HomeMy WebLinkAboutPermit Building 1983-5-24
FOR OFFICE USE ONLY
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t!i....-..:z.l,.,~ J'_~ _, ~ DTWO copi;'s of Plans
- -;:,. ',,' D Three Cop>es of Plot Plans
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7~t/~ .~" ~~,.:PARCEL I BLOCK DPlan Check Info Sheet
LOC DD S HE "t I . rpr~ ~IP PROPOSED USE OF PROPERTY
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. 0 :~~RTYft-..-, ~./ /' ~ I D Commercial D Public
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I HAVE CAREFULLY 6A1HNED TII PLETED APP~Cl\TION POR . T. and do hereby certify that all information hereon is true and correct, and that I
have the following legal inter S 1n the property: Oowne 0 record; 0 contract purchaser; ~thorized agent wi th evidence of authority ~ttachcd.
I f:.:.rther certify that any an 1 work performed shall one 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 OCC ANCY will be made of any structure without the permission of the Building Division. I fur-
ther cert.l.fy that reg.l.stration W.l.th the BU.l.ldor's Board is in full forca and effect as r:~ured by ORS 701.055, that .l.f exempt the bas.l.s .tor cxcmpt.l.On
.l.S noted here ,and that only subcontractors and employees who are .l.n comphance w.l.th O? 701.055 w.l.11 be used on th.l.s proJect. I HAVE READ AND
CHECKE b;;;;;7J'S~'#~ y ;(. !~ _ c~. J'. 111,4 ~6~-&'3
NAME (pl.... pnnt) ~ I - sd,/u~ "f?f .
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READ THIS SECTION CAREFULLY. ~ ~THORIZATION HAS BEEN BASED ON THE~OWING
o PLANNING/ZONING: Zone K /"L.. Partition # Parcel #
"inimum S.t"'~~' CL, side q4 interior \..5/
COM.'IENTS/~A ~ ~~~./~ ~
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CONDITIONS:
Parcel Size,?t? ',l(//t?'
rear "7' I'P'~
,
Date:
~P{--8'3
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In flood hazard area? ~ No 0 Yes, SEE A:rTACHED SHEET.
~ANITATION: S. 1. . B. P.' 4tJd-t!. 7 Installation Record ISSUed?DYesDNO
Installation Gallon Lineal Feet Maximum Depth
Specifications: Tank of Drainfield of Trenches
CO>"IENTS,_k~ AttPi!!;,-'*,1 $"'+ 6" -' )'#~~1rZ.A~ 17J~
/o~ t.c' . 'd~v {t'a4//"J.J..I ~ cY~~.d-UY./ ~/.<~.~~~Y---
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WPLANS EXAM&ATION' Type % -AI Group i< -1' Use~'15PIJ / ,K;t.. ~AI-'TH
/'t~ ~_' ,
COM.'IENTS, ( ItNI'VJVJX/J (}(( LJ!}/{€ ~., ')~~ f"U~Jr 7.tuM' ')..SJ,,7"( A/-ptJL
pP iI!J./..JtJJJC" 4'pJI'A~VJS:^ R... A-J:l.A"'- /P.o_ U,J.H-IA/ AP~L~J.JV6 ;::,oL' ~ 4vNAJ!~.
A~IIIL/JJJ.//.. r'~.tl~I1;r Late, b.-7--P~ ~
o FLOOOPLAIN,
Date:
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AUTHORIZED BY THIS PERMIT
--
Fixed Fee/ Floodplain Fee $
Ft. Unit Cost Subsurface Fees $
Building <ee S
1.~:;ch/P Imbg Fee $
Plans Check Fee $
State Surcharge $
DEQ Surcharge $
TOTAL FEE $$
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1fRMIT APPROVED BY BUILDING OFFICIAL/DESIGdfE (pe~ OR 456.805(1))
TY DEPARTMENT OF PLANNING & COMMUNITY DEVELOPMENT / 125 EAST EIGHTH AVENUE,
SEE REVERSE FOR INSPECTION INFORMATION
t: - 7-J?5
DATE
EUGENE, OREGON 97401
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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,
~HEN REAOY 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 Inspection: To be made after trenches are excavated and forms erected and when all
materials tor the foundation are delivered on the job. Where concrete from a central mixing
plant (commonly termed "tr?-nsit mixed") is to ?e used, materials need not be on trye job.
2. Concrete Slab or Under-Floor Inspection: To be.made after all in-slab or under-floor building
serv~ce equIpment, condult, plping accessories, and other ancillary equipment items are in
place but before any concrete is poured or floor sheathing installed, including the subfloor.
':. -.
3. Framins ~ Insulation Inspections: To be-made after the roof, all framing, fire blocking, and
brac1.n'g are in place and- all pipes, fireplaces, chimI}eys, and vents are complete and al1 rough
electrical and plum?ing are approv~d. 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-exter1.or, l.S l.n place but before any plaster1.ng 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 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
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
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. Footing5 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 skirting shall be installed
per enclosure.
D. Swimminq Pool: Below grade when steel is in place and before concrete is poured. Above grade
when pool-rs-installed.
APPRqVED PLA~S 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.
SUSPEN~ION OR REVOCATION MAY OCCUR .F'THIS PERMIT WAS ISSUE~ ON THE BASIS OF !NCOMPLETE OR ER~ONEOUS
~:~~~:~~:~EDIN~ PA~T THE POINT or ~EQUIR~D INSPE~TIO~S WILL DO SO ~T T~6W~~SK.
. 9UaSURFAC€ ~ ALT~RNATIVE SEWAGE DISPOSAL SYSTE~lS:. ------- . . ')
l.
2.
Permits shall be effective.for one year ..from tt~e date of issuance.: . '.
u~on completing 'the"construc\i~n 'for 'wh"'1.ch .;, pe~mit h~S' been issued, the ~erm~t holder sha!l
. notify the Lan~'Cbunty. Department lof ,Planning and Community . Development by, 'sub <1i tt~n9 'the. ..
installation record form. The Department shall inspect the construction to de :ermine if ,it
complies with th~ rules contained in this division. If the constru~tion.does ~omply with such
rules, the Department shall issue a certificate of satisfactory completion to ~he permitl holder.
If the construction does not comply with such rules, the Department shall ~ot~fy the permit
holder and shall require satisfactory completion before issuing the certif~te. 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'
10'
5 '
50 '
Drainfield
10'
10'
10 '
100'
c 14-25
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CH ECKLIST
PLUMBING/ MECHANICAL
APPLICANT INFORMATION:
lNarne or FIrm-Please
PLUMBING CONT~
Pnnt)
lMaIllng AddreSS)
Yes
Firm
Address
o No o Self
ME(}IANICAL CONTRACTOR 0 Yes Firm
Address
o NoD Self
Type of Fixture
YLiJMBING
Number of Each
Total
~
Sink
LavatorY [Wash_ Basin)
Tub (with or without shower)
Shower, separate
Water Closet [toilet/urinal)
Dishwasher
Disposer (garbage grinder)
Washing Machine
Water Heater
Floor Drain
Sewer--lst 50ft.
each additional 100 ft.
Water Service--lst 100 ft.
each additional 100 ft.
Storm and Rain Drain--lst 100 ft.
each additional 100 ft.
Special Waste Connection
Sewage and Sump Pump (eiector)
Mobiie Home Sewer and Water
Other (specify)
SUB-TOTAL (Minimum $10.00)
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OFFICIAL USE ONLY
Appli./
Permi t #
-----.
lL'ny or . ) lZlP Code)
Cont. OSR#
J~
Cont. OSR#
Fee On Each
$ 5.00
5.00
5.00
5.00
5.00
5.00
5.00
5.00
5.QP
5.00
15.ob
10.00
15.00
10.00
15.00
10.00
5.00
5.00
10.00
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Type of Equipment
ME(}IANICAL
Nwnber of Each Fee on Each Te tal
$.loloo
$ 6.00
7.50
I 3.00
I 3.00
I 4.50
b.OO
6.00
b.OO I
6.0-0 I
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.50 I
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V
I roT AL FEE
Mechanical Permit Base Fee
Furnace UP to 100,000 BTU/H
Furnace over 100.000 BTU/H
Clothes Dryer Vent
Bathroom Ventilation Fan & Duct
Range Hood with Mechanical Exhaust
Wood Stove
Air Conditioner Only
Heat ~
Floor Furnace
Gas Piping System 1 to 4 Outlets
Per Outlet
Other lspecify)
SUB-TOTAL
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...LANNING & COMMUNITY DEVELOPMEN~
ACT~ITY INFORMATION SHEET
bne county
~
COMPLETE THIS SECTION. INCOMPLETE FORMS WILL BE REJECTED!
1 !!eDit. A . ~A,JfA 4/A-
I PERSON M')fIfrNf~udf'
.9..(W /6ncatd 6/.
'MAltING ADDRESS- .
_0~Ot:if4 .I IJf?- 11~OS
. CITY - STATE ZIP CODE
BJI;:fs ~~L~~O~ # H~ffE~'F#
2. PROPERTY ADDRESS
(IF DIFFERENT FROM MAILING ADDRESS)
)!-&f t /aur;~ ~Y1~S o-r
. I PROPERTY OWNER
-I/-~O ~~t~t~~ Or,
~nY1t11r:ftdd 0/2 17l/77
CITU STATE '-trtcIlDE
7t./1-771b
BUSINESS TELEPHONE # ~TELEPHONE #
(from tax maps in Department of ~~essment and Taxation
or from tax statement) fllftlCJ .
/)~ oh It! A'/dB#J
RANGE SEcTiON ill LOTlS) -~ ZONING
3 MAP & PARCEL NUMBER
(REQUIRED INFORMATION)
/{;
TOWNSHIP
TOWNSHIP RANGE SECTION TAX LOTIS) OR PARCEL # ZONING
TOWNSHIP RANGE SECTION TAX LOT(S) OR PARCEL # ZONING
TOTAL CONTIGUOUS PROPERTY IN SAME OWNERSHIP: ~~I?c/ ~.~. ACRES
4 SUBDIVISION (if appl icable) LOT BLOCK
5 REQUEST (state exactly what you plan to do). (j M /- -/, 1;;T Yl '1-' ~~ -in
S~\) - ~\c~^^ ~~D r~ J ~
6 DIRECTIONS TO SITE: (lILC/A;VL sl-. ~ 3d-M 3.;t.^d -}o ?Cf rift
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** FOR STAFF USE ONLY'** NUMBER -<
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ZONE/LAND USE: DATE -<
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BY: DATE: TIME IN: OUT: .
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. AI"PI...ICANT SPADY,
, TI...O 1802064106900
. NEW BI...DG TYPE
OWNEI:~ NME
CODE APPI... NO ACTION. DESCRIPTION
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PCK. I...C 82083 RPRV
. PI... " NO. FIXTURES:
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I...ANE COUNTY DEI"T ENV MGT I~ECEIPT '::' 820B3 DATE O~>241.
KEViN ADDR 2544 KINCAID, EUGE~E, OREGON
SUBDIV I ST ADD TO WIL.l..f~MEnE MANOI~ . I...OT BI...K 1 ~r
USE I~ BDI'~MS 3 UNITS' 001 STOI:(ITS '~BI...DGS 001 PHONE 747779(.
.ADl)I(
SQ FT UNIT COST VAI...UATION
SI~EF
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10000
15.00 EACH =
CONNECTORS:
MECHANICAl... FEE
STATE SURCHARGE
PLAN CHECK FEE
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SDS SI
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COMPLETION
F'CK
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DATE
TOTAL FEE""
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FEE
DAYS
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52.33
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52.33 CK
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