HomeMy WebLinkAboutPermit Building 1981-06-046t!'
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CONS U IION/PLACEMENT
PERMITl,v{"
COI{PLETE THIS BLOCK. PLEASE USE BLACK INK AND PRINT.
FOR OFFICE US]J ONLY
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flrwo Copies of Piot Plans
f taechanical Checklist
! f,t'unlinq Chec}:1ist
Irtan Check lnfo Sheet
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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
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tior) herccn is true and corroct and I furtrltc
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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
$
$
$
$
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TOTAL VALUATION $FEES PATD BY:
By
Date:
@nea< tr Cash
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PERMIT APPROVED BY BUTLDING OFF (per oRs 80 1) )
LANE COUNTY DEPARTMENT OF ENVIRONMENTAL T'IANAGEMENT / 125 EAsT EIGHTH AVENUE,
c74-L94 SEE REVERSE
NE, OREGON 9740l-
Partition h_ Parcel *
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TI
,^*", *81 l
*
SETBACKS AND OTHER CONDITIONS OF APPROVA.fiUST BE STRICTLY OBSERVED. VIOLATION CAN ITtr5tJLT IN REVOCATION OF THIS PES{IT.
cITATIoN UNDER PRoVISIoNS 0F LANE CoUNTY'S TNFRACTION oRDTNANCE, AND/oR oTHER REMEDTES ALL0I,IED By LAt^l.
t,lHEN READY FoR INSPECTIoN CALL 687-4065. A MINIMUM 0F AT LEAST 24 HoUR ADVANCE NoTICE FoR INSPECTIoN REQUEST MUST BE
GIVEN. Have the fo1)owing information ready: Permit number, job address, type of inspection, when it will be ready,
your name and phone number, and any special directions to site.
BUILDING DIVISION:
REQUIREp lllllIeItr[l
r)FOUNDATI0N INSPECTION: To be made after trenches are excavated and forms erected and when all materials for the foundation
@ob.Whereconcretefromacentralmixingp1ant(common1ytermed,,transitmixed.')istobeused,...
materials need not be on the Job. . ..
2)CONCRETE SLAB 0R UNDER-FL00R INSPECTI0N: To
conduit, piping accessories and other ancil l
or floor sheathing instal Ied, including the
3) FRAMING & II$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'
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5'
50'
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l0''100'
--ANE COUNTY, OREGON
DEPT. OF ENVIRONMENTAL MA
JOB ADDRES
TO
NOTE
CONSTRUCTION PERMITS
A INSPECTION DIV.]EMENT
CCIFIFIECTIGIN NGITICE
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FIE.INSiTECTIc,N
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.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
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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.
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