HomeMy WebLinkAboutPermit Building 1982-06-116l\'
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CONSTRUCTI N/PLACEMENT
PERM IT
COIUPLETE THIS BLOCK. PLEASE USE BLACK INK AND PRINT.
tr PLANNING ZONING:Zone
FOR OPFICE USE ONLY
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Partition #Parcel *
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Parcel Size 7A /a3
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Comments:
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Itro Copics of Plans
f,fro Copies of PIot Plans
f] laechanical Checkf ist
felumbing Checl:list
Plan Check Info Sheet
Applicat
Permit #
$!esidential
I commercial
flrndustrial
Iruuric
P roposed
sting
4z;)
that registration with the Buil.der's Board is in fu11 force and effect as requirqd by ORS 701.055, that if exempt the basis for exemPtion is noted
hereon, and that onLy subcontractors and employees who are in comp.Iiance with oRs 701,055
APPLICATION THOROUCHLY
TUREpr j.nt)
wi
do hercby (icrtif;'t alI information herecn i!r true and corre.t ar)d I forthL'
certify that any and all work
to the work describeal hercin,
Lane County ard the Lails of the St.rLc of Qreg.r\ i,,r!tair)ing
the permission of the Building Divis.j-on. f further c:t:rtify
withshaldonebeaccordance oralthe rltanccrr\
tha!and OCCIJPAIICYNO wf be ofnade Structur_a thottany
APPLICATION EOR PERI'IIT,EXAMINED THE
fl o,:,er
f[€{.t.r..o=
! eg..t
1 be used on this project. I IrAvE READ AND CIIECT€D ?Hrs
Date. cf^ 3*f-8a s(
I rr,ooopleru:In flood hazard area?
I nunar,ADDRESSING: cRr.D cooRDrNArE N
{saurrarroN: s. r
Insta Ilation
B" I v.., see at"-ached sheec Date:
Date:E
#B.P Instal-lation Record Issuea: ! vu= [ no
Maximur Depth
of Trelche:;
Ga I lon
Tank
Li.neal Feet
of DrainfieldSpecific
Comnents:
Date r
PLANS EXAMINATION: TyPe f'-' .rou, {-V Use
Comnents 3
Date:64r,fz-
CONSTRUCTION AUTHORIZED BY THIS PERM]T
Sq. Ft.
TOTAL FEE $
TOTAL VALUATION $
FEES PATD BY
By:
Date:
PERMIT APPROVED BY BUILDING OFFICIAL/DES (per oRs DATE
LANE COUNI,'Y DEPARTMENT OF ENVIRONMENTAL MANAGEMENT / 125 EAST EIGHTH AVENUE, EUGENE, OREGON 9740L
Fixed Fee,/
Unit Cost42Z
Floodplain Fee S
Subsurface Fees $
Building Fee $
Seweg/Storm Drain/Water S
--l Plumbing Fixtures $
Mechanical $
Plans Check Fee S
State Surcharge $
c74-L94 SEE REVERSE
4 /
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SETBACKS AND OTHER CONDITIONS OF APPROVAL MUST BE STRICTLY OBSERVED. VIOLATIOII<;AN RESULT IN REVOCATION OF THIS PERI'4IT,
CITATION UNDER PROVISIONS OF LANE COUNTY'S INFRACTION ORDINANCE, AND/OR OTHER REMEDIES ALLOWED BY LAhI.
I'IHEN READY FoR INSPECTIoN CALL 687-4065. A MTNIMUM 0F AT LEAST 24 H0UR ADVANCE NoTICE FoR INSPECTION REQUEST MUST BE
GIVEN. Have the fo1low'ing 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:
REQU I RED ECTIONS
l) F0UNDATIoN INSPECTIoN: To be made after trenches are excavated and forms erected and when all materials for the foundationare dejivered on the job. Where concrete from.a central mixing plant (commonly termed "transit mixed") is to be used,materials need not be on the Job.
2) CoNCRFTE SLA? 0R UNDER-FLOOR II!_SPECTION: To be made after all in-s'lab or under-floor building serv.ice equ.i pment,conduit, piping accessories and other ancillary equipment items are in place but before any concrete is pouiedor floor sheathing installed, including the subfloor
3) FBAMING & INSULATIoII INSPECTI0NS: To be made after the roof, a'll framing, fire blocking and bracing are in place and;TTpipeS@sandventsarecomp1eteandal.lrough6iectrica.land[tumbin9are"approved.A1.l
wall in:ulation and vapor barrier are in place.
4) !ATH,AUD/OR GYPsyM B0ABD ITSPECTJ9N: To be made after all tathing and gypsum board, interior and exterior, is in placebut before any plastering is applied or before gypsum board joints and fasteners are taped and finished
5) FINAL INSPECTI0N: To be made after the building is complete and before occupancy.
APPR0VAL REQUIRED. No work shall be done on any par.t of the building or structure beyond the point indicated in eachsuccessive inspection without first obtaining the approval of the building official. Such approval shal'l be given onlyafter an inspection shall have been made of each successive step in the construction as inditited by each of ine inspeitions
requ i red .
NOTE: All building permits require inspections for the work authorized, such as but not limited to:
A. BL0CK WALL: To be made after reinforcing is in p1ace, but before any grout is poured. Th'is inspection isrequired for.each.bond beam pour. There will be no approval until the plumbing and electnical inspections
have been made and approved.
B. t,l00D STOVE: To be made after completion of masonry (if applicable) and when installation is comotete.
Installation shall be in accordance with an approved nationally recognized testrng agency arrd the manu-
facturer's instal lation instructions.
C. l,l0BILE H0ME: An inspection is required after the mobile home is connected to an approved sewer or septic
system for: setback requirements, blocking, footing connection, tiedowns, skirt'ing, and plumbing
connecti ons.
(l) 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 floodplain
management Ietter.(3) l4obile home tiedowns, when required, and skirting shall be installed and ready forinspection
within at least 30 days after occupancy. Tiedowns and skirting shall be installed per enclosure.
D. SWIMMING P00L: Below grade when steel is in piace and before concrete is poured. Above grade when pool
is instalied.
APPROVED PLANS MUST BE ON THE JOB SITE AT ALL TIMES DURING WORKING HOURS. THIS PERMIT I,IILL EXPIRE IF t,lORK DOES NOT BEGIN
I{ITHIN I8O DAYS, OR IF WORK IS SUSPENDED OR ABANDONED FOR MORE THAN]8O DAYS. SUSPENSION OR REVOCATION MAY OCCUR IF THIS
PERT1IT t,lAS ISSUED ON THE BASIS OF INCOMPLETE OR ERRONEOUS INFORMATION.
ANYONE PROCEEDING PAST THE POINT OF REQUIRED INSPECTIONS I,IILL DO SO AT HIS OI,IN RISK
SUBSURFACE AND ALTERNATIVE SEWAGE DISPOSAL SYSTEMS
Permits sha'll be effective for one year from the date of issuance.
Upon completing the construction for which a permit has been issued the permit holder sha11 notify the
Department by submitting the installation record form. The Department shall inspect the construction to
determine if it complies with the rules contained in this division. If the construction does comply vrith
such rules, the Department shall issue a certificate of satisfactory completion.to the permit holder. If the
construction does not comply with such rules, the Department shalI notify the permit holder and shal1 requ'ire
satisfactory conrpletion before issuing the certificate. Failure to meet the requirements for sat'isfactory
completion within a reasonable time constitutes a violation of ORS 454.605 to 454.745 and this rule.
Setbacks - Subsurface Sewage Disposai
(t )
(?)
From
Septic Tank Drainfield
-T6r-Interior property 1 ines
Edge of road right-of-way
Building foundation
Wells, other water sources
'10'
'10'
5'
50'
'I 0'
'10'
I 00'
lane county6l!'
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CHECKTIST
PLUMBING/MECHANICAT
APPLI CANT INFORIvIATION :
OFFICIAL USE ONLY
App1i./
Permit #-
zl 6\?
OI 1rm-ease
PLTIMBING CONTRASTOR Yes Firm
Address
DNoE[s"rr
MEGIANICAT CONTRACTOR D Yes Firm
Address
B*op serr
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1 1ng SS
Cont. OSR#
Cont. OSR#
PLUI\tsING
Type of Fixture Nurnber of Each Fee On Each Total
Sink $ s.ooJ,avatory Wash Basin )I 5.00 t,OOTub (with or without shower )t9 5. 00
Shower, separate I 5. 00 {, oOoset1't 5. 00 c, OO
5. 00Disposer I garbage grinder)s. 00
5. 00
s.00Floor Drain 5.00Sewer:-1st 50ft.15 .00
onal 10.00
Water ce--1st 100 ft.15.00
each addi 1 100 ft.10. 00
Storm and Rain Drain--1st 100 ft.15.00
e 1 ft.10. 00
Was te Connec t 10n 5.00
e ector 5. 00
I 1e r Wa 10.00r
SUB-TOTAI (Minimum $10. 00)
TOTAL FEE I Y,oO
MEOIANICAL
Type of Equipment l'hrmber of Each Fee on Each Total
ca1 Fee $ ro. ooFurnaceto 100 $ 6.00
over 00 7 .50rt3. 00
3. 00withExhausI4.50 4 '{O*--6.00 .4'r Cond f 1 one I On1t 6. 00tb.00
F e 6. 00
Gas Pi etstem 1 to t
r et 50r1
SUB-TOTAI
TOTAL TEE H'
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LANE COUNTY iNSPECTION RECORD
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Ol.lNER' S NAI4E PHONE NUMBER
M
C
N
L FRONT SIDE i NTERIOR REARL
Y PERMIT
DIRECTIONS TO SITE
SITE ADDRESS PERMIT NUMBER
OR MOBiLE HOME SET UP INSPE CTIONF
A
OOTING / FOUID
pproved ,,/
ATION INSPECTION
Correcti on Di sa pproved Da ' 7 -'7 -9 u- Insp ector
Approved
/ UNDER-FL
Correcti o
PEn_ Dj sapprov
I
d Da te r4nspector
Sr-Tlplulqg ING GROUNDWORK INSPECTION
Approved u,/ Correcti on D'isapproved--Date y'I nspector
ROUGH T L UITIXG-IX S P E CT I ON
Approved V/ Correction Disapproved_Date ? -Z - ?z Inspector.
FRAMING INSPECTION
Approved */ Correction Disapproved Date 7- Z- Sz Insp ector
INSULATION / -VAPOR BARRIER INSP
Aooroved ,./ Correcti on D
-
ECTIONisapproved Dat "7- / {-F-i nspector
YPS
App roved -r/-c orrecti on Di sapprove d Date 7 2z - gz tntpector
FINAL PLUMBING INSPECTION
Approved y Correcti on- Di sapproved_ Date I ' ' -_--I nspector
FTNAI-TASTE DI SPOSAL SYSTEM NSPECT I ON
Approved Correction-' Dlsapproved Date-Insp ector
FINAL INSPECTION BUILDING MOBILE HOME
Approved r,,' Correcti on-Di sapproved IDate2't, tr Inspector 4n
CERTIFICATE OF OCCUPANCY
Approved___Correct'ion D
EMPORARY CERTIFICA E OF OCCUPANCY
Inspector
Form C74-197
r sapprov ed Date
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LAtit COUNTY INSPECTI0N REC0RD
i NTERIOR REAR
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L FRONT SIDEL
t,t H RIZED
DIRECTIONS TO SI
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DRESSAS
/4d.fYLL
ERMI
FOOTiNG / FOUNDATION INSPECTION OR MOBILE HOME SET UP INSPE CTION
Approved Correction DisaPProved Da te Insp ector
CONCRETE SLAB / UNDER-FLOOR I NSPECT ION
ApprovedCorrection_Djsapproved-DateInspector
U-NDER SLAB / PLUMBING GRO DWORK INSPECTION
Approved Correctjon D'isapproved IDa te I nsp ector
MUGH-T LMB]Xil NS P E CT I ONApproved Correct j on Di sapproved-Date Ins pector
Fftfti+TitG INSPECTION 11 EC H
Aptptroved y' Correction Disapproved Date e3 i)tU tr7 -Inspe ctor
INSULATION / VAPOR BARRIER I NS PECT I ON
Approved Correct'ion-Di sapproved Date-i ns pec tor
S
Approved Correct'ion D'isapproved Date I nspector
FINAL PLUMBING INSPECTI ON
Approved Correction- Disapproved Date I nspector
TE SY SPECT I N
Approved Correcti on-, D j sapproved Date I ns pector
Form C74-197
d Date Inspector
UPANCY
+PECTION BUILDIN tr E HOMEea -tateAl ru00 Z1 InsPector
MOBIL
Approved f C onrecti on Di sa pprov l,/ ud
cERT]TICATE OF OCCU PANCY TEMI'ORARY CE RTIF ICATE OF OCC
Ap proved-=--.Correc ti on.---D i s a pprove
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