HomeMy WebLinkAboutPermit Building 1981-10-07d fft
CON STRUCTIOI --,PLACEM ENT
PERM IT
)R OFFICE USE ONLY
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f rwo Copies of Plans
f rwo Copies of Piot Plans
fi l.lechanical Checkl-ist
Illumbing Checklist
COMPLETE THIS BLOCK. PLEASE USE BLACK INK AND PRINT.
Plan Check Info Sheet
TOWNSHIP
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RANGE -()z '""i'4 3 glTAX I,OT OUT
I Residential
I commercial
I rndustrial
flruuric
PROPOSED USE OFCITYzrPtc
S VALUE
# OF E-FIPLOYEESaq OF BEDROOMS
\1
s disting
l9
to the work described herein, and that NO OCCUPANCY will be made of any structure without the permission of the Buj.ldirlg Di.rision. I further c,:rtif,'
that registration with the Builder's Board is in futl force and effect as required by ORS 701.055. that if ex€-mpt the basis for.rxemf,t,ion is not.d
hereon, and that only subcontraccors and employees who are in conpliance with ORS 701.055 will be used on this projec!. I HAVE READ AIID CIIECT.ED TIJIS
APPLICATION THOROUGHLY.
/o- 7-e 1
DATEj-nt)NAME (please
accordance with the ordinances of
FOR , and do hcroby i fy that
shal 1 and Cbe Lails of hhe St.rLc of Oreqln I,,)iLaining
fl o*t,.'
f| cont.a.'-ot
f| ee..t
I IIAVE CAREFULLY EXAHINED
certify that any and alf work
infornation hercon is true and aorreat nrld I furthe
fl pr,aNxrNc/ZoNrNG:
l"li:r1mum Setbacks: C"
Zone
, frbnt
Partition #
t" , "
id..
Parcel #
interior
Parcel,pr.ru L053
rear #AAIN O,/\A$LV.
Comments :
FLOODPLAIN:In flood hazard area?
fl nunar, AppRESSTNG:cRrD cooRtINATE N
I sarlrrATroN:
te:to-1-8t m
D *" I v"s, see attached sheet.Date:
Date:E
s. r. #B. P. *rnstal-fatiorr Record rssued? f v"= f] ll"
Maximum Depth
of Trenches
Installation
Spe ci ficat.ions :
Comnents :
Ga1 lon
Tank
Lineal Feet
of Drainfield
,"r", D-1.X1 J
fl e ns ExAMTNATToN: rype aJ o,ou, W
a
Date:
De r]-
CONSTRUCTION AUTHORIZED BY THlS PERMTT
Fixed Fee/ Floodplain Fee
Sg. rt Unit Cost Subsurface Fees
Building Fee
Sewer,/Storm Drain/Water
Plumbing Fixtures
Mechanical
Plans Check Fee
State Surcharge
TOTAL FEE
FEES PAID BY:fcn""x flcasir
lo,7,7l
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$
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$
$
$
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ToTAL VALUATIoN $
By:
Date:
PERMIT APPROVED BY BUILDING OFFICIAL/DESI (per oRs 456.DATE
LANE COUN1Y DEPARTMENT OF ENVIRONMENTAL MANAGEMENT / 125 EAST EIGHTH AVENUE, EUGENE, OREGON g74}l-
C74-L94 SEE REVERSE
l-
T
SETBACKS AND OTHER CONDITION5 ,f APPROVAL MUST BE STRICTLY OBSERVED. VIOiTTIION CAN RESULT IN REVOCATION OF THIS PERMI{cITATIoN UNDER PRoVISIoNS 0F LANE CoUNTY'S INFRACTIoN oRDTNANCE, ANDIoR OTHER REMEDIES ALLOWED By LA}I.
WHEN READY FoR INSPECTIoN CALL 687-4065. A MINIMUM 0F AT LEAST 24 HoUR ADVANCE N0TICE FoR INSPECTION REQUEGIVEN. Have the following information ready: Permit number, job address, type of inspection, when it wiltyour name and phone number, and any special directions to site.
BUILDING DIVISION:
REQUIRED IIISPECTIONS
1) FoUNDATIoN INSPECTIoN: To be made after trenches are excavated and forms erected and when all materials for the foundation
are delivered on the iob. Where concrete from a central mixing plant (commonly termed "transit mixed") is to be used,materials need not be on the Job.
2) EqNC&ETE SLAB 0R UNDER-FL0OR INSPECTI0N: To be made after all in-slab or under-floor bui]di
ST MUST BE
be ready,
ci1.laryequipmentitemsareinp1acebutbeforeanyor floor sheathing installed, inc'luding the subf'loor
3) FRAMING & INSULATIoN INSPECTIoNS; To be made after the roof, all framing, fire blocking and bracing are in place andal1 pipe';, fireplaces and chimneys and vents are complete and alI rough electrical and plumbing are approved. Al1wall jnsulation and vapor barrier are in p1ace.
4) LATH AND/0R GYPSUM BOABL If,llPjqTI0N: To be made after al1 |athing and gypsum board, interior and exterior, is in place
orbeforegypSumboardjoinisand-?astenersaietapedandfinished
5) FiNAL INSPECTIoN: To be made after the building is complete and before occupancy.
APPR0VAL REQUIRED. No work shall 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 building official. Such approval shall be given onlyafter an inspection shall have been made of each successive step in the construction as indicated by each of tne'inspettions
required.
NOTE: A11 building permits require inspections for the work authorized, such as but not l'imited to:
A. BL0CK 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.
tl|00D STOVE: To be made after completion of masonry (if applicable) and when installation is comotete.
Installation shal'l be in accordance with an approved nationally recognized testrng agency arrd the manu-
facturer's insta'l lation instructions.
l,l0BILE HOME: An inspection'is required after the mobile home is connected to an approved sewer or septic
system for: setback requirements, blocking, foot'ing conneation, tiedowns, skirting, and plumbing
connecti ons .
(l) Footings and piers to comp'ly with State foundation requirements for mobile homes or as recormended
by the manufacturer(2) Mobile home minimum finish floor elevation shall be certified when required by a floodplain
management Ietter." (3) l4obile home tiedowns, when required, and skirting shall be insta't'led and ready for inspection
within at least 3O days after occupancy. Tiedovns and skirting shall be installed per enclosure.
D. SWIMMING P00L: Below grade when stee'l is in place and before concrete is poured. Above grade when pool
is instal led.
APPROVED PLANS MUST BE ON THE JOB SITE AT ALL TIMES DURING I,IORKING HOURS. THIS PERMIT WILL EXPIRE IF l,lORK DOES NOT BEGIN
WITHIN I8O DAYS, OR IF I^IORK IS SUSPENDED OR ABANDONED FOR MORE THAN I8O DAYS. SUSPENSION OR REVOCATION MAY OCCUR IF THIS
PERiqIT UIAS ISSUED ON THE BASIS OF INCOI.IPLETE OR ERRONEOUS INFORMATION.
ANYONE PROCEEDING PAST THE POINT OF REQUIRED INSPECTIONS WILL DO SO AT HIS OI,JN RISK
SUBSURFACE AND ALTERNATIVE SEWAGE DISPOSAL SYSTEMS
D
ng service equipment,
concrete is poured
Permits shal'l be effective for one year from the date of issuance.
Upon completing the construction for which a permit has been issued the pennit holder sha11 not'ify the
Departhent by submitting the installation record form. The Department shall inspect the construction to
determine if it complies w-ith the rules contained in this division. If the construct'ion does comply vtith
such rules, the Departmehf'shall issue a certificate of satisfactory gompletion to the permit holder. If the
constructi.on does not comply.with such rules, the Department shall not'ify the permit holder and shalI require
satisfactory tompltition befsre-issuing the..certfficate.'Faililre to meet the requirements for satisfactory
completion within a reisonable time cons{itutes g viol.at-ion of
:RS,O5O.lO.U
to.,a54.145 and this.,rule.
.
Setbackl --Subsufface Sewaqe Disposal
L
(l )
(2)
From:Interior property lines
Edge of road right-of-way
Building foundation
Wells, other water sources
Seotic Tank
t0'
10,
5',
3U
Drai nfi el d
-TOT-10,'10'
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LJ
LANE COUNTY INSPECTION RECORD
OWNER'S NAME PHONE NUMBER
PHONE ER
DIRECTIONS TO SITE
o
l.* a\.-I q 3.J A1 Q reS
PERMIT N BE
FOOTIhIG / FOUNDATION INSPECTION OR MOBiLE HOME SET UP INSPE C TI ON
Appro'ved__--Correction Disapproved_Date I nspector
CONCF{ETE SLAB / UNDER-FLOOR INSPECT ON
Approved Correction DisapProved Date-i ns pec tor
UNDTR SLAB / PLUMBING GROUNDWO RK INSPECTION
Approved Correcti on Di sapproved--Date--I nspector
ROUGH PLUI'IBING INSPECTION
Approved Correcti on D j sapproved-Date I nsp ector
FRAMING INSPECTIONApproved Correction_--.Disapproved Date I nspector
MSnmN-ON7 VAPOR BARRIER INSPECTIONApproved Correcti on---Di sapproved Date insp ector
IA_TH-TGVPSUM BOARD INSPECTION
Approved Correctjon Disapproved IDa te I nspector
FINAL PLUMBING INSPECTIONApproved _ Correction- Disapproved Date I nsp ector
FINAL WASTE DISPOSAL SYSTEM I NSP ECT i ON
Approved Correctjon Disapproved Date Inspector
FI
Ap Y'NAL INSP N BUILD ING0 ILE HOME
Correction Di sapproved -Eate /Z- 7-A I Inspector
OCCUP TEMP TE OF OCCUPANCY
Approved___Correct j on Di sapproved Date
roved
I ns pec tor
Form C74-L9l
Y CERT
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