HomeMy WebLinkAboutPermit Building 1984-3-8
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# OF KRIES . U I Gl EMPLOYE~ l~p~L;r.: ~6 :J ~<?po~ed
~ .~ ~ ~\J()f1lJY) ~~x1st1ng
'~~ru;cLqMAAClh1OJhY\V ~L~. Cf:t5 (}&J0n a, TELEPHONE NUMBER
! '''_NO' NAME ~,~t.U~, (3r.ea- .~/-r ~-M;r~~ 1~!j: 0 .
· ,,~nT ro ~~1 ~ i~~: AD~ 11'.) ~-()S ~ v . . ''''''NONm''R,
I HAVE CA~XAMINED THE COMPLETE~LIC~N FOR PERMIT, and do here~certifY that all information hereon is true and correct, and that I
,have the following legal interest in the property:~owner of record; []contract purchaser; []authorized 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:ti.at 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 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.
for:
FOR OFFICE USE ONLY
APPI~cati~~~ ~~ ~ ~~J'
Perm1t #::;?77-(J '7
D Two Copies of Plans
DThree Copies of Plot plans
DMech/Plumbing Checklist
DLegal Interest Document
o pian Check Info Sheet
ZIP
PROPOSED USE OF PROPERTY
~sidential 0 Industrial '
D Commercial D Public
M- CJ fYl~Mtf1 D
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DECLARED $ VALUE
.( B C!i-IA]JP DC7L&A(A
,/-- NAME (please print)
~~_~L
~ ~ SIGNATU~
r
:2.. 7-84
DATE
READ THIS SECTION CAREFULLY. YOUR AUTHORIZATION HAS BEEN BASED ON THE F
o PLANNING!ZONING 'Gi'T.:en 11,(!t' , . ,/ :artition~^,/2Jlt, .'\U3tPa~cel #
Hinimum Setbacks: L, front ~, s~de': Jt J ~n er~or
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, ~ hz. ~ cl.eaJt~ 1t ~ '?J
~ ~,,-ao IJhAfl<JV) 3nlJlfYt--
o FLOODPLAIN: -' In flood hazard area? ~o 0 Yes, SEE ATTACH~D S~
WJ
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~NITATION:
Installation
Specifications:
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~~ J dwt vn t5hJ Date: j - ~ ~t/ ~
UPLANSUEXAMINATION: Type ~IJ Group M/ Use ~!L:.-
~ v
COMHENTS :htt, ~~;, I UffPIf./?I/.;J --> "
Gallon
Tank
Lineal Feet
of Drainfield
Installation Record Issued? DYes D No
Maximum Depth
of Trenches
S. 1. #
B. P. #
/6?JA- ~ 2-
t!
TOTAL
Date:
,?~~rM
n
N $ Y'~~~:RUCTION AUTHORIZEDIBY THIS PERMIT
~._' _'~"\' Flxed Fee/ Floodplain Fee
Descri ti ~~~. ~ UC, i,t S~~ Subsurface Fees
/ C7'-.U / G ' Build ing tee
~(~~_WV? I'~~
Plans Check Fee
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~ c..-r I Y' ~ U State Surcharge
r /...... DEQ Surcharge
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PERMIT APPROVED BY BUILDING OFFICIAL/DESIGNEE (per ORS ~56.805(lJ) DATE
LANE COUNTY DEPARTMENT OF PUBLIC WORKS LAND MANAGEMENT DIVISION, 687-4061,
125 EAST 8TH AVENUE, EUGEN,E, OREGON 97401
SEE REVERSE FOR INSPECTION INFORMATION
TOTAL FEE $$ ~
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SETBACKS AND OTHER CONDITIONS OF APPROYAL "MUST BE S,TRICTLY OBSERVED". . VIOLATION.. CAN RESULT IN' REVO--
_ ~A'I'ION 'OF THIS PER,Mfr-, C~TATION UNDER PROVISIONS OF LANE COUNTY I S INFRACTIOt:' OR'I?INl\~CE, J\NDI;OR OTHER'
. REMEDIES ALLOWED BY. LAW., .._... __" . _,' _ ,_'
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WHEN !"EADY FOR I,NSPEC'ir'ON;'. CALL 687-4'065':: A,.MINIMUMI:OF..AT, LEAST 24' H,OURS, ADVANCE NOTICE FOR'INSPEC:::'
TION REQUESTS MUST BE GIVEN. . Have the following i:nforma tion. ready:' . permi t'numper-, -:j'ob\addFess, -t-ype' .
of inspection ,. :vhen t. t will be ready, your name and phone nUl~ber, ~nd ~ny. speciai d'ii'ec'tions 'to site. ..-;
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BUILDING DIVISION:'
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REQUI'RED iNSPECTIONS:'
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1. Founda tion Inspection: To be made af ter trenches~ -a~e . ex;~'va\ed ,~nd f'orms' .erec'ted . and. when .all .
material~ for the 'l()und~tion are d~livered on the job~- ;"Wh~re 60~c~ete from if cief1tral'jTIixing . ,;.'
plant (commonly termed "transit m:1xe'd,"), is to' be used, Iilaterialsne;ed noC-be'on;,thEi job.' 0
.' . ~ ' . .' ~ '. i . . . .. .'. . .... '. 1_,:::._
2. Concrete Slab or Under"-Flo.or Inspe:ction: To be ma'de' at:.t'er'ail i'n-slab or 'u~der-floor building'
service. equipment, conduit, piping accessories, and.otnet ancillar'y~equip'ment items are'in. .
place .b~t bef~ie any con~iete is Eoured or floor shea~hing'installed, including the"subfloor.
.... '~:, . ~ .~ _ _ 1 ~ i " . _!' .. _' 4
3. Framing ,& Insula'ti;n :In'spec'ti'ons,:' To :be made',iaftk'r, th,e:'roOf, all:framing, fire, blocking, ,arHi .
braci.ng~ ~re,.in p1ac.e ancL ,all pipes, firep~ac,~s, chinmeys',;,and ,vents are complete 'a~nd all rough:i
'.. ~ ;:;: 'eJect:,l?ical: and:"p'l umbing are. approved.. ,fl.ll waJ,l' insula ~ior'1 a~d v;apor bar,r iet are ih place.
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.. 4. Lath and/or Gypsum' Board, In?p,ection: To ..be. mad~ after a'll lathing: and. gypsu'm ;board, interior
'and exterior; is in plac~ but "before apy plasterhlg is~ppiied arid before gyp s urn board joints
and fas.t~ners aretap'ed' and finished. .. . ,., \. ,., . ' ','. "~." ~,,' ," ..,
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,5 '.Final Inspection:. ,To be made: after the, building: is~;complete a.nd, before oC8upancy.
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APPROVAL REQUI-RED. "No. work shall'be done onah~part of the building or structure beyond the 'point
indicated in each successiv~ .~IispecUo'n without first, obtaining the approval" Of' t\1e build'ing' o i'fi Cia 1 ~
Such approval shall be given 'only af'ter an inspec;tion'shall have been made of each successive step" '"
in 'the construction as' ind~cated b~ each of t~e inspections required~ '
NOTE:. Al~'building permits requi~e ~nspectiohs ~~r ~he work autho~i~ed, such as but-~ot limited t~:.
. ., _ .. -.' ._"'~ ,> _ ~_~~",:.' . . ....' _~.>__7"l, .4 . . ~ 'I. _:. . .01-_
'A. Block Wall: To be made after reinforcing is in place~, but before any grout is poured: This
, ,ir'lspecti'on. i,s, required for, each. bond be,am .pour. '. 1he:J:'e will ~e no approval unt,il t.he~plumbing. ';-':'-
. ,:andel~$:5E.tC:Cl;}..d,n~Wl~!;.~?l}s have beM made and apPfqv7d. , v' '
'Ii: wci'od :Sto~e: . T~/b~'mad~\after completion of masonry (if applicable) al1d when installation is
complete. Installation sh'atl be ~n aCC;:9rdan~e with an' approved, :n.a.!:i.smally, recognized 'testing
",. agency and th7 manufacturer I s installation in'str.~?:ions, . '
C. Mobile Home: An inspectioh is~required after-the mobil~ home is connected ~o an approved
.sewer, or sePtic system tor: setJ1.ac~, reqj1ire,m.en:ts ,: blocl).ing:, footing connection,' ,t:ie<;1owns,
'skir~~~g>~n(ripl~inbin,gc:~~mecti!?~,~,:.. ..'. :.;.' -:'. ,- J"" ..-- -' . - . -'..- ,'._"
.1. Foo.tAmgs _arid~pier,s_to".cbmply wLth ~$tat;e~~.ounda,tion :requirements '-fo,r. mOQile PClines or as'
:'recommended 'by thernanufact'urer. '
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2 .', MODi Ie home -minimum finish 'f robY 'e le"ia'tiori" shall~' be :ecer ti fi-ed~when -re'qu'ire'ci"'by a - flood'''-','-,.c '
plain ma~aS!~ment lett~r. \,...... ,
3. Mobile home tiedowps, when.required, and skirting shall ~e' installed and ready ,for inspec-
tion within at least 30 days after 'occupancy, Tiedowns and skirting shall be installed
per enclosure.' . .'. \ ' j
D. Swimming Pool: Below ,gr'ade when 'steel is irt:piace ~rid .before concrete is poured. Above"grade
when poq'l is ihstalled~
APPROVED PLANS MUST BE ON THE JOB SITE AT ALL TIMES DURING,WORKING HOURS.<,~H~S,P,ERMITT~WILL EXPIRE
. ,~FWORK,D0ES'NO[" B.EGIN WITHIN...:180_ QAYS.,':.OR ..IF~ ,WORKSIS~; S,U'SPENDED' ORA~i;I'f~_~~~~:&~;~iFfA,N 180 DAYS.,
,.:\~' ~U$f.:E:,N~~Q.~.,9_R ..!,<EVO<;:l}.TIONMAY OCC;U.\<. IF THIS PE~IT '.I'lAS I.SSUED ON'THE;'BASIS"OF INCO!1PLETEOR E~,;<ONEOUS
. . : .'I;~FORl\1l\npN.R~~' ',--":,,,' ',_ ,,_, '. ;',. ~ >,\ ". L t '........ --\ " _' 1~ :,':":: .,. _'..:.' ,_ ,: '.' ; .; '.
".' ,ANYONE PROCEED:tNc; PASIT THE POINT OF REQUIRED INSPECTJi0NS WIIk DO SO AT THEIR. OWN \RISK. . :'
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SUBSURFACE :AND ALTERNl}.TIV,E~,:S-E'WAGE DISPOSAL 'SYSTJ;:t1S'i: \ }\ ,,~:
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1. permi ts shall be effect"lve for one year from the da t:e ,of. .issuance. ~ '. "'" , '
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2.'. Upon completing~ the construction for' which a- p'ermi:t';\ha's"been"'issueq",' the "petm\i t holCler shall
notify the Lane County Department of Planning, and Community Development by sub~itting the
installation rec'ord form. The Department shall inspec.t the ~on'struction"to determin'e if' it
complies'wi th the"'.rules contained in this ,division. If the c~nstruction does comply with su'ch
rules, the Department shalllssue a certificate. of satisfactory completion to the permitl holder.
If tne cci'nstructioh. does not comply with 'such rules, the Department shall notify the permi,t
holder 'and shall require satisfactory completion before issuing ~he certificate~. Failure to
l' meet the requirements for ~sati'sfact'ory completion withih a r'~asonab'J:e'::;time c6nstitutes a'vlo-
.~'lation of ORS. 454 .6.05.t;6 454 .745 .~rd tpis rule. '..\:~',:::'.."<: ,,;~ '.'~\...::~;:::','~ ",":f ;'. ':, . .'
Setbacks Subsurface SewageDispo~al ._ \ ''-.,'
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Edge of "roa'd right-of-way
Building foundation
'Ylells, ..o.ther wa.ter sources
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MEMORANDUM
lane county
I~
DATE~~O S/py./
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TO p(~tt (J~~)
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FROM COYt~
SUBJECT 3fJ4- 8+
QhQm~ ~QmeMciJ~' -to Con(nuc~~
~ct. ~~<~ 16% (~
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fu~ --6 ~2r ' . D1'L ~~ tr1. . .
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ACTIVITY INFORMATION:SHEET
lane county
COMPLETE THIS SECTION. INCOMPLETE FORMS WILL BE REJECTED!
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, MAILING ADDRESS
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MCHA.RD ~ MAR/A/V/vElJE-.i.V/VA
PROPERTY OWNER '
8.9..1=) ASPE..N ,51.
MAl LI NG ADDRESS
T1', ~jC;;A~~ ~ ~A.~/ANA/E DELVAlA
, . PERSON MAKING REQUEST,
--C I TY----------- STATE,
ZI P CODE
6?R/.N't:F/ELD
CITY
T74t;-64bl x 390
BUSINESS TELEPHONE #
OR 97477
STATE ZIP CODE
, BUSINESS TELEPHONE, #
HOME TELEPHONE #
74h-{)B.35
HOME TELEPHONE #
1 2., PROPERTY ADDRESS SAMe
(IF DIFFERENT FROM MAILING ~DDRESS)
, 3 MAP & PARCEL NUMBER
. (REQUIR~D INFORMATI6N)
(from tax maps in Department of Assessment and Taxati on i,
or from tax statement) , .
_/7_ 03 -34 22 . 202
TOWNSHIP RANGE SECTION TAX LOT(S) OR PARCEL #
ZONING, '
-I ' ~..
TOWNSHIP RANGE SECTION.. TAX LOT(S)OR PARCEL #. ZONING
TOWNSHIP RANGE SECTION
TAX LOT(S) OR PARCEL #
ZONING
TOTAL CONTIGUOUS PROPERTY IN SAMEOWNERSHIP~
4 SUBDIVISION (if applicable) 6A~lJEN 6>?dVE LOT ,j
, 5 REQUEST (state exactly what you plan to do) 'L'~NS1;;.e'L/CT' A ~TACI-IED
-2.- CAA? g,cte/~~E 70 ).IDVS~ ko A-V'7?OVE c'A..~<?_~_
~3
ACRES
BLOCK
z
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6 DIRECTIONS TO SITE: _QlVE AND c)NF~HLk:..E~_OCKS 5'OUT7-/ OF
~~^,/l=-::NNJAL BLVD.' nN ASr-r:::::N' 57-:
** FOR STAFF USE ONLY **
NUMBER
DATE
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ZONE/LAND USE:
BY: DATE:
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TIME IN: OUT:
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LAND MANAGEMENT DIVISION / 125 E. 8th AVE., EUGENE, OR 97401 / 687-4061
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APPLICANT DELUNA,
~LI 1703342200202
~EW BLDG TYPE
i.OWNEF~ NME
~ODE APPL NO ACTION DESCRIPTION
3PGARAGE
BP
.IBF,
3P
BP
PCK . LC 34484 RPr~V,
)L NO. FIXTURES:
1 MECH
. SUR
'. :'CK
SDS
. LANE COUNTY DEPT ENV MGT RECEIPT
RICHA~D AnDR 995 ASPEN ST.,
SUBDIV
USE R BDRMS o UNITS 001 STO~IES.
ADDR
SQ'FT UNIT COST VALUATION
720 8.556156
:Il: 344
SPRINGFIELD,
LOT
IBLDGS 001 PHONE.
02078""
OREGON "I'
BLK .).
746 8451
FEE
,DAYS
'NO. CONNECTORS:
MECHANICAL. FEE
STATE SURCHAI~GE
PL.AN.CHECK FEE
6156
,1 5.00 EACH ~""
4%
65%
III
40.63
SREF
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COMPLETION DATE
on.1
ISS
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15
40.63 CK
TOTAL FEE*'*
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