The URL can be used to link to this page

Home My WebLink AboutPermit Mechanical 1981-03-06il %XerF -rcrroN/PLACEM ENrt= PERMTT POR OFFICE USE ONLY i::*i:';'"%1n -: r firwo Copies of Plans f] two Copies of Plot Pl-ans f]l,techanicaf Checklist E PtumUinq Checklist Iefan Check rnfo Sheet COMP TE THIS BLOCK. PLEASE USE BLACK INK AND PRINT. Partition f- Parcel +- Parcel Si'e- L. SrOe interior re ar o>RANGE 27.5.2 SECTION TAX I,OT +# to8 Dour oF t7 TOI{NSHIP \ I BLorK LD PRoPosf.Htf, oF PROPER Q{Residentiar fltndustrial [-l commercial f]r*ric LOCATION ADDRESSltqo ztP Srt SUPPLYOF BEDROOMS # OF EMPLOYEES Existing *db=.ol II0,Cbo.\ie #\faeh- 2cIONS TO SII\E ,CONTFACTORIS OSR # N. A- o"\+clHC), t'v\tdrt APPLICATION TTIOROUGHLY G (please print)DATE correctand and rth101)he reon truestndoatha tf1,PERMITPOR andAPPLICATIONTHECOMPLETEDICAREFULL}IAVE EXAMINED,Y 1n n1LaitheandofLausS Late Oreq [].nqtheordinancesLheLaneofandoneaccordancerhcountybeshal 1thatandeorkanyperforredcertify urthe r10n certifyontheofvlsDiBuithethoutrnl1din9madebeofstructurepenthatandOCCUPANCYanyNOdeworkribedscrehetheto15onnotedbasisthefor7aORS0thatexenptiifeffeandasctexemptBoardsINtsfu1forcebyrequi redaontherhBuilderthatISratre9 THISC}IECT.EDANDHA\,TE READIect550beonthisusedwaanceoRsrhProl'10arewho1non1ubcontractorsemployeesconp I iandhereonthatand.v f] contractor ! lsent Cofiunents: I ffrOOOpf,afN! rn f]-ood hazard. area? fl *" ! xes, see attached sheet. fl nunar ADDRESSTNG:cRtD CooR_DINATE p tr SAItrITATION: s. r. # ou.". ?r-7fn -7r r @ E Date: Date: B.P.#Installation Record Issued? f vu. I n" Maximun DePth of TrenchesInstallation Specifications: Ga1 lon Tank Li,neal Feet of Drainfield Coments: Date:tr @iq EXAMINATION:'vp" 5A) o,oon-Lfr-"Use AUTHORIZED BY THIS PERMIT +CoNnents: Descr Date:W CONSTRUCTION Sq. Ft IOLA Floodplain Fee Subsurface Fees Building f'ee Sewer/Storm Drain/Water Plumbing Fixtures Mechanical Plans Check Fee State Surcharge TOTAL FEE Fixed Fee,/ Unit Cost ) $ ) $ c ) $ $ s TOTAL VALUATION $ By Date: PERMIT BY lNG OFFICIAL,/DE (per 6 LANE COUNTY DEPARTMENT OF ENVIRONMENTAL I{ANAGEMENT / 125 EAST EIGHTH AVENUE' C74.Ig4 SEE REVERSE FEES PA BY:Check I casrr t , oREGON 97401 I Pr,eNuruerzZoNrNG: zo.. RA Minimum setbacks: cL, front- I sETBAcKS AND orHER c.NDrr;oNS 0F AppRovAL MUSi-BE srRrcrLy oBsERvED. yrglflIlo!-g.Rn-Rrsuli-ttl REVOCATI0N 0F THIS PERMIT, r cITATI0NUNDERPR0VISI0NS0rLANEC0UNTY.sirurnncrror.roRDINANcE,AND/0R0THERREMEDIESALL0l,lEDBYLAl,l. WHEN READY FOR INSPECTION CALL 687-4065. A MINIMUM OF AT LEAST 24 HOUR ADVANCE NOTICE FOR INSPECTION REQUEST MUST BE GIVEN. Have the follow.ing infonnation ready: Permit number, iob uJaiesi, type of inspection, when it wi'lI be ready' vor" nu*e and phone numbei, and any special directions to site' BUILDING DIVISION: REQUIRED IIISPECTIONS.l) F0UNDATI0N INSPECTI0N: To be made after trenches are excavated and forms erected and when all materia'ls for the foundation 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. il coNcRETE SLAB 0R UNDER-FLooR iNSpEcTION: To be made after.a'll in-slab or under-floor building service equipment, conduit,pipingacffici1iary.equipmentitemsareinp1acebutbeforeanyconcreteis'poured or flooi strbat[lng installed, including the subfloor 3) FRAMING & INSULATIoN INSpECTI0I{S: To be made after the roof, al1 framing, fire blocking and.bracing are in place_andv'ffiifreysandVentSarecornp.leteandallrough61ectrica1andp1umbingareapproved'A11 wall insulation and vapor barrier are in p1ace. 4) LATH AND/0R GypSUM B0ARD INSPECTI0N: To be made after all lathing and gypsum board, interior and exterior, is in place,or.beforegypsumboardjojntsandfastenersaretapedandfinished. 5)FINAL INSPECTIoN: To be made after the building is complete and before occupancy APPR0VAL REqUIRED. No work shall be done on any part of the building or structure-beyond the point indicated in each ircC.sjir" inipection without first obtaining t-he approval of the buitding official. Such approval shall be given only iii." in.inspebtion shall have been made of each successive step in the construction as indlcated by each of the inspections requi red. NSTE: A11 building permits require inspections for the work authorized, such as but not limited to: A. BLoCK WALL: To be made after reinforcing is in p1ace, but before any grout is poured. This inspection is required for each bond beam pour. There will be no approval until the plumbing and electrical inspections have been made and aPProved' B. W00D STSVE: To be made after completion of masonry (if applicable) and when installatr'on is comolete. Installaticn shall be in accordance with an approved nationally recognized testrng agency arrd the manu- facturer' s instal lation instructions. c. i40BILE HoME: 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 connecti ons. (l) Foot.ings and piers to comply with State foundation requirements for mobile homes or as recommended by the manufacturer.(Z) t'16Oite home m'inimum finish floor elevation shall be certified when required by a floodplain management letter.(3) UoUii" home tiedowns, when required, and skirting sha11 be installed and ready for inspection within at least 30 days after occupancy. Tiedowns and skirting shall be installed per enclosure. D. SWIMMING p00L: Below grade when steel is in place and before concrete is poured. Above grade when pool is installed. APPROVED PLANS MUST BE ON THE JOB SITE AT ALL TIMES DURING I'IORKING HOURS. THIS PERMIT I'JILL EXPIRE IF WORK DOES NOT BEGIN IIITHIN ]8O DAYS, OR IF IIJORK IS SUSPENDED OR ABANDONED FOR MORE THAN ]8O DAYS. SUSPENSION OR REVOCATION MAY OCCUR IF THIS i,ERiiii urAS iisuio or'r rH'r-eAsii 0F iNcoMPLETE 0R ERRoNEoUS INFoRMATIoN. ANYONE PROCEEDING PAST THE POINT OF REQUIRED INSPECTiONS I'JILL DO SO AT HIS O[,IN RISK SUBSURFACE AND ALTERNATIVE SEWAGE DISPOSAL SYSTEMS Permits shall be effective for one year from the date of issuance. Upon completing the construction for which a permit has been,issued the permit holder sha11 notify.the Obpartmeirt by iubmitting the insta1'lation recbrd form. The Department shall inspect the construction to determine ifit compliei with the rules contained in this division. If the construction does comply vtith such rules, the Depirtment shall issue a certificate of satisfactory completion.to the permit holder. If the construction does hot comply with such ru1es, the Department shail notify the permit ho'lder and shall require satisfactory completion before issuing the certificate. Failure to meet the requirements for satisfactory completion irittrin a reasonable time constitutes a violation of ORS 454.605 to 454.745 and this rule. (1) (?) Setbacks - Subsu ce Sewaqe Disposal From Interior property lines Edge of road night-of-way Buiiding foundation [.lel Is, other water sources Septic Tank Drainfield -T0''--l0' l0' 5' 50' l0' t0' 100' lane county APPLICANT I ION: or Tm-e Yes Firm Address fl ruo fls"rr MEGTANICAI, CONTRACTOR t]Yes Firm Address fl No I serr 6ll1-.l- CHECKLIST PtUilIBING/MECHANICAT JS ,f1 pSS1ng I L Cont. OSR# Cont. OSR# PLiJI\tsING OFFICIAT USE ONLY App1i./ Permit #- Type of Fixture Nurnber of Each Fee On Each Total Sink $ s.oo to 1n 5.00 Tub (with or without shower)5. 00 Shorvcr, separate 5. 00 Water oset t /urinal)s. 00 Dishwasher 5.00 er r 5. 00 TesEIns-mEhine s. 00 Water [-eater 5.00 Floor Drain 5. 00 Sewer--lst 50ft.15.00 each additional 100 ft.10. 00 Water Service--lst 100 ft.15.00 each additional 100 ft.10. 00 Storm and Rain Drain--1st 10 0 ft.15.00 t 10. 00 a te Connection 5.00 e ector s. 00 1 e I Water 10.00 Other I ec1 SLE-TOTAL (lr4inimum $fO. OOl TOTAT FEE N,IECTANICAL Type of Equipment NLmber of Each Fee on Each Total Mechanical Permit Base Fee $ ro. oo Furnace to 100 000 $ 6.oo over 7. 50 S t 3. 00 3. 00 th Exhaust 4.50 6. 00 //. nd r itioner Only 6. 00 t 6.0t) Floor Furnace 6.00 Gas Piping System 1 to 4 Outlets Per Outlet 50 Other (specify. SUB-TOTAL TOTAL FEE I / PLI]MBING CONTRACTOR D .ove 0- B - zZ3 zr*# /oS LANE COUNTY INSPECTION RECORD OWNER'S NAME PHONE NUMBER ER 5 C LT BACK UU I REM'C N ISE #PLUMB I NG FiXTURES FRONT SIDE INTERIOR REARL l1l R E PE DIRECTIONS TO SITE SITE AD SS PERMIT NUMBER FOOTING /FOUNDATION INSPECTI ON OR MOBILE H SET UP INSPECTION Approved Correcti on Di sapproved Da te I ns pecto r CONCRETE S / UNDER-FLOOR INSPECTI ONApproved Correction_ Disapproved Date I ns pec tor UNDER SLAB /PLUMBING GROUNDWORK I PECTI ON,Approved Correction Disapproved Date inspector I{OUGH PLUI'18 ING INSPECTION Approved Correc ti on Di sapproved_Date Ins pector FRAMING INSPECTIONApproved Correction----.D'isapproved Date Inspector INSULATION / V R BARRIER INSPECTION Approved Correcti on_Di sapproved Date I nspector LAM-T6Y PS UM BOARD INS_PTCT I OFApproved Correction _Disapproved _ Date I nspector FINAL PLUMBING INSPECTION Approved---_-Correcti on_ Di sapproved Date i nspector FINAL I^,ASTE DISPOSAL SYSTEM INSPECTIONApproved Correctjon_ Dis rov te Insp ector B LE Di sapproved_Da te 2 I nspector IN BU I LDI NG Approved Co rrec t'i o n L CERTIFiCATE OF OCCUPANCY PORARY CERTIFICATE OF OCCUPANCY Approved___Correcti on Di sappr:oved Date-_----_-_Inspector-- Forn C74-L97 1t '\2.ttL-*lr &h--\- h1 L-q W).-t. I4.-z, lllo lll ,i ,/< J