
Fees
//m..-
/,(;. -
TOTAL VALUATION $
State Surcharge
5
5
5
5
5
5 ,
DEQ Surcharge 5 ~ eJ' G ~
TOTAL FEE 55 c7;?P#
3'~~"x'?
DATE
Fee
Building E'ee
H::!ch/Plmbg Fee
plans Check Fee
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PERMIT APPROVED BY BUILDING OFFICIAL/DESIGNEE (per ORS 45~~ ~
LANE COUNTY DEPARTMENT OF PLANNING & COMMUNITY DEVELOPMENT / 125 EAST EIGHTH AVENUE. EUGENE. OREGON'\(7401
SEE REVERSE FOR INSPECTION INFORMATION \
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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 following information ready: p~ermit number,. 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:
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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, ma.terial~ need ,not be" on the j"ob..
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 ~ut 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
electrical and plumbing are approved. All wall insulation and.v~por ba~rier are in place.
.4. Lath and/eE. Gy~sum Board Inspection: To be' ma~e - ufte~. all la thing, and gypsum board, interior
~ ana:exter1.or, 1.5 l.n placewt betore any plastering is applied and. before gypsum board joints
and fasteners are taped and finished.
5. Final Inspection: To be made ~fter 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 inspec,t.ions 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 bontbeam 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 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. septtc system for setback requirements, plocking, 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 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. Swimmins 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 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 REQUIRED INSPECTIONS WILL DO SO AT THEIR OWN RISK.
SUBSURF).CE AND ALTERN~U'IVE SEWA~E DISPOSAL SYSTii1;':-'~ ;' ,f:::..'. ~
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1. per~its shall be effective for one year from the d~te.-of i.sj:~.anc4e.\: . '~,... ;\..:,: .
2. Upon completing the construction for which a permit has been issued;' the perm~t holder shall
notify the Lane County Department of Planning and Community Development by submitting the
insta~latiqn,record form. The Department shall inspect the construction to determine 1f it
compli,es,,'wit.h thQ 'rules contained in this division. If the construction does comply with such
rules/ the Department shall issue a certificate of satisfactory completion to the permiti 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 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
From: Interior property lines
Edge of road right-of-way
Building foundation
Wells, other water sources
Septic Tank
10 I
101.
5'
50 .
Drainfield
10 .
10'
10'
100'
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CHECKLIST
PLUMBI NG / MECHAN ICAL
APPLICANf INFORMATION:
-'llg ~ m.r<!s t;;LENN LO~GWOTZ-TH 11.38 Ytt~,<€A-
(Name or l;;'i-L';, fLu':'':' r.. :..;.t " (Malhng Address)
PLUMBING mNTRACTOR
o Yes Finn
Address
o No DSelf
SegjrJ{,t:IF4P
(Clty or Town)
Cont. OSR#
M Yes Finn (I,D,!", ~E''''''' F( Llu\ HlfA-r'"loltfr
Address B..~fLJd~ ~1t.S"'f
~iXD~ I OR. '1'740 'Z-
~IEGlANICAL mNTRACTOR
o NoD Self
OFFICIAL USE ONLY
Appli./
Pennit #
974-77
(L:lpt'Oae)
Cant. OSR# 4-G.0
Type of Fixture
pLUMBING
Number of Each
Total
Sink
Lavato!" (Wash Basin)
, Tub (with or without shower)
Shower, separate
Water Closet [toilet/urinal)
Dishwasher
Disposer (garbage grinder)
Washing Machine
Water Heater
Floor Drain
Sewer--lst 50ft.
each additional 100 ft.
Water Service--lst 100 ft.
each additional 100 ft.
Stonn and Rain Drain--lst 100 ft.
each additional 100 ft.
Special Waste Connection
Sewage and S~ PumP (eiector)
Mobile Home Sewer and Water
Other (specify)
SUB-TOTAL (Minimum $10.00)
J TOTAL FEE
Type of Equipment
MEGlANICAL
Number of Each
Total
Mechanical Pennit Base Fee
Furnace UP to 100,000 BTUjH
Furnace over 100.000 BTU/H
Clothes Dryer Vent
Bathroom Ventilation Fan & Duct
Ran.ge Hood with Mechanical Exhaust
Wood Stove
Air Conditioner Only
Heat Pump
Floor Furnace
Gas Piping System 1 to 4 Outlets
Per Outlet
Other (specify)
SUB-TOTAL
~1J\L rIOE
Fee On Each
$ 5.00
5.00
5.00
5.00
5.00
5.00
5.00
5.00
5.00
5,00
l5.ob
10.00
15.00
10.00
15.00
10.00
5.00
5.00
10,00
Fee on Each
$ 6.00
7.50
3,00
3.00
4. so
6.00
6.0-0
6.00
6.00
.50
$ ]0.00
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APPLICANT TRAPP,
~--u' 1802061312100
; [NEW BLDG TYPE
" OWNER NME
. CODE APPL NO ACTION DESCFnPTION
BP
-.BP
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BP
" BF'
: .1ECI-I LC 536B3 MECI-I
PL NO. FIXTURES:
: MECH'
':~UF(
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53683
OREGON
Lor
IBLDGS 001 PHONE
LANE,COUNTY ~EPT ENV MGT RECEIPT 0
ADDR 855 W 1ST, EUGENE,
PHIL
SUBDIV
USE R BDRMS 0
UNITS 001 STORIES
ADDR
SQ FT UNIT COST VALUATION
15.00 EACH"
NO.
CONNECTORS:
MECHANICAL FEE
STATE SURCHARGE
PLAN CHECK FEE
4%
6~5%
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CATG:
SEQU:
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SDS
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APP
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BY RLH
EST. COMPLETION DATE
TOTAL FEE**
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DATE 041 ~~83
ElLK
342 8101
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FEE
DAYS.
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16. 0~)
0.64
10'.40
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27.04 CK,.
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Pacific Metal Company
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PORTLAND. TUKWILA. HQISE . SPOKANE. MEDFORU . EUGENE. BII.I.lNGS
227.069\ 251-6100 34).6468 535.0326 779-7271 41i5.1117~ 245.2210
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