HomeMy WebLinkAboutPermit Mechanical 1986-02-06,2 P d2-
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za,tton, fort OFPICE USE ONLY
L e Count Au Application,/,
Permit */3*4
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IRANGE OA,77.d /'""pg;r
I,OTlPARCEI BI,oCKS'JBDTVISIoN/PARTITION (if applicable)
PROPOSED USE OF PROPERTY
fuesidential f) rndustri.al
fln,.,uri.Commercial
ZIPCITY
5 .CURRENTLY
OF PROPOSED WORK -DE IF DECI,ARED S VALUE
/
# OF STORIESAO<'r2*Proposed
isti
AND ADDRESS az-z{ 4 ATbWzz
TEI,EPHONE NT]MBER7/722
I IIAVE CAREFULLY EXN,iINED THE CO,TPLETED APPLICATION !'OR PERMIT, arrd do hereLy certify that all infomation hereon is true and correct, eat
have the following legal interest j.n the property,ff|orn.. of record; f,cr,ntract.purchaser;f,authorized agent.I f:rther certify that any and al1 work perfomed shall be done in accordance wilh the ordinances of Lane Couty ild the Laws of the State of ipertaining to the work described herein, and that NO OCCUPANCY will be made of arii'strircture wj.thout the pemission of the Building Division.ther certify that registration wj-th the Builderrs Board is in fulL force and effect as required by ORs 701.055, that if exenpt the basis for er
I z-J--trl
NAI'IE DATE
that only subcontractors ad employees who are ini.s noted he
CHECKND THIS
compliance with ORS 701.055 wilL be used on this project. I HAVE READ AND
that r
Ore9on
I fur-
Date
rnstallation Record rssued? fl v"= f] w"I seurtetroN,
lif,gutlrcm*:?- - Gaiion
specrrrcaEro.=, ---7;;F,-
Maximtm Depth
of Trenches
CO}I}IENTS:
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Z-G-eapDate:
S:rze '4 /
Minimultr c"
?U
Date
G
cot'IItENTS
B, P. l+
EXAMINATION: rype
ZATION IIAS BEEN BASED ON THE FOLLOWING CONDITIONS:
fl pmxurNc/zoNrNG
i-nterior
Partition #Parcel #Parcel
s. r. *
Lineal Feet
of Drainfield
READ THIS SECTION CAREFULLY. YOUR
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PERMIT APPROVED BY BUILDING OFFICIAL,/DESIGNEE (DET ORS 456.805(1))DATF
LANE COUNTY DEPARTMENT OF PUBLIC WORKS LAND MANAGEMENT DIVISION, 6874061,
125 EAST 8TH AVENUE, EUGENE, OREGON 97401
SEE REVERSE FOR INSPECTION INI'ORMATION cr4..25 R*
(
5. FinaI rnspecqion:
APPROVAL REQUIRED. IVO
indi.cated in each succe
such approval shall be
in the consLruction as
T
t
E
SETBiTCKS AND OTITER CONDITIO\S OF APPROVAL MUST BE STRICTL:* OBSERVED. VIOLATION CAN RESULT IN REVO-
CATION OF TIIIS PERMIT, CITATIO:J UNDEIi PROVISIONS Oi LANE COU)iTY.S INFRACTION ORDINANCE, AND,/OR OTHER
RET1EDIES ALLO!iED BY LAW.
!iHEN READY FOR INSPECTIO:'], CAL:687-.1065. A MINI}lUi1 OF,iT LEAST 21 HOURS ADVA:iCE NOTICE FOR INSPEC-
@el.uavEtirefotIowin9informationready:Permitnumber,jobaddress,t'ype
of inspecEron, uhen at wiLl be ready, your name anC phone number, and. any special Circctions to site.
BUILDING DlVISION:
REQUIRED IISPECTICNS:
I. FoundaLion Inspection: To be made after trenches are excavated and forms erected and when all
r.a,tEilElftor ile toundation are delivered on the job. l'lhere conclete from a central nixing
plant (comonly terned "transit mixeq") is to be used, naterials need not.-be on the job'
Z. Concrete Stab or Under-aLoor Inspection: To be nade after aLI in-s1ab or under-floor buil'ding
sEiv-rre eq-ullnmt,--conEffipiprn! ressorres, ano other. ancillary equipnenE items are in
place but beiore any concretL is pourea or floor sheathrnq installed, including the'qubfloor.
Framrnq & Insul-aEion Inspections: To be madb after the roof, al-l framing, fire blocking, and
6!6!i1a jru ---rre iil-?Tl-p-iEes, fj,replaces, crinneys, and venls are complete and all rough
elecLrica.L and plumbing are approved. A1I walI insulatj-on and vapor barrrer are in place.
Lath and/or G\.psum Board Inspection: To be nade diter.aII Iathing and qypsum board, interior
5;A-eii-erlori--iilTa.e-fiE-berqe any prasrering is applied and be:ore gypsm board joints
and fasteners are taped and finished.
To be made after the buil-di.ng is complete and before occupancy.
work shall be done on any part of the buiLdi.g or structure beyond the
ssive inspection ilithout first obtaining the approval of the buiJ.dinq
given cnly after an inspection shaLl have been naCe of each successive
indicated by each of bhe inspectrons required.
point
offrcial
I
NOTE: A11 building permits requj"re inspections for the work authorized., such as but not limited to:
A. BLock t^IaLl: To be maCe after reinforci-ng is rn p1ace, but before any grout is poured. This
iiEEEcII6i- is required for each bond beam pour. There uilL be no approval until the pLumbinq
and electrical- inspections have been nade and approved.
B. !,tood Stove: To be made after cohpletion of masonri- (if appllcable) and rhen installation is
@ferq fnstallation shall be in accordance with an approved, nationally recognized testing
agency and the manufacturerts installaLion lnstructions.
C. Mobi.Ie Home: An inspection is required after the mobile home is connected to an approved
iEilEr or-GEptj-c system for setback requirements, blocking, footing connection, tiedoqns,
skirting, and plwbrng connections.
1. Footings and piers to conply wrth State foundation requirements for mobj.Ie homes or'as
recomended by the nanuf aclurer. .. .
2. MobiIe home Finimun finish floor elevatibn shall be cert.ified uhen required by., flood-.
plain nanagement lelter.
3. MobiIe home t.iedowns, when required, and skirting shall, be installed and ready for inspec-
tion within at least 30 days after occupancy, Tiedowns and skirting shall be instaLled
per enclosure.
D. Swj-ming pool: Belou grade when steel is in place and before concrete j-s poured. Above grade
wIe;-Eo6t--is insEaILed.
TPPROVED
'*U"U"
BE ON THE JOB SITE AT ALL TIMES DURING WORXING HOURS. THTS PERMTT WTLL EXPIRE
IF h'ORK DOES NOT BEGIN WITHIN ].EO DAYS, OR IF !,JORK IS SUSPENDED OR ABANDONED FOR }IORE THAN I8O DAYS.
SUSPENSION OR REVOCATION IdAY OCCUR IF TIIIS PERMII WAS ISSUED ON THE BASIS OF INCOMPLETE OR ERRONEOUS
IN-FOR]4-AT ION .
-
.ANYONE PROCEEDING PI|ST THE POIIiT OT REQUIRED INSPECTIONS I'IILL DO SO AT THEIR OWN RISK.
SUBSURFACE AND ALTERNATIVE SEI{AGE DISPOSAL SYSTEMS: ',1"" '
"I.PermitsshaI]-beeffectiveforoneyearfront'hedateofissuance.,'.
2. Upon completing the construction for which a permit has been issued, the pernit holder shalI
notify Lhe Lane County DeparLment of Planning and Comunity Developnent by submitting the
installation record form. The Department shaIl inspect the construction to determine if it
complies with rhe rules contained in this division, If the construction does conPly with such
ruLes, the Department shalf issue a certi.ficate of satj.sfactory compleLion 'to t.he Perniti holder-
If the construction does.ot comply with such rules, the Department shall notify the Pernit
holder and shal-I require satisfactory completj"on before issuing the certifi.cate. Pailure to
meet the requirements for satisfactory comirletion tlthin a reasonabl-e time constitutes a vio-
Iation of ORS 454.605 to 154.745 and this rul"e.
Setbacks - Subsurface Sewa.Je Disposal
Septic Tank Drainfield
rnterlor p!operty lrnes
Edge oi road rrqirt-of-way
Burldinq foundatron
liells, other waLer sources
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10'
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TRS# 1z_o -70.-4-7 2300 DATE ISSUED: 2/06IB6 PERMIT# 43,5'8G
OWNER' S NAME PHONE NUMBER
DANTEL S. ZELL,ICK
TRAC N
SAME
E
6 86".2911
NUMBER
P I XTUFRONTCpSIDE
THORI BYP
INSTALI, FTREPT,ACE TIVSERT
ITE
WTNSLOW TS AT THE FAR
I NTER I OR REAR
EAS?ERN PART OF HAYDEN BRIDGE ROAD.
DS APPROUAL REQUIREDS
SITE ADDRESS
3835 WTNSL,OW AVENT]E SPRTNGFIELT). OR 97477
NG NDATApproved Date
H
Correcti on Date
P
Insp ector
PLUMB ING GROUND WORK INS CTI ONApproved Date Correcti on Date I nspe ctor
UNDE RSLAB PLBC xf LR PLBG.trT CTI ONApproved Date
OTHER INSPECTIONApproved Date
Correction Date
Correcti on Date
Inspector
I n s pector
ROUGH
App ro ved Date
PLUMBING (ToP 0UT) r PECTION
Correcti on Da te Ins pector
pr0ve I Date
Correcti on Date
Correcti on Date
I ns pe ctor
I nspe ctor
NS TI ON
App roved
PEC
Date Correc ti on Date Inspector
LATH 7 G
App roved
YPSUM BOA
Da
NSPECTI ONRDI
te / Correct i on Date Inspector
D STOVE n
Da te
Approved Da te
Correcti on Da te
Correcti on_Date
Inspector
Inspector
M74-t97
Da te
ANCY
In sp.
tr
Approved Date
F0e
Ins p.
D
I ECTI
Approved Da te
LE
Correcti on Date
ILD EM
Inspector
CERT iFICATE OF OCCUP
Approved TEI'4P RY CERT F I CATE Y
LANE COUNTY INSPECTION RECORD
R BARRI R INS ON
Lane
Countg
26-Jan-1990
DANIEL ZELLICK
OR OCCUPANT
3835 WTNST,OW AVE.
SPRINGFIELD, OR 97 477-tasL
SURTECT: WOOD BURNTNG APPLIANCE PERMIT APPLICATION NO. BP 435-86
Your perrnit application for a wood burning appliance has expired. Eachpernit issued by the building official, under the provisions of theBuilding Code (Oregon State Mechanical Specialty Code) shall expire byIinitation and become nuIl and void if the work authorized by suchpermit is not conmenced within 1-80 days from the date of such permit,or if the work authorized by such perrnit is suspended or abandoned at
any time after the work is commenced for a period of 180 days. Nopermit shall be extended more than once. [Sec. 303 (d) OSMC]
Section 305(d) OSMC states: ttlt shall be the duty of the person doingthe work authorized by a permit to notify the building official that
such work is ready for inspection. rl
In addition, Section 3O3(c) OSMC, says: rrThe issuance of a permit or
approval of plans, specifications and computations shall not be
construed to be a permit for, or an approval of, any violation of anyof the provisions of this code or of other ordinance of thejurisdiction. tl
Recently, dD agreement was made between Lane County and the cities of
Eugene and Springfield resulting in the creation of an ,Urban
Transition Area' where the respective city codes apply as well as theState of Oregon Building Code. Since the cities and Lane County utilizethe same State of Oregon Mechanical Specialty Code, the sectionreferences listed above apply in all jurisdictions.
If your address is within a city Urban Transition Area or within thecity limits, you must make apprication for any antj-cipated permitactivity for a wood burning appliance (or other activity) with yourcity'building departmentr.
Thank you for your cooperation. If you have guestions or feel you needclarification, please feel free to call me at 687-4466.
Roger McGuckinBuilding Official, Lane County
LAND MANAGEMENT DIV./PUBLIC WORKS DEPT. / 125 EAST STH AVENUE / EUGENE, OREGON s74}'t t (503) 6r/-4061 t FM # (503) 687-3947
bre county
ACTIVITY ^NFORMATION SHE T
COMPLETE THIS SECTION. INCOMPLETE FORMS l^JILL BE REJECTED!
6r:
I D^r,ic S,4ct,.k 3;Ai4L
PROPERTY OWNERPERSON MAKING REQUEST
38 35-(
ILING ADD MAILING ADDRESS
7
DE C ITY STATE ZIP CODE
=,kQA-e t t Z47- 1z-zo ,/
BUSINESS TELEPHONE # HOME- TEITPHONE-#= ffi HOME TELEPHONE #
2 PRoPERTY ADDRESS *qn-
( IF DTFFERENT TnO
3 rvlae 6i FAFTeEL NUMeIEFT (from tax maps in Department of Assessment and Taxationor from tax statement)( REQUTREp rNF0RI4ATr0N)t) L _11_.{,
TOWNSHIP RANGE SECTION
3 c
MN'IXG-
TOINSF]F mNcE SEITEN ffi ZONING
MINsETP'RAN-GE SETTION W ZON I NG
TOTAL CONTIGUOUS PROPERTY IN SAME OWNERSHIP:ACRES
4 SUBDIVISI0N ( if appl icable)LOT BLOCK
5 REQUEST (s;tate exactly what you plan to do)Co
/.u3€H +lf \JMtL I tc-rt t ir ATT# Aaoone
Aopass
t's 4T TrL {eR fr,*>Tq?o<t ?*f of6 DIRECTIONS T0 SITE LJruS(ou-
dn,,t BZr'
** FOR STAFF USE ONLY **
ZONE LAND USE:
BY : _ DATE:_TIME I Nr-- OUT:_
NUMBER
DATE
nlr)
-{l-
LAND MANAGEMENT DIVISION / 125 E. Bth AVE., LUGENE, OR 97401 / 687-406I
TAX LOT(S) ON PARCEL #
17 -oz- 17,-'. t Z3oo
INSTALLATION INSTRUCTIONS IS SUBMITTED
Wood Stove Permit Application
A PERMIT CANNOT BE APPROVED UNTIL A COPY OF THE MANUFACTURER'S
/ c*P/-<(J)./720 L -zqt)
ITY
cau<rl? *t l,h2-
CIRCLE THE SKETCH I4OST
CLOSELY RESEMBLING YOUR PROPOSAL )
* ADDRESS FOR INSTALLA
* NAME OF MANUFACTURER
L)r
Corvueeh?.
(
I
11
* INSTALLER (tat{Fc-ffi. gRS #- i
CONSTRUCTION !I l-
rhe unit is tisted ur: lllur- f,rcao notner (name)
The floor protection is inches thick. (Material
The wall protectton will be: (Materia'l)
Type of chimney: l-lracto.y Xluuron"y (lined? Eb.r f[no)
flotn""
Type oj gtove pipe.; . nractory flzsg" (or heavier) ga1v. sht. mt1.
{vent connector,
IONS: (in inches)
I. Side of uni t to protected wall_(unprotected wal l-- I
2. Rear of unit to protected wall (unprotected wall )
3: Floor protection at side of unit- at rear
-in
front
-_
4. Length of wall protection at rear of unit- at side
5. Helght of wall protectlon_
6. Edge of rall protection to nearest door or wi
7. Air space between wall protectlon and rall_
8. Diameter of chimney and stove pipe(vent connector)_
NOTES:
(l) Outside combustion air is reo,rired for all fuel burning installations. A 7 5q. inch (min. area)ciosable vent'loc
ated within 24" of the fireplace or appliance on the floor or base of a wal'1.(2) A copy of the approved manufacturer's installatlon instructlons must be on Job site at the tim of lnspectlon. In-
spection cannot be rEde wlth out these instructlons.(3) The 'Approved' plan/appllcation shall be kept on the Job site for use at the time of inspectlon.(4) Not all units are approved for corner lnstallatlons or reduced clearances with wa]l protection. (Refer to manufac-turer's listlnq.)(5) If masonry chimnev is to be used, it must be lined. lRequired by Law) Existing-lues must 5e approved by-inspectorlrior- t[use, YOu must ]qrQyi.lr.-aciaii fq; thE insDector(5) Ir fireplace insirt is tobilnstatiio, verifrcatron o? wall header locatlon rn relationship tto brtast of fireplaceis reouired bv law,(7) Flrepiace lnsirts are not pernltted'ln factory-burtt or prefaDrtcated-mtal "0" clearance fireplaces, unlessspeciflcally tested and llsted.(8) Flreplace lnserts are not Pemltted ln masonry flreplaces wlth existlng heat form type [Etal flreboxes unlessspeclfically tested and llsted,(9) Unllsted unlts shall be lnstalled ln accord rith the State llechanlcal Code, utlllzlng the materlals and clearancesset forth ln Chapter 5.
c-L4-32
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By
APPROVED AS NOTED
Date G_8G
L
PERMIT #
q3s-aG
IF YOUR INSTALLATION OIFFERS
FROM THESE EXAMPLES OR IF THE
INSTALLATION IS A FIREPLACE
INSERT, PROVIDE A PLAN AND
ELEVATION D84UINq. WITH DIMEN
SIONS OF YOUR PROPOSAL.
LAND MANAGEMENT DIV. / PUBLIC WORKS DEPT. / 125 E. 8th Ave., Eug. 0R 97401 (503)687-4061
,J*.7