HomeMy WebLinkAboutPermit Mechanical 1980-12-1
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CONSTRUce!ON/PLACEM ENT
PERMIT
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FOR OFFICE USE ONLY
COMPLETE THIS BLOCK. PLEASE USE BLACK INK AND PRINT.
TOWNSHIP J RANGE I sC(;", 4. z j,rP5 DOUT OF
SUBOIrnrrr (1f~~J;abh1 0) I UYr(gRCEL I ~
LOC370~SS ~~ ~.. ' 07~77ZIP
~~ PRUPeRU ~PCJi '- ~ I
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, OF B~OO4 ' 0> ,z;RlES
QiiNER'S NAME AND ADD tESS
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CO"TN~RAO,SR' DIMa:; SI8- ~ ~(yl -to ~0N~.. F\l~b dMt
~UL~'~E~~'::L::A!.L:~~::~'~~:O~:b,~.~'.:~on~?~t~~'n:co~~~';h"
certify that any and all work performed shall be done in accordance with the Qrdinances of Lane County and the Laws of the Stilte oc"r~':ln pertaining
to the work described herein, and that NO OCCUPANCY will be made of any structure without the permission of the Building Division. I further certify
that. registration with the Builder's Board is in full force and effect as required by ORS 701.055, that if exempt the basis for exemption is not~d
hereon, and that only subcontractors and employees who are in compliance with ORS 701.055 will be used on this project. I HAVE READ AND CHECKED THIS
APPLICATION THOROUGHLY.
APPlicatioA/3?c9 Qr.
Perm~t #\L '{J_-".L:llU
D Two Copies of Plans
DTWO Copies of Plot Plans
[]Mechanica1 Checklist
o Plumbing Checklist
[JP1an Check Info Sheet
PROPOSED USE OF PROPERTY
[] Residential [JIndustrial
o Commercial
Dpublic
\!VCr ~~
# OF ~LOYEES I WATER SUPPLY
I $
VALUE
~
v
o Proposed
o Existing
TELEPHONE NUMBER
'721o-(orS~
TELEPHONE NUMB~R
(o...l:xrue '\
x
b{;"Lr,Al LntJtJSt41/
NAME (please print~1'
x
lfULqQ.AT#J-.u:r
~ Owner
X-,f).If F ~Dcontractor
'" DATE 0 A9cnt
o PLANNING/ZONING:
zoneAC-, L
Parti tion #
Parcel #
Parcel Size ..~~_
Ninimum Setbacks: CL, front CL, side
comments,..DtITIl" I~ C\":m~
interior
rear
RURAL ADDRESSING: GRID COORDINATE
SANITATION: s. I. #
N E
Date:
<eW
n
o
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o
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Date, 1~1"'~()
FLOODPLAIN:
In flood hazard area?
[] No [] Yes, see attached sheet.
Date:
B. P. #I
Installation Record Issued? [] Yes [] No
Installation
Specifications:
Gallon
Tank
Lineal Feet
of Drainfield.
Maximum Depth
of Trenches
Comments:
. Date:
o
y(PLANS EXAMINATION: Type~} Group_'f...."?
Comments, CA.I L ~ ~ U. Jb~.c:p(A. )
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Date,_l-F>-a4>
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CONSTRUCTION AUTHORIZED BY THIS PER}1IT
Description
~tyYlxwl { \rfht~,
~ftt11{ltUrK ')"
Sq, Ft.
Fixed Fee/
Unit Cost
Floodplain Fee
Subsurface Fees
Building Fee
Sewer/Storm Drain/Water
Plumbing Fixtures
Mechanical
Plans Check Fee
State Surcharge
$
$
$
$
$
$
$
$
1&,.0()
\(;" it
TOTAL VALUATION
$
TOTAL FEE $
FEES PAID BY: ~ Check
By: 0(\rN ,
Date: -11/1!M
1-5-al
o Cash
12 LJ"f'-;4I y Y.LV
PERMIT APPROVED BY BUILDING OFFICIAL/DESIGNE~ (per ORS 456.805(1))
LANE COUNTY DEPARTMENT OF ENVIRONMENTAL MANAGEMENT / 125 EAST
DATE
EIGHTH AVENUE, EUGENE, OREGON
97401
C74-194
SEE REVERSE
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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 6B7-4065, 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 UlSPECTlONS
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 mixed") is to be used,
materials need not be on the job,
2) CONCRETE SLAB DR 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 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 cQmp1ete 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, 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 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 canpletion of masonrv (if applicable) and when installation, is canDlete,
Installation shall be in accordance with an approved nationally recognized test,ng agency .IId the manu-
facturer's installation instructions.
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C, MOBILE HOME: An inspection is required after the mobile hane 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, DR IF WORK IS SUSPENDED DR ABANDONED FOR MORE THAN 180 DAYS, SUSPENSION OR REVOCATION MAY OCCUR IF THIS
PE~~IT WAS ISSUED ON JHE BASIS OF INCDMPLETE DR ERRONEDUS INFORMATION,
ANYONE PROCEEDING PAST THE POINT OF REQUIRED INSPECTIONS WILL DO SO AT HIS OWN RISK
SUBSURFACE AND ALTERNATIVE SEWAGE DISPOSAL SYSTEMS
(1)
(2)
Permits shall be effective for one year from the date of issuance,
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 the constructlon to
detennine if it complies w;'th the' rules contained_ in this division. nf.'the construction does comply vlith
such rules, the Department:shall i~sue,a certificate of satisfactory c~pletion, t~ ,t~e permit holder, If the
construction 'does not comply with suth 'rules, the Department shall not'f~ the perm't,holder and s~all requ,re
satisfactory completion before issuing the certificate. Failure to meet the requirements fo~ satlsfactory
completion within a reasonable time constitutes a viQ1ation of ORS 454,605 to 454,745 and th,s rule,
SetbJck~ - Subsu~face Sewaoe DisDosal
From: Interior property lines
Edge of road right-of-way
Building foundation
Wells. other water sources
Septic Tank
10'
10'
5'
50'
Drainfie1d
10'
10'
10'
100'
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SLIP
lane county
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The above ap~l 'ca ion is being held for the following reasons:
I ~'J ~I Pl:er.c.lL. Of" ~ ~SMeN)" q:. b"~
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SIGNATURE
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DmC-E HOURS
APPLICATION # _~~,~
LOCATION q7t75 ~/ ~
NAME
tfJNI
AODRESS
ZIP CODE
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Ivl5'-b'D
DATE
~1-cfDbl
PHONE
This application will b~ held until ~'~J,-~. If the information required
above has not been furnlshed by that date your application will be cancelled,
Buildi~g fees paid for permits cancelled under these circumstances will be prorated
accordlng to the work that has taken place as of the date of cancellation,
BUILDING & SANITATION / ENVIRONMENTAL MANAGEMENT DEPARTMENT
125 East 8th Avenue / Public Service Building / Eugene, Oregon 97401 / (503)687-4061
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APPLICATION # ?J2~'fu
LOCATION g7t?3 ~~} AlA:::.. , ~o '?JJ477
_vJkJ;e;~ NAME I,
m~ ~lZiA:;:l'.J Ail='" ADDRESS
~I--h~~ a. '?J74f7
ZI P CODE
The above appl i~a~ion is being_held for the fol,lowing .reasons :_.. __ .'"
M ~I}(e\ ,~ iJ ~~L. q::-' ~./~ ~e/..-te:t0[" CF b/ll-l~
'\. ,0 6" ~~ :uAf ~w i+t1~1~/1 a CD00ecfloV I~To ~ ~w,
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SIGNATURE
~k.~~ ~I Pi'.D ~5'!2
NfiCE HOURS
lz......i5- b'D
DATE
fO~'" - <:fot:, I
PHONE
This application will b~ held until j!2--~I......l-v1' If the information required
abov~~has not been furnlshed by. ,that date.ybur application will be cancelled,
8uilding fees paid for permits cancelled under these circumstances will be prorated
according to the work that has taken place as of the date of cancellation,
,,'
BUILDING & SANITATION / ENVIRONMENTAL MANAGEMENT DEPARTMENT
125 East Bth Avenue / Public Service Building / Eugene, Oregon 97401 / (503)687-4061
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APPLICANT LINDSAY, EVELYN
TLI 1802064200800 SUBDIV
e NEW BLDG TYPE USE X NO BDRMS
CODE APP~ NO ACTION DESCRIPTION
1'1 rw
BP
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BP LC 325880 WS
ePL NO. FIXTURES:
MECH
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COUNTY DEPT ENV MGT RECEIPT I 325880 DATE 12018iol..
ADDR 3705 GARDEN AVE., SPFD., ORE. 97477 ~
LOT BLK
00 NO UNITS 001 NO STORIES NO ElI..DGS 001 .
SQ FT UNIT COST VALUATION FEE' DAY_
eCATG:
'SEQU:
TAKEN BY
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APP
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CAD
F(A
FP
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120880
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16.00 .
,0.64
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16.64 cll ,
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NO.
CONNECTORS:
MECHANICAL FEE
STATE ,SURCHARGE
PLAN CHECK FEE
1 ~L 00 EACH =
4%
,.:1' II
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EST. COMPLETION DATE
2
'TOTAL FEE'~'~
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