HomeMy WebLinkAboutPermit Building 1981-06-026D!'
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7 NSTRU IION /PTECEMENT
PERMIT
CO}IPLETE THIS BLOCK. PLEASE USE BLACK INK AND PRINT.
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FOR OPFICE USE ONLY
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SECTION22.4. I
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Irwo Copies of Plot P1ans
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! etrrmlirrg Checkli st
Plan Check Info Sheet
App Ii cationT'
Permit f
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LOCATION ADDRESS%76 14 aP>d sf;lt zlP
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TELEPHONE NUI4tsER
I HAVE CAREFULLY EXA-I4INED THE COI'IPLETED APPLICATION FOR PDRMIT, and do herobT ,:orl'-ify Lhat aIL informatiol herecn is trpc and corrert arrd I fr)rt]).rcertify-that any and all work Perforred sha11 be done .in accordance with the ordirrances of Lane Courrty and the l,ails of th.r sLair,c of oreq.r\ I,4rL.1iilin.lto thtz6orX described herein, and that NO OCCUPANCY wlll be nade of any structure wiLhout the pernission of the Building Division. I further cj|rtifytry,L-registration with the Bu.ilder's Board is in fu1I force and effect as required by ORS 701.055, that if ex"rmpt the basis for exemltion is not.rdhareon, and that only subcontractors and enpl.oyees who are in comPliance with oRs 701.055 will be used on th.is project, I HAVE READ AND cltECr.ED THIS
APPLICATION THOROUGHLY.
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Coments:
InstaLlation
Specifications:
Da
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fl nunal ADDRESSTNG: cRrD cooRDrNArE
El-sanrrATroN: s. r. +
f] v"s, see attactred sheet Date:
Dite:
E'*'
EN
rnstallation Record rssued? [ v"= f] N"
Maximun Depth
of l'rerr ches
Gallon
Tank
CoIIune n t s
Date
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Coments u
PERMITS FOR,A
CF OR:GOI"I, DEPARTMENT OF
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use
Description
CONSTRUCTIoN AUTHoRIZED BY THIS PERMIT
Fixed Fee/Floodplain
CostSq
I
rLI Subsurface Pees
Building Fee
Sewer/Storm Drain,/Water
Plumbing Fixtures
Mechanical
Plans Check Fee
State Surcharge
TOTAL EEE
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$
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(
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$
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TOTAL VALUATION $
Date:
PERMIT SIGNEE (per oRs 456,805(1))
LANE COUNI'Y DEPARTMENT OF ENVIRONMENTAL MANAGEMENT,/ 125 EAST ETGHTH AVENUE,
C74-I94 SEE REVERSE
By
, oREGON 97407
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SETBACKS AND 0THER C0NDITI0NS 0F APPROVAI'TIUST BE STRICTLY 0BSERVED. VIOLATI0N CAN r.,-oL'
CITATION UNDER PROVISIONS OF LANE COUNTY'S INFRACTION ORDINANCE, AND/OR OTHER REMEDIES ALl
T IN REVOCATION OF THIS PERMIT,
LOI,IED BY LA}I.
WHEN READY FOR INSPECTION CALL 687-4065. A MINiMUM OF AT LEAST 24 HOUR ADVANCE NOTICE FOR INSPECTION REQUEST MUST BE
GIVEN. Have the following information ready: Permit numberi job address, type of inspection, when it will be ready,
your name and phone number, and any special directions to site.
BUILDING DIVISION:
REQUIRED IIISPECTIONS
l) F0UNDATI0N INSPECTI0N: To be made after trenches are excavated and forms erected and when all materials for the foundation
@ob.WhereconcretefromacentraImixingp1ant(common1ytermed'.transitmixed,')istobeused,
materials need not be on the Job.
2)C0NCRETE SLAB 0R UNDER-FL00R INSPECTION: To be made after all in-slab or under-floor building service equipment,
anciI1aryequipmentitemsareinplacebutbeforeanyconcreteispoured
or floor sheathing installed, including the subfloor.
3)FRAMING & INSULATIQN I|ISPECT_IIX5: To be made after the roof, all framing, fire blocking and bracing are in place and
aT1p-ipe3ffisandventsarecomp,leteanda.l]rougheIectrica.landi.lumbingareapproved.A1l
4)
wall 'r-ulation and vapor barrier are in p1ace,
LATH AND/0R GYPSUM BOARD INSPECTI0N: To be made after a1l lathing and gypsum board, interior and exterior,
6ut before any plastering is applied or before gypsum board joints and fasteners are taped and finished.
'ls in place
5)FINAL INSPECTI0N: To be made after the buildi ng 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
successive inspection without first obtaining the approval of the building official. Such approval shall be given only
after an inspection shall have been made of each successive step in the construction as indicated by each of the inspections
requ i red .
NOTE: All building permits 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 is
requ'ired for each bond beam pour. There wi'll be no approval until the plumbing and electrical inspections
have been made and approved.
B. W00D STOVE: To be made after completion of masonry (if applicable) and when installation is comolete.
Instal'lation shatl be in accordance w'ith an approved nationally recognized testrng agency arrd the manu-
facturer's installation instructions.
C. l,l0BILE H0ME: An inspection is required after the mobile home is connected to an approvqd 9ew91 or septic
system for: setback requirements, blocking, footing connection, tiedowns, skirting, and plumbing
connecti ons.
(f) Footings and piers to comply with State foundation requiranents for mobile homes or as recommended
by the manufacturer(2) M-obile home minimum finish floor elevation shall be certified when required by a floodplain
management letter.(3) l4obiie home tiedowns, when required, and skirting shall be installed and ready_forinspection
within at least 30 days after occupancy. Tiedowns and skirting shalI be installed per enclosure.
D. SWIMMING p00L: Below grade when steel is in place and before concrete is poured. Above grade when pool
is installed.
APPROVED PLANS MUST BE ON THE JOB SITE AT ALL TIMES DURING WORKING HOURS. THIS PERMIT I^IILL EXPIRE IF WORK DOES NOT BEGIN
I^IITHIN I8O DAYS, OR IF I,IORK IS SUSPENDED OR ABANDONED FOR MORE THAN I8O DAYS. SUSPENSION OR REVOCATION MAY OCCUR IF THIS
FenNtr ulAS ISSUED 0N rHE BASIS 0F INCoIIPLETE 0R ERRoNEoUS INFoRMATIoN.
ANY0NE PR0CEEDING PAST THE potNT 0F REQUIRED INSPECTI0NS WILL D0 S0 AT HIS ot^lN RISK
SUBSURFACE AND ALTERNATIVE SEWAGE DISPOSAL SYSTEMS
(t )
(2)
Permits shall be effective for one year from the date of issuance.
Upon completing the construction for which a permit has been-issued the PeTil holder shall notify.the.
OEpj.ir.ht by iubmitting the instailation recbrd form. The Department shall inspect the construction to
delermine iiit compliei with the rules contained in this division. If the construction does comply vtith
such rules, the Depirtment shall issue a certificate of satisfactory completion to.the permit holder. If the
construction does. ho.t c-omp1y with such. rqies, the Department_shal1 notify the'perpit ho:lder' and shall require
iitiifiii"iy .orfif"iion :ultore issuing, ttie,certif-ca'e. Failure to fieet the requirements' for satisfactory
completion withih a reasonable time c5nstitutes a Vlolatiln,ot pnS 454.605 to 454.745 and this rule.
Setbacks - Subsurface Sewaqe Disposal
Septic Tank Drai nf i e'l d
-T0'-From: Interior property lines
Edge of road right-of-waY
Bui1ding foundation
[.lel'ls, other water sources
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'10'
5'
50'
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