HomeMy WebLinkAboutPermit Building 1982-9-15
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CONSTR~ION/PLACEMENT .
PERMIT
FOR OFFICL ~SE ONLY
IN) AZJRINT.
DPublic
PETE
NA.'lE
~o..'ller
~~/~H~.2 /7/?//R2- Dcona"cc",
-F--- SIGNAr"T // T/DATE OA9""
, i
Zone PI/-" Partition"i Parcel Ti Parcel si~",hFK/~ /
'",..-/1 r
front. .. -.. V
CL, side.
int€.!rior
.c;-r
rear .. ~I
o PLANNING/ZONING:
~lirlimum Sotbacks:
C
L,
Comments:
Date:
7- ufc,-RV
o
n
o
o
o
o
FLOODPLAIN:
In flood hazard area?
o No
D Yes, set:! attacbed sheet.
Date:
RURAL ADDRESSING:
Sl'.NITATION:
GRlD COORDI~ArI::
N
E
Date:
S. 1. #
B. P. It
lnstallation Record Issuod? 0 Yes 0 No
Installation
Specifications:
Gallon
Tank
Lineal Feet
of Drainfiold
Haximum Depth
of Tranche!':
Comments:
XPLANS EXAMINATI~: Type ~ Group 1'1'
Comments, {!t.~ f~ 'qfr.i(.~.
Da~
Use ~f 'Pit
o
Date, 1-1,-~L-- 0
CONSTRUCTION AUTHORIZED BY THIS PE~~IT
Sq. Ft.
Fixed Fee/
Unit Cost
$
$
$
$
$
$
J€e--'==
Plans Check Fee $ ~~ ~ =-
State surchVP~& $. _ ~=-=.. "
TOTAL rZ'~J: ~;l(~~~,!,
FEES PAID ~. ec~ ,,~?h
By: /j/~~~V/--!?k
Da~e: / -7 /2-fz: 2-
(;"r~~yJ ?t1):-D^T8 .
Floodplain Fee
~#/~~.A!!/'
~ I ,..-//
(yZ:-
Subsurface Fees
Building Fe~ k
Sewer/Storm Drain/Water
Plumbing Fixtures
Mechanical
/).r- ~
c;;:>I .::::> ' .
....r
TOTAL VALUATION
$
PERMIT APPROVED BY BUILDING OFFICIAL/DESIGNEE
LANE COUNTi' DEPARTMENT OF PLA..~NING & Cmt~lUNITY DEVELQPHENT / 125 EAST EIGHTH AVENUE, EUGENE, OREGON 97401
SEE REVERSE FOR INSPECTION INFORMATION
\
~ . .
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 READY FOR INSPECTION CALL 6B7-4065. 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 1I1SPECTlONS
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 (colTlTlonly termed "transit m;xedll) 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. a1l.framing, fire.b10cking and bracing are jn place and
all pipes, fireplaces and 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/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 Jnspection without fir.s~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-p~rmits require inspections for the work authorized, such as but noflimited 'to:
A, BLOCK WALL: To be made after reinforcing is in place, but before any grout is poured. This inspection 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 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 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 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 OOES NOT BEGIN
WITHIN 180 OAYS, OR IF WORK IS SUSPENDED OR ABANDONED FOR MORE THAN 180 DAYS. SUSPENSION OR REVOCATION MAY OCCUR IF THIS
PERMIT WAS ISSUED ON JHE BASIS OF INCOMPLETE OR ERRONEOUS INFORMATION.
ANYONE PROCEEDING PAST THE POINT OF REQUIRED INSPECTIONS WILL DO SO AT HIS OWN RISK
SUBSURFACE AND ALTERNATIVE SEWAGE 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 the permit holder shall notify the
Department by submitting the installation record form. The Department shall inspect the construction to
detenn;ne if...fit:,c~"Iplies~w)tk\:th~.fules conta~ned,in this d~visiot\.)"-}f the ~onstruction do~s comply \'Jith
such rules, the Depar~ent shall ',ssue a certlftcate.of satlsfactory complet,on, to'the,perm,t holder, If the
construction does not comply with such rules,. t.he'Qep.artm~n.t..shall n'ptify,the per.mH nolde/-and shall require
satisfactory completion before issuing the certificate":" F.ailu're'to'meet::the requirements "for satisfactory
completion within a reasonable time constitutes a violation of ORS 454,605 to 454.745 and this rule.
Setbacks.~Subsbrface SewaQe Disposal
From: Interior property lines
Edge of road right-of-way
Building foundation
Wells. other water sources
Septic Tank
10'
10'
5'
50'
Drainfie1d
10'
10'
10'
100'
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APPLICANT KEPPRO,
TLI 1803023304800
.1 E I,) BLDG TYPE:
t, ,mJNEI, Nt-IE
\ tODE AF)PL. NO ACTioN DESCRIPTION
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BP
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eiF'
BP
PETE
SUI<DIV
USE R DDRMS 2 UNITS D0j STORIES
tll)D!'::
SQ FT UNIT COST VALUATION
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1...t,NE COUNTY DEPT ErN t1GT I'~ECEIPT 'ff' '12T7f12 Di\TE o"nt>82 ;,
ADDR 20KREMONT. SPRINGFIELD. DREGDN ~
LOT 1'1...1<
'ffDl.DCS 001' PHONE 147 B24~5
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CONNE::CT[)I'~S :
MECHAN I CelL FEE
STtlTE SUI:;:CH,"I:~GE:
. PI...(lN CHE:cI< F'ET
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LC -j 2778:?
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TOTAL. FEElf*
25.~)0 CI<
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,EST,' COMPUE:T10N DATE
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, ~NNING & COMMUNITY DEVELOPMENT....
ACTI~TY INFORMATION~HEET
~ne county
~
COMPLETE THIS SECTION. INCOMPLETE FORMS WILL BE REJECTED!
)
1
PERSON MAKING REQUEST
PROPERTY OWNER
MAILING ADDRESS
MAILING ADDRESS
CITY
STATE
ZIP CODE'
CITY
STATE
ZIP CODE
BUSINESS TELEPHONE # HOME TELEPHONE #
. 2.. PROPERTY ADDRESS;) () -K ~(1vd
: (IF DIFFERENT FROM AAILING ADDRESS)
BUSINESS TELEPHONE # HOME TELEPHONE #
) ~J'~JRJc{
: 3 MAP & PARCEL NUMBER
(REQUIRED INFORMATION)
. ' ~~
'/~ ~~.)v.N~TO'iJNSHIP ,
puJ TOWNSHIP
- rn .23,3
RANGE' SECTION
(from tax maps, i'n Department of Assessment and Taxation
or from tax statement)
/1'6>6 D
TAX LOT(S) OR PARCEL #
~
RANGE SECTION
TAX LOT(S) OR PARCEL #
ZONING
TOWNSHIP RANGE SECTION
TOTAL CONTIGUOUS PROPERTY IN SAME OWNERSHIP:
4 SUBDIVISION (if applicable)
TAX LOT(S) OR PARCEL #
ZONING
,5 REQUEST (state exactly what you plan to do)
C]()\~nP" -
i 6 DIRECTIO~~I~~~.!ill GYa~+ ~V\
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** FOR STAFF USE ONLY **
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LOT BLOCK
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ZONE/LAND USE:
BY: DATE:
NUMBER
DATE
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