HomeMy WebLinkAboutPermit Building 1984-9-4
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Lane ~~y Auth~ization
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'1.7SADDRE6<:,.U~T ~.t1_-L ~p lZ q"'} 'f'l CITIf
STRU~TU~S CURRENTL\'/N p*oP RTY ~I~. ?
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= OF BEDROOMS- Ii OF s~s - Ii OF EMP~ - I \!R SUPPLY . ~
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CO~CTOR' SEAN!;!;; # (7 I_#- TELEPHONE NUMBER
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PE~~~~?~:~::~! WE ~P::'~I:~: :AAIT"~d~ ~~ :tifY th~t 11 in'o=.tion hcreon" t~uo~n:E:::~:ct~~:~ thot I
have the following legal interest in the property: Downer of record; 0 contract purchaser: authorized agent wi th evidence of authori ty attached.
I f'.:rther certify that any and all work performed shall be done in accordance with the Ordin nc B of Lana County and the Laws of the Stato 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 exemption
is noted hareon, and that only subcontractors and employees who are in compliance with ORS 701.055 will be used on this project. I HAVE READ AND
CHECKED THIS APPLICATION THOROUGHLY.
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FOR OFFICE USE ONLY
Applica tic" pf / I/J 1- vi L
Perm~t # ??< 7l/ /-IJ 7
o Two Copies of Plans
DThree Copies of Plot Plans
DMech/Plumbing Checklist
o Legal Interest Document
o Plan Check Info Sheet
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ZIP
PROPOSED USE OF PROPERTY
~ide_nti'al 0 Industrial
o Commercial 0 Public,
DECLARED ~ VALUE
'i?,L...JJ. rg'I9-T$'
NAME (please print)
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SIGNATURE
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I DATE
~E::A::::G:::::::: CAREFU:o::j2A:THOR::::i:::n H#AS BEEN BASED O:'r::; #FOLLOWING COND:::::,S ~iZ.
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Installa ticn
Specifications:
Gallon
Tank
Lineal Feet
of Drainfield
Installation Record Issued? 0 Yes 0 No
Maximum Depth
of Trenches
o SANITATION: S" 1. #
B. P. #
CQMI>IENTS :
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us.~/WO~/l3eAOT'i SflOP
s,~A.LE2.. ~. S'iST.
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P=J2- 'N6~CmP %:rl2J~ 'IolSPFrnD~. Dat.:~ D
TOTAL VALUATION $ 44-~
Date:
~:LANS EXAMINATION:
Typ. \l-N
Group~
cmmENTS:
CONSTRUCTION AUTHORIZED BY THIS PERMIT
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PERMIT APPROVED BY BUILDING OFFICIAL/DESIGNEE (per ORS 456.805(1)) -
LANE COUNTY DEPARTMENT OF PUBLIC WORKS LAND MANAGEMENT DIVISION, 687-4061,
125 EAST 8TH AVENUE, EUGENE, OREGON 97401
SEE REVERSE FOR INSPECTION INFORMATION
Sq. Ft.
Fixed Fee/
Unit Cost
Floodplain Fee $
Subsurface Fees $ ,- J(-U':::-
Building ~ee5!::);Q$ r:7f0
Moch/P Imbg Fee $ Q /'J IJC/
P'ans Check Fe~ /~
State Surcharge $ 2.0'-,
DEQ Surcharge S
TOTAL FEE $$ ffi35
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~ATE
C 14-25
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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
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REMEDIES ALLOWED BY LAW.
~HEN READY FOR INSPECTION, CALL 687-4065. A MINIMUM OF AT LEAST 24 HOURS ADVANCE.NOTICE FOR INSPEC-
TION REQUESTS MUST BE GIVEN. Have tne following informatidn ready: permit-number,' job~address, type
of inspection, when it will be ready, your name and phone number, and any special d~~ections to site.
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BUILDING DIVISION:
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REQUIRED INSPECTIONS:
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Foundation Inspectl.on:. To be made after. trenches are excavated and forms erected .and when all
materlals tor the foundation are delivered on the job. Where concrete from a' central mixing
plant (corrunonly t,ermed :transit miXe~"}...is to be~ uS:d.' mate~~~~ ~e~d ~ot jbe.:on :~e jOb~.;
Concrete Slab or Under-Floor Inspection: To be m~de after all in-slab or under-floor building
service eqi:iIpment, conduit, piping- acce,ssor les I and other ancillary equipment i terns are in
place 9ut before any concrete is poured or floor sheathing installed, including ,the subfloor.
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Framing ~ Insula tion Inspections: To be made after the roof, all framing, .f ire blocking,. and
qracing are in plac;::e ,and all :p'~pes, fireplaces, chimneys, and vents are complete and all rough'
e~ectrical and pl~b1~g-at~'approved. All wall insulation and vapor barrier are in place.
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Lath and/or Gy~sum Board Inspection: ',' To'be.made, after all l~thing and gypsum board, \ ;.nterior
ana-exterIOr, ~s ~n place but betore,any pl~stering is applie9 and before gyps~ board joints.
and fasteners are taped and finished.
2.
3..
4.
5. Final Inspection:
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To be made':~fter the building is complete and before occupancy.
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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
~n the construction as indicated by each of the inspections required.
NOTE: All building permits require inspections for the work ~uthorized, such as but not limited to:
A. Block Wall: To be made after reinforcing is in place, but before any grout is poured. This
inspect~on is required for each bond beam pour. There will be no approval until the plumbing
an~ 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 approv.ed_,' nationally recognized testing
agency and the manufacturer1s 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 p'lumbirig' 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 ~anagement 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.
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,\ SUBSURFZ,CE: 'AND AL:J;ERNZ,UV~ SEWAGE DISP..oSAL ;S;'STEMS:, . . \.
'_ ,}'..r;~e7m,~:s;. :h,a~: ~~ 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.: johe ~~ne. Qqunty-" p~p'a~~e~t. 9f.',RDinpingl ,a.flP' ~.o~\lr\iEYI/~eM..el9'pme?~.\QY ,~ubm~ t;ttn<.{ the, {
installation.recor~ form. The Department shall inspect the construct~on to determine if it
complies w~ th .tfie,.~rules contained in this division.' .~~' rf'_'.tl;e. tCO~Er:l\~\'i,on .do'e~ ..C'!?l]\PJ.xr':joo{~ ~ht ,?uch
rules, the Department shall issue a certificate of satisfactorY'~ompletion to the perm~ttholder.
If the construction does not comply with such rules, the Department shal~ Qotify the permit
holder and shall require satisfactory completion , before issuing the certifi~te. 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.
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Setbacks - Subsurface Sewaqe Disposal
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Septic Tank
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Drainfield
10 I
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From: Interior property lines
-~~Edge of road right-af-way
Building foundation
wells, other water sources
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APPLICANT BOOHER,
~~I 1703233302700
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CODE APPL NO ACTION DESCRIPT~ON
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" LANE COUNTY DU'I' ENV MGT RECUPT '~240704 DATE 09068.
SAMUEL ADDR 215 ESTATE COURT, SPRINGFIELD, ORE
SUBDIV
'USE R BDRMS 0 UNITS 001 STORIES
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. LOT' BLK
"0ll..DGS '001 PHONE 746 74~54.
COST Vi\.Ll.IATIDN ' FE:!:: DAY:13[.
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LANE CDUNTY DEPT ENV MGT RECEIPT 0 240784 DATE 082984
SAMUEL .ADDR 215 ESTATE CT., SPRINGFIELD; DREGON
SUBDIV 3RD ADD TD MCKENZIE MANDR LDT 4 BLI< i~
USE F~ BDW'IS 0 UNITS 001 nmnES .::.BLDGS 001 PHONE: 746 74~54.
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r~CTION DESCFnl::'TION SQ FJ. UNIT COST VflL.U,HION FEE IhW,.'
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LC 240784 SHS
NO. FIXTlJF~I:S:
NO.
CDNNI'J::nms:
MECHANICAL FEE
STATE:: SUF;:CH("I~GE
PLM, CHr::CI< FTE
j~'5.00 EACH ....
2~5. 00
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EST. COMPLETION DATE:
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BUilDING AND SANITATION
SOLAR SYSTEM INSTAllATIONS CHECK LIST
Applicant: <).4/11 vd
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Site Address: c:< /,<)
cs'TiJ-'ie. cr
Application Number: 2407-8+
Installer: $1/ N ,; ld-.fI c.~ .s;; I.A-Ie-
J2.. Number of collectors (absorbtion, evaporative, solar panels, etc.)
I Number of pumps (any pump used to convey any heat transfer fluid
or potable water)
I Number of tanks (any solar heated storage tank, drain down or
drain back tank or expansion tank) ,
(l/ Total number of components)
THE FOllOWING INFORMATION IS REQUIRED TO BE SUBMITTED FOR
A CONSTRUCTION PERMIT TO BE ISSUED
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1. A floor plan locating the new and/or existing storage tanks. Identify
the space in which it is installed by name.
2. A framing plan of the roof, showing the size, spacing and spans of the
roof support system.
3. Installation details of the panei support; anchorage! connections and
bracing system.
4. The maximum surface temperature of the panei:
5. A schematic diagram of the proposed piping system, showing all gate,
check and pressure valves, location of air vents, location of pumps
and location of any other components of the system.
PLANNING & COMMUNITY DEVELOPMENT/BUILDING & SANITATION DIVISION
PUBLIC SERVICE BUILDING/125 E. 8TH AVE/EUGENE,OR.97401/PHONE 687~4061
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ACTIVITY INFORMATION
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idne count y
COMPLETE THIS SECTION. INCOMPLETE FORMS WILL DE RLJECTEU!
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PERSON MAKING REQUEST
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C:;;,4-;?'I <./ LL 8~t.e.Jt! 5
PROPERTY OWNER
(j tJ 75 iU, /I-tt.
MAILING ADDRESS
/;:~I.U; <-r- c- dJ.c.-<..
, CITY STATE
3 '-jl/-yS'f'l
BUSINESS TELEPHONE #
'71 'roC-
ZIP CODE
J/5"" C5'~ k CT
MA III NG ADDRESS
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P?'f7?
9-217
ZIP CbDE
HOME TELEPHONE #
BUSINESS TELEPHONE # .
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HOME TELEPHONE #
2 PROPERTY ADDRESS
(IF DIFFERENT FROM ~~ILING ADDRESS)
3 MAP & PARCEL NUMBER
(REQUIRED INFORf1ATION)
J21p
(from tax maps in Department of Assessment and Taxation
or from tax statement)
O~ ;23.~.3 _ ,)100
RANGf SECTION TAX LOT(S) OR PARCEL #
Rft
ZONING
iow}isiTfj> RANGE SECT! ON
tAX LOT(S) OR PARCEL t tONING
TOWNSH I P RANGE SECTI ON
TAX LOT(S) OR PARCEL # ZONING
ACRES
TOTAL CONTIGUOUS PROPERTY IN SAME OWNERSHIP:
4 SUBDIVISION (if applicable) LOT BLOCK
5 REQUEST (state exactly what you plan to do) :Zps'rA-tI --z... ",,~,",tZ.L S"dL/f/L. &..lJll...sr.~
He T . (".) ~n.-e.t2 ~ v<''TP dA
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6 DIRECTIONS TO SITE: 17_
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** FOR STAFF SE ONLY **
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NUMBER
DATE
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ZONE/LAND USE:
BY: DATE:
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TH1E IN:
OUT:
LAND MANAGEMENT DIVISION / 125 E. 11th AVE.. EUGENE. OR 97401 / 687-4061