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HomeMy WebLinkAboutPermit Building 1981-06-046t!' - CONS U IION/PLACEMENT PERMITl,v{" COI{PLETE THIS BLOCK. PLEASE USE BLACK INK AND PRINT. FOR OFFICE US]J ONLY Applicati Pernit f !rro copies of P flrwo Copies of Piot Plans f taechanical Checklist ! f,t'unlinq Chec}:1ist Irtan Check lnfo Sheet I TAX LOT+?,tu ) ]our o!'SECTION2e4 4 TOI{TISHIP t7 U3 LO?/PARCEL (.I ffisiaentiar [-l commercial [-l tndustrial flruuric ZTP.\DDRESS STREET aL.l.r. a w"** OF STORIES I #s SUPPL d isting + TELEPHOi'IE DIRECTIONS TO certify that any and all work performed shall be done in accordance with the Ordiil to the work described herein, and that NO oCCUpANCy will be made of any structure that registration with the Builder's Board is in full force and effect as required hereon, and that only subcontractors and enployees who are j"n conpliance with ORS ances of Lane County and the Laag of th.-. St-artc of Oreq.il\ I,,)r I a j t) in.l without the permission of the Building Division. I further (jr rr_ify I by ORS 701.055, that if exempt the basis for exemption is notcd 701.055 will be used on this project. I HAVE RIAD AND CHECT,ED THIS I IIAVE CARETULLY EXA.IiIINED THE COMPLETED , and do hercbT ,:ert'thdt a1l in print)SIGNATUPE THOROUGHLY r' 0 tior) herccn is true and corroct and I furtrltc ,J 5-t NAI,IE ( ffi,",, fl conrra.:3:' f] es.,,t tr PLANNING ZONING:RA Parcel SizeZone front i L, Srde B. P. # 6/l,lirimum Sctbacks: t", ADDRESSING: GRI,D COORDINA'IL N in t erior Yes, see attached sheet Lineal Feet of Draintie]d rear x Comments : PLAIN:rn flood hazard arear ffno I Date: Date: Date:fl nunar, ffsarirrATroN:s. r. # Insra I I ation Specifications: Gallon Tank rnstallatron Record Issued? [ vnr I N" Maxrmun Depth ot 1'rer, ch e s i Conunents: Date: [f'er.aus EXAMTNATToN :E ) croup MlType Use +.veWrl^) Cornments : CONSTRUCTTON AUTHORTZ ED BY THIS PERMTT Description Sq. Pt Fixed FeelUnit Cost Floodplain Fee Subsurface Fees Building Fee Sewer/Storm Drain/Water _Plumbing Fixtures Mechanical Plans Check Fee State Surcharge TOTAL FEE $ $ $ s $ $ $ $ w ) TOTAL VALUATION $FEES PATD BY: By Date: @nea< tr Cash Qt PERMIT APPROVED BY BUTLDING OFF (per oRs 80 1) ) LANE COUNTY DEPARTMENT OF ENVIRONMENTAL T'IANAGEMENT / 125 EAsT EIGHTH AVENUE, c74-L94 SEE REVERSE NE, OREGON 9740l- Partition h_ Parcel * E TI ,^*", *81 l * SETBACKS AND OTHER CONDITIONS OF APPROVA.fiUST BE STRICTLY OBSERVED. VIOLATION CAN ITtr5tJLT IN REVOCATION OF THIS PES{IT. cITATIoN UNDER PRoVISIoNS 0F LANE CoUNTY'S TNFRACTION oRDTNANCE, AND/oR oTHER REMEDTES ALL0I,IED By LAt^l. t,lHEN READY FoR INSPECTIoN CALL 687-4065. A MINIMUM 0F AT LEAST 24 HoUR ADVANCE NoTICE FoR INSPECTIoN REQUEST MUST BE GIVEN. Have the fo1)owing information ready: Permit number, job address, type of inspection, when it will be ready, your name and phone number, and any special directions to site. BUILDING DIVISION: REQUIREp lllllIeItr[l r)FOUNDATI0N INSPECTION: To be made after trenches are excavated and forms erected and when all materials for the foundation @ob.Whereconcretefromacentralmixingp1ant(common1ytermed,,transitmixed.')istobeused,... materials need not be on the Job. . .. 2)CONCRETE SLAB 0R UNDER-FL00R INSPECTI0N: To conduit, piping accessories and other ancil l or floor sheathing instal Ied, including the 3) FRAMING & II$U,LAI!0N ]XS?E!II!X!: To be made after the roof, a'l'l framing, fire blocking and bracing are in place and sandventsarecompIeteanda.lIroughe1ectrica]andp1umbingare-approved.Al1 wal l insulation and vapor barrier are in place. 4) LATH AND/0R QYPSUM B0ARD INSPECTI0N: To be made after all lathing and gypsum board, interior and exterior, is in place @isappliedorbeforegypSumboardjointsandfastenersaretapedandfinished 5)FINAL INSPECTION: To be made after the building is complete and before occupancy APPR0VAL REQUIRED. No work shall be done on any part of the building or structure beyond the point indicated in each success'ive inspection without first obtaining the approval of the building official. Such approval shalI be given only after an inspection shall have been made of each successive step in the construction as indicated by each of the inspections requi red. NOTEI A'tl-building permits require inspections for the work authorized, such as but not'limited to: A. BL0CK I,IALL: To be made after reinforcing is in place, 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. B. W00D ST0VE: To be made after completion of masonry (if applicable) and when installation is comolete. Installat.ion shall be in accordance with an approved nationaliy recognized testrng agency arrd the manu- facturer's instal'lation instructions. C. I40BILE H0ME: An inspection is required after the mobile home is connected to an approvqd 9ew91 or septic system for: setback'requirements, blocking, footing connect'ion, tiedowns, skirting, and plumbing connect'ions. (f) Footings and piers to comply with State foundation requirements for mobile homes or as recommended by the manufacturer.(Z) U6Uite home minimum finish floor elevation shall be certified when required by a floodplain' management letter'(3) l4ob'iTe home tiedowns, when required, and skirting shall be installed_and ready_for inspection within at least 30 days after occupancy. Tiedowns and skirting shall be installed per enclosure. D. SI,IIMMING p00L: Below grade when steel is in place and before concrete is poured. Above grade when pool 'i s instalIed. APPROVED PLANS MUST BE ON THE JOB SITE AT ALL TIMES DURING I,JORKING HOURS. THIS PERMIT WILL EXPIRE IF HORK DOES NOT BEGIN I^JITHIN]8O DAYS, OR IF I,IORK IS SUSPENDED OR ABANDONED FOR MORE THAN]8O DAYS. SUSPENSION OR REVOCATION MAY OCCUR IF THIS i;rnliit itAS iSsuEo oN rHE BASIS 0F INcoIIPLETE 0R ERRoNEoUS INFoRMATIoN' ANY0NE PR0CEEDING PAST THE potNT 0F REQUIRED INSPECTI0NS TJILL D0 S0 AT HIS 0tlN RISK SUBSURFACE AND ALTERNATIVE SEWAGE DISPOSAL SYSTEMS (t ) (2) Setbaqki - Subsurface Sewaqe Disposal From: Interior ProPertY lines Edge of road right-of-waY Building foundation trlel1s, other water sources be made after all in-slab or under-floor building service equipment, ary equipment items are in place but before any concrete is poured subfl oor. Septic Tank Drainfield -T6]- Permits shall be effective for one year from the date of issuance. upon completing the construction for which a permit has been^issued the PeITi! holder shall notify the Department by submittini-tn"-i.ltuitaiion rec6rd form. The Department shall inspect the construction to determine if it compliei wiilr the-rules coniiinea in this d'iviiion. trf the construction does comply vtith such ru.les, the Depariii-"'""uiiiirr;;-.-;;;iiiiiui" 6i iatisfactory iompletion to.the Permit ho]der. If the construction ao"s notti*irv *iin';;;h;ri;;; *re-oepirtment-sha'lI -notify the pbrmit hoider and shal'l require satisfactory comptetioi-uEii,r" iitring ilre-i6riiiiiate. Failure to meet. the requirements for satisfactorv completion within u r.itonuoi. time c6nstitri"i i vioiation of ORS 454.605 to 454.745 and this ru]e' T0' 'I 0' 5' 50' 'I 0' l0''100' --ANE COUNTY, OREGON DEPT. OF ENVIRONMENTAL MA JOB ADDRES TO NOTE CONSTRUCTION PERMITS A INSPECTION DIV.]EMENT CCIFIFIECTIGIN NGITICE //- /6-8 / a DATE BLDG. PERN/IT t,l lr , c55-73 FIE.INSiTECTIc,N Fhone EiEl7_4OEiEi FoFl APPFTG,VAL 1o INSPECTOR3,>-w Ntre &+.qol,rt- FIEtrl t t/r4 , a \ /7-a3 -eR r l/efr; { I .ANE COUNTY INSPECTION RECORD O|^JNER'S NAME PHONE NUMBER ET BACK REQUIRE ENTS 3 M C L #PLUMBING FIXTURES L FRONT SIDE I NTERI OR REAR r^J K AUTHORIZED Y PERMIT DIRECTIONS TO SITE SITE ADDRESS PERMIT NUMBER TION INSPECTION OR Da teCorrecti on Di sa pproved N NSP TI A pro ved U ER-LOOR INS Approved Correct i on__D j sapproved Date I ns pec tor Inspector UNDER SLAB / PLUMBING GROUNDI,JORK INSPECTIONApproved Correcti on Di sapproved_-Date I nspector ITOUGH PLUI'IBING INSPECTIApproved Correction Disapproved Date Ins pector FRAM I INS p roved Correctj on roved _ C orrecti on--_Di sapproved Date Disapproved Date //-ta-g/_I nspector i ns pec tor INS App LATH / GYPSUM BOARD INSPECTION Ap proved Correcti on Di sa pp roved Date I nspector FI MB N ECT IApproved Correct'ion__Di sapproved_ Date _l nspector FINAL WASTE DISPOSAL SYSTEM INSPECTiON Approved Correcti on Disapproved Date Inspe ctor FINAL INSPECTION Approved l/ Co BUILDING MOBILE HOMErrection_Di sapproved. Dat e I nspector CERTIFICATE OF OCCU A N CYP TEMPORA RY CERTIFICATE OF OCCUPANCY Ap p ro ved__ __Co rrec t i Form C74-197 on-=--Disapproved Date ___=--Inspector \- -r 4 4 ,/tr J , - ffi lane county6ll1--!7 HOLID SLIP APPLICATI0N # i.c lojg,ijl LOCAT I ON 97\71 N NAME ADDRESS D The above application js be held for the following reasons: t) PRovroe 2) rwo sErs oF P s APPRovEo av Llxe Couurv. Rocrn L. McGucxrtl S IGNATURE dq or- I 5-8r DATE 0 PHONE This application will be held until above has not been furnished by tha If the information requiredlication will be cancell.ed.t te your app Building fees paid for permits cancelled under these circumstances will be proratedaccording to the work that has taken piuc. ii oi tt'. date of cancellation. 7, ' /'7 -03-ZZ,s7w \ \$ s\\- \ns Js E I i6 C ?\\ 7,O 'L/44. 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