HomeMy WebLinkAboutPermit Mechanical 1985-11-22
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Lane co!nty Authorization f!r:
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FOR OFFICE USE ONLY
Applica tion/~ -?./ -?_ 0 ~
Perm~t # ~ c..6?....::;J.. 0 0
"rowmIP /7 I RANGE c/'3 I Sd~h2r~~~~~
S:.JBDIVISION/PARTITION (d applJ.cable) \ 11 _ I LOT/PAP( I BLOCK
Loc:.lo4o L.oMOMD -r~'I.("€' I ~T ft()D ' . 0.'EC 5
;;%?;S ~::;"?// /)~v/E _ ;:;A?~h;:~~ ~~c-~K) 77"~7;;?
STRUCTUZli:S CURRENTLY ON PROPERTY ~ ' /'
4X ~ ~./? , ,).L::77~~E /A'.?:?? 77'_, ~ ~ ~.//-"7-<.....2:7?,.c...
o REC'I'ION~ TQ SITE;' . /
r.:?1111, l//R./? G-.e-r 7"7'f1-k"'F' /f!:"4'.,?,:Vr /7/7 ~-4/7?4/?/:)
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~ESCRIPTION OF PROPOSED WORKhPECIFIC ~;' I DECLARED $ VALUE
~\~( 72Pq, ~~r -.Z/?(~/
:+ OF .S;;O??,S # OF ST~RIES I # OF E"'IPr;>Y~ 'I \'IATER SUPPL'{ , ~ 0 Proposed
/t///9- , /to /l- 4///9 /~~/6'&:'~ JR1E,mting
~~CADDRE;W/? ~/? 0~~~ ~c- ~ 1~~rf;Q'
C0NTRA~E NAM:?);; ;(bL//j2C~ .~,,;.~~ . I T:~~F
p~;;m~ ro '~ADD/~-;.-:- ~4~C- I ,T~;q-
PRO?OSED USE OF PROPERTY
~RCSidePtial 0 Industr ial
D Commercial D Public.
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I HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION FOR PERMIT, and do hcreuy cettify that all information hereon is true and correct, and that I
have the following legal interest in the prope!,ty:~ner 'of recorc'!;. 0 cont.ract pllrchaser; Dauthorized agent. . .
I f::.rther certify that any and all work performed ~~be done in <>.cl;oL'dancF,: wi th th~ Ordinances of Lane COW1ty and the Laws of the State of Oregon
pertaining to the work described herein, and th~t. NO OCCUPANCY will be made of anyst.ructure without the permission of the Building Division. I fur-
ther certify that registration with the Builder's Board is in full force and effect as required by ORS 701.055,1 that if 'exempt the basis for exemption
is noted hereon, and that only subcontra.ctors and employees who are in compliance with ORS 701.055 will he used on this project. I HAVE READ AND
CHECKED THIS APPLICATION THOROUGHLY.
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NAME (please print)
.Jjt"~
. ~ {~ , 'SIGNATURE
[] PLANNING/ZONING:
YOUR J~ORIZATION QAS
Z<;mf' . .~~ #-- Parti tion '#
C /
L, front
h"~#L:7?~
interior
READ THIS SECTION CAREFULLY,
/IJ~~
/- J'OATE
CONDITIONS~ ~~~
Parcel Size'~~
rear
Parcel #
BEEN BASED ON THE FOLLOWING
Minimum Setbacks:
COMNENTS, ffib
C "
L, side
~ L///V
~-z:J//~~'7':::7
.../ /--:.??7:/'0 ~
Date:
[] SANITATION: S, 1. i
Installation
Specifications:
Lineal Feet
of Drainfield
Installation Record Issued? 0 Yes 0 No
Maximum Depth
of Trenches
B. P. "
Gallon
Tank
CCMl-1ENTS :
rit':!LANS EXAMINATION:
/\ - COWLENTS, CALL
Type _
Group
, Use
fro R.
.
R~tJ/R'FD I/.J.'V-r-L / /oh,r-
?/kE
Date:
n
L.LJ - <'
Date, 1/-"2."2 - ~
~oVl
/1- 22-as-
PERMIT APPROVED BY BUILDING OFFICIAL/DESIGNEE (oer ORS 456.805(1)) 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.
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SETB.\CKS A~D O't'!ltR CC:;OITIO::S OF APPRO'/.\L ~llJST BE STRIC':'LY OBSERVED. VIOLAnOS CA:-: RESULT IN REVO-
C;'710:.l OF' .!lIS PERm., cnATIO:l UNOER PROVISIONS Of' LA:O:E cou:-;n"~ INFRACTION ORDINANCE:, AND/OR OTHER
REMEDIES ALLOWEP BY u.w. .
\o:HEN READY fOR I~:SPCCTION. CAt:. 687-';065. 11. l>lIlHl>IU~l Of' AT LEAST 24 HOURS AOVA:;::::E NOTICE FOR INSPEC-
no", Kt::Q>;l:::>.::> ;'i:;~l 1m GIVeN. tla'lC tn,l: tollowing in::or:nation ready:',' rerlllit nUlllber, job address. type"
of inspection, when it will be ready. your name and phor.c nu~ber, and ~ny special ~ircctions to site.
BUILDING DIVISION:
RECUt R!:::l r::SPECTIONS:
Foundation' Inspection: To be made after trenches are excavated and forms erected and when all
r::atcri"ls for the toundation are delivered on the job. . Hhere concrete from a central miXing -
plant (commonly termed -transit mixed-) is to be used, materials need not be on the job.
Concrete Slab or Under-;loor Inspection: To be made after all in.slab or under-floor building
5erVt~e c~ment, conoutt, ptptnq accessories, and other ancillary equiplllent items are in
place ~ut before any concrete is poured or floor sheathing installed, including the subfloor.
~raminq , Insulation Insoections: To be made after the rOof, all framing, fire bloCking, and
raclng are tn ?lace a;a alL ptpes, 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 Gvpsum Board Inspection: To be Tll4de after all bthing and 9YpSUlD board, l.nterior
aii'aemrIOr, tS 1n place but before any plastering, is applied and be:::ore gypsum board joints
and fasteners are taped and finished.
L
2,
),
,
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 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 tOI
A. Block Wall: To be made after reinforcing is in place, but before any grout is poured. This
tnspection is required for each bond beam pour. There will be no approval until the plumbin9
and electrical inspections have beon made and approved.
B. Wood Stove: TO be made after completion of masonry (if applicable) and when instsllation is
cornpl~ Installation shall be in accordance with an approved. nationally recognized testing
agency and the manufacturer's installation instructions.
C. Mobile Home: An inspection is roquired 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 a..
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. Swimmin9 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 WORl(ING HOURS. TillS 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 11AY OCCUR IF THIS PERMIT WAS ISSUED ON THE BASIS OF INCOMPLETE OR ERRONEOUS
INFORMATION.
ANYONE PROCEEDING PAST THE POIl.T or REOUIRED INSPECTIONS WILL DO SO AT THEIR OWN RISk.
SUBSURFACE ~ ALTERNATIVE ~ DISPOSAL SYSTEMS:
1. Permits shall be effective for one yoar from the date of issuance.
2. Upon completing the construction for which a permit has been issued, the permit holdor shall
notify the Lane County Department of Planning and Community Development by submitting 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 tho permi~iholder.
If the construction docs 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 45~.745 and this rule.
Setback~ - Subsurfao~
from:
Interior property lines
Edge Ot road riqht-of-way
BuildinQ foundation
liells. Othar ....atar sources
So:lwaqc Oisoosal
Scptic ~
to'
10'
5'
50'
Drainfield
10'
10'
10'
100'
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APPLICANT SHUMAN, ANN
TL~ 1703251202900 SUBDIV
. NEW BLDG TYPE USE R BDRMS 0
OWNER NME SHUMAN, ANN
CODE APPL NO ACTION DESCRIPTION
eBP
BP
BP
.BP
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1: ~ECH LC 326385 WS
ePL ~FIX/BATH:
MECH
SUR
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ADDR 2215 LOCH DR., sPld~e~~ELD~AO~doiil28.
LOT BLK
UNITS 001 STORIES ~BLDGS 001 PHONE 747 947~5.
ADDR 2215 LOCH DR., SPRINGFIELD, OREGON
S(~ FT UNIT COST VALUATION FEE, DAYi:.~
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SWR: '
FT. WTF< :
MECHANICAL FEE
STATE SURCHARGE
PLAN CHECK FEE
FT.
RAIN,
FT
16.00
0.64
4.00
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TOTAL FEE**
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EST. COMPLETION DATE
20.64 CK
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AC.VITY INFORMATIO_ SHEET
idne county
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COMPLETE THIS SECTION. INCOMPLETE FORMS WILL BE REJECTED!
PERSON MAKING REQUEST
X
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PROPERTY OWNER
,1
STATE
X.
BUSINESS TELEPHONE # HOME TELEPHONE #
2 PROPERTY ADDRESS)< . )...:;1. J ?
(IF DIFFERENT FROM MAILING ADDRESS)
CITY
ZI P CODE
02.;2/:; JoCh f)R
MAILING ADDRESS
, <;O/c//)<f/t'e(~ O"f
7F (l1TY . STATE
97'177
ZI P CODE
MAILING ADDRESS
BUSINESS TELEPHONE #
7Y'7- 7'17 5
HOME TELEPHONE #
LOCh Qh.: c.rStJ
3 MAP & PARCEL NUMBER
(REQUIRED INFORMATION)
(from tax maps in Department of Assessment and Taxation
or from tax statement)
17 OJ. ,~~/.z.
TOWNSHIP RANGE SECTION
z.roC)
TAX LOT(S) OR PARCEL #
ZONING
TOWNSHIP RANGE SECTION
TAX LOT(S) OR PARCEL #
ZONING
TOWNSHIP RANGE SECTION
TAX LOT(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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x
6 DIRECTIONS TO SITE: .dd;. -J:.-/05 ko{f- :~tV @ 'l.t..P1'(Qd..JPz( R,cit, ~, "-- @ q"J~
~/!iJPd Jj, /JV<<'()H~, i/Jn/,.'nuP ci/"@1'-..<I!/.J.fo.l' f,,<;cr. J,;ff /~ @ nA.J kmo"J!., to I.l fiJ1<.;Lt
/ht'Jrs ",.,,, ..jq/U1. 'a.- :I- I'h..~ in,A... /I''')(){//.{/)/nil{ htJl..tll? '"f-d!.!:. dA~'M ~I oHLJ!"f-1
** FOk STAFF USE ONLY ** NUMBER ~
V>
ZONE/LAND USE:
BY: DATE:
DATE
-l
r-:
TIME IN:
OUT:
LANO MANAGEMENT DIVISION / 125 E. 8th AVE., EUGENE, OR 97401 / 687-4061