HomeMy WebLinkAboutPermit Building 1987-06-05Arb q)e/&
Lane County Authori za'trPn fort
-7
FOR OFFICE USE ONLY
l::*i:"i'""'/72 /-?7
I\cwNSHrP
/ 7
*ro, /?3
S'JBDIVISION/PARTITION (if applicable)LOTIPARCEL BI,OCK
PRCPOSED USE OF PROPERTY
-J$f(esidential Irnaustrial)L
fle,u:.i.Commercial
(z 4zr.z.zCITYZIP
SFN-f,FF.
WORK
Proposed
sti
S NAME AND ADDRESS
NAME osR
I ttAVE CAREFULLy EXAMINED THE COMPLETED APPLICATION !.OR PEI{MIT, ar,J,1c h.rr(!i certiiy thnt all rnfolration hereon is true and correct, and that I
l^::,:ff.':ll:Iil'.i::":,i':::':i,';":l"n::?:H::'H,ir;:::":'::':l.R::i:':',::;,,"i1:''l:iffil.1fi! i3ill; and the raws of the state of oreeon
pertaining to the work describ€d herein, and that NO OCCLIPANCy will he nade of ail strrrcture without the pemission of the Buj.lding Division. I fur-
ther cerEify Ehat registration with the Builder's Board is in fulI force and effect as required by ORS 701.055, that if exempt the basj.s for exempti
is noted hereon, and that only subcontractors ad employees who are in complj-ance with oRS 70I.055 will be usetl on this project. I HAVE REN) Al{D
S APPLICA?ION
a
Date:
rnstallation Record rssued? ! r." fl n"
Maximm DepthInstallationGa110nof Trenches
Date:
Usefl pr,eus EXAMINATION:
COM}IENTS:
Date
front
7
k-COl.'lllENTs
(
Type-
COIL\lENTS
Soecifications:Tank
TNN RFOIIIRFI)SFPTTC TNSPFCT
B. P. *ITATION: s. I. *
RIZATION ']AS BEEN BASED ON THE FOLLOWING CONDITIONS:
interior rear
Parcel #Parcel
Lineal Peet
of ttrainfield
ToN FoR loAN RFVTFI^l N0 SpFCIAI Pl ANNING
"", =id.-
Partition #
READ THIS SECTION CAREFULLY. YOUR
ft pr,alwruc,zzoNrNG:
Minimum setbacks: CL
1*rf-?Z
BY
LANE COUNTY
SIGNEE (oer ORS 456.805 nffi.7
OF PUBLIC WORKS LAND MANAGEMENT DIVISION, 687.4061,
I
125 EASTSTH AVENUE, EUGENE, OREGON 97401
SEE REVERSE FOR INSPECTION INF'ORMATION cL4-25 R*
SEPTIC INSPECTION FOR LOAN REVIEhI i
(-
{*k
tr
SETB|TCKS AND OTI1ER CCNDITIO:lS OF APPRO!/AL lilUST BE STRICTLY OBSERVED. VIOLATION CAr'RLSULT IN REVO-
CNTION OF iIIIS IERMIT, CITATIOI UNDER PROVISIONS OF LANE COUITY'3 INFRACTION ORDIIi.\NCE, AND,/OR OTHER
RE}IEDIES ALLOWED BY LAW.
r,iHEN READY FOR INSPECTION, CALL 687-4065. A MINI}IU}I OF AT LEAST 24 SOURS ADVANCE NOTICE FOR INSPEC-
@sll--ttjEG--tIE--?b1Iowinginformationready:Permitnumber,jobaddress,typeof inspection, when it will be ready, your name and phone number, and any special Cirections to site.
BUILDING DIVISION:
REQUIRED Ir-SPDCTIONS :
I. Foundatj.on Inspection: To be made after trenches are excavated and forms erected and when all
naterials for the foundation are Celivered on the lob. llhere concrete fron a central mixi.ng
plant (comonly telmed "transit mixed") is to be used, materials need not be on the job.
2. Concrete Sl.ab or Under-al.oor InsDection: To be made after afI 1n-sl.ab or under-fIoor building
EElvTIe eC--urpmmt-, conauit, plpli,J ressories, and other ancillar),equipment.items are in
place but beiore any concrete i.s poured or floor sheathing installed, including the subfloor.
3. Franing & Insulation Inspections: To be made after the roof, all framing, fire blocking, and
5iEElnq arun pIre ffi aTI pipes, f ireplaces, chimneys, and vents are comp.Iete and alL rough
electrical and plumbing are approvec. AlI wall- ansuiation and vapor barrier are in p],ace.
4. Lath and,/or G],psum Board Inspection: To be nade after aIl lathing and qypsum board, inlerior
and exterior, rs in place but before any plastering is applied and be:ore gypsu board joints
and fasteners are taped and finished.
5. Final Inspection: To be made after the building is complete and before occupancy.
APPROVAL REQUIRED. No work shall be done on any part of the buj-lding or Structure beyond the point
indj.cated in each successj-ve inspection without first obtaining the approval of the building official
Such approval shaIl be given cnly after an inspection shail have been mace of each successj.ve step
in the constructioo as indicated by each of the.inspections recu-ired.
NOTE: AII building Pelnj-ts require inspecti-ons for the work authorized, such as but not limited to:
A. Block wall": To be maCe after reinforcing is ir place, but before any grout is poured. This
Inspectlo is required for each bond beam pour. There uill be no approvat untit ehe ptumbinq
and electlical inspections have been made and approved.
B. 9,rood Stove: To be made after completio. of nasonrj- (if applicable) and when installation isqpleln Installation shatl be in accordance with an approved, national-l"y recognized testing
agency and the manufacturerrs installati.on instructions.
C. Mobile Home: Ao inspection i-s required after the mobil-e home i.s connected to an approved
wreptic system for setback requirenents, blockLng, footing connection, tiedowns,
skirting, and plwbing connections.
1. Footings and piers to comply with State foundation requirements for mobj.Ie homes or asrecomended by the manufacturer.
2. Mobile hone ninimun fini.sh floor elevation shal,I be certified when required by a fl-ood-plain management Ietter.
3. .\lobile home tiedowns, when requj-red, and skirting shall- be installed and leady for inspec-
tion wi.thin at least 30 days after occupancy. TieCosns and skirting shall be insLalledper enclosure.
D. Swiming PooI: Belou glade when steel is in place and before concrete is poured. Above grade,Im prc1--is instalIeC.
APPROVED PLANS UUST BE ON THE JOB SITE AT ALL TIMES DURING WORKING HOURS. THIS PERMIT WILL EXPIREIE WORK DOES NOT BEGIN WITHIN 180 DAYS, OR IF I^]ORK IS SUSPENDED OR ABANDONED FOR IIORE TIIAN 180 DAYS.
SUSPENSION OR REVOCATION i'lAY OCCUR IF THIS PERMIT WAS ISSUED ON THE BASIS OF INCOMPLETE OR ERRONEOUS
INFORI'IA!ION.
ANYONE PROCEEDING PrfST THE POIIIT OF REQUIRED INSPECTIONS I,ILL DO SO AT THEIR OWN RISK.
SUBSURFACE AND ALTERNATIVE SEWAGE DISPOSAL SYSTEI'1S:
I. Permits shall be effective for one year from the Cate of issuance.
2. Upon completinq the construction for Hhich a permj.t has been issued, the permit hoLder sha1lnotify the Lane County Departrent of Planning and Comunj.ty Development by submittj,ng theinscallatj.on record form. The Department shall inspecL the construction to determine if itcompLies with the rules contained in this division. If the constructi.on does comply with suchruLes, the DePartment shalI issue a cert-ificate of satisfactory completion to the permit,i holderIf the construction does not comply oith such rules, the Departsent shall notify tire permitholder and sha.L1 requrre satrsfactory conpletion before issuing the certificat-. Failure tomeet the requirements for satisfactory completion within a reasonable time constitutes a vio-Iati.on of ORS 454.605 to 154-?45 and this ruIe,
Setbacks - Subsurfacc Serage Disposal
Septi.c Tank DrainfieLd
Interior property lines
Edge of road rtqht-of-way
Bulldinq foundation
l.leIls, other water sources
From:10 |
10'
50'
101
l0l
10'
100 |
(,}:m*ACTIVITY INFORI/IATION SHEET
Please complete atl ltems above dotted llne
'tr3ii*fiT,*U::?-
FILLING OUT * LINES WILL GET YOU INFOHMATION ONLY
ACTUAL
PROPERTY rreil t &o-0-4"r.-,
ADDRESS ZEIZ llort?r G
*DATE5 t24 tAtl
*[ffi?f*, &-t,,rcta- Pc+.n".,^
srrre OP z,r!t'l+,1!_CITY L id
TELEPHONE (B n b-nt? t3 +TELEPHONE
ore 0( '"-Q163- IOSB
{cpnopenTy ADDREs
OR
MAP & PARCEL NUMBER (Found on tax maps in the Assessment & Taxation Dept.)
_t7 3 :zt,r /rs
Townshlp Range Section Tax Lot
Township Range Section Tax Lot
Township Range Section Tax Lot
TOTAL CONTIGUOUS PROPERTY tN SAME OWNERSHIp: ACRES
*REQUESTldescrlbe what you wanr ro do
frrn L cru,t
28tz ordr Gtfl €(ol 0P Qtqrt
STAFF WILL DETERMINE _
Zoned Flood Plain
Zoned Flood Plain
Zoned Flood Plain
n ()rt &n n-o,-o
Directions to site dn 6rl^Str€/-rllr{,to
6{Itrrl
,ruaarrrrrrrarrr:rtsStaff Use Onlytttrrrrrrrr.rrrrartt
Com ments:
Land Management Division, PublicWorks Department 125 E. 8th Ave., Eugene, OR 97401 phone 6874061
roonrss lZib ITI6't[r-,,-'1e ELud .
-
-
ACTIVi.Y INFORMATION S IEET
COMPLETE THIS SECTION. INCOMPLETE FORMS t^JILL BE REJECTED!
ml'
-
PERSON MAKING REQUEST PROPERTY OWNER
MAILING ADDRESS MAILING ADDRESS
CITY STATE ZIP CODE C ITY STATE ZIP CODE
ffi HOME TELEPHONE # BUSINESS TELEPHONE # HOME TELEPHONE #
2 PROPERTY ADDRESS
( IF DIFFERENT FRO
3 rvrlp e PAHeEL NIJMBEFT
( REQUTREp rNF0RI4ATr0N)
(from tax maps in Department of Assessment and Taxation
or from tax statement)
TMNSF]P RANGE SMTMN W ZON i NG
MIN.SF-IP FTNGE SMTION r=Al-IoTrsIoR PARCEL #ZONING
MIMEIP MNGE SEETMN
TOTAL CONTIGUOUS PROPERTY IN SAME OWNERSHIP:
ffi ZON ING
ACRES
+ SUSOIVISION ( i f appf icabl e)LOT BLOCK
5 REQUEST (state exact'ly what you plan to do)
6 DIRECTIONS TO SITE:
** FoR STAFF USE oNLY **
ZONE/LAND USE:
t4-33
LAND MANAGEMENT DIVISION / 125 E. Bth AVE., TUGENE, OR 9740I / 687-406I
I
\
\U
5.Ph
U
s*P
Po-rl0
I
-Lfr-;x
ist
atd +oq{
at
w>\A
1 ZLS:Z n brb
$0t(1P 1rt1r
(
{.
,-\
)-2 D >r.
H+-
+
L".-
1
L
\