HomeMy WebLinkAboutPermit Building 1982-12-13@ CON STRUCTION/PLAC E M ENT
PERM IT
COIUPLETE THIS BLOCK. PLEASE USE BLACK INK AND PRINT.
FCR OFI]CI LTSE OI{LY
Applicar-i
Permit #
fi two Copi-cs of Pl-ans
Ir'wo Copies of Prot Pians
Itrechanica-L Chec]il- j st
[] llumbino Ci'iec]r11st
Pl-an Check Info Sheet
o3 ot I,OT
SUBDI VI LOT
LOCATION STREET
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VALUE
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certify that any and a1t sork perforned sha1l be done in accordancc with the Ordiraa(::.,s of Lana, Corrrty and '.b. Lai{rt of th. slt 'r,' .1 f,,-,,
to the work described herein, and that No oCCUPAIICY wi-ll be nade of any structur.r wit.hout thl. pcrmi:;si.or) of tho Buildiug Di\/isior1. I fu
that registration with the Builder's Board is in fuII force and effect as requirad by oF.s 701.055, that if exfnrpt the basis for !x..ml t.i(,r is rr rt.rl
hereon, and that only subcontractora and employees who are in compliance with ORS 701.055 witl be us4d on this project,. I HAVE REI.'D AllD (-llE(r:fD TIITs
DATE
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NAME (Flease print)
APPLICATION THOROUGHLY
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n PLANNING ZONING:
I'li-rImum t"tertor 15 / ,uot ft\'t
Lfrha 16?{Date:auate:
Date:
I "ttrFLOODPLAIN:In flood hazard area? fl *" I v.", ."o
EI Euaal, ADDRESSTNG: cRrD cooRDrNArE
tached sheec
N E
TION:
fi cations
I B. P. #lnstailarion Record lssucd? ! v.r f] n"
Maximunr Depth
of Trerrches
Ins Gal lon
Tank
Lineal- Feet
of Drainfieldspe
Comnents:/
/ry /.20*t ---fu ExAMrNATroN, ,ro. lrill o.",n Mf+Use
Cotrunents:
.TINN
EIqTS
CONSTRUCTION AUTHORIZED BY THIS PERMIT
Description Sq. Ft
Pixed Feel
Unit Cost
Floodplain Fee $
Subsurface Fees $
BuiJ-ding Fee $
Sewer,/Storm Drain/Water $
Plumbing Fi-xtures $
Mechanical $
Plans Check Fee S
State Surcharge S
TOTAL FEE S
TOTAL VALUATION $
FEES PAID
By:
Date:
Check Cash
D''TE
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PERMIT APPROVED BY BUILDING OFFICIAL/DESIG}IE:E (;':
I.ANE COUNIY DEPARI'!{ENT OF PLA}INING & COI'I}IUNITY DEVEI.OPMENT,/ I25 EAST EIGHTH AVENUE, EUGENE,
SBE REVERSE FOR INSPECTION INEORT{ATION
9740L
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Date:
Si r ll li rl:'[ SIDE OF PERMIT AND
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SETBACKS AND OTHER CONDITIONS OF APPROVAL MUST BE SI'RlCTLY OBSERVED. VIOLATION CAN RESULT IN REVOCATION OF THIS PERMIT,
CITATION UNDER PROVISIONS OF LANE COUNTY'S INFRACTI()N ORDINANCE' ANDIOR OTHER REMEDIES ALLOI,JED 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 ready: Permit number, iob address, type of inspection, when it will be ready,
your name and phone number, and any special directions to site.
BUILDING DIVISION:
REQUIRED IIISPECTIONS
i) FoUNDATIoN INSPECTIoN: To be made after trenches are excavated and forms erected and when all materials for the foundation'ffiob.WhereconcretefromacentralmixingpIant(common1ytermed,,trans.itmixed.,)istobeusedo
materials need not be on the Job.
Z) C0NCRETE SLAB 0R UNDER-FL00R INSPE9TI0N: To pe made after all in-slab or under-floor building service eluipment,,ci11aiyequipmentitemsareinp1acebutbeforeanyconcreteis.poured
or floor sheathing installed, including the subfloor.
@mneyswall insulation and vapor barrier
To be made after the roof, all framing, fire blocking and bracing are in place-and
and vents are compiete and a'll rough electrical and plumb'ing are approved. A11
are in place.
3)FRAMING & INSULATION INSPECTI01lS:
4) LATH AND/oR GypSUM BgAR! INSPECTIoN: To be made after "it tutting and gypsum board, interior and exterior, is in place'
orbeforegypsumboardjointsandfastenerSaretapedandfin.ished.
5) FINALIIS!!!II!N: To be made after the building is complete and before occupancy.
APPRQVAL REQUIRED. No work sha:l.l 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 bui'lding officia'I.. Such approval shall be given only
after,an inspettion shall have been made of each successive step'in the,construction as indicated by each of the inspections'
requi red.
N0TE: A1l buitding permits require inspections for the work authorized, such as but not'limited to:
A. BLOCK l,lALL: To be made after reinforcing is in p1ace, but before any grout is poured. This inspect'ion is
required for each bond beam pour. There will be no approval until the plumbing and electrical inspections
have been made and approved.
B. W00D ST0VE: To be made after completion of masonry (if applicable) and when installation is como'ete.
Installation shatl be in accordance with an approved nationally recognized testrng agency and the manu-
facturer's instal lation instructions.
C. I40BILE HoME: An inspection is required after the mobile home is connected to an approved sewer or septic
system for: setback'requirements, blocking, footing connection, tiedowns, sk'irting, and plumbing
connecti ons.
(l ) Pootings and piers to comply w'itn State foundation requirements for mobile hdmes or as recommended
by'the manufacturer.(2\ Mobile home minimum finish floor elevation shall be certified when required by a floodplaitt
management letter.(3) l4obile home tiedowns, when required, and skirting shall be installed and ready for inspect'ion
within at least 30 days after occupancy. Tiedowns and skirting shall be installed per enclosure.
D. S!,IIMMING P00L: Be'low grade when steel is in place and before concrete is poured. Above grade when pool
i s i nstal'led
AppRovED PLANS MUSI BE 0N THE JoB SrTE AT ALL TrMES DURTNG I,I0RKING HoURS. THIS PERMIT }JILL EXPIRE IF llJORK.D9i:..pI-BI9,ll
WITHIN 180 DAYS; 0R IF llIORK IS SUSPENDED OR ABANDoNED FoR MoRE THAN ]80 DAYS. SUSPENSIoN 0R REVoCATI0N MAY oCCUR IF THIS
i;Eii,iit r.rA5 iSi[ro-rtN -rH.E-
sns i5 oF- i rlioNprif r on Ennoneotl S lrlFonnAr Ion.
ANYONE PROCEEDING PAST THE POINT OF REQUIRED INSPECTIONS I,JILL DO SO AT HIS O['JN RISK
...( r )
(2)
rL SYSTEMS ! t
SUBSURFACE AND ALTERNATIVE.SEWAGE EISPOSI
penii'iis.-s'hatl'bd dffective ro'i one year from thL aate oi issuance.
Upon completing the constructioq fo.r which a permit,has been issuedJ[re permit ho]der shal'l notify the
Obpartmeht by iubmitting the trhstfl.lation recbr.tl-fofrn. The Deparffi! sha11 inspect the construction to
delermine ifit compliei with the iules contained-in this division.'It the construction does comply with
such ru1es, the Depirtment shall issue a certificate of satisfactory completion to.the permit holder. If the
construction does irot comply with such rules, the Department shall notify the permit holder and shall require
satisfactory completion Ubtilre issuing the certificate. Failure to meet the requirements for satisfactory
complqfjon*',ithih,a reasonable time constitutes a violation of ORS 454.605 lo 454.745 and this rule.
- 1-.._\ J.a + :
,Setbacks -. Subsurface Sewaoe Disposal
Septic Tank Drainfield
-To-r-- -T0'-From:Interior property lines
Edge of road right-of-way
Building foundation
Hells, other water sources
'I 0'
5',
50'
l0'
l0'
'I 00'
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hne county
ACT"NITY INFORMAT ION -"SH EET
COMPLETE THiS SECTION. INCOMPLETE FORMS I^lILL BE REJECTED!
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MAILING ADDRESS MAILING ADDRESS
DE CITY STATE ZIP CODE
HOME TELEPHONE #m HOME TELEPHONE #
2 PROPERTY ADDRESS
(IF DIFFERENT F IL N
3 rvlae I PAFIcEL NIJMBEEI ( from tax map
or from tax
e3 0l
RANGT SECTION
s 'in Department of Assessment and Ta.xationstatement) ,/ ,I j''A 1 .y.',': ' f it
TAX LOT(S)-ON PARCEL # ZOI.IING
(RE UIRED INFORMATION)
ALlorDT 6er)
MilN-SE]F RA-NGE SffiMN
MENSE]P RA-NE SEETI_ON
TOTAL CONTIGUOUS PROPERTY IN SAME OWNERSHIP:
S PARCEL ZONING
TA-xTOTrSIoR PARCEL # zoNrNG
o ACRES
4 SUBDIVISION ( if appl icable)LOT BLOCK
5 REQUEST s;tate exactl y what you plan to do
6 DIRECTIONS TO SITE:
ZONE/LAND USE:
BY : _ DATE:-
** FOR STAFF USE ONLY **
TIME IN:_ OUT:_
NUMBER
DATE
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LAND MANAGEMENT DIVISION / 125 E. 8th AVE., L-UGENE, OR 9740I / 687-406I
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Subdivision
Lot Block
Job Loc:tclon (Addre
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Permit
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Penult #
Permlt
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lane county
ACTIVITY INFORMATION SHEET
COMPLETE THIS SECTION. INCOMPLETE FORMS t.',ILL BE REJECTED!@
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N T RTY NE
6
MAILING RESS
a
of
ffi
2 PROPERTY ADDRESS
W ffiW;iffi,T.=
( IF DIFFERENT F ROM MA ILING RESS )
3 rvlae I FAneEL NIMBEFI
( REQUTREp rNF0RI4ATr0N)
(from tax maps in Department of Assessment and Taxationor from tax statement)
MTNSMTF RANGE SEETMN M ZO NING
MINSHTP RANGE SECIIOn TAX L (S) OR PARTELJ ZON I NG
MINSF]P RANGE smTmN
TOTAL CONTIGUOUS PROPERTY IN SAME OWNERSHIP:
ffi ZON I NG
ACRES
4 SUBDIVISI0N (if applicable)LOT BLOCK
5 REQUEST (state exacily what you plan to do)
6 DIRECTIONS TO SITE:
** FOR STAFF USE ONLY **
ZONE/LAND USE:
NUMBER
DATE
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-{BY: -- DATE:_-_ TIME IN:_ 0UT: