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HomeMy WebLinkAboutPermit Mechanical 1986-10-21lane Co ty Authorization for -J,T7 ./-,e 'l,ke Z,act g:!:;f";,=ffi-f_tra- I-2-a PROPOSED USE OF PROPERTY ffi*esidential l-l rndustr:-al PublicCommercial BLOCKLOT,ARCELICable '/77(t '-"4124 r-72. CITYS?REET ZIP ryry)oy 7(-4 1-7l ION .f't ) IC\4ORK Proposedisting SUPPLYOF NUMBER c-.\'a/7Z. )(7 OitNER S AND ADDRESS TELEPHONE NUMBERIS NAME AND ze-/-A) DATEtl't,/r-{9- &,.''shall bef!rthe thatandandtruecorrectreonheainf oira tiontithathereL),t1o ce fyITPERMandLICATIAPP!-oRONCOI4PI,ETEDTHEEXAMlNEDCAREFULLYIIAVEI zea t.authori a9enco!uprrrchase rrecordaTthetrestnproperty Stathe ofleinteLawstheof OregonfollowingtheIegaICouandhaverdolltanceLanetyofthr:thaccol dailcedonerf omed fur-alIand work UA on IPethatofBuitheanyronldingcertifywaureoutrhtireofpes t-r uche1lnadear,-1wrthaandNOtOCCUPANCYherein forbas isdeworkcribed exemptionthethetothatexenptifrtaininguadoRs70peASffectbyanforcereqrrtfulla5anlderBoardsANDrhBuitheREADIHAVELrationthonect1Sregthatusedbeprojrthece rLify 701oRs 055waanceth1nwhoconpliareedemployee 'r7<.4/ j.s noted hereon, and that only subcontractors CHECKED THIS APPLICATION THOROUGHLY' rnstallation *u/ota rssued? fl v"= [ N" Lineal Feet of Drainf ie Id Date: o-Date zb Date Use }( tr SANITATION: front PLAN S EXA.}4INATION Minimum COIA1ENTS 72 C L,s idecL,Setba B. P. *s. r. f YOUR AUTHORIZATION I]AS BEEN BASED ON THE FOLLOWING CONDITIONS: CO}I}1ENTS rearinterior COMIIENTS: READ THIS SECTION CAREFULLY ' Maximum DePth of TrenchesInstallation Gallon Specifications: Tank partition *- Parcel *- Parce1 size l-1 pr,axrlrnc/ZoNrNG : LY PC /o -z/- ea PEruTt APPROVED BY BUILDING orrtcrel,/pestclren (per oRS 456.805 DEPARTMENT OF PUBLIC WORKS LAND MANAGEMENT DI 125 EAST 8TH AVENUE, EUGENE, OREGON 97401 SEE REVERSE FOR INSPECTION INI'ORMATION DATE vlsloN, 687-4061, LANE COUNTY C L4-.25 R8+ RURAL D (,to\lo u [-ood StoYe Per]rit Application A PERMIT CANNOT BE APPROVED UNTIL A COPY OT THT MANUFACTURER'S INSTALLATION INSTRUCTIONS IS SUBMITTED * NAME T-,/ll PHON E * ADDRESS FOR INSTALLATION rty 4iL I I * NAl,lE 0F MANUFACTURER edh MODE ORS # llrild/U ,t/r4 I I I I I I It, * INSTALLER a.7;L CIRCLE THE SKETCH I4OST CLOSELY RESEMBLING YOUR PROPOSALCONSTRUCTIONI * A. The unit is listed or: flul B. The floor protection is )t- I 1 11flrcao no*rer (name) inches thick. (t{aterial ) C. The wa'lI protection wilI be: (Material) * 0. Type of chimney:tr Factory $turon", (lined? W", fl^") L_ _ _t- --.' rL_-L- 0ther ,I sht. mtl DIMENSIONS: ('in i nches ) I. Side of unit to protected wall_(unprotected wall_) 2. Rear of unit to protected wall_ (unprotected wa'll ) 3; Floor protection at side of unit_ at rear _in front __ 4. Length of wall protection at rear of unit-at side 5. Height of wall protectiorr_ 5. Edge of wall prot,ection to nearest door or window 7. Air space between wall protectlon and wa)l_ 8. Diameter of chimney and stove pipe(ve nt connector) NOTES: (l) Outside combustion air is reortired for all fuel burning installations. A 7 Sq. inch (min. area)c'losable vent loc ated within 24" of the fireplace or appliance on the floor or base of a wa]l.(2) A c.opy of the approved manuiacturer's installatlon instructlons must be on Job site at ttre time*flnspection. In- _ spectlon cannot be rBde with out these instructlons. , ,' . . i i(3) The 'Approved'plan/appltcation shall be kept on the Job slte for'use at the time of inspection.--(t) Hot all unltr are appiioved for corner lnstallatlons or reduced clearances with wall protection. (Refer to manufac-turer's llstlnq. )(5) If masonry chimney is to be used, it must be lined (Required by Law) IxlstlnEllges must.:5e approved.by-inspector _ ,riol.tq use. Y-ou musr jroy'idF ac&ss for the insoector _ i ;, (t) 1r. lll;!l::.jri:;: is to be installed, verif:catron ot wall header'location rn relationshio rto breast of fireplace ' tll iitiiliil-iniiri?"i"e not.pemitted tn factory-buttt or prefaDrtcit€d-mtal "ol clearancp figep,laces,-unless speclflcally tested and llsted.(a) fireplaie l'nserts a.e not pemitted in masonry flreplaces wlth exlstlng hert form type mtal flreboxes unlessspeclflcrlly tested and llsted,(9) Unlftted units shall be lnstalled ln rccord with the State Mechanlcal Code, utllizing the materlals and clearances set forth ln Ch.pter 5. c-74-32 APPROVED AS NOTED By Dale ,/{:) - o( L)\-L) , PERMIT # E. rype 9f stove pipe. : , J-lFactory flzosu (or heavier) salv ( venE connector,I t-r- ,.1, r1- r:t LIl.llr r:l Lr L,tl --[l --f I--E/-1 l_ t-_ 3' l- t-r IF YOUR INSTALLATION DIFFERS FROM THESE EXAMPLES OR IF THE INSTALLATION IS A FIREPLACE INSERT, PROVIDE A PLAN AND ELEVATION DRAWING ttllTH DIMEN SIONS OF YOUR PROPOSAI. I LAND MANAGEMENT DIV. / PUBLIC II0RKS DEPT. / 125 E. 8th Ave Eus. 0R 97401 (s03)687-4061 \ vr*/,.m q b u /c)l(PEC-fioL)FoRE lilgrAll /L tusEKr- 33sA-AG COMPLETE THIS SECTION. A IIVITY INFORMATT _-N SHEET INCOMPLETE FORMS I^JILL BE REJECT @ED! pd.Ja So fu d N-f A E &A^rJ, I tP {7 {p,(,,?a 2 PROPERTY ADDRE ( IF DIFFERENT SS 3 rvlep s PAFICEL NUMBEFI r NFORMAT r 0N ) (from tax.maps in Department of Assessmeor from tax statemeht) 03 Cyj) 7aa o RANGE SETMN @ (RE IR nt and Taxation frf\/7 MTNSH]F ING MTNSFTP MN_GE SEeTIor.r TAX LOT(s)on pnneEl-7 Z6NlIi-e--- M]iNSF-IP RANGE sEermN TOTAL CONTIGUOUS PROPERTY IN SAME OWNERSHIP: @ mNlxc-- ACRES 4 SUBDIVISI0N (if appt icab'te)LOT BLOCK 5 REQUEST (state exacily what you plan to do) lt e 4(r< ./ ( rl Se P, 6 DIRECTIONS TO SITE:A o€eil 8B,d €d, I 8/a e r]6 d* .(t vfq p N ** FOR STAFF USE ONLY **t7 a#rw//o ilSe on l.rl-* S,d ZONE/LAND USE: 14-33 LAND MANAGEMENT DIVISIoN / \25 E. 8th AVE., EUGENE, 0R 97401 / 687-4061 /, I Tvlt>u?@ TRS#77-03-2 4.3.3 3000 DATE iSSUED:10- 2 1 -86 PrRr,tir#3358-s€, E EDWARD V. JOHNSON N 745 7248 TRA 4 ZP N U IRE #P FISIDEI NTER I OR FIRE PLACE INSERT REAR PE SDS APPROVAI, REQUIRED Di i\iTE North of Hayden Brid ge Road, one block, turn left to Harvest Lane, Yol anda on ri ght. CTJ1 D 1484 Yolanda Ave., S pri ngfi e1 d Ti NG NDATI Approved Date Correction Date LE INSP I nspector PLUMB I NG GROUNDI.IOR K INSPECTIONApproved Date Correcti on Da te Insp ector UNDE RSLAB PLBG. f,l DERFLR PL I NSPECTi OIN App roved Date Correcti on Da te Ins pector OTHER INSPECTIONApproved Date Correcti on Date I n s pector GHP ING TOP App roved Date Correct"ion Da te T INSPE Inspe ctor rove d__d_Date lC>24-gL /Correctjon lDa te Ins pe ctor App roved Date /f =^ -ft tcomect'ion Date I ns pector iNSULATION / V R BA.RRIER INSPE CTION Correcti on DateApproved Date I n spe ctor LATH / GYPSUM BOARD INSPECTIONApproved Date Correcti on Da te inspector p roved D STOVE [] Oate 1O *O-#t Correction Da te Ins pe ctor FiNAL PLUMBING INSPECTIApproved Date Correcti on Date Inspector FiNAL 1NSPECTI0N BUILDING n /l40BlLE H0ME D /AG PLACEMENT D Approved Date /Correct'ion Date Inspector CERTIFl 0t PANC Approved Date I1i4'197 f, lnsp Approved-Date Insp. ,S NAME PHONE FRONT