HomeMy WebLinkAboutPermit Mechanical 1982-11-04Gt'ftlT
coNsrRL - TroN / ptecEM ENTPERMIT qILL
THIS BLOCK. PLEASE USE BLACK INK AND PRINT.CO}IPLETE
POF. OFFICX USE ONLY
Arplica
Permit {
f]rro Copies of Plans
[:'*o Copies of Ptot Plans
[ :techan ica -L Checii]i st
! i,lumbinq Checl'-f ist
fle1a,',r Chech rnfo Sheet
SECTION
22-.1,3TOI.DISHIPt7 RAI.]GE03
BLOCK
7oI
I
C ZIPRESSS
I
PF,Oi)OSED USll ()F PriOPEP.TY
ffisidentLai
I commercjral
[-l t ndus trr a1
! r orric
5 VALUI]OF
L d
Existing
+oF B'"u'; oF srofIESi-.OF BEDROOMSv-,\,\*/
with oRS
as requi
a1l in!'ornaLiolt il.le')n ili tlrrc nnd aorlo't arl'l I flrrl h^
o CoDrty and th. J,eil! of thrl St-il:e of
'rra(,1'l I'':rLairrirrJ
permi:;sion of t-he Buildillg Di'/isio,1. I further ( ' rr-i f)'
oSS, tn.t if ex.mpE the basis for cxemltic't is n{)t''d
be used on this Froject. I HAi'/E READ AllD CIIE('i"ED TtlTg
printNAME (!l-€
certify that any and all work perforned shall be done in accordance
to the work described herein, and thaL No OCCUPANCY will be made of
CAREEULLY EXA.I4INIiD TIIE APPLICATION FOR PE
thaL reglstration with the Builder's Board is in fu1l force
APPLlCATION THOROUGHLY
do herct)Y ,,rrl ifi' thit
with the Ordinaa,lcs of Lan
wi thout thL-
by oRs 701
fl o','a:,
ffao,r..r.*-..'
I ao,,t,'.
hereon, and that only subcontractors and employees 'ho are
PLANNIN ZONING Z 'tone
cCI'lrllmum sctbacks: -L. f rcnt -L, sid('
j.taon f- Parcel *--
fnterior
i'arce1 Stze
rear
nts
fl rr,ooopr,aru:In flood haza fl,"Yes, see
E
Date:
Date:
Date:
@Tnfl nunal ADDRESSTNG:
tr SAIJITATION: s. r. d
lnstallation
Specifications:
.;R]D COOR.DINATE N
ciied sheet
tnstall-aciori Record lssucd? f] vnt I n"
Maxlmufl DePth
of Trerrches
B. P. #
Gal lon
Tank
Lineal Feet
of Drainfield
Coments:
I pleus EXAMINATION: rype
Coments
Group Use
CONST RUCTION AUTHORIZED BY THIS PERMIT
lt)
Des ron
Fixed Feel
Sq. Et. Unit Cost
Date:
Floodplain Fee
Subsurface Fees
Building Fee
Sewe r/Storm Drain/tr^Iater
Plumbing Fixtures
Mechanical
Plans Check Fee
State Surcharge
TOTAL FEE
c
$
>
c
$
$
$
$
$
FEES PAID ! crrect I castr
TOTAL VALUATION $
By:
Date:
BY BUILDING oFFICIAL/I)ESIGIIF;E (;cr Oitsi (r DATE
PER}TIT APPROVED
I,ANE COUNTY DEPART!'IENT OF PLAIiINING & COI'3IUNITY DEVEII]PMENT '/125 EAsr ETGHTH AVENUE, EUGENE, on/cot'l 9740L
(4, (
SEE REVERSE trOR INSPECTION INFORMATION
LOT,/PARCEL
ry"#.'
T
SETBACKS AND orHER c0NiITl0tls 0F APPR0VAL MUsr BE srRIcrLy oBSERVED. vI0LATION cAN REsuLT rN REVocATToN oF THIs pERMIT:
CITATION UNDER PROVISIONS OF LANE COUNTY'S INFRACTION ORDINANCE, AND/OR OTHER REMEDIES ALLOI,IED BY LAl^l.
l,lHEN READY FOR INSPECTIoN CALL 687-4065. A MINIMUM 0F AT LEAST 24 HoUR ADVANCE NOTICE FoR INSPECTION REQUEST MUST BEGIVEN. Have the foilowr'ng information ready:. permit number, job address, type of inspection, when it *itt o" reaav,your name and phone number, and any spec.ial d.irections to site.
BUILDING DIVISION:
REQUIRED IIISPECTIONS
r ) Egu[lATroN TNSPECTTON
aie Te] r- vEFEI' on-TE61joo
materials need not be on
To be made after trenches are excavated and forms erected and when all materials for the foundation. l'Jhere concrete from a central mixing plant (commonly termed "transit mixed,') is to be used,the Job.
2) QONqRFTE SIAP 0R.UNDER-FIO0R IIISPECTI0N: To be made after all in-slab or under-floor building serv.ice equipment,conduit, piping.accesioiles anI-otEEFTnciliary-equipment items are in plaie-out before any conirete-is pouredor floor sheathing installed, including the su6fldor.
3) FRAMING & INsuLAIplllxlllqrcNs: To be made after the roof, a.l 1 framing, fire block.ing and bracing are in place andsand.ventsu"eio,piete-inaattrougrr6iectricatandp.lumbingareapproved.Allwall insulation and vapor barriei are in p1ace.
4) LATH AND/oR GYPSUX-9948q-!-N!PECTI0N: To be made after al1 iathing and gypsum board, interior and exterior, .is in place@lppi-edorbeforegypsumooi.ojoint,andfastenersaretapedandfinished.
5) FINAL INSPECTION, 'ro o" 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 ind.icated in eachsuccessive inspection without first obtaining t-le'approval or-ine.ouitaing oiiiiiii.' suctr approval shall be given on.lyafter an inspection sha'll have been made of 6ach rulterrir"-step in ttre C6nstruition as indicated by each of the inspectionsrequi red.
N0TE: All building permits require inspections for the work authorized, such as but not limited to:A' BL0CK WALL: To be made after reinforcing is_in place, but before any grout is poured. This inspect.ion .isrequired for,each.bond beam pour. There-will be no approvai until t[e"piumbing and electrical inspectionshave been made and approved.'
B' t'1000 STOVE: To be made after completion of masonry (if applicable) and when instaliation is comotete.Installation shall be in accordance with an approved nationa'l1y recognized testrng ug.n.y oi,d-ihe manu-facturerrs instal lation .instructions.
C. I40BILE H0ME: An inspection is required after the mobile home is connected to an approved sewer or septicsystem for: setback requirements, blocking, footing connection, tiedowns, stirtinii inJ-pirrUingconnecti ons.
(l) Footr'ngs and piers to comply with State foundation requirements for mobile homes or as recommendedby the manufacturer,(2) Mobile home minimum finish fioor elevation shall be certified when required by a floodpla.inmanagement letter.(3) l4obile home tiedowns, when required, and skirting shall be installed and read.y for inspectionwithin at least 30 days after occupancy. Tiedowis and skirting shall be iniiarrea pei'inclosr".
D' SWIMMING P00L: Below grade when steel is in place and before concrete is poured. Above grade when pooli s 'i nsta lI ed.
APPROVED PLANS MUST BE ON THE JOB SITE AT ALL TIMES DURING WORKING HOURS. THIS PERMIT WILL EXPIRE IF I,IORK DOES NOT BEGIN
!]II1]!.I.gq qAI!'-OB IF WORK IS SUSPENDED OR ABANDONED FOR MORE THAN I8O DAYS. SUSPENSION OR REVOCATION MAY OCCUR IF THISPERMIT tlAS IssuED 0N THE BAsIS 0F INC0MPLETE 0R ERRoNEous iltronllartoru.
ANYONE PROCEEDING PAST THE POINT OF REQUIRED INSPECTIONS WILL DO SO AT HIS OlllN RISK
SUBSURFACE AND ALTERNATIVE SEWAGE DISPOSAL SYSTEMS
(t )
(2)
Permits shal l be effective for one year from the date of issuance.
Upon completing the construction for which a permit has been issued the permit holder shall notify theDepartment by submitting the installation recbrd form. The Department slrall inipeii the construction todetermine if it complies with the rules contained in this diviiion. If the consiruction aoes comptv vriitrsuch rules, the Department-shall issue a certificate of satisfactory completion to itre permit nolbei. Ii tneconstruction does not comply with subh rules, the Department shalr irotiiy 6e peimii toiJer JnJ-iniii .equiresatisfactory.completion before issuing the certtficaie. Fai'lure_to meet the requ:i.rements tor satiitactorycompletion within a reasonable time constitutes a violation of ORS 454.605 to qi4.li,i and this rule.
letbacks - Subsurface Sewaqe Di sposa i
From:Interior property Iines
Edge of road right-of-way
Building foundation
l.,ells, other water sources
Septic Tank Drai nfi el d
l0'l0'
'I 0'
5',
50'
t0'
l0'
100'
lane ccr-rnty,LANNING & COMMUNITY DEVELOPMEI\
ACTIVITY INFORMATION SHEET
COMPLETE THIS SECTION. INCOMPLETE FORMS t^JILL BE REJECTED!
e
o
EST ER
o
I E
74*-wq+,4rL4l*b --141-101O
HOME TELEPHONE #BUSINESS TELEPFONEI HOME TELEP-HONE #BUSINESS TELEPHONE #
2 PROPERTY ADDRESS
( IF DIFFERENT F
3 ruae B PAFTeEL NTJMBEFT
( REQUTREp rNF0RI4ATr0N)
(from tax maps in Department of Assessment and Taxationor from tax statement)
11 qa^
TOWNSHIP RANGE SECTION
I A 10boo
TAX LOTIS) OR FAREEII ZON I NG
MINSH.IP NANGE SEETMN M ZON I NG
MWNSE]P MNGE SEETTOU
TOTAL CONTIGUOUS PROPERTY IN SAME OWNERSHIP:
W ZON I NG
ACRES
4 SUeOIVISION (if appl icab'le)LOT BLOCK
5 REQUEST (state exactly what you plan to do)
6 DIRECTiONS TO SITE:?t VA
** FoR STAFF USE ONLY **
ZONE/LAND USE:
NUMBER
DATE
{Do
il-
BY: _ DATE:_ TIME IN:_ 0UT:_
I
tlAJlt-ou) E6Ar) A-A.16 hfE