HomeMy WebLinkAboutPermit Building 1981-07-29-frt'
-
CONSTRU T N EME
RMIT
CO}IPLETE THIS BLOCK.PLEASE U SE BLACK INK AND PRINT
4 bo
FOR OFPIC' USE ONLY
Applicati
Permit #
Itwo Copj-es of lans
f] Two Copies of Plot Plans
f]t,techan ical Checklrst
f nlumbing Checklist
flrtan Check Info Sheet
,3
YO
c
ztP
f! Commercial
I rndustrial
f]nuu:-ic
sidenti al
OF
i sting
osedOFSUPPLYOFtoF
R
DT
*a
SI
i
(4,/,ct
NA!,IE (please print)
anductrandornalot)hdortccLhaaICATAPPLFORIONPERMITandherebyfrTHEEXA.t'lINED COI,lPLETEDCAREEULLYTIAVE iaofLawsStatthecollancesOrdioCouLaneatrdLhandoneanceaccordththeworkshabertiLhaEandaIlperfa {me dfyany the rt irtheD'as 10n vthouthermrofBu i Id in9on11nadebeofstructurepethatandOCCUPANCYanyNOhere i n basisthe for lon not d1AoRsthatfexenpe ffectand as exemptredBoardsnfuIforcerequlbytheBuiLder
HAVEI ANDREAD IECrcDCI sTHIUSbedthisonectth70ORSproandwhosfnaresubcontractorsemployeecompliance
l-l owner
I cogrra.to.
ffis"nt
to the work described l
that registration with
hereon, and that onLy
APPLICATION THOROUGHLY
PLANNING ZONING:,"". NA Partition #Parcel #
interior
Parcel Size
CC,Mirrimum sctbacks: 'L, fror.t +, side-re ar
Comments:
fl ffrOOOpf,afU3 rn flood hazard area? fl "" I v"s, see at+-aci]ed sheet
Date:
Date:
Date:tr RURAL ADDRESSING: (;RID COORDINATL N E
EI sp,nrrATroN:
Installation
Specificati,ons
B.P.#rnstall.atj-on Record Issued? [ v.t I n"
!.laximu$ Depth
of Trerrches
Gal 1on
Tank
Lineal Feet
of Drainfield
Date:
PLANS EXAMINATION:,rn.V- &l ",o,n Z-3 Use
Comments:
CONSTRUCTION AUTHORIZED BY THIS PE
Fixed Fee,/
Unit Cost
FloodpI
Subsurface Fees
Building Eee
Sewer,/Storm Drain,/Water
Plumbing Fixtures
Mechanical
Plans Check Fee
state Surcharge
TOTAL FEE
FEES P BY
s
$
$
$
C
$
s
$
Descripti FtSq
1"7 t+-Z6A0-
-rqoo-
l.tz
$ 43,t2
31{h I cash
TOTAL VALUATION $
fu-atve Dt)d vltzr-- D6ru$r->* 27. t 2 By
Date:
PERMIT APPROVED BY BUILDING OFFICIAL/DESIGNEE (peT ORS 456.DATE
LANE COUNTY DEPARTMENT OF ENVIRONMENTAL MANAGEMENT / 125 EAST EIGHTH AVENUE, EUGENE, OREGON 9740L
C74-L94 SEE REVERSE
-l
1tsI lIr Ita
1S.055IS
055
T
Colunents:
tr
,, l t
SETBACKs AND OTHER coNDITIONS OF APPROVAL MUST BE STRICTLY 0BSERVED. VIOLATION CAN --,dLT IN REV0CATION 0F THIS PERF|IT'
;;iiiiiiN tjiioen pnovrsioNs O. LANE coUNTY's INFRAcTION ORDINANcE, AND/OR OT1IER REMEDIES ALLOI,IED BY LA!{.
I,IHEN READY FOR INSPECTION CALL 687-4065. A MINIMUM OF AT LEAST 24 HOUR ADVANCE NOTICE FOR INSPECTION REQUEST MUST BE
GMN. Have the toifowing iniormation reaayi- ie"mil number, iob address, type of inspection, when it will be ready,
your name and phone numbei, and any special directions to site.
BUILDING DIVISION: .
REQUIREDIIISPECTIONS , , ,
l) FOUNDATIoN INSPECTI0N: To be made after trenches are excavated and forms erected and when a'll materials for the foundation.ffiob.Whereconcretefromacentra]mixingp1ant(common1ytermed.,transitm.ixed..)istobeused,
2)
3)
{
:.Tobemade'aftera.ll.in-s1aborunder-floorbui1dingserviceequjp{nent'conduit, piping accessories and other ancillary-equipment items are in'p1ace but before any c6ncrete is pouredor floor sheathing installed, including the su6floor.
FRAMING & INSULATI0N INSPECTI0NS: To be made after the roof, all framin!, iire utocling-hnd brac.ing aie in placpenpipes@sandvenisarecomp1eteanJa.llroughEiectricar_inap1umbingareapproved.A1.I
wal| insulation and vapor bamiei are in place. '--r"and
4) .LAIH.AtDlOR GYPSUM B0ARD INSPECTLON: To be made after all lathing and gypsum board, interior and exter.ior, is .in place.borbeforegypiumoou.a-joini,ana-iisieneiiaretapedandfinished
5) FINAL INSPICTI0N: To be made after the building is complete and before occupancy.
APPR0VAL nrqutnro' No y:l! shatl be 99ng {n anv pa-rt,of.the building or structure beyond the point ind.icated in eachsuccessive inspection without first qbtaining t-he a"pp1"oval or,ine.ruitaing oirliiil.. -s.uch approval shall be given only ...after an inspection shall have [een made of 6ach suttessive-step in tt'e i5nit"r.tion as,indicated by each of the inspectionsrequired. t. iN0TE: All b;ilding permits.qdui"" inspections for the work authorized, such as but not rimited to: iA. BL0CK I^IALL: To be made after reinforcing is-in p.lace, but before any grout is poured. This inspection .is
required for,each.bond beam pour. There will be'no approval until t[e-piumbing and electrical inspectionshave been made and approved.
B' Ll00D STOVE: To be made after completion of masonry (if applicable) and when installat.ion is comotete.Insta'llation shall be in accordance with an approved nationa'lly recognized testrng agency arrd the manu-facturer's instal lation instructions
l'l0BILE HOME: An inspection is required'after the mobi'le home is connected to an approved sewer or septicsystem for: setback requirements, blocking, footing connection, tiedowns, skirtinb', and plumbingconnections. , .
'(f) Footings and piers to comply with State foundation requirementslfor mobile homes or as recommendedby the manufacturer.(2) Mobile home minimum finish floor elevation shall be certified when required by a floodplain
management Ietter.(3) l4obile home tiedoyvns., when required, and skirting shall be installed and ready for;inspectionwithin at least 30 days after occupancy. Tiedowns and skirting shall be instilled per'enclosure.
SWIMMING P00L: Below grade when steel is in place and before concrete is poured. Above grade when poolis installed.
APPROVED PLANS MUST BE ON THE JOB SITE AT ALL TIMES DURING I,IORKING HOURS. THIS PERMIT I^IILL EXPIRE IF.I.,ORK DOES NOT BEGIN
UTHIN]8O DAYS, OR IF I^IORK IS SUSPENDED OR ABANDONED FOR MORE THAN]8O DAYS. SUSPENSION OR REVOCATION MAY OCCUR IF THIS
PERMIT I^JAS ISSUED ON THE BASIS OF INCOMPLETE OR ERRONEOUS INFORMATION.
ANYONE PROCEEDING PAST THE POINT OF REQUIRED INSPECTIONS I,IILL DO SO AT HIS Ot,,N RISK
(l)
(?)
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 permit has been issued the permit holder sha11 notify the
Department by submitting the installation record form. The Department shal'l inspect the construction to
determine if it complies with the rules contained il this d.ivision. If the construction does comply vlith
such rules, the Department shail issue a certificate of satisfactory carnpletion.to the permit holbei. If theconstruction does not comply with such ru1es, the Department shall notify the permit hoider and shall requiresatisfactory completion before issuing the certificate. Failure to meet the requirements for satisfactory
completion within a reasonable time constitutes a vio'lation of ORS 454.605 to 454.745 and this rule.
Setbacks .-, Subs.urface Sewaqe Disposal
C
Frqh: Interior property lines
Edge of road right-of-way
Building foundation
Hells, other watet" sources
'10'
l0'
5'
50'
l0'
l0''100'
Septic Tank Drainfield--T0-T--
.ANE COUNTY INSPECTION RECOXU
OWNER' S \t5 PHONT .ttiil NUMBER
AN]
PH E
L
K
FRONT SIDE I NTERi OR REARL
W Y PERMiT
T(
DIRECTIONS TO SiTE t.l L.rr 1)\L I bWt3
IXTF-I
ADDRESS
NG / FOUNDATION INSPE
Appro ved Correcti on
-3-).t -3 6b olrrs-:
OR MOBILE HOME SET
PERMIT N ERL5-Ba
I C
_Di sapproved Da te I ns pec tor
CONCRETE SLAB / UNDER-FLOOR INSPECTION
Approved Correct.ion_ Di sapproved-Date I ns pec tor
UI'IDEN SLNg I PI-UNSING GROUNDWORK INSPECTIONApproved Correcti on D'isapproved--Date Inspector
ROUGH PLUMBING INSPECTIONApproved Correct'ion Djsapproved_lDate I nspector
A
FRAMING I
proved
I
NSP)pr / Inspector
ION
Co cti on Di sa pp Da
Approved
LATH
Correcti on Di sa proved Date
d Da te
Insp ector
InspectorApproved Correcti on D'isaPPro
FINAL PLUMBING INSPECTIONApproved__Correction_ Disapproved_-D*e_-_-*-lnspectort
FINAL WASTE DISPOSAL SYSTEM INSPECTiON
Approved C orrection__Di sapproved Date I ns pector
TI
Ap
L ] NSPE
proved
B BIL HOMEorrection D 1 Sappr0ve d Date / O-/ 2=SLlnspector
CERTIFICATE OF OCCUPANCY
Approved
TEMPORARY CERTIFICATE OF OCCUPANCYDate InspectorCorrec t i on Di sapproved
n\/
Pl
./.)h.
ltb llc€TH /r-J r
It/tT4
Forn C74-L97
CONSTRUCTION PERMITS
A INSPECTION DIV.
DATE 3- g/
LANE COUNTY, OREGON
DEPT. OF ENVI RON M ENTAL MAI'vAGEM ENT
CCIFIFIECTICIN NGITICEdJOB ADDRESS
TO
NDTE
BLDG. PERTVIT
ba 1.1144-u.
F'E-!NSPEGTIc,N FIEGIUIFIEE,Phone EiEl7-4Ct65 FctFt AppFtovAL INSPECTOR
c55-73
t