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Home My WebLink AboutPermit Building 1983-12-28f ((rzz.rj Authorization for'L Coun ty6l!' - FOR OFEICE USE ONLY Applica Permit Two Copies of plans Three Copies of plot plans Mech/Plumblng Checklist Legal Interest Document Plan Check Info Sheet ::J7 RANGE asq.IENTITTC cable )BLOCK PROPOSED USE OF PROPERTY ,EGesiaer,t:-at l-l commercial [-l rndustrial PubIic - BE- SPECIF WATER SUPP tinged TELEPHONE NUMBER (please "H:"#:ilm'::'i::: requirea-Dv oRs 701 -055 have cert.i f y ,Y EXAMINED THE COMPLETED APPLICATION FOR pERnIT, and do hereby fy that all infomation hereon is true and correct , and that I legal interest in the property , florr.r of record i I contract agent with evidence of authority attachedthat any and aIl work perfomed shal1 be done in accordance with Cowty and the Laws of the State of Oregonto the work described herein, and that NO OCCUPANCY wi1l be made of any structure wj.thout the pemission of lhe Building Division. I fur-ther certj-fy that regislration with the Builde!'s Board is in ful1 force and effect as oRs 701 that j.f exempt the basis for exenptiis noted hereon, and that only subcontractors ild employees who are in with on this project- I HAVE READ AND CHECX.ED THIS APPLICATION THOROUGHLY In flood hazard areaa [-l uo [-l ves, SEE ATTACHED SHEET Ins tallation Specifj.cations: IJate : YOUR 2Z COMI.IENTS Date tr UseGroup. tr ILOODPLAIN: tr SANITATION! s. I. #B. P. # NATIoN: rype filJ ! """ fl*" COIO1ENTS: ZATION HAS BEEN BASED ON THE FOLLOWING CONDITIONS ! Parce1 *Parcel Size interior re ar Installation Record Issued? Date: Date: callon Tank Lineal Feet of Drainfield READ THIS SECTION CAREFULLY ff pr,annruc/ZoNrNG: zone. Minj.mm Setbacks, CL, frort Partition #-- L. SrOe_ I'laximum Depth of Trenches TOTAL VALUATION $CONSTRUCTION AUTHORIZED BY THIS PERM]T ip Sq. Ft. Fixed Fee/ Unit Cost Floodplain Fee Subsurface I'ees Building Eeeu@ Pl ans Check Fee State Surcharge DEQ Surcharge TOTAL. FEE ) + ) $ $ ) )t -47w lL-Zb-*3 PERMIT APPROVED BY BUILDING OFFICIAL,/DESIGNEE .per ORS 805 I DATE LANE COUNTY DEPARTMENT OF PUBLIC WORKS LAND MANAGEMENT DIVISION, 687.4061, 125 EASTSTH AVENUE, EUGENE, OREGON 97401 SEE REVERSE FOR INSPECTION INFORMATION LOTlPARCEL ,_. /-723 / DATE' D SETBACKS AND OTHER CONDITIONS OF APPROVAL MUST BE STRICTLY OBSERVED, VIOLATJON CAN RESULT IN REVO- CATIoN oF THIS PERMIT, CITATION UNDER PROVISIONS OF LANE COUNTY'S INFRACTION ORDINANCE, AND/OR OTHER REMEDIES ALLOWED BY LAW. . ttave the fWHEN READY FOR INSPECTION,@uof inspection, when it wiIl CALL 687-4065. A MINIMUM OF AT LEAST bllowing information rea be ready, your name and phone number 24 HOURS ADVANCE NOTICE FOR INSPEC- dy, permit number, job address, tYPe , and any special directions to site. BUILDING DIVISION: REQUIRED INSPECTfONS: l. Foundation Inspection: To be made after trenches are excavated and forms erected and when all *tffirffi;ndation are derivered on the job. where concrete from a centrar mixing plant (commonly termed "transit mixed") is to be used, materials need not be on the job. 2. Concrete Slab or Under-Floor Inspection: To be made after atl in-stab or under-fIoor building ;ar*"" "a.+-.entl-EonEult, plpilrg accessories, and other ancillary equipment items are in place but before any concrete is poured or floor sheathing installed, including the subfloor. & Insulation Inspections:To be made after the roof, aII framing, fire -blocking, and , fireplaces, chimneys, and vents are complete and aII rough ed. aII wall insulation and vapor barrj-er are in place.are in place and allpipes cal and plumbing are aPProv gypsum board, interior re gypsum board joints 3 4 framing bracing e Iectr i, Lath and,/or Gypsum Board Inspection: To be made after all lathi End-ex-teri-orEn-place-EuEEToreanyplasteringisapplieda and fasteners are taped and finished. ng an nd be d fo 5. Final Inspection: To be made after the buitding is complete and before occupancy- APPROVAL REQUIRED. No work shal1 be done on any part of the building or Structure beyond the point indicated in each successive inspection without first obtaining the approval of the building official- iuch apprc,val shall be given only after an inspection shall have been made of each successive step in the Lonstructj-on as indj-cated by each of the inspections required. NOTE: AI1 building permits require inspections for the work authorized, such as but not limited to: A. Block WaII: To be made after reinforcing is in place, but before any grout is poured- This I""p""Ef"" is required for each bontl 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) and when installation is .-"pf.t.. Installation shalI be in accordance with an approved, nationally recognized testing agency and the manufacturerts installation 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 plumbing connections. 1. pootings and piers to comply with State foundation requirements for mobile homes or as recomrnended by the manufacturer - Z. Mobile home minimum finish floor elevation shal-t be certified when required by a flood- plain management letter. 3. MobiIe home tiedowns, hrhen required, and skirting shalI be installed and ready for inspec- tion within at least 30 days ifter occupancy. Tiedowns and skirting shall be installed Per enclosure- D. Swimming pool: Below grade when steel is in place and before concrete is poured. Above grade wEen pool--is-instaIIed. APPROVED PLANS MUST BE ON THE JOB SITE AT ALL TIMES DURING WORKING HOURS. THIS PERMTT I'iILL EXPIRE IF WORK DOES NOT BEGIN WITHIN 180 DAYS, OR IF WORK IS SUSPENDED OR ABANDONED FOR MORE THAN 180 DAYS. SUSPENS]ON OR REVOCATION }4AY OCCUR IP THIS PERMIT I^]AS ]SSUED ON THE BASIS OF INCOMPLETE OR ERRONEOUS fNFORMATION. ANYONE PROCEEDING PAST THE POINT OI REQUIRED INSPECTIONS WILL DO SO AT THETR OWN RISK. SUBSURFACE AND ALTERIiATIVE SEWAGE DISPOSAL SYSTEMS: Permi-ts shall be effective for one year from the date of issuance. Upon compleLing the construction for which a permit has been issued, the permit holder shall notity the Lane County Departrent of Planning and Community Development by submitting the installation record form. The Department shaII inspect the construction to determine if j-t complies with the rules contained in this division. If the construction does comply with- such rulls, the Department shall issue a certificate of satisfactory completion to the permitiholder- If the construction does not comply with such rules, the Department shall notify the permit holder and shaif require satisfactory completion before issuing the certificate. Failure to meet the requiremenis for satisfactory completion within a reasonable time constitutes a vio- lation of ORS 454.605 to 454.745 and this rule. Setbacks - Subsurface Sewage Disposal Septic Tank Drain.field From: Interior property lines f0 I 10 I Edge of road right-of-way I0 t l-0 ! Buj-Idj-ng foundation 5t 10r WeIIs, other water sources 50' 100r I ) c t4-zs lane ACTIV TTY INFORMATION >HEET COMPLETE THIS SECTION.PL FORMS I.IILL BE REJECTED!I// 'a I -l .4t I (-a.4{/6t 7 ?,Lr{te /2 tu % EL<€: E Vtr_-__-/CITY lM-f'fvd f'7 OZ 4 od/ BUSINESS TELEPHONE #mffi HOMTTilEPHONEI 2 PROPERTY ADDRESS ( IF DIFFERENT r-ROM MAILTNG AIJDRESS) 3 rvlae e, ;rAFlcEL NUMBEn (from tax maps in Department of Assessment and Taxation ( REQUIRED INFORMATION)or from tax statgment) 1t^ SaLzf-:zo{MT-NSIP N-Affi SECTION W+b ZONING Lrb a\ to 1 TOFNSETP NANGE SMIM-N M ZONING MfrNSHTP MNGE SEE]TON TOTAL CONTIGUOUS PROPERTY IN SAME OWNERSHIP: W ZON I NG ACRES 4 SUBDIVISI0N (if applicable)LOT 5 REQUEST (state exact'ly what you plan to do) Z -Z=* 6 DIRECTI0NS T0 SITE: f ,6(/2,<rh,- I ** FOR STAFF USE ONLY ** ZONE/LAND USE: BY: --_- DATE:TIME I N:..__-_. OUT :--.- NUMBER DATE {Flr) LAND MANAGEMENT DIVISION / 125 E. 8th AVE., EUGENE, 0R 97401 / 687-4061 MAILING ADDRESS BLoCK.- {l-i 0t t 1,9('1'f 5 IYt Ed Reyno December 27, 1-983 Lane County Dept. of Environmental l'tranagement Eugene, OR 97401 Gentlemen: With reference to my proPerty at 1882 Yolanda St., Springfield, OR I have given my permission to Excel Consolldated,Inc. to do the fire damage restotation. VerY truly Yours, *w*( LANE COUNTY INSPECTION RECORD TRS#-o DATE ISSUED:+R3 PERMIT SC K L FRONT E REI M C #P BI L SIDE I NTERI OR REAR ) g, S Approved Da te Correct Date Inspe ctor PLUMBiNG GROUNDWORK INSPECTIONApproved Date Correct'ion Date I nspe ctor UNDERSLAB PLBG. fI Approved _ Date /UNDERFLR PLBG. tr INSPECTI Correcti on Date i nsp ector SLAB INSPECTIONApproved Date Correcti on Date Inspe ctor Approved Date Correct'ion Date I nspe ctor N App roved Date Approved Date Correcti on Date Correcti on._-l Date I nsp ector Inspector INSULATION / VAPOR BARRIER INSPECTION Approved O/ oate /- {-4lCorrec ti on Date I nspe c tor LATH / GYPSUM BOARD INSPECTION Approved Date Correcti on Date I nsp ector FINAL MECHANICALEApproved Date /ri00D sTovE []Correction Date I nspe ctor FINAL PLUMBING INSPECTIONApproved Date Date I nspe ctor FI I TE P prove te Correcti on Date Ins pector Approved Date_Insp.roved_Date Ins p. M74-t97 x az b -s(U4----.rJ+ ,\) Aot4t #,ry,a3 it(.4 I-r N\/( Correcti on /\,"n.€,LuD ,*el/E rr;