HomeMy WebLinkAboutPermit Building 1981-7-13 (2)
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AI CON.STRUCTION/PLACEMENT(' _ /
e V\yln Ii PERMIT .' ~ (;.111/ . ~~~;~~a;ze-E~,;(-f/
~ lJI 0 Two Copies of Plans
COHPLETE THIS BLOCK. PLEASE USE BLACK IN AND PRINT. I DTwo Copies of Plot Plans
TO"N,lIIP /? I RANGt?~ I~Zij c:? I~Z~~UT Of g=::::~:a~h~::~~~~st
SUl}3}V}S;PNhRTlTION (if apPl, icablel I LOT/PARCEL r BLOCK
/V //7 I Dplan Check Info Sheet
/~//RESS ~%,' ~~ /2~/
lT~CU,R.RENTLY UN ~RUPJ:::R'l'Y -'_' /7 / ~ I
7~ '. _. y y o Commercial OPublic
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~~5" I: o~ I ;YQ#;, I "ATER SUPP~ ~~~~;~~~~
I~;:;/?'~~~ -1/o/s!.8~~ ~ //~~717P7-~/L
CONTRA~S ~'~&kss / ,-;-'/'- '" ./ ' I TELEPHONE NUMBElI
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-eoNTRA~I?,/,~ # I DI CTIONS ~ ./ L- ,d" ~ ~ -,?!if!? :A h ~ ' )
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I HAVE CAREFULLY E~D THE COMPLETED APPLICATION FOR PERMIT, and do hecp-by certify that all information hClcon ifl true ilnd correct /ltld I further
certify that any and al,l work performed shall be done'in accordance with the Qr:-dipanccs of Lane County and the Laws of the Strite of Or~'1':111 l'~rt<lil1illq
to the wor:-k described herein, and that NO OCCUPANCY will be made of any structure without the permission of" the Building Division. I Curthcr c{~rtify
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 cxcmp~ioll i8 notpd
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 CIJECY.ED TillS
APPLICATION THOROUGHLY.
FOR OFFICE USE ONLY
ZIP I PROPOSED USE OF PROPERTY
~Residential [Jlndustrial
S VALUE
U/jj)j/ lh-L,6'CCK ~"-'<- /!1ttJ _h- 17,?"/ ~~::"ctor
NAME (please print) / SIGNATURE DATE 0 Agent
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o PLANNING/ZONING: Zone p~ Partition #~ Parcel # LI$ Parcel SiZt'S,,:> ~/;
>lin'imum Setbacks, CL, front-"<c-";-c;J ( CL, side ~>>: interior T rear 5/
comrnents:~.//..k..u..M/ /.u~ ~~~.-J ~p ~~~/~) ~~
ftA'/~//{lj-77./ ,- Oate, /-/7-5/ ~
o FLOODPLAIN: In flood hazard area? j8(NO 0 Yes, see attached sheet. Date: n
;f9:. RURAL ADDRESSING: GRID CDD'!D'NATE 'N E Date, 6' //ff" / J>/ M/
~ SANITATION: s. 1. # 7c:f'-~~Y B. P. # Installation Record :ssued~ 0 Yes 0 No
Installation
Specifications:
(A/I r'/) q
~ PLANS EXAHINATION:
Type
t5fJ
Group ~
Comments:
Date,~1....1~~j 0
CONSTRUCTION AUTHORIZED BY THIS PERMIT
Fixed Fee/
Sq. Ft. Unit Cost
/41:Jtt fT ,~P/tJ
,~/Jf 9~QJ
Floodplain Fee
Subsurface Fees
Building Fee
Sewer/Storm Drain/Water
II Plumbing Fixtures
Mechanical
By:
$
$ StJ, !:!!-
$ .....,,?.as;:- .JZ-
$
$
$
$ ~ 7- ..zr
$ /?,?~
$~<-~ cd
B~)~
'/~-/7-J'/
-1 /11;I"'~1
DATE
/t?Z1. v-_
~ 'f:..r~
Plans Check Fee
\;~4~ s:Ds
,
State Surcharge
TOTAL FEE
TOTAL VALUATION
$
FEES PAID
Date:
12J. W6uauJAJ
PERMIT APPROVED BY BUILDING OFFICIAL/DESIGNEE (per ORs "56. ~05 (i) )
LANE COUNTY DEPARTMENT OF ENVIRONMENTAL MANAGEMENT / 125 EAST EIGHTH
C74-194
SEE REVERSE
AVENUE'{UGENE' OREGON
97401
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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.
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WHEN READY FOR INSPECTION CALL 687-4065. 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. .
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BUILDING DIVISION:
REOUIRED IIISPECTIONS
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 central mixing plant (conmonly termed "transit 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-flo~r building service 'equipment,
conduit, piping accessories and other ancillary equipment items are in place but before any concrete is' poured
or floor sheathing installed, inc1~ding 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 pluli1bing are approved. All
wall insulation and vapor barrier are in place.
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4) LATH AND/OR GYPSUM BOARD 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 an~ fasteners are taped and finished.
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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 obtalning the approval of the building official. Such approval shall be given only
after an i,nspection 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. 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 masonrv (if apolicable) and when installation, is comolet..
Installation shall be in accordance with an approved nationally recognized testlng agency .nd the manu-
facturerls 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 ,
connection~.
(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 sha'll be installed per enclosure.
D. 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 DOES NOT 8EGIN
WITHIN 180 DAYS, DR IF WORK IS SUSPENDED OR ABANDONED FOR MORE THAN 180 DAYS. SUSPENSION, OR REVOCATION MAY OCCUR IF THIS
PER~IIT 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)
(?)
Permits shall be effective 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 inspect the construction to
determine if it complies with thE;l"ules contain-ed in this division. . If the construction does comply \'lith
such rules, the Department shal,liss"e 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 shall require
satisfactory completion before issuing the certificate. Failure to meet the requirements for satisfactory
completion within a reasonable time constitutes a violation of ORS 454.605 to 454.745 and this 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'
Ora i nfi e 1 d
10'
10'
10'
100'
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lane county
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ADDRESS
OFFICIAL USE ONLY
ApplL/
Pennit #
APPLICANf INFORMATION:
LARlf<.... A b,tb~
(Name or hrnl-Please Pnnt)
PLUMBING CONTRAcrOR ~s Finn
'iOl~~B mll;n
(MaIlIng AddreSS)
'So(ld O~
. (CIty or town)
'77'177
(L:Ip Code)
Address
I h, 171 PI. u--l.. ,,-
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1t'()/r;,C- /1711.,,'" d
Cont. OSR#
o No o Self
MEO'lANICAL CONTRACTOR g-yeS Finn hYI"A 1100/-":""", fI.,.......L.- Cont. OSR# :rO 57?
Address J 1-7 5 1=-..... 6c-r~'" )
o NoD Self DIRECTIONS TO SITE mo;.,., T: '0. :~7.,J}_'-';;)*$__/?~/f;'
J:::>.>>>> I2u A
- PLUMBING
Type of Fixture Number of Each Fee On Each Total
Sink 7lI / $ 5,00 S'::?-
Lavatorv (Wash Basin) Z. 5.00 io..rc-
Tub (with or without shower) I 5.00 ,c;, ";-
Shower, separate I 5.00 S,,?-
Water Closet (toilet/urinal) 2 5.00 to,"'"
Dishwasher I 5.00 ~'!::
Disposer (garbage grinder) / 5.00 ..5:" ~
Washin~ Machine i 5.00 S'.~
Water Heater f. 5.90 ,C;:"'"
Floor Drain 5,00
Sewer--lst 50ft. I 15.ob ",..'''''
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each additional 100 ft. 10.00
Water Service--lst 100 ft. I 15.00 /:5,,!!:Y
each additional 100 ft. 10.00
Stonn and Rain Drain--lst 100 ft. / 15.00 /~--
each additional 100 ft. 10.00
Special Waste Connection 5,00
Sewage and Sump PumP (eiector) 5.00
~bbiie Home Sewer and Water 10.00
Other (specify)
~ SUB-TOTAL (Minimum $10.00)
(j I 1DTAL FEE / /JIJr !!!--
MErnANI CAL
Type of Equipment Number of Each Fee on Each Total
Mechanical Pennit Base Fee $ 10,00
Furnace UP to 100,000 BTU/H -; $ 6.00
Furnace over 100.000 BTU/H 7.50
Clothes Dl!Yer Vent ( 3.00 3 ....
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Bathroom Ventilation Fan & Duct -:2 3.00 /.., e:-.
Ran~e Hood with Mechanical Exhaust / 4.50 4',r-o
Wood Stove I 6,00 I...... C"C._
Air Conditioner Only 6.06
Heat Pump I 6,00
Floor Furnace 6.00
Gas Piping System 1 to 4 Outlets
Per Outlet ,50
Other (specify)
SUB-TOTAL
, certifYot.~~t ~l ~!U~~~,ng_wor::~_~:U~one In I
a~or~nr_ ':1tl1 UI~V-'_"~~_'L~~~regon 1DTAL FEE
~evl~ea~~tattues Chps. 447.~,6~3 an~llcable Permit
c~de~~and tna.t-llelt-h-1,. ,,:;11 1....~,,"'t'~v.Yed unless issued by
llCclI,:)ca ~"Ut;'1 1:ms-69-3.
Signat, - ' ~"2.F~
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lane county
APPLICATION # U 1":327- X' I
LOCATION JZ/I Or/w/.oo..
((}wit; (}d bu ~
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The Lane County Building and Sanitation Division cannot proceed with
your application because:
NAME
ADDRESS
9?Lf77
ZIP CDDE
processing
1. 0 Incomplete application (items deficient),
Address and/or directions to application site.
-
Proposed number of ,bedrooms in dwelling.
- Approvab1e plot plan (see attachment).
- Notification of date test holes will be ready.
Verification of existing system required (see attachment),
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Two test holes (Z'x4'xS' deep) required for expansion or repair
of existing sewage disposal system in the area of the proposed
drainfie1ds.
2.
3.
, 4. 12I Other: k f'fh tJl II . v7fJIJld... (.#'vI WAC/J"II/A- ,u<.o.J,u A./) do" q \ { /J J
L J ./ " If 3' v 1,-,'./
{.JAM IArA~ (171A ,,'fMl/f fJ-,d, t7~>>uf- l.n"c _ -v I ;()NfW 'Alirf.c
.1Jj;,Jf4orloj IlAj(Jf.t~ 0/idwi tJf~ f1('.(}A tJt..a LMd,-V ./'JrvJdM a.
~JA p.lJrM~, /J ~, Ji llM,,~ ,r) 0 f.I)d~ ra //!/lr '5" NlY.JrJ- f-1k~Mt-
ff; l/)Il(').JM~tJ/1 hl1l1/,PPl1 I)- aud l!dJU) /u.tJp1SJrJ l\~fl:&. W,.';JI#l/
f)OA /!/iJI1/J( /AAlll/'/lh UM/'lr '-..)f;,,,.t7 r1,-{FO
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SIGNATURE
X ':::SO' to9 ,OD
ICt IUD ~ fl
DATE U
(fllf7-'Id/o ( from V toX.'=3?)
PHONE
OFFICE HOURS
If no response has been received in regards to this matter by /;2, )11)"( ,
the application will be denied. fi j 0~/ ... /
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BUILDING AND SANlTATlO;; DIVISION 1 ENVIRONMENTAL MMIAGEMENT DEPARTMENT
COURTHOUSE. PUBLIC SERVICE BUILDING / 125 EAST BTH AVENUE / EUGENE. OREGON 97401 / PHONE (503)687-406
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. LANE COUNTY
APPLICANT DILBECK, CANDY
TL~ 1802064202602 SUBDIV
NEW BLDG TYPE SFD USE R NO BDRMS03
.CODE AF;PL NO ACTION DESCRIPTION
t flFl\ SFD MAIN AREA '
'<<: GARAGE ATTACHED'
BP
C
BP LC 132281 NEWR
~L NO. FIXTURES:
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DEPT. ENV MGT RECEIPT ~ 132281 DATE 061781 .r"
AD DR 4015 B MAIN ST.. SPRINGFIELD, OREGON ~i
LOT' BLK I.
NO UNITS 001 NO STORIES NO BLDGS 001 . ;:
SQ FT ,UNIT COST VALUATION FEE DAYS :~
"
1406 38.10 53568 :,
"
'520 9.50 4940 . Ii
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4%
50%
205.00
100.00
29.50.
13.38
167.25
50.00
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NO. CONNECTORS: 3
MECHANICAL FEE
STATE SURCHARGE
PLAN CHECK FEE
58508
15.00 EACH =
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BY RLH
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SDS
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PCK
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071081 '
OTH.
ISS
4
TOTAL
FEE**
565.13
2
EST. COMPLETION DATE
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