The URL can be used to link to this page

Home My WebLink AboutPermit Building 1992-4-20 ~~rltc. ~- ~ .. ---..... PER~I!.J ~ Q /d~tJ- /2.. ; , REQUEST FOR: AI..JTf/n~ I Zk'TJ()A ) To .4-0]) ~\ ! ' -l!.~,D~~~~~IN,~,....'..' BF-i)~ 'j, , , ""'" """" "" '," '" , ...... r ---.. ... ...... ......... .. ~ , v ~~~~3'.r..::;::.;:.:?:.:t;:.::.:=::./: u .UlmVISlOHIP~'" IY>?,-,-n I _I " IU'J ' "-.. ' ~'.'\PR ~ e'lQQ?,.., ~~-\ 4~ ~LL,~ SEPnC ~aTALU:D WATER "SrAU.i:D NO, Of STORIES NO, ar JL9{EES \, ----. ~ VE6 RAIIJB(y.LJ LV~~M:' / \, ",,~ ' DElICRlP11~ 01' I"ROPOIllD WOI'IK "'-- ...... NO, Of' aEDROOIIlI ~.~A.t.,"OMF.P.~JH ~~M ~ ~f-I ~.,' ~ i!':t</ST/AJC .J}fit:i= fl3Ut1' sT. 4A?I ~~ -rn r fit 1'7l7tJA,JIA"i..} fS4sT- 7b h~ (~.t r -<; /V~ N~'!l:j ToP t18tJ/J) /d;p It./~U A'/~Hr -r~ 7HI.S AO'a.e~r. ::R/~t: ';fE. L 1 "-l f)A. to E E:R " ":;4~ - tOP/Pi- OWNERB NAM. . A...... L - Y . PHON. cOfnl:!:;?;{:: M EN ~O L ,,~~ 081'1 UCENSI. PHONli nAVI/) 7.1d1z..VCI<./ (6EI../~) ) I.. . . , ,. MAIL PERMIT TO: _ / > 7.;l6 6b.L.3 7J. "M'f-!Tij ~p: <;:.L}#JAJ!:i.F~LI 22.~ N. 51!. RT. ~ ADDREAS I hava carafully read BOTH sides of this application and hereby certify that all Information Is true and correct I TOWNSHIP 17 ,O::L, ?'7 LOCATt "DDAES8 L I 2.(0 MEN () BTAuer RES NOW ON PROPERTY (21/= PROPOSED UliE ....... BECTlOH ,,.. SECTION "'?3 L~p TAX LOT * t ~A'/ILi::if/~ d ( . 9:L4'7'7 1 PRHTNNol& -- ""T< , Based On The Conditions APPROVED BY: _ ~ DATE~f,)- CALL FOR INSPECTIONS (SEE BACK OF FORM FOR INSTRUCTIONS) 687-4065 ^ SEPTIC permits Bre good for one YBBr. ALL othBr pBrmlts expire Bfter 180 dBYs unlBSS InspBctlons Bre currBnt. - J . VIOLATIONS . ~ Ii'" ~~~ ~:)~I , \ ' ~ SBTBACKS AND onmR CONDmONS OF APPROV ALMUST BE snucn. Y OBSERVFD. VIOLATION CAN RBSUL TIN RBVOCAll0N OFTInS PERMIT. CITATIONS MAYBE ISSUED UNDER. nm PROVISIONS OP LANE COUNTY'S 1NFRAC110N ORDINANCB AND/OR ornER REMEDIES AU.QWBD BY LAW, ; , A MINIMUM OF AT LEAST 24 HOURS ADVANCE NOTICE MUST BE GIVEN FOR INSPECTION REQ{JESTS 1 l ., .... " ~ "- . -;" , ,''-- . ,t.~,: .... .. - . I ,I ':"'~ \: l'" " .. \ '. . , \ -. Have the following infonnation ready when you call: 6874065 "'(,. ..., Permit number Job address - Type of inspectioh requited - -When it will be ready Your name and phone number - Anyspecialdii~tiqJ!Stotl1f~_site.: ._, .1. ,,',,\ PUBLlCOFFlClALRIGllTTOTRESPASSONPRIVA'RnOPERTYORSns.olO ~ ' ~ pOWER TO BNTER UPON LAND. nIB COMMISSION, AND ANY OF ITS MEMBERS, OPPlCERS AN.D EMPLOYES, IN nIB PBRPORMANCB OFnmIR FUNC110NS, MAY E..VI'ER UPON ANY LAND AND MAXI! BXAMINATIONS AND SURVBYS AND PLACB AND MAINr~,nm JrrmCBsSARY.MONUMENTs A]I.'D MARKERS llIEREoN. , , _ , , ,: -_ REQUlR~J;> ~SP_~CTI?NS, "" <,.- __ ,~, I " , FOUNDATION INSPECTION:'I'o be made after excavations for footings are 'Complete and .my required' reinforcing steef'is in place. ' " UNDERGROUND PIPINGlNSPECTION: ,To be made after, all under8!"und piping has,been,installed, prior to any backfill:' , ,., ' ~ '-. '. '.. , ..." ,"-, ", ' "'''' "- , . . .'. ~~.. \ ,'.,J" .. ~' ...... ..:....' '- . '. "-. CONCRETE SLAB OR UNDER-FLOOR'INSPECTION: To be mwe Mtei' all in-slab or under-flooibuildirig service equipmen~ condui~ piping - accessories and other ancillary equipment items are. m pl~'~ ~ut,befor;JI~lY cb.~te i.s'plaCed'or floor.'sheatJ:Ung~installed.,inclu~g tlie,5ubfloor. . ROUGH MECH~CAl. INSPECTION: To be made after all ducting and gas piping has ~"'l installed an!i prior to being "j'vered.; , ) ROUGH PLUMBING INSPECTION: To be made after all plumbing rough-in is in place, prior to'b<ling covered,.....- . :," ' ., ,,' , FRAMING INSPECTION: To be made after the all framing, fife blocking, bracing and roof are in place and all pipes, chimneys and vents !lfe complete and the rough electrical, plumbing, and mechanical inspections have been made and approved. \ - -'. . '",,' - '. - , ' , '. INSULATION INSPECTION: To be made after all insulation and vapor barri"" are in p1ace,.pri9r,iQ covering" '- -:: /,:-'-...",' ,::, LATH AND/OR GYPSUM BOARD INSPECTION: To be made after all lathing and gypsum board, interior and exterior. is in place but before any plastenng~is ~ppli~ orb.ef~regyps.umpo~~j<?~ and fasteiief! are'tai)ea andf~h~._ ~ . . ...,~~"..:.. ,":.\'. "...;.. ,',..',' 0;- .,~ ADDITIONAL INSPECTIONS MAY BE REQiJiRED, such as but not limited to; , BLOCK WALL: To be made after reinforcing is in place, but before any grout is poured. The inspection is required for each bond beam pour, There will be no approval until the plumbing and electrical inspections have been made and approved. FINAL MECHANICAL INSPECTION: To be made just prior to the structure or remodeled area being occupied and prior to operating any equipment FINAL PLUMBING INSPECTION: To be made just prior to the building, structure or remodeled area being occupied. FINAL BUILDING INSPECTION: To be made after futish grading and the building, structure or remodeled area is completed and ready for occupancy. MOBILE/MANUFACfURED HOMES: An inspection is required after the mobile home is connected to an approved sewer or septic system, prior to covering sewer or water lines, for setback requirements, blocking, tiedowns and plumbing connections, Footings and piers to comply with State fOlmdation requirements for mobile homes or as recommended by the manufacturer. Minimum fmished floor elevation shall be certified when required by Floodplain Management Tiedowns, if required, shall be installed and ready for inspection within 30 days after occupancy. Tiedowns shall be installed per enclosure, APPROVAL 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 only after an inspection shall have been made of each successive step in the construction as indicated by each of the inspections required. , , \ " APPROVED PLANS MUST BE ON TIlE JOB SITE AT AU. TIMES DURING WORKlNG HOURS, TIllS PERMIT WILL EXPIRE IF WORK DOES NOT BEGIN WITInN ISO. DAYS, OR IF WORK IS STOPPED OR ABANDONED FOR M()RE TIlAN 180 DAYS, SUSPENSION OR REVOCATION MAY OCCUR IF TIllS PERMIT W AS,ISSUED ON TIlE BASIS OF INCOMPLETE OR ERRONEOUS INFORMATION, ANYONE PROCEEDING PAST THE POINT OF REQUIRED INSPECflONS WILL DO SO AT THEIR OWN RISK. Your signature on the front of this fonn verifies the following: I HAVE CAREFULLY EXAMINED THIS COMPLETED APPUCA TION, and do hereby certify that all information hereon is true and correct. and that I have a legal interest in the property as owner of record or authorized agent. I further certify that any and aU work performed shall be done in accordance with the Ordinances of Lane County and the laws of the State of Oregon per- taining to the work described herein, I further certify that if I am not the owner of the r....y.....j. my registration with the Builders Board is in full force and effect as required by ORS 701.055, and that if exempt the basis for the exemption is noted hereon, and that only subcontractors and employees who are in compliance with ORS 701.005 will be used on the job, 6 @ ~ SUBSURFACE & ALTERNATIVE SEWAGE DISPOSAL SYSTEMS: o6~ . o:~~~~ ~ When subsurface construction is comple!e, the pennit holder shall notify the County Land Management Division bJ:')';'1.utitting tt.,inslauatioli r~Ol!i1. form. An inspection will be made by a qualified sanitarian. If construction complies with all rules a certifIcate of COI1JP.l~It..~dl~~~ di:e permit holder. If construction does not comply with rules, the pennit holder will be notified, and all corrections shall be mad~'berbr~,~~iilficate of completion will be issued. Failure to meet satisfactory completion within the allotted time constitutes 8 violation of ORS 454,605 to 45b4Slnd:this rule. SUBSURFACE SEW AGE DISPOSAL SETBACKS SEPTIC TANK From: Interior y.....,._. 0; lines 10' Edge of road right-of-way 10' Building foundation 5' Wells or other water sources 50' DRAlNFIELD 10' 10' 10' 100'