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HomeMy WebLinkAboutPermit Building 1982-9-21 ~ CONSTRUceON/PLACE.~ENT . ;,,;;;.;;;;;c'.rZ- COHPLETE THIS BLOCK. PLEAS:~: ~L~:K INK ~;;PRINT. 6 ~:: ~::::: :: :~:~S Plans - TOloJNSHIP /Z RANGE /}_. :? I SEC~ _ / // t. / _I TA~~.. 8. Ou'l' OT' DHl2chanical Checklist /~.~ ~~ r ~ Jr ~~ -=' []Plumbin~ Checklist ~:UB N/PA T ,;/./ ,>t applic ) 6/ . .1 LOYPA~EL _ I BLOC. K LL I :...tI"""..A"'..... , / V ,. / J:]Plan Chect~ Info Sheet TIO' ^ D;:F ~~/ . ~d/A?'.~~7Y7/ PP;:;:iU:~n~::~crO~ndustrial . S R .5 cu _' " ~R:Y cts: ('/ / r~ . ~ 0 commemal Dpublic _, .' _. .~OS '- wff-k~ k~~~~ ~ I $ VALue , OF;:;:3: I'-OF/d~/ I ' O~-I_WATER ~~~~ ~~~~~~~~~ I 0\ .,,' .~;?~ _ ~#%/ iZ &~ ;;;;";:1~:;6 CONn' TOR'S i'Ai~~S </. . _ TELEPHO:;E ',">:BEk "7%"14'-'~~/~~' ~~~ _~~~~A?w#/~ ;<_4~~/~d~~) I llAVE CAREFULLY EXAMINED TilE COMPLETED APPLICATlotl FOR PERMIT, and do h~rr'bi' "r;'I'lirj' thilt "II infnrm'ltion h""rfHln i'\ llll" .1no ~orn.-t ,,,-11 I,HI'l' r certify that any and all work perforll'lCd shall be done in accordanClj with the Ordinil:1ccf> of Litnl' County and t.hl' J,a"'~ of ~t... Std'...... nf (J1"'l >" T' . t lll,;n I to the work described herein, and that NO OCCUPA1KY will be made of any structur~ '..ithout thC' permission of the ij'Jilding Oi.vi!'>ion. I ",nth"f r. r'.ll)" that registration with the Builder's Board is in full force and effect as required by ORS 701.055, that if exempt t.he ba!11S for '-'XO"l'tlr'rl i< n It..d hereon, and that only subcontractors and employees who are in compliance with ORS 70.1.055 will be used on this project. I HAVE RE",D AIlD ('llECYJ-'V Till!': APPLICATION T UGHLY. f18c/lr Il R:!.JRSt::Y NAME (please print) , front Partition;; /lf4-- Parcel eL, SidP~ interior )'-~%~EL- ,11//19- /S/ ~"''''I'\!~ o PLANNING/ZONING: Zo > 0, nor .... -.0 ~ ..\, ~". DAgllll Ih_rllmum Setbacks: C L, Parcd snel /:J"~)( ;lJ/ reil!' ~~' Date: / / 9/zlJ2-- -I' ~ n o Comments: o FLOODPLAIN: In flood hazard area? o RURAL ADDRESSING: CRlD CDORDINATE M SJ>.NITATION: s. 1. # ~ Inst:allation Speci fications: ~o [] Yes, see attached sheet. Date: N E Date: 8, P. ..f~3-1() Installation Record Issued? [] Yes [] No Gallon Tank Lineal Feet of Drainfield HaximW'l Depth of Trer,:::her. Comments, /7 A:. ( S' tJ j 0 ~,-.", ~..vA e... T,u -rile... OI\.'-7',';.;,k,I1'- 7ft->-kl\~T-::.'~,_ :/.</ ~"2.,. A- '" i2..c.A (<>-e-r.; .... c/t... D?PLANS EXAMINATION: 1/1, <.\ ~ NvT A-/?pl'Vt/<4 ;.-Iv , /)L<:./7 Type s: It! +~ t:VC ~-t- of- ~~ ~ Date'2....=..A~ -/1. GroupjJ~ -~ ( Use 4Md /!,",t:f, - , o Comments: Date' 9-2/-/1 L. 4ff CONSTRUC'l'IQN AUTHORIZED BY THIS PERMIT -- ~~;t .. -:/..-?? h~ '-/ - /~ '-, :' !;~ 2Jril'//.. 5f1/k,!- //')( /lfJ/ Floodplain Fee J ~ 'i 5~ Subsurface Fees ~. t ~ /,.-._ , I~~ Building Fee~~ "-'/7 .~ 4. 'L If' (~. r/Storm Drain/Water 5 , '. ~~lumbing Fixtures $ Mechanical A ~L o. 00 $ _ ,/<>--- Plans Check PJ ~8.i'''$ ~..-~;..-- State surch(#i'O. ~ ~, $ _ /_ _ . ... aLl. "" P"~ '--- TOTAL FEE !:a.1.. , T ~ ~ /...,---- f.eJL~ f. 4C;) FJi;,i~~ C ck Q~h TOTAL VALUATION $ fil-i" l:. ,'&-- M _" ~_"" w,w,::::,~~ ?If;~ !.WE COUNTY DEPARTMENT ;~;LA.;~~E&R;;'IU;~~ DE;~:~~'~~:n~:t;~G9~ )33l~ /9j"? Fixed Feel Unit Cost ~ ..::-::- '" . .. , 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. W4EN 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. 8UILDING DIVISION: REOU I RED IIISPECTI ONS , 1) FOUNOATION INSPECTION: To be made after trenches are excayated and forms erected and when all materials for the foundation are delivered on the job. Where concrete from a central mixing plant (colTlTlonly termed "transit mixed") is to be used, material, need not be on the job. 2) CONCRETE SLAB OR UNDER-FLOOR INSPECTION: To be made after all in-slab or under-floor building ,ervice equipment, conduit, piping accessories and other ancillary equipment items are in place but before any concrete is poured or floor sheathing installed, including the subf100r. . 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 BOARO INSPECTION: To be made after aH1athing 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 haye 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 1imited- 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 complete, Installation shall be in accordance with an approved nationally recognized testlng agency alld 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 connect; ens. (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 30 days after occupancy, Tiedowns and skirting shall be installed per enclosure. 0, SWIMMING POOL: Below grade when steel is in place and before concrete is poured, Above grade when pool i, installed, APPROVEO PLANS MUST 8E ON THE JOB SITE AT ALL TIMES DURING WORKING HOURS. THIS PERMIT WILL EXPIRE IF WORK DOES NOT BEGIN WITHIN 180 OAYS, OR IF WORK IS SUSPENDEO OR A8ANODNEO FOR MORE THAN 180 DAYS, SUSPENSION OR REVOCATION MAY OCCUR IF THIS PERMIT WAS ISSUED ON THE BASIS OF INCOt1PLETE OR ERRONEOUS INFORMATION, ANYONE PROCEEOING PAST THE POINT OF REQUIRED INSPECTIONS WILL DO SO AT HIS OWN RISK SUBSURFACE AND ALTERNATIVE SEWAGE DISPOSAL SYSTEMS (1) (2) Permits shall be effective for one year from the date of issuance, Upon completing the construction for which a permit has been issued the permit holder shall notify the Department by submitting the installatlon record form. The Department shall inspect the construction to determine if it complies wJth. the.rules contained in this divisiqn; If the construction does comply with . such rules, the Department shall issue a certificate of satisfactory completion. to the permit holder. If th~ construction does not comply with such rules, the Department shall notify the permit holder and shall requlre satisfactory completion before issuing the certificate. Failure to meet the requirements for satisfactory completion within a reasonable time constitutes a violation of ORS 4S4,605 to 454.745 and this rule, Setbacks - Subsurface Sewaoe Disoosal From: Interior property lines Edge of road right-of-way Building foundation Wells. other water sources Seotic Tank 10' 10' 5' 50' Drainfield 10' 10' 10' 100' , , \" \" .. .... ,. .' ~, . . . .. ,. , - LANE COUNTY DEPT ENV MGT RECEIPT ROBERTA AD DR 2568 DUMAS DR.. SUI'lDIV NORTHWOOD ESTATES USE R I'lDRMS 3 UNITS 001 STORIES ADDI, SQ FT UNIT COST VALUATION 198 4.05 801 . .' . , , . . . . , r . . . . . f\ · APPLICMH DOF:SEY. .Il\.~ 1703234400123 e":::W BLDG TYPE OWNEI'~ NME CODE ,~PPL NO e"p f'p f./P elF' ['I" I'll" LC 131882 RAAA .""l NO. FIXTURES: '''',FC'I-~ s\m .'CI< . ACTION DESCRIPTION COVERED PATIO SUN SP,~CE .' ';,HG: ~<;'EQU: TAI<EN . I - . f'PP o I~Y I':;LH R,~ NO. CONNF.::CTDHS: MECHANICAL FEE STATE SUHCHf,RGE PLAN CHECI< FEE Fp SDS SI PCI( 1 0817B2 EST. COMPLETION DATE . . .r . . .: ; .:: .1': " .1. r; ..= .>'': I' . . . ,~, 'j:3 1 8B2 DATE 08028:;:. SPRINGFIELD. OREGON L.OT 10 I'lLI< 4 '~BLDGS 001 PHONE V6 %86 . 801 1 '5. 00 EM~H .... FEI': lifWS . r . 16.-')0 . 0.64 10.40 . 4'/ ." i. I:'"~' "')M)/~ . 't i OTH . ISS . 2 11 TOTAL FEE.. 27.04 CI< . -" ~ .-1- .. r; P~NING & COMMUNITY DEVELOPMENT . - EET ACTIV,-ry INFORMATION S'l-I bne county ~ COMPLETE THIS SECTION. INCOMPLETE FORMS WILL BE REJECTED! 1 .$~ER16N ~r;~UEST s( /) ,n 2"1.:... jN~ I./-I/J' MAILING ADDRESS Jjn"-'i'l./t'<,/./,;:)12 971177 I (JJffY - I - StATE ZIP CODE ...P~ - PROPERTY OWNER MAILING ADDRESS .. CITY STATE ZIP CODE BUSINESS TELEPHONE # '7.il '-:SP />(. HOME TELEPHONE # BUSINESS TELEPHONE # HOME TELEPHONE # 2. PROPERTY ADDRESS Mift.. .. . .-fl. (IF DIFFERENT FROM MA LING ADDRESS) '3 MAP & PARCEL NUMBER (from tax maps in Department of Assessment and Taxation (REQUIRED INFORMATION) or from tax statement) /7 -3 :J3V.<( /;)~ TOWNSHIP RANGE SECTION TAX LOT(S) OR PARCEL # ZONING TOWNSHIP RANGE SECTION TAX LOT(S) OR PARCEL # ZONING TOWNSHIP RANGE SECTION TAX LOT(S) OR PARCEL # ZONING TOTAL CONTIGUOUS PROPERTY IN SAME OWNERSHIP: 4 SUBDIVISION (if applicable) 5 REQUEST (state exac}lf what you plan to do) ~~ ~ ~ ~f~~' ACRES LOT 1-/ ~~ . BLOCK '"b s:.,cD 6 DIRECTIONS TO SITE: ** FOR STAFF USE ONLY ** - -- NUMBER . -t '" Vl ZONE/LAND USE: BY: DATE: DATE . -f ,r-: TIME IN: OUT: ,/ - --- ~ - ~ - ()J I (j:J f'0 7,/,l/-J Fnkr ~"(...rl"tV PIfAIN F/J~~~() IJ U/VI<IIIOW'f '" .... '" .s> 10 ~ , ; , _.____..__ - ...I -.--..-1 O~ ~ ...--1-, ..... ~.~ 1.V.4~'" A I~ ''''''AI('; rtte.~".p ""'If""T~ ~~~-J~rl(u Fei/f(',J I'I,/? F"''''N''r~ - ... 2./ ~ ,,' 'Ie 18 , .. '1.1.... ~,.. - '- .---...- ~ .- .- / -j , '-, 58 ~ CC'L~ filP' 1?1...Tp~,.1 T'tt' SUN Spjt/('ff L''-I''PIi>E If 'I~ ~ 42.' '. " " ~";;.-' - , " :1 'I ..-~ ~ CD.O AI~ 1\ . U ~,,~:~::;/N 1\., jf " '<:~\," '(",-! .,.. 7 PI"'. -~ " !.'.It. t rl" R-" \ ~'~r;J~ 1\ If.,f \.,j:\'~ / \ ............ /-/'/ \ ...., // '\ /;- ~ /"'/ 1\ ...- II // I' ",' II , 1 ,. ;, >- ~, , - - II ~ 15 to 1 1 f- .- " .... . -ll !<) It-I tjJ . 1'!dB -IIi- I\pproved FOI CONSTRUCTION DATE BY LANE COUNTY I CONSTRUCTION PERMITS & INSPECTION on ~. - . . , ,'" '. . : s.. " . ~. ~. " ". " -. . IS ~ UiJ ... 22 -. .!! ". " -. -t' ij '. E.. " -. . . . i. . . . V uij . . . . . . J J. . LANE ROBEIHA' S'JBDIV USE X BDRHS COUNTY DF-PT ENY MGT PECEIPT '~131882 DATE "0923B_. MDR 2~b8 DUMAS DR., SPRINGFIELD, ORE(~'1N . LOT BLK o UNITS 00j' STORIESoiFBl.DGS 0~)j PHONE 726 ~'0R6. ."M)OR ~Q FT UNIT COST VALUATION Ji. f~PPI.. fl'!,"-'T nI1R<;'EY, . TU' 170~234400j n A NEW BLDG TYPE OWNER N/'W ~ cnnE ~PPL NO ACTION DESCRIPTION .BF' f. [lP L "'W ~.Bc, DP .. . -.1"L ~ !-fECH SUR i!..PCI( I{p .E. PCI< .SIIl'< r" {'L .!!..CATG: APP S'EQU: 0, ..!!... ITAK~:N BY f~_H - ~ . .. Nfl" FIXTURG'S: NO. CONNFCTOf(S: MECHANI Cf~L FrE STATE SURCHAI~GE . PLAN CHECK FEE. L.C 131882 SIIPP " SI PCI( RA. FP SDS EST. COMPL.ETION DATE' '~. .!!.. .. -. '~ . 15. 00 E~ICH " .4% OTI-I ISS o lOTAL FEE** .- FfE 47.0.0 30.23 1.36 \0.00. 88 . ~>9 CI< DAYS ~. I L', . .1 .' , . eS 3 . JU ~'J ~ :;.1 .J . . . . , Sei . ~ .