HomeMy WebLinkAboutPermit Building 1988-2-1
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~ 1- \k:ane County Authorization for:
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I SECT72 /1_ ~ ~~o~o OOUT OF
I I.OT/PARCC~ I BLOCK
1\JI'.,;SHIP
/1
I RANGE tJ..3
S~BDIVISION/PARTITION (if applicable)
"13"(Df}~M~ Fp~Jn "Rff l)
STRUCTURES CURRENTLY ON PROPERTY
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Ll.lR.J::;t..:T .lONS '.'0 SJ. TE
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jllJr f?4,JT ,K'IR/:..
. CITY ZIP
SPRJ1)6~/EL/)
Cflllll: HJ11Jn R.-L.; AJ "'0
~ESCRIPTION OF PROPOSED WORK - BE SPECIFIC
;v~,.()E
'" OF :3ROOMS J # OF SIRLES
O;~"NER '5 NAME AND ADDRESS
JOHP t4. ;1-/JlJJ!EA.f
CONTRACTOR'S NAME AND OSR ~
A/oAlE
P=:Rl>lIT TO BE MAILED TO (NAME AND ADDRESS)
<;;>G.:
/ -...27"-";>-
FOR OFFICE USE ONLY
Application/ ~.:. II __~
Permi t # ~r, '7"~ ~
PROpOSED USE OF PROPERTY
~ Residential D Industrial
o Conunercial 0 Public.
tf7'17 7
k/RJ:! ItbII)/inUJe t"mcorner
--
DECLARED $ VALUE
I # OF EHPLOYE:CS I WATER SUPPLY
.2 7(hl.vt!PtU kJATER. ploT
..tJ2d>.2L/ 0. . .LOa/e;2 /7/t'7/tLfiMJJ ,K..P
EF A iJ EN' L'J-,--ez- tJ,e q 7 tJt:U/
O_proposed
~Existing
I il:2~1P40R
I TELEPHONE NUMBER
I TELEPHONE NUMBER
1 HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION t'OR PERMIT, dnd do hcreLy cert.ify that all information hereon is true and correct, and that I
have the following leqal interest in the property: DOlo/ncr of record; 0 C<':intrat:t_ purchaser; o authori zed agent,
I f:;..rther certify that any and all work performed shull be done in dCCOtUc\l1C<,: Id th th~ OrdlnanCt:S of Lane County and the Laws of the State of Oregon
pertaining to the work described herein, and that NO OCCUPANCY will lx- made of ar'J structure without the pertl'lission of the Building Division. I fur-
ther certify that registration with the Builder's Board is in full force ilnd effect_ as rCCOuired 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. 1 HAVE READ AND
CHECKED THIS APPLICATION THOROUGHLY.
J(..()~ C.Q~o~
L - ) SIGNATURE
READ THIS SECTION CAREFULLY. YOUR AUTHORIZATION YAS BEEN BASED ON THE FOLLOWING CONDITIONS!
)(...1' )Ol/il 4. /luqe..f.t!<S
NAME (please prLnt)
[] PLANNING/ZONING:
Zone
Partition #I
Parcel #I
C C
L'~. 17~:'d~jy(A
.-N>......... AA~ ~!' ,
't7CSANITATION~ S. 1. I B. P. #
~ . Installation Gallon
Specifications: Tank
CCWIENTS, sa ........4-.,~ 1"/ I'Y' .4.... l.
.4.r (":;(~r 17 ~/' /"I ~
Min~rnum Setbacks:
interior
~
COM.'1ENTS:
_A __ _--....-:..
/
- Date:
Installation
Lineal Feet
of Drainfield
~ 1-J.5-r;(
DATE
Parcel Size
rear
-"
a-..A.A A--.-.. , .
( -..J- 7' --.-HP: .Hi-
Record Issued? 0 Yes 0 No
M.aximum Depth
of Trenches
5.,.PTP......
,
,
I=-C/~.....J /- 7 $"-e1'77.r/2~
~.-~ ( - ?>
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[] PLANS EXAMINATION: Type
Groun
Use
COM!-lENTS :
Date:
Date:
n
~ ,,/f? /-I.?< ~ 4 2.-- t' -Y'Y
PERMIT APPROVED BY BUILDING OFFICIAL/DESIGNEE Coer ORS 456.805(1)) DATE
LANE COUNTY DEPARTMENT OF PUBLIC WORKS LAND MANAGEMENT DIVISION, 687-4061,
125 EAST 8TH AVENUE, EUGENE, OREGON 97401
SEE REVERSE FOR INSPECTION INFORMATION
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SETB,\CKS A~D OTHER CO::OITIO::S OF APPROVAL ~:UST BE STRICiLY OBSERVED. VIOI.ATIO~ CA~ RESULT IN REVO-
C';710:1 OF TillS PER~II'I', CITATIO:l UND!::R PROVISIONS Of LAKE C01J::TY'" INFRACTION OROr::';NCE. AND/OR OTHER
RE~IEDIES ALLOWED BY LAW.
WHEN READY FOR INSPECTION. CALL 687-.W65. A mNnlU:.\ Of' AT LEAST 24 HOURS ADVAl:CE NOTICE FOR INSPEC-
TIO~ REQL:!::~T:; ~,VST IH; GIVt;.. Hilve tne 10110....ing informat.ion ready: permit number, job address, type
of inspection, when it will be rendy, your name and phone number, and any s?ccial directions to site.
BUILDING DIVISION:
REQUIRED INSPECTIONS:
1.
Foundation Ins~ection: To be made after trenches are excavated and forms erected and when all
~aterlalS tor tne toundation a~e delive~ed on the job. Whe~e conc~ete from a cent~al mixing
plant (commonly te~med fttransit mixedft) is to be used, mate~ials need not be on the job.
2.
Concrete Slab o~ Unde~-:loor Inspection: To be made after all in-slab or under-floor building
se~V1ce e~ment, concu1t, piping accessories, and other ancillary equipment items are in
place but before any concrete is poured or floor sheathing installed, including the subf1oor.
3.
~raming & Insulation Inspections: To be made after the roof, all framing, fire blocking, and
raClng are 1n piace a;d all p1pes, 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/or Gv!?sum Board Inspection: To be made after all lathing and gypsum board, ;.nterior
anaexterIOr, 1S 1npr.iCe OUt cetore 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. ~o 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 b~ 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
rnspectIOn 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, tiedovns,
skirting, and plumbing connections.
'*' 1. Footings and piers to comply vith State foundation req~rements 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
pcr enclosure.
D. swimming Pool: Below grade when steel is in place and before concrete is poured. Above grade
wnen pool~installed.
.)(
APPROVED PLANS MUST BE ON THE JOB SITE AT ALL TIMES DURING WORKING HOURS. THIS PERMIT WILL EXPIRE
IF \o."ORK DOES NOT BEGIN WITHIN 180 DAYS, OR IF WORK IS SUSPENDED OR ABANDONED FOR l-IORE THAN 180 DAYS.
SUSPENSION OR REVOCATION ~~Y OCCUR IF THIS PE&~IT WAS ISSUED ON THE BASIS OF INCOMPLETE OR ERRONEOUS
INFORHATION.
ANYONE PROCEEDING P.\ST TilE POIl,T or REQUIRED INSPECTIOlIS WILL DO SO AT THEIR OWN RISK.
SUBSURFACE ~ ALTERNATIVE ~ 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 CO!:'~'lIunity Development 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 docs comply with such
rules, the Department shall issue a certificate of satisfactory completion to the permitiholder.
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 anu this rule.
Setbacks - Subsurface S~waqc Disposal
Septic ~
From: Interior property lines 10'
Edge of road rlqht-of-way 10'
BU1lriinq foundation S'
~ells, other water sources 50'
Drainfield
10'
10'
10'
100'
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W. 5 LANE COUNTY DEPT ENV MGT RECEIPT
APPLICANT ANDREAS, JOHN ADDR 20624 S. LOWER
TL~ 1703224406000 SUBDIV
NEW BLDG TYPE USE R BDRMS 0
OWNER NME ANDREAS. JOHN'
CODE APPL NO ACTION DESCRIPTION
BP
BP
BP
BP
BP
.
~ 26488 DATE 012981
HIGHLAND RD., BEAVERCI
LOT BLI.
~BLDGS 001 PHONE 632 38'0
LOWER HIGHLAND RD., BEAV~RCF
COST VALUATION FEE '-r~
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PL ~FIX/BATH:
MECH
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PCK
LR LC .26488 SDSV
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APP
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BY GT
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UNITS 001 STORIES
ADDR 20624 S.
SQ FT UNIT
SWR: FT. WTR: FT. RAIN: FT w
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MECHANICAL FEE ~
STATE SURCHARGE 5r. .~
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PLAN CHECK FEE 2S7. ..
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60.00 il
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FP
SDS
2
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PCK
EST. COMPLETION .DATE
OTH
ISS
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DEPOSIT **
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60.00 .~.
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ACTIVITY INFORMA TION SHEET
T:,Ll\ AT'\
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.,1, ,", an<
~! .ounty
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L~i:_::~~':.,'7!:.~ "~~-;,?"
Please complete all lIems above dolled line
FILLING OUT * LINES WILL GET YOU INFORMATION ONLY
x..*DATEOI/;Zf' / Yf
.J * PERSON ACTUAL
^- ~~IU~ST.J;IfAJ AJJDR..J.;A.f' ~~O:t:TY ~#Al A. A,{}/)RIAF
ADDRESS 2()6.;z L./ S LnttJR72 IIIG/l-J.AJ/!J RlJ ADDRESS
CITY .6~IJI/G'RC;eG"'E1::. STATE OR ZIP "7700.t( CITY
. i- Joo--1/6.:l-42~~- .
TELEPHONE (BUSI (HOMEI I'PJ:2-3tf9'o .' TELEPHONE (BUSI
X*PROPERTV ADDRESS .,27.3'1 &/9/7lc FAePl AJ.b
OR '
MAP & PARCEL NUMBER (Found on tax maps in the Assessment & Taxation DepL)
STAFF WILL DETERMINE_
.'05 HI 1'.
STATE
ZIP
(HOMEI
. j/7rJ11..t't>Jd ~i' Cl7t/77
/7
Township
oJ
Range
O? ;2-L/4 bIPtJO ()
Section Tax Lot
Zoned
Flood Plain
Township
Range
Section
Tax Lot
Zoned
Flood Plain
Township
Range
Section
Tax Lot
Zoned
Flood Plain
TOT~L, CONTIGUOUS PROPERTY IN SAME OWNERSHIP:
ACRES
X*REQUEST(descrlbe what you want to dO)4~. ,~,7";J>.n4
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Directions to site /2/;U/'4 ?d A! TZJ )/,E1RLIJW Koad, e4J7 IJn JJar /ot.J
-J., G/m1~ ;::/},em jJ~. A) ~n G/-J17JFFAR/J1 70 A:"1&:.!t' (/h/J:...l..-Io'T
h"//Jt' ~/7J'/ ..t-/n?' /)/7 y;(, ryAr.
....................5Ia" Use On~....................
Comments:
; Land Management Division, Public Works Department 125 E. 8th Ave., Eugene, OR 97401 phone 687-4061