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Home My WebLink AboutPermit Miscellaneous 1983-7-13 ,.- s/iliiT~,4n g Cliil /fiJefr~~~J)/J v ,~~g~()~E GJ-il16 ro S..:t=Tt3 ~I~ Lane CouiWy. Authoriza:ion rluJPaDL~==V L-rffil..) ri6ffco ) rowmI~~ t7 I RANGE o~ rsW~ .{l 14'l1c-fJ+T OF SOBD'3"{~'MCLb~;~r 10 ~llttriL 1Dr!;;EL I B~r1 LOC~U7S STREE~ ~ I J >V J ~S<Yi. CITY ~; PN-PROP~::r -' ~ll-v~ , ,~V- -=(Yr~f~ A1t\ Ji('l1J-) .) t7Jt ~ (I 'n .. . PJ.urn.~6lJL I ION OF PROPOS W RK. - BE SP FI ~- . l _L('~) CROOMS.7 # F STORIE~ J /1 F ~P~ES ~ _) 0 ~po~ed ........:;> 11//,.., dI W ~ ~xistl.ng O;''1ER~~';..'',;'~ ADDRE1S L ' ~-r ~ - ~) 1?J4- ~- Ij!JE P ~E~-/1 UPJLlYLJ lOA)c, II 1/1(1lYY'(ln .:J. . '-r-{jk;2 , N_AM~ AN~'W )) . i:wX1 / I~Pj A Nl) I E PHONE NUMBER · .. ::!5!.J: :'f}, _!::." :!1.~"," .., ."rE.~ "~~~- have the following legal interest in the property,c:Jowner of record; ~contract purchaser;~authorized agent with evidence of authority attached. I f:.:.rther certify that any and all work performed shall be done in accordance with the Ordinances of lane County and the Laws of the State of Oregon pertaining to the work. described herein. and that NO OCCUPANCY will be made of any structure without the permission of the Building Division. I fur- ther 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 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 CH/;;":;::CAiHORa:L'Y~E~~ JZr;;uu) ),~. .11 ,,~. , /f-.Fd'~ NAME (please printl ~~ DATE '1.;......-- y]\6-' fo. FOR OFFICE USE ONLY Applicatio')l / ~/7_ Co? Perm~ t # / / t;;:>(f/ t1 ~ DTWO Copies of Plans - o Three Copies of Plot Plans DMech/Plumbing Checklist DLegal Interest Document Dplan Check Info Sheet ZIP PRO~OSED USE OF PROPERTY o Reside_ntial 0 Industrial o Commercial D Public. READ THIS SECTION CAREFULLY. YOUR AUTHORIZATION HAS BEEN BASED ON THE FOLLOWING CONDITIONS: [] PLANNING/ZONING, Zone Parti tion # Parcel # Parcel Size Hinimum S~ COMHENTS: CL. front ~, side l r.Y1m /1 ~ Of (J Ii) pt Dr~ em ( yj Date ,Z1.JJ V\- (t') ,1J!IltI!F Date:(~ - ~ r-l interior rear [] FLOODPLAIN, In flood hazard area? 0 No 0 Yes. SEE ATTACHED SHEET. [] SANITATION, S. L # B. P. " Installation Record Issued? 0 Yes 0 No Maximum Depth of Trenches Installation Specifications: Gallon Lineal Feet Tank of Drainfield ~~ .:jfJS ~ r, _ $I ~ ."Z::...~ ~ p~- f~A-H",~ Date, 7 -/~-F:;, ~ [] PLANS EXAMINATION, Type Groun Use COW1ENTS : Date: n TOTAL VALUATION $ CONSTRUCTION AUTHORIZED BY THIS PERMIT , . $ $ $ $ $ State Surcharge $ "- DEQ Surcharge $ n. 0.0 TOTAL FEE $$, ~ u() ~E~ AP~DI.e~fc[;DESIGNEE (per ORS 456.BD5(I)) 7-/J OAt:::J. LANE COUNTY ptPARTMENT OF PUBLIC WORKS LAND MANAGEMENT DIIISION, 687-4061, 125 EAST 8TH AVENUE, EUGENE, OREGON 97401 SEE REVERSE FOR INSPECTION INFORMATION ~ , Sq. Ft. Fixed Fee'! Uni t Cost Floodplain Fee "SUbsurface Fees J(uilding fee 1-1:;ch/Plmbg Fee "J(J _ 00 CUt ~;;,criPt;on ~ ~k~)Hr g ) eyt; P'ans Check Fee -- ...... ....... , . '. . . ~ .. SETBACKS AND OTHER CONDITIONS OF APPROVAL MUST BE STRICTLY OBSERVED. VIOLATION CAN RESULT IN REVO- CATION OF THIS PERMIT, CITATION UNDER PROVISIONS OF LANE COUNTY'S INFRACTION ORDINANCE, AND/OR OTHER REMEDIES ALLOWED BY LAW. WHEN READY FOR INSPECTION, CALL 687-4065. A MINIMUM OF AT LEAST 24 HOURS ADVANCE NOTICE FOR INSPEC- TION REQUESTS Musi ~~ GiV~N. 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: REQUIRED INSPECTIONS: 1. Foundation Inspection: To be made after trenches are excavated and forms erected and when all materials tor the toundation are delivered on the job. Where concrete from a central mixing plant (corrunonly 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-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 brac~ng are in place and all pipes, 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/~ Gy~sum Board Inspection: To be made after all lathing and gypsum board, interior ana-exter~or, ~s ~n place-ollt betore any plastering is applied and before gypsum board joints and fasteners are taped and finished. 5. Final ~pection: 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 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 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 complete. Installation shall be in accordance with an approved, nationally recognized testing agency and the manufacturer'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 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. Swimming Pool: Below grade when steel is in place and before concrete is poured. Above grade when pool-rs-installed. APPROVED PLANS MUST BE ON THE JOB SITE AT ALL TIMES DURING WORKING HOURS. THIS PERMIT 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 MAY OCCUR IF THIS PERMIT WAS ISSUED ON THE BASIS OF INCOMPLETE OR ERRONEOUS INFORMATION. ANYONE PROCEEDING PAST THE POINT or REQUIRED INSPECTIONS WILL DO SO AT THEIR OWN RISK. SUBSURFACE AND ALTERNATIVE SEWAGE DISPOSAL SYSTEMS: . .. ,j, 1. Permits shall be effective for one year ~rom the date of issuance. "l "," .' 2. Upon completing the construction for which.a permit has -been issue'"'d, the. permft holder. shall. notify the Lane County Department of Planning and Community Development by $ubmitti~g 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 permitl 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 vio- lation 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 Septic ~ 10 ' 10 I, 5' 50' Drainfield 10' 10' la' 1001 C 14-25 , -T; ":"/ ~NNING & COMMUNITY DEVELOPMENT ACTI\}ffY INFORMATION tHEET bne county ~ COMPLETE THIS SECTION. INCOMPLETE FORMS WILL BE REJECTED! 1 PATRICIA 11. GITIERE PERSON MAKING REQUEST WREN PLEGER PROPERTY OWNER 2125 Medina, Eugene, Oregon MAILING ADDRESS STATE 97401 ZIP CODE 2467 Dumas Dri:ve',' Springfield, Oregon MAILING ADDRESS Springfield, Oregon EUgene, CITY 687-4031 BUSINESS TELEPHONE # Oregon CITY STATE 97477 ZI P CODE 683-2015 HOME TELEPHONE # unknown BUSINESS TELEPHONE # 746-9956 HOME TELEPHONE # 2,. PROPERTY ADDRESS same as above (IF DIFFERENT FROM MAILING ADDRESS) 3 MAP & PARCEL NUMBER (REQUIRED INFORMATION) (from tax maps in Department of Assessment and Taxation or from tax statement) 23 03 17 TOWNSHIIP RANGE SECTION 44104 TAX LOTlS) OR PARCEL # lll1Res ZONING TOWNSHIP RANGE SECTION TAX LOTlS) OR PARCEL # ZONING TOWNSHIP RANGE SECTION TOTAL CONTIGUOUS PROPERTY IN SAME OWNERSHIP: 4 SUBDIVISION (if appl icable) TIURD ADDITION TO NOR'lliWOCJD TAX LOTlS) OR PARCEL # ZONING ACRES LOT 15 BLOCK 5 5 REQUEST (state exactly what you plan to do) NEED SEPTIC INSPECTION FOR FHA WAN. 6 DIRECTIONS TO SITE: APPROXIMATELY ONE BLOCK NORW OFF OF HAYDEN BRIJX;E ROAD. c9-7o ..~~d/~ -~A.w~.A." ~ ~~~. ** FOR STAFF U ONL Y ** NUMBER ;ci V> ZONE/LAND USE: BY: DATE: DATE . -l ,r-: TIME IN: OUT: " . . 11 . . . . . . I I. . . . . ,11 . . . . . . . . IJ, . . . . . . . LANE COUNTY DEPT ENV MGT 'RECEIPT ~ 112083 DATE 0712. ~ APPLICANT GITTERE. PATRICIA ADDR 2125 MEDINA, EUGENE. OREGON 'I l ' TL~ 1703234400104 SUBDIV 3RD ADD TO NORTHWOOD LOT 15 BLK5-- . NEW BLDG TYPE USE R BDRMS 0 UNITS 001 STORIES ~BLDGS 001 PHONE 687 4031. . OWNER NME GITTERE. PATRICIA ADDR 2125 MEDINA. EUGENE. OREGON CODE APPL NO ACTION DESCRIPTION SQ FT UNIT COST VALUATION FEE .BP BP J Ii BP ElP · BP DAYS ,~ .:," .. . , " .' PL · MECH SUR . PCK SDS SUR NO. FIXTURES: NO. CONNECTORS: 15.00 EACH = , MECHANICAL FEE . STATE SURCHARGE 47. PLAN CHECK FEE 657. LC 112083 SDAN . ll, 50.00 5.00 .' . IJl . CATG: SEQU: TAI(EN . APP o BY CAD RA FF' SDS SI 1 COMPLETION DATE PCK OTH ISS EST. TOTAL FEE** 55.00 . ''9 CK . \ I, 2. . . . TRS, TL_Z.~,o~"1 ~/oci Job Location Permit (j Plot Plan ~:=~: Subdivision1J.1.,b Aoblfic,,) 11> ~1UuJo:i> Ii'"' ,/' ( Lot ~ Block > Vicinity Map - N C74-150 (Addre!!s) -Z~1 'JAJmA5 7::le,,)~ Y;PttJN~ For ~ Permit n For For Permit n For For Permit 0 For 9$, 0(' ~ ~. .,\ ., ..'';-~ , .... ;, > y