HomeMy WebLinkAboutPermit Building 1983-9-13
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FOR OFFICE USE ONLY
APplicatio,(/~O~ 07
Perm~t t~r'~ ;rc) ~<1 )
DTwO Copies of Plans -
DThree Copies of Plot plans
DMech/Plumbing Checklist
o Legal Interest Document
Q ~osed
l~xi5ting
I,~PHONE NUMBER
'/~- .77'~
TELEPH NUMBER
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I HAVE CAREFULLY EXAMINED THE COMPLETED APPLICgTIO FOR PERMIT. and do hereby certify that all information hereon is true and correct, And that I
have the following legal interest in the property: ner of record; 0 contract purchaser; o authori zed agent with evidence of authority attached.
I f~ther certify that any and all work performed hall 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 will be made of any structure without the permission of the Building 01 vision. r 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
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1 NAME (plrise punt) SIGNATURE. ~/:J
READ THIS SECTION CAREFULLY. ~~THORIZATION HAS BEEN BASED ON THE FOLLO~ING CONDITIONS! ( J
o PLANNING/ZONING: Zone /~_~ Partition" Parcel" Parcel Size iJ X//'tJ
"'"'- "'"1". 'V""" SO'" ~..." /l/y '1 "0' S' ".. 7 '1'17&
CO",IENT(\"~"I.-l\ ,1'... ~o S-..'-d.\\ S7N"V'.l\u-l \ ~<:....
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o FLOODPLAIN: In flood hazard area? ~o DYes, SEE ATTACHED SHEE~ Date: / n
~SANITATION: S. 1. I B. P. I ~$-6 7 Installation Record Issued? 0 Yes DNO
Installation Gallon Lineal Feet Maximum Depth
Specifications: Tank of Drainfield of Trenches
COMHENTS:~_::J!t/b) ~.Jh... j S~ ~~---./r.~ ~ j(-f~ ~-e::.
(nCt- !.-~ ~":.J~~r~ ~:')j ,.j!hA. ':~J!IJJ ~'b' ~'-
",;Oa_. . Date: 1 ,~~n ~
~ p;':'~s 'EXAM;';,ATION: Type :5-= A/ Group~.:f Use .I/d'/I F,
CO",lENTS: . 1-/lMILV/ ~/i1 . fifh-TI-I
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P?K A ~.I'"
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TOTAL VALUATION
$
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~lj CONSTRUCTION
Date:
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AUTHORIZED BY THIS PERMIT
Description
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~&Y 47~/ _ ;/ TOTAL FEE $$
, . - PERMIT :ROVED BY SUILDING OFFICIAL/DEs~ti~{'~J / 0-/ ~;;q ~
LANE COUNTY DEPARTMENT OF PUBLIC WORKS LAND MANAGEMENT DIVISION, 687-4061,
125 EAST 8TH AVENUE, EUGENE, OREGON 97401 \
SEE REVERSE FOR INSPECTION INFORMATION
o
Fixed Fee/ Floodplain Fee $
Sq. Ft. Unit Cost Subsurface Fees $
:5'.;lLjP $L/~ Building ~ $
~O.'O -( $
r-1~ch/Plmb Fee
,... plans Check Fee S $';<,3.3 fl>.
State Surchargl?' $
DEQ Surcharge $
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SETBACKS ~ND-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, ANO/OR OTHER
REMEDIES ALLOWED BY LAW.
WHEN REAOY FOR INSPECTION, CALL~B7-4065. A MINIMUM OF AT LEAST 24 HOURS ADVANCE NOTICE FOR INSPEC-
~ION REQUESTS Mu~i ~~ ~~v~N. Have the following information ready: permit number, job address, type
of in~pection, when it will be ready, your name and phone number, and any special di~ections to'site.
BUILDING DIVISION:
REOUIRED INSPECTIONS:
1. Foundation Inspection: To be made after trenches are excavated and forms erected and when all
materl.als tor the f9undation are delivered on the job.. Where 'concre,te 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 accessor~es, 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, fireplaces, ,chimneys, and vents are complete and all rough
electrical and plumbing are approved. All wal~.insulation and vapor barrier are in place.
4. Lath and/or Gy~sum Board Inspection: To be made after all la~hing and gypsum board, interior
ano-exterIOr, 1S 1n place but betore 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 approval1shall be given only after an inspection shall have been made of e'ach successive step
in the construction as indicated by each of the inspections requ~red.
NOTE: All building permits require inspections for the work au~horized, 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 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
compl~ Installation shall be in accordance with an approved, nationally 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.
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, a~d skirting shall
tion within at least 30 days after occupancy. Tiedowns
.. per enclosure. ., ,
D. 'swi~in~ Pool: Below grade when steel is/in' place and bef~re concrete is poured. Above grade
wh~n pool-rs-installed.
be fnstalled
and skirting
and ready for ins pec-
shall be 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 IBO DAYS, OR IF WORK IS SUSPENDED OR ABANDONED FOR MORE THAN IBO 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:
1. Permits sh~ll be effective for one year from the date of issu~nce.
2. Upon completing the construction for 'which a .permit" ha's 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 1f 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 permitfholder.
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 I
10'
5'
50'
Drainfie'ld
10'
10'
10'
100'
C 14-25
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A~~P~ICANT HARRISON. LAU~~~E
tjL~ 1802061406900 SUBDIV
NEW BLDG TYPE USE R BDRMS 3
-OWNER NME
. CODE APPL NO
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, SDS
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ACTION DESCRIPTION
ADDITION
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COUNTy.D~b6RE~Y6gGlo~~~~n~t D~.~5~~~YNG~~ttD~9bf~3,i~
. LOT BLK .'1
UNITS eel STORIES tBLDGS 001 PHONE 747 2796 ,
ADDR
SQ FT,.UNIT COST VALUATION
324 34.29 11109
FEE
DAYS.
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NO. CONNECTORS: 1
<MECHANICAL FEE. .
STATE SURCHARGE
PLAN CHECK FEE
11109
1':; . 00 EACH =
47.
65;(
92.5e..---- .
35.00-
.20.5e- r-.
5.92..- .
96; 2e...--
SREF
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SEQU:
.AKEN
APP
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BY RLH
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FP SDS SI
1
EST. COMPLETION DATE
PCK
1
OTH ISS
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TOTAL FEE**
22
1 97 . 79 CK .
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ACT*ITY INFORM~TIO~SHEET
COMPLETE~THI~ SECTION. INCOMPLETE FORMS WILL BE REJECTED!
f\.1Y()L. I.f" J / _ .
1 . .L..lw (hf}) t:!-tJ y- f\ $etV
PERSON MAKING REQUEST
/ /(17() Lof)orlJ*.~ () v--.
MAIIUING AflDRESS
,~()rI t1rg /J/(j) Off. qJlf71
- l~ / STATE ZIP CODE
II/! '7 ~7 /! q f;;
HOME TELEPHONE #
BUSINESS TELEPHONE #
2.. PROPERTY ADDRESS
(IF DIFFERENT FROM MAILING ADDRESS)
/r--avrlf) fiqrn5&u
PROPER Y OWNER
II/of) HJ.ronM& /Jr,
. MAiL~G ADDRESS
d&~nr;f~fd) ~rh' f~~~~
BUSINESS TELEPHONE # HOM~~~;~S?~
(from tax maps in Department of Assessment and Taxation
or from tax statement)
D"2- 6 c.WJ 0 tjcrD
RANGE SECtI6~~12' TAX LOT(S) OR PARCEL # ZONING
3 MAP & PARCEL NUMBER
(REQUIRED INFORMATION)
I~
TOWNSHIP
TOWNSHIP RANGE SECTION
TAX LOT(S) DR PARCEL # ZONING
TAX LOT(S) OR PARCEL # ZONING
ACRES
TOWNSHIP RANGE' SECTION
8:2-0-6'3
TOTAL CONTIGUOUS PROPERTY IN SAME OWNERSHIP:
4 SUBDIVISION (if applicable)
5 REQUEST (state exactly what you plan to do)
hr1ihm&w1 / ______
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6 ~E~TIONS~TE:
li~
LOT BLOCK
11 d/'L ram/let ro~m cL'.
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NUMBER
DATE
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** FOR STAFF USE ONLY **
ZONE/LAND USE:
BY: DATE:
TIME IN:
.
-=!
OUT:
LAND MANAGEMENT DIVISION / 1;15 E_ Rt.h AVF _. EUGENE. OR 97401 / 687-4061
I.