HomeMy WebLinkAboutPermit Mechanical 1980-10-22
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~~~~~a~tE' 231 ,,()-(SD
~o Copies of Plans
COMPLETE THIS BLOCK. PLEASE USE BLACK INK AND PRINT. 0 Two Copies of Plot Plans
TOWN"HIP I ~ l RANGOE 2 I SECT&. 1.4- .1 TAl" ~I DOUT OF \3l1echanical Checklist
o '--^-' 0 Plumbing Checklist
sU~el('.o~';:'~TI';-,O{H afP!",\ab;ei ~ . .....-,..,. . -' ~RCELI I B'jf'K
~~ ~ rl \ ~ ~~. (c) Dplan Check Info Sheet
~~07N ~.OORESS '-l ,mET ~_ 0 -l.cpj'?':.l77ZIP PROPOSED USE OF PROPERTY
~JU ,) l~ -. ~ )~a J(Ll IKI Residential Dlndustrial
STTh&oS c~ ~PLKd ~ . U. U . I 0 Commercial Dpublic
DE;~~O~~ ~ ~ ~ro1ulloJlem
~ BED~tcs I · OF JlpS I # OF &YEEs3 I ~AT~
ow~;rDA. N.nJ., 1. fYl.O. .3?J'75 Rd.. )Nl.
Cq~~R'SNA"EANDAIlD~ ~ A. _ _ . \... ~ I OPU'
'- XJ(Y\\.Q... 0-75' ~
COlj~C~A~SRO I 42~DS ~:t 0 't-.A. u,\DQ.L/)( ~ ICY): 9 rY> d iL.;?J -6J.L
~~:'::UL~ :'~:I:'TI: ~ED PP CATION FOR PERMIT~~ Lr:::,,~~,,~:::J~ ~ ~~uC.
certlfy that any and all work performed shall be done 1n accordance wlth the Ord.l.nanccs of Lane County and the LaW's of the State ~lan pCttallllnq
to the work described herein, and that NO OCCUPANCY will be made of any structure without the permission of the Building Division. I further certify
that. registration wi th 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 RE.\D AND CIlECY..ED THIS
APPLICATION THOROUGHL'i.
CONSTRU~ION/PLACEMENT
PERMIT
.
FOR OFFICE USE ONLY
SVALUE
n
~oposed
~ Existing
TELEPHONE NUMBER
~-67~.5
TELEPHONE N~mER
.~ &~/41AA~
NAME (please print)
k' .4..e ed
J)./ E.R.~IU E
SIGNATURE
lollo/go
. , DA'tE
gOwner
o Contractor
DAgen t
o PLANNING/ZONING:
Zone _ RA ,
Partition #
Parcel #
Parcel Size~
QIY\. o..DvL
rear
Hinimum Setbacks:
C
L, front
CL, side
(l.on'?ff-.
interio!:"
Comments, \. 'lnt n 11 I rrr--
c!\
o
o
o
FLOODPLAIN: In flood hazard area?
RURAL ADDRESSING: GRID COORDINATE
Date, IO/IO/m 6)
DNa 0 Yes, see attached sheet.. Date: n
N E Date: 0
SANITATION:
S. 1. #
B. P. II
Installation Record Issued? 0 Yes [] No
Installation
Specific~tions :
Gallon
Tank
Lineal Feet
of Dralnfield
Maximum Depth
of Trenches
Comments:
Date:
fi(eL::'~,:;:;WN'~ ~~ ~ "~~~.~. .. r;EFil/A.h,
WvrH IL(;n. ~ :: M~~)@q1Jr::!<;. ~~ _~~_ _____~C'
~AIto ~O.(ltc::.. Date, IO-Zf~Rr)
o
o
CONSTRUCTION AUTHORIZED BY THIS PERMIT
--
Description
Fixed Feel Floodplain Fee S
Sq. Ft. unit Cost Subsurface Fees S
Building Fee S (",Crf)
Sewer/Storm Drain/Water S
Plumbing Fixtures S
Mechanical S l() O()
Plans Check Fee S IA.~
State Surcharge S
TOTAL FEE S
'--
TOTAL VALUATION S
FEES PAID BY: 0 Check 0 Cash
(lnrnL
\6- 10- i)()
By:
Date:
~
--1'(r?"!'-J')!(",. Y"l.., !"'YV!- ~
{JE~IT APPROVED~~~uxtDtNG OtFICIAL/DESIGNEE (per ORS 456.805(1))
LANE COUNTY DEPARTMENT OF ENVIRONMENTAL MANAGEMENT / 125 EAST EIGHTH
C74-194
SEE REVERSE
In - '/2_'- ff}
DATE -
AVENUE, EUGENE. OREGON
\
97401
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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:
REOUIRED IIISPECTlONS
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 (conrnonly termed Utransit 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 subf100r. .
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-b~fore any plastering is' applied 'or before gypsum board joints and fasteners are taped and finished.
5) FINAL INSPECTION: To be made afte~ 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 masonrv (if applicable) and when installation 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)
(3)
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
managemen. 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
is installed.
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 IBO OAYS. 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) 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
Department by submitting the installation record form. The Department shall inspect the constructlon to
detennine. if it'''complias ~ith the rules containe~ in-this division. . If the construction does comply \tlith
such rules, the Departme~t shall issue a certificate of. satisfactory completion, to the perynit holder. If the
construction,does not comp'1}.'with su~h rules, t,he Depilrtment shall notify the permit holejer and shall require
satisfactory. .completi'On before issuing the certificate. ,F~il.ure to mee~ tne requirements fo~ ~a.tlsfactory
completionwi.thin a. reason"b'le time 'const-itutes"a .violati.on of, ORS!454.605.to -454,745 and'th15 rvJe... ". '
Setbacks -.Subsurface Sewaae 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'
100'
.......
,.~
c/
, ~o'? county
,-
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. (cfr~ ~ccu{rLnSu
PlUMB~ !i\JG / M[EC~..1JAN ~(Al '"-
.----.....-...
01'1'1 C I :\L USE ()\l.Y
1\1'1') i. /
Pc Jl;l i t #
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..J,.,~ ,A. \ .exk.l '('IlL- ~ 81'S"'
l"-alllc 01' \'II1I1-I']C;lse l'Llnt)
~^"'!'>\ i\?J, "S.r.~V1~~M:l.~,DRt. 9.7477
'-'UT11fU;;: ,\JJ1'l,:,:;,,~J\, IlZY;: 01' 1000;n) leiI' Louc)
l'l.lI:,:!)1 '\C CO\TI~,\t:I{)I\
DYes Finll
(on t. OSIUI
:\dd ress
o No OSelf
~IEm\\1 C\L CONTI\.-\CTOR 0 Yes Fi nTI
o NoDSelE
Cant. OSRf:'
.~
~:.
~.~
'.",
,........I'UJ01B1NC;
,I\wllber of Each
.-,"'. .. ",". .~
-~.
."-~.
T)1)e of .Fixture
Fee On Each
Total
Sink
l.:I\':ltOl'\' (I'.'ash 13;lsin)
Sho"er, sel'a I'll te o-v' {Z,r.)J.J
\\';1 te I' Uoset (t01 lct/llri nal )
Di5111,:lsher
Dispos;l) (<.::lrl1;l<.:e)
\\;:I~h.i ng ;\1:lchi nc
\\::1tcr ! k-.;.1tcr
Floor llrain
Se\,cr--]st 50ft.
e;lCh aodi 1'ional 100 ft.
lI'ater Sel'l'ice--]st ]00 ft.
each add.i tiona I 100ft.
S1'Onn ;uld Rain IJrain--lst lOa ft.
I e:lch :Icldi tional lOO ft.
Spec.i a] lIas te Connec ti on
I SCh';ll~e ;l\1d SUllln !'Iunp (ejcctor)
I :.klhi Ie IIDille SCh'er and 1I':I1'l'r
,Other (specifv) ,~/,)I/U' ,/i;;L (,:",J,
I SUB-TOTAL ("Iini!llum $10.60)
$ 5.00
5.00
5.UO
5.IIU
5.00
5.00
5.UO
5.(10
5.00
,15.00
10.00
15.00
10.00
15.00
10.00
5.00
5.00
10.00
c;, till
I
-'
I TOTAL FEE
...-
Yo..... ".... " .' "...- "~m.' ,~". . ~ a
..., ~U:O iJ\NICAL ""","",.,.,.-'
,..,.~~
.~. ~
Type of Equipment
r;umber or Llch
Fcc on Each
Total
"iechani cll Penni t Base Fce
l'ul'n:lcc Ull to .lUIJ,OIJU BTU/II
\:urn:lCe o\'er I IJIJ . UOO B'IU/II
C10rhes l1r\'er Vent
H:lrl,,'oolll Venti latiol\ l':1l1 i; \\Ict
1(:1111:e Iloocl I,i th ">2ch:ll1i c:Ll bh:ll1se
".nod :-: tc\'c
Air Conditione-I' On!\'
I iL'a t }'lunll
1:1001' F11rn;1Cc
C:IS j>ipin," 5\'stclII I to :I Outlets
i'l'l' OuLlet
s ] O. 00
$ 6. UO
7.50
3.00
:>.00
4.50
ll.OD
('. GO
ll. UD
Cl.OD
(~.rso
.50
lIthc'r l,;pcci II')
I TOT.\L FEE
I r;, . ?9
((f1'~
SUB-TOTAl.
~
, LANE COUNTY DEf'T ENV MGT RECEIPT .:: 281880 DATE 10108"
· APPLICANT TERHUNE, JAMES A. ADDR 38.75 JASPER RD., SPFD., OREGON
TL':: 1802061411001 SUBDIV 4TH ADD TO WILLAMETTE MANOR LOT 1 BLK 6
.' NEW BLDG TYF;E USE X NO BDRMS 00 NO UNITS 001 NO STORIES NO BLDGS 001- ~I
CODE APPL NO ACTION DESCRIPTION 'SQ FT UNIT COST VALUATION FEE. DAY
BP ,I "
. ElP
.ElP , ~..
SP'
.BP
SP
~i ~P LC 281880 WS SCHRADER 6.00
.PL NO. FIXTURES: NO.
MECH
SUR
.PCK
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WOODSTOVE
CONNECTORS:
MECHANICAL FEE
STATE SURCHARGE
PLAN CHECK FEE
.
..CATG:
SEQU:
'Ii lJAKEN
.
APP
o
BY CAD
RA,
SI
FP
SDS
PCK
1
101780
EST. COMPLETION DATE
.
<'
15.00 EACH =
OTH
4%
ISS
2
TOTAL FEE**
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II )'ll
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1L
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10.00 .
0.64
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16.64 CICv
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