HomeMy WebLinkAboutPermit Mechanical 1985-02-19-61
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ICE USE ONLY
P
LOTIPARCE!t BLOCK
PROPOSED UsE OT PROPERTY
[l.sesidential l-l rndustrial
I r,ru:.i.Commercial
ADDRESS L- I']'Y .lr D
ON ,ROPERTY
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DESCRIPTION OF BE SPECITIC
OF WATER
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AND ADDRESS HA{
NU}4BER
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I IIAVE CAREFULLY EXAI{INED THE CON'IPLETED APPLICATION }-OR PERMIT, arrd .lo hereby cettify that aLl j.nfomation hereon is true and correct
pertaining to the work described herein, and that NO OCCUpiNCy will be made of u.1.
Cher certify that regisEraeion with the Builder.s Board is j.n full force and effectis noEed hereon, and that only subcontractors ud enployees who are in conpliance wi
DATE
,)tro,nu'
shal1 be
, and that I
the following legal interest in the property of record; ! cr,nr:ra,,t prrtchaser;authorized agent with evidence of authority attachedI f:rther certify that any and all work perfomed done in accordanqi: with thr ordrnances of Lane Comty and the Laws of the Sgate of Oregonst-ructure without the pemissj.on of the Builaling Division. f fur-as requircd by oRS 701.055. that if exenpt the basis for eth ORS 701.055 will be used on this project. I HAVE READ AND
THIS APPLICATION THOROUGHLY.
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READ THIS SECTION CAREFULLY. YOUR AUTHORIZATION 9AS BEEN BASED ON THE FOLLOWING CONDITIONS:
Date:
Instal}atj.on Record Issued? ! r"= f] n"
COM}IENTS:
Date:
PLANS EXAMINATION:
c L rear
GrouD Use
Date
EI sexrtatrou, s. r. *B. P. *
L.J -(
fl pmuurtlc,zzoNrNG
Minimum Setbacks
COru\ENTS
ParceL #Parcel Size
Installation Gallon
Specifications: _ Tank
Lineal Feet
of Drair)field
t'laximrm Depth
of Trenches
Partition #
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DATEPERII{IT APPROVED BY BUILDING OFFICIAL/DESIGNEE r ORS s6.8os (t) )
LANE COUNTY DEPARTMENT OF PUBLIC WORKS LAND MANAGEMENT DIVISION, 6874061,
I25 EASTSTH AVENUE, EUGENE, OREGON 97401
SEE REVERSE FOR INSPECTION INI'ORMATION ct4-2s R*
TA UE
DECI^ARED S VALUE
SETBITCKS ANO OTITER CONDITIONS OF APPRCJTJAL MUST BE STRICTLY OBSERVED. VIOLATION CAN RESULT IN REVO-
C;TION OF ?IIIS PERMIS, CITATIO:I UNDER PiOVIS]ONS OT LANE COUNTY'S INPRACTION ORDINANCE, AND/Oh OTHER
RE}IEDIES ALLOI{ED BY LAW.
riHEN RE.lDy FOR INSPECTION, CALL 687-.1055. A MINII1UI1 OP.lT LEAST 24 IIOURS ADVAIiCE NOTICE FOR INSPEC-
@sN;---H.aiE-TEE-o1towinginfornationready:Fermitnunber.jobaddress,tyPe
of inspeccion, when it will, be ready, your name and phonc nunber, and any special directions to sita-
BUlLDING DIVISION:
REQUIRED IT.SPECTIONS :
L Foundation Inspection: To be nade after treoches are excavated and forms erected and when aLL
n-ETlEETftoi-tlE-?6[ndation are dellvered on the job. uhere concrete from a central nixing
plant (comonly termed "transit mixed") j.s to be used, materiaLs need not be on the job.
2. Concrete Slab or U!4elI1e9I Ia,.!nrll""r To be made after all in-slab or under-fIoor building
iE?iI:E-equfpn,mtl-conEure, plpiiq-;Eressorj-es, and other ancillary equipnent items are in
place but-beiore any concrete is poured or floor sheathing installed, incluCing the subfloor.
3- Framj.nq 6, Insulation Inspectj.ons: To be made after the roof, aI1 framing, frre blocking. and
5*I;6
'rE-rn
y1rce EnE=aff-pfFes, fireplaces, chimneys, and vents are compleEe and all. rough
eleccrical and pJ-umbing are approved. AII uaII insuLa:ion anC vapor barrier are in place.
4- Lath and/or cvpsum Board Inspection: To be made after a1l lathing and gypsun board' i.nterior
a-nd elt-erl6ri1E-inlTrce-Eut-EeTre any plastering is applied and before gyPsw board joints
and fasteners are caped and finishetl.
5. Final Inspectio]x: To be made after lhe building is complete and before occupancy.
AppRovAL REQUIRED. No work shall be donc on any parE of the buildinq or sEructure beyond the point
indicated in each successive i,nspection without firsg obtaininq the apProval of the building offj-cial.
Such approval sha1l be gj.ven only after an inspection shall have been made of each successive step
in Lhe construction as indj,cated by each of the insPections required.
NOTE: Atl buj.lding pern.its require inspections for the tork authorized, such as but not linited to.
A. Block I.IaIl: To be made after reinforcing is in place, but before any grout is poured. ,This
iispdclio-n is required for each bond beam pour. There wilL be no approval until the Plmbing
and el.ectrical -insPections have been made and approved.
B. tlood Stove: To be nade after completion of masonry (if applicabLe) and when installation is
ffiFf.etEl- Installalion shal1 be in accoralance with an approved, nationally recognized testing
agency and the manufacturerrs installacion inslructions.
C. llobil,e Home: An inspection is required after the nobile home is connected to an aPproved
EEfrE-r oi-septic systen for setback requirements, blocking, footing connection, tiedowns,
skirting, and plmbing connections.
I. Footings and piers to comply with State foundation requirements for mobile homes or as
recomended by the manufacturer.
2. Mobile hone mininum f.inish floor elevation shall be cerlified when required by a flood-
plain nanagehent letter.
3. Mobile home tiedowns, when required, and skirting shall be insLalled and ready for insPec-
tion vithi.n aL leasL 30 days ifter occupancy. Tiedouns and skirting shall be installed
per enclosure.
D. Swiminq pool: Below grade when steel is j-n place and before conclete is pcured. Above grade
wfren p@1 is insLalled.
APPROVED PLANS MUST BE ON THE JOB SITE AT A]-L TIMES DURTNG WORXING HOURS. THIS PER!4IT WILL EXPIRE
IF !,iORK DOES NOT BEGIN WITHIN 180 DAYS, OR IF VIORK IS SUSPENDED OR ABANDONED FOR }IORE T['AN 180 DAYS.
SUSPENSION OR REVOCATION l'lAY OCCUR IP 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 OWN RISX.
SUBSURFACE AND ALTARNATIVE SEWAGE DISPOSAL SYSTEMS:
I. Permits shatl be effective for one year from che date of issuance.
2. Upon completing the consrruction for which a permit has beeo issued, the Permj.t holder shall
nitity tire Lana county Departrent of PLanning and Comunity Development by submittinq Lhe
.i,nstallatron record form.- The Departrent shill inspect the construction to determine if it
complies uith the rules concained in this division. ff the constructj.on does comply with such
rutls, the Departrent shall issue a certificate of satisfactory compLetion to.the Permiti holder-
If the construction does noc comply with such rules, the Departient shall notify the pernit
holder and shall require satisf;ctory complecion before issuing the certj.ficate. Failure to
meet the requirenenis for saLisfactory completion wrthin a reasonable time conscitutes a vio-
lation of oRs 454.605 to 454.145 and thi.s rule.
getbacks - subsurface Sewage Disposal
Septic Tank DrainfielC
Interior proPerty lines
Edge of road right-of-way
Bullding foundation
hells, other water sources
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ACTIVITY INFORMATION SHEET
COMPLETE THIS SECTION. INCOMPLETE FORMS t.lILL BE REJECTED!
1 .;{ ,L)/sdN ") , *\ St J'o s4/
PERSON MAKING REQUEST
. - =23/5 ,{^\tfi#-fur;g4reia
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,?h;.qL,M (0n=-,f'z/tz,f cfilr STATE ZIP CODE v c{4((STATE ZIP CODE
/26' flC f 72C"7i 6_fffiHOME TETEPHONE # BUSINESS TEIEPHON-# HOfiE-fEfEPFONEI
2 PROPERTY ADDRESS
( TF DTFFERENT TnO
3 mae I PAFtcltL NLrM3rEt
( REQUIRED INFORMATION)
(from tax maps in Department of Assessment and Taxationor from tax statement)
l'7 t;i ){-i-2
TOI^INSHIP RANGE SECTION
4oo*r?-o'{r?t
TAX LOT(S) OR PARCEL # ZONING
T0-rNSmP RNGE mm.N
MI^INSHTP MNGE SEETTON
TOTAL CONTIGUOUS PROPERTY IN SAME OWNERSHIP:
ffi ZONING
W zoNtNG-'
ACRES
4 SUBDIVISI0N (if applicable)LOT /BLOCK /
5 REQUEST (s;tate exactly what you plan to do)
6 DIRECTIONS TO SITE
** FOR STAFF USE Y
DATE: TIME IN: OUT:
NUMBER
DATE
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ZONE/LAND USE:
BY
LAND MANAGEMENT DIVISIoN I 125 E. 8th AVE., EUGENE, 0R 97401 I 687-4061
PROPERTY OWNER
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