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HomeMy WebLinkAboutPermit Mechanical 1982-2-5 (2) TO\VNSHIP/7 RANGE t/ 3 s~~ / / ;>>2' DOUT OF SUBDIVISION/PARTITION ~7;)/fl . ~, . LO~ ~ A , LOCW7 -? (~ ~s 'ET ~~~- ~A~ 9l7Y'~/P .~;:~'O'P:~~~ ~/~~ !'~1f(~,W~~flerRK ,~;)l . ~#/ ~ /' 2?'~~~~~f4~~~ _ Ii OF BED~MS ii OF STORI~ # OF EMP~~~h WATER SU~ / ~.# g P~o~ed /I (,? . /7 ~ U/7 U' .#/~ ~istlng O\vr,..sr~-)N~S~_ _ /' d Y , /-?~- - , To/Jr;~I1BE~ /AHt4'/(; -x:.d7~L://J Jv7'~~~ ~~~ /7/ v?~ Irro7IJ/J~;;/D4$?f/ 2g~~ ~dY/~ 7??/~J~ / C/aTp}:R# ::Jl~-'r:;:- ~~~~p~~~ d~~ /// ~ ~~~/--:?/) _.j::?/- // I_~~~/ ~~/' ~~4~ . I HAVE CAREFULLY EXAMINED THE, COMPLETED APPLICATION ~ PERMIT, and do hcrchy certify that all i.nfor.mation hereon is true und cor.rcct and I further certi.fy that any and all work performed shall be 'd~ne in accordance with the Ordir'lances of Lane County an? the La\oJS of the SUite of Ore~nn pcr-Lailli IV! to the work described h.~rein,.. and that NO OCCUPANCY will be made of any structure without the permission of the Building Division. I further cpr-tiCl' that, registration with the Builder's Board is in full force and effect as required by ORS 701.055, that if exempt the basis for exemption is noted hereon, and that only subcontractors ,and employees who are in compliance with ORS 701.055 will be used on this project. I HAVE .READ AND CHECKED THIS APPLICATION THOROUGHLY. . '\j . I . " I o PLANNING/ZONING: 'zon~~artition ii ;f'~parcel # ~ Parcel SizE' ~~~ ::::":o:w~~~~' ~~~-0L~~ , -:' "" ,/ - - - ~ ~:te: -2-~2---~ In flood hazard area? 0 No 0 Yes, see attached sheet. Date: / / D D @ ~~\d~~~/ @NSTRUCTION/PLACEMENT PERMIT 1f!t1 . t-J COMPLETE THIS BLOCK. PLEASE USE BLACK INK AND PRINT. Ll T /$; xS/Jd ~ NAME (piease print) SIGNA~URE o o o FLOODPLAIN: GRJ;D COORDINATE RURAL ADDRESSING: N. . " E SANITATION: FOR OFFICE USE ONLY APPlicatikY,1') _ C7 _ Permlt #10 U 0 ~ []TWO Copies' of Plans D T"';~ Copies of Plot Plans DMechanical Checklist Dplumbing Che~klist Dplan Check Info Sheet PROPOSED USE OF,P'ROP,ERTY ~Residential ,[]Industrial '0 COllU1\ercial DPublic $ VALUE ~./ '0 - , 0 Owner ~ ~n,tractor o Agent DATE Installation Specifications: Gallon Tank Lineal Feet of Drainfield Installation Record Issued? [J Yes 0 No Date: S. 1. # B. ,P. # Conunents: Maximum Depth of Trenches, D )V(PLANS EXAMINATION: Type &)N Group (2.--=s use'WfJ/JO, S""'/L~, J\ - . 'lILY' LI Ll182~ conunents:~~ .!~_ ~nwO ~~ 1. te"QPc:..-tt.:\L FtecRk.p, '131~ SttfML ~ U.~ B<k:rLLf t\) kr t:(lOPrNcE ~nP\CATirns~ Date: ~---~-f'2-. ~ Date: CONSTRUCTION AUTHORIZED BY THIS PERMIT C74-194 SEE REVERSE By: SETBACKS AND OTHER CONDITIONS Of APPROVAL MUST BE STRICTLY OBSERVED. VIOLATION CAN RESULT IN REVOCATION OF 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 HOUR ADVANCE NOTICE FOR INSPECTION REQUEST MUST BE GIVEN. 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 service equipment, conduit, 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 and chimneys and vents are complete and all rough electrical and plumbing are approved. All wall insulation and vapor barrier are in place. 4) LATH AND/OR GYPSUM BOARD INSPECTION: To be made after all lathing and gypsum board, interior and exterior, is in place but before any plastering is applied or before 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 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. WOOD STOVE: To be made after completion of masonry (if applicable) and when installatio~ is comolete. Installation shall be in accordance with an approved nationally recognized testlng agency and the manu- facturer's 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) (2) (~) Footings and piers to comply with State foundation requirements for mobile homes or as recommended by the manufacturer. Mobile home minimum finish floor elevation shall be certified when required by a floodplain management letter. Mobile home tiedowns, when required, and skirting shall be installed and ready for inspection 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 i sin s ta 11 ed . 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 MAY OCCUR IF THIS PERMIT WAS ISSUED ON THE BASIS OF INCOMPLETE OR ERRONEOUS INFORMATION. ANYONE PROCEEDING PAST THE POINT OF REQUIRED INSPECTIONS WILL DO SO AT HIS OWN RISK SUBSURFACE AND ALTERNATIVE SEWAGE DISPOSAL SYSTEMS (1 ) (2) Permits shall be effective for one year from the date of issuance, Upon completing the construction for which a permit has been issued the permit holder shall notify.the Department by submitting the installation record form. The Department shall inspect ~he constructlon ~o determine if it complies with the rules contained in this division. If the constructlon does comply ~Ilth 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 befor'e issuing the certificate. Failure to meet the requ,irements for satisfactory completion within a reasonable time constitutes a violation of ORS 454.605 to 454.745 and this rule. Setbacks - Subsurface SewaQe Disposal From: Interior property lines Edge of road right-of-way Building foundation Wells, other water sources Septic Tank 10' 10' 5' 50' Drainfield 10' 10' 10' 1 DO' __... _.v. PLANNJNG'~'&:: .COMMUNI TV DEVELOPME ACTIVITY INFORMATION SHEET ~ne county .- ;~:;IS \-/1 () SECTION. INCOMPLETE FORMS WILL BE REJE~TED! ~~ PERSON MAKING RE9ytST PROPERTY OWNER MAILING AIDDRESS MAILING ADDRESS CITY STATE ZIP CODE CITY STATE ZIP CODE BUSINESS TELEPHONE NUMBER HOME TELEPHONE NUMBER BUSINESS TELEPHONE NUMBER HOME TELEPHONE NUMBER Q) TAX MAP/PROPERTY DESCRIPTI07N ~BER (from tax map's in Department of Assessment,.)}1axation Hap & Parcel Number: . f ~<-3, 53,!! Tax Lot(s): /VV Townshl.p Range Section or from tax statement) : o Out of TL # By Partition # Tax Map & Parcel Number of Adjoining Property in Same Ownership: Tax Lot(s): Township Range o None Section o Unknown @ REQUEST (briofly dO"';;;;;;;200 ~ ZZ~/- g;) :;?J~Vli4 /) ) C~~ ~) Q) SUBDIVISION (if applicable): COMPLETE' THIS SECTION FOR LAND USE, cONSTRUCTION APPLICATIONS, OR PROPOSALS. SEE *NOTE BELOW. ~*FOR STAFF USE ONLY** ~ :?/ ~ rn TIME INITIATED: !.QD DATE: <D TOTAL CONTIGUOUS PROPERTY IN SAME OWNERSHIP: acres NUMBER: Q) PROPERTY ADDRESS: Q) PRESENT USE OF PROPERTY: 'CHECKED BY: .~ J Garage Shop Barn ATTACHED EXHIBITS: ' o Plot Plans (2) o Constr. Plans (2) o Si te Plan o Copy of Tax Map Dother QD NUMBER OF STRUCTURES ON PROPERTY:. Standard home Mobile home Modular home RV in use as residence Storage Other (specify) @ ACCESS TO PROPERTY: Public Road Name SCREENING VERIFICATION: P2ivate Road Name By: Road Easement Width # of Users Date: @ OTHER EASEHENTS OVER PROPERTY: Time In: Out: (j) \~ATER DISTRICT: @ FIRE DISTRICT: o Accept OReject 9/81 REV ( OVER) Routed to: *NOTE: ATTACH A COPY OF TAX MAP; SHOW EXISTING STRUCTURES AND TAX LOTS IN YOUR OI'iNERSHIP. OB- TAIN TAX MAP IN SELF HELP AREA OF A & '1'. , @ PENDING. PER!UTS ON PROPERTY: i'\ :COMPLETE THIS SECTION FOR LAND UC"'~ OR CONSTRUCTJ;ON'';:t>PrLI<;ATl;QNS'" - ..x;;:~,\ '7''''~'-':;;''' @ PROPOSED USE OF PROPERTY IN DETAiL:' ~ BUILDING REQUESTS: Contractor's # Directions to Site: (for ~obile home setup also) Check the type 'of permit requested: D Dwelling: D New D Addi tion D Modular Home DRV D Plan Check Only D Conunercial: Use D Agr icul tural: Use D Others: Use D Change of Use ---How? Q) NUMBER OF BEDROOMS D Replacement D Alteration; D Mobile Home - Model D Standard Construction; D Addi tional; Year Floor j\rea '''!''.' Floor Area NUMBER OF STORIES Q) SANITATION REQUESTS: D Site evaluation for SDS feasibility o New system' installation D Repair/replacement o Al tera tion/re location o Hook to existing ADDITIONAL INFORMATION: **FOR S,~AfF USE~0NLY** ZONE/LAND USE: By: Dat'e: Time In: .Jut: D Accept. D Reject o Planning Ap?lication q Construction Permit App. D Informatic:m Only Zoning: Compo Plan Designation: SANITATION: By: Date: Time In: Out: [J Accept D Rejec~ P Constr. Permi"t Iss'ue D Site Evaluation Issue PERMIT ISSUED (SAME DAY ONLY): . Permit fr By: Date: Time In: ,Ou,t: /:, ~ ~' . . I"" . r ~ : I r I r'. j' (.1 P F' L. I C (:1 ('! T I....j (1 ./ n r'.1 . 'I'L.~: 1'103331100,i00 '. . . -' I' \, L. (2i....! j::" r'r:; :0.:'1"-'; OCPT FNV MGT RECEIPT # . ADDR P~t;4 S. WILLAMETTE, I... " ,j .-. SUBDIV ",NU,.J BLDG T"YT'E:.' I.JS'E R BDRj'''-iS 0 ,~[, d:ODE: (;\PPL j',,)O (;~ICTI()N DESCRJPTIDi'..! UN I T.\ ()() '-j, ::.;TUR I ES :ii:DLDC:;;: (-)0 'j PHDj"IE :.":)l)..<'{- s'r~ FT UN I T COST \ttlLU(:iT I ON FEE ~.~~~l E'~P\ F:P r:F;' 1) Fe E~ j') PL NO. FIXTURES: i"..-iE:CH ~:!..JF: PCK ['. rkCH L.C: '\ DOB::t (,.JS <';:UF: PC:I-=:: Cf:~!TG : SlE:G!tJ : '1' (:"i 1< E: J"~ {IF;P " I:) BY F:i...H NO.. CONj'..iECTDRS: I ,HECHf.1N I C(l!... 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