HomeMy WebLinkAboutPermit Building 1982-4-23
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'STRU,>'~9f.\ES CU~~J:L.'Y?"ON PROPERTY :r:i/~7'?,// '/' - ,'/.. ,/...... '
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,Of CONTRp.CT:OR' S NAME/AN7ADDRESS, ,/,' 5' C - C /< ~ ,?" /h/?""" " -:p
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, I HAVE CAREFULLY EXAMINED 'E COMPLETED APPLICATION FOR PERMIT, and do hereby ecrti fy thaJ;~' i.nformation hereon i.s true and correct and I further
. : 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 Oreqon pct:Lai.ning
; to th'e work described herein, and that NO OCCUPANCY will be made of any structure without the permission of the Building Division. I further 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 compliance with ORS 701.055 will be used on this project. I HAVE READ AND CllEC}~D THIS
APPLICATION THOROUGHLY.
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SIGNATljRE ~'. 'L:..
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CONSTkUCTION/PLACEMENT
PERMIT
COMPLETE THIS BLOCK.
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NAME (please print)
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o PLANNTNG/zbNING:
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Zone
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,Minimum Setbacks:
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Comments: cA.r_,\"-(;./"l.<.').-f'</\',u
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In flood hazard area;') '~NO
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GRID COORDINATE / N
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FLOODPLAIN:
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o RURAL ADDRESSING:
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UiI' SlUHTATION:
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attached sheet.
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Installation Record Issued? [] Yes 0 No
Date:
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FOR OFFICE USE ONLY
APPlicationl /,!..., C,:/
Permit # ~// jf'~- ~~
[JTWO cop~s of Plans
[JTwo Copies of Plot Plans
OMechanical Checklist
[JPlurnbing Checklist
[JPlan Check Info Sheet
PROPO'SE'D USE' OFPROPERTY'"
~~Residential [JIndustrial
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o Commercial
Dpublic
I $ VALUE
o Proposed
'bd"'Existing
TELEPHONE NUMBER
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'Installation Gallon Lineal Feet Maximum Depth
spec~~ications: Tank of Drainfield of Trenches
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Comments:
Building Fee
Sewer/Storm Drain/Water
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L-;?'t,.."E-"/U Plumblng Flxtures"
Mechanical
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DATE
CONSTRUCTION AUTHORIZED BY THIS PERMIT
/-~Description
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Subsurface Fees
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TOTAL VALUATION
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PERMIT APPROVED BY BUILDING OFE:I,2IAL/DESIGNE:: ~per 'ORS 456,805 (1) )
LANE COUNTY DEPARTMENT O~:ENVIRONMENTAL MANAGEMENT / 125 EAST EIGHTH
C74..194
SEE REVERSE
Date:
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AVENUE; {EUGENE,
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OREGON
97401
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SETBACKS AND OTHER CONDITIONS OF APPROVAL MUST BE STRICTLY OBSERVED'. VIOLATION CAN RESULT IN REVOCATION OF THIS PERMIT,
CITATION UNDER PROVISIONS,OF LANE COUNTY'S INFRACTION ORDINANdE, AND/OR OTHER REMEDIES ALLOWED BY LAW,
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WHEN READY FOR INSPECTION CALL 687-4065, ,A MINIMUM OF AT LEAST 24 HOUR ADVANCE NOTICE FOR INSPECTION REQUEST MUST BE
GIVEN, Have the following information ready: Permit number;ljob address, type of inspection, when it win be ready"
your name and phone number, and any special directions to site. '
BUILDING DIVISION:
REQUIRED INSPECTIONS
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 n'ixing 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,
conduit, piping accessories and other ancillary equipment items are in place but before any concrete is' poured
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 insulation and vapor barrier are in place.
4) LATH AND/OR GYPSUM BOARD INSPECTION: To be made after all 1 athi ng and gypsum board, i nteri or and exteri or, is in place
but before any plastering is applied or before gypsum board joints and fasteners are taped and finished~
5) FINAL INSPECTION: To be. made after the building is complete and bef.ore occupancy.
APPROVAL REQUIRED, 'No work "shall be done on any part of, the JUilding'Orstructure beyond the point indicated in each
successive inspection without fi~st obtaining the approval of ~he building official. Such approval shall be given only
after an inspect~on shall have been made of each successive step in the construction as indicated by each of the inspections
requi red. ' ' I '
NOTE: All building permits require inspections for the work authorized, such as but not limited to: '
A. BLOCK WALL: To be made after reinforcing is iri Plaice, but before any g~out is poured. This inspection is
required for each bond beam pour. There will be nd approval until the plumbing and electrical inspections
have been made and approved. I '. ,
B. WOOD STOVE: To be made after completi,on of masonrvl (if a.pplica~l~l and, when installatioll is c_omolete..
Installation shall be in accordancewlth an approved natlOnally recogmzed testlng agency and the manu-
facturer's 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
connecti ons. , 'I ' .
, (l ) Footings and piers to comply with State foundation requirements for mobile homes or as recommended
by the manufacturer. I .'
(2) Mobile home minimum finish floor elevation shall be certified when requiretl by a floodplain
management letter., ' I
(3) r~obile home tiedowns, when required, and ski,rting shall be installed and ready for inspection
within at least 30 days after occupancy, Tiedowns arid skirting shall be installed per enclosure.
D. SWIMMING POOL: Below grade when steel 1S in place and before concrete is poured. Above grade when pool
is ins ta 11 ed,
APPROVED PLANS MUST BE ON THE JOB SITE AT ALL TIMES DURING WO~KING HOURS. THIS PERMIT WILL EXPIRE IF WORK DOES NOT BEGIN
WITHIN 180 DAYS, OR r'F WORK IS SUSPENDED OR ABANDONED FOR'MOR~ THAN 180 DAYS. SUSPENSION OR REVOCATION MAY OCCUR IF THIS
PERMIT WAS ISSUED ON ,THE 'BASIS 'OF INCOr1PLETE OR ERRONEOUS INFORMATION.
ANYONE PROCEEDING PAST THE POINT OF REQUIRED INSPECTIONS WILL DO SO AT HIS OWN RISK
SUBSURFACE AND ALTERNATIVE SEWAGE DISPOSAL SYSTEMS
(1)
(2)
Permits shall be effective for one year from the date of issuance,
Upon completing the construction for which a permit has been'issued the permi~ holder shall notify. the
, Department by submitting the installation record form) The 'Department shall lnspect the constructlon,Jo
determine if it compl ies.with the rules contained in this div.ision. If the construction does comply vnth
such rules, the Department shall issue a certificate ?f satisfactory c?mpletion tO,the permit holder. If ~he
construction does not comply with such rules, the Department shall notlfy the permlt holder and shall reqUlre
satisfactory completion before issuing the certificat~, Failure to meet the requirements fo~ satisfactory
completion within a reasonable time constitutes a violation of ORS 454.605 to 454,745 and thlS rule.
Setbacks - Subsurface Sewaqe Disposal
From: Interior property lines
Edge of road right-of-way
Building foundation
Wells, other,water sources
Septic Tank
10'
10'
5'
50'
Drainfield
10'
10'
10'
)00'
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LANE COUNTY "', ,SPECTION'RECORD
OWLt~:R IS ~N1\ME / /)#' ~ ' '
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.. SET '1?k&9D\ REQUI~J1MENTS '
Ob., (FRONT Yz CL, SIDE INTERIOR,~
WpR~.AUTHORlZE,8 BY 1?,(f{MIT' :""'/h'/) 17;:
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qJ.,REC~!~N$ TO s-nE...,4 ,J'. t! ,'7 /:/ ',-,';', jp,//;, ,? j , ..', "
c4-a;; tfl-lf{,; r..:e"'/'Z,(L--:/!.4(f,,.d.'-..J '0 /LA~trh/:-<1/J-:z.^,c./7,~/-Pif, 4-, ;?I' /' _#/./ /1- 4- ~4//t //i:>)IJ' :
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S HE. ADORE SS to': ,<--/1 r...r
/0 cIS ~1.1'_4;1_.l~1) V~-b Y~j /l -,
FOOTING / FouNDATION INSPECTIO,N lOR MOBIL~ffTOME SET UP; INSPECTION
Appr<:1:d . Correct; on~' isa pr: ved U Date Inspector
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CONCRETE SLAB / UNDER-FLOOR INSPECTIO~ ,
Approved Correction Disapproved
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I P~9NE/NUMBER - , '
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P80N7JE NUM~ER .
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#PLUMBING FIXTORES I
REAR .C'~
'PERMIT NUMBER
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Date";;.
Inspector
UNDER SLAB / PLUMBING GROUNDWORK INSPECTION
,A.pproved Correct ion .Di sapproved Da te
Inspector
ROUGH PLUMBJNG INSPECTION
Approved Correction
Disapproved
'Date
Inspector
FRAMING INSPECTION
Approved Correction
Disapproved
Date
Inspector
INSULATION j VAPOR BARRIER INSPECTION
Approved Correction Dis~pproved
Date
Inspector
LATH / GYPSUM BOARD INSPECTION
Approved Correction Disapproved
Date
Inspector
FINAL PLUMBING INSPECTION
Approved Correction
Disapproved
Date
Inspector
FI~AL WASTE DISPOSAL SYSTEM INSPECTION
Approved Correction Disapproved Date Inspector
/'
FINAL INSPECTl,GN BUILDING "'MOBILE HOME j" (1-' /J
Approved V correcti-",,-_~isapproved Dat~~: f- :lr1nSpector ?"rr___
CERTIFICATE OF OC.CUPANCY
Approved Correction
Disapproved
TEMPORARY CERTIFICATE Of OCCUPANCY
Date 'Inspector
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Form C74-197