Loading...
HomeMy WebLinkAboutPermit Building 1984-09-17l($-p, La,ne Couity -huthori za,ttor: (.e- 1\' fort -LL4'I trwu'l i\cwlisHrP / 7 **o'tY7 '7oP7* s -'BD rv r s IoN/pAnrrtroN (if applicable)LOTIPARCEL BLOCK ESCRIPTION OF PRAPOSED Nynctdhdtlwt 30'r, z(ilrl neu 3ct'x2tr; WORK - BE SPECIT'IC (o VALUE (o oAt -= OF BEDR,OOI,IS # or sroRrEs - # OF EMPLoYEES -/WATER Proposed isting /ltt ?8 r sF, -l AND I NUMBER'7Vz- TELEPHONE NUMBER fuwtra-c I HAVE CAREFULLY EXAMINED THE COMPLETED APPLICAUON FOR PERMIT. and do hereby I f:rther certify that any and all work perfomed shal1 be done in accordalce withpertain.ing to the work described herein, and that NO OCCUPANCY will be nade of any ther certj.fy that regj-stration with the Builderrs Board is in ful1 force and effect as recl NAI'I8 ,:, , Lify that alljdfmatior, purchaser i ffirno, i""d ugurt ad employees who are in afra$Crnltr(a contract 'Ellttan 'f7 hereon is true and correct, and that I ave the following 1e9al" interest in the property:owner of record;with evj-dence of authority attachedthe ordinances of Lane Cowty and the Laws of the State of Oregon structure the Fem.ission of the Building Division. f fur- by ORS 701.055, that if exempt the basis for exempt_iis noEed hereon. and that only subcontractors compliance with 055 will on thls project. I READ ANDTHIS APPLICATION THOROUGHLY s. READ THIS SECTION CAREFULLY. YOUR AUTHORIZATTON I{AS BEEN BASED ON THE FOLLOWTNG CONDITIONS! Date: Specifications: CO}OIENTS: COMI1ENTS: -tljate: /ffio*rrorror,/ \ ,"**r..t." /-?Groupt1-^/Use Gn RAGE re ar ,9QxParcel Size B. P. * PLANS EXAMINATION: Type Iv."[r" COM}1ENTS: Installation Record fssued?s. r. * caIlon Tank Lineal Peet of Drainfield Dare: 7-,ff' I plauuruc,zZoNrNG: l,linimrntr Setbacks , "r, Maximw Depth of Trenches FOR OFFICE USE ONLY fhree Copies of plot plans Mech,/PIumbing Checklist Legal Interest Document Plan Check Info Sheet ofP NSTwo Applica Permi TOTAL VALUATION $CONSTRUCTION AUTHORIZED BY THIS PERMIT Fixed Fee/ Sq . Ft.UnitDescription N ?";, Floodplain Fee Subsurface fees s $ $ $ ) C $ $$Z q ) t= Q.-t 7- 94 PERMIT APPROVED BY BUILDING OFFIC oRs LANE COUNTY DEPARTMENT OF PUBLIC WORKS LAND MANAGEMENT DIVISION, 6874061, 125 EASTSTH AVENUE, EUGENE, OREGON 97401 SEE REVERSE FOR INSPECTION INFORMATION DATE il c t4-zs nda rl CITY ZIP n 02ct STREET OL 9'r,Y,sini/u fQ S l/Q f,neside_ntia1 [-l commercial [-l rndrr= t.iur [-l e,uri" PROPOSED USE OF 0/€J t . /r 3 Vt^'Vs v7 PJITI'IIT TO BE I',IAILED TO (NAI4E AND ADDRESS)I I'ELLPHUN!; NUI"IBUR Partition Parcel * 1d Eee -= ,Wffi Fee Fee surcharie* TOTAL FEE SETBACKS AND OTHER CONDITIONS OF APPROVAL MUST BE STRICTLY OBSERVED' VIOLATION CAN RESULT IN REVO- cATIoN oP THIS PERMIT, CITATION UNDER PROVISIONS OF LANE COUNTY'S INFRACTION ORDINANCE, AND,/OR OTHER REMED]ES ALLOWED BY LAW. WHEN READY FOR INSPECTION CALL 687-4065. A MINIMUM OF AT LEAST 2 G1 ave bllowing informat ion ready of inspection, when it wiII be readY, BUILDING DIVISION: REQUIRED INSPECTIONS: your nErme and phone number, I 4 HOURS ADVANCE NOTICE FOR INSPEC- : permit number, job addreis, tYPe and any special dj.rections to sj-te. Foundation Inspection: To be made after trenches are excavated and forms erected and when all *ffitffi;dationaredeIiveredonthejob.whereconcretefromacentraImixing ;i;;t-i;il""fy- i"rr"d "transit mixed") is to be u-ed, materials need not be on the job. To be made after at1 in-s1ab or under-fIoor -building2. Concr ete Slab or Under-Floor sories, and other anciIlarY equipment items are inservce, conAnit, p or floor sheathing installed,includj-ng the subfloor.placd but before any concrete is Poured 3. Framing & Insulation Inlpegliolsr T9.be made after the roof, a11 framing, fire blocking, and 6r"cffi6 are-lnllace ffi-aT-I pipes, fireplaces, chimneys, and vents are complete and all rough electrical ana ptumUing are. appiovea. AII wall insulation and vapor barrier are in place. 4. Lath and/or Gypsum Board lnspection: To be made after aII lathing and gypsum board, i-nterior- a;a-e"t"rior;-is inlTface-EuE-EeTore any plastering is applied and before gypsurn board joints and fasteners are taped and finished. 5. Final Inspection: 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 j.ndicated in each successive inspection without first obtaining the approval of the building official. Such approval shal1 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: All building permits require inspections for the work authorized, such as but not limited to: A. Block WaIl: To be made after rej-nforcing is in place, but before any grout is poured. This Ln-s-pecEloi- is requiled 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 conrpfete- Inst.allation shatl be 1n 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 seh'er or septic system for setback 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. Mobile home minimum finish floor elevation shal1 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 ifter occupancy. Tiedowns and skirting shal1 be installed per enclosure. D. Swimming pool: Below grade when steel is in place and before concrete is poured. Above grade wE6-po6I-Ts installed. APPROVED PLANS MUST BE ON THE JOB SITE AT ALL TTMES DURING WORKING HOURS. THIS PERMIT WILL EXPIRE IF WORK DOES NOT BEGIN WITHIN I8O DAYS, OR IF WORK IS SUSPENDED OR ABANDONED POR MORE THAN 180 DAYS. SUSPENSION OR REVOCATION MAY OCCUR IF THIS PERI{IT WAS ISSUED ON THE BASIS OF INCOMPLETE OR ERRONEOUS INFORMATION. ANYONE PROCEBDING PAST THE POINT OF REOUIRED TNSPECTIONS WILL DO SO AT THEIR OWN RISK. SUBSURTACE AND ALTERNATIVE SEWAGE DISPOSAL SYSTEMS 1 Permits shall be effective for one year from the date of issuance. Upon completj.ng the construction for which a permit has been issued, the permit holder shall notify the Lane County Department of Planning and Community Development by submitting the installation record 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 ru1es, the Department shalI issue a certificate of satisfactory completion to the permitlholder. If the construction does not comply with such ru1es, the Depart$ent shall notify the permit holder and shall require satisfactory completion before issuing the certificate. Faj-Iure to meet the requirements for satisfactory completion within a reasonable time constitutes a vio- Iation of ORS 454.505 to 454.745 and this rule. Setbacks - Subsurface Sewage Disposal Septic Tank Drainfiefd Prom: Interior property lines I0 I 10 t Edge of road right-of-way 10 I I0 I Building foundation 5 i 10 ! Wells, other water sources 50r 1001 insoection:4,iPlngia{ces ) Builders o Remodelers . Real Estate 23 Oakway Mall. tugene. Oregon 97401 .345-4347 To Lane County Building Department Lane County Court House Eugrene, ore. 97401 I{e refer to application for building permit, applied for on September 10th 1,984, for work to be performed upon property located, at: 2888 Yolanda Street, Springfield, OR. Owner: Harold and Ri.ta Gi1lis, salne address. As per request - herewith is ownerrs approval of said work (which is to demolish old and build a nev garage building) to be performed upon named property: ELLISON & e We have entered into contract with ELLISON & PLATZ CONSTRUCTfON coplPAlitY to demolish our old garage building and to build a new gar in the sarne location at the above address. ELLISON E? PUAIZ CONSTRUCTION s!., *r/*-Lo--rrrn co. Dated SIGNED HaroI 1lis Rita 1is TRS#DATE ISSUED:1 OR REAR PERMIT ER I SDS APPRO\fAL REQUIRED # L C1FRONT DI S ITE I Approved K lDut" __ta:!:El-/ C o r r e c PECT io n Date Insp ector &D PLUMBING GROUNDI^IORK INSPECTIApproved Date /Comection Date-Inspe ctor UNDERSLAB PLBG. fI /UNDERFLR PLBG. D INSPECTI Approved Da te Comect'ion Date I nsp ector tnurn TNSPECTToNApproved Date Correcti on Date Inspector PECTION Approved_Date Correcti on Date I nspe ctor FRAMING INSPECTION Approved ,,/ Date /l-7f-8+ lCorrection Date "WI nspecto mApproved Date Comecti on Date Inspe ctor INSULATION / VAPOR BARRIER INSPECTI ON Approved Date Correction IDate I nsp ector LATH / GYPSUM BOARD INSPECTIONApproved Date Correcti on Date Inspector FiNAL MECHANICALEApproved Date /H00D srovEn Correct'ion Date Insp ector FINAL PLUMBING INSPECTIONApproved lDate Correcti on Date Ins pe ctor App N roved ll-28-8e /Correcti on DateDate Inspe ctor MNCYtr IORARY CERTIFICATE OF OCCUPANCY D Approved I y174-t97 Date Insp.Approved Date Insp -- LANE COUNIY INSPECIION RE(:ORD L-; b t'r NEI,J BLD iltdt'tFR fitIDE IIF. BF. IIF ttf' HP ? ,i tJ : ? L.ANE: CUUNI'T DF-F']' E:l{\,'r i'1{;1' l:tE:tlg-IFlT :$ :tli.6l-41t" PA].L. 0?1084 At'F,l- I CANI' r:; t:t.-t.- I -r , t.tAt10t.-p rrrDDR :il{}i:},? YUI-.ANDA,' ,SF lt L N(;lr{l,E[I),, {fiBES0l'l 'tL{, I'?SS:4,11 0'.5001 iit.lt{DIU t".,il'r IJ[..K(; T'Tl:' l.lMti. AFI-'l-. H 6AR llSH. l;: $DRl',lS O t-lN I'I-t i'.j01 ii f illt l. [:.,i ] ,]frl...DG,9 00 i l-'l-l$i'lE 'I4 ,? ll5:3:l F LrDfi 1 Nri AfiT.tui{ DEisilR:[FT.t0N 5A rJ' UNIl'],rl{ls'T" VAI-.t.lA]'ILIN FE:[: DAYj GAIIAfiE , . jlF' F[_ --MHfiH _ iurt F i:K _.lD,r' Jt.' F,CH ...[]AI'G: AF'l' ius$.nu : o TAIiH:N BY ELI-I Lf, :156'l$4 NHliIFl NO ^ F'1.X1'URES : sr{f:1..' Ni). -(D,S S t: 1 c0HPt-81'I0N Iifi'rE: C0NNE [1'0n5 : ME{]I-IAN I t]4I.., FII [: S1' A1'F* S!ttttll-ltrttG E. [1t._AN Ct-IEUH FE[: 1 :-1 " trl, E.HL,r'l :: tlL 65X r:t' ESI'.t-'lIE{'{. L\ 'r (a J, b\ ,!} 11LTT.}T {oo^oo 1 0c,.00 15 IrA F ilri 1 $I'H ?o0.00 cK r-1L-l --l) PERMIT # TRS/TL# -) NAME (PLEASE PRINT) ADDRESS AppLrcANT ( ) 0WNER ( ) CoNTRACT0R ( ) REASON FOR CANCELLING PERMIT (OR APPLICATION) S IGNATURE DATE FEES PAID FOR WASTE DISPOSAL SYSTEMS (SITE INSPECTIONS AND/OR APPLICATIONS TO INSTALL THE SEPTIC TANK AND DRAINFIELD) ARE ORDINARILY NONREFUNDABLE. SOME REFUND MAY BE ON THE BUILDING, PLANNING, OR PLUMBING PORTIONS ACCORDING TO THE AMOUNT OF THE PERMIT/APPLICATION PROCESSED. lo Flood Plain Fee Building Permit Fee Mob'ile Home Fee Plumbing Permit Fee Mechanical Fee Plan Check Fee State Surcharge Fee o/ o/ /o $ $ $ ol /o ---...------n/o ol lo $ $/o $ollo $ol $/o F5 -'-'61lo Septic Disposal Fee Site Inspection Fee DEQ Surcharge Land Use Applicatjon Planning Director Recording Fees Partftions Copies & 0rdinances Surveyors Minus $25. for Processing Fee TOTAL AMOUNT TO BE REFUNDED DATE $ ol o/ $ $ /o /o S I GNATURE TO DEPARTMENT OF FINANCE: Building Permit Refund State Surcharge Refund Septjc Disposal Refund Site Inspection Refund Land Use Applications Planning Director Recording Fees Parti ti ons Copies & Ordinances Surveyors TOTAL AMOUNT REFUNDED PLEASE MAKE CHECK PAYABLE TO: 24-17 -88/ Acct. 4-l 7-BBlAcct 4-l 7-88lAcct -l 7-BB/Acct -24-17-88lAcct.4-l 7-88/Acct. -l 7-88lAcct. 4-l 7-88/Acct. 4-l 7-88lAcct. 5-06-74/ Acct. $ 42120/Prog.060 42124/Prog. 060 421331Pro9.060 42134/Prog.060 42150/Prog. 060 46202/Prog. 060 46210/Prog. 060 48474/Prog. 060 44419/Prog. 060 44451 /Prog. 0..l0 $ $ $ta Z Rece i p t# Rece i pt tr Recei pt,tr Recei pt trttr fr_ Recei p Rece'ip Recei p Recei p Recei pt Recej pt NAME ADDRESS LAND MANAGEMENT DIVISISN / Prrblic works Dept. / 125 E. 8th Ave., Eug. 0R 9740'l (503)687-4061 IANCELLATI ON/ REFUND AUTHORI ZAT I I / I ./ FEES PAID % REFUND Vrt zn L ,'ri4l ?