HomeMy WebLinkAboutPermit Building 1985-08-02re RPcK
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La e County Authorization fo FOR OFT'ICE USE ONLY
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COI4PLETED APPLICATION POR PDRMIT, and do hereb!, cettify that all infomation hereon is true and correct, and that I
have the following legal j-nterest in the property, [orr.. of record; [] contrac,t prrrchaser;
I f:lther certj.fy that any and all work perfomed shalL be done in accoLCai).rt with the Ordrrtances of Lme Comty and Lhe Laws of the State
to the work descrj,bed herein, and that NO OCCUPANCy will be made of ar,i st-rrrcture without the pemission of the Building Divisi
s Board is in full force and effect as required by oRs 701.055, that if exempt the basis for exenPtion
s who are in compliance with oRs 7oI.055 will be used on this Project. I HAVE READ NID
I }IAVE CAREFULLY EXN,IINED
APPLICATION
r
DATESIGNATUR.E
authorized agent with evidence of authority attached
of Oregon
on. I fur-pertalning
ther certify that registration with the Builder'
, and that only subcontractors ed enployeeis noted
BASED
interior
Date:
Date:
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{r"o*.EXAMINATION:
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s. r f]r"" I n"Installation Record Issued?
ING CONDITIONS !
Parcel Size
READ THIS SECTION CAREFULLY.
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AUTHORIZATION qAS
Partition #
Minimum Setbacks:
cor'01ENTS
CO},l.[IENTS:
Lineal Eeet
of Drainfield
Installation Gallon
Specifications: Tank
!,taximun DlePth
of Trenches
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PERMIT APPROVED BY BUILDING OF'FIC F oRS 456.805 DATE
LANE COUNTY DEPARTMENT OF PUBLIC WORKS LAND MANAGEMENT DIVISION, 687.4061,
125 EASTSTH AVENUE, EUGENE, OREGON 97401
SEE REVERSE FOR INSPECTION INFORMATION cr4-25 R*
7 *to'a3
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SETB;ICKS AND OTIIER. CC::DITIO)JS OF APPROVAL I1UST BE STRICTI-i... oESERVED. VIOIJITION CAr' RESULT IN REVO-
C;?IOll OF TIIIS ?EnIlIT, CIT,iTIO:i UND5R PRIVISIONS.OF LA\E jOIr':;TY'3 INFRACTION OF.DI:.:ANCE, AND/OR OTHER
REIIEiDIES ALLOI^IED aY LAw.
riHEN RE.1D}'FOR INSPEC?ION, CA;-:6A1-4065. A }lINI}1Ui1 OF AT L'AST'2! IIOURS AOVAI;:E NOTICE FOR INSPEC-
T16N--FEE!-i3T-TI-S'I-B- Givs]:. :rit-ThE-aollowing inao.iation ready: permit number, job address, lype
of j.nspecrlon, when !t wrll be ready, your name ani pl-.cnc aunber, anC any specj.al dircctions to site.
BUILDING DIVISION:
REQUIRED Ir*SPECTIONS :
Foundatron ..I:lggllgl; To be nade after trenches are excavated anC forms erected and when al1
naterial! ior the toundatj.on ale delivered on the lob. i{here concrete flom a central mixing
pLanc (comonly terned "transit maxed,) is to be used, materials need not be on the job.
2. Concrete Slab or Under-:Icor InsDectron: To be made afte! all in-slab or under-fLoor building
EEivl:e-"q--urpm*t.--Eoiiu-iilprpiiq=aEAssories, and qLher ancillary equipment it.ems are in
place but betore any concrete is poured or floor sheathing installed, including the subfloor.
3. Framing 6 Insulation Inspections: To be made arter the roof, all framing, fire blocking, and
EiaElt-t frb---ii IIEEE aiE-E-LI-pi6es, fireplaces, chimneys, and vents are complete and al-1. rough
eleccri.cal and plumbing ale approved. A1I wall insulation and vapor barrier are i-n place.
1. Lalh aad,/or. qJ!:gI Board Inspection: To be made arter all Lathing and gypsum board, i.nterior
and ertCrior, is in place buI- before any plasLering is applied and beiore gypsN board joints
. anci fasteners are taped and finished.
5. Final Inspection: To be made after the building i-s complete and before occupancy.
APPROVAL REQUfRED. n-o work shaLl be done on any part of the buildj.ng or structure beyond the point
indicated in each successive inspection without firsl obtaining the approval of the building officiaL.
Such approval shall be. glven cnly after an inspection shaLl have been maCe of each successive step
in the consLructlon as i,ndicated by each of the inspections required.
NOTE: AIl building permits require inspections fdq. the work authorized, such as but not limited to:
A. Bl,ocli fda1l: To be maie after reinforcing j"s in place, but before any grout is poured. This
irepecElo is requj-red for each bond beam pour. There wilI be no approval until the plunbinq
and electrical" inspections have been made and appro!'ed.
B. l.lood St.ovei To be made after completion of masonry (if applicabLe) and when installati.on is
comeletq Installation shaII be in accordance with an approved, nationally recognized testing
agency and the manufacturerrs install-ation instructions.
C. MobiLe Home: An inspection is required after the mobile hone is connected to an approved
s@i-Feptj.c system f or setback requirements, blocking, looting connection, tiedtwns,
skirting, and plmblng connections.
I. Footings and piers to comply with State foundation requirements for mobile homes or asrecomended by the manufacturer.
2. uobiLe home mj-nimum finish floor elevaticin shall be certified when required by a flood-plain management letter.
3. Iltobile home tiedowns, when required, and skirtj,ng shall be installed and ready fo! inspec-
tion w!thin at least.30 days after occupancy. Tiedowns and ski.rting shall be instaLled
Per enclosure.
D. swimrng PooI: Below grade when steel is in place and before conclete is poured. Above gradenls po61-is installcc.
]\PPROVED PLAIIS MUST BE ON THE JOB SITE AT ALL TIMES DURI*-G WORKING HOURS. THIS PERHIT IIILL EXPIREIF WORK DOES NOT BEGIN WITITIN ]30 DAYS, OR IP WORX IS SUSPENDED OR ABANDONED FOR }'IORE THAN 180 DAYS.
SUSPENSION OR REVOCATION ilAY OCCUR IF TITIS PERI.IIT WAS ISSUED ON THE BASIS OF INCOMPLETE OR ERRONEOUS
INFORMATI ON .
ANYONE PROCEEDING PAST THE POIIiT OT REQUIRED INSPECTIONS WILL DO SO Al.THEIR OWN RISN.
SUBSURFAbE AND ALTERNATIVE SEI\'AGE DISPOSAL SYSTEHSI
I. Permits shall be effective for one year from the Cate of issuance.
2. upon conpleting the construction for uhich a permit. has been issued, the permit holder shallnotify the Lane County Deparment of Planning and Comunity Development by submitting thelnstallaLion record folm. The Departient shall inspect the construction to determine if itcomplies with Lhe ru.Les contained in this divisj.on. If the construction does comply with suchrules, the DeparLnent siraLl issue a certlficate of satisfactory compLetion to lhe permiti holder.If the construct.ion does not comply with such !ules, the Departient shall, notify the permit
holder and shaI1 require satisfactory completion befora issuing the certificate. Failure tomeet the requiremencs for saLisfactory completion within a reasonable time constitutes a vj.o-Lat!on of ORS 454.605 to 454.745 and this rulc.
Setbacks - Subourfacc S.:nage qEI)osal
seplic Tdnk Drainfield
Inlerior property Iines
Edge oi road rrqilt-of-way
R\rrldinq foundation
liells, other uater sources
:'rom:IO'I0'
50 |
10,
10 |
10,
100 |
kre ccurty
ACTI ' ^TY INFORMATION T HEET
COMPLETE IHIS SECTION. INCOMPLETE FORMS t,lILL BE REJECTEDT
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3 rvlle B PAFIeEL NTJMBEFI
( REQU rREp rNF0Ri,|ATI0N)
(from tax maps in Department of Assessment and Taxation
or from tax statement)
$*11 o\ Zz 4l uloo 4,
TOWNSHIP RANGE SECTION TAX LOT(S) OR PARCEL #ZONING
MIIBETP MNGE SECTMN W ZONING
MTNSHTP R-AN.CE SEETTON W zoNIXG
TOTAL CONTIGUOUS PROPERTY IN SAME OWNERSHIP:ACRES
O ,UrrUr-ON ('if appl icable)L}T hi1 BLoCK c>
5 REQUEST (state exactly what you plan to do)
6 DIRECTIONS TO SITE:9 I
** FoR STAFF USE oNLY **
ZONE/LAND USE:
BY: _ DATE:_ TIME IN:_ 0UT:_
{ir,(/l
LAND MANAGEMENT DIVISION / 125 E. 8th AVE., EUGENE, OR 9740I / 687-4061
1
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NUMBER
DATE