HomeMy WebLinkAboutPermit Mechanical 1985-10-23
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Lane County Authorization for:
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FOR OFFICE USE ONLY
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Replace Zero Clearance Fireplace 1 Woodstove
Application/ &;JC::;- ~ L "'-L
Permlt # ~~ ~ -~~
'NW~SHIP RANGE SECTION j TAX LOT OOUT OF FROpOSED USE OF PROPERTY
]7 03 25.1. 2 1600 rlRGsidential o Industr ial
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S~BDIVISION/PARTITION (if applicable) LOT/PARCE~ I BLOCK D Commercial D Public.
LOCATION ADDRESS STREET CITY ZIP
2046 Lomond, Springfield, Oregon 97477
STRUCTURES CURRENTLY ON PROPERTY
Existing Single Family Dwelling
DI~CTIONS TO SITE
.
~~I""P 7.,::...... ,,_ rJ p:lT;::anrp
= OF BEDROOMS # OF STORIES
one
Firpr1q~p ann jndr
I # OF ENPLOYEES
none
c.
WATER SUPPL'{
existing
~:~
I DECLARED ~ VALUE
East on 1-105. North on 19th Street
E.3Rt p_n T"Q11]on!l
uESCRIPTION OF PROPOSED WORK - BE SPECIFIC
O;~'"NER I S NAME AND ADDRESS
Gary McKenzie,
CONTRACTOR'S NAME AND 05R #
same as job site
o Proposed
n Existing
17~~rAU(+
I ~EIj~ONE NUMBER
:7t'7 -u r Uf}
I TELEPHONE ~ER
Campbell and Son, 388 West 6th, Eugene, Oregon 97401
p~R}llr ;:;;b:~~EDa:d (~::;D ~~ ~ <r::fl~ ') Gb 4 4002-<b
I HAVE CAREFULLY EXAMINED THE COMP~TED APPLICATION FOR PERMIT, and ,10 hcn!:...y t:'tt.l.fy that all information hereon is true and correct, llnd that I
havJ the following legal interest in the propeety,Oowner of record; 0 contcdct purchaser; Dauthorized agent'
I f:.:.rther certify that any and all work performed shall be done in accol'dancf< wi th the Ordinances of Lane County and the Laws of the Stat~ of Oregon
pertaining to the work described herein, and th~t NO OCCUPANCY will be made of ar-,y structure without the permission of the Building Division. I fur-
ther certify that registration with the Builder's Board is in full force anu effect. dS required by ORS 701.055, that if 'exempt the basis for exemption
is noted hereon, and that only subcontractors and employees who are in 710mp , nce with ORS 701.055 will he used on th~s project. I HAVE READ AND
CHECKED THIS APPLICATION THOROUGHLY.
"it J)Pf1J:1..7<;" (;:./~LeV' 1- ~ ;:J!z---....., (tJ-..23--?5'
NAME {please print) SIGNATURE DATE
READ THIS SECTION CAREFULLY. YOUR AUTHORIZATION qAS BEEN BASED ON THE FOLLOWING CONDITIONS!
o PLANNING/ZONING: Zone
parti tion /I
Parcel #
Parcel Size
Minimum Setbacks: CL, front
CL, side
interior
rear
COM1-1ENTS: 'Fnr t.Jnnn ~r()l.T~ ;n<::.t-.':lll.o::tt--fnT'
Date:
n
Gallon
Tank
Li.neal Feet
of Drainfield
Installation Record Issued? 0 Yes 0 No
Maximum Depth
of Trenches
o SANITATION: S. 1. *
Installation
Specifications:
B. P. #
COMNENTS :
Date:
.
n
o PLANS EXAMINATION: Type
COMNENTS'~~,/i;>
Grauo - Use W _ <::::
~()~{') l~peC77o ~ I .
Dale: /0-2"'1 -8's
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'f> I~E
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PERMIT APPROVED BY BUILDING OFFICIAL/DESIGNEE (oer ORS 456.BQ5(l)} DATE
LANE COUNTY DEPARTMENT OF PUBLIC WORKS LAND MANAGEMENT DIVISION, 687-4061,
125 EAST 8TH AVENUE, EUGENE, OREGON 97401
SEE REVERSE FOR INSPECTION INFORMATION
C 14-25 R84-
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SETB,"CKS A~D OTHER CO"OITrO::S OF APPRO'l,\L ~lUST BE STRICTLY OB,SERVED. VrOLATIO:-.l CA~ RESllLT IN REVO-
C';7IO~ Of T!lIS Pr.R~llT. eITATI0:; U~DER PROVISlO~S Or' L';~E C01.i:;TY'::;.I;<~RACTION Df!.DI::ANCE, AND/OR OTHER
REMEDIES ALLOWED BY LAW.
\o,'HEN READY FOR r::SPCCTION. CAt.:. 687-4065. A ~\INnlll~l Of AT L:i::AST 24 !lOllRS ADV,\:;:::E NOTICE fOR INSPEC-
flU,'; KteC'l.ES.:; ;,.\,;~T LlI;; GIVE::, HlI'/C tne tollo....ing info.t'::Iat.ion ready: permit number, job address. type
of inspectIOn, when it will be ready. your name and ?ho~e nU::Iber, and any special directions to sito.
BUILDING DIVISION:
REQUIRED 1::SPECTIO:1S:
1. founddtion Inspection: To be made after trenches arc excavated and forms erected and when all
~atcrlalS tor tne toundation ~re delivered on the job. Where concrete fro~ a central ~ixing
plant (commonly termed ~transit mixed~l is to be used, materials need not be on the job.
2. Concrete Slao or Under-~loor Inspection: To be made after all in-slab or under-floor buil~ing
serVl~e e~mcnt. conault, p~p~ng accessories, and other ancillary equipment items are in
place but beiore any concrete is poured or floor sheathing installed, including the subfloor.
3. Framln3' Insulation Inspectlons: To be made after the roof, all framing, fire blocking, and
oraCtllg are ~n place ii'M all p~pes, fireplaces, chimneys, anc vents arc 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, interior
ana-eXECriOr, ~s In-pTaCe but bel ore any plastering is applied and before gypsum board joints
and fasteners are taped and finished.
5. ~ 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 structure beyond the point
indicated in each successive inspection without first obtaining the approval of the building official.
,Such approval shall bG given only after an inspection shall have been made of each successive step
in _the construction as indicuted by eitch 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
~nspectTOn is required for each bond beitm pour. There wil+ be no approval until the plumbing
and electrical inspections hitve been made and approved.
B. wood Stove: To be made after completion of masonry (if applicable) and when installation is
compl~ Installation shitll be in accordance with an approved, nationally recognized testing
agency and the mitnufacturer's installation instructions.
C. Nobile IIome: 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, itnd 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 ~ertified when required by a flood-
plain management letter.
3. Mobile home tiedowns, when required, and ski~ting shall be installed and ready for inspec-
tion within at least 30 days after occupancy. Tiedowns and skirting shall be installed
per enclosure.
D. swimminq Pool: Below grade when steel is in place and before concrete is poured. Above grade
wnen pool-rs-institlled.
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 ~IORE THAN'-180 DAYS.
SUSPENSION OR REVOCATION HAY OCCUR IF THIS PEro~IT WAS ISSUED O~ THE BASIS OF INCOMPLETE OR ERRONEOUS
INFOR1'1ATION.
MlYONE PROCEEDING PAST THE Pon:T or REQUIRED INSPECTIONS WILL 00 SO AT THEIR OWN RISK.
SUBSURFACE ~ ALTERNATIVE ~ 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 Lane County Department of Planning and Community Development by submitting the
installittion 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 permiti~older.
If the construction docs not comply with such rules, the Department shall notify the permit
holder and shall require satisfitctory 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 and this rule.
Setbncks - Subsurface
Fro:n:
Sewaqe Disoosal.
SePtic Tank
10'
10'
"
SO'
10'
10'
10'
100'
Drainfield
Interior property lines
Edge 01' road nc;ht-of-way
Buildinq foundation
~ells, other ~~ter sources
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ACTI~TY INFORMATION SHEET
CGM?LETE THIS SECTION.
INCOMPLETE FORMS WILL BE REJECTED!
riM-Y Ale /bJzJt;;
( , PROPERTY OWNER
;1.C> J/ (,. LC>/YIOND
MAILING ADDRESS
:;;PR_n./~F/~LIJ tJ~
CITY' STATE
1
tA-MPBHL AN)) $oJ
PERSON MAKING REQUEST
'Z<JS uJ. t/I..
MAILING ADDRESS
&c,E.I'{~
, CITY
sfS-01oD_
BUSINESS TELEPHONE #
BUSINESS TELEPHONE #
1fl. -o9J11
HOME TELEPHONE #
~.
STATE
9'14-6/
ZIP CODE
HOME TELEPHONE #
2 PROPERTY ADDRESS
( IF 01 FFERENT r KUI,j iiA'lL1Ntili'UUKtSS j
kJne cOJnty
.
17177 _
ZI P CODE
3 MAP & PARCEL NUMBER
(REQUIRED INFORMATION)
(from tax maps in Department of Assessment and Taxation
or from tax statement)
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(y~ \:t) 1) ~. L.
LA. '\ \/)
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TAX LOT(S) OR PARCEL #
rl '3
TOWNSHIP RANGE S~CTION
\
TOWNSHIP RANGE SECTION
TAX LOTIS) OR PARCEL #
TOWNSHIP RANGE SECTION
TAX LOT(S) OR PARCEL #
TOTAL CONTIGUOUS PROPERTY IN SAME OWNERSHIP:
4 SUBDIVISION (if applicable)
LOT
ZONING
ZONING
ZONING
ACRES
BLOCK
5 REQUEST (state exactly what you plan to do) i?t>/Jt(..~ ~E.eo ~LE ~lLittJCE
tF'iI<.EPI.J.}('P IdJlnl F/l.E'IF$l14-lJDrJJq /.1 )fJOD S'y;n);;-
6 DIRECTIONS TO SITE: E:. oJ ItJ.s-; ,J ON 13-ttjE. t.>t.\ L.nMo..1t>
** FOR STAFF USE ONLY **
NUMBER
DATE
ZONE/LAND USE:
BY: DATE:
TIME IN:
OUT:
LAND MANAGEMENT DIVISION j 125 E. 8th ^VE., EUGENE. OR 97401 / 687-4061
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296485 DATE 10248."" ,
. APPLICANT FLETCHER, DENNIS \--.ADDR 388 W. 6TH ST., ,EUGENE, OF:.
TLI 1702151201600 SUBDIV LOT BLK
'.NEW ElLDG TYPE USE I~ BDRMS 0 UNITS 001 STORIES IBLDGS 001 PHONE 345 0700.
OWNER NME MCKENZIE, GARY , AD DR 2046 LOMOND ST., SPRINGFIELD, OR.
.... .
, CODE APPL NO ACTION DESCRIPTION
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MECHANICAL FEE'
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EST. COMPLETION DATE
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