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Home My WebLink AboutPermit Building 1984-08-21{zr (-,s J Lane Courrty Authori za,ttott forl FOR OFFICE USE ONLY Application,/ Permit # Two Copies of Plans three Copies of Plot Plans Mech,/P1umbing Checkl,ist Lega1 Interest Document PLan Check Info Sheet P RANGE ION 4 applicable IOT,/PARCEL BLOCK I,CCATION ADDRESS ZTP PROPOSED6", ! r,-ruri" USE OF PROPERTY idential Industrial Commercial \r(J/\ SPEC ?#"TUT't/'IATER Proposed Existing NUMBER CAREFULLY EXAMINED THE COMPLETED APPLICATION FOR PERMIT, and do hereby certify that all i of record; !contract purchaserilauthorizetl agent with evidence of authority attached. done in accordance with the Ordinances of Lane Couty and the Laws of the State of Oregon to the work described herein, and that NO OCCUPANCY will be nade of ay structure without the pemission of the BuiLding Division. I fur-ther cerEify that registration with the Builderrs Board is in fulL force and effect as required by ORS 701.055. that. if exempt the basis for exenptis noted hereon, and that only subcontractors ad employees who are in compliance with ORS 701.055 will be used on thls project. I HAVE RE"AD AND THIS APPLICATION NAI{.E (please I fi*..tshal-I be J nfomation hereon j.s true and correct, and that I I f:rther certify that any and all work perfomed the following legal interest in the property: YOUR AUTHORIZATION HAS BEEN BASED ON THE EOLLOWING CONDITIONS! qt.-q, IA,Date: I saurrarros,Installation Record Issued? fl ,"" fl u" Date: use tlF3 COMT1ENTS: IJate : Group 6 S. I. #B. P. * COT1}1ENTS: Partition #Parcel, # Gallon Tank Lineal Feet of Drainfielcl Maxinum Depth of Trenches Installation Specifications: READ THIS SECTION CAREFULLY fl pmuurnc/zoNrNG: zone Mini.num COM}lENTS cs: L, front r.cL, =id.- interj-re ar_ Parcel Siru_ TOTAL VALUATION $CONSTRUCTION AUTHORIZED BY THIS PERMIT Description Sq. Ft. Fixed Fee/ Unit Cost Floodplain Fee S Subsurface Fees $ Building Eee $ I'1ech/Plmbg Fee $ Pl ans Check Fee $ SLate Surcharge S DEQ Surcharge S. TOTAL FEE $$ 4 r-&e{J -u l^ PERMIT APPROVED BY BUILDING OTF r DATF LANE COUNTY DEPARTMENT OF PUBLIC WORKS LAND MANAGEMENT DIVISION, 687-406.I, 125 EAST 8TH AVENUE, EUGENE, OREGON 97401 SEE REVERSE FOR INSPECTION INFORMATION c t4-zs tr PLANS EXAMINATION = rvpe V il SETBACKS AND OTHER CONDITIONS OF APPROVAL MUST BE STRICTLY OBSERVED. VIOI,ATION CAN RESULT IN REVO- CATION OF THIS PERMIT, CITATION UNDER PROVISIONS OF LANE COUNTY'S INFRACTION ORDINANCE, AND/OR OTHER REMEDIES ATLOWED BY LAW. WHEN READY FOR INSPECTION CALL 687-4065. A }4INTMUM OE AT LEAST 24 HOURS ADVANCE NOTICE FOR INSPEC- GI e ollowing information ready: permit number, job dddress,; type of inspection, when it will be ready, your name and phone number, and any special directions to site. BUILDING DIVISlON: REQUIRED INSPECTIONS: 1. Poundation I ection: To be made-after mater or oundat ion are del-iver plant (commonly termed "transit mixed") is to be used, materials need not be on the job. 2. concrete SIab or Under-F1oor Inspection: 1o be made after all in-slab or under-floor building serv tl conduTt, plpI5rg accessories, and other- ancillary equipment i tems are. i.n place but before any concrete is poured or floor sheathing installed, including the subfloor. 3 Praming e E;EETnE 'electrica Insulation Inspections :re in pJ-ace and all pipes I and plumbing are approv trenches are excavated and forms erected and when all ed on the job. Where concrete from a central mixing To be made after the roof, all framing, fire blocking, a4d , fireplaces, chimneys, and vents are complete and a1I rough ed. All wall insulation and vapor barrier are in place. Drainfield 4. Lath and/or Gypsum Board Inspection: To be made after all lathing and gypsum board, i-nterior anE-exE6ri-orl-fs-Tn pTace-EuE-EeTore any plastering is applied and before gypsum board joints and fasteners are taped and finished. 5. Final Inspecti.on: To be made after the building 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 construction as indicated by each of the inspections required. NOTE: AII buitding permits require inspections for the work authorized, such as but not limited to: A. Block Wal1: To be made after reinforcing is in place, but before any grout is poured. This- fnspecElon 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) and when installation is complete. fnstallation sha1I be in accordance with an approved, nationally recognized testing agency and the manufacturerrs installation instructions. C. Mobile Home: An inspection is required after the mobile home is connected to an approved se\^/er or septic system for setback requirements, blocking, footing connection, tiedowns, skirting, and plumbing connections I. Footings and piers to comply with State foundation requirements for mobile homes or as recommended by the manufacturer. 2. Mobile home minimum finish floor elevation shall be certified when required by a flood- plain management letter. 3. Mobile home tiedowns, when required, and skirting shall be installed and ready for inspec- tion within at least 30 days after occupancy. Tiedowns and skirting shall be instal-led per enclosure. D. Swimming Pool: Below grade when steel is in place and before concrete is poured. Above grade when pool-f=-instaIIed. APPROVED PLANS MUST BE ON THE JOB SITE AT ALL TIMES DURING WORKING HOURS. THIS PERMIT WILL EXPIRE rF woRK DOES NOT BEGrN WTTHTN 180 DAYS, OR rF WORK rS SUSPENDED OR ABANDONED FOR MORE THAN 180 DAYS. SUSPENSION OR REVOCATION MAY OCCUR IF THIS PERMIT WAS ISSUED ON THE BAS]S OF TNCOMPLETE OR ERRONEOUS INFORMATION. ANYONE PROCEEDING PAST THE POINT OT'REQUIRED TNSPECTIONS WILL DO SO AT THEIR OWN RISK. SUBSURFACE AND ALTERNATIVE SEWAGE DISPOSAL SYST.EMS:t 1. Permits shall be effective for one year from the date, of. issuance. 2. Upon completj-ng the construction for which a permit has been issued, the-permi't holder shall notity t-he Lane County Department of Planning and Comnunity Development by submitting the installation recold form. The Department shall inspect the construction to determine if it complies'with the'rules contained in this division. If the construction does comply with- such rul-es,'the Department shall issue a certificate of satisfactory completion to.the permitiholder- If the constr-uction does not comply with such rules, the Department shall notify the permit holder and shall- require satisfictory completion before issuing the certificate. Failure to meet the requiremenis for satisfacto.y "ompt.tion within a reasonable time constitutes a vio- lation of ORS 454.605 to 454.745 and this rule. Setbacks - Subsurface sewage Disposal Septic Tank fnterior property lines Edge of road right-of-way Building foundation Wells, other water sources From:10r 10r 5t 50' 101 r0r 10 ! 100 r { hne county ACTIVITY INFORMATION SH EET COMPLETE THIS SECTION. INCOMPLETE FORMS t,l,ILL tJE RLJtCTtD!@ 'l {b 1- P 2?o/ ht", * 'Oa {oorp 19gr h:a,rsrDe / oor) ryA IW P 714-_$]1 7YC-rbq BUSINESS TEI-EPHONEI 2 PROPERTY ADDRESS HOIVIE TELEPHOIIE #BUSINESS rrtrpHorur # nW ( rF DTFFERENT rnO 3 rvlae a PAFTeEL NUMBEFI ( REQUTREp rNF0RI4ATroN) (from tax maps in Department of Assessment and Taxationor from tax statement) l-\ TOt{NSHIP b |L,rl. I uc/"oEANCE5mTMN W ZON I NG rTr.rN3illP R-ANFE SECTiON TAX LOT(S) 0R PFRCEL 7 ZON I NG TOINSH]F MME SMTTON TOTAL CONTIGUOUS PROPERTY IN SAME OWNERSHIP: TAx LOT(S) OFPTREEI-T I ZONING ACRES 4 SUBDIVISI0N (if applicable)LOT BLOCK 5 REQUEST (state exact'ly what you plan to do) F 6 DIRECTIONS TO SITE: ** FOR STAFF USE ONLY ** ZONE/LAND USE: BY: DATE:TIME IN:-- OUT NUMBER DATE -.1vlJ', _-J LAND MNAGEMENT DIVISION / 125 E. Bth AVE.. EUGENE, OR 9740I / 687-4061 //n/! Q.T/r**,., J r / PERSON MAKING REQUEST LAilr COUNTY I NSPECT I0N REC0RD TRS#D DATE ISSUED:PERMIT#-g S C ET BACK REQUIRE M C ENTS # PLUMBING FIXTURES L Approved Date INTERIOR H Correct on REAR I INSPECTION Date SDS APPROUAL REQUIRED Inspe ctor FRONT SIDE L NT BY PERMI PLUMBING GROUNDWORK INSPECTIONApproved Date Correcti on Date Ins pector UNDERSLAB PLBG. fIApproved Date /UNDERFLR PLBG. N INSPECTION Correcti on Date I nspector MHER INSPECTIONApproved Date Correcti on Date Ins pector Approved Date Correcti on Date Ins pe ctor FRAIVIING INSPECTION Date Approved Da te Correcti on Date Correcti Date I nspe ctor I nspe ctor INSULATION / VAPOR BARRIER INSPECTION Date Y U Approved Date Cor ecti on Date Correcti on Date I nspector 0,rd-T_ Inspector FINAL MECHANICALf]Approved Date Comection Date STOVE Inspector FINAL PLUMBING I NSPECTION Approved Date Correcti on Date I nspe ctor Date I P Correcti on Date I nspec Approved M74-197 Date Insp.roved Date Insp. t ROUGH PLUMBING (TOP OUT) INSPECTION