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HomeMy WebLinkAboutPermit Building 1981-06-126l!'rI7 ^ .CONS U*BLOCK. TR 'CTION /PIryCEMEN] PERM IT CONIPLETE PLEASE USE BLACK INK AND PRINT. FOR OFFICE USE ONLY i::ii:";'""'t r g E-3 t Irro Copies of Plans flrro Copies of PLot P1ans f, laechanical Checklist f] elrrmf i.,q Chec]'.Iist lE3fan Check Info Sheet TOWIISHIP t7 RANGE03 SECTION t 27.3. +TAX LOT|760 OUT OI' SUBDIVISION,/PARTITION (if APPIiCA.bIE) laj add. -to flo,y.r- T^all-L LOTIPARCEL2 BLOCK 7 LOCATION ADDRESS2375 CITY IP S PROPOSXD USL ('F P;(OPERTY ffnesidential nlndustrial [-lcommercial f]rrruri" t or nn[3oor',rs A. \-.r, * oF SToR}ES1t-#oF SUPPLY Proposed xi sting Gn On , and do hercby r:r:rtify that all information rrelcon is true and correct ar)d J furthl,certify that any and all work performed shall be done in accordance with the ord-inaices of Lane County aod the Lans of the st;ri:e of oreq.n I/_,rLajrrin,lto the work described herein, and that NO OCCUPANCY wj"Il be made of any structure without the pemission of the Building Division. I further c{rrti.f},that registration with the Builderrs Board is in fu1I force and effect as requircd by ORS 701.055. that if exenpt the basis for exemption is not.:dhereon, and that only subcontractors and employees who are in conpli.ance with oRs 7ol.o55 will be used on this project. I HAVE R-EAD AltD cilEcrcD THISAPPLICATION THOROUGHLY h a- DATE 3-t,t NAI'{E (print) I HAVD COMPLETED APPLICATION I o",.., [t/cor.rr.tot f eg"rt u PLANNING ZONTNG:,on. W' l,lilimum setbacks, CL, frort Cotrments Partition f C-L. SICIC Parcel SiParcel #. interior re ar L-3,zt tr FLOODPLAIN:In flood hazard area? n *" fJ ver, see attactled sheer Date: Date: Date:tr RURAL ADDRESSING: CRID COOR.DINATE N I sarlrrATroN: E s. r. f D. t. tr Installatj-on Record Issued? ! vu" I f,f" Maximun Depth of Trerrches InstaLlation Specifications; Comments : Gal 1on LineaI Feet of Drainfield Date: S EXAMINATION:trn.5L] n,o,rK' j-.Use Corunents: ilffS FOR ALL ETECTRICAT WO K Date: COMtv\ERCE, ELECTRICAL SAFTY SECTION. Description CONSTRUCTION AUTHORIZED BY THIS PERMIT Fixed Fee/ Unit Cost Floodplain FeSg. Ft ,50Z Subsurface Fees Building Fee Sewer/Storm Drain/WaternO Plumbinq Fixtures *.fr"r'ri..f Plans Check Fee State Surcharge TOTAL FEE wL w$ $ $ $ $ $ $ TOTAL VALUATION $ I ,a!_rEES PAI ! crrec:< [ casrr -a By Date: PERMIT IGNEE (per ORS 456.805( LANE COUNI'Y DEPARTMENT OF ENVTRONI4ENTAL MANAGEMENT / 125 EAST ETGHTH AVENUE, EUGENE, OREGON 97401 C74-L94 SEE REVERSE tr T SETBACKS AND OTHER C0NDITI0NS 0F APPR0VAL Mt}sf BE STRICTLY OBSERVED. VI0LATI0N CAN RESh# IN REV0CATI0N 0F THIS PERiIIT'I CITATION UNDER PROVISIONS OF LANE COUNTY'S INFRACTION ORDINANCE, AND/OR OTHER REMEDIES ALLOWED BY LA}l. I,IHEN READY FOR INSPECTION CALL 687-4065. A MINIMUM OF AT LEAST 24 HOUR ADVANCE NOTICE FOR INSPECTION REQUEST MUST BE GIVEN. Have the foltowing information ready: Permit numberr job address, type of inspection, when it will be ready, your name and phone number, and any special directions to site. BUILDING DIVISION: REQUIRED II{SPECTIONS l) F0UNDATION INSPECTI0N: To be made after trenches are excavated and forms erected and when all materials for the foundation ffioo.Whereconcretefromacentralm.ix.ingp1ant(conrmon1ytermed',transitmixed,')istobeused' materials need not be on the Job. 2)C0NCRETE SLAB 0R UNDER-FL00R INSPECTI0N: To be made after all in-slab or under-f'loor buildi ng service equipment, ci1.laryequipmentitemsareinp1acebutbeforeanyconcreteispoured or floor sheathing installed, including the subfloor. I 3) 4)LATH AND/0R GYPSUM BOARD INSPECTI0N: To be made after aIl lathi ng and gypsum board, interior and exterior, is_in place fasteners are taped and finishedEut before any plastering is app'li or before gypsum board ,joints and 5)FINAL INSPECTION: To be made after the building is complete a nd before occupancy i APPRQVAL-dfQUInEO. No work shall be done on any part of the building or structure beyond the point ind'icated in each successive inspection without first obtaining the approval of the build'ing official. Such approval shal'l be given only after an'inspection shall have been made of each successive step in the construction as indicated by each of the inspections requi red. N0TE: Ali building permits require inspections for the work authorized, such as but not limited to: A. BLQCK I,IALL: To be made after reinforcing is in place, but before any grout is poured. This inspection is required for each bond beam pour. There will be no approval until the piumbing and electrical inspections have been made and approved. B. W00D ST0VE: To be made after completion of masonrv (if applicable) and when'installation is comolete. Installation shall be in accordance with 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 approved sewer or septic system for: setback'requirements, blocking, footing connection, tiedowns' skirting, and plumbing connecti ons. (l) Footings and piers to comply with State foundation requirements for mobile homes or as recommended bY the manufacturer.(Z) NoUite 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 shall be installed per enclosure. D. SWIMMING p00L: Beiow grade when steel is in place and before concrete is poured. Above grade when pool 'i s installed. APPROVED PLANS MUST BE ON THE JOB SITE AT ALL TIMES DURING I,IORKING HOURS. THIS PERMIT WILL EXPIRE IF I'JORK DOES NOT BEGIN I^IITHIN]8O DAYS, OR IF I^IORK IS SUSPENDED OR ABANDONED FOR MORE THAN]8O DAYS. SUSPENSION OR REVOCATION MAY OCCUR IF THIS PTRUTT WAS ISSUED ON THE BASIS OF INCOI1PLETE OR ERRONEOUS INFORMATION. ANYONE PROCEEDING PAST THE POINT OF REQUiRED INSPECTIONS I,JILL DO SO AT HIS OtllN RISK SUBSURFACE AND ALTERNATIVE SEWAGE DISPOSAL SYSTEMS FRAMING & INSULATToN INSPECTIoNS: To be made after the roof, all framing, fird bloiking and bracing ari in.place and sandventsarecomp1eteanda.llroughe1ectrica]ahdp1umbin9areapproved.'ATl,. wal l insulation and vapor barrier are in piace. (r ) (?) Permits shall be effective for one year from the date of issuance. Upon completing the construction for which a permit has been_issued the PelTiI holder sha11 notify.the ofipi"tilht by iubmittins the installation recbrd form. The Department shall inspect the construction to O"i"i.rri.. it ii iompliei with the r.ules contained in, this divii'ion: If the construction does comply with such rules, the Department shap isbue a certiiicate of satisfacig"v i*pi"tion to.tne permit ho]iei'. If thd conitructi6n aoes irqt-lompti *itt such rules, the Department shal'l notify the permit holder and sha'lI require #ii;i;;il;; I.ilprliii.r'il[i'.'ii.ilqri.s th.-[6'iiiiiiie. railqrg to meet the requirements for: satisfactorv ;;pi;ii;; iilr'li i-."itonuur",iti'i," c6nstitutes ,u,r,1,1.,*.or ols fs+t005 to 434.74?,un9;lniti"rl". -.. ., Setbacks - Subsurfa ce Sewaqe D isposa'l From Interior property f ines Edge of road right-of-waY Bui1ding foundation lrlells, other water sources Seotic Tank Drainfield -To-i- -TO]--'t0' '10' 'l 00' 0 5', 50' Y! i.. i" . tt.t FI.. NO. FIXTUBES : ,ECH stlR F,CK.F LC t 1888{ SUPF FL suR 1 NO . CCINNECTORS: IIECHANICAL FEE STATE SURCHARGE F'LAN CHECI( FEH F P SDS SI - F'CK EST. COI.IPL,ETION DATE 06t681 15.00 EACH 5 47" OTH ISS TNTAL FEEITX I LANE COUNTY DEPT ENV I.iGT RECEIFT * { t 888I DATE O6t 581 AFPLICANT SCHAR, JASON ADI}R NA TL.* 0000000000006 sutrDrv LoT BLK . NEI,I BLDG TYFE USE X NO BDRI"IS OO NO UNITS OO{ NT} STORIES NCI BLDGS OOt CODE APFL NO ACTION T}ESCRIF'TION SQ FT UNIT COST VALUATION FEE DAYS BF BF F. BF BF P CATC : API-'EQU: 1 AKHN BY RL.H I 5.00 t 0.00 't .00 ?6.O0 CK 1 HA lane county APPLI CANT INFOR}4ATION : PTUMBING IMECHANICAT6l!' - CHECKLIST OFFICIAI USE ONLY App1i./ Permit # J or 1rm- PLIJMBING CONTRACIOR Yes Firm Address f] No f]s"rr MECTTANTCAT CONTRACTOR t]Yes Firm Address I No! serr 1 1ng SS 1 or ol{n Cont. OSR# Cont. OSR# PLUI\tsING Tlpe of Fixture Nt-rmber of Each Fee On Each Total Sink $ s.oo Lavatory Wash Basin 5. 00 h.ou Tub (with or without shower)5. 00 Showcr, separate 5. 00 Water et to 1 /urinal'5. 00 .5 ot) Dishwasher 5 .00 Disposer (r s. 00 5. 00 a 5.00 Floor Drain 5. 00 Sewer--lst 50ft.15.00 10.00 Water Service--1st 100 ft.15.00 each additional 100 ft.10. 00 Storm and Rain Drain--1st 100 ft.15.00 each additional 100 ft.10.00 Special Waste Connection s. 00 e e ector s.00 I Water 10.00 Other (specify) StjB-TOTAI (Minimum $10. 00) TOTAT FEE lc,oo MEGIANICAL Type of Equipment I,lurnber of Each Fee on Each Total Mechanical Perrnit Base Fee $ 10.00 Furnace up to 100,000 BTU/H $ 6.oo Furnace over 100,000 BTU/H 7. 50 Clothes Dryer Vent 3. 00 Bathroom Ventilation Fan G D:ct 3. 00 Range Hood with lvhchanical Exhaust 4.50 Wood Stove 6. 00 Air Conditioner Only 6. 00 Heat Puurrp 6. 00 Floor Furnace 6.00 Gas Piping System 1 to 4 Outlets Per Outlet 50 Other (specify) SI.IB-TOTAL TOTAL IEE ng Machrne :er rhrr ,-, t(-D? zz. ? +4 t\ffi,..-' ,,'W p@. oglql,-,ruLO i.. ,.';tr i 6,--tdfr Tcounrv 'i'nsprcrou RELur(D nk OWNER'S NAME PHONE NUMB SET BACK REOUIREMENTSCL, FRONT C1, SIDE I NTE RI OR REAR #PL UMBING FIXTURES I,JORK AUTHORIZED BY PERMIT DIRECTIONS TO SITE PERMIT NUMBE FOOTING / FOUNDATION INSPECTION OR MOBILE HOME SET UP INSPECTION Approved Correction Disapproved_Date Inspector CONCRETE SLAB / UNDER-FLOOR INSPECTIONApproved Correct'i on_ Dj sapproved Da te Inspector UNDER SLAB / PLUMBING GROUNDI^JORK INSPECTION Approved Correct'io n Di sapproved__Date inspector ROUGH PLUMBING INSPECTION Approved y'- Correct j on D j sapproved_Date 6- rrfl_I nspector N Approved Correction Di sapproved Dat d-:ZZ:S/t ns pec tor 9-a_6-mmmApproved Correcti on Di sapproved Date I ns pec tor NApproved Correction Disapproved - lDa te Inspector Approved UMBING INSPECTION l/ Correction Disapproved Da te 7-Jo6/I nsp ector RI FINAL I^IASTE DISPOSAL SYSTEM INSPECTION Approved Correcti on__Di sapproved Date PECT,I ON BU t/ corr ILDING MOBILE HOME Approved ection sapproved e Inspector Inspector Ad- CERTIFICATE OF OCCUPANCY Ap p ro ved TEMPORARY CERTIFICATE OF OCCUPANCYDate Inspector Form C74-197 Correct'ion s approved Ir _r'_l SITE ADDRESS