HomeMy WebLinkAboutPermit Building 1981-08-19m!'
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PERM IT KP.\,,,
PLEASE USE BLACK INK AND PRINT:\UJ
CONSTRUC. .ON/PLACEMENT
COMPLETE THIS BLOCK.
FOR OFFTCE USE ONLY
Applicat
Permit #i? ia€' -3t
firwo Copies of Plans
Ir:wo Copies of Plot Plans
f]l,lechanical Checkl-ist
f llu*bi.,g Chec}:list
flPlan Check Info Sheet
tT RANGE Z t9,4,2
LOTs
t6 o
ADDRESS d Re s identi at flr.,austrial
Commercial !ruurictr
rOCInn
Proposed
Existing
foF #oF SUPPLYfi OF BEDROOMS
/tttAND
to the work described herein, and tha! NO oCCUPANCY wiII be made of any structure without the permission of the Building Division. f further certif''
that.regj,stration with the Builder's Board is in full force and effect as required by ORS 701.055, that if exenpt the basis for exenPtj.on is noted
hereon, and that only subconlractors and employees who are in conu)Lj-ance with ORS 701.055 will be used on this project, I HAVE READ AND CIIECrcD THIS
APPLICATION THOROUGHLY.
SIGNA'print)DATENAI.IE (
roby 'icrti that a n format i on
fy that any and all work performed shall be done in accordance witll Lane County alrd tire Laus of the SLate of Oreqrn I,/--tLairrin.lordiIlances o
d I furthon is true and correc
I o*^".
@{ontractor
I agent
I
certi
CAREFULLY EXAMINED THE COMPLETED APPLICATION FOR PERMIT, ANd
tr PLANNING ZONING:Zone
l,lirimum sctbacks , CI,, f rbra
Conments;
int.rior 5 /
Par
re ar
E
E,
Partition #.
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=id"
Parcel #_'y"ffi
tr FLOODPLAIN:
reRAL ADDRESSING:cRrD cooR.DrNATL N
ITATION:
In flood hazard area?fJ v.", see attached sheet.
Date:
Date,
Date:
6"@T
trE
s, r. #B. P. #W-&rnstattation Record rssued:r[] ves I no
Installation
Spec i fi cations
Ga1 lon
Tank
Lineal Feet
of Drainfield
l,laxinun Depth
of Trenches
Coments:
MT A
Use
lON AUTHORIZED BY THIS PERMIT
Coments:
El'ry"*s
Date:
Date:
E tb
Sq. Ft.
Fixed I'eel
Unit Cost
Floodplain Fee
Subsurface Fees
Building Fee
Sewer/Storm Drain/Water
@f"ming Fixtures
Mechanical
Plans Check Fee
State Surcharge
TOTAL
FEES flcasn
DATE
$
$
$
)
$
)
$
( o.@-
z\r1 dO
-----*+.-2,#
TOTAL VALUATION S llALaE.rc
fteDud'tb,@ Date:
PE ROVED BY BUILD ICIAL/DESIGNEE (per ORs 456.8O5(1) )
LANE COUNTY DEPARTMENT OF ENVIRONMENTAL MANAGEMENT / 125 EAST EIGHTH AVENUE,
C74-I94 SEE REVERSE
8t
OREGON 9740L
a
L
C; C:i ;'Ji..I, DEPARTMENT OF
COMMERCE, ELECTRICAI
SaFIY 6&6cIlQHtio',?ff fuli*i" z
1ln Qruvvt
BY:Check
C
J
SETBACKS AND OTHER CONDITIONS OF APPRUVAL MUST BE STRICTLY OBSERVED. VIOLATION C','' RESULT IN REVOCATION OF THIS P
CITATION UNDER PROVISIONS OF LANE COUNTY'S INFRACTION ORDINANCE, ANDIOR OI}IER REMEDIES ALLOWED BY LAI'I.
i
rnl1ir,
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 following information ready: Permit numberr job address, type of inspection, when it will be ready,
your name and phone number, and any speciai directions to site.
BUILDING DIVISION:
REQU IRED IIiSPECTIONS
r)FOUNDATI0N INSPECTION: To be made after trenches are excavated and forms erected and when all materials for the foundation
ffiob.Whereconcretefromacentralmixingp1ant (conrnon'ly termed "transit mixed") is to be used,
materials need not be on the Job.
2) lQllqlElt SLAB OR UNDER-FLO0R INSPECTI0N: To be made after a'l'l in-s'lab or under-floor building service equipment,
ace but before any concrete is poured
3) F$$MIryG & ITIULAII0N INSPECTJONS: To.be made after the roof, all framing, fire blocking and bracing are in place'anda1l-pipe,;, fireplaces and chimneys and vents are complete and all rough electrical and [lumbing are-approved. AllwalI 'insulation and vapor bamier are in p1ace.
4) LATH AND/0R GYPSUM BOARD INSPECTION: To be made after all lathing and gypsum board, interior and exterior, is in p'laceorbeforegypSumboardjointsandfastenersaretapedandfinished.
5) FINAL INSPECTIoN: To be made after the building is complete and before occupancy.
I
APPR0VAL REQUIRED.. No work shall be done on any part of the building or structure beyond the point indicated in eachsuccessive inspection without first obtaining the approval of the Ouitaing official. Such approval shall be given onlyafter an inspection shall have been made of each suctessive step in the c6nstruct'ion as inaitited Uy-eich of [ne inspeitionsrequi red.
N0TE: A11 building permits require inspections for tire work authorized, such as but not limited to:
A. BLOCK HALL: To be made after reinforcing is in p1ace, but before any grout is poured. This irispection isrequired for.each.bond beam pour. There will be no approval until tire-plumbing'and electrical inspectionshave been made and approved.
B' W00D ST0VE: To be made after completion of masonry (if applicable) and when installation is comotete.
Instaliation shall be in accordance with an approved nationally recognized testrng agency arrd the manu-
facturer' s instal lation instructions.
C. I40BILE 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 compiy with State foundation requirements for mobile homes or as recommended'by the manufacturer.(2) Mob'ile home minimum finish floor elevation shall be certified when required by a f1oodpla'in
management I etter.(3) l4obile home tiedowns, when required, and skirting shall be installed and ready for inspection
within at least 30 days after occupancy. Tiedowns and skirting shall be installed per enclosure.
D. SWIMMING P00L: Below grade when steel is in place and before concrete is poured. Above grade when pool.is instal Ied.
APPROVED PLANS MUST BE ON THE JOB SITE AT ALL TIMES DURING I,IORKING HOURS. THIS PERMIT WILL EXPIRE IF t,lORK DOES NOT BEG.IN
I.IITHIN I8O DAYS, OR IF I,IORK IS SUSPENDED OR ABANDONED FOR MORE THAN ]8O DAYS. SUSPENSION OR REVOCATION MAY OCCUR IF THIS
PERMIT tilAS ISSTED ON THE BASIS OF INCOMPLETE OR ERRONEOUS. INFORMATION
ANYONE PROCEEDING PAST THE POINT OF REQUIRED INSPECTIONS |/JILL DO SO AT HIS O[,IN RISK
SUBSURFACE AND ALTERNATiVE SEWAGE DISPOSAL SYSTEMS
(1) Permits shall be effective for one year from the date of issuance.
(2) Upon completing the construction for wh'ich a permit has been issued the permit ho'lder shall notify the: Department b!.submitting the insta'llation record form. The Department shall inspect the construction to .' determ'ine if it compljes with the rules contained in this division. If the construction does comply vrith
such rules, the Department!.shall-,,lssue a certifi-cdte.of satisfactqr"y completion to the perlnit holder. If the
construction does not comp,ly with such rules, the Department shall'notify. the pgrmit holdei and shall require
satisfactgty cornpletion bbfore.iss*ing;the.cerlific?ter Fail+re tormeet'the,reilui.rements for satisfactory
.-complet.idnwithi.nareasoaab.le.timeconstitqtesavtol,a'tionof0RS454.605to454.7.q5,andthis4u1e.
Setbaeks - . S.ubs Urf a ce-,Sewag_D'! spgg!-----:_--.r++-
'Fmm: tnterior property l ines' :Edgri of road right-of-way
Building foundation
Hel'ls, other water sources
\- -sl.r. {
cillary equipment items are in p1or floor sheathing installed, including the subf'loor.
I rt 'Septic Tank Drai nfi el d
-T0]-'10'
'I 0'
qr
50'
'I 0'
t0'
I 00'
\,sf
HQLI' SIIT bnecounty
APPLICATION #
il!'--
LOCAT I ON
NAME
ADDRESS
The Lane County Building and Sanitation Djvjsion cannot proceed with processing
your appl i cation because:
I . n Incomplete appf icat'ion ('items def icient) '
7
2
?
n Address and/or djrections to application site'
n Prooosed number of bedrooms in dwelling'
17 Approvable plot plan fsee'attaettme*&);*
il r'rbiification of date test holes will be ready'
n Verification of existing system required (see attachment).
Two test holes (2'x4'x5' deep) required for expansion or repair
of ex.isting t.*ug. d'isposal svstem jn the area of the proposed
drainfields.
4 n Other:
tr/,
u .7/LIA
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from
ONE
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ifnoresponsehasbeenrece.ivedinregardstothismatterby
the aPPl ication w'il I be denteo'
c0uRTH.usE-PUBLIc sERvrc?';h?lf?-t-")-"ill'ioBi'bil'['t*t'tvrR0NMENTALGMili'ill![l,-'!?tlytn"
puoNE ( 503)687-406
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