HomeMy WebLinkAboutPermit Building 1982-9-2
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SUBDI\,.ISION/Pt1.RTITION (l.I app11cablel I WT/PARCEL I BLOCK
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D. . OS/.~ .4;.1; ~~ /'1, I $ VALUI:
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ItAVE CAREFULLY EXAMItlCD THE COMPLETED APf'LICA'I'Iotl FOR peRMIT, ll.nd do h~n'tJ, '-l.'l-t-if)' th,~t "II infnrl'Htion 11....1"') t.X-',]" ,-md ":70rre~t :'lId 1 flntll"r
ify that any and all work performed shall be done in ll.cconlll.ncu with the Ordinil'lCC5 of Lane- CO'_JIll:y ..lid t.h" l.a",...'. f t.h,~ St.<,!:e of {Jl,,'pn 1,"!lalllill'I
the work described herein, and that NO OCCUPAllCY will be made of any structul.~ '...ithout thl;' permission of the Building Olvision. I furlh'lf {, r';.ify
that registration with the Builder's Board is in full force and effect as requir~d by ORS 701.055, thi'lt Lf ex""mpt the basis. for exemptioll i~ not,'d
hereon, and that only subcontractors and employees who arc in compliance with ORS 701.055 will be used on this project. I HA'IE RE....D 1'\110 CHEer.ED THIS
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a. CONSTIICTION/PlACE~EN.
~ Q~~L\ &~ PERMIT fA 0/
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COMPLETE THIS BLOCK. PLEASE USE BLACK INK AN PRINT.
FOR OF?ICL USE ONLY
APplic"t;)~" 1"2_ 6"7 __
Perrnt y~ -;' CJ ~
o Two Copies of Plans
o Two Copies of Plot Plans
D~lechanical Checklist
OPlurnbin0 Checklist
OPlan Chee}; Info Sheet
PROPOSED US!; or PhO?E?TY
~eSidential []lndustrial
D Commercial
OFublic
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~""""""-~GNATURE m.T);: o Agellt
o PLANNING/Z,ONING: zon.~ "artition' Parcel'
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FLOODPLAIN:
DYes,
SQ~
attacbed sh~e-c.
In fluod ha~ard area?
GR1D COORDINATE
RURAL ADDRESSING:
Sl'.NITATION:
N
E
lnstallation Record Issued? [] Yes [] No
Date:
B. P. #
S. 1. #
lnst:allation
Specifications:
GaJlon
Tank
Lineal Feet
of Drainfield
Comments:
Parcel S,ze J/~,f
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Date. ~Af?- #tfL
Date, / / n
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Maximum Depth
of Trenche5
IN
Group R3
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Date:
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s
s
S
Plillnbing Fixtures $ 0 ~
Mechanical $ /~~
Plans Check Fee S ~'/~
State Surcharge $, 'l ~
S d9t ,5-/
FEESB:~ID ~ b'~C :)~t}~/
Date, / /~U
t/ /.q-A'~~l
I)a PLANS EXAMINATION:
Type
Co~ents, ='-J I"~-r \'-""" l'HE '
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INSTRUCTIONS. UNIT APPROVED FIRE MARSHALL'S LIST, DECEMBER 1981
CONSTRUCTION AUTHORIZED BY THIS PE&~IT
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Floodplain Fee
Fixed Feel
unit Cost
Sq. Ft.
Subsurface Fees
Building Fee
~1.;J'f'ALLAJ.IOl\.a
Date:
~~ -Bl
~
Sewer/Storm Drain/Water
TOTAL FEE
TOTAL VALUATION
S
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PERMIT APPROVED BY BUILDING OFFICIAL/DESIGNF.l:: (;'Jr OR~
LANE COUNTY DEPARTMENT OF PLANNING & COHNUNITY DEVELOPMENT / 125 EAST EIGHTH lNENUE, EUGENE. OREGON 97401
SEE REVERSE FOR INSPECTION INFORMATION
.
.
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SETBACKS AND OTHER CONDITIONS Of APPROVAL MUST BE STRICTLY OBSERVED. VIOLATION CAN RESULT IN REVOCATION OF THIS PERMIT,
CITATION UNDER PROVISIONS OF LANE COUNTY'S INFRACTION ORDINANCE, AND/OR OTHER REMEDIES ALLOWED BY LAW.
WHEN 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 number, job address, type of inspection, when it will be ready,
your name and phone number, and any special directions to site.
BUILDING DIVISION:
REOUIRED lfISPECTIONS
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 plantJcorrrnonly..termed lItransit mixed"} is to be used.
materials need not be on the job.
2) CONCRETE SLAB OR UNDER-FLOOR INSPECTION: To be made after all in-slab or under-floor building servjce equipment,.
conduit, piping accessories and other ancillary equipment items are in place but before any concrete is poured
or floor sheathing installed, including the subf100r.
3) FRAMING & INSULATION INSPECTIONS: To be made after the roof, all framing, fire blocking and bracing are in place and
all pipes, fireplaces and chimneys and vents are complete and all rough e1e~trica1 and plumbing are approved. All
wall insulation and vapor barrier are in place.
4) LATH AN~/OR GYPSUM BOARD INSPECTION: To be made after all lathing and gypsum board,. interior and exterior, is in place
but before any plastering is applied or before gypsum board Joints and fasteners are taped and finished.
5) FINAL INSPECTION: To be made after the building is complete and before occupancy.
APPROVAL REQUIRED., No work sha11,be done on any perot 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
requi red. .
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 masonrv (if applicable) and when installation is comolete.
Installation shall be in accordance with an approved nationally recognized testlng agency ijrld the manu-
facturer'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) Mobile home minimum finish floor elevation shall be certified when required by a floodplain
management letter. ' .
(3) Mobile home tiedowns, when required, and skirting shall be installed and ready for inspection
within at least 3D days after occupancy. Tiedowns and skirting shall be installed per enclosure.
D. SWIMMING POOL: Below grade when steel is in place and before concrete is poured. Above grade when pool
is installed.
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 MORE THAN 180 DAYS, SUSPENSION OR REVOCATION MAY OCCUR IF THIS
PERMIT WAS ISSUED ON THE BASIS OF INCOIIPLETE OR ERRONEOUS INFORMATION.
ANYONE PROCEEDING PAST THE POINT OF REQUIRED INSPECTIONS WILL DO SO AT HIS 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
Department by submitting the installation record form. The Department shall inspect ~he constructlon ~o
determine if it complies with the rules contained in this division. If the constructlon does comply >11th
such rules, the Department shall issue a certificate of satisfactory completion, to the permit ~older. If ~he
construction does not comply with such rules, the Department shall notify the permit holder and shall requlre
satisfactory completion before issuing the certificate. Failure to meet the requirements fo~ satlsfactory
completion, within. a reasonable time constitutes a violation of ORS 454.605 to 454.745 and th,S rule.
Setbacks - Subsurface SewaQe Disposal
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From: Interi or property 1 i nes
Edge of road right-of-way
Building foundation
Wells, other water sources
Septic Tank
10'
10'
5'
SO'
Drainfield
10'
10'
10'
100'
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~ PLANNING & COMMUNITY DEVELO~T
ACTIVITY INFORMATION SHEET
~ne county
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COMPLETE THIS SECTION. INCOMPLETE FORMS WILL BE REJECTED!
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......... I ~QOEST
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MAILING ADDRESS
~ ... i..-~j t'.41"''''' 77~ '/7
{/ t"fl{jlC STA)'t ZIP CODE
/Y'&-6~/C
HOME TELEPH~E #
BUSINESS TELEPHONE #
2, PROPERTY ADDRESS
(IF DIFFERENT FROM MAILING ADDRESS)
3 MAP & PARCEL NUMBER
(REQUIRED INFORMATION)
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PROPERTY OWNER
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MAILING ADDRESS
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BUSINESS TELEPHONE # HOME TELEPHONE 1
(from tax maps in Department of Assessment and Taxation
or from tax statement)
/7 _tM.. Ole; L/.;J /300
TOWNSHIP RANGE SECTION TAX LOTlS) OR PARCEL #
ZONING
TOWNSHIP RANGE SECTION , TAX LOT(S) OR PARCEL # ZONING
TOWNSH I PRANGE 5t:l.:-I-lUN TAX LOTl S) OR PARCEL # ZONING
TOTAL CONTIGUOUS PROPERTY IN SAME OWNERSHIP:
4 SUBDIVISION (if applicable)
5 REQUEST (state exactly what you plan to do)
LOT
ACRES
BLOCK
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6 DIRECTIONS TO SITE: ~ "p~;i(, /<?..:a d-t..U.Jf ~ h '-->>, _~ "",~..4
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/u~ a I,:} I ~.t-~ FOR STAFF USE ONLY ** NUMBER ;ti
VI
ZONE/LAND USE:
BY: DATE:
TIME IN:
DATE
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OUT: