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HomeMy WebLinkAboutPermit Building 1983-9-22 Lane County Authorization ~~~;i~ai~ - 9,'0' ~ ) f71lL1.{J OC[Q:)om7,Dr, (7)., ,ld-. DTWO Copies f Plans ..... 'l - DThree Copies of Plot Plans TOWNSHIP 17 I RANGE 03 I SE~7.3J'..M .., -::::z... IV,Tf'X X~OUT OF DMech/Plumbing Checklist ~ C/"'-J 1-lF LLU DLegal Interest Document SJ;:(0t/prrTION (if .apPl@U~ I LO~RCEL I B(L) Dplan Check Info Sheet LOC.,,~r~N ADDRESS 1/\ Sf~T \ !:' , \ I /\ ^A Y ~ If;: /~ P~ED""USE OF PROPERTY ~)4"F) (J.Au.LV vLDw h-LVnO,,-, J6I1 ~Re~ntial DIndustrial iffi""' C ON IZ5?I'2C 'ThL ~ ' ~ CM:J,COF'11tt3OJPUbliC V2 I{lI;N(F P ~! '_ ~_~IFIC ' PI (J _ '1AtS{;fflm~OO(L G. I d ~ ?y'i? .. ..~ .~ J') TL" 0"' OM.B:R , ~CTO flAME1~"o~R. # - ~ ~r ' - ~EP:NE ~ BER n ._~,... ~ 7~~ . '~"C":~~~~~:~:,,~~~"~'"~~'".~ t~=, .u ,;,"="",. "~ " 3~~~, have the following legal interest in the property: l5"owner of record; 0 contract purchaser; 0 authorized agent with evidence of authori ty attached. :1 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 basis for exemption: :is noted hereon, and that only subcontractors and employees who are in comp ce with ORS 701.055 will be use~ on this project. I HAVE READ AND 'CHECKED THIS APPLICATION THOROUGHLY. ~ c;;~ 3.::S --I for: G:,c.. q\d~ FOR OFFICE USE ONLY DECLARED $ VALUE " '12uV\A.)()~ ( .~J/d .- ~ tint) .~L/~~~ 9.42/s?3 / DATE ~LOODPLAIN : READ THIS SECTION CAREFULLY. YOUR AUTHORIZATION HAS BEEN BASED ON THE FOLLOWING o PLANNING/ZONING: zoner~ Partition # Parcel # C fBl./ c, , , I ~I :::::':~6~ fold 'tr- ~n"<M J Date:~)~Z, Iql)r.~ Date: CJ-2.7-rt3 ,w-- CONDITIONS! ~ Parcel Size 1~~JtlI~ rear ?D / In flood hazard area? ~ No DYes, SEE ATTACHED SHEET. ~ANITATION : Installation Gallon Lineal Feet Specifications: Tank of Drainfield COHHENTS:':'~ tv..l.) ~~/J)// ,,!? (t-__~ ~fJ A~ .,j~~ ~" ' fI ) - ClA~' / tJ Installation Record Issued? 0 Yes 0 No Maximum Depth 0, f Trench~~np1ut7 ~ .)~~ S. 1. # B. P. # COMHENTS: Ill... if.... h Type-$l) Group~ use'~ ~, &//./ fD~.~-?J 1A.tP?~/? ' $//7ff? I. j' " Date: r.~ ~LANS EXAMINATION: Date: D TOTAL VALUATION $ CONSTRUCTION AUTHORIZED BY THIS PERMIT Description o('n_~ ~ f(1d. 0'10fl X 1'=:/ ( () l\ G~,l'tt'1 ~/0' ~ n , -'( / / Sq. Ft. Fixed Fee/ Unit Cost Floodplain Fee Subsurface Fees \0,00 State Surcharge $ $ $ $ $ $ II If)() r1t DEQ Surcharge $ ...; J_ TOTAL FEE $$,.$': ~ _ _, _ ... __, _, ... _.41~I/ljJ\) ItJ//rM' PERMIT APPROVED BY BUILDING OFFICIAL/DESIGNEE (per ORS 456.805(1)) i ~ i'DATE- LANE COUNTY DEPARTMENT OF PUBLIC WORKS LAND MANAGEME T DIVISION, ~874061, o~ 125 EAST 8TH AVENUE, EUGENE, OREGON 9740 'le.~ bLASL.." \ I ~1} SEE REV",ERSE FOR INSPECTION INFO ,TION ~dD\a..~ ", \~ I'8;/J Building E'ee ~.13Ch/P 1mbg Fee Plans Check Fee ", i"f I ~.. .. . ~;''':';, ~ :'t, '.. :;"_~,\f'J'.':~'" ;":.; ::, --i .4', ~ ,l, ". .",..l . .' .... . -.' .:-' SETBACKS AND. OTHER CONDITI;ONS Or: APPROVAL MUS'T BE STRICTLY OBSERVED. VIOLATION C[l.N RESULT IN REVO- CATION"OF TI:IIS/,PERJ1I'I',dC;::I'T'ATIONUNDER~PROVISIPr::S,9FLANE COUNTY'S; INFRACTIqN ORDINANCE, AND/OR OTHER ~EMEpIES: ALLOWEB BY Ll?:W.- " 'Y '," '., .'. ' " :, ,_', ..~ ..;,'". . .,.' > , ,..,' _.:. _'..,.. " '. H~'" , . ~~:r~'.~1 ...._....__~, ,:....;,.,....:., ......;, ~~,. ,'. '0,. ........t....:. .._....~,.....';- '.....;.. """'h"<;;' _~. -<......':~..;._:. ,'_' \< WHEN READY"FORdNSPECTION',:, ,CALL 687.,.4065. ,'A MINIMUM OF. AT DEAS,T, 24 HOURS ADVANCE ,NOTI,CE' FOR INSPEC-'- TION REQUESTS' MUST BE'G;I?-VE;'N., Have ,the "foi'lowing 'information ';ready: 1. permi t' number, job address; type of 'inspection~'when:"it'wi'L:i be.,ready, your name.,and_phone;nUmber" and any. special directions:...,to'"ite., .' " ';'~''''' . . - ....' .~ ' " . . -. .' i ~ ~... ~ ". .... ~ . .,,' ;" _'. ~~ i _ ''t" .. ~~, BUILDI,N,G [)IYis"~"q.~:,::..:-,~,..':'"'\ 0._" i" .. ..-.--, '~' ""~':)i-" ',..- - -', REQUIRED INSPECTIONS\' f., ',. !. -', '. " , .. t ".,1".'" . . '~...'_",.'l._.~._l_'"'' , ':;'~"""ll' '~::-i:": l.~.~! ;-:~. 1:" Fou,nda t.i,on J;n,sRecti'()n': 'To be 'made, after" trench.es are exca\[a ted and' forms,;.er'ec'te:d 'CJ.n~F when all mater~als'for 'the foupdation B[e del~verep,on the job. Where concrete f~6ma cent~al mixing 'plant -(corpmonly .~~:rrned- tltra'n"s..~~fmixeSl~"r .i~s""fc5""De- used, 'ma'~.e,r~i'ar~ 'need" ~'t"'. De or( "the':'Job";"-".~---:~~;o' ,:.:.y : . ~,~ ...." .. _..,......,.. '.. "J,,..' :_.. ." .... .. : - , . .. ( _ '. '.. . _' >.. '.... ' :L CQ.ric%~te_.;:;la~, Qr . uDder~-F;l.oor _in'spec.tion:" To "J:)e lmade' af ter ,all, in-slat>. or i.md~r-f lo'or bi.1i lding , service equipment~'conduit" .piping, accessorles, anc:i, qther ancillary equipment items are in , , .. plac~': but before any ,concrete' is pou~~dor. floor shec,t,1:hin'g installed, inclu~ing the subfloof. ..1, " .\~-.'.': -' ...." ...'_...... ~-- ~..:...~_........ "','," - ,-' '.-'''- ~_....t"''''''''._'._ ..:...._.., :.-.....~_~..._,.._ ~., .'-'.~-"';' 3'. -'FramJ.n'g'&; Insulation Inspections: To be',' made 'after the roof, all,'frami'rig, 'fii:'eblo'cking, and"",' bracing are in,'place and all pipes, , firepla~es, :cl1imneys, and vent,s are' complete and all: rough ,,\ ".e,~~~tr~'cal and,pi~b~ng',are,-appro~e~. :A'il~wai1,i.ns~it,tion"and v~por ba~rier'are: in'p1ace'~-":' -",- ~ .' ,-, - I J' 4'. :' La'th__and/or Gvpsum. Bbar:dInspec,tioni:. -To' :be- mad~ ,a,fter-a-l,l lathing arid 'exter.IOr,' is in, place, but before any plastering is, ?-pplied and " '. arid'fasteneF:are'):aped'~.na:i finished: ' 4 . ---.. ...:~. "," ,. ..... --;'''~ ,. " _F;_,; . ~ -- .' -~." ~ l ,...'l'. -" --.. ..: 5': Final :Inspect'iori,:!' To be made after 'the o\ii1ding!',;j.~' complete arid before occupancy. 'f i '. .1., . ~PPROVA'L\REQl1q:RED, No: work ~hail he-'''a.'one 'on,any 'part', of' tl).~',bupding6r'st~u'dttlr';:be:io-nd.;"the point" ";' indica ted in gach successive inspection without ,'Firs t ,obtaining' the approval' of: the bu"i lding official: Suc'h apprpval, shall be ,giv'e:n ",only a.f.ter ~an, ,inspe~,t;ho~ :sh,a,ll have ,been ,made of, each "~uc<::esS'ive ',stEip' , ,'''' if\.,the '9onstructi~n, ,as. indi~ated, by each..qf the inspec::tiol1s, ~equil:e~.:, , ',;:",,' ';'( NOTE: ,,,1,1.11 bu:ildingpepnits. requi:t:e.'i.nspections, for ,:the work authorized', such,as,buLnot.limited, ,to: A."I:iiock' ,'Wal1':','ro'; b~~rna'de~f.~'e:t, f'einforqing i~,,':rn~i~,ge', ~u~::~8~fore,: a'ny ~Fout' i'~,p6ur~d . This inspection ,is,,re.qu,i'J;'eq,,for eacl:1,b,On,d beall!, po.ur. 'Th,ere",will ~b,e no app,roval until the plumbing and electric:al, iris::pection~ hav8..been"'made an~d approved.. ",;: ' , ~, , .', ,', ' " . .. , _, ,. ,,' . ".. ' .', . ;. -, ., o' _:'. . B. Wood Stove:' ,To. be made after cOll\pl'etion of ma,s,onry' (if applicabl'e) an.d, when installa'tioD.' is complete. Ins,talla tion ,.?pall. "be .\n acco~dance \wi tht' anapprove'd, na:tional1y recogni zed tes tlng , ?gepcy and ,tl1..e man,u'f)~ct:q,1:e..r~' ~;iri~_t:a:;L1a:t;iqf.1."'il,1:~:fX:1l:~,t'ions. "". :'/ '..__,'.. ;', ';:':.___.. ," '..., . . ,,' , -r.,.' ':i!,:. '. ..,,:j , . ...~ '-~ ~:,i. . ,', s:. ,MopileHome:.. .;[1.1]." :!,:nspec,tion is,:'r:,equir,ed, after themobiJe. home. is,..connec,te-q :to.;, '~n approved, 'i,'" 'sewer or septfc 'sYstem~ for 'se't:back re'quirements, blocki'ng', footing conliec,tion, tiedow,ns /' ., .."", skirtin'g,.. and pHimbi:ng !connect'ions." : ", , " ':: "," ',.'",' :, 1. , Footings' and piers to,.comp+y with State foul).,dation"'requirements for mobile homes or as, ':' recommended: by' the "marlUfacturec " . '}, ' ... , . . .' ..... " ,2. Mobile:"J:ic5ine 'minimum, finish' floor eleya tion sha.ll ' be c~r:tifiELq wI). en" -required by ,a flood~:'d,', 'pla:i'n management' letter. . . , , . . ..'.. j' . ' '3':- Mobi-l'e hom'e' ti-edowns, when""require"d'; 'a'nd'~skirt~'i:ng 'shall "be"ins'tal'l:ed tion within 'at least ,30 days a'ftei oc'cupancy. Tiedowns and skirting , pe,r~'encJ,<?'s1.!re,~ f' ' .~.:""I , '., i, D. ,swin:uniri~.,P,oo,l:, ..,B,elow grade when steel", is ,in place _and before concrete is poured,.,.. Above ,grade '. .. I:~}:i)l~:' wh,~n^:po~,,~\.:~~'~;i:~~a~led,:, ":" 0:".1.,' \~(': ',' . ,,' APPROVED PLAN'S MUST E)E 'ON THE JOB SiTE AT ALL TIMES DURING WORpNG)IOURS. ,THIS PERMIT WILL EXP,IRE IF WORK DOES':NOT ,BEGIN WITHIN 180 DAYS, OR IF .wORK IS 'SUSPENDED OR ABANDONED FOR 'MORE THAN 180 DAYS. SUSPENSION _ORREVOCAT:J:ON MAY OCCUR IF 'THIS PERMIT WAS ISS,UED ON THE' BASIS' OF INCOMPLETE' OR ERRONE?U,s INFOR{1ATION'. .\, ~:~('.,,'., and gypsum'boa~d~. int~ri9r before gyp.s:-un,b.o{m'l jOirtts' " .' _' .. " '" i :;, ,L.. ' _' ' I ~.' '-<t .. . ....1 " C'_ , :;. :i-.... '-, , . . and ready 'for l.nspec- shall b~ instalfed :.--.)- ....... "',' ANYONE 'PROCE.Eo.ING ~~ST' THE POINT OF REQUIRED IN'SPE~tIorS WILL DO SO AT THEIR OWN RISK. SUBSURFACE,A~D ALTERNATIVE S~WAGE ~ISPOSAL SY~TEMS: ,.., :,,' 'l,;,per~it~'sha:ll' ~e .e'ffecb'ye fot,onE7 'year~'fr~m the -date':'oT issuance; ",..' -"'. ,~'~,. 2. , 'Upon' c~rr;pleting ,the~,con~tructioni .for whi.ch 'a' permit ','h~s been issued,';, thepermi'k..'hol'der ~sha.11 notifY,1rhe':pane County Department of, Planning and cominunity Development by submttting the' installa:t:;iori.' r,e,cordform~i ,'The: Department shall .inspect the construction .todetermine. ,if, it , complie~~:'1ij:.h: '::he!u~es, cqmt<;tined, in thi~\ ~i \Hsion :',; I:~ the cohst::'_\lc;:tiol! "do'es .c<?_~ply w~ th sych , r,ulgs.l" tj1~ D~partrTlelft..:sh~ll l.ssue: a c,er,tl.fJ.ca te. of.,sa tl.sfactory -,c;ompletl.on, to the perml.,t{,holder. If the 'construction 'does ,not\c6mP+,~',with 'puchryles~"the:pepartme~,e'shallnotify the permit , holq,er and .sh,all re..quire::.,sa,..ti,s.f,ac,tory. cOln~letio"n>b~f.qre''''issuing the cer,tificate. , Failure to' , meet t~e' requirements'f6r satisfact,ory c'oinpletion' 'within a reason<:lbletime consti tutes a vio-; :\.aj:.iqn,,_of"PRr,..454.605 to,454.745,and this rule,.., setbacks::' ,Si.1bs\J:rfac'e Sewage Disposal ~I . - . ,,_,-," ' .......... ,Septic Tank From:, I'nterior-property, lines 10 I, Edge of road right-of-way 10' ,Bui Iding" founda tion .. ., '.~, 5 I, " Wells, o'ther'\...ater source.~~.' ' ":.,1' 50 I ....., , Drainfield 10' 10 r, 10' 100' ."t.......r..r.: t."'~,'" ..~:::) ::-".; ~ ". C 1'4~25 ':; ~"t. ,~. ~ f" 'C .i- ~ i. , ......\- ? 7I . -1,', .',' .f '- t:. , ~,." ,,- '1-" ') .) f'. ~."-; . ..;, ,,~,' "'" .--..:" "'''', I ... ~ ',.. 'r.~ ..1.hL l '." ,. "'"-. ~l-_.. .~\. ::~ . ......;...... . :';. ''''>:'' ., ..: "'''':, "'-.~ ;. 4,_ , , \. I .' _ _. ~ .. .... I : . ' . ~;, ... . , ,~ , .." '1'''-'',. , '" '.. l,":. ...... . f I' } ~ "ri)r ~'~~:~,,) "'': 1 ,,t,.,..."'..... "1.1 ", ;,;..''1......'. . , ,~ ':.. \ . -,'/"~ " ., :":"t. .. ..r. .;...., '\., ..,,/,......::. . ['" . ;l~. . ,',1' . '. ..~~ ;~.. ~',: . ( "-;.- ~ .. .~\~:. :;-t. ;'.,> " ,'1'J. I. 1'. t.. ".;~-)~\; ", 'I 1 , . W: 2 ' LANE COUNTY DEPT ENV MGT RECEIPT . 167483 DATE 092283 APPLICANT CARNEY, DENNIS ADDR SAME 'TL. 1703230000200 SUBDIV " LOT ~LK NEW BLDG TYPE ACC USE R BDF~MS 0 UNITS 001 STORIES -1 :C:BLDGS 00f PHONE 746 8444 OWNER NME BOYLE~S, DURWARD' ADDR 3415 BALDY V~EW LN.~ SPFD., OREGON ,CODE APPL NO ACTION DESCRIPTION SQ FT, UNIT COST VALUATION FEE DAYS BP . ACCESSORY ~~I 3P BUILDING 43 8.55 367 IfP ,'43 ,4.59 197 BP 3P , .' pF' :'\ PL 1ECH SUR PCK .:DS FF' ,. I ' I ~ :1 , '. .., "II 1 \ ~ ~ . " l.C 167483 RAce NO. FIXTURES: 564 1 5 ~ 00 EACI--I .... NO. CONNECTORS: MECHANICAL FEE STATE SURCHARGE PL.AN CHEeK 'FEE .4% 65% SREF CATG: APP RA JEQU : 0 j ljt<EN BY CAD FP SDS SI PCK 1 2 3 EST. COMPLETION DATE OU-I ISS 4. TOTAL FEE** . . - Ii I ( n,. 1 1 . 50 0.46 '7.48 10.00 IIn 21 29.44 CK , lane s=~C?u n~ " ,-- ( -, . I . .. I ACTIVITY INFORMATION' SH'EET -i! "'~"" .." COMPLETE THIS SECTION. INCOMPLETE FORMS WILL BE REJECTED! (from tax maps in DePfr ~!s~es~n~n, or from tax statemen / C7 ;; 7 ()3 2~ - ~ ' ~ (}q) ~;7~;\ TOWNSHIP RANGE SECTION 'AX ~) OR PA~. z~. ~iL TOWNSHIP RANGE SECTION TAX LOT(S) OR PARCEL # ONI~" 1', ()etflll:S /i C4/fJ/1c- L PERSON MAKING REQUEST 7//3 ~5;k1fiJ/lGdE 4~r: ~ - - MAILING ADDRESS E deS, /J;rP- ~7f6 CITY - STATE ZIP CODE /#h-- ~~cJcj ~'t9-'/~<.b- BUSINESS TELEPHONE # HOME TELEPHONE # 2" PROPERTY ADDRESS i (IF DIFFERENT FROM MMLING ADDRESS) 1 I 3 MAP & PARCEL NUMBER, I (REQUIRED INFO~MATION) i ! I 1 (JdL/-i/auJ/., -'/?/JI4fe.,5 ,. PROPER~- 3q/C /iJ/ll.or (jffill) t:/IN?, ~ '--' MAILING ADDRESS s'ar//f3L't'~1 J)e, - I CI n 1 ~, . STATE ZIP CODE '/ e.J;7- 7 ~IJ(J t;;/fm 13, , BUSfNESSTELEPHONE # HOME TELEPHONE # I' . il -. -...._--~ ion: TOWNSHIP RANGE SECTION TOTAL CONTIGUOUS PROPERTY IN SAME OWNERSHIP: TAX LOT(S) OR PARCEL # ZONING ACRES 14 SUBDIVISION (if applicable) LOT BLOCK : 5 REQUEST (state exac~lY what you plan to do) Y f.,'f'~J:b/_/:l~/}?-/ L r~0"~ $ ~{lJ//VIJu;~ #~I ,~.'<# lip/II C;Y,,flP"~ an/ 5" /-r~A'rJ/ ~~/~r'f~~ _ - DIRECTIONS TO SITEr. :l3c/r/'fi~7C taWle=-;::/l~~/rj>l'l 1(:; i)~v11A'l5" ~r.~", '~c3AI 7iJ :~Ivf /.,/~ )/A, .... .,.. ... - " ..--..---- ** FOR STAFF USE ONLY ** . i 6 , I .. .... ~ ZONE/LAND USE: BY: DATE: TIME IN: l 7 - (\~ - 2-.1 ~ 1i=- ?(')[) '- --' .,1-- -- - 17- 03 - 14 -rt, I?('{) ~, ' '..' NUMBER "..,. '" II' --I ;;0 ;n --I r-: ' DATE OUT: oR-- LAND MANAGEMENT DIVISION / 125 E. 8th AVE., EUGENE, OR 97401 / 687-4061 ., ~t r;;dy.. Ibl~Uq Wt.?-S - ~ X 6ifi~'1(,,41pU~ :/.: , 6;}.f}/'/.. l(){}.d'; ,err,,?&;' -'- (p/p~'1.f~ 470~ . . .' ---4+. ' . , a? \ ~01 .~ f-t_a:O\ lO~ ~~'. Z~~ f.LL'NcM~~ I r3 ~ , 7UWJ~~ 4'Q,12 -r~t.- _ zu~4+ AMi fAlO ZO-28 k'~ W~ ~ ,J .. ..... ! / , , n :' , ,/1 / <, ,l~ on ~' ":1 ' . ,- q '" '''I . " ' , an (I , ,. , DEPT '~NV MGT RECEIPT . 167483 DATE 101883 ADDR 3415 B'ALDY \lIB)" SPFUNGFIEL.D, OREGON LOT 'BLK IBLDGS '001, PHONE 747 7400 APPLICANT BOYLES, '1"I..A1: 1'7(:)323000(:)20<.) f'~Ell.J 'BLDG TyPE 'mJNEF;: NhE "CODE APPL NO ACTION DESCRIPTION I~P BP L.ANE COUNTY IHJRWARp SI...lBD I V USE \ BDRMS 0 UNITS 001 STORIES ADDF: SQ FT UNIT COST VALUATION - V~P BP ~,\ (rorA, ' ~ .p {i.1 PI.. NO. FIXTURES: MECH '\UR eCI< BP LC ,167483 SUPP NO" CONNECTor.;:S: I MEeHAN reAL ,FEE "S~ATE SURCHARGE. PLAN CHECI< FEE ~:'(:K " SUR CATG: r::-'PP F~r::-' FP ,SDS SI , PCI< I !Sfi(\~U : (l "'"AKEN BY, F\t..H EST. COMPLETION DATE "15 :, 00 EACH -- 4% OTH IS'S (:> TOT AL. FEE ~Hf FEE I (I I I DAYS '12.00 , 7.,80 0.40 ,H '- 20. 2B ....CK