HomeMy WebLinkAboutPermit Miscellaneous 1983-6-15
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FOR OFFICE USE ONLY
APpl~cation~~ ~~
Perm1t i~~) ~
DTWO Copies of Plans
o Three Copies of Plot Plans
DMech/Plumbing Checklist
o Legal Interest Document
o Plan Check Info Sheet
PROpOSED USE OF PROPERTY
,gj Reside_ntial 0 Industrial
o Commercial 0 Public.
I DECLA~D $ VALUE
;-r A?.# Q :,;Yposed
~../~ J~xisting
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,. I HAVE CAREFULLY EXAMINED THE (;G1.PLETED APPLICATION FOR PERMIT, a~ do hereby certify that all information hereon is true and correct, and that:
have the following legal interest in the property: Downer of record; 0 contract purchaser; 12l'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~es of Lane County and the Laws of the State 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 hereon, and that only subcontractors and employees who are in compliance with ORS 701.055 will be used on this project. I HAVE READ AND
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READ THIS SECTION CAREFULLY. ~U.>AUTHORJ"ZATION HAS
o PLANNING/ZONING: zone.NY 7 Partition"
Parcel "
CONDITIONS!
Parcel SiZ~~~
BEEN BASED ON THE FOLLOWING
Minimum Setbacks:
C
L, front
CL, side
interior
rear
COMo\IENTS:
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. . d / ~ate' c:'-? --r-.s;.
In flood hazard area? 0 No 0 Yes I SEE ATTACHED SHEET.
Date:
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o FLOODPLAIN,
~ANITATION' S. L # B. P. ~ ~nstallation
Installation cJ. -..). '"o~.. Gallon , Lineal Feet
spec~f~cat~ons:~ ~ank of Drainfield
C"'"IENTS, ~ ~J~/..J/.../~.1
~k~ ~~ /",~if~.d:.~ cl,~.: ('a/if/ '
Record Issued? 0 Yes 0 No
Maximum Depth
of Trenches
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Date:
o PLANS EXAMINATION, Type
Group
Use
Liate:
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COMNENTS:
TOTAL VALUATION $
CONSTRUCTION AUTHORIZED BY THIS PERMIT
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P~IT APPROV~Y BUI~G OFFICIAL/DESIGNEE (per ORS 456.805(1))
LANE COUNTY DEPARTMENT ~LANNING & COMMUNITY DEVELOPMENT / 125 EAST
Sq. Ft.
Fixed Fee/
Unit Cost
Floodplain Fee $
Subsurface Fees $
Building J:ee $
r.!~ch/Plmbg Fee $
P'ans Check Fee $
State Surcharge $
DEQ Surcharge $
TOTAL FEE $$
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DATE
EIGHTH 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 READY 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 he ready, your na~e and phone number, and any ~pecial directions to site.
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BUILDING DIVISION:
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REQUIRED INSPECTIONS:
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Foundation Inspection:' To ,be made.'after trenches. are' excava,ted and' forms .erected and when all.
materials tor the foundation are delivered on the job. Where concrete from a centr~l mixing
plant (commonly termed "transit mixedW) is to be used, materials need no~ be on the job.
Concrete Slab ~ Under-Floor' Inspection: To be"'p\ade 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 subfloo~.
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Framinl3" ~ Insulation Inspect'ions: To' be~made after the roo,f,' all framing, fire blocking, and
bracing are in place and all Ripes, fireplaces, chimneys, and vents are complete and all rough
electrical and plumbi~g are .appr,oved. All wall ins?lation ~n.d ~ap~.~ .barrier_ are in place....
4. Lath and/~ Gy~sum Board Inspection: To be made after all lathing a~d gypsum board, interior
ano-exter~or, ~s ~n place but before any plastering is applied and be~ore gyps~ board joiQts
and fasteners are taped and finished.
2,
3.
5. Final Inspection: To be made ~f~er 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, s~~h'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 Stove: To be made after completion of masonry (if app1icable) ,and when installation is
complete. Installation shall be in accordance with an approved, natipnally recognized testing
agency and the manufacturer'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 connections. '. .
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1. Footings and piers to.comply with State' foundation requfrements.formobile homes or as
recomme~ded 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. Swimming 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.
SUBSURFACE ~ ALTERNATIVE SEWAGE DISPOSAL SYSTEMS:
1. Permits '~~a;ll be effective for one year from the date of issuance.
2. Upon,c9mpi~ting 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 lf 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
10'
la'
5 .
50'
Drainfield
10'
10'
10 '
lOa'
C 14-25
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APPLICANT AKIN, JO~N
n,,::, 1 B020~50000201 SUElDIV
. NEW HL,DG TYPE USE I'~ [IDW1S 0 UNITS 001 .STOI<ITS
I OWNER NME A~DR
, CODE AppL NO AtTION DESCRIPTION SQ FT UNIT COST VALUATION
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L,ANE: COUNTY DET'T ENV riG T I'~ECE H'T 'Po' B95B3 DInE 0606r.
ADDR 49B2 JASPER ROAD, SPRINGFIELD, OREGO~
LOT HLI<
'::'HLDGS 00'1 PHONE 726 092(-.
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NO. FIxnmES:
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MECHAN I CI~L FEE
ST A TE SUI,CHM~GE
PLAN CHECI< FEE
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Job Location (Address) -1q~2. J"-.S i?G- ~'" ~~f). 6~ "'> 71:1 )
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Plan Permit II For Permit {j For
Permit {j For Permit 0' For
Subdivision
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~ANNING & COMMUNITY DEVELOPMEN~
ACTIVITY INFORMATION SHEET
., .
, 6ne county
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COMPLETE THIS SECTION. INCOMPLETE FORMS WILL BE REJECTED!
1 -:JOh /'\ Ai< i 0
- PERSON MAKING REQUEST
. ~1'lY2- \n/l,p0t Tn
I ~_.:.. ,MAILI~ADQRESS
, SiP~.J6 ~11 qf~77
[' v CI{Y) STATE ZIP CODE
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. BUSINESS TELEPHONE # HOME TELEP~ONE #
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2., PROPERTY JllJul'lfSS-- '"
(IF DIFFERENT FROM~iLING ADDRESS)
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PROPERTVOWNER
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, HAILING ADDRESS
CITY
ZIP CODE
STATE
BUSINESS TELEPHONE # HOME TELEPHONE #
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3 MAP & PARCEL NUMBER (from tax maps in Department of Assessment and Taxation
(REQUIRED INFORr4ATION) or from tax statement) ~
, TOiN~IP
,- & ()~ ~S) OR PARCEL #
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RANGE SECTI ON
TOWNSHIP RANGE SECTION TAX LOT(S) OR PARCEL # ZONING
TOWNSHIP RANGE SECTION TAX LOT(S) OR PARCEL # ZONING
.,.
TOTAL CONTIGUOUS PROPERTY IN SAME OWNERSHIP: ACRES
4 SUBDIVISION (if applicable)
5 REQUEST (state exactly what you plan to do)
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DIRECTIONS TO SITE: ~ -ri.. sf' ~~11
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** FOR STAFF USE ONLY **
ZONE/LAND USE:
BY: DATE:
TIME IN:
DATE
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OUT:
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