HomeMy WebLinkAboutPermit Building 1984-2-17
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La~ County Author[~ation for:
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SOBG'~N:PAR. ITION (,f ~P~Y00e 1 I ~~L I B~
LOCAJiOilJADDRESS ~ I..... _ , (:::;;~V~ --" ~'l o. .. I ...fITY ZIP
I t...q '3 -.~, . LDUJlt.., I UTdn.n!\~ 0~77 ~Sidential D Industrial
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'ErnCff1--t&~~JRK tD-sO~~~ - I DECLARED UALUE
'" OF r~Dr::.~S c::, [If OF S'l-QRIES If OF EMP EES I ~oposed
~?)'Tn[)J...: / ~ n~ _ ) U) 1.1Existing
sra;~;~ :DMdr J1illJ 124~7YJmLli> CL, , '3el<i. 0d." TELEP~~01J0
c CTOR'SNAMEANDOS~On~~O(). ~- Z4Y, ~NENUMBER
P T-~MALE . AM" AN ~cf. r 07452' '~1-~~333
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I HAVE CAREFULLY EXAM~EO THE OMPLETED APPLICATION FOR PERMIT, and do hereby certify that alj! i~f~rmation hereon is true and correct, and that I
have the following legal interest in the property: Downer of record; 0 contract purchaser, Oauthorized 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 Oregon
pertaining to the work described herein, and that NO OCCUPANCY vill 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 70l.055, that if exempt the basis for exemption
is noted hereon, and that only subcontractors and employees vho are in compliance vi th ORS 701.055 vill be used on this project. I HAVE READ AND
CHECKED THIS APPLICATION THOROUGHLY.
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FOR OFFICE USE ONLY
Application/ ~,;1~ ~~'
Perm1t j . ~J~I'_-~
DTWO Copies of Plans
D Three Copies of Plot Plans
L]Mech/Plumbing Checklist
D Legal Interest Document
o Plan Check Info Sheet
PROPOSED USE OF PROPERTY
i .Tl'l-m..<: D~-c.Sm;i-h
7 NAME (please print)
/ L., u j)-f1 j~/!
t~ SIGNATURE
Fe~ /7 I?rf'l
DATE
[] PLANNING/ZONING:
READ THIS SECTION CAREFULLY. YOUR AUTHORIZATION HAS
zoneON-
front ' {f"rfY
BEEN BASED ON THE FOLLOWING CONDITIONS:
Partition #
Parcel #
COM.\1ENTS :
CL, s.i,.de
IYIn~ OI'HOVl,
ipterior
~/
rear
Parcel Size
~/
[] FLOODPLAIN:
In flood hazard area? ~o 0 Yes, SEE ATTACHED SHEET.
Date'i'Oh. tlJ-ffi1~
Date: r-1
~ SANITATION,
Installation
Specifications:
co>mENTs,..1t/ 0p~r;. .,t.~i,; 'H!1dL;~ u;1;4,L n.d 1<~~~ ~
~"./h"",. k~-A" ~~.fp~),~_/.4./ &./~ _14-~
~ KJ/l."",NV ~ A-;JJ IJ Date, ..2-nl.7-J?'4 ~
I)Q PLANS ~XAMINATION' Type <6~ I Group t2.~ Use AOtiX[/4fI1
(IJ.IJ,~ ~h !,4~~fJ1
S. 1. #
B. P.
~0l(1-t,L
Installation
Record Issued? 0 Yes D No
Maximum Depth
of Trenches
Gallon
Tank
Lineal Fee t
of Drainfield
COMHENTS:
Date:
14 //,-,01'
./
n
TOTAL VALUATION $
CONSTRUCTION AUTHORIZED BY THIS PERMIT
--
(2/b;on
k- A/f
Sq. Ft.
~t')O ?
Fixed Feel
U$?~7
Floodplain Fee
Subsurface Fees
;
S ta te Surcharge
$
$
$
$
$
~
$ d
$ /' ~
DEQ Surcharge .....
TOTAL FEE $$ /4(, r;:I--
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Building Fee
~
plans Check Fee
M~tJ
PERMIT APPROVED BY BUILDING OFFICIAL/DESIGNEE (per ORS 456.805Xi)) DATE
LANE COUNTY DEPARTMENT OF PUBLIC WORKS LAND MANAGEMENT DIVISION, 6B74061,
125 EAST 8TH AVENUE, EUGENE, OREGON 97401
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 REAOY 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: 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 aft~r 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, 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 accesso~ies, and other ancillary equipment items are in
place but 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, ~ireplaces, 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 Oetore any plastering is applied and 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 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
rnspection 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~: 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 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 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. Swimrninq 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 WIilL EXPIRE
IF WORK DOES NOT BEGIN WITHIN 180 DAYS, OR IF WORK IS SUSPENDED OR ABANDONED'FOR MORE THAN 180 DAYS.
SUSPENSION OR REVOCATION ~~y OCCUR IF THIS PERMIT WAS ISSUED ON THE ~ASIS O~; INGOMPLETE OR ERRONEO~S
INFORMATION. . . ~ ~..~" J. ..'
,ANYONE PROCEEDING PAST THE POINT or REQUIRED INSPECTIONS WILL DO SO AT:THEIR OWN RISK.
SUBSURFACE AND ALTERNATIVE SEWAGE DISPOSAL SYSTEMS:
1. Permits shall be effective for one year from the d~te qf issuance.
2. Upon completing the construction for which a.permit has been issued, the permit holder shall
notify the Lane County Department of Planning and Community 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 permit! 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
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5 .
50'
Drainfield
10 '
10 .
la'
lOa'
C 14-25'
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APPL NO
LANE
JAMES DEE
SUBDIV '
USE R BDRMS 5 UNITS 001 STORIES
ADDF~
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COUNTY DEPT ENV MGT RECEIPT ~,50284 DATE ~2178 .
AD DR 1248 JANUS COURT., SPRINGFIELD, ORE.
LOT BLK
OBLDGS 001 PHONE 726 0916
.
FT UNIT COST VALUATION' FEE DAYS
300 34.29 10287
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. AF'PLICANT SMITH,
~LO 1703342200207
.~EW BLDG TYPE
OWNER NME
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ACTION DESCR~PTION
ADDITION
LC 50284 RAD
NO. FIXTURES:
NO.
CONNECTORS:
MECHANICAL FEE
STATE SURCHARGE
PLAN CHECK FEE
,10287
15.00 EACH ,-
86.50
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41.
651.
3.46
56.23
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APP
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BY RLH
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SDS
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COMPLETION
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OTH
ISS '
2
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EST.
DATE
TOTAL FEE**
146.19 CK 'fll
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