HomeMy WebLinkAboutPermit Building 1995-4-24
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'.PERMIT #
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1 TCMNSHP ~E SECllCN tI..S~ON
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LOCATIOO ADDRESS
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'PR~~' SEPT.cNsi~ WATERMTAUED
TAX LOT SlA3OMSlCNIPAR1l'tl:;W
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NO. OF STORES
NO. OF EMPLOYEES
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DESCRPrcNCF PR:lPC6EO WORK "
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APPLICANT NAME & ADDRESS ,., I
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CONTRACTORINSTALlERfBUlLDEA NAMe
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I have carefully read BOTH sides of this
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application and hereby certify that all Information Is trua and correct
PANT NAME
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Following Conditions
DATE
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CALL FOR INSPECTIONS (SEE BACK OF FORM FOR INSTRUCTIONS) 687-4065
SEPTIC permits are good lor one year. ALL _'!!]J!'.J#Permlts expire aller 180 days unless Inspections
are current.
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lMD 040 Rev. 6/92
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VIOLATIONS
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SETBACKS AND anmR ..._......._.... OP APPROV ALMOST BE S'I1UC1L Y OBSERVED. VIOLATION CAN RBSIn. TIN RBVOCATlON OPnDS PERMIT,
, crrAno~s MAY DB ISSUBD UNDER mE PROVISIONS OP LANB COUNTY'S INPRACflON ORDINANCB AND/OR 01HER RBMEDIES AlLOWED BY LAW,
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A MINIMUM OF AT LEAST 24 HOURS ADVANCE NOTICE MUST BE GIVEN FOR INSPECTION REQUESTS
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Have the following information ready when you call: 687-4065
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Permit number - Job address .Type of inspection required'. When it will Qe ready -
Your name and phone m~lrer - :; ,Any special directions to t!te site
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PUBLIC omClAL RIGHT TO TRESPASS ON PRIVATE PROPERTY ORS ns.OIO
POWER TO Bm'ER UPON LAND, mE COMMISSION, AND ANY OP rrs MBMBERS. omCllRS AND EMPLOYES, IN nm PERPORMANCI!. OP.1HEIR PliNcnONS, MAY
E..VI'ER UPON ANY LAND AND MAKE BXAMINATIONS AND SURVEYS AND PLACB AND MAINTAIN nm NBCBSSARY MONUMBNl'S AND MARKERS TI-mREON,
REQUIRED INSPECJ10NS
FOUNDATION INSPECJ10N: To be made after excavations for footings ~ ~mplete. an? any requ(red !eiIp'o",~g, ~tee! isin,place. '(,
UNDERGROUND PIPING INSPECJ10N: To be made after all underground piping has been installed, priOr to any backfill.
CONCRETE SLAB OR UNDER-FLOOR INSPECJ10N: To be made after all in-slab or under. floor building service equipment, cOnduit, piping
accessories and other ancilIlU)' equipment items are in place but before any concrete is placed or floor sru;athing installed. including the subfloor.
ROUGH MECHANICAL INSPECJ10N: To be made after all ducling and gas piping has been installed and prior to being covered.
ROUGH PLUMBING INSPECJ10N: To be made after an plumbing rough.in is in place, prior to being covered., .
FRAMING INSPECJ10N: To be made after the all framing, fire blocking, bracing and roof are in place and ail pipes, chimneys and ven~ are complete
and the rough electrical, plumbing, and mechanical inspe~tions'have been made and Bpproved.
INSULATION INSPECJ10N: To be made after all insulation and vapor barriers are in place, prior to covering,
LATH AND/OR GYPSUM BOARD INSPECJ10N: 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.
ADDITIONAL INSPECfIONS MAYBE REQUIRED, such as but not limite.lto; " I' " , ,
BLOCK WALL: To be made after reinfon:ing is in place, but before any grout is poured The inspection is required for each bond beam pour. There
. will be no approval until the plumbing and electrical inspections have been made and approved.
FINAL MECHANICAL INSPECJ10N: To be made just prior to the slrUCwre or remodeled area being occupied and prior to operating any equipment
FINAL PLUMBING INSPECJ10N: To be made just prior to the building, structure or remodeled area being oe<:upied
FINAL BUILDING INSPECJ10N: To be mad" after finish grading and the building, strucwre or remodeled area is completed and ready for occupancy,
MOBILE/MANUFACfURED HOMES: An inspection is required after the mobile home is connected to an approved sewer or septic
system, prior to covering sewer or water lines, for setback requirements, blocking, tiedowns and plumbing connections.
Footings and piers to comply with State fOlmdation requirements for mobile homes or as recommended by the manufacturer.
Minimum finished floor elevation shall be certified when required by Aoodplain Management
Ticdowns, if required, shan be installed and ready for inspection within 30 days after occupancy. Tiedowns shall be installed per enclosure.
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. '
APPROVED PLANS MUST BE ON THE JOB SITE AT AU. TIMES DURING WORKING HOURS,
TIllS PERMIT WILL EXPIRE IF WORK DOES NOT BEGIN WITHIN 180 DAYS, OR IF WORK IS SlUPPED OR ABANDONED FOR MORE THAN 180 DAYS.
SUSPENSION OR REVOCATION MAY OCCUR IF THIS PERMIT WAS ISSpED ON\THE BA_SI~ OF IN,CO~PLETE O\l- ERRONEOUS,1NFO.RMATION,
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ANYONE .PROCEED~G PAST THE POINT,OF RE.QUIRED INSPE<;TIONS WIL,L. DC! SO AT .THEIR 9WN RISK.
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Y our signatur~,oJl !!te front of this form verifies the following: I HA VE, CAREFULLY EXAMINED TIllS COMPLETED APPUCA TION, and do
hereby'certify that all infonnation hereon is true and correct, and,that- I hav'e'a legal interest in the ~.~~"'..J as owner of record or authorized agent.' I
furthcr 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 per-
taining to the work described herein, I further certify that if I am not the owner of the property, my registration with the Builders Board is in full force
and effect as requireq by ORS 701,055, and that if exempt the basis for the exemption is noted hereon. and that only subcontractors an~ employees who
are in compliance with ORS 701,005 will be used on the job.
SUBSURFACE & AL TERNA TIVE SEW AGE DISPOSAL SYSTEMS:' .
When subsurface construction is complete, the permit holder shall notify the County Land Management Division by submitting the installation record
form. An inspection will be made by a qualified saillia'rian:~If c01lStrUctien co;nplies with 'allrules a CertifiCate of completion will be)ssued to the pennit
holder. If construction does not comply with rules, the permit holder will be notified, and all corrections shall be made refore a certificate of completion
will be issued. Failure to meet satisfactory completion within the alloned time constitutes a violation of ORS 454.605 to 454.745 and this rule.
SUBSURFACE SEWAGE DISPOSAL SETBACKS SEPTIC TANK
From: Interior y"oy__, lines 10'
Edge ofroad right-of-way 10'
Building foundation 5'
Wells or other water sources 50'
DRAlNFIELD
10'
10'
10'
100'
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THAi P~RC.EL /IF l~lIll lrllle. III Tilt IIllRTH E~t.T ~t-
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A l'CRT ION CF DAVIn ARTIIER. t>.LC. t.!D. b3
CITY OF !:.PRING,fIELD, LAtolE COUNTY, OREGON
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w: 2 2 3 LANE COUNTY DEPT ENV MGT RECEIPT I 126295 DATE 04219~
. APPL.IC,,,NT EDNEY, NOI~MA 'ADDF~ 4~>B0 ,)f,SPER FW., .SPRINGFIELD, OREGoto,.
~ k' (rU' 1 B0:.)0~:;130~~:.)0() SUf'DIV LOT F.<I..I< ,:,' ~
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NlW 8LDc; TYPE USE RBDRMS 0 UNITS 001 STORIES IBL.DGS 001 ~HONE 999 9999 '
. OWNEI:~ NME EDNFY, N[)f~~lA M)DF~ 4~>LlO JASPEI'~ 1'(1)., Spl:nNGFIELD, ()1:~I:::(;Ci".
CODE APPL NO ACTION DESCRIPTION SQ FT UNIT COST VALUATION FEE DArs
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