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HomeMy WebLinkAboutPermit Building 1981-1-5 , t ,d\?- . CONSTRUce!ON/PLACEM ENT PERMIT . FOR OFFICE USE ONLY COMPLETE THIS BLOCK. PLEASE USE BLACK INK AND PRINT. TOWNSHIP J RANGE I sC(;", 4. z 1.rP5 DOUT OF SUBOIrnrrr (1f~~J;abh1 0) I UYr(gRCEL I ~ LOC370~SS ~~ ~.. . 07~77ZIP ~~ PRUPeRU ~PCJi '- ~ I -~~Fn:~~~~7)t ') , OF B~OO4 ' 0> ,z;RlES QiiNER'S NAME AND ADD tESS C~TO~ "~~~~I~ . \(YYI, Q, (110 ~J\re. CO"TN~RAO.SR' DIMa:; SI8- ~ ~(yl -to ~0N~.. F\l~b dMt ~UL~'~E~~'::L::A!.L:~~::~'~~:O~:b,~.~'.:~on~?~t~~'n:co~~~';h" certify that any and all work performed shall be done in accordance with the Qrdinances of Lane County and the Laws of the Stilte oc"r~':ln 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 required by ORS 701.055, that if exempt the basis for exemption is not~d 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. APPlicatioA/37.C'9 Qr. Perm~t # \L J_-".L:llU D Two Copies of Plans DTWO Copies of Plot Plans []Mechanica1 Checklist o Plumbing Checklist [JP1an Check Info Sheet PROPOSED USE OF PROPERTY [] Residential [JIndustrial o Commercial DpubliC \!VCr ~~ # OF ~LOYEES I WATER SUPPLY I $ VALUE ~ v o Proposed o Existing TELEPHONE NUMBER '721o-(orS~ TELEPHONE NUMB~R (o..l:xrue '\ x b {;'Lr,Al L nU (J sA-v NAME (please print~1' x lfULqQ.AT#J-.u:r ~ Owner X-,f).If F ~Dcontractor '" DATE 0 A9cnt o PLANNING/ZONING: zoneAC-, L Parb bon # Parcel # Parcel Size ..~~_ Ninimum Setbacks: CL, front CL, side comments,...QyITIl" I~ C\":m~ interior rear RURAL ADDRESSING: GRID COORDINATE SANITATION: s. I. # N E Date: <eW n o o o o Date, 1~~I~() FLOODPLAIN: In flood hazard area? [] No [] Yes, see attached sheet. Date: B. P. #I Installation Record Issued? [] Yes [] No Installation Specifications: Gallon Tank Lineal Feet of Drainfie1d. Maximum Depth of Trenches Comments: . Date: o y(PLANS EXAMINATION: Type~} Group_'f...."? Comments, CA.I L ~ ~ 11. Jb~.c:p(A. ) 11d. ~ U5e'w.o~ ) _~_~I.<:..~.O. Date,_l-F>-a4> ~ o CONSTRUCTION AUTHORIZED BY THIS PER}1IT Description ~tyYlxwl { \rfht~. ~ftt11{ltUrK ) Sq. Ft. Fixed Fee/ Unit Cost Floodplain Fee Subsurface Fees Building Fee Sewer/Storm Drain/Water Plumbing Fixtures Mechanical Plans Check Fee State Surcharge $ $ $ $ $ $ $ $ 1&,,0() \(;" it TOTAL VALUATION $ TOTAL FEE $ FEES PAID BY: ~ Check By: 0(\rN , Date: -11/1!M 1-5-al o Cash 12 LJU'-/4I y Y.LV PERMIT APPROVED BY BUILDING OFFICIAL/DESIGNE~ (per ORS 456.805(1)) LANE COUNTY DEPARTMENT OF ENVIRONMENTAL MANAGEMENT / 125 EAST DATE EIGHTH AVENUE, EUGENE, OREGON 97401 C74-194 SEE REVERSE , . . if' .., 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 UlSPECTlONS 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 (corrmonly 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 but before any concrete is. poured or floor sheathing installed, including the subf100r. 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 canpletion of masonrv (if applicable) and when installation. is canDlete. Installation shall be in accordance with an approved nationally recognized test,ng agency .IId the manu- facturer's installation instructions. .. C. MOBILE HOME: An inspection is required after the mobile hane 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 3D 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 PE~~IT WAS ISSUED ON JHE BASIS OF INCOMPLETE OR ERRONEOUS tNFORMATION. 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 form. The Department shall lnspect the constructlon to detennine if it complies w;'th the' rules contained_ in this division. nf.'the construction does comply vlith such rules, the Department:shall i~sue.a certificate of satisfactory c~pletion. t~ .t~e permit holder. If the construction 'does not comply with suth :rules, the Department shall not'f~ the perm't.holder and s~all requ,re satisfactory completion before issuing the certificate. Failure to meet the requirements fo~ satlsfactory completion within a reasonable time constitutes a violation of ORS 454.605 to 454.745 and th,s rule. SetbJck~ - Subsu~face Sewaoe DisDosal From: Interior property lines Edge of road right-of-way Building foundation Wells. other water sources Septic Tank 10' 10' 5' 50' Drainfie1d 10' 10' 10' 100' .... i". ,. . . BOLD . SLIP lane county - The above ap~l 'ca ion is being held for the following reasons: I ~'J ~I Pl:er.c.lL. Of" ~ ~SM.eN)" Cf' b"~ '). _ ,1" e'l ~ ~uo . l+f1il.l/7f..e.11 t%-- c,00/JE:CfIoV lc;,")l:' ~~, ~ I/JO~~ "fi2o/\.I Wtt ~ 1Z"~ i'? ~ ~L Laarf'l4J -rz:. ')-, I.t?e~e:o, ~~ ~&rZ-ee .1!eF~ ~ ~11- 1- ~ -~~~~'f- 3i1~ ~) AI~ ~~ . a.. '?J74--n --- '--. . ?LM~~ SIGNATURE ~/"".4 ~ Pl!2..~~ Dmct HOURS APPLICATION # _~~,~ LOCATION q7t75 ~/ ~ NAME tfJNI ADDRESS ZIP CODE , . ,_ " I , / t '7 / Ivl5-b'D DATE ~1-cfDbl PHONE This application will b~ held until ~'~J,-~. If the information required above has not been furnlshed by that date your application will be cancelled. Buildi~g fees paid for permits cancelled under these circumstances will be prorated accordlng to the work that has taken place as of the date of cancellation. BUILDING & SANITATION / ENVIRONMENTAL MANAGEMENT DEPARTMENT 125 East 8th Avenue / Public Service Building / Eugene, Oregon 97401 / (503)687-4061 c ,--,-- ~"'R;.'. , I It... ~. , ,.:.~. ...9..' , bne county - " \, .' r' \ . ) '. BOLD . S.LIP, .' _.~.-..". .,',.," ". APPLICATION # ?J2~'fu LOCATION g7t?3 ~~} AlA:::.. , ~o '?JJ477 _V'JkJ;e;~ NAME I. m~ ~lZrna.J Ail=" ADDRESS ~f-.h~~ a. '?J74f7 ZI P CODE The above appl i~a~ion is being_held for the fol.lowing -reasons :... .. __.. M ~I}(e\ ,~ iJ ~~L. q::-. ~./~ ~e/..-te:t0T CF b"l-la,E; '\. ,0 6" ~~ :uAf ~w i+t1~1~/1 a CD00ecfloV I~To ~ ~w. . I '" J I /JDt:A~ "fi2cM L.utl - ~ ,0 wrEte. IS ~OIla;ll1 O.::oL w...cr':'v ~ 'f.. I!e ~e:o, -! "'1. ~ ~o a ee4V1t- 1'ep~ ,/QJ ~~~ flit- l~c0 vVJ\ ] l'! ~. ,. P-...:, , . 1? L N?e{LV1..1tU SIGNATURE ~k.~~ ~I Pi'.D ~5'!2 NfiCE HOURS lz"....i5- b'D DATE fO~'1- <:fot:, I PHONE This application will b~ held until j!2--~I......l-v1' If the information required abov~~has not been furnlshed by..that date.ybur application will be cancelled. Building fees paid for permits cancelled under these circumstances will be prorated according to the work that has taken place as of the date of cancellation. ..' BUILDING & SANITATION / ENVIRONMENTAL MANAGEMENT DEPARTMENT 125 East Bth Avenue / Public Service Building / Eugene, Oregon 97401 / (503)687-4061 . . ,-'~ -' ~. .. . . . . . c.I U ., ~ ~1' .' ! ,.. . ~ . I . ~ ~ w 1 :1: I, . . . . I', e . e I e . 'f i e e . e L.ANE APPL.ICANT L.INDSAY, EVEL.YN TLI 1802064200800 SUBDIV e NEW BLDG TYPE USE X NO BDRMS CODE APP~ NO ACTION DESCRIPTION I" rw BP eBP BP eBP BP BP LC 325880 WS ePL NO. FIXTURES: MECH SUR epCK I, '" COUNTY DEPT ENV MGT RECEIPT I 325880 DATE 12018iol.. ADDR 3705 GARDEN AVE., SPFD., ORE. 97477 ~ LOT BLK 00 NO UNITS 001 NO STORIES NO ElI..DGS 001 . SQ FT UNIT COST VALUATION FEE' DAY_ eCATG: 'SEQU: TAKEN BY e APP .0 CAD F(A FP , SDS S'I PCK 1 120880 OTH ISS . . I .,'" 16,00 . .0.64 e . ./ J. 16.64 cll , . NO. CONNECTORS: MECHANICAL FEE STATE .SURCHARGE PLAN CHECK FEE 1 ~L 00 EACH = 4% ,.:1' II e EST. COMPLETION DATE 2 'TOTAL FEE'~'~ ..