HomeMy WebLinkAboutPermit Building 1981-5-21
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~ ~ CONSTRUCTION/PLACEMENT
,~ "1 PERMIT
COMPLETE THIS BLOCK. PLEASE USE BLACK INK AND PRINT.
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I HAVE CAREFULLY EXAMINED THE COMPLETED AI'PL ION FOR PERMIT, and do hcn>byct"tl )' th..t all infQrmltiOIl ht'!con i!l tru~ and C'orrrr.l . . I furtht"
certify that any and all work performed shall be done in accordance with the Ordina. '9 of Lane County and the L.a''''i3 or thr SlM:c of 0'-"'1';111 I"'tlilininq
to the work dC!scribcd herein, and that NO OCCUPANCY will be made of any structure without tho pccmiasion of the Building Division. I fUl-th'H C"l'rtify
that. registration Io'ith the Builder' 5 Board is in full force and effect as requir~d by ORS 701. OSS. that if exempt the basiu for exemption ill not(>d
hereon, and that only subcontractors and employees who arc in cOlllpliance Io'ith ORS 701.055 Io'ill be used on this project. I HAVE READ AllD CIlECY.ED TIllS
APPLICATION THOROUGHLY.
TO~-JtlSHIP
\7
~A-1I/
NAME
c -< Idyd
(please print) e.
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'/17 Sl~ /" "----
o PLANNING/ZONING:
Zone
Parti tion f;
Parcel it
Hinimum Setbacks: CL, front
eL, s~de
FOR OFFIce USE ONLY
Applic.tion,I'\Q 1_ _01
Perrn~t '_l-UQ.VJ D
o Two Copics of Plans
D Two Copies of Plot PI.:lns
[]Mechanical Checklist
o Plumbing ChccUist
. DP1an Check Info Sheet
PROPOSED USE ur PROPERTY
~sidential []lndustrial
o Commercial
D Public
IS~
.f"'_L ~posed
, J-11~ t.(T Existing
TELEPHONE NUMBER
\46-027\
Tt:LEPIiO:~E NU1>1BEH
-~
ffOwner
[] Contractor
DAgon t
Parcel SizE'
1nterior ,eur iPu"
~,~;~~ to ci
[] Yes, see attached sheet, Date: r-l
D
(/~.~~~. ~"-~D "Yln~tallatiOn Record
( ,e~ Lineal Feet
.~ _\ of Drainficld
$
$ py) (Y)
$
$
$
$
$
$
$ t:S() .0)
FEES PAlO BY: ~eck - 0 Cash
By: r(\~ .
P)-\O) -~\
../
o FLO PLAIN:
o BURAL ADDRESSING:
[!(SANITATION:
D No
GRlD COORDINATE
...s
N
.,
-
Use
Comments:
CONSTRUCTION AUTHORIZED BY THIS PERMIT
Description
(lil'nl- ~(]doq ,
~ l\
Fixed Feel
Unit Cost
Floodplain Fee
Subsurface Fees
Sq. Ft.
Date:
lSSUl.ld? 'gj Y('5 0 No
Date:
D
Building Fee
Sewer/Storm Drain/Water
Plumbing Fixtures
Mechanical
Plans Check Fee
State Surcharge
TOTAL FEE
I
TOTAL VALUATION
$
Date:
j JttiIW 111, lAaO~1d
PERHIT APPROVED BY BUILDING OFF! tAL/DESIGNEE (per ORS 456.805(11)
COUNTY DEPARTMENT OF ENVIRONMENTAL MANAGEMENT / 125 EAST EIGHTH AVENUE, EUGE
LANE
C74-194
SEE REVERSE
/
97401
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SETBACKS AND OTHER CONOITIONS 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 REAOY FOR INSPECTION CALL 6B7-4065. 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 1I1SPECTIONS
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 (commonly 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.
condui t, piping accessories and other ancillary equipment items are in place but before .any concrete is. pouted
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 ~n..ulat1on and vapor barrier are in place.
~ . . " . \ 1 . . .
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 t?ped andlfini~hed.
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 firs~ obtainlng the approval of the b~i,1ding 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
. requi red.
. ; j I.
NOTE: All building permits require inspections. for the work authorized, such as but not limited to:
'A. BLOCK WALL: To be made after ,'einforcing is i'n 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 masonrv (if applicable) and when installation is comDlete.
Installation shall be in accordance with an approved nationally recognized testlng agency alld the manu-
facturerls 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) 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 sha1,1 ~e inst~lled and ready for inspection
within at least 30 days after occupancy. Tiedowns'and skirting shall be installed per enclosure.
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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
PERMIT WAS ISSUED ON THE BASIS OF INCOtIPLETE OR ERRONEOUS INFORMATION. . .,
ANYONE PROCEEDING PAST THE POINT OF REQUIRED INSPECTIONS WILL DO SO AT HIS OWN RISK
SUBSURFACE AND ALTERNATIVE SEWAGE DISPOS~L SYSTEMS
(1) Permits shall be effective for one year from the date of issuance.
(2)
Upon completing tVe 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 the construction to..
detennine if it complies with the rules contained in this division. If the construction does comply \l/it)1
such rules, the Department shall issue 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
From: Interior property lines
Edge of road right-of-way
Building foundation
Wells~ other water sources
Seotic Tank
10'
10'
5'
50'
Drainfield
10'
10'
10'
100'
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· AI"PUCANT LUJYD,
l~~~ 1703244202704
.NEt~ BLDG .TYPE
CODE APPL NO
RP
~.,p
'I':
BP
-.1"
t!F'
LANE COUNTY DEF'T ",E~~. Mr;T F:ECE!F'T ,'~' 1 08~81 D~!E 9~il 981.
NORMAN . ADDh .._~.30 EL BON 1 r.A FL., SF. I'D., t 747 7
SUBDIV EL BqNITA GARDENS LOT 6 BLK. 1
USE r~ NO BDI~MS 00 NO UNITS 001 NO STORIES NO BLDGS 001 ...I.~
ACTION DESCRIPTION SQ FT 'UNIT COST VALUATION FEE DAYS~
. Cil
eL
..,ECH
I SL!I~
....CI<
~DS
4%
50%
fi
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NO. FIXTURES:
NO.
CONNECTOF~S :
MECHANICAL FEE
STATE SUI~CHAF~C;E
PLAN CHF.::CK FTE
ADEl!.
15.00 EACH -
LC 108681 SDSC CErn. OF
50.00
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BY C,;D
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SDS SI ,f'CK OTH
1
COMPLETION DATE 060281.
ISS
2
7-
'[ST.
TOTAL FEElfiJ(.
~)0 . 00 CK.
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