HomeMy WebLinkAboutPermit Field Test & Inspection Report 1985-8-29
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LANE COUNTY
INSPECTION
TRS# 17-03-24-4-3 6000 DATE ISSUED:
OWNER I S NAME '
ROBERT & EDNA JOHNSON
CONTRACTOR'S N~E
6u~I'~ 5OLAe_
SET BACK RE~UIREMENTS---
CL, FRONT CL. SIDE INTERIOR REAR
. ~R~ AUTHOIH ZED B"PERtHT L.... .
~~ W~_' .te471A'r... 'JY,c:;(
DIRECTIONS TO -SITE - '. --, - - - -
, I-l05. TO l~TH/MOHAWK~ NORTH TO YOLANDA ,'!.o CORRAL~
RECORll
PERMIT# z478 .B5
PHONE NUMBER
726-0535
PHONE NUMBER '
344-1594 ,
# PLUMBI~G FIXTURES
8/29/85
.-.J SDS APPROVAL REQUIRED
SOUTH TO OTTO~ EAST TO SITE.
/ AG PLACEMENT 0
Date
TEMPORARY CERTIFICATE OF OCCUPANCY [J
Approved Date Insp.
S ITE ADDRES~ ' ' .
iIJ ~- () r t~' 'S.~ ,-6FeJut:JR~ ________
" f', ~.~@.I!IfA~I't\!J)~MU1HLE HOME PLACEMENT [J IN~pl:C lION
Approved /" Date /L)-3-e~"7Correction Date
PLUMBING GROUNDWORK INSPECTION
ApprovedDat~ /Correction' Date
UNDERSLAB PLBG.[J jUNDERFLRPLBG.O INSPECTION
, Approved Date' /Corr~ction Date
OTHER INSPECTION
Approved, Date
/Correction
Date
ROUGH PLUMBING (TOP OUT) INSPECTION
Approved Date /Correction Date
Date
ROUGH MECHANICAL
Approved' Date
/Correction
Date
INSULATION / VAPOR BARRIER INSPECTION
Approved Date /Correction Date
LATH / GYPSUM BOARD INSPECTION
Approved Date /Correction Date
''!!!f jWUUU S I UVE LJ
Date /O-3'~Correction Date
Date
CERTIFICATE OF OCCUPANCY 0
Approved Date Insp.
M74-197
Inspector tl'
Inspector
Inspector
Inspector
Inspector
Inspector ~B
Inspector
Inspector
Inspector
Inspector t/8
-
Inspector dB
Inspector dh
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L~e Coun~~"~uthorization for:
~ ~()L/lk! HI-:/fl :.u}tY S'VSrE/77
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FOR OFFICE USE ONLY
Appl~catio~~~~~r-~~
Perm t #, (7f -r / (J" pJ
'I\JWNSHIP /7
SJBDIVISION/PARTITION
.AANGE';.'(/0" .; ;:('~~? TAb.c:>P~OF
(if ~:Plic~ble) " ..' I, LOT/P~RCEL . Br:oCK
PROPOSED U~E OF PROPERTY
o l,<'esidential 0 Industrial
o Commercial D Public,
WCAT::i;?:;?3 01/ (J. ~~/Z27J ~ ~ :dED.
~CTURES CURRENTLY ON P~Y ( ~' ,/
&tfJG,~r f-7Gl/??ff:,<-/~I1/CL(-A-/7O: ' ','
2~/J:pE /c)" /9'-/$#~~ 4&~Z7-/ /i/.#~/?~4 /~
~~ /? A /2./ r~/:' ~L/' ~,' ~. ~'~ '~-L:lr~;.. . ( "'--"7'"""'7':::-
.-~ '(./v./'T(..." y VI'';/'/ /7 '/ {/ /</ 0/ /' r / '-'_' /: " ' ,/ .(' // "\ /" L-
jJ?~7aZ~~~;#~I~'1~~~;~~ ~jp/~~ ,'W J"r-~LARED $ VALUE
" OF B;;M ,# OF ;;;,O;i , #~;;E- I 'WATER ~U~PLY .',4 A(-J'~ ~~~~~~~,; ,.""
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CO~CTOR 's NAME AND OSR, # r-- -,' ./ ./ /'.; /./ .../, ./' /~ ~./ TELEPHONE NUMBER
~(//?,1?~~~ )oi:'~".e / q~tf?a ~C5;/ # - P'~~ ,_-::r~p:f/J""Yy
"=-~T ''I\J BE ful.l....""" TO (NAME AND ADD~sf '... ~__ )' ' , _ r; -=#:.A~Q.-T1 ',/' I ~HONE NUMBER -'
;:-//~r7/~ ~~Eb;?/(./, c:;?7~?7?-- ~R. -noo~ U /f7Zr'//~
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I HAVE CAREFULLY EXAMINED THE COMPLE~ED APPLICATION ,'OR PERMIT, dnd do ~erelJy ce rUfy that a 1 infol'lllation hereon is true and correct, and that I
have the following legal int~res~ in t~e prope~ty:~'Downer of record j D-contrac:t:' p1lrchaser; auth~riz,ed agent \ t _.
I f::rther certify that any and all work performed shall be done in aCCOt'dallc8 wi th the Ordi nce~ f Lane County and the Laws of the State of Oregon
pertaining to the work describedhere'in, "and' th';'" .NO OCCUPANCY will be made of any st,ructure without the permission of the ,Building Division. I fur-
ther certify that registration with the'Bu~lder's' Board is {n full force and effect as,required by ORS 701.055, that if 'exempt the basis for exemption
1S noted hereon, and that only subcontractors and employees who are in compliance with ORS 70l~055 will be used on this project: I HAVE READ AND
'"~~7t7JI;;2~~ I / JI ~ ..
- -- t<AME (please print) . - , SIGNATURE
ZIP' .
ra,eF"6 0Zt.J
f/?"/9S
ElATE
READ THIS SECTION C}I;REFULLY", YOUR ~T~ORIZATION ~AS
o PLANNING/ZONING: .zone' ////~ Parti tion #
Minimum Setbacks: 'C~';'f~ont ' /
side
BEEN BASED ON THE FOLLOWING CONDITIONS!
Parcel Size ~~~
/
A'A' "~~~~~ '~.-'7~~)
,., " , .' Date: r ~~ Q'j" ~
'Parcel #
," C
L,
interior
.,'
.rear
CO~lENTS: 7/7Te72--W L-' // /? C-.T
~~7J,_
Li.neal Feet
of Drainfield
Insta'11ation .Record Issued? 0 Yes 0 No
" Maximum Depth
- 'of 'Trenches
......
o SANITATION: S. 1..#
Installation '" Gallon
Specifications: Tank'
B. P. #
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CO~lENTS :
Date:
, b(;LANS EXAMINATION: Type V- N .~roup Tl-3/JA. -I , Use ~~ =XST.
.1\ CO~lENTS: L.ALL /:=DE?.. It-t~Pa":T1()M~ Nl)1t:LJ oN. ~V.!fiI:> PiAN.s
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Date: 8/213/85-
~ eI~/e5
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
D
C 14-25 R84-
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SETBr,CKS A~D OTHER COtWITIO:15 OF APE~O'l^L I MUST BE STRICTLY' OBSERVED,. ,', VIDLATIO~ CA~' RESULT IN REVO-
C';-;'IO:1 OF THIS PERNIT, CITATIO:1 UNDER PRO'lISIO:1S OF LA~E COU:O'Y'" INFRACTION ORDI~ANCE, AND/OR OTHER
REMEDIES ALLOWED BY LAW.
V;HEN RE.~DY FOR INSPECTION, CALL 687-4065. A ~lINHlU:l OF AT LEAST 24 1I0URS ADVAt,CE NOTICE FOR INSPEC-
tIO~ REQCESTS ~UST BE GIVE~. ~Iave the following information ready: permit number, job address, type
of inspection, when it will be ready, your name and phone number, and any special directions to site.
BUJ"LDING DIVISION: '
REQUIRED INSPECTIO~S:
'.
1. Foundation Inspection: TO be made after trenches are excavated and forms erected and when all
materials for the foundation are delfvered on the job. Where concrete frorria central mixing
plant (commonly termed "transit mixed") is to be..used, materials need not be on the job.
:2. Concrete Slab. or (jnder-?loor Inspec..tion--: -To- be m~de 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.
Fram'inq rf'hsulatiorl- Inspections: '-To be .madeafter-the r"oof., all'" framing, fire "block.ing-; and
bracing are in place 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. .
3.
4. Lath and/or Gv~sum Board Inspection: To be made after all lathing and gypsum board, ~.nterior
ancrexterior, .is in placeout before any plastering .is applied and before gypsum board joints
and fasteners are taped and finished.
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5. Final Insoection: To be made after the building is c?mp.lete and before occupancy.
-APPROVAL REQUJRED. ~o work shall be-done 'on' any_part of the ,building or-stLuctu~e.beyond the poin~
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 cohst~uction as indicated by each of the inspections required. '
..... ...... .. ...a.....
NOTE: All buildi~Q P7rmits.r~quire inspections for the work authorized, such as but not limited to:
A. Block '~alll: ": To ,.b'e. made .-a~fter. reinrorcing is in place, but before any grout is poured.. This
. inspection!o".~ required for each bond beam _ILQ.ur. There \<{ill.,be no approval until the plumb~99
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 sha'llJ be in accordance with at'} approved, nationally recognized testing
agency and the manufact';lrer.'.s ~~nstallation 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. Mobile home minimum finish floor elevation shall be certified when required by a flood-
plain management let~er 9. . _..' . ... . .
3. Mobile home tiedowns, when required, and. skirting shall be installed and ready for inspec-
tion within at least 30 days after occupancy a Tiedowns and skirting shall be installed
per enclosure.
. '.
Da Swimming Pool: Below grade when steel is in place and before concrete is poured. Above grade
when pool-rs-installed.
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APPROVED PLANS MUST BE ON THE JOB SITE AT ALL TIMES DURING WORKING HOURS. THIS PERMIT WILL EXPIRE
IF WORK DOES NOT BEGIN WITHIN 180 DAYS, OR IF WORK IS SUSPENDED OR ABANDONED FOR~NORE THAN'180 DAYS.
SUSPENSION OR REVOCATION HAY OCCUR IF THIS PERHIT 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 Al<D ALTERNATI\lE- SEWA~ 'D'l:sp'osA1. SYSTEMS: - -
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1. Permits shall be effective for one year from the date of issuancea
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 certificate. 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 Sewage Disposal
...
Fr-om:
Interior property lines
~:idge'./b'f..-ro'ad "riGht-of -way
Building foundation
Wells. other water 'sources
'" -,-....:i ~ -. T"i;- 7
Septic Tank
1.0 I
1-0 '
5 '
50 .
Drainfield
10'
10'
10'
,100 .
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