HomeMy WebLinkAboutPermit Building 1983-01-316D!'
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CONSTRUCTION/PLAC
PERM IT EMENT
'b\CO}TPLETE THIS BLOCK. PLEASE USE BLACK fNK AND PRINT.
FCR OFFICX USE ONIY
Two Copi-cs' of Plans
! fro Copies of pl-ot plans
f] uechan ical- Checktist
!;,lumbino chec]:list
-Enfq" Cneck Info Sheet
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Applicati
Pernit #
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STREET TY ZIP
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to the work descr.ibed herein, and that No occuPANCY wirl be made of any structrir. without thc- p.rmilrsion of tlre Buifciilg Di\/asaon. r turth.r c1 r,,rf),Lhat registratlon with the Bullder's Board is in fu11 force and effect as requlr.rrl by oRS 701.055, that if exEmpt tl)e baijis for cx€,nlrti()rt is not.,dhereon, and that only subcontractors and employees who are in conpliance wlth oRS 70.1.055 will be used on this project. r HAVE RE/ID AND cilE(.t,.ED TrtrsAPPLICATION THOROUGHLY.
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NAME (p]eas6 p1ing1 S]GIJATUFE
u PLANNING/ZONING:U-e2-Parcel ;Parcel Size
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Zane
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Partition #
, s rd<,in te rior re ar
aDa
tr RURAL ADDRESSING: (;R]D COOR.DINATE N
I sarirrATroN:
Date:
Date:
lnstailar-iorj Record rssucd? fJ v.= fl uo
tr FLOOD IN:
lnsE.aLlation
Speci fications
Coments:
In f-Lood hazard area?
s. r. #
No [-l y"=, see a sheet
B. P. #
Gal lon
Tank
Lrnea1 I eet
of Drairifield
Maximum Depth
of Trenches
PLANS EXAMINATION: Type Use
Coments:
Date:l
Description
CONSTRUCTION AUTHORIZED BY THfS PERMIT
Fixed Fee/
Unit Cost
Ploodplai-n Fee $
Subsurface Fees $
Building Fee S
Sewer/Storm Drain/Water $
_Plumbing Pixtures $
Mechanical $
Plans Check Eee $
State Surcharge $
TOTAL FEE $
Sq. Ft.
TOTAL VALUATION $
FEES PATD
By:
Date
I casrrYCheck
PERMIT APPROVED BY BUILDIT{G O!'F ICIAL/DESIGNT;E (;.eT 805 1 DATE
I,ANEcoUNTYDEPARTI{ENToFPLAIiNING&CoI'1}IUNITYDEVE,I.{JPMENT/I25EASTEIGHTBAVENUE,EUGENE'oREGoN
SEE REVERSE FOR INSPECTION INFOITMATION
9?40I
ll
Date:
?g 63
t?bo
;
SETBACKS AND OTHER CONDITIONS OF APPROVAL MUST BE STRICTLY OBSERVED' VIOLATION CAN RESULT IN REVOCATION OF THIS PERMIT'
CITATION UNDER PROVISIONS OF LANE COUNTY'S INFRACTION ORDINANCE, AND/OR OTHER REMEDIES ALLOUIED BY LAH'
I,JHEN 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 ""uivr'-'p."*ii numoer, iou aJaress, type of inspection, when it will be ready'
yor. nure and phone numbei, and any special directions to site'
BUILDING DIVISION:
r ) FOUNDATION INSPECTION:
areielt-vered on the iob
To be made after trenches are excavated and forms erected and when all materials for the foundat'ion
,. Where concrete from a central mixing plant (commonly termed ''transit mixed") is to be used,
,REQUIRED INSPECTIONS
2)
materials need not be on the Job.
C0NCRETE SLAB OR UNDER-FLooR ll'gp!!ll!N: To be made after al1 in-slab or under-floor building service equipment'
ci1iary.equipmentitemsare.inplacebutbeforeanyconcreteispoured
or floor sheathing installed, including the subfloor.
3)FRAM I NG TION I To be made after the roof, al1 framing, fire blocking and bracing are in p1ace-and
.na r"ntt are compiete and all rough electrical and plumbing are approved. A11
are in p1ace.
AppR0vAL REQUIRED. No work shall be done on any part of the building or structure_beyond the point indicated in each
ir.l.trir" rtnipection wittrout first obtaining tlle'approval of the building official. Such approval shal.l be given only
;ii;;;. inspettion shall have been made of 6ach successive step in the construction as indicated by each of the inspections
requi red.
N0TE: A'lI building permits require inspections for the work authorized, such as but not lim'ited 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 will 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 como"lete-
Installat.ion 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.mobi'le home is connected to an approved sewer or septic
jVsi.n fori seiback'requirements, Ulocking, footing connection, tiedowns, skirting, and plumbinQ
connecti ons.
(l) Footings and piers to comply with State foundation requirements for mobile homes or as recommended
bY the manufacturer.(Z) Ni,Oif. home min.imum finish floor elevation shall be certified when required by a floodplain
management letter.(3) floUii" home tiedowns, when required, and skirting shall be installed and ready for inspection
with.in ii teast 30 diys after'occupancy. Tiedowns and skirting shall be instal1ed per enclosure.
wa1 'l insu'lation and vapor barrier
4) LATilAND/oR GYPSUM BOA88l-NlEllI_19!-: To be made after all lathing and gypsum board, interior and exterior, is in place
or before gypsum board joints and fasteners are taped and finished.
5)FINAL INSpECTION: To be made'after the building is comp'lete and before occupancy'
D. SI,JIMMING p00L: Below grade when steel is in place and before concrete is poured. Above grade when pool
is'i nstalled.
APPROVED PLANS MUST BE ON THE JOB SITE AT ALL TIMES DURING WORKING HOURS. THIS PERMIT WILL EXPIRE IF I'JORK DOES NOT BEGIN
WITHIN]8O DAYS, OR IF WORK IS SUSPENDED OR ABANDONED FOR MORE THAN I8O DAYS. SUSPENSION OR REVOCATION MAY OCCUR IF THIS
prnliir NAS ISSUED 0N rHE BASIS 0F INCoIIPLETE 0P. ERRoNEoUS INFoRMATIoN.
ANYONE PROCEEDING PAST THE POINT OF REqUIRED INSPECTIONS I'JILL DO SO AT HIS OWN RISK
SUBSURFACE AND ALTERNATIVE SEI,IAGE DISPOSAL SYSTEMS
Permits shall be effective for one year from the date of issuance.
Upon completing the cgnstruction for which a permit,has been issued the permit holder sha11 notify.the
OEpirir.iit Uy iubrfitlting th€ instdllhtion recbrd form. The Departmen!.tgl1 inspect.thd construction to
delermine iiit.combtiei with the.rules contaipe_d_ in..this-division. If the construction does comply vtith
srif irfes, tni Uepl':t!ent shall jsiue a cert\ficlte of. sittisfac{griy ggqnJefiolt to-.the. permit'.ho1der. If the
construction does hot comply with such rules, the'Department sha'|1 notify the permit holder arid shall require
satisfactory completion Ubtire issuing the certificate. Failure to meet the requirements for satisfactory
completiqn witnih a reasonable time constitutes a violation of ORS 454.605 to 454.745 and th'is ru'le.
--. r.. ., ".
Setbacks - Subsurfdce Sewaqe Disposal
a P€S,rep aces mneys
Interior property lines
Edge of road right-of-way
Building foundat'ion
Wel Is, other water sources
(l)
(2)
From:l0'
l0'
5'
50'
Septic Tank Drainfield--lT--
l0'
l0'
I 00'
r((E
INFoR[,tAmOr{ RFqIrRm FCR A SIO{ PERMTT
(erect ) a s,
Brdlding pemrit applicaticnr is to-{elter- ) and
(re+ocatc= ) tailed
Iocaticn of Sign (Address)oq5
I{ane of Business and Address AJ Foops *J.
Owner of Sign (|iare and Address)Foa s
90 .,,83
igr
de-
o
i r ..'Pemit
*
Sign Erector (trlane and Address)E,I
DIMEIEICIE, CCNSIRUCTrcN & I]lSlAUAITCI.I INFGN{ATI0I{
v
4',Ttridsress or Depth
Total Hei.ght Above G?ade t
I4aterial Sign is ConsrnrcLed of lvl ETA L CL*S
Tlpe of Sign (Chedc Applicable Ite'ns)
Id€ntity x Face >( Wail-__x
lbn- Idmtity Sign_Double Face Pole
Billboard Itulti-Face tf Roof
ecting Sigr_
Orlrer
IWIES:
Plans T\,rc ccnrplete sets of pLans drar,tin to scale, shc[ring dirensions and
ing ressage on sign; location of sign cm property with dimensicr:s
, frrnring, bracing and footings; uater-
elecrical equipment and ligfutrng;
details of sr.prports
and sign stnrctr.re;
signs cl:t property for sarp busirress.
Electical: Per:urits for all electrical roork shall be secrued frcm the staEe elec-ticafffi.
Exts-tua t^/Alr s/qN QraltntG R&tts
To Be fren\u7D 4po NEw THRtFTWrll," s/6.^, 7o
A'Tr 4CHE a "TO Ext s7/ru6- s)??ucuRE
tG4
BE
M55-78
_lqp
Vert. Heiglrt of nsr:rz. widrh ot sigr-/. L
size and location of
lane colnty
PLANNING & COMMUNITY DEVELOPMENT
ACTIVITY INFORMATION SHEET
COMPLETE THIS SECTION. INCOMPLETE FORMS t..lILL BE REJECTEDI
6t\'
-6Ts o EGc Foo DsI s'Edu v Se'ru S UM
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3b S.E t rt
AJ sh
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I E ffi;-HOME TELEPHONE #MfiE_TEIETHONT_T_-
2 PROPERTY ADDRESS
( IF DIFFERENT F ROM MAILING RESS )
3 ruae 6i PAneEL NUMBEET
( REQUTRED rNF0R|4ATr0N)
(from tax maps in Department of Assessment and Taxationor from tax statement)
ZON i NG
MilNSETF MNGE SEIITIr TAx LoT(s) oR PARCE-LI mNrx-(i--
TOTNSETP RAME SMTI_ON
TOTAL CONTIGUOUS PROPERTY IN SAME OWNERSHIP:
TATTorGIOR-FrReEr-T ZONTNG-
ACRES
4 SUBDIVISI0N ( if appl icable)LOT BLOCK
5 REQUEST (state exactly what you plan to do)PEPLAC E E-Xt8r.zAl6 LL
S/r*)A DiN&;,,
a,'TlJ Rt FnU)A Y,,O- c:xt 07 Pprca I Joo{u
6 DIRECTIONS TO SITE:
** FOR STAFF USE ONLY **
ZONE/LAND USE:
NUMBER
DATE
-tD
a-/,
-{
BY : -- DATE:--_ TIME IN:_ 0UT:_
93a-4t7U
BUSINESS TELEPHONE #
TOM'SH-TF AINGE SMTMN M
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BP LC ?0$3 SI6N 1:i00 ?o^50
F l.- NU. F IXT'I.,RHS : N0 " U0NNITCT$E,S : t S.00 HACH :=HECH HHCHANICAI" FHESUR ,iTA rE .SI'RCHARGE 47"r,cK tll.At.l fillECK t &.8 6:ix { 3 ";53
CATG: AFFsEtltJ: $
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Fr-' sDs sI
H.S . IOHF.I..HT'ION DATE
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