HomeMy WebLinkAboutPermit Miscellaneous 1985-8-14
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I LOT/PARCE~' I BLOCK
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ST KES CURRENTLY UN PROPERTY / /
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O~~r7A7/';:RK - ~#'/7 ~0?/vI~ I DEClAREO $ VALUE
'OF~ li~fi1 l'~ag-I WATERSUPPLY ~.&'L/L~ ~~~~~~~:
~~DAD~ H/9KC- Pa8c:TY '#/~63 I~~?y~
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p,~~/~ INAME:;e:0Sll' ~a/' I, T~~c-
'I\JW"SHIP It I RANGE
S~BDIVISION/PARTITION (if applicable)
/ n \/I1-LL tUJoo
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02.,1
FOR OFFICE USE ONLY
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SECTION
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PROpoSED USE OF PROPERTY
~esidential 0 Industrial
o Commercial D Public.
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I HAVE CAREFULLY EXAMINED THE COOPLETED APPLI TION FOR PERMIT, <HId do hcrcuy certify t.hat all information hereon is truo and correct., and that I
have the following legal interest in the property: owner of record; 0 contrdct- purchaser; Oauthori J!;ed agent wi th evidence of author! ty attached.
I f:.:.rther certify that any and all work perform sh- done in accon]anc<,: with th~ Ordinances of Lane County and the Laws of tho Stato of Oregon
pertaining to the work described herein, and that NO OCCUPANCY will be made of ar'1-' strllcture without the permission of the Building Oivision. I fur-
ther certify that registration with the Builder's Board is in full forc!'! tlOll effect as required by ORS 70L .055, that if "exempt tho basia for exemption
is noted hereon, and that only subcontractors and employees who are in compliance with ORS 701.055 will be used on this project. I HAVE READ AND
C~dTHAi!r~:- ~ ~~..~__
- NAMI!: {please print' SIGNATURE DATE
READ THIS SECTION CAREFULLY. YOUR IA~ORIZATION YAS BEEN BASED ON THE FOLLOWING CONDITIONS!
o PLANNING/ZONING: Zone .H//~partition II Parcel II Parcel Size ~~-
~~4~-2~~)/4~r;;~cn .:
Date, -p-g-cF~ ~
Minimum Setbacks:
CO~~ENTS~
,
Gallon
Tank
Lineal Feet
of Drainfield
Installation Record Issued? 0 Yes 0 No
Maximum Depth
of Trenches
o SANITATION: S. L i
Installation
Specifications:
B. P. #
COMHENTS:
Date:
n
XPLANS EXAMINATION: Type
COMJrENTS:.t::4LI.. )::oK! 'RE9:UI f?GD
Group -
Use
c....J_(
OJ <PISC/II!>LJ_
Date: 8~ 14-&s-
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PERMIT APPROVED BY BUILDING OFFICIAL/DESIGNEE (oer ORS 456.805(1}) DATE
LANE COUNTY DEPARTMENT OF PUBLIC WORKS LAND MANAGEMENT DIVISION, 687-4061,
125 EAST 8TH AVENUE, EUGENE, OREGON 97401
SEE REVERSE FOR INSPECTION INFORMATION
C 14-25 R84-
"
.
.
SETB,",CKS A:-<D OTHER CO,;OITro::s or APPROVAL ,-lUST BE STRIC7:.,..,. OBSERVED. VrOLATIO:: CA:: RESULT IN REVQ-
C;.710:.l OF ,llIS t'ER:11'I', C!TATIO:: U:-iDER PROVISIO:1S OF Lt\~E COU::T\"':; l:JFRACTION ORDI::;":,CE. l,C:D/OR OTHER
REMEDIES ALLOWED BY 'LAW.
!::!LEN READY FOR I:,srJ:CTION, G\L:' 687-';065. ^ ~IINHll!~\ OF AT LEAST 24 llQUR$ ADV.\I:CE :.lOnCE FOR HlSPEC-
'rIO:, Kt;Qt:!::~7S ;';:":51' D!;; GIV~... !lavC! tno l.ollowing information ready: ;:,ormit number, job ilddress, type
of insp~ct.ion. whCl\ it will he ready, :lour name and pnor:.: number, and any silccial directions t.o site.
BUILDING DIVISION:
REQUIR:::O r::sPEcTIONS:
1.
,
Foundation Inspection: ':'0 be made after trenches are excavated and forms erected and when all
mater~a!s ~or tno toundation ure Jeiivered on the job. ~here concrete from u ce~tral mixing
plant (commonly termed ~tram~it mixed") is to be used, materials need not be on the job.
Concrete Slob ~ Under-Floor inspection: To be milde after all in-slab or under-floor building
serVl~e equlpment, CO~OUlt, plplng ilccessories, and other ancillary equipment items are in
place but beLore any concrete is poured or floor sheathi~g installed, including'the subfloor.
~raming & Insulation Inspections: To be made after the roof, all framing, fire blocking, ond
raclng are 1n place and all p1pes, fireplaces, chimneys, and vents arc complete and all rough
electrical and plumbing arc approved. All wall insulation and vapor barrier arc in place.
2.
3.
4.
Lath and/er. Gv!?sum Board InSj?ection: To be made after all lathing and gypsum board, '.nterior
ana-extcr1or, 15 1n-prace but betore any plastering is app~ied and bet ore gypsum board joints
and fasteners are taped and finished.
5. Final Insoection: To be made after the building is complete and before occu?ancy~
APPROVAL REQUIRED. ::0 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 app~oval Sh3l1 b~ given only after an inspection shall have been made of eoch successive step
'in the construction as. indicilted 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 mace after reinforcing is in place, but befo~e any g~out is poured. This
rnspectIOn is required ior each bond beam pour, There will be no approval until the plumbinq
and electrical inspections have been made and approved. .
B. ~ood Stove: To be made ilfter co~pletion of masonry (if applicable) and when installation is
~l~ Installation shall be in ilccordance with an approved, nationally recognized testing
agency and the manufacturer's installation instructions.
C. }lobile Home: An inspection is required after the !nobile home is connected to an ilpproved
sewer-or septic system for setback requirements, blocking, iooting 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 management letter.
3. Mobile home tiedowns, when required, and. skirting shall be installed and ready for inspec-
tion within at least 30 days after occupancy. Tiedo~ns and skirting shall be installed
per enclosure.
D. Swimmino Pool: Below grade when steel is in place and before concrete is poured. Above grade
wnen poo!-rs-installed.
.\PPROVED PI.A:'1S :.IUST BE 0:'1 THE JOB SITE AT ALL TIMES DURING WORKING HOURS. THIS PE:R."lIT 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 i.fAY OCCUR IF TillS PER'lIT WAS ISSUED ON THE BASIS OF INCOMPLETE OR ERRONEOUS
INFORl-1ATION.
A~YONE PROCEEDING PAST THE POII:T or REQUIRED INSPECTIONS WILL DO SO liT TllEIR OWN RISK.
SUBSURfACE AND ALTERNATIVE ~ DISPOSAL ~:
1. Permits shall be effective for one year from the date 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 community Development by submitting the
installation record form. The Department shall ins?ect 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 issue a certificate of satisfactory completion to ~hc permit, ~older.
If the construction docs not comply with such rules, the Department shall notify the permit
holder and shall require satisfactory completion before issuing the certificate. Failure to
meet the requirements for satisfactory com?letion within a reasonable time constitutes a vio-
lation of ORS 454.605 to 454.745 and this rule.
Setback5 - Subsurface Scwaqe Disposal
Septic Tank
F~om: Interior property lines 10'
Edge o(-road rtt;ht-of-way 10'
!:luill.iino foundation 5'
~clls. other water sources .50'
Drainfield
10'
10'
10'
100"
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LANE COUNTY DEPT ENV MGT RECEIPT I 227685 DATE 081385
:~ ~PPLICANT PEAKE, KEN ADDR lB69 DONDEA ST" SPRINGFIELD, OREGON
ell. f.' I 80206001 1200 SUBDIV . LDT lJl..I(.
NEW BLOG TYPE USE R BDRMS 0 UNITS 001 STORIES IBLDCS 001 PHONE 726 0743
OWNER NME PEAKE, KEN AOOR 1069 DDNDEA ST., SPRINGFIELD, OREGON
. CODE APPL NO :',ClION DESCRIPTION S(;! FT UNIT COST VALUATIOi': FEE Dfn.
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MECHANICM. i~EE'
ST A TE sur~CHAF(GE
PLAN CH[CK FE:r.::
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EST. COMPLETION DAlE
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ACTIV~ INFORMATION ~EET
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COMPLETE THIS SECTION. INCOMPLETE FORMS WILL BE REJECTEDl
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PERSON MAKING REQUEST
P O. ~ 0)( lObS
MAILING ADDRESS
Ke.-. /l. ~~
PROPERTY OWNER
P.o.8oJr /Q.(,3
MAILING ADDRESS
Sp;-;~-R~t/
CIT~
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STATE
Q7<.f7f(
ZIP CODE
C~/~~;.u
6R.
STATE
97tE?K
ZIP CODE
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BUSINESS TELEPHONE #
7-2 " . Of 'f 3...._
HOME TELEPHONE #
BUSINESS TELEPHONE #
HOME TELEPHONE #
2 PROPERTY ADDRESS /OtDq DdY1J~. s+ ;-" ''''''''-'''FiIi4f#, 6JR. 97~ 1,f
(IF DIFFERENT FROM MAILING ADDRESS) ~
3 MAP & PARCEL NUMBER
(REQUIRED INFDRr~ATlON)
(from tax maps in Department of Assessment and Taxation:
or from tax statement)
I g O~ Ob
TOWNSHIP RANGE SECTION
\I 2. cO
TAX LOT(S) OR PARCEL # ZONING
TOWNSHIP RANGE SECTION
TAX LOT(S) OR PARCEL # ZONING
'rOWNSH I P RANGE SECTION
TAX LOT(S) OR PARCEL # ZONING
ACRES
.
TOTAL CONTIGUOUS PROPERTY IN SAME OWNERSHIP:
4 SUBDIVISION (if applicable)
LOT
BLOCK
5 REQUEST (.'tate exactly whaL you plan to du) .. _L.-,)~('",~__!>_~oJ vStJa/I ~
~ Garx.R t>e....l m~ P".~,t!h _ '11...e.", O\.NJ_ q~ -k, ~~
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A)/- ~ ~ ~ ",rJ/o{ If'l<A-_b'- ~~. 1
.6 DIRECTIONS TO SITE: . ~ eI"\. bdlo.deA ~ ~ ~.ed?(3"ao 81",cJ}
~ ..AJ... I.ST' c....../..e&-c.t:I.L- - 8rdVVlI..- ~ ..vi- 6~ u.J.t,-,s<&G~ - I
** FOR STAFF USE ONLY **
- --
NUMBER
DATE
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ZONE/LAND USE:
BY: DATE:
T11~E IN: OUT:
l.ANn MANAGEMENT DIVISION / 125 E. 8th AVE.. EUGENE. OR 97401 / 687-4061