HomeMy WebLinkAboutPermit Building 1981-5-26
. ~ WCONSJRU .'ION/PLACEMENT
. ~ \ /\' PERMIT
COMPLETE THIS' BLOCK~ l1LEASE USE BLACK INK AND PRINT.
TOIVNSHI1'7 (S3 SE22.'44 Ttctoo DOUT OF
SUBDIVISIO~OT~IO~Lr)QbZe~ LfflARCEL &CK
LOCmm, ADD"''' C1lI.1Vn ~ 4 cm ' , w
V)~JTI;1S:D~ROmd ~oP (fi, 7 Lj 7 '7
'D~~~~O f2;P ~1~1&S vlor ~y+-
, D; 0'D'" , m '1~' .' DF P'0" 0"C l.~~' ~ '( Rcu n mw )~~~~:~~
(\ER;~~C ANDC&h rtQ)L. (~ CJJj~)'- 746~~2Rq
,,';'t~,"><ECL'2r G.tx'JlIe.- / ""Lep'DNF """""
"'''''ACW'', OSR · ~'ffi to +ract:..~ Le.6~ on W~
~, I ~ / nstJ- I i31Clcb u
I HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATIOrGJR PERMIT, and do hereby ":et:t:Jfy thilt all lnf()rmatlon hereon is true and correct and I fuHiler
certify that any and all work 'performed shall be done in accordanc"e with the Ordinances of'Lane County and the La,IIS of the State of Or~(pJl p~tLairdnq
to the work 'd~escribed 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~d 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, I HAVE READ AND CHECY-ED THIS
^"';~:~;:'""lr i 6) I-f fJn; X (i-nA t! Ic qf".JJ..UA ~ V)-13-?)) ~::"OW
, NA!1E (please print) I SIGNATURE DATE 0 Agent
FOR OFFICE USE ONLY
APPll.'cat~o~/.~,.L '. _~' ,
Permi t # l ( ./ L/'~
o Two Copies of Plans '
o Two Copies of Plot Plans
[JMechanical Checklist
[JPlumbinq Checklist
DPlan Check Info Sheet
PROPOSED ui;'E elF' PROPERTY
~sidential [JIndustrial
D Commercial , DpUblic
$ VALUE '
o PLANNING/ZONING:
Parti tion #
Parcel #
Parcel sizeJ.6LxQ2
rear ~I
.
Zone R..A
, c ' .A51 C
Ninimum Setbacks: L, front 't L, side
, commeys: (l:ttru' h OIl -tel riwf H ~ (5
\.l~~ o.t- y~ )(i.J" '
o FLOODPLAIN :U' ~n flood hazard area? ~ D Yes, see attached sheet.
o RURAL ADDRESSING: GRID COORDINATE N
~P>N~T~TION: s. 1. # B. P. #
In~Ql!*~.5 Gallon
specifications: Tank
5'1
interior
0-9r - 4-fJ,hJJ t(UA.., I J~
Date: 5~ 13 - "3 , aD
D
D
Date:
E
Date:
Installation Record Issued? DYes D No
Lineal Feet
of Drainfield
Maximum Depth
of Trenches
. Co_oCo' -11'tJ~~ ./Wr!' . c; I "dbaek jb1JYJ.1- _ ~L. w.vn.kj MI1'LL_/O 7
.srYfxtrK /f.lil1 ~tI, V
. if' , Date: 1'1 /l1r:1-1/il ~
I!'f ;LANS E~MINATION: T>;pofSlJ- '<oupj). - L- ",O~ J
conp{R;\AIT:J r(..i< ALL Eli;\:Tf\I\:':'l \' I'E)-~I(
:'HA~L 3~ SECURED FROM THE STAJ~
CF ORi;,GON, DEPAKIMtNI ur /1/_ -fih1
(::.O^^,^^~~c:;~ ~~~CnICAL Date: 5--.up-?!
C , fTV C::_l:rTI"",~1
CONSTRUCTION AUTHORIZED BY THIS PERMIT
C cill):;+-n
l+'I ?,~
Sq. Ft.
^~Z
Fixed Fee/
Unit Cost
f)'9
Floodplain Fee
Subsurface Fees
Building Fee
Sewer/Storm Drain/Water
Plumbing Fixtures
Mechanical
Plans Check Fee
State Surcharge
$
$
$
$
$
$
$
$
IC.CO
TOTAL VALUATION
$
TOTAL FEE $
FEES PAID 11 ~ ~k D Cash
By: _l..;.U>L~
Dau@) 5'- f3-{sJ
'5- ~I
DATE ·
10,00
,~o
71) , egO
~-r; mAVI~ *
PERMIT APPROVED BY B~/~SIGNEE (per ORS 456.805(1)) .
LANE COUNTY DEPARTMENT OF ENVIRONMENTAL MANAGEMENT / 125 EAST EIGHTH AV NUE,
C74-194 SEE REVERSE
EUGENE, OREGON
97401
\
SETBACKS AND OTHER CONDITIONS OF APPROV~~UST BE STRICTLY OBSERVED. VIOLATION CAN ,,~SULT 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:
REQUIRED INSPECTIONS
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 mi xing pl ant (common 1y termed "trans it mi xed") 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 equip~ent 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.
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 completion of masonry (if applicable) and when installation is ~omDlete.
Insta 11 ati on sha 11 be in accordance with an approved nati ona lly recogni zed testl ng agency arid the manu-
facturer'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)
(2)
(3)
Footings and piers to comply with State foundation requirements for mobile homes or as recommended
by the manufacturer.
Mobile home minimum finish floor elevation shall be certified when required by a floodplain
management letter.
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 ins ta 11 ed.
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 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 inspect ~he constructlon ~o
determine if it compl.ies with the rules contail)ed in, this divisiori." If the constructlon does comply ~Ilth
such rules, the Department sh'al1' 'iss,ue 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 for satisfactory
completion within a reasonable time constitutes a violation of ORS 454.605 to 454.745 and this rule.
Setbacks ~ Subsurface Sewaqe Disposal
I' .
. , \
From: Interior property lines
Edge of road right-of-way
Building foundation
Wells, other water sources
Septic Tank
10'
10'
5'
50'
Drainfield
10'
10'
10'
100'
,
,I
'/ 0
. 0
~.
I
" _" t.. .._ _ _ _ "
Iii
~
I,
i J
- - -----.
_ u~___ __. ___
r-------,
. ~'\
)'7'-
T
'{fl'
t...'
I
.
I
,
;. .
---
;;::;
\ ~ ^ , '../
V \ V'~,,<
." \ 'J .
. \-
,
~ \ \ Cy\
-- - ----- -
..-----. -----.-
r
\
! -
~:) C
1--:
i--....
,-.
;
p
-, /
c...... ,-,,'
i;",
I
/;:
,1\ :
pO
(' fJ<~ I'
'-'
"
q;,.o- --". . ) L ... . ~~ -~ '"-f--. ~~: --' ..4
/,,''':
!
/' '.1
.;.../_ 1--1
5H(F(Y
Approved
FOR CONSTRUCTION
;),d
/'
'OATE/fJulU fA. BY .4.-J~ ..,
LANE COUNTY
COltSTRUDTION PERMITS C. INliI'ECTIDN DIVICIDN i'
~,-,--,l
1
~":.;
/
/
/
e X~~;~i
u...x:;e ~ ~,\ t-
00~\L-,
~~
I~G~
j ~---:-.- ."'
w
(~
\~ I', · If;
~ '
'Pla'l:
Plan
Subdivision
Lot
Block
~
~ '\:
\)0
~
~ ~
''5 A l-L J;;.f.J A,
l t
J S1
Albl(Lt:-vt.- 8/f/ . Y/tU.A_
I' ~
~() aduv.
~
~
N
'f.,.
...,
~~
"\ !\i
C7Q.rl50
Vicinity Map
Job Location (Address)
Permit If For
Permit # For
Permit # For
,/""
\
~
\)--
-7 :3.-1'
~I
;21' -
,?U
L (, (f .
>[
(,;;5-??-
Permi t If
Permit If
Permit If
AI-f-tJ/ A,U
!
"
1&/"
(\
~
''I:: I "
';? f
~! ~
-:s
'-.,.' \
~ ~
I' ~ ,~
I - - . ~ 1/ Lj~
'-----(\ r
g
IfCj'l......'
, ()~
~&~-~ l-tOU~L-
Q~ )
~
Ii fl/
'{\
,
/
J
~
o
w
For
For
For
/ I'
~I71S
'- :>'15.
----\;:- ~ ----
yo"
:>
"
L'j I!
1311
,d
@l
;:
'"
,
~
,~ ~ '!
<oJ
,'"
W
~
~
..,
I I' ..;
, '"
"
" '~:'
\
L ti t"j [ C [I U N T Y D EF' TEN V dG T r: E,;,~,:,;I:,;:!,~,~,':, ,I,:,,:' ',',f' ,',::,' '1'!!:I:~ ".,:,1"., i,:,:,) ;,,? 4i'_:~lll;~,:",I::,',I',,"," ',;.(;j) 1(,:11., ',',iT .;,:-.,.s,?,:,,~,;,;
,:l,~ '~,~\i; 'I
..('t.. fi" I l iliJf'f t~ l/..tl t\D:e"F.: 4(') t'd...LEJ..! "' .- L
~ Te~2~~~~N;4~~~~~~' iG~riIV, I ' LOT BLK
r- r-.!Ft>J "IirLI)C-l'Y:P'E C,{:;pn l..!f~En--p NO-~g;oPH~~; OO.,NO W--!IT";:i _!jQ1. ~O STOF~IES i\!CI BL.DC::'; (')0'1
~ CODE APPL NO ACTJON DESCRIPTION SQ' FT, UN~T COST VALUATIGNFEE DAYY ~
BP CARRORT 392 ;5.10 1999
F:I:;'
'OP
,
.... ',.
',' J::. i..'
HP
PF>
,:.iF'
II PI...
" , i'ii~~CI--!
~::UF;;
.peK
'i::p
l...C ,'H)')ld3i Nf:::J!'!R
i\~ (] 1. F' I ):: '1' L1 F;~ E: S :
i (')(?(? .
:? () ... ()()
NO.
C iJ i""~ r'~ E: C: Of fJ F~ SI :
'i 1::;,,00 [(leI--! ....
i\1ECH(:'IN I Cr:~;L, FEE
:::-:T{:ITE, SUF;~Cl--!tlRGE
PL.tlN CHECI< FEE
4~'::
t:i ... ~:~ ()
'1 () ,', .()()
. ....:j () t. (j ()
:::; (:) :.:~~ .
\. j-'
((iTG:
(-IF-F'
I:;~(-i -
FP
S'.I)S.
SI
F'[:I{
OTH
'ISIS'
f:. "( c:: (:1 If
E,\'T ,',
"I
CDi"iPI...ET I C)N Dr::iTE
::?
;
-n)
i
, ,
-\'EG~I.J :
" ;;\,1< E i\!
f:)
() I::;~:i .~j F:.i
.. ... _.n....... .
TD'Ti='11...
FEE,)l;,)I;
::~:~ () .\ [; () C: 1<
L l, iJ
a
. I J ~,l;
,/ ,