HomeMy WebLinkAboutPermit Building 1981-06-30@ eERM IT
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Itro Copj-es of P1ans
f] rwo Copies of Piot Pl-ans
I laechanica] Checkl-ist
f]r,lumbing Checklist
Plan Check Info Sheet
Nh.COMPLETE THIS BLOCK.
PLANNING ZONING: ,on" KP\
llj-rrimum Setbacks, cL, front
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I ADDRESS NUMBERS NA.TIE
INTRACTOR'S OSR #vfr41 rYFDIRECTIONS TO SITE (
I IIAVE CAREFULLY ExA-l"lINED THE COMPLETED APPLICATION FOR PDRI4IT, and do hcreby .rcrtify that al1 informatiol hercon is true and correct and I fr)rthocertify that any and all work performed shall be done in accordance with the ordirances of Lane County and trhe Lails of the st.rLc of ore(lfn I,.rLaiilii?to the work described herein, and that No occuPANCY will be made of any structure without the pernission of the Building Division, T further cr:rtifithat'reg.istration with the Builder's Board 1s in fu1I force and effect as required by oRs 701.055, that if exempt the basis for exemption is notedllereon, and that only subcontractors and employees who are .in compliance with oRS 701.055 will be used on this projecl. r HAl,rE READ AND cltECI,€D THrsAPPLICATION THOROUGTILY.
SIGNATURE DATE
v S*..,
I contractor
I agentNAME (please print)
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Coments:
tr FLOODPLAIN:
fl nunar,ADDRESSING:GRID COORDINATE N
ffiarlrrATf oN:
In flood hazard area? fl *" fJ ve=, see attached sheer Date:
E T
S. I. #B. P, #
Date:
Installation Record Issued? ! v.= ! r,fo
Maxrmm Depth
ot'i'renches
Insta Ilation
Specifications:GalIon
Tank
Lineal Feet
of Drainfield
Coments
S EXAMINATION:Type
Coments
a).roun Z9 Use
Description
CONSTRUCTTON
Sq. Ft.
Fixed Fee/Unit Cost
AUTHORIZED BY
Date:
THIS PERMIT
Floodplain Fee
Subsurface Fees
Building Fee
Sewer/Storm Drain,/Water
Plumbing Fixtures
Mechanical
Plans Check Fee
State Surcharge
TOTAL FEE
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ffirrect f]cash
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TOTAL VALUATIoN S
PERMIT APPROVED BY BUTLDING OFF ICIAL,/DE r ORS 45 .80s ((pe
LANE COUNTY DEPARTMENT OF ENVIRONMENTAL MANAGEMENT ,/ 125 EAST
FEES PATD BY:
By: ( i,rft(
Date
e
c74-L94 SEE REVERSE
ErcHrH AVENUE. "r*,1 J#:o*9740I
7 (
PROPOSED USI] OF PitUPERTY
Parce] +_
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sETBAcKS AND 0THER c0NDiTIQi ya,AqfR0yA! MUST BE STRICTLY 0BSERVED. ,ru.^rr0n cAN RESULT IN REVOcATI9N OF THIS pERMrT.-
cITATIoN UNDER PRoV.ISIoNS 0F LANE CoUNTY',S TNFRACTTON oRDiNANCE, ANDIoR OTHER REMEDTES ALLoWED By LA[,I.
I^IHEN READY FoR INSPECTI0N CALL 687-4065. A MINIMUM 0F AT LEAST 24 H0UR ADVANCE NoTICE FoR TNSPECTION REQUEST MUST BEGIVEN. Have the following information ready: permit numberi job address, type of inspection, when it wilt Oe ready,your name and phone number, and any special directions to site.
BUILDING DIVISION:
REQUIRED IIISPECTIONS
l) FOUNDAIION INSPECTI0N: To be made after trpnches areLxcavated
are delivered on the job. Where concrete from a central mixing
materials need not be ontthe-, Job.ar
CONCRETE SLAB 0R UNDER-FL00R INSPECTION: To be mate'after all
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ind.rforms erected an-d when.all mirteria'ls for.the ioundation
plant (commonly termed "transit mixed") is to be used,
.;
in-slab or under-floor building service equipment,
are in piace but before any concrete is poured
:i1 framing, fire, blocking and bxacing are .iri' place' andl .
1'l rough electrical and plumbing are approved. A11
2)
3)
i,r r \
t-i: t
Septic Tank
T0'
t0'
5'
50'
Drainfield_T0T-
conduit, piping accessories and other ancillary equipment itemsor f loor sheathing inpgql"l e(,1 fuqluding {re subfloor.
zutgqj ,rt r-$":.u.fua. after the rooti'q
s and' vents are"complete and awall insul3tion and vaqor barli.er are. i4ip\acp. ,, . , i
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perm.its sha.ll be effectiv€ ior one year from the date of issuance.
upoiq co*pieting the construciion for which a permit has been^issued the PeTi! trollgr sha11 notify the
Department by submitt1ng the installation.".6ia to*. fne Oepaiiment shall inspect the construction to
determine if it compliei with the r.ules .oniiin.o in this aivisiori., If the construction does comp'ly vrith -'
such rures, the Departrrreht'srrar'r tssug u..riiiiiute of satirtu.io"v t.rii"ti"ii"i;-il;;#i; !;ii;!: ii il'e\
construction does not comply with such.rr.t,'iti-o.pi.t*.nt tr,iii ioiitv the pbrmit hoider and sha'I1 require
satisfactory completioi-u!ii,.. issring ti,"-.iriiii.ite. Failure to meefthe requirements for satisfactory
completion within u ,^IutoniOi" time ionstit;;;; . ,ioiution ot OnS 454'605 to 454'745 and this ru'le'
,4) LATH AND/08 GY.PSUM B0ARD INSPECTI0N: To be made after all lathing and gypsum board, interjor and exterior, is in place
+orbeforegypsum.boqndjoinisand-fistenersaieta|edand,f.ini,shed.
. 5) FINAL II)ISPECTI0N: To be made after,the building is complete and before.occupancy,r ! :
."
APPR0VAL REQUIRED. No work shall be done on any pal.t of the build'ing or structure.beyond the point indicated in egch
successive inspection without first obtaining the approval.of'the butlding official. SUch approval shall be given.only<
after an inspection shall have been made of each successivb step in the condtruction as in:dicated'by each of the inspections
requi 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
required 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 insta!lation is comolete.
Installation shall be in accordance with an approved nationally recognized testrng agency arrd the manu-
facturer' s instal lation instructions.
C. I'|OBILE HoME: An inspection is required after the mobile home is connected to an.approved sewer or septic
system for: setback requirements, biocking, footing connection, tiedowns, skirting, and plumbing
connections.
,i.. .: (l) Footings and piers to comply with State foundation requirements. for mobile homes or as recommended
I , , (2) illrli: il3il:tfii:Yffi finish ftoor etevation shall be certified when required by a floodplain
management ietter.,', ffiiii; :?T.iii;:u'i;,tni?,ii'ilii$;.Eli '+t;ilff,':iI,li.liil'lHlfii qit{,.it[,lti'Ei:]:!,,", ,
. : . .''l, i --','---i- - :,',i',"', l'li' - =:i"i' l\'' *-''i I't'"J':-t
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 I'JORKING HOURS. THIS PERMIT WILL EXPIRE IF IdORK DOES NOT BEGIN
I,IITHIN I8O DAYS, OR IF WORK IS SUSPENDED OR ABANDONED FOR MORE THAN 180 DAYS. SUSPENSION OR REVOCATION MAY OCCUR IF'JHIS
pERMTT utAS rssuED"iin'irr'r'riiisis oF-iiriouFtrir on rnnonrous INFoRMATIoN. '\
ANYONE PROCEEDING PAST THE POINT OF REQUIRED INSPECTIONS IJILL DO SO AT HIS OI}JN RISK
SUBSURFACE AND ALTERNATIVE SEWAGE DISPOSAL SYSTEMS
sFeac[s.,:,luqsu{acesewaqeDiseos
From: Interior ProPertY lines
Edge of road right-of-waY
auitding foundation
Hells, other water sources
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LA/VE CAzI,ITY IIVSPECIION RECORD
Ot^lNER'S NAME PHUNI NUMtsER
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FRONT
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L SIDE
RMIT
I NTERIOR REAR
DiRECTI N S TO SITE
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SITE SS
IN
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NDATION IN S CTION
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Co r ti on D'isap proved Date
NDER-INSPE
I ns pector
A pp r0v
CONC TES L
ved Correctj on_ Di saPP roved Date I ns pec torAooro
9.q.,L
DER U N K CT
Approve Correction Di saPProved-l oarc 3-3 3l inspectorNdr
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Approved ;"( Correct j ONon Di saPProved Da
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te f-*'-I nsp ectorLUMBINS
FRAM N IN I N
Approved
Approved
Correction----DisaPProved - Dat *2-I nspector
E ectorCorrecti on-.-.---Di sapproved Date 2_=4_8/-rnsp
LATH
Approved Correct'ion Di sapprov ed Da t"€- 8'? /-tntPector
FINAL P LuMs t No INS :::1131 ,, sapproved- Date o-5- V/ I nspector
Approved {* Cor
FIN AS DI ST INSLL Insp ector
Appro ved Correctjon Di sapProved Date
L NS CT DIN
i sap provedBU
orr I nsPector
Approved u,/ C ection
Form C74-197
Correcti on i sapptrove d ---=_Date
CEMP IFI TE AN
CER IC 0 CCU
Approved
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I NSULATI ON BARRI IN5Pt ION
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