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HomeMy WebLinkAboutPermit Building 1981-3-10 Apohcdtllll'l/ QI Permlt , VJlrn-o o Two COpl.CS of Plans CO}1PLETE THIS BLOCK. PLEASE USE BLACK INK AND PRINT. 0 Two Coples of Plot Plans , TOl"'''HI,I~,O I RA~E:2 I SElC[T:02N .2 Il^-?~;;I'n..DOUT or DI1echanlcal Checkhst 1..'-0 U :J (.;JvUU 0 Plumbl.ng Cheer- ll.st 5p)mSIoarrTIOI13'/f~llil~t ~ I LOZ2:'CEL I B"0K .QP1an Chec, Info Sheet L~A(r)I03N AIDDRESS ,lnL I..J.! r::"~ 1:tu. "'".\ _ q-7..N'~7CITY ZIP I PROPOSED U"L OF PROPERTY . ~ Uff ~~tJ' ~)V 1 _ I~ ( ~CSl.dentlal [Jlndustrl.al YR,u~uiA; O'0uPt'HrY~ d - uy V \.. ~ Dconunerclal Dpubhc rjtf:OQ~6~~~ 0 ^~~ti~< Vt~ I $ VALUE i 0' ~.ROOMS r # OF STORIES CZ? 1;; OF :.'JLOYO~ I WATER ~UPP'f' ~. 'r L ^ ~posed _3 Qf CO f<tJ J "'- j::)DU.J YYL 1 d' ) M Enstlng _)W~OR"d011AD)Zs~~ (?5dtn\Q. 0~~_ ' ~_~22 ~ R'S N rJ AD a 2l (till let J <71 th ~ ~ u..o ELEPHm'E N;7"5" :;off"' r~rl~/7~ zi;~ ~ ~, 1M- I HAVE CAREfti EXAMWED THE COMPLLTED APPLICATIOf/FOR peRMIT aod J he<eh, ,e", f, t"nc all :;;;;'<.."on "o<coo " """ aod comet ",d I '""he, certl-fy that any und all work performed shall be done 1n accordance wllh~rdlllanC05 of Llne County alld the li'lws of thr> StILe of Or()'J~1l I'IJtl3IlIInq to the work descr~bed hereIn, and that NO OCCUPAJ.CY wIll be made of any structUle WIthout the permISSIon of the BUIldIng DIVISIon I (urLhr>r cerLify that regIstratIon WIth the BUIlder's Board IS In full force and effect 35 requ.lred by ORS 701 055 that If exempt the baSIS for exemptIon IS notr>d hereon and that only subcontractors and employees who are In complIance WIth QRS 701 055 WIll be ust'd on th.ls proJect I HAVE RFAD AND CllECYJ:.:D THIS APPLICATION THOROUGHLY 'i! " -11 C}:) b~o1<-JSTF 'CTION/PLACEMEN1 PERMIT FO~ OFFICL USE O~LY ---:-- ,- '- )( 13 t.i~ Ku. SO NA~ (please prInt) )( IlL,. "'Af~ "":?/IO~1 Do..ner [Y...e'6ntracto;:, DAgen t l'hnlmum Setbacy!o> C L, Partlt.lon it Parce 1 ;: Parcel SIze o PLANNING/ZONING: SIde Interl.or 5/ rear_~/ pue.: ~ comments.~)o &Jl.P ~~L~;N~lJ I~flOOd hazard area" !St'RURAL ADDRESSING: GRID COORDINATe orSll.rHTATION: S I # 3/~j? / th~ ~-II_S?' -:1,-\.2-el 3 JO..../'ll I ' Installatl.on Record Issued'? 0 Yes t2l. No Date cElt> <fJl ~ attached sheet N E Date B fil tt qlo 7,- It; InstallatIon Gallon LIneal Feet Maxlmurn Depth SpeC.Lflcatlons Tank of Dralnfleld of Trenches commentS~-:;;(lPJ?-, ~'~\.JtW:JCLt'j("}Z ~ ~&l . ~;(I ~1;M1 ()Md l1eplMPMtnd ()A,eo. (111) ,::h A ;) OY;h;lIlktll ~~1f~:.::J II !..J-pri;{1A rfrflPe}~:) IY/(]tth. J'/,!JJJPAA!fJ I flpb,,(Ph)fP..,n-~t1 aLl , Date 23 /11Cv[,lJ..z fJ ~ r ~> PLANS EXAMINATION: Type Group Use ~ Comments<';,eE 12.FIJefl.~ e ~ (OE' OF PI!:2 Jl,H r AUfj l?IJCLo<nOe:!:. -E1Jf2- I J.) (, TA L L ~ TIn}.) 2. S;~ 11112. (f; #fA F ArT's. . ~4< Date ~-f:z.'3~'?1 0 / J ,. -It.... CONSTRUCTION AUTHORIZED BY THIS PERMIT -- Descr~ptJ.on ~=' Sq Ft FJ.xed Fee/ UnJ.t Cost FloodplaJ.n Fee Subsurface Fees BUJ.ldJ.ng Fee Sewer/Storm DraJ.n/Water PlumbJ.ng FJ.xtures Mecham_cal Plans Check Fee State Surcharge $ $ $ $ $ $ $ $ ~).(J7) (Pz.. ~ 1/'1. (/7) (b t ~3 - (T~~UATION TOTAL FEE 7._ q(') $ 17A~ ;40 $ FEES PAID BY ~eCk 0 Cash r /D'tr f9f , ;S- JI-'j( l - ~ - ~ '3 rF/ DATE ( EIGHTH AVENUE, EUGENE, OREGON 97401 By Date PER"IT APPROVED BY BUILD~E~~E{~5(1)) LANE COUNTY DEPARTMENT OF~RONMENTAL I1ANAGEMENT I 125 EAST C74-194 SEE REVERSE SETBACKS AND DTHER CDNDITIONS OF APPRDVAL MUST BE STRICTLY OBSERVEO. VIOLATION CAN RESULI 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 following information ready: Permit number, job address, type of inspection, when it will be ready, your name and phone number. and any special directions to site. BUILDING DIVISION: REOUIRED IIISPECTIONS 1) FOUNDATION l~SPECTJON: To be made after trenches are excavated and forms erected and when all materials for the foundation are deliver~d on th~ job. Where concrete from a central mixing plant (corrrnonly termed "transit mixed") ;s to be used, materials need not be on the job. 2) C0N~}lETE SLAB OR UNDER-FLOOR I~SPf"TION: To be made after all in-slab or under-floor building service equipment, tbWdu't, piping accessories and b~her ancillary equipment items are in place but before any concrete is.poured or floor sheathing installed, including the subfloor. 3) FRAMING & INSULATION INSP~CTIONS: 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 pla~e. 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 app ied 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 building 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: All A. B. building permits require inspections for the work authorized, such as but not limited to: 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. WOOD STOVE: To be made after completion of mo~onry (if applicable) and when installation is comolete. Installation shall be in accordance with an approved nationally recognized testlng agency and the manu- facturer'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 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 skjrting shall b.e installe.d per.enclosure. . -- D. SWIMMING POOL: Below grade when steel is in plac~ 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 BE&IN WITHIN 180 DAYS OR IF WORK IS SUSPENDED OR ABANDONED FOR MORE THAN 180 DAYS. SUSPENSION OR REVOCATION MAY OCCUR IF THIS PERfllT 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) Permits shall be effective for one year from the date of issuance. Upon completing the construction for which a permit has been issued the permi~ holder shall notify.the Department by submitting the installation record form. The Department shall lnspect ~he constructlon ~o determine if it complies with the. rules contained in this division. If the constructlOn do~s comply "'11th such rules, the Department shall issue a certificate of satisfactory completion. to the permlt holder. If the .construction does not comply with such rules. the Department sha1l notify. the permi~ holder and s~all require satisfactory completion before issuing the certificate. Failure to meet the requirements fo~ satlsfactory completion within a reasonable time constitutes a violation of ORS 454.605 to 454.745 an~ thlS rule. Setbacks _. Subsurface SewaQe Disoosal From: Interior property lines Edge of road right-of-way Building foundation Wells. other water sources Septic Tank 10' 10' 5' 50' Drainfield 10' 10' 10' 1DO' <._ "- L _ ~~ . oJ _.. '. _'_..:._ \\ "S. -T <:': - 6 OlliYl') {S'!.I9.t.,J,',.. if..;.a-:;.c:: 10;,{;.: , :~ I t" ~ 01 '1(: u.. t.ltorfj -(?)?a-il j/ f r7. u iO Yf1 [1 , LANE ctJUNTY 'INSPECTION RELvRD _c,. '3 ~ J J J" / OW, NER'S, NAME \":7,' 1/. ~ () Y7 \ j [ PHONE NUMstR ' J02~ fll.elw V)(j-t"-~ CON'f'RA:CroR'-S NAM~ 'W~I~~ - Vh r+ C - PHONE NUMBER ~ET BACK R~9UIREMENTS I #PLUMBING FIXTURES \,6R/re~~0R\ ~D ~~, pi~~iT '\"'1 ( , \ INTERIOR ,<;- REAR '7 D(J E- _ A.) rrl F1l-i; L ~l/V\ c~ DI RECTIONS TO SITE ' , .Jf)!:.. I 5 ITE ADDRESS ,\-iLfJUJ, 1 (/ & FOUNDATION INSPECTION OR IMOBILF. ~6~g;SET UP INSPECTION 1/ Correction ..., Disapproved'" Date .3;;:) l-PI Inspector "4..11. L!J.?1c:! () It' -V-. ? __ rr I R t-I- ~Ll.~ ~~ PERMI;\j~ER - , -, I ~~c , FOOTI NG / Approved :;;J.i- CONCRETE SLAB / UNDER-FLOOR INSPECTION Approved Correction Disapproved Date Inspector UNDER SLAB / PLUMBING GROUNDWORK INSPECTION Approved Correction Disapproved Date Inspector ROUGH PLUMBING INSPECTION Approved Correction Disapproved Date Inspector FRAMING INSPECTION Approved Correction Disapproved Date Inspector INSULATION / VAPOR BARRIER INSPECTION Approved Correction Disapproved Date Inspector LATH / GYPSUM BOARD INSPECTION Approved Correction Disapproved Date Inspector FINAL PLUMBI~G INSPECTION Approved P/ Correction Disapproved Date ~-;)7-J'1 Inspector tlPJi- FINAL WASTE DISPOSAL SYSTEM INSPECTION Approve~ Correction Disapproved Date Inspector FINAL INSPECTION BUILDING MOBILE HOME ", Approved J/ Correction Disapproved Date 1::'/(",-fl Inspector fP,lf ___5.1<" c:v<" CERTIFICATE OF OCCUPANCY Approved j/ Correction Disapproved TEMPORARY CERTIFICATE OF OCCUPA~Y Date 4-/~-;P1 Inspector R~ Form C74-197 TRS, TI /b- (25'-' j/- 2..-<, - ,...:'..10<' Job Location (Address) 7D31 lle{2bv- Oz. Permit /I....5lJ..p -rei . For YV11t- APp/ . Plat: Plan Permit #mt:!1'J,7}-7,. For ~~r/ Permit # mu Y{Q7.-7~ For ~yW.. _. s:: OS Subdivision s:M Add r:;jlau;t-~ Lot '22. Block_in APPROVED DATE n, W/()J1tlA Xl BY , .-Jiw.,) /, RI6/-{JJa/A Mt-c:fAMM...Jo ~cakj M-~~tW.-~. 2 FidJ. 150 I /1.2..(J/~r dAn~/. ' ~r~Jt;- , ~/;!tr/;)::!<J{JrnJMf . . ~ N . , Vicinity Map C74-150 -:... rrnn I 1011 ~5; IYh'n. IvnY\, \01 t l S'-e JOI -)1-1 ~ I \)' Irlln, I!' :J ~!d 2<f' y 5'~ I N /.I i1 "1 . . ]f-, R., 1o(',i1S J>>I~ "l ftlN-/'372.-'77 ~ \ ~I I .~l.~ _ ~ .1lI~'" \YI~ I>M~ .1: jO' \0' ",' "> , ::.. ~ ~ \F \ lo'~"" ..... ~ Permit # Permit /I Permit # CfCi' ~,.,.~ ^ " ~,,_____~Sfj~ l' ..a: ~r;~f~ ~ 4f ..' , ~7~( !~ : " ~. ~ ::::l.j IS I -'tJ;..;( ~... , \1 so' ')'0' 'I' j- ---. , For For For r ..... . Date Department of Environmental FLOODPLAIN ~1Ai~AGEMErH Management/125 tast 8th 687-4357 : , By 1,le.l'_ Ave., Eugene, Oregon .. '::;-12+<\ To: ~ Permit Processing o Planning o Publ ic Works Pennit No. Partition No. Subdivision No. ":? if.c, . g I Applicant Name Address of site .., {;.:~ic::...lC'_. ~_f~( ~'...~.'" ~ ~Z (..J:.J I ~ ~. '.: :..,,~...~ <,...... .r:~. :.:::..""" .j.-~ r.: :.-::>.. SFD (r;,:-H,) ---- ADD. COMM. t=\Lr"".o:;->1" ?U'-'t!Fn,,'- AG o o [2J o D -=':.;J'~":"'J-''''(~~ d... be appropriate to flooding. ~~ "( Approximate flood hazard study area, extra precautions may assure that the building site will be reasonably safe from Detail flood hazard study area. Mobile home tie downs required, Substantial improvement. Site in regulatory floodway channel, building prohibited unless it is demonstrated that the cumulative effect of proposed development will not increase the base flood at any point. BASE FLOOD ELEVATION + l' = .44i - 0 this elevation required as checked below, ~ o I (r1SL). Certification at or above OTHER ~**********************************************~*****************************************************~ - . ~ CERTIFICATION OF ELEVATION I, o ~ ~ o o , a Registered Professional in the State of Oregon, do hereby certify to Lane County, that the following elevation represents a survey made by me or under my supervision. The foundation elevation (including basement slab) = The ground elevation that structure will be placed on = The first floor elevation = , (MSL). The elevation of the top of floodproofing = N-' \.'~,,; :;:: '" "'CJ i I (r~SL). " , , (~lSL). \.~ I (MSL). Other Reference Bench Mark No, Location N ,-.j I ...... Signature SEAL Date r Original to be certified and returned to Lane County Floodplain Management 1st copy with application(inspection 2nd copy to applicant 3rd copy to Floodplain Management ~, I ,e, ,.;, ~ '\I h r: -\ "