HomeMy WebLinkAboutPermit Building 1983-7-13
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I ION OF PROPOS W RK. - BE SP FI ~- ,
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CROOMS.7 # F STORIE~ J /1 F ~P~ES ~ _) 0 ~po~ed
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UPJLlYLJ lOA)c, II 1/1(1lYY'(ln .:J. . "-r-{jk;2
, N_AM~ AN~'W )) . i:wX1 / I~Pj A Nl) I E PHONE NUMBER
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have the following legal interest in the property,c:Jowner of record; ~contract purchaser;~authorized 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 Oregan
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 exemption
is noted hereon, and that only subcontractors and employees who are in compliance with ORS 701.055 will be used on this project. I HAVE READ AND
CH/;;':;::CAiHORa:L'Y~E~~ JZr;;uu) ),~. _11 ,,~. . /f-.Fd'~
NAME (please printl ~~ DATE
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TJ\6:
fo.
FOR OFFICE USE ONLY
Applicatio')l / ~/7_ Co?
Perm~ t # / / t;;:>(f/ t1 ~
DTWO Copies of Plans -
o Three Copies of Plot Plans
DMech/Plumbing Checklist
DLegal Interest Document
Dplan Check Info Sheet
ZIP
PRO~OSED USE OF PROPERTY
o Reside_ntial 0 Industrial
o Commercial D Public.
READ THIS SECTION CAREFULLY. YOUR AUTHORIZATION HAS BEEN BASED ON THE FOLLOWING CONDITIONS:
[] PLANNING/ZONING,
Zone
Parti tion It
Parcel It
Parcel Size
Hinimum s~
COMHENTS:
CL. front ~, side
lr.Y1m /1 ~Uf(JIi:J ptDr~ cml yj
Date ,Z1.JJ V\- (t') ,1J!IltI!F
Date:(~ - ~ r-l
interior
rear
[] FLOODPLAIN,
In flood hazard area? 0 No 0 Yes. SEE ATTACHED SHEET.
[] SANITATION, S. 1. #
B. P. "
Installation Record Issued? 0 Yes 0 No
Maximum Depth
of Trenches
Installation
Specifications:
Gallon Lineal Feet
Tank of Drainfield
~~ .:jfJS ~
r, _ $I ~ ,-z::...~
~ p~- f~A-H",~
Date, 7 -/~-F:;, ~
[] PLANS EXAMINATION, Type
Groun
Use
COW1ENTS :
Date:
n
TOTAL VALUATION $
CONSTRUCTION AUTHORIZED BY THIS PERMIT
, -
$
$
$
$
$
State Surcharge $ "-
DEQ Surcharge $ n. 0.0
TOTAL FEE $$, ~ u()
~E~ AP~DI.e~fc[;DESIGNEE (per ORS 456.BD5(I)) 7-/..:1 OAt:.:J..
LANE COUNTY ptPARTMENT OF PUBLIC WORKS LAND MANAGEMENT DIIISION, 687'4061,
125 EAST 8TH AVENUE, EUGENE, OREGON 97401
SEE REVERSE FOR INSPECTION INFORMATION
~ ,
Sq. Ft.
Fixed Fee'!
Uni t Cost
Floodplain Fee
"SUbsurface Fees
J(uilding fee
1-1:;ch/Plmbg Fee
'J(J _ 00
CUt ~;;,criPt;on ~
~k~)Hr g ) eyt;
P'ans Check Fee
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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 Musi ~~ GiV~N. 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:
REQUIRED INSPECTIONS:
1. Foundation Inspection: To be made after trenches are excavated and forms erected and when all
materials tor the toundation are delivered on the job. Where concrete from a central mixing
plant (corrunonly 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
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
brac~ng are in place and all pipes, 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 and/~ Gy~sum Board Inspection: To be made after all lathing and gypsum board, interior
ana-exter~or, ~s ~n place-ollt betore any plastering is applied and before gypsum board joints
and fasteners are taped and finished.
5. Final ~pection: 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 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 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 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 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. Swimming 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.
SUBSURFACE AND ALTERNATIVE SEWAGE DISPOSAL SYSTEMS:
. .. ,j,
1. Permits shall be effective for one year ~rom the date of issuance.
"l "," .'
2. Upon completing the construction for which.a permit has -been issue'"'d, the. permft holder. shall.
notify the Lane County Department of Planning and Community Development by $ubmitti~g the
installation record form. The Department shall inspect the construction to determine if 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 permitl 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 ~
10 '
10 I,
5'
50'
Drainfield
la'
10'
la'
1001
C 14-25
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~NNING & COMMUNITY DEVELOPMENT
ACTI\}ffY INFORMATION
tHEET
bne county
~
COMPLETE THIS SECTION. INCOMPLETE FORMS WILL BE REJECTED!
1
PATRICIA 11. GITIERE
PERSON MAKING REQUEST
WREN PLEGER
PROPERTY OWNER
2125 Medina, Eugene, Oregon
MAILING ADDRESS
STATE
97401
ZIP CODE
2467 Dumas Dri:ve." Springfield, Oregon
MAILING ADDRESS
Springfield, Oregon
EUgene,
CITY
687-4031
BUSINESS TELEPHONE #
Oregon
CITY
STATE
97477
ZI P CODE
683-2015
HOME TELEPHONE #
unknown
BUSINESS TELEPHONE #
746-9956
HOME TELEPHONE #
2.. PROPERTY ADDRESS same as above
(IF DIFFERENT FROM MAILING ADDRESS)
3 MAP & PARCEL NUMBER
(REQUIRED INFORMATION)
(from tax maps in Department of Assessment and Taxation
or from tax statement)
23 03 17
TOWNSHIIP RANGE SECTION
44104
TAX LOTlS) OR PARCEL #
lll1Res
ZONING
TOWNSHIP RANGE SECTION
TAX LOTlS) OR PARCEL #
ZONING
TOWNSHIP RANGE SECTION
TOTAL CONTIGUOUS PROPERTY IN SAME OWNERSHIP:
4 SUBDIVISION (if applicable) TIURD ADDITION TO NOR'IHWOCJD
TAX LOTlS) OR PARCEL #
ZONING
ACRES
LOT 15
BLOCK 5
5 REQUEST (state exactly what you plan to do) NEED SEPTIC INSPECTION FOR FHA WAN.
6 DIRECTIONS TO SITE: APPROXIMATELY ONE BLOCK NORW OFF OF HAYDEN BRIJX;E ROAD. &-70
..~~d/~ -~A.w~.A." ~ ~~~.
** FOR STAFF U ONL Y ** NUMBER ;ci
V>
ZONE/LAND USE:
BY: DATE:
DATE
.
-l
.r-:
TIME IN:
OUT:
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. LANE COUNTY DEPT ENV MGT .RECEIPT ~ 112083 DATE 0712. ~
APPLICANT GITTERE. PATRICIA ADDR 2125 MEDINA, EUGENE, OREGON . I l .
TL~ 1703234400104 SUBDIV 3RD ADD TO NORTHWOOD LOT 15 BLK5--
. NEW BLDG TYPE USE R BDRMS 0 UNITS 001 STORIES ~BLDGS 001 PHONE 687 4031. .
OWNER NME GITTERE. PATRICIA ADDR 2125 MEDINA. EUGENE. OREGON
CODE APPL NO ACTION DESCRIPTION SQ FT UNIT COST VALUATION FEE
.BP
BP
J Ii BP
ElP
· BP
DAYS .~
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PL
· MECH
SUR
. PCK
SDS
SUR
NO. FIXTURES: NO. CONNECTORS: 15.00 EACH =
. MECHANICAL FEE
. STATE SURCHARGE 47.
PLAN CHECK FEE 657.
LC 112083 SDAN
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50.00
5.00
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. CATG:
SEQU:
TAI(EN
.
APP
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BY CAD
RA
FF'
SDS SI
1
COMPLETION DATE
PCK
OTH
ISS
EST.
TOTAL FEE**
55.00
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TRS, TL_Z.~,o~"1 ~/oci Job Location
Permit (j
Plot Plan ~:=~:
Subdivision1J.1.,b Aoblfic,,) 11> ~1UuJo:i>
Ii'". '" - (
Lot ~ Block >
Vicinity Map
-
N
C74-150
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For Permit n For
For Permit 0 For
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