HomeMy WebLinkAboutPermit Mechanical 1986-1-13
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Lane County Aut onzahon or: . ' .
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I RANGE I SECTION I TAX LOT Lr"u.,)~ I ~ROrOSED USE OF PROPERTY
18 03 11.22 3400 ~ Residential 0 Industr ial
S:"180IVISION/PARTITION (if applicable) I WT/PARC!:!. I BLOCK I 0 Publ'c.
o Conunercial ....
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roWi~SHIP
LOCATION ADDRESS
STREET
CITY
ZIP
2066 Harbor Dr., Springfield
STRUCTURES CURRENTLY ON PROPERTY
SFD
UlREC'fIONS TO SIT1:;
Sprinofield - South 2nd to Harbor Dr.
u~SCRIPTION OF PROPOSED WORK.- BE SPECIFIC
,
Tn~l~ W9~d stove
= OF ft"vvnS l ~. OF ~
O;~"NER I 5 NAME AND ADDRESS
DECLARED S VALUE
i! OF El-lPLOYEES
",A/t:r
WATER SUPPLY
o Proposed
~ Existing
TELEPHONE NUMBER
342 5161 or 747-3209
MOLATORE. Leo
CQNTRACTOR' 5 NAME AND OSR It
TELEPHONE NUMBER
P':;RNIT TO BE MAILED TO (NAME AND ADDRESS)
TELEPHONE NUMBER
I HAVE CAREFULLY EXAMINED THE COOPLETED APPLICATION t'OR PERMIT, and ,lo hcrcl>y certify t.hat all information hereon is true and corroct, and that 1
have the following legal interest in the prope~t;~f)21own;r of record; OC<Jlltrat:t pllrcha:.er;Oauthorized agent. .'
I f:.:rther certify that any and all work performed ~ll be done in aCCOt'llallr.,; with thod Ordii1anCe!;l of Lane County and the Laws of the Stato of Oregon
pertaining to the work described herein, and th~t NO OCCUPANCY will bt.! mado of any strllcture without the permission of the Building Division. 1 fur-
ther certify that rogiotration with the Builder's Board is in full force nnd effect. a$ required by ORS 701.055, that if 'cxempt the basi. for excmption
is noted hereon, and that only subcontractors and employees who are in compliance with ORS 701.055 will be used on this project. 1 HAVE READ AND
CH.ECKED ;HIS. A:LlCATION TNOROUGNLY. -.. J, 111 ~ '. A . '""':__A-.-
..J..... U7 n ;VI" (cr(-:?if' " -..,-. ~ Y~(ff ( - '"3 -f''C
NAME (please print) SIGNATURE. DATE
READ THIS SECTION CAREFULLY'. YOUR AUTHORI ZATION ~AS BEEN BASED ON THE FOLLOWING CONDITIONS!
o PLANNING/ZONING: 'Zone
parti tion "
Parcel "
Parcel Size
Minimum Setbacks: CL, front
eL, side
interior
rear
CQM.\IENTS:
NO SPECIAL PLANNING ACTION REQUIRED.
Date:
1-3-86
~
Gallon
Tank'
Lineal Feet
of Drainfleld
Installation Record Issuod? DYes 0 No
Maximum Depth
of Trenches
o SANITATION: s. 1. !
Installation
Specifications:
B. P. It
CcrolENTS :
'PLANS EXAMINATION:
COMNENTS:Q L L
Date:
n
Type
-
Group
Use
ws
~ax:JIRcD
IAJ.sP,,-"'l..-u.Q.&J ('.
Date:--1...=..../~-~~
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PERMIT APPROVED BY BUILDING OFFICIAL/DESIGNEE (per 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'-,C!\S A~O O'l'lIER CO:;OITIO::S Of APPROVAL ~lUST BE STRICTL.Y OBSERVED. VIOLATION CA~ ReSULT IN REVO.
C;'7IO~ or T!lIS PERm., cnAno:; UNDER PROVISIO:15 or LASE COli:\1\";; INFRACTION ORDINANCE, AND/OR OTIlER
REMEDIES ALLOWEO 8Y LAW. .
"'HEN READY FOR INSP!:CTJON, CAL~ 681.';065, A ~IININU~l Of AT LEAST 24 IlOURS AQVt\l:CE NOTICE fOR INSPEC-
1'10:-1 Kt:QI..:J::::O'i'S ;.j....::;r ill; GJVI;~. ,lll'/e tnc tollowing information ready: ""emit number, job address, type
of inspection, when it will be ready. your name and ?hor.c nu~bcr. and any s?ccial directions to site.
BUILDING DIVISION:
REOUIRS~ INSPECTIONS:
1.
Foundation Inspection: To be made after trenches arc excavated and forms erected and when all
catcclals lor the toundation are delivered on the job. Where concrete from a central mixing
plant (commonly termed -transit mixed-) is to be used. materials need not be on the job.
Concrete Slab or Under4rloor InsDcction: TO be m~de after all in.slab or under-floor building
serVl~e c~mcnt, conault, p1plng accessories, and other ancillary equipment itcms are in
place but bctore 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 1n ?lace a;a all p1pes. fireplaces. chioneys, and vents arc complete and all rough
electrical and plumbing are approved. All wall insulation and vapor barrier are in place.
Lath and/~ Gvpsum Board Inspection; To be ~de after all lathing and 9Ypsu= board, ~nterior
ana-extcr1or, 1S 1n place OUt Detore any plastering is applied and before gypsu= board joints
and fasteners are taped and finished.
2.
J.
..
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 successiYe 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 tOl
A. Block Wall: To be made after reinforcing is in place. but before any grout is poured. This
InSpect10n 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 completion of masonry (if applicable) and when installation is
complero:- Installation shall be in accordance with an approved, nationally recognized testing
agency and the manufacturer's installation instructions. .
C. Mobile~: An inspection is required 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-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 I~Y OCCUR IF THIS PERMIT WAS ISSUED ON THE BASIS OF INCOMPLETE OR ERRONEOUS
INFORMATION.
ANYONE PROCEEOING PAST TilE POItlT or REQUIRED INSPECTIONS WILL DO SO AT THEIR OWN RISK.
SUBSURFACE AND ALTERNATIVE ~ DISPOSAL SYSTEMS:
1. Permits shall be effective for one year from the dato 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 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 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 ruie.
Setbacks - Subsurface
F:-om:
Interior property lines
Edge of road riqht-of-way
Bui1din9 foundation
h"ells. other ~'ater, sources
S>:lwaqc Disposal
Septic Tank
10'
10'
S'
?O':
Drainfield
lO'
10'
lO'
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. ' L.ANE COUNTY DEPT ENV MGT RECEIPT ~ 21 El6 DATE 01038(.
APPLICANT MOLAToRE, LED ADDR 2066 HARBOR DR., SPRINGFI'ELD
TL~ 1El03112203400 SUBDIV LOT BLI<
ttJEW BLDG TYPE USE R BDRMS 0 UNITS 001 STOI~IES '~BL.DGS 001 PHONE 342 ~)161 .
OWNER NME MOL.ATORE, L.Eo ADDR 2066 HARBOR DR., SPRINGFIEL.D
CODE APPL NO ACTION DESCRIPTION SQ FT UNIT COST VALUATION FEE DAyf~r,
.-;;~: 'WJiI,
BP Ii
.p .~
BP \
I'~ECH LC 21El6 WS
."L ~FIX/BATH:
MECH
SUR
.'CI<
SWR:
FT. WTR:
MECHANICAL FEE
STATE SURCHARGE
PLAN CHECI( FEE
FT.
RAIN:
FT
1 (~. (~0
0.76
4.75
.
,
9
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0:
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4%
25%
.
.ATG:
SEQU:
.: 'rAI(EN
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APP
1
[<V G T
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FP
SDS
SI
PCI<
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oTH
ISS
3
TOTAL. FEE**
24.51 CK
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EST. COMPLETION DATE
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klne county
.
AC.VITY INFORMATIO. SHEET
COMPLETE THIS SECTION. INCOMPLETE FORMS WILL BE REJECTED!
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$Cl /J1 ~
PROPERTY OWNER
" ---------------. MATCiNt--i\IjDRESS.-------
J: uq .hU
C1TY
5t/:2-s/~(
CITY
STATE
ZIP CODE
BUSINESS TELEPHONE # HOME TELEPHONE #
5/,/'" '/1,;;P1 ~fe//
3 MAP & PARCEL NUMBER
(REQUIRED INFORr1ATION) ,
(from tax maps in Department of Assessment and Taxation
or from tax statement)
Ii (!) -;; / /. )2
TOWNSHIP RANGE SECTION
TOWNSHIP RANGE SECTION
TOWNSHIP RANGE SECTION
TOTAL CONTIGUOUS PROPERTY IN SAME OWNERSHIP:
4 SUBDIVISION (if applicable)
5 REQUEST (state exactly what you plan to do)
'f/J~ -Iah to d CI / .:5 ~ v,P'
~roo
TAX LOT(S) OR PARCEL #
ZONING
TAX LOl(S) OR PARCEL #
ZONING
TAX LOT(S) OR PARCEL #
ZONING
LOT
ACRES
BLOCK
6 DIRECTIONS TO SITE: 5,/JNr/J1.,t/;,tI- 5,(,,1..14 :J/.!..! .,.{, /t?:;u.6d/ ./J/'.
** FOR STAFF USE ONLY **
- --
ZONE/LAND USE:
BY: DATE:
TIME IN:
OUT:
NUMBER
-I
""
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DATE
.
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LAND MANAGEMENT DIVISION / 125 E. 8th ^VE., EUGENE, OR 97401 / 687-4061
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