HomeMy WebLinkAboutPermit Building 1983-4-7
READ THIS SECTION CAREFULLY. YO~THORIZATION HAS BEEN BASED ON THE FOLLOWING
o PLANNING/ZONING: zon0~ Partition # Parcel #
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Hinimum Setbacks: front ~ l /" side interior
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In flood hazard area? lXJ No DYes, SEE ATTACHED SHEET.
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Lan, e County AuthoriZ. ation fo, r:~
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/ 7 RANGE //3 SECTlO~ 3 ~~~OUT OF
LOT/PARCEL
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I TOWNSHI'P
SJBDIVISION/PARTITION (if applicable)
BLOCK
~ FLOODPLAIN:
.ft' SANITATION:
Installation
Specifications:
co~mENTS :~
S. 1. #
B. P.
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FOR OFFICE USE ONLY
APP1~catid// ')/J". t::>?
Perm t # ~ (/ a .::/
D Two copi~s of Plans
DThree Copies of Plot Plans
DMech/Plumbing Checklist
DLegal Interest Document
o Plan Check Info Sheet
PROPOSED USE OF PROPERTY
~eside_ntial D Industrial
D Commercial 0 Public,
and correct, and that:
of authority attached,
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DATE
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CONDITIONS!
S<i
Parcel Size' L.
7 C' f r<.~ ~ W
rear ..J. ./
Date:'
--
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3-7/j-8<.-~
Lineal Feet
of Drainfield
Installation Record Issued? DYes D No
Maximum Depth
of Trenches
..<2JI1.LA 7~ ~ ' .
- /l .
Date: 2,3 /irJ ?3 CJ!!f= ~
use~{.~Af~DU Sr:n
Gallon
Tank
Yl4t kt)
t.~
L!1J -I~QI
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.Jf PLANS EXAMINATION: Type-S'- JV
COHHENTS:
Group ..0 ~
TOTAL VALUATION
$ 0(.5; /}t:Jt) ~
CONSTRUCTION AUTHORIZED BY THIS PERMIT
Sq. Ft.
Fixed Fee!
Unit Cost
---
Gate:
*7-B$-
~~
/ p e!....
Floodplain Fee
Subsurface Fees
Building E'ee
1-12ch/Plmbg Fee
plans Check Fee
State Surcharge
DEQ Surcharge
PERMIT APPROVED BY BUILDING
$
$
$ /70.. s-o
$
$ //0. (J::J
$ ~z...
$ .
$$ ~7cr:-/~
TOTAL FEE
......
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SEE REVERSE FOR INSPECTION INFORMATION
LANE COUNTY DEPARTMENT OF PLANNING & COMMUNITY DEVELOPMENT / 125 EAST EIGHTH AVENUE, EUGENE, OREGON 97401
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SETBACKS AND' OTHER CONDITIONS OF APPROVAL .MUST BE STRICTLY OBSERVED. V;rOLATION CAN RESULT;IN RE\rO-
CATIO~'OF THIS P~RMIT, ,CITATION 'UNDER PROVISIONS OF LANE COUNTY'S INFRACTION, ORDINANCE, AND/OR OTHER
REMEDIES ALLOWE,D 'BY LAW. .,', .' -.
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WHEN READY FOR I:NS,PECTJ:Ol-J.{' CALL 6'8'7 ':"'4065'. ..,A r1INIMUM OF, AT' LEAST' 2,4 HOUR'S, ADVANCE' NOTI,CE FOR INSPEC~
TION REQUESTS MUST BE GIVEN. Have the ""forIo'.;Ji'ng' irif!:irma tton rea'<;ly: ., perrotE' iiu'mber, j~o~ ":'ciddies,s', type
of inspection ,~when' i,t, w~ll be ready, your name 'and phone number,' a,nd any spec~al'd:i:rect,~9n~ t? site.
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BUILDING DIVISION:
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REQUIRED INS'PECTIONS:' -
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Founda tion, Inspection: ~ ,!j"o b~ made-afteI' trenc::hes' are-~;;cavated. and, for,ms erectoed and- when..a 11'
mate~ ials for{the, .founda tion are delivere'd", of} the job .~'. Where corycre,t;e:. 'from a, ceAtral m:l~ing .,'
plant: (cqr,nmon1x'1;ermed "transit,mi.:xe'9,.") is tcrbe us!=q, ,mC\'terials",need.'not b~ on' 'th'e" job: -', :"
...... '.. ' . ~. - -~- .. :-:.., ,'. -. - -'.i.':.;.' .. ... - .. ...l --.,.... :.... < - .._' -.' -. , . . - ." ". '-. . ~-r'...-" ~",.
,Concrete Slab or qnder-F''1ooJ; Inspection: To be ma~e' after' ali in-slab"or under-floor.,l;J4,i'1qi'ng ,
s,ervice equipment" condul1:;, .pip,ing ,acces::;or ies" and .6,ther' ancillary eq,uipment. items ,are. in ",""
place 'but before any concre,te 'is' pour~d or floor sheathing installed, including the subfloor.'"
., ... . "'" .'. . . . ... . ~ .,'.,. ~ .~
Framing .!r Insulation 'Inspections': To be ~'a-d~' after th~' roo'f'; a~lframfl19 ,fi-r~'blcickirig,' 'ati.Q.~:"~";",*~.'
brac'ing are in- place and all pipes; fi"rep:laces, Chimney's" and vents ar,e 'complete' and a.ll rough ' , "'"
electi ical : ~nd-:plum?~n.:g: ar_~ c:ppr<?~,:~. ",Al.,l wC\li:' ,i:n'sU::1'aH;->p .a~d' v~P9r~~rr'i'er:: ar.e, in:p1ac:e ~".::.':', _, "'"
. ~ .' ,..'..~ 4 "" T_' ,'1.,'" ", -'''-T. "~"",,,. .... ~.. _' ,-
La th arid/or Gypsum Board, I,nspectiorii ,~ 'To' be; made after, all lathing and' gypsum board. interior. "".
and exterior', is in place but beJore, any. pia'sterihg"is~~appl{ed 'and before.g'y,psuIn board joints,.: '....
and ~asteners are taped aI).d finished; . '",' , ,',
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""? Final Inspection: ",~O be ,made after 'the build~,~g is complete and befo,re 'oc:::upan,~y,
APPROVAL REQUIRED.' N6:w'ork shal.l ,be' done on any part of;the building or structure beyol1d the point
indicated in each successive inspection 'without firs,t obtaining the apprpval. of, the building, offici:al.
S;,jch appro';al shall be given only after art inspect'io'n's'hal'l have been made,' of ,each successive'"step
in the construction as' indicated ,by each of, tne inspections required. "
(NOTE:, All building permits requi~e in's~e~'tr~m~ 'for the ~ork aut~oi-i'z'e~, 'su,iii"'as'but,no{ ;iml.te({ ~6:.
. 4._ . '. .:I.. ...~ "'~ ... . '.. .' _ , .'
A. Block ,Wall: , To be ma,de after'reinf'orcing i::; in place, but, "before' any grout ,is poured . This
inspectcion is .required' for ea,ch, bond beam pour. 'There will be no 'approval until the plumbing
and electrica'l inspections have,been made' and approved. .',
B'. Wood Stove,:. To be made, a,fter completion of masonry (if applicaple), and -when installation is,
-complete. Installaticifl shall be in accorda'nce with"an'approved, ,nat~ioAally recognized' testing
agency a~ ,the manufac~uier's installation inst~uctions. ' .
C.' Mobile Home: An inspection is re~ui~~d after the mobile home is connected to an ap~roved
.s!=we,f , or septic sys!;.em for ,setback gquiie,!rients" _blocking " footing conn'e.<;:~tion, t.ie'd(JY'~s"
skirting, and plumbing connections.
'1. "Footings arid,'piers to comply 'wi thState,fpundation requirem'ents for mobile homes or <;is
recommended by the manufacturer.' ,'. ' ,.J, ,I' ' '
..:-~"., ",,':' ~'. )fobiie--:-,hol1\~ tninirriurn finish floor'~eleYatio~, shallbe certi,~ied when required by a flood-
. ~plain rna,rlagement letter.
. .,"' .
3. Mobile home tiedciwns, when required, and,s~irting shall be installed and ready for inspec-
tion,within at least 30 days after occupancy.' Tiedowns and skirting shall be installed
per'en6~os~re.> '
D. 'Swimffii,ng Pool:, "Below grade when,s'teel is in place and before concrete is poured. Above grade
when, pool ,~.s,in'stalled.
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APPROVED PLANS MUST, !3E ON THE ';rOB' SITE AT ,ALL TIMES~DUR'ING WORKINt HOURS" 'THIS PERMIT WILL EXPIRE
, IF WORK~ DOE'S'" NOT BEGIW WITHIN 180 DAYS, ,OR IF WORi-c'" t'S-SBS'PENDED 'OR"ABANDONED~'F0R MORE THAN' 180 DAYS.
SUSPENSI9~ OR REVOC~TION MAY OCCUR IF ,THIS 'PERMIT WAS'ISSUED ON THE BASIS OF INCOMPLETE OR ERRONEOUS
, ,-INFORMATION.'" , - " -',' ',' ,
'~r~ANY'ONE PRoc~iD)NG,,'PAS'T\.THE .POINT or REQUIRED INS~ECTIONS WILL DO SO ~TTHEIR OWN RISK.
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SUBS0~f_J.<.G~"ANQJ:A;l/:r!':R.N~':r'~~..SE.vibl3~,. DISPOSAL SYS'nE}-1S: ('\" '1.'.
1. Permits shall be effectiyefor one year from the date of issuance.
,2: Upon' compfeting' the c'o~;struction for which a',permit has been"issue'd, the, permit, holder shall
notify the Lane ,County Depa:r;tment .of Planning ,.an.d. Communi ty D!=velopment by s\lbmi t,ting the,
install'ation record form. The Department shall inspect the construction to determine 'if it
comp;(i'e~' wi th"the.'~:tules contained in this di vi sion. I f the cons truction does comp:LY wi th such
rules";'-'the Def;artmentshallissue a cer1;ific,a te-'.9f' l?a'tisfactory completion ,to: the permi t( ho.1der.
If the construction does not comply,with' such rules, the Department'shql~ notify the permit
holder and shall require satisfactory completionbefor'e ,issuing the ,certi.ficate'. Failure.,to
~meet the requir~ments for satisfactor~ complet{o~'within a ie~sonable,time ~onstLtutes a vio-
laticin6f ORS" 45'4.6'0'5 to 454.,745' and this rule.
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Setbacks
Subsurface
From:
Interior property lines
Edge of road right-of-way
, Building foundation
Wells, other w~ter ~ource&
Drcl'i'i1f'i:eld'
10'
10,'
10 "
100.1. _"
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AP~LICANT MARTIN,
. TL.~ 1"703230000200
LANE COUNty DEPT ENV MGT RECEIPt ~ 42083 DATE 0~~~, ~
VICTOR ADDR 3415 .BALDY VIEW LANE. SPRINGFIELD, OR
SI...IBD I'll' LOT ' BLI< ", ,~i1
USE R DDRMS -4 'UNITS 001 STORIES ~BLDGS 001 PHONE 747
tIDDF~'
NEI;.1 BL.DG TYPE'
OkINEF: NhE
CODE r="!PPL NO
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BP
E:P
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t'lECH
SI.JF;:
ACTION DESCRIPTION
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FT, UNIT COST,VALUATION
FEE
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LC 4208~~ F:f~D
NO" FI )(TUF:ES': -
2.::::: (0) E) (~
'i 70 .,~5 0
NO.
CONNECTOF;:S:
r'IEC::H(.~,N I C(.~!... FEE
S'T (.~TE SUF;:CH(.'-lI:;:GE
PL.(lN CHECI< FEE
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COr'IPI...ETIClN' Df~ITE
TOT (.,1... FEE.)(.x
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PLANNING & COMMUNITY DEVELOPMEN,
ACTIVITY INFORMATION SHEET
lane county
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COMPLETE THIS SECTION.. INCOMPLETE FORMS WILL BE REJECTED!
--------~"'-----------~------~~-~~~'~...'.._--~~~~.----.-
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BUSINESS TELEPHONE # ,
,l} j'{tAJfA^& bOY tk:;S
PROPERTY OWNER
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- MAILI~G ADDRESS
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(j (201 (IV', 0{ 140 ) C.l)') II\V -nt-q ;1fJ ote:
, STATE ZIP CODE~~tY ._, r STATE
~?&? ' '1(1-~7~O c;AN(~ '
HOME TELEPHONE # BUSl~ISS TELEPHONE # HOME TELEPHONE #
, 'iXJ(Llt-k ~ tte:> (A1;(...1+1~1efU(},-:fT2.N\JlL U-cN'iN
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ZIP CODE i
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..' PERSON' ~AkING REQUEST
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MAILfNG ADDRESS
2c,PROPERTY ADDRESS' , ,
(IF DIFFERENT FROM MAILING ADDRESS)
, 3 MAP &. PAR eEL NUMBER
(REQUIRED INFORMATION)
-1(- 59
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ZONING
TAX LOT(S) OR PARCEL # ZONING
. ':2-~ ~ 2 j'!J. 1\ J ,
~_ '.7, '(kI'\CRES ,
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4 SUBDIVISION (if applicable) LOT BLOCK
, 5 ,REQUEST (state exactly what you plan to do p~ c..t'e.f-OeJ t~~ -j2.005'l1/S2-) ecuLor;;efl_
1<~\f40(1MS~y,~GUlf1fb-eOill:iJ CJ^PP z..-'='U~OM,~~~
TOWNSHIP RANGE SECTION
TOTAL CONTIGUOUS PROPERTY IN SAME OWNERSHIP:
6 DIRECTIONS TO SITE:'~ '1V~ err ~~{ J/~T~~ ~(
eo : Q.tl:,15f Urv f,~ \((tlA,) Gf\) to ~,~
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.,_..~v_n..'>'__~----".____~'~
** FOR STAFF USE ONLY **
NUMBER
DATE
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ZONE/LAND USE:
W Coc';T;R ~~N~~UT:)
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