HomeMy WebLinkAboutPermit Building 1981-3-10
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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
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~ 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
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b~o1<-JSTF 'CTION/PLACEMEN1
PERMIT
FO~ OFFICL USE O~LY
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!St'RURAL ADDRESSING: GRID COORDINATe
orSll.rHTATION: S I #
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Installatl.on Record Issued'? 0 Yes t2l. No
Date
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attached sheet
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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
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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
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CONSTRUCTION AUTHORIZED BY THIS PERMIT
--
Descr~ptJ.on
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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
$
$
$
$
$
$
$
$
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(Pz.. ~
1/'1. (/7)
(b t ~3
-
(T~~UATION
TOTAL FEE
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$ 17A~ ;40
$
FEES PAID BY ~eCk 0 Cash
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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'
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\\ "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 ' ,
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5 ITE ADDRESS
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1 (/
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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-
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PERMI;\j~ER -
,
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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~/. '
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Vicinity Map
C74-150
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Permit #
Permit /I
Permit #
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For
For
For
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. 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
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SFD
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ADD.
COMM. t=\Lr"".o:;->1" ?U'-'t!Fn,,'-
AG
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-=':.;J'~":"'J-''''(~~ d...
be appropriate to
flooding.
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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,
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I (r1SL).
Certification at or above
OTHER
~**********************************************~*****************************************************~
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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 =
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, (~lSL). \.~
I (MSL).
Other
Reference Bench Mark No,
Location
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Signature SEAL
Date
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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
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