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Home My WebLink AboutPermit Mechanical 1985-06-11u9ilt/_._-\- fetrz€z'-'/ zts r;eua) La,ne Count y Authorization fort b- r.OR OFFICE USE ONLY l::*i:";'""'/5;/-fs- :DwN-SHIP /7 RANGE z3 "",'Yfr '*%pry, I,OTIPARCEL BI,OCK PROPOSED USE OF PROPERTY [-l nesidential [l cc,rnmercial f rndustrial PubIic L] I:'Y ZTP OF SUPPLY a2 Proposed stingZruIS NAME AND # I HAVE CAREFULLY EXAI,IINED THE COMPLETED APPLICATION l'OR PERMIT, arrd do hereby ccrtify t-hat all infomation hereon is true and correct, and that I the foll.owing lega! interest in the property,!o"nut of recordi Icontract. prrchaser;!authorized agent with evidence of authority attached.I f:rther certify that aty ad all work perfomed shall be done in accordance with thc ordinances of Lane couty and the Laws of the State of Oregonpertaining to the work dascribed herein, and that NO OCCUPANCY wiLl. be made of ar,i' strrrcture without the pemission of the Building Division. f fur-ther certify that registration with the Buildelrs Board is in full force and effect as requj-red by oRs 701.055, that if exempt the basis for exe IPatricia J. Northup CHECKED THIS APPLICATION THOROUGHLY with ORS 701.055 will be used on this project. I Hjq,VE READ ANDis noted hereon. and that only subcontractors ild employees vho are "o*rr"r", r,lA U) --f . A PPlrc*zzott fuurn tzl, t N,|TAL L EP rrf?. t ttsfl^ I t sT. Date: Installation F€cord rssueil? f] v." fl N" ltaximum Depth of Trenches Date: PLANS EXAMINATION:u,. (t) -t - COM}lENTS D Date frontCL, B. P. # Grorp- ZATION I{AS BEEN BASED ON THE FOLLOWING CONDITIONS: i-nterror rear Parcel #Parce I Lineal Eeet of orainfield Partition * Installation Ga11on Specifications: Tank I sel:rtArrout s. r. # READ THIS SECTION CAREFULLY. YOUR fl pmHurnc,zzoNrNG Minimum Setbacks:"", "id", ?t xr 6- n-a-r pERMrr AppRovED gv eurt,Drlrc brFrcrai,ro DATE LANE COUNTY DEPARTMENT OF PUBLIC WORKS LAND MANAGEMENT OIVISION, 687.4061, I25 EAST 8TH AVENUE, EUGENE, OREGON 97401 SEE REVERSE TOR INSPECTION INFORMATION ct4-2s R* k tr I SETB;tCKS AND OT:I:i1 CC:iDITlO:IS OF APPROVAL }'!UST BE S C;TIO:I OF lIIIS i'IiRIlI?, CIT.iTIO:i UNDSR PROVISIONS OF RE}IEDIES ALLOWED BY LAW. TRICTLY OBSERVED. ViOLATION CAi' RESULT IN REVO- LAI-E JOU:iTY 'i INFRACTION ORDI]*ANCE, AND,/OR OTHER viHEN RE.\DY FOR INSPCC?ION, CALL 687-11065. T]ar-FEEIESTS-.'iuST EE trvsI .''t!s6--L ne r o t of inspecEi.on, when it will be ready, you! BUILDING DIVISION: REQUIRED INSPECTIONS: I. Foundatj.on ]I:pg!lfg!: To be made after trenchds are excavated and forms erected and uhen aLl ;;T6;IaIs-fot-alE--TNndatlon are delivered on the -iob. lrhere concrete from a central mixing plant (comonly termed "transit ntxed") is to be used, materials need not be on the job. 2. Concrete Slab or Under-:'Loor InsDection: To be maie after a1f in-sl.ab or under-fIoor buj.ldinq ;E;nT* e{-uipmmt,imInE-piFi;g:;cssories, and other ancillary equi.pment items are in _ place but betore any concreLe is poured or fl,oor sheathing instalied. incl,uding the subfloor. l- Frafr.ino & Insulation InsDections: To be made after the roof, all framing, fire blocking, and Elacns arE rn .rf re arE all prp-es, f ireplaces, chimneys, and vents are complete and aII rough electrical and plumbi.ng ar€ approved. A11 wall insulation and vapor barrier are in place. {. Lath and/or cvpsum Board Inspection: To be made ar-ter a}I tathing and q),psun board. interior Eiilexte-rl6ri runllrce-EuE5ETue any plastering is appliec and bef ore g)'psw boald joints and fasteners are taped and finished. 5. Final Inspectionr To be made after the building is compleEe and before occupancy. AppROvAL REeUIRED. No work shalI be rlone on any part of the building or structure beyond the point indicated in each successive rnspection uithout first obtaj.ning the approval of the bui1dj.n9 official Such approval sha.Ll be given cnly after an inspection shall have been maCe of each successi,ve steP in the construction as indicated by each of the inspections requireC. A1I building pernits require inspections for the Hork authorized, such as buL not Iimited to: Block l,Iall: To be maCe after reinfolcing is in Place, but before any grout is poured. This iiilrctI6i- is required for each bond beam pour. There wiIl be no applova1 untj-l the plumbing and electrj,cal inspections have been nade and approved. h,ood SLove: To be made after conpletion of masonr!' (if applicable) and when instal-l.ati.on is coftLpfetn Instal-lation shall be in accordance with an approved, nationa.l-ly recognized testing agency and the nanufacturerrs instalLagion anstructions. t'lobile Home: An inspection is required after the nobil-e home is connected to an apProved Eil* oi-G6ptic sysLem for setback requirements, blocking, footing connection, tiedowns, skirLing, and plwbing connections. A !1INI}IU:1 OF AT LEAST 21 I]OURS ADVAI:3E NOTICE FOR INSPEC_ lowing infornatjon ready: pernit number, job address, type nane and phonc nunber, anC an! special directions to site. NOTE I n Footinqs and piers to comply with State foundation requj-rements for mobile homes or as recomended by the manufaclurer. },obiIe home mj.ninun fj-riish floor elevation shalt be certified when required by a flood- plain management letter. uobile home tiedowns, when required, and skirting shall be installed and ready for in9!,ec- tion wiEhin at least 30 days after occupancy. Taedowns ano skirting shall be insca.Iled Per enclosure. D. Swimj.ng pool: Below grade when steel is in place and before concrete is poured. Above grade w-nEn--Eo6I i=-instal led. TPPROVED N*U"U" BE ON THE JOB SITE AT ALL TTMES DURING WORKI}IG HOURS. THTS PERMTT WILL EXPIRE IF I,IORK DOES NO'I BEGIN WITHIN IBO DAYS, OR IF VIORK 15 SUSPENDED OR ABANDONED FOR !1ORE THAN I8O DAYS. SUSPENSION OR REVOCATION i.,AY OCCUR IF THIS PERI.IIT WAS ISSUDD ON THE BASIS OF INCOMPLETE OR ERRONEOUS INFORMATION. ANYONE PROCEEDING PAST THE POIi,]T OT REOUIRED INSPECTIOiJS HILL DO SO AT THEIR OWN RISK. ALTERNATTVE SEWAGE prsPOsAL 9:!fEIg, Permits shall be effective for one year fron the>date of issuance. Upon completing the construction for which a permit has been issued, the permit holder shalI noti.fy the Lane County DepartmenL of Planning and Comunity DeveLopment by installation record form. The Department shaLl- inspect the construction to submitting the deternine if it compLies with the rules contained in Lhis division. If the constructj.on does comply uith such rules, the DepartmenC shall issue a certificate of satisfactory completion to the perni,ti holder If the construction does not compl-y uith such rules, the Departient shall notify the permit holder and shalf require satisfactory conp-Ietion befo!e issuing the certificate. Failure to meet the requirements for satisfactory completron wlthin a reasonable time constitutes a vio- Iation of oRS 454.605 to 454.745 and this rule. Setbacks - Subsurfacc Seilaqe Disposal . ScPtic Tank Drainiield F.on: Iitcrior properti, Iincs Edge ot road rlqirt-of-way Burldinq found-ation\ hclLs; otshci' 'wa Lcr sow'ces I ) 3 SUBSURFACE AND 10' 10' 5, 50, t0'l0' r00 | tLu^' w 42o'ua kecourty I ACTIVI IY INFORMATION ShEET COI,IPITTT THIS SECTION. INCOMPLETE FORMS tl,ILL BE REJECTED! , Patricia J i[orL]lrp -PERSON fiAKINd REQUEST 1,? 5? ?an|.", ing Drive PROPERTY OI.INER Same Soringfield, ar 971+77 mnTReaoDmss CITY (d.t Adrya.. , -,ta ! , ffi 2 PROPERTY ADDRESS m 7t+7-5370 C ITY STATE ZIP CODE HOME TELEPHONE # BUSINESS TELEPHONE # HOME TELEPHONE # PaLrici.a.,I r'lortir,r -r 3 ( IF DIFFERENT F RUM MAtLINU AUUHtss) MA], 6i pAFlcEL NiJMBEFI (from tax maps in Department of Assessment and Taxation (REQUIRED INF0RI,IATION) tC2T lt ?o;tgr from tax statement) l7 mEMEIF o_? 25 MNE smTMN 21 OZ+OAW ZON I NG milfrSmp p1NGE S6TION W ZONING T6EfrsrF p1NGE smTr6'N W ZONING TOTAL CONTIGUOUS PROPERTY IN SAME OWNERSHIP:ACRES 4 SUBDIVISI0N (if applicable) 5 REQUEST (r;tate exactly what LOT BLOCK you plan to do)Chimney inspection for certification of insurance coverage for the installation of a Convector on ca d from 10:00 a.m until 1:30 p.m.) ce insert. be away from home 6 DIRECTI0NS T0 SITE: I-105 to I'lohawk enterchanee. tun:r 'left - cnntirrre nn 1Qf.h rrnt.i'l Rambling Drive, turn left two blocks. located bet'+'een Q st and Hayrden Bridge, off 19th. ** FoR STAFF USE oNLY ** ZONE/LAND USE: BY: _ DATE:_ TIME IN:_ 0UT:- NUMBER DATE {va {n LAND MANAGEMENT DIVISION / 125 E. Bth AVE., I'UGENE, OR 9740I / 687.406I LAl,h- C0UNIY I NSPECTI0N REutlRIt 1'RS#17-03-25-2-1 2400 DATE ISSUED: 6/12/Bs PERMIT# IS2I-8{ 0l,lNER'S NAME PHONE NUTAER PATRTCTA J. NOR?HUP o 70 L SIDE INTERIOR REAR 7 47-6 57 0 T SDS APPROTIAL REQIIIREDFTREPLACE TNSERT M)HAWK EXrT, LEFT T0 19TH rO RAMBL rNG DRTVE, LEF?TW-O BLOCKS, BETWEEN 'I8" S?REET AND HAYDEN BRTDGE. SITE ADDR s ,, ? 1,7 57 RAMBLING DRTVE SPRTNGFTELD I 7477 Approved __Da te Correcti on Date Inspector PLUMB I NG RUUNDI.IORK INSPECTIApproved Date Correcti on Date I nspec tor UNDERSLAB P BG./UNDERFLR PLBG. [f NSPECTILIApproved IDate Correction Date I nsp ector OTHER INSPBSTIONApproved Date Correcti on Date Ins pe ctor ROUG H PLUMB I N6 ( rUP OUT) INSP ECTI ONApproved Date Correcti on Date Ins pec tor FRMING INSP ECTIONApproved Da te Correction Date Inspec tor ROUGH MECHAN ICALApproved Da te Correcti on Date inspec tor INSULATION / VAP OR BARRIER INSPECTIONApproved Date Correcti on Date Inspec tor LATH / GYPS BOARD INSPECTIONApproved Date Correcti on Date Ins p ector p roved Date mection Date Correcti on Date s ctor I nspectorApproved Date FINAL INSPECTION BUILDING tr /MOBILE HOME D /AG PLACEMENT IApproved Da te Correction _ D ate Inspector CERTIFICATE OF OCCUPANCYApproved Date__Insp.TEMPORARY CERTII]W M74-197 roved Date-Insp.-