HomeMy WebLinkAboutPermit Building 1981-02-20CON STRU..-.' ION/PLAC E M ENT
PERMIT
COMPLETE THIS BLOCK.PLEASE USE BLACK INK AND PRINT.
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FOR OFFICE USE ONLY
Applicat
Permit #
W{*o Copies of Pfans
I
Ir'ro Copres of Piot P]ans
f ttcchan i cal Checkf ist
! i,lumbinq Checklist
Ir,tan Chec]r Info Sheet
STREET
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# OT' EMPLOYEES
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Residential flrndustrial
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SIGNATURT
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DATE
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that all informatiorl hercon is true and corre't and I furtrti fyCAREFULLY ExA.r,rINED THE co!,tPLETED APPLICATIoN FoR PERMIT, and do hcrcbyI HAVE of Lane County and the Laws of the state of oreqln I'4rLaioin?d shalL be done in accordance with the Ordirra'cescertify that any and all work perforre rmission of the Bui.Iding Division' I furthcr ccrti'fyNO OCCUPANCY will be made of any structure without the peto the work described herein, and that 5, that if exL'mpt the basis for exemption is notedis j.n fuII force and effect as required by oRs 701'05that.registratj.on with the Builder's Board used on this Project. I HAVE READ AND CHECTGD THISuho are.in compl"iilce with oRS 701.055 will behereon, and that onLy subcontractors and employees
APPLICATION THOROUGHLY.
?5.I cortractor
I ag.t tNAME (please Print)
* ciLs"r)
tr PLANNING ZONING:
Cl'lirrrmum ScLbacks: L,
Conments :
Zone
front
Partition +- Parce1 #-
L, side.i-n terior
FLOODPLAIN: rn flood hazard area? fl *" I v"s, see attached sheet
fl nunar, ADDRESSTNG . cRtD CooR.DINATE N
tr SAUITATION: s. r. #
E
Date:
Date:
Date:
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B.P.#rnstallation Record lssued? f v"= fl n"
Maxj-munr Depth
of TrenchesInstallation
Specj. fications
caL lon
Tank
Lineal Feet
of Drainfield
Date:
PLANS EXAMINATION: rype
Coments:
Group
Date:L4-o'1t A
CONSTRUCTION. AUTHORIZED BY THIS
Sq. Ft
Fixed Fee,/
Uni-t Cost
Floodpla nFe
Subsurface Fees
Building Pee
Sewer/storm Drain/water
I ef" Uing Fixtures
Mechanical
Plans Check Fee
State Surcharge
TOTAL FEE
------i-7----l(2
$
$
$
$
s
$
)
$
$
Description
6:>iz:
FEES PA
By:
f] crrect< ! ca.t",
TOTAL VALUATION $
Ug DJEAWT*-rEfrbq
Date:
. - 7l
PERMTT APPROVED BY BUILDING OFFICIAL/DESIGNEE (PeT ORS 456.805(1)) DATE
LANE COUNTY DEPARTMENT OP ENVIRONMENTAL MANAGEMENT / 125 EAST EIGHTH AVENUE, EUGENE, OREGON 97401
c74-L94 SEE REVERSE
Parcel Srr" A
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Use
SETBACKS AND OTHER C0NDITIoNS 0F APPRovAL MUST BE srRrcrLy oBSERVED. vIoLATIoN cAN REsuLT IN REvocATroN 0F THrs ,r*rri] --
cITATI0N UNDER PRoVISIoNS 0F LANE CoUNTY'S INFRACTIoN oRDTNANCE, AND/OR OrseR RilleotES ALL0uED By LAH.
WHEN READY FoR INSPECTIoN CALL 687-406s. A MINIMUM OF AT LEAST 24 HoUR ADVANCE NoTICE FoR TNSPECTT0N REQUEST MUST BEGIVEN. Have the following information ready:. Permit number, joo aaaress, ttil;i inspection, when it will be ready,your name and phone number, and any special directions to siie.
BUILDING DIVISION:
REQUIRED IIISPECTIONS
r) F0UNqAJI0N I|ISPECTI0N: To be made after trenches are excavated and forms erected and when all materials for the foundationare deTlvEiEI-on-TI6l1ob. where concrete from a central mixing pii.t-il.rr.iiv-i."*.0 ,,transit mixed,,j-it-to-t" ;;;;-- -
materials need not be on the Job.
2) C0NCRETE SLAB 0R UNDER-F|o0R ITSPECTION: To be made after all in-slab or under-floor building serv.ice equipment,cit1ary-equip*eni'ii",sareinp.lacebutbeforeanyconcrete.ispouredorflocrsheathinginstalled,includingthesu6f]dor
3) FRAMING & INSULATI0N INSPECII0NS: To.be made after the roof, all framing, fire blocking and bracing are in.place andsandventsarecomp1eteandai.lroughe.lectricalandp1umbingareapproved.A1.lwalI insulation and vapor barriei are .in p1ace.
4) UTtt AND BOARD IN To be made after al'l lathing and gypsum boaor before gypsum board joints andlfasteners
rd, interior and exterior, is in pl aceanyASngs app ed are taped and-finishe4.
5) FINAL INSPECTION:To be made after the build.ing is complete and before occupancy
APPRoVAL REQUIRED' No work shall be done on any part of the building or structure beyond the point indicated in eachsuccessive inspection without first obtaini.ng tle'approval or itre ouitaing oiiiiiir.-.such approval shall be given onlyafter an inspection shall have been made of 6ach srlt.ssire-step in the c6nstruction as ind.icated by each of the inspectionsrequi red.
NOTE: 411 building iermits require inspections for the work authorized, such as but not limited to:A' BLoCK WALL: To be made after reinforcing is_in p1ace, but before any grout is poured. This .inspection isrequired for.each.bond beam pour. There-w'ill be no approval until tire-piumbing and electrical inspect1onshave been made and approved.'
B' w00D STOvE: To be made after complet'ion of masonry (if app]icable) 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. i40BILE H0ME: An inspection is required after the mobile home'is connected to an approved sewer or septicsystem for: setback requirements, blocking, footing connection, tiedowns, skirtinb, and plumbing
connecti ons.
(f) Footings and piers to comply with State foundation requirements for mobile homes or as recommendedby the manufacturer.(2) Mobile home minimum finish floor elevation shall be certified when required by a floodplain
management letter.(3) I4obile home tiedowns, when required, and skirting shalI be installed and ready for inspectionwithin at least 30 days after occupancy. Tiedowns and skirting shall be instilled per'enclosure.
D. SWIMMING P00L: Below grade when steel is in place and before concrete is poured. Above grade when poolis instal Ied.
APPROVED PLANS MUST BE ON THE JOB SITE AT ALL TIMES DURING WORKING HOURS. THIS PERMIT [.,ILL EXPIRE IF t,lORK DOES NOT BEGIN
I.IITHIN I8O DAYS, OR IF hIORK IS SUSPENDED OR ABANDONED FOR MORE THAN ]8O DAYS. SUSPENSION OR REVOCATION MAY OCCUR IF THIS
PERMIT 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 OWN RISK
(r)
(2)
SUBSURFACE AND ALTERNATIVE SEWAGE DISPOSAL SYSTEMS
Permits shall be effective for one year from the date of issuance.
Upon completing the construction for which a perm'it has been issued the permit ho'lder sha11 notify the
Department by submitting the installation record form. The Department.shal'l inspect the construciion to
determine if i.t'complies wlth the rules containqd ip th'is division. , li tne construction does cornply vrith
such rules, the Department shall isSue a certifi-cate of satisfactory crimpletion.to the permit ho'liei. If theconstruction does not comply with such rules, the Department shall notify the pirmit hoider and shall requiresatisfactory.completion before issuing the certificate. Failure to meet the rbquirements for sat'isfactory
completion within a reasonable time constitutes a violation of ORS 454.605 to 454.745 and this rule.
Setbacks - Subsurface Sewaqe Disposal
Septic Tank Drai nfi el d
'I 0'From:
-\
Interior property lines
Edge of road right-of-way
Building foundation
Wells, other water sources
'10'
'l 0'
5'
50'
t0'
'I 0'
I00'
lanecounty
CHECKTIST
PLUTT'IBI N G / MEC HAN ICAI
APPL I CAI'iT INFORIvIATION :
OFFICIAL USE ONLY
App1i./
Permit #-
S.G:L
rm-ase 1n
c)t/t 4) rn
1ng CSS
&
or
Cont. OSR#PLI.]I\tsING CONTRASTOR f] VCS Firm trJ a x.r e-.
Address
fl no E s"rr
MEG{ANICAI CONTRACTOR D Yes Firm lrlap e--
Address
fl No fl serr
PLUMBING
MEGIANICA],
Cont. OSR#
Type of Fixture Nurnber of Each Fee On Each Total
Sink $ s.o0 (
J,avatory AS 1n s. 00
Tub (with or without shq1q1)5. 00
Shower, separate 5. 00
ter t ur 5. 00
5. 00
Disposer I s. 00
s.00
s.00
Floor Drain s. 00
Sewer--lst 50ft.0
each additional 100 ft
Water Service--1st 100 ft.15. 00
each additional 100 ft.10.00
Storm 1s t 1 0 0 ft 15.
tional t
Special Waste Connection 5 .00
e 5. 00
r ter ).00
Other (specify)
SUB-TOTAI (Mini-mum $10. 00)
TOTAI FEE
Type of Equipment llurnber of Each Fee on Each Total
Itdechanical Permit Base Fee $ 10.00
Furnace to $ 6.00 Z. nn
over 7. 50
en t 3. 00
lathroom Ventilation Fan & Drct 3. 00
ange Hood with l'{echanical Exhaust 4.50
S 6. 00
Air Conditioner Only 6. 00
6.00
Floor Furnace 6.00
Gas Piping System 1 to 4 Outlets
Per Outlet 50
1
SI.E-TOTAL
TOTAL FEE
or
Water Hea .er
I0-00
10. 00
A
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HOLID SIIP il!r _-lI7
lane county
APPLICATION #
LOCAT i ON
,fr,
w'i (L.
NAME
ADDRESS
,f,674
The above appl i cati on 'is ng held for the following reasons:
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S IGNATURE
OFFICE HOURS
DATI
PHONE
This app'f ication wi I I be held until ._ . | , ', If the information required
above has not been furnished by that-da'te VourEFpl'ication will be cancel'l'ed.
Building fees paid for permits cancelled under these circumstances will be proratedaccording to the work that has taken place as of the date of cincellation.
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INSPECTION RECORD
OWNER'5 N AME PHONE NUMtsE
L
E
E-T-EAER-trEQUIRE M
C
ENTS #PLUMBING FIXTU RES
L F L SIDE INTER OR REAR
I^,0R H PE RMI T
DI RECTIONS
ADDRESS MB R
FOOTiNG / FOUNDATION I ION OR MOBILE H OME SET UP INSP ECT I ONNSPECTApproved Correcti on Di sapproved-Date I ns pector
UNDER- FL
Approued y' Correct'ion- Di sapproved IDa te I nsp ector
UTDERSLAB / PLUMBING GROUN RK INSPECTION
Inspector
ROUGH PLUMBING INSPECTII
Approved /1 Correcti,
4aZ"^-4
Zf; r/oiruppua .?
roved D ate 3- -%*E/t
- /z-F/ 6pAL
nspector
F N PE N '/z-?/-I
Approved Correc ti on Disapproved Date i nspec tor
INSULATION /VAPOR BARRIER I NSPECTION
rc 4-q- Er/ Inspector W -Approved Correcti on__Di saPP roved Da
LA
A roved
-L
NCorrection Disa pproved Date spec to r
PLUMB I N E I pll-Approved v/.Correction- Disapproved Da t" /t , /rz-I nsp ector
TTNATMSTE DISPOSAL SYSTEM INSPECT ON
Approved Correction- Dj sapproved Date Inspe ctor
F INAL INSPEC T N BUI LDI N G MOBILE H
-8 z-Inspector A,-2,OM E
Approved Correcti on i sapproved Date 7 - 77D
A -ro - Xc- b:;/h-s
Form C74-L97
Correctjo@ Date Insp ector
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C IFI TE ANCY
App roved
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I NSPECTION
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