HomeMy WebLinkAboutPermit Building 1983-02-07Ur : I Er uss ONLYf;aP
e coNsr**isvftritilH APP!r-catl
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Two CoPies of PioE
THIS BLOCK.PLEASE USE BLACK INK AND PRINT.tr
T )lechanica'l Checkli st
!P1Lrmbinc Ch€Cl"rrs'
Plan Check l-nIo Sheet
P l-ans
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of Lan.r Collrt:
on hal
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of tlle Bui
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on this Proiec
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of rtr(: S! rl:c
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I
rOR PERMIT,
CARE FULLY EXA.I"IINED TIIE COMPLETDD APPL
done
NO OCCUPANCY
rformed
s Boa
and
shatl be in accordancc
tt U" ..dt of any s
and effect as
in comPliance
wi.th
l"-L, slde'
B. P
Lhe ord itlar':r()9
arr"trtt wi thout-thL- perni!ision
?cI.055, Lhat
will bc usad
basis for
t . I HAI,/E
cxem!t
RErlD AND
certifY
to the
tha t
hereon, and
Lhat any and a Il" sork Pe'i.tul", and that req,l j r':'l Ll' OPS
,i16 nRs ll) t ' 055
/
work descri'bed rd is in ful
enployees who are
I force
the Builder'
req istration with
that onlY subcontractors fr -'^''t"
APPLlCATION THOROUGHLY *L-H il, :.,, . -. " . '- :':
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slGliituFr
E ASC
Zona
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illlrrmum sc-ulacks: -L' frcnl
NlaMf ( Ll print)
Ccmments r
tition f Parce I -
. r(/rnterlor v
Date:
Date:
,"H3,Y T
,"^, /5'P0€
2-
tr PLANN ING ZONING:
t'Parcel Si
€r _d4
fl rr,oooPr,aru:
! nunar,ADD RESSING:
SP.N ITATION: s' r' #
Insf,allation
Spec ifications
Coments:
In flood hazard area?(-" f| v's' see attaciled shee!
E Date:
{iRLD cooR-DrNAl'L 11
I,ineal Feet
of Drairrfield
riorr F-ecord lssued? f vtt I N"
Maxlmunr Depth
of TrelichesGal ]on
Tank
2
/Il
/
I^JATER SUPP],Y
te, V
Use
PLANS EXAMINATI Type
Cofiunents:
CCNSTRUCTION
Group
AUTHORI ZED
W
$-=-----.--,/5A?g
Fixed Fee,/
Unit Cost
BY THIS PERITIT
Ploodplain Fee
Subsurface Fees
Building Fee
Sewer/Storm Drain/Water
l7 nrr*ring Fixtures
Mechanical
Plans Check Fee
State Surcharge
)
$iililr 70
$
$
$
)
s/7
TOTAL FEE
FEES PAID BY
VALUATION $
By:
Date:
PERMIT APPROVED BY BUILDINC OFFICIAL,/DESIG}IT;E (;,:T OliS 4
LANE COUNTY DEPART!'IENT OF PLANNING & COI'LIUNrTY DEVEITIPMHNT / L25 EAST EIGHTH AVENUE, EUGENE,
SBE REVERSE FoR INST,ECTToN INFoRMAT]oN
9140L
SETEACKS-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 ORDINANCE, ANDIOR OTHER REMEDIES ALLOI^JED BY LAI^I.
WHEN READY FoR INSPECTIoN CALL 687-4065. A MTNTMUM 0F AT LEAST 24 HoUR ADVANCE NoTICE FoR INSPECTIoN REQU
GIVEN. Have the following information ready:...Permit number, job address, type of inspection, when it wilyour name and phone number, and any spacial ditectiols to site..
EST MUST BE'I be ready,
BUILDING DIVISION:
REQUIRED IIISPECTIONS
t)
)_)
F0UNDATI0N INSPECTI0N: To be made after trenches are excavated and forms erected and when all materials for the foundation
ffiob..hlhereconGretefromacentralmixin9p.Iant(commonlytermed,,transitmixed,')istobeused,
materials need not be on the Job
I0N: To be made after all ift--s lab or under-f1oor bui lding service equiPment,
c SLAB lary equipment items are
subfl oor.
in place -but before any concre te i s potrrederanci Ing acces ES
or floor shea th'ing i ns tal'led, including the
p
3)
4)
FRAMING & IN5SLATISN INSpECTI0I!!: To be made after the roof, al1 framing, fire blocking and bracing are in place and
sandventl'ui.-io*pt.t.andal.i.o,gn6j..tricaland[1umbingareapproved.A11
wall'iirsuiation and vapor barrier are in place'
LATH AND/0R GYPSUM B0ARD II!s],ECTIoN: To be made after a]1 lathing and gypsum board,.inter.ior and exterior, is in place
."["ti."-syp',*oou"ajoinisand-iastenerSaretapedandfinished.
5)FINAL INSP ECTION To be made after the building is complete and before OccUpancy
AppRgvAL REQUIRED. No work shall be done on any part of the-building-or stru-cture.beyond the point indicated in each
success.ive.inspect.ion-wiinout first obtainins-ii."upp.oval of.tte-oriraing official- Such approval shall be given only
after an inspection shal'l have been made oi 6acrr successive step-in-tlre i6nstruction as inditited by each of the inspections
requi red.
NSTE: A11 building permits require inspections for the vrork authorized, such as but not limited to:
A
B
BL0CK WALL: To be made after re'inforcing is in p1ace, 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.
W00D ST0VE: To be made after completion of masonry (tf applicable) and when installation is comolete.
Installat.ion shatl be in accordance with.an approved nat'ionally recogn'ized testrng agency and the manu-
facturerf s instaUalion instructions ;
An inspection is required after the mobjle home is connected to_an.approved sewer or septic
setback requirements, b'lockinS, footing connection, t"ie{owns, skirting, and p1umbing
. (l) Foot.ings and piers to comply with State foundation requirenients for mobile homes or as recommended: I by the manufacturer(Z) 6t,Uil" home minimum finish floor elevation shall be certified when required by a floodplain
management letter.(3) l4obiie home tiedowns, when required, and skirtinq shall be installed and ready for inspection
'.,i. w.ithin at least 30 diys .it".'o..rpun.v. Tiedowis and skirting shall be installed per enclosure'
D. sldIMMlNG p00L: Below grade when steel is in place and before concrete is poured. Above grade when pool
'i s installed.
AppRo\,ED PLANS MUST BE 0N THE JoB StTt AT ALL TIMES DURI.IIG fi0BKiNG H0URS. THrS PERMIT l.lILL EXPIRE IF l',loRK DoES NoT BEGIN
r,rrTHrN r80 DAys, 0R rF r^r.RK rs suspENDED on
"nsANo0iro"io.l-uqBi^:trnu iio onvs' susPENSl.N on nrvocnrtoN MAY .ccuR IF THIS
PERMIT I^IAS ISSUED NN iHE"iliSi( Oi"iIIiOIIFiiiT OP' ENNONSOUS INFORMATION'
ANYONE PROCEEDiNG PAST THE POINT OF REQUIRED INSPECTIONS ITILL DO SO AT HIS OlllN RISK
SUBSURFACE AND ALTERNATIVE SEI'IAGE DISPOSAL SYSTEMS
, (l) Permits shall.be effective for one year from the date of issuance'
,.h. I.(a}uponcompletingtheconstruction.forwhichapermithasbeenissuedtheperm.itho]dershal.lnotifythe
::nitffi:.,?i,i'::iHrlilii;tii::lilil**li:u:iil,,Ir6l*:l';!,i$ii'ix*::'lH
::::':ffilil"lii,,*,
such rutes, *,. o.pa.tr.nt-shall ir;;;".";;;iiiicate ti'lt;i;i;;;otv to'nptetion to the permit hol
construction'oo.i hot comply witn'iucr,.ri"r' ttre oeparti;;;t;;ii irotitv.the oermit holder and s
satisractorv ion'pr'tion berore i""i^g tt''-"'iiti'll:;r:li:+li-t'lti::':;t"htii;;t':l: lfll"i:i:ractorv
completion -iifi[ t"titsonaute time constitutes a vrol
c. r,l0BILE H0r'4E
system for:
connecti ons
Setbacks - Subsurface Sewaqe Disposal
From: Interior ProPertY Iines
iJo. ot road right-of-waY
euitaing foundation
ttlttt, other water sources
!+FrrB Dra'i nf i e'ld
10'
'10'10'
l0'
'l 00'5'
50
lane county6l!'--
CHECKTIST
PTUMBING /MECHANICAT
APPLI CA}{T INFORtr4ATION :
or rm-ase 1n
PLUMBI
lng SS 1p
MEGIANICAL
Address
I rvo n s"rr
s Firm
Cont. OSR#
Cont. OSR#
Address
X Noflserr
PLi]MBING
OFFICIAI USE ONLY
Appli.. /
Permit -8
Type of Fixture Nunber of Each Fee On Each Total
Sink I $ s.oo
l,avatory 5. 00
Tub (with or without shower)5. 00
Showcr, sepal'ate I 5. 00
Water Closet t e ,5. 00
s .00
Disposer I >age grinder)5. 00
5. 00
-er 5.0t
Floor Drain 5.00
Sewer--Ist 50ft.15 .00
100 ft.10. 00
Water Service--1st 100 ft.15. 00
each additional 100 ft.10. 00
Rain Drain--1st 100 ft.15.00
each additional. 100 ft.10. 00
a Was te Connec 5 .00-ei ector)5.00
e Sewer 10.00
1
SUB-TOTAI (l4inimum $10. 00)
TOTAL FEE
MEO{ANICAL
Type of Equipment l'lumber of Each Fee on Each Total
Mechanical Permit Base Fee $ ro. oo
Eurnace up to 100,000 BTU/H $ 6.oo
Furnace over 100.000 BTU/H 7 .50
Clothes Dryer Vent 3. 00
Bathroom Ventilation Fan 6 hrct 3. 00
Range Hood with Nlechanical Exhaust 4.50
Wood Stove 6. 00Air Conditioner 0n1y 6. 00
Heat Punp o. 0t)
Floor Furnace 6.00
Gas Piping System 1 to 4 Outlets
Per Outlet 50
Other (specify)
STIB-TOTAL
TOTAI FEE
nfer
0ther
hne ccunty
.ANNING & COMMUNITY DEVELOPMENT
ACTIVITY INFORMATION SHEET
COMPLETE THIS SECTION. INCOMPLETE FORMS t^lILL BE REJECTED!
@
filr Z.e € Car/3
MTEQTETT-
79af bicta ttU E NER
lfubt;Eo q< ??rryITTY-STATE ZIP CODE C ITY STATE ZIP CODE
z)-o O.fY Im 7P2-o*lffiffi HOME TELEPHONE #
z PRoPERTY ADDRESS L Srlag
( IF DIFFERENT Spg
3 rvl^ee a PAFIEEL NUMBEFT (from tax maps in Department of Assessment and Taxation
(REQUTRED INFORI4ATr0N )or from tax sta tement)
fntl 4ro. lc.(&.2;r4r,vo<br t ttoct< C,.17 _D )-?
TOI^INSHIP RANGE SECTION
dLs.W ZON I NG
MINSH.IP MNGE SEETMN W ZON I NG
MWNSEIP MNGE SEETIOU ffi zoN-rxr--
ACRESTOTAL CONTIGUOUS PROPERTY IN SAME OWNERSHIP:
4 SUBDIVISI0N (if applicable)4(.nfurr*{r;,4 BLOCK b
5 REQUEST (state exactly what you plan to do)
Orl/,,/t/E I
6 DIRECTIONS TO SITE:
ZONE/LAND USE:
** FOR STAFF USE ONLY **
NUMBER
DATE
-ln
<t't
{
BY:
-
DATE:TIME IN:_ OUT:---
I
+ 4,4q8- MAILING ADDREST