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Home My WebLink AboutPermit Mechanical 1983-11-18,r4/\ L e Coun Au zation for,FOR OFFTCE USE ONLY Applica Permit Two Copies of Plans Three Copies of Plot Plans Mech,/Plumbing Checklist Legal Interest Document Plan Check Info Sheet Iu"{risHrP / 7 *'"uo3 / SIBDIVISION,/PARTITION (if applicabJ.e)LOTIPARCEL BLOCK PROPOSED USE OF PROPERTY [-l rndustrial [-l commercial PubIic x.sidential 'Qz DECLARED $ VALUE WATER SUPPLY l--l prooosed @d"ilti"s*%)'ffffffsn OSR I HAVE CAREFULLY EXAMINED aHE COMPLETED APPLICATION FOR PERMIT, and do hereby cert.ify that all- infomation hereon is true and correct, and that I have the following legal interest in the property I f:rther certify that any and a1I work perfomed pertaining to the work described herein, and that ther certj,fy that regislration with the Builder's is noted hereon, and that only subcontractors ed CHECKED THIS APPLICATION THOROUGHLY. done in accordance with the Ordinances of Lane Couty and the Laws of the State of Oregon NO OCCUPANCY wilI be made of any structure without the pemission of the Building Division. f fur- Board is j-n ful1 force and effect as required by ORS 7O1.O55, that if exempt the basis for exempt-i (please prinl A_!a4#=32 'Kr;:n authorized agent with evidence of authority attachedof record;contract purchaseri iance with oRS 701.055 will be used on this project. I HAVE R-EAD ANDenployees who are in compl rear Yes, SEE ATTACHED SHEET I saurtarrolt COI'[.1EI{TS: Date: Date: orcL No tr Yes No Use tr D PLANNING,ZONING: FLOODPLAIN: In flood hazard area? B. P. #s. r. # NATION: Tn/Pe Install-ation Record Issued? Zone CO}L\ENTS: I'linim].nn Partition # BEEN BASED ON THE EOLLOWTNG CONDITIONS: Parcel # Parcel Size Date: Date: Lineal Feet of orainfieldrnstarlation Gallon Specifications: - Tank Maximun Depth of Trenches READ THIS SECTION CAREFULLY. YOUR AUTHORIZATION HAS L, CONSTRUCTION AUTHORl ZED BY MUTC DFDMTITI TOTAL VALUATION $ scr iption Sq. Ft Frxed f eel Llnit Cost Floodplain Eee Subsurface Fees Building 8ee Iqech/P1mbg Fee P1 ans Check Fee State Surcharge DEQ Surcharge TOTAL FEE $ + $ s e s ) s$ PERMIT APPROVED BY BU ILDING OFF COUNTY DEPARTM r ORS ENT OF PUBLICWO RKS LAND MANAGEMENT DlvlsloN, 687-4061' 125 EAST 8TH AVENUE, EUGENE,oREGON 97401LANE SEE REVE RSE FOR INSPECTION INFORMATION TE /?tJ -BE l tri $.r7 SETBACKS AND OTHER CONDITIONS OF APPROVAL MUST BE STRICTLY OBSERVED ' _VIOLATION CAN RESULT IN REVO- cAr,0N oF rHrs pERMrr, crrArroN uNprn-pnovisioNs O' "oii"iouuiv's r*r,*oaiio*-onoinescn, AND/.R OTHER REMEDIES ALLOWED BY LAW. WHEN READY FoR r!{qP!!rlg\, CALL 687-4065. A MTNTMUM OF AT LEAST 24 :louRs ADVANCE NOTTCE FOR TNSPEC- @vEN.uavetEE-foIIowinginformationready:permitnumber,jobaddreSS,typeof inspection, when it wiII be readyr lour name and phone number, and any special directions to site. BUILDING DIVISION: REQUTREp lx!:rt:Ioxs, I. Foundation Inspection: To be made after trenches are excavated and forms erected and when aII mateiTaTt-for-ifie-ToLrndation 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. 2. Concrete Slab or Under-Floor Inspection! To be made after all in-slab or under-floor building EE?vlEe eqUTpmentl-coEEuTt, plplng accessories, and other ancillary equipment iiems are in place but before any concrete is poured or floor sheathing installed, including the subfloor. 3. Framing & Insulation Inspegliols, T9.be made after the roof, all framing, fire blocking, and [rac]ng are-Tn-pTace ena-eTT-plpes, fireplaces, chimneys, and vents are complete and aII rough electrical and plumbing are approved. AII wall insulation and vapor barrier are in place. 4. Lath and/or Gypsum Board lnspection: To be made after aII lathing and gypsum board, interior anE--exterl-or;-=-Tn-pTace-Eut SeTore any plastering is applied and before gypsum board joints and fasteners are taped and finished. 5. Final fnspection: To be made after the building is complete and before occupancy. APPROVAL REQUIRED. No work shall be done on any part of the buildj-ng or Structure beyond the poi.nt indicated in each successive inspection without first obtaining the approval of the building official Such approval shall be given only after an inspection shall have been made of each successive step in the construction as indicated by each of the inspections required. NOTE: A{1 building permits require inspections for the work autho.rized, such as but not limited to: A. Bl-ock WalI: To be made after reinforcing is in place, but before any grout is poured. This InspecElon is required for each bond beam pour. There will be no approval until the plumbing and electrical inspections have been made and approved. B. !,iood Stove: To be made after completion of masonry (if applicable) and when installation is complete. Installation shalI be in accordance with an approved, nationally recognized testing agency and the manufacturerrs installation instructions. C. Mobile 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 connections. 1. Footings and piers to comply with State foundation requirements for mobile homes or as , recommended by the manufacturer. 2. MobiIe home minimum finish floor elevation shall be certified when required by a flood-plaj-n management letter. 3" Mobile home tiedowns, when required, and skirting sha1I be installed and ready for inspec-tion within at least 30 days after occupancy. Tiedowns and skirting shall be installedper enclosure, D. Swimming Pool: Below grade when steel is in place and before concrete is poured. Above gradewlen pool-fs installed. APPROVED PLANS MUST BE ON THE JOB SITE AT ALL TIMES DUR]NG WORKING HOURS. THIS PERMTT WILL EXPIREIF WORK DOES NOT BEGIN WITHIN 1BO DAYS, OR IF WORK IS SUSPENDED OR ABANDONED FOR MORE THAN 180 DAYS. SUSPENSION OR REVOCATION MAY OCCUR IF THIS PERMIT WAS ISSUED ON THE BASIS OF INCOMPLETE OR ERRONEOUS ]NPORMATION. ANYONE PROCEEDING PAST THE POINT OT'REOUIRED INSPECTIONS W]LL DO SO AT THEIR OWN RISK. SUBSURFACE AND ALTERNATIVE SEWAGE D]SPOSAL SYSTEMS: t 2 Permits shall be effectir,ze for one year from the date of issuance. Upon completing the constructi.on for which a permit has been issued, the permit holder shallnoti-fy the Lane County Department of Planning and Community Development by submitting theinstallation record form' The Department shall inspect the construction Lo determine if i-tcomplies wiih i:he rules contained in this division. rf the construction does comply with such fYle:, the Deparilnent shall issue a certificate of satisfactory completion to the plrmitiholder.rf the const-ruction does not comply with such rules, the Deparinent'shal1 notify ti.re p.ii.itholder and sha11 require satj-sfictory completion before is'suing the certificate. Failure tomeet the requirements for satisfactory completion withj.n a reas6nable time constitutes a vio-lation of ORS 454.605 Lo 454.745 and tf,is iute. Setbacks - Subsurface Sewage Disposal Septic Tank Drainfield Prom fnterior property linesEdge of road right-of-wayBuilding foundationWeIls, other water sources c t4-zs 10 ! l0r 5r 50' L0 r 10! 10! 100 r bne counry ACTIVIi-,' INFORMATION ShEET COMPLETE THIS SECTION. INCOMPLETE FORMS t^JILL BE REJECTED! 6T!l- -7 I i.C, 5/4RnE R s /<,c 0 PERSON MAKING REQUEST f'2.a.Qox )+s 1( . $Y/Jafirs {fAt- o,j MAILING ADDRESS 9!R ril,cli,: 't> d 4 ?zqZ ffi 7 s*zc=l 747-z-E:o HOME TELEPHONE #m zuSINISS TELEPHONE # 2 PROPERTY ADDRESS usr o ( IF DIFFERENT F L 3 rvlare B PAFIeEL NUMBEn ( REQUIRED INFoRHATI0N) t'/ mfiNsmp (from tax maps in Department of Assessment and Taxation or from tax statement) o 2, -45J"1 r ?t [' o ifiM6E SET-TTil ffi ZON I NG TOTNSETF EANGE SECTI0.N ffi MNING MilNSE]F MNGE sm]TON ffi TOTAL CONTIGUOUS PROPERTY IN SAME OWNERSHIP:.zu ACRES 4 SUSOIVISION (if appticable)LOT BLOCK 5 REQUEST (state exactly what you plan to do)/ /U 57..4t-t- /: rp{P tL-a(L /d P 6 DIRECTIONS TO SITE:6 7lt R ** FOR STAFF USE ONLY ** ZONE LAND USE: BY : _ DATE:_TIME IN:_ OUT:_ NUMBER DATE {7a/, LAND MANAGEMENT DIVISION / 125 E. 8th AVE., EUGENE, 0R 97401 / 687-4061 9t)rlrnt e{,rzr,,l O R ?7 f]-? CITY J ZoNING ,2 LANE COUNTY INSPECTION RECORD TRS#l^o'DATE ISSUED:PERt,IIT ?rtf?/$? q ? -assD E tu CONTRACTOR'S -NAME M S C ET BACK REQUIR FRONT S SIDE # PLUMBING FIXTURES L I NTER I OR REAR .U-d N NApproved Da te Co rrec ti on Date Insp ector PLUMBING GROUND!,IORK INSPECTIONApproved Date Comection Da te Inspector UNDERSLAB PLBG. trApproved Date /UNDERFLR PLBG. I INSPECTION Correcti on Date Ins pec tor SLAB INSPECTION Approved---_Date Correcti on Date Ins pector ROUGH PLUMBING (TOP OUT) INSPECTION Approved_Date Correct'ion Date I nspe ctor FRAMING INSPECTIONApproved Date Correct'ion Date I nspe ctor ROUGH MECHANICALApproved Date Correcti on Date I nspe ctor INSULATION / VAPOR BARRIER INSPECTION App roved__Date_/Correc ti on_l Date I nspector LATH / GYPSUM BOARD INSPECTIONApproved IDate Correction ,,. Inspe ctorDate F r NAL MEcHANT cALX TrlOofW Approved /22- Date tl-- 7-?VlCorrection Date_Inspecto FINAL PLUMBING INSPECTIONApproved Date Correcti on Date I nspector FINAL INSPECTION BUILDING tr /MOBILE HOME tr /AG PLACEMENTtrApproved_Date Comection Date_,Inspe M74-I97 Approved Date ctor Insp. CERTI FIApproved_Date_Insp.TEMPORARY CERTIFICATE OF OCCUPANCY E