HomeMy WebLinkAboutPermit Building 5-8-2
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Lane COUIICY. Authorization for:
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FOR OFFICE USE ONLY
Applica tionj
Permit #
cZ/rfl-R-5'
TOWNSHIP
1'/
SJBDIVISION/PARTITION
RANGE
SECTION
;1.2
1.3 ?~ fi ~OUT OF
LOT/PI,RCEL BLOCK
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PROPOSED USE OF PROPERTY
~ential D Industrial
o Commercial D Public,
03
(if applicable)
LOCATION ADDRESS STREET
'3 I 3 () Ol ~ ~L
STRUCTURES CURRENTLY ON PROPERTY )
5'FO
DlRE~ S)~
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Ll2SCRt(:}~OPf~~ SPECIFIC
OF BEDROOMS # OF STORIES
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(j C/i
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Ai:.-~ j~~ -
CITY
ZIP
C/
DECLARED $ VALUE
# m//As
loJATER
SU~
,
:J Proposed
"X.t:xisting
- - - -".--. .
TELEPHONE NUMBER
7~(=qZ? z:
TELEPHONE NUMBER
O;;NE~AD~
CQN~NDO~ (~)
p::;Rl'lIf TO BE MAlJOD'TO (NAME AND ADDRESS) V /
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TEL"'rnu"", NUMBER"
I HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION ,'OR PERMIT, ar,d do hereby ce ttHy that all information hereon is true and correct, and that I
have the following legal interest in the property: Downer of record; 0 contract. pl1rchaser; Dauthorized ag~nt wi:th evidenc~ of authority attached.
I f::rther certify that any and all work performed shall be done in accot'dancc, wi th the Ordinances of Lane County and the Laws of the State of Oregon
pertaining to the work describe~ herein, and that NO OCCUPAJ:JCY will be made of an.y .st.ructure wi thout ~he permission of 1;:he ,Building Division. I fur-
ther certify that registration with the Builder's Board is ~n full force and effect.as resuired by ORS 701.055, that if exempt ~he basis for exemption:
is noted hereon, and that only subcontractors and employees who are in COR' n,ce with ORS 701,055 will be used on this project_ I HAVE READ AND
CHECKED THIS APPLICATION THOROUGHLY.
D~\ ~~ ~ ~ 6/~/~~
NAME (please pr~nt) f SIGNATURE I1l.TE
J
READ THIS SECTION CAREFULLY. YOUR AUTHORIZATION YAS BEEN BASED ON THE FOLLOWING CONDITIONS!
[] PLANNING/ZONING:
Zone
Partition #
Parcel #
Parcel Size
Minimwn Setbacks: ,CL,
COMHENTS: ~
front '_ C~, side interior
~tJ-- f'Ltkn0n ~ ,~cn:J
rear
Installation
Specifications:
Gallon
Tank
,Lineal Feet
of Dr.ainfield
pate: 8,2,05 ~
Installation Record Issued? DYes 0 No
l1aximwn Depth
of Trenches
[] SANITATION:
S. 1. #
B. P. #
COMJoIENTS:
Date:
n
[] PLANS EXAMINATION: Type
COMJoIENTS: _CJ:J L [ Fe; ~
Group
Use W -5 ,
ijJ ~.PFC77tbAJ -
7?ky u Ifi'ED
Date:
B-'2~~
.~
'f / I\/E 8 ~ 2~es--
PERMIT APPROVED BY BUILDING OFFICIAL/DESIGNEE (oer ORS 456.805(1)) DATE
LANE COUNTY DEPARTMENT OF PUBLIC WORKS LAND MANAGEMENT DIVISION, 687-4061,
125 EAST 8TH AVENUE, EUGENE, OREGON 97401
SEE REVERSE FOR INSPECTION INFORMATION
C 14-25 R84-
SETSl\eKS j\~D OTHER CO:\'01T10:1S OF APPROVAL !>1UST BE STRICTLY DESERVED. VIOLATION CA:i RESULT IN REVO-
C;":'10:.J OF 'I'll 1 S PERH!'!, CITrlTIO:l UNDER PROVISIO~S OF LA~E COU:';TY I.J INFRACTION ORDI:;.;NCE, l\~D/OR OTHER
REclEDIES ALLOWED BY LAW.
WHEN READY FOR INSPECTION, CAL~ 687-4065. A MINIMUM OF AT LEAST 24 IIOURS ADVAr~CE NOTICE FOR INSPEC-
TIO~ REQC~STS ~ICST BE GIVE~. ilave the following information ready: permit number, job address, type
of inspection, when it will be ready, your name and phor.c nu~ber, and any special directions to site.
BUILDI~G DIVISION:
REQUIRED I~SPECTIONS:
1. Foundation Inspection: To be made after trenches are excavated and forms erected and when all
materials for the foundation are delivered on the job. Where concrete from a central mixing
plant (commonly termed "transit mixedll) is to be used, materials need not be on the job.
2. Concrete Slab or Under-?loor Inspection: To be made after all in-slab or under-floor building
servi~e equipment, conduit, piping accessories, and other ancillary equipment items are in
place but before any concrete is poured or floor sheathing installed, including the subfloor.
3. Framing & Insulation Inspections: To be made after the roof, all framing, fire blocking, and
bracing are in ?lace a~d all pipes, fireplaces, chimneys, and vents are complete and all rough
electrical and plumbing are approved. All wall insulation and vapor barrier are in place.
4. Lath and/or g,yt?sum Board Inspection: To be made after all lathing and gypsum board, '.nterior
and exterior, ~s in place but before any plastering is applied and before gypsum board joints
and fasteners are taped and finished.
5. Final Insoection: To be made after the building is complete and before occupancy.
APPROVAL REQUIRED. ~o 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.
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 place, 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. Wood Stove: To be made after completion of masonry (if applicable) and when installation is
complete. Installation shall be in accordance with a~ approved, nationally recognized testing
agency and the manufacturer's installation instructions.
C. Mobile 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,
skirting, and plumbing connections.
1. Footings and piers to comply with State foundation requirements for mobile homes or as
recommended by the manufacturer.
2. ~obile home minimum finish floor elevation shall be certified when required by a flood-
plain management letter.
3. Hobile home tiedowns, when reguired, and Skirting shall be installed and ready for inspec-
tion within at least 30 days after occupancy. Tiedowns and skirting shall be installed
per enclosure.
D. Sw~mmlng Pool: Below grade when steel is in place and before concrete is poured. Above grade
when pool-rs-Lnstalled.
APPROVED PLANS MUST BE ON THE JOB SITE AT ALL TIMES DURING WORKING HOURS. THIS PE~~IT WILL EXPIRE
IF WORK DOES NOT BEGIN WITHIN 180 DAYS, OR IF WORK IS SUSPENDED OR ABANDONED FOR MORE THAN 180 DAYS,
SUSPENSION OR REVOCATION i'~Y OCCUR IF THIS PE&~IT WAS ISSUED ON THE BASIS OF INCOMPLETE OR ERRONEOUS
INFORMATION.
ANYONE PROCEEDING PAST THE POINT or REQUIRED INSPECTIONS WILL DO SO AT THEIR OWN 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 which a permit has been issued, the permit holder shall
notify the Lane County Department of Planning and Community Development by submitting the
installation record form. The Department shall inspect the construction to determine if it
complies with the rules contained in this division. If the construction does comply with such
rules, the Department shall issue a certificate of satisfactory completion to the permit, holder.
If the construction does not comply with such rules, the Department shall notify the permit
holder and shall require satisfactory completion before issuing the certific~lte. Failure to
meet the requirements for satisfactory completion within a reasonable time constitutes a vio-
lation of ORS 454,605 to 454.745 and this rule.
Setbacks - Subsurface Sewaqc Disposal
F~om: Interior property lines
Edge of road rIGht-oE-way
Buildinq foundation
Wells. other ~atcr sources
Septic Tank
10 '
10'
5'
50'
Drainfield
10'
10 '
10 '
100'
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