HomeMy WebLinkAboutPermit Miscellaneous 1983-7-28
-
PWf~~O)J~ .
Lane County AuthorIzation for:
,r11l11~ny ~l~~
r PANGEO 3 ~, SEC~N 3 J Tq~ gJ.OUT OF
applicable) LOT/PARCEL BLOC
. G~ <oG (<f.d<-
~\I.I, '8\\\ ~\'1?
FOR OFFICE USE ONLY
Applica tion,l ~ _ ~ <:J ~
Perrn~t t ., -~l -()~
D Two copi~s of P ns'
DThree Copies of Plot Plans
DMech/Plumbing Checkl~st
o Legal Interest Docum"ent
D Plan Check Info Sheet
rL~ ) / drnJ . I'~,:~"::t~.f . '"'
'l7hi ~~ l. \" I 0 Commercial 1J1J::'~.
f.J.1kMtm S~-UkV. >.~l-Jo !I1cw:&U- r~
L bcitJ
?*-J1mt,
C4~
I~ CAREFULLY EX~EO THE COMPLETED APPLICATION FOR ;ERMIT, and do h:reby certify ,that all information hereon is true and correct; and that I
havQ the following legal interest in the property: ~owner of record; 0 contract - purchaser; Dauthorized agent with evidence of authority attached.
I f~rther certify that any and all work performed~ be done in accordance with the Ordinances of Lane County and the Laws of the State of Oregon
pertaining to the work described herein, and that NO OCCUpANCY will be made of any structure without the permission of the' Building Division. I fur-
ther certify that registration with the Builder's Board is in full force and effect as required by ORS 701.055, that if .exempt the basis for exemption
is noted hereon, and that only subcontractors and employees who are in compliance with ORS70l.055 will be use~ on this project.. I HAVE READ AND
CHECKED THIS APPLICATION THOROUGHLY.
~
..:J C> ..,..;
L. "t"~"'..s
x
ty)
SIGNATURE
D'b ~i' \ '1 f.3
- DATE
NAME (please print)
READ THIS
.t>i..,l,
Parcel Size
rear, ~'
:1.~~
Minimum Setbacks:
eL, front
OU~AUTHORizATION HAS BEEN BASED
Ie A ';~9"itiOn # \ ':\ 'b~
~.r;;{, side interior
ON _THE~LLOWING
parce~ \
CONDITIONS ~ .
[] PLANNING/ZONING:
COM.'1ENTS :
[] FLOODPLAIN:
In flood hazard area? $. No 0 Yes. SEE ATTACHED SHEET.
Date:Z)lll.l\"~
Date: ~-~-8.-z, ~
i ~ SAN1TATION:
Installation
Specifications:
s. 1. #:
B. P. #:
.A'b
Installation Record Issued? 0 Yes 0 No
Lineal Feet ~/II Maximum Depth
of ;;,:~~ ~ ~~c:v~
,..d1;/~V: #__. ~-f./
'Date: f"'.-17-Y3- .$./
/57",
) &"""-' ..P~A'A.j(
1/'
/1/1/,.t/ aAP~#f /'(:1
-/1-P3
Gallon
Tank
[] PLANS E/,~IN~TION: Type _::;;<
COM>IENTS: PT.AN~ APPROVED- BY LANE COUNTY. RESUBMIT TWO
,
-] COUNTY WHEN APPL5ING_F~~::A_BU:r:J:,D}I'!9_P~I1j.
r A RT1TTnn,~ ~;~J-fT'r T~ RROUIRED PRIOR TO THESTART'OFi:
~__Group
:D
?S~t-l.::.. ';/:_:..:::...,' S.. F..:..
(2). SETS OF PLANS .APPROVED "BY_LANE ;
1] 33r3ff..ESf::X'
TOTAL VALUATIO~ -$ - _-.J
~~-
Date:
08-26-83
~
-.--- - -~-- _.
CONSTRUCTION AUTHORIZED BY.~ PERMIT
Sq. Ft.
Fixed Fee/
Unit Cost
~.~)
i~~~J~ .~.
QL4f)()
~ ~(')
.!J1?'
f!fP
Floodplain Fee $
Subsurface Fees $
Building E'ee $
Hech/Plmbg Fee $
Plans Check Fee $
State Surcharg~ $
DEQ Surcharge $
TOTAL FEE $$
l"'i() . rol
.? .(")7)
PERMIT APPROVED BY BUILDING OFFICIAL/DESIGNEE (per O~:::-~~
oI3.ru~?
DATE
LANE COUNTY DEPARTMENT OF PUBLIC WORKS LAND MANAGEMENT DIVISION, 687-4061,
125 EAST 8TH AVENUE, EUGENE, OREGON 97401
SEE REVERSE FOR INSPECTION INFORMATI'ON
o
.
~~O~~MA~q(
1
'"
SETBACKS AND OTHER CONDITIONS OF APPROVAL MUST BE STRICTLY OBSERVED. VIOLATION CAN RESULT IN REVO-
CATION OF THIS PERMIT, CITATION -UNDER PROVISIONS O~ 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 FOR INSPEC-
TION REQUESTS fJ{lJS'J: t;t; i;~-';J:.N. Have the following informati:on ready: permit.'number, job address, - type
of inspection, when it will be ready, your name and phone nUmber, and any special directions to;site.
BUILDING DIVISION:
REQUIRED INSPECTIONS:
1. Foundation Inspection: To be made after 'trenches are excavated and forms erected and when all
materials tor the foundation are delivered on"the job. Where concrete from a central mixing
plant (commonly termed "transit mixed.') is to be used, materials n~ed not be on -the "job. " :.
. - . '\ . \ 1 . . ,..
t\ 2:~ 'C~.~~:r~te\.~hab" or ,u~dJi-Flood Inspectib~~::. .f~ be~ m~de"afte~" all'l 'in-sl~b .6r :under-fl~or 'b~ildirig '. \
service equipment, conduit, piping accessories, and other ancillary equipment items1are in +
place but before any concrete is poured or floor sheathing installed, including the .subfloor. 'I'
. r-' . ". .' .".
3. Framing & Insulation Inspections: To be made after the roof" all framing',. fire".blockin'g, and.
bracing are in ,pl~ce .and, ~!.l. p'ipe~, fireplact;s, chimneys, ~nd yents ara:c6{nplete 8nd"'a~}. rough'
electrical and plumbing are approved. Al~ wall insulation and vapor barrier are in place. I
.
4. Lith and/or Gy~sum Board InsFection: To be made aftei.all lathing and gypsum board, interior
~exterIOr, 1S 10 place but betore ~ny. plasteripg .is applied and before gypsum board joints
and fasteners are ~ap~d arid' finished.
5. :Final:Inspection:
.
APPR'OVAL REQUIRED. No work Ishali be d'one'~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 made4 of' each successive step
in the construction as indicated by each of the inspections required.
.. . J
All. building permits require inspections for the work authorized, such' as but not limited to:
. .... 'l
Block Wall: To be made after reinforcing is in place, but before any grout is poured. This
rnspect10n is required for each bond beam pour. There will be no approval ,until the plumbing
an~ electrical inspections have been made and approved.
B. Wood Stove: To be made after completion of masonry (if applicable) and when installation is
c~J1lPl~ Installation shall_be ~ ip,'appordance with an approved/~_na ti,onally recogni ;~d ..testing
'agency and the manufacturer's installati011 instructions. .. , .. t .. - ,,-
. - \ '
C. Mobile Home: An inspection is required after the mobile home is connected to an approved
sewer 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 th.e manufacturer. . " -. ~ -
2. Mobile home minimum 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 shall be installed
per enclo..sure.
o. Swimminq Pool: Below grade when steel is in place and before concrete is poured. Above grade
when pool~i~~alled.
To be made aft<<;r. the, buil~ing is comPJete~'a~d before occupancy.
NOTE:
A.
r
, ,
"
"
APPROVED PLANS MUST BE ON THE JOB SITE AT ALL TIMES DURING WORKING HOURS. THIS PERMIT WILL EXPIRE
IF WORK DOES NOT BEGIN WITHIN 180 DAYS, OR IF WORK IS 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 or REQUIRED INSPECTIONS WILL DO SO AT THEIR OWN RISK.
~\ .- .,.r .
SUBSURFACE AND ALTERNATIVE SEWAGE ,DISPOSAL SYSTEMS: )
. , . .' . " I... .. \ " ~ - . ,~
1. Permits shall be effective' for'" one year from the date of issuance.
2. ~~o~~ COrripletingth~~ const~uctto~'. 'for' which ~a ,pJ~mi t has b~en iss"ued, the,'penni t hol~er shall,'
notify the.Lane County'oepartment of Planning and Community Development by submttt~ng\ the'
instalLation r~cord form. The Department shall inspect the construction to determine if i~
complies with the rules contained in this division. If the construction does comply with such
.rules~ ~he.Department shall issue a certificate of satisfactory completion to the permitj holder.
If the construction does not comply with such rules, the Department shall notify the permit
holder and shall require satisfactory completion before issuing the certificate. Failure to
meet the requirements for satisfactor~ completion within a reasonable time constitutes a vio-
lation of ORS 454.605 to 454.745 and this rule.
"
. ~
" .
. '
Setbacks - Subsurface Sewaqe Disposal
From: Interior property lines"
Edge of road right-of-way
Building foundation
Wells, other water sources
Septic Tank
101
10 "
5 '
50'
Drainfield
10'
10 '
10'
laO'
--
-...- ,~---
-"-
C 14-25
"
--" .
~
"
t'.... .
\;"'.....
, '. I
'. \ l~
, I
. . . y
r"
. eg
,.'
. .
. .::
I:;
. ei_~
J!.i
. .
. .
. .
. .
JI)
. .
. .
I.
. .
. W: 2 LANE COUNTY DEPT EN" MGT RECEIPT '=' 130383 DATE 080983.
" APPLICANT THOMAS, ,JOHN 1.... ADDR 443 BLACKSTONE ST., EUGENE, OREGON
~I...O 1703230000900 SUBDIV LOT BLK
.EW BLDG TYPE USE R BDRMS 3 UNITS 001 STORIES 2 OBLDGS 001 PHONE 343 1614 .
OWNER NME THOMAS, JOHN L. ADDR 443 BLACKSTONE ST., EUGENE, OREGON
CODE APPL NO . ACTION DESCRIPTION SQ FT UNIT COST VALUATION FEE DAYS
.p MA I N 2400 34.29 82296 .
BF'. UPPER 500 34.29 17145
BP GARAGE 576 8.55 4924
.p
SP
PCK LC 130383 RPRV
.'L NO. FI XTURES :
MECH
, "SUR
.'CK
SDS
FP
.
. '. J !;
. ,(
.ii:
€
17
NO.
CONNECTORS: 2
MECHANICAL FEE
STATE SURCHARGE
PLAN CHECK FEE
104365
15.00 EACH =
,
~
.~
4%
65%
387.40
.~
,
SREF
10.00
.
, ,
.ATG:
SEQU:
TAKEN
.
APP
o '
BY CAD
RA
FP
1
EST.
SDS SI
2
PCK
3
OTH
ISS
4
TOTAl... FEE**
.
21
COMPLETION DATE
397.40 C'K
.
.
.
.
.
MEM~~NDUM
-.
~ne county
~
TO Mi ke Yeager
FROM Christine F. Andersen,Acting County Engineer
SUBJECT Dedi cati on on Hayden Bri dge Road
DA TE Apri 1 22, 19B3
As we discussed by phone 4/21/B3, a facility permit may be issued to
the partitioner regarding dedication of right-of-way along Hayden Bridge
Road with the following provision:
NOTE: Property dedicated for road purposed may
continue to be farmed and fencing may
remain in its current location until
such time as the property is needed
for road purposes.
CAF :ss
-....~
I i L..itJ C,
I
AJ ...S4-'
~
.
~\?PROVED
- -
? -I7..../!:? . ..
~~-
DATE
BY
I
_. -~ .,-":p
_ ~_I.:'I~1 -:--1,,=.1 r:
-r:'r .- V"'''' .
r-- _ '>>' I ,___I 'f/:./F ,1.::,-::.]:::.0.
.
>
//~I/ ~~..
r/~/ /~~
/' I" I'~
/"",/7 r ..)' ,/ if",
1/ 'f-) .' ff (Y ....i'
" ~,,-\ ,'(' /'/~// rl)::
7'/ .[J .;J V I)
. / .q~>\~".... ~~)
~~ / ,\. . r-,.'\- .'.. Il,
/ . . ~ . ,').. ..;;\,r j'V'
4ft:\, ,/ >,;;,<:,\1/ 4~ .
-!t/ \:,...v-=::~.'\ (\: ,
,J
. ,
.....ii!.1
. ~ ri'7
.,
\ /,-).1
-"~ ~v
<1J'f
3 ..
:i '
'"' ..
, , \ill
-+
4:
y'
,//'
///
.-----
/
/
,I
.
I
./
/
,I
/f
;
') .I
., .J ~
!!::J ~ .
/.1 ,1/
,Ii.... "
...;>' ....
.. .'
".. ;i-
~/:
I
I
,
../
~
"
"-.
'-,
..
7
//
//
/
/
/
_~AO:~~~ib~~~~Z:~~ :~~~:
.
~tie county
-
.
CHECKLIST
PLUMBING/ MECHANICAL
. .
APPLICANT INFORMATION:
(Name or 'FIrm-Please PrInt)
PLUMBING CONfRAcrOR
D Yes Firm
Address
D No DSelf
MECJ-lANICAL CONfRACTOR D Yes Firm
Address
D NoD Self
Type of Fixture
Sink
Lavatorv (Wash. Basin)
Tub (with or without shower)
Shower, separate
Water Closet (toilet/urinal)
Dishwasher
Disposer (garbage grInder)
Washing Machine
Water Heater
Floor Drain
Sewer--lst 50ft.
each additional 100 ft.
Water Service--lst 100 ft.
each additional 100 ft.
Storm and Rain Drain--lst 100 ft.
each additional 100 ft.
Special Waste Connection
Sewage and Sump PumP (eiector)
Mobiie Home Sewer and Water
Other (specify)
SUB-TOTAL (Minimum $10.00)
Type of Equipment
Mechanical Permit Base Fee
Furnace uP to 100,000 BTU/H
Furnace over 100.000 BTU/H
Clothes Dl'Yer Vent
Bathroom Ventilation Fan & Duct
Ran~e Hood with Mechanical Exhaust
Wood Stove
Air Conditioner Only
Heat Pump
Floor Furnace
Gas Piping System 1 to 4 Outlets
Per Outlet
Other (specify)
SUB-TOTAL
(MaIlIng AddreSS)
t'LLJMBIi."
Number of Each
OFFICIAL USE ONLY
Appli./ _
Permi t # I ?::t:J3
(CIty or Town) (ZIp Code)
Cont. OSR#
Cont. OSR#
Total
'"'
!
P-
~
'I
/
I
1'T-
;)..
~
~
J TOTAL FEE
MECJ-lAN I CAL
Number of Each
Fee On Each I
$ 5.00
5.00
5.00
5.00
5.00
5.00
5.00
5.00
5.00
5.00
15.00
10.00
15.00
10.00
15.00
10.00
5.00
5.00
10.00
Total
I
I
:~
I
j
I
t 1DTAL FEE
Fee on Each
$ 6.00
7.50
3.00
3.00
4.50
6.00
6.ob
b.OO
6.00
.50
$ 10.00
r.--
4-t. l!> e...--