HomeMy WebLinkAboutPermit Building 1982-9-15
....
... CONSTRUCTI~/PLACEMENT \ ~~;.;:;::~v
COMPLETE T",S BLOCK. PLEAS:~:~~:K ,"K ANO PR1. \ ~::: ~:;:~: :: ::::'n_.
TOi-lf'!:::iHIP /7 I RANGE /J~ ISECTION_.....-:/./ /11 ;Y:~A~UTOf' D!'leCha~iCal CheC~list
. .r/.....:;J c:;:>( Gt::?~ IV ///'C/' DPlumb1nc: Checkllst
:::UBDIVISlON/PARTlTION {if applicable) r LOT/PARCEL I BLOCK ~
I [JPlan Check Info Sheet
/ A
-/ r"'"h; 7.......QP PROPOSED U::;i!.: or Pi',OPERTY
,#1ffj.. ~ ~ ~..('~' ~ReSidential Olndustrial
~ if _ ~~ (-:7--rrm.l )-AA J ocommerCtasl VAL~PUbliC
,~~ ,oe;;;',tI;";P~.WS '-'.. WA.TERSUP/.Y~ - ~~ ~ ~~~~~~~~
~NA~~N;D: ~4P~._~j%~ 7~;%?q
r I1AVE CAREf"ULLY EXAMINED TilE ~-~:TED APPLlCATION FOR pr:[)~ilnd do h~rf'by ,'ert:if')' that ,..,1\ inffJrPl'ltiol1 11("(''')1\ i'l t[U~ and (:'orn',:! ,)lId I furlll<'r
certify that any and all work pcr~~~~ shall be dorm in ilCC~~~Q with the Ordillil~lc('r; of Lane COUllty alld tll" ),il....." (If trw SLat.0 nf Uf("l"JIl )"'tl<lillil\'l
to the work. described herein, and that NO OCCUPANCY will be made of any structur"l without the permission of the Duilding DLvi~ion. r furl'll~l" e, rt.ify
that registration with the Builder's BOilrd is in full force and effect as required by 0RS 701.055, that if ex'~mpt the ba5is for (:X~'mptiCJ1l if' not"rl
hereon, imd that only subcontractors and employees who are in compliance with ORS 701.055 will be uS0d on this project, I HAVE RE,\D ArID CHEC'Y.FD TIllS
APPLICATION THOROUGHLY.
;!ELf:r12.s((kfJ,<;1{d( _-A. 'llAfG,;?l?f1'I",~/!L/)
o PLANNING/ZONING: ZOM J&j/,I1 Partition, Parcel" Parcel Sae V/-Il
. /1J /:::.~:m.ts:~.C>0~~~~~/,~~/r, ./~~
/~_m_ _ V/,. Date, ~/-cf'-<)iiIf
~FLOODPLAIN: In flood hazard area? 0 No 0 Yes, see attached sheet. Date:' , n
o RURAL ADDRESS ING: GRlD COORD,"An N E Date, D
o SlUHTATION:
/ .
~~/./A' ~
D.::"TE
~'ller
o Con"-r.;lc".,n:::
o AgCllt
s. 1. #I
B. P. #
Installation Record Issued? [] Yes [] No
Installation
Specifications:
Gallon
Tank
Lineal Feet
of DrainfiQ:ld
Maximutn Depth
of Trencher:
Corrunents:
~LANS EXAMINA
~ Comments: ,
Use UJ~Jte'
o
Date, t?l-~/ D
CONSTRUCTION AUTHORIZED BY THIS PERMIT
~~~//
~ :?/- ~
If //-?/ .#'
\./b.4~~~
PM4:~
Sq. Ft.
Fixed Fee/
Unit Cost
Floodplain Fee
Subsurface Fees
Building Fee
Sewer/Storm Drain/Water
Plumbing Fixtures
Mechanical
Plans Check Fee
State Surcharge
TOTAL FEE
$
$
$
$
$ /.C? ~
$ / 1/-~
$ 7' ~
: o/J.!-/
TOTAL VALUATION $
PERMIT APPROVED BY BUILDWG OFFICIALj;JESIGllEE
LANE COUNTY DEPARTMENT OF P~~NING ~ CO~~lUNITY DEVELOPMENT j 125 EAST EIGHTH AVENUE, EUGENE, OREGON 97401
SEE REV~RSE FOR INSPECTION INFORMATION
""
I
.
.
....
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:
REOUIRED 1I1SPECTlDNS
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 (corrrnonly.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-s)ab Dr under-floor building servi,e equipment,
conduit, piping accessories and other ancillary equipment items are in place but before any concrete is poured
or floor sheathing installed, including the subfloor.
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 roug~ 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 masonry (if applicablel and when installation is complete.
Installation shall be in accordance with an approved nationally recognized testlng agency .nd the manu-
facturerls installation instructions.
C. HOBILE HOME: An inspection is required after the mobile home is connected to an approved sewer or septic
system for: setback requirements, blocking, footing connection, t;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) 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.
D. SWIMMING POOL: Below grade when steel is in place and before concrete is poured. Above grade when pool
is installed.
APPROVEO 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 ABANDONEO FOR MORE THAN 180 DAYS. SUSPENSION OR REVOCATION MAY OCCUR IF THIS
PE~~IT WAS ISSUED ON THE BASIS OF INCDHPLETE 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) Permits shall be effective for one year from the date of issuance.
(2)
Upon completing the constro,tion for which a permit has been iss~ef.t~e permit holder shall notify the
Department by submitting the iosEallation reco~9 form. The Department shall 'nspect the construct' on to
determine if it complies with the rules containoo,.in this di~ision. )f the construction does comply ,"th
such rules, the Department shall issue a certificate Ol satisfactorycgmRletion. tq.'he permit holder. If ~he
construction does not comply with such rules, the' Department shall .not,fy the permlt holder and shall requlre
satisfactory completion before issuing the certificate. Failure to meet the requirements fo~ satisfactory
completion within ~ reasonable time constitutes a violation of ORS 454.605 to 454.745 and th,s rule.
. t..
I ." ,
Setbacks - Subsurface Sewaoe Disposal
From: Interior property lines
Edge of road right-of-way
Building foundation
Wells, other water sources
Septic Tank
10'
10'
5'
50'
Orainfield
10'
10'
10'
100'
"
"
\
".1
. . . ~
.~ . i I
. .;
!
. .
1 ! I
. .
. .
. .
,
"
,
-,
. .--
-,~
r "
t I l".c.
. .~
- .
. ';.
-
. 'J.:.
.,
:, '
. .
. .
-- - ---.
.
A
LM-IE COUNTY DFF'T ENV rlGT I::ECEIPT ~ 1 ~')0882 Delli:: ~)9(:)1 B:?
. APPLICANT MANSI{Ef~, HELEN ADDF~ ~'.3~')2 DE:BI"'. DI'~... SPFD... Of~E:C;ON
I. i 'TiU' 170~~~,~61101700 SUBDIV LOT BLI<
. NFW BLDG TYPE: USE: X BDRMS 0 UNITS 001 STORIES IBLDGS 001 PHONE 746 3573
. OWNEF~ NME: MANSK EF~.. HELEN . ADDR 23~):~ J)':BFU, DF:... SPFD... \.lREGON .
CODE APPL NO ACTION DESCRIPTION SQ FT UNIT COST VALUATION FEE DAYS
HF'
.:n::'
1<1"
po'
.Jp\
- BP LC 150882 WS
PI... NO. FIXTURES:
.';[CH
-I . ~lur~
. p("'I{'
.:'(I(!
jn
/
/.
.
.
.
,t[
.
NO.
CONNECTor~s :
11ECHAN I Ct~L FlcE
STf~TE sur~CHAI:~GE
1::'Lt~N CHEC!( FEE
1 :) . (:\(:) b;G H --
4%
1 'j ,(-)0
0.76
.
4. 7~5
.
.
.CtnG:
Sr.-r~LJ :
TAKEN
AF'F'
'(:)
BY CAD
F::A
FP
SDS
SI
PCK
1
0<10'j82
OTH
I""
" ,;
"
~
:,.
24.51 CK
.
r
c'
.
EST. COMPLETION DATE
TOTAL. FEE'1*
.
c r I
.
,
PLANN~ & COMMUNITY DEVELOPMENT ~
ACTIVITY"'" INFORMATION SHEET
6ne county
(I
C1OMPL~.~ION. INCOMPLETE FORMS WILL BE 'EJECTED!
'k ~ - - . 1,., A ) 7 /)~k.. ~a/JluJJ. tJA)
. ~ PERSO{MA~fL../ PROPER~
r;:;:(...~::;,-;;. .~aJ/fJ,.
MAILING ADDRESS MAILING ADDRESS
~L /,1// I t?A..e_.__ r?'I'1?
-r y;rv (. STATE ZIP CODE CITY STATE ZIP CODE
7qfo:-1.;;,~7,'1
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)
__ 17 63.:20
TOWNSHIP RANGE SECTION
(1/70f)
TAX LOT(S) OR PARCEL # ZONING
TOWNSHIP RANGE SECTION
TAX LOT(S) OR PARCEL # ZONING
TOWNSHIP RANGE SECTION
TAX LOTlS) OR PARCEL # ZONING
TOTAL CONTIGUOUS PROPERTY IN SAME OWNERSHIP:
1"1 ACRES
. 4 SUBDIVISION (if applicable) LOT BLOCK
5 REQUEST (state exactly what you plan to do) /;:'/J7;/~ ~"I'/ ~~4~/A )
__LP-tn9-~ ~_/.~ (ltY'UYU-AJ 1 /~7_/11<T>''')
'6 DI RECTIONS TO SITE: () ~1i'.-/ ~ _ $" l!I --I::. /I a.~ EU1fU-/ tf J~
!? A...a:T~ . AlL~ ~"t?.-u L5; tf2, L .11..___ . _
. ~ . ,
** FOR STAFF USE ONLY **
NUMBER
-i
""
V>
ZONE/LAND USE:
BY: DATE:
DATE
.
-i
.r-:
TIME IN:
OUT:
, t''''
\ ,
a&LD
.
SLIP
~ne county
~
APPLICATION # . .
.15Q8:"82-..,,.,--
LOCATION 2352 Debra Dr. Springfield, tlr. 97477
Helen Mansker
NAME
2352 Pebra Dr. Springfield, Oregon 97477
ADDRESS
ZTp--CODE
The above application is being held for the following reasons:
1) Fill out the attached woodstove installation guide and return it to thi~ office.
*Be sure to include the manufacturer's model number of the stove that you are planning
to use.
-
'" I:;:' J~
~ !~~
~tGt\\lt~ '\\
SEP151982 ,.
BUILDiNG ~m )
S~~n^11011 DiVISION
. v,;ll COU:m .':
/. '
/ .
,"-\- ;-
"en
8
'Rnoo:r T- M~Gll,..ldn
-SIGNATURE
OQ_OQ..Jl?
DATE
~VAILABLE BY APPOINTMENT ONLY (NO WALK-INS)
687-4061
PHONE
HOURS
This application will be held until 09_30-82 . If the information required
above has not been furnished by that date your application will be cancelled.
RETURN THIS SLIP WITH THE ABOVE REQUESTED INFORMATION.
BUILDING & SANITATION / PLANNING & COMMUNITY DEVELOPMENT DEPARTMENT
125 East 8th Avenue / Public Service Building / Eugene, Oregon 97401 / (503)687-40S1
"/,. ~ ..
t.
/H&LD
.
SLIP
bne county
~
APPLICATION #
----J..so~-az_-------
LOCATION 2352 Debra Dr. Springfield, 6r. 97477
Jl"len Mansker
NAME
2152 Bebra Dr. Sprin~field, Oregon 97477 ADDRESS
,. - ..---...- --.----.------.-.-
ZTj:q;OOE
The above application is being held for the following reasons:
1) Fill out the attacbed woodstove installation guide and return it to thiss office.
*Be sure to include the manufacturer's model number of the stove that you are planning
to use.
~'
\ ,
Cr-, I \ ' L:J
I./I! , L L'
~ v (\\ . (/
\ \.1\ \ 'z
RntHJot' T Mc.r.",..1r-fn
-SIGNATURE
AVAILABLE BY APPOINTMENT ONLY (NO WALK-INS)
OQ_OQ_R?
DATE
687-4061
PHONE
)
HOURS
This application will be held until 09-30-82 . If the information required
above has not been furnished by that date your application will be cancelled.
RETURN THIS SLIP WITH THE ABOVE REQUESTED INFORMATION.
BUILDING & SANITATION / PLANNING & COMMUNITY DEVELOPMENT DEPARTMENT
125 East 8th Avenue / Public Service Building / Eugene, Oregon 97401 / (503)687-4051