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HomeMy WebLinkAboutPermit Building 1980-10-28 ~ , CONSTRU,-- :ION/PLACEMENT PERMIT ~ < FOR DFFICL USE ONLY 17 03 I SEC'l'ION 22.1 3 I LOT/PARCEL AND PRINT. TA< LOT OOUT OF 17400 I BLOCK 14 CITY ~~PhCd;~'9W~ ~COPl~S of Plans o Two Caples of Plot plans DHechan1.cal Checkl1.st OPlumblng CheCY!lst DPlan C~ck Info Sheet COMPLETE THIS BLOCK. PLEASE USE BLACK INK TOI\'NSHIP I SUBDIvISION/PARTITION RANGE {If apphcableJ 3rd add to GamebrId VIllage LOCATION ADDIlliSS STREET 26 zrp PROPOS? U~L OF PROPERTY , ~e51dentJ.al []lndustrlal 433 Grouse St . EUQene. OR 97401 STRUCTURES CURRI,;NTLY ON PROPER'! Y o Cormnerclal Dpubhc HOllse DeSCRIPTION OF PROPOSED WORK 1$ VALUE W}'l Orl PV Ii OF BEDROOMS - I' "l~ O'l'lNLR'S NAHE Ar'D ADDRESS N^ N^ o Proposed o EXJ.stlng TELEPHONE NUltHER N^ I ' or EMPLOYEES WATFR SUPPLY OF STORIES 'B',rl),qni 11- Rp.f'f'.f' ~~mp ~.~ .<:lhrnu=> COdTRACTOR'S MAIlE AND l1.DDRESS 7?fo-fof;PR TELEPHO,'E NUl'-lBER CONTRACTOR'S OSR ~ DIRECTIONS TO SITE Be1tI1In~ to Game farm rlght of FlamIngo -Corner of Grouse and FlamInQo I !lAVE CAREFurLY CXAMH1EO TilE COMPLETED APPLICA'lION FOR PCRMIT, and do h....r....by (('ttlf, thilL all lnrormat10ll hereon 1" tnl.... and corn.ct illld I further cert1fy that any and all work. performed shall be done in accordance w1th lhe OrU11lance<; of L-.ne CoUnLy dud the IdW9 of tilt St tic o~ Or"q::>n pCIllJI!!n',! to the work. descr1bed hereIn and that NO OCCUPANCY w111 be made of any structure l,"lthout the perm1SS1on of the BU11d1llg DIV1S1on I fU1thf'r ct.rt1[y that reg1strat1on with the BU11der S Board is in full force and effect as requ.l-rcd by ORS 701 055, that if exempt the bas.l-s for exemption 15 not,..d hereon and that only subcontractors and employe(,.s who are 1n compl1ance w1th ORS 701 055 w111 be used on tllls prOJect I HAVE REi\O MlD CIIECY.ED THIS APPLICATION THOROUGHLY Rid r1..:c:cLM \ 'Ke.e..c J? ' NA~~ (please prlnt) ~~ SIGNATURE 41/l'O ~r D Contractor D Agent J o PLANNING/ZONING: Zone PartlllO'"! lj Parcel # Parcel Slze l>llnl.mUm Setbacks C L, front. C L, sl.de lnter.l.or re<lr Comments #.4 o o o FLOODPLAIN: In flood hazard area? RURAL ADDRESS ING: ORLD COORDr,^n Date n o No DYes, see attached sheet Date n N E Date 0 S.MHTATION: S I ~ I . -' B p # Installatlon Record Issued? 0 Yes 0 No lnstallatlon SpeCl.flcat.l.Ons Gallon Tank L1neal Feet of Dra.l.nf1Cld Max~rnum Depth of Trenches Comments [X) PLANS EXAMINATION: Type12iJ- Comments j~ UJ Jc. \ . Use wo/~T I o * Date CONSTRUC1ION AUTHORIZED BY THIS PERMIT Descr~pt~on F~xed Fee/ Floodpla~n Fee $ Sq Ft Unl.t Cost Subsurface Fees $ Bu~ld~ng Fee $ /(p I Sewer/Storm Draln/Water $ Plurnb.l.ng F~xtures $ Mechan~cal $ Plans Check Fee $ State Surcharge $ t70 (\....l.on T,le:, , ,(4 TOTAL VALUA'I'ION $ TOTAL FEE $~ FEES PAIDk! ~k ^ 0 Cash By {~~ _ Ij7d-:V~ IO",~fJ"'8D Date 1:~~ PERMIT APPROVED 81 BUILDING OFFICIAL/DESIGNEE (per ORS 456 805(1)) LANE COUNTY DEPARTMENT OF ENVIRONMENTAL MANAGEMENT / 125 EAST EIGHTH AVENUE, DATE C74-194 SEE REVERSE t OREGON 97401 ~ . , , .. SETBACKS AND OTHER CONDITIONS OF APPROVAL MUST BE STRICTLY OBSERVED VIOlATION CAN RESULT IN REVOCATION OF THIS PERMIT. CITATION.UNDER PROVISIO~S 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 fol'owlng lnformatlon ready Perm,t number, Job address, type of lnspectlon. when It wl11 be ready. your name and phone number, and any speclal dlrectlons to slte BUILDING DIVISION REOUIRED IIlSPECTlONS 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 (corrrnonly termed Ittranslt ffilxedll) 15 to be used. materlals need not be on the~job 2) CONCRETE SLAB OR UNOER-FLOOR INSPECTION To be made after all ,n-slab or under-floor bUlldlng serVlce equlpment. condult, p'p,ng accessorles and other anc,llary equlpment ltems are 1n place but before any concrete 15 poured or floor sheathlng installed. ,ncludlng the subfloor 3) FRAMING & INSULATION INSPECTIONS To be made after the roof. all framlng, flre block1ng and braclng are In place and all plpes, fireplaces and chlmneys and vents are complete and all rough electrlcal and plumblng are approved All wall lnsulatlon and vapor barrler are 1n place 4) LATH AND/OR GYPSUM BOARO INSPECTION To be made after all lathlng and gypsum board. lntenor and extenor, 's, In place but before any plaster1ng 1S appl1ed or before gypsum board J01nts and fasteners are taped and f1n1shed 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 bU11dlng or structure beyond the pOlnt ,nd,cated 1n each succeSSlve 1nspectlon w1thout flrst obtalnlng the approval of the bU1ld1ng offlclal Such approval shall be glven only after an 1nspect1on shall have been made of each succeSS1ve step In the construct1on as lndlcated by each of the 1nspect10ns requ1 red NOTE All A C bU11d1ng perm1ts requlre 1nspect1ons for the work authorlzed, such as but not 11m1ted to BLOCK WALL To be made after relnforc1ng lS 1n place, but before any grout lS poured Thls lnspectlon lS requ1red for each bond beam pour There w1ll be no approval unt1l the plumblng and electr1cal lnspect10ns have been made and approved WOOD STOVE To be made after completlon of masonry (If appllcable) and when 1nstallatioQ lS comolete Installat10n shall be 1n accordance w1th an approved natlonally-recogn1zed testlng agency dnd the manu- facturer's lnstallat10n lnstruct10ns '\ 1.. \\1' ~~'-,. 'J') I~OBILE HOME' An lnspectlOn lS requlred after the mob11e home lS connected systemtfor setback requ1rements, block1ng, foot1ng connectlon, tledowns, connect10ns (l) Footlngs and plers to comply wlth State foundat1on requ1rements for moblle homes or as recommended by the manufacturer (2) Mob,le home minlmum flnlsh floor elevat,on shall be cert,f,ed when requ1red by a \loodplaln management letter (3) Mob1le home tledowns, when requ1red, and sk1rtlng shall be lnstalled and ready for 1nspectlon wlth1n at least 30 days after occupancy Tledowns and sklrt1ng shall be lnstalled per enclosure to an--apiPro~ed ~ewer' or sk1rtlng, and plumblng l \1./: septl"c" B D SWIMMING POOL Below grade when steel lS In place and before concrete lS poured Above grade when pool lS lnstalled APPROVED PLANS MUST BE ON THE JOB SITE AT ALL TIMES OURING WORKING HOURS THIS PERMIT WILL EXPIRE IF WORK DOES NOT BEGIN WITHIN 180 DAYS. OR IF WORK IS SUSPENDED OR ABANDONEO FOR MORE THAN 180 DAYS SUSPENSION OR REVOCATION MAY OCCUR IF THIS PERMIT WAS ISSUED ON_THE BA.~IS OF INCOMPLETE 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) Perm1ts shall be effect1ve for one year from the date of lssuance Upon complet1ng the construct1on for WhlCh a permlt has been lssued the permlt holder shall not1fy the Department by subm1ttlng the lnstallatlon record form The Department shall 1nspect the constructlon to detenmne lf 1t complles w1th'the rules contalned ....In thlS dlvlslon . If the construct1on does comply \'Ilth suc~ rules, the Department shall~lssue a cert1flcate of satlsfactory completlon to the perm1t holder If the cpnst.uctlOn does not ~compfy~w1lth s~ch 'i'ules. the Depai'tment sha 1l_not1 fy the perm' t hoMer an~: shall requl re sat1sfactory cOffiRletlon before lssu1ng the certlf1~ate Fa1lure to meet the\requlrements for satlsfactory , cdmpletlon wlth1l1 a reasonable tlme constl1:qtes' a v,olatlOn of DRS 454 ~05 to 454 745 and thlS rule '>', '. ~ .; J.. Setbacks - Subsurfa'Ce'Sewaqe Dlsposal . 1 _, : , " From Inter10r property llnes Edge of road r1ght-of-way BUlldlng foundat1on Wells~ other water sources , .., ..\ Septlc Tank 10' 10' 5' 50' Dralnfleld 10' 10' 10' 100' " .' ~ ~ ..j . y , .. ... -, , -, , "\ ....' J...... (- < ~ - . 11 ~~.. , ~ lcine county ce1H:~tl{rL~S!T t PlUMB~h\JG/ N~ECHAN~(Al l -- \1'1'111.\\-1 hi \11,-\I\lll'\ ~~....- 01 I : 1I \J usr /'\11 \[>[> II I Pell,ll t 11 - - K~2~~e_. Ricl~.t-J I~I. . (\cIJ"C 01 1'11.,n-I'lLcl''-' ['I Jilt) '-133 G,I\~O ~, 2u.0FAA-e- [:>1" 1111'; ,lei ell l ,c, I - (I] iI'UIlu 11)- 91~ul (-II' I.ode) 1'1 {J,'I/)/\(, W\JI(\I-IL1R O '- 1e, I ll1T~ _ ,\ddle~s/~ o No Q S~ ~ H[Q 1 \ \ I C \l CO\ rR \C W\( o 10s rJ nTI , o No ~~ f ~ "., ,',.,~- , I'J lJ\1BJ NG ...... . ,....~~ T)1)e oj rntU10 "U/IlbOl of [dcll Sll1h . 1.1\ lton (\"l"h B 1"111) ShOh _~1, .....Cp.ll H lC f1~ rz tAv \\Ilel C]o'-ct (tenlct/\Il]I111) I)J <:;,11\\ l~hcr 1)1 '--DO.....!! ({~ 11 hc1t::C) L;I<..,!llng Ildclllnc II Ill'l '1....'.lLCI 1]001 111:1\11 SCh("l--ht 50ft e.-ch dele\] tJ 011.1 1 100 ft 1'11('1 c,c1\Jcc--1q ]00 ft - --c:Jcll :lJllltJul1:",j'luiflr- 01,)11>1 1I1d \(c'I,1 lJlcll11--hl 100 ft L'c'ch dell" t 1011:1] J IJO ft ':;,pcc 1 ..11 \\,l~tc lODlll2ctJOn ',ll ",c cll1d :OUIlIl 1"'''11 (elecl01) \loh11(' liol11c ~C'hel ,1I1tl \\J1Cl Utl1Ll (....IK'C1J \,) I' j ,LI/l( ///,--;/>-/ {{ I/\J.J' C,UB-JUJ\L (\111111IlUill ~10 61J) I 10 L\L ITJ: ~ -~~r'u.." ~ .,...~.. c..,c,'=1:<;!r"-Zl 0ILOV,,~Jl,\L =,.......,. I\UllIhCl 0 I Llcll 1)pc 01 J:qUl]1l11cnt -:;> ~ ll'cllJI1J C 1 J PCllln t E,hO I'cc IUII1 ILL' tip to llllJ. 000 B lUll I 111111 Ice' 0\ ("1 1 (1), UOO IlI1J/11 L1otlll'" 111 \ Cl \'cnt LllIIIOOJ1\ \I(,l1t11.1t101l 1,ln (I Duct 1<,1/l\~l Ilood h'] lh ,\k:clldnJ Cd] I "hdtl~(' 'I\()ud ~ t ove 1111 COndJt1011C'1 Un1\' II(' ,t I'lUlll1 I 10l'1 Jill n,lLe ("" 1'1j11n" c,\ 'otCIII 1 to 'I Uutlcts l'cl Uullet I lI1hll ('l'l'LJ Iv) SUB-JOJ \1 1101 \1 II r ( [),1l lont I cc On r2Lll $ S 00 S DO S IJIJ S IJIJ S 00 5 00 S IJO S 1111 S 00 1S 00 10 0') lS 00 10 n,' uv IS 00 JO 00 5 00 5 OIJ 10 00 C;; (; 71 roc on J:Jcll I ~ G 00 __L5lJ..__L ,0 DO I ) DO <I SO (] 01) (, IJIJ (0 UII (1 110 SII '-"'_J:~J O~JU OSI(' ~..- Total H ...~......~.. loud s ]0 00 r,-, -Dc) \, 11 y . / Apf'1. JCANr REFCE, II /U:- 1703:'21317400 m:w BLDG Tn'E CODE AF'PL NO BP I~P BP BI' BP BP \ l~p PI. I M,E.CH sur, PCI< , , , "" ,: 'II , ,I I _ II .r U LANE. COUN 1'( lJLI 1 rNV MG r I(UT H' r .g, 294BBO DA I I. 1 0:'_~8 RICHARD M. nDDP 43~ GROU~E S1., lUGENE, OR SUI<D I v :~kD ADD 10 l,f'lMUI I RD V I LLAGE LOT 'Jb fll K 14 USE X NO BDRMS 00 NO UN[rS 001 NO STORIES NO BLD~S ACTlON DE.SCFW'IION SQ FT UNI1 LOS1 VAL UATION FrE LC ::'<,>4BOO WS NO. F 1 XTlmES CATG SEQU TAKEN M'p o BY CH ~ PI,I.E Y NO. 1b.OO CONNEcrORS MF CHAN I l'A'L' FfE sr(\rr: SURCHAI~Gl: F'LAN CHECK I II 15.00 EACH ~ 41. i).b4 RA F r-' ISS SDS SI PCK 1 102';>80 OTH 2 FST. COM~I.ETION DATE rorAI. FEE** 1 b . <'i4 CK ~ o ~ ~ ~ . 1l ~ Il 1,,1 5 .,