HomeMy WebLinkAboutPermit Building 1985-4-30 (2)
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L~ County Authorization for:
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FOR OFFICE USE ONLY
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Application//'/?~~__ ~~
Perm1.t # /t/7 /- 0"::>
NWl<SHIP / tf' I RANGE t? 0:<
S~}BDIVISIO!., .....:.............,:m (if applicable)
PROPOSED USE OF PROPERTY
~ReSidential D Industrial
o Commercial D Public,
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JE~ION OF PROPOSED WO~E SPECIFIC ~_ . ~ . ",.--;&7 _ [ O:CLAREO $ VALUE o-r:J
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," OF ~ COMS J · OF J]:9RY.Y A-- · OF )i?'Y')\. EES . WATER~UPPLY ,I' . ) 0 P.P6po~ed
C? ////h ///..-:?/h_ / '7927J8oU/ ~xist'ng
O;~"N~' S NAME AND .4?~SS // ,/7 # ...- /. ~I TELE~i;9; NUH,ijER
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l:ONTRA_~?fti NAME AJ;O)lSR # ~.' /')/? ~ " ,. 7 /":J ~ ...--/ I~~NE ",!!:!~R
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I HAVE CAREFULLY EXAMINED THE COMPLETED APPLIC 10 FOR PERMIT, and ~o hereby cettify that all information hereon Is true and correct, and that I
have the following legal interest in the property: owner of record, 0 contt:dct purchaser; o authorizcd agent with evidence of authority attachod.
I f:.:.rther certify that any and all work performe ha be done in accordance w1 th tho! Ordinances of Lane County and the Laws of tho Stato of Orogon
pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without the permission of ~he Building Dlviaion. I fur-
ther certify that registration with the Builder's Board is in full force Clnd effect as required by ORS 70l.055, that if exempt the bash for exemption
is noted hereon, and that only subcontractors and elllployees who are in compliance with ORS 701.055 will be used on thia project. I HAVE READ AND
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HAM< (pl.... print) SIG~ DATE
COMHENTS:
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SANITATION: S. I. It B. P. # Installation Record Issued? 0 res 0 No
Installation Gallon Lineal Feet Maximum Depth
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~ PLANS EXAMINATION: Type Grou." - Use 7?E' }C.fo DEL
CQM1.1ENTS :
READ THIS SECTION CAREFULLY, YOUR AUTHORIZATION ~AS
o PLANNING/ZONING: Zone RA Partition #
Minimum Setbacks: \, front I,,' C. o+~~
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BEEN BASED ON THE FOLLOWING CONDITIONS!
Parcel It
Parcel Size
interior
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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 C14-2~R~
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SETBACKS ASO OTHER CO~OITIO:-<S OF APPROVAL ~lUST BE STRICTLY DESERVED. VIOLATION CAS RESULT IN REVQ-
CATIO:.l OF THIS PERMIT, C!TATIO:l UNDER PROVISIONS OF LANE COti:':TY'5 INFRACTION ORDINANCE, AND/OR OTHER
RE~IEDIES ALLOWED' BY LAW.
WHEN READY FOR rl-:SPECTION, CALL 6B7-4065. A MINnIU~1 OF AT LEAST 24 !lOURS ADVANCE NOTICE FOR INSPEC-
1:IVCl HI::Ql,;I:;:jT:; ~iUST Ell;; GIVt:;. Have the tollowing 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:
REQUIRED INSPECTIONS:
1. Foundation Inspection: To be made after trenches are excavated and forms erected and when all
matertalS lor the toundation are delivered on the job. Where concrete fro~ a central mixing
plant (colllIllonly termed ~transit mixed") ~s to be used, materials need not be on the job. ~
2. Concrete Slab or Under-rloor Inspection: TO be made after all in-slab or under-floor building
serVlce equIpment, conault, plping accessories, and other ancillary equipment items are in
~place but before any concrete _i~ poured_or. ~l.oo: sheathing installed, i~cluding the subfloor.
3. ~raming & Insulation Inspections: To be made after the roof, all framing, fire blocking, and
" raclng are 1n place and all. p1peS, fireplaces, 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/or Gypsum Board Inspection: To be made after all lathing and gypsum board, ;.nterior
ana-exterIOr, .l.S .l.n place but Detore any plastering ~~ applied an_d _~efore gypsum b~a~d jo~nt~
and fasteners are taped and finished.
5. Fin~l Inspection: To.be-made after the building is complete and before occupancy.
APPROVAL REQUIRED. ~o work shall be done on an;~ p~rt- of t~.b~lding or -structure be'yo~d '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 authori%ed, such as but not limi\ed to:
A.~ Block Wall: To be made after reinforcing is in place, but before any grout is poured. This
rnspect.l.On 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
complete. Installation shall be in accordance with an approved, nationally recogni%ed testing
agency and the manufacturer's installation instructions. ,,-
C. Mobile 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 manufactu~er.
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. Tiedowns and skirting shall be installed
per enclosure.
D. Swimminq Pool: Below grade when steel is in place and before concrete is poured. Above grade
wnen pool-rs-installed.
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APPROVED PLANS MUST BE ON THE JOB SITE AT ALL TIMES DURING WORKING HOURS. THIS PERMIT WILL EXPIRE
IF WORK DOES NOT BEGIN WITHIN 160 DAYS, OR IF WORK IS SUSPENDED OR ABANDONED FOR MORE THAN 160 DAYS.
SUSPENSION OR REVOCATION 11AY OCCUR IF TillS PERMlT WAS ISSUED ON THE BASIS OF INCOMPLETE OR ERRONEOUS
INFORMATION.
ANYONE PROCEEDING PAST THE POINT or REQU~RED INSPECTIONS WILL DO SO AT THEIR OWN RISK.
SUBSURFACE ~ 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 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 issue a certificate of satisfactory completion to the permitiholder.
If the construction does 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'require~ent5 for satisfactory completion within a reasonable time constitutes a vio-
lation of ORS 454.605 to 454.745 and this rule. .. .
Setbacks - Subsurface
From:.'
.intfitrlor property lines
Edge of road right-of-way
Building foundation
Wells. other water sources
Sewage Disposal
Septic Tank
10'
10'
5'
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Drain-field
10'
10'
10'
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W: 2 , LANE COUNTY DEPT ENV MGT RECEIPT I 10~785 DATE 042585
. APPLICANT GF<TSWOLD, EDl,JAF(D L. AD DR 2~':i'18 HAI~VEST LANE, SI"IUNGFIEL.D, CmE:Ge
TL.11802061311400 SUDDIV L.OT BLK
NEW BL.DG TYPE USE R BDRMS 3 UNITS 001 STORIES IBLDGS 001 PHONE 746 8331"1
. OWNEF~ NME GFn SWDl.D, EDWAr~D L.. ADDr~ ::)~,)9f3 HAI'~VEST LANE, SPF~ 1 NGr:' 1 EL.D, OREel...,
CODE APPL. NO ACTION DESCRIPTION SQ FT . UNIT COST VALUATION FEE DA'~~
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LC 1 09785 r~AL
.:. r:1XTURES:
SWR: .
FT. WTR:
MECHANICAL FEE
SH, TE SURCHARGE
PLAN CHECK FEE
FT.
8500
RAIN:
74.50
FT.
65%
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TOTAL FEUHf
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EST. COMPLETION DATE
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ACTIVITY INFORMATION
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COMPLETE THIS SECTION. INCOMPLETE FORMS WILL BE REJECTED!
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P SON MAKING RE ST
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MAIL G DRESS
SPe.IA}c:' c:1 ail 971178
CITY / S~ ZIP CODE
7'1~ 8T31 7~(1d60
BUSINE~ TELEPHONE # HOME TELrPKONE #
2 PROPERTY ADDRESS _ 10 () s:- pA..J D64-
(IF DIFFERENT FROM MAILING AODRESS) ,
EDw A-I2-O L Ge..l S w 0 LO
PROPERTY OWNER
'J.. s:-q to HI4T2.V cST L-/t.!.
.0_ .---.-.- --'-.M'AIITNG-iltilYRESS" ._...u...___._._.....
...914tJ6I=1ELLJ I),t:. t171.f7?
CITY STATE ZIP CODE
.7'-1& ~s?:'/ 226' 5$"52-
BUSINESS TELEPHONE # HOME TELEPHONE #
SJ-::>r2./NbR EL[) 0 IL
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3 MAP a PARC8L NUMBER {from tax maps in Department of Assessment and Taxation
(REOUIRED IN~RMATION) or from tax statement)
1'6 Zw...,w,. C::> 1f6 02- ()C:; 13 1/400/1-02
~ TOWNSHIP RANGE SECTION TAX LOT(S) OR PARCEL # . ZONING
AI Jfg ~.l. 0" ';.3 1/~CJ8 J2!J.
~. ? tJ~ TOWNSHIP RANGE SECTION TAX LOT(S) OR PARCEL # ib~lNG
;I()~/""cll TO'NSHIP """' SECTION TAX COT(S) OR PARCEL' >ONIN'
~~OTAL CONTIGUOUS PROPERTY IN SAME OWNERSHIP: ACRES
4 SUBDIVISION (if applicable) t'V'\E.4DoW G;;,{2.E6IJ E.SmT6S10T c:; BLOCK '2
5 REQUEST (state exactly what you plan to do)Q~J.'...1QC}{..E:,.._~E?:..,jmO ;If_
firtvi I LV J2c;0ff7 1JN.f) YA-I/ E A. (!.(! G5S ;::{120 J?::7 E'XI.-SL-/ ~6
.LJ V ill/ 6 f.4:/0/11 A-L-s 19 FI2.4I?1 E /..J w A:9ft20t:J M- '5tl D}N b .i)tJ< ,e
6 DIRECTIONS TO SITE: !J1/)..'/A/ .sTt26GT c5tIJorrl 7ZJ :?/~rc.ve;v t2lbl+T
fbL-UJ1A.J "f() l)!J,0t:EA (~IU5S f1JatW t,:oU6tA5. 6~S, SCItJO~kErT Al"/!T~,,! 'i:
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** FOR STAFF USE ONLY ** NUMBER ~
ZONE/LAND USE:
BY: DATE:
TIME IN:
DATE
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OUT:
LAND MANAGEMENT DIVISION I 125 E. 8th AVE., EUGENE, OR 97401 / 687-4061
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