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Home My WebLink AboutPermit Mechanical 1984-05-16L e County Aut q't ization fon FOR OFFICE USE ONLY Applicatio Permit # Two Copies of Plans Three Copies of Plot Plans It{ech,/Plumbing Checklist Legal Interest Document PIan Check Info Sheet IPWNSHIP / 7 **"' as v%43 TAX s-'BDIVISION,/PARTITION (if applicable) ,/; IOTIPARCEL BLOCK PROPERTY PROPOSED USE OF PROPERTY XLReside_ntia1 T commercial l-l rndustrial [-l p,,uri" -BE VALUEDBcr.y/S ryq suPPLv //// WATER -l Przroosed ffixi'stins TELEPHONE NUMBERZz-^aq{D ther certify that registralion with the Builderrs Board is in full force and effect as required by ORs 70I.o55, that if eis noted hereon. and that only subcontractors ild employees who are in compliance with oRS 701.055 will be used on this LtU-r/ NAI,IE DATE certify that all infomation hereon is true and correct, and that I purchaser;authorized agent with evidence of authority attached the Ordinances of Loe Cowty and the Laws of the State of Oregonstructure without the pemissioo of the Building Division. I fur- xempt the basis for exemptionproject. I HAVE READ AND CHECK.ED THIS APPLICATION READ THIS SECTION CAREFULLY f) plaNtlrncrzzoNrNG: zone. YOUR ZATION HAS BEEN BASED ON THE FOLLOWING CONDITIONS ! Partition #Parcel #Parcel- Si-ze. rear 4 I'linimurn Setbacks:cL ide interior colluEN?s D PLOODPLAIN: In flood hazard area?tr *" I Yes, sEE ATTACHED SHEET Date: Date: SANITATION: S. I. #B. P. #Installation Reiord rssued? fl v." f] u" Installation Specifications: ca11on Tank Lineal Feet of Drainfield Maximm Depth of Trenches CO}1}1ENTS: Date: (**EXAMINATION: Type Group_Use COM}IENTS: ilate: TOTAL VALUAT]ON $CONSTRUCTION AUTHORIZED BY THIS PERMIT Sq . r't. PER!,IIT APPROVED BY BUILDING OFFICIAL,/DESIGNEE (per ORS Fixed Fee/ Unit Cost Floodplain Fee Subsurface Fees Building Eee I.lechlPlmbg Fee Pr ans Check Fee State Surcharge DEQ Surcharge TOTAL FEE $ ) ) $ $ ) ) >) 6. LANE COUNTY DEPARTMENT OF PUBLIC WORKS LAND MANAGEMENT DIVISION I25 EAST 8TH AVENUE, EUGENE, OREGON 97401 SEE REVERSE FOR INSPECTION INFORMATTON c t4-zs /q7F6% tr tr SETBACKS AND OTHER CONDITIONS OF APPROVAL MUST BE STRICTLY OBSERVED. VIOLATTON CAN RESULT IN REVO- CATION OP THIS PERMIT, CITATION UNDER PROVISIONS OF LANE COUNTY'S INFRACTION ORDINANCE, AND,/OR OTHER REMEDIES ALLOWED BY LAW. WHEN READY FOR INSPECTION, CALL 687_4065. A MINIMUM OF AT LEAST 24 HOURS A.DVANCE NOTICE FOR INgPEC- TION REQUESTS MUST BE GIVEN.Have -the following information ready: permit number, job address, type dy, your name and phone number, and any special directions to site.of inspection, when it will be rea BUILDING DIVISION: REQUIRED INSPECTIONS: I. Foundation Inspection: NOTE A. D To be made after trenches are excavated and forms erected and when all 2. Concrete Slab or Under-FLoor Inspection: To be made after aII in-slab or under-fIoor building servTce equlpmentl-conEuIt, plplng accessories, and other ancillary equipment items are in place but before any concrete is poured or floor sheathing installed, including the subfloor. 3. Framing & Insulation Inspeglions, T9.be made after the roof, aII framing, fire blocking, and [rafina are-Tn-place ila-Il-prpes, flreplaces, chimneys, and vents are complete and aII rough electrical and plumbing are approved. AIl wall insulation and vapor barrier are in pIace. 4. Lqth qnq,/or Gypsum Board Inspection: To be made after all lathing and gypsum board, interior E-na exterlorT-fs in pTace-Eut EeEore any plastering is applied and before gypsun board joints and fasteners are taped and finished. 5. Final Inspection: To be made after the builtling is complete and before occupancy. APPROVAL REOUIRED. No work shall be done on any part of the building or Structure beyond the point indicated in each successive inspection without first obtaining the approval of the building official. Such approval shaIl 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. mEE6EIET!-tor-TEe-oundation 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. A11 building permits require inspections for the work authorized, such as but not limited to: Block l,,tall: To be made after reinforcing is in place, but before any grout is poured. This TiG-pec[Ioi- is required for each bond beam pour. There will be no approval until the plumbing and electrical inspections have been made and approved. wood 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 manufacturerts installation j-nstructions. Mobile Home: An inspection is required after the mobile home is connected to an approved sew-er oi--E-eptic system for setback requirements, blocking, footing connection, tiedowns, skirting, and pJ-umbing connections. I. Footings and piers to comply with State foundation requirements for mobile homes or as recotnmended by the manufacturer. 2. Mobile home minimum finish floor elevatj-on shall be certified when required by a flood- plain management letter. 3. Mobile home tiedowns, when required, and skirting shall be installed and ready for inspec- tion within at feast 30 days after occupancy. Tiedowns and skirting shall be installed per enclosure. Swimming Pool: Below grade when steel is in place and before concrete is poured. Above grade wTen-!o61-Ts installed. UBSURFACE AND ALTERNATIVE SEWAGE DISPOSAL SYSTEMS: Drainfield B APPROVED PLANS MUST BE ON THE JOB SITE AT ALL TIMES DURING WORKING HOURS. THIS PERMIT WILL EXPTRE IF WORK DOES NOT BEGIN WITHIN 180 DAYS, OR IF WORK rS SUSPENDED OR ABANDONED FORI4ORE THAN 180 DAYS. SUSPENSION OR REVOCATION MAY OCCUR IF THIS PERMIT WAS ISSUED ON THE BAS]S OF' INCOMPLETE OR ERRONEOUS INT'ORMATION. ANYONE PROCEEDING PAST THE POINT Or REQUIRED INSPECTIONS WILL DO SO AT THEIR OWN RISK. S I 2 Permits shall be effective for one year from the date of issuance. Upon completing the construction for which a.permit has been issueil, the permit.holder shaIl notify tire f,ane County Department of Planning and Community Development by submitting the. installation record form.- The Department sh;Il inspect the construction to determine if it-omplies with the rules containeil in this division. If the construction does comply with- such ruILs, the Department shal1 issue a certificate of satisfactory comPletion to the permitfholder- If the construction does not comply with such rules, the Department shall notify the permit holder and shall require satisficiory completion before issuing the certificate- Failure to meet the requiremen€s for satisfactor-y "ompt.tion within a reasonable time constitutes a vio- lation of ORS 454.605 to 454.745 and this rule. Setbacks - SuPsurface Sewage Disposal Septic Tank Interior property lines Edge of road right-of-waY Building foundation WeIIs, other water sources 10! r0! r0! 100 r From:10 I 10q 5r 50' Lirx: Cafty ACTIVITY INFORMATION SHEET 6l!r-\-COMPLETE THIS SECTION. INCOMPLETE FORMS I.lILL BE REJECTED! Jitl,n C./anr' L E I E N n 72/z 7A6 Pt54 IN s ONE #E HOfiET-LE-PHONF # 2 PROPERTY ADDRESS ( IF DIFFERENT F 3 ruae a PAFIEEL NIJMBEFI ( REQUiREp INFORI4ATI0N) 4 SUBDIVISI0N ('if appl icable) 5 REQUEST (state exactly what you plan to do) W ZONING ffi ZON i NG ACRES LOT LOCK 0 TOWNSH I P ftINSE]P mm SmmN MIIISFTP FAMT SETTMN TOTAL CONTIGUOUS PROPERTY IN SAME OWNERSHIP: (from tax maps in Department of Assessment and Taxation or from tax, statement)2 443_tka)mNE s-EtTf0N' ffi mlItr- 6 DIRECTIONS TO SITE: ** FOR STAFF USE ONLY ** DATE: TIME IN: OUT: NUMBER DATE nt/, {ZONE/LAND USE BY: LAND MANAGTMENT DIVISION / 125 E. 8th AVE., EUGENE, 0R 97401 / 687-4061 I lone county wooD sTovE ** A COPY OF THE MANUFACTURER'S INSTALLATION MUST ACCOMPANY YOUR APPLICATION 6l!' -I NSTRUCTIONS AOORESS FOR INSTALLATI NA.iIE OF nal,onal M00EL NAME and/or (TWB D DI }f NS IONS:liliEF-[ne followlng, fill ln nurber of lnches in diagram , 1. Side of unit to protected wa'll lnches(unprotected wall_inches) 2, Rear of unit to protected wa]l lnches(unprotected *all inches) 3. Floor protection at side of unit inches 4. Floor protection in front of uni t_inches 5. Length of wall protection at rear of unit-inches : 6. Length of wall protection at side of unit inches 7. Height of wall protection inches 8. Edge of wa'll protection to nearest door or window 'inches 9. Air space between wall prctectlon and rall lnches '10. oiar8ter of chimey rnd vent connector inches CONSTRUCTI OX The unit is tisted Ur: !Ur-(,,* PIAN I PLAN-2 +- T otner( name ) B. The floor protecrion is_inches thick and wilt bc:n l:!::::, .:]ltllllu covcrcJ wlln xL'tal r-'tstone or r--l 0therL-i urick L--.1 (oescribc c. The warl prorecrion .irr 0.,Ifif!:::',Til,||ilf Itlll!*". t] 0ther(descri be )_ o. Type of chimer:!Factory chimey 3,r"t.r.r[f;i.ttfiii] l-lotter(aescri E. Type of vent connector: []Factory chimney J--lZoga(o, hedvier) gatv. strt. mtl F. t,lill be using:l-lel,ul #l TlpLAr,/ ,2 I-loti,"., see attached NOTE Not all units are approved for corner installations or reduced clearances wlth wall protection. ostside Alr Inlet:Provlde an outslde air lnlet, a min,inum of 3,'0 to supply air forproper fuel combustion. This in'let shall be closable (darnper) from the building.interior. The air inlet supp.ly duct shail beincombustible and continuous from the interioi inlet to theexterior of the building, The lnlet shall be'located throughthe wa'll (near the floor) or floor within Z4,,of the stove or f .i re pl ace. I 3 4 9 @ IF YOUR INSTALLATION DIFFERS FROM THESE EXAMPLES, PROVIDE A PLAN AND ELEVATION OF YOUR INSTALLATION LAND MANAGEMENT DIV. / PUBLIC }J0RKS DEPT. / 125 E.8th Ave-, Eus. 0R 97401 ( so3 ) 687 -406 I @ o I Te /aceltod 5,5tr i#:,!' 9a//djn B/ Crcr // t- I ll llflr, ,l ilil ll t_) I \ a LANE COUNIY INSPECTION RECORN ITRs# \01^ o L DATE ISSUED:PERI'IIT n S C I P L FRONT C1 INTERIOR Co lon SI REAR D S &tss \b I Approved Date te Insp ector PLUMBING G NDWORK INSPECTION Approved Date Correction Date Inspe ctor UNDERSLAB PLBG /UNDERFLR PLBG. N INSPECTIApproved Da te Correction Date In spec tor SLAB INSP IONApproved Da te Correction Date Ins pe ctor ROUGH PLUMBI NG (TOP oUT) TNSPECTIoNApproved IDate Correcti on Date Ins pe ctor FRAMING INSP ECTIONApproved Date Correction Date Ins pec tor ROUGH MECHANICALApproved Date Correcti on Date Inspec tor I NSULA TI 0 N/v R tsARRIER INSPEApproved Date CTION Comection Date Ins pector LATH / GYPS BOARD INSPECTION Approved Date A q ro -t?' Approved Date Correction Date Date /?w?Correction Date t"ek<-<-a,C Correcti on Inspec tor Da F,Nte Inspe ctor c rh'.u I'frs FINAL INS ECTION BUILDING /M0BrLE HoME D /AG PLACEMENT EApprovedDateCorrectionDate Ins pe ctor CERTIFICATE Approved OF OCCUPANCY E Date TEMPORARTEE FICATE OF OCCUPANCY M74-t97 Insp roved Date Insp.