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Home My WebLink AboutPermit Building 1984-08-28CC*8tI PCK6llr."_ - Lane C nty Authoriza,ttort for'FOR OFFICE USE ONLY Applica Permit Two Copies of Plans Three Copies of Plot Plans Mech/Plumbing Checklist Legal Interest Document PIan Check Info Sheet RANCE SJBDIVIS app IOTIPARCEL ',., BLOCK PROPOSED USE OF PROPERTY ,,(Reside-ntiat l-l commercial [-l rndustrial Public ting ed NUMBER I HAVE CARIFUI,LY EXAMINED THE COMPLETED APPLICATIqN FOR PERMIt, and do heleby certify that al1 infomation hereon is true and correct, and that I the following legal interest in the propertr,(or.". of recordi !contract purchaser;[authorized agent wJ,th evidence of auEhority attached. I f;rther certify that any ed all work perfomed shall be done in accordance with the ordinances of Lane Cowty and the Laws of the st.ate of oregon pertainj,ng to the work described herein, and that NO OCCUPANCY will be made of any slructure without the pemission of the Building Division. r fur- ther certify that legistration with the Builderrs Board is in full force and effect as required by ORS 70L.055, that if exempt the basis for exemption is noted hereon, and that only subcontractors ed employees who are in conpliance with ORS 701.055 wiII be used on thj.s project- I IIAVE READ AND THIS APPLICAT]ON THOROUGHLY NAI"lE ase SIGNATUR.E -ltu##z{- READ TH]S SECTION CAREEULLY fl pLaxtlruc,zzoNrNG aMinimun Setbacks: -L front IZATION HAS BEEN BASED ON THE FOLLOWING CONDITIONS: on #. .,f Parce I ide +interior rear Y k qo + ffio*r*orro*, 7 **"tt.at"" S. I. #B. P. #Installation Record rssued? f] v.= ! Maximum Depth of TrenchesSpecifications: Ga1lon Tank Lineal Feet of Drainfielal COTI}IENTS:+ Date:2 {Ellll EXAIvIINATION: "yPe Vt/*,u," CARtron-f COM}IENTS: Date: TOTAL VALUATION S CONSTRUCTION AUTHORIZED BY THIS PERMIT Fixed Feel Floodplain Fee $ Subsurface Pees $ Building [ee $ Ilech/Plmbg Fee $ P] ans Check Fee $ State Surcharge $ DEQ Surcharge $ TOTAL FEE $9 ?-za- g4 DATE w ,DC ll FtSq r '"'2:"h APPROVED BY BUILDING IGNEE oRs 805 LANE COUNTY DEPARTMENT OF PUBLIC WORKS LAND MANAGEMENT DIVISION, 687.4061, 125 EASTSTH AVENUE, EUGENE, OREGON 97401 SEE REVERSE FOR INSPECTION INFORMATION & c t4-zs fr 32 j v{- DECI,ARED $ VALUE TELEPHONE NUMBER74-27< I SETBACKS AND OTHER CONDITIONS OF APPROVAL MUST BE STRICTLY OBSERVED. VIOLATTON CAN RESULT IN REVO- CAT]ON OF THIS PERMIT, CITATION UNDER PROVISIONS OF LANE COUNTY'S TNFRACTION ORDINANCE, AND,/OR OTHER REMED],ES ALLOWED BY LAW WHEN READY FOR INSPECTION,@eu CALL 687-4065. A MINIMUM OF AT LEAST 24 HOURS ADVANCE NOTICE POR INSPEC- Have -ahefollowihg - informa-tion ready: peimit htmbeir, job addr'eis, typeof inspection, when it will be ready, your name and phone number, and any special directions to site. REOUIRED INSPECTIONS I Foundation Inspection: To be made after trenches are excavated-and forms elgcted materials for the foundation are delivered on the job. Where concrete from^? cen and when al1 tral mixingplant (commonly termed "transit mixed") is to be used, materials need not be elr the job. 2. Concrete Slab or Under-Floor Inspection: serv condui!, pipfng accesplace but before any concrete is poured To be made after all in-slab or under-floor buildingsories, and. qthe.r_ ancillary equipment items are inor floor sheathing installed, including the subfloor. 3 Frami,ng bracing q rnsulation Inlipegtlenq-re In place an-a1Ipip-es,To be made -af ter-the roof , all framing,--fire blocking, andfireplaces, chimneys, and vents are complete and aII roughelectrical and plumbing are approved. All walL insulation and vapor barrier are in pIace. . 4. Lath and/or Gypsum Eegd lnspection: To be made after a}l lathing and gypsum board, i.nterior anE--e4terlorl--Is lnSfa-Ee-EuE-EeJor-e any plastering is applied ana b"toie gypsum board joints. and fasteners are taped and finished. 5. Final fnspection: 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 point indicated in each successive j-nspection 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 stepin the construction as indicated by each of the inspections required. NOTE: AI1 building permits require inspections for the work authorized, such as but not limited to: A. Block Wall: To be made after reinforcing j-s in place, but before any grout is poured. This Inspectlon is required for each bond beam pour. There will be.ro.pp.oval untii 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 iscompiete. Installation shall be in accordance with an appioved, nationally recognized testing -: agency and the manufacturerrs installation instructions. C. Mobile Home: An inspection is required after the mobile home is connected to an approvedsewer or septic system for setback requirements, blocking, footing connectj-on, tiedowns,skirting, and plumbing connections. 1. Footings and piers to comply with State foundation requirements for mobile homes or asrecommended by the manufacturer. 2. MobiIe home minimum finish floor elevation sha1l be certified when required by a ilood-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 sha1l be installedper enclosure. D. Swimming Pool: Below grade when steel is in place and before concrete is poured. Above gradewlen pool-fs installed. APPROVED PLANS MUST BE ON THE JOB SITE AT ALL TIMES DURING WORKING HOURS. THIS PERMIT WILL EXPTREIF'WORK DOES NOT BEGIN WITHfN 180 DAYS, OR IF WORK TS SUSPENDED OR ABANDONED FOR MORE THAN I8O DAYS. SUSPENS]ON OR REVOCATION MAY OCCUR IF THIS PERMIT WAS ISSUED ON THE BASIS OF TNCOMPLETE OR ERRONEOUS INFORMATION. ANYONE PROCEEDING PAST THE POINT OT REQUIRED TNSPECTIONS WILL DO SO AT THE]R OWN RISK. SUBSURFACE AND ALTERNATIVE SEWAGE DISPOSAL SYSTEMS: r. Permi-ts sharl be effectiye for one year from the date of issuance. 2. Upon completing the construction for which a permit has been issued, the permit holder sha1lnotify the Lane County Department of Planning and Corununity Development by submitting theinstallation record form. The Department shall inspect the construction to determine if itcomplies-witfr tfre rules contained in this division. If the construction does comply with suchru1es, the Department shall issue a certificate of satisfactory completion to the-permitlholder.If the construction does not comply with such rules, the Department shall notify the permithol-der and shaIl require satisfactory completion before issuing the certificate. pallure tomeet the requirements for satisfactory completion within a reasonable time constitutes a vio-lation of ORS 454.605 to 454.745 and this rule. Setbacks - Subsurfqce Sewage Dj.sposal Septic Tank Drainfield From: fnterior property lines 10 t IO I Edge of road right-of-way f0 I 10 ! Building foundation 5 I 10 ! Wells, other water sources 50' lOOt lane county ACTIVITY INFORMATION SH EET COMPLETE THIS SECTION. INCOMPLETE FORMS WILL tJE RLJTCTED!o I NE L I os 7 P DE I n4 L-:?olS -frlc -za l-tBUSINESS TEIEPHONEI 2 PROPERTY ADDRESS HOME TELEPTONTT BUSINESS TELEPHONE # HOI"IE TELEPHONE 7- ( IF DIFFERENT F 3 rvlae 6i PAFTeEL NUMeIEFT ( REQUTREp rNF0RI4ATr0N) (from tax maps in Department of Assessment and Taxationor from tax statement) I 1S" 3iiluyr z{,4,3 _'? oo TOWNSHIP RANGE SEETION ffi (-l ZON I NG rTwruSiI]P RA-NGE SECLION TAx LoTft -oI- -pTnc-rTT ZON I NG MEmETP RTNGE SEET]-ON TOTAL CONTIGUOUS PROPERTY IN SAME OWNERSHIP: W ZON I NG ACRES 4 SUBDIVISI0N (if applicable)LOT BLOCK 5 REQUEST (s;tate exactly what you plan to do) f* + ,6,,..:^, o"-..... { S [.], a,,.J 6 DIRECTI0NS T0 SITE: T-2. l/{-l zc fr iil"rco.fa=.y',olu^tt( exit, ,.Tu,n lel! ov"n o.woSa.,s D*,.-tqilf/ t i"Jr, ' , tar.a-A+H-&-r- c,ir- qo{r+ er- r{l/ ZONE/LAND USE: ** FOR STAFF USE ONLY ** TIME IN:-- OUT:_ NUMB E R DATE -lDtJl DATE:BY: LAND MANAGEMENT DIVISION / 125 E. Bth AVE.. EUGENE, OR 9740I / 687-4061 Da/o )ev,ti D/.u)o,,-?slu su) iltAu,r" Or,,J".,,-' PERSOI(I MAKING REQUEST {