HomeMy WebLinkAboutPermit Mechanical 1984-07-26srye
La,e v Authorization or FOR OFFICE USE ONLY
Applicat
Permit #
IO
Two Copies of Plans
Three Copies of PIot Plans
I'lech,/P lumbing Checklis t
Legal Interest Document
PIan Check Info Sheet
r\swlisHlP
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IANGE
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BI,oCKs-JBDrvrsro$i/PAf;.TrTroN (if applicable )LOT,/PARCEI;
PROPOSED USE OF PROPERTY
B"jtu"nrial l-l rndustrial
[-l commercial I erur:""
WATER SUPPLY P
isting
sed
O;\NER
of record; !contru.t purclraser;Iauthorizeri agent with evidence of authority atLached
be done in accordance with the ordinances of Lane Cowty and the Laws of the State of Oregon
NAME (pLease
doFOR
DATE
to the work described herein. and that NO
ther certj.fy that registration with the Builderrs Board is in
ls
-23
wi1l"
ful1
the Buj.ldinq
exempt the
D v1 on I furbeofmadesw1thethoutofanytructurepemrssf on
basis for70oRs055that1
r-iLify that a 11 infomation hereon is true and correct, and that I1 HAVE CAREFULLY EXAMINED THE COMPLETED
the following legal interest in the property
I f:rther certify that uy and aII work
. and that only ad enployees who
ct as required by
with oRs 7ol-O55 11 be used on this project- I HAVE READ AND
Date:
rnstallation Record rssued? fl vu" fl w"I saxrtetrox,
Maximum DepthInstallation
of TrenchesSpeci fications
Date:
Date:
CO}4.}1ENTS:
Use
D PLANNIN ZONING:
s. r. *B. P. #
Zone
ZATION I{AS BEEN BASED ON THE FOLLOWING CONDITIONS:
Parcel *Parcel SizePartition #_
COIO1ENTS:
I'linimrxn
Gallon
Tank
Lineal Eeet
of Drainfield
READ THIS SECTION CAREFULLY. YOUR
L, sI
TOTAL VALUATION $CONSTRUCT]ON AUTHORIZED BY THIS PERMIT
Description Sq. Ft
Fixed Fee,/
Unit Cost
Floodplain Fee
Subsurface Fees
Building Eee
i.1echlPImbg Fee
Pr ans Check Pee
State Surcharge
DEQ Surcharge
TOTAL FEE $
$
D
$
$
c
$
s
14kh*
PERMIT APPROVED BY BUILDING OFFICIAL,/DESIGNEE (peT ORS 45 (1
-DATFLANE COUNTY DEPARTMENT OF PUBLIC WORKS LAND MANAGEMENT DIVISION, 687-4061,
125 EASTSTH AVENUE, EUGENE, OREGON 97401
SEE REVERSE FOR INSPECTION INFORMATION
c t4-zs
Group /
tr
CO}&1ENTS:
PLANS
CALL 687-4065. A MTNIMUM OF AT LEAST 24 HOURS ADVANCE NOTICE FOR INSPEC_. Hete--EEe following information ready: permit number, job addreis, typebe ready, your name and phone number, and any special directions to site.
SETBACKS AND OTHER CONDITIONS OF APPROVAL MUST BE STRICTLY OBSERVED. VIOLATION CAN RESULT IN REVO-CATION OF THrS PERMTT, CTTATTON UNDER PROVISTONS OF LANE COUNTY'S TNFRACTTON ORDTNANCE, AND/OR OTHERRE}IED]ES ALLOWED BY LAW.
WHEN READY FOR INSPECTION,@r'rof inspection, when it wilI
BUILDING DIVISION:
REOUIRED Ii{SPECTIONS :
1. Poundation
materials
Concrete SIab or
EEEvJEe effipment
p1ace. but before
. Inspect.ion: To be made after trenches are excavated and forms erected and when allfor the foundation are delivered on the job. Where concrete from a central mixingplant (commonly termed I'transit mixed") is to be used, materials need not. be on the job.
Under-Floor Inspection: To be made after all in-slab or under-floor building., condui-t, piping accessories, and other ancillary eqqipmen! items, are inany concrete is poured or floor sheathing installed, inctuding the subfloor.
3. Framing & Insulation Inspections: To be made after the roof, all framing, fire blocking, andbracing are in place and all pipes, fireplaces, chimneys, and vents are complete and aI1'roughelectrical and plumbing are approved. A1I wall insulation and vapor barrier are in place.
4. Lath and/or Gypsum Board Inspection: To be made after all lathing and gypsum board, i-nterior
EnE-exterf-or, is .in-pTace-EuE-EeEore any ptastering is applied ana feroil gypsum board joints
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 building or structure beyond the pointindicated 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 stepin the construction as indicated by each of the inspections requireil.
NOTE: AIl building permits require inspections for the work authorrzed., such as but not limi-ted to:
A. Block WalI: To be made after reinforcing is in place, but before any grout is poured. ThisIis-pectlon is required for each bond beam pour. There wiII be no appro.r.I 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 is
conrpiAEel Installation shall be in accordance with an appioved, 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. Mobile home minimum finish floor elevation shal1 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 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 grade
wTen -p'ool-aE-ins taIIed .
APPROVED PLANS MUST BE ON THE JOB SITE AT ALL TTMES DUR]NG WORKING HOURS. THIS PERMIT WILL EXPIRE
IF WORK DOES NOT BEGIN !']ITHIN 180 DAYS, OR TF WORK TS 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
INT'ORMATION.
ANYONE PROCEEDING PAST THE POINT OF REOUIRED TNSPECTIONS WILL DO SO A1 THEIR OWN R]SK.
SUBSURPACE AND ALTERNATIVE SEWAGE DISPOSAL SYSTEMS:
Permits shall be effectirTe for one year from the date of issuance.
Upon completing the construction for which a permit has been issued, the permit holder shallnotify the Lane County Depaftment of Planning and Cornmunity Development by submitting theinstallation record form. The Department shal1 inspect the construction to determine 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 per.mitlh_ql.der,If the construction does not. comply with such ru1es, the Department shall notify the permit
holder and sha1l require satisfactory completion before issuing the certificate. Failure to
meet the requirements for satisfactory completion within a reasonable time constitutes a vj.o-lation of ORS 454.605 to 454.745 and this rule.
Setbacks - SuPsurfa.ce Sewage Disposal
Septic Tank
10t
10r
5l
50t
Drainfield
I
2
lnterior property l-ines
Edge of road right-of-way
Building foundationWelIs, other water sources
0t
0!
0!
0r
1
I
1
10
t
From:
[rrx: corrty
ACTIVITY INFORMATION SHEET
COMPLETE THIS SECTION. INCOMPLETE FORMS l^lILL BE REJECTED!@
TY li
N
ft
LI ADD E MA
TY DE
SArne:
HDEtrTELEFHME_#-BUSINESS TELEPHONE #
Zfl:rSe-A-
BUSINESS TELEPHONE #L H E
2 PROPERTY ADDRESS(IF DIFFERENT F
3 'i'rvra,e B PAFTcEL NUMBEFT
( REQUiREp TNFORNATT0N)
a!
(from tax maps in Department of Assessment and Taxationor from tax statement)
/7 oz ,4.s.r
T;rimETP REN=GE sTcTrbn
Qot
W IAX-sefSl[-P[pffilf z0ri i N6
T0[N.SE]F milE SrcTI-on ffi ZOiI I NG
4 'SUBDIVIS i0N ( i f appl icab) e)CLe-n>tru Ace*LOT /3 BLOcK
5 REQUFST (state exactly what you plan to do)
6 OIRECTIONS To SITE, /NYWU 8A
** FOR STAFF USE ONLY **
ZONE/LAND USE:
BY , _ QATE ,_ T IME I N:_- OUT :_
sy'r4
d
NUMB E R
DATE
Flr1
LAND MANAGEMENT DIVISI0II / 125 E. Bth AVE., EUGENE, 0R 97401 / 687-4061
1
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MFNSETtr MN-6E SEITTOn ffi mmrtr-._
T0TAL CONTIGU0US PR0PERTY iN SAME OWI'IERSHIP: ACRES
fT|a)
TRS#DATE ISSUED:PERMIT#
SDS APPROIXAL REQUIRED
I n spector
\o
E
K IRE NTS S
FRONT SIDE INTERIOR
'l on
L
!IN
Date
REAR
EC
D
ING / FOUN IApproved D ate
PLUMBING GROUNDI^IORK INSPECTIONApproved Date Correcti on Date Ins p ector
UNDERSLAB PLBG. EIApproved Date
/UNDERFLR PLBG. N INSPECTION
/Correction Date Ins pector
OTHER INSPECTIONApproved Date Correcti on Date Insp ector
LUMB I NG P OUT I NSPApproved_Date /Correcti on Date I nspe ctor
FRAMING INSPECTIONApproved Date Correcti on Date I nspec tor
ROUGH MECHANICALApproved Date Correcti on Date Ins pe ctor
INSULATION / VAPOR BARRIER INSPECTIONApproved Date /Comecti on Date Inspe ctor
BApproved Da Correcti on Date
RD
te
I ECTI
I nspector
FrNAL MECHANTCALD /bt00D STo-VEtr
Approved X Dut"jO-O-8{ tcorrection Date I nsp ector /f#
FINAL PLUMBING INSPECTIONApproved Date Correct'ion Date I nsp ector
FINAL INSPECTION BUILDING tr /MOBILE HOME E /AG PLACEMENTEApproved Date Correction Date_Inspector
Approved Da
M74-L97
te Insp Approve d-Date-Insp.
LANE COUNTY INSPECTION RECORD
CERTIFICATE OF OCCUPANCY N TEMPORARY CERTIFICATE OF OCCUPANCY tr