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Home My WebLink AboutPermit Mechanical 1986-5-12 ..... . .. J.I.X~:.L ADDRESSINCf Lane County Authorizatiorr- for: h:er .fl~F 1/;.<;,~ FOR OFFICE USE ONLY Applicationl ~~~~~~t7~ Perml. t It / rC7 g "21 C? I SECJ..;<' I /-Sz:J7UT OF I WT/PA~EL [BWcK I ~J~ ~,c:- ~~ ~CITY r:;;~A"/:7 ~~ 5To.o ,::~~~77_Y~/c"Z>'//4 ~ ." ~ff;'2/m/~ m ~E~ #/~\ M~,*,#L~~/ /~~~ ~--L-~ ..~~c- "sc ';;? ~;;W/~ B~/A ~ _.~4f/~N;r-' .----,1 DECLARED ~ VALUE = OF BEI5'ROOMS--::s::> r' OF~STOR E/',jZ- ~.;'"/~YECS 1 WA.TER SUPPLY ~ L]proposed ,. --::> /t/h I . /t'/~c=- fc:;,.-r7" ;.;"://~d'4:'./,&tt:XiSting I7'7!,Dl~}/# 06: , ~r-::A7f ~I'?//'C;:- ~???#~L ~~~~- :hVVL r~/":;;C' ~eO lli^'/$fDRES~g;V~ ,I ~;'~e-- Wvr.;SHIP /7 I RANGE S~BDIVISION/PARTITION {if applicable) 0.3 PROpoSED USE OF PROPERTY ~eSidential D Industrial o Commercial 0 Public. 9"'0 I HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION ~'OR PERMIT, dfld do hereby cert.ify that all information hereon is true and correct, an(l that I have the following legal interest in the property ~ner of record; 0 C(mt.rdct purchaser; o authori zed agent. I f:.:.rther certify that any and all work performed shall be done in accoLdanr.f: wi th the Ordll1ances of Lane County and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will bt- madc of any structure without the permission of the Building Division. I fur- ther certify that registration with the Builder's Board is in full force nnd effect. dS rei:iuircd by ORS 701.055, that if "exempt the basis for exemption is noted hereon, and that only subcontractors And employees who are in compliancc with ORS 701.055 will be used on this project. I HAVE READ AND CH7/:;;CATION T~;? ~ t/ C ~ Z:,~ print) (j) ~ ~ OATE READ THIS SECTION CAREFULLY. YOUR '~HORIZATION ~iAS o PLANNING/ZONING: Zone d.JAf2- Partition #_ C ~ C. #~/:?w2e Parcel # Minimum Setb~kjf. COM.NENTS:~ , interior .-'7 rear , o SANITATION: S. 1. # B. P. # Installation Specifications: Gallon Tank Li neal Feet of Drainfleld COMHENTS: Date: n Ii( PLANS EXAMINATION: 1\ COMMENTS ,D U 'l'ype- Group Use Ws ,t:::o~ 'RFGU ,R.Eb /,J ~ fEc.71bM s . DaCe, 5"'-/2 - Sc.,. ~IA PI rc-J::. S"-Ic. -e ~ PERMIT APPROVED BY BUILDING OIF CIAL/DESIGNEE (oer ORS 456.805 (1)) ........ DATE -( LANE COUNTY DEPART iT OF PUBLIC WORKS LAND MANAGEWW DIVISION, 687-4061, . 125 ST 8TH AVENUE, EUGENE, OREGON 97401 ' c::.R'R 'R'RUR'Rc:.R ~f'\'R Tl\Tc:.OP(,l"flTf'\M TM'R()"RMn'T'T()N - - ~_. ! j """IIIIIIII . SETBACKS A~D OTl1ER CO~DITIO:,S Of APPROVAL MUST BE STRICTLY OBS::RVEO. VIOLATIO~ CA:-I RESULT IN REVQ- CA7IO:1 or TlIIS PERmT, CIT...TIO:: U~DER PROVISIO:JS OF LA~E COU;;TY'5 INfRACTION DRDI:-:At'CE, AND/OR OTHER REMEDIES ALLOWED BY LAW. ~HEN READY FOR I~SPECTION, CAL~ 687-406~. A MINIMUM OF AT LEAST 24 HOURS ADVA~CE NOTICE FOR INSPEC- TIU~ KEQl,;l;;:;.T::; ~.U:;.T 1.11;; uIJEN. Have toe following info~!:Iation ready: permit number, job address, type of inspection, when it will be ready. your name and pho~e nu~ber, and any special directions to site. BUILDING DIVISION: REQUIRED I:-:SPECTIO:-lS: 1. Foundation Inspection: TO be made after trenches are excavated and forms erected and when all matcrlalS tor the toundation are delivered_on the job. Where concrete from a central miXing plant (co~~only termed ~tran5it mixed.) is to be used, ~aterials 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, conOult, pIpIng accessories, and other ancillary eqUIpment items are in place but beiore any concrete is poured or floor sheathing installed, including the subfloor. 3. ~raming , Insulation Inspections: TO be made after the roof, all framing, fire blocking, and raCIng are In p~ace ana 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 Gypsum Board Inspection: To be made after all lathing and gypsum board, ;.nterior ana-exterIOr, IS In place but betore 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 b~ 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 h~ve been made and approved. B. ~~: To be made after completion of masonry (if applicable) and when installation is complete. Installation shall be in accordance with an 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 ;ewer-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 letter. 3. Mobile home tiedowns, when required, 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. Swimminq Pool: Below grade when steel is in place and before concrete is poured. Above grade wnen pool-rs-installcd. 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 1~Y OCCUR IF THIS PERMIT WAS ISSUED O~ THE BASIS OF INCOMPLETE OR ERRONEOUS INFORMATION. ANYONE PROCEEDING PAST THE POWT or REQUIRED INSPECT'IONS WILL DO SO AT THEIR OWN RISK. SUBSURFACE ~ ALTERNATIVE ~ DISPOSAL SYSTEMS: 1. Permits shall be effective for one year froc the catc 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 sub~itting 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 From: Interior property lines Edge of road rlqht-o[-way Buildinq foundatlon Wells, other water sources Scwaqe Disposal SePtic ~ 10' 10' ;' 50' Drainfield 10' 10' 10' 100'. l . . . rr " 1 .. . . . ""' . . . . ,. . . . . . . '.' A .I~ it] (!) .~ < ~ Q e! ~ ~ w o .~ . I'~ , ~ ~ . .~ Q , .r ~ o ft .~ < . LANE COUNTY DEPT ENV MCT RECEIPT I 143886 DATE 051286 . ,~PPLICtlNT PO/~GU[, 11...,0, (;:OD;:(' 301 ,,5 G(~HE F'(1"'i I'(D., SPRINGF I[I...D, 01,E:. 11...1 1703220001501 SU8DIV LOT BI...K , NE:W BI...DC TYPE: US[ I" 8DRMS 0 UNITS 001 STORI[S 181...DGS 0~1 PHONE: 746 11761"' . [)WNEI'( Ni"l[ F'()(iC;U[, 11...1', ,~I)DI';: cI0'!,,5 G!"HE I" Mal I'm." SPI'\INGFIEl..D, OR[. CODE ,:)1"1"1", NO I',CTION DESCI';:IPTION SQ FT UNIT CCl;,T VI',L.UtlTION FEE Dt'YAS BP 'In~ .DP . BI" . ~ '., [{II" ~ ~P .Q~.__< MECH l..C 143886 WS ~ Pl.. IFIX/BATH: SWR: FT., "AIN: .i[CH SUI'( PCK .i'!E::CH FT. v,ITI'(: HE:CH,'\N T Cl'll... FEE ST/:iTE SUI':CHAI'(GE PI..i',N CHE:CI< FE:E 4i.~ vJS ( '4- ~ (-)() u e~ . 0 .', !? ',IOW,,/ ,~.:) /" . -1 ~:;., 00 u .. ~ .~ ~ . . ";; C:'.:HG: .SEQU: T",I<[N API" 1 BY !,I..H, , r':A F!'" SD.',' .s'T F'C!( OTH ISS [ST. CClHPI...E:TIClN DAT[ TOT '''l.. FEE if", 3~} .' 64 CK OM> ;:: .~ ~ 5 , . 'I , '" .' , "j -,:. .., '" . . . . - ACTIVITY INFORMATION SHEET .. '.. --CQMPLETE THIS SECTION. INCOMPLETE FORMS WILL BE REJECTED! l (]h. r6-tZct~ ~ - PE~19N' MAKING REQUEST ,:70 J5' C;~/ ~ j{C[, ?' MAl LING ADDRESS hD '-.''' ~. 97177 - I) CITY STATE ZIP CODE r;l/t.. 1/7 fa HoME TELEPHONE # PROPERTY OWNER MAILING ADDRESS CITY STATE ZIP CODE BUSINESS TELEPHONE # ~USINESS TELEPHONE # HOME TELEPHONE # ! 2 PROPERTY ADDRESS . I (IF DIFFERENT FROM MAILING ADDRESS) , ,. i I 3 MAP & PARCEL NUMBER i (REQUIRED INFORMATION) , (from tax maps in Department Df Assessment and Taxation or from tax statement) /7 () ? . :J J. TOWNSHIP RANGE SECTION JSo( TAX LOT(S) OR PARCEL # ZONING TOWNSHIP RANGE SECTION TAX LOT(S) OR PARCEL # ZONING TOWNSHIP RANGE" SECTION TAX LOT(S) OR PARCEL # ZONING ACRES TOTAL CONTIGUOUS PROPERTY IN SAME OWNERSHIP: 4 SUBDIVISION (if applicable) 5 REQUEST (state exactly what you plan to do) #! LOT ~l1<;-fo(( , BLOCK ~ <;'C" 1::-+ ! 6 Dl RECTIONS TO SITE: g ~ III -t",-J I Ik .,/tJ{lJ ~ t ~ (' hen-I" L ~)ne h<Y'")11 - .Cl.cre C1~ Fro'JM . .....<"L Y1 /-,~(:,t(.C;~ I ** FOR STAFF USE ONLY ** TlM )MIHf(~ :1 ZONE/LAND USE: 14~33 .... ...., ",i LAND MANAGEMENT DI~ON / 125 E. 8th AVE., EUGEN~R 97401 / 687-4061 .~ --