HomeMy WebLinkAboutPermit Building 1982-9-29 (2)
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5UBDIVISlON/PARTlTIO:1 (if applicable) I LOT/PARCEL I BLOCK
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DESOfHFTION OF 1J~OSED W04RK.. ,;''('' - -~' ..~ /, - c/ I S VALUt';?... A " A:l
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r HAVE CAREFULLY EXAMINED TilE COMPLETED APPLICATION ,FOR PE.RMIT, ilnd do h<"ln~by ':(~rtify thi1t:~"i,( inrfJrrn'ltioll hC'tr:''J1I i~: lrU(l .1nd corre~t. ,HId I fllrth'.'r
certify that any and all work. performed shall be dOllG III ilccordanco with tho OrdiIlU:1CCS of LiJ11( CODnty and LlH~ ],i1:,~S of tll,: SU,!J~ nf u1'.''1:m J":! l " i I' i 11'1
to the work described herein, and that NO OCCUPANCY will be made of any structur~ without the permir.sion of the Building Division, 1 furth'll' ""I:"::.ily
that, reg is teat ion with the Builder's Board is in full force and effect as requir"d by ORS 701,055, thill if exempt the basis for exempti,,,, is llot':'d
hereon, and that only subcontractors and employees who arc in compliance with ORS 701.055 will be uSl'Jd on this project, I HAVE REil.D AllO CIlECY.ED TillS
APPLICATION THOROUGHLY, / r,.... " I' . .
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o P~ANNING/ZONING: Zone /.////Y' Partition ',iI'/& Parcel
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o FLOODPLAIN: .In flood hazard area? I2Jri/ 0 Yes, see attached sh~et, Date: n
o RURAL ADDRESSING: GRID CDORD"ATE t/N E Date, 0
o SMHTATION:
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CONSTRU.ION/PLACEMENT .
PERMIT
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NAME (please print)
SIG;J;"TURE
FOR OF?ICr USE ONLY
APPlicatig /P:, C:/
Permlt Y{I// 0 --0 ~
o Two Copies of Plans
n Two Copies of Plot Plans
[JMechanical Checklist
D Plumbin~ Ched:list
OPlan Check Info Sheet
PROPOSED USl.: or Pii.OPER'l'Y
~Residential []lncustrial
o Commercial
Dpublic
,u~
Parcel
Size ./t/ ~
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S. 1.
B. P. #
Installation Record lssu~d? [] Yes [] No
Installation
Specifications:
Gallon
Tank
Lineal Feet
of Drainficld
Comments:
Maximum Depth
of Treuche<.
o
Date:
X PLANS EXAMINATION: Type SN Groun R3 Use rebuild/fire 10b
Comments: .
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CALL FOR RF.OTIJRRn TNHPRCTJONS,
Floodplain Fee
Subsurface Fees
Building Fee
Sewer/Storm Drain/Water
Plumbing Fixtures
Mechanical
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$ tS-. 3..r
FEES PAID B>" @TC~Ck/ 0 95/
By: ~ -:::~~-1!Yfko
Date: 79-/~-/~
Pi ,;:tV:;, "/
CONSTRUCTION AUTHORIZED BY THIS PEfu~IT
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Fixed Fee/
Unit Cost
Sq. Ft.
Plans Check Fee
State Surcharge
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TOTAL FEE
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PERMIT APPROVED BY BUILDWG OFFICH\.L/;JI:;SIGHEE (;,er ORS 45 .80 (1))
Date:
!n 09-29-..62
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LANE COUNTY DEPARTMENT OF PLANNING 6. CO!-:"lUNITY DEVELOP~tENT / 125 EAST EIGHTH AVENUE, EUGENE, OREGON 97401
DATE
SEE REVERSE FOR INSPECTION INFORMATION
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SETBACKS AND DTHER 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/DR 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 lfISPECTlONS
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 (corrmonly termed "transit m;xedtl) 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 service 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 place and
all pipes, fireplaces and 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 GYPSUM BOARD INSPECTION: To be made after all lathing and gypsum board, inter~or 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 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
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 como1ete.
Installation shall be in accordance with an approved nationally recognized testlng agency and the manu-
facturer's installation instructions.
C. MDBILE 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 30 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 18D DAYS, OR If WORK IS SUSPENDED DR ABANDONED fOR MORE THAN 180 DAYS. SUSPENSION OR REVOCATION MAY OCCUR If THIS
PER~lIT WAS ISSUED ON THE BASIS OF INCDrIPLETE 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 lnspect ~he constructlon ~o
determine if it complies with the rules contained in this division. If the constructlon does comply wlth
such rules, the Department shall issue a certificate of satisfactory completion. to the permit holder. 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~ satisfactory
completion within a reasonable time constitutes a violation of ORS 454.605 to 454.745 and thlS rule,
Setbacks - Subsurface Sewaoe Oisoosal
From: Interior property lines
Edge of road right-of-way
Building foundation
Wells, other water sources
Septic Tank
10'
10'
5'
50'
Dra i nfi e I d
10'
10'
10'
100'
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JL., "',,, , -':NE COUNTY'tiisPECTION RECO '
O\~N~~t;-=IU 0/- '-~IL.-' '-lit ilA-tJ-l!.d iJ';{ ..J
wN~~lieM~,j~-;l~d-' ,- --
~ET BAeK REQUIREMENTS
L, FRONT ~L, SIDE
WORK ,AlLT/jOBIZED tB.Y..PERMIT
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DIRECTIONS TO SITE 0
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PHONE NUMBER
PHONE NUMBER
#PLUMBING FIXTURES
INTERIOR
~ PLu~
~
REAR
'2 /1 (I
;;::/387 ~Lnu---, d-aLfJ1J
SITE ADDRESS
FOOTING I FOUNDATION INSPECTION OR MOBILE HOME SET UP INSPECTION
Approved Correction Disapproved Date, Inspector
PI.a.
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0;u/-d
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1&/SFs 2_
PERMIT NUMBER
CONCRETE SLAB I UNDER-FLOOR INSPECTION
Approved Correction Disapproved Date
Inspector
UNDER SLAB I PLUMBING GROUNDWORK INSPECTION
Approved Correction Disapproved Date
Inspector
ROUGH PLUMBING INSPECTION
Approved Correction
Disapproved
Date
Inspector
FRAMING INSP~TION
Approved v" Correction
Disapproved
Date 7- ~,glrlnspector _~L
Date t=_~3ZInspector ~
-INSULATION I/VAPOR BARRIER INSPEC'I1UN
Approved v' Correction Disapproved
LATH / GYPSUM BOARD INSPECTION
Approved Correction Disapproved
Date
Inspector
FINAL PLUMBING INSPECTION
Approved Correction Disapproved Date Inspector
FINAL WASTE DISPOSAL SYSTEM INSPECTION
Approved Correction Disapproved Date Inspector
FINAL INSPECTION BUILDING MOBILE HOME
Approved Correction Di sappr'oved Date Inspector
CERTIFICATE OF OCCUPANCY TEMPORARY CERTIFICATE OF OCCUPANCY
Approved Correction Disapproved Date Inspector
Form C74-197