HomeMy WebLinkAboutPermit Mechanical 1986-05-15pct( sz(
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Applica
Permit #
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BLOCK
PROPOSED USE OF PROPERTY
$Residential l-l lndustrial
Commercial Public
7zlry,zCITYSZIP
OF PROPOSED BE SPECIFIC
I.iATER SUPPLY3 Proposed
is ti
TELEPHONE NUMBER
TE NUMBER
is noted hereon, and that only subcontractors ild employees who are in compliance with oRS 7oI.055 uiu be used on this
f:rther
COI.IPLETED APPLICATION !'OR
in the propertr./V(r",
I work perfomedlCir\u.
PERM IT dAII rlo ce athatITAVEIEXAMINEDCAREFULLYTHEhereLyti nfomation reonhe s and!rue correct thatand Ify
conl ra(loffothelowii-nterest chas er authori dzerecordPrrr agentlegaIn9uIcertithatandaIandone:dauce theth ofordfDances Lane andfyany the ofLaws Statethe ofCouty Oregontothedescri.bedwork lnhere and NOthat wilOCCUPANCY be ofnade 5 rcturelrr thoutwl the ofrtainingarriMl S SION vlslonDi I fur-pe Buildingqhe
rthe tha t tration theth lderBui Board fu11n ilnforce e ffect-Ll AS red 70 o5 thatcertifyregrequfby r e the bas for5xempt exenptj.project- I HAVE READ AND
CO}![lENTS:
YOUR A
Date:
rnstaLlation Record rssued? fl v"" ! tl"
Date
(^l-SUse
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I setrtarrout s. r. *B. P. #
,^r", S- /{^8Q --dp
RIZATION I]AS BEEN BASED ON THE FOLLOWING CONDITIONS !
tion f
PLANS EXAMINATION:
COM}IENTS:
I pr,etqnrnc,zzoNrNG:
Minimum Se
co}1\lENTS
interror rear
Parcel *Parcel Si
ca1lon
Tank
Lineal Feet
of t)rainfield
laaximun Depth
of Trenches
Installation
Specifications r
READ THIS SECTION CAREFULLY
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DA?E
LANE COUNTY DEPARTMENTOF PUBLIC WORKS LAND MANAGEMENT DIVISION,687406.I,
I25 EAST 8TH AVENUE, EUGENE, OREGON 97401
SEE REVERSE EOR INSPECTION INI'ORMATION cL4..25 R*
Zhfzqau.
D
Grorp_ -
SETBiICKS AND OTITER CO}':DITIONS OF APPROVAL }1UST BE STRICTLY OBSERVED. VIOLATION CAN RESULT IN REVO-
C;TION OF TIiIS PERMI?, CITATIO:i UNDER PROVISIONS oF LAN-E COU}-TY'5 INFRACTION ORDINANCE, AND/OR OTHER
RET1EDIES ALLOhED BY LA!,I.
IiHEN READY POR II*SPECTION, CALL 687-{065. A }'1INI}1U}1 OE,iT LiAST 21 HOURS ADVAIiCE NOTICE FOR INSPEC-
@gs.HavEclre-fo}towingj-nformationready:Permj'tnumber,]obaddress,tyPe
of inspecrion, when it will be ready, your name and phoie number, anC any special Cirections to site-
BUILDING DIVISION:
REQUIRED INSPECTIONS:
1. Foundation Inspection: ?o be made after trenches are excavated and forms erected and uhen aII
iltdl;fs fo IE--INndation are delivered on the lob. l{here concrete from a central mixing
plant (comonly terned "transit mixed") is to be used, materials need no! be on the job.
2. Concrete Slab or Under-aloor Inspection: To be made after al-I in-slab or under-floor building
EEivI-e equ--rpnmt,--EonZTr t, pipm! ressories, and other anci llary equipment i tems are in
pl,ace but belore any concrete is poured or floor sheathing installed, incl,uding the subfloor.
3. Framing & Insulation Inspections: To be made after the roof, all framing, fire blocking, and
8rc1", are--In-pfre aiE-alf-FlFes, fireplaces, chimneys, and vents are complete and alI rough
eleccrical and plumbing are approved. AII wall j"nsulation and vapor barrier are in place.
4. Lath and/or cvpsum Board Inspection: To be made after all Iathing and qypsun board, i.nterior
;;A-exrerl6ril=-Tn-pI-rce-EII-EET6ie any plastering is applied and before gypsM board joints
and fasteners are taped and finished.
'5." Final Inspection: Ta be made after the building is conplete and before occupancy.
APPROVAL REOUIRED. \-o work shall be done on any part of the buil,dinq or structure beyond the point
indicaLed j.n each successive inspection wiLhout fi!st obtaining the apProval of the buildinq offic.ial.
Such approval- shall be gi.ven cnly after an inspection shall have been maCe of each successive step
in the conscruction as indicated by each of the inspections required.
NOTE: AlL building perni.ts require inspections for the work authorized, such as but not limited to:
A. Block waII: To be maCe after reinforcing j-s in place, but before any grout is poured. This
ii'-p<EI6fr is required for each bond beam pou!. There will be no approval until the Plumbing
and electrical. inspecti.ons have been made and approved.
B. t^tood Stove: To be made after completion of masonry {if appl.i.cable) and when installa!ion is
mpf.eta rnstal-lation shaII be in accordance with an approved, nationally recognj,zed testing
agency and the manufacturerrs instalLation instructions.
C. Mobj.le Home: An inspeceion -is required after the mobile home is connected to an apProved
E-m oi-GEptic si-stem for setback requirements, blocking, footinE connection, tiedowns,
skirting, and pLwbing connections.
1. Footings and piers to compty with State foundation requirenents for mobile homes or as
recomended by t.he manufacturer.
Z. Mobi"le hone nininum fj-nish floor eLevation shafl be certified when requj.led by a f)-ood-
plain management letter.
3. Mobile home tiedowns, when required, and skirting shall be installed and ready for insPec-
tlon with.in aL Ieast 3O days after occupancy. Tiedowns and sklrt.i.ng shall be insfalled
per enclosure.
D, Swiminq pool: BeLow grade when steel is in place and before concrete is poured. Above grade
' en pmI is installed.
APPROVED PI.ANS MUST BE ON THE JOB SITE AT ALL TIMES DURTNG WORKTNG HOURS. THIS PERMTT WILL EXPIRE
IF h'ORK DOES NOT BEGIN V,]ITHIN 180 DAYS, OR IF WORK IS SUSPENDED OR ABANDONED FOR T1ORE THAN I8O DAYS.
SUSPENSION OR REVOCATION I4AY OCCUR IP TBIS PERMIT WAS ISSUED ON THE BAS1S OF INCOMPLETE OR ERRONEOUS
INFORMATION.
ANYONE PROCEEDING PAST THE POINT O' REOUIRED INSPECTIONS WILL DO SO AT THEIR OWN RISK.
SUBSURFACE AND ALTERNATIVE SEWAGE DISPOSAL SYSTEMS:
l. Permits shall be effective for one year from the date of issuance.
Z. Upon completing lhe construction for vhich a perni.t has been issued, the permit holder shalI
notify t-ne Lane County Departmenl of Planni.ng and Comunity DeveloPnent by submj'tling the
instaltation record forn.- The Departrent shall inspect the construction to determj'ne if it
complies uith the rules contai-ned in this divj.sion. If the construction does conply with. such
rulls, the Department shall issue a certlfj.cate of satisfactory conpletion to lhe permiti holder
If the construction does not comply ilith such rules, the Departrent shalI notify the Permit
holder and shaLl require satisfictory comple!ion before issuing the certificate. Fail-ure to
meet Lhe requl-remenis for saLisfactory completron wiChin a reasonable time constilutes a vio-
lation of oRS 454.505 to 454.745 and this ruIe.
Setbacks - Subsurface Sewage Disposal
Scptic Tank Drainfield
Interior property Lines
Edge oi road rlqi)t-of-waY
BurL<iinq foundation
tiells, other uater sources
From:r0'
10'
50'
]0'
10,
10 |
100,
\r /JffkrJ€,BY FRo,rt f grya,C{- )6rfls/
DATI ISSUED:PERt'rrr# /? c7-A<a
S E
t N
PHO UMts
N
't1
SIDE
TB K I
FRONT LC UMB I X
I NTERI OR REAR
WO THO D
DI
YDU
TE
P SDS APPROVAL REQUIRED
SiT AU RESS
EID
TI NG TI N
Approved Date Correcti on Date
LEH
I n spector
-UI4B I NG GROU INSPECTI ONApproved Date Correct'ion Da te I nsp ector
UNDERS
App roved
LB iNSPECTION
/Correction DateDate I nsp ector
OT}IER INSPECTIONApproved Date Correctj on Date Insp ector
Approved Date Correcti on Da te I nsp ector
FRAMING INSPECTION
Approved _ Date /Correct'ion Date Inspe ctor
ROUGH MECHANICAL
Approved Date Correcti on Date I nsp ector
lNSULATION / VAPOR BARR IER INS PECTi ON
Approved Date Correct'ion Date Inspe ctor
LATH / GY PSUM BONND INSPEI ION
Correcti on-Date I nspe ctorApproved Da te
CALtr
Approved r/ Date
L rrecti o te i nspe ctor
FiN
Approved Da te
N Correction Date InsPector
I NAL NSPE TION ILD NG E /AG ACEMEN
/Correcti on Date I nsp ector
1174-197
0t
Date
ANCY n Insp Approved-Date
0F0
lnsp.
APProved oate
TEM RAR IFl CATE CCUP YCE
Irtcnt OC,CUC,ERT
Approved
ROUGH PLUMBTN6 (TOP oUTl TNSPECTT0N
NG
n€
A PERMIT CANNOT BE APPROV ED UNTIL A COPY OF THE MANUFACTURER'S
INSTALLATION INSTRUCTIONS IS SUBMITTED
*pnone /26 - ltZz
* ADDRESS FOR INSTALLA
* NAME OF MANUFACTURER
ITY
MOD* INSTALLER S[iir**,
CONSTRUCTION: CLOSELY RESEMBLING YOUR PROPOSAL
* A. The unit is listed uv: [_luL f,rcao [-lorn., (n.r")_
B. The floor protection is inches thick. (Material)
)
C. The wall protection wilI be: (Materia'l
* D. Type of chimney:Factory l-lMurrn"y (tined? D", fl..l
l"-o 3 21.3.2 7oo
ntg
f,ood Stove Pen,,lt A pplication
[lotn."
Type o.f stove pipe : . l-lru.to.y flzog. (or heavier) ga1v. sht. mt1.
(vent connector)
0tUENSfOnS: (in inches)
l. Side of unit to protected wall_(unprotected wall_1
2. Rear of uni t to protected wal l-(unprotected wal l )
3: Floor protection at side of unit_ at rear _ in f ront __
4. Length of wall protection at rear of unit-at side
5. Height of wall protection-
6. Edge of wall protection to nearest door or: window
7. Air space between wall protectlon and wali_
8. Diameter of chimney and stove pipe (vent connector)--
NOTES:
(l) outside combustion air is reouired for a]1 fuel burning installations-. A 7-Sq, inch (mjn. area)closabla vent loc
ated within 24" of the fireplace or appliance on the floor or base of a wa]'|.
(2) A copy of the approved manufacturer's installation instructlons must be on Job site at the tine of lnspectlon. ln-
spection cannot be made with out these instructions.(3) Ttre'Approved' plan/appl{catlon shall be kept on the Job site for use at the tlrle of inspectlon.
lqi Hot ati'unlts are appibved for corner installations or reduced clearances |rith wall Protection. (Refer to manufac-
trf i}"ilri"ll,tll1?*;1, t. to be used, it must be lined (Required by Law) Existinsl'rues must be approved by inspector
- lrior tquse- -Y-ou mustrrev'i4P ac&ss for the idsoectnt
(6) tr ttrepiace insert i: tJUJinstal'ted, veriflcarron ot wa1l header location ln relationshlp lto bieast of fireplace
is required bY law.(Z) iireplice lnslrts are not permitted tn factory-burlt or prefabrlcated clearance flreplaces, unless
speclflcally tested and llsted.(g) fireplace lnserts are not permltted ln masonry flreplaces vrlth exlsting heat form type netal flreboxes unless
speclfically tested and llsted.(g) Uirttstea units sha'll be lnstalled ln accord wlth the state tlechanlcal Code, utillzlng the materlals and clearances
set forth ln Chapter 5.
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IF YOUR INSTALLATION DIFFERS
FROM THESE EXAMPLES OR IF THE
INSTALLATION IS A FIREPLACE
INSERT, PROVIDE A PLAN AND
ELEVATI0N DSA!IlLq l.lITH DIMEN
SIONS OF YOUR PROPOSAL.
c-L4-32 APPROVED AS NOTED
By
D61g 9 - 'f - 5('€
PERMIT #
l-
I.AND MANAGEMENT DIV./ PUBLIC llQRKS DEPT. t 125 E. 8th Ave., Eug. 0R 97401 (s03)687-4061 -/
/,* I
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t/,, / snpO R: *)D T|ETALL Ed <AATE /WC///I NICAL &>oa
P
4G7-€c.
A/-TIVITY INFORIvIATIAN SHEET 6lt'
-
COMPLETE THIS SECTION. INCOMPLETE FORMS WILL BE REJECTED!
ful qtarr, Ut atJr,,/Suv-
PROPERTY OWNER
5
ILI ES
l1
C ITY STATE ZIP CODE
74i Sd r,- -*_
HOME TELEPHONE #
7za-7ttz-
msmsS-TErmfroNE-T HOME TELEPHONE #BUSINESS TELEPHONE #
2 PROPERTY ADDRESS
( IF DIFFERENT
3 nuee e, pAFtcEL NUMEIEFT (from tax maps in Department of Assessment and Taxation
(BE I RED RI4AT r 0N )orf rom tax sta
fus
tement )
C t1 a
TotlNSH IP RANGE
?6 0W ZON I NG
TOINSFTP MNGE SEET-IOII W ZONING
TmmTP RENGE mTI-oN ffi ZON I NG
TOTAL CONTIGUOUS PROPERTY IN SAME OWNERSHIP:ACRES
+ SUgOIVISION ('if applicable)LOT BLOCK
5 REQUEST (state exactly what you plan to do)
/..h_a 4.,.<r t; U-b- f.-*:,
6 DIRECTiONS TO SITE:6 A--'
** FOR STAFF USE ONLY **
ZON LAND USE:
L4-33
LAND MANAGEMENT DIVISION / 125 E. 8th AVE., LUGENE, OR 9740I / 687-406I
I
MAILING ADDRESS
.SD,rr.,r.d Loi J Crr" 7lfr,
cury
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