HomeMy WebLinkAboutPermit Building 1982-1-5
FOR OFFICE USE ONLY
~~r:;.~~a:$<'i:l/-f/
o Two Copies of Plans
Cm1PLETE THIS BLOCK. PLEASE USE BLACK INK AND PRINT. 0 Two Copies of Plot Plans
TOI""5H1P ~' t/ I RANGE ~ I SECTIO~ /, "'7,'/ 1,1 ~~/? DO~.MT);;M DMechanica1 Checklist
o {,,/'r::. { /{p,e?$', (. ..::f/bvJV"'T'~/ OPlumbing Checklist
SUBDIVISIO /PARTITION ~~ able) I LO'l"'~ r BLOC~/ /A
/V h /tY//r- /fY //7 I OPlan Check Info Sheet
LOCATION ADDRESS / CITi'/ "1 ~~ PROPOSED USE OF PROPERTY
:;U '3 ~ . ~w~~ Residential DIndustrial
)!TRl'..:'TURES CURRENTLY u.~..PROP :/ A /' I It;(;
~~~..f('/,/~, ~./~~ _ J<>I, Commercial Dpublic
D~TION O~UP . t<!/ ,....-,,/ ./ . L.....F L?.A; I $ VALUE
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OWN' 0 A ~ E' ~(/Yf.??~ 0/ 7~.f~ I;:?-;;:;;;'; dJ
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, CONTRAc~~#m;Y~ ~ 4~~./J2~~~
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lIAVE C~FULLY EXAMINED THE COMPLETED APPLICATION FOR PERMIT, and do hereby ccrtolfy th;;Jt all information hcreon is true il~d corn:!cl iHld 1 further
rtify that any and all work performed shall be done in accordance with the Ordinances of Lane County and the I.aws of the Stilte of Or<:!'l')l\ pcrlainin'J
to the work described herein, and that NO OCCUPANCY will be made of any structure without the permission of the Building Division. I Curther c.:rtify
that registration with the Builder's Board is in full force and effect as requiro::d by ORS 701.055, that if exempt tho:: basis for exemption is nOlp.d
hero::on, und that only subcontractors and employees who are in compliance ....ith ORS 701.055 will be used on- this project. I HAVE READ AND CHECKED THIS
APPLICATION THOROUGIlLY.
~ ~~STRU~ION/PLACEMENT.
,~ 'S) \..('V PERMIT
()/I~;J ~~ %A. fl--JI- Jf--tPJ ~::::accoc
Sl nT~ '~~~' DATE ~A9cnt
o PLANN.IN. G/ZONING: zon~' "artition ,J##- Parcel # $$ Parcel Size J,.tf?5~'
\ C C / .....~ D / S I? ~ L - I "'1 "2--
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/#../~~.// ~/~p'~ ~,#~~' ~~-Z,;. ~at:' /!hb-;,jy ~
~'FLOODPLAIN: / In flood hLd area?.do~Httached sheet. Date: M-~-BI I.fU.
o RURAL ADDRESSING: GRID CDORDlNAV. E Dace, D
o SANITATION: s. 1. # B. P. # lnstallation Record Issued? 0 Yes DNa
n/lt/c
NAME (
lnstallation
Specifications:
Gallon
Tank
Lineal Feet
of Drainficld
Maximum Depth
of Trencher;
Cormnents:
Date:
o
j8(PLANS EXAMINATION:
Type~
GroupA :2. 1_
Use k r .eI"8L- Y
Cormnents:
Date, 1-5,,RZ-. 0
~escr~Pt~
p7[ qe~ ~
~&~~/ ~- ~
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Sq, Ft.
/ogf'
Fixed Fee/
Unit Cost
<?, 70
-
.~ -
..;s
BY THIS PERMIT yo ~._..~vZl'-"""
Flo.9jlg2ai'YF~' S ../?2
~""-~ Ss /F~:)~
Building Fee /,. S'v
Sewer/Storm Drain/Water $
Plumbing Fixtures $
Mechanical $
Plans Check Fee S
State Surcharge $
'..!l In'
-
CONSTRUCTION AUTHORIZED
PERMIT APPROVED BY BUILDING OFFICIAL/DESIGNEE
~
(per ORS 456.8050.n
/!: .jy
. ?/)
s 57 OK'
FEES PAID B7~Ck kJ ~
BY/~'~)Y:/
Date: ,f;Jf:Yi/
I I
TOTAL FEE
s
DATE
LANE COUNTY DEPARTMENT OF ENVIRONMENTAL MANAGEMENT / 125 EAST EIGHTH AVENUE, EUGENE, OREGON 97401
C74-194
SEE REVERSE
'.
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.
" ,
WHEN'REAOY 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.
.
.
....
BUILDING DIVISION:
REOUIRED IIISPECTlONS
1) FOUNDATION INSPECTION: To be made after trenches are excavated and forms erected and when all materials for the foundation
are delivered on the job. Where concrete from a central mixing plant (comnonly termed lltransit 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 bracing are in place and
all pipes, fireplaces and chimneys and vents are complete and all rough electrical and plumbing are approved, All
wall ~n~ulation and vapor barrier are in place.
4) LATH AND/OR GYPSUM BOARD INSPECTION: To be made after all lathing 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 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 ;s
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 comolete,
Installation shall be in accordance with an approved nationally' recognized testlng agency ."d the manu-
facturer's installation instructions.
C, MOBILE HOME: An inspection is required after the mobile home is connected to an approve~ 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 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
is 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 INCOflPLETE OR ERRONEOUS INFORMATION,
ANYONE PROCEEDING PAST THE POINT OF REQUIRED INSPECTIONS WILL 00 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 installation record form, The Department shall inspect the constructlon to
detennine if it comP.1ies with the r~les contained in,this division., If ,the construction do~s comply \'lith
such rules, the Department s'na1,l'i,.s"e a certificat.. of satisfactory'completion to the permlt holder, If ~he
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 requlrements fo~ satlsfactory
completion within a reasonable time constitutes a violation of ORS 454,605 to 454,745 and th,S rule.
Setbacks - Subsurface Sewaae Disoosal
_ From: Intedor property lines
Edge of road right-of-way
Building foundation
Wells, other water sources
Seotic Tank
10'
10'
5'
50'
Orainfie1d
10'
10'
10'
100'
'-
~
/......
7
~.
.Environmental ManagemerA
ACTI~TY INFORMATION~HEET
bne county
"
COMPLETE THIS SECTION. JINCOMPLETE FORMS WILL BE REJECTED!
@ ~N~1:f11(
4/7'7 IV, ~ '
... . , MAILING ADT
q d/'~ ,', ;?) ~TE 0; z2 fo:;~
I)d /,...15 bt, bif~:7" tJ./t.s
~USINESS TELEPHONE NUMBER
c;'~ /L&" tfrJt?~
- P::;7 OWNER
l) tiel >>-- A ~
~ G /J MAILING ADDRESS
,'...:.......,;U.R
CITY
,?~.~_ov/~O
BUSINESS TELEPHONE NUMBER
HOME TELEPHONE NUMBER
!)/1..e/.~
7STATE
~3" - ?S);<
HOME TELEPHONE NUMBER
q?~~,
(>> TAX MAP/PROPERTY DESCRIPTI~N/rJMBERAf~ tax mar in Department of Assessme">> ?~vr from tax statement):
~1ap &. Parcel Number: ( b Uc:::r- 60 J 2.4ax Lot(s): TUU
Township Range Section
D Out.of TL t
Tax Map, & Parcel Number of Adjoining Property in Same Ownership:
Tax Lot (5) :
Township Range
D None
Section
o Unknown
.By Partition #
Q) SUBDIVISION (if applicable): BLOCK: LOT:
@) REQUEST (briefly describe ~n9;:eeded): ;':!:/1;;// t;z ~ I f)() r( if
COMPLETE THIS SECTION FOR LAND USE,
CONSTRUCTION APPLICATIONS, OR PROPOSAffi.
SEE "NOTE BELOW.
Q)TOTAL CONTIGUOUS PROPERTY ~N SAME OWNERSHIP:
Q) PROPERTY ADDRESS ::32nJ y r
acres
IlJ - ~pf-J.
V
CD PRESENT USE OF PROPERTY:
~ NUMBER OF STRUCTURES ON PROPERTY: Standard home
Mobile home_____
'Modular home'
RV in use as residence
Storage_____
Garage Shop
Other (SpecifY~"'./ j) Ji(;;y'
G) ACCESS TO PROPERTY: Public Road Name . 0
Barn
Private Road Name
Road Easement
width
# of
Users
@ OTHER EASE~IENTS
OVER PROPERTY:
-~
@FIRE DISTRICT:
Q) WATER DISTRICT:
@ PENDING PERl<IITS ON PROPERTY:
9/81 REV
(OVER)
**FOR STAE,:F U?~ ONLY* ~ ~
NUMBER: ~4/~ ~
DATE: 'I J.-::? 113 ~ '(01
,- '" ~I \
TIME INITIATED: ~ ~ ~
CHECKED BY: ~
ATTACHED EXHI~
D Plot Plans (2)
[] Constr. Plans (2)
D Site Plan
D Copy of Tax Map
DOther
SCREENING VERIFICATION:
By:
Date:
Time In: Out:
D Accept 0 Reject
Rou ted to:
.NOTE: ATTACH A COpy OF
TAX ~P; SHm,: EXISTli:G
STEJCTURES Ai:D T.;:': LOTS
IN YOUR O~~ERSHIP, OB-
TAn TAX l-LW IN SELF
HELP AREA OF A & T.
...
COMPLETE THIS SECTION FOR ~SE OR CONSTRUCTION APPLICATIO~
'(~~
@ PROPOSED USE OF PROPERTY IN DETAIL:
{Y BUILDING REQUESTS:
. - \\j
Contractor's #
6t.Jl
U
Directions to Site:
Check the type of permit requested:
o Dwelling: 0 New
{lJ..Aadition
(for mobile home setup also)
o Replacement
o Alteration;
o Additional;
o Modular Home 0 Mobile Home - Model Year
o RV D Standard Construction;
[] Plan Check Only
D Conunercial: Use
o Agricultural-: Use
o Others: Use
o Change of Use - How?
Q) NUMBER OF BEDROOMS
~
{) SANITATION REQUESTS:
[] Site evaluation for 50S feasibility
[] New system installation
[] Repair/replacement
o Alteration/relocation
o Hook to existing
ADDITIONAL INFORMATION:
Floor Area
.
.~loor Area
NUMBER OF STORIES
,
"
**FOR STAFF
,
USE" ONLY**
-~
."
ZONE/LAND USE:
By:
~
Date: /( - ,'2, - ;{l
Time In:9;<Jo :Jut:'7;~
o Accept
o Reject
o Planning Ap'91ication
~onstr~ction Permit App.
o Information Only
Zoning:
fqnj..
Compo Plan Oesignation:__
SANITATION:
By:
Date:
Time In:
Out:
o Accept
o Reject
o Constr. Permit Issue
o Site Evaluation Issue
PERMIT ISSUED (SAME DA.Y ONLYl:
Permit It
By,
Date:
Time In:
Out:
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APPLICANT KRANTZ. DAVE
TI.... 1802062403900 SUBDIV 4000,
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I '~OnE APPI... NO ACTION DESCRIPTION
.BP F([PAIR PORCH
BP
BP
I'P
.iw
BP
BP I...C 242181 CAA
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LANE COUNTY DEPT H!V dC,T I,f.TEIPT :11: 24;,181 DATE 111?Bl.!:
'Al)DI~ 41 n N CLi~F(Y" EUGENE:, DFWGON ' I~
'LOT Bl..I(. l
UNITSSg0~TST~~~~SCOS*Bt~~~A~~~NPHON~E~26 ~~$; ~
108 8.70?39 . ~
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~
ND.
CDNNECTORS:
MECHANICAL FEE:
n,Y1E SUI',CHMGE
Pl.AN CHECI( FEE
939
1~:).00 EACH ..
1'7. ~50
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et
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4%
1.>:>1.:
0.70
11.3B
10.00
17. ~)O
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DOUBLE FEE
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SEQU:
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BY F(LH
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E:ST.
SDS
SI
PCK
OTI-I
ISS
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TOTAL F'EE:if')f
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CDMPLETION DATE 121781
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