HomeMy WebLinkAboutPermit Building 1981-02-10\TA
CON STRU IION /puscEMENT
PERI/|ITiLlV-=
I
PLEASE USE BLACK INK AND PRINT.
THI.S
ft plaunrxc/ZoNrNG:
llirrimum setbacks: cL
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Coments:@Date:
Date:rn frood hazard utu.a fluo I v"=' see attached sheet
E Date:
YICEOFFORF
iSllii'l'it- 183-Kl
A/*no CoPics of Prans:ilr-*,
copies ot Plot Plans
"t-1
tte cnanic aI check 1 i s t
fier-*u:.tq checklist
plan Che ck tnfo Sheet
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tJ.-fS'TREET fi nesidential
l--l commercial
Dlndustrial
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60
ProPosedExisting
OF
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NAME
with
and do hereby 'rcrtithe ordinances
structure withoutmade of anY red bY ORsand effecL as requi
701 .055in comPliance with oRS
FORAPPLlCATIONTHECOMPLETEDEXAMINE]D,YCAREFULLHAVE lnIbedoneshalperforredworkaI1and beanythatwiIlcertityOCCUPANCYNOandthathereindescribedworkforcethetofu11IS1nBoardrldesBuithetharewhoregistrationthatanderrploYeessubcontractorsonIYthatandhereon
THOROUGHLYAPPl,1CATlON
hfrtandcorre c tandueTIseonheronforma1n rLai ngcnOre<)pootteStalheofLaUStheand cert fyCountYLanefurther.onviDildingBUtheof notedthepemissionfotexemPtionbasitheifexemPtthatTHIS055cltECr€D701ANDREADIHAVEectprojonthisusedwi1be
DATE
[l o,.'u,
I contra.tot
I lsent
fl nunai, ADDRESSTNG:GR1D COORDINATE
-
IXI saxrrArroN:F{
rnstallation
Specifications !
Corunents:
CoNnents
or"rn Ml
Installation Record Issued?
Date:
Date:2.-
5. l. r B. P. #[l v"= f]n"
Maximim DePth
of TrenchesIlonLinea] Feet
of Drainfield
Use,,8 PLAN I@mIuaIIoN',"n" 4N
CONSTRU CTION AUTHORI ZED BY THIS PERMIT I
Description Sq. Ft.
Fixeil Fee/
unit cost
Floodplain Fee
Subsurface Fees
Building Fee
Sewer,/Storm Drain/vfater
Plumbing Fixtures
MechanicaL
Plans Check Fee
state surcharge
TOTAL FEE
FEES PATD BY:
ise
/cn""x I casrr
DATE
$
$
+
+
$
$
(
$
s
TOTAL VALUATION $
PERMT?APpRovED ey euu,oixc
LANE COUNA'Y DEPARTMENT OF ENVIRONMENTAL
c74- 794
frA.{?By:
Date:
oRS 6.80s (1) )
MANAGETIENT / 125 E.
SEE REVERSE
AST EIGHTH AVENI]E,,r*[,oREc1N 97401
T
tr
tr
3)
SETBACKS AND OTHER
C ITATION UNDER PROV
I,IHEN READY
GIVEN. H
BUILDING DIVISION
CONDITIONS OF AP PROVAL MUSTrsJ0Ns 0F LAilE COUNTY'S INF
IOR OTH
VIOLAT
ER REMEDI
ION CAN fi-6ulr rH
ES ALLOI,JED
REVOCATI
BY LAII
ON OF THIS PERMIT,FOR INSPECTI ON CALL 687 -4065. A MINIMUM OF AT LEAST 24 HOUR ADV ANCE NOTICE FOR INSPEC TION
ave the follow ing i nforma tion t number,job address,type of ins pectfon,when i t
your name and phone number, and a ny spe
ready: permi
cial di rectio
^f
5, iI[,315 l_lfi 8Fl'ii;
ns to site
To be made af ter trenches are excavated a nd forms erected and when a l I materials for the foundat ton
Where co ncrete from a centrai mixing I lant (commonly termed ,,ir'ansit mixed,,) i s to be used,
the "Job
To be made after all in_sl aboru nder-floor bui l ding service equ i pment ,poured
es o er ancil ia ry equi pment items are in pt ace but before any concrete is
or floor s hea thing instal Jed, incl uding the subfl oor
REQUESTwill be
MUST BE
ready,
d\
N
p ng accessoi
To be made after the roof , aIl framinand vents are compl ete and all roughre in place 3i"llff.:l':fJ';, ilf , ;;..,,,are in place andapproved. Al l
rd, interior and ex terior, is in place
4)P : To be made after all lathiany p as n9 s app ed or before gypsum board joi ng and gypsum boants and,fasteners
APPROVAL R
5) FINAL INSPECTIONI To be made after the building is complete and before occupa
success i ve
are taped and fini shed
EQU IRED.
i nspecti
No work shai I be done on any part of the bui lding or struc
ncy
requi red.
N0TE: A1t building its reguire inspections for the work authorized , such as but not limited to
perm
A. BLOCK I,JALL :To be made after rei nforcing is in p1ace, but beforerequired for each bond beam pour. There wilI be no approval unti
on wi.thout fins t obtainin gthea pproval of the buildi ng official Such app roval shall be
ture beyond the point indicated in eaafter an i nspecti on shal I have been made of each successive s tep in the construction as ind ica ted by each of
ch
B' t"l00D sT0vE: To be made after completion of masonrv (if appricabre) and when instalration is comolete.il:iilllil"i.:l:l].liJ,,i:;il:tiff,with in .pp".:.'Lo nationarry ...osn,:,; testrns asency ui,u-irre mani_
c' |40BILE H0ME: An inspection is required after the mobile home is connected to.an.approved sewer or septicilil:lrl8;;. setback requirements, utoctins, tJijii.i connection, ti;a;il;, skirtins, and ptumbins
1: (r) i;'l;:,;.ilf.3ffii:":t complv with state roundation requireinents ror mobile homes or as recommended(?) I:il]:r:;Tt,liilY rinish rioor elevation shall be cerr'iried when requ.ired by a rloodplain(3) l4obiie home tiedowns, whe! required, and skirting shall be installed and ready for inspectionwithin at least 30 davs arter'occupi.iv. -ii.oori.-una rfiri;;;";;itr-;; irriiri"u p.i"!n.rorr.".
D' ?l'Y[jl:.,i:::' Beiow srade when steel is in place and before conrete is poured. Above srade when pool
APPROVED PLANS MUST BE ON THE JOB SITE AT ALL TIMES DURING WORKING HOURS. THIS PERMIT I,IILL EXPIRE IF I,IORK DOES NOT BEGINhIITHIN .I80 DAYS' 0R IF w0RK IS susPENDED 0R-ABAND0NED FOR M0Ri iuau tgo oRvs. suspENsroN 0R REVocATToN lyrAy occuR IF rHrspERrlrT
',As
rssuED 0N rHE aasis or-imcolrpLEir on EnHolrrous'ilr'ibnNnrror,r. sruN uR Rrv,cArr.N ryrA'
ANYONE PROCEEDING PAST THE POINT OF REQUIRED INSPECTiONS WILL DO SO AT HIS Ot,lN RISK
SUBSURFACE AND ALTERI\IATIVE SEWAGE DiSPOSAL SYSTEMS
(r)
(2)
given onlythe inspections
,ull_gfgrt. is poured. This inspection isr rne ptumbing and electricai .inspectionshave been made and approved
Permits shall be effective for one year from the date of issuance.
Setbaclis : Subsurface Sewaqe Disposal
Septic Tank
Upon compieting t_he constructi
Department by submitting the idetermine if jt.cornpUgi *ittr.
such rules, the Qepartment sha
conctnJct,ion qdoep not "comply wsatisfactory compl etion before
completion within a reasonable
on.for which a permit has been_issued the permit horder shaH nc tr,,thens!a)lation record fo.m. The Departmen{-sharr inipeii t;;-;;r;: ,.tiiil'totheilnules contained.irt this division, r if tire consi.ruction joes'Ctpply witn
l],,.i's1u9 a certff.r'cate of satisfa.iory fo*p1.tion to the permit hotder. If the1th .sr.rc,hr ru.res,it[e Department"-ghdl] nqtify-Ihg.irerrnit:hojderranp ,nii i ".qri"iissuing the ceitificate. Fairure'do meet"tfre'iLquiremenis ior"!atisractoly -
time.oonsti,tutes a lviglatlon of 'qRS1asa,6Q{ to;4d.+.i+s.orii.t[ir"lifi;:;:"".' .i
From:Interior property lines
Edge of road right-of-way
Building foundation
I,Jells, other water sources
l0'
'I 0'
5'
50'
'I 0,
l0'
1 00'
Drainfield--T6r--