HomeMy WebLinkAboutPermit Mechanical 1985-10-10
.WWo;SHIP/7 I RANGE.'tf/;'5 '1.~3~7I:;1J?$OF
S:.TBDIVISION/PARTITION (if applicable) .~(. :.~ 'I; : '~.1 ['~T/PAR.:~C~.. J BLC,CK.
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~~ CU~NTLY ON PROPER~ . . ,;
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p~~o BE MAILED TO l~7~DRE~S) ~ 7 , . . '. . ", ".. I TEL~E NUMBER -
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Lane_ cou~ AuthOriz";tion for'
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FOR OFFICE USE ONLY
Application~~~-I/ ~~
Perm~ t it?(" O.,;:L o/'c:7 ~
PROPOSED ,USE OF PROPERTY
~identiai 0 Industrial
o CCllnmercii:ll D Public.
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I HAVE CAREFULLY EXAMINED THE COMPLETED APPLIC TIO and_tIc hcreL>y ,cettlfy t.hat all infol"mation hereon is true and correct, and that I
have the following legal interest in the prope!"ty: owner\'~f recol;d; [] coptrdGt.'p\lrChaSer; Dautho:-i:~e~ ag~~t ' ': _. . .
I f~rther certify that any and all work perfo~ sha be ,done in' ac'~oI.danc'~ wi th the Ordinance;; of Lane County a~d, the Laws of the State of Oregon
pertaining to the work described herein, and that NO DC PANCY will be made of 'any st_ructure without' _the pcnnissionof,the Building Division. I fur-
ther certify that registration with the Builder'S:'Board is~in full force and effect as require'd by ORS 701.055, that if 'exempt the basis for exemption
is noted hereon, and that only subcontractors and employees who are in compliance with ORS 70 .055~will be used' on this project. I HAVE READ AND
CHE/~I:I?a;~':~7 "., ~ ~f2/?L "
NAME (please print) r' DATE
~AS BEEN BASED ON THE FOLLOWING'CONDITIONS~ ' ~
.parcel. ,If Parcel Size. ...A'~ / ..#- -
,
AI' ' interior _~ rear' /
~.//&/.Ad/~j:7#~~
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" . ,'.. ,': Date," . ./L?/./i:7/ rJ- ~
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)nstallation Record - Issued? Dyes 0 No
M.aximum Depth
of 'Trenches
READ THIS SECTION CAREFULLY: YOUR ~~ORIZATION
o PLANNING/ZONING: ~6ne :.. hk.tl'. parti~o? II
C '" 1'.. .:-/ ,'C
Minimum Setbacks: L, fron~__ / L, side
CO",'IENTS,..,LY/h . /7~ d!7?;?,6
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o SANITATION:
; B; P~. # .
S. I., #, j..
Installation
Specific~tions :
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Tank
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CQW1ENTS :
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Date:
{f'PLANS EXAMINATION: Type U ~ GrOUD t2.-:'l; useA/?E!.Ff V'r:: IA.~"T"
Vl COMNENTS, (AJ.J - Fl:)rz. ~-IIJ~~.A-n.oJJ. 'M6FJ:::.t.~IILf'ol. r~I.L...t=ofL 1=1I..\AA
'1 ~71.0J...1
Date ,~/RF;'
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PERMIT APPROVED BY BUILDING OFFICIAL/DESIGNEE (per 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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SETB,\CKS A~D OTHCR CO:WITIO::S Of APPROVAL ~IUST BE STRICTLY OBSERVED. -VrOLATION o.~- RESULT IN RE\'O-
C,;710:-l Of T!lIS PERmT, CIT.\TIO:I UNDER PROVISIONS OF LANE COU~TY':; INFRACTION ORDI:-.;,\NCE. AND/OR OTHER'
RE~lEDIES ALLOWED BY LAW. '
~HEN READY FOR I:,S?CCTION, CAL:' 687-4065. A :--lINnlU~1 OF AT LEAST 24 llOURS AOVAl:CE NOTICe: FOR INSPEC-
'rIO" Kt:C![;I::S7~ ;.;l.iST ill:: GIVf.:-l. Ili.lve tne tollowing infor::lation ready: permit number, job address, type
of inspection, when it will be ready. your name and phone numoer, and any special directions to site.
BUILOING.DIVISION:
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REQUIRED I~SPECTIONS:
1.
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Foundatlon Insp.ectl.on: To' be. made after trenc-hes'are .excavated' and forms erected', and when all
~ater1a1s lor the toundat1on are del1vered on the job. Where concrete from a~ccritral mixing
plant (commonly termed -transit mixed-) .is to be used, materials need not be on the job.
Concrete' slab or Under-Floor Insp-cction: To be made after.all.in-slab or under-floor building
serV1~e e~ment, condu1t, p1p1ng acccssories, and other ancillary equipment items are in
place but before any concrete is poured or floor sheathing installed, including, the subfloor.
~ '. .....' .
~raminq 'Insulation. Inspections: To be made after the roof, all framing. fire brocking, and
raClng are 1n ulace a;a all plpes, fireplaccs, chimneys; and vents are complete and all rough
electrical and plumbing are approved. All ....all in~~lation and va~r barrier ~are in place.
Lath and/or GVl;lsum Board Ins,J?ection: To be made after .all lathing and 9Ypswn board, l.nterior
ana-e~tcrror, 1S 1n place cut Derore any plastering is applied,and beiore gypsum board joints
and fasteners ar~~~aped and finished. ...." ..- ,"
S: ~ Insoection: To be made after the building is complete and before occupancy.
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APPROVAL REQUIRED. ~o 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 b& given only after an inspection shall have bee~ 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 tOI
A. Block Wall: To be made after reinforcing is in place, but.before any ~r6ut is pour~ed. . This
InSpect10n is required for each bond beam pour. There will'be no "approval until the plumbing
and electrical inspections hAve been made and approved. ~ .
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B. Wood~: To be made after completion of masonry (if applicable! and when installation is
complete. Installation shall be in accordance with an approved, nationally recognized testing
agency and the manufacturer's installation instructions. -
2,
3,
4,
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 a..
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 requi~ed, 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.
Swimminq Pool: Below grade when steel is in place and before concrete is poured. Above grade
wnen pool-rs-installed.
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,\PPROVED PLANS MUST BE ON THE JOB SITE AT ALL TIMES DURING WORKING HOURS. TillS PERMIT WILL EXPIRE
IF WORI( DOES NOT BEGIN WITHIN 180 DAYS, OR IF WORK IS SUSPENDED OR ABANDONED FOR r-l0RE TRAN"180 DAYS.
SUSPENSION OR REVOCATION HAY OCCUR IF THIS PERMIT WAS ISSUED ON THE BASIS OF INCOMPLETE OR ERRONEOUS
I~FORMATION .
ANYONE PROCEEDING PAST THE PomT or REQUIRED INSPECTIONS WILL DO SO AT THEIR OWN RISK.
SUBSURFACE ~ ALTERNATIVE'~ DISPOSAL SYSTEMS:
1. Permits shall be effective for one year from the date of issuance.
2. Upon completing the construction for.....hich 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 454.74~ and this rule.
Setbacks - Subsurface Sewaqe Disposal
Septic ~
. From: ll'!teriC?~ pt;Oper:ty lines 10'.....
., w......, '';, Edge. or -road'tt;qht-of-way 10!.
Building foundation ~.
wells, other-.water s,ources- ..:-~ ~. 50' ~ \,.... r-
'".,:\ ~-~ '-; _',-,'-'_ ,.,....' :'_..';'._t.'~j .
Drainfielcl
10'
10'
10'
100'.-
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ACTItrTY INFORMATION SHEET
klne county
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COMPLETE THIS SECTION. . INCOMPLETE FORMS WILL BE REJECTED!
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.~ PERS rf~d~~ REQUEST
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. MAILING ADDRESS
~S5~1I \\ _ =t. VA ff\ l-L"A-zf1...r-'
PROPERTY OWNER'
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I '~iTtrtf ADDRESS
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BUSINESS TELEPHONE # HOME TELEPHONE #
2, PROPERTY ADDRESS ' ;;:..~
(IF DIFFERENT FROM MAILING ADDRESS)
CITY
cOr
STATE
97'117
, ZIP CODE
~T~
(j,!,i.f -3f:, 7 f
BUSINESS TELEPHONE #
(()r
stATE
'7.lf{ 77
ZIP CODE
-z:)p .,58'9 ()
HOME TELEPHONE #
3 MAP & PARCEL NUMBER
(REQUIRED INFORMATION)
(from tax maps in Department of Assessment and Taxation
or from tax statement)
17 f} ~ J. ~ 3s. 0 ( O~tj
TOWNSHIP RANGE SECTION TAX LOT(S) OR PARCEL # ZONING
TOWNSHIP RANGE SECTION
TAX LOTlS) OR PARCEL # ZONING
TOWNSHIP RANGE SECTION
TAX LOT(S) OR PARCEL # ZONING
ACRES
TOTAL CONTIGUOUS PROPERTY IN SAME OWNERSHIP:
4 SUBDIVISION (if app1 icab1e) LOT B~OCK
5 REQUEST (state exactly what you plan to do) -P~'ft tv ~~~~
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6 DIRECTIONS TO SITE:.1~lm..0 ~~ i-c..-2- ~ ~ 4Af~.lt.MJ-iL.e,..A'><"
(jJAfj t ~L /~J .7rLv# '~ ~r
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** FOR STAFF USE ONLY **
NUMBER
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ZONE/LAND USE:
BY: DATE:
DATE
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TIME IN:
OUT:
LAND MANAGEMENT DIVISION / 125 E, 8th ^VE., EUGENE. OR 97401 / 687-4061
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COlJNTY
INSPFUION
RFr.D1ID
TRS# 17-03-23-3-3 1000
OWNER'S NAME
IVA HOOVER
CONTRACTOR'S NAME
SAME
SET BACK REQUIREMENTS
CL, FRONT CL, SlOE
WORK AUTHORIZED BY PERMIT
_ lm.~ Fll2EPc..AcL WSEFLT
DIRECTIONS TO SITE
HARLOW ROAD TO SECOND OR THIRD STOPLIGHT.
DATE ISSUED:
10/11/85
PERMIT# ~34-85
PHONE NUMBER
746-4060
PHONE NUMBER
, 726-5890
# PLUMBING FIXTURES
INTERIOR
REAR
~
SDS APPROVAL REQUIRED
APPROXIMATELY k BJ,OCK EAST TIJRN '1'0 U;;P'I'
SITE ADDRESS
~2( M~tZ.. pe.. ~m6P!Ei.P
FOOTING / FOUNDATION 0 IMOBIITHOME PLACEMENTD INSPECTION
Approved Date ICorrection Date Inspector
PLUMBING GROUNDWORK INSPECTION
Approved Date ICorrection
Date
Inspector
UNDERSLAB PLBG.[] IUNDERFLR PLBG.D INSPECTION
Approved Date ICorrection Date
Inspector
'OTHER INSPECTION
Approved Da te
jCorrecti on
Date
.Inspector
ROUGH PLUMBING (TOP OUT) INSPECTION
Approved Date' ICorrection Date
Inspector
Ins'pector ff:5
Inspector~~ .
\FRAMING INSPE~TIO~
'1l.1rpr'bve-d {/ Date //J...,IK-<f's/Correction Date
, -fl/"'-?n ./AJS7"7#LL- ./A..J".PC:r
'ROUGH MECHANI<;AL J
Approved ./ Ja'te/~-.2f-~s7Correction Date
INSULATION I VAPOR BARRIER INSPECTION
Approved Date ICorrection Date
Inspector
LATH I GYPSUM BOARD INSPECTION
Approved Date ICorrection
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t~~~L MECHAN!.CAL [] .IWOOD ~TOVE ~ J
ovea 1/ Udte ,i!J'~'8t:r7Correction
FINAL PLUMBING INSPECTION
Approved Date /Correction
Date
Inspector
Date
Inspector ~
Date
Inspector
FINAL INSPECTION BUILDING [] IMOBILE HOME [] lAG PLACEMENT[]
Approved Date /Correction Date
Inspector
CERTIFICATE OF OCCUPANCY []
Approved Date Insp.
TEMPORARY CERTIFICATE OF OCCUPANCY [J
Approved Date Insp.
M74-197