HomeMy WebLinkAboutPermit Mechanical 1986-7-3 (3)
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RURAL _.ADDRJ~SSING.
CHECKED JUL 0 L
Lane County AuthorizatioIT"~for:"
WOOD STOVE INSERT INSTALLATION
...
mW'SHIP RANGE SEC;; :?" 3;;Z I TAX LOT UOUT OF
17 &3 3/00
SJBDIVISION/PARTITION (~f apphcable) ! I OT!Pl RCI:!' I BLOCK
LOCATIO~ ADDRESS STREET rI'T'Y ?IP
2848 Chateau Pl , Spn ngfl e 1 d
STRUCTU~S CURRENTLY ON PROPERTY
5FQ
DIRECTIONS TO SITE
/{2~ //. .~()
7&~,O'R.
u:scRiPTION OF PROPOSED WORK - BE SPECIFIC
Wood stove lnsert lnstallatlon
(<fei< 1-~
I FOR OFFICE USE ONLY
Appl>cat>on///fi Lf7 D/'
Perm~t # ~{.JJ, -I ~
PROPOSED USE OF PROPERTY
~ldentJ.al 0 IndustrIal
o Conunerclal 0 Publ1.c
(l ::lJ~fl
~Of2.
/IV ;;i: ~ -~!(
7"~ -' ~ll~,~7Ii')
---
I #
O_NER'S NAME AND ADDRESS
I "
WATER SUPPLY
OF EHPLOYEI:S
'" OF BEO':1.00M$
OF STORIES
RICHMOND, Lyle G
CONTRACTOR'S NAME AND Q5R #
same
?=~llT TO BE MAILED TO tNAMB AND ADDRESS)
o Proposed
n EXIstIng
TELEPHONE NUMBER
747 6976
TELEpHONE NUMBER
TEL~PHONE NUMB~R
I HAVE CAREFULLY EXAMINED THE COMPLE.TE.D APPLICATION ~OR PLRMIT dfJd ,]0 hcn.uy cett.~fy that. all l.nfotmatl.Oll hereon lS true and correct and that I
have the fcllowlng legal 1ntereSt 1n the property Downer of recold 0 cont-LaCb pLlrchas(.r Dduth<:Jr1zed agent
I f_rther cert1fy that any and all work performed shdll be done In accOlddnr,... wl.th th_ OrdLnance_ of Lane County and the Laws of the State of Oregon
perta~nLng to the work descr1bed hereln, and that NO OCCUPANCY wlll b~ '!lade of an, S rllctule ...lthout the pem1SSlon of the BUlld1ng C1V1s10n I fur-
ther certlfy that reglstratlon wlth the BU1ldGr's Board lS In full forcE' lllU effect d<i re'iu~red by QRS 701 055, that lf exempt the bas1s for exemptlon
15 noted hereon, and that only subcontractors and employees who are In compllance w1tr ORS 701 055 w1ll be used on th1S proJect I HAVE READ AND
CHECKED THIS APPLICATION THDROUGHLY . f ~ 17 . o. ?. / .... D 7 _ 1-86
'L/~ ~ ;(.'ul_/l1-p,,,,D 0A'.u }42,. T-r~ .
) NAME \.please pnnt) J.... ! SIGNATURE
DATE
[] PLANNING/ZONING
Parcel #
YOUR AUTHORIZATION lIAS BEEN BASED ON THE FOLLOWING CONDITIONS 1
Parcel S.lze
READ THIS SECTION CAREFULLY
Zone
Partl.tl.on #
Ml.nl.mum Setbacks
C
L, front
CL, s~da
lnterl.Or
COM.'..IENTS
NO SPECIAL PLANNING ACTION REQUIRED
[] SANITATION
B P "
Instal~~tl.on
S I #
Installatl.on
Specl.fl.catl.ons
Gallon
Tank
Ll.neal Feet
of 111 dl.rf.le Id
COMHENTS
[] PLANS EXAMINATION
Type -
Group
UoO
CO",'ENTS CALL PoT? 'R'ErouIRr:.t:> JIU,;PeC.r10AlS.
rear
Date
'lid ~
7-1-86 iff(-
Record, Issued? 0 Yes 0 ~ ,
Maxl.mum Depth
of Trenches
Date
n
{LI .<::._
Date
7-s-~
L (jDn
'f/kE 7- :?-B:O
PERMIT APPROVED BY BUILDING OFFICIAL/DESIGNEE (oer ORS 456 805(1)) DAT~
LANE COUNTY DEPARTMENT OF PUBLIC WORKS LAND MANAGEMENT DIVISION, 687-4061,
125 EAST 8TH AVENUE, EUGENE, OREGON 97401
SRR RRVRRSR FOR INSPECTION INFORMATION
(' 1'..?~ QQ&..
,
SETB"CKS h'lD OTTIER co 01"'10"5 OF APPRO'IAL 'tLST BE STRrC-....\ OASERVED VIOLATIO". CA.... RESIJLT I'J REvO-
(....-10 OF ~llIS PERn~~ CITrlLO IJ"DErt PRQVISIO S OF L....\E ':Ol'T\ .3 I'lFRACTJO'J ORD~ A"CE A'JD/OR OTHER
RE~EDIES ALLOWED BY LAW
""EN RE;OY FOR I'\~P!:C"'!..9'J CA~~ 687-4055 A '11"'1 ,[. I OF ,T LE,\ST 24 HOt..RS ADV\1 CE "O~ICE rOR I'lSPFC-
'~U'j Kt;[JI.,t;::;'j"::, ,\"::;'1 Ll~ GIVE'J Have thefollowing lnfor"latlon reddy rermlt number Job address type
of lnspeCtlOn, when lt wlll be rCady jour name and pro-I. nu~ber and any s?eclal directions to Site
BUILDIlG DIVrSlO,<
REQUIRED I\SPECTIO'JS
Foundatlo~ Inspcctl~ "'0 be made after trenches are
naterlal~ for the toundatlon dre uellvered O~ tre Job
plant (commonly termed transit ml~ed ) is to be used
excavated and form~ erected and when all
l1hr>re concrete from a central mlXI'1g
M~terlals need noc be 0'1 the Job
Concrete ~lab ~ ~nder--~o~ Ins~ectlon TO be mane after 111 In-slab or under-floor bUIldIng
serVI_e e1ulpment con~ult pIpIng accessor~es and other anclllar~ eqUIpment Items are In
place but be~ore any concrete IS poured or floor s~eathl~g Installed IncludIng the subfloor
Framlnq ~ Insulat~9~ Insoectlons To be made after the roof, all ~ramIng fIre blocklng, and
braCI'1g are In J~ace a'1d all PIpes, fIreplaces cnl~neys and vents are complete and all rough
electrIcal and plumbIng are aoproved All wall Ins~latlon and vapor bdrrler are In place
Lath and/or Gvosum Board ~nSpectlon
ari"de;:::-terIOr~n place but betore
ana fasteners are taped and fInIshed
TO be made arter all lathIng and qypsum board nterlor
any plasterIng IS applIed and berore gypsum boara JOInts
FInal Insoectlon
To be made after the bUIldIng IS co~plete and before occupancy
APPROV~L REQJIRED ~o work shall be done on any part of t~e bUIldIng or structure beyond t~e pOInt
Ind1cated 1n each succeSSIve InspectIon w1thout fIrst obtaln~'1g the aoproval of the bU1ldlng orflC1al
Such anproval shall b~ gl~en only after an InspectIon shall have bee~ nade of each succeSSIve step
In the constructIon as 1ndlcated by each of the lnsoectlons requIred
~OTE All bUIldIng oermlts reqUIre lnspectlon~ for the work authorIzed such as but not lImIted to
A BlOCK wall ~o be ~ade after reInforCIng IS In place but before any grout IS poured ThIS
InSpectIon 1S reaulred tor each bond beam pour There ~lll be no approval untIl the olumblnq
ana electr~cal InspeCtIons have been made and approved
B Wood Stove To be made after conpletlon of masonry (If applIcable) and w~en InstallatIon IS
compl~ InstallatIon ~hall be In accordance wltn an aoproved, natIonally recognIzed testIng
agency anc the manutacturer's InstallatIon InstructIons
C MobIle Home An I'1Spect1on IS requlrea after the mobIle home IS connected to an approved
sewer or sept1c s}stem for setoacy requ1rements blockIng ~ootIng cOnnectIon tledowns
s~lrt1ng, and plumbIng cOnnectlons
FootIngs and p1erS to comply WIth State foundatIon requ1rements for moolle homes or as
recommended by t~e manutacturer
'loblle home mlnl'lll1m fln1sh floor elevatIon shall be certIfIed when requ1red by a flood-
plaln manage~ent letter
~oblle home tledow'1s when requIred and sKlrtlng shall be Installed and ready for 1nspec-
tlon WIthIn at least 30 days after occupancy Tledowns and skIrtIng shall be 1nstalled
per enclosure
D Swlll1l1unq Pool Below grade when steel 1S In place and before concrete IS poured Above grade
when pool-rs- nstalled
APPROVED PLA.S ~UST BE O~ THE JOB SITE AT ALL TIMES DURI~G WORKING HOURS THIS PERYIT ~ILL EXPIRE
IF ~ORK DOES ~OT BEGI~ WITHIN 180 DAYS OR IF ~ORh IS SUSPENDED OR AB~hDONED FOF ~ORE THAN 180 DAYS
SUSPENSIO~ OR REVOCATION ~Y OCCLR IF THIS PE~~IT WAS ISSUED ON THE BASIS OF INCO~PLETE OR ERRO~EOUS
I~FORM.ATIO~
ANYONE PROCEEDING PAST TrlE POIIT or REQUIRED I~SPECTI01S ~ILL DO SO AT THEIR OWN RISK
SLBSURFACE ^'D ALTERNATIVE SE~A(E DISPOSAL SYSTEMS
1 Permlts shall be effectIve for one ye~r from the date of ISSUanCe
2 Upon cO~pletlng the constructIon for WhICh a permIt has been lssued the permIt holder shall
notIfy the Lane County Department of PlannIng and CommunIty Development by submIttIng the
Installat10n record form ~he Department shall 1nspect the constructIon to determIne 1f It
complIes WIth the rules contaIned In thIS CIVlSlon If the constructIon does comply WIth such
rules the Department shall 1ssue a certIfIcate of satIsfactory completIon to the permIt, "'older
If the constructIon does not comply WIth suc~ rules, the Department shall notIfy the perm1t
holder and shall reaUlre satIsfactory conplet1on before ISSUlnq the certlflc~te FaIlure to
meet the requlre~ents .or satIsfactory completIon WIthIn a reasonable tIme constltutes a VIO-
latIon of ORS 454 605 to ~54 745 dnu thIS rule
Setbacks - Subsurt,cc Sewd'Jc DIsposal
'"yon
InterIor propl'>rt, llnes
Edge 0 road rl"1 t-o<-way
BUllalnq oundat on
~ells othey water sources
<;CPtIC~
10'
10'
5'
SO'
Dr,llnf1eld
10'
10'
10
100'
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