HomeMy WebLinkAboutPermit Mechanical 1985-02-256l!t--L Authorization for'F'OR OTE ICE USE ONLY
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s'JBDIVISION,/PARTITION (if applicable)r,OTlPAF.CEL BL6CK
PROPOSED USE OT PROPERTY
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I HAVE CAREFULLY EXAMINED AHE COMpLETED APPLICATTON FOR PERMIT, ar,d do herebv certify that aII infomation hereon is true and cogect, and bhat I
have the following legal interest in the Propertrffitut of recordi I cont-racl prrrchaser; Iauthorized agent sith evidence of authority attached.I f:rther certify that any and all work perfomed-shall be done in accordance with the Ordi"rlances of Lane Couty and the Laws of the State of Oregorpertaining to the work described herein, and that NO OCCUPANCY will be made of anl' stnrcture without the pemission of the Building Divisj.on. f ir.-ther certify that reqistration with the Builder's Board is in full force and effect. as required by oRS 701,055, that. if exempt the basis for exemptionis noted hereon, and that only subcontractors ad employees uho are in compliance with ORS 701.055 will be used. on this project. I ItAvE READ AND
CHECKED THIS APPLICATION THOROUGHLY.
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SIGNATUR.E DATE
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Date :
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_ Grorp_--:_PLANS EXAMINATION:
COMII1ENTS:
IZATION IIAS BEEN BASED ON THE FOLLOWING CONDITIONS:
Partition # Parce1 # Parcel Si
s. r. #
Installation callon
Specifications: _ Tank
Lineal Eeet
of Drainfield
Uaximum Depth
of Trenches
READ THIS SECTION CAREFULLY. YOUR
I pnuurnc,zzoNrNG:
Mininum Setbacks:
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PERMIT APPROVED BY BUILDING OFF r ORS DATE
LANE COUNTY DEPARTMENT OF PUBLIC WORKS LAND MANAGEMENT DIVISION, 687.4061,
125 EASTSTH AVENUE, EUGENE, OREGON 97401
SEE REVERSE F'OR INSPECTION INFORMATION cL4-2s R%
I sanrrarrout
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SETBACXS AND OTHCR CCNDITIOT-S OE APPROVAL I.IUST BE S1'RICTLY OBSERYED. VIOLATION CAN RESULT IN REVO-
CA"ION OF IIIIS PERMIT, CITAIIO:i UNDSR PROVISIONS OF LANE COUTTY"J INFRACTIOII ORDINANCE,..BND/OR OTHER
RE}IEDIES ALLOI{ED BY LAW.
WHEN RE.IDY FOR INSPEC'IION, CALL 687-1065. A }lINI}IU}1 OE AT LTAST 24 IIOURS ADVAIiCE NOTICE POR INSPEC.
iT6I-TEOCESTS-iiusT-i-E-crVEN-EL:lE-Ine- rorlowj.ng infcrnation readyr permit- rumber, job address, type
of inspeccion, when it wiII be ready, you! name and phone nunbe!, and any speci.al Cirectsions to site.
BUILDING DIVISION:
REQUlRE:D 1 T.SPECTIO}]S :
I. Ig!"gglf-gl Inspectio,!: To be made after trenches are excavated and forms erectcd and when aIl
mte;iaf s f q tEe t-6!ndaLion are delivered on the job. !{here concrete f rom a central nix j'ng
plant (comonly terned "transiL mixed") is to be used, materials need not be on the job.
2. Conclete Slab or Under-i1oor fnspection: To be made after all in-slab or under-floor building
;a -"il"tp*ag, rcnAulT;pldin-O-;ZEssories, and.other ancillar-v equipment items are in
place but beiore any conclete is po.ured or.floor sheathing installed, including the subfloor.
3. Framing & Insulation Inspectiolc: To be made after the roof. all framing, fire blocking, and
Er.Efit trilin t1;;;- 5nE-E1[Fi-Fes, fireplaces, chimneys, and !ents are complete and aIl rough
electrical and plumbing are approved. All wall insulation and vapor barrier are in place.
4. LaEIr and/or cvpsum Board Inspection: To be maCe after aII ialhing and gypsun board, i.nterior
in-f,exE6rr6rl-tE-inlTrce-EuE-ilerore any plastering is appLied and before gypsis board joints
and fasteners are taped and finished.
5. pi.nal Inspection: To be made after the buiLding is conpleLe and before occuPancy'
APPROVAL REQUIRED. No work shall be done on any part of the building or Structure beyond the point
indicaLed in each successive i.nspection without filst obtaining Lhe approval of the buildlng 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 reguired.
NOlE:All building permits require inspecLions for the uork authorized, such as but not linited to:
Block wall: 10 be nade after reinforcing.is in place, but before any grout ip poured- This
inspectfoi is required for each bond beam pour. There will l:e tro approval until the plubing
and electri.cal inspections have been nade and approved.
t^tood Stover To be made after conpletion of masonry (if applicable) and when installation is
ffipletE. fnstallation shalL be in accordance with an approved, nationally recognized testing
agency and Lhe manufacturer's installation instructions.
Mobile i.tome: An j.nspection is required afler the nobile home is connected to ao approved
EEiEi-oi-sEptic system for setback requirements, blocking, footing connection' tiedowns,
skirting, and plwbing connections.
1. Eootings and piers to comply wieh State foundaLion requj.rements for mobile homes or as
recomended by the manufacturer.
2. Mobile home minimum finish floor el-evalion shall be cerlified when required by a flood-
plain nanagement letter.
3. Mobile home tiedowns, when required. and skirting shall be installed and ready for inspec-
tion within aL Least 30 days afCer occupancy. Tj.edowns and skirting shall be installed
per enclosure.
Swiminq pool: Below grade when steel is in pl.ace and before concrete is Poured. Above grade
wfr;n- po6l-l=-i ns ta 1 led .
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APPROVED PLANS MUST BE ON THE JOB SITE AT ALf TIMES DURING I^TORKING HOURSj "THIS'PERMIT WILL EXPIRE
IF WORK DOES NOT BEGIN WITHIN 180 DAYS, OR IF VIORN IS SUSPENDED OR ABANDONED FOR IIORE THAN 180 DAYS.
SUSPENSION OR REVOCATION MAY OCCUR IF THIS PERMIT WAS ISSUED ON THE BASIS OF ]NCOMPLEAE OR ERRONEOUS
INFORMATION.
ANybNE pRocEEDTNG PAST THE porNT or'REeurirED rNSpEcrroNS wrLL Do so Ar rHErR owN-nrsK.
SUBSUBFACE AND ALTERNATIVE SEWAGE DISPOSAL SYSTEMS:
I. Permits shall be effective for one year from lhe date of issuence.
Z. Upon completing lhe construction for which a permit has been issued, the permi.t holder shall
notify en. lane County Departnent of Planning and Comunity Deve.Lopnent by submitting the_
installation record form. The DepartrenE shall inspecl Che conslruction to determine if it
complies with the rules contained in Lhis division. If the construction does comPly with. such
rul;s, the Department shalt issue a certificate of satisfactory conpletion to.the Permitiholder.If the constrirction does noL comply with such rul,es, the Departsent shall notify the permit.
holder and shall require satisficlory conpLetion before issuing the certifi.cate. Failure to
meet the requiremenis for satisfactory completion within a reasonable tiBe constitutes a vio-
Iation of ORS 454.605 to 454.745 and this rule.
Setbacks - subsurface Sewage Dj.sposal
Septic Tank
From: Interj.or properly lines t0'
Edge of road right-of-way 10'
Building foundation
hells, other waLer sources 50'
IO'I0,
10'
100 |
Drainfield
[:ne ccrunty
ACTIVITY INFORMATION SHEET
C6T{'PLETE THIS SECTION. INCOMPLETE FORMS WILL BE REJECTED!
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EUSINE TEITPHONE # HOME TELEPHONE #
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-L'X- li---*J c--;. :f-l -MAILING ADDRESS
PROPERTY OWNER
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MAILING ADDRES
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ZIP
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BUSINESS TELEPHONE # HOME TELEPHONE #
2 PROPERTY ADDRESS(IF DIFFERENT FRO
3 nnae c PAFIc,EL NUMBEFI
(gEql-Lq INFoRMATIoN)
(fronr tax maps 'in Department of Assessment and Taxation
or frorn tax statenrent)
r i" j/i 'L
TOM-SFTP' FANGE SEETmN
TOINSMP MNGE SECTION
MWNSETP. MNGE SEETMN
TOTAL CONTIGUOUS PROPERTY IN SAME OWNERSHIP:
4 SUBDMSION ( if appf icable)
f,-dz-6 6,f/ /4+fu2
TAX LOT(S) ON PARCEL # ZONING
W mN-Iilc-
W MNIIitr
ACRES
LOT BLOCK
5 REQUEST (p+ate exactly what you plan to do) .../*-5T* /1 =.tt-/,C-A /fuid-fttcr:4/t/Xl/ .5,{ f 7 ----L*--Eztsfzu5-
6 DTRECTToNS To srTE z ffi ffifuI--l -Z oa&
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** FOR STAFF USE ONLY **
ZONE/LAND USE:
BY :
-
DATE:- TIME I N:- 0UT:-
NUMBER
DATE
-fiD
U1
-{l-
LAND MNAGEMENT DIVISIoN / 125 E. 8th AVE., LUGENE, 0R 97401 / 687-406]
f
TRS#DATE ISSUED: 2.
REAR
PERMIT# 4 -8f
LUMB I N F I XTURES
E
K
FRONT SIDE I NTERI ORL
TE SS
INApproved Da te Correcti on Date
SDS APPRO\XAL REQUIRED
Insp ector
3tq-
SPECTION
LP UMBING GROUNDWORK INSPECTIONApproved IDate Correcti on Date Inspector
UNDERSLAB PLBG. fIApproved Date
/UNDERFLRPLffiCorrection Date Ins pec tor
OTHER INSPECTIONApproved Date Correcti on Date .lnspe ctor
RoUGH PLUMBTNG (TOP oUT)I NSPECTIONApproved Date Correcti on Date Ins pector
FRAMING INSPETTION
Approved y' Date Correcti on Date Ins pe ctor
ROUGH MECHANICALApproved Date Correcti on Date Ins pe ctor
iNSULATION / VAPOR BARRIER I NS PECTI ONApproved IDate Correcti on Date Ins pe ctor
LATH / GYPSUM BOARD INSP ECTIONApproved Da te Co cti on Date
cti on
Correcti on Date
Inspector
I L
Approved DateL-rb-
Approved lDate Inspector
ate nspector
l,
FINAL INSPECTIONApproved Da
BUILDING tr /MOBILE HOME E /AG
te Correcti on
PLACEMENT E
Date Inspector
CERT FICATE OF OCCUPANCY EApproved Date_Insp TEMPORARY CERTIFICATE OF OCCUPANCY EI
M74-t97
proved-Date_Insp._
LAii'IE COUNTY INSPECTION RECORD