HomeMy WebLinkAboutPermit Building 1984-09-12\r'8/ ffqzz DU GvlD )oz5 ile
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LaneTountY Aut rization for'FOR OFFICE USE ONLY
Two Copies of Plans
Ihree Copies of PIot Plans
Mech/PIumbing Checklist
Legal fnterest Document
Plan check Info Sheet
ApplicatiPermit #
SECTlON '*r, Y.-)*"" 3aT\3wliSHIP /r
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DECI"ARED S VALUE
Proposed
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SUPPLY
ra/TELEPHONE NUMBER74€6/2
TELEPTIONE NUMBERZ>*z'./7
I HAVE CAREFUTLY EXAMINED THE CO4PLETED APPLICATION I'OR PERMIT. and do herebv ,j.rlify that all infomation hereon is
CHECK.ED THIS APPLICATION
DATE
true and correct, and that I
! contract
cordance with
attachedthofauthorievidencetyauthorizedraseagentofrrecordTpurchintereINtthethehavefo11property[-lo,r.owrn9 legal theand ofLawS Statethe oftheofOrdinances Ore9onLaneCowtybefndoneacandworkshaIlcef:rther that perfomedrtifyany of Buithe Di 'rs10n I fur-tI ureuct thoutWI the MI 1dj-ngonbewillofmadeperehelnthatandOCCUPANCYanyNOtoworkthedescribedpertaining forthebasistreuld'70oRs .o that ifINforcefu11e f fectand as by e xempthwaBuildertheBoardreqcetherruitthafyregis tration ANDREADHAVEIusethi-sonW1th70LORSwilL055 projectarewhoanubcontractorsSconplj"anceedontshenotedreonthatandemployees1y
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;,{1Speci fications,:
COM}IENTS:
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PLANS EXAMINATION: rYPe
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SEE RBIERSE SIDE OF PERttlI Ar{c
Installation Record Issued?
ING CONDITIONS:
Parcel,
READ THIS SECTION CAREFULL
Zone
SANITATION
Installation
MI}S FORATL ELECTRrcAL WORK
interior
Group
Lineal reet
of DrainfielilGallon
Tank
Maximum Depth
of Trenches
ORTf,OII, DEPARTMENI OF
ON THE
Parce 1
TOTAL VAIUATION $CONSTRUCTION AUTHORIZED BY THIS PERMIT
Descriptio Sq. Ft.
Fixed Fee,/
Unit Cost
!'Ioodplain Fee
Subsurface fees
auilding Eee
l.1ech,/PImbg Fee
P] ans Check Fee
state Surcharge
DEQ Surcharge
TOTAL FEE
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PERMIT APPROVED BY BUILDING OEFIC IGNEE per oRS 456.805 (f) )
LANE COUNry DEPARTMENT OF PUBLIC WORKS LAND MANAGEMENT D]VISION, 687-4061,
125 EASTETH AVENUE, EUGENE, OREGON 97401
SEE REVERSE FOR INSPECTION INFORMATTON
DATE
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COM}1ENTS:
SETBACKS AND OTHER CONDITIONS OF APPROVAL MUST BE STRTCTLY OBSERVED. VIOLATION CAN RESULT fN REVO-CATION OF THIS PERMIT, CITATION UNDER PROVISIONS OF LANE COUNTYTS INFRACTTON ORDINANCE, AND/OR OTHERREMEDIES ALLOWED BY LAW.
WHEN READY FOR TNSPECTION, CAL 687-4065. A I{INTMUM OF AT LEAST 24 HOURS ADVANCE NOTICE FoR INSpEC-ffiNl-uavEtEefo1Iowinginformationready:permitnumber,jobaddr";=,-tvpuof insPection, when it will be readyr lour name and phone number, and any speciat diiections to site.
BUILDING DIVISION:
REQUIRED INSPECTIONS:
1- Foundation r":lgsligtt: To be made after trenches are excavated and forms erected and when aIImaE6iiEfE-for EEe-oundation are delivered on the job. where concrete from a centraL mixingplant (commonly termed .transit mixed") is to be uied, materials need not be on the job.
2. 991-9- il?b "t.Under:Floor r.ngpection: To be made after aII in-slab or under-ftoor buildingservice equipment, conduj-t, piping accEssories, and other ancillary equipment items are inplace but before any concrete is poured or floor sheathing instatled, -inlluding the subfloor.
3. .gln+ng & rnsulation fnspectionF: To be made after the roof, all framing, fire blocking, andbiaaing are-f;-pTace ana-ll pIpes, fireplaces, chimrr"y", .rril vents are compJ.ete and arl rougheLectrical and plumbing are approved. A1t wal-l insulalion and vapor barriei are in place.
4- Lath and/or GyPsum Bogrd Ilspegtion: To be made after all lathing and gypsum board, i-nteriorana exterior,--Is inllac-e-Eut-EEEre any plastering is applied.116 b.for" gypsum board jointsand fasteners are taped and finished.
5- Final rnspec.tion: To be made after the buililing is complete and before occupancy.
APPRoVAI REQUIRED- No work shal1 be.done.on any part of the building or structure beyond the pointindicated in each successive inspection without first obtaining the ipproval of the birilding official-such approval shal1 be given only after-an inspection shall have been-ira6e of each successi-ve stepin the construction as indicated by each of the inspections required.
AII building permits require inspections for the work authorized, such as but not limited to:
Block WaIt: To be made after reinforcing is in p1ace, but before any grout is poured. ThisI:r=s-pecEI6n.is required for each bond beai pour.'There will be rro "pp.6rr.I until the plumbingand electrical inspections have been made and approved
wood Stove: To be made after completion of masonry (if applicable) and when installation iscomplete. rnstallation shalI be in accordance with an appioved, nationally recognized testingagency and the manufacturerts instal_Iation instructions.
Mobile Home: An inspection is required after the mobile home is connected to an approvedEEil6i-rci-G6ptic-system for setbacli requirements, blocking, footing connection, tiedowns,skirting, and plumbing connections.
1- Footings and piers to comply with State foundation requirements for mobile homes or asrecommended by the manufacturer.
2. Mobile home minimum finish floor elevation sha1l be certifi-ed when required by a flood-plain management letter.
3. Mobile home tiedowns,-when required, and skirting shaIl be instalted and ready for inspec-tion within at least 30 days after occupancy. Tiedowns and skirting shall be installedper enclosure.
*+Il+*g.P?+j__f:]9* grade when steel is in prace and before concrere is poured. Above gradewhen pool is installed.
NOTE:
A.
B
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APPROVED PLANS MUST BE ON THE JOB SITE AT ALL TIMES DURING WORKING HOURS. THIS PERMIT WILL EXPIRErF woRK DOES Nor BEGrN wrrHrN 180 DAYS, oR rF woRK rs suspENDED oR ABANDoNED FoR M9RE THAN rgo DAys-SUSPENSION OR REVOCATION MAY OCCUR IE THIS PERMIT WAS ISSUED ON THE BASIS OF TNCOMPLETE OR ERRONEOUSfNFORMATION.
ANYONE PROCEEDING PAST THE POINT OT REQU]RED INSPECTIONS WILL DO SO AT THEIR OWN RISK.
SUBSURFACE AND ALTERN IIVE SEWAGE DISPOSAL SYSTEMS:
l. Permits slall. b9 e.ffective for,,one year from the date of issuance..{ 1
2. Upon completing the construction for which a permit has been issued, the permit holder shallnotify the Lane County Departrnent of Planning and Community Development by submitting theinstallation record form. The Department shall inspect thE construction lo determine if itcomplies with the rules contained in this division. If the construction does comply with suchrules, the Depdrtment shall issue a certificate of satisfactory completion to the'pLrmit1.hoIder.rf the construction does not comply with such ru1es, the Department-shall notify tie permitholder and sha1l require satisfactory completion before isiuing the certificatL" railure tomeet the requirements for satisfactory completion within a reasonable time constitutes a vio-Iation of ORS 454.605 to 454.745 and lfris iute.
Setbacks - Subsurfa.ce Sewage Disposal
' Septic Tank Drainfield
' From: Interior property lines 10 r LO I
Edge of road right-of-way 10 q 10 t
Building foundation 5 I IO t
. WeIIs, other water sources 50' 100t
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'FR.LANE COUNTY INSPECTION RECORD
TRS#q DATE ISSUED:\q PERMTT# @
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BACK RE I # PLUMBING FIXTURES
FRONT
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Approved
L SI DE I NTERI OR S,REAR J,O'
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Date -2 Correcti on Date
SDS APPRO\fAL qJ
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Date
App roved Date
Correcti on Date
Correcti on Date
I nspector
UND
I nspec tor
.OIHER INSPECTIONApproved Date Comecti on Date Ins pe ctor
H PLU
Approved Date Correcti on Date Ins pe ctor
F
Approved Date Correcti on Date I nspe ctor
Approved Da te Correc ti on Date I nspector
INSULATION / VAPOR BARRIER INSPECTIONApproved_Date Correction Dater_Inspector-
GYPSUM BOARD INSPECTION
Approved Date Correcti on Date Inspector
IApproved Date Correcti on Date I nspector
FINAL PLUMBING,
Approved y/ I
Approved Date
INSPECTION
oate 5Lz7-?/ /correction I
BUI LD Gtr/
Comection Date
Date
P E ENT
I nspe ctor
I nspector
Approved Da
M74-t97
te Insp Approve d Date Insp.
OuT) TNSPECTT0N
INSPECTION
CERTIFICATE OF OCCUPANCY N TEMPORARY CERTIFICATE OF OCCUPANCY E
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APPLICATION #
LOCATI ON
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ADDRESS
ik..-.17-_ZIP CODE
rty Building and Sanitation D'ivjsion cannot proceed with processing
:ause:
ncomplete appl ication ('items deficient).
Address and/or directjons to app'lication site.
Broposed number of bedrooms in dwe'l'ling.-fipprovable plot plan (see attachment).
Notification of date test holes w'ill be ready.
l
Verification of existing system required (see attachment).
Two test holes (2'x4'x5' deep) required for expansion or repair
of existing Sewage d'isposal system 'in the area of the proposed
dra i nfi el ds .
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BUILDING & SANITATiON PROGRAM / .LINP MANAGEMENT DIVISION
.cuse-publ ic servic;^ii;ij;i.g l l,e"rurt elh Rr.l''j"Eu;;r;-on-g7aot 7 (503)687-406 '
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VICINITT MAP
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Job Location (Street Address)
FOR INSTALLER'S USE:
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IDETAIL SYSTEM PLOT PLAN
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USE BLACK INK ONLY
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COMPLETE THE FOLLOWING IF A PUMP WAS USED ON THIS INSTALLATION:| (installer's name
Measured Distance from Well to Ta
and Mercury Float Switch (Mfg. and No
Signatu
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certify that a (Mfg)_ (Model No
have been installed with this sewage ihstallation
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FOB SANITA
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(RS
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s Correction
Date--
Date-
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System Capacity_gd./ day S
INSIALLATION RECORO & CERTIFICATE OF SATISFACTORY COMPLETION When signed by rhe Courrty Sanitarian, this certificate isevidence as per ORS 4Bl.665 of salisfactory completion of a subsu rface sewage disposal system at the above location
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RETURN THIS FORM TO THECOURTHOUSE./PUBL T C SERVT LAND MANAGECE BUI LDING YE$re?'Y+fi'oN -/AVE."HBEAfieY"BHE"BF"T i oo ,
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ACTIVITY INFORMATION SHEET
COII{PIETE IHIS SECII ON. INCOMPLEIE FORMS t{IL
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TOIN.SH-IF MNGE SEEM.N M ZONING
MINSE]P RANGE SETTMN M ZONING
TOIAL CONTIGUOUS PROPERTY IN SAME OWNERSHIP: -5- AC7^P5 ACRES
4 SUBDIVISI0N ( if appl icable)BLOCK
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DATE
LAND MANAGEMENT DiVISION 125 E. 8th AVE., EUGENE, OR 97401 / 687-4061
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