HomeMy WebLinkAboutPermit Application 1987-2-13
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County Authorization
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FOR OFFICE USE ONLY
for:
Application; 6/1- P7
Perml. t . -0
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S~BDIVISION/PARTITION (if applicable)
SECTION
2'3
'Ii I :;~\/B~T OF
I LOT/PARC'E~ 1 BLOCK
PROPOSED USE OF
LRJ Re:siden .
_j;l.F.~~~_iC
LOCATION ADDRESS STREET CITY ZIP ~' '"
21'21 p~8.~ J?;r:.. 5PJ?/H~F/~Z;/ ~. C",...~ "J
STRUCTURES CURREt>::"'LY ON PROPERTY '" . ....u 1 '" 1'?97~ C
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1-/crV'?F #!2-r #~m'':::-:-~sr L~)I9'#~ 0; 0;. / c:/ZlSFC _: yY ~ \;7
'ESCRIPTION OF PR~~SED woRk - 'BE SPECIFIC ' // I DE;~VALUE
-Ll:P7? '20 'X ':.(/' ~ /?:> l?0?!'S' I'<;~ /7~C: Lg~.""'"
"'~ BEDROOMS I ' OF/STORIES EMPLOYEES 17?':E:..S~:~__ / .--:7 0 Proposed
J K+"v'7"""'-" 14'/#r.Gi<" P'\Existing
O~\"NER I 5 NAME AND ADDRESS ~ TELEPHONE NUMBER
a.~~'7' F-. 1j>z; /h',,-S.::$,N ::J4#/E 7'11.6'?,~
CONTRACTOR'S NAME AND OSR # . .
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?SkIlT""; BE MAILED TO,INAME AND ADDRESS' 2";!,S /Y=: S/.!2 ~7y" ~r-'rLZ>.
;>PFt.D. 'BL&>C. 5.9"..-c-/ ,. l)/V.. ""'/~77 , #T7/V~' L'6RNG"
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TELEPHONE NUMBER
172'Z:?2~ 9
I HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION POR PERMlT, and .]0 hercby certify t_hat all infonnation hereon is true and correct, and that I
he-ve the following legal interest in the property: Downer of record; 0 cClntraLt. purchaser; Oauthori2;Qd agent.
I f:;.rther certify that any and all work performed shall be done in aCCOI.UilIKl< with tilt: OrdlllilnCtlS of Lan\.! COW1ty and the Laws of the State of Oregon
pertaining to the work described herein, and that NO OCCUPANCY will Ix> m,'\(~e of ar,y Sn"llcture without the permission of the Building Division. I fur-
ther certify that registration with the Builder's Boarn is in full force and effect as required by ORS 701.055, that if exempt the basis for exemption
i. noted h"eon, and that only .ubcontractor. ~d employee. who are in c'Yance with ORS 70L055 will he ueod on thi. project. I HAVE READ ANO
CHECKED THIS APP;TI~;;;;:~,., ~ AtU ~ ~~ ~_II_ 7
~ N/\HE (pleaae print' I SIGNATURE :iT<
READ THIS SECTION CAREFULLY. YOUR AUTHORIZATION YAS BEEN BASED ON THE FOLLOWING CONDITIONS!
o PLANNING/ZONING: Zone
Parti bon #I
Parcel #I
Parcel Size
Minimum Setbacks: CL, front
CL, side
interior
rear
cOt-mENTS:
Date:
n
o SANITATION: S. I. #I B. P. #I Installation Record Issued? DYes 0 No
Installation Gallon Lineal Feet Maximum Depth
::::::::tk 2ru~Sn_~, ~ ~J-:~d "Jt;tJ- 1.::tL.:, O;tT;~ I~
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o P NS EXAMINATION: Type Group Use
COMNENTS:
Date:
n
~ ~e
PERMIT APPROVED BY BUILDING OFFICIAL/DESIGNEE (oer ORS 456.805(1)) DATE
n ~~NE ~NTY DEPARTMENT OF PUBLIC WORKS LAND MANAGEMENT DIVISION, 687-4061,
Cf l{ e. ~ e. 125 EAST 8TH AVENUE, EUGENE. OREGON 97401
SEE REVERSE FOR INSPECTION INFORMATION
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SETB,\CKS A~D OT!lER CO::0111O::5 OF APPRO'lAL ~lUST BE STRIC':'LY DESERVED. VIOLATIO~ CA:-l RESULT IN REVQ-
Ci\~'IO:J OF THIS Pl::RHIT, e11ATIO:: U:-lDER PROVISIO;.JS OF LA:>:E COl'::TY'S INFRACTION QRDI::Ai'CE, AND/OR OTHER
REMEDIES ALLbwED BY LAW.
..HEN READY FOR r::SPCCTION, 0.:":' 687-~065. A :-IINVlU:.l OF AT LEAST 2~ HOURS AOVA::CE NOTICE FOR INSPEC-
TIO:> IU.'Q(;t;::iT::i :.a;S-T Ill:. G.VE::. Hilvn the tollowing in:o!"r::.lt.lon ready: ;,crrnit. nu:nber, job addresS'. type
of inspect.lon, when it will be ready, your name and phor.a nu~ber, and any special directions to site.
BUI~OING DIVISION:
REQU1RED INSPECTIONS:
L
Fou'ndation InSPQctlon: TO be made af,!:cc' trenches are excavated apd forms erected and wh~n all
if.aterlals for the foundation are delivered on the job. ~here concrete from a ce~tral mlxing
plant (commonly termed "tranSlt mlxed") is to be used, materlals need not be on the job.
2,
Concrete Slab or Under-Floor Insoection: To be made after all in-slab or under-floor building
serVl~e e~uipmcnt, conCUlt, p1p1ng accessorles, and other ancillary equipment items are in
place but beiore any concre~e is poured or floor sheathing installed, including the subfloor.
~raming & Insulation Inspections: TO bo made after the roof, all framing, fire blocking, and
raclng are in pl~ and all plpes, fireplaces, chimneys, and vents are complete and all rough
electrical and plumbing are Bp,proved. All wall insulation and vapor barrier are in place,
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4. Lath and/~ ~ Board Inspection: To be made after all lathing and gypsum board, 'nterior
ana-exter~or, l~ 1n place but betore any plastering is applied and be:ore gypsum board jOlnts
and fasteners are taped and finished.
5. Final Insoection: To be made after the building is complete and before occupancy.
APPROVAL REQUIRED. ~o ~ork shall be done on any part of the building or structure beyond the point
indicated in each successive inspectionwlthout first obtaining the approval of the building official.
Such approval sh3l1 b~ ~iven oniyufter an inspection shall have been made of each succeSSlve step
in the construction 'a<6' ipdicated by each of the inspections required.
NOTE: Ail building permits require inspections fo~ the work ~uthori%ed, such as but not limited to:
A. Block wall: To be made after reinforcing is in placc, but before any grout is poured. This
InSpectIOn is required for each bond beam pour. There will be no approval until the plumbin9
and electrical inspections have been made and approved.
B. wood Stove: To be made after co~pletion of masonry (if applicable) and when installation is
compl~ Installation shall be in accordance with an approved, nationally recognized testing
agency and the manufacturer's installation lnstructions.
C. ~lobile Home: An inspection is required after the mobile home is connected to an approved
~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 the manufacturer.
2. Mobile home minimum finish floor elevation shall be certified when required by a flood-
plain managcment letter.
3. Mobile home tiedowns, when required, and skirting shall be installed and ready for inspec-
tion within at least 30 days after occupancy. Tledowns and sklrting shall be installed
per enclosure.
D. Swimmin9 Pool: Below grade when steel is in place and before concrete is poured. Above grade
wnen pool-rs-installed.
,\PPROVED PI,Ai1S 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 ~~y OCCUR If THIS PE~~IT WAS ISSUED O~ THE BASIS OF INCOMPLETE OR ERRONEOUS
INFO~"lATION .
ANYONE PROCEEDING PAST THE Pon:T or REQUIRED INSPECTIONS WILL 00 so AT THEIR OWN RIS}(.
SUBSURfACE ~ ALTERNATIVE ~ DISPOSAL SYSTEMS:
1. Permits shall be effective for one year fro~ the cate of issuance.
2. Upon completing the construction for which a permit has been issued, the permit holder shall
notify the Lane County Department of Planning and Cor.~unity Development by submitting the
installation record form. The Department shall inspect the construction to determine if it
complies with the rules contained in this division. If the construction does comply with such
rules, the Department shall i~sue a certificate of satisfactory completion to the permiti holder.
If the construction docs not comply with such rules, the Department shall notify the permit
holder and shall require satisfactory co~pletion before issuing the certificate. Failure to
meet the rcquirements for sa~isfactory completion wlthin a reasonable time constitutes a vio-
lation of ORS 4S.. .605 to ..5...7..5 and this rule.
Setbacks - ~ubsurfacc S~waqc Dlsposal
SQPtic~
Drainficld
From: I~terlor property lines
Edge 0: road rtqht-o{-way
BUlltiinQ iocnda:::.on
~ells, other water sources
10'
10'
10'
100'
10'
10'
5'
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W:,5 LANE COUNT~ DEPT ENY MGT RECEIPT I 61487 DATE 022587
. APPLICANT BRANSON. GAin ADDR ;,4;!7 DEBI", DFc. SPRINGFIELD .
TLI 1703234403400 . SUBDIY LOT BLK
NEW BLDG TYPE USE R BDRMS 0 UNITS 001 STORIES IBLDGS 001 P~ONE 747 6684 "~
. OWNEr, NME BRANSON, GAI'!Y - "DIm ;,'427 DEBf!I' DR., Sf"I;:INGFIEL,D .
CODE APPL NO ACTION DESCRIPTION SQ FT UNIT COST VALUATION FEE DAYs
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PL !J'FIX/BATH:
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.LR LC 61487 SDSY
SWI:! : FT. WTF! :
MECHAN I C"L F'EE
STIHE SURCHAHGE
PLI,N CHECK FEE
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EST. COMPLETION DATE
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