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HomeMy WebLinkAboutPermit Mechanical 1985-8-14 ~ \lR, eV... e.-A th . t' f i\. Lane ounty u Orlza lOn or: SmJ)~ ~- --' , o ) TI1T~7JoF I LOT/PARCE~' I BLOCK ~~ 0"9 ~;;:Oc/?' '- ~/- _~;;~177~Pr2c~ ST KES CURRENTLY UN PROPERTY / / I 't?'/E7.CL/1&-. c~-5' '0 J'2J;:-# #/0 ~P./?'o~ / /?~r( Jd(.P'r-~ /;::;?/97? r/1 / If (;,L -/)F--; Mz.e' /?~PtP'/? ~<;"',.-<:- 4-r ~~r o~~r7A7/';:RK - ~#'/7 ~0?/vI~ I OEClAREO 5 VALUE 'OF~ li~fi1 I i~ag-I WATERsUPPLY ~gL/L~ ~~~~~~~: ~~OAD~ H/9KC- Pa8c:TY '#/~63 I~~?y~ ~~m~sR-~&// / /J~--z;;~A') ~74/7F LT~~e p,~~/~ INAME:z0Sl1' ~a/ , I, T~~c- 'I\JW"SHIP It I RANGE S~BDIVISION/PARTITION (if applicable) / n \/I1-LL lA.lJoo . ozl FOR OFFICE USE ONLY ~~~~i~ai~~ 7t,'~tfs- SECTION tJ PROpoSED USE OF PROPERTY ~esidential 0 Industrial o Commercial D Public. /?...e'E /l-rT I HAVE CAREFULLY EXAMINED THE COOPLETED APPLI TION FOR PERMIT, <HId do hcrcuy certify t.hat all information hereon is truo and correct., and that I have the following legal interest in the property: owner of record; 0 contrdct- purchaser; Oauthori J!;ed agent wi th evidence of authod ty attached. I f:.:.rther certify that any and all work perform sh- done in accon]anc<,: with th~ Ordinances of Lane County and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of ar'1-' strllcture without the permission of the Building Oivision. I fur- ther certify that registration with the Builder's Board is in full forc!'! tmll effect as required by ORS 70L .055, that if "exempt tho basis for exemption is noted 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 C~dTHAi!r~:- ~ ~~..~__ - NAMI!: {please print' SIGNATURE DATE READ THIS SECTION CAREFULLY. YOUR JA~ORIZATION YAS BEEN BASED ON THE FOLLOWING CONDITIONS! o PLANNING/ZONING: Zone .H//~partition II Parcel II Parcel Size ~~- ~~4~-2~~)/4~r;;~cn .: Oate, -p-g-cF~ ~ Minimum Setbacks: CO~~ENTS~ , Gallon Tank Lineal Feet of Drainfield Installation Record Issued? 0 Yes 0 No Maximum Depth of Trenches o SANITATION: S. 1. i Installation Specifications: B. P. # COMHENTS: Date: n XPLANS EXAMINATION: Type COMJrENTS:.t::4LL. )::oK! 'RE9:UI f?GD Group - Use c....J_( OJ <PISCIII!>LJ_ Date: 8~ 14-&s- --eel 'P /to: B-/~-gs- PERMIT APPROVEO BY BUILDING OFFICIAL/OESIGNEE (oer ORS 456.805(l}) DATE LANE COUNTY DEPARTMENT OF PUBLIC WORKS LAND MANAGEMENT DIVISION, 687-4061, 125 EAST 8TH AVENUE, EUGENE, OREGON 97401 SEE REVERSE FOR INSPECTION INFORMATION C 14-25 R84- " . . SETB,",CKS A:-<D OTHER CO,;OITro::s or APPROVAL ,-lUST BE STRIC7:.,..,. OBSERVED. VrOLATIO:: CA:: RESULT IN REVQ- C;.710:.l OF ,llIS t'ER:11'I', C!TATIO:: U:-iDER PROVISIO:1S OF Lt\~E COU::T\"':; l:JFRACTION ORDI::;":,CE. l,C:D/OR OTHER REMEDIES ALLOWED BY 'LAW. !::!LEN READY FOR I:,srJ:CTION, G\L:' 687-';065. ^ ~IINHll!~\ OF AT LEAST 24 llQUR$ ADV.\I:CE :.lOnCE FOR HlSPEC- 'rIO:, Kt;Qt:!::~7S ;';:":51' D!;; GIV~... !lavC! tno l.ollowing information ready: ;:,ormit number, job ilddress, type of insp~ct.ion. whCl\ it will he ready, :lour name and pnor:.: number, and any silccial directions t.o site. BUILDING DIVISION: REQUIR:::O r::sPEcTIONS: 1. , Foundation Inspection: ':'0 be made after trenches are excavated and forms erected and when all mater~a!s ~or tno toundation ure Jeiivered on the job. ~here concrete from u ce~tral mixing plant (commonly termed ~tram~it mixed") is to be used, materials need not be on the job. Co~crete Slob ~ Under-Floor inspection: To be milde after all in-slab or under-floor building serVl~e equlpment, CO~OUlt, plplng ilccessories, and other ancillary equipment items are in place but berore any concrete is poured or floor sheathi~g installed, including'the subfloor. ~raming & Insulation Inspections: To be made after the roof, all framing, fire blocking, ond racl~9 are 1n place a~C all p1pes, fireplaces, chimneys, a~d vents are complete and all rough electrical and plumbing arc approved. All wall insulation and vapor barrier are in place. 2, L 4. Lath andfer. Gv!?sum Board InSj?ection: To be made after all lathing and gypsum board, '.nterior ana-extcr1or, 1S 1n-prace but betore any plastering is app~ied and bet ore gypsum board joints and fasteners are taped and finished. 5. Final Insoection: To be made after the building is complete and before occu?ancy~ APPROVAL REQUIRED. ::0 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 Sh311 be given only after an inspection shall have been made of each successive step 'in the construction as. indicilted 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 mace after reinforcing is in place, but befo~e any grout is poured. This rnspectIOn is required ior each bond beam pour. There will be no approval until the plumbinq and electrical inspections have been made and approved. . B. ~ood Stove: To be made ilfter co~pletion of masonry (if applicable) and when installation is ~l~ Installation shall be in ilccordance with an approved, nationally recognized testing agency and the manufacturer's installation instructions. C. }lobile Home: An inspection is required after the !nobile home is connected to an ilpproved sewer-or septic system for setback requirements, blocking, iooting 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. Tiedo~ns and skirting shall be installed per enclosure. D. Swimminq pool: Below grade when steel is in place and before concrete is poured. Above grade When pool-rs-installed. .\PPROVED PI.A:'1S :.IUST BE 0:'1 THE JOB SITE AT ALL TIMES DURING WORKING HOURS. THIS PER."lIT 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 i.fAY OCCUR IF TillS PERHIT WAS ISSUED ON THE BASIS OF INCOMPLETE OR ERRONEOUS INFORl-1ATION. A~YONE PROCEEDING PAST THE POII:T or REQUIRED INSPECTIONS WILL DO SO liT TllEIR OWN RISK. SUBSURfACE AND ALTERNATIVE ~ DISPOSAL ~: 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 Lane County Department of Planning and community Develop~ent by submitting the installation record form. The Department shall ins?ect 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 ~he permit, ~older. 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 com?letion within a reaso~able time constitutes a vio- lation of ORS 454.605 to 454.745 and this rule. Setback5 - Subsurface Sewaqe Disposal Septic Tank From: Interior property lines 10' Edge o(-road rtt;ht-of-way 10' !:luill.iinq foundation 5' ~ells, other water sources .50' Drainfield 10' 10' la' 100" ,v "'-... I I ~- . . . . . "" . . . " . .I~ iC @ 'I ;1 ~ Ili . .~ ! w "0 . ef " Ji w .. . .~ ~ . . ~ r ~ . . .~ !' ; . e~ , ri'f':.. . . e~ . . LANE COUNTY DEPT ENV MGT RECEIPT I 227685 DATE 081385 :~ ~PPLICANT PEAKE, KEN ADDR lB69 DONDEA ST., SPRINGFIELD, OREGON .Tl.f.' 180206001 1200 SUBDIV . LDT lJLI(. NEW BLOG TYPE USE R BDRMS 0 UNITS 001 STORIES IBLDCS 001 PHONE 726 0743 OWNER NME PEAKE, KEN AOOR 1069 DDNDEA ST., SPRINGFIELD, OREGON . CODE APPL NO :',ClION DESCRIPTION S(;! FT UNIT COST VALUATIOJ'.: FEE Dfn. BP EW .BP HI" 1:<1" . PL .- f ~'IECH eSLm PCi( MECH LC 2n6B~'> WS .PCI( SUf( fr' ;; FIXTURES: SWR: FT " I"JTF( : MECHANICM. i~EE' ST A TE sur~CHAF(GE PLAN CH[CK FE:r.:: FT" '~AIN : FT. '.I~ iC @ .~ 19. (:)0 4. 7~5 0.76 . l . e~ "0 0: ~ e;:. . r I'~ ~ 4"/ ., :~5% . CAlC: SEQU: .lPli<r::N If :' ,~PP I BY F(LH I~A FP SDS SI . PCK ,") .,".. on:! ISS 3 TOT,,,'--- FEE'I\)f 24.:',1 CI( :~. ei ; ~ 5 e! o .~ .~ < EST. COMPLETION DAlE . . ~-.. ...- ACTIV~ INFORMATION ~EET line @rty ~ .~ ,/ , COMPLETE THIS SECTION. INCOMPLETE FORMS WILL BE REJECTEDl .. , . : 1 /(u. ;+. fJ~ PERSON MAKING REQUEST P O. ~ 0)( lObS MAILING ADDRESS Ke.-. /l. ~~ PROPERTY OWNER PoD.Box /Q.(,3 MAILING ADDRESS Sp;-;~-R~t/ CIT~ c>R.. STATE Q7Y7f( ZIP CODE C~/~~;.u 6R. STATE 97tE'lK ZIP CODE , ') BUSINESS TELEPHONE # 7-2 " . Of 'f 3..._ HOME TELEPHONE # BUSINESS TELEPHONE # HOME TELEPHONE # 2 PROPERTY ADDRESS /OtDq DdY1J~. s+ ;-' '''''''''''FiIi4if#' 6JR. 97~ 1,f (IF DIFFERENT FROM MAILING ADDRESS) ~ 3 MAP & PARCEL NUMBER (REQUIRED INFDRr~ATlON) (from tax maps in Department of Assessment and Taxation: or from tax statement) I g O~ Ob TOWNSHIP RANGE SECTION \I 2. cO TAX LOT(S) OR PARCEL # ZONING TOWNSHIP RANGE SECTION TAX LOT(S) OR PARCEL # ZONING 'rOWNSH I P RANGE SECTION TAX LOT(S) OR PARCEL # ZONING ACRES . TOTAL CONTIGUOUS PROPERTY IN SAME OWNERSHIP: 4 SUBDIVISION (if applicable) LOT BLOCK 5 REQUEST ("tate exactly whaL you plan to do) .. .L.-,)~(''''~._!>.~oJ vStJa/I ~ ~ Garx.R t>e.....l m~ P".~,t!h. '11...e.." O\.NJ_ q~ -k, ~~ f " A)/- ~ ~ ~ ,^rJ/ 0{ If"l<A-_b'. ~ ~. 1 .6 DIRECTIONS TO SITE: . ~ eI"'\. bd\o\deA ~ ~ ~,ed?(3"ao 81",cJ} ~ .AJ... /.Sf""' cJ..c&-<:;Q.L.. 8rdVVlI.- ~ ..vi- 6~ u.J.t,Js<&G~ . I ** FOR STAFF USE ONLY ** - -- NUMBER DATE . '" V> . .... r ZONE/LAND USE: BY: DATE: T11~E IN: OUT: LANn MANAGEMENT DIVISION / 125 E. 8th AVE.. EUGENE. OR 97401 / 687-4061