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Home My WebLink AboutPermit Mechanical 1985-02-06L County Authori za,ttort fon 4 35:*i:"i'""'&q}gs ICE USE ONLY RANGE SECTIC)T] l-l r ndus tria i LOTIPAP.CE! Public o BIPCK PROPOSED USE OF PROPERTY Cc,mmercial e s idential T'C!TION ADDRESS STREET CITY-354= {-no",Ip)rq,)'Lo . :r:?trl qr(--ir ZTP (\C I BE S.PECIT'IC -lh^'/Ja/\W OF PROPOSED WORK -DECI,AR.ED S VALUE = OF BEDROOMS I-?r # OF STORIES 1 OF EI,IPIOYEES-+roposed ist.i tele*ot.tE r.rumnsrlrlAt"-3:sn coNrRAcroR'fyE AND osR X \) ,TELEPHONE NWBER ? q u -u83D I HAVE CAREFULLY EXAUINED THE CO4PLETED APPLICATION !'OR PERMIT, ar'd do hereLy cettify that aL1 infomation hereon ls true and correct, and Chat I have the following legal interest in the property I f:rther certify that any and alL work perfomed pertaining to the work described herein, and that ther certify that registratj.on with the Builderrs is noted hereon. and that only subcontractors ad CHECKED THIS APPLICATION THOROUGHIY. , !ort.. of record; ! cc,ntra,,r l,rrrchaser; f,authorized agent with evidence of authority attached.shall be done in accorcai).re wrtli tl.r a)rdaDances of Lane cowty and the Laws of the State of Oreqon NO OCCUPANCy wtll hr: nade of ril srrtrcture without the pemission of the Buiialing Dj.vision. I fur- Board is in full force and effect as required by oRs 701.055, that if exempt the basis for exempti employees who are in conpliance with ORS 701.055 will be used on this project. I HAVE READ AND READ THIS SECTION CAREFULLY. YOUR AUTHORIZATION IIAS BEEN BASED ON THE FOLLOWING CONDITIONS: rnstallation R€cord rssued? f v." fl N" Date: COM}IENTS: COM}lENTS Use Date front tr ParceI SANITATION: S. I. *B. P. * co}truENTS interior rear Partition *Parcel # Installation callon Specifications: _ Tank Lineal Eeet of Drai.r:field Maxinm Depth of Trenches fl pnuxrnc/zoNrNG: Minimum setbacks, "", ? -G-"tret LANE COUNW DEPARTMENT OF PUBLIC WORKS LAND MANAGEMENT DIVISION, 6874061, 125 EAST 8TH AVENUE, EUGENE, OREGON 97401 SEE REVERSE F'OR INSPECTION INFORMATION cL4-25 R* '1'ELLIiLIUN !j NUI'lBER ,, ,'*1 EXAMINATION: $/pe croup -. D.t",- [-l SETBITCKS AND OTHER CONDITIONS OF APPROVAL }'IUST'BE STRICTLY OBSERVED. VIOLATION CAN RESULT IN REVO- CA?IoN oF TIIIS PERMIT, CIaATIO:J UNDER PROVISIONS.oF I-ANE cop-NTY',S IIIFRACTION ORDINANCE, AND,/OR oTHER REI\EDIES ALLOWED BY LAW. WHEN READY FOR INSPECTION. CALL 587-1065. A MINII'IU}I OP AT LEAST 24 IIOURS ADVAIiCE NOTICE FOR INSPEC- @sl-.--!i.aiE--EnE-?oI1owinginforhationready:permitnumber,jobaddress,!ype of inspecrion, when it wil} be ready, your name and phone number, and any special dj.rections to site. BUILDING DIVISION: REQUIRED II.SPECTIONS : FoundaLion Inspection: To be made after trenches are excavated and forms erected and when alL m:6;r:l;iir;--EE6-f6indataon are defivered on the job. l{here concrete from a central mixinq plant (comonly termed "transit mixed") is eo be used, materials need not be on the job. ConcreEe Slab or Under-iloor llsi.slign: To be made after alI in-slab or under-floor building se;vfi*qui.pmst;-dauiE, p-ipin!-ressories, and other ancillary equrpment iLems are in place but beiole any concrete is poured or floor sheaLhing instalLed, including the subfloor. Framinq & Insulation Inspections: To be made after the roof, aII framing, fire blocking. and 6:ffif a-rilrr, rlrce 5nE=aTIllpes, fireplaces, chimneys, and vents are complete and all rough e]ecLrica.L and ptumbing are approved. AII uaII insulation and vapor barrier are in Place. Lath and/or Gvpsum Board Inspecti.on: To be made after aII Iathing and gypsum board, i.nterior a-i-flexT6ri5rl--IE-in-F1a?e-Eut-EEIoEe any plastering is applied and beiore gypsm board joints and fasteners are taped and fj.nished. Pinal Inspection: To be made after the building j.s comPlete and before occupancy. NOTE: B c APPROVAL REeUIRED. No work shall be done on any part of the building or Structure beyond the point indicaLed in each successive inspecti.on without first obtaining the approval of the buildi.ng official Such approval shall be given cnly afler an inspection shall have been made of each successive step in the construction as indicated by each of the inspections required. AII building permits require j.nspecLions for the work authorized, such as but not ]imited to: Block watl; To be made after reinforcing is in place, but before any grout is poured. This inspecfi6i'is required for each bond bean pour. There wj,Ll be no approval until Lhe plmblng and electricaL inspections have been made and approved. wood Stove: To be nade after compLetion of nasonry (if applicable) and when installation is ffiplete. InstallaEion shall be j-n accordance nith an approved, nationally recognized testing agency and the manufacturerrs insLallation instructions. Mobile Honer An inspeclion is required after the mobile home is connected to an apProved lEil-a oi-septic system for seLback requirements, blockj.ng, footing connection, tiedowns, ski.rting, and plwbing connections. 1,. Foatings and pj.ers to comply with State foundatlon requireBencs for mobile hones or as recomended by the manufacturer. 2. Mobife home mj.nimum finish ftoor elevation shaLl be cerEified when required by a fLood- plain management letter. 3. Mobile hone tiedowns, when required, and skirtj,ng shall be inslal,leal and ready for inspec- tion within at. least 30 days after occupancy. Tj-edowns and ski"rting shal'I be installed per enclosure. Swiminq pool: Below grade when steel is in pJ.ace and before concrete is poured. Above grade when pool rs rnstalled, APPROVED PI,ANS MUST BE ON THE JOB SITE AT ALL TTMES DURING WORXING HOURS. TIIIS PERI{T? WILL EXPIRE IF WORK DOES NOT BEGIN WITHIN ].80 DAYS, OR IF WORK IS SUSPENDED OR ABANDONED E'OR I'iORE THAN I8O DAYS. SUSPENSION OR REVOCATION I"IAY OCCUR IF THIS PERMIT WAS ISSUED ON THE BASIS OF INCOMPLETE OR ERRONEOUS INFORMATION. ANYONE PROCEEDING PAST THE POINT OT REOUIRED INSPECTIONS WILL DO SO AT THEIR O}IN RISK. SUBSURFACE AND ALTERNATIVE SEWAGE DISPOSAL SYSTEMS: 1. Permits shall be effecLive for one year from the date of issuance. 2. Upon compleling lhe constructi.on for whj-ch a pernit has been issueal, the-permit.hoLder shall nbt.ify tire l,ani County Department of Planning and Comunity Development by submitting the. installation record form. The Department shall inspect the constructron to cletemlne rt lt complies wiLh the rules concained in this division. If the construction doea conPly with- such rulis, ehe Department shatl issue a certificate of saLisfactory completion to-the PermitiholderIf the constr-uction does not comply with such rules, the Departnent shall notify the Permit holder and shall require sacisfictory completion before issuing the certificate. Failur€ to meet the requirenenis for satisfactori compLeLion within a reasonabLe time constitutes a vio- Iation of ORS 454.605 to 454.145 and this rule. setbacks - subsurface Sewage DisposaL sepLic Tank Drainfield Interior Property lines Edge oi road riqht-of-way Building foundation t{e11s, other watel sources l0 1.0 5 50 I From:r0' 10 | 10' 100 ' 6l!r---L e County Authori za,ttott for,a,n -t- E'OR OFFICE USE ONLY application,/ Permit #&Ji r:lS SECTION ! rnaustri ul I,OTlPARCEL [*l commercial Public \ BIOCK th.1L PROPOSED USE OT PFOPERTY es idential ZTPSTREETL]I?Y 1 I,oCAT]ON ADDRESS _J STRUCTURES CURREN?LY ON PROPERTY DIRECTIONS TO SI'TE I \\ DESCR,trPTION OF PROPOSED !iORK - BE SPECI}-IC DECI4\RED 9 VALUE : OF BEDROOIVIS # OE STORIES # o}' EI"IPLoYEES )isting ed o;iNER'S NAME AND ADDRESS . TELEPHONE NUMBER coNTRAcToRIS NAME AND osR #TELEPHONE NWBER P:R}IIT TO BE MAILED TO (IIAME AND ADDP,ESS) I HAVE CAREFULLY EXAMINED THE COMPLETED APPTICAAION I.'OR PERMIT, drrd ,lo herelry certil-:,, that all infolTation hereon is true and correct, and that I have the folrowing Legal interest in the propertv, [-"ir"g. ()f record; f contra,,'- prrrchaser; Iauthcrized agent with evidence of authority attached.I f :rther certify that any and all work Perfomed shal 1 be done in a"".i,]at:,,,. ki th thu crCrnaEes of Lane Cowly and the Laws of the State of Oregonpertaining to the work described herein, and that No occuPANcY wiII be nade ol ani'sirrrccure wiehout lire pemission of the Builaling Division. f ir.-ther certify that registratj.on with the Builder's Board is in fu]1 force and effect as required by oRs 70i.055, that. if exempt the basis for excmptianis notea hereon, and that only subcontractors ed employees who are in compliance with oRs ZOf.OsS will be used on this project. I HAVE READ ANDCHECKED THIS APPLICAIION THOROUGHLY. r NAME SlGNATUPE DATE READ THIS SECTION CAREFULLY. YOUR AUTHORIZATION I]AS BEEN BASED ON THE FOLLOWING CONDITIONS: Date: I sanrrerrou rnstallatj.on Record rssued? fl v." fl N" Installation ca11on Specifications: Tank Date: Use COM}IENTS: con}lENTS Date EXAMINATION: s. r. #B. P. # I pr,ews TYpe- c..rp-- i-nterior rear cor.rlENTs ParcelPartition #Parcel # Lineal Feet. of Drainfield haxinur Depth of Trenches "", "id. I pmtqurnc,zzoNrNG: zone_ Minrmum Setbacks, CL, front PERMIT APPROVED BY BUILDING OFFICIAL/DE SIGNEE (per oRS 456.805 (I) )DATE LANE COUNTY DEPARTMENT OF PUBLIC WORKS LAND MANAGEMENT DIVISION, 687.4061, 125 EASTSTH AVENUE, EUGENE, OREGON 97401 SEE REVERSE FOR INSPECTION INFORMATTON ct4-2s R* S'JBDIVISION/PARTITION (if applicable) l SETBACKS AND OTIIER CONDITIONS OP APPROVAL MUST BE STRICTLY OBSERVED. VIOLATION CAN RDSULT IN REVO- CiTION OF IIIS pERMlT, CITATIO! UNDER PROVISIONS OF LANE COUI..TY'S INFRACTION ORDINAI{CE, AND/OR OTHER RE]qEDIES ALLOWED BY LAW. HHEN READY FOR INSPECTION, CALL 58r-{065. A MINI}lU}l OF AT LEASr 24 IIOURS ADV.qNCE !'IOTICE rOR INSPEC- @es-l-j-retheto11owinginfornation!eady:permitnunber,jobaddress,type oi-ir"pi"tio". when it wj.lI be ready, your name and phone nunber, and any special dilections to site. BUILDING DIVISION: REQUIRED INSPECTIONS: I. Foundati,on Inspection: To be nade after trenches are excavated anC forms erected and when all . -f".-tl. T""ndation are delivered on the job. where concrete from a central mixing plint (comonly terned "transit mixed") is !o be used, materials need not be on the lob. 2, Conclete SIab or ljnder-Floor Inspection: To be nade after all in-slab or under-f1oor builCing ;a-i*quip*sr, rc;Aulb, pfffi!-?Z;Essorj.es, and other ancj.Ilary equipment itens are-in piace but'beiore any concrete is lourea or floor shealhing installed. includi.ng the subfloor. 3. Franinq 6 Insulation InspecLions: To be nade after the roof. all framj.ng, fire bl'ocking. and iffi i.a-:;lf* ma'eTf pipes, firepraces, chimneys, and vents are conPlete and all rouqh elecUrical and plumbing are appioved. A11 wall insulation and vapor barrier are in place. 4- Lath and/or cvpsum Board Inspection: To be nade after aII lathing and gyPsu board, i.nterior-' ina-.;r";i"rit=-T"-Ffrc-e-f-uf-m6fe any prastering is applj.ec and before gypsw board joints and fasteners are taped and fj-nished. 5. Final Inspection: To be made after the buitaling is conplete and before occupancy. AppRovAL REQUIRED. No work shall be done on any par! of the building or gtructure beyolq the point indicated in each "r"r.""iru inspection without fl.rst obtainj.nq the approval of Che building off:cial iu.t, "gpr"""f shall be given only after an i.nspection shall, have been made of each successive steP in !he-lonstruction as indicaced by each of the inspections required' NOTE: AII building permits require inspections for the work authorized, such as buL not limited to: A. BLock wall: To be made after reinforcing is in place, but before any grout is.poured.- This m;F-"EIa;'i" iequired for each bond bean pour. There will be no approval until the Plmbing and electrical i;spections have beeo nade and approved. a. vlood stove: To be made afler compLetion of masonry (if applicable) and when installation is ffif"ta. 'f ".l.ii"ui"" shall be -in accordance with an approved, nationally recognized testing agency and the manufacLurer's installation instruccions. c. Mobile Home: An inspection is required after the mobile home is connected to an aPproved w::rcr oF-E6ptic system f or setbacli requirements, blocki,ng. footinE connection, tiedowns. skirting, and plmbing connections. I. Footings and piers to comply with Stale foundat.ion requirements for mobile homes or as recomended bY the manufacturer- 2. Mob11e home mininw finish floor efevation shalL be certified when requi.red by a flood- plain management letter. 3. Mobile home tiedowns, when required, and skirti.ng shall be installed and ready for inspec- tion within aL least 30 days ifter occupancy. Tiedowns anal skj.rting shall be instal'led per enclosure. D swiminq uhen pool pool: Below qrade when steel is in place and before concrete is poured. Above graale .-TfinstaIJ.ed. APPROVED PLANS MUST BE ON THE JOB SITE AT ALL TIMES DURTNG WORKTNG HOURS. IHIS PERMIT WTLL EXPIRE IE WORK DOES NOT BEGIN IiITHIN 180 DAYS, OR IF WORK IS SUSPENDED OR ABANDONED FOR MORE THAN 180 DAYS. SUSPENSION OR REVOCATION !4AY OCCUR IT THIS PER}IIT }IAS ISSUED ON TIIE BAS1S OF INCOMPLETE OR ERRONEOUS INFORMATION. ANYONE PROCEEDING PAST THE POIIIT Or REQUIRED INSPECTIONS }iILL DO SO AT THEIR OWN RISX. SUBSURFACE AND ALTERNATIVE SEWAGE DISPOSAL SYSTEMS: l. Pernits sha11 be effective for one year fron the date of issuance' 2.UponcomplelingLheconstructionforwhichaPernithasbeenissued,thepermit.holdershall notify Lhe tane county Departsent of Planning-and comunity Development by submitting the. insLallation record fLrm.- The Departsent sh;Il i,nsPecL the construction to deternine if it complies with the rules contaj.ned in this division. rf the construction does conply with such rules, the Depaltment shaLl issue a certificate of satisfactory conpletion to.Lhe permiti holder If che constructj.on does not comply with such ruLes, the Departlent shall noti'fy the permit holder and shall require satisf;ciory completi.on before isiuing the certificate. Pailure to meet Lhe requiremenis for satj-sfactory completion within a reasonable time constitutes a vio- lation of oRs 454.505 to 454-745 and this rul"e' setbacks - Subsurfacc sewage Disposal seotic Tank Drainfield Interior property 1.i.nes Edge of road riqht-of-way Bur lding foundation HeIIs, other water sources From:10i 10 | 5, 501 I0,r0l 10' 100 t lane ccxnty ACTIVITY INFORMATION SHEET ffiI-\tECOMPLETE THIS SECTI N. INCOMPLETE FORMS t^JILL BE REJECTED! I ? v. n,,/ gHtl^ Lon<lb- MAILING ADDRISS E lxLszso a/c. r-29d BUSTNESS-TELEPFONEI ffi BUSINESS TELEPHONE # HOME TELEPHONE # 2 PROPERTY ADDRESS - ( TF DIFFERENT TnO 3 ruae e PAncEL NIMBEFI ( REQUTREp rNFOR|4ATr0N) (from tax maps in Department of Assessment and Taxationor from tax statement) 11 _A t1 3,t TOWNSHiP RANGE SECTION /o t L ZON I NG TOFN.SFIP R,ANGE SEMMN ffi ZON I NG 4 SUBDIVISI0N ( if appl icable) 5 REQUEST (state exactly what you plan to do) TOtrNSE]P RAN-GE SEETMN TOTAL CONTIGUOUS PROPERTY IN SAME OWNERSHIP: ffi ZON I NG ACRES LOT ,- BLOCK- 6 DIRECTIONS TO SITE: ZONE/LAND US ** FOR STAFF USE ONLY ** TIME IN:_ OUT:_ d E NUMBER DATE {ir, <J'> i I BY: _DATE: lANn MANAr:FMFNT nT\/TqTnrJ t 'l 2q F afh A\/tr FilcFNF nR q7401 / 6n7_4061 3a.9q M,*frAo 1/,s MAILING ADDRESS gru,t r;o l^,\il, 0rr- e tv t't a crrY il C ITY 5rAtt I.I P UUUT. TRS#DATE ISSUED:PERMIT# <-Lt R E BACK REQUIR FRONT #P LUMBING FIXTURES IDE INTERIOR r+. REAR R SDS APPROIXAL REQUIRED \\.^ {Y\CD \) S Approved ESS H Correcti on Date ON Date I nsp ector PLUMBING G INSPECTION Approved Date Correcti on Date Ins pe ctor UNDERSLAB PLBG:/UNDERFLR PLBG. f] INSPECTMN Approved Date Correcti on Date I nspector OTHER INSPECTIONApproved Date Correcti on Date I n s pector ROUGH PLUMBI NG (ToP 0UT) TNSPECTToNApproved Date Correcti on Date Ins pector FRAMING I SPECTIONApproved Date Correcti on Date I nspector RO U GH ME I CAL Approved Date Correction Date Inspector I NSULA ION / VAPOR B IER INSPECT ONApproved Da te Correcti on Date Inspe ctor LATH /GYPSUM BOARD I NSPECTI ONApproved lDate Correction Date Ins pector /t't0002-8. 8€ /Correcti on Date Inspector ll D L Approved Date Correcti on Date Ins pector FINAT INSPECTMN BU I LDING fI /MOBIL E H0ME ! /AG PLACEMENIApprovedDateCorrecti on Date Inspector M74-t97 Date tr Insp.roved Date Insp. I C Approved LANE COUNIY INSPECTION RECORD FINAL ION CY OF trCERTI F CTRTI FI