HomeMy WebLinkAboutPermit Mechanical 1984-05-09o Lane Count n fort FOR OFF'ICE USE ONLY
Applicati
Permit #
on/
Two Copies of Plans
Three Copies of PIot Pl-ans
Mech/Plumbing Checklist
Legal Interest Document
Plan Check Info Sheet
'Y2p*oFTPWNSHIP
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RANGE.
if appPARTITION BLOCKLOTIPARCEL
PROPOSED USE OF PROPERTY
f,/ neside,ntial
n commercial
n tndustrial
PubIic
VALUE
WATER
isting
sed
TELEPHONE
S NAME
I HAVE CAREFULLY EXAI.TINED THE COMPLETED APPLICATIOIN EOR PERMIT, and do hereby certlfy that aII infomation hereon is true and correct, and that I
have the folLowing Iegal interest in the propertr,d*r"t of record; !"ona.u.a purchaseri[authorizett agent with evidence of authority attached.
I flrther certify that any ad all work perfomed<hall be done in accordance with the Ordinances of Lane Couty and the Laws of the State of oregon
pertaj-ning to the work described herein, and that NO OCCUPANCY will be nade of my structure without the pemi.ssion of the Buildinq Division. I fur-
ther certify 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 exemptl
j-s noted hereon, and that only subcontractors ed empLoyees who are in compliance with ORS 70I.055 wj.Ll be used on this project. I HAVE READ AND
CHECKED THIS APPLICATION
NAME (please
I nr,OOOpr,arn: In flood hazard areaa l-l wo n yes, SEE ATTACHED SHEET.
n/! pLauNrNc/ZoNrNG:
, front
CO}OIENTS:
Date:
use 7ffi)-ttg&tb€ll*qPLANS EXAMINATION:V-r..t
COMI'IENTS:
Date :
4cL
B. P. *
croup Z-3
f]ru" flN"InstalLation Record Issued?
READ THIS SECTION CAREFULLY
Zone
HORIZATION HAS BEEN BASED ON THE FOLLOWING CONDITIONS:
Minimum Setbacks:
COI{\ENTS:
Date:
Date
i-nterior rear
Parcel Size
Lineal Feet
of Drainfielal
Maximum Depth
of Trenches
Partition {_
L, srde_
Installation callon
Specifications: _ Tank
fl seurterrox: s. r. ti
Parcel #_
TOTAL VALUATION 9 CONSTRUCTION AUTHORIZED BY THIS PERMIT
Description Sq. Ft.
Fixed Fee,/Unit Cost
PERMIT APPROVED BY BUILDING OFFICIAL,/DESIGNEE 456.805 1))
LANE COUNTY DEPARTMENT OF PUBLIC WORKS LAND MANAGEMENT DIVISION, 687-4061,
I25 EAST 8TH AVENUE, EUGENE, OREGON 97401
SEE REVERSE FOR INSPECTION INT'ORMATION
Floodplain Fee $
Subsurface Fees $
Building Eee $
Mech/Plmbg Fee S
Pr ans Check Fee $
State Surcharge $
DEQ Surcharge S
TOTAL FEE S$
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SETBACKS AND OTHER CONDITIONS OF APPROVAL MUST BE STRTCTLY OBSERVED. VIOLATION CAN RESULT IN REVO-
CATION OF THIS PERMIT, CITATION UNDER PROVISIONS OF LANE COUNTYTS INFRACTION ORDINANCE, AND/OR OTHER
REMEDfES ALLOWED BY LAW.
WHEN READY FOR INSPECTION, CALL 68]-4065. A I\,1INII\,1UM OF AT LEAST 24 HOURS ADVANCE NOTICE FOR INSPEC-@u.__rlETEtEE--Fo11owinginformationready:Permitnumber,jobaddreis,typeof inspectj-on, when it wiII be ready, your name and phone number, and any special diiections to site.
BUILDING DIVISION:
REOUIRED INSPECTIONS:
Foundation rnspection: To be made after trenches are excavated and forms erected and when allmaterials for the foundation are delivered on the job. Where concrete from a central mixingplant (commonly termed "transit mixed") is to be used, materials need not be on the job.
I
)Concrete Slab orservlce equipmentplace but before
Under-Floor Inspection:
I cbnduit, pip-ng acces
any concrete is poured
To be made after all in-slab or under-floor buildingsories, and other ancj-llary eguipment it.ems are inor floor sheathing installed, including the subfloor.
To be made after the roof, aII framing, fire blocking, andare in place replaces, chimneys, and vents are complete and all roughAll waII insulation and vapor barrier are in place.electrical and plumbing are approved.
4. Lath and,/or Gypsum Board Inspection: To be made after all lathing and gypsum board, interior5iE-exterior,-Is in-pTace-EuE-EEEore any plastering is applied ".,6 u.foi. gypsum board joints
and fasteners are taped and finished.
5. Fina1 Inspection: To be 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 pointindicated in each successive inspection without first obtaining the approval of the building official.
Such approval shal1 be given only after an inspection shall have been made of each successive stepin the constructj-on as indicated by each of the inspections required.
NOTE: AII building permit.s require inspections for the work authorized, such as but not limi-ted to:
A. Block WaII: To be made after reinforcing is in place, but before any grout is poured. ThisIil-pecET6i- is required for each bond bearn pour. There wiII be no appro.ral until the plumbing
and electrical inspections have been made and approved-
B. Wood Stove; To be made after completion of masonry (if applicable) and when installation iscomplete. Installation shaIl be in accordance with an appioved, nationally recognized testingagency and the manufacturerrs installation i-nstructions.
C. I"lobile Home: An inspection is required after the mobile home is connected to an approved
sewer or septic system for setback requirements, blocking, footing connectj-on, 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. Mobile home minimum finish floor elevation shall be certified when required by a flood-plain management letter.
3. MobiIe home tiedowns, when required, and skirting shall be installed and ready for inspec-tj-on 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 concret.e is poured. Above gradewlen pool-Ts installed.
APPROVED PLANS MUST BE ON THE JOB SITE AT ALL TIMES DURING WORKING HOURS. THIS PERMTT WILL EXPIRE
IE WORK DOES NOT BEGrN WITHIN 180 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
TNFORMATION.
ANYONE PROCEEDING PAST THE POINT OT REQU]RED INSPECT]ONS WILL DO SO AT THEIR OWN RISK.
SUBSURFACE. ANp ,4lrEXX4Irfg qEWAGE pTSPOSAL SYSTEMS:
I. .Permits shall be effective for one year from. the.date of.issuance.
-2. Upon completing the construction for which a permit has been issued, thg permit holder shallnotify the Lane County Department of Planning and.Community Davelgpment by submitting theinstallatio4 record form. The Department shal1 lnspect the construction to determine if it
complies with th.e rules contained in this divisi.on. If the construction does comply with'suchrules, the Department shall issue a certificate of satisfactory completj.on to the permit{'holder.rf the construction does not comply with such rules, the Department sha1l notify the permit
holder and shalL require satisfactory completion before issuing the certificate. Failure to
meet the requirements for satisfactory completion within a reasonable time constitutes a vio-
Iation of ORS 454.605 to 454.745 and this ru1e.
Setbacks - Subsurface Sewage Disposal
Septic Tank
10r
10r
5r
50'
Drainfield
3 Framing
bracing
& fnsulation Inspections:
and all pipes,fi
Interior property lines
Edge of road right-of-way
Building foundationl,lells, other r^/ater sources
From:10!
10r
r0!
100 r
TRS#03 -2 3e e06 TE ISSUED:,/o PERMIT#-a
N
T C
FRONT
3 3/
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N
Zia
SSE
C1
E
L SIDE I NTER I OR REAR
IT
r,da4
Dd ?RI €l-D
TApproved Date Correcti on Date
C ON
Insp ector
PLUMBING GROUNDWORK INSPECTiON
Hpproved Date /Comection Date Ins p ector
UNDERSLAB PLBG. f] /UNDERFLR PLBG. tr INSPECTIONApproved lDate Correcti on Date I nspe ctor
SLAB INSPECTIONApproved Date Correcti on Date Insp ector
ROUGH PLUMBING (TOP OUT) INSPECTION
Approved_Date Correcti on Date I nspe ctor
Approved Date rrec ion Date I ns pec tor
ROUGH MECHANICALApproved Date Correcti on Date Ins pe ctor
INSULATION / VAPOR BARRIER INSPECTION
App roved__Date---/Correc ti on Date I nspector
LATH / GYPSUM BOARD INSPECTIONApproved Date Correcti on Date Inspector
FI L
p roved
i CAL
Approved Date
Comection
Correcti on Date
Date I nsp ector
I nspector
L
.t-j-
FINAL INSPECTION BUILDING f] /MOBILE HOME D /AG PLACEMENTtr
Approved Date Correcti on Date Inspector
CERTIFICATE OF OCCUPANCY NApproved Date_Insp.TEMPORARY CERTIFiCATE OF OCCUPANCY E
r\74-L97
proved_Date Insp.
LANE COUNTY INSPECTION RECORD
(
AC 1VITY INFORMATIOIY- SH EET
COMPLETE THIS SECTION.INCOMPLETE FORMS t.,ILL BE REJECTED!
lane countyffiY'
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W W =,,, sH*---gBUSINESS TELEPH0NE # ffi ffi# HoME TELEpHoNE #
2 PROPERTY ADDRESS
( IF DIFFERENT F I
3 ruae a PAFIcEL NUMBEFT
( REQU rREp rNF0RI4ATr0N)
(from tax maps in Department of Assessment and Taxationor from tax statement)
ln
TOl^lNSH IP
o3 Qllz Son5EETIM ffiMNGE ZON I NG
m[N'sH-TF RIN-cE SEeTro-olr m ZONING
MIN_SHTP MME SEETMN
TOTAL CONTIGUOUS PROPERTY IN SAI,IE OWNERSHIP:
ffi ZON I NG
4 SUBDIVISI0N (if applicable)LOT BLOCK
5 REQUEST (state exact'ly what you plan to do)c
6
** FOR STAFF USE ONLY **
ZOIIE/LAND USE:
BY.
-
DATE: TIME IN: OUT:
NUMBER
DATE
-{7tJ.'
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LAND MANAGTMENT DIVISION / 125 E. Bth AVE., EUGENE, OR 9740I / 687-4061
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APPL rcATr on t ft; f S,E+ _
LOCAT I ON
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VLQL ADDRESS
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The above application is being held for the following reasons:
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WIlICil YOU tL,/s{.{ TO IUSTALL TH€ UNI( AO.D AN €(EWTIOI-\ 6V-iu€. FltE?t*cE txS NAt1t+ you NtSt4To |N>T*LL.T+E ur)lT A^J'
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TURE
AVAILABLE BY APPOINTMENT ONLY (NO I^IALK-INS)
Thi s appi j cati on wi I I be hel d unti 1 o
above has not been furn'ished by that
687-406r )
PHONE HOURS
If the 'informat'ion requi red
te yo appl i cat ion will be cancelled.
RETURN THIS SLIP ll|lITH THE ABOVE REQUESTED INFORMATION.
BUILDING & SANITATION / PLANNING & COMMUNITY DEVELOPMENT DEPARTMENT
125 East gth Avenue / pubtic Servi.. guiiding / Eugene, Oregon 97401 7 (503)687-4051
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