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Home My WebLink AboutPermit System Development Code Charge 1986-10-23 ca. ~mr./\I....DRESSING CHECKl:Ott:> iJ Lane County Authorization for: ~r:Jll() kJ/c//llk:7Z-z::r=~?:rJ?zLy.J 6G ~-..:W FOR OFFICE USE ONLY Application~~~;7 ~~ Perm1t #,-;)d /C:-~.....l- . 1\J~SHIP /7 I RANGE CJ .r I :5'~ d? 2 ) TAX~~T OF SJBDIVISION/PARTITION (if applicable) I LOT/PARCEL I BLOCK I LOCATION AD~SS ~ET ~ # CI'ry: ZIP /0't: ~ ~4~7? ~.cc- /y4/9;z:7 -.J~6'r-dZ.?7. 5T~~.uRES CURRENTLY dN' PROPE~ ~_,..- - ~+-/ / .br'_r-:=- //.7~J7.7 ~(ff ~~..-L7'7?6 Sfi"'c=27 #07~rT/c:/ /J'AV~~, ~ ~~~ $ ~/Pe::-;:; ~L2?6e- ; ~ (d.//e-b7,?'4.A7'?7 "~TlON OF PROPOSED wo~ BE SPECIFIC /' ./1" / _ Il DECLARED $: VALUE ~~/ /f_ ) '7:';:/7--'7:;7;7 t::,.../~~~ ~<<"_ ~ . OF /~D-""'J7 _ I' OF STO~"'7/ /.1 I · OF E~'97~ I WATER SUPPLY ~/ ~"?'/?? DJ'r,?po~ed /t//,.r- #V/k- 4//h ~~~ ~Emt1ng ~y.i NAME AND ADDRESS A / / / . ~. //7 I TEpHONE NUMBER ':X?~t?/7 ~ ~ h7Z7~/?? All/' ~ , J ~c:c-...u:zy ocr?-.?.J P C;)NT.?~;~AME ~D CSt{ It ':/7 - / ~ I TE~H~~NUMBER. . , /' ff.c ,#LJ' ~~~.rJ ~/?c7 ///-2.:t.fr P~R>0;~);:J-(N~6FE~ ~/7t7e:- I T:>>~ PROPOSED USE OF PROPERTY ~CSidential 0 Industrial o Commercial 0 Public. ;7"7Y;?;7 ~~--/ ./ I HAVE: CAREFULLY EXAMINED THE COMPLETED APPLICATION f'OR PERMIT. arId do hcrcUy cel:"t.ify that ,,11 inform.atioll hereon is true ,,-nd correct, and that I have the following legal interest in the property: Downer of record; 1Xr'CQlItral:t- pl1rchaoer J Oauthorized agent. 1 f'.,:rther certify that any and all work performed shall be done in ac~c(: Id th tt:tl. Ordihanct!s of Lane County and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will b...- made of a J structure without the permission of the Building Division. I fur- ther certify that registration with the Builder's Board is in full force ~md e ect. as required by RS 701.055, that if.exempt the basis for exemption is noted hereon, and that only subcontractors and employees who are in compli nf with ORE 701.05 ....ill be used on this project. I HAVE READ AND ~;;;;j"7 ~~ - NAME ~please print).... DATE Minimum Setba~ COM..\\ENTS: /" ~ YO~~~~THORIZATION ~AS .M~partition it . , CL, front CL, side #'~~h BEEN BASED ON THE CONDITIONS~ READ THIS SECTION CAREFULLY. [] PLANNING/ZONING: Zone Parcel # Parcel Si%e ~;Y /' , ,/J interior ~~~ / Gallon Tank . Lineal Feet of Drainfield ~ rear ~c7~~ Date, ftft7 / C?~ /11 /. . Installation Record Issued? 0 Yes 0 No Maximum Depth of Trenches , kfSANITATION: /"~ Installation Specifications: S. 1. it B. P. ij COM>lENTS, 5' (l t-r",....." lOt S #0 I'C .5"'.9T r.... ~-d/tN J~ / /1:-1 i F'v~uT7a=-'\-1 e..~ Date: ,,-z,u /0 - q-rC \ (7,-, " crFl [] PLANS EXAMINATION: Type Group Use COMHENTS: Dale: n 1 ~ .'-<< ~ 00' ~J PERMIT APPROVED BY BUILDING OFFICIAL/DESIGNEE (per ORS 456.805(1)) )(JJ~- ?-1- K. DATE LANE COUNTY DEPARTMENT OF PUBLIC WORKS LAND MANAGEMENT DIVISION, 687-4061, 125 EAST 8TH AVENUE, EUGENE, OREGON 97401 SEE REVERSE FOR LNSPECTLON LNFORMATLON (' 1I._.?<; gAd. . . . SETBi.CKS A~D OTllER co:mITIO~S OF APPRO'IAL ~UST BE STRIe7!.Y OBSERVED. VIOU.TIO~ CA~ RES!.'LT IN REVQ- CATIO,l OF ,1I1S PER~lIT. CITATIO:, UNDER PROVISIO:.lS Of LANE caU::TY'':; INFRACTION ORDI,:ANCE, AND/OR OTHER REMEDIES ALLOWED BY LAW. WHEN READY FOR INSPECTION, CALL 6a7-~065. A m:-':INU:l OF AT LEAST 24 HOURS ADVA:~CE ~OTICE FOR INSPEC- 'tIOe: KI::Ql,;l::ST:; }lUST DE Gl vt;N. Huve toe ltJllowi ng informa t ion ready: parmi t 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 Insp~ction: To be made after trenches arc excavated and forms erected and when all matctlals tor tne roundation arc dellvcrcd on the job. Where concrete 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-rIoor Insp'ection: To be made after all in-slab or under-floor building serVl~e equIpment, condult, p1p1ng accessories, and other ancillary equipment items are in place but before any concrete is poured or floor sheathing installed, including the subfloor. ~raminq & Insulation Inspections: To be made after the roof, all framing, fire blocking, and rac1ng are 1n place ana all p1pes, fireplaces, chimneys, and vents are complete and all rough electrical and plumbing are approved. All wall insulation and vapor barrier are in place. 3. 4. Lath and/or Gypsum Board Inspection: To be made after all lathing and gypsum bOi'l.rd, '.nterior ano-eXEerIOr, 1S In-prace but before 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. ~o 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 b~ 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 rnspect10n 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~: To be made after. completion of masonry (if applicable) and when installation is complete. Installation shall be in accordance ~ith a~ 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'sha1l 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. SW1rnm1nq Pool: Below grade when steel is in place and before concrete is poured. Above grade wnen pool-rs-lnstalled. 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 }~Y OCCUR IF THIS PE~IIT WAS ISSUED ON THE BASIS OF INCOMPLETE OR ERRONEOUS INFORMATION. ANYONE PROCEEDING PAST THE POIllT or REQUIRED INSPECTIOC1S WILL DO SO AT THEIR OWN RISK. SUBSURFACE ~ ALTERNATIVE ~ DISPOSAL ~: 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 Lane County Department of Planning and Community Development by submitting the installation record form. The Department shall inspect the construction to determine if it complies with tho rules contained in this division. If the construction does comply with such rules, the Department shall issue a certificate of satisfactory completion to the permitiholder. 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 rcasonable time constitutes a vio- lation of ORS 454.605 to 454_745 and this rule. Setbacks - Subsurface Sewaqe Disposal Septic Tank Drainfield from: Interior property li:1cS Edge of road riqht-of-way Buildinq foundation ~ells. other water sources 10' 10' 5' SO' 10' 10' 10' lOa' e:TIVITY INFORMA~N SHEET . COMPLETL THIS SECTION. INCOMPLETE FORMS WILL BE REJECTED! GOltbOAJ f MtJf-111f? PERSON MAKING REQUEST /t/II J!r1Y/)e'N ~,f, RJ;, MAILING ADDRESS :;fflrV6;//tltD ~?? flt/77 CITY STATE ZIP CODE dtl-Z,3t/7 7fl-2--3b '5 BUSINESS TELEPHONE # HOME TELEPHONE # 2 PROPERTY ADDRESS ~M G (IF DIFFERENT FROM MAILING ADDRESS) .. If ~ S7ZlNc PROPERTY OWNER MAILING ADDRESS CITY STATE ZIP CODE BUSINESS TELEPHONE # HOME TELEPHONE # 3 MAP & PARCEL NUMBER (REQUIRED INFORMATION) (from tax maps in Department of Assessment and Taxation or from tax statement) / 1 ~3 otL/, J.3 ~3 TOWNSHIP' RANGE SECTION TAX LOT(S) OR PARCEL # ZONING TOWNSHIP RANGE SECTION TAX LOT(S) OR PARCEL # ZONING TOWNSHIP RANGE SECTION TAX LOT(S) OR PARCEL # ZONING TOTAL CONTIGUOUS PROPERTY IN SAME OWNERSHIP: 4 SUBDIVISION (if applicable) ~!/tll( tll LOT ACRES BLOCK . , 1/;/V/( 5 REQUEST (state exactly what you plan to do) ;1/~ :;t!Pr/e,. INff1c5cr;oN ~rry /11/1 b'/1/t/4AJC5 6 DIRECTIONS TO SITE: ~ IJV, ']1Jb 1D tdi5v11eG RP ~ JI-1Jt,tO/,/l/ ~JJ -r0 ;!AYJVV 4'-f. ~j)., TtP /r?" (Ltf~T 111A/lJ,..1ffll::urcq- TV ** FOR STAFF USE ONLY ** - -- 'II ZONE/LAND USE: VI {'----7V I I 14-33 LAND MANAGEMENT DIVISION / 125 E. 8th AVE., EUGENE, OR 97401 / 687-4061 . \ , ( rJ{;L L-" J) t - y<1-L- " - 1(1';'(/ ;' / . j. I --. ~- - -- - -. / I rI fVlcL .' --=- I J ) st ~ * ~ -- ~ . - !. -~ (