HomeMy WebLinkAboutPermit Miscellaneous 1980-11-8
roWN5HI7 j RANO~
SUBDIVISION/PARTITION (if applicable)
~ C~o..blfL
I'tJJ)'N ADDRESS~ 'I' ~ "1 CU"U-Y'I
STRUCTURES CURRENTLY UN ~RUPER~X
, J/1wd L L'Y'I -X
DES:?J~;ZPRf\QD' ~RK_ Jt€.cl??r j1Jx.,'Z>t~()7<: ~
. OF BEDROO'lS ~ORIES '1..Ai OF EMPLOYEES r...;fA-;~R SUPPLY ~
~ I 0 N.~.
OWNER'S NAME AND ADD U:SS
cfT~Z;O.~!?~lE~AND~~~O ~ ~ II ") 6~Q -qW\Jm K?'?:u;) TELEPHONE N",",ER
No~ Cl..o LtCCtl:)lQ,
CON~TA~SRJ'l ~~Zt~ ~ -+0 h~ 1CuvYv\ Pd.
c' . I
OOtJQ'5-\.tL -+ha.. 7- II
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CONSTRU.ION/PLACEMENT .
PERMIT .
COMPLETE THIS BLOCK.
PLEASE USE BLACK INK AND PRINT.
ISEC2Z,.4.4 I YroDOUT OF
I Wlz;'L I:Z--
T.Li ;";#:lo I ZIP
U
N.
.
FOR OFFICE USE ONLY
"
Application/ /\ '''''...,o.:r"\- Q/,
Permlt i It. "'f ~ 0-
D Two Copies of P lan~
[]TWO Copies of Plot Plans
[]Mechanical Checklist
D Plumbing Checklist
[JPlan Check Info Sheet
PROPOSED USE OF PROPERTY
~sidential [Jlndustrial
D Commercial
Dpublic
I 5 v:e-
o Proposed
D Existing
TELEPHONE NUMBER
,
I 'HAVE CAREFULLY EXAMIlIED THE COMPLETED APPLICATION FOR PERMIT, and do hcrcby r::crtify that all information heI:con iB true and COI:rcct and I fUI:ther
certify that any and all work performed shall be done in accordance with the Ordinances of Lane County and the Laws of the SUite of Oreyon p~rLailLinq
to the work described herein, and that NO OCCUPANCY will be made of any structure without the permission of the Building Division. I furcher 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
:;;:~,,;:: ;~~b~":~P"'c;;;:;,::ej:'~~W':h Di~~~55~~~ ~;j~~r05~55VE READ ~D~::~~D THIS
/ / ~ /*' J Jd/"l 0 Contractor
J\. //1"-'/~ t'" )'(!,J':'\ . 1" P"", '" I '"cp "./ -A , )( i? /r,' IrI /
r -, NAME -(please print) ......-- -- "'SIGNATURE / D~TE g~t
.
o PLANNING/ZONING:
zone~A
Partition #
Parcel #
Hinimum Setbacks;
C
L, front
eL, side
interj.or
Comments: P.MI ~-:\
('!}..1 /\A<""\....I) 1 ~ - ~.p.or I (l I
J
1 ,"'V"\---x-
J
o
o
o
D No
[] Yes, see attached sheet.
FLOODPLAIN: In flood hazard area?
RURAL ADDRESS ING: GRID COORDINATE
SANITATION: s. 1. #
N
E
Installation Record Issued? [] Yes [] No
Date:
Installation
Specifications:
~SfJ:._..~:jn-l1?- S?o ~ h.-... - JJ,;r ~-_:_17
\ /("1-/5""' ~"." ..._:/... "'~-.f 0_1'1 ~,-".7:-"':'
,a;:(;~~"# - _/ b 7Te.-r- ~ '. .Date,
[B'PLANS EXAMINATION: Type -Gr-"up'- ----...- Use
,-< 1/' I --f1-fi
r Comments: l_ .-f..... A,...--..,A .....<t (J.... ,'---_;....-..A../',J!.~,y.... ___
-t !. r'>fj -T~ A (. . f' r . J . . /
C' _:r',..Il^-V ' t.....-t -lJ......-I-. A......co. _ ....~...:J.' C ..-'f-. r /l....
: \ L~. ~ '..._,.11'._"/1_ ,"'1.1. ,It:') ~~l, . lk /' ,I 1:':...1
8. P. #
Gallon
Tank
Lineal Feet
of Drainfield
.,fl .. iJ[
n i ~f_"":'
_J'"t:::.....a t..-' _
Parcel sizel ~ 4t'\(U'\...
~ ()..{:AA... .
o /1\ '9>t'2.c.J... I"n0
Date'~-0- W')
rear
Date:
ID
n
o
Maximum Depth
of Trenches
)k<<t/
- ./;;:
o
"
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.. ~ j/./
..
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.-1 ("' __: .
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1'- ' ..
. / A j) '-- '(D~~' //1 - m -
\. ,7'---..-r
THI S PERMIT i/
Floodplain Fee $
Subsurface Fees $
Building Fee $ ?r).r){)
Sewer/Storm Drain/Water $
Plumbing Fixtures $
Mechanical $
Plans Check Fee $
State Surcharge $
FEES PAID BY: ~eck
By: rrhr'lL
IO/r;.-,/~()
/,.,-:... ~.
...
I
v CONSTRUCTION AUTHORIZED BY
,.
Description .
eVIl Ynl"r. '" II ,,~r.('/ Ian
- J( Q
Fixed Feel
unit Cost
Sq. Ft.
TOTAL FEE
TOTAL VALUATION $
Date:
j L" /" /
) / .4': "/ ....~.'_A //..1'//
PE~~IT APPROVED BY BUILDING OFFICIAL/DESIGNEE (per ORS 456.805(1))
/'
LANE COUNTY DEPARTMENT OF ENVIRONMENTAL MANAGEMENT / 125 EAST
..;,... /,,:,. /
--0
);/-,
$
fr,.(Jl )
./
o Cash
\/7)
"DATE
C74-194
SEE REVERSE
EIGHTH AVENUE, EUGENE, OREGON 97401
-,'
.
;
.
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.
.'
.
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.
BUILDING DIVISION:
REOUIRED IIlSPECTlONS
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 (commonly termed lItransit 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 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 bracing are in place and
all pipes, fireplaces and 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, interior and exterior, is in place
but before any plastering is applied or 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 masonrv (if applicable) and when installatio~. is comolete.
Installation shall be in accordance with an approved nationally recognized testlng agency arid the manu-
facturer'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 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 shall 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 BEGIN
WITHIN 180 DAYS, DR IF WORK IS SUSPENDED OR ABANDONED FOR MORE THAN 180 DAYS. SUSPENSION OR REVOCATION MAY OCCUR IF THIS
. PERMIT WAS ISSUED ON }HE BASIS OF INCDtIPLETE 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)
(2)
Pennits shall .be effective for one year from the date of, issuance.
Upon completing the construction for which a pennit has been issued the pennit holder shall notify the
Department 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 \I,;th
such rules, the Department shall issue 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 SewaGe Disposal
From: Interior property lines
Edge of road right-of-way
Building foundation
Wells, other water sources
Seotic Tank
10'
10'
5'
50'
Drainfield
10'
10'
10'
100'
"'
'.~' .i" '"
"..
4!'
,
I
.
.
Idne county
"
October 28, 1980
............-
..,'.
.
. ......
..: 11 nda Peters
% Countryman Realty Inc.
1583 N. 23rd. ,
Springfield, Oregon 97477
RE: 115 Game Farm Rd.
B.P.# 2780-80
Fireplace - wood stove insert.
The fireplace at the above address:
Double back to back configuration although approximately two feet
difference in firebox elevation--one firebox facing living room,
,"the other facing concrete patio on exterior of structure. . '
Double chimney with 4" separation both chimneys have 1 ining." I
Exterior firebox has structural crack at top of firebox opening 'begin~;
ning at left & right end of lintel angle iron and running upward into',
corbe11ing above opening for approximately 18". This crack does not
appear to be detrimental to.operation of exterior fireplace.
Int'erior firebox in living room has a Scharen wood burning insert install-
ed in the firebox. This unit is not a tested and approved unit and a'
building permit could not be issued for this installation. The condition
of the interior of this living room firebox could not be observed without
removing the unapproved Scharen unit~ The wall above the mantel height
was intact preventing me from observing the clearances of masonry to the
wood framing. The outer hearth has some loose mortar and tile and prob-
ably should be re-grouted, Again, I must stress that the Scharen wood .
burning insert is not approved for use in the State of Oregon. A build-
ing permit was not and could not be issued for installation of this unit.
I strongly recommend that this unit be removed. '
JOHN E. BOSS, BUILDING OFFICIAL
BUILDING AND SANITATION DIVISION
1c1:,~.'oA/W, ~
'I ~ 0\CV..
':1 JAMES I W. LAMB, BUILDING INSPECTOR
. BUILDING AND SANITATION DIVISION
,I i.
, J~L/jbw
1'1 j ..
.. j.': ;
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, '.
I,
CONSTRUCTION PERMITS & INSPECTION OIV / ENVIRONMENT^L M^N^GEMENT DEPT /13" E^ST 6TII/ EUGENE, OB G7~011 (5031 687.406"
j",
j #-/\,
.~
-
CONSTRUCTION/PLACEMENT
PERM IT
FOR OFFICE USE ONLY
COMPLETE THIS BLOCK. PLEASE USE BLACK INK AND PRINT.
~ W\<N5H'7 RANO~ I sEtZ. 4-. LL I 04C0 DOUT OF
SUBDIVISroN/PAR (if apPli.Ca.bl.e~ I J;TJ;;;L I B~
t-Jqt .. r--
LTI~N ADDRESS t' ~ q~ P-d. 'f--LL':"~~IZIP
ST~~" ~ROPERTY U -
DES~. PROPOSE&RK ~l.Cl. ~ ..0>< l"Dh" ~
. OF BEDROOilS ~~RIES . OF ~WYEES XT~R SUPPLY ~
~ ]' I u IN:A...
OIp"" N";lE ANa ;DREs5 II ") ~ -":L... _ ..__ Pd..~.u<;;. I
CO~ lE AND ~ 1'^"'~'T' \ ~UI TELEPHONE NUMBER
CONTRACTOR'S OSIiJ#' [ DiRECTIONS TO SITE ~o-() r-'o ~--1'" n I
N. A .. Y1cu-L\.Du.) , _ ~ -to ~~~.J !l} tvYY'\ l"""O.
~~~ 7-11. --. -- I
Application( /\ ")...,~Qr
Permit #~ a.-
[JTWO Copies of Plans
[]TwO Copies of Plot Plans
[]Mechanical Checklist
o Plumbing Checklist
Dp1an Check Info Shee~
PROPOSED USE OF PROPERTY
~sidential [Jlndustrial
o Commercial
DPublic
IS
VALUE
o
o Proposed
o Existing
TELEPHONE NU~ffiER
I HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION FOR PERMIT, and do hcrr:>by r;crtif}' th<Jt all information hereon iR true and correct and I f\lrthcT
certify that any and all work performed shall be done in accordance with the Ordinances of Lane County and the I.nws of the State of OJ'e'-l~n pett.ainil1<;J
to the work described herein, and that NO OCCUPANCY will be made of any structure without the permission of the Building Oivision. I further 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 J.n complJ.ance wJ.th ORS 701.055 wJ.ll be used on thJ.s prOJect. I HAVE READ AND CIIECY..ED THIS
APPLICATION THOROUGHLY. plQOOe. c.on-to..c1- ~ ~ 7'~5ZS5
.x /J/1nt Rb ~)( /~ l )1'/1 B::::actor
NAME '(please print) I~RE / ~ ~t
I
o PLANNING/ZONING:
zone~
Partition;
Parcel #
Parcel
sizet~ ~
. ~o.cu... .
l'linimum Setbacks: CL, front.
comments:-.&;'~-i l'f'r'\~
U
CL, side
interj.or
rear
(' ~J IVV'\""O tl'r-
U
ID
n
D
Date,t0-0-~
o FLOODPLAIN: In flood hazard area? 0 No 0 Yes,
o RURAL ADDRESSING: GRID COORDINATE N
o SANITATION: s. 1. # B. P. #
see attached sheet.
Date:
E
Date:
lnstallation Record Issued? [] Yes [] No
Installation
Specifications:
Gallon
Tank
Lineal Feet
of Drainfield
Maximum Depth
of Trenches
Comments:
Date:
D
o
~LANS EXAMIN TION:
. Type ~- G~roup _ ~e JIJ/J ~
C"~ '4,... ;.............~ ('.I~4-u.
;':c~'~ r'. .. ~. ~-~'1,,-;f?~~~
I V ~ONSTRUCTION THIS PERMIT ~'~
~
~'
,
~
.'
Floodplain Fee $
Subsurface Fees $
Building Fee $
Sewer/Storm Drain/Water $
Plumbing Fixtures $
Mechanical $
Plans Check Fee $
State Surcharge $
(/'l. (){ )
/
Description
CnINYY\Ol(j_~~
Sq. Ft.
Fixed Feel
Unit Cost
TOTAL FEE
s
~,[J1)
TOTAL VALUATION S
FEES PAID BY, ~eck
By' (\t1rr"L
IO/r;....!iS()
-
o Cash
Date:
CJd~~
PERMIT APPROVED BY BUI~ OFFICIAL/DESIGNEE (per ORS 456.80&(1))
LANE COUN1'Y DEPARTMENT ck'ENVIRONMENTAL MANAGEMENT / 125 EAST EIGHTH
/~ ~fjl-~
~ATE
AVENUE, EUGENE, OREGON
97401
C74-194
SEE REVERSE
-
SETBACKS ~ND OTHER CONDITIONS OF APPROVAL MUST BE STRICTLY OBSERVED. VIOLATION CAN RESULT IN REVOCATION OF THIS PERMIT,
CITATIO~_lJIyiJER PROViSIONS OF LANE COUNTY'S INFRACTION OROINANCE, AND/OR OTHER REMEDIES ALLOWED BY LAW.
WHEN READY FOR INSPECTION CALL 6B7-4065. 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 directio~s to site.
BUILDING DIVISION:
REOUIRED IrISPECTIONS
1) FOUNOATION INSPECTION: To be made after trenches' are excavated and forms erected and when all materials' for the foundation
are del1vered on the job. Where concrete from a central mixing plant (colTlTlonly termed IItransit 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 I'
or floor sheathing installed, including the subfloor.
3) FRAMING & INSULATION INSPECTIONS, To be made after the roof, all framing, fire blocking and braci~g are in plate and
all pipes, fireplaces and 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, 'interior and exterior. is in place
but before any plastering is applied or 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 wor~ shall be done on any part of .the building or structure beyond the point indicated in each
successive inspection without first obtain,ng the approval of the building offic;al. 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 mad~ aft.; completion oV ma<onrv (if aDplieable) and when installation Is comolete.
Installation shall be in accordance with an approved. nationally recognized testlng agency alld the manu-
facturer's insta'lation instructions.' .
,1
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
connecti ons.
(l) 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 shan be installed and ready-for inspection
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
is 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 OF REQUIRED INSPECTIONS WILL DO SO AT HIS OWN RISK
SUBSURFACE AND ALTERNATIVE SEWAGE DISPOSAL SYSTEMS
(1)
(2)
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 fonm. The Department shall lnspect ~he constructlon ~o
determine if it complies with the rules contained in this division. If the constructlon does comply wlth
such rules, the Department shall issue 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 fo~ satisfactory
completion wit~in a reasonable time constitutes a violation of ORS 454.605 to 454.745 and,thls rule.
...
Setbacks - 'SUbsu~face SewaQe DisDosal.
From: Interior property lines
Edge of road right-of-way
Building foundation
Wells. other water sources
Septic Tank
10'
10'
5'
50'
Orainfield
lD'
10'
10'
100'
.
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LANE COUNTY DEPT ENV MGT RECE I PT ~ 278080 DATE 1 00C;8~' ,',
LINDA ADDR 1583 N; 23RD., SPFD., OREGON I ,', j
SUBDIV : " LOT BLK I' !' '
USE R NO BDRMS 00 NO UNITS 001 NO STORIES NO BLDGS 001 ,,~,..!
ACTION DESCRIPTION SQ FT UNIT COST VALUATION FEE D~Yl ~
1.1, 1 (.~
I .it
:.a',\
~'i
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, \
e APPLICANT PETERS,
TL~ 1703224406400
e NEW BLDG TYPE
CODE APPL NO
BP ,
BP
eBP
BP
BP
eBp.
! I '
", PL
eMECH
SLlR
ePCK
BP
NO. FIXTURES:'
e
, CATG:
. SEQU :
i I ~AKEN
-
LC 278080 WS
APP
o
BY CAD
RA
NO.
CONNECTORS:
MECHANICAL FEE
STATE SURCHARGE
PLAN CHECK FEE
INSPECTION
CHIMNEY
FP'
SDS
SI
PCK
1
101380
EST. COMPLETION DATE
"
15.00 EACH =
- 4;(
50;(
,
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'.
II i
C~.1 i I
:~ 1
i)-
I I
25.00
OTH
ISS
2
TOTAL .FEE**
25.00