HomeMy WebLinkAboutPermit Building 1980-12-24
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o T'....o Copies of Plans
Cm1PLETE THIS BLOCK. PLEASE USE BLACK INK AND PRINT. DT'''o Copies of Plot Plans
TOliNSHI(P7 AANO:3 I SE-7Z. I. 3 ] ;;t~. . ~~::.. c;: DMechanical Checklist
~ ~~LA J~ ~J(J [JPlumbing Checklist
5UiDI~S~N/1R~T~t, .(~ ap;:li~~Jle~ I LOT/~CEL r B~
N~I ~~ \,l':..J ~ .J:]Plan Check Info Sheet
LOCATION ADDRESS' I STREET CITY ZIP PROPOSED USE OF PROPERTY
~ Jltl'5i) WP'f"f\P. 1rd1HV\ ~ .n 1"{J~ DResidential DIndustrial
('~s t"LLY [;2SmJ Q<-~a '\. J~~~~~ I Dcomrnercial )(PUbliC
bl~a~1SED'WQXI.~~~ ~_~(J~ l>;-~; / (\ If~ ~~., I $ VALUE
, OF "'esMS ~I ' OF00RIES ~ OF EMP~ [~~l2;tA") M~ li~~~~~~~~
OWNER'S NAME AND ADDRESS " I ~ \~E/~
'~(y)~a.L ~W C~ ?cVYY\.Q..o..'3Q,h~J\7.S1#.:-?u,V(
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;j~C6~~ I DIRECTIONS TO SITE I ~. /)a U
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I HAVE CAREFULLY EXAMINED TilE COMPLETED APPLICATION FOR PERMIT, and do hcrC'by certify that all information he['~on i!; tru~ 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 La',..s of the State of OrC'lOn pertaining
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'2d 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 pr,:)ject. I HAVE READ AND CIIECY.ED THIS
APPLICATION THOROUGHLY.
CONSTRU.ION/PLACEM ENT
'1>ERM IT
.
?OR OFFICE USE ONLY
j~1Jclnp r 0 e V ;1-~ 1M vM
NAME (please print) -
~_L~/cJl?'~'~ /I
SIGNATURE ~
DOwner
/eJ.. ~ Y' kM Contractor
~; j/5~Agent
.
o PLANNING/ZONING: Zone AfiJ T
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Parti tion !i
Parcel if
Parcel
Size~OX 3.t1o
CL, side interior
-(1 L7--:~'-'(-Z:" /~)
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GRID COORDINATE
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E
Dat"/Y~V~ ~
Oat'" 7 r J~ n
o
Dat'=:
o FLOODPLAIN:
o RURAL ADDRESSING:
J2l SANITATION:
In flood hazard area?
o No
[] Yes, see attached sheet.
S. 1. #
B. P. #
Installation Record Issued? [] Yes [] No
Installation
Specifications: .at;OfJ
Comments: .:InslaL-..ft,
Gallon
Tank
eLCl.~.IL.p
S:J.,O
c.AJ ;/1 <fA..
..;L~f)
Lineal Feet
of Drainfie1d
a: "OrlJ/Jf'~
,}
a. / ~I Maximum Depth
...N J Trenches
t:lkL-p/~{f!fJ4 1:3 Jon !YY.!)
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Date, /~ ~_ xl
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o PLANS EXAMINATION:
Type
Grouo
Use
Comments:
Date:
o
Description
Sq. Ft.
Fixed Fee/
Unit Cost
...
THIS PERMIT ~~f>?r
Floodplain Fee . $
$ '7~
$
$
$
$
$
$
Subsurface Fees
CONSTRUCTION AUTHORIZED BY
Building Fee
Sewer/Storm Drain/Water
Plwnbing Fixtures
Mechanical
Plans Check Fee
..3"S-n
State Surcharge
00-3
TOTAL FEE /'" 7.5'
FEES PAID 4 ~heCk D Cash
BY(' ~~' /"
Date, ~YAn
./.of ok... 81
, .JdI(f:
TOTAL VALUATION
$
~
-APPROVED BY BUILDING OFFICIAL/DESIGNEE
(per O~ 456.805(1))
DATE
"~,we" ',",we, '"'''" , '1"'"'
97401
TY DEPARTMENT OF ENVIRONMENTAL MANAGEMENT / 125 EAST
C74-194
SEE REVERSE
J
. ---
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SETBACKS AND OTHER CONDITIONS OF APPROVAL MUST BE STRICTLY OBSERVED. VIOLATION CAN~LT 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 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 I1ISPECTIONS'
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 (collll1only termed Iltrans;t m;xedtl) ;s 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 ite.ms are in place but bef~re a~y 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 and chimneys and vents are complete and all rough electrical and plumbing are approved. All
wall insulation and vapor barrier are i~ place.
4) LATH AND/OR GYPSUM BOARD INSPECTION: To be made after all lathing and gypsum board, interior and exterior, is in place
. bl>t-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 inspect.ion ~ithout fir.st obtaining the approval of the .building ofticial.....Such approval, shall be giYen grily' _.
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 comolete.
Installation shall be in accordance with an approved nationally recognized testlng agency alld the manu-
fa~turer'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 1 etter. ,
(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, OR IF WORK IS SUSPENDED OR ABANDONED FOR MORE THAN 1BO DAYS. SUSPENSION OR REVOCATION MAY OCCUR IF THIS
PERMIT WAS ISSUED ON .THE BASIS OF INCOtlPLETE 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) 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
Department by submitting the installation record form. The Department shall inspect the construct, on to
determine if it complies with the rules contained in this division. If the constructlon does comply ~'lth
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 within a reasonable time constitutes a violation of DRS 454.605 to 454.745 and th,s rule.
Setbacks - Subsurface Sewaqe 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'
l\
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APPLICATION # ~LI J f- X7J
LOCATION ~t1'tf',^~ ~~oIIlADr(
".. . 1 ,_.
}~0*ri.A rYI()I/l/A(I 0 !(~phc.:r Cjn/J/:(/;"NAME
.-il\r:f!J1d -dO FW-PJ/p,rJ - ADDRESS
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HO:LD
bne county
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SLIP
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ZIP CODE
The Lane County Water Pollution Control Division cannot proceed wi-th
processing your application because:
1. ~- Incomplete application (items deficient).
r=:J Address and/or directions to application site.
c::J Proposed number of bedrooms in dwelling.
__r~l~pprovable plot plan ~see-attachmerrt7.
.~ 0 Notification of date test holes will be ready.
Verification of existing system required (memorandum
explaining this procedure attached).
2.0
3. D
Two test holes (2'X4'X5' deep) required for expansion
or repair of existing sewage disposal system in the
area of the proposed drainfields.
4~Vr Other: t()
(0._:!?nVo!ftjlrb(Mr,O (!,Il/I) ~~ r;;~~~IlL'_'-1.(~, \1 )~;}/,~'.1 K;XJX .
@ 1"'Tl'^~rh"'M'Mj~y",j :'M." (1
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P;:1'/fJtl,~-hm /cJJJ, 12e1,~ J}/Iu,'C1d In ~.01Ai0- , a1* Gul/j ;YtJl;J1~'cL-'
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",{//l'!;f. Jill, i1f\,MOli~IJ)# /y.:; 1n.. ~., rn~~
SIGNATURE.' , DATE .' /. " \)11\
X -'?O- '1:D\) InxfVL{(G{n p ~
OFFICE HOURS" PHONE'
h "LJ,
.- VI {.. -j- II\.
If the necessary corrections are not made within \L:, d~:Ys" the
app"l.i~ation will be denie~. I V '-./,
(91+t/l.^.1b C/]'t:ui.JcfaU . It'JJi. c.<<:to, (JVt~ .~~, ~J, Wuo J,,, m,'!
PWdl ( ai - cW,iUl, J J ~Jo".llik ItlJ1(;"1 ~;Jo I}) 'LIL 0
BUILDING & SANITATION /. ENVIRONMENTAL MANAGEMENT'OfIiARTMENT '::;'UJlO.,Y1'
125 East 8th Avenue / Public Service Building / Eugene, Oregon 9740l / (503)687~406l
'0
~
.
HOLD
.
SLIP
bne county'
-
APPLICATION # ?,U/ f - x()
LOCATION vc::n f-..r,J/Y/tJ ~-h""MA
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ke!
(fJirhtilfl/ cJ. Li/,t/7l:7.rJ:/,rffJ NAME
0Jil-YItwlJlJuel' 0C?p1'zs.r UZUAC/...
'-Ic:n (T/7HV10 '-.-4npnt P1 ADDRESS
r;;/JahW rJil//lt7Vt I 974(;))
; / / - ZIP CODE
The Lane County Water Pollution Control Division cannot proceed wHh
processing your application because:
1. 1__1 Incomplete application (items deficient).
r:=J Address and/or directions to application site.
c::J Proposed number of bedrooms in dwelling.
.---L.....I Approvab1e plot plan (see attachment) .'''Plot Plan D?bJ", I{
/-
~ c::J Notification of date test holes will be ready.
I
Verification of existing system required (memorandum
explaining this procedure attached).
Two test holes (2'X4'X5' deep) required for expansion
or repair of existing sewage disposal system in
area of the proposed drainfie1ds.
4. 1/1 Other: '::::l/hrYut ('t dPl??/lod ;:;//)j- r-:rJtr.. dJ1l.tltn-:., -IDa....
.spedJiRd ..:5(tfltJ,.<:;fJl'I/1 I'M 111-::;7/)1 Iil/']~ ~'/-=:>-f)l Sh~A) I"l,} P;],1' p/QJ1:
(!) fJfJ;fJ.fIL~ /;Mlj) (j)t1{~JVt~ :;MdlILoD ,I};1/l(Yl.<"17c1 '. ~+o~":~ '
/(,/;io,nrJ;;)!("/II ~h ",/ r/Jj'(/f(/lI.t.I.AA rSl /lYJItIIM/1 .<:~t,h/ ~jr-;rJ' Ir 4 ,}/l,/iI",A t.1r. I.':"j.&.oo",
0'./r WI ,0 - ~ { ~ ". /, (J' (:;{ '<ej- (r
Pd..if -h.-MJ/ /'JM/"l'11.o/"j/lOA'/1v.ft;//~! .A? ,"lull} if(, i/}An/r,r/?;, .:,11/.(4 L.Ua:.~
\../IM.~ l/J1l1 ho >;.;{1;1ffY7hp"jli/)/1'1n Il~//r1.,II:.A(t/~Ju,A (!jq."y')/ '~l!.;n0,,-olYl!1/i/d.;ia/rJi0
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S'iGNATURE Ii DATE - .
/2. 0
3. D
f. ~)-7.Tf.)
DFF1CE HOURS
-1i.71-1 Inlll! 5(' no -~,''::>O
PHONE " . ..,:)
If the necessary corrections are not made within
application will be denied.
~ L52- days, the
~ ~/ZJQIA-
BUILDING & SANITATION 1 ENVIRONMENTAL MANAGEMENT DEPARTMENT
125 East 8th Avenue 1 Public Service Building 1 Eugene, Oregon 97401 1 (503)687-4061
"
MEM.ANDUM
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lane county
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t LANE COUNTY DEPT ENV MG T F(ECE I F'T ,g, 341880 DATE 12248Q.
. APPLICANT A & S ROCK AND CONST. ADDR 4~}0 GAME FARM RD.., EUGENE, OREGON.
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." NEW BI...DG TYPE: USE P NO BDI~MS 00 NO UNITS 001 NO SHmIES NO BLDGS 001
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I DRA....."N.. NUMBER
"