HomeMy WebLinkAboutPermit Building 1994-11-15
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Lane Co!.ty Authorization
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LOC';TI10"1 ~DRESS ~:~El.l c:::;)..f"/J . '.;::- ~_ <!'P -',.rI ZIP P~ USE OF PROPERTY
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O(jRddJ-I~WO~f6E m ~ . -, d~ I OEClARED S VALUE
"'~FJBiDRd&1S I If OF STORIES l I It OF EM~EES I WATER SUP::;:X . -,J ~""'f ~ 0 Proposed
'Ihn!?!? ~ nCJn.Q... ~~r)Kou il''2~Xisting
~Q:la:~ RJ rl~~n2Of') r~ ~. ?5ft-QT~ONENUMBER
CO~Tr~:;En OSR~;rn~ 2~ ~ reLna.ru ) I T PHONE NUMBER~~
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I~E CAREFULLY EXAMIN~ THE COMPLETED APPLICATION PDR p~h~rObY cortif th~t ~nformat,on h,r,on i. tru, and corr,ct, and that I
have the following legal 1-nterest in the property: Downer of record; 0 contract purchaser; ~uthorized agent with evidence of authon.ty 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 1s 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
CHECKED THIS APPLICATION THOROUGHLY.
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FOR OFFICE USE ONLY
Application/.<)~c;~ ~~ /I
Perm1. t i t:.:?ftf t1 /-6 /
o Two Copies of Plans .
DThree Copies of Plot Plans
LJMech/Plumbing Checklist
D Legal Interest Document
Dplan Check Info Sheet
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...&Jac.k. M tu'M\ ('''''/ sJ..
NAME (please print)
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DATE
READ THIS SECTION CAREFULLY. YOUR AUTHORIZATI~HAS BEEN BASED ON THE FOLLOWING CONDITIONS:
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Parcel #
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CL, side ", interior &:=) rear_r r' J 5
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[] PLANNING/ZONING:
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Partition #
Parcel Size
~{~(1pJ1, (.t1blJl_
B. P. d()n?l-a
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Installation Gallon Lineal Feet Maximum Depth
Specl.fications: T~k~ of Drainfield of Tre~c~s
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~LANS EXAMINATION: Type-V'-U Group 12-? ose...50LI+f?IlJI'-I
~ANITATION :
S. 1. #
Installation Record Issued? Dyes 0 No
~
cmU.1ENTS:
Date, J 1- I S-- f! '-I
,-4'.g
TOTAL VALUATION $
CONSTRUCTION AUTHORIZED BY THIS PERMIT
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$. h;iP;ion
Fixed Feel Floodplain Fee $
Sq. Ft. g:;~0 Subsurface Fees $
~fo 'If Building eee $
~ $
Plans Check Fee $
State Surcharge $
DEQ Surcharge $
/ciXb as
TOTAL FEE $$
'iT ~G / I - I.!.-- 8' Lf
PERMIT APPROVED BY BUILDING OFFICIAL/DESIGNEE (per ORS 456.805 (1,) DATE
LANE COUNTY DEPARTMENT OF PUBLIC WORKS LAND MANAGEMENT DIVISION, 687-4061, C 14- 25
125 EAST 8TH AVENUE, EUGENE, OREGON 97401
SEE REVERSE FOR INSPECTION INFORMATION
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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 REQUES'l'S MU5'l' BE GIVEN. Have the following informa ticn ready: permi t 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 aLter trenches are excavated and forms erected and when all
materials tor the foundation are delivered on the job. Where concrete from a central mixing
plant (commonly termed "transit mixedll) 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 equip-ment, 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. Framinq & Insulation Inspections: To be made after the roof, all framing, f~re blocking, and
bracing 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/e!. Gy~sutn Board Inspection: To be made after all lathing and gypsum board, ;.nterior
and exte~1or, 1S_1~ place but before any plastering is applied and 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 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 manufacturer1s installation instructions.
C. Mobile Horne: An inspection is required after the mobile home is connected to an approved
sewer or septic system for setback requirements, blocking, footing connection, ti~downs,
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 JHE POINT or REQUIRED INSPECTIONS WILL DO SO AT THEIR OWN RISK.
SUBSURFACE AND ALTERNATIVE SEWAGE DISPOSAL SYSTEMS:
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 ~f 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 permitfholder.
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
Septic Tank
From: Interior property lines 10'
Edge of road right-of-way 10'
Building foundation 5\
Wells, other water sources 50'
Drainfield
10'
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ACTIVITY INFORMATION
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COMPLETE THIS SECTION. INCOMPLETE FOHMS WILL BE HLJECTlD!
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PERSON MAKING REQUEST
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MAILING ADDRESS
kJne county
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PROPERTY OWNER
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MAILING ADDRESS
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BUSINESS TELEPHONE #
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StATE ZIP CODE
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HOME TELEPHONE #
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STATE ZIP CODE
BUSINESS TELEPHONE #
2 PROPERTY ADDRESS
(IF DIFFERENT FROM MAILING ADDRESS)
3 MAP & PARCEL NUMBER
(REQUIRED INFORMATION)
HOME TELEPHONE #
(from tax maps in Department of Assessment and Taxation
or from tax statement)
. to ~ y ~.6W~IP ~N~ SdTioN
J~ 54?wNSllfPR-ANGE' SECTION
11-,,01/1.fJ' ~
TOWNSHIP RANGE SECTION
TOTAL CONTIGUOUS PROPERTY IN SAME OWNERSHIP:
4 SUBDIVISION (if applicable)
5 REQUEST (state 1!x ly what you plan to do) ~./
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6 DIRECTIONS TO SITE: I1q-fd_/3/v[,
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TAX LOT{S) OR PARCEL # ZONING
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TAX LOT(S) --OR PARCEL II ZONING
TAX LOT{S) OR PARCEL # ZONING
ACRES
LOT BLOCK
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** FOR STAFF USE ONLY **
ZONE/LAND USE:
BY: DATE:
TH1E I~:
OUT:
1():;5<;<' -{ ~
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NUMBER
DATE
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LAND MANAGEMENT DIVISION / 125 E. 8th AVE.. EUGENE, OR 97401 / 687-4061
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