HomeMy WebLinkAboutPermit Building 1983-06-02fitr
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for,
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Lane Corn*y Authori za,ttot:-
FOR OFFICE USE ONLY
Applica
Permit *
lrwo coe s of Plans
Three Copies of Plot Plans
Mech/Plumbing Checklis t
Legal fnterest Document
PIan Check Info Sheet
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OUT OFTAX
LOT,/PARCEL-o BLOCKb
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ON
PROPOSED6.USE OF PROPERTY
idential fndustrial
Commercial
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f,iscRu>TroN\oE pnoposd(l{d rfinm I S.C DECI,ARXD S VALUE
O:INERr S
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AND
OSRNAME
TELEPHONE NUMBER
Existing
{lo-;3z
that aI l inf omation
ri{^utnori""d agenrf:rther
TIAVE CAREFULLY EXAMI THENED COMPLETED APPLI PORCATION I?PERM rtice he reon true andfy corre ct thaCandthehavefolJ-owing reinte t theINIe gal oownerproperty record actcontrnn purchas WI eviderh once authori ttachedaItycertithat.al1and workfyany shalf omed beper lndone w]accordance th the nancesOrdi Laneof andCouty Lawsthe theof Sta te of OregontotheworkheredescribedInandNOthatOCCUPANCYbei11ofmades tructure wfany thout the onpem of Buithe Div1d-in ls 10nq r fur-the ce thartify re9 tration rh the Bui de r Board fnas fu1 force asfe required 701oRs 055 tthaby t bathexempt for rii-exempdhereonandnotethatonlyildubcontractorswhornrh701oRs0551employeesusedthontsbeectHAVEIRNADprolANDCHECKEDAPPI,ICATIONTHIS
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Date:
uate :
No
QL //a
6
COM}IENTS:
El'ryllq.EXAMI NATION:
Site
rn flood hazard areaa[-l ,"!r.=, SEE ATTACHED SHEET
SANITATION: S r. fl B. P. #
4t/-t
CO}L\IENTS:
BEEN BASED ON THE FOLLOWING CONDITIONS:
Installation Record Iss
Parcel #f] plaxrlrnc/zoNrNG:
AUTHORIZATION
Parcel Si-ze
rear
COM.!ENTS:
Date:
Date:
callon
Tank
Lineal Feet
of Drainfield
Installation
Specifications:Maxinum Depth
of Trenches
'ror
READ THIS SECTION CAREFULLY. Y
Partition #
- tL,
=ld.
llinirnun Setbacks, CL, frort
TOTAL I/ALUATION $
Description
CONSTRUCTION AUTHORIZED BY TH rS PERMIT
Sq. Ft Fixed Fee/Unit Cost oosFloodplain Fee
Subsurface Fees
Building Eee
l.1echlPImbg Fee
Pr ans Check pee
State Surcharge
DEQ Surcharge
TOTAL FEE S
G
s
)
$
s
$
$
$
14PERMIT APPROVED BY BUILDING OT'F ORS 56.80s DATE
r"ANE couNTY DEPART!4ENT oF PLANNTNG & coMMuNrry DEVEI0nMENT / 125 EAsr ETGHTH AVENUE, EUGENE,
SEE REVERSE FOR INSPECTION INFORMATION
4
9740L
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WWZIt 574rt R.IJI,,EPHONE NUMBER I
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Pr.3 use S
area
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SETBACKS AND OTHER CONDITIONS OF APPROVAL MUST BE STRICTLY OBSERVED. VIOLATION CAN RESULT IN REVO-
CATION OP THIS PERMIT, CITATION UNDER PROVIS]ONS OF LANE COUNTY'S INFRACTION ORDINANCE, AND,/OR OTHER
REMEDIES ALLOWED BY LAW.
WHEN READY FOR INSPECTION, CALL 687-4065. A MINIMUM OF AT LEAST 24 HOURS ADVANCE NOTICE POR INSPEC-
@eul-rtav6--EEe_Eo11owinginformationready:permitnumber,jobaddress,typeof inspection, when it wiII be ready, your name and phone number, and any special directions to site.
BUILDING DIVISION:
REQUIRED INSPECTIONS:
1. Foundation lnspection: To be made after trenches are excavated and forms erected and when all
mE$EiETE-fd-t[E--foundation are delivered on the job. Where concrete from a central mixing
plant (commonly termed t'transit mixed") is to be used, materials need not be on the job.
construc tion does comPIY with such
Drainfield
2. Concrete
serv
place bu
SUBSURFACE AND ALTERNATIVE"SEWAGE DISPOSAL SYSTEMS:
I. Permits. shall be effective for one vear from the date of issuance'
the permit holder shalI
2. Upon comPleting the construction for which a perml t has been issued,
notify the Lane County DePar t$ent of Planning and coNnunitY DeveloPmen tby submitting the
installation re cord form. The De partment sha}l insPect the
in this division. If the
construction to determine if it
If the construction does not comPlY with such rules,the Department shall notify the rmi tpe
aiI
SIab or Under-Floor Inspection: To be made after all in-slab or under-f1oor buililing
"q"-+*""t-""4"It, pIpIiry accessories, and other ancillary equipment items are in
t-betore any concretlr ls foured or floor sheathing ins.talled, including the subfloor.
3. Framing & fnsulation rnspections: To be made after the roof, aI1 framing, fire blocking, and
iJi.ffi;'.i"-ffi.s,fireplaces,chimneys,andventSarecompIeteandaIIrough
electrical and'plumbing are appiovea. AI1 waII insulation and vapor barrier are in p)-ace'
4. Lath and,/or cypsum Bgalq Inspectionr To be made after aII lathing and gypsum board, interior
il.a.":...ra.ifr","-ffi.ffi""lp:."'t.ringi-sapp1iedandbeforegypsumboardjoints
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 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
i' tfr"'tonstruction as indicated-by each of the inspections required'
NoTE: AII building permits raquire inspections for the work authorized, such as but not limited to:
A. Brock waLr: To be made after reinf,orcing is in prace, bY!-before any grout is poured' This
Iis-pecETon is required for each bond beam pour. -There wirr be no appro'"al until the prumbing
and electrical irispections have been made and approved'
B. wood stove: To be made after completion of masonry (if appricabte) and when instarration is
comprete. rnstallation sharr be in accordance riLir "" appio.red, nationalry recognized testing
aga.r"y and the manufacturerts instaLlation instructions'
c. Mobile Home: An inspection is required.after.the mobile home is connected to an approved
sewer or septic system for setbaci requir-ements, blocking, footing connection' tj-edowns'
skirting, and plumbing connections'
1. Footings and piers to comply with state foundation requirements for mobile homes or as
recommended bY the manufacturer '
2- Mobite home minimum finish froor elevation sharr be certified when required by a flood-
Plain management letter
3. Mobire home tiedowns, when required, and skirting shari be-instarled and ready for inspec-
tion within at least 30 days after o""rrp"rr.y.--ri"ao*tt and skirting shaII be installed
per enclosure-
D.SwimmingPool:BelowgradewhensteelisinplaceandbeforeConcreteispoured.Abovegrade
when PooI rs rnstarreq'
APPROVEDPLANSMUSTBEoNTHEJoBSITEATALLTIMESDURINGWoRKINGHoURs.THISPERMITWILLEXPIRE
rF WORK D.ES NOT BEGrN wrrHrN r80 D;ys, oR rF woRK rs;,'PENDED OR ABANDONED POR MORE THAN 180 DAYS'
SUSPENSIoN oR REVoCATIoN MAY oCCUR IF iHIS PERMIT WAS iSSUED ON THE BASIS OF INCOMPLETE OR ERRONEOUS
INFORMATION.
ANYONE PROCEEDING PAST THE POINT OT REQUIRED INSPECTIONS WILL DO SO AT THEIR OWN RISK'
complies with the rules contained
rules, the DePartmen t shall issue a certific ate of satisfactory comp letion to the Permi ti holder.
holder and shall re quire satisfactorY comple tion befor e issuing the certificate. F ure to
meet the requiremen is for satisfactorY completi on withi n a reasonable time constitutes a vio-
Iation of oRS 454.5 05 to 454.745 ahd thi s rule.
Setbacks - S"l:":lg9g Sewage DisPosaI
Septic Tank
From:Interior ProPertY lines
Edge of road right-of-waY
Building foundation
WeIIs, other water sources
C 14-25
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5t
50r
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10r
100 |
LA,!!T COUNI Y I NSPFCT toil- RICOBD
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FRONT SIDEL I NTER I OR S,REAR
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SI D S
TION /t4
Approved Ol/- Date fu"_pl
-&#--mr
I NSPECT I ON
Da teorrecn Insp ector
Pffi.ilIitrEROUNDilORT -
I-NSPI.CTiON
Approved-Date_
-_ --_---_l'orrection-----Date--_-- -Inspector-
UNDERSLAB PLBG. N /UTDE-riiu-R-pftr I NSPECTi ON
App ro ved__Da te cti on_Da te---..*-_
-l
nsPec tor
i. fl
;,orre
SLAB INSPECTION
Approved__Date --r,orrecti on Da te Insp ector
Roucl{ PIUMBTNG (ToP
Approved- _ Date
0-uT)-t-nSF-EeT ION
Correctj on Date I nspe ctor
FRAMING INSPECTION
Approved ,a,rz o aLe-Lt ]i-:AA/correction-Da te I nspe ctor
NTUm-ilEEHTN'TEATApproved Date Correcti on__l Date Ins pe ctor
]XSUIATTO-iI- T IAFOI-BARR I E R I NS PE CT I ON
Ap p r o v ed lQylD a te _ {, - Z1l -8 X _ / {-" o mec t i o n.-*--Da te
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App r o v e d _g!2 _D a t e * - (r::2/rS $ - t,: or re c t i o n----*- D a t e
rw/n00-o-sf0vrrl-'---
Approved ____Date. --_ _ __-/(.orrecI
_Inspector
tion.__- -_.Date--.-- Inspe ctor
I nspe ctor
.orrec ti on Da te --.I ns pe ctor
r r-L-E-H-0'l'tE E-7At- flthtE[|rnT il -
,o tion Date I
Approved-.-_ . - Date nS)).Approved. - __ -."_.0ate
7- L/- 83
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pector
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_.Dat
d Da te t
'D.pu"t,ent
or Environmentar [::33:h:llr!?l^E5li'lrn Ave., Eusene, ,reson
687 -4357
Date -5 -/(^-8s By
To: ffnermlt Processing
E Ptanning
I nuut ic tlorks
Permit No. 7 //-
Partition No.
Subdivision No.
App I icant Name . I r> rqZ Z zl il.rl,u
Address of site z
SFD AG M. H.COMM.
Approximate flood hazard study area, extra precautions may be appropriate to
assure that the building site will be reasonably safe from flooding.
Detail flood hazard study area. Data Source NAAP * 7?
Mobile home tie downs required.
Substantjal improvement.
Site in regulatory floodway channel, buiiding prohibited unless it is demonstrated
that the cumulative effect of proposed development wilI not increase the base
flood at any point. Contact Floodplain Management for rnore information.
@
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BASE FLOOD ELEV
this elevation
ATION + I' =
uired as ec
' (l{SL). Certification at or above
ow.
OTHER
E CERTIFICATION OF ELEVATION
I. ,aRegisteredProfessional
in the State of 0regon, do hereby
certify to Lane County, that the following elevation represents a survey
made by me or under my supervision.
The foundation elevation (including basernent slab) = ' (MSL).
=o,E
N
tli\n
tr
Enn
The ground elevation that structure will be placed on =
The first floor elevation = ' (MSL).
The elevation of the top of floodproofing =
0ther
Reference Bench Mark No.
Locati on
, (t'tSL ) .
' (MSL).
t'l
irSi gnature
Date
0rigina'l to be certified and returned to Lane County
Floodplain Management
I st copy wi th appl i cati on/i nspect'ion
2nd copy to applicant
3rd copy to FloodPlain Management
SEAL
LitN[. i:{]t.,HTY }EFT El'lV l'lGT' RECE:IF'r {: '7118}3 DATE 05{SS-
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D' ANNING & COMMUNITY DEVELOPMENT
ACTIV TTY INFORMATION SHEET @
COMPLETE THIS SECTION. INCOMPLETE FORMS WILL BE REJE
I
E R
/ Lo,r**8* _11/" a4<
I DDRE MAILING ADDRESS
I
n q6 -44:a dt
BUSINESS TELEPHONE #
h1J^ -4a7f,
MM_TTIEPFONEI BUSINESS TELEPHONE #m
2 PROPERTY ADDRESS
( IF DIFFERENT F I I R S
3 rvlae el PAFIeEL NIJMBEFI (from tax maps in Department of Assessment and Taxation
( REQU I RED I NFO RI,IAIION
.Jn\
or from tax statement)
t1 vJ4
MNGE SET-fIbN
2 8oo 14 e
TMN-SFTF'ZON ING
T0II-NSFIF EANCE SEETMN M ZON I NG
MfrNSHTP MNGE SEETION
TOTAL CONTIGUOUS PROPERTY IN SAME OWNERSHIP:
TArT0-W ZON I NG
ACRES
4 ,rrrUr-ON (if appl icable)7-B LOCK
5 REQUEST (state exact'ly what you plan to do)
6 DIRECTIONS TO SITE:/l/urH a.(r4 n/t -IlCeb----Lo I
** FOR STAFF USE ONLY **
ZONE/LAND USE
NUMBER
DATE
-{v
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-l
BY : _ DATE :_ TIME I N:_ OUT :_
I
lane countyTIOtID SLIP
APPLICATION #
LOCAT I ON
NAME
ADDRESS
&
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The above applicatjon is ing held for the following reasons:
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AVAILABLE BY APPOINTME T ONL Y (NO WALK-INS)
TE
687-406 r ()PHONE HOURS
f the information required
ation will be cancelled.
ATURE
This application wjll be held until
above has not been furnished by te your app c
RETURN THIS SLIP t^lI'iH THE ABOVE REQUESTED INFORMATION.
BUILDING & SANiTAI'ION / PLANNiNG & COMMUNITY DEVELOPMENT DEPARTMENT
125 East Bth Avenue / Public Service Build'ing / Eugene, 0regon 97401 / (5C3)687-4061
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FLOODPLAIN I{ANAGEMENT
Department of Environmental Managementll25 East 8th Ave., Eugene, Oregon687-4357 *e)_)Date -T - Zl -B3 By CdLIC
To: fi,rermrt Processing
f] Ptannins
I Publ ic Works
Permit No. -11\-fj-,b
Partition No.
Subdivision No.
App'licant Name Sonxl LANIIRE:
Address of site ZA% }-.[ . ZOV ??H?. 1-l4T-7
}..IOT
E.n
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u
SFD AG M.H ADD COMM
t--l Approximate flood hazard study area, extra precautions may be appropriate to
assure that the building site will be reasonab'ly safe from flooding.
Detail flood hazard study area.
Mobile home tie downs required.
Substantial improvement.
Data Source IAAP rl1q
BASE FL00D ELEVATI0N + l' =' (MSL).Cert ification at or above
this elevation requ ired as cFecked below.
Site in regulatory floodway channel, building prohibited unless it is dernonstrated
that the cumulative effect of proposed development will not'increase the base
flood at any point. Contact Floodplain Management for more information.
NA' N CERTIFICATION OF ELEVATION
I,, a Registered Professional
in the State of Oregon, do hereby
certify to Lane County, that the following elevation represents a survey
made by me or under my supervision.
The foundation elevation (including basement slab) =n
n
n
tr
tr
' (HSL).
' (HSL!.The ground elevation that structure will be placed on =
The first floor elevat'ion = ' (MSL).
The elevation of the top of floodproofing =
0ther
Reference Bench Mark No.
Locati on
'(MSL).
Si gnature
Date
Original to be certified and returned to Lane County
F'l oodpl ai n Management
lst copy with application/inspection
2nd copy to applicant
3rd copy to FloodPlain Management
SEAL
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