HomeMy WebLinkAboutPermit Building 1983-7-11
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Lane County Authorization
Applica tion/ \ \"" (:) J
n Pernu. t # QJJ- ~
0_. . ("A o. r 1.1}G t _~am c.,.(/ ...J DTWO Copies of" Plans
~.JX _ t /\- DThree Copies of Plot plans
ro""sl~I'a I RANGE f'V)-- _I_"-ES~I. "'_ - )~I OLOT",""OOOUT OF DMech/Plumbing Checklist \
S" )I5IO_C;/@A ~T~.ON (iI 1P(iPJ,~.je~ II":) UIO. I~T5/PARCEL I ~~ DLegal Interest Doc~~~l.\"
~'J ~ rr 1 \Ll' \ /f Dplan Check Info Shee...~.~
TI AD 5 JI'l'RE.T /\. _ . ,,,,,",.1 t'l7-,ACITY ZIP PROP05EP USE OF PROPERTY ifr ~
I .9 lLLuJ.u.J-. LllJeJ" C3-p(V., .:::;r~ 7'7 ~ide.ntial 0 Industrial
'i;\'R'"~~NTLY 0P~:T: I I . .~~" ~ ~-d it- \. ~ 0 Commercial 0 Public.
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FOR OFFICE USE ONLY
DECLARED S VALUE
o Proposed
n Existing
~LEPHONE f~BER
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T PHONE'NUMBER
I Tl:;LI:;PHONE NUMBl:;R
~VE CAREFULLY EXAMINED THE COMPLETED APPLICATION FOR PERHIT. an~ 'do hereby c~rtify~at all information hereon is true and correct, and that I
have the following legal interest in the property: ~r of record, 0 contract purchaser, o authori zed 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 COWlty and the Laws of tho 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 requirod by ORS 70t.OS5, that if exempt the bash for exemption
is noted hereon, and that only subcontractors and employees who arc in liance with ORS 701.055 will be used on this project. I Hl\VE READ AND
CHECKED THIS APPLICATION THOROUGHLY.
VAllio N A-Lt..~
t2u..-J
NAME (please print)
SIGNATURE
?)-d7/ I ~ 11g'3
V DATE
[] PLANNING/ZONING:
READ THIS SECTION CAREFULLY. YOUR AUTHORIZATION HAS
zonen.ili / u.... parti tion #
C . .V'c:.", c
L, front -...-..( J L, side
COMMENTS, ~' LJe:f ro.cJr~ o.<<Jowert
I ~ ( AA (-l.R ~t<..ck.. .
BEEN BASED ON THE FOLLOWING CONDITIONS:
Minimum Setbacks:
interior
,&:) I
Parcel Size
rear 5 I
Lo.?.
Parcel #
)AY\
Il
V
[] FLOODPLAIN:
t'1/:> r:::M- ((. (5 .
,
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Date:
. 02 a.c. - CJl/dL. '"^O '
(.::J) - ~ 2fB/
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In flood hazard area? ~~ 0 Yes, SEE ATTACHED SHEET.
Date:
Installation Gallon
Specifications: Tank
C"'L'IENTS, ,'Y}';:'/- 'Y'J' it~ .J
Lineal Feet
of Drainfield
Installation Record Issued? 0 Yes 0 No
Maximum Depth
of Trenches
[] SANITATION:
S. 1. #
B. P. '"
[] PLANS EXAMINATION: Type
e:jt\J
Group---..MJ
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Oat., "7_/ ~P'1
use~-f~
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COMHENTS:
Date:
1 /t~"fh
D
TOTAL VALUATION S
CONSTRUCTION AUTHORIZED BY THIS PERMIT
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Description
Sq. Ft.
Fixed Feel
Unit Cost
Floodplain Fee
Subsurface Fees
Building E'ee
Hech/Plmbg Fee
P'ans Check Fee
State Surcharge
DEQ Surcharge
TOTAL FEE
s
s
S PLIl, c::{)
S
S
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SSJU;. I~
~16
PERMIT APPROVEP SY BUILPING OFFICIAL/PESIGNEE (per OR~~~!)!m) '1....Z.<;?~A~E'?
LANE COUNTY DEPARTMENT OF PUBLIC WORKS LAND MANAGEMENT DIVISION, 687-4061, \
125 EAST 8TH AVENUE, EUGENE, OREGON 97401
SEE REVERSE FOR INSPECTION INFORMATION
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- SETBAGKS 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 I~FRACTION 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 be ready, your name and phone number, and any special directions to site.
BUILDING.DIVISION:
\
REQUIRED INSPECTIONS:
1. Foundation ~pection: To be made after ~renches are excavated and forms erected and when all
materials for the foundation are delivered on the job~ Where concrete from a central mixing
plant (commonly termed I'transit m~xed") is to be used, mate'rials need ,not be" on the' "job.
2. Concrete Slab or Under-Floor Inspection: To be made after all in-sla~ or under-floor bu~ldin9
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.
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3. Framinq ~ Insulation Inspections: To be made after the roof, all fr'aming, fire blocking, and
bracing are ~n place and all p~pes, fireplac.es,' 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-prace-OUt before any plastering is applied and before gypsum board joints
and fasteners are taped and finished.
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5. Final Inspection: To be made after the building is complete and before occupancy.
APPROVAL REQUIRED. No'~ork shall be do~e 'on a~y part of the building dr'.,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 ~uthorized, 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 Stove: 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 manufacturer I s installation instr,uctions. '
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 ski~ting shall be installed
per enclo,sure.
D. Swinuninq 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 AND ALTERNATIVE SEWAGE DISPOSAL SYSTEMS:
l.
2.
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Permits shall be effective for one year from the date of iss~an~e. ~ ~ \
Upon completing the construction for which a ,permit has been issued, the permit holder shall
notify the~Lane_~ounty Department of Planning and Community Development by submitting the
instal~ation 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.permitl 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.
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Setbacks - Subsurface Sewaqe Disposal
From: Interior property lines
Edge of road right-of-way
Building foundation
Wells, other water sources
Septic Tank
10 '.
10 '.
5 .
50'
Drainfield
10'
10'
10 '.
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C 14-25
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.W: 2 . 118083 DATE 07118'
APPLICANT ALLEN, DAVID ADDR 1085 LAUREL AVE., SPFD. OREGON i, H
. TL~ 1802061310300 SUBDIV DOUGLAS GARDEN LOT 5 BLK..
.NEW BLDG TYPE: GAR USE R BDRMS 0 UNITS 001. STORIES 1 ~BLDGS 001 PHONE. 747 453~
OWNER NME ALLE~, DAVID ADDR 1085 LAUREL AVE.. SPFD. OREGON
CODE APPL NO " ACTION DESCRIPTION .SQ FT UNIT COST VALUATION FEE DAY...;.,
. BF' .;, ,GARAGE 1200 . 8.55 10260 .
., I BF' 'f'
BP
.BP
BF'
BP LC 1i8083 RACC
.I"'L NO. FIXTURES:
MECH .
SUR
. PCK
SDS
NO.
CONNECTORS:
MECHANICAL FEE
STATE SURCHARGE
PLAN.CHECK FEE
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10260 86.50 !
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15.00 EACH =
47- 3.46 . ~i
65" 56.23
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OTH ISS .
2 15
TOTAL FEE** 146.19 CK.
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COMPLETION DATE
EST.
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~NING & COMMUNITY DEVELOPMENT ~.
ACTI~Y INFORMATION .-tEET
bne courty
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COMPLETE THIS SECTION. INCOMPLETE FORMS WILL BE.REJECTED!
1 !lAII/O f,J./ku?/Ij
PERSON MAKING REQUEST
108:'- Lffz;/2EL- /tvc:.
MAILING ADDRESS
$r>,e//l)<:;,hct-D) O,e&. Ci 7 ~ i' 7
CITY STATE ZIP CODE
.747-~3.3
HOME TELEPHONE #
I
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PROPERTY OWNER ~
MAILING ADDRESS
CITY
STATE ZIP CODE
BUSINESS TELEPHONE #
BUSINESS TELEPHONE #
HOME TELEPHONE #
2.. PROPERTY ADDRESS S/J,N/? .
(IF DIFFERENT JROM MAILING ADDRESS) <? ~ _ _ /',. '-_ . ~ ,. / '. ,I. - LJ~' d
!k"/1F..eT1/.. ;nlAl!!Cd:>ft;EPIMJ /1.t~P C77<-=> ~/>///<".4c.:r/ leN!" PV/L.L-ICf ~rn;;. rf//$L.":;?,
3 MAP & PARCEL NUMBER (from tax maps in Department of Assessment and Taxation
(REQUIRED INFORMATION) or from tax statement)
~~Ip. ~- SE~~~N TAX LOT(S) OR PARCEL # ZONING
Tl~HIP' R~t ~g~~/ TAX<~~~o1 PARCEL #. Mzi~
TOWNSHIP RANGE SECTION
TAX LOT(S) OR PARCEL # ZONING
ACRES
TOTAL CONTIGUOUS PROPERTY IN SAME OWNERSHIP:
4 SUBDIVISION (if applicable)
LOT
BLOCK
5 REQUEST (state exactly what you plan to do)
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.6 DIRECTIONS TO SITE: ffiw~ IZb T2J 4ZA/p5'rUrT- /.:.J S'<"K/"J9'I"7~ I??'d""
4ZAl.t?S;r.Exir ~,J/1~~ ~v.o9'4";';; J1e/dE /.fl'd-7Zl/t/V~oU~
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** FOR STAFF USE ONLY **
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ZONE/LAND USE:
BY: DATE:
TIME IN:
OUT:
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DATE
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TRS, TL 16 oz Ob. I '.~
Plot Plan
Subdivision
Lot
Block
Vicinity Map
C74-150
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Job Location (Address)
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Permit fJ For
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