HomeMy WebLinkAboutPermit Mechanical 1985-7-9 R1)cK
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q____i Lane Couty Authorization fo FOR OFFICE USE ONLY
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:DWNSHIP RANGE SECTION TAX LOT OUT OF PROPOSED USE OF PROPERTY
I 7 03 23. 3.4 Residential n Industrial
SUBDIVISION/PARTITION (if applicable) LOT/PARCEL BLOCK
I ICommercial n Public
TIO"1 ADD 5 STREET ZIP
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„c.f. C TLY O�V OPERTY
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PTI NN OF S�ORK - 13E S IFIC ` ^ ' ^h //1 n , ' DECLARED $ VALUE
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0 ' DROOMS # FF��S'T�.O�RI�ES # OFF EMPLOYEES JATER SUP! • U Proposed
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FERMI- 2 BE .ICED TO( tAME AND ADDRESS .I�- gi I - e T EPHONE NUMBER
4r3 I. s,1,� , 7. 741 5
)I HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION FOR PERMIT, and do hereby certi y that all information hereon is true and correct, and that I
have the following legal interest in the property:Downer of record; ❑contract purchaser; authorized agent
I further certify that any and all work performed shall be done in accordance with the Ord/ n of Lane County and the Laws of the State of Oregon
pertaining to the work described herein, and that NO OCCUPANCY will he made of any structure without the permission of the Building Division. I fur-
ther certify 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 APPLI ION OROUG LY
M*rcL%I'S' 0( 1.1- Heirt&f:r,-Y �II fin/
Kt,- 41u I4I ) I.�Gtinon-r • �«Qi<c 7- t - kC
NAME (please print) SIGNATURE DATE
READ THIS SECTION CAREFULLY. YOUR AUTHORIZATION HAS BEEN BASED ON THE FOLLOWING CONDITIONS!
❑ PLANNING/ZONING: Zone Partition # Parcel # Parcel Size
Minimum Setbacks: CL, frpnt ` CL, side - interior�{ 14^� q nit*rear /per!'•
CO( ?s MENTS, h.dig aSOOl. .t • S t 0 . S . .� Int . 0/ ' IN ✓ 1 —3�1�5��7
Fa. ' _ Date: I ) 1-Il/✓ C�Q�(r/
❑ SANITATION: S. I. # 1 B. P. # Installation Record Issued?0 Yes fl No
Installation Gallon Lineal Feet Maximum Depth
Specifications: Tank of Drainfield of Trenches
COMMENTS: . •
Date: r}�
❑ PLANS EXAMINATION: Type '�- Group �^ Use fL/f�`.'F AsleMAC/E
COMMENTS: /A75771LL 1K/Tff APPRO E.° FLuEs IiADE6u1-ir [,a rfluS/7c&r /4,R -
694L A:.R PE?.uIREP ,/x.CPECT7erss -
. Date: 7-9- as —ecE
PERMIT APPROVED BY BUILDING OFFICIAL/DESIGNEE (per ORS 456.805(1)) DATE
LANE COUNTY DEPARTMENT OF PUBLIC WORKS LAND MANAGEMENT DIVISION,687-4061,
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125 EAST 8TH AVENUE, EUGENE,OREGON 97401
SEE REVERSE FOR INSPECTION INFORMATION. C14-25884-
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SETBACKS AND OTHER-CONDITIONS OF APPROVAL MUST BE STRICTLY OBSERVED. IIOLATIO:1 CAN RESULT-1N REVD-
" ' CATION OF THIS IRIIT, CITATION. UNDER PROVISIONS, OF LANE;COUNTY'S 7INFRACIION ORDINANCE, AND/OR OTHER - _ - _ _
REMEDIES ALLOWED BY LAW. i
WHEN READY FOR INSPECTION, CALL 687-4065. A MINIMUM OF AT LEAST 24 HOURS ADVAE, NOTICE FOR INSPEC-
- " - • TION' REQUESTS MUST BE GIVES- Have the following information ready: s ermit- numbe ob address; type' -- - -
of inspection, when it will be ready' your,name and phone number, and any special d• ctions t site.
- -BUILDING DIVISION: ` ( -
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REQUIRED INSPECTIONS: " `- •(•$ 1 l ( 1 'w/ ■ I I ' ( 4' - 1. 1 +•. ( ( f•
',_, tl j d ,,R 1 Foundation InsspeC do To be Made after t hes are a vated ` d-fo 'erected and h 'Fall ' -
j dd tl tf, materials for the to 11ition rel live[ d on the job Where concrete Om central mixing
I N if 'F.j.a_il plant (commonly to d "transit mixed") to be used„nar1cr als need not b on/the job 1 i (i' ' 1 '
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2. Concrete Slab or Under-Floor Inspection: To be made after all in-slab or u d flaar'e '!dintg j
service equipment, conduit, piping accessories, and other ancill led ,,incle i items are n' t • % 'k I;,77 place but before any concrete is poured or floor sheathing installed,. ncluding, the subfloor. %i _ t
3.r1 Framing s-Insulat' IQs ct o ITO be made Ifterm the roof,•all framing,' f re blocking g d i -
bracing,are,in place! 11 p p f'repla e i noys, and Ve t comp! t and all gh �1 '\ . 1 .`
• . electrical and plumbingdar approved. 'All wall insulation and vapor barrier are in.place. j ''- ' -y
'. . .
4!`Lath a =d/or Ovpsum Board Snspection.'aTo'be made after all lathing and gypsum board; Interior
,annextorior,-is in plac° but.before•any,plastering is.applied and before gypsum board .joints I
and fasteners are caged and finished. ' - - - ' .
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't - _+5 I Final inspection. To be ade:after'theiburlding' is complete and beforeencc pancy,' ' I •R !
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'APPROVAL REQUIRED No work shalt be done on any part of the building or Structure beyond th point m
i die tedlan each successive inspection without first-obta ning .he approval of•t building official. ' . 4 • •
_1 f., I ( S'ch'a provalj shall'be given only aft fan inspection shalljh been d of:each e s t p I ! 1
in the construction as indicated by each of the inspections-required.
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\-... - NOTE: -All building permits require inspections for the work aut or
hized, such as but not limited to I , !
- � .A. , Block Wall: To be made a'terch bond beam,is,in•place, hub before•app grout is poured. This , _(
and electr is required for each bond beam pour. There will be no approval until the plumbing
• . and electrical inspections have been made and approved. ” . •
B. stood Stove: 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. -
C. Mobile Hoe An inspection is required after the mobile home is connected to an approved o n : c o
ed ,
sewer orseptic system for setback requirements, blocking, footingconnection,, tiedow.ns,
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 ciedowns, 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-Elinstalled.
- - 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 PERTH! WAS,ISSUED ON THE BASIS OF_INCOMPLETE OR ERRONEOUS
INFORMATION:- - - - -I _
r1. _ f
- ANYONE PROCEEDING PAST THE POINT OF REQUIRED INSPECTIONS WILL DO SO,AT',THEIR-OWN RISK- ' iN11r 1
I ',.' SUBSURFACE A=D ALTERNATIVE SEWAGE DISPOSAL SYSTEMS: 1 j k .
--..• 1; 'Permits shall be effective for one year from the date of issuance. i '- I .. -_
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,satis factory completion within a reasonable time constitutes a - '
lation of ORS 454.605 to 454.745 and this rule.
Setbacks - Subsurface Sewage Disposal
Septic Tank Drainfield
," From: _Interior property- lines t0' . 10' _ "-_ -' -
Edge of road right-of-way 10' - 10'
Building. foundation „ 5' 10'
';` -Wells, other crater coerces:\' _,50'. n - ._
!. - , - 1 4 'i .-f p
lane county
ACAIITY INFORMATIOI.SHEET
COMPLETE THIS SECTION. INCOMPLETE FORMS WILL BE REJECTED!
MurSk lrC Ch lb kd.W<u l4li o—,A
1 Miavc'nll 1.0 Ajtairlok A (�clawGu
PERSON MAKING REQUEST PROPERTY OWNER
C s+ , l txq (3(a.c.+.ata.o
MAILING ADDRESS MAILING. ADDRESS
CITY STATE ZIP CODE CITY STATE ZIP CODE
1`tl -)44S. _ 7y7— S�71
BUSINESS TELEPHONE # FIUME TELEPHONE— BUSINESS TELEPHONE 7 HOME TELEPHONE #
2 PROPERTY ADDRESS �—
( IF DIFFERENT FROM MAILING ADDRESS)
3 MAP & PARCEL NUMBER . (from tax maps in Department of Assessment and Taxation
(REQUIRED INFORMATION) or from tax statement)
3 � ,y
TOW �IP RANGE SECTION TAX L
�j Od
PARCEL # Z NING
TOWNSHIP RANGE SECTION TAX LOT(S) OR PARCEL # ZONING
TOWNSHIP RANGE SECTION TAX LOT(S) OR PARCEL # ZONING
TOTAL CONTIGUOUS PROPERTY IN SAME OWNERSHIP: ACRES
4 SUBDIVISION (if applicable) LOT BLOCK
5 REQUEST (state exactly what you plan to do) - flAtLen 1,4.0 !!p ,, ,, ,,,. y H�'p {,�, . '
6 DIRECTIONS TO SITE: --siw==l s.:_ . ��„ �'
/. m.
** 'FOR STAFF USE ONLY ** 70,
ZONE/LAND USE: DATE
DATE: TIME IN: OUT:
LAND MANAGEMENT DIVISION / 125 E. 8th AVE. , EUGENE, OR 97401 / 687-4061
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PLUMBING
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Type of Fixture Number of Each Fee On Each Total
Sink $ 7. 50
Lavato n- --as Basin) 7. 50
• Tub (with or without shower) I 7. 50__
Shower, separate 7.50
Water Closet (toilet/urinal)Dishwasher 7. 50
Disposer (garbage grinder) - 7.50 _
Washing Machine _T - 7.50
- Water Heater 7_50
Floor Drain 7:50
Sewer--lst 100 ft. 30. 00
each additional 100 ft. _ 15.00
Water Service--lst 100 ft. 20. 00
each additional 200 ft. _ 15.00
Storm and Rain Drain--lst 100 ft. 30. 00
each additional 200 ft. _ 15.00__ _
Special Waste Connection 7.50
Sewage and Sup Pump (elector) _ 7.50
Mobile Home Sewer and Water 15.00
Other (specify)
SUB-TOTAL (Minimum $15.00)
ITOTAL FEE
MEQ-IANICA. �
Type of Equipment Number of Each Fee on Each Total
Mechanical Permit Base Fee $ 10.00
Furnace up to 100,000 BTU/H $700-1.)
• Furnace over 100,000 BTU/H —17111
Clothes Dryer Vent 3.00
Bathroom Ventilation Fan $ Duct 3.00
Range Hood with Mechanical Exhaust 4. 50
. Wood Stove (Wood Stove Vent $3.00) 6. 00
. Air Conditioner Only 6.00
Heat Pimp 6.00
Floor Furnace 6.00
Gas Piping System 1 to 4 Outlets 2.00
Per Outlet Over 4 . 50
Other (specify) •
SUB-TOTAL
TOTAL•FEE
C74-200
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LANE: COUNTY DEPT ENV MGT RECEIPT 4 173985 DATE 070185
APPLICANT MARSHALL ' S T?.I:L.., .rN: l.11._AT\.; : AJ)T)fi 4131 -lip:. . , SP FD . , OREGON , •
IL..4 1703233408500 ,.:1_Il'i;i71:Yi TYPE . !_. ; :
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..NEW BLDG U S I R BD R M S ) UNITS 0 r STORIES _ , I N E : ,
OWN!:::I;! ONE ADA'Is11N, HERBERT ADDR 339 BLACKS TONE, SPFP., , II L •
_ODE - ' 'L NO ACTION DESCRIPTION SW FT UNIT COST VALUATION
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b`.1.CE°_7 l';AL..
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r_y ��: FIXTURES : c 1, .. . . ' WTR :� F�' 1 l : i�.'i�_
:.,.11t . FT. �.Tt. . ! :. ,ry .r.
•MECH : MECHANICAL.. FEE •
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!iR STATE SURCHARGE 41%1 P
• - i . I I._ N CHECK F I E E E • 65% l m
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I C. AI'P E A I: I::: EDS S is PCIC o t I-
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id TAKEN B CAD
EST . COMPLETION DATE TOTAL FEE** 27 . 04 C:K
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