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Home My WebLink AboutPermit Mechanical 1985-07-11fl POKt*loeOFFICE USE ONLY La,Count Authorization for'Applicatio Permit # rowl;sHrP /7 TAX BI.OCKIDTIPARCEL PROPOSED USE OE PROPERTY EG=i.a"ntia1 I e,ruri.Cc,mmercial f ndus trial 4 C:ITY ZTPz/. Y ON PROPERTY g ION * or Er"rFtoyecs i wrreR suppr,y -/ -/,42zAr Pr oposed ting= OF BEDROOT4g I-# OF STORIES.////r4 | ,alfr TELEPHONEIS NAME AND OSR I HAVE CAREFULLY EXN,iINED THE CO+.IPLETED APPLICATIO!'FOR PERMIT, arrd 'lo hereLv cett.ify that all infomation hereon is true and corrects, and that I have the following legal interest in the property,ffi,q.. of record; I contra.:t p,rrchaseri [authorized agent with evidence of authori.ty attached' I f.lther certify that any antl alL work perfomed/sha:.t}Ldone in accotdanr:e with the Ordr!)ances of Lane Cowty and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of ar,i'strrrtcture without the Pemission of the Buj.Iding Division. I fur- ther certsify that registration with the Builder's Board is in full force and effect as required by ORS 701.055, that if exemPt the basis for exemption on, and that only subcontractors md enployees who are in conpliance with oRs 7oL-055 will be used on this Project. I HAVE READ AND SIGNATURE APPLICATION DATEa5e is noted he Partition # Mini.mur Setbacks: I seurtatrou Date : Date: ,"4 rearL co},t}lENTs G It c", fro. s. r. *B. P. * use 0.J. S , s ide ORIZATION qAS BEEN BASED ON THE FOLLOWING CONDITIONS: interior I plexuruc,zzoNrNG: rnstallation Record Issued? ! v"" fl u" Date Lineal Feet of Drainfield Maximum Depth of Trenches Installation Gallon Soecifications: Tank Parcel * Parcel si READ THIS SECTION CAREFULLY. YOU 7-,tt -€S- PERMIT APPROVED BY BUILDING OFF (per oRs 455.805 LANE COUNW DEPARTMENT OF PUBLIC WORKS LAND MANAGEMENT OIV]SION, 687.4061, 125 EAST 8TH AVENUE, EUGENE, OREGON 97401 SEE REVERSE FOR INSPECTION INFORMATION cr4-25 R* D DATE SETA TCKS AND OTIIER CO:;DITIO]]S O5'APPROVAL }IUST BE STRICTLY OBSERVED. VIOLATION CAN RESULT IN REVO' C;"ION OF TItIS PlRl'lIT, CITATIOIi UNDER PROVISIONS Oi LAN*E aoij):fY'i INFRACTION ORDII-.\NCE, AND,/OR OTHER REHEDIES ALLOI{ED BY LAW. !iHEN RE.1DY FOR INSPECTION, CAL:68?-1065. A }IINI}IU}I OF AT LEAST 24 IIOURS ADVAIiCE NOTICE FOR INSPEC- @s:'I:-.-i]-a!;-Eefol1owinginformationready:Fermitnumber,jobaddres5,typeof inspecEion. uhen it wil,l be ready, your name and phone number, and any special Cirections to slte. BUILDING DlVISION: REQUl RE D I T5 PECT I ONS t. Foundation Inspection; To be made after trenches are excavated and forms erected and when all naterj.als for tae toundation are del.ivercd on the job. \ihere concrete from a central mixing plant (comonly termed "transit mixed") -is to be used, materials need not be on the job. 2. Conclete slab or Under-aloor Inspection: To be maie after aLI in-slab or under-floo! building EE?i-ilrequ+nmt,--amau-t, piping-Tressories, and other ancillary equipment items are inplace but betore any cencrete is poured or floor sheathing instalLed, including the subfLoor. 3. Franing & Insulatj.on InspecLions: To be made after the loof, all franing, fire blocking, and bracing are in place and al-1 pipes, fireplaces, chimneys, and vents are complete and all rough electrical and plumbing are approved. AII waII insuLation and vapor barrier are j,n pl,ace. 4. Lath and/or Gypsum Board Inspectioq: To be made after all l-athing and qypsum board, jnterior m-d-efE5ri6ri-I3-Tn-FIEEe-EuT-EE:-qe any plaster j.ng is applied and bef ori- gypsm board joj.nts and fasteners are taped and finished. 5. Final Inspection: To be made after the building is complete and before occupancy. APPRoVAL REQUIRED. No work shaLl be done on any part of the bui-lding o! structure beyond the point indicated in each successive inspection wiLhout first obtaining the approval of the building offrcialSuch approval shall be-given cnly after an inspection shalI have been made of each successive stepin the conslruction as indicated by each of the inspections lequired. NOTE: AIl buildj-ng permits require inspections for the work authorized, such as but not limited to: A. Block l^Iall: To be made after reinforcing is j.n place, but before any grout is poured. This ii-sprcEiEi- is required for each bond beam pour. There wi.lI be no approval unti-i the pLunbing and electrj-cal inspections have been made and approved. B Wood Stove: ;on-Fret4 agency and To be made after campletion of masonry (if applicable) and when installati.on isInstallaLion shall be in accordance with an approved, nationally recognized testingthe manufacEurer rs installation instructions. c Mobile Home: An inspection is required after the mobile home is connected to an approved sewer or septic system for setback lequirenents, blocking, footing connection, tiedowns,skirLing, and p)-mbing connections. 1. Footings and piers to comply with State foundation requirements for mobile homes or asrecomended by the manufacturer. 2. Mobile home minj-mum finish fl.oor elevation shaII be certiiied when requiled by a flood-plain nanagement Ietler. 3. Mobile home ti.edowns, when required, and skirting shatl be installed and ready for inspec-tj"on within at Ieast 30 days after occupancy. Tiedowns and skirting shall be installedper enclosure. swiming PooI: BeIow grade when steel is in ptace and before concreLe is poured. Above grade w-E6n-E66] -lE-i ns ta t I ed . APPROVED PI.ANS MUST BE ON THE JOB SITE AT ALL TIMES DURING WOR(ING IIOURS. THTS PERMIT WTLL EXPIREIF WORK DOES NOT BEGIN WITIIIN ].BO DAYS, OR IF WORK IS SUSPENDED OR ABANDONED FOR IIORE THAN ].80 DAYS. SUSPENSION OR REVOCATION irAY OCCUR IF THIS PERIYIT I^IAS ISSUED ON THE B.\SIS OF TNCOMPLETE OR ERRONEOUS INFORMATION. ANYONE PROCEEDING PAST lHE POIt,iT OT REOUIRED INSPECTIONS WILL DO SO AT THEIR OWN RISK. SUBSURFACE AND ALTERNATIVE SEI{AGE DISPOSAL SYSTEMS: 1. Pernits shall be effective for one year from the Cate of issuance. 2. Upon completing the construction for which a pernit has been issued, the permit hoLder shall notify the Lane County Departrent of PLanning and Comunity Development by submitting the installation record form. The Department shall inspect the construction to detcrmine if it complies with the rules contained in this division. If the construction does comply with suchrules, the Department shall issue a certificate of satisfactory completion to the permiti Solder. If the construction does not comply with such rules, the Department shaLl notify the permit hoLder and shall require saLisfactory compLetion before issuing the certificate. Failure to meet the requirements for satisfactory completron uithin a reasonable tj.me constitutes a vio- Iation of ORS 454.605 to 454.745 and this ruIe. Setbacks - subsurfacc Seuage Disposal Scptic Tank Drainfield Srom: Interior propertT lines L0 ' 10, edge oi road rrqht-of-way 10, I0l Burld-inq foundation . 5, 1.0'l,JeIIs, other uater sources 50' 100' I D bre ccrrty ACTIVI'I { INFORMATION SI-1.-ET COMPLETE THIS SECTION. INCOMPLETE FORIjIS trlILL BE REJECTEDT ** FOR STAFF USE ONLY ** ZONE/LAND USE: BY: _DATE:TIME IN:_ OUT:_ NUMBER DATE f,(ll 1 r-/a v Sc lor n s, n) PROPERTY OWNER Z>vo N 23 (.F MAILING ADDRESS sPlD a /?< -I',I-A]ITNtrTDDRESS v?q7 7 CITY m CITY STATE ZIP CODE >?( -'L7'/j* ffi HOFIE-TETEPHMET BUSINESS TELEPHONE # HOMTTETEPFOIE-{- 2 PROPERTY ADDRESS ( IF DIFFERENT FRO 3 vrae Ei PAFIEEL Nt MBEFI (from tax maps in Department of Assessment and Taxation ( REQUTREp INFoRT4ATI0N)or from tax statement)b/do29. l, > smTMN ffi ZONTN6 MilNSMF RNNGE SMTMN ffi ZONING MTNSETP R.AN-ffi SEETMN TOTAL CONTIGUOUS PROPERTY IN SAME OWNERSHIP: ffi ZONING ACRES O ,rrr^ON (if appl icable)LOT BLOCK 5 REQUEST (s;tate exact'ly what you plan to do) N 4 {oc-L'AN6 DIRECTIONS TO SITE:dN oF 5 Wt<H r t r Pt.lce o llraH LAND I'TANAGIMENT DIVISION / 125 E. 8th AVE., EUGENE, OR 9740I / 687-4061 - l?o3-25-,aLANE COUNTY, OREGON DEPT. OF ENVIRONMENTAL MANAGET {T CONSTRUCTION PERMITS & INSPECTION DIV. CctFIFIECTION i+etae NclTIGE JOB ADDRESS NOTE 2 DATE BLDG. PERN/IT t JIA 'L c55-73 FIE.INSPEGTION FTEOIJIFIED Phone ciBT-4OCiEi FoFl APPFIoVAL INSPECTOR TO: -*-f I TRS# )"7- o 5-J9--/2 6 t oc> DATE ISSUED: 7-/-K PERMTT# /9zs-Af Ol,lNER'S HONE N UMBER BI FI ?5 CTOR' S C K L FRONT C1 SIDE i NTER I OR REAR E T Correcti on Da SDS APPRO\TAL REQUIRED I n spector t- SI D F Approved ^A -ff S FOU L Date PLUMBI NG G-RO UNDWORK INSPECTION Approved Date Correction Date , I nspector I nspector WDE RFM_MBG . tr -fNSFECTI ONApproved Da te Correction Da te OTHER INSPECTIONApproved Date Corecti on Date I n s pector ROUGH PL G (T0P 0ur) rNSPEer ION Correcti onApprovedDate Date I nspector FRAMiNG INSP ECTIONApproved Date Correct'ion Date I nspector ROUGH MECHAN I CAL Approved Date Correcti on Date I nspector I NSULATi ON / VAPOR BARRIER INSPECTiON Approved Date Correcti on Date I nspe ctor LATH / GYPSUM I NSPECTI ONApproved Date Correcti on Date Inspe ctor INAL L App roved y' Date Approved Date Correcti on ,./Da Correct'ion Date N nspe ctor I nspector FINAL INSPECTIONApproved_Da tr /M0BrLE H0ME n /AG PBUILDING te Correction Da LACEMENT N te Inspector CER Approved M74-t97 Date Insp.proved_Date Insp. LANE COUNIY I NS PECT I ON REC(IitD CYD trCTRTIFICATE OF OCCUPANCY t3ln tE € 3 @ !o ; .o9I o ,PoLN _€6N! F.! I