HomeMy WebLinkAboutPermit Building 1982-08-12(D
-CIIPLE TE THIS BLOCK. PLEASE USE BLACK INK AND PRINT.
App-Iic.iti
Permit i
fi rwo Copics of I]-ans
Irwo CoPres oi Pior Pia:ts
f, t,techanical Checkli st
I llumbj-nc cirec]'-list
FOR OFFICI] U-S}] ON;Y
Plan Checll info Sheet
tsarccl !i1
CONSTRUCTION/PL
PERMIT
MENT
4 /q
tr PLANNING ZONING:
Cl'lrlrmum Sctbackg : L,
Coments :c>
irarLitron i Parcel i
interior
I
'L, st.de re
+
II'
c
l-l Rcsiclentia-L
flcomme rcial
i-l lncustrial
! r ourlc
I]D
utr
Proposc.:l
ExlsLingiroF
lit
(1lleasc Print)
,Y
/
10I lc)rhoflrnrthafIdoandhrrPDRMFORITLICATIONAPPCOMPLETEDTIIEEXA}.I I NE DCAI{E I'ULLYIIAVEI oftircalldoLanCoDrrththeaccordancelnbedonefosha I1rmedaIIandpeuorkcerh rdiBuifyanyoftoohehou t hc-pe rmi ssmad<'be of anywtthaandNOOCCUPANCYhere inrhscribedworkde thetotxr:cthat mpto055redORSffectASb)'fu fo requ iandrcerBoardIN1SthButhelderetr at ionatth rhiqit1w1usedbeon pro'7 ()oRs o5rhawhorenandcompJ-ianceracsubconttorsnployeestha tand on 1yreonhc
APPLI l] :'. .,
rT -,..--.LJ -' --.-- -
th,' SLalr,, of lr1.',1 rlr I"f liir ilr',
r)g DLvrsrolr' I l'rrlr\": 'r'''Ii
basis fo! .xemi'ti('rr i:' tr rt' rl
. I tr-A\,E READ AilD CllE('!"Fll) TllIs
i:r lr0c aorre.t.3trd I fi'rll)
fl ff,OOOpf,af U 3 rn rlood hazard area?
fl nunar, ADDRESSTNG' cRlD cooRDrNArt
tr SA}iITATTON:
n ^" fl v"s, see attactied sheet
EN
Date:
Date:
5. r. tr B. P. #Installatiorl Recorci Issrucd? ! vt'= [ ll"
Maximi]nt oepttr
of Treri:hesGal Ion
'.t anK
Line tInsta l1 ation
Specifications:of Drairrfield
Coments:
Date
Kry*'EXAMINATION: rype v -Al -z Use 5,u.8.Group
Conmen ts
#.,",",8/tz/82 J
CONSTRUCTION AUTHORIZED BY THIS PERMIT
Fixed t'ee,/ FloodPlain Fee
Description Sq. Ft. Unit Cost Subsurface Fees
Building Fee
Sgyer,/Storm Drain/Water
fuTrtumbins Fixtures
Mechanical
Plans Check Fee
State Surcharge
>
$
$
$
$
$
TOTAL FEE )
FEES PAID BY:'ck
TOTAL VALUATION S
By:
Date:
PERMIT APPROVED BY BU ILDING oTFICIAL/DESIGNflE (;er oRS 456-805 DATE
I,ANE COUNTY DEPARTI,IENT OF PLA}INING & COI'1IIUNITY DEVEIOPMP]NT / 125 EAST EIGHTH AVENUE' EUGENE' OF€GON 9
SEE REVERSE FOR INSPECTION INF'ORMATTON
trl
lraLg?-__
ui
l
I
SETBACKS AND OTHER CONDITIONS OF APPROVAL.MUST BE STRICTLY.OBSERVED' VIOLATION-CAN-RESULT IN REVOCATION OF THIS PETJ{IT'
crrArr0N ,NDER pRovrsions or LANE couNTy,s'ir'riniirioi'i-onornAncE,'i"nolon'oiiiin-ilepr'ores ALL0'',ED BY LA!'l'
\^IHEN READY FOR INSPECTION CALL 687-4065. A MINIMUM OF AT LEAST 24 HOUR ADVANCE NOTICE FOR INSPECTION REQUEST MUST BE
GI,EN. Have the forlowing information,^.uly,'"p'.r.ii nuroer, i.u-uii"it.l'liF;i iniptiiion' when it will be readv'
your name and phone numbei, and any special-directions to site'
BUILDING DIVISION:
REQUIRED IIISPECTIONS
t) FouNDATIoN INSPECTIoN: To be made after trenches are excavated and forms erected and when all materials for the foundati' are-aeTiGFea on the job. where concrete from a central *i;i;; piint-tior*oniy iermea "translt mixed") is to be used,
materials need not be on the Job.2) CoNCRETE SLAB 0R UNDER-FL0OR INSPECTI0N: To be made after all in-slab or under-floor building service equipment,ci1.lary.equip,"ni.it",,areinp1acebutbeforeanyconcrete.ispouredor floor sheathing installed, including ttre su6ttdor: - -
3) FRAMING & INSULATI0N INSPECTI0NS: To be made after the roof, all framing, fire blocking and brac.ins are in place and
'ina.veni'_u.i-.o,pi"t"-inda.llroughe1ectricalandp1umbingareapproved.Allwall insulation and vapor barriei are in ptace.
4) LATH AND/0R GYPSUX.-gOAEDI-NIPECTI0N: To be made after all lathing and.gypsum board, interior and exterior, is in piaceo.u"ro""-gyp;il;;;.;jointsandfastenersaretapedandfinished.
5) FINAL INSPECTI0N: To be made after the building is complete and before occupancy.
APPR0VAL REQUIRED' No work shail be done on any pant of the building or structure beyond the point indicated in eachsuccessive inspection without first obtaining t-fre'ipp.ovai Jr-in".oritaing-oiiiiiir.' such approvat shal be given onlyafter an inspection shall have been made ot Eactr t;;;.4;i;e-step in ttre c6nitruition as indicated by each of the inspectionsrequired.
N0TE: Ali building permits reguire inspections for the work authorized, such as but not limited to:A' BL0GK WALL: To be made after reinforcing is-in place, but before any grout is poured. This inspection isrequired for each bond beam pour. There-wi11 be'no approval until t[e"piumuing and electricai inspectionshave been made and approved.'
B' w00D ST0VE: To be made after completion of masonry (if applicable) and when installation is comotete.Installation shall be in accordance with an approved nationally recognized testrn! ug.niy o,,d--the manu-facturer' s instal lation instructions.
c. I'10BILE HOME: An inspection is required after the mobile home is connected to an approved sewer or septicsystem for: setback requirements, blocking, footing connect.ion, tiedowns, skirtin!', inJ-piurOingconnecti ons.
(l) Foot'ings and piers to comply with State foundation requirements for mobile homes or as recommendedby the manufacturer.(2) Mobile home minjmum finish floor elevation shall be certified when required by a floodplainmanagement letter.(3) t4obile home tiedowns, when required, and skirting shall be installed and ready for inspectionwithin at least 30 days after occupancy. Tiedowis and skirting srritt ue iniiirrea per'enctosrre.
D. SWIMMING P00L: Below grade when steel is in place and before concrete is poured. Above grade when pooiis installed.
APPROVID PLANS MUST BE ON THE JOB SITE AT ALL TIMES DURING WORKING HOURS. THIS PERMIT WILL EXPIRE IF WORK DOES NOT BEGIN!IUI! ].qq qAII' OR IF WORK IS SUSPENDED OR ABANDONED FOR MORE THAN]8O DAYS. SUSPENSION OR REVOCATION MAY OCCUR IF THISPERMIT I.IAS ISSUED ON THE BASIS OF INCOMPLETE OR ERRONEOUS INFORMATION:
ANYONE PROCEEDING PAST THE POINT OF REQUIRED INSPECTIONS I,IILL DO SO AT HIS Ol,lN RISK
SUBSURFACE AND ALTERNATIVE SEWAGE DISPOSAL SYSTEMS
(r) Permits shal'l be effect'ive for one year from the date of issuance.
(2) Upon completing the construction for which a permit has been issued the permit holder sha11 notify the1 Departmenl by.supmit!!nS tlg installation record form. The Department shall inspect the construciion tor '. determine if it-cbmplies with, the.rules contained ip this divjsi-on. If the construction does comply vrithsuch rules, the Department_shall issue a certificat'e of satisfaitory completion.to the permit holbei. If theconstruqtiondoes-not comply witfr such.rules;:the Qepartment sha.ll irotifi the permit hoider and shall requiresatisfactory completion before issuing'the certifiiate. Failure to m6df the requirements for satisfactorycompletion within a reasonable time constitutes a violation of ORS 454.605 to 454.745 and this rule.
Setbacks -.Subsurface Sewaqe DisposEl' i- , I
Septig Tank Drainfield'10' I0'From:Interior property lines
Edge of road right-of-way
Buiiding foundation
lrlells, other water sources
'10'
5',
50'
l0'
t0'
'r 00'
lane countY
HOLID SLIP
APPLICATION #
LOCAT I ON
f)
ffWflar+",d-g*..
FO,
*ru
NAME
ADDRESS
P CO-DE
The above aPP I ication i being held
*E
TURE
AVAI LABL E BY APPOI ONLY (NO I,JALK-INS
for the following reasons:
I
PEyleru
687-4061
Thi s app I 'icati on wi I I be hel d unti I If the informat'ion requi red
ication will be cancelled.above ha s not been furn'ished bY tha your appl
RETURN TI.IIS SLIP t^lITH THE ABOVE REQUESTED INFORMATION.
BUILDING & SANITATION / PLANNING & COMMUNITY DEVELOPMENT DEPARTMENT
125 East 8th Avenue / Publjc Service Building / Eugene, 0regon 97401 / (503)687-4C61
Y t.\
tlzW.*)
,r)/g.4.
^
\
c{
tt\\
s\,\o
\r'\
aOIS6
)t8
lg- 0z- ol
lt og
TRS, TL
Lot
Subdivision
Plcrt Plart
Job Locatlon (Address) , , ,-
Permi.t /l for Permlt /I for
Permit For Permit For
Permit /i For Pernit For
-__t
Block
)
€
\t
\
)
c74-L50
Vlcinlty Map N
j
)
ID
o
i JBUI -JH TESTING L,-JOR, iORY
EST A BLISH EO I88I
54S CONGER STREET - EUGENE, OREGON 97402
AS A MUTUAL PROTECTION TO CLIENTS, THE PUBLIC ANO OURSELVES. ALL REPORTT
aRE suBMryrEo as rHE coNFroENTraL pRopERTy oF cLrENTS, AND auTHoRtzATto; Ofdef NO.
FOR PUBLICATION OF STATEMENTS. CONCLUsIONS OR EXTRACTS FROM OR REGAROING
OUR REPORTS IS RESERVED PENOING OUR WRITTEN APPROVAL.
CONCRETE TEST REPORT
Report No.
Mt. Vernon Sub Station, Spr R
1
8-20-82, 9-Io_82
e
ern0n emeter Rd.
AE Associ ates
soc'l ates ,t.ernon u a oh . Sori nof i el d Bu'i I di nq Deot.
P I FORM 9OO2. B. EU
EU 3690
3
8-t 3-82Dote Moulded
Pro ject
At
Controctor
av
Reported to
ent 's No.
Morse Bros.Concrete Supplier
Quontity Represen t"d I I Cu. Yds. Specimens mode '
Footings and columns - Sect
Ivan Dach, PTL No. Submitte 6 4
Gs South Side.Locotion of pour
Strength requ irement 3,000 psi ot 28 doys
MATERIAL PROPORTIONS USED (Quontities per cubic yord of concrete) MIX No.:3,000
Cement- lbs.bogs Type- Brond
Fine Aggregote (SSD)- lbs. Source 3/qCoorse Aggregote (SSD)
Typ.
TyP"
TyP"Coorse Aggregote (SSD
lbs. S ize
lbs. Size
Source
Source
Woter Totol-Gols.
Admixture: Amount
Admixture: Amount
Gols./bog
Kind
K ind
Above informotion obtoined from: PTL botching inspection l-l Proiect Engineer l-l Controctor l-l
Concrete Supplier ffi Other f] (Designote)
Entr. Air Actuo I Slu 3"ln.Load I 416366
Temperotures: Air oF Concrete oF Weother
Mixing: Centrol Mix [J Truck Mix f]
Above Site lnformotion obtoined from: PTL lnspection ffi
Job Mix I
Proiect Engineer l-l Controctor l-]
Concrete Supplier f] Other ! (Designote)
Cyls. delivered to loborotory by: PTL m Controctor l-l Engineer [-l Common Corrier [-l
Ticket No.:
Cl ear
Cylinder Size 6 x l2 lnches COMPRESSIVE STRENGTH
Doy tests previously reporled
Areo 28.27 Sq. lns.
SPECIMEN
MARKING
AGE
OAYS
LABORATORY
NUMBER
DATE
RECEIVEO
OATE
T EST ED
TOTAL
LOAD. PO U NDS
UNIT
LOAD . P.5.I Cyl . Wt.
A
B
C
D
7
7
42
28
9052
9053
9054
9055
8- I 4-82
tl
ll
il
8-?0-82
8-20-82
9-2442
9-t 0-82
44,500
43,500
81r5oo
I 570
I 540
2880
27.76
27 .85
27 .86
27.80
Remorks:
t?bTt' ,t(f0
0
\,4 Respectfu I ly submitted,
PITTSBURGH TESTING LABORATORYI
e
o,/o
65
1- ( I --FrstrictMonosernr*=M"'a,. -
lone co,rnty,,lLANN. & COMMUNITY DEVELOPI',
ACTIVITY INFORMATION SHEET
COMPLETE THIS SECTION. INCOMPLETE FORMS t^,ILL BE REJECTED!
6ltr
-
I gpp,vertrr, U/rrrr,Eo,to,'Crr, of gpro
KI E
7(?300
ING I AD
Sroo ? zrzz ,9rro C* ?7/77
E CITY STM
S INE #HOME TELEPHONE #HOUT TEIEPHONEI
2 PROPERTY ADDRES S I/,(IF ot rrrnrNt rRou=SS
3 rvrae e PAneEL NIJMtsEFl (from tax maps in Department of Assessment and Taxationor from tax statement)(RE UiRED r NFORT4AT r 0N )
2 1.r Jc 54
TomsF"TP mm. smlmN
MNSFTP_ MNE SEETTON
Rr>ffi m[IN6-
TAx LoT(s) oR pARcELl ZON I NG
TOIIMH]P MNGE SEETI_ON
TOTAL CONTIGUOUS PROPERTY IN SAME OWNERSHIP:
TAX LOT(S) OR PARCELI milrm6--
2./+ACRES
4 SUBDIVISION (if applicable)LOT BLOCK
5 REQUEST (state exactly what you plan to do) Arysr,lr, €rrrr,ryo*Gnrn4 /4* o
No )lUo Saqd,
6 DIRECTI0NS TO SITE: /V|,t,. I '7;e J r/t To A)r Vrn-o-0p)rl
h Lo fu1,'rv0N lt P,,0"'7 tur 6 fztt /u
** FOR STAFF USE ONLY **
ZONE/LAND USE:
DATE:_ TIME IN:_ 0UT:_
NUMBER
DATE
-lT(/,
-l
BY:
-\A<<.*zS*o
c
\_72,/6- gqr/
BUSIffi
-nl-q-
Springfield Utility Bo ar d
August 4, L982
MUNICIPAL POWER AND WATER
250 North "A" Street o P.O. Box 300 . Springfield, Oregon 97477 . Phone 746-8451
a Substation Control House consists of a weekly
our Control House Metering. The monitoring takes
two to three minutes by one Person
,,
Dear Mr. Smeed,
The following information pertains to our discussion this morning
regarding the application for Building Permit ltL295-82.
The usage o
monitoring
approximate
Sincerely,
f
of
1y
,.(*'r rA )-/*,w
Gc lke
.^t**$
(""'"-'" -..,r}-frr -t Jv'! -"r. *-
..'" ' tb .1il -'It,'t' '. v... .- -tr
i i,.i'
s$e
3
\,
Ll\