HomeMy WebLinkAboutPermit Mechanical 1989-3-19
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FOR OFFICE USE ONLY
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PROPOSED USE OF PROPERTY
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ussc. RIPTION OF t'ftOPOSED WORK - BE SPECI::,IC . ~ - ~. ~. I DECLARED $ VALUE
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I HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATIO F'OR PERMIT, and 110 hcrelJy cet-tify that all information hereon is true and correct. and that I
have the following legal interest in the property: r of record; 0 contrac:t, pllrchaser; o authorized agent,
I f::rther certify that any and all work performed hall be done in accordancp. with the Ordinances of Lane County and the Laws of the State of Oregon
pertaining to the work described herein, and that NO OCCUPANCY will be made of any st,rllcture without the permission of the Building Oivision. I fur-
ther certify tha cgistration with the Builder's Board is in full force nnd effect as required by ORS 701.055, that if 'exempt the basis for exemption
is noted he d that only subcontractors and employees who are in compliance with ORS 701.055 will be used on this project. I HAVE READ AND
CHECKED IS ICATION THOROUGH
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~~ SIGNATURE
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READ THIS SECTION CAREFULLY. YY~R J.U~O
o PLANNING/ZONING: Zone /'T..#..;& Partition #
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Parcel Size
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ZATION qAS BEEN BASED ON THE FOLLOWING CONDITIONS:
Installation Record Issued? 0 Yes 0 No
M.aximum Depth
of Trenches
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Parcel #
o SANITATION: S. I. #
B. P. #
Installation
Specifications:
Gallon
Tank
Lineal Feet
of Drainfield
COMHENTS:
t)I;~ANS EXAMINATION:
l\ COMJ.1ENTS: -Cb L '-
Type
Group
PoR......RE"~u , R EO
Date:
o
Date:
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PERMIT APPROVED BY BUILDING OFFICIAL/DESIGNEE (oer ORS 456.805(1)) DATE
LANE COUNTY DEPARTMENT OF PUBLIC WORKS LAND MANAGEMENT DIVISION, 687-4061,
125 EAST 8TH AVENUE, EUGENE, OREGON 97401
SEE REVERSE FOR INSPECTION INFORMATION
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SETBACKS A~D OTHER CO~DITIO~S OF APPROVAL MUST BE STRICTLY OBSERVED. VIOLATION CAN RESULT IN REVO-
CATION OF THIS PERMIT, CITATION UNDER PROVISIONS OF LANE COU~TY'S INFRACTION ORDINANCE, AND/OR OTHER
REMEDIES ALLOWED BY LAW.
WHEN READY FOR INSPECTION, CALL 687-4065. A mNHW,1 OF AT LEAST 24 HOURS ADVANCE NOTICE FOR INSPEC-
TIO~ REQ~ESTS NUST BE GIVE~. Have the following information ready: permit number, job address, type
of inspection, when it will be ready, your name and phone number, and any special directions to site.
BUILDING DIVISION:
REQUIRED INSPECTIONS:
1. Foundation Inspection: To be made after trenches are excavated and forms erected and when all
materials for the foundation 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.
2. Concrete Slab or Under-Floor Inspection: To be made after all in-slab or under-floor building
serV1~e equipment, condu1t, piping 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 Inspections: To be made after the roof, all framing, fire blocking, and
bracing are in place and all pipes, fireplaces, chimneys, and vents are complete and all rough
electrical and plumbing are approved. All wall insulation and vapor barrier are in place.
4. Lath andle.:: GVl?sum Board Inspection: To be made. after all lathing and gypsum board, ;.nterior
ana-exter~or, ~s ~n place but before any plasterlng is applied and before gypsum board joints
and fasteners are taped and finished.
5. Final ~pection: 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 point
indicated 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 step
in the construction as indicated by each of the inspections required.
NOTE: All building permits require inspections for the work authorized, such as but not limited to:
A. Block Wall: To be made after reinforcing is in place, but before any grout is poured. This
inspection is required for each bond beam pour. There will be no approval until the plumbing
and electrical inspections have been made and approved.
B. \~ood Stove: TO be made after completion of masonry (if applicable) and when installation is
complete. Installation shall be in accordance with ary approved, nationally recognized testing
agency and the manufacturer's installation instructions.
C. Mobile Horne: 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 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 least 30 days after occupancy. Tiedowns and skirting shall be installed
per enclosure.
D. Swimming Pool: Below grade when steel is in place and before concrete is poured. Above grade
when pool-rs-installed.
APPROVED PLANS MUST BE ON THE JOB SITE AT ALL TIMES DURING WORKING HOURS. THIS PERMIT WILL EXPIRE
IF WORK DOES NOT BEGIN WITHIN 180 DAYS, OR IF WORK IS SUSPENDED OR ABANDONED FOR MORE THAN 180 DAYS.
SUSPENSION OR REVOCATION HAY OCCUR IF THIS PERMIT WAS ISSUED ON THE BASIS OF INCOMPLETE OR ERRONEOUS
INFORMATION.
ANYONE PROCEEDING PAST THE POINT or REQUIRED INSPECTIONS WILL DO SO AT THEIR OWN RISK.
SUBSURFACE AND ALTERNATIVE SEWAGE DISPOSAL SYSTEMS:
1. Permits shall be effective for one year from the date of issuance.
2. Upon completing the construction for which a permit has been issued, the permit holder shall
notify the Lane County Department of Planning and Community Development by submitting the
installation record form. The Department shall inspect the construction to determine if it
complies with the rules contained in this division. If the construction does comply with such
rules, the Department shall issue a certificate of satisfactory completion to the permit, holder.
If the construction does not comply with such rules, the Department shall 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-
lation of ORS 454.605 to 454.745 and this rule.
Setbacks - Subsurface Sewaqe Disposal
Septic Tank
Drainfield
From: Interior property lines
Edge of road riqht-of-way
Building foundation
wells, other water sources
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Ac4tIVITY INFORMATI~ SHEET
Idne county "
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COMPLETE THIS SECTION. INCOMPLETE FORMS WILL BE REJECTED!
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Ir ;;~ardL 1..-" ('p/~OnJ
,~ PERSON MAKING R1QoEST
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. 'cn STATE' ZIP CODE
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PROPERTY OWNER
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MAILING ADDRESS
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7/ CfT~ STATE ZIP CODE
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BUSINESS TELEPHONE # HOME TELEPHONE # BUSINESS TELEPHONE #
2 PROPERTY ADDRESS /.I'1Q ('./r.'7>YJuJ(1JntJD
(IF DIFFERENT FROM MAILING ADDRESS) ,
HOME TELEPHONE #
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3 MAP & PARCEL NUMBER
(REQUIRED INFORMATION)
(from tax maps in Department of Assessment and Taxation
or from tax statement)
TOJNZIP R~~E S'tC7IO~3
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TAX LOT(S) OR PARCEL #
ZONING
TOWNSHIP RANGE SECTION
TAX LOT(S) OR PARCEL #
ZONING
TOWNSHIP RANGE SECTION
TOTAL CONTIGUOUS PROPERTY IN SAME OWNERSHIP:
4 SUBDIVISION (if applicable)
TAX LOT(S) OR PARCEL #
ZONING
LOT
ACRES '
BLOCK '
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5 REQUEST (state exactly what you plan to do)
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6 DIRECTIONS TO SITE: f)//)/t:}1J...4 I'#~,~ Z /~~ ff)&,.d)f-
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ZONE/LAND USE:
BY: DATE:
DATE
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TIME IN:
OUT:
LAND MANAGEMENT DIVISION / 125 E. 8th AVE., EUGENE, OR 97401 / 687-4061