HomeMy WebLinkAboutPermit Building 1980-10-3
r/ HE ID-(P
ta f CONS.UCTION/PLACEMEa
~ PERMIT
FOR OFFICE USE ONLY
CO~~LETE THIS BLOCK. PLEASE USE BLACK INK AND PRINT.
TOI<NSHI\':, j !<ANOGE ~ I SECTI~ ..f I TAX LOT DODT OF
\ ..J ~,3.3 45m
5U.DV~RJ:;N rt ~~l1Cable) I "':gRCEL r .,K
LOCATION ADDRESS f STREE't CITY ZIP
J;;!~~ CURREN1LY Oij ~i>16 Clue I ~. gft77
DES~~ LJJ~ ,(JrtUtf'~(~:J~"b~.
# OF ~EDROOMS I # OF S2~ ~)YQu ~~LY- ,
f.Cl~d ~~ . rc;boueJ
CONTRACTOR'S N'f)~'ADDRESS ~~\ '- Pjch1tkY qo
~X) J-1I....clo.lJ~fV'I-lf1;doJl~!O -'Ol~Jn ' 0u~5'I"l f'L..", e:,'&'iS~12~
['i15~1" '~~. f)L-fn ~ lie ?II- \ 11",0. . -At-> 'brtr6-i:'
I~I:'ED~~~'~LICA~ION~: ~~nd d~~ th~l~~~on~eon~eot ond I fun''''
certify that any ilnd all work performed shall be done in accordance with t.he Ordinances of Lane County and the Laws of the State of Ore'Jon pctLaillinq
to the work described herein, and that NO OCCUPANCY will be made of any structure without the permission of the Building Division. I further 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
horeon, and that only subcontractors and employees who arc in compliance with ORS 701.055 will be used on this project. I HAVE READ AND CHECKED THIS
APPLICATION THOROUGHLY.
APPliCatiP'l4:Z""r'A Or>.
Perm~t # ~ '~
~o Co~ics of Plans
~O Copies of Plot Plans
[]Mechanical Checklist
[JPlumbing Checklist
[JPlan Check Info Sheet
PROPOSED USE OF PROPERTY
~sidential [Jlndustrial
o Commercial
OPublic
9:L
cJ
S VALUE
~ IIcx:x:fl2
I
"
!:) ~oposed
~Existing
TELEPHONE NUMBER
TELEPHONE NU~ffiER
,\\'cK 7J~~~;r~
1J~c;.~ fi'yj/,fo
DOwner
~Contractor
DAgen t
,
I
o PLANNING/ZONING:
Zone AC, T
Partition fl fl5
Parcel
#ef
")"
Parcel size~)( 95
re.r 7" PuE.
~linimum Setbacks:
CL, front ..~
eL, side l7f
interior
Comments: .
GRID COORDINATE
N E
Date:
CD
n
n
In flood hazard area?
~ [] Yes, see attached sheet.
D.te, IOj..3/80
o FLOODPLAIN:
o RURAL ADDRESSING:
6QSANITATION:
Date:
S. 1. #
B. P. #
Installation Record Issued? []Yes [] No
Installation
Specifications:
Gallon
Tank
Lineal Feet
of Drainfield
Maximum Depth
of Trenches
~.7;~ '
Comments, ~_~j.:...en/ hAl'M~hh
v
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Use 5Fe7 / If-PP/ nt>>J
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~
~LANS EXAMINATION:
Comments, ~ /!11'/~t!F1?
Type~
Group 12 -:3
/~S.
Date, _/~ -/6-&
~
,
Description
~~
Sq. Ft,
Fixed Fee/
Unit Cost
Floodplain Fee
Subsurface Fees
't>2Po::?s1.--
$
$
;;l ~ dO,
CONSTRUCTION AUTHORIZED BY ~ PERMIT
52!3P
~
~-a~ .-
26 ? - poi:!
Building Fee
Sewer/Storm Drain/Water
D Plumbing Fixtures
Mechanical
.-
$ ..:J.Zd. . -
~JF) -
Plans Check Fee
$
$
$
. . __ "2.-1.P..
$~J."""" ~
$ -lire ':l..~
$ 7:? t~~
!e:-'~
FEES PAID BY: ~heck 0 ~sl!._ ?j... '".
^^--.l /ti - -- -.....
By: "- -'<)l' J'- (I ,...~-,
Date: ~~ "-- \ ;:- c!
/D //~ / 8f) !.~.:j ~
, . DATE .~72-
EUGENE, OREGON~974~t' ---
(;
TOTAL FEE
State Surcharge
TOTAL VALUATION
$ 2.7, '84. !~:>:)'2-
4
C /J ' ~
~r'''''''
PERMIT APPROVED BY BUILDING OFFICIAL/DESIGNEE (per ORS 456.805(1))
LANE COUN1'Y DEPARTMENT OF ENVIRONMENTAL MANAGEMENT / 125 EAST EIGHTH AVENUE,
C74-194
SEE REVERSE
.
.
~
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 ALLOWEO BY LAW,
WHEN READY FOR INSPECTION CALL 687-4065, A MINIMUM OF AT LEAST 24 HOUR AOVANCE 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 OIVISION:
REOUIRED I1ISPECTIONS
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 centrctl mixing plant (corrmonly termed Utransit m;xedtl) ;s to be used,
materials need not be on the job, '
2) CONCRETE SLAB OR UNOER-FLOOR INSPECTION: To be made after all in-slab Dr 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 1n place. :-
4) LATH AND/OR GYPSUM BOARO 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 REQUIREO. No work shall be done on any part of the building or. structure beyond the'point in~icated in each
successive inspection without first obtuining the approval of the b~ildihg 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, 8LOCK 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 aECDrdance with an approved nationally recognized testlng agency .lId the manu-
facturer's installation instructions.
C, MOBILE HOME: An inspeEtiDn 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.
(l) Footings and piers to comply with State.foundation requirements for mobile homes or as reEommended
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 OEcupancy, 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 OOES NOT BEGIN
WITHIN 180 OAYS, OR IF WORK IS SUSPENDED OR ABANOONEO FOR MORE THAN 180 OAYS, SUSPENSION OR REVOCATION MAY OCCUR IF THIS
PERMIT WAS ISSUED ON THE BASIS OF INCmlPLETE OR ERRONEOUS INFORMATION,
ANYONE PROCEEDING PAST THE POINT OF REQUIREO INSPECTIONS WILL 00 SO AT HIS OWN RISK
SUBSURFACE AND ALTERNATIVE SEWAGE OISPOSAL SYSTEMS
(1)
(2)
Permits shall be effective for one year from the date of issuanEe,
Upon completing the construction for which a permit has been issued the permit holder shall notify. the
Department.by submitting the installation record fonm. The Department shall lnspect the constructlon ~o
detennine if it c;:omplies ~rl"th the rules contained in this division. If the construction does comply !tilth
such rules, the Oepartment shall issue a certificate of satisfactory c~pletion. to.the permit holder, If ~he
construction does not comply with such rules, the Department shall not,fy the permlt holder'.and sryal1 requlre
satisfactory completion before issuing the certificate. Failure to meet the requirements fo~ satlsfactory
completion Withi~i~ reasonable time constitutes a violation of ORS 454,605 to 454,745 and thlS rule,
Setbacks - Subsurface Sewaqe Disposal
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'
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275480 DATE 10218~
SPRINGFIELD, ORE. .3-
LOT 3 BLK 1':
NO UNITS 001 NO STORIES NO BLDGS 001 'l
SQ FT UNIT COST VALUATION FEE DAYS~
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LANE COUNTY DEPT ENV MGT RECEIPT ~
APPLICANT PEDERSEN, DICK ADDR 1429 DELROSE AVE,
.TL~ 1703243304500 SUBDIV VERA DELLE
NEW ~LDG TYPE USE R NO BDRMS 00
CODE .APPL NO ACTION DESCRIPTION
.BP
BP
BP
.BP
BP
I. Elp
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MECH
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PCI(
BP
.PCK
SUR
PCK
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CATG:
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.TAKEN
NO. FIXTURES: NO. CONNECTORS: 15.00 EACH = .
MECHANICAL FEE
STATE SURCHARGE 4Y. .
PLAN CHECK FEE 501.
LC 275480 SUPP 68.00 , , .
34.00 .
2..72
DEPOSIT -28.00
APP RA FP SDS SI PCK OTH ISS .
11
1 ' 1
BY RLH EST. COMPLETION DATE 102280 TOTAL FEE** 76.72 CK .
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_MORANDUM .
<~.~
TO I~.j, ~
FROM C) .eA_
5UBJECT_P
f~ kC ICJ~'3- 79 ,
~~~r~MstA~
o..Ir- '/7- ~ K t .
lane county
-
DATE
/CJ -:3 - 8-trJ
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· LANE COUNTY DEPT ENV MGT RECEIPT ~ 275480 DATE 10038"
! "APPLICANT PEDERSEN, DICK '. ADDR 170 OWOSSO , EUGENE, OREGON
iL~ 1703243304500 SUBDIV VERA DELLE Ldr 3 BLK 1 ~
.. NEW BLDG TYPE USE R NO BDRHS 00 NO UNITS 001 NO STORIES NO BLDGS 001 IPJ
CODE APPL NO ACTION DESCRIPTION SQ FT UNIT COST VALUATION FEE DAYS~
.BP , . ADD FAMILY ROOM J.
BP ,~
BP ,~ .
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BP ~
PCK LC 275480 RAAA DEPOSIT 11000 . .., ,
.PL NO. ~ii ':
FIXTURES: NO. CONNECTORS: 15.00 EACH =
n ~ECH. MECHANICAL FEE, ... :
.SUR STATE SURCHARGE 4::C: . ,I
PCK PLAN CHECK FEE 50::C: 28.00
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OTH ISS
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TOTAL FEE**
28.00
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.CATG:
SEQU:
. TAKEN
APP
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BY CAD
RA
FP
SDS SI
1
COMPLETION DATE
PCK
EST.
102080
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BUILDING PERMIT REFERRAL
To ~(~)
From 0r1 n rrl ()
Date In/3/'8n
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.
This appl icant appears to need j n.S<b.-,hO: n QU) ~n2)
IT-D?;-d-4. {;.~ -#-J +~ U
If the request satisfactorily meets your requirements without further action
please sign off and have the applicant return this form to the building permit
counter.
~/ Meets requirements without further action
~/ Action Completed
Application 1/
Date of Final Approval
By
Date
TRS. TL
Subdivision
Zone
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