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Home My WebLink AboutPermit Building 1984-10-110 Lane Counuy Authorization for,FOR OFFICE USE ONLY Three Copies of Plot Plans Mech,/Plumbing Checklist Legal Interest Document Plan Check Info Sheet ApplicatiPermit # ansTwo Copies of 3FANGE BI.OCKI,OTIPARCEL l-& ZIP PRoP9tsED. USE OF PROPERTY ffneside-ntia1 I-l tndustrial l-l commercial l-l prrrri-.,Y ON DECI.ARED isting sed NAME AND ADDRESS \-12 AND CHECKED THIS APPLICATION THOROUGHLY. /o- /1-tqoI/(_ DATESIGNATURENAME evidencewith o authori attachedzedtcontracagenttyrethelnpurchaserthei-nterest propertyfollowingIegaI of Lane and oLaws the atest ofthw1ordinanceCowty Oregonthebeshalldonenworkf:rtherI certi that alIandfyany perfomed the theof Di vl on furINOthatOCCUPANCYbeI1ofnadewltructurethoutBuilding!o workthe hereindescribed and any Demission 701oRs 055 1that forthebasisLderBoardslnISforcefuIIeandfecta5 exenptionxempttherthattrationthBdrequiredbythereg]certify HAVE ANDREADth70IoRs.055 be1t onused ISth ectmdarewhoINprolr5notedthatandsubcontractorsemployeescompliancehereon ,only true and correct, and that Iinfomationdo hereby certifyFORI IIAVE CAREFULLY EXAMINED THE COI"IPLETED READ THIS SECTION CAREFULLY. YOUR AUTHORIZAIION HAS BEEN BASED ON THE FOLLOWING CONDITIONS: Th I ,"^.R4/1 Installation Record Issued? ! Y." I u"I sanrretrou, Maximum Depth of Trenches COM}IENTS: Date: Ftir-to >GLPLANS EXAMINATION: COM}IENTS: YMinimun Date Use frontcLl s. r. *B. P. # I plauxruc/zoNrNG:Parcel Size rear Partition # c .-L, srde - GaIlon Tank Lineal Feet of Drainfield Installation Specifications: Parcel # inteftor TOTAL VALUATION $CONSTRUCTION AUTHORIZED BY THIS PERMIT Descri Sq. Ft. Fixed Fee,/Unit Cost l'l.t€ Ploodplai Fee Subsurface Fees Building Eee Itlech,/PImbg Fee Pr ans Check Fee State SurcharEe DEQ Surcharge TOTAL FEE ) $ C ) s C ) ?:_s-s $s lb(r.Ll7 FEEs Du p t tG .qz ?rxe la-tZ- I I PERMIT APPROVED BY BUILDING OFFICIAL,/DESIGNEE (PCr ORS 455.805 (1) )DATE LANE COUNTY DEPARTMENTOF PUBLIC WORKS LAND MANAGEMENT DIVISION,687-4061, I25 EASTSTH AVENUE, EUGENE, OREGON 97401 SEE REVERSE FOR INSPECTION INFORMATION C t4-25 I a. T ryp" V-t{ c.""p R- 3 o^r", lCl. tZ- 9e1 -nd@ -ra SETBACKS AND OTHER CONDITIONS OF APPROVAL MUST BE STRTCTLY OBSERVED. VIOLATION CAN RESULT IN REVO-CATION OF THrS PERMIT, CTTATION UNDER PROVISIONS OF LANE COUNTY'S TNFRACTION ORDINANCE, AND/OR OTHERREMEDIES ALLOWED BY LAW, WHEN READY FOR INSPECTION TION REQUESTS MUST BE GIVENof inspection, when it will BUILDING DIVISION: REOUIRED INSPECfIONS: I Foundation-rnspFction: To be made after trenches are excavated and forms erected and when aIImaterfEfs foi-TfE-To[ndation are delivered on the job- where concrete from a centrar mixingplant (commonly termed "transit mixed") is to be u!ed, materials need not be on the job. 2. Concrete Stab or Under-F1oor serv nt, Conduj-t, pplacebut before any concrete CALL 687-4065. A MTNTMUM oF AT LEAsT 24 HoURS ADVANCE NoTICE FoR INSpEc-. Heva-TEeto1Iowing information ready: permit humber, job addr";;;-;;p"be ready, your name and phone number, and any speci-a1 directions to site. rngpection: To be made after arL in-srab or under-f1oor buirdingiping accessories, and other_ ancillary equipment items are inis poured or floor sheathing instarled, -inlluding the subfloor. 3. 5I3I+I9 & rn:uIalion rnspeglio{rst T9.be made after the roof, aII framing, fire blocking; andbracing are in place anAalTl-ipes, f ireplaces, chimn.y., ,.,i1 vents are complete and ali-roughelectrical and plumbing are approved. A11 wall insul.lio., and vapor barriei are in p1ace. 4. Lath and/or GyL.sult Board rlspection: To be made after aII lathing and gypsum board, i-nterioranE-exE-erlorl-Ts-in-p-fEce-E,uE-Eefor-e any plastering is .applied and before gypsum board joint.sand fasteners are taped and finished. 5. Final rnspection: To be made after the building is complete and before occupancy. APPRoVAL REQUTRED. No work shall be.done.on any part of the building or structure beyond the pointindicated in each successive inspection wit.hout first obtaining the ipproval of the building official.Such approval sha1l be given only after an inspection shaIl have been-made of each successive stepin the constructi-on as indicated by each of the inspections required. NoTE: All buitding permits require inspections for the work authori-zed,, such as but not limited to: A. Block wall: To be made after reinforcing is in place, but before any grout is poured. ThisIrl-specEIon is required for each bond beari pour. There will be no approval untit the plumbingand eLectrical inspections have been made and approved. B. Wood stove: To be made after completion of masonry (if appl-icable) and when installation iscomplete. Installation shall be in accordance wi-ti: an appioved, nationally recognized testj-ngagency and the manufacturerts 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, footj-ng connection, tiedowns,skirting, and plumbing connections 1. Footings and piers to comply with State foundation requirements-for mobile homes or asrecommended by the manufacturer. 2- Mobile home minj-mum 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 shal-I be installedper enclosure. D. Syrimming PooI: Below grade when steel is in place and before concrete is poured. Above gradewEen 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 WITHIN 180 DAYS, OR IF WORK ]S SUSPENDED OR ABANDONED FOR MORE THAN 180 DAYS.SUSPENSION OR REVOCATION MAY OCCUR IF THIS PERMIT WAS ISSUED ON THE BASIS OF INCOMPLETE OR ERRONEOUS INFORMATION. ANYONE PROCEEDING PAST THE POINT OT REOUIRED INSPECTIONS WILL DO SO AT THEIR OWN RISK. SUBSURFACE AND ALTERNATIVE SEWAGE DTSPOSAL SYSTEMS : Permits sharl be effective for one year from the date of issuance. Upon completing the construction for which a permj-t has been issuetl, the permit holder shallnotify the Lane County Department of planning and Community Development by submitting theinstallation record form. The Department shall inspect thE construction to determine if itcomplibs with the rules contained in this division. If the construction does comply with such !gI"-", tLe Department shall issue a cert.ificate of satisfactory completion to th_elpLrmltSho*:*1s,.If the construction does not comply with such rules, the Department-sha}l notify tire perinitholder and shall requi.re satisfaclory completion before issuing the certificate. railure tomeet the requirements for satisfactory completion within a reasonable time constitutes a vio-lation of ORS 454.605 to 454.745 and this iule. Setbacks - Subsurface Sewage Disposal Septic Tank 10r 10r 5t 50 r Drainfield I 2 Interior property lines Edge of road right-of-way Building foundationWeIIs, other water sources Prom:10t 10r 10! 100 ' TRS#DATE ISSUED:?ERtilrw67 ^9 N ET BACK REQUI ENTSS C REM C SIDE ---TTUMB-ING FIXTURES L FRONT L I NTERI OR REAR LU BING Approved Date Correcti on Da te SDS APPROVAL REQUIRED Insp ector Inspe ctor Y- { D .fr T App roved Da te2-_L._t{_/c orrec IN Date N E UNDERSLAB PLBG. fIApproved Date /UNDERFLR PLBG. N INSPECTION Correct'ion Date Ins pector OTHER INSPECTIONApproved Date Correct'ion Date I n s pector RoUGH PLUMBTN/ (ToP Approved / Date t/- lc-94 /Correction Date I nspector A?,A FRAMING INSPECTION Approved te tt - ff - K(lComection Da teDa I nspector ROUGH MECHANICALApproved Da Correcti on Datete I nspector MBAnRtEa tltsp:trtON Approved r/ D ate t /- t4,- t4lCorrect ion Date Inspe ctor LATH / GYPSUM BOARD INSPECTIONApproved IDate Correcti on Date I nsp ector FINAL MECHANTTALtr /br00D ST0VEE Approved ,/ Date 2 -7-g{ /Co rrecti on Date Ins pe ctor FINAL P N LUMBING IN d__/_Da te SPECTION Approve Correcti on Date 'PP roved Date 7;1-ff' /Correction Da te I nspe ctor Ins pe ctor ERTIFICATE OF OCCUPANCY Elproved Date_Insp TEmPoRTRT cEmTFTeATE 0F oCCUPANCY tr 4-197 Approve d-Date InsP.- )<._ LAIIE COUNTY I NSPECT I ON RECORD lone ccunty ACTIVITY INFORMATION SH EET COMPLETE IHIS SECTION. INCOMPLTTE I.ORMS WILL IJL RLJLCTID!@ nr l l?rL"r. Ca*L,- l<- Ld{f {T J t,,r- MAILING ADDRESS o no( rt01",, C'qrL,'1. PROP NER 1^ftrnr a/''r MAILING ADDRESS HN .a/7"1 I T lvfu4 1 1+tt F,'rt/" IITY 4ff 6trt STATE ZIP CODE TE ZIP C ?+ r Bbr + 3r-l7r Z ?+t ' /, (J- BUSiNESS TELEPHONE # HOME TELEPHONE # BUSINESS TELEPHONE #HOME TELEPHONE # 2 PROPERTY ADDRESS(IF DIFFERENT F 3 rvrae 6i PAncEL NUMBEFT (from tax maps in Department of Assessment and Taxationor from tax statement)(RE UIRED INFORMATION) 7oo+taLl7-uz t? 3t TOWNSHIP RANGE SECTION r-o-wr'rSiiiP nArlEE SEenON MTNSE]P RAr.I-GE SEEM-N TOTAL CONTIGUOUS PROPERTY IN SAME OWNERSHIP: TAx Lor(S) On pnneEr_l ZdltTN-G-- TAX LOT S -oI- PnncEl.-li NING W ION I NG ACRES LOT B LOCK4 SUBDMS ION ( i f appl icabl e) 5 RTQUEST (state exactly what you plan to do) -fr i 6 DIRECTIONS TO S ITE:I ** FOR STAFF USE ONLY ** ZONE/LAND USE: BY'_ DATE:_ TII4E IN OUT:_ 05 k zn$4+,+*-€tr,a--'- l?% , 34a*rq:-e2r- NUMB E R DATE ---t7u, -l LAND IV1ANAGEMENT DIVISION / 125 E. Bth AVE. . EUGENE, OR 9740] / 687-4061 I