HomeMy WebLinkAboutPermit Building 1985-3-21
"'''''SHIP /2 I RANGE ~ ~ I;?%<, j, Z j T/:~fr?/
S~BDIVISlON/PAR ITION ~f applicable) I LOT/PARCE!. I BLOCK
~I%D~SS / {/STREET 4' J CITY ZIP
~ d (_t/-0t:?//.I;t7L ~~~e. CP?R!rf7~r.z::/~L2)
S;Us:U~~;?~;t~R~;?P'/'1L Vi /~/~ ~t'_Lz:n~
,'M.P/~~ g~ .~/J ~/7?,.c- *~L'47 r4?~ r/3
ff:?LL?/7.:rhlL fV!2.T//F /?n) /6/-/ ~C; /~ /r:=- /7;:-
O~;-l/)SED Z0;~}:/~~#'~ ;0t2cr\(J,eYtA?~/):-r;nd
"Dd;?# l'O~ 1'~5 I WATERSUPPLY ~~'-??,) ~~~
~pJ'~#~.oS~ Z-rLEE/7 ~/?Oc-PS ~//7E A ~?d4b?)
~N/7;2!AMEh2!3b~s~ ~/J // r: / ~?-" 7lk-:::
P:""~4~~ro (N~ADDRExzqt:7UE I ':~mE
!
-
-. '. .
L~e Coumy Authorization for:
;/7f?CE<)SOey L5t/ZL.DzO,?
R pc 1<
3 -/r
FOR OFFICE USE ONLY
~G-
3-/1
Appl~cation/ / ..P 7_ v.......-
Perm1t I nO L-' ~ ...:::>
I ~ED USE OF PROPERTY
~e~idential 0 Industrial
1 0 Commercial D Public.
'9 7~?7
/
d;;-eUE
1 HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION FOR PERMIT, and do hereby cettify that all infolllll1tion hereon is true and correct, and that I
have the following logal interost in the property: Obwner of record; 0 contract purchaser: Oauthorh:ed agent with evidence of authority attached.
1 f~ther certify that any and all work performed ~be done in accol'dance with the Ordinances of Lane County and the Laws of the State of Orogon
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'exelllpt the basis for exemption
Is noted hereon, and that only subcontractors and elllployees who are in compliance with ORS 701,055 will be used on this project. I HAV! READ AND
~;;;;THO~~~~
NAME (please print)
'X YJOOOA. I r{, ~
-- SIGNATURE
OATE
READ THIS SECTION CAREFULLY. YOUR A HORIZATION ~AS ,~'iN ABASED ON THE F~kr~'ING CONDITIONS! \ \.;
o PLANNING/ZONING: ~~{ Ftit.on. l '\f~ Parcel' V'}lA Parcel Size . ('run
Min.m~ck", CL, front ~ GL. Stde \..... intenor I-~-t~ rear 6f~
COMHENT~'l-.r-C97->c...~y( . "\<_ '-l...\ (\./ 6..L' ,\~p.. C'fY\ .r-V\~_ 'VeCJ.S"
A I' \\ r 0 \. ~ cy_~ \t~l: ~~ (lm-v l4.'li:) Date, \ '\ \r", <' (A <PV A~ EJ
U-""""- ~ \A., ~ Uu \ \ '6- '- J 0- 0
SANITATIO~: S. I. .. - B. P. It ~nstallation Record Issued? Yes No
Installation Gallon Lineal Feet Maximum Depth
Specifications: Tank of Drainfield of Trenches
COM>IENTS, ~ ~ ~U'LHJ.I 11"1 ~ .d._~ - :Alo, (J~ ~.ht;.dJ,
/) ...J . n. I} ()', tJ A ~~., '_' 77 .
~#;i() ~ rX:,.",'dl. ow^- ~ .,. 'D~~e', ..7..,;2Q~~! ~.~
PLANS EXAMINATION: Type 1/-.)./ Group H - / use' She p f?J-DG.
COM>IENTS"ACCFSSoJ?Y BLDG. FOR ?RiVH7F "RF-ntJ~AJ77ML US$" OAJtv
D.te, 3-"2/ - ff.s- .-e'$]
rl Kif: -:1-7./ -86'
PERMIT APPROVED BY BUILDING OFFICIAL/DESIGNEE (oer ORS 456.805(1)) DATE
LANE COUNTY DEPARTMENT OF PUBLIC WORKS LAND MANAGEMENT DIVISION, 687-4061,
125 EAST 8TH AVENUE, EUGENE, OREGON 97401
SEE REVERSE FOR INSPECTION INFORMATION C 14-25 R84-
.
.
~.
SETBACKS A~D OTHER CO~OITIO:->S OF "APPROVAL MUST BE STRICTLY OBSERVED. VIOLATION CA~ RESULT IN RE\'Q-
C';-:-lm. OF THIS PERHIT, CITATIO:l U~DER P~OVISIO:-lS...OF' LA~E 'COr.;~'i'Y'S INFRACTION OROI:-;'ANCE, AND/OR OTHER
REMEDIES ALLOWE~ BY ~W.
WHEN READY FOR INSpeCTION, CALL 687-4065. A MINnlU}l OF AT LEAST 24 nOURS ADVANCE NOTICE FOR INSPEC-
bU:-l Kt;l,,)i..i::;~':':'~ .,'iu';'i' Lit: (;.L ,j-r:N. Have tno rellewing infot"mation ready:' permi t 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. Foundatlon Inspectlon: To be made after trenches are ex~avated and forms erected and 'when all
materlalS Lor tne roundation are dcllvered on the job. Where concrete from a central mixing
plant (commonly ter~ed -transit mixed-, is to be used, mate~ia13 need not be on the job.
2. Concrete Slab ~ Under-Floor Inseection: To be made after all in-slab or under-floor building
serV1~e e~uipment. conOu1t, p1p1nq accessories. and other ancillary equipment items are in
pla~e b~t befo~e a~y concr~:e is poured or fl~or sheat~in9 installed, i~cludin9 the s~bfloor.
3. Framin2 ~ Insulation Inspections: TO be made after the roof. all framing. fire blocking. and
praC1ng are 1n place ana all p1pes. fireplaces. chimneys, and vents are completc and all rough
electrical and plumbing arc approved. All wall insulation.and vapor barrier are in 'place.
4. Lath and/~ Gypsum Board Ins~ection: To be made after all lathing and gypsum board, ~nterior
ana-exter1or, 1S In-pIiCe but betore any plastering is applied and before gyps~~ 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 ~n 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 b& given only after an inspection shall,have been made of each successive step
4in 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
TniPiCtlOn is required for each bond beam pour. There will be no approval until the plumbinq
and electrical inspections have been made and approved.
B. wood Stove: To be made after completion of masonry (if applicable) and when installation is
complere:- Installation shall be in accordance with an approved. nationally rocognized testing
agency and the canufacturer's installation instructions.
C. Mobile~: An inspection is required after the mobile home is connected to an approved
sewer or septic system for setback requirecents. blocking, footing connection, tiedowns,
skirting, and plumbing connections.
1. Footings and piers to comply with State foundation requirements for mobilo homes or as.
recommended by the manufacturer.
2. Mobile home minimum finish floor elevation shall be c:rtified when required by a floo~~
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.
o.
Swimminq Pool: Below grade when steel is in place and before concreto is poured.
wnen pool-rs-installed.
Above grade
APPROVED PLANS MUST BE'ON THE JOB SITE AT'ALL TIMES DURING WORKING HOURS: TIlI-S PERMI'P 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 I~Y OCCUR IF THIS PERMIT WAS ISSUED ON THE BASIS OF INCOMPLETE OR ERRONEOUS
INFORMATION.' .
ANYONE PROCEEDING PAST THE POINT or REQUIRED INSPECTIONS WILL 00 50 AT THEIR OWN RISK.
SUBSURFACE ~ ALTERNATIVE ~ 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, tho'permit holder shall
notify the Lane County Department of Planning and COll'.munity Development by submitting 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 pecmitl~older.
If the construction does not comply with such rules, the Department shall notify the permit
holder and shall require satisfactory completion before issuing tho 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. - - ~
5etbackn - Subsurface Sewaqe Disposal
SePtic ~
Fr~m: Interior property lines 10'
Edge of road right-of-way 10'
Buildinq foundation 5'
Wells. other'water sources 50'
Drainfield
10'
10'
10'
100'
.
.
'r.
...
.I~
iD
ill
~
'i:
e:
.
~
y
"
.~i
'1'1':;;"
e~
~
.
~
.~
~
5
.~
3
I. '; t~
.:
.
. W: 2
APPLICANT SANDERS,
TLI 1703221201500
, .:~EW, BLDG TYI:'E Ace
OWNEI:~ NME
CODE APPL NO ACTION DESCFnPTION
.BP' ACCESSORY BLDG.
BP.
ElF'
.BP
"Bf
LW
.:'1...
MECH
SUI,
.,:'CK
SDS
LANE COUNTY DEPT ENV MGT RECEIPT ;
RICHARD ADDR 573 COLONIAL DR.,
surmIV .
USE R BDRMS 0 UNITS 001 STORIES IBLDGS
ADDR
~Q FT UNIT COST VALUATION
1200 ~.55 . 10260
. 6828~5 DATE 0:~188~.
SPRINGFIELD, OREGON
LOT BLI<
001 PHONE 461 2600.
4%
0,5%
3.46
~)6. 23
11 '
DAY,}
.I~
iD
. ill
.~
<
7/
.~
"
;;:
...
lil
.;:.
.
~
1(l'1~
~
FEE
,LC
o,828~> NEWR
':' FIXTURES:
SWR:
FT. IHI\:
MECHANICAL FEE
STATE SUI\CHARGE
PLAN CHECK FEE
F'T.
10260
I\AIN:
86.~i0
FT. '
SI\EF
.
.
.::ATG:
'" SI~QU:
" TAKEN
.
APP
1
[IY RL.H
F~A
FP
SDS
SI
PCK
OTH
ISS
3
TOTAL FEElH~
146.19 CK
.~
7 '
~
5
.!
o
~
..if
<
::.
2
EST. COMPLETION DATE
.
"
. .
ACTIVITY INFORMATION SHEET
klne county
..
.~-_.
COMPLETE THIS SECTION. INCOMPLETE FORMS WILL BE REJECTED!
1 -1?'("~/(}4 F: l-[,Ieenl/S~er.s...
PERSON MAKING REQUEST
_.--525_Ca~~~~'DtfStS~"''' .... ...... .. . ...
~t'V"Q~(E'l<0 (;h (ht/.,J.
' 1~ CIT1 STATE ZIP CODE
%1- 2l~()D
BUSINESS TELEPHONE #
7~-) p(O .;).
HOME TELEPHONE #
2: PROPERTY ADDRESS
(IF DIFFERENT FROM MAILING ADDRESS)
J
:;?tcfu.rd) "F It E. leen /( \~
PROPERTY OWNER
_.___.._.._.~3. Co ~_M:.~,tL_...
MAILING ADDRESS
~ t"c.J^Q{' JP! cO K)/f' Ch</.7 7
I cm; J STATE ZIP. CODE
%(-,;)(.,00 79.4> -)~0d
BUSINESS TELEPHONE # HOME TELEPHONE D
3 MAP a PARCElL NUMBElR
(REQUIRED INFORMATION)
(from tax maps in Department of Assessment and Taxation
or from tax statement)
I, 03 ;\ ;;1.\.V_ O/57JtJ .
TOWNSHIP RANGE SECTION TAX LOT(S) OR PARCEL # ZONING
TOWNSHIP RANGE SterIaN
TAX LOT(S) OR PARCEL # ZONING
TOWNSHIP RANGE SECTIUN
TOTAL CONTIGUOUS PROPERTY IN SAME OWNERSHIP:
TAX LOT(S) OR PARCEL # ZONING
1.15 ACRES
4 SUBDIVISION (if applicable) LOT BLOCK
5 REQUEST (~tate exactly what you plan to do) _....hU:i.jJ_.lL~.~._r:::.QK.<t~? . '. ,
~-/~~l.<r!~ 1~~}.. .~/~~.
6 DI~SITE: '-;(YufA,v eo '6,,' ~~ &.Vlt ~ C"~>tt7\tlI)
,
.,
,,,
", .
.. . ~. ~ "\ ,.
, .
" '.'
,~ < H
. "~'. ;
. ;;~ ;;.::. ,'-; ,," '..'
..
-l
0:
** FOR STAFF USE ONLY **
--
ZONE/LAND USE:
BY: DATE:
TIME IN:
NUMBER
DATE
-l
..-,.
OUT:
LAND MANAGEMENT DIVISION / 125 E. 8th AVE., EUGENE, OR 97401 / 687-4061
I
1--1--1-
! 1_-' - I
1- I-I 1--, -----=tP' --- ,- - -:
--'j{; I _! I - P I _U_
_ .__ _ I _1/ 1_",- I' ---- -t- ---
.__~---- _ /.._ XW.SHi.tPI 1---- r-+----
m':s>--~-m. -'-A.~r!~q,.'j" -H+UJlP.~d 13-'B-!l5\_. ---
____<',___ _-/~<Q~~' lit $-/ (.1,'0 ,+ I feL.1 I I ,-- -
_ _ /- n~POIi' ___, ~c"r "'--< ",,,,,,,.J 'l--t-----
, ___ __ _ J T~Ic.,~,..~~~ "~4' ~n,' _<101 ou',^\ ~J'-";>.'--T.- -- ...-.-.-
__ ~ ~ I ~~i9." _ C' _ '-' I ' ~ -lvl'
_ _ _ _ ~o -'~9 _ ~~ ~ ' . ~I ~1\)~,Qi\S\k1~b~r - -- ---.-:= ~ - --
r---- -, ..,:y'~ - I, II-~ - -
,___T--";;' -I n_ I'i-=j
G I : I ~,_._J, ---.- .-.
, -,T'--' ' -GO-- I -- M"\l"" I ' ,-.'. --
iT __ _= = .'. _- _ _ .J' I -. =- I , ' -, -' ,'It':l!:f~n --- -
t .- I - -I 1- - --- .....-- - :Jf"P1"I---- --
______ _ I 1'- of''''"' -,,--
_ - i I 1- I--T-i--n - '..
j:r .- === == =~ ~ m_~ - -= 1- ,1.l._ - - ::'-- - =- '
J;;PL_ I ,-:.,.-
I-- .k- ___LoT 15IXD --~
I -- I _oj' I : '-,-; -, :-, -\--+ 1- nou_ '
__ _ ___._..~ 1'_1 I I -I I I I -, I i-- - ,T===_r:==-L-:'J:--
_II_~ h-j I .r:lllil+----t.-.'t<X2
_J ~1-C11'o.L0UlIA<L-D-I-~-J! iO- I I ,I i--tt-l--t------;
I _ ,CI~~ 1--1- L "--
._L "__ I ...:_''''tr_---l-_,'n.n-- -
. __L LLJ ,_ _I 1-' . t---- ,__n_-
~~ LLL_L 1 _.:.b~_----
_ _1--'- I
------.l_---..l...-~
_1. __ L- __L___1 I
_ ~_ _--1__ L
r-
I
-I . ;::--.
11- :'- 1 '
F='=
L-
J -----
t_
I I I I I
,I . ___Lol. c I
I I 1 I I 't~'?-CD
I I " I' I::
I I ' I
, I I :s~()'"
-__I I I =f i I I
,~'l...- s.ro-p I al"l
_I;:: I "oj -"ll,1 1
___ 1 I ,.: J
, 1-1--'-- LfO~O.:.n I
I I-I
-
__ - I
I.. I I I I
I -, I '
I 1._+ ,::1 i Uu
I r-- ' -+, --1_--
J 1- I ---
! I -. I -
11-1-- I
, I
1------
--- ~ ---
---
.0:::;. --