HomeMy WebLinkAboutPermit Building 1983-4-5
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CONSTR~nON/PLACEM ENT\~.
PERM IT 0r A'" _~~~;~~a;iOr't yl ^ _ 'Q--;:l.,
,,(\.~ ~ - 0 Two Copies of ~~
cmlPLETE THIS BLOCK. PLEASE USE BLACK INK AND PRINTJ ~ v O'l'WO Copies of Plot Plans
TO\"'N~Hn' RAliGE ISECT1N I TIt:: LOT OOU1' OJ' DHechanical Checklist
17 03 I, ' )6')'"') OPlumbino Checl:list
:3UBDI;.IS~/PARTl}~,);l (l.t apphc.able) I LO~RCEL I)jfCK ~
NM / l1 :Jnl1 r tl hi 0, <LJ r,o <~ I OPlan Chec): Info Sheet
LOC~D"7~ t ~T~ I ..-.l ..-f~ /I'l. :.. \ zip PP",P~i~~n~::;OPEORT:ndustrial
~t~~~~.I"~ I ~Al~:VJ/" n ;. '~;:erCial DpumV~~
DC~TlONO~~WOB_~~'lQ)~1 lIm;t)4F-1(4~E~1
'OF'~ l'-OFtf~ Fo~tr~~.- 1~.v77#tn ~JH,r) ~~~~~
O\<NER'Ff ~AN1 A(;7t, .5n wo~ -4Wh)J 3 P<xuL r T~0~ZBJ~
~~. '"~ '" ~,.'" ~ W mO,. (J}-;'ZQ, 9'r4o. I I 'E",~" "w~" ,
~"0' "., I fenor ~o;; ~~t!nq') - ~*n ,-': (J.Arn
~~HEF~~~~ ~M~Ae~TIOfI FOR PERMIT, ."d do hon~).o,,;r, i"f,~,::~r.~~'~'iln~"~j~~'''~''<
certify that any and at!~~k performed shall be done in accordance with the Ol."diIlU'lCC!l of L,l.nr> COlJlILY and Lh.... J.d......j of th.' Sti,t.c n! {J1"'I-m J":t,1iltlwj
to thc work dascribed herl:'in, dnd that NO OCCUPAUCY will be made of ilny structur~ .....ithout the permission of th~ B'llIding Divi5ioll. t funh"r (" I."~i fy
that registration with thl:' Builder's Board is in full force and effect as required by ORS 701.055. thilt if CXt'mpt the basis for exemption i~ not.-.d
hereon, and that only 5~contractors and employees w~O\<l~~..l~ance""'~;'.A;l.O)i..~1 be us"d on thIS project I HA'IE RE.'D ArlO CllEC'I:F.D Tille;
APPLICATIOfl THOROUG"LY'~7f ~ rrr~ ~(/~ ~~ ~'p_d~~
J/;e '\A'~ (!~a~~t) X J -4,G~?~/ D'TL 8~::I::"CCO'
Zont? A-I / f\S-;S7i'?SJ Parc~l ;; Parcel S:!.ze "
::::::ssctnahinCL, ;ronlit I ~ ~~'~h l~ IZn:3t~ fY ~U h1il~
IYCJf,,'7r. c;i!_f'~> (lam,,;> ~. '."'ZJrn3!F\~ d!D
o FLOODPLAIN: In flood hazard area? 0 No ~s, sel:! attached sheeL Date: n
o RURAL ADDRESSING: GRID CDOROINATE N E Oate, 0
[3"'slrt.JITATION: s. 1. B. P. # Installation Record Issued? 0 Yes 0 No
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FOR OF?ICL ~SE OK~Y
o PLANNING/ZONING:
Installation
Specifications:
GaJlon
Tank
Lineal Feet
of Drainfield
l-laximurn Depth
of Trenches
tU'Iilf>IJ/~~e;;~ W dJ ' .
(iJ.b ., , . 7 ,~)
o PLANS EXAMINATIOb: 0 :Y7.b' ~~rouPJL' Use ~
Co_nt5, ~~~:; ~~YJOvro ; ~
\ i\j ~yv\-'- ~~I ~~te'}
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0- /1}83 . ~
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AUTHORIZED BY THIS PERMIT
Fixed Fee/
Unit Cost
-
Floodplain Fee $
SUbsurface $
Building Fee S
Sewer/S m Drain/Water $
Plumbing Fixtures $
Mechanical $
Plans Check Fee S
State Surcharge $ ~":::::'Lf1:()
TOTAL FEE $ -8~. (]{)
FEES PA7'1Y: ~7Ck. Cash
By:l .(l~ if
-' )
Date:-{Y,'h_:
, CSN$~
DATE
fY) IJT\
.~QJJ-
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TOTAL VALUATION
$
~(j""'ljJL
PERMIT - ROVED BY' BUIL~~.l\L/DESIGNF.E (;;~r QRS 456.805 (1))
LANE COUNTY DEPARTMENT OF P~~NING & CO~~lUNITY DEVELOPM~NT / 125 EAST EIGHTH AVENUE, EUGENE, OREGON 97401
SEE REVERSE FOR INSPECTION INFORMATION
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SETBACKS AND OTHER CONDITIONS OF APPROVAL MUST BE STRICTLY OBSERVED. VIOLATION CAN RESULT IN REVOCATION OF THIS PERMIT,
CITATION UNDER PROVISIONS 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 HOUR ADVANCE NOTICE FOR INSPECTION REQUEST MUST BE
GIVEN. Have the following information 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 IIISPECTlONS
1) FOUNDATION INSPECTION: To be made after trenches are excavated and forms erected and when all materials for the foundation
are delivered on the job. Where concrete from a central mixing plant (colTJ11only termed "transit mixed") is to be used,
materials need not be on the job.
2) CONCRETE SLAB OR UNDER-FLOOR INSPECTION: To be made after all in-slab or under-floor building service equipment,
conduit. piping accessories and other ancillary equipment items are in place but before any concrete is poured
or floor sheathing installed, including the subf100r.
3) FRAMING & INSULATION INSPECTIONS: To be made after the roof, all framing, fire blocking and bracing are in place and
all pipes, fireplaces and chimneys and vents are complete and all rough electrical and plumbing are approved. All
wall insulation and vapor barrier are in place.
4) LATH AND (OR GYPSUM BOARD INSPECTION: To be made after all lathing and gypsum board, interior and exterior, is in place
but before any plastering is applied or before gypsum 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 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 in the construction. as indicated by each of the inspections
required.
NOTE: All building permits require inspections for the work authorized. such as but not limited to:
A. BLOCK WALL: To be made after reinforcing is in place, but before any grout is poured. This inspection is
required for each bond beam pour. There will be no approval until the plumbing and electrical inspections
have been made and approved.
B. WOOD STOVE: To be made after completion of masonrv (if applicable) and when installation is comolete.
Installation shall be in accordance with an approved nationally recognized testlng agency and the manu-
facturer's installation instructions.
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
connecti ons.
(1) Footings and piers to comply with State foundation requirements for mobile homes or as recommended
by the manufacturer.
(2) Mobile home minimum finish floor elevation shall be certified when required by a floodplain
management letter.
(3) Mobile home tiedowns, when required, and skirting shall be installed and ready for inspection
within at least 30 days after occupancy: Tiedowns and skirting shall be installed per enclosure.
0, SWIMMING POOL: Below grade when steel is in place and before concrete is poured. Above grade when pool
is installed.
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 INCOllPLETE OR ERRONEOUS INFORMATION.
ANYONE PROCEEDING PAST THE POINT OF REQUIRED INSPECTIONS WILL DO SO AT HIS OWN RISK
SUBSURFACE AND ALTERNATIVE SEWAGE DISPOSAL SYSTEMS
(1)
(2)
Permits shall be effective for one year from tfie date of issuance.
Upon completing the construction for which a permit has been issued the permit holder shall notifY,the
Department by submitting the installation record form. The Department shall lnspect ~he constructlon ~o
determine if it complies with the rules contained in this division. If the constructlon does comply wlth
such rules, the Department shall issue a certifjcate of satisfa,tory completion, to the permit holder. If the
construction does not comply with such rules, the Department shall notify the permit holder and shall requlre
satisfactory completion before issuing the certificate. Failure to meet the requirements fo~ satisfactory
completion within a reasonable time constitutes a violatibn of ORS 454.605 to 454.745 and thlS rule.
Setbacks - Subsurface Sewaae DisDosal.
From: Interior property lines
Edge of road right-of-way
Building foundation
Wells, other water sources
Seotic Tank
10'
10'
5'
50'
Drainfield
lQ'
10'
10'
lOO'
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LANE COUNTY DEPT ENV MGT RECEIPT ~ 14083 DAn; 02038:L
. APPLI CANT LEE, JACK ADDR 300 DEADMOND FERRY RD,., EUGENE, OREG.
TLI 1703140001500 SUBDIV LOT BLK . ~
NEW BLDG TYPE USE R BDRMS 0 UNITS 001 STORIES ~BLDGS 001 PHONE 746 281~ !
. OWNER NME LEE, JACK ADDR 300 DEADMOND FERRY RD., EUGENE, OREGl.
CODE APPL NO ACTION DESCRIPTION SQ FT UNIT COST VALUATION FEE DAYS
BP
.1" .
BP
BP
.1" .
PL NO. FIXTURES:
et1ECH
SUR
PCK
.MH LC 1-4083 TMHR
SDS SDSC
SUR
.
NO. CONNECTORS:
MECHANICAL FEE
STATE SURCHARGE
PLAN CHECK FEE
15.00 EACH =:
.
4%
65%
l ,.
30.00
50.00
~;. 00
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.
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CATG:
~.'SEQU :
TAKEN
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API"
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BY CAD
RA
FP
SDS SI PCK
1
COMPLETION DATE
OTH ISS
2
.
EST.
TOTAL FEE**
85.00 CJ(
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lane county
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January 11, 1983
, 1
Jack Lee
300 Deadmond Ferry Rd.
Eugene, OR 97401
RE: Renewal of Temporary Mobile Home Placement Permit # I'f..-?I
TRS/TL /7-,()3-/c/ /1'>tJO
A Temporary Mobile Home Permit is valid for two years only, and must be
renewed after that time. The above listed Temporary Mobile Home Use Permit
has expired as of December 31st 1982.
If you wish to renew this permit, please sign this form and return to Lane
County Department of Planning & Conlllunity Development by February 1., 1983.
Renewal requires:
1. Payment of the $85.00 renewal fee.
The purpose for thi s fee amount fs to recover the expense to the County
resulting from processing the permit which includes: a check of the
adequacy of your on-site' sewage disposal system and mailing notice to
property owners within 300' of your property. This fee covers renewal
for a two-year period.
2. Substantiation of the family member, medical hardship.
A letter from your doctor or therapist will he required to renew the
permit if such a letter was not submitted when the permit was initially
obtained. 'If a letter from your doctor or therapist was submitted when
the permit was initially obtained, then you need only submit a written
statement indicating that the original medical hardship still exists and
indicating the nature of the medical hardship. You may use the other side
of thi s form for your wri tten sta tement.
3. Substantiation of the family member relationship between the person living
in the temporary mobile home and the person living in the principle dwe11-'
ing on the same property.
You need only submit a written statement identifying this family member
relationship. You may use the other side of this form for this purpose.
To assist you with the renewal of your temporary mobile home placement permit,
you may complete written answers to the questions on the reverse side of this
form and remit this form, together with the application fee, to this office.
Thank you for your cooperation. If you have any questions regarding this letter
or need assistance, please contact Carol Dyal or Marsha Miller, Planning &
Community Development. Public Service Bldg., 125 E. 8th Ave., Eugene, OR 97401.
Plannin~J & CQlIJnunity Development / Courthouse-Public Servlce Ouilding 1125 E. 8th Ave. / Eugene, OR 97401 I (503}687-4061
b. If a
same
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INFORMATION PROVIDED BY THE APPLICANT
1. a. Was a letter from your doctor or
obtained the permit?
Yes
'^
No
c. If a letter from your doctor or therapist has not been submitted,
please obtain and attach the doctor's letter to this letter when
renewing your permit.
2.
Please identify the name of the person who has the medical hardship and
this person's family relationship to the other person(s) who live on the
same property:
Name ;}t~~_J3~L.A&_~__.~_J~-<'P':7-4;; f"~
~y ~on~-C--:_'~ - ~ ~ a-('
~ r:.....,.~).I. - .. -, ~ ~ ~ .-4..v_ ..-.t.(:: ,', T- ~ ....;;
ENttOSE THE $85.00. - 1-<-4:> ~ ~ ~ ..; .............. '.: - ~ :il..,
~.~ ''''- d.. _' ", 7:/." ~ z--'LV
#-v- vZW'._. zk.. ;:'::~
J ~ #' aAl (',.: 0:;:;::.. .,..y, ~
~ - ,1 ~ I''''~_
Signature_kA.....r ~~ ~ 0 .
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3.
4.
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" ANNING & COMMUNITY DEVELOPMENT.
ACTIQ'TTY INFORMATION ~HEET
klne county
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COMPLETE THIS SECTION. INCOMPLETE FORMS WILL BE REJECTED!
1
PERSON MAKING REQUEST
PROPERTY OWNER
MAILING ADDRESS
MAI LI NG ADDRESS
CITY
STATE
ZI P CODE
CITY
STATE
ZIP CODE
BUSINESS TELEPHONE #
HOME TELEPHONE #
BUSINESS TELEPHONE #
HOME TELEPHONE #
2, PROPERTY ADDRESS
(IF DIFFERENT FROM MAILING ADDRESS)
3 MAP & PARCEL NUMBER
(REQUIRED INFORMATION)
(from tax maps in Department of Assessment and Taxation
or from tax statement)
tOWNSHIP RANGE SECTION
TAX LOT(S) OR PARCEL # ZONING
TOWNSHIP RANGE SECTION
TAX LOT(S) OR PARCEL # ,ZONING
TOWNSHIP RANGE StCTION
TAX LOT(S) OR PARCEL # ZONING
ACRES
TOTAL CONTIGUOUS PROPERTY IN SAME OWNERSHIP:
4 SUBDIVISION (if applicable) LOT BLOCK
5 REQUEST (state exactly what you plan to do) '1 ~ ~~. .
T/J a..n ",,'.# 8",- J tA-l1 _ ...r.-,_ k.~
~Afn.J.. ~ f1;; ~ ~ !7 , ~ ~ I S fu~Lt M
/ (/ - -(
6 DIRECTIONS TO SITE:
** FOR STAFF USE ONLY **
NUMBER
DATE
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ZONE/LAND USE:
BY: DATE:
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TIME IN:
OUT: