HomeMy WebLinkAboutPermit Building 1983-12-15$il- t4-eJ f"lf-,n'
Lane County Authori zattot:, for'FOR OFPICE USE ONLY
Applicatio
Permit #
t'(P RANGEo3 SECTION 4 TAX OF
LOTlPARCEL
6hA-o
brCJ)
CITY - aZlP
Lold Ot,PROPOSED USE OF PROPERTY
6sidentiar [-l rndustrj.ar
l-l commercial I e,rurl.
ION OF PROPOSED trrD VALUE
#n stingsed
ehn^l-rc *k
PERMIT, and do hereby certify rhaL ))an infomation hereon is true and correct, and that I
of recordi ! contract purchaser; ffiuthorized agent wj-th evidence of authority attached.
I f:rther certify that a;y and all work perfomed
pertaining to the work described herein, and that
ther certify that registration with the Builder's
1s noted hereon. and that only subcontractors ed
CHECKED THIS APPLICATION THOROUGHLY.
shall be done in eccordance with the ordinances of Lane couty and the Laws of the state of oregon
No occUpANcY will be nade of any structure without the pemission of the Building Division. r fur-
Board is in full force and effect as required by ORS 701.055, that if exempt the basis for exempti
employees who are in compliance with oRS 701.055 will be used on this project. I HAVE READ AND
zti aLa;NAr.lE-l-pGretEi"il n{ fi* A n/oa rly
{ oiia
have the following legalr,interest-in the property: !T":.
I HAVE EXAMINED THE COI"IPLE?ED
READ THIS SECTION CAREFULLY
fl plaNxrnc,zZoNrNG: zone
Minimum Setbacks, CL, ftort
Parcel # Parcel Size;*,zWbJ*#Esl
/ l-
Partition #
c ._L, slde-_I
CO}TUENTS
Installation
Speci fications
I
s. r. *
L
LCI ,o
I f'f.OOopf,af u: rn frooal hazard area?t-"f]Yes, sEE ATTACHED sHEEr.
Date:
Date:
E/S"Ufgffp*'B. P. #qoo4 Installation Record rssued? ! v." fl ,"
GalIon
Tank
Lineal Feet
of Drainfield
Maximum Depth
of Trenches
YOUR AUTHORIZATION HAS BEEN BASED ON THE FOLLOWING CONDITIONS:
(
COM}IENTS:
Groupu/qlauq EXAMINATION: rype
COM}IENTS:
Date:
Date;
TOTAL VALUATION $CONSTRUCTION AUTHORIZED BY THTS PERMIT
Description Sq.
+
Fixed Fee/
Unit Cost
Floodplain Fee $
Subsurface Fees $
Building Eee $
l.1echlPlmbg Fee $
Pr ans Check Fee $
State Surcharge $
DEQ Surcharge $
ToTAL FEE $$
Q.
-77Ve
PERMIT APPROVED BY BUILDING OFFICIAL,/DESIGNEE (PCT ORS 456.805
LANE COUNTY DEPARTMENT OF PUBLIC WORKS LAND MANAGEMENT DIVISION, 687.4061,
1 25 EAST 8TH AVENUE, EUGENE, OREGON 97401
SEE REVERSE FOR INSPECTION INFORMATION
Two Copies of Plans
Three Copies of PIot Plans
Mech/Plumbing Checklist
Legal fnterest Document
PIan Check Info Sheet
SPECIFIC
: OL' BEDiIOOIVIS
n"6 (JfIOF SI'ORIESEnO-
D
SETBACKS AND OTHER CONDITIONS OF APPROVAL MUST BE STRICTLY OBSERVND. VIOLATION CAN RESULT IN REVO-
CATION OF THIS PERMIT, C]TATION UNDER PROVfSIONS 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 IIOURS ADVANCE NOTICE FOR ]NSPEC-
the following j-nformati'on re ady: permitroll nfQunsTs MUST BE GTVEN. Have
of inspection, when it will be ready, your name and phone number, and any
BUILDING DIVISIONS
i
REQU]RED INSPECTIQNS
t number,
special di
job address, type
rections to. site .
t Foundation Inspection: To be made after trenches are excavated and forms erected and when aII
meterfaffi-for--EEe-foundation are delj-vered on the job. Where concrete from a central mixing
plant (commonty termed "transit mixed") is to be used, materials need not be on the job.
2. Concrete SIab or Under-Floor fnspection: To be made after all in-s1hb or under-floor building
IpIig=a.ccessories, and other aincillary equipiment items are in
is poured or floor sheathing installed, including the subfloor.EEiTIce eqllpme-nt , conduit, p
place but before any concrete
3 Framing & Insulation InspeclionJ-: To be made after the roof, all framing, fire blocking, and
b-r".I"g areTn pTace ;na;f elp-es, fireplaces, chimneys, and vents a::e complete and atl rough
electrical and plumbing are apptoved. A11 walI insulation and vapor barrier are in place.
Lath and/or Gypsum Board Inspection: To be made after at1 lathing and gypsum board, interior
anE-exEerlorl--IE-In pTace-Etrt EeTore any plastering is applied and befbre gypsum boartl joints
and fasteners are taped ancl fj-nished"
Final Inspection: To be made after the building is complete and before occupancy.
4
5
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 obLaining the approval of the building official
Such approval shall be given only afr:er an inspection shali harze been made of each successive step
in the construction as indicated by each of the inspections required.
NOTE: A11 building permits require inspections for the work authorized, such as but not limj-ted to:
A. Block Wall: To be made after reinforcing is in place, but before any grout is poured. This
Lnspectfon 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 masonry (if applicable) aad when installation is
complete, Installation shall be 1n accordance with an appioved, naticinally recognized testing
agency an,1 the.manufacturer's instal-Iation 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 piumbing connections.
1. Footings ancl piers t-o comrrl-'.r r+it-h State foundatio.n requirements for mobile homes or as
, recoranended $y i:he manufacl-,-tre::.
2. Mcbrle iorre ioinimum:i:-nj-sh floor elevation shall be cer:tified when required by a flood-
nlain r..,..r.igemcnt- letter.
3. I,4obiIe home tiedowns, when required, and skirting shall be installed and ready for inspec-
tj-on within at l-east 30 da.ys after occupancy. 'Iiedowns and skirting shall be installed
per enclosure.
D. Swimming PooI: Belo-ur grade r'rhen steel is in place anC before concrete is poured. Above grade
w-Een pool-is -in:talied.
APPROVED PLANS MUST BE ON THE JOB SITE AT ALL TTMES DURING WORKING HOURS" THIS PERMIT Vi.f,LL EXPTRE
IF WORK DOES NOT BEGIN WITHIN 180 DAYS, OR IF WORK TS SUSPENDED.OR ABANDbNED FOR MORE.THAN 180 DAYS.
SUSPENSION OR REVOCAT]ON ltAY OCCUR IF THIS PEP.MIT I^7AS ISSUED ON THE BASIS OF INCOMPLETE OR ERRONEOUS
INFORMATION.
dNYous pRocEEDrllG'-pAST THE porNT or REouTRED TNSpECTToNS wrLL Do so AT THEIR owN RrsK.
SUBSURFACE AND ALT]T-]RI.JATIVE SEWAGE DISPOSAL SYSTEMS :
Permits shal-l- bt effective for one year from the date of issuance.
Upon compler-.;.,ig Lhe construction for which a permit has be'en issueC, the permit holder sha1l
notify the r-,anr: aounty Departxlent cf Flanning and Community Development by submitting the
installati.:-rii rLco.rd form, The Dcpa;-i:rnr-:nt:;hall inspect the constrr:c'cicn to determine if it
complies \r-:;r Lhe r:u1es contained in thr:; division. If the constru:'tion does comply with such
rules, the Lopar'i.rnent shall issrie a certificat.e of satisfactory cornpletion to the permiti holder.
If the consl::rr:.::ion does not comply with suci: ruIes, l:he Department shal1 notify the permit
nolder ancl s1...:.'r require satisfactory completion before issuing the cr:rtificate. Failure to
meet the resuilements for satisfactorl, completion within a reasonable lime constitutes a vio-
Iation of OiiS 4!;4.605 to 454.745 and this .ru1e.
Setbirp_ks - iL€:s*{:I.aSg Sewage qfEloggl
Septic Tank
10r
10 r
5r
50'
Drainfield
From
I
2
Interior property lines
Edge of road right-of-way
Building foundation
We1Ls, other water sources
C t4-25
10 |
10!
L0!
100 r
lane county
APPLICANT INFORIVIATION: TRS, TL
CHECKTIST
PTUMBING /MECHANICAT
ADDRESS
OFFICIAL USE ONLY
App1i./
Permit #-
or rm-ase
PLT]MBING CONTRACTOR fl ves Firm
Address
f] ivo D s"rr
MEG]ANICAI CONTRACTOR N Yes Firm
Address
,ICSS
fl No I serr DIRECTIONS TO SITE
or
Cont. OSR#
1p
Cont. OSR#
PLTIMBING
Type of Fixture Number of Each Fee On Each Total
Sink $ s.oo
va Bas 5. 00
Tub (with of without shower)5. 00
Shower, separate 5. 00aterSC15. 00
5.00
CI I 5. 00
W 7,\:tvt )5. 00
er 5.0
Floor Drain 5. 00Sewer-1st 50ft.1.5.0
e 100 fr.10.00
Water Service--1st 100 ft.15. 00itional 100 ft.10. 00
Storm and Rain Drain--lst 100 ft.15.00
each additional 100 ft.10. 00
Spec+e1 Waste Connection 5. 00
Sewage and Sump Prmp i ej ector 5. 00
e
SUB-TOTAI (lt4inimum $10. 00)
TOTAI FEE
N{EO{ANICAL
I certi hat aI I umbi n rk wi
cordan i cabl p isi
vi sed t Ch 7&
693
cabl
ice
Type of Equipment N\rmber of Each Fee on Each Total
Mechanical Permit Base Fee $ ro. oo
Furnace jlp to 100,000 BTU/H $ 6.00
Furnace over 100,000 BTU/H 7 .50
Clothes Dryer Vent 3. 00
Bathroom Ventilation Fan C Dlct 5. 00
- Range Hood with ltbchanical Exhaust 4.50
Wood Stove 6. 00
_ Air Conditioner Only 6. 00
- Heat Purnp 6. 0t)
Floor Furnace 6.00
Gas Piping System 1 to 4 Outlets
Per Outlet 50
9ther (specify)
SI]B-TOTAL
TOTAL FEE
S
I ess
re
wi th
under
3 d
be
of
Date
in
a a no e p
'r ss
emp
u1 'lxI 1
Wat.er t
it
ewer an(t(00
0ther
lane county
ACl ^ .TY INFORMATIOI JHEET 'o_
COMPLETE THIS SECTION. INCOMPLETE FORMS WILL BE REJECTED!
I Lr- q.-l Zfo*--5.o*g
T W
Br^ a6ff frr o 0
t)aturL"yt)C rIY Oe 27rrP'lUZ
C0DE
7f f- tl S\ ,4,-',-\
I
BUSINESS TELEPHONE #HOME TELEPHONE #ffi ' ^ / ''s-<
HOME TELEPHONE #
2. PROPERTY ADDRESS
(IF DIFFERENT FRO@
3 rvlae e PAneEL NUMBEFI
( REQUIRED I NF0RI,IATI0N)
(from tax maps in Department of Assessment and Taxation
or from tax statement)
U,
2 cg ffiq, I 4soo
.ONING
/a-
TOWNSH I P
3Ja RA
ZONINGMNGE SETTION MLOilS) OR P #
T0ilNSH]P RTN-6E SEEMON
TOTAL CONTIGUOUS PROPERTY IN SAME OWNERSHIP:
ffi ZONIne
/,f ACRES
4 ,rrrUr-ON (if applicable)LOT BLOCK
5 REQUEST (state exactly what you plan to do)
6 DIRECTI0NS T0 SITE: -l € 3o u-a,;-b--d
** FOR STAFF USE ONLY **
ZONE/LAND USE:
BY :
--
DATE:_TIME i N:_ OUT :_
NUMBER
DATE
-lFa
-{,l-
LAND MANAGEMENT DIVTSION / 125 E. 8th AVE., EUGENE, 0R 97401 / 687-4061
6- / //aa/Y
MAILING ADDRESY
lane countydOtID SLIP
APPI.ICATION #Z/Z/-E?
LOCAT I ON fr?6tr,NAME
ADDRESSto
J - "LrP foDE
The above appfication is being held for the following reasons:
il Wd/tW (ZlW* 4- n"&na gbauq nle 1t rya,r,t op*r.)
ttl4qtL,ttry," An TE- htU+f* lAruttaut4 n"$M t#fl1lWfieA.rt
*{€r
tt-
/,?-/? -fi?
TURE
AVAILABLE BY APPO TNTMENT 0NLY (nO Wnlr-trus)
DATE
687-4061
E URS
This app'lication will be held until If the information required
above has not been furnished by thaTlate your'+pl'icatjon wjll be cancelled.
RETURN TtIIS SLIP t^lI'iH THE ABoVE REQUESTED INFORMATI0N.
BUILDING & SANlTATION / PLANNING & COMMUNITY DEVELOPMENT DEPARTMENT
125 East Bth Avenue I Publ'ic Service guilding / Eugene, 0regon 97401 / (503)697 -''''''''
LI
1
bnecorrty
MINIMUM PLAN REQUIREMENTS IT)o sets of plans are required tO -\ow the fo]lowing:]
A'l I Pl ans all include:
2.
Name and address of property owner.
Name and address of the person who prepared the plans.
3. The scale on al1 drawings.*4. An accurate description of the building use.
@ I
i
Plot Plan to include:--*T. -Xioftf pornTlproperty bou2. Existing structures and d3. Proposed structures size,4. Locati on of sept'ic tank ,5. Location of water supply.6. Locat'ion and dimension of7. Location and dimensions o*8. Locat'ion of all s'igns (if
9. Township, range, sectjon
not an entire tax lot.)
Buildin Plans to include:
Use of eac
Locati on ,
Di recti on
ndaries and dimensions.
imensions, distances from boundaries and other structures.
location and distance to boundaries and other structures.
drainfield and rep'lacement area or sewage system hookup.
utjl jty easenrents (if applicable).f vehicle access to the site; *and off street parking.
appl icabl e) .
and tax lot number (and metes and bounds description, if
XftiltuF*Wfiuquw
r Plan
a-l?Affi..a*-a&.
ach floor an
s pace
ize and type of all doors, windows and openingsf door swing.
e
h
s
0
semen
i ons r plan of new and existing building.
b. Fi I ace wood stove drawi s and details (jf a pp1 i cabl e
ialofallairducts,air.inlets,airoutlets,ventila.
tion ai r open'ings and combustion a'ir openi ngs and ducts.b. Location of all fans, furnaces, heat pumps; and *boilers, condensers, absorp-
tion units, refrfgerant compressors.c. Rate input and output capacity, in Btuh or Kl,l, for all furnaces, heat pumps;
and *boi'lers, condensers, absorption units, refrigerant compressors, unit
heaters, heat exchangers, etc.d. Location, size and material of al1 products of combustion vents and chimneys.
e. Rated CFM at all exhaust fan, supply air and return a'ir openings.*f. Location of all air dampers and fire shutters.*g. Details of method of attaching fire dampers to construction hs well as size
and gauge of materials.
C]gr:lrSgt.i-g!-: *ln addition to other requ'ired plans, these plans are required with
commerc'ial/industrial plans, when aopl icable.
(i
Z
i.
a
b
c
d
5
caan
i)
r'
T, tl i.;
I t\r'
L tj L'"