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Home My WebLink AboutPermit Building 1983-11-17Eo*(.4I\ Lane Counry Authoriza,tion for'-FOR OFFICE USE ONLY Applica Permit # Two Copies of Plans Three Copies of PIot Plans Mech,/P lumbing Checklis t Legal Interest Document PIan Check Info sheet 2 mTAX LOT Dour oFFANGE03SECTION?+,3 4T iB l,t LOT LKqPARTI ztP PubIic c ndus tr ial PROPOSED USE OF PROPERTY t'n..iau.,ti.r I r Commercial #L)oA/^N L DECI,ARED S VALUEoJaL/.PTION OF PROPOSED WORK - BE SPECIFIC sed isting BTLTER SUPIraTl 'i*HK 4 # oF EMPbqYEES nO)A-Q- # OF STORIES TELEPHONE NUMBERACt77thI S NAME AND Z 3W-ryCh I f:rther certify that any and alL work perfomed shal1 be done in accordance CHECKED THIS APPLICATION THOROUGHLY. frft €* "H:":::llm':?'i:::contractn perEaj-ni AND hereon is true and correct, and that IFOR PERMIT, and do certify that all iY EXAMINED THEI TIAVE agent with evidence of authority attachedhave the following legal i.nterest in the property, flott.t of record; Cowty and the Laws of lhe state of oregonwith any structure without the pemission of the Building Division. I fur-ng to the work described herein, and that NO oCcUPANcY will be made of as required by ORs 701.055. that if exenpt the basis for excmptiwith the Builder's Board i-s in fuII force and effectther certify that registration d. on this project. I HAVEsubcontractors ad enployees who are in compliance with 701.055 will beis noted hexeon, and that only YOUR AUTHORIZATION HAS BEEN BASED ON THE POLLOWING CONDITIONS: YCs, SEE ATTACHED SHEET. Installation Record Issued? [ v.= [ N" Date Use llate: t Group tr frent B. P. #SANITATION: s. I. # I nr.ooopr,arll: rn f rootl hazard areae [-l llo l-l ParceI SizeParce1 # interior rear PLANS EXAMINAT COM}IENTS: col'1l'1ENTS Date: Date: Lineal Eeet of Drainfield Maximum Depth of Trenches Gallon 4lu{{t Tank Install-ation Speci fications READ THIS SECTION CAREFULLY fl pnnurNc,zzoNrNG: zone Partj-tion #- c .-L, srdeCI'linimw Setbacks z L, TOTAL VALUATION $CONSTRUCTION AUTHORIZED BY THIS PERMIT Sq. Ft. Fixed Feel Unit Cost Floodptain Fee $ Subsurface Fees $ Building fee $ Ilech/Plmbg Fee $ Prans Check Fee S State Surcharge S DEQ Surcharge $ TOTAL FEE $$ Description PERMIT APPROVED BY BUILDING OFF r ORS 805 LANE COUNTY DEPARTMENT OF PUBLIC WORKS LAND MANAGEMENT DIVISION, 687-4061, I25 EAST 8TH AVENUE, EUGENE, OREGON 97401 SEE REVERSE FOR INSPECTION INFORMATION DATE D I ,- ,t'., I :! SETBACKS AND OTHER CONDITIONS OF APPROVAL MUST BE STRICTLY 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, CALL 687-4065. A I"IINIMUM OP AT LEAST 24 HOURS ADVANCE NOTICE FOR INSPEC- @Nl--_uEvE--EEeroIIowinginformationready:permitnumber,jobaddreSs,typeof inspection, when it will be ready, your name and phone number, and any special directions to site. BUILDING DIVIS]ON: REOUIRED INSPECTIONS: a . """"a- at"" ,"*ec tion To be made after trenches are excavated and forms erected and when allmateifElls for--EEe Toundation are delivered on the job. where concrete from a central mixingplant (commonly tqrmed .",transit mi'xed") is to be used, materials need not be. on the job. 2. Concrete Under-_Floor Inspection: To be made after all in-sIab or under-floor buildingservt, conduit, pipirig accessories, and other ancillary equipment items are inplace bu 3. Framing bracing, electriC any concrete is poured or floor sheathing installed, including the subfloor. & Insulation Inspections: To be made after the roof, all framing, fire blocking,. andare-Tn-pTace ana-eI pIpes, fireplaces, chlmn.y., .r-,il vents are complete and aII roughal and plumbing are approved. A11 wal-I j-nsulation and vapor barrier are in place. 4 Lath g1g/or cypsui.n B-oard Inspecti_on: To be made afteanilexterlor- s-fn-Tace-EuE-EEEore any plastering iand fasteners are taped and fi;ished. r all lathing and gypsum board, interiors applied and before gypsum board joints 5. Final I!EPSS-!191: 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 successive inspection without first obtaining the approval of the building oificirl.Such approval shall be given only after an inspection shall have been made of each successive stepin the constructj-on as indicated by each of the inspections required. NOTI: AII building permits require inspections for the work authorized., such as but not"Iimited to: A. Block WaIl: To be made after reinforcing is in place, but before any grout is poured. ThisInspecEf6n is required for each bond beam-pour. ThE{e will be no approval until the plumbingand electrical inspections have been made and approved. B. Wood Stove: To be made after completion of masonry (if applicable) and when installation iscomplete. fnstallation shaII be in accordance with an appioved, nationally recognized testi-ngagency and the manufacturerrs installation instructions. C, Mobile Ilome: An inspection is required after the mobile home is connected to an approved se\,.7er or septic system for setback requirements, blocking, footing connection, tiedowns,skirting, and p-L-urnbi-ng connections. 1. l'oot.ir;ss and piers to complv with State foundation require.ments for mobile homes or as. rec:ofii[ijnded by the manufacturer. ' 2' Mc'bil-e home minimum finish floor elevation shall be certified when required by a flood-plain ri,' -t'..gement letter. 3- MobiIe home tiedowns, when required, and skirting shall be installed and ready for inspec-tion within at least 30 days after occupancy. Tiedowns and skirting shatl be installedper enclosu::e. D. Swiroming Pool: Belcw grade when steel is in place and before concrete is poured. Above grade wEen pool -is -installed APPROVED PLANS MUST BE ON THE JOB SITE AT ALL TTMES DURING WORKING HOURS. THIS PERMIT WILL EXPIREIF WORK DOES NOT BEGIN WITHIN IBO DAYS, OR IF WORK TS SUSPENDED OR ABANDONED FOR MORE THAN lBO DAYS. SUSPENSION OI{ REVOCATION MAY OCCUR IF THIS PERMIT WAS ]SSUED ON THE BASTS OF'TNCOMPLETE OR ERRONEOUS fNFORMATION. ANYONE PROCEEDING PAST THE POINT OT REOUIRED INSPECT]ONS WILL DO SO AT THEIR OWN RISK. \turyIJSI4qE AIP 4IIEMIIVE SEWAGE DISPoSAL sYSrEMg: , , ;'I. Permits shall beteffectj-ve for one year from the date of issuance, 2. Upon completinq the construction for which a pernlit has been.issued,-the permit holder shallnotify the i,ine Countl' Departrnent of Planning and Conrr0unity Development by submitting thei,nstal.laii..r::c.:or:i. fcrm. The Department shall inspect r.he construction to determine if itcompiies w.il-1, :he rules conLained in thj-s division. ff the construction does comply with suchrules, the DeDarL'nent shaII issue a certificate of satisfactory compJ-etion fo--ttre:plrmi.t;holder.If the construc'lion does not comply with such rules, the Departlnent shal1 notify the permit holder and sha.l1 require satr-sfactory completion before issuing the certificate. Failure tomeet the requi.r:ements for satisfactory completion within a reasonable time constitutes a vio-Iation of ORS 454.605 to 454.745 and this rule. Setbacks - Subsurface Sewage Disposal Septic Tank Drainlield From: Interiol: property lines 10 I tO I Edge of road right-of-way l-0 t I0 t Building foundation 5 1 10 ! V.leIIs, other water sources 50 ' 100 t c t4-zs .LANE COUNTY, OREGON-DEPT:OF ENVIRONMENTAL MAN,- _ -MENT CGIFIFIECTIGIN NGITIGE JOB ADDRESS TO t NOTE CONSTRUCTION PERMITS S INSPECTION DIV. DATE BLDG. PERIVIT s-2 d:hjZ, A-Z DA-h- a ^ '/*)Jo a2mo t c 55-73 FIE-lNBpEcrloN FtEo'LrlFlE., phone eiE,T-4}o,ei5 FoFl aPPFlovAL INSPECTOR lane county6l!' - CHECKTIST PIUilIBING IMECHANICAL APPLICANT INFORIvIATION : OI Yes Firm Address E No f]s"rr MECHANICAL CONTRACTOR tr Yes Firm Address fl uo fl serr or oum 1p Cont. OSR# Cont. OSR# PLTJMBING OFFICIAL USE ONLY App1i./ Permit # Type of Fixture Number of Each Fee On Each Total Sink I $ s.oo Lavatory Bas 1n 5. 00 Tub (wi-th or without shower)s. 00 Shower, separate 5. 00 set toi 5. 00 Dishwasher s.00 Disposer (s. 00 5. 00W 5 .0( Floor Drain 5. 00 Sewer--1st 50ft.15.0 each additional 100 ft.10. 00 Water Service--1st 100 ft.15.00 tional 1 10. 00 Storm and Rain Dr ain--1st 100 ft.15 .00 100 10.00 Waste Connection s .00 'ei ector 5.00 e T 10.00 Other (specify) SUB-TOTAI (Minimum $10. 00) TOTAL FEE MEGIANICAL Type of Equiprnent lfumber of Each Fee on Each Total Mechanical Permit Base fee $ 10. 00 Furnace to 100 $ 6.oo over 7 .50 C1 ent 3. 00 a 1 1 on 5.00 th Me t 4.50 tove 6. 00 Air Conditioner Only 6. 00 6. 0t) Floor Furnace 6.00 Gas P r.p1ng to-4 OutletsSystem 1_ Per Outlet .50 Other ( SUB-TOTAL TOTAL FEE PLTIIVtsING CONTRACTOR D q specify] TRS# T L L DATE ISSUED:PERMIT T C-rc 5E Cp # PLUMB FRONT Cg SIDE I NTER I OR REAR Y PERMIT D J SITE ADDRESS App roved Yc LE IN Date Correcti on Date I nsp ector PLUMBING GROUNDWORK INSPECTION Approved_Da te Correcti on Date Ins p ector UNDERSLAB PLBG N /UNDERFLR Date PLBG. N INSPECTION Approved Correcti on Date Ins pe ctor SLAB INSPECTIONApproved Date Correcti on Date Inspector ROUGI{ P-LUMBTNG (ToP our) INsP ECTION Approved C>K- Date lZ-{--82 lCorrection Date-Inspe ctor FRAMING INSPECTION Approved & Date t2- L -9,3-lCorrection Da te I nspe ctor ROUGH MECHANICAL Approved OL Date 12- L- 83 /Correction_lDate A ORB ER Approved 4)l- Date lz-?--ffi_/Correcti on Date I nspe ctor ru*8 -6n InsPect or LATH / GYPSUM BOARD iNSPECTION Approved----Da te Approved Date Correcti on--_l Date Correcti on Date Inspector DST I nspe ctor FTtrAL PLUMBI NG INSPECTION Approved4llDate FI Approved ar( Date Correcti on Date Correcti on Date ,.rr..*. *-r^.K- I nsp ector M74-t97 Approved -Date-InsP. trCERTIFICATE OF OCCUPANCY XApproved Date_Insp. PORARY CERTIFiCATE OF OCCUPANCY LA|T COUNTY INSPECTION RECORD bne courlLy ACTI ..TY INFORMATION JHEET COMPLETE THIS SECTION. INCOMPLETE FORMS t,,ILL BE REJECTED! 6I!rV- /kr.Kaare s @a n,Aarot Gocrter PERSON MAKING-REQUEST PROPERTY Ot^l NERhrt,-3 )akud./,t //ra/(/-vq z //. lq MAILTNG ADDRESS lzY0/l'(r q7 3 Y I"V3V7 b8) zzq HOME TELEPHONE #BUSINESS TELEPHONE #BUSINESS TELEPHONE #HOME TELEPHONE # 2. PROPERTY ADDRESS ( IF DIFFERENT IL 3 ruae B PAFIcEL NLTMBEFI ( REQUIREp INF0RI4ATI0N) (from tax maps in Department of Assessment and Taxation or from tax statement) MIilSE-TP MIIGE smTMN mmSH'IF mNE SEeTI-ott TOilMFIP MNffi SEETIOII TOTAL CONTIGUOUS PROPERTY IN SAME OWNERSHIP: ffi ZON I NG ffi ZONING ffi MN-IXG- ACRES 4 SUBDIVISI0N (if applicable)LOT BLOCK 5 REQUEST (state exactly what you plan to do) 6 DIRECTIONS TO SITE: ** FOR STAFF USE ONLY ** ZONE/LAND USE: BY : _ DATE:- TIME IN:- OUT:- NUMBER DATE -lF a./, { r- LAND MANAGEMENT DIVISIoN / 125 E. Bth AVE., EUGENE, 0R 97401 / 687-4061 I l1-c3-zV- 3- V.@soo Job Location vrritten Di-rections ot/ h ?tt ( ) Building Permit L //or(rt l9/-1^ -S/,t/,oTRS, T Acreage or Lot Size- Partitioning #- ( )Completed( ) Pending APPLICANT'S NAME AND ADDRESS OWNER'S NAME AND ADDRESS, if d I e r I INFOR ON SHEET ( ) Site Feasibility Study for Septic Tank. Number of sites Test holes will be ready Sub ilo,roh4 P& Lot Bloc v nsh a 7? oo ku,a Phone ?%"Y?Y7 p6rn" r {O- 777V py.,onu 3 YJ"YlVTCTOR'S NAME AND ADDRESS m appli;Sou bifferen pNTRAt ,vlail perm I / I Prefe it or results of site r to pick up. Call feasibility study to .l4A3vs vll-7 ( pplicant ( )Owner ( )Contractor owner, etc. )when read v l.L4 " 'r!-1-^ cL-, b tacb< r/k'l W Contractors O. S. # mISTRUCTURES NOW ON THE PROPE PBOPOSED USE (this perrnit) WATER SUPPLY d n ) (existing or proposed well, etc. lf public, name of system)bL Aro oc.L,s €ll 7 e (existing or proposed sept ic tank , etc.) S. ISEWAGE DISPO Y# Qolooffi %.V Address VtAPLUMBING BY ( lrp ROPERTY IS WITHIN ONE MILE OF CITY rlr*** oFFlcE usE oNLY BELOW THIS LINE,++****+ii**r ) f'lu* Address Necessary ( ) Special Permit Area. Minimum Elevation ZON F ( ) Facility Permit Necessary SETBACKS: Front Side Facing Street (FROM CENTERLINE OF ROAD) lnterior Side Yard -- Rear (FROM PROPERTY LTNES) To: Planning/Building lnspector/Sanitarian/Surveyor. This applicant appears to have a problem with Your assistance will be appreciated. By Permit Processing Section Response By DEPARTMENT OF ENV I RONMENTAL MANAGEMENT Permit Processing Section 125 East 8th Avenue 687-4394c55-l 2 tvrsron @@, E//sona Plals ( /,Oc lr 37 to w /tl ry J-c-/ < 4to r( bK?- f G /L (pa/!- llce A / t1c/_"/ fl- r{ 7Y7-2/_rr (