HomeMy WebLinkAboutPermit Building 1984-5-11 (2)
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Lane County Authorization for: Application/l-""> r J _ 4.tb
, . ~ Perm~t #~ ~
AomCAocJLUnLW.1 ,}O rldd. ~)Jl"Yl'O:i~~ DTWO Copies of Pla-;'s
. 0 Three Copies of Plot Plans
. 'N'''';SHIPt;y I RANGE03 I SES9~ l,lA'X11LO):.,;o.,[]OUT OF DMech/Plumbing Checklist
I c,iU F lJ:.J DLegal Interest Document
5:" 01 I 10 '/P'(jTION (if apP~icabl ) LO(?)RCEL I K Dplan Check Info Sheet
IL:9]T. N ADDRi~/-Al/JET J 1/-//1);>K1 P~~ USE OF PROPERTY
..?81 \ ~ ..lftY'\ feu, 0" L1Re,side_ntial 0 Industrial
5, CTU!'ES U f\);<?5~os:tfhmi~rc' .~ _ ~mmercial o Public.
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o;>r?ttrr~~rr; ~t r ~atu../(11d Ihr1vu j DEClARED 5 VALUE
: JEU;- [ .~ T~ ~ OhEMP YEES ~ r zrJA~n7< nLtttto ~~o~~~
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7J-1f;: I~ED WJ AND Y)~1 ~ T 0 1 '- '- I I TELEPHONE mmBER
I HAVE CAREFULLY EXAMINED E OMPLETED APPLICATION FOR PERMIT, and do {;S: certify that all ,nfOmabon hereon" true =d correct, and that I
have the following legal interest in the property: Downer of record; 0 contract purchaser; Oauthorized agent with evidence of authority 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 is in full force and effect as required by ORS 701.055, that if exempt the bar-is 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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NAME (please ~nt)
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READ THIS SECTION CAREFULLY. YOUR AUTHORIZATION HAS
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. DATE (
Parcel
BEEN BASED ON THE FOLLOWING CONDITIONS!
Parcel Size
interior
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I~r
Date:
o FLOODPLAIN,
In flood hazard arl a? ~ No 0 Yes. SEE ATTACHED SHEET.
Date :
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rear
7(')'
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B. P. it
Installation Record Issued? 0 Yes 0 No
Maximum Depth
of Trenches
Installation Gallon
Specifications: Tank
C"'"IENTS, AAt> ~ ~~
o//';".., L;~ ,,{3,A~Lo'lL
t1 -
/ f g Date, ;\"-.::JS-tfV ~
0"PLANS EXAMINATION, Type~ Group lZ.~ Use Alnf( I ~,
CO't'lENTS,~J) W1).aJJ2-/"4.IA.JJfi.-0?7.IJ~ (g)~ ~f'?~
~ t.#J~CalUtl1 \M.Wl) Mf'UtIA2.t f'1'Z-A ~JIWJ...J'1 ft:?DUf, A fttU'D0.Mr 1.7
Wr!t1~ '~,,-v~~i"'~~J}"vn') Date,_fj/~ f1~1 0
Lineal Feet
of Drainfield
/O~ ~/
ali_ ~d
f D-
TOTAL VALUATION $
CONSTRUCTION AUTHORIZED BY THIS PERMIT
--
Description
Fixed Feej
Unit Cost
Floodplain Fee
Subsurface Fees
Building fee
l>12ch/Plmbg Fee
Plans Check Fee
State Surcharge
DEQ Surcharge
Sq. Ft,
TOTAL FEE
;tip./'
$
$
$
$
$
$
$ _ZJP-
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PERMIT APPROVED BY BUILDING OFFICIAL/DESIGNEE (per ORS f;d~,ff1t.JA.J f~dq/
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 REQ,()E;S'I'S HU5'I' BE GIVEN. Have tl1e 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 after trenches ar~ excavated and ferms erected and when all
materials tor the foundation are delivered on the job. Where concrete from a central mixing
plant (commonly termed "transit 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 hut before any concrete is poured or floor sheathing installed, including the subfloor.
~. Framins ~ Insulation Inspections: To be made after the roof, all framing, fire 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 insula~ion and vap?r ?~rrier are i~ ~lace.
4. Lath and/or Gy~sum Board Inspection: To be made after all lathing and gypsum board, interior
ana-exterIOr, ~s ~n place-ollt bet ore any plastering is_applied and befoLe 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
rnspect~on 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
compl~ 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 con~ection, 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 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 THE 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 Developmept 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 with such
rules, the Department shall issue a certificate of satisfactory completion to the permittholder.
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 QRS 454.605 to 454.745 and this rule.
Setbacks - Subsurface Sewaqe Disposal
From: Interior property lines
Edge of road right-of-way
Building foundation
Wells, other water sources
Septic Tank
10 I
la'
5 \
50'
Drainfield
10 '
10 '
10 '.
100'
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APPLICANT BOYLES,
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CODE APPL NO ACTION DESCRIPTION
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COUNTY D[PT [NV MGT RECEIPT
ADDR 3::'.11 GAME FARM
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RD, SPRINGFIELD, ORE
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FEE
DAYS
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NO. FIXTURES:
NO.
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MEcHrlN I CAL FEE
STATE SURCHAI,GE
F'L.,'1H CHECI( FEE
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March 24, 1984
I Durward L. l30yles hereby assign and iluthorize
Dennis Carney to sign permits for all my properties
in Lane County.
Singerely,
/ ' j." ~ '/ i o_V/" _
I . /~/,.< /.,"...-:-;:/,~//' . '. . .....; " / _
'Durward L. Boyles
3411 l3aldy View Lane
Springfield, Ore. 97477
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