HomeMy WebLinkAboutPermit Building 1984-04-116t!'
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Lane County Authori za,tton for,FOR OFFICE USE ONLY
Two Copies of Plans
Three Copies of Plot Plans
Mech/Plumbing Checklj-st
Legal Interest Document
Plan Check Info Sheet
Applica
Permit
TOW};SHIP
t7 o3RANGE SECTIONaa.l.3 OUT OFl
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LOTIPARCEL
ZIPI ,Hffi USE OF PROPERTY
idential I ndus tr ia I
n comrnercial l-l pr.,uri"
ETECTIONS TO S,ITEI(#t ffyt,oYrq
PTION ,-.\-irrTn,t,(!!f,l,Anro $ vAylE
: rcF BEDROOMS-n.A or'# OF EMPLOYEES
nrrrt/
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Existing
sed
NAME AND TELEPHONE NUMBER
I
NAME 77 my.tw_
TELEPHONE NUMBER/
1 TIAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION FOR , and do hereby certify that all infomation hereon is true and correct, and that I
have the following IegaI inte re t IN the property ,fiorr..of record Icontract purchaser;!authorized agent with evidence of authority attached
I f:rther certify that any and all work perfomed shall be done in accordance with the Ordinances of Lane Cowty and the Laws of the St.ale of Oregon
pertaining to the work described herein, and that No ocCUPANcY will be made of ily structure without the pemission of the Buildinq Division. r fur-
ther cerlify that registration with the Builder's Board is in full force and effect as required by oRS 701.055, that if exempt lhe basis for exemption
is noted hereon, and that only subcontractors ed employees who are in conpliance with oRs 701.055 will be used on this project. I HAVE RIAD AND
CHECK.ED THIS APPLICATION THOROUGHLY
NAME
READ TH]S SECTION CAREFULLY. YOUR AUTHORIZATION HAS BEEN BASED ON THE FOLLOWING CONDITIONS:
I pLaxNrNc,/zoNrNG
I'linimum Setbacks:
,or" A€f Partition #
"r, "ru" 4{-
Parce Iwz>rinterior
tr ParceI Size (a'x ltD'
cL, rront 45 lo'rear -5
COTIT1ENTS:
rn flood hazard "ru"rf*oIv.", SEE ATTACHED SHEET
Date:
Date:
N SANITATION: s. I. *B. P. #InsLallation Record Issued?[]"u" fl'r"
Installation Gallon
Specifications: _ Tank
Lineal Feet
of Drainfielal
Maximun Depth
of Trenches
Date:
fl PLANS EXAMINATION: Type Group wl Use
coMIlENrs: (tAL fu., t*,rSh t$?Wr{iltt ?
7 -T r
iJate:
TOTAL VALUATION $CONSTRUCTION AUTHORIZED BY TH]S PERMIT
Fixed Fee/Floodplain Fee I
Subsurface Fees $
Building Eee $
I'1ech,/Plmbg Fee $
Pr ans Check Fee $
State Surcharge $
DEQ Surcharge $
TOTAL FEE $S
Description Sq. Ft Unit Cost
PERMIT APPROVED BY BUILDING OFFIC (per ORS 456
LANE COUNTY DEPARTMENT OF PUBLIC WORKS LAND MANAGEMENT DIVISION, 687-4061,
I25 EAST 8TH AVENUE, EUGENE, OREGON 97401
SEE REVERSE FOR INSPECTION INFORMATION
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COlI}lENTS:
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SEIBACKS AND OTHER CONDITIONS OF APPROVAL MUST BE STRICTLY OBSERVED. VIOLATION CAN RESULT IN REVO-
CATION OF THIS PERMIT, CITATION UNDER PROVISIONS OF LANE COUNTYIS INFRACTION ORDINANCE, AND/OR OTHER
REMEDIES ALLOWED BY LAW.
WHEN READY FOR TNSPECTIbN, CALL 681-4065. A MINfMUM OF AT LEAST 24 HOURS ADVANCE NOTICE F'OR INSPEC-
@u.tlave__EEE_To11owinginformationready:permitnumbdr,jobaddresS,typeof inspection, when it will be ready, your. name and phone number, and any special directions to site.
BUILDING DIVISION:
REOUIRED INSPECTIONS
Foundation Inspeetion: To be made after trenches are excavated and forms erected and when all
materials for the foundation are delivered on the job. I^lhere 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;
tfEonduit, piplng acces
place but before any concrete is poured or floor sheathing installed, including the subfloor.
Framing & fnsulation Inspections: To-loe made after the roof, all framing, fire blocking, and
bracing are in place and all pipes, fireplaces, chimneys, and vents are complete and all rough
electrical and plumbing are approved. AII wall insulation and vapor barrier are in place-
1
To be made after all in-sIab or under-fIoor buililingsories, and other ancillary equipment items are in
3
Lath and,/or Gypsum Board Inspection: To be matle after all lathing anil gypsum board, interior
a-nd exE6ri-orl-E-in pTaceiu-E-EeEore any plastering i-s applied and before gypsum board joints
and fasteners are taped and finished.
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 pointindicated j-n 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 stepin the construction as indicated by each of the inspections required.
NOTE: AI1 building permits require inspections for the work authorized, such as but not Iimited to:
A. Block WalI: To be made after reinforcing is in place, but before any grout is poured. This
In.specETon is required for each bond beam pour. There will be no approval unti,l the plumbing
and electrical inspections have been made and approved.
B. Wood Stove: To be made after completion of masonry (if applicable) and when installation iscomplete. fnstallation sha1l be in accordance with an approved, nationally recognized testingagency and the manufacturerrs installation instructions.
C. Mobile Home: An inspection is required after the mobile home is ionnected 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 flood-plain management letter.
3. MobiIe home tiedowns, when required, and skirting shall be installed and ready for inspec-tion within at least 30 days after occupancy. Tiedowns and skirting shall be installedper enclosure -
D. Swimming Pool: Below grade when steel is in place and before concrete is poured. Above grade
wTen pool-Ts -instaIIed.
APPROVED PLANS MUST BE ON THE JOB SITE AT ALL TIMES DURING WORKING HOURS. THIS PERMIT WILL EXPIRE]F WORK DOES NOT BEGIN WITH]N lBO DAYS, OR IF WORK fS SUSPENDED OR ABANDONED POR MORE THAN 180 DAYS.
SUSPENSION OR REVOCATION MAY OCCUR IF THIS PERMIT WAS ISSUED ON THE BASIS OF' INCOMPLETE OR ERRONEOUS
INFORMATION.
ANYONE PROCEEDING PAST THE POINT OT REQU]RED INSPECTIONS WILL DO SO AT THEIR OWN RISK.
SUBSURFACE AND ALTERNATIVE SEWAGE DISPOSAL SYSTEMS:
Permits shall be effectiye for one year from the date of issuance.
Upon completing the construction for which a.perrnit has been issued, the permit holder shallnotify the Lane County Depaftment. of Planning and Corununity Development by submitting theinstallation rdcord form. The Department shal1 inspect the construction to determine if itcomplies with the rules contained in this division. If the construction does comply with suchrules, the Department shal1 issue a cert.ificate of satisfactory completion to the permitlholder.If the construction does not comply with such rules, the Department shall notify the permitholder and shall require sati.sfactory completion before issuing the certificate. Pailure to
meet the requirements for satisfactory completion within a reasonable time constitutes a vio-Iation of ORS 454.605 to 454.745 and this rule.
Se tback s - Subsurface Sewage Disposal
Septic Tank
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fnterior property lines
Edge of road right-of-way
Building foundationWells, other water sources
From 10 !
10r
10r
100 '
Drainfield
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TOTAL CONTIGUOUS PROPERTY IN SAME OWNERSHIP:ACRES
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SUBDIVISI0N ( if appl icable)LOT-BLOCK
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6 DIRECTIONS TO SITE:
COMP
AC ^ TVITY INFORMATION SHEET
E THIS SECTION. INCOMPLETE FORMS I,'ILL BE REJECTED!
** FOR STAFF USE ONLY **
ZOIIE/LAND USE:
BYr
--
DATE: TIME iN: OUT:
NUMBER
DATE
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LAND MANAGEMENT DIVISION / )25 E. 8th AVE., EUGENE, OR 9740I / 687.4061
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