HomeMy WebLinkAboutPermit Building 1983-3-30
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r l' : r 0 Two CopIes of Plans
PLEASE USE BLACK INK AND PR~. [] Two CopIes of Plot Plans
/5:? SECT~:3 3,.. / / T/)fj~ OOUT or c:JHegh?nICal Checkllst
~~ ~ ~ /~~ [JPlumbl~c Checlllst
LOT/PARCEL I' BLOCK
[]Pla~ Checl Info Sheet
~~~~ ZIP PPOt'OSCD'U"L OF T'"O?E?,TY '1/
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"I HAVE CARE'UL,4AM1NED TI~{COMPLETED AP;LICAT10N ,OR P,RM1T, and do he>rcbl e>r~th,r'~ lnform,tlon bNe>.tI1 trll~ ,nd sorrest and I fllrllI.r
certl fy that any~' all work performed shall be done In accordance wIth the Ordllla 1( es of Lane> County dnd the> 1 "II( o~ th0 St" c o[ Or~'l')J1 I' r lll" In'!
to the work descrIbed hereIn and that NO OCCUPANCY wlll be made of any structurn wlthout the pcrmlcslon of the BU11dlng Dlvlslon 1 [ullhnl c'rtlf)
that regIstratIon WIth the Bullder' s Board IS 10 full force and effect as requHcd by ORS 701 055, that lf eycmpt the baSIS [or cxemI'!'lon lC not' d
hereon and that only subcontractors and employees who are In compl1ance WIth ORS 701 055 wlll be used on th,S proJect I HAVE RFAD AND CHECf-PD THF
APPLICATION THOROUGHLY
COMPLETE THIS BLOCK.
SuBDIvISION/PARTITION IIf applIcable)
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RAqGE
TO\-Il""HIP
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o PLANNING/ZONING: ,oo,XIJ ,",<><>"0' '0""' , ''''0' "'~ ~
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II FLOODPLAIN: In flood hazard area? D No D Yes, see attacned sheet Date 0
o RURAL ADDRESS ING: rR1D COORDINAH. N E Date ' 0
o SlUHTATION:
06HAI J. :nEllA!
N~ME (pleasc prInt)
~Qv..lle)
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=:J ACCll t
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.
S I #
B P #
InstallatIon Record Issued? [] Yes [] No
Inst:allatlon
SpeCIfIcatIons
Gallon
Tank
LIneal Feet
of Dralnfleld
Max~mum Depth
of Trenche,.
Comments
Date
,0
Group M Use ~t..1"'4 vJ/N L-
.; ~MA~ ~
~~ ~APfJ(lIJJ.AlJ Aa::_ M~.
Date ~,~,..~ ~
9 PLANS EXAMINATION:
Type~
Comments
CONSTRUCTION AUTHORIZED BY THIS PERMIT
harge
$
$
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$
$
$
$
$
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FloodplaIn Fee
Subsurface Fees
BUIldIng Fee
Sewer/Storm DraIn/Water
PlumbIng F~xtures
chanIc
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Date
(;cr~
DATE
PERMIT APPROVED B BUILDING OFFICIll,L/DCSIGN"E
LANE COUNTY DEPARTMENT OF PUL~NING & CO~~lUNITY DEVELUP~~NT / 125 LAST EIGHTH AVENUE, EUGENE, OReGON 97401
SEE REVERSE FOR INSPECTION INFORMATION
.
.-
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SETBACKS AND OTHER CONDITIONS OF APPROVAL MUST BE STRICTLY OBSERVED VIOLATION CAN RESULT 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 687-4065 A MINIMUM OF AT LEAST 24 HOUR ADVANCE NOTICE FOR INSPECTION REQUEST MUST BE
GIVEN Have the followlng lnformatlon ready Permlt number, Job address~type of lnspectlon, when It wlll be ready,
your name and phone number, and any speclal dlrect10ns to site
BUILDING DIVISION
REQUIRED INSPECTIONS
1) FOUNDATION INSPECTION To be made after trenches are excavated and forms erected and when all materlals for the foundatlon
are dellvered on the Job Where concrete from a central mlxlng plant (commonly termed "translt mlxed") lS to be used,
mater1als need not be on the job
2) CONCRETE SLAB OR UNDER-FLOOR INSPECTION To be made after all In-slab or under-floor bUlldlng serVlce equlpment,
condult, plplng accessorles and other anclllary equlpment ltems are In place but before any concrete lS poured
or floor sheathlng lnstalled, lncludlng the subfloor
3) FRAMING & INSULATION INSPECTIONS To be made after the roof, all framlng, flre blocklng and braclng are 1n place and
all plpes, flreplaces and chlmneys and vents are complete and all rough electrlcal and plumblng are approved All
wall lnsulatlon and vapor barrler are in place
4) LATH AND/OR GYPSUM BOARD INSPECTION To be made after all lathlng and gypsum board, lntenor and extenor, lS In place
but before any plasterlng lS applled or before gypsum board JOlnts and fasteners are taped and flnlshed
5) FINAL INSPECTION To be made after the bUlldlng lS complete and before occupancy
APPROVAL REQUIRED No work shall be done on any part of the bUlldlng or structure beyond the pOlnt lndlcated In each
succeSSlve lnspectlon wlthout flrst obtalnlng the approval of the bUlldlng offlclal Such approval shall be glven only
after an lnspectlon shall have been made of each succeSSlve step In the constructlon as lndlcated by each of the lnspect10ns
requlred
NOTE All
A
B
bUlldlng permlts requlre lnspectlons for the work authorlzed, such as but not llmlted to
BLOCK WALL To be made after relnforclng 15 In place, but before any grout lS poured ThlS lnspectlon lS
requlred for each bond beam pour There wlll be no approval untll the plumblng and electrlcal lnspectlons
have been made and approved
WOOD STOVE To be made after completlon of masonry elf appl1cable) and when lnstallatlon lS comolete.
Installatlon shall be In accordance wlth an approved natlonally recognlZed testlng agency dlld the manu-
facturer's lnstallatlon lnstructlons
C
140BILE HOME
system for
connectlons
An lnspectlon lS requlred after the moblle home lS connected to an approved sewer or septlc
setback requlrements, blocklng, footlng connectlon, t1edowns, sk1rt1ng, and plumblng
(1)
(2)
(3)
Footlngs and plers to comply wlth State foundat1on requ1rements for moblle homes or as recommended
by the manufacturer
Moblle home m1nlmum fln1sh floor elevat10n shall be cert1fled when requlred by a floodpla1n
management letter
Mob1le home tledowns, when requ1red, and sk1rt1ng shall be 1nstalled and ready for lnspect10n
w1th1n at least 30 days after occupancy T1edowns and sk1rtlng shall be 1nstalled per enclosure
o SWIMMING POOL Below grade when steel lS 1n place and before concrete lS poured Above grade when pool
1 s 1 ns ta 11 ed
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 MAY OCCUR IF THIS
PER~lIT WAS ISSUED ON THE BASIS OF INCmlPLETE 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)
Permlts shall be effectlve for one year from the date of lssuance
Upon completlng the construct1on Ifor Wh1Ch a per~lt has been lss~ed the perm1t holder shall notlfy the
Department by subm1ttlng the lnstallatlon reco~d form The Departm~nt shall 1nspect the construct1on to '~
determ1ne' If'h comphes wlth the rules 'conta1ned 1n thlS dlV1Slon ' If the constru(:tlOn does comply vllth
such rules, the Department shall lssue a cert1fi'cate of satlsfactory co\npletlon to the pel"mlt holder If the
construct1on does not comply w1th such rules, the Department shall not\fy the p~rmlt holder and shall requl~e
sat1sfactory cQmpletlOn before lssulng the cert1f1cate . Fatlure to'm'eet the'r'equlrl!ml!rks for ~atlsfactory" "
complet1on w1th1n a reasonable t1me const1tutes a v1olat1on of ORS 454 605 to 454 745 and th1S rule
Setbacks - Subsurface Sewaqe D1soosal
From Inter10r property llnes
Edge of road r1ght-of-way
BU1ldlng foundatlon
Wells, other water sources
Sept1c Tank
10'
10'
5'
50'
Dralnfleld
10'
10'
10'
100'
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_, -i....T ,~, '" IJ /;:'~CELLA~}t.j/REFUNIYkUTHORIZATI~f i"tPERMIT tJc::>.</c/{ G/- 0 ~
-;;;J(PLEASE PRINT) jffl,k tJ //}~~ / ~) _ _~
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ADDRESS ~ y~( ~ /' /~~~~e~ AZ;'/~~d'~./ /Z~f;?/9?Y"0
APPLICANT )'() , OwNER () >:~ CONTRACTOR C )./ '.4''''// ' , L-/ - /7
REASON FOR CANGELLING ~RMIT (OR/ APPLICATlON)4 ,~/ ~/ d .--;1/
----2 /' . // _ ~ ~ .J /:"Y./ ~ _ _ /.,//
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SIGNATURE DATE -5~ /--~--?
FEES PAID FOR WASTE DISPOSAL SYSTEMS (SITE INSPECTIONS AND/OR APPLICATIONS TO INSTALL THE SEPTIC
TANK AND DRAINFIELD) ARE ORDINARILY NONREFUNDABLE. SOME REFUND MAY BE ON THE BUILDING, PLANNING,
OR PLUMBING PORTIONS ACCORDING TO THE AMOUNT OF THE PERMIT/APPLICATION PROCESSED.
AUTHORIZATION FOR POSSIBLE REFUND. .
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J ~ % BUILDING PERMIT FEE $
% MOBILE HOME FEE $
% PLUMBING PERMIT FEE $
% PLAN CHECK FEE $
% STATE SURCHARGE FEE $
% SEPTIC DISPOS~L FEE $
% SITE INSPEC~N~FEE $
1 / f'-
% LAND USE' APPLI $
% PPA OR NPA (PLN AMD)$
% PRE-APPLICATIONS $
%~~E[A{J $
% PARTITIONS $
% COPIES & ORDINANCES $
FOR PROCESSING FEE $
U
t5'1?
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MINUS $25.00
TOTAL AM)OUNT TO BE ~REFUNDED
a ,(u_0,
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$ . /,.!:E.
$
$
$
$
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$
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$
SIGNATURE
TO DEPARTMENT OF FINANCE
BUILDING PERMIT REFUND
STATE SURCHARGE REFUND
SEPTIC DISPOSAL REFUND
SITE INSPECTION REFUND
LAND USE APPLICATIONS
PLAN AMENDMENTS
PRE-APPLICATIONS
RECORDINc; FEES
PARTITIONS
COPIES & ORDINANCES
TOTAL AMOUNT REFUNDED
$
//~
DATE
24-08-74/ACCT 42120/PROG 041 Receipt
24-08-74/ACCT 42l24/PROG 041 Recelpt
24-08-74/ACCT 42l33/PROG 043 Recelpt
24-08-74/ACCT 42134/PROG 043 Recelpt
24-08-74/ACCT 42150/PROG 035 Recelpt
24-08-74/ACCT 42l50/PROG 013 Recelpt
24-08-74/ACCT 46202/PROG 034 Recelpt
24-08-74/ACCT 462l0/PROG 035 Recelpt
24-08-74/ACCT 46202/PROG 035 Receipt
24-08-74/ACCT 444l9/PROG 034 Recelpt
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PLEASE MAK E CHECK f}~ ABLEhTO '/ ,;F.<' .::r
11 _ ~ I />f?'....... _) ~"4'
NAME (hfLU"~1 L, /Y:fi7~{/., _ ( :; _
ADD wi :SLAd ~-#~~~~~~ ~~
~ DEPARTMENTffiF PLANNINq-'&--C9MMUNIT~~ioPMENT (/ l../ -~ "7d?-'7
comtTHoUSE/PUBLIC SERVICE litJ.{WING t/;; / 7 ,; /'
125 EAST 8TH AVENUE, EUGENE, OREr.ON 97401
.
~LANNING & COMMUNITY DEVELOPMENT
ACTl v'ITY INFORMATION SHEET
kme county
COMPLETE THIS SECTION. INCOMPLETE FORMS WILL BE REJECTEDI
r/t!J~'? de PetZ-r"I
PERSON MAKING REQUEST
5 C(- ~ /11a YI /' 'e;;/
. MAILING ADDRESS
,5/f-~J .-.-rIf<eU 0 tr' (
, /CITY STATE
PROPERTY OWNER
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MAILING ADDRESS
ZIP CODE
CITY
STATE
ZIP CODE
6 r7 1-f'"2- (
BUSINESS TELEPHONE #
7Lf~ 7'--~'~C
HOME TELEPHONE #
BUSINESS TELEPHONE #
HOME TELEPHONE #
2 PROPERTY ADDRESS
(IF DIFFERENT FROM MAILING ADDRESS)
- ~
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3 MAP & PARCEL NUMBER (from tax maps 1 n Department of Assessment and TaxatlOn!
(REQUIRED INFORMATION) or from tax statement) j
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TOWNSHIP RANGt SECTION TAX LOT(S) OR PAR~'~ ZONING
TOWNSHIP RANGE SECTION
TAX LOT(S) OR PARCEL # ZONING
TOWNSHIP RANGE SECTION
TAX LOT(S) OR PARCEL # ZONING
ACRES
LOT BLOCK
il ~ If C"''ia / (~ .(~y
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TOTAL CONTIGUOUS PROPERTY IN SAME OWNERSHIP:
4 SUBDIVISION (If appllcable)
5 REQUEST (~tate exactly what you p'lan to do) --Lt~ cvt v
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6 DIRECTIONS TO SITE
** FOR STAFF USE ONLY **
NUMBER
DATE
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ZONE/LAND USE.
BY DATE:
TIME IN: OUT
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TLI 1703233400100 SUBDIV
NE"W BI.DC.\" TYPE" USE R BDf~MS 0 UN] TS 001 STORIES
OWNE~ NME ADDR
COD~ APPL NO ACr[ON DfSCRLPTION SQ Fl UNIT COST VALUArJON
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LANE. rOUN1Y DEPT fNV MGl REC~lPT ~ 21200~ DAlE 1~2282 '
ADDR 346 MANSFIELD, SPRINGFJE~D, OREGON
LO J llLK
.g:flLDGS 001 PHONE 687 :! 1t:! 1,
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NO. CONNECTORS
MECIIAN I CAL F f..E
SrATE SURCHARGE
f'L AN CHECK rE..l
1S00
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65%
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13 14 15 16 17 18 19
20 21 22 23 24 25 26 5 E PT. 1 9 8 1
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DAY OF THE YEAR
DAYS REMAINING
271 - MONDA~,5EP
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, APPLICATION II, LC ',2120-82
LQCATION 14'h :Manf,i el d'. Sririnl?fi eld
. TnhT\ J . n:",-""
. 'NAME.
')/; C", u~_l"': _,.;1
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ADDRESS' '.
. :Springf,ield.,. Oreg<:m . 974.77
ZIP ,CODE'
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Th'e
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'above. app'l i cati on i sbei rig held for the fo 11 owi dg: reason~:
1) This application for approval 'for the cq,nstruc.!dton of a, retaini~'g '~vall"
cannot be processed un~il approval for t,he construc1l:1l:0n ~^the 'ijrcpN{~~;;'~::;',
" . sitelocat:i.on .is secured froIl\theCorp,s',ofEngineers.'Al ..,.!\';.",
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Provide such ~n approval: '.
, . , -, '. 1" ~ _.- " ", .. _'
2). , Provide "revised' plans shoy,Ting- the. Engtneer()f.record' S alteratiofl'S'
changing allwal1,sto 6 (six)feefmaxinpiin-height per planlling reduirements ~ or
secure pl~l1n:tngapprO\1"al fpr the" 8 (Ed.g~!t.) ,i.oot \-19-11 ~. .
3)
. .
:Provid~~'plot pla~ showing the' loc.:atior{ of.all structures, easement$.
. required setbacks ~'. and auy other, pert1.n€1,nt iriformattonrelatb.g to the pro"'"
posed' proJect"
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. Roger .L, M.cGuckin
SIGNATURE "
, 12"':"30-82
"
DATE
I:" '.
by appointment only
. OFFICE HOURS'
nla:
PHONE .
Th~ s ",app HCa,tion will b~he1 d unti ,1' Ol~14-::83 :'. If ,the' i nforma tion required
abo\le has not been furmshed' by that date your apphtation will be.' cancelled.
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Buildi ngfees pa i dfor'permi ts 'cancelled under .these circumstances wi ll'be' prorated
according to the work that has taken plClce as ot the cjale,''of cancellation..
B~ILDJNG & SANITATION / ENVIRONMENTAG MA~AGEMENT DEPARtMENT i
125 East 8th Avenu~ / Public Service Building, / Eugene; Oregon 97401 I (503)687-4061
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APPLICATION # LC 2120-82
LOCA T r ON __,14.n.J1anfie.ld-+-.B.pLi.ng.fi p' n
....'.'.....JLJ.oluLD.ean..__.___..'_____. _____ _,_ NAME
..,_..... ,.__-3!.ill. MMfi';" n____.____,__.___.__._~. ADDRESS
., .. _.,....._....,....5nr..i.:n.gF.; n 1,1 D-ro;.I">n .0'7/,77.,_._.__...,_.
. " .~. -.- ~... . ZIP CODE
The above application is being held for the following reasons:
\
. 1) Upon reception of the information presented by you on 01~17-83 the
previous permit (Lc 1855-80) under the name of Sandra Dean was researched
for a plot plan that would suggest the location of the proposed construction
of BP application 2120-82.
There is no plot plan suggesting the present construction.
2) Provi.de a plot plan showing all dimensions that locates on property the
proposed construction shown in BP application 2120-82.
The plot plan showing location of the construction and its rel~tive position
on property to the river, other structures, etc. shall be submitted or the
appliea t ion for pemmit will be denied. '
Roger L. McGuckin
SIGNATURE
01-17-83
DATE
AVAILABLE BY APPOINTMENT ONLY (NO WALK-INS) 687-4061
PHONE HOURS
This application will be held until n?-nl-R~ If the information required
above has not been furnished by that date your application will be cancelled.
RETURN THIS SLIP WITH THE ABOVE REQUESTED INFORMATION.
BUILDING & SANITATION I PLANNING & COMMUNITY DEVELOPMENT DEPARTMENT ~
125 East 8th Avenue l Public Service Building. / EUge~r~/----'-'-