HomeMy WebLinkAboutPermit Building 1980-11-26
COMPLETE THIS BLOCK. PLEASE USE BLACK INK AND PRINT.
TO\<N5H,/<g J RANOz, - rZT~04, L I T700 OOUT OF
SUBDIVlSION/PAR~~f(jPPliCablei I'!lJW d) I LO~RCEL [B~
3703"D.oS5 1~~., bp. 07477
iT;;; o=h(); ;i~:Pi",' .. 25:i " I
D(f~~RU:IE~~0l, PxlcJ.. 2kx.2io
. OF &&"' I · OF STRIES . 0 I i OF ;'2jAJYEES I r:R)OTr
~;]::~~~~~ ~ukM(n\rj)).) ZJJ?JffiO.
, !IY\A.Q, ry,?{ _" _'
COTItrSOSR# I D~n~ o~ ^(l:~ fr1,; "Jo;x:l
I E~~ ~x~'mEZt~~~LICAD FOR PERMIT. .nd do hmE 'COMY ~ {~~.mon i, t<uo .nd 00""0 ,-: fucthc.
certify that any and all work performed shall be done in accordance with the Ordillanccs of Lane County and the LiI:"'s of the St<lte of OrotlOI1 Jlcl-laininq
to the work described herein, and that NO OCCUPANCY will he made of any structure without the permission of the Building Division. I Curther certify
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 noted
hereon, and that only subcontractors and employees who arc in compliance with ORS 701.055 will be used on this project. I HAVE READ MD CHECKED THIS
APPLICATION THOROUGHLY.
~~~NSTRI-rION/PLACEMENT ,
'I"" -,v PERMIT
l' D~ p ~'1
Nk~ (please print)
Jlh,~f'7
o PLANNING/ZONING:
s. 1. It
B. P. #
Installation
Specifications:
Lineal Feet
of Drainfield
Gallon
Tank
Comments:
~ PLANS EXAMINATION:
comments:~LX-
Type .?f../ GroupB':7
.
~J) h.6"r1'N J
use~_
Floodplain Fee
Subsurface Fees
Building Fee
Sewer/Storm Drain/Water
Plumbing Fixtures
Mechanical
Plans Check Fee
State Surcharge
FEES PAI~Y: 181 Check D Cash
By: ( 'hh~ )
Date: \l(Z)~!~
/2--#-~
~iA~;~ .
PERMIT APPROVED BY BUILDING OFFICIAL/DESIGNEE (per ORS 456.805(1))
LANE COUNTY DEPARTMENT OF ENVIRONMENTAL MANAGEMENT / 125 EAST EIGHTH AVENUE, EUGENE,
CONSTRUCTION AUTHORIZED BY THIS PERMIT
--
,
Description
Cl~~()I"hll\.Ol )
-~ z4&
Fixed Fee/
Unit Cost
Sq, Ft,
TOTAL VALUATION
$
C74-194
SEE REVERSE
FOR OFFICE USE ONLY
Applicat~nL ~~ '
Permit #~77:,\-n. ,_
[]Two Copies of Plans
[] Two Copies of Plot Plans
[]Mechanical Checklist
[Jplumbing Checklist
[JPlan Check Info Sheet
ZIP
PROPOSED USE OF PROPERTY
~ Residential []Industrial
o Commercial
OPublic
$ VALUE
[J Proposed
!)(f'Existing
0r4oi- TEL'~~gpf"j.
~E~ONE ~~
t-SA
i
~Owner
/1 ~ r;./ M [J Contractor
;/ ~..nDYE 0 Agent
~
~
n
lnstallation Record Issued? []Yes [] No
Maximum Depth
of Trenches
Date:
D
Date, /~-~!l) D
TOTAL FEE
$ \('\. (J7)
$
$ ~,(J7)
$ -'
$
$
$
$
$~@.
DATE
CT
97401
,
,
\
... ...
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 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 IUSPECTIONS
1) FOUNDATION INSPECTION: To be made after trenches are excavated and forms erected and whenin1-materials for the foundation
are delivered on the job. Where concrete from a central mixing plant (corrmonly termed Iltransit 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 Sheathing installed, including the subf10Qr,
3) FRAMING & INSULATION INSPECTIONS: TQ be made after the roof, a11"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 insul~tion 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 wor~ shall be done on any part of the building or structure beyond the point indicated in each
successive inspection wi~hout first obtaining the approval of the building Qfficial, 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 building permits require inspections for the work. authorized, such as but not limited to:
A, BLOCK WALL: To be made after reinfQrcing 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 comolete,
Installation shall be in accordance with an approved nationally recognized testlng agency alld the manu-
facturerls installation instructions.
C, MOBILE HOME: An inspection is required after the mobile home is connected to an apPrQved sewer or septic
system for: setback requirements, blocking, footing connection, tiedowns, skirting, and plumbing
jconl)ections. . .
(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.. . . l
(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 p~r enclosure.
. .
'. 0, SWIMM'ING PQOL; , Below grade when steel is in place ,a'i1d 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 180 DAYS, SUSPENSION OR REVOCATION MAY OCCUR IF THIS
, PE~~IT WAS ISSUED ON THE BASIS 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)
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 fo~. The Departm~n~shall lnspect the constructlon to
detenmine if it complies with the rules containe~ in\this division. 'lIf the construction does comply with
such rules, the Department shall lssue a certificate of s~tisfactory completion, tO,the permit holder, If ~he
construction does not comply with such rules, the Departmentshalhnotify ~h. penn)t'ho1der'and shall reqUlre
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 thlS rule,
Setbacks - Subsurface Sewaoe DisDosal
From: Interi or property 1 ines
Edge of road right-of-way
Building foundation
Wells, other water sources
Seotic Tank
10'
10'
5'
50'
Drainfield
10'
10'
10'
100'
\
,
Environment;jl
FLOODPLAIN ~1ArJAGEMErH ,
Management/125 East 8th Ave., Eugene, Oregon
687-4357
8y Mt.J...
.
Department of
Date
To:
11-2'--80
~ Permit Processing
o Planning
o Publ ic Works
:3ZZ3 - 80
Permit No,
Partition No.
Subdivision No.
Applicant Name
Address of site
PAl}JI;:> 1 F"'P~
.370~ ar41Zoa"-l AV!1!
SFD ~ M,H, ADD. COMM.
o
lZ
o
o
o
Approximate flood hazard study area, extra precautions may be appropriate to
assure that the building site will be reasonably safe from flooding,
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 de~elopment will not increase the base
flood at any point.
I
BASE FLOOD ELEVATION + l' = 412. ()
this elev;jtion \'equired as checked bp.low.
~
o
OTHER
I (r'lSL). Certi fi cati on .:tL'J ilhQv'2
\"'t11 <:!__p c::oP~. ~
*****************************************************************************~********************~***
- -
~ CERTIFICATION OF ELEVATION
I, .PAVID 5 ~WA~AI , a Registered Professional
L/#Vp "'!5U,eI/,csy/!!)R in the State of Oregon, do hereby
certify to I.ane County, that the following elevation represents a survey
made by me or under my supervision, ~
The foundation elevation (including basement slab) = '(MSL), I
The ground elevation that structure will be placed on - 47h'e ' (~'SL). 2
The first floor elevation = I (MSL). I
The elevation of the top of floodproofing = ' (MSL), ~
.
Other ~
Reference Bench Mark~. j~'/7'Y p~ 1P.&,I~.c;GL.L?~t1I--Ji}8bt::-~df; N
Location ?W L'J!'JJ!!'. tf)~- ~9.rll -k Z/alA'I.tJMl?
,CM-5.pLe.b -?""~ /~ 7Z?P;p.C" ~L/L!R
Signature ~ ~ SEAL"
Date /2- 4-JI?t':/
3:
'"
"0
o
~
o
o
o
-l
"
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
REGISTERED
PROFESSIONAL
LAND SURVEYOR
~d~'~
OREGON P
DAVIOS.:-S;ANSON I
1103 ..
...
,
,
HOLD
,
SLIP
lane county
"
"
'........
APPLICATION # __~...t.'2::,go __
LOCATION fit/Y ti~'f6N ~~ '?2Z477
___UVIO _p~J:::./o,jF.~_____ ___m__ NAl1E
__J82o W\~ A\1t::3. ADDRESS
W6~r::. , c:lZ 07Lk4-
" ZI P CODE
The above application is being held for the following reasons:
AGT -' FLOOD HAZARD AREAS
YOUR SITE IS LOCATED WITHIN A FLOOD HAZARD AREA. UNLESS THE NATURAL
GROUND ELEVATION ON WHICH THE PROPOSED STRUCTURE WILL BE PLACED IS
~l.t.A? FEET (M.S.L.' THEN A SUPPLEMENT PERMIT WILL BE REQUIRED
WHICH WILL REQUIRE PLANS AND ADDITIONAL FEES. (SEE ENCLOSED FLOOD PLAIN
MANAGEMENT LETTER FOR FLOOD HAZARD AREAS.) No CONSTRUCTION SHALL START
UNTIL YOU PROVIDE CERTIFICATION OF THE NATURAL GROUND ELEVATION FOR
~,OO FEET AT THE SITE FOR THE PROPOSED STRUCTURE.
, \
\~I~ :\1)
(~
12.L"IV1'"'GU/.x.uJ
SIGNATURE
12- [- 60
DATE
H.-7 F ~-)5':!!.
OFFICE HOURS
_(p~.z::-~
PHONE
This application will be held until ,i?_~{:5~eo If the information required
above has not been furnIshed by that date your application will be cancelled,
Buil di ng fees pa i d for permi ts Cilnce 11 ed under these c i rculllS tances wi 11 be orora ted
according to the work that has taken place as of the date of cancellation,
.
BUILDING & SANITATION / ENVIRONMENTAL MANAGEMENT DEPARTMENT
125 East 8th Avenue / Public Service Building / Eugene. Oregon 97401 / (503)687-4061
.
,
.
.
i I I
.
.
.
.
I. 'i ~
.
.
.
.
.
.
,
.
, .
.
.
.
.
.
.
,.
.
.
.1
.
~ 322380 DATE 11258_
, EUGENE, OREGON
LOT BLI( ~
00 NO UNITS 001 NO STORIES Nb BLDGS 001 ~
SQ FT UNIT COST VALUATION FEE DAYSe
.
<<
o
!
LANE COUNTY DEPT ENV MGT RECEIPT
ADDR 820 WILLOW AVE.
,APPLICANT HENRY, DAVID
"JIll 1802064200700 SUBDIV
. NEW BLDG TYPE NR 'USE R NO BDRMS
CODE APPL NO ACTION DESCRIPTION
BP
.BP
BP
BP
.BP
[lP
.PL
MECH
I J S'LJf<
.F'CK
BP
FP
.
.CATG:
SEQlJ:
TAKEN
.
I
, "
.
,
NO. FI XTURES ;
LC 322380 AGFP
APP
o
BY CAD
F(A
NO.
(:ONNECTORS:
MECHANICAL FEE
STATE SURCHARGE
PLAN CHECK FEE'
FP SDS SI PCK
1
EST. COMPLETION DATE 112880
15.00 EACH --
41.
501.
OTH ISS
2
TOTAL FEE**
w
.
...
0
.~
..
~
~
~
.
30.00
'10.00
.
"
.
2
40.00 CK
.
.
r--~-p-_.'~'_'h'~-:-' p .....,...-~_....-.....-. --., --
,.
.
's ...
~ ~ i .
o : 1'~
:.:li
8. 'I: - '"0 .
U L~ -: i
. ; ~ a.. tI
~ ~ e ~ ...
... IP ~ .I)
~~_::~
.... o..~ J:.
- . . C e
~ .e: ';:; .2.t
i - ;.:- a 0
. ~ ... i 1
~ :.: '. '" 11
a a .
e X _~ t I:l
~ .. - l
~.i . ... .~.
Q. "'.":-
" C'. . ~ e
l: e ~ ~ .:J
:,; 'i; E
. ... i! -: a; -...
a- D "D r :.
,
,
,
I
1
!
I
I
,
,
,
'I
, .
i
I
I
,
I
r
!
)
I
~...
.;::....... -
;i
..
3
\-
"
k ,e,
f
i
:\',
i ," .~ ..:::.
"
o
.
I
J
..a
..
~ I
1
l
I
!
.
.
I
.
.
,
.. ~--"""'-'-'.,
FOUR~ADo! r .... _ '
TOlAEADOWI~ La .,.,~~, 1 1>.'
GRE~N w ~ 20r ~ .f~
ESTATES ~ -_ _ tr: t;"-' ,.--....:~~~l. ..o(h.'r:'.
ST^ ,_~... ..... ICS .,;...-.._....."!.___
rrEeT i.. .:00 -- Jt ~~ i'lt..'~i'.~~
~ ~ ~.t l. " 0- '~~ ~ i~:t -lj" ,
<100'''00'' tAlr""\o ~~, (1) i~ ~"J];~t" 4 \1)
3; \..{"'" ~ ~~I' 1. ~~. 'L::-:,~~l^-O ,*,'\1 ,_, ] ~
.... .. ~.)' ~I.OO:' p<ooo ~.l-'- ltO--_ 4J ~-~ ~ .. .l
.-.;.~~ ~, ~l.~ ~i l I" Q _ _ ~ '~"" 0.~ ~ ____'~.
-MOO - ~ <t . . -. r,,~ ,ViOt't'.--II, - U
. ~, .J I ""l~"'" ;'1\ .;p ;.'t~ '~ ~
,,'~,l ~... I Q; ~A;'..I"""-' ellr~ -.ra't3C.Dl' , ...
,..., f ... I /. , _" ~ __ " _ ~ _
..... .., -~\;--. ~""~ ", .~ ,;-; ~'M -- -:;/1 ,.. ~f"'-
~ .. )I.'1~ C) \ I:' ~
...- I CAriOC-;;---. i~' ~,~t ; ~ ... _. ;,~.o 14 )
"~"__';;:'>r .......- "Ii ':;'~1'" h-,.~
" ---":,-,,~, ~~-~ _ . ~\A.D'I"ifIQ fI
"" !. ~_."'~~ :- - ;';.$IRO,- ~\'" '".-
; 800 I'G)- ~~- -~ .~ d~~-::"''' I~ ~ HoR
.1 j\ . r- XII - _, __~2D~ ," M2 ~~"'M P _
.J'~.' I ,i .';;-~- MAIioI'.,,.,J I .
, ,\ '1'/"-, -~~.~ I ~ 8
' "I eft, A. ":l 8
I ,I - I ~ . na.. -VVO _ 0
~ -~, ~.~,.., S7:, 1 l!
'7CD .'. r ",~ Q:D _..-- !
I ~ '?~~ 1') 5 f 121 -,
.\ ...~" . it JI
i-
!
'"
o
a:
OVI:(
lOa
j
,
.
,
"
,
,I
/; \\'.1/4 SE,!/4 Set. 06 1: 18 S. R.2~'" ..
LJ.NE COUNlY
(.IQO"
s.. ... .mOlIS
~
:;; THIRD ADD, TO M~ADOW
:E' GREEH ESTATES
) ,.:"~, ~
~-4,.1
" -..
"1100
: I - c( ~"OO..aoo s
--~n~f
,.1::00 z
8 ,
;-
l~'
...
'-
"-
'-'
,~)
~
\
:J
"
.
i
~;,~
~
-
'-......
1- +-'-"'-.~-~~
1./& . , _
019'r28
I '
i~
~~
\
t
1
I
I,
I,
"
.
{[
<I)
,,20 Tr
" ,
'-
"
f
~'
""::.,
(;) '~
-,
.:::> \\ i "'"
iol , ;
, I;' ~ ,.
~ H-p> ~i
ID~~ "> ~ - (- t.,' {-::-c'~~
~, } 1100 .
- 'I I
.y~ \.~ ~~
~ 1,"
' ~p , " I I
l~ _.__.~......_'....~~!~
-,
,. :,
,\. l
~. ~
-;;:;'_~_'._~'~-' ,-:..11
, ~-
-".-:---_._-
..,,...-
-~-
"
\...
, .J
I '"
-'l~
B"'l
""" '
)"
, . ~
'" ,
\ """
COD
18 02 OG 4 a
, "
HO~O
I
. '. c~
.
.
1
:~-
1",---