HomeMy WebLinkAboutPermit Mechanical 1986-5-30
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RURAL fluDHi:SSJj\i0,'
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Lane County Authorization for:
WOOD STOVE INSTALLATION
J. It/{ 6-; ~?
FOR OFFICE USE ONLY
Application/ I~~__ ~;r_
Perrn~t # I::> tf 7 If ~
"'''';SHIP /7 I RANGE J
. t?
S~BDIVISION/PARTITION (if applicable)
I SE~~ KZ) TAX 2. 7t?r I
I LOT/PARCEL I BrpcK I
PROpOSED USE OF PROPERTY
~dential 0 Industrial
D Commercial D Public.
LOCATION ADDRESS STREET
2230 El Bonita Pl.. Springfield 97471
STRUCTURES CURRENTLY ON PROPERTY
CITY
ZIP
SFD
DrRC~TIONS TO SITE
4th L on No. 28th - YOla~ - Briqqs Middle School
~~SCRIPTION OF PROPOSED WORK - BE SPECIFIC
Wood stove installation
DECLARED ~ VALUE
= OF BEDROOMS J ~ OF
O;~"NER I S NAME AND ADDRESS
STORIES
I f! OF EMPLOYEI:S
\-JATER SUPPLY
o propo~ed
~t1.ng
TELEPHONE NUMBER
726 0271
T~BER
,)/P'.4?:~
I~PH6~G
LLOYD. Norman C.
CONTRA~S NAME AND OSR~
~~S: ro ~(~~ TO 'mf~I
~er
......
same
t::Jl/ e
~P"e:=-
~
I HAVE CAREFULLY EXAMINE:D THE COMPLETED APPLICATION FOR PERMIT, cHtd ,lo hcrc!.1y c.rt~fy that all infol-mlltion hereon io true and corr(lct, and that I
have the following legal interest in the property: [])owner of record; 0 ccmtrdet- purchaser; Oauthorized agent.
I f-.:.rther certify that any and all work performed shall be done in accordance with th~ Ordinanct!~ of Lano COW'lty and the Laws of the State of Oregon
portaining to the work described herein, and that NO OCCUPANCY will be made of ar,i' st,ructure without the permission of ,:ho Building Division. I fur-
ther certify that registration with the Builder's Board is in full force i\nu effect o'IS required by ORS 70t.055, that if exempt the basi. for exemption
is noted hereon, and that only subcontractors ClOd employees who are in compliance with ORS 701.055 will be used on this project. I HAVE READ AND
CHECKEO~~~ MAIL IN 5-27-86
~ T NAME {p~eaBe print) SIGNATURE DATE
'.
READ THIS SECTION CAREFULLY. YOUR AUTHORIZATION ~AS BEEN BASED ON THE FOLLOWING CONDITIONS:
o PLANNING/ZONING: Zone
Minimum Setbacks: CL, front
Parti tion It
~arcel It
Parcel Size
CL,. side
interior
rear
Date:
5-27-86
~
COM,\tENTS :
NO S~AI PI ANNING ACTION REOI/IRFD
Gallon
Tank
Lineal Feet
of nrainfleld
Installation Record Issued? 0 Yes 0 No
Maximum Depth
of Trenches
o SANITATION: S. 1. !
Installation
Specifications:
B. P. It
C~lENTS :
Date:
n
~PLANS EXAMINATION: Type-
COMHENTS,UlL rc R
Group
~
Use uJ S
I tJSPI=....."oAJ .
~~(J/RED
Date, s--3cO-~
~~
rplkJ: ~-:Jb-&~
PERMIT APPROVED BY BUILDING OFFICIAL/DESIGNEE (cer ORS 456.805(1)) DATE
LANE COUNTY DEPARTMENT OF PUBLIC WORKS LAND MANAGEMENT DIVISION, 687-4061.
~gV' M--v,Q""~ (~;(If' 125 EAST 8TH AVENUE, EUGENE, OREGON 97401
/,/' """ p"""pc,,, "OP T",,,p,,r'T'TO'" T"'PORMlI.'T'TON
I: ~
r""', 'lc.~'"
.
.
SETBACKS A:-lD OTHER CO:WITIO~S OF APPRO'JAL MUST BE STRICTLY OBSERVED. VIOLATION CA~ RESULT IN REVQ-
C,1,710:.1 OF T!lIS t'ERHIT. CITATIC:: U:-lDER PROVISIONS Of LANE COt;::T\"S INFRACTION OROI~ANCE, AND/OR OTHER
REMEDIES ALLOWED BY LAW.
I-,'HEN RE"DY FOR I~SPECTION, CALL 687-4065. A MINnlU~1 Of AT LEAST 24 HOURS AOVA1,CE NOTICE FOR INSPEC-
'nv:> KI::QI,;t:ST:> ~;ll:;T BE. GIVt:N. Hi.lVe tne tullowing information ready: permit number, job address. type
of inspection, when it will be ready, your name and phone number, and any special eircctions to site.
BUILDING DIVISION:
REQUIRED I~SPECTIONS:
1. Foundation Inspection: To be made after trenches are excavated and forms erected and when all
!:IdterJ_a.ls lor tne toundation are delivered on the job. l.here 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-~loor Ins~ection: To be made after all in-slab or under-floor building
serVl~e e~uipmcnt, concult, plplng accessories, and other ancillary equipment items are in
place but before any concrete is poured or floor sheathing installed, including the subfloor.
]. Framln~' Insulatlon Inspectlons: To be made after the roof, all framing, fire blocking, and
prac1ng are 1n place ana all plpes, fireplaces, chibneys, 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 Gvpsum Board Inspection: To be made after all lathing and gypsum board, l.nterior
ana-exterIOr, 1S 1n place but before any plastering is applied and before gypsum board joints
and fasteners are taped and finished.
5. Final Insoection: To be made after the building is complete and before occupancy.
APPROVAL REQUIRED. ~o wo;k 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
tnspect10n 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 installation is
compl~ Installation shall be in accordance with an approved, nationally recognized testing
agency and the manufacturer's installation instructions.
C. Mobile Home: An inspection is required after the mobile home is connected to an approved
sewcr-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 manufacturer.
2. ~obile home minimum finish floor elevation shall be certified when required by a flood-
plain management letter.
3. Mobile home tiedowns, when required, and. skirting shall be installed and ready for inspec-
tion within at least ]0 days after occupancy. Tiedowns and skirting shall be installed
per enclosure.
D. Swimmin9 Pool: Below grade when steel is in place and before concrete is poured. Above grade
wnen pool-rs-installed.
APPROVED PLANS ~UST 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 !{AY OCCUR IF THIS PERMIT WAS ISSUED ON THE BASIS OF INCOMPLETE OR ERRONEOUS
INFORMATION.
ANYONE PROCEEDING PAST THE ~or::T or REQUIRED INSPECTIO:1S WILL DO SO AT THEIR OWN RISK.
SUBSURFACE ~ ALTERNATIVE SEWAGE DISPOSAL ~:
1. Permits shall be effective 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 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 docs 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 454.745 anu this rule.
Setback~ - Subsurface S~waqe Oi5005al
Septic Tank
From: Interior property lines 10'
Edge oi road riqht-of-way 10'
Buildinq foundation 5'
Wells. other water sources 50'
Dr,] infield
10'
10'
,10'
100'
.;
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,
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;
,
,
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TRS/TAXLOT
Ol.INER
APPLI CANT
(IF DIFFERtiiij
JOB ADDRESS
V ALUA TI ON .
.
. . . . . . . .
REVISIONS CALCULATED BY:
DATE:
ADDRESS
tlUUKtSS
REVISED
[ ])\tIdition
[c.1" Correcti on
. Bldg.
Invest/
Db 1 Fee
.
APPLICATION # 15' B=t-cSG;>
PHON~
PHor:rr
PRIOR C>S Refund
. [J Dep. Only [] Amt. Due
/..,.00 <~~tj.o~ ["-/S,ooJ
Mech.
. Plmb.
Fi xtures
. SHR FT
HTR FT
RAIN FT
PCK
. Surcharge
Sidewalk
Fldpln
50S
DEQ
Other
L/.75"
;7 Co
TOTAL
24.S';
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5-"3c. - 8c..
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1S";~
(AMI. PAID)
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. G: CO.D[-.ACT LANE C.OUNTY DEPT [NV MGT f~ECEIPT '~158'186 DATE (~~)278'
APPI._ICANT U..OYD, NORMAN ,;DDI': 2230 !:::t_ BONITA PL., SPI,INGF'IE:I..D, 01\[.
TLI 1703244202704 SUBDIV LOT BLK ."
.NEW BLDG TYPE USE f, BDRMS I) UNITS 001 STQRIES IBLDGS 001 F'HONE 726 0271.
OWNER NME LLOYD, NORMAN ADDR 2230 EL BONITA PL., SPRINGFIELD, ORE
CODE APPL ~O ACTION DESCRIPTION SQ FT UNIT COST VALUATION FEE DAYt~:
.BP . I
j:lP
(i BP I ,
.BP .
HI"
MECH LC 158986 WS
.PL .ll.FIX/BATH:
MI:::CH
PUR
.PCI<
MECH
SWF~ :
FT 0 I,rm:
M[,CHANICf''lL .FEE
SH,n, SUf~CHt.,f~GE
PLAN CHECI< FEE
FT.
RAIN:
FT
19. 0~)
0.76
4 -.,-
.. f.:>
15.00
.i
1
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1
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4%
2~~%
WS
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SEQU:
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BY F(LH
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FP
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OTI-I ISS
4
TOTAL 10FE.),.)(.
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Of .
EST,
COMPLf.:TION Di;TE
:,9 . ~') 1 CI(
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..
.
SHEET
'.
.' ',. '. . A<jIVITY INFORMATICf
CQ~LETE THIS SECTION. INCOMPLETE FORMS WILL BE REJECTEO!
!. 1
1
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IUJ R /no/i. r {/LJtt'/
PERSON MAKING REQUEST
d-~. 2(~~~ 61.
MAILING ADDRESS
~\7u) f\c.nJp/dJ o~ 9-71./7) .
. I CITY' STATE ZIP CODE
7)k- 'O;>...-d
HOME TELEPHONE #
BUSINESS TELEPHONE #
2 PROPERTY ADDRESS
(IF DIFFERENT FROM MAILING ADDRESS)
l
~
PROPERTY OWNER
~~
MAILING ADDRESS
-'?-.' . J...
CITY
'l , .
",- '--
BUSINESS TELEPHONE #
STATE
ZIP CODE
HOME TELEPHONE #
3 MAP & PARCEL NUMBER.
(REQUIRED INFORMATION)
(from tax maps in Department of Assessment and Taxation
or from tax statement)
TOWNSHIP RANGE SECTION
TAX LOT(S) OR PARCEL # ZONING
TOWNSHIP RANGE SECTION
TAX LOT(S) OR PARCEL # ZONING
TOWNSHIP RANGE SECTION
TAX LOT(S) OR PARCEL # ZONING
ACRES
TOTAL CONTIGUOUS PROPERTY IN SAME OWNERSHIP:
4 SUBDIVISION (if applicable)
5 REQUEST (state exactly what you plan to do)
.,
LOT
BLOCK
I
i 6 DIRECTIONS TO SITE: Uh1 L~ AJIJ. .::JC?-/-t\.-
, . vyI..(J/('\d..CA - ~' lCf4_~ t'A \(U\I,,~ J
** FOR STAFF USE ONLY **
--
]I
ZONE/LAND USE:
,
14~33 . ......... ';
LAND MANAGEMENT DIVISION / 125 E. 8th AVE., EUGENE, OR 97401 / 687-4061
\
..
'.,'\.
._~J' ~~n~ty .
, ~"- GANGEbbAi'ioNiREFUND AUTHORiZAi'ioN
".....,-, _.~--_..._, ,/ =1::1'" \ C Lj~'/D
NAME (Pl:EASE PRINTC- /,/0..",__ rcol>.J___ -'- h_. -.Y_ .
AijJBRESi'l22. ]'~--EL']]oUJTA_1?l"7,_5P1?JlJG.EJELj)
~~~~ig~~~b JANG~i:i:iNg~ENRE:i~R APPi:iGA~g~r~AGT6R t
../'J?EEUJJ.T:?__DtJr: T...... (-lII.ER_OLA_RCi 1='_
r.
PERMiT #_J <,'""Ef'7' - ~....
TRsffi:# -'.7=3=.2.!J..!J2_i2.7~ ~
.97 '-177
siGNATURE h_~_. 5'__ . __ ..._. _ ._____ _
--fiATE 5'- 0;;:0_.-:8(-
FEES PAiDFoii WASTE DisPosA~ SYSTEMS isiTE iNSPEctioNS ANDioR APplicAtioNS to iNStA~~ tHE SEPtic tANK AND DRAiNFiELBj
M~9Bl)!~~R.i~t_~C?Nji~t\tNiM~4( s3i~L~i)f!!ND MAY BE ON BUi~DING; pLANNiNG; OR p~UMBiNG pORtiONS AccoFiBiNG to THe
~_MOUN_~_O~THE':::RM~T~APPUCATION PROCESSED; _ ___. __ \_.
FEES pAiD.
% REFUND
,...."
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___ oio
.%
%
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%
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FtE.5 DA1F.P =/3:/e;p
,J.. _., ._. .__
SIGNATURE
Flooo piain Fee
BUiloing Permit Fee
Mobile Home Fee
PIUmliing Permit Fee
Meclianicai Fee
pian C~eck Fee
state SUrc~arge Fee
septic Disposal Fee
site Inspection Fee
DEG! SUrcharge
~anci Use _Application
Planning Director
Recoroing Fees
PaHitioiiS
Copies 3. OrcilnBrices
surveyors
TO DEPARTMENT OF FINANCE:
BUliding Permit Ref unci $ - .
State SUrcharge Refund $
Septic Dlsposai RefUnd $ .... -~_._-
Site Inspection Refunci $- . -- ~ .
lan<i Use Appiications $
Planning Director $
Recoitiing Fees $
Partitions $
Copies 8. Orcilnances $
Slifvilyoi'll $
TOTAL AMoUNT REFUNDED $
PLEASE MAKE CHECK PAYABLE TO:
NAME . / //? Y.-0 . /'Z/~~
ADDRESS -~'Z 36 'e:Z & /J ~
MinUs $25. for Processing Fee $ .. '. -=--""_ __ qd-
TOTAl AMOUNTT~BE R~ND,ED $ ~S.oo ~ ,..
-~-:.=-__ .q~'/-~//QlDAT_-!!?_ /':1 x;0
/S-~.
./ 5: e:-
$
$
$.
$
$ -
$
$
$ ~-- --
$
$
..
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$ -. - - --"-..-
L~
$ -.---
$ _._----
$~
$
"
?4.17-881Acct 42120/Prog. 06Q Racelpt# Z<:1~.j'7
~4.17-881Acct 421241Prog. 060Ftecelpt#... . ._--
?4.17-881Acct 421331Prog. 0<10 Recelpt# ...-~.._
?4-17-881Acct 42134/Prog. 040 Recelpt#. - - - .-.-
'4-17-881Acct 42150/Prog. 060 Recelpt#
~4.17-881Acct 46202lProg. 060 Recelpt#
?4.17-881Acct 46210/Prog. 060 Recelpt#
'4.17-881Acct 48474/Prog. 060 Recelpt#
?4.17-881Acct 44419/Prog. 060 Recelpt#
'l5.()8.741Acct 44451/Prog. 010 Recelpt#
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Public Works Department / 125 E. 8th Ave., Eugene, OR 97401 (503) 687-4061
LAND MANAGEMENT DIVISION