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HomeMy WebLinkAboutPermit Building 1986-06-13RU RAL ADDRESSING cHEe KED JUt{ I 0 La,ne County Authoriza,,tton- for, S o {t FOR OFFICE USE ONLY Application,/ Permit #/56-r( TAx tof f--'lour oF+30yo3sEaTroN / e.a, /,2 app BLOCKZ PROPOSED USE OF PROPERTY [Rnesidential [-l cc,mmercial f rndustr:.a1 fle'luri. ?r ZIPCITY o STRUCTUFES CURRENTLY ON PROPERTY -S€ L DECI,ARED S VALUE # OF EI,IPTOYEES= OF BEDROOMS * oF srcRrET I^JATER SUPPLY Proposed Exis ti NAME AND L TELEPHONE NUMBER 726 -FYr:lz- ",-L(. AND osR # e TELEPHONE NIJI4BER PIRI,IIT T'O BE MAILED TO (NAME AND ADDRESS)/I TELEPHONE NUMBER I HAVE CAREFULLY EXAI,IINED THE COMPLETED APPLICATION r-OR PERMIT, arrd ,lo here!.r certify that all infomation hereon is true and correct, and that I ave the following Legal interest in the property, Ior..t of recorci; ! contra,,! prrrchaseri !authorized agent. I f:rther certify that any and all work perfomed shaI1 be done in accordance with the Ordrnance$ of Lane Comty and the Laws of the State of Oregon rtaining to the work descrj-b€d herein, and that NO OCCUPdNCY will be made of anj' stxrrcture without the pemission of the Buj.Iding Division. I fu-ther certify that regislration with the Builder's Board is in full force and effect as required by ORS 701.055, that if exenpt the basis for e (a / 6are o / ase s with ORS 701.055 will be used on thi.s project. I HAVE READ ANDis noted hereon, and that only subcontractors aal employees who are in CHECKED THIS APPI,ICATION THOROUGHLY. READ THIS SECTION CAREFULLY. YOUR AUTHORIZATION IIAS BEEN BASED ON THE FOLLOWING CONDITIONS! Zone Partition # Parcel # interior ose-g Date: I sanrterrout Installation Soecifications: Tank Date : L AVI COI'$1ENTS: Date: rearnL ece Gal10n coIIIIENTS ON I Parcel L s. r. *B. P. # 3- Groun Use rnstallation Record Issued? ! r"" ! "" Minimm Setbacks: co}!\lENTS I pnnuruc,zzoNrNG: Lineal Eeet of Drainfield l'raximun Depth of Trenches c", frora- c", =ido OFFIC Der ORs 4 805,DEPARTMENT OF PUBLIC WORKS LAND MANAGEMENT DIVISION, 687-4061, 125 EAST 8TH AVENUE, EUGENE, OREGON 97401 SEE REVERSE FOR INSPECTION INI'ORMATION LANE COU C1lL..?\ Rll4- (J I n /-tz- r DATE SETBiICKS AND OTIIER CONDITIONS OF APPROVAL MUST BE STRICTLY OBSERVED' VIOLATION CAN RESULT IN REVO- C;TION OF TIIIS PERMlT, CITATIO:J UNDER PROVISIONS Oi LANE COU):IY':] INFRACTION ORDINANCE, ANO,/OR OTHER RET1ED1ES ALLOWED BY LAW. WI'IEN RE.qDY FOR IT-SPECTION, CALL 587-1065. A I{INII,1U}1 OF AT LiAST 24 IIOURS AD.iTAI{CE NOTICE FOR INSPEC- @EN-.!ra'etIefoIIowrn9informat!onready:permitnumber,jobaddress,type of inspecEion, when it atll be ready, you! nane and picie nunber, and any special Cirections to site. BUILDING DIVISION: REQUIRED INSPECTIONS: I Foundation Inspection: To be made after trenches are excavated and forms erected and when all --+- nateraars !o! Ene rounoatj.on are delivered on the job. l'lhere concrete from a central nixing plant (comonly termed "transit mixed") is to be used, nalerials need noL be on the job. Concre te servfce r slab or Under-iloor'e.tuipmst;-rcnAilt, p Inspection: To be made after all in-slab or under-floor building Iping ressories, and other anciLLary equipnent itens are in is poured or fLoor sheathing installed, including the subfloor. 3. Framj.ng & rnsulation Inspeggions: To be made after the roof, all framing, fire blocking, and [reAlng are-ln pfre nd all pipes, fj.repl"aces, chimneys, and vents are complete and aL1 rough e.Leccrical and plunbing are approved. AlL wa.l.I insulation and vapor barrrer are in place. 4. Lath and,/or cypsum Boald Inspection: To be made after a]l- Lathi.ng and qypsum board, interior 5nE*ext6riorllE--i-n-pTrce-Elt--fetqe any plaster.ing is appLied and before gypsm board joints and fasteners are taped and finished. 5. Fina1 Inspection: To be made after the building is conplete and before occupancy. APPROVAL REQUIRED. 5'o uork shall be done on any part of the building or Structure beyond the point indicated in each successive inspection without first obtalning the approval of the buil.ding offaciaL. Such applovaI shall be given cnly after an inspection shall have been nade of each successive step in the construct.ion as indicated by each of the inspections required. Al1 building pernits requj-re inspections for the work authorized, such as but not limited to: Block t"lall: To be maCe afler reinforcing is in place, but before any grout j.s poured. This Ti-specEio-F is required for each bond beam pour. There will be no approvaL until Lhe plumbing and electrical j.nspections have been made and approved. t{ood Stove: To be nade after cohpl-etion of nasonry (if applicable) and Hhen installation is ffipIeta. Installatj-on shall be in accordance uith an approved, nationaLly recognized testing agency and the manufact.urerrs insCaLlation instructions. place but before any concrete I !9I9, An inspection is required after the mobile home is connected to an approved ,a reptic systen for setback requirenents, bl-ocki-ng, footing conneclion, ti.edowns, skirting, and plwbing connectsions. 1. Pootj.ngs and pj-ers to conply with SLate foundation requirements for mobile homes or as recomended by the manufactuler. 2. MobiLe home mininum finj-sh fl-oor elevation shall be certified when requiled by a fl,ood- p)-ain management letter. 3. Mobile home tiedowns, when required, and skirting shalL be instal,l,ed and ready for inspec- tion within aL least 30 days after occupancy. Tiedouns and skirtj.ng shaLl be installed per enclosure. Swiming PooI: Below grade when steel j.s in place and before concrete is poured. Above grade ?hen pool is installed. APPROVED PLANS MUST BE ON ?HE JOB SITE AT ALL TIMES DURTNG WORKING HOURS. THIS PERMTT WILL EXPIRE IP WORK DOES NOT BEGIN I4ITHIN I8O DAYS, OR IF WORK ]S SUSPENDED OR ABANDONED POR I'IORE TIIAN I8O DAYS. SUSPENSION OR REVOCATION I,IAY OCCUR IF THIS PERMIT WAS ISSUED ON THE BASIS OF INCOMPLETE OR ERRONEOUS INFORMATION. ANYONE PROCEEDTNG PAST THE POINT OT REQUIRED TNSPECTIONS I,IILL DO SO AT THEIR OWN RISX. SUBSURFACE AND ALTERNATIVB SEI{AGE DISPOSAL SYSTEHS: I. Permits shall be effective for one year from the date of issuance. 2, Upon completing the construction fo! which a perniL has been issued, the permit holder shall notify the Lane County Departsent of Planning and Comunity Development by subnittj,ng the rnstallaLion record form. The Departnent sha11 inspect the constructi.on to detcrnine if it complies uith the rufes contained in this di.vision. ff the construction does conply with such rules, the Department shaLl issue a certificate of satisfactory completion to the permiti holder If the construction does not comply with such !ules, the Departrent shall notify the permit holder and sha).L require satisfactory compl,etion befo!e issui.ng the certificate. Failure to meet the requirements for saLisfactory compl-etron wrthio a reasonable time constitutes a vio- lation of oRS 454.605 to 454.145 and this rule. Setbacks - Subsurface sewage Disposal septic Tank Drainfield I.ron: Interior property lincs I0' 10' Edge oi road rrqht-of-way I0' 10' Burldj.nq founCation 101 liells, other uatcr sources 50' I00' }lobi l-e sewer o ACTI\/ITY INFORivIAT ION - SH EET ilI'.-COF4PLETE THIS SECTION. INCOMPLETE FORMS I,IILL BE REJECTED! ,,f)no*l a A os/Elu.no,*{ ,Al 0*o PROPERTY Ot,lNER .s/e fric,pnp- - D ?Ay'otfTfrY---/- 4(*aqts m 6&-o?62 -- HOME TELEPHONT # /a6-p,.afz BUSINESS TELEPHONE # PROPERTY ADDRESS BUSINESS TELEPHONE # HOME TELEPHONE # 2 (IF DIFFERENT Tno@ 3 ruee g PAHeEL NUMBEFT ( REQUIRED INFORMATION) (from tax maps in Department of Assessment and Taxation or from tax statement)/'* a_3 TOI^JI{SH IP RANGE ##3 o*oo re/ TAX L0T(S) 0R PARCEL # Z0NTNG MIISFTP EANGE SEETI-ON W ZON I NG MNGE SEETMN TOTAL CONTIGUOUS PROPERTY IN SAME OWNERSHIP: W ZON I NG ACRES 4 SUBDIVISION ( if appl icable Lor g BLocK 5 REQUEST (s;tate exactly what you plan to do)nCe/./_ bealtere*-u-r 6 DIRECTIONS TO SITE: ** FoR STAFF USE oNLY ** ZONE/LAND USE: L4-33 LAND MANAGEMENT DIVISION / 125 E. Bth AVE., EUGENE, OR 9740I / 687-406I ).,d*o'n'E;";yt#- ?l'uawn^; +D 3 / 'rt'" /o ^. L€t'- 3 /80 Lrc tL44- sqhe /a /'iG./t%) So**lct oF o t eo thr.lft r I \ \ / LANE COUN" BUTLDTNG E ,}UII.DING PERMIT OR MOBITE HO...I USE PERMII PERMIT NO.MH MAITING ADDRESSpnoprnr: -w NSo PHONE CONTRACTCR : MAII.ING ADDRESS I lr PHONE PROPERTY LOCATION _ INCLUDE POST OTFICE PROPERTY TEGAT DESCRIPTION _ METES, BOUNDS RANG E SECTION TAX LOT NO CODE CENSUS TRACT ,1, 4 *4300 lla f fo rd EXISTING STRUCTURES ON PROPERTY Drrre I I ln APP[. NAME & MAITING ADDRESS LEGAT ACCESS TO PROPERTY PROPERTY SIZE - TT. WIDTH DEPTH AREA FOR MOBILE HOME PERMITS ONLY No. of Bedrooms STRUCTURES TO BE BUILT THIS PERMIT Connecl to Existi Sewo e tr New BDRMS VALUATIONse. FTTYPE CONSTRUCTION 6 @ t2 7 PLUMBING INSTALTED BYSEWAGE DISPOSAT PUBI.IC BUITDING WASTE DISPOSAL PTUMBING PIAN REVIEW PARK TRAITER SEPTIC TANK OTH OWNER OTHER: NAlr{E WATER SUPPIYF EES( PUBr.rc tr tr OTHER TOTAT COUNTY BUILDING & SANITATION SPECIFICATIONS MIN. SEPTIC TANK CAPACITY WITH DIST. BOX, GA[. DRAIN FIEID REQUIRED tIN. FT TRENCH WIDTH FT.OR SQ. FT. )art €f{ cotstruct ioI Er any par xistlng .Gwage dirposal sy3t€m. OCCUPANCY ZONE PUBI,IC UTIT. EASEMENTTYPE OF STRUCTURE BLDG. SETBACKS,- FT. FROM CTR TRONT SIDE INT. OF ROAD RIGHT OF WAY SIDE EXI. USE CTASSIFICATION REAR DATE /s/ J.E. Boss AUTHORIZED SIGNATURE _ DATE lol:n Cru i cksh BI.DG. PERMIT _ WH ITE OFFICE COPY _ WHITE COUNTY TAX _ PINK PTUMBING _ CANARY BUITDING - GREEN SANITATION _ GOTDENROD coll 687-4065 to schedule oll required inspections. All conslruc' tion .fr"ff comply with Uniform tiuilding Code, D.E.Q. stondqrds IMpORIANT: for subsurfoce'slwoge disposol ond county regulolions covering- pir-bing. All buildiigs require o certificote of occuponcy before being occupied' (See Detoils on Reverse Side) (posT rHls PERMIT ON MAIN BIDG. AT SITE). LANE COUNTY, DEPT. OF ENVIRONMENTAT AIANAGEMENT COURIHOUSE ANNEX, I35 EAST 6th, EUGENE, OREGON 9740I ronu #C55-13 tn BU I LD ING S ITE EVALUAT ION ;ffi-#s ?Q/'fo',or-- G , .e-Bi L I CANT: e.- L-t R-z TS .H U ( ). Buil'uing Permit Application No.,?o ( ) Site lnspection ( ) Pre-Permit lnvest igat ion APP NA.}I ADD E R PHONE DATE L/.,NI COUNTY PLANNING DEPART},IENT NOT Zoning 0rdinance Compl iance(zone.4er ) Subd iv is ion Ord inance Comp I iance ( Requ i red Access ( Building Site (Rrea, t/idth, Frontage, Setback) 0ther (see comments) ( () r?3- ^->;7 NO YES NAI-1E DATE I icable () () 2 ') 4 5 ( )( () () ) ()) COHII1ENTS: EUILDING INSPECTION SECTION 6. Plans Submitted 7. Soil Stability (footings) B. Flood Pl a in 9. 0ther (see Comments) NOT NO ffit i cab le YES (fr' / () () NA}4E DATE ()() () () ()()3_1,/''? 6 COH},IENTS: SAN ITAT ION SECTION 10. Sewage Disposal ll. Usable Area I 2. Water Supp I y I 3. 0ther (see Comments) NOT epgl ,!eq& NO YES NA},1E DATEr A (* ( () ()? ( (') () () COI"lIl ENTS : TO APPL I CANT: Your Building Permit / Site tnspection: ( ) Can be approved.( ) Cannot be approved at this time as indicated on itenr N0 Quest ions and further infornrat ion on itenrs I through ! above contact the Lane- COUNTY PLANNING DEPARTMENT"Q-uestions .)nd further information on iffi 5 ) ) ) throuqh l3 contact the Lane cou^ry_gyj ta iu_",,d lgli!3I-gl-!_gls ion.will be held in this otTlZ"TitiT-y"r ca";A;Tre rt,; pro6l"-s-fndicatr:d.ls being returned. Your buildinq pernr it appliq.at ion fee is being returned under separate ct:r'€r. LANF COIIN'IY t'[ /\NN ING DEPARTHENT 115 5i,r<tlr 4verr0e fast, Eugene, 0regon gl4}l t'noNE 3lr2..l-llt EXt. t3t IANI C0UNIY t]tJlLl)lNG 6 S/rNlTATt0N DlVtSt0N 135 Sixt,h Avgrruc East, Errqerrr', 0rcqon 9740lr PfioNl 142-|Itt txr. 4rI / \ () M55:rt IANE COUNi BUTLDTNG E SUtlDlNG PERMIT OR MOBIIE HC. MHE USE PERMIT PERMIT NO. PROPERTY OV,/NER MAITING ADDRESS PHONE CONTRACTOR MAILING ADDRESS PHONE PROPERTY TOCATION _ INCI"UDE POST OFFICE PROPERTY LEGAL DESCRIPTION _ METES, BOUNDS RANG E SECTION TAX LOT NO CODE CENSUS TRACT EXISTING STRUCTURES ON PROPERTYAPPT, NAME & MAITING ADDRESS LEGAT ACCESS TO PROPERTY PROPERTY SIZE - FT. WIDTH DEPTH AREA FOR MOBILE HOME PERMITS ONLY No. of Bedrooms Connect to Existing Sewoge Sysrem !New System STRUCTURES TO BE BUILT THIS PERMIT TYPE CONSTRUCTION SQ. FT. # BDRMS VALUATIoN SEWAGE DISPOSAT PUBUC tr SEPTTC TANK !oTHERn PTUMBING INSTATTED BY OWNER E OTHER: NAME BUII.DING WASTE DISPOSAT PTUMBING PtAN REVIEW PARK TRAITER FEES WATER SUPPTY PUBTTC !tr OTHER TOTAI. COUNTY BUILDING & SANITATION SPECIFICATIONS MIN, SEPTIC TANK CAPACITY WITH DIST. BOX: GAT. DRAIN FIETD REQUIRED TIN. FT TRENCH WIDTH FT OR SQ. FT TYPE OF STRUCTURE OCCUPANCY ZONE PUBTIC UTIt. EASEMENT BI.DG. SETBACKS FRONT FT. FROM CTR. OF ROAD RIGHT OF WAY SIDE INT, SIDE EXT. USE CTASSIFICATION REAR AUTHORIZED SIGNATURE _ DATE DATE BI.DG. PERMIT _ WH ITE OFFICE COPY _ WHITE COUNTY TAX _ PINK PLUMBING _ CANARY BUITDING _ GREEN SANITATION _ GOTDENROD Coll 687-4065 to schedule oll required inspections. All construc- tion sholl comply with Uniform Building Code, D.E.Q. stondords IMPORTANT: for subsurfoce sewoge disposol qnd county regulotions covering plumbing. All buildings require o certificote of occuponcy before being occupied. (See Detqils on Reverse Side) (POST THIS PERMTT ON MAIN BIDG. AT S|TE) LANE COUNTY, DEPT. OF ENVIRON'{ENTAI MANAGEMENT COURTHOUSE ANNEX, I35 EAST 6Ih, EUGENE, OREGON 97401ronu#655-13 SLAB FLOOR PLUMB ING GROUNMORK Appnov E o ReManx s D r slppRovro Dar E I Nsercron GAS PIPING GROUND,VORK D DrsrppRovro D Dare I HsprcronAPPRov E o REuenxs ROUGH PLUMBING Appnovro N DtsrppRoveo D oorrS'12-A. Reuanxs I uspec ROUGH GAS PIPING APPRovED D DrsappRovEo D ReManr s Dar r lr.tsprcron FINAL PLUMBING AppRov e D Re uaRx s DrsrppnovEoH D o^,#ZJ_L lNspe c FINAL GAS PIPING Ap pnov e o Reul nx s D DrsAPPRovEo D o# CERTIFICATE OF OCCUPANCY Rraov ro lssue RruaRxs Not REnov ro lssuE Dare I NSPEcToR IANE COUNI BUTLDTNG E dU!LDING PERMIT MHE OR MOBITE HOn,c USE PERMIT PERMIT NO. PROPERTY OWNER MAITING ADDRESS PHONE CONTRACTOR MAITING ADDRESS PHONE I E PROPERTY LOCATION - INCTUDE POST OFFICE Yub-s,t{0 PROPERTY TEGAI. DESCRIPTION _ METES, BOUNDS I RANG E SECTION TAX LOT NO CODE CENSUS TRACT EXISTING STRUCTURES ON PROPERTY APPT. NAME & MAITING ADDRESS TEGAT ACCESS TO PROPERTY t \ns.-\\)\\FS$, N\DEPTH AREA FOR MOBILE HOME No. of Bedrooms J mnto Exi ng New m DRMS VALUATIONSTRUCTURES TO BE BUILT THIS PERMIT .F s\ \J $- \s\\s+\ r\ SEWAGE DISPOSAT PUBttC N SEPTIC TANK tr OTHERE PTUMBING INSTATTED BY OWNER ! OTHER: NAME BUITDING WASTE DISPOSAT PIUMBING PtAN REVIEW PARK TRAII.ER (FEES WATER SUPPTY PUBUC tr tr OTHER TOT,AT COUNTY BUILDING & SANITATION SPECIFICATIONS MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GA[. DRAIN FIEID REQUIRED TIN. FT TRENCH WIDTH FT OR SO. FT I TYPE OF STRUCTURE OCCUPANCY ZONE PUBTIC UTIL. EASEMENT BLDG. SETBACKS FRONT FT. FROM CTR. OF ROAD RIGHT OF WAY SIDE INT. SIDE EXT. USE CTASSIFICATION REAR AUTHORIZED SIGNATURE - DATE DATE BLDG. PERMIT _ WH ITE OFFICE COPY - WHITE COUNTY TAX _ PINK PTUMBING _ CANARY BUILDING - GREEN SANITATION _ GOTDENROD Coll 687-4065 to schedule oll required inspections. ,All construc- tion sholl comply with Uniform Building Code, D.E.Q. stondords IMPORTANT: for subsurfoce sewoge disposol ond county regulotions covering plumbing. AII buildings require o cerlificole of occuponcy before being occupied. (See Detoils on Reverse Side) ronu Jt C5s- t3 (posT THIS PERMIT ON MAIN BIDG. AT SlrE) IANE COIINTY, DEPT. OF ENVIRONMENTAT MANAGEMENT COURTHOUSE ANNEX, I35 EAST 6th, EUGENE, OREGON 9740I \ TYP.P SQ: FT SITT INSPECTION App Rov r o Reuanx s DtsappRoveo Darr I Nspecron FOUNDATION INSPECTION Ap pnov r o Reur Rx s FRAM I NG AppRov e o Rr INS Drsap ROVED DrsappnovEo 4 Dar E +) '' q - 3'-l { Drr E I rspecroR I Ns pr croR K LATH OR SHEETROCK INSPECTION AprRovEo D Dr srppRoveo Rruanx s Dar e I HsrEcron - L>- FINAL INSPECTION Ap pnov e o RrueRx s I SAPPROVEO Dar e I Nspecro t, / CTRTI FICATE OF OCCUPANCY Reaov ro lssur REuanx s Nor Reaov to lssuE DarE 6 o'o€D6 -7/ , llrsprcton D t0N- f/mse cr// dien rea/v */,J,//p,bfr of -?N'LANE COUNT' JITDING PERMIT OR MOBITE HOIVT- USE APPTICATION PERMIT TYPE - BUILDING MOBILE HOME OSC REG. #PERMIT RTY OWNER MAITING ADDRESS 7 , lc- CONTRACTOR PROPERTY TION _ INCTUDE POST OFFICE 0 €a G S(I €d.f il nT PROPERTY LEGAT DESCRIPTION LOT-BLOCK-SUBDIV. TWP RANGE &a r.L 2_a MAITING ADDRESS 2 "J T CENSUS TRACT PHONE METES & BOUNDS ATTACHED ,?J YES NO'a-L-Y 8. Z CODEl-r 3 APPLICANT NAME AND MAII.ING ADDRESS DESCRIBE EXISTING STRUCTURE PROPERTY IF ANY /l TEGAL ACCESS PROPERTY SIZE_WIDTH OR J ,r,l AREAEuqe he Or"q 6o lt 0,ron MoerLE not*fpenMrr oNLY Number of Bedrooms Connect to Existing Sewoge System I or New System Req. SQ. FT.BEDROOMS VATUATIONSTRUCIURES TO BE BUITT THIS PERMIT A dd^"k o,^ TYPE qP\.rSTRUcTroN JTrrnne Llx t3 t,54w SEWAGE DISPOSAT PTUMBING INSTATI.ED BY PUBLIC N SEPTI TANK OTHER OWNER OTHER NAME WATER SUPPTY PUBUC n PTANS FURNISHED FACITITY PERMIT FEES OTHER YES E NO I-I YES fl NoIBtDG. WASTE DIS. PTUMBING PTAN REVIEW PARK TRLR. 6.-PTUMBING FEES { ,,rrr*,, NATU DATE TECASH n sEwER cHECK n CONNECTION FEE PERMIT PUBTIC WATER CONNECTION FEE COUNTY BUILDING & SANITATION SPECIFICATIONS DRAIN FIETD REQUIRED LI FT H WIDTH FT 95-TOTAL MIN. SEPTIC TANK CAPACITY D IST,E FEET C TYPE OF STRUCTURE BLDG, SETBACKS _ FT. FROM CTR. OF ROAD RIGHT OF W, OCCUPANCY ZONE REAR YARD PUBTIC UTIT. EASEMENT USE CLASSIFICATION Form # css-t2 REAR 3-/l-? FRONT SIDE INT. SIDE EXT Dqte BLDG. INSP.Dote PLANNING COPY I _ OFFICE COPY 2 _ JOURNAT COPY 3 _ AUDIT Lar v ,t P,a,.. l//6 ^,f a v 1r,, ,.sb 742 - ?3.f,/ I I Direclions lo Find Property: