HomeMy WebLinkAboutPermit Building 1984-06-156I!'
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La,ne County Au za,t
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FOR OFFICE USE ONLY
Application,/
Permit *
Two Copies of Plans
Three Copies of Plot Plans
Mech,/Plumbing Checklist
Legal Interest Document
Plan Check Info Sheet
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SECTION2e,4,4 TAX LOT OUT OFt7!a'dl.:sHIp rr RANCE 07
BLOCK4f appI LOTIPARCEL
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ZTPTION ADDRESS c
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PROPOSED USE OF PROPERTY
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n commercial
f] rndustrial
PubIic
On
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VALUEld.- BE SPECIF
Proposed
Existing
WA# OF STORIES U
AY1.n
-./+ oF EMPLUIEES
nor\Q/= 6F trEDROOMS"n9vtQ-
TELEPHONE NUMBER,,S NAME AND ADDRESSXr. Ku.q.tu 9,2-bzo fuxbw **om t%a
TELEPHONE NUMBER74714t+CONTSACTOR I S
\TELEryONE NUMBE}'
CHECKND THIS APPLICATION THOROUGHLY.
"3 -8665
DATE
with
CoMPLETED APPLTCATTo{i FoF(
in the propertrr{orn"t o
trueIS correctand and rh Ihereoninfomationdoandce xt.iPERMITherebyTHEEXAMINEDIIAVEICAREFULLY
of authori attachedcontractrauthorizedtnevi.dencepurchasea9e tyrecordinterestTthefollowingl-egaI
w1 therh nancesOrdi Laneof and Lawsthe of State Oreoftheworkalldbesha11andoneaccordanceCowty gonIcertithatandfyperfomeany
tructures thoutwf,the MI ofon Bui Di l5AOnthe fur-thatand occuPANCYNO wI be ofnade pe 1din9toworkthedehere.incribed anyrtaining
as 70 that if basthe for15onbthBuildethetBoardfnISfulandforcee ffect exehpt exenptirthethatWItrationbyrequiredcertifyre9f,t I R-EADHAVE ANDwaORSth0s5'10L bewi 11 duse on thisildarewhoIN prolechereonnotedandthatsubcontractorsenployeescompl-ianceonly
YOUR AUTHORIZATION HAS BEEN BASED ON THE FOLLOWING CONDITI
side
fl lr.ooopraru:In flood hazard area?
rnstallation Record rssued? f] v"" I ll"
Maximun DepthInstallation
Specifications
CO}l}lENTS:
IJate:
Parcel
a
No
*gx}trysr:"-,
/&
r(*
Use
CO}4.[1ENTS.:
front
6
r
lm
s. r. #
of Trenches
Yes, SEE ATTACHED SHEET.
READ THIS SECTION CAREFULLY.
COI'I,YENTS:
I'eet
field
Date :
Date:
Gal1on
Tank
Partition #! plaxnrnc,zZoNrNG:
I,linimum setbacks , "",
TOTAL VALUATION $CONSTRUCTION AUTHORIZED BY THIS PERI\,IIT
Sq. Ft.
Fixed Fee/
Unit CostDescription
Floodplain Fee
Subsurface Fees
Building {ee
Ilech,/PImbg Fee
Pr ans Check Fee
State Surcharge
DEQ Surcharge
TOTAL FEE s$ //,f
$
)
$
$
$
$
S
_BE-
PERMIT APPROVED BY BUILDING OFFICIAL,/DESIGNEE (PET ORS 456
LANE COUNTY DEPARTMENT OF PUBLIC WORKS LAND MANAGEMENT DIVISION, 687-4061,
I25 EASTSTH AVENUE, EUGENE, OREGON 97401
SEE REVERSE FOR INSPECTION INFORMATION
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SETBACKS AND OTHER COND]TIONS OF APPROVAL MUST BE STRICTLY OBSERVED. VIOLATION CAN RESULT IN REVO-
CATION OF THIS PERMIT, CITATION UNDER PROVISIONS OF LANE COUNTYTS INFRACTTON ORDINANCE, AND/OR OTHER
REI"IEDIES ALLOWED BY LAW.
WHEN READY FOR TNSPECTION, CALL 687-4065.A MINIMUM OF AT LEAST 24 HOURS ADVANCE NOTICE FOR INSPEC-Iowing information'ready: permit number, job addreis, type
name and phone number, and any special directions to. site.
N. Have the folof inspection, when it will be ready, your
BUILDING DIV]SION:
REQUIRED INSPECTIONS:
1. Foundation Inspection:To be made after trenches are excavated and forms erected and when allmaterj-als for the foundation are delivered on the job. Where concrete from a central mixingplant (commonly termed .transit mixed") is to be used, materials need not be on the job.
2- Concrete Slab or Under-Floor rnllsslien: To be made after aII in-s1ab or under-floor buildingEeiVi-ce equiprentl-conEuIt, plplirg accessories, and other ancillary equipment items are inplace but before any concrete is poured or floor sheathing installed,-including the subfloor.
3. II9In}rIC & rnlulalion Ingpegliofts: To be made after the roof, all framing, fire blocking, andbracing are in place and all pipes, fireplaces, chj-mneys, and vents are complete and aII roughelectrical and plumbing are approved. All wall insulation and vapor barrier are in place-
4. Lath and/or GypsuT Bogrd Inspection: To be made after all lathj-ng and gypsum board, interiorand exterlorl-Ts:-n-p-race-EutGEore any plastering is applied.r,6 u.roiL gypsum board jointsand fasteners are taped and finished.
5. FinaL rnspection: 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 pointindicated in each success.ive inspection without first obtaining the ipproval of the building olficial.such approval shall be given only after an inspection shal1 have been made of each successive stepin the construction as indicated by each of the inspections required.
NOTE:
a
C. Mobile Home
sewer or septskirting, and
1. Footings and piers to comply with State foundation requirements for mobile homes or asrecommended by the manufacturer.
2. Mobile home minimum finish floor elevation shall be certified when required by a flood-plain management letter.
3. Mobile home tiedowns,-when required, and skirting sha1l be installed and ready for inspec-tion within atJ-east 30 days after occupancy. Tiedowns and skirting shall be installedper enclosure.
D
A11 building permits require inspections for the work authorized, such as but not limited to:
Block I',lal1: To be made after reinforcing is in place, but before any grout is poured. This
-nspecElon.is
required for each bond beai pour. -There will be ro apir6.rr.r until the plumbingand electrical inspections have been made and approved.
Wood Stove: To be made after completion of masonry (if applicable) and when installation iscomplete. Installation shaII be in accordance with an approved, nationally recognized testingagency and the manufacturerrs installation instructions.
An inspection is required after the mobile home is connected to an approvedic system for setback requirements, blocking, footing connection, tie-downs,pJ-umbing connections.
swimming Pool: Berow grade when steel is in prace and before concrete iswTen pool-IE-ins ta t led .
SUBSURFACE AND
D poured. Above grade
APPROVED PLANS MUST BE ON THE JOB SITE AT ALL TIMES DURING WORKING HOURS. THIS PERMIT i,i1r,r, eXerngIF WORK DOES NOT BEGIN WTTH]N 1&O DAYS, OR IF WORK IS SUSPENDED OR ABANDONED FOR MORE THAN 180 DAYS.
SUSPENSfON OR REVOCATION MAY OCCUR IF THIS PERM]T WAS fSSUED ON THE BAST6 OF INCOMPLETE OR ERRONEOUS
INFORMATION.
ANYONE PROCEEDING PAST THE POINT OT REOUIRED INSPECTTONS WILL DO SO AT THETR OWN RISK.
ALTERNATIVE SEWAGE DTSPOSAL SYSTEMS:
2
Permits shall be effective for one year from the, date of, issuance.
Upon completing the construction for which alpermit has been issued, the permit holder shallnotify the Lane County Department of Planning and Community Development by submitting theinstallation.record form. The Department shall inspect the construction to determine if itcompligs with.the-ru1es contained in this division. rf the construction does comply with suchrules, the Department shal1 issue a certificate of satisfactory completion to the-permitlholder.rf the construction does not comply with such rules, the Department shall notify the permitholder and shall require satisfactory completion before issuing the certificate. Failure tomeet the requirements for satisfactory completion within a reasonable time constitutes a vio-lation of ORS 454.605 to 454.745 and this rule.
Setbacks - Subsurfa.ce Sewage Disposal
Septic Tank
10 r
10 r
5r
50 |
Drainfield
I
fnterior property lines
Edge of road right-of-way
Building foundation
We11s, other water sources
From r0r
r0r
10 I
100 t
lone camty
ACTI'- TY INFORMATION JHEET
COMPLETE THIS SECTION. INCOMPLETT FORMS t^JILL BE REJECTED!
th!t
--n 6Le 5
N REQUEST
ESS
EtfuEua"c€s
-pnI-PERTV-OENrF--5 Rosebl o ssoYyr _
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MAILING ADD RESS
BUSINESS TEIEPHOfrE_7 i-l [. [-E Ett
2 PROPERTY ADDRESS
3 rvlap a FAFTcEL NUMsIEFT
(s!-quuE!_ r NF0RT4AT r 0N )
STATE zIP EODE
/-f
BUS I NESS TELEpHONT 7 HOME TELEPHONE #
(frorn tax maps in Department of Assessment and raxationor from tax statement)3 73 o/7ao
R-ANGE SMTiON T RP ZONTN6---
TOTNSFTP EAIGE SEITIOU MT_TOT_( s]-TR-TA[m-r
E E C ITY
_n_
TOWNSH I P
ZON I NG
MilNSH]P RANGE SEETIOII
TOTAL CONTIGUOUS PROPERTY IN SAME OWNERSHIP:
'n
6
TAx LoT(s) oR pARm-T
OT -f BLocK 3
ZON ING
ACRES
4 SUBDIVISI0N (if applicable)
5 REQUEST (state exactly what you plan to do)
2L e
6 DIRECTIONS TO SITEi
ZONE/LAND USE:
0se b
** FOR STAFF USE ONLY **
6o R"*
NUMBER
DATE
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BY r -_- DATE:--_- TIME I N:_ OUT :
LAND I,IANAGIMINT DIVISION / 125 E. Ath /Tr., FUGENE, OR 9740I / 687-406I
I
t
( rr DTFFERENT TnoMTATITNEW
HT'LD SLIN lane county
APPLICATION #
LOCAT I ON
NAME
ADDRESS
ZIP CODE
The Lane County Building and Sanitation Division cannot proceed with processing
your application because:
l. D Incomplete applicat'ion (items deficient).
Address and/or directjons to application site.
Proposed number of bedrooms in dwe11ing.
Approvable plot plan (see attachment).
Notification of date test holes will be ready.
n Verification of existing system required (see attachment).
n Two test holes (2'x4'x5' deep) required for expansion or repairE of existing sewage disposal system in the area of the proposed
dra i nfi el ds .
2
3
4t
11. ,
A.t
?AU,
4
'/lf -,r gW,A
\n4 a
l4
S IGNFTURE DATE
from tof:ro to
OFFICE HOURS
f no response has been received in regards to this matter by
ication will be denied.
BUILDING & SANITATION PROGRAM / LAND MANAGEMENT DIVISION
Courthous.e-Public Service Bui.lding / 125 Eqst 8th Ave. l Eugene, 0R 9740lr / (503)687-406'l
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