HomeMy WebLinkAboutPermit Building 1981-4-6
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FOR OFFICE USE ONLi
COMPLETE THIS BLOCK.
PLEASE USE BLACK INK AND PRINT.
Applicatipo/? -7 / ~ / c-/
Perrn~t tt-l- // ~ -rl
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o Two Copies of Plans
o Two Copies of Plot Plans
[]Mechanical Checklist
o Plumbing Checklist
[JPlan Check Info Sheet
I SECTION ~ I TGb7.-'~;; OF
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7~.iPARTITION (if appliCable) I LOT/PARCEL I BLOCK
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S~R"C S ~~y ON;~ .. 7/ dr
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, eF BEDROO~/ 1;/ STo~'1 # DF;;m' WATER SUP~~ ~~;~~~~
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CO~ ~~; A~-:4.? ~~y~.# ~___/r~/ $~'?)>R{/7
""1:;ONTAACTOR'S OSR~Y' I DI~R>: IS ~TE ..L '\2!J?Y' # d'~ ~. . ~ #' .
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TDlmSHIP / 7 j
RANGE
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PROPOSED USE OF PROPERTY
~esidential [Jrndustrial
o Commercial Dlt;f)V ~
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I HAVE CAREFULLY EXAMINED THE COMPLETED 1\PPLICATIOf~ FOR PERMIT, and do hereby r;crtlf)' th.:lt all inforlll.ltion hcrcon i~ truc and correct and I further
certify that any and all work performed shall be done in accordance with the Ordinances of Lane County and the Laws of the Stilte of Or~(l":>n p~lLailling
to the work described herein, and that NO OCCUPANCY will be made of any structure without the permission of the Building Division. I further certify
that registration with the Builder's Board is in full force and effect as requir'Jd by ORS 701.055, that if exempt the basis for exemption is not<,d
hereon, and that only subcontractors and employees who arc in compliance with ORS 701.055 will be used on this project. I HAVE READ AND CHECKED THIS
APPLICATION THOROUGHLY.
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o PLANNING/ZONING: zoud:" Partition'
C / C'.y~~
Nirumum Sctb,ys: L,~ front.. L, side interior rear ~
. Lfomments:'t:>f:h~Z././AU'/A77?L_. AI"Y~zJ'_ ~..:/....,~.:~ ~
. /~-'~rtf:.~~~ V Date, ~~...-;P/ ~
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o FLOODP IN: In flood hazard area? ~ No D Yes, see attached sheet. Date: n
o RURAL ADDRESS ING: GRID COORDINATE N E Date, D
~ SANITATION: s. 1. # B. P. # Installation Record Issued? DYes 0 No
P,#TL .?t:iz-?~..r.5
NAME (please print)
~~-J/
DATE
o ()..,Tner
.H Contrac'to:::,-
o AgGnt
Parcel #
Parcel
Size 9t:J'x .:233. '1'
Installation Gallon Lineal Feet Maximum Depth
Specifications: Tank of Drainfield of Trenches
Comment", -.J:lt7ii{/y PO/mOd.JJ ~ I f/,(') ;4/lUrJrt/{l) ///1 rtuh 11j.//Y'ILhJ-rr-
0014 IIl{YV':~ . ______ _ __
Pi( PLANS EXAMINATION: Type ~ Group ~
comments'~~I''''''.--r.,.........nr. 1 ~~ I
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~~ ~ LAi~~Jk~~)AA;l~.A OOILOJ~
Use
tptaJ
m:-~
Subsurface Fees $
Building Fee $
Sewer/Storm Drain/Water $
Plumbing Fixtures $
Me~f>>zL/~/~ ~
Pl?ns c~l ~;e $ ~:::;;.---
State Surcharge $ -/ ~
TOTAL FEE $..a/ ~
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ArolLD~~tTA;N $ laeo~~-ro ~ FEESB:~IO,~;~y
t?p-~W\ BN~~~/ ~,,?%--Date' p~-?/
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PERMIT APPROVED BY BUILDING OFFICIAL/DESIGNEE~(per ORS 4~S6.865fl)) . DATE ..
LANE COUNTY DEPARTMENT OF ENVIRONMENTAL MANAGEMENT / 125 EAST EIGHTH AVENUE,
Ft.
Fixed Fee/
Unit Cost
Floodplain
D
4#UMd';-.$c:ft'J. ~
Fee ~~
Date:
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CONSTRUCTION AUTHORIZED BY THIS PE&~IT
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C74-194
SEE REVERSE
EUGE\E, OREGON
97401
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SETBACKS AND OTHER CONDITIONS OF APPROVA_ST~~~~i~It;~o1;E';~fu~'vj~JTi~'1J..J.tT; ~~ ~Eii~~TI1lN\F' THIS PERMI;:
CITATION UNDER PROVISIONS OF LANE COUNTY'S INFRACTION ORDINANCE, AND/Q~1G~f~)RfM~DIES ALLOWED BY LAW.
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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 directions to site.
BUILDING DIVISION:
REOUIRED IIISPECTlONS
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 (colTll1only termed IItransit mixedtl) 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.
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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 buiiding 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 installation is comDlete.
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
connect; ens.
(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 tiedDwns, 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.
0, SWIMMiNG POOL: Below grade when steel is in place and beicre concrete is poured. Above grade when pool
is installed. I.
APPROVED PLANS MUST BE ON THE JOB SITE AT ALL TIMES DURING WORKING HOURS. THIS PERMIT W1LL EXPIRE IF WORK DOES NOT BEGIN
WITHIN 180 DAYS, OR IF WORK IS SUSPENDED OR ABANDONED FOR MORE THAN lBO DAYS. SUSPENSION OR REVOCATION MAY OCCUR IF T~IS
PERMIT WAS ISSUED ON THE BASIS OF INCDrlPLETE OR ERRONEOUS INFORMATION.
ANYONE PROCEEDING PAST THE POINT OF REQUIRED INSPECTIONS WILL 00 SO AT HIS OWN RISK
SUBSURFACE AND ALTERNATIVE SEWAGE DISPOSAL SYSTEMS
(1)
(2)
Permits shall be effective for oneyear from the date of issuance.
Upon completing the construction for which a permit has been issued the permi! holder shall notify. the
Department by submitting the installation record form. The Department shall ,nspect the construct' on to
detennine if it complies with the Yules contained in this division., If the construction does comply \tilth
such rules, the Department .hall i~sue a certifica,e of satisfactory' completion_ to the permit holder. If !he .
construction does not comply with such rules, the Department shall notify the permit holder. and s~all requ,re
satisfactory completion before issuIng the certificate. Failure -to meet the requlrements fo~ satlSfactory
completion within a reasonable time constitutes a violation 0\ ORS 454.605 to 454.745 and th,s rule.
Setbacks - Subsurface Sewaoe 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'
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Ni::W BLDG TYPE USE R NO BDRMS
. CODE r~PPL NO ACTION DESCfUPTIOf.!
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COUNTY DEPT ENV MGT RECEIPT
ADDR 23 OAI<WAY MALL,
I 71481 DATE 040681
EUGENE, OREGON.J.~
LOT BLI<.,d
00 NO UNITS .001 NO STORIES NO BLDGS 001 ~
SQ FT UNIT COST VALUATION FEE DAY';
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NO.
CONNECTORS:
MECHANICAL FEE
'STATE StJRCHAf::GE:
PL.AN CHECI< FEE
j ''";.00 EACH '"
4%
:50~~
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20..00
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COMPLETION DATE 040781
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TOT(,L FEEIHf
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EST.
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