HomeMy WebLinkAboutPermit Building 1981-5-22
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CO~TRLeTION/PLACEMENT .
5':'(2- PERM IT
COMPLETE THIS BL CK. PLEASE USE BLACK INK AND PRINT.
WI"'"HIP '7 I AAN03 I SECZ<O . 2, I
SLont~..")~P;RT~l~IO~ ~i.f ap~. l I LOT(PARCEL I BLOCK
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· OF~tooMs I · OF S,ORIES 4> OF &0S I ~ y ( ) ~~~~~~
OWNER'S NAM!; ~D AR~+z,.. (?J(J,')'YtQJ o.~ ~)
CONTAA~~ AME lN~ ADDcri ~ /
~'f}f""-' I m~"~5~JlLL+- ~~ r.und
Fj:~y ~~;:~LE~APP~~ roR PE~IT, nod D~YUthot nll ~o~o ~ ,: oomot ""d I fucth"
certify that any and all work: performed shall be done in accordance with the OrdiUilnccs of Lant' County and the La......$ of the Stilte of OI'J'pn j>crLdiuil1'J
to the work described herein, and that NO OCCUPAlJCY will be made of any structure without the permission of the Building Division. I further cLrtify
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 is notr:d
~:~~~~~O~~R~~G~~~~~_ ntr,acton :~~r.l~ca""hance wHh oti:,o will be use on this project. 1 HAVE READ ~::Y.ED THIS
X UtC' c' K }(-A,v z; 6-/1- fL Dcanmceor
I NAME (please print) DATE' 0 Agent
o PLANNING/ZONING: zo~e Pa # Parcel # Parcel Size 75 X 140
Minimum Setbacks: c}--, )~Qnt Il ~.L' \ :~ - "'0 Di~:er~o~_ ~J (' I ~c:_r ?ear ,
CD_nts, A A{11IY\ ) I' -V /?Tl. \ J(:;ruLJ r ,?<;
Date, ~f I-'?\I
In flood hazard area? ~ [] Yes, see attached sheet. Date: -
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FOR OFFICE USE ONLY
.I T~b DOUT OF
Applicatiqn.(l.>~ ~L
Perm1t #_I( Xl( )-~
DTwo Copies of Plans
[]Two Copies of Plot Plans
[]Mechanical Checklist
DP1umbing Checklist
[JPlan Check Info Sheet
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'tELEPHONE NUNBER
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RURAL ADDRESSING:
SANITATION: s. 1. I
GRID COORDINATE
N
E
Date:
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.
FLOODPLAIN:
B. P. #
Installation Record Issued? [] Yes [] No
Installation
Specifications:
Gallon
Tank
Lineal Feet
of Drainfield
Maximum Depth
of Trenches
Comments:
~PLANS EXAMINATION:
Type
,~0
Group-1Z-~
Use ."
J
11fP
D
Comments:
D.te, .t;"~v;;1 D
Description
Sq. Ft.
~$
Fixed Fee/
{~t~
THIS PERMIT i.J? j J IZl ct.., .~ Z~
Floodplain -;e;r- $
Subsurface Fees $
Building Fee $
Sewer/Storm Drain/Water $
4 Plumbing Fixtures $
Mechanical $
Plans Check Fee $
$ ,: ---<J
$ ~~/
o c~ ~a's'F;'~
~Z-~
...:--
-::;Jn~
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CONSTRUCTION AUTHORIZED BY
~-L..y,c:L..-~
State Surcharge
TOTAL FEE
TOTAL VALUATION $ ~.~
~, W~ A-f1-iP--- ~""~.i: ~.OV
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PERMIT APPROVED BY BUILDING OFF'E:~;~B05(lll
LANE COUNTY DEPARTMENT OF ENVIRONMENTAL MANAGEMENT I 125 EAST EIGHTH AV~UE, EUGENE, OREGON
FEES PAID A
By' l n~,
Date, -'j-I\-~ 1
~~~~I
DATE
97401
C74-194
SEE REVERSE
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SETBACKS AND OTHER CONDITIONS OF APPRDVA~ST BE STRICTLY OBSERVED. VIOLATION CAN ~LT IN REVOCATION OF THIS PERMIT:.
CITATION UNDER PROVISIONS OF LANE COUNTY'S INFRACTION ORDINANCE, AND/OR OTHER REMEDIES ALLOWED BY LAW,
WHEN READY FOR INSPECTION CALL 6B7-4D65. A MINIMUM OF AT LEAST 24 HOUR ADVANCE NOTICE FOR INSPECTION REQUEST MUST BE
GIVEN. Have the following infonnation ready: Permit number, job address, type of inspection, when H will be ready,
your name and phone numbert and any special directions to site.
BUILDING DIVISION:
REOUIRED I1ISPECTlONS
1) FOUNDATION INSPECTION: To be made after trenches are excavated and fonns erected and when all materials for the foundation
are delivered on the job. Where concrete from a central mixing plant (cotmlonly 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 accessories and other ancillary equipment items are in place but before any concrete is' poured
or floor sheat~ing installed, including the subfloor,
3) FRAMING & INSULATION INSPECTIONS: To be made after the roof, all framing, fire blocking and bracing are in place and.
all pipes, fireplaces and 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 GYPSUM BOARD INSPECTION: To be made after all lathing and gypsum board, interior and exterior, is in place
but before any plastering is applied or 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 bui1ding 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: Ali building pennits 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 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 masonrv (if applicable) and when installation is camolete.
Installation shall be in accordance with an approved nat'ionally recognized test,ng agency .nd the manu-
facturerls installation instructions. .
,
C. MOBILE HOME: An inspection: is reqaired;after the mobile home is connected to an approved sewer or ,septic
system for: setback requir~ments, blocking, footing connection, tiedowns, skirting, and plumbing
connections. \
(1) Footings and piers to comply with State foundatipn requiremeryts for mobile homes or as recOlllllended
by the manufacturer.
(2) Mobile home minimum finish floor elevation shall be certified when required by a floodplain
management letter.
(3) Mobile home tiedowns, when required, and skirting shall be installed and ready for inspection
within at least 30 days after occupancy. Tiedowns and skirting shall be installed per enclosure,
.
0, SWIMMING POOL:- Below grade when steel is in place and before concrete is poured. Above grade when pool
is 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 lBO DAYS, SUSPENSION OR REVOCATION MAY OCCUR IF THIS
PE~~IT WAS ISSUED ON THE BASIS OF INCOtlPLETE OR ERRONEOUS INFORMATION.
ANYONE PROCEEDING PAST THE POINT OF REQUIRED INSPECTIONS WILL DO SO AT HIS OWN RISK
SUBSURFACE AND ALTERNATIVE SEWAGE DISPOSAL SYSTEMS
(1)
(2)
Permits shall be effective for one year from the date of issuance.
Upon completing the construction for which a permit has been issued the permit holder shall notifY,the
Department by submitting the installation record form, The Department shall 'nspect the construct, on to
detennine if it complies with tt)e rules contained in this division. ,~!f the construction does comply \tnth
such rules, the'Department shaH {,sue a certificate of satisfactory completion to the permit 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 fo~ satisfactory
completion within a reasonable time constitutes a violation of ORS 454,605 to 454.745 and th,s rule.
Setbacks .- Subsurface Sewaoe Di sDosa 1
From: Interior property lines
Edge of road right-of-way
Building foundation
Wells. other water sources
Seotic Tank
10'
10'
5'
50'
Drainfield
10'
10'
10'
100'
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APPLICANT KANTZ,
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GEORGE. ADDR NA
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ACTION D~SCRIPTION
f.' 100081
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DiHE 05~i6f:l1
LOT BU,
00 NO UNITS 001 NO STORIES NO BLDGS 001
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~1ECI'1iiNIU,L, FEE
STATE SW::CHARGE
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LC 100081 SUPP
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EST. COMPLETION DATE 0527f:l1
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TOTAL FEE'lHt
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