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Home My WebLink AboutPermit Mechanical 1986-8-29 SUPPLY /~~ 0 V.r9-; Proposed L~~~4t2c,J*., ~ns~~n<3: pf'r / TELEPHONE NUMBER 686 746 746 9914 .fa _ 'J~URAl-AD~~'NG--" I iZY~~: '3~ck- ~S~L-6.? ~aIle Count~ A,uthorization '. for: Wo 0 D ,,~C/~. ( Yl5 r'c-C--Y LPd '-../ - 'lDW},sy; I RANGE 0 3 SJBDIVISION/PARTITION (~f appl~cable) SECTION I TAX LOT DOUT OF 27,3.3 1300 I LOT/PA2CCL BLOCK LOCATION ADDRESS STREET CITY, 1570 Menlo lp., K~~~K~ Spr1ngf1eld 97477 ST~, URES" CU, RRENTLY ON PROPE~ U I/' /Q2- L.(..- r/lr2::1L? ~ y DIRECTIONS TO SITE (()f//(:-:~D1 C , Centenn1al to Anderson, left on Anderson, then left on Menlo Lp uESCRIPTION OF PROPOSED WORK - BE SPECIFIC WQ0.c;I $tQVf=' 'w:;o, = OF BEDROOMS #'OF STORIES # or EBPLOYEI:S \"ATER , Q"NER' S NAME AND ADDRESS BAUER, Sandra same CONTRACTOR'S NAME AND OSR # t-='''-''l.Lr TO BE MAILED TO (NAME AND ADDRESS) r0~ q~:z. FOR OFFICE USE ONLY ~~~;~~ai~~~~~~~ PROPOSED USE OF PROPERTY Ii] Res~dent~al 0 Industr .lal o Corrunerc~al D Publ~c ZIP DECLARED $ VALUE TELEPHONE NUMBER '-TS~J:,<,nONE NUMBER I HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION }< OR PERMIT, dnd tlo here.. 'JY ce ttl.fy that all ~nfO.L'1TIatlon hereon lS true and correct, and that I have the followlng legal lnterest In the property Downer of reco~d I 0 contral t purchaser I 0 duthorlzed agent I f_rther cert1fy that any and all work performed shdll be done 1n aLLordanr ~ Wl th tl'8 Ordlnances of Lane County and the Laws of the State of Oregon perta~n~ng to the work descrlbed hereln, and that NO OCCUPANCY wlll be ~ade of an} structure wlthout the pcrmlsslon of the BUlldlng DlvlSlon I fur- ther certlfy that reglstratlon wlth the BUllder's Board 15 In full force and effect as re~ulred by OR5 701 055, that If exempt the basls for exemptlon 1S noted hereon, and that only subcontractors and employees who are rn comp11ance w1th ORS 701 055 w111 be used on th1s proJect I HAVE READ AND CHECKED THIS APPLICATION THOROUGHLY J () / ~ Sandra A. Bauer @> ~~ 'N..-~- ~M NAME (please pr1nt) SIGNATURE I DATE [] PLANNING/ZONING Parcel # YOUR AUTHORIZATION ~AS BEEN BASED ON THE FOLLOWING CONDITIONS' Parcel S~ze READ THIS SECTION CAREFULLY Zone Part1t1on # M~n1rnum Setbacks CL, front CL, s~de lnterlor COM.'lENTS ~o S~I PI AMNTNr, Ar.TTON RFQOTRFn o SANITATION S I # B P # Installat10n Spec1f1cat1ons Gallon Tank L1neal Feet of Dralnf~eld COMHENTS ~PLANS EXAMINATION COMHENTS C ALL Type --- Group Fo~~( l/jrE),::> JJ.)SPL-L I/OD ' rear Date R-2q-RFi rrl- - Installat~on Record Issued? 0 Yes 0 No M.ax~rnum Depth of Trenches Date n U"e w.) Date 9 -c. -e(Q -4rPD PJkF 9-2.-8~ PERMIT APPROVED BY BUILDING OFFICIAL/DESIGNEE (per ORS 456 805(1)) DATF LANE COUNTY DEPARTMENT OF PUBLIC WORKS LAND MANAGEMENT DIVISION, 687-4061, 125 EAST 8TH AVENUE, EUGENE, OREGON 97401 ~"R"R R"RV"RR~"R FOR TN~PF.r.''1'TON INFORMATION ", I, ')c DCA ~ ~ ~ SETBKCftS A~D OTH:R CO\DITIO\S OF APPROVAL ~UST BE STRICTL\ OPSEQVED VIOLATION CA~ RCSULT IN REVO- Ch~IO~ OF ~HIS PER~IT, CITATIOJ U~DER PROVISIO~S OF LA~E COL\Tl'J I~FRACTIO~ ORDI~;\CE A~D/OR OTHER REMEDIES ALLOWED BY LAW ~HE~ RE;DY FOR I\SPCCTIO~ CA_S 687-4065 A ~I'IML~ OF AT LEAST 24 HOURS ADV;'CE 'O~ICE FOR INSPEC- TIO\ REQLlST~ 'IL~T BL GrVE\ ~ave the (ollowIng InfJrmatlon ready permlt number, Job address, type of lnspectlOn, when It WIll be ready, your name and phorc nu~ber, and any speCIal dIrectIons to SIte BUILDI~G DIVISION REQUIRED I'SPECTIO~S FoundatIon InspectIon ~o be made after trenches are excavated and forms erected and when all Materlals for the foundatIon are aellvered on the Job \ here concrete fro~ a central mIxIng plant (commonly termed 'tranSIt mIxed) 15 to be used, materIals need not be on the Job Concrete Slab or Lnder-~loor InspectIon To be mace after all In-slab or under-floor bu~ld~ng serV1ce equlpment, conau~t p1Dlng accessor1es, and other anc1llarv equ1pment 1tems are 1n place but before any concrete 1S poured or floor sheathlng 1nstalled, lncluolng the subfloor Framlnq & Insulat10n Inspect10ns To be made after the roof, all fram1ng, flre block1ng, and brac1ng are 1n ~ldce a~d all p1pes flreplaces, cn1mneys and vents are complete and all rough electr1cal and plumb1ng are approved All wall 1nsulat1on and vapor barr1er are ln place Lath and/or Gypsum Boara Insoectlon To be made after all lathlng and gypsum board, nter10r and ehtcr1or, 15 1n place but before any plasterlng 1S appl1ed and berore gypsum board J01nts and fasteners are tapee and f1n1shed Flnal Inspect10n To be made after the bUlld1ng 1S complete and before occupancy APPROVAL REQuIRED ~o work shall be done on any part of t,e bUlld1ng or structure beyond t~e pOlnt 1ndlcated 1n each succeSS1ve lnspect10n w1thout flrst obta1n1ng the approval of the bU1ld1ng off~clal Such approval shall be glven only after an lnspect10n shall have been made of each succeSS1ve step 1n the construct1on as 1nd1cated by each of the 1nspectlons requ1red NOTE All bU1ld1ng Derm1ts requ1re 1nspect1ons for the work aut~or1zed such as but not 11nlted to A Block Wall To be made after re1nforc1ng 1S 1n place, but before any grout 1S poured Th1S 1nspect1on 1S regu1red for each bond beam pour There w1Il be no approval unt1l the plurnb1nq and electr1cal 1nspect1ons have been made and approved 8 Wood Stove To be made after completlo~ of masonry (1f apol1cable) and when Installat10n 1S co~plete Installat10n shall be 1n accoroance w1tn an approved, nat10nally recogn1zed test~ng agency and the manufacturer's 1nstallat1on 1nstruct1ons C Mob1le Home An 1nspectIon 1S requ1red after the ~ob1le home 1S connected to an approved sewer or septIC system for setback requ1rements, block1ng, foot1ng connect1on, t1edowns, sK1rt1ng, and plumb1ng connect1ons Foot1ngs and plers to comply w1th State foundat1on requ1rements for mob1le homes or as recommended by the nanufacturer ~ob1le home m1n1mum f1n1sh floor elevat10n shall be cert1f1ed when requ1red by a flood- pla1n management letter Mob1le home t1edowns when requ1red, and skIrt1ng shall be Installed and ready for Inspec- t10n w1th1n at least 30 days after occupancy Tledowns and s~lrt1ng shall be 1nstalled per enclosure D Sw~mm1nq Pool Below grade when steel 1S ln place and before concrete 1S poured Above grade Nhen pool-rs-lnstalled APPROVED PLANS 1UST BE ON THE JOB SITE AT ALL TIMES DURI~G WORKING HOURS THIS PERMIT WILL EXPIRE IF ~ORK DOES NOT BEGIN WITHIN 180 DAYS, OR IF WORK IS SUSPENDED OR ABANDONED FOR MORE THAN 180 DAYS SUSPENSION OR REVOCATION 1AY OCCUR IF THIS PERMIT WAS ISSUCD ON THE BASIS OF INCOMPLETE OR ERRONEOUS INFOR}~TION ANYONE PROCEEDI~G PAST THE POItlT or REQUIRED INSPECTIO~S WILL DO SO AT THEIR OWN RISK SUBSURFACE A~D ALTER~ATIVE SEWAGE DISPOSAL SYSTEMS Perm1ts shall be effect1ve for one year from the date of 1ssuance Upon complet1ng the construct1on for WhlCh a permlt has been lssued the perm1t holder shall notIfy the Lane County Department of Plann1ng and Communlty Development by subm1ttlng the lnstallat10n record form The Department shall lnspect the constructIon to determlne lf lt compIles w1th the rules conta~ned 1n th1S dlv1s1on If the construct1on does comply WIth such rules, the Department shall 1ssue a cert1f1cate of satlsfactory completlon to the permIt, ~older If t~e construct1on aoes not comply w1th such rules, the Department shall notlfy the perm1t holder and shall requ1re sat1sfactory completIon before 1ssu1ng the cert1flcute Fa1lure to meet the requ1rements for satisfactory completIon w1thIn a reasonable t1me const1tutes a VIO- lat~on of ORS 454 605 to 454 745 anu th~s rule Setbacks - Subsurface Sewaqe D1sposal Interior propertJ lines Edge at road rlqnt-of-way BUllainq fo~ndat~on ~ells other ~atcr sOurces ScPtiC Tln~ 10' 10' 5' 50' Dra1nf1eld V~om 10' 10' 10' 100' \ .~~~~ty · ~~) I~IN~LLATION INSTRUCTIONS IS SUBMITTED * NAME (Mfillc{/U! "'N. ~A~' PHONE /}t:.;,?; -ClCi/'-1 , * ADDRES;~OR INSTALLATION' ) 5;!{)' ~/7AJ: ~O CITY ( ) Ids( Y--rJ ' .------:--~ * NAME OF MANUFACTURER ::it~1iP1 ..... l';A~ (:{J;~ MODEL ' I (; ;/r= - -: ~:~ ~ ~\ * INSTALLER CM~ K/'P ..I ~ V ORS # I f -----I : \ o CIRCLE THE SKETCH r~OST / c:EJ CONSTRUCTION: - CLOSELY RESEMBLING YOUR PROPOSAJ. L;~U-';\ ' * A Th' ""t" '"t,' bygO]CBO cgo,(" (,,""') JJ.-r:L ~'" F :-:---~ / B The floor protect10n 1S-.:2 1nches th1C)' (,M::Z1an ;~T ~JL L I~=~ ~E-.O- ~ '~i C The wall protectlOn w1ll be _ (Materlal) ~ f (~ ;:. 1W"f-J c-====, '~_", r7l ~ D 0 0 SEE: /f7r~CJfJ:D l:=~- I :\\ * D Type of ch1mney l,?dFactory Masonry (llned? yes no) ~= -l /1\ L.. L -1 ,t) D Other i ,l . I ~ E Type of stove p1pe DFactory 1t3;~ (or heav1er) ~ sht mtl l--;ll:tJ -\:~ {vent connector)?-'1 / ' , \:/ 1- LJ I.J 1:1 ~-- ::.... - \.j . ,.==..-=--. - .-.~ -f Wfod Stove Permit Apjllicailon A PERMIT CANNOT BE APPROVED UNTIL A COpy OF THE MANUFACTURER'S " ,.....~,li.iSl..lllJ.:A.IIiI.s."':~,I!Il~..sJL~~--Ill..1llll.l'IJlijLiil~,:;,I!..J!~4...,1ad.....I~.l! i ~.J.lII!lfJ!II!~'~J5J.lI:gl.-.J~,)II.\,III~U III I- DIMENSIONS: (ln 1nches) II (unprotected wa 11:3Co ) (unprotected>lwall :z....:2.. ) l'J:> II c- IL rt ~ at rear ~ ,~ 1n front 1(011 1. Slde of unit to protected wall 2 Rear of unlt to protected wall 3 Floor protectIon at slde of unlt 4 Length of wall protectIon at rear of unIt at side 5 He1ght of wall protectloh 6. Edge of wall protectlon to nearest door or wIndow 7 Alr space between wall protection and wall 7// 8 Diameter of chlmney and stove p1 pe (vent connector) NOTES: (1) Outslde combustlOn .,1- " rec,nred for all fuel burnlng lnotallatlons A 7 Sa lnch (m,n area)lclosable vent loc ated w1th1n 24" of the flreplace or appllance on the floor or base of a wall (2) A copy of the approved manufacturer's lnstallatlOn lnstructlOns must be on Job sHe at the tlme of lnspectlon In- spectlOn cannot be made wIth out these lnstructlons (3) The 'Approved' plan/appllcat10n shall be kept on the job sHe for use at the t1me of 1nspect,on (4) Not all unlts are approved for corner 1nstallatlons or reduced clearances w1th wall protectlon (Refer to manufac- turer's llSt1l1J1.) (5) If masonry chlmnev lS to be used, 1t must be-llned (Reau,red by Law) EXlst,ng-flues must De approved by 1nspector _ DrlOr_t,,-use- J.ou must -DfOY'C\P-ac.c.eS:S fur the lnSDectnr _ _ _ _ (6) IT flreplace lnsert lS to be lnstalled. verlf1catl0n OT wall header locatlon In relat10nshlD Ito breast of flreplace l-S reaU' red by law - (7) - Flreplace inserts are not permltted 1n factory-bullt or pretabrlcated-metal "0" clearance flreplaces, unless speclfically tested and llsted (8) F1replace inserts are not permltted in masonry flreplaces wlth eXlsting heat form type metal flreboxes unless speciflcally tested and listed (g) Unllsted un1ts shall be installed in accord w1th the State Mechanical Code, ut1l1z1ng the materials and clearances set forth in Chapter 5 ~, . ~- C-14-32 A~OVED AS NOTED By ~ fP. Datp 9-2-&Co I PERMIT # '2. 7 G,:! - &ro e\4lJ ~ ----=~ IE.::.:: (I 1-.1_ - 11- - -l ,I " t - -, l' U I (' :: ' ~ _\-I II r"",- _ --rl ~1l:tJ ~ I I - \ ,- LJ I.J \ ,=- -- -=- - \ ,L==-.~=-~ - .-.,j ijI ...~--'.I'l"'.- \"=i:" .,_.;.'._......, ~ ~,.."."- . .~ J -I~YOUR INSTALLATION DIFFERS · FROM THESE EXAMPLES OR IF THE . INSTALLATION IS A FIREPLACE ~' INSERT, PROVIDE A PLAN AND ELEVATION DRAWING WITH DIMEN ~~~~N~ OF Y~~_:::~~OS.AL_ ' tJ , '" ~ ~ t ~ 3' ~ ~ ~ I i - _._~~ ~~~1\~\ : L--J_ -.J~ \ \ : l -' ~i ~ I.' '1 J ~. l:EJ -\ " / \\ L~~\- F= :=- ~;- .-.~ LAND MANAGEMENT DIV. / PUBLIC WORKS DEPT. / 125 E. 8th Ave., Eug. OR 97401 (503)687-4061 AC" IVITY INFORMA"'IC:~ SHEE"r . -'.11 I ,.,. / . COMPLETE THIS SECTION. INCOMPLETE FORMS WILL BE REJECTED' ... ..'~. . ,.."...._",.. ...,.. .., ;1 .t6~MA~ ~~l~ ! is-IO ~ /vC) Ino~/vc , SflFtlJING AIlDRE%S SJ MAILING ADDRESS ~! Vi\.. t?f1G/"1/ ~~:.;,.f~ @f( ~~ U CITY STATE ZIP CODV I CITY STATE ZIP CODE &Y~-t?-7't't LJt.(&-~qt:f~ &yt- ~7i('0 7lt'~,-/zjt/5/ BUSINESS TELEPHONE # ~OME TELEPHONE BUSINESS TEZLEP.HONE # HOME TELEPHONE # '2 PROPERTY ADDRESS / S ? cJ ~ ~O r-J r:2/60/ C- (IF DIFFERENT FROM MAILING ADDRESS / : 3 MAP & PARCEL NUMBER (REQUIRED INFORMATION) ~~ / I TOWNSHIP (from tax maps 1n Department of Assessment and Taxat1on' or from tax statement) /~ /3 Z7J3 /J/- /-<:~ 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 [TOTAL CONTIGUOUS PROPERTY IN SAME OWNERSHIP: 4 SUBDIVISION (If appl1cable) ACRES 5 REQUEST (state exactly what you plan to do) ~~ I h ~ ~AA~~; f /- f 6 DIRE~TIONS TO SITE ~~ d~ ~_:;r- ~ L ~'" ~ ~ ~ ~ ~ / - tr' ".-~-;-- v ~ ,.".., " - . .... ** FOR STAFF USE ONLY ** LOT BLOCK /~ _~-~ ',_.-1~/.' / --.. w: ,.W ZONE/LAND USE. 14-33 LAND MANAGEMENT DIVISION / 125 E. 8th AVE, EUGENE, OR 97401 / 687-4061