HomeMy WebLinkAboutPermit Mechanical 1985-10-18
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Lane couty Authorization fO~
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10-J75
FOR OFFICE USE ONLY
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SEC::?, ~ 1,~;w2?
I LOT/PARC!:~ I BLOCK
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~/CTURES CURRENTLY O!rPROPERTY ~ /' . f1 r
-y(,<--('_///'/~. \r7?~~ r-~~;---" #' A//ez/. r '7-;7C;:Z-
0'l)r30 ~ad ~~ / r-~ O??~ ~#/~ /5-:;7/..#/
d~c //77 /'?//?/{/'*7P/H- ~/'a-/rr- 6~E?:;;:~
Om<J;?y7--~?fl/? >- ~?#YC - I DECIARED S VALUE
~-OF;W #- 1_' OF;:;~p- r~/;? eI WATER SUPPLY ~ CZC- ~~~~~~~~~
O~~AAE ~~r:...~s~' # r>. ~. . /"'7 // I TELf.PHONE NUMBER
.. _l?~-0''?''/~ /, \/0;~-:7-;e c \~r- ~ ~P'V"'el
C~CJ'" S NAME ANE-9SR if./:? - ~ /' ,. I TELEPHONE NUMBER
"?rr7./?/ /f7"' ~?,4~ -
5)'w?~ADORE~/~?
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I PROPOSED USE OF PROPERTY
~esidential D Industrial
r D Commercial 0 Public.
/7 jiC ;7.;::t:;.5? ~_TELEPHONE NUMBER
I HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION ~'OR PERMIT, arId uo hcrclJy certify that all infol'1l1atioll hereon is true and correct, and that I
have the following legal interest in the prope~ty ..PIbwner of record; 0 cuntract purchaser; Oauthorized agent. .'
I f~rthQr certify that any and all work performed ~~ done in accouli.lncb wi tll the Ordinances of Lane County and the Laws of the State of Oregon
pertaining to the work described herein, and th~t NO OCCUpANCY will be 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 rcC'j, "red y ORS 701.055, tl'lat if "exempt the basis for exemption
is noted hereon, and that only subcontractors and employees who are in compli ce Wit{ORS 01 5 will be used on this project. I HAVE READ AND
CHECKED THIS APPLICATION THOROUGHLY.
~1'/~"5.~~~//- . SIGNATURE /O-lt;8'J
READ THIS SECTION CAREFULLY. YOU~ ~~ORIZATION ~AS BEEN BASED ON THE FOLLOWING CONDITIONS~ ~ ~~
o PLANNING/ZONING: Zone ~ p.: Partition # Parcel # Parcel Size ~~
::::::s~~'~~h~~-#) ~r/~~~r / ;'
;' Date, /d~~h.f~
/' . /
o SANITATION: S. I." B. P. # Installation Record Issued?DYesONO
Installation Gallon Lineal Feet M..aximurn Depth
Specifications: Tank of nrainfleld of Trenches
COMHENTS:
....
Date:
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~PLANS EXAMINATION: Type V -JJ Group e~3 use~' JoOnF!1') I~ ~iTeAlF..
COMNENTS'.cAl. J . #=e1Z.. fM5~;n~. 51OJ=r11Jl _ IIJ~ .,rON. ~JIPY:n r:::rI? IUI$/ nllJ.r...
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PERMIT APPROVED BY BUILDING OFFICIAL/DESIGNEE (cer ORS 456.B~~~ ~~TE
LANE COUNTY DEPARTMENT OF PUBLIC WORKS LAND MANAGEMENT DIVISION, 687-4061,
125 EAST 8TH AVENUE, EUGENE, OREGON 97401
SEE REVERSE FOR INSPECTION INFORMATION
c 14-2.1$ R84-
.
.
SETB,\CKS ,,~O O1'!I!:R CO:~DI1'IO::S OF' ,\PPROV.\L ~:US1' BE STRICTLY OESERVED. VIOLATIO~ Cz\~ RESULT IN REVO-
C;'7IO:.< Of T!lIS "r:R~I!'i', CIT,\TIC:: U:W!::R PROVISIO:.<S OF L';:-;E COl:::TY',j INFRACTIO:'< ORDI:;;.;.iCE, A:-JD/OR OTIlER
RE~EDIES ALLOWEO~Bl LAW.
\''-HEN READY FOR r:;Spr:CTIO~, CAL:' &87-';065. A mNHllm OF ';T LE.;ST 2'; /lOURS ,\OVA::COE :-IOnCE fOR INSPEC-
no=, !{EQl:l:STS :.;~STD!: ";IVE:l-:--~'iilve the lollowing lnfor:nation ready: r~rmit number, job addrass, type
of inspectlon, when lt wlll be ready, your name and p~O..0 nu:nber, and any special directions to site.
BUILDING DIVISION:
REQUIRED I~SPECTIO~S:
L
foundatlon Inspertlon: To be Made aftPr trenches are excavated and forms erected and when all
r::aterlals for~tOUnd,)tion arE'> delivered on the .job.. h'here concrete from a ce:ltral mixing
plant (conmonly termed Mtransit mixedM) is to be used, ~aterials need not be on the job.
2,
Concrete Slab or Under-TIoor Inspection: To be made after all in-slab or under-floor building
servi~e e~uiprnent, cOndult:-pip1ng accessor1es, and other ancillary equipment items are in
place but before any concrete is poured or floor sheathing installed, including the subfloor.
3.
framinq & Insuldtion Insoections; To be mdde after the roof, all framing, fire blocking, and
brac~ng are in ~lace una all plpes, fireplaces, chimneys, and vents are complete and all rough
electrical and plumbing are approved. All wqll insulation and vapor barrier are in place.
4,
Lath and/or Gvosum Board Inspection: To be ~de after all lathing and gypsum board, interior
a::i'Ocxt.crIOri,sln-p-racc but bet ore any plasterlng 1S applied and before gypsum board joints
and iasteners arC! taped and finished.
5. Final Insoection: To be made after the building is complete and before occupancy.
APPROVAL REQUIRED. ~;o work shall be done on any part of the building or struc_ture beyond the point
indicated in each successive inspection ~ithout first obtaining the approval of the building official.
Such approval shall b~ 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. Black Wall; TO be mace aft~r reinforcing is in place, but before any grout is poured. This
rnspection 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 co~pletion 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 lnstructions.
C. ~lobile Ilome: An inspection is required after the mobile ho:ne 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 manufact~rer.
2. ~obile home ~inimum finish floor. elevation shall be certified when required by a flood-
plain management letter. \ ~. .
.I ; _ '.' ..
J. }!obile hODe ticdowns, when required, and sk1rting shall be installed and ready for inspec-
tion within at least 30 days after occupancy. Tiedowns and skirting shall be installed
per enclosure.
D. SWlmm1n9 Pool: Below grade when steel is in place and before concrete is poured. Above grade
wnen pool-rs-lnstalled.
,\PPROVEO PLANS MUST BE ON TilE JOB SITE A1' 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' ISO DAYS.
SUSPENSION OR REVOC'\TION :1AY OCCUR IF THIS PE~~IT WAS ISSUED O:l THE BASIS OF INCOMPLETE OR ERRONEOUS
INFORMATION.
ANYONE PROCEEDING PAST THE POIl:T or REQUIRED INSPECTIO~S WILL DO SO AT THEIR OWN RISK.
SUBSURFACE ~ ALTERNATIVE SEWAG~ DISPOSAL .~;
1. Permits shall be effoctive 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 (orm. 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 permitjhOlder.
If the construction docs not comply with ~uch rules, the Department shall notify the permit
holder and Shall require satisfactory completion before issuing the certificate. Failure to
mcct the requirements for satisfactory completlon w1thin a reasonable time constitutes a vio-
lation of ORS 454.605 to 454.745 anu this rule.
~et,.backs. - Subsurface
fro:n:
. ,
Sewage Disposal
Septic ~
10'
10'.
5'
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.i
10'
10'
10'
1001
Dr.:linfleld
, \ ',:l~__:' 0"
Intcrlor property lines
Edg;e 9f r:oil{j'lrlQht-of-way
BuU,.ilnq foundation
~ \<Ocll.s" .o()j>hcr; .water soyurc9S..
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ACTI.TY INFORMATION.HEET
klne county
.
COMPLETE THIS SECTION. INCOMPLETE FORMS WILL BE REJECTED!
.
fd,l~ L, S~
PERSON MAKING REQUEST
2- ~-~MfIU~Sr~ _R1_
Sn~t.jd flL '17'177
CfItv I r STArt' ZIP CODE
PROPERTY OWNER
. --- ,__u, .-- MATClNG--AbORESS -------
CITY
STATE
ZIP CODE
BUSINESS TELEPHONE-n HOME TELEPHONE # BUSINESS TELEPHONE # HOME TELEPHONE #
2 PROPERTY ADDRESS J-b ~8 ~ ~ Qcl ,~A ~,,^oj.J~JJ. 9'117')
(IF DIFFERENT FROM MAILiNG ADDRESS) U ' ~_. ,
3 MAP & PARCEL NUMBER (from tax maps in Department of Assessment and Taxation
(REQUIRED INFORMATION) or from tax statement)
17 03 z-z.. 2-700
#J~f' TOWNSHIP RANGE SECTI ON TAX LOT(S) OR PARCEL # ZONING
TOWNSHIP RANGE SECTION TAX LOT(S) OR PARCEL # ZONING
TOWNSH I p' RANGE SECTION TAX LOnS) 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)
U~ c:.~ fQ^^,,^~i-
6 DIRECTIONS TO SITE: ~ Jj~HN- J~~_JWv>\ ~ J"...J() ee........-...
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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:
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$z.If,~r
LAND MANAGEMENT DIVISION / 125 E. 8th ^VE., EUGENE, OR 97401 / 687-4061
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TL.~ 1703~~0002700 SUBDIII
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EL EVA TlON
BUILDING AND SANITATION DIVISION / ENVIRONMENTAL MANAGEMENT DEPARTMENT
LANE COUNTY-PUBLIC SERVICE BUILDING / 125 EAST 8TH AVENUE / EUGENE,OREGON 97401/PHONE 687-4061
**
A COpy OF THE MANUFACTURER'S INSTALLATION
MUST ACC01'lPANY YOUR APPLI CATION
INSTRUCTIONS
"",,:fn1!Aff) l,~\~ PH"" ~'765/
""m FOR ,,,sr,,,,,,,o", /i,2~ ~E~YI 12'0. ~,
~:A.\:[ OF ....N;UFACTURER 1.:aDEl :;",.:[ and/or r:U:':!l[R
5lrNE. RE4t'rrze> $f'B:.\Al.. ,~, to.-J -:lEE ~ ·
~E 9{AU- ~r BE UXA'tEt:> l~ A ~" :!ftGE.
M41N'DJ~ ~l\""~MA'VE' If.! FJB:)m-DFstl)IJ6:.
C&lU~ ffE,1~ ~WoIL B6 7~"1II1I-srDV6 ~CAtTO~.
D ! ~:~ :IS ! o:~s :
Ans\.,c,;rthe follo\~ing. fill in number of inChes in diagram
1.sideofunittoprotected....aJl~lnCheS(unprotcctcd....JIJ~inChe*
2. Rear of unit to protected wall-1Lnst'ii(unprotected wall_inches)
3. Floor protl!ction at sidl! of Uni~hl!S",tJ
4.Floorprotl!Ctioninfrontofunit~inches
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S.len!)thorwJll protection at rear of unit ? inches
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6.lcn9thofwall protection at sidl!of I.Init '3 inches
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7.Hei<;htof....allprotectlon~inches J
8. E~'Je of wall protection to nearest door or ....indow $5 ~
111-
9. Air space bet\~een wall protection and ....all---L--inches
JO.Di.lr.:eterofchilr.neyandventconnector~lnches
CO~~STR:.JCTIOrl :
A. Thl! unit is listed by: OUl DICGO [RJOthl!r(na;;-.e) ~"'I:
B.ThefloorprotectionisLinChesthickandWillbl!:OI,Sbestosr;:illboard
coverl!d WI t.'1 me ~J 1
rv'IStoneor OOthcr
~brick (describe)
C.The....allprotection....f1lbe:OAsbl!HOSl?illbOard MStoneor
covered wIth metal ~ brick
DOther(descri~e)
O. Type of Chi~ey: !SZJ.factory chilmey'
DOther(describe)
E. Type of v(!nt connector: [}OFactory chlr.,ney D2o!Oa,(or heavier) !Oalv. sht. f.l~l.
F. Will be using: DpLAN tl ~PLA~l ~2 DOthcr. see attaChed
O;'~sonryfflue liner?]
(Dyes 01'10
NOTE:
Not all units are approved for corner installations or reduced
clearances with wall protection.
Ou~sid'! Air Inll't:Providl! an outside air inl<!t, a minirnm of 3"D to supply air for
propl'r fuel co;r.Dustion. This inlet shall be closa~Jl! (dalrper)
~rom the bui 1 ding inte~ior. The ai r inll!t supply duct sha 11 be
lrlcor.:bustlbleandCOnt1nuous from the interior inlet to the
ellteriorof the buildin9. The inlet shall be located throu<)h
the wa 11 (near the floor) or floor wi thin 2~~ of the stove or
fireplace.
IF YOUR INSTALLATION OIFFERS FROM THESE EXAMPLES,
PROVIDE A PLAN AND ELEVATION OF YDUR INSTALLATION
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