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Home My WebLink AboutPermit Building 1983-05-17Ab-llb6l\, - La,ne Cout^-Aut tiza,ttot:- for,d FOR OFFICE USE ONLY Applica Permit * Two Copies of Plans Three Copies of Plot Plans Mech,/Plumbing Checklis t LegaT Interest Docl'ment' fJ er.,', check rnfo sheet lfw'IiSHIP --a /7-RANCE 23rvw- PROPOSED USE OF PROPERTY ffieside-ntial f-l comrnercial I-l rndustrial Pub I ic "1DECI,ARED S VALUE y/nz *oru* "urrr%,Jxn::;)*Zry** pertaining to the work described herein. and that NO OCCUPANCY wi1l be made of \, <-//-83 CHECKTD THOROUGHI,Y the following legal interest in the property:of record;authorized agent with evidence of authority attachedpurchaser;I f:rther certify that any and alL work perfomed be done in accordance th the Ordinances of Lane Cowty and the Laws of the State of Oregon any structure without the pemission of the Buildi.ng Division. f fur-ther certify that. registration with the Builderr s Board is in full force and effect as required by ORS 701.055, that if exempt the bas.is for exemptiis noted hereon, and that only subcontractors ed employees who are in compliance with ORS 7O1.055 will used on this project- I HAVE READ AND I HAVE CAREFULLY EXAMINED THE that all infomation hereon is true and correct, and that :APPLICATION do READ THIS SECTION CAREFULLY fl pmxnruc,zzoNrNG: zone. Mrnimum Setbacks, CL, ftont CO}L\lENTS I r'r-ooopr,aru:In flood hazard area? IZATION HAS BEEN BASED ON THE FOLLOWING CONDITTONS: partition #- parcel #- parcel "r",22------7-- terior real E *" E yes, SEE ATTACHED SHEET. L, SIdE B. P,eH* Speci fications s. r. #r?Y/-72 Installation Record Issued? f] V"= !No ca11on Tank Lineal Feet of Drainfield Maximm Depth of Trenches CO}1}1ENTS: r I rr.eus EXAMTNATToN:lVpe COM}IENTS: Group Use irate: 'OTAL VALUATION $CONSTRUCTfON AUTHORIZED BY THIS PERMIT ription Sq. Ft. Pixed Fee/ Unit Cost Floodplain Fee Subsurface Fees Building Eee !'lech/Plmbg Fee Pl ans Check Fee State Surcharge DEQ Surcharge TOTAL FEE ) ) ) $ $ I s $s S-l>^t7APPROVED BY OFE IC IAL/DESIGNEE oRS 456.805 DATE LANE COUNTY DEPARTI,IENT OF PLANNING & COMMUNITY DEVEIOPMENT / I25 EAST EIGHTH AVENUE, EUGENE, OREGON 97401 SEE REVERSE FOR INSPECTION INFORMATION Date Date:tr PERMIT, "^.", .9 - 17-81 X@. -ae SETBACKS AND OTHER CONDITIONS OF APPROVAL MUST BE STRTCTLY OBSERVED. VIOLATION CAN RESULT IN REVO- CATION OF THIS PERMIT, CITATION UNDER PROVISIONS OF LANE COUNTY'S INFRACTION ORDINANCE, AND,/OR OTHER REMEDIES ALLOWED BY LAW. WHEN READY FOR INSPECTION, @N CALL 687-4065. A MINIMUM OF AT LEAST 24 HOURS ADVANCE NOTICE FOR INSPEC- Have the following information ready: permit number, job address, type of inspection, when it wiII be ready, your name and phone number, and any special directions to site BUILDING DIVISION: REQUIRED INSPECTIONS: 1. Foundation I.nspection: To be made after trenches are excavated and forms erected and when all maEEf EI[sf or-Jhe---oundationaredeliveredon the job. Where concrete from a central 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 aII in-slab or under-floor building servrce equr-pmen t,conEuIE pr Ing accessories, and other ancillary equipment items are in place but before any concrete s poured or floor sheathing installed, including the subfloor. To be made after the roof, aI1 framing, fire blocking, and p i 3 Framing & Insulation I.nspections: facing are in place and all pipes, 4 Lath and,/or Gypsum Board. Inspection: To be made after aII tathing and gypsum board, interior EnilexEeii-or;=is in pT;Ee-5uE-EeEore any plastering is applied and before gypsum board joints and fasteners are taped and finished. permits shall be effective for one year from the date of issuance. Upon completing the construction for which a permit has been issued, the permit holder shall notify the Lane County Departlent of PlanninS lna Community Development by submitting the. installation record form. The Department sh;l1 inspect the construction to determlne if it complies with the rules contained in this division. If the construction does comply with such rules, the Departrent shall issue a certificate of satisfactory complet]!n to.the permit{holder' If the constructio., do"= not comply with such rules, the Department shall notify the Permit holder and shall require satisficlory completion before issuing the certificate. Failure to meet the requirements for satisfactory "o*irf.tion within a reasonable time constitutes a vio- Iation of ORS 454.605 to 454.745 and this rule' electrical and plumbing are approved Setbacks - Subsurface Sevrage Disposal Prom:Interior property lines Edge of road right-of-way Building foundation Wel1s, other water sources fireplaces, chimneys, and vents are complete and all rough . AII waII insulation and vapor barrier are in place. 5. Final Inspe ction: To be made after the buildj-ng is complete and before occupancy APPROVAL REOUIRED. No work shall 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 Such approval shall be given only after an inspection shall have been made of each successive step in the tonstruction as indicated by each of the inspections required. i,IOtBr.. AI1 building permits require inspectj.ons for .the work authorized, such as but not limited to: A. Block Wall: To be made after reinforcing is in place, but before any grout is poured. This f".p""A;; is required for each bond beam pour. There will be no approval until the plumbing and electrical inspect-j-ons have been made and approved. B. Wood Stove: To be made after completion of masonry (if applicable) and when installation is """,pf"t". fnstallation shalI be in accordance with an approved, nationally recognized testj-ng ,guncy and the manufacturerts instal-Iation instructions. C. Mobile Home; An inspection is required after the mobile home is connected to an approved sewer or septic system for setbacli requirements, blocking, footing connection, tiedowns, skirting, and plumbing connections- 1. Footings and piers to comply with State foundation requirements for mobile homes or as . recommended bY the manufacturer- 2. MobiIe home minimum finish floor elevation shall be certified when required by a flood- plain management letter. 3. MobiIe home tiedowns, when required, and skirting shall be installed and ready for inspec- tion within at least 30 days -tter 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 installed. APPROVED PLANS MUST BE ON TTIE JOB SITE AT ALL TIMES DUR]NG WORXING HOURS' THIS PERMIT WILL EXPIRE rF woRK DoES Nor BEGIN WITHTN 180 DAyS, oR rF I/iORK IS SUSPENDED oR ABANDONED FoR MORE THAN 180 DAYS' SUSPENSION OR REVOCATION MAY OCCUR ]F THIS PERMIT WAS ISSUED ON THE BASIS OF ]NCOMPLETE OR ERRONEOUS ]NFORMATION. ANyoNE pROCEEDTN6 pAsT THE poINT or REQUIREb INSPECTIONS WILL Do So AT THErR OwN RISK' SUBSURFACE AND AL TERNATIVE SEWAGE DfSPOSAL SYSTEMS I 2 Septic Tank r0! 10r 5t 501 Drainfield 10 | 10t 10 r 100 r c t4-zs ,1 lone county P! ANNING & COMMUNITY DEVELOPMENT ACTI \ ,TY INFORMATION SHEET (t Ir_ __\r7 COMPLETE THIS SECTION. INCOM EIE FORMS WI REJECTED ! I a P 31 'a RE F+ (E.tt, aR ?79at 1ffu)dfiElo 6L 92?2----TTTY-_ITTY:--STATT ZIP CODE o 1*z+eLs BUSINESS TELEPHONE # STATE ZIP CODE ?8r- 12 t1ffi BUSINESS TELEPHONE #HOME TELEPHONE # 2 PROPERTY ADDRESS Z? 3 4 YaZAa: o:q . S?€J 9 Zl 7? (IF DIFFERENT FROM MAILING ADDRESS) (from tax maps in Department of Assessment and Taxation or from tax statement) 3 ruae E PAFIeEL NIJMBEFI ( REQUIRED INFORMATION) q 4 SUBDMSION (if appl icable) 5 REQUEST (state exact'ly what t'? o3 2%y. I TMNSE-IP MNGE SEETM fr 3or3 TAf,TO-TIS)-IR-FAEEIT 3 q(c* wh.t- Ilr ZON I NG TOfrN-SFTF RANGE SMTMN W ZON I NG T0EffiFIP RANGE mm'N W ZON I NG TOTAL CONTIGUOUS PROPERTY IN SAME OWNERSHIP:ACRES T srocr-3 Yg/ N,t^; 6 DIRECTIONS TO SITE: a ** F0 R STAFF USE ONLY ** ZONE/LAND USE: a< NUMBER DATE --l F(./, i BY: - DATE:- TIME IN: OUT: t you plan to do)/o*^4< -a+ It*atfu 2/_yS-tct3 Job Locatlon Pernit /l Permlt Permit TRS, TL For Permlt Permit Pernlt I ForllPlcrt Plan For For For For Subdivision Lot Block Oe \t*tr" frlrtt' lloQsE t t? c74-150 Vlclnlty Map N la 14.2p/f ) )