HomeMy WebLinkAboutPermit Mechanical 1986-10-3066 /o'">Y
Lane Count Authoriza,tion for,
P
iz,,*iii'5/7/&
rCE USE ONLY
E gZ OF
BI,OCK
j{";::
f-l comrnercial f] r,.,uri.
PROPERTYUSE
de].ntial ndI trus raI
ztPCITY
-)ISCRIPTION OF PROE,dSED WORK - BE.SPECIFICZf% "%-zs-T DECI,ARED S VALUE
=o,;ffi.# OF STORIES./,7:%-# OF EI'IPLoYZtS,ry I.iATER SUPPLY Pr oposedsti
AND
S NAME AND OSR
I HAVE CAREFULLY EXAI.{INED aHE COT1PLETED APPLICATIQN r-OR PERMIT, arrd do here
have the fotlowing legal interest in the propertrrffio*r". of record; I contra
I flrther certify Ehat any and atl work perfomg{ sha\ be done in acuordairr:* upertaining Lo the work described herein, and thit uo oClupeucy will he narte of
THIS APPLICATION THOROUGHLY
STGNATURX DATE
rt aIlthat nforrat hereon10n truel5 and t,t,y ifv correc thatand
authoriprrrchase r zedu agent.
t h,:th Ordrnance Laneof Cow and Lawstshe theof ofStately Ore9on
rrlrcture thout the theof Bui Di3ni'pemr ss:on vision I fur-ding
cether r ti-that thewith Builder Board 1nts fuI andforce ctfefyregisEration oRs 055701 tha t frequiredby forthebas i. sexempt xempt j,
noted he reon thatand on ubcontractors ild arewho nt w1 ORSth 11Iyemployeescompliance be onused thi ect.READHAVE ANDproj
,UTHORIZATION IIAS BEEN BASED ON THE FOLLOWING CONDITIONS:
Date:
I senrtetrou'
COM}IENTS:
Date:
PLANS EXAMINATION:,". L.) -(
,"4/
{
front
COM}IENTS:
Installation Record Issued?!r""[H"s. r. f B. P. 1*
nll Ae PF
"..".1s -to-€G, .--6f tr
(rrOlrD
Col'L\
interior rear
Partiti,on #Parcel l*Parcel Si.
Installation callon
Specifications r _ T.rnk
LineaL Feet
of I)rainfield
Maximurn Depth
of Trenches
Q(5,RED lN<ECTtolLl-<-
READ THIS SECTION CAREFULLY. YOUR
fl pr,anuruc,zzoNrNG:
Minimum Setbacks, "",c .-L, slde
LANE COUNTY DEPARTMENT OF PUBLIC WORKS LAND MANAGEMENT DIVISION, 687.4061,
I25 EASTSTH AVENUE, EUGENE, OREGON 97401
SEE REVERSE FOR INSPECTION INI'ORMATION cr4.,2s R*
,h
CH )KED -.4DDRESSING
I
I
D
/o _3G_gG
SETBi'CKS AND OTIiER CCNDITIOIS OF APPROV.IL MUST BE STRICTLY OBSERVED. VIOLATION CAr'RISULT IN REVO-
C;TION OF THIS PERMIT, CITATIO:l UNDER PROVISIONS Oi LANE CoUi-TY'S INFRACTION ORDINANCE, AND,/OR OTHER
RETIEDIES ALLOI,IED BY LAW.
!iHEN READY FOR lNSPECTION, CALL 687-1065. A UINI}]Uil OF -fT LiAST 24 IIOURS ADVA:iC5 NOTICE FOR INSPEC-
@EN:-|{aVethefoIIowinginformat!onready:permj'tnumber,jobaddress,type
of inspecrion, when it uilI be ready, your name anC phone nunber, and any special directions to site.
BUILDING DIVISION:
REQUIRED INSPECTIONS:
lgunlull"! Inspection: To be made after trenches are excavated and forms erected and when alI
reTsl;lf f o=- EIE--EETndar j-on are delivered on the job, l{here concrete f rom a central mix j.ng
plant (comonly termed ',transi! nixed") is to be used, material.s need not be on the job.
Concrete Slab or Under-iloo! InsDection: To be made after all 1n-slab or under-floor building
aervf equlpmmtl-conEulc, piping-aZE6ssories, and other ancilLary equipment items are in
place but-betore any conclete is poured or floor sheathj-ng installed, j.ncluding the subfLoor.
Framinq & Insulation Inspections:5rcfii 5re -In-FIre md*ETTlip'es,
Tof
elecLrical and plumbing are approved
Lath and/or Gvpsum Board Inspection:
ai-texterior, Is in place buL before
be made after the roof, all framing, fire blocking, and
ireplaces, chimneys, and vents are complete and all rough
AII walL insulation anc vapor barrier are in place.
alL lathing and gypsum board, i.nterj.or
applied and beiore gypsm board jointsTo be made after
any plastering is
and fasteners are taped and finished.
5, Final Inspection: To be made after the building is conplete and before occuPancy.
APPROVAL REeUIRED. No work shatl be done on any part of the building or Structure beyond the point
indicated in each successive rnspection uiLhout firsl obtaining the approval of the buildinq official
Such approval shall be given cnly after an inspection shall have been made of each success.lve steP
in the-tonstruction as indicated by each of the inspecticns required.
NOTE: AIl building permits require inspections for the work authorized, such as buts not li.mited to:
A. Block WalL: To be made after reinforcing is in place, but before any grout is poured. Tftis
Ii'-sprcII6i is required ior each bond beam pour. There wiII be no approval untiL Lhe plumbing
and efectrical inspections have been made and approved.
B. l.tood SLove: To be made after completi.on of masonrr- (if applicable) and when installation is
ffipfetn InstaIIatj,on shaII be in accordance uith an approved, nationalLy recognized tescing
agency and the manufacturer's install-aLion instrucLions.
C. Mobile Home: An inspection is reguired after the mobile home is connected to an approved
EEw-r oi-G6ptic systLm for seeback requirements, blocking, footing connection, tiedowns,
skirting, and plmbing connections.
l. Footings and piers to comply with State foundation requirements for mobile homes or as
lecomended bY the manufacturer-
Z. Mobile hone manrmum finish floor elevation shalI be certified when required\y a flood-
plain management letter.
3. Mobile home tiedowns, when required, and skirting shall be inscalled and ready for inspec-
tion wrthrn aL least 30 days ifte. o"crp.ncy. Tiedowns and skirting shall be instal'led
Per enclosure.
suiminq
when pool
pooL: Below glade when steel is in place and before concrete is poured. Above grade
.--is-installed.
APPROVED PLANS MUST BE ON THE JOB SITE AT ALL TIMES DURIr-G WORKTNG HOURS. THIS PERMTT WILL EXPTRE
rF woRK DoES NOT BEGIN WITHIN 130 DAYS, OR rF WOR( IS SUSPENDED OR ABANDONED FOR I1ORE TI','AN 180 DAYS-
SUSPENSION OR REVOCATION ]4AY OCCUR IF THIS PERXIT WAS ISSUED ON TI'IE BASIS OF TNCOMPLETE OR ERRONEOUS
INFORMATION.
ANYONE PROCEEDING PAST THE POIiiT OT REQUIRED INSPECTIONS WILL DO SO AT THEIR OWN RISX.
SUBSURFACE AND ALTERNATIVE SEI{AGE DISPOSAL SYSTEMS:
I. Permits shall be effective for one year from the Cate of issuance.
2. Upon completing the construct.ion for which a permit has been issued, the permit holder shall
nitify tire Lane County Depa!tment of Planning and Comunity Development by submitting the
installatj.on record form.- The Department shaIl inspecl the construction to determine if it
complies with the rules contained in this dj-vision. lf the construction does conPly with. such
rulLs, the Department shaII issue a certifj.cate of satisfactory completion to.the Permiti hoLder-
If the construction does not comply with such ruIes, the Department shall noti.fy the permit
holder and shal.l requrre satisf;ctory completion before issuing the certifi.cate. Failure to
meet lhe requiremenis for saLisfactory completlon wathin a reasonable time constitutes a vio-
Lation of oRs 454.605 lo 454.'745 and thi.s rule.
setbacks - Subsulfacc setage Disposal
scptic Tank Drainfield
Interior property l-incs
Edqe of road rrqirt-of-waY
Burloinq foundation
i{eI}s, other ilater sources
D
From:IO'
Lc'
50'
10,r0't0'
I00'
an€WOOD STOVE &
FIREPLACE INSEH T P ERilIITntg LAND UANAGEMENT DIVISION
Department ot Public Work3
A PERMIT MAY NOT BE APBAVED UNTIL A COPY OF THE
MANFACTUREBS,TTSIALLALOI\T TNSIHUCLOI',S ARE SUBMIITED
3
CIBCLE THE SKETCH MOST
CLOSELY RESEMBLINGya)RoE.INSTALLATION
t:
I
I
I
I
I
I
l-
I
t-r_
1
11
FBEE S DIM
(rN tNcHES) (NOT REoUIHED FoR FIREPLACE INSEHTS)
1 Side of unit to protected tected
2 Rear of unit to protected wall unprotected
3 Corner to protected (unprotected wal
4 ont
-
5
6 al
7
8 Air space between protection and wall
9 Dia. of vent connector or stovepipe Type D Factory U 26 ga metal
MrES
(1) OuEideclrTsustiona[brequiredloralllrrlburningappliances. ATE.inch(min.area) cbsableventbcatedwilhin24'of thefireplaceorappliancoonllEfioor, or basa ol a wall.
i-;4 l2l A copy ot tiE appoved manufacturer's instalhtion instructions must be on the job sits at tho time ol inspection. lnspection cannot be completed without lhese
L_L-t-
IF YOU R INST ALLAT ION DI FF ERS
FROM TTilESE EXAMPLES OR IF
THE INSTALLATION IS A FIRE.
PLACE INSEBT, PLEASE PROVIDE
A PLAN AND ELEVANON DBAWNG
WITHDIMENSIONS
-
L
t-
l-
irnturctiotts.
(3) Your 'Appmved' pkyapplicalbn must be on the irb site lor use at the lime ol inspection.
(4) Not all uniE are approved lor corner instalhtion or reduced clearances with wall protection. (Refer lo manulacturei s lisling)
(5) ll masonry chimney b used, II MUST BE LINED (Required by Law). ExblirE lluas mu$ be approved by irspeoor prior to use. You MUST provirJe access lor lhs
inspector lo make a comphte visual irEpection of your entke installalion.
(6) A lirephce insen installalion nny requke wall framing lo be exposed al the time ol inspectbn.
(7) Firephce inserE ars not permitted in lactory-buih or prefabricated-metal 'tr clearance lirephces, unless specilrcally lested and listed.
(8) Firephce inserts are not permitted in masonry lireplaces whh existing heat lorm tpe ol metal lireboxes unless specilically tesled and lbted.
(9) Unlisted units mrst be installed in accord with ttre State Mechanical Code, utilizing the materiab and charances set lorlh in Chaptol 5 ol thb code.
(10) tF you HAVE ANY oUESTTONS REGAHDTNG YoUR |NSTALLAT|oN, CONTACT IHE COUNTY BUil."DrNG TNSPECTpN oFFICE 687-4061
3
AlL fr W )LEtrCTiorJ Brncrae /u t7r, LL /L)6 /LigE RT.
PERMIT ISSUED AS NOTED
-
INSTA
BY BY
LLATION APPROVED
-DATE / /-DATE-/-/-
PERMIT #
LAND MANAGEMENT DIVISION 125 E |TH AVE EUGENE, OR 97441
::,
I
l-!-
r 476- aG
c-L4-32
!
NAME
$rrY
Lined?
MANUFA
WOOD STOVE & FIREPLACE INSEET CONSTRIJCT'Oil
otrs#___ -:
A. The
B. The
unit is listed by tur
IJ
fl rcao I Other
inches thick" The
NO
*&'
wall)_wall)_
AC T IVITY INFORMATIC.. SHEET
COMPLETE THIS SECTION. INCOMPLETE FORMS I^,ILL BE REJECTED!
6ll'
-
I
E
ES
7
ffi
.- ZA4A
rOME TELEPTIONE'#BUSINESS TELEPHONE #HOME TELEPHONE #
2 PROPERTY ADDRESS
( IF DIFFERENT FROM I
3 naae Gi PAFIcEL NIJMBEFI (from tax maps in Department of Assessment and Taxationor from tax statement)RE UIRED INFORMATION)1r ci zZ_Z,z TL /iC
MEfi-gE'TP RTNGE SEETTM M ZON I NG
MIN-SH.IP RNNGE SEETION W ZON I NG
MfiNSH_IP RMGE SECTTON W ZON I NG
TOTAL CONTIGUOUS PROPERTY IN SAME OI,JNERSHIP:ACRES
O ,rrr^ON (if appl icable)LOT BLOCK
5 REQUEST (s;tate exactly what you plan to do)
. k ,.,. - ol.'-a'v- / - --vr
6 DIRECTIONS TO SITE:?
** FoR STAFF USE 0NLY **
ZONE/LAND USE:
L4-33
LAND MANAGIMENT DiVISION / 125 E. 8th AVE., EUGENE, OR 9740I / 687-406I
' R' 'o e"t-
MAILI4{G ADDRESS
TRS# 17 - 03 - 27.3.2 110 DATE ISSUED: 10-30-86 PERMTT#J ? 76-AqQ
E NUMBE
DUANE A. HOILAND 726 2945
CONTRA CTOR'S NAME PHONE NUMBER
CK
FRONT
I REM
C SIDE
EN
L
PL
I NTER I OR
FIREPLACE INSERT
REAR
R I ERMIT SDS APPROVAL REQUIRED
TI TE
Centennial Blvd. to Aspen then to West Qu'ina1t to site
SITE ADD RESS
1520 W. Quinalt Avenue, S pringfield,0R
FOOTI NG / FoUNDATT0N n /MOBILE HOME P EMENT D INSPE CTIONApproved Date Correcti on Date Inspector
PLUMB I NG GROUNDWORK INSP ECTI ON
Approved Da te Correcti on Date Ins pector
UNDE RSLAB PLBG.f] TNND LR PLBG. D iNSPECTION
App roved Date Correction Date Ins pector
OTHER INSPECTIONApproved Date Correcti on Date I nspector
ROUGH PLU MBrNG (TOP 0u-T) rNSP ECTION
Approved Date Correcti on Date I nspector
roved Date
pr0ve d Date
//- 4-,pbr cti on te
Correct'ion Date
I nspector
I nspe ctor
I NSULATI ON / VAPOR BARRI R INSPEApproved Date
CTION
Correcti on Da te Inspector
LATH / GYP SUM BOARD INSPECTION
Approved Date Correcti on Date Ins pe ctor
S
A pp roved ,/ Da te-_---7-Comection Da te I nspector
F NAL PLUMBI NGI NSP ECTIONApproved_Date Correcti on Date Ins pector
FINAL iNS ECTION BUILDING D /MOBILE HOME [ /AG PLACEMENT []Approved Da te Correcti on Date Inspector
t"17 4 -t97
Date
tr
Insp.
CERTIFI TE OF OCCUPANCY TEMPORARY
Approved
ERTIFICATE OF
Date
PANCY I
Insp.Approved
LANE COUNTY INSPECTION RECORD
OWNER'S
XTURES