HomeMy WebLinkAboutPermit Mechanical 1986-04-22,,,bl RURAL ADDRESSINO-Cx Ecr^ D APR 2 I
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Lane County z
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FOR OFFICE USE ONLY
Application,/Permit #/// /4
!Jw\-SHIP
17
RANGE
03
SECTION
24.4.3
TAX LOT OUT OF
6t 00
BLOCKS'JBDIVISION,/PARTITION (if applicable)i,OTlPAR,CEL
PROPOSED USE OP PROPERTY
Re s idential
Commercial
I rnaustrial
I e,-,uri"
IIRXXD{8XID(IXBildXXXX. 2.l95 Otto St., Sprinsfield 97477
I,OCATION ADDR.ESS CI?Y ztP
STRUCTURES CURRENTLY ON PROPERTY
SFD
Behind Yolanda St. - Thriftway Grocery Store
DIRECTIONS TO SI?E
DECI.ARED 9 VALUEDiSCRIPTIoN OF PRoPoSED woRK - BE SPECtrpIEI L
XXFIXdX Install wood stove in+h,imaey flAep17cE
# OF EMPLOYEES PPLY Proposed
isti
= OF BEDR.OOMS # OE S?ORIES
TELEPHONE NUMBER
747 5803CARRINGT0N, Geor F. & Mary
Oitl'lER'S NAME AND ADDRESS
same
CONTRACTOR'S NAME AND OSR #TELEPHONE NUMBER
TELEPHONE NUMBERss)
I HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATIoN !'OR PERMIT, and do hereby certify that all. infomatj"on hereon Is true and correct, and that I
have the following Iegal interest in the property, flo*r.t of record; I cr,nrra.,l purchaser; !authorizett agent.
I f:rther certify that any and all work perfomed shall be done in accordartr:e with the ordit)ances of Iane Couty and the Iaws of the state of Oregon
pertaining Lo the work described herein, and that NO OCCUPdNCY will be nade of ar,i' structure without the pemission of the Buj.lding Division. f fu-
ther celtify that registration with the Builderrs Board is in ful1 force and effect as required by ORS 701.055, that if exenpt the basis fo! exenption
is noted hereon, and that only subcontractors ed employees who are in compliance with ORS 70I.055 will be usad on this Project. I HAVE READ AND
4-17 -86
I
,l)6
SIGNA DATE
CHECKED THIS APPLICATION THOROUGHI,Y.
I
READ THIS SECTION CAREFULLY. YOUR AUTHORIZATION I{AS BEEN BASED ON THE FOLLOWING CONDITIONS:
I pmNNf NC,ZZONING: Zone_ parriu.on #_ Parcel *_ Parcel Size_
I saurrarrou:
Date:
t/-l-S -
COMT1ENTS:
-zz-
COM.TIENTS
GrouD
-
Use
.s
tr
cL, uid.-
n PLANS EXAMINATION:
B. P. #s. r. *
rearMinimum Setsbacks
COI"!!ENTS
Date:4-t 7-86
LineaI Feet
of Drainfield
Installation Gallon
sDecifications: Tank
Installation Record Issued? f V"" f
I,laximum Depth
of Trenches
cL, frort
4-Zz- a(a
PERMIT APPROVED BY BUILDING OFFICIAL/DESIGNEE Der ORS DATE
LANE COUNTY DEPARTMENTOF PUBLIC WORKS LAND MANAGEMENT DIVISION,6874061,
125 EAST 8TH AVENUE, EUGENE, OREGON 97401
SEE REVERSE FOR INSPECTION INI'ORMATION cr4..2s R*
interior
SETB.TCKS AND OTI]ER COT"DI?IONS OF APPROVAL MUST BE STRICTLY OBSERVED. VIOLATION CAN RESULT IN REVO-
CA?ION OF Tl{IS PERfllT, CITATIOT UNDSR PROVISIONS Oi LANE CoUr'?Y'3 INFRACTION ORDINANCE, AND/OR OTHER
RE}IEDIES ALLOHED BY LAW.
tiHEN READY FOR Ir*SPECTION, CALL 687-1065. A llINllluil OF AT LEAST 24 IIOURS ADVAIiCE r'OTICE FOR INSPEC-
@EN.-aiE--.hE-?o1Iowinginformationready:Pernitnumber,jobaddre5s,type
of inspection, when rt wiLt be ready, your name and phone nunber, and any special Cirections to si.le.
BUILDING DIVISlON:
F,EQUIRED 1}:SPECTIONS :
1. poundation Inspection: To be nade after trenches are excavated and forms erected and when aII
n-ETE;l;l;Itr--tIe fiundatron are Jelivered on the lob. l{here concrete from a central nj.xing
plan! (comonly termed "transit nrxedrr) is to be used, naterials need not be on the job.
2. Concrete Slab or Under-aloor InsDection: To be made after all in-slab or under-f1oor building
EEivllrequ+mmt, rcniuIt, pj-tl'n4-aZEAssories, and other ancillary equipnent items are in
place but befole any concrete is poured or floor sheathing installed, including the subfloor.
3. Framing & Insulation Inspections: To be made after the roof, aIl framing, fire blocking. and
Ela;l.g are--In ilEte 5nE-Tff-pfpes, fireplaces, chimneys, anc vents are complete and all rough
elecLrical and plumbing are approved. AtI waII rnsulation and vapor barrrer are in place.
{. Lath and/or Gypsum Board Inspection: To be made after aI1 lathing and gypsum board, i.nterior
Snilexterr5riiE-Tn-FTrce-EuE-EETofe any plastering is applied ana uetoii-gypsw board joi.nrs
and fasteners are taped and finished.
5. Final fnspection: To be made after 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 i.n each successi-ve inspection uithout first obtai-ning the approval of the buj,Lding offlcial
Such approval shall be given cnly after an inspecti.on shaLL have been maCe of each successive step
in the constructioD as indicated by each of the inspections requiled.
NCTE: AlL building permits require j"nspecti-ons for the work authorized, such as but not l-imited to:
A. Block \,IaLL: To be maCe after reinforcing is in place, but before any grout is poured. This
Tnsp-rctIm is lequired for each bond bean pour. There will be no approval until the plumbing
and electrical inspeclions have been made and approved.
B. t{ood Stove: To be made after completj.on of masonr)- (if appl.i-cable) and when j.nstallation is
conpf,eta Installation shall be in accordance with an approved, nationally recognized testing
agency and the manufacturerrs instaLlation instructions.
C. Mobile Home: An inspection is required after the mobile home is connected to an approved
EEi6?-oi-GEptic systen for setback requirements, blocking, footing connecrion, tiedowns,
skirt.j.ng , and plwbing connections.
1. Footings and piers to comply with State foundation requi-rements for mobile homes or as
lecomended by the nanufacturer.
2. Mobile home mj.ninum finish floor elevation shal.l be certj.fied when required by a ftood-
pl,ain nanagement Ietter.
3. Mobile home Liedowns, when required, and skirting shall be i.nstalled and ready for inspec-
tion within at least l0 days after occupancy. Tiedowns and skirting sha]I be installedper enclosure.
D. Swiming PooI: Below qrade when steel is in place and before concrete is poured. Above grade
wIE;--E6o1-ls rnstalled.
APPROVED
",O*"U''
BE ON THE JOB STTE AT ALt TIMES DURTNC WORKING HOURS. THIS PERMIT WTLL EXPIREIF WORK DOES NOT BEGIN WITI1IN 180 DAYS, OR IF WORK IS SUSPENDED OR ABANDONED POR }IORE TIIAN 180 DAYS.
SUSPENSION OR REVOCATION I'IAY OCCUR IF THIS PERMIT WAS ISSUED ON THE BAS1S OF INCOMPLETE OR ERRONEOUS
INFORMATION.
ANYONE PROCEEDING PAST THE POIi,]T OT REQUIRED INSPECTIONS WILL DO SO AT THEIR OWN RISK.
SUBSURFACE AND ALTERNATIVE SEI^IAGE DISPOSAL SYSTEI,IS:
1. permits shaLl be effective for one year from the date of issuance.
Upon completing the construction for which a pernit has been issued, thenotify the Lane County DepartmenL of Planning and Comunity Developmentinstallation record foln. The Department sha1l inspect the construction
permit holder shalI
by
Lto
submj.tting thedetemine if it
complies with the rul-es contained in this division. If the construction does conply with suchrules, the Departnent shal,L issue a certificate of satisfactory complelion to the perniti holderIf the construction does not comply with such rules, the Departsene shall notify the permit
holder and shall require satisfactory complet.ion before issuing the certificate. Failure tomeet the requirements for satisfactory completion within a reasonable tihe constiLutes a vio-Iation of ORS 454.605 to 454.745 and this rule.
Setbacks - Subsurface sewage q$I)osaI
Septic Tank
From: lnterior property lines 10'
Edge oi road rlgi)t-of-way 10'
Builornq founcation
i{ells, olher water sources 50'
Drainfiel,d
10'
10 !
10,
100 |
hne county
ACTIVIT - INFORMATION Sh.-ET ilI'
-
COMPLETE THIS SECTION. INCOMPLETE FORMS l^lILL BE REJECTED!
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RRO
Lt?-i- Arn )/-
- -/ rnv SIATE - ZITCOIE
7t/ 7- )-903
BUSiNESS TELEPHONE #IIOIqE,TELEPHONE #BUSINESS TELEPHONE #
7a --cYas
.HOME
TELEPHONE #
PRoPERTY ADDRESS >4 r4E
( tF DIFFERENT TnO
?
3 rvrarr Ei PAFIeEL NuMBEn
( REQUTREp INFoRI.IATI0N )
11 -63 z+
TOI^,NSHIP RANGE SECTION
TOTAL CONTIGUOUS PROPERTY IN SAME OWNERSHIP:
4 SUBDIVISI0N (if applicable)
5 REQUEST (s;tate exactly what you plan to do)
(from tax maps in Department of Assessment and Taxation
or from tax statement)
4,3 # ro oo
TOINSE]P RENGE SETTMN ffi
MfrNETP MNGE SEETI-ON ffi
ffi ZON I NG
ZONING
ZON I NG
ACRES
LOT BLOCK
(6 DIRECTIONS TO SITE:
ZONE/LAND USE:
** FOR STAFF USE ONLY **
TIME I Nr_ OUT :_
NUMBER
DATE
-ln
tJ1
{
DATE:BY:
LAND MANAGEMENT DIVISIO'I.-125 E. Bth AVE., L-UGENE , 0R 97401 / 687-4061
2t rs- ,o ffi -/),, MAILING ADDRESS
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l? -o3-Z'/ . r/,3 C/oo
Woof Stove Permit Application
A PERMIT CANNOT BE APPROVED UNTIL A COPY OT THT MANUFACTURER'Sntg
INSTALLATION INSTRUCTIONS IS SUBMITTED
* NAME PHON /7 I
)-t
I/fI IIJSEKT
* ADDRESS FOR INSTALLATI ITY
* NAIqE OF MANUFACTURER hh4-Y, l/n^J, -
* INSTALLER
CIRCLE THE SKETCH I,IOST
CLOSELY RESEMBLING YOUR PROPOSAL )
L[}l
l-
CONSTRUCTION !
* A. The unit is listed by:
L
./__
/
Iui f]rcao flother (name).I
B. The floor protection is inches thick. (Material)
C. The wal l protection wi l'l be: (l'taterial)
* D. Type of chimney:nn
Factory ElMuron"y (lined? Elr.t f[n.l L
I0ther
E Type oJ gtove pipe: " nFactory flzogu (or heavier) galv. sht. mt1
(vent connector,l-l.
D NSIONS: ('in inches)
I. Side of unl t to protected wall-(unprotected wal l-__ 1
2. Rear of unit to protected wall-(unprotected wall )
3l Fioor protection at side of unit- at rear
-in
front ---
4. Length of wal I protection at rear of uni t--at side
5. Height of wa'l I protectior'-
6. Edge of rall protection to nearest door or window_
7. Air space between wa'll protection and wa11-
8. Djameter of chimney and stove pipe(vent connec
NOTES:
(I) outside combustion ai|is reouired for all fuel burninq installltions-. A 7-Sq. inch (min. area)closable vent'loc
ated within Z4i ot ttre fiieplace or appliance on the floor or base of a wall'
(2) A copy of the approved manufacturer's installation instructions must be on job site at the time of inspection. In-
spection cannot be made with out these instructions.(3) The 'Approved' plan/appllcation shall be kept on the Job site for use at the time of inspection.(C) uot ati unlts are appioved for corner installations or reduced clearances with wall protection. (Refer to manufac-
lqrer's listing.)(S) ti masonry chimney is to be used, it must be iined. lRequired by Law) Existlngl'tues must 6e approved by inspector
- prior tq use. Yju must Drovi4F acieqs for tbe insDectnr(O) tr fl"ipt".e insert is to be installed, verifrcatron ot wall header'location rn relationship lto breast of firep'lace
is r€quired bY 'law'
(7) Firepiace inserts are not permitted ln factory-built or prefabrlcated-metal "0" c]earance fireplaces, un'less
speciflcally tested and listed.(8) Fireplace lnserts are not permitted ln masonry flreplaces with existing heat form type rEtal flreboxes unless
speclfically tested and Ilsted.(9) Unllsted units shall be installed ln accord with th? State Mechanical Code, utilizlng the materlals and clearances
set forth ln Chapter 5,
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Ail t DSPECTiox),?oR Ta )iltrl . ts 7?E-,
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c-L4-32 APPROVE D AS NOTED
By ,/Z AG
t-Date
PERMIT #
IF YOUR INSTALLATION DIFFERS
FROM THESE EXAMPLES OR IF THE
INSTALLATION IS A FIREPLACE
INSERT, PROVIDE A PLAN AND
ELEVATI0N DRAUrNC TJITH DIMEN
SIONS OF YOUR PROPOSAL.
I
IrAND MANAGEMENT DIV. / PUBLIC t'l0RKS DEPT. / lZS E. 8th Ave., Eug. 0R 97401 (503)687-4061
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