HomeMy WebLinkAboutPermit Building 1986-3-31
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S"BDIVISION/PARTITION (if applicable I . - r LOT/PARCEL I BLOCK I
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FOR OFFICE USE ONLY
APplication~~~~
PermJ.t # '/?-d 'Zlh
PROPOSED USE OF PROPERTY
~eSidential D Industrial
o Commercial 0 Public.
LOCATION ADDRESS STREET
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STRUCTURES CURRENTLY ON PROPERTY
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uEJ?RIPTION OF PROPO;:r> tORX - BE SPECIFIC I DECLARED l;i VALUE
/(ELL'C/'J rr;;- P'f./.- ?,,,,,,~<:, )' ~,hC,q- C:A./(=: ~ M,?/Vr ;k.-e,c .
= OF BEDROOMS I n OF STORIES' I # OF EI-1PLOYECS I WATER 5UPPLl{ 0 Proposed
,A?..-9/~o~ t?JA77"7.2 7J-...s7.?:Z/cr j)9'Existfng'
O;~~E1)' 5 NAHE AND ADDREp I TELEPHONE NUMBER
!d/"-~t/lt?" ;t;~<'-1/JR/C,c I ..r;-8o~V/7<9</Lf< & ~A'/""Gr--/t=.>.4
C()~CTOR '5 NAME AfJo OSR # I TELEPHONE NUMBER
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P:;R.t-llT TO BE MAILED TO (NAME AND Au...N:.o.:;);:;>/ I TELEPHONE NUMBER
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ZIP
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I HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION l"OR PERMIT, arId 110 hcrcuy cel:"llfy tchat all infon'nation hereon is true and correct, and that I
have the following legal interest in the property: DOlo/ner of record; 0 contract purchaser; [}:tauthorized agent.
I f;;,rther certify that any and all work performed shall be done in acco:t;dilllGfo 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 bt.- made of ar.r structure without the permission of the Building Division. I fur-
ther certify that registration with the Builder's Board is in full force ,md effect. as rec;.uired by ORS 701.055, that if'exempt the basis for exemption
is noted hereon, and that only subcontractors and employees who are in compliance with ORS 701.055 will be used on this project. I HAVE READ AND
CH~CKE)";:::~::::o~L&7- /7 ~ ~# ~ y~c
~ NAME (please print) y. ~N:TURE' , DATE
READ THIS SECTION CAREFULLY. YOUR AUTHORIZATION ~AS BEEN BASED ON THE FOLLOWING CONDITIONS:
o PLANNING/ZONING: zoneJp Partition # Parcel # Parcel Size
Minimum Setbacks: CL~r ./:? _ CL, side. ~ ./7 l.~nteriO /e
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CO""'IENTS'~ W~~~/~~~~ e::-~~ .
v r/ ~ -. # Date, J-Zrf- 7Fb .~
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Installation
Specifications:
Gallon
Tank
Lineal Feet
of nrainfield
Installation Record Issued? DYes 0 No
Maximum Depth
of Trenches
o SANITATION: S, 1. #
B. P. It
CQMHENTS:
n
M PLANS EXAMINATION: Type-1:1l.JJ. Group.J..J..!,6. use~a-rr:Pr{'b aJA"lloP PtPI#JiEr
l\ CO,,"'lENTS, W:.AvG" o".n::;~~~(lI1/JD PIP/~P /JIJ{1~ A~IJ€:D 6'1 71€'Fl1;I+/3I1J:::J
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3/3/,/8~ATE
Date:
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PERMIT APPROVED BY BUILDING OFFICIAL/DESIGNEE (oer QRS 456.805(1)) ;f'
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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SETB1.CKS A:>lD OTHER CO:WITIO::S Of APPROVAL MUST BE STRICTLY OBSERVED. VIOLATION CA:'I RESULT IN REVQ-
C;'710:.l Of ,filS PERN!T, eITATIO:l U:-WER PROVISIO~S OF L"~E CO[;:,TY'5 INfRACTION OROI~ANCE, ANDIOR OTHER
REMEDIES ALLOWED BY LAW.
\<;HEN READY FOR INSPCC'i'ION, CALL 587-4065. A MINH1U:-l Of AT LEAST 24 HOURS ADVA1:CE NOTICE FOR INSPEC-
TIO~ Kl::QI,.;t::;T;:. M.J:,T liE GI\lE:.J. Huve tne l0110wing in!o:-mation ready: permit number, job address, type
of inspection, when it will be ready, your name and phone nu~ber. and any special directions to site.
BUILDING DIVISION:
REQUIRED INSPECTIONS:
1. foundation lnspectton: TO be made after trenches are excavated and forms erected and when all
materlals tor tne toundatlon are dcllvered on the Job. Where concrete from a central mixing
plant (commonly termed -transit mixedM) is to be used, materials need not be on the job.
2. Concrete Slab or Under-Floor Insp'ection: To be made after all in-slab or under-floor building
serVl~e equIpment, conault, p1p1ng accessories, and other ancillary equipment ltems are in
place but before any concrete is poured or floor sheathing installed, including the subfloor.
]. Framin9 & Insulation Ins~ections: To be made after the roof, all framing, fire blocking, and
Draclng 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.
4, Lath and/or GYl?sum Board Inspection: To be made after all lathing and gypsum board, ;.nterior
ana-exterIOr, lS 1n-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.
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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 b6 given only after an inspection shall have been made of each successive step
in the construction as indicllted 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 plumbinq
and electrical inspections have been made and approved. -
B. Wood Stove: To be made after completion of masonry (if applicable) and when installation is
com?lete. Installation shall be in accordance with an approved, nationally recognized testing
agency and the manufacturer's installation instructions.
C. Nobile Home: An ins?ection 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 e~evation shall be certified when requir~d by a flood-
plain management letter..
]. Mobile home tiedowna, when required, and skirting shall be installed and ready for inspec-
tion within at least ]0 days after occupancy. Tiedowns and skirting shall be installed
per enclosure.
D. Swimmin9 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 PE~~IT WILL EXPIRE
IF WORK DOES NOT BEGIN WITHIN 180 DAYS, OR IF WORK IS SUSPENDED OR ABANDONED FOR }10RE THAN 180 DAYS.
SUSPENSION OR REVOCATION HAY OCCUR IF THIS PEfu'HT WAS ISSUED 0:-1 THE BASIS OF INCOMPLETE OR ERRONEOUS
INFOR.."l.ATION.
ANYONE PROCEEDING PAST THE POIl:T or REQUIRED INSPECTIONS WILL DO SO. AT THEIR OWN RISK.
SUBSURFACE AND ALTERNATIVE ~ 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 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 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 permit, holder.
If the construction docs 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 anu this rule.
Setback~ - Subsurface
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S<:lwage Disoosal
ScPtic ~
10'/
10'
. 5' ..~l
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Drilinfield
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~ntc~lot property lines
Edg'e-'of road'riqht-of-way
Bui Idinq foundation 'I.
~ell&.. .other l",.atcr 'sources, \
10'
10'
... 10'
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. LANE COUNTY DEPT ENV MGT I:,ECEIF'T ,'~ '72886 DfHE 03288,.
APPLICANT RAINBOW WATER DIST., ADDR PO BOX 08, SPRINGFIELD, OREGON
TLO 1703262100800 SUBDIV LOT BLK
eNEIA, BLDG TYPE USE F~ m>F<MS 0 UNITS 001 STOF:H,S 'H'LDGS 001 F'HONE 746 16'76.
OWNER NME KINDRICK, WILLIAM ADDR ~80 HAYDEN BRiDGE RD., SPRINGFIELD, O~
COD[ APPI.. NO ,~CTH)N DESCFnF'TION S(~ FT UNIT COST VALUATION I:EE DMA'
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I..C 92886 PL 20.00
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OFIX/BATH: SWR: FT. WTR: FT. RAIN: FT :
MECH MECHANICAL FEE ~
SUI', STATE SURCHARGE 4% 0.80 . ~
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PLAN CHECK FEE 6~>% 13.00.
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TOTAL FEE**
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EST. COMPLETION DATE.
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