HomeMy WebLinkAboutPermit Building 1985-05-09rnn
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Lane County thori zattott for'FOR OFFICE USE ONLY
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P USE OT PROPER?Y
I ndus tr ialRes idential
Cc,mmercial Public
ZIP:.Y
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t%tq*-Au^'en L(
DECI,ARED S VALUE-, BE
Proposed
Existing
OF EIqPLOYEES* OF sToRIEs= Q:jEDRoor'{s ,|
S NAME AND
EELEPHoNE NUMBERT&_fr
TELI]PHONE NU},IBER
the following fegal rnterest in the propertyr Io*n". of record; I c<,ntra,,: prrrchaser; !authorized agent with evidence of authorj-ty attached
I f:rther certify that any and all work perfomed shaLl be done in accordanri, with tirc ordrnances of Lane Couly and the Laws of the State of Oregon
arrd rlo herebv certify infomatiorr hereon is true and correct, and that II }IAVE CAREFULLY EXA},IINED THE COMPLETED
THIS APPLICATION THOROUGHLY
6-3-7{
DATE
is noted hereon. and that only subcontractors ed employees who are conpliance with ORS 70I.055 will be used on this Project. I HAVE READ AND
bewi Ll ofmade 'rCfr wature thethout m1 s 10n o the Di stonvl ur-Lo workthe scribedde herein thatand OCCUPANCY ani'pe Bui ldingNOrtaj.ningpe
dre oRs 10 athat f basthe forasBoardfuIIINandforceffectrequabyexempt exemptrthethatLrati,on th Buithe ldercertifyregfs
coMn*Nrs: C,att fuR. RH,u,** o I PsP€icT?olu
II,AS BEEN BASED(}.^+-b*'
interior
Date.
ION:Wtt
Date:
f,*6CLcL
Yes NoON
COM}lENTS
<t-
a-r
-s.
tr J
Use
s. r. *B. P. *
?tffr a C<,
NGI JCONDITION
?
re ar
Partition ParceIfl pmuurnc,zzoNrNG:
Installation Record Issued?
ca1lon
Tank
Lineal Eeet
of l)rainfield
Installation
Specifications:
READ THIS SECTION CAREFULLY. YOUR AUTHORIZATION
ltaximum Etepth
of Trenches
E -f-?- 6s-
PERMIT APPROVED BY BUILDING OFFICIAI,/DESIGNEE r oRs 456.805 (1) )DAT.,!
LANE COUNW DEPARTMENT OF PUBLIC WORKS LAND MANAGEMENT DIV]SION, 6874061,
125 EAST 8TH AVENUE, EUGENE, OREGON 97401
SEE REVERSE FOR INSPECTION INI'OR}4ATION
Tt
cL4-25 R*
l3i*,'E"i',""'l ts5*E-i
I
I pr,aus
u
SETBiTCKS AND OTIIER CC:iDITIOIJS OF APPROVAL !1UST BE STRTCTLY OESEF.VED. VIOLATION CAr'RlSULT IN REVO-
C;TION OF ?I{IS IiR}1IT, CITNTIO:J UNDSR PROVISIONS Oi LANE
'OU):TY';
INFBACTION ORDI);ANCE, AND,/OR OTHER
RE}IEDIES ALLOWED BY LAW.
WHEN RE.\DY FoR INSPI]C?IoN, CAL1 687.1065. A SINI}lU}1 OF AT LEAS! 24 I]OURS ADVA}iCE NOTICE FOR INSPEC_
@el*.tI-:i;ettrefoIIoUin9informationready:Perfiitnumber,JobaddresS,type
of inspectlon, Nhen it wrll be ready, your name and phone nunber, and any special directions to srte-
BUILDING D1VISION:
REQUIRED Ir*SPECTIONS :
Founda tion
nateiETs
Insoection:
l-or the founda
plant (comonl-y termed "transj-t nrxed") is to be used, materials need not be on the job.
ConcreLe ildb or Under-:Ioor Tns.ction: to o" o.." after nI] in-staU or under-floor buiLding
Eei-vi:rejufpmmt, condnit, piFfi-e;Essories, and other ancillary equipment items are j"n
place but before any conclete is poured or floor sheathing installed, rncluding the subfloor.
Framing & Insulation fnspections: To be made after the roof, all framing, fj.re btocking, and
bracing are in place and. aII pipes, fireplaces, cnimneys, and vents are compl.ete and all rough
electrical anci plumbing ar6 approved. Al-l wall insulation anC vapor barrier ar-e in p1ace.
Lath andlor gfllIa lglg lnspectionr To be nade ar-ter aII lathing and qypsum board, interior
and exLcrror, -s in place ou: before any pllsLerino is applied and beiore gypsm board joints
and Iasteners are Laped and finished.'
Final Inspection: To be made after the building is complete and before occupancy.
I
2
3
B
c
To 6e ma<le after trenches are excavated and forms erected and when aLl
tion are delivered on the job. i{here concrete from a central mixing
5.
IAPPROVAL REQUIRED. I'lo lvork shall be done on any part of :he building or Structure beyond the poj.nt.
i.ndicated in each successive inspection without first obt3ining lhe approvaL of the building offrcial.
Such approval shalI be given cnly after an inspection shalI have been made of each success-ive step
in the construction as indicated by each of'the inspections required
A1.l- building permits require inspections for the uork authorized, such as but not limited to:
Block \,lall: To. be maCe afFer reinfofcing is. in p1ace, but before any grout i-F pqqr-ed. This
inspection is requj,red for each bond beam pour. There will be no approval until the plumbinq
and electrical inspections have been made and approved-
l,lood Stove: To be made after conpletion of masonrv (if applicable) and when installati-on is
l::(rclefa Installatron shall be in accordance with an approved, naLiona.lly recognized tesLing
agency and the manufacturerrs instalfation anstructions.
Mobile Home: An j-nspection i.s required after the nobile home is connected to an approved
w-rrerci---eptic system f or setback requirenents, blocking, f ooting connection, tledowns,
skirtinq, and plmbing connections.
1. Footings and piers to conply with state foundati-on requrrenents for mob-ile homes or as
recomended by the manufacturer.
2. Mobile home minimum finj-sh floor elevation shal-l be certifi-ed when required by a flood-
plain management Letter.
3. rYobile home tiedowns, when requj-red, and skirting shall be installed and ready-for inspec-
tion within at l"east 30 days after occupancy. Tiedowns and skirting shall be instafLed
per encLosure.
Swiming Pool: Belou grade when steel is in place and befole concrete is poured. Above grade
'dh-en prc l-l=*i ns ta I led .
NO?E:
L
APPROVED PLAIIS MUST BE ON THE JOB SITE AT ALI, TIMES DURING WORKING HOURS. THIS PER-I,IIT WILL EXPIRE
IE h'ORK DOES NOT BEGIN I^JITHIN 1BO DAYS, OR IF WORK IS SUSPENDED OR ABANDONED FOR }1ORE THAN I8O DAYS.
SI]SPENSION OR REVOCATION IdAY OCCUR IF THIS PERMIT WAS ISSUED ON THE BASIS OF INCOMPLETE OR ERRONEOUS
INFOR-I'IATION.
ANYONE PROCEEDING PAST THE POIIiT OT REQUIRED INSPECTIONS- WILL DO.SO AT THEIR OWN RISK.
SUBSURFACE AND ALTERNATIVE SEh-AGE DISPOSAT SYSTEMS:
1- 'Permits'shaLl be effective for one vear from the date of- issrence
Upon completing the construction for whj-ch a permiL has been issued, the permi.t holder shall
notify the Lane County Department of Planning and Comunity Development by submitting Lhe
rnstallat'ion record forn. The Department shal.L inspect the constructlon to determine if it
conplj-es with the rules contained in this division, ff the construction does comply with such
ruLes/ the Department shall issue a certificate of satisfactory completion to the perniti holder.
If the construction does not comply with such rules, the Department shall. notify the permit
holder and shaIl require satisfactory completion before issuing the certifi.cate. Failure to
meet the lequirements for sa!isfactory completion within a reasonable time constitutes a vi.o-
lari-on of oRS 454.605 to 454.745 and this rule.
Setbacks - Subsurface sewgge Disposal
septi.c Tank Drainf.ield
I.tcrlor .pfopertT Lincs
Edge of road rlgirt-of-way
Bui ldrnq f ounda tion
i{ells, other water sourcds
10'
10,
l0' .
LO0r
l-rom:10'
50e
TRS#17-03-24-4-1 3015 DArE ISSUED: 5/0e/85 PERM|T# // a=_3<
Ot..lNER'S NAME
PAUL MADDEN
PHONE NUMBER
746-99 36
CONTRACTOR'S NAME
SAME
PHONE NUMBER
L
K
FRONT 45 '
B
S
SIDE
COVER
INTERIOR 5I REAR 5I
ES
SDS APPRO1XAL REQUIREDBY
gTH STREET TO YO NDA. TO NORTH 27TH NEAR BRIGGS JUNTOR HIGH SCHOOL1
SITE ADDRESS
rove
9 NORTH 27TH 'SPRTNGFTELD, 0R 97477
Date Correcti on Date Inspec tor *h|4 -_--T--
PLUMBING GROUNDWORK INSPECTI
te Correcti on Date Ins pe ctor
UNDERSLAB PLBG. fIApproved Date
/UNDERFLR PLBG. tr INSPECTICorrection Date Ins pector
OTHER INSPECTIONApproved Da te Correcti on Date Inspec tor
ROUGH PLUMBING (TOP
Approved_Date
OUT) INS ECTION
Correcti on Date I nspec tor
r0ve d Date 'L- t l-*/ tcomection Date I nspe ctor
ROUGH MECHANICAL
Approved-Date Comection Date Inspe ctor
INSULATION / VAPOR BARRIER I
Approved Da te
PECTI ON
/Correcti on Date Inspe ctor
LATH / GYPSUM BOARD INSPECTI ON
Approved Date Correcti on Date Ins p ector
STOVE NApproved Da te Comection Date Inspector
FTNATTTUTB I NG I NSPECT I ONApproved Date Correcti on Date
Correcti on Date
Inspe ctor
Ins ectorp
eERTTrreA=TE oF 0CCUPANCY n trORARY CERTIFICATE oFlecuPANcY tr
Approved l
M74-197
Date Insp.ro ved-Date Insp.-
LAnc ClIJNW INSPECTI}N ,r:i}Rp
Approved Da
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ACTI\-,.fY INFORMATION -dEET
COMPLETE THIS SECTION. INCOMPLETE FORMS I.IILL BE REJECTEDI
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I4AILING ADDRESS ffi
ryq G17736
BUSINESS TELEPHONE #BUSINESS TELEPHONE # H0ME TELEPHONE #
2 PROPERTY ADDRESS s
( IF DIFFERENT F
3 rvlae B FAFIeEL NuMBEFI (from tax maps in Department of Assessment and Taxation
or from tax statement)( REQUIRED INFORI,IATION)t7 03
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SECTION
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{MfiNSF.IF EINGE SECTION W ZONING
MEN5ETP R'AilGE smTION W ZON ING
TOTAL CONTIGUOUS PROPERTY IN SAME OWNERSHIP:ACRES
o ,urr*r, *N ( i f appl icabl e )
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6 DIRECTIONS TO SITE:dl-
a
** FOR ST F USE ONLY **
ZONE/LAND USE:
BY : _ DATE:_ TIME IN:_ OUT:_
NUMBER
DATE
{f,t./,
-*
LAND MANAGEMENT DIVISION / 1?5 E. 8th AVE., TUGENE, OR 9740I / 687-4061
(-}
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PERSON MAKING REQUEST
i^ -r"rJ- c, o ,f\o.r,nr. qT{?\l cfl\I-)TATE zIP CODE
5 REQUEST (r;tate exactly what you p'lan to do)
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Desc:';ption: r
Lot ?, Biock 3, C}.NTEIIBUIiY VILLAGE, as platted and recorded in Book 55, Page 4,
L,,;.. County Orc5on Pl.at Records, Lane C-ounty, Oregon.
^,hn l-auni-.r, J.r., rcgistered engineer, certi.fy that i nave sli-rveyed tl^.e
dt.;:r':;:eo property and find sald property as shown above with ,:u:.ic.:ngs
),-r - rror.cc as shovm, and I find no part ol' any builciinq encroached on the
.]nL i.r:or-.erty nor does any part of any buil"ding on the adjacent proFerry
,J:C.rt r;, Lriri .lilove descrij:ed property.
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1445 WILLAMETTE ST. / EUI3ET{T, CIREGCIN
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I Oregon Property
taxes tor fiscal
year ending
June 30,
Property Taxes
Taxpayer
Other
Tlran
Owner
Foreclosure proceedings will be
started after July 15 rrn real
property accounts with an un-
paid balance lor :ny tax year
marked with an asterisk (*).
PLEASE
MAKE
PAYMENT
Tax
Check
Code Area Accounl Number
lnterest lncluded
Trire Cash
Property T: r Toia s
Less Payment B,- Siate oj Ore,-1.,)rr
'1'
True cash value is reduced by a percentage factor to ive assessed value.
Current Taxes Levied Ey Tar Rale Tax rt
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lnterest1.r.t 6TownshipRangesectron
Acrus Class Sub-cless Pull Number
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Taxes
t,
Net Assessed Value
lax Hale hacn ! iutJU
t.
Tax Year Amount
Pay One cf These Amotlnl
Cla s ll Cha nge
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4
Det Taxes
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