HomeMy WebLinkAboutPermit Miscellaneous 1982-8-23
CI
CONS~CTION/PLACEVlE~ ~/J-:~f'\,
PERMIT CC'I1;
INK AND PRINT.
FOR OF?lCL VSE ONLY
APPliC.ti~~~~~
F-ermlt v.7VfJ.
/7
DTWO Copies of l'lans
DTwo Copies of Plot plans
Onechanical Checklist
o Plumbin~ Chcc}:list
~Plan Check Info Sheet
COMPLETE THIS BLOCK. PLEASE USE BLACK
RAl'GE t? -3 1:;7~3 3 j :5b~' 01
~I LOT/PARCEL I :LOCK
Z~"T)~ORT~ CU~ y~1J7f/;7/ II1'Pr;::i~~n~~~~V~o~ndustrial
/ r M~4 9?- t7 / 0 COffilnercial 0 Public
~#UFPR'~HY( I~W~~.~ // I $ VALUE
.~. ~/~~ r ~~I
-, UJ' BEDRCOHO : D~ - rO::;/$ WATER SUPPLY~.;'~ ~~~~~~
.A:ffiA"_ 7~L ~~~~~ W~~7S-/2-
. '",~~~k ~~~/ ~gJtt;.
,7lff~~4 . r.o ~~4~/~ /~ r ~4/~ / '
/ I !lAVE CAREFULLY EXAl-1JtlEO~1E COMPLETED APPLICATIOlI FOR peRMIT, and do !lrTPby "r:'t'l if)' that il11 infr:>rrrnl;iOll h"I"':In i-, lrll" .111fl ~.on'-('-l I"rI 1 f,'" ',. r
certify that any and all work performed shall be done in accordance with the OnJillil~C()S of Lan'" COUllty <.Iud tll.... I,a;..o'.; of ~tw ~t ,I,.. n~ "1'-'1 >" 1- ., '1'.1'"
to the work described herein, and that NO OCCUPANCY will be made of any structur~ without the' pcrmir.sion of the Buildillg [)ivi~ion. I f'-lIth"l _' r'_ll}
that registration with the Builder's Board is in full force ilnd effect as requir(!d by ORS 701.055, that if exempt the basis for I.;XCml1 ie>ll i' n"~('d
h('rcon, and that only subcontractors and employees who arc in compliance wi h ORS 701.055 will be us~d on this project. I HAVE REi..O A!l~ rm:C:FD Till,
APPL tCATION THOROUGHLY.
TOl"':;HIP / 7
~U8DIVISION/PARTITIOt
(if applicable)
o
/I
PLANNING/ZONING: zone./f.: '@. Partitwn, Parcel' Parcel Sne ~
/ '
::::o~"" :t;;//f;J;~_ 'N~.-U.h ~~
~-? '\7 ;--c.'&u - -~~ Da~e' -:/6R.? ~
FLOODPLAIN: In flood hazard area? D No D Yes, see attached sheet. Date: 0
o
tLl~ y)rJ>>
~,.
6/5MilJ ~ ~
- . NAME' (pl"eaSc print)
o :0i1:r...l~.~':,:
OA,?fllt
o
o
o
RURAL ADDRESSING:
GRID COORDINATJ:;
N
E
Date:
Si'.NITATION:
s. 1.
8. p, #
Installation Record Issu~d? [] Yes [] No
lnstallation
Specification!l :
Gallon
Tank
Lineal Feet
of Dr<linfield
Hax::.murl :lepth
of Trcr.chef'
Comments:
Date:
o
~PLANS EXAMINATION:
com."'ent"''/~'//~ F/Zl-
Type !?~)
/
PE/?i? /ifRr~JI.)
I I 0
Group
J2?:,
Use
C, b'-'h r/"iA;!,
Date:
~ ...-Z6...-/52.-- llY........
CONSTRUCTION AUTHORIZED BY THIS PERMIT
~7~
C/ /J Lz-,#d' /'
\....-~~~/
,p;~ //lLp
Sq, Ft,
Fixed Fee/
Unit Cost
Floodplain Fee
Subsurface Fees
Building Fee
Sewer/Storm Drain/Water
Plumbing Fixtures
Mechanical
Plans Check Fee
State S'trcharge
TOTAL FEE
$
$
$
s
$
$
$
$ 7,c
-'7// J7
S,r-::;;;<Y;:; ____
,,-. eIeI
/7-: ...-
~?J
FEES PAID B~ _D5~
BY:/)~!~
(f'f((6ff 2-
PERMIT APPROVED BY BUILDIUG OFFICL'L/DESIGNF.E (cM,~~JC"~) / Z:-z::3,-;"fl-
lANE COUNTY DEPARTMENT OF PLANNING & COI-t~1UNIT'i DEVELOPHENT / 125 EAST EIGHTH AVENU\, EUGENE. OREGON 97401
SEE REVERSE FOR INSPECTION INFORMATIO~
TOTAL VALUATION
$
Date:
.
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.
.
-.
W"EN READY FOR INSPECTION CALL 6B7-4D65. 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 IUSPECTIONS
1) FOUNDATION INSPECTION: To be made after trenches are excayated and forms erected and when all materials for the foundation
are delivered on the job. Where concrete from a central mixing plant (col1ll1on1y termed t1transit 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 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 rough electrical and plumbing are approved. All
wall insulation and vapor barrier are in place.
4) LATH AND/QR GYPSUM BOARD INSPECTION: To be made after all lathing and gypsum board, interior and exterior, is in place
but befor" any plastering is applied or before gypsum board joints and fasteners are taped and finishBd.
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 approyal of the building official. Such approyal 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
requi red.
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 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
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. Aboye 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
WITHI~ ;:J DAYS, OR IF WORK IS SUSPENDED OR ABANDONED FOR MORE THAN 180 DAYS. SUSPENSION OR REVOCATION MAY OCCUR IF THIS
PER,~IT WAS ISSUED ON THE BASIS OF INCmlPLETE 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 effectiye for one year from the 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 certificate of satisfactory completion. to the permit holder. If the
construction does not comply with such rules, the Department shall notify the permit holder and sryall require
satisfactory completion before issuing the certificate. Failure to meet the requirements for satlsfactory
completion within a reasonable time constitutes a violation of ORS 454.605 to 454.745 and this rule.
Setbacks - Subsurface Sewaae Disoosal
From: Interior property lines
Edge of road right-of-way
Building foundation
Wells, other water sources
Seotic Tank
10'
10'
5'
50'
Drainfield
10'
10'
10'
100'
~PPLICANT WILK, GERALD
.'L.'~ 1703243305600 SUBD I V
NEW BLDG TYPE USE R BDRMS 3 UNITS 001 STORIES
OWNER NME ADDR
e. ~ODE APPL NO r:~CTION DESCl'nPTION SQ FT UNIT COST Vf~UJfnION
m'
HI'"
"H"
~w
BP
. ~:'.L NO. I::'IXTUI'!ES:
"MECH
.<: U I:!
I"CK
MECH . L.C 140682 WS
":UI,
~:'CI(
LANE COUNTY DEPTENV M~T RECEIPT I 140682 DATE 081882
ADDR 1418 DEL.ROSE, SPRINGFIELD, OREGON
LOT BLI(
'~BLDGS....:001 PHONE 34:> "1,,'512
.
FEE
D,~Y.se
. ,.-
.
NO..
CClNNE:CTOI'!S:
ME:CH"N I Cf~lL FEE
STATE SUF~CHAI'!GE,
PLAN CHECK FE:E
.
1 :,.00 EACH -
4::::
6~5%
.
'19..00
0.76
4.7:,
.
e'A'r'("
L.. .f.
SEQU:
.'AKEN
'11
AF'F' -
o
BY En.H
I'!A
FP
SDS
SI
F'CK
1
OTH
ISS
.
..,
.~
E:ST. COMPLETION DATE 082582
TDHll... FE:I'::')Hf
24~:}1 CI<
5
.
r
.
e
.
... PLANNING & COMMUNITY DEVELO~T
AcrIVITY INFORMATIO'N
SHEET
bne county
"
COMPLETE THIS SECTION. INCOMPLETE FORMS WILL BE REJECTED!
1
~,eIlLI7 Jl. !tV / Lj(
PERSON MAKING REQUEST
It/If OEL/ZcJ5r
MAILING ADDRESS
SA/J7r
PROPERTY OWNER
MAILING ADDRESS
..5/'.RIA.JC,c1 El 1/ /Y;t:
CITY STATE
97~7?
ZIP CODE
CITY
STATE
ZI P CODE
:37's -75'/2-
BUSINESS TELEPHONE #
74/;>-7797'
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)
I? tf<. 02Y. 33 CJ StJ t10 /-2:..r-
TOWNSHIP RANGE SECTION 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:
4 SUBDIVISION (if applicable)
LOT
ACRES
BLOCK
5 REQUEST (state exactly what you plan to do) :z- WANT Tt:I 7A/S7/9LL /9-
;'
rl.5H,E/2." F//Z~/l&(JF ..LA/S&er /AJ /J'lV ;,Lt?AlF
6 DIRECTIONS TO SITE: FkJY TCJ /1ftf///lWK ,BLVO LF/r.!JAJ /)//1#/JWK 7d A?9YL?6(/
/"
g,e> , R f). i tF r .!J A..) d? YLJEN gR/t:?"';c 7d ffifJ.~-sr LN /!d"// hU A-f"J/~T LA.J
'-"1'A ~ ,,/ ...,-_~ _____ '
. . ......"- e_, W/"/I(!ff** FOR STAFF USE ONLY ** /~' Vtf-4eC?se- NUMBER
, '
-l
'"
V>
ZONE/lAND USE:
BY: DATE:
DATE
.
-l
r-:
TIME IN:
OUT: