HomeMy WebLinkAboutPermit Mechanical 1983-6-1
I: _
Lane CouA Authorization
~Gl(
~\
fo~
FOR OFFICE USE ONLY
OF
Application/Gl~" ~~
PermI. t # ( fJr.l - o---.J
D Two Copies of Plans
o Three Copies of Plot Plans
DMech/Plumbing Checklist
o Legal Interest Document
D Plan Check Info Sheet
, /}-)?1kuL~t'"'rYi7Jtrwe--,
roW;:5HIP, '7 I RANGE03 I
mD VI5I~F7f(1r:tf-t0"~;~ OfYVl
LOC ION ADDRESS ,STREET (1'0
Q5 Lo)p p ~ . 'f}t I
CW~S -CURRENTLY ~ROPERT
l'1'n ..
CTIo~(r~ . .
,\.. _ .ttJ __ . __ &L..
08~IPTIDN OF PROPDSED WOR? . BE SPECIFI~ ~p ___ -- -() -
~ m~aJJ t1t.!.fY1\.) c:i.. NYI _,.-jT711 'f'! -
. OF BED2; # OF STOr"ES \J I # OF Ci)'YEES - I, ~~ 'Y)
oMt~(fhn~snAnoru I ~ (tt- , '
CJNT~R'S NAME - SR # -,/
!J ';"..P. O)J,
P8""' TO E u. LIM~rJcr- ADDMQ) D _pa-n nut, -if')
I HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION FOR PERMIT, and do hereby certify that all information hereon is true and correct, and that I
have the following legal interest in the property: ~ner of record; 0 contract purchaser; Dauthorized agent with evidence of authori ty attached.
I f'..;rther certify that any and all work performed shall 00 done in <lccordance with the Ordinances of Lane County <lnd the Laws of the State of Oregon
pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without the pennission of the Building Division. 1 fur-
ther certify that registration with the Builder's Board is in full force and effect as required by ORS 701.055, th<lt if exempt the 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
CH~~_~;::;~:"O~HO~()JJeA0 .. 7:::,LOi?a?/)'~
- NAME (please print) ~~ J ( SIGNATURE DATE
.
PROPOSED USE OF PROPERTY
~side_ntial D Industrial
D Corrunercial 0 Public.
Lort.v
Ilh..o 0 t
I DECLARED $ VALUE
I.r;r' hI ,)D~o5ed
1/ 1fY1IAri1U .r-qExisting
M. I HO:~
-- > 3' HONE .ruMBE- -
~
ELE HON
UMBER
READ THIS SECTION CAREFULLY. YOUR AUTHORIZATION HAS BEEN BASED ON THE FOLLOWING CONDITIONS~
Minimum Setbacks:
zone_pt
CLo front l(l.~ f');4:A~
.
Parti tion It
Parcel It
Parcel Size
[] PLANNING/ZONING:
interior
"rear
CO;'t"ENTS,-3Q.ll I m:::Yl
I ~YW1' +- (~
l-0r Q dd...u- I r'WY1.J
D
)
Date:
I. ~ ,~I/Pt.3
4ID
n
[] FLOODPLAIN,
In flood hazard area? D No 0 Yes, SEE ATTACHED SHEET.
Date:
[] SANITATION: S. 1. #
lnstalla ticn
Speci fications:
Gallon
Tank
Lineal Feet
of Drainfield
Installation Record Issued? Dyes 0 No
Maximum Depth
of Trenches
B. P. "
Cot-!:.IENTS :
Date:
~LANS EXAMINATION 'llType ~ll
COMHENTS, CJQ 17/v h~ ~l.t.lhAJ
. Group, j2.:?
fAM~!d"'1.#/Iw
I
use~~
. cat",~.I.. 9J1b
n
TOTAL VALUATION $
CONSTRUCTION AUTHORIZED BY THIS PERMIT
--
Description
, ')JA 'X4-r 0.1...
~)O.
Sq. Ft.
Fixed Feel
Unit Cost
Floodplain Fee
Subsurface Fees
Building fee
H::!ch/Plmbg Fee
plans Check Fee
State Surcharge
DEQ Surcharge
TOTAL FEE
$
$
$
$
$
$
$
$$:)4 oj
PERMIT APPROVED BY BUILDING OFFICIAL/DESIGNEE (per ORS
45h15~0' JaL10
~. I. fJ"?
DA'fE
LANE COUNTY DEPARTMENT OF PLANNING & COMMUNITY DEVELOPMENT / 125 EAST EIGHTH AVENUE, EUGENE, OREGON 97401
SEE REVERSE FOR INSPECTION INFORMATION
.
.
"'
,
~
"
SETBACKS AND OTHER CONDITIONS OF APPROVAL MUST BE STRICTLY OBSERVED. VIOLATION CAN RESULT IN REVO-
CATION OF THIS PERMIT, CITATION UNDER ~ROVISIONS OF LANE COUNTY'S INFRACTION ORDINANCE, AND/OR OTHER
REMEDIES ALLOWED BY LAW.
WHEN R~ADY FOR INSPECTIDN, CALL 687-4065. A MINIMUM OF AT LEAST 24 HOURS ADVANCE NOTICE FOR INSPEC-
TION REQUESTS MUST BE GIV8N. Have the following information ready: perm1t number, job address, type
of inspection, when it will be ready, you~ name and phone number, and ~ny special directions to site.
BUILDING DIVISION:
REQUIRED INSPECTIONS:
1. Foundation Inspection: To-be made after trenches are excavated and forms erected and when all
materials tor the foundation are delivered on the job. Where concrete from a central mixing
plant (commonly termed "transit mixedtl) is to be used, mater~als 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. Framinq & Insulation Inspections: To be made after -the roof~ all framing, fire blocking, and
bracing ,are in place and all. pipes, fireplaces, chimneys, and vents are complete and all rough
electrical and plu~bing are approved. Al~ wall ins~lati~n and vap~r barrier are in place.
4. Lath and/~ Gy~sum Board Inseection: To be made after all lathing and gypsum board, interior
ana-exter~or, ~s ~n place but betore any plastering is applied and 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 ipspectio~s for the work ~uthorized, 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
an~ electrical inspections have been made and approved. '
B. Wood Stove: 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
sewer or septic system for setback requirernentf!,. 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. Swimrninq Pool: Below grade when steel is in place and before concrete is poured. Above grade
when pool-rs-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, OR IF WORK IS SUSPENDED OR ABANDONED FOR MORE THAN 180 DAYS.
SUSPENSION OR REVOCATION MAY OCCUR IF THIS PERMIT WAS ISSUED ON THE BASIS OF INCOMPLETE OR ERRONEOUS
INFORMATION.
ANYONE PROCEEDING PAST THE POINT or REQUIRED INSPECTIONS WILL DO SO AT THEIR OWN RISK.
,
SUBSURFACE AND ALTE:RNATIVE,SEWAGE DISPOSAL SYSTEMS;'-; 1.,1":> '\
1. Permits shall be eNective for one year from the" Crate\. of issuance. ~,' t.~~.. ~\~: "-
" ..~. :.. . >-, ,.:. '.')t'-. \. - ~ '-..
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 submitting the
installatien ~ecord form. The Department shall inspect the construction to determine if it
complie.p~ -with ;the..~ules 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 Sewaqe Disposal
From: Interior property lines
Edge of road right-of-way
Building foundation
Wells, other water sources
Seotic Tank
10'
10'.
5'
50'
Drainfield
10 I
10'
10'
1001
C 14-25
~ ; ... '. ';\
. ,
.. ' --.". ", ~ " ....
\
rl. 9, . .
I r'l . .
.. .
." .
I
rrr
. .
~ .
[e
: ~ ~
u .
~.
c,
~
~. .
"
. IIr
'"
Ol. .
~I
'"
~. .
"
"
;
T ,4r I
,
~. .
. / .
. .
. . LANE COUNTY DEPT ENV MGT RECEIPT ~, B5083 DATE 0531le
APPLICANT tHARBONEAU, R. ADDR 25 LORIE CT., SPFD., OREGON .
~ TLI 1703223102500 SUBDIV 1ST ADD TO BUENA VISTA LOT 32 BLK l'lf
. NEW BLDG TYPE . USE X BDF(MS 0 UNITS 001' STOF;IE,S; '~BLDGS 001 PHONE 726 050.
OWNER NME CHARBONEAU, R. ADDR 25 ~ORIE CT.. SPFD., OREGON
'CODE APPL NO ACTION DESCRIPTION SQ FT UNIT COST VALUATioN FEE
.. BF'
BP
f' '!IF'
. BP
BP
, BP.
: . PL
, MECH.
, SUF~
~.. PCI<
, PCK
DAYS
.
-,
'"
.
.
19.00
0..76 1'1
.
4.75
.
.
t~
24.51 CK
.
'I'
.
L.C 850B3 WS
NO. FIXnmES:
NO.
CONNEcnms:
ME,CHAN I CAL FEE
STATE SUF~C:HAF~GE
PL,r;N CHECI< FEE
15.00 EACH -
4%
,
;)
-'.
~.
;,
~) I 1 I .,
,
'. CATG:
~ SEQI.J:
TAKEN
.
API"
o
BY CAD
F~A
FP
SDS.
SI
PCK
1
OT,H
.ISS
EST. COMPLETION DATE
TDTAL. FEE**
.