HomeMy WebLinkAboutPermit Mechanical 1986-08-053t L'{D
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Authorization for'r.OR OFEICE USE ONLY
t;\x r,or . f-ouT oF;L tdtlti\lwi\*SHIP RANGE o3 SECTION
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LOTIPARCEL BI,oCKSJBDIVISION,/PARTITION (if appJ.icable)
PROPOSED USE OF PROPERTY
lZ|*-esidential n rndustrial
f]euuricCommercial
LCCATION ADDRESS STREET ,/)zrc z -'-hu"ryil-t /o' J%1 CITY ZIP
O-r\.-?A),)^.
DEscRrrylroN oF pRoposED @rRK - BE spEcrFrc v DECI,ARED S VALUE
' OF BEDROOMS f OP STORIES # OF E},IPLOYEES h'ATER S Proposed
NYLAND
-/ tv)F./1 "
O;INER I S
;-Q,-nlrrlf t
ADDRESS TELEPHONE NUMBER
"72e -tzC z
coNTRAcToRIs NAME AND osR *TELEPHONE NTJMBER
P.RIIIT To BE I1AILE TOINAME_
I HAVE CAREFULLY EXA!{INED THE CO|'IPI,ETED APPLICATION !'OR PERMIT, arrcl tlo herebv certify that all infomation hereon is true and
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Oregon
,({1
DATE
correct, and that I
have the following lega1 interest in the property,Fqm.r of record;conlra,it prrrchaseriI frrther certify Ehat any and all work perfomed shall be done in accordair,;i: uith th,: ordrr)ances of Lane Couty and the Laws of the State ofpertaining to the work described herein, and that NO OCCUPANCY will be nade of 3ni srrrrcture wj.thout the pemission of the BuiLding Division. r fur-ther certify that registration with the Builder's Board is in full force and effect as required by ORS 701.055, that if exempt the basis for exemptionis noted hereon. and that only subcontractors &d employees who are in compliance with ORS 701.055 will.used on this project. I HAVE READ ANDCHECK.ED THIS APPLICATION THOROUGHLY rr-fcNAME (pleasC printl
READ THIS SECTION CAREFULLY. YOUR AUTHORIZATION IiAS BEEN BASED ON THE
rear
Installation
Specifications
Date:
I pr,aus EXAMTNATToN:
COMI1ENTS:
COM}lENTS
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ctorpj_Use
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r. *B. P. #
Typ.
-
o..", 8-s-€G -ZdP E
FOLLOWING CONDITIONS:
Parcel Size
Installation Record Issued? ! r." ! N"
Parcel #
cot'01ENTs
ide interror
Date:a --{
ca1lon
Tank
Lineal Feet
of Drainfield
Maximum Depth
of Trenches
I pLaNurnc,zzoNrNG: zone_ parri,tion
Minimum setbacks, cL, front cL,
e-5-8Q.
PERMIT APPROVED BY BUILDING Der ORS 80 DATE
LANE COUNTY DEPARTMENT OF PUBLIC WORKS LAND MANAGEMENT DIVISION, 687.4061,
125 EAST 8TH AVENUE, EUGENE, OREGON 97401
SEE REVERSE FOR INSPECTION INI'ORMATION c1.4-.25 R*
.!
izi'^ii i'"", 2//64*ffi
,I'EI,IJPHONE NWBER
Y
Iauthorized agent.
I seurrarrout
I
SETBiTCKS AND OTITER CO:IDITIO]]S OF APPROVAL MUST BE STRICTLY OBSERVED' \iIOLATION CAN RESULT IN REVO-
C;TION OF rttIS PERMIT, CITiTIO:; Ur-DER PROVISIOn-S OF LA\E:oU::TY'.3 INFRACTION ORDI:;ANCE, AND/OR OTHER
RE}IEDIES ALLOWED BY LAW.
HHEN READY FCR INSPTCTION, CALL 687-1065. A }11NI}1U]'1 OF AT LEAST 2{ IJOURS ADVAI;CE NOTICE FOR INSPEC-
@ex.gavE-TnEro).lowinginformatronready:Permi'tnumber,jobaddresS,tyPe
of inspection, when rt will be ready, your name and phonc iunber, and any special Cirections to site.
BUILDING DIVISION:
REQUIRED INSPECTIONS:
I
4
Foundat.ion Inspectron: To be made after tlenches are excavated and forms erected and when aLI
"--A;;l;ta;-tm- t*ndation are delivered on the job. !'Jhere concrete fron a central mixing
fiu"a 1""*""Iy termed "transit mixed") 1s to be used, nateri-aIs need not be on the job.
Concrete slab or Under-aloor Inspection: To be naCe af+-er al-l in-s1ab or under-floor building
"ffi"jUi-p*ot,
rcndLrrt, pfp-iig rcEEssories, ancl other ancillary equipment itens are in
place but beiore any concreti, ir por."a or floor sheathing insLaILed, i.ncluding the subfloor.
Franinq & Insulation Inspecti.ons: To be made after the roof, aIl franing, fire blocking, and
i* ir. r.:-f* and a-II-F-iFes, fireplaces, chimneys, and vents are complete and all rough
elecLrical and plumbing are appioved. AII HaIl insulation and vaPor balrier are j-n place.
Lath and,/or Gvpsum Board Inspection:._ a-5[E-Eefqeand exterlor, rs rn Prac(
To be made after aII lathing and gypsun board, i.nterior
any plastering is apPlied and betore gyPsu board joints
and fasteners are taped and finished.
5. FinaI Inspection: To be made after the building is comPlete and before occupancy.
AppRovAL RSQUIRED. No work shall be done on any part of the building or stlucture beyond the point
indicated .in each "*.""riir" inrpe"tion without first obtainrng the apProval of the builCing official
iran.pp.or.r shart be 9ir.^."ty after an inspection sharl- have been made of each successive step
in-1f,"-ion"a.rcLion as indicated by each of the inspections required.
NOTE:Allbuj.IdingPermitsrequirej'nspectionsfortheworkauthorized,suchasbutnotlimitedto:
Block Wall: To be nade alter reinforcing is in p1ace, but before any grout is Poured. This
ffi*tia;'i"-i.q"ii"a for each bond beai pour. There will be no approval- until the plunbing
and electr.ical inspecti'ons have been made and approved'
!,loodSLove:fobemadeaftercompletionofnasonr]'(ifapplrcable)andwheninstallaLionis
ffirff'rn"luriution shall be ir accordance uj-t-h an appioved, nationally recognized testing
agency and the manufact'urerts installatj"on instructions'
Mobil-e Home: An lnspection is requiled after the mobile hone is coonected to an approved
#* "ffupti- systln for setbacf requlrements, blocking, footing connection' tiedowns'
skirting, and plubrng connecLions.
1. Footinqs and piers to conply with State foundation requirements for mobile homes or as
recomended by the manufacturer.
2. Mobile home min.imum finj-sh floor elevation shaIl be certified when requlred by a flood-
plaj-n managenent letter-
3. }lobile home Liedowns, when requi'red, and skirtj.ng Shall be insLalled and ready for lnspec-
tj-on uithin at least 30 days ift"r occupancy. Tiedowns and skirting shall be instafled
per enclosure.
swiming
wEen prcr
Pool: Below grade when steel is in ptace and before concrete is poured
-Finstalled.
Above grade
APPRoVED PLANS MUST BE oN TiiE JoB SITE AT ALL TIMES DURII.G WORKING HOURS. THIS PERHIT I^ITLL EXPIRE
rF woR( DOES NOT BEGrN WITHIN 1.30 DAys, oR IF woRK 15 SUSPENDED OR ABANDONED FOR IIORE THAN I80 DAYS-
SUSPENSION OR REVQCATION i.'lAY OCCUR IF THIS PERJ'1IT WAS ISSUED ON TIIE BASIS OF INCOMPLETE OR ERRONEOUS
INFORMATION.
ANYONE PROCEEDING PAST THE POIIiT Or REQUIRED INSP0CTIONS 9'IILL DO SO AT THEIR OWN RISK'
SUBSURFACE AND ALTERNATlVE SEI{AGE DISPOSAL SYSTEMS:
t. Permits shall be effective for one year from the date of issuance'
2. Upon completing Lhe construction for which a permi-t has been issued, the permit hoLder shal1
nbtiry ti.. Lane county Departrent of planning and comunity Development by submitting the.,
instaL.l"atron record form. The Departsent sh;1] inspect the construction to deternine if it
complies with rhe rules contained in this division. 1f the construction does comply with such
ruIes, the Deparlment shall issue a certifi.cate of satisfactory completion to.!he permiti holder
If the construction does not comply wilh such rul,es, the Departsent shall' notj'fy the Permit
holder and sha1l requrre satisfacLory completion before issulng the certificaEe. Failure to
meet the aoqrra"."nt" for satisfactory ao.platto^ wILhin a reasonable time constitutes a vio-
lation of oRs 454.605 to 454-145 and this rule'
Setbacks - Subsurfacc Serage Disposal
scotic Tink Drainfield
Interior property Itncs
Edqe of road rlqirt-of-waY
Bull.oinq foundation
lieLls, other ua'tcr sources
From:L0't0'
50'
t0 |
r0 t
t0'
100 !
/7-o 3-R-4, I Z/-o
A PERMIT CANNOT BE APPROVED UNTIL A COPY O
INSTALLATION INSTRUCTIONS IS SUBMITTED
pplicat
F THE MANUFACTU
Wo LJ Stove Permit A r0nn€ntg RER'S
*f L. Jh.,PHoNE l)
* ADDRESS FOR INSTALLATION
* NAI'IE OF MANUFACTUR
CONSTRUCTION !
* A. The unit is listed by:
CIRCLE THE SKETCH I.IOST
CLOSELY RESEMBLING YOUR PROPOSAL
l-lotn.. (name)-
ITY
MODE L I
I
I
I
I
I
I
l-
t--)I
1
11
UL ICBO
B.Thef.loorprotectionisinchesthick.(Material)
C. The wal I protection wi lI be: (Material )
* D. Type of chimney Factory f]l Muron.y (lined?fl,ol
0ther
L
I
I
I
E sht. mtl
DI IONS: (in inches)
l. Side of unit to protected wall-(unprotected wail--_)
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 protection_
6. Edge of rall protection to nearest door or window_
7. Air space between wall protectlon and rall
8. Dlameter of chimney and stove pipe(vent connec
NOTES:
(l) 0utside combustion air is reorrired for all fue'l burning ingtal'lations. A 7 5q. inch (min. area)closable vent loc
ated within 24" of the fireplace or appliance on the floor or base of a wall.(?) A copy of the approved manufacturer's installation instructions must be on job site at the time of, inspectlon. In-spection cannot be made with out these instructions.(3) The 'Approved' plan/aPpllcatlon shall be kept on the Job s,ite for use at the time of inspection.(4) Not all units are approved for corner lnstallations or reduced clearances with wall prot;ction. (Refer to hanufac-turer's I lstinq. )(5) If msonry chimnev is to be used, it nust be lined (Required by Law) Existing flues musiSe approved by inspector, Drior to use. Yju must Dreyr4p a..ess foI tie insoector(6) Ir fireplace insert is to be lnstalled, verifrcatron or wall header]ocation rn relationship ,to bieast of fireplaceis reouired bv law.(7) Fireplace-'lnsirts are not.permltted ln factory-buitt or prefaortcateC:nptal "0" clearance fireplaces, unlessspeciflcally tested and llsted.(8) Flreplace lnserts are not pemltted ln masonry flreplaces with existing heat form type meta:l fireboxes unlessspeclfically tested and llsted.(9) Unlisted unlts shall be lnstalled ln accord with the State Mechanlcal Code, utilizing the material6 and clearancesset forth ln Chapter 5.
c-L4-32
Type orf ,s!-ove l_ip1l . nFactorV ! ZOgu (or heavier) galv
lven! connect0r,
Lr-
I
Il-
3'
5 APPROVED AS NOTED
By
Date
PERMIT #-:.
1
IF YOUR INSTALLATION DIFFERS
FROM THESE EXAMPLES OR IF THE
INSTALLATION IS A FIREPLACE
INSERT, PROVIOE A PLAN AND
ELEVATION DRAWING t.JITH DIMEN
stoNs 0F youn pnoposnl.
LAND MANAGEMENT DIV. / PUBLIC }J0RKS DEPT. / 125 E. 8th Ave Eug. 0R 97401 (s03)687-4061
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/*E Tr'n<,,rr tu)srh tLlP I /p se,RT:
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ill'
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COMPLETE THIS SECTION. INCOMPLETE FORMS WILL BE REJECTED!
I /1,&z\.,0 \Amr I4)An t-.
.2S&1 W*.rapt----\
PROPERTY OWNER
>4p2
ht,t
MAILING ADDRESS \MAILING ADDRESS
5fi,r?-
CITY.m C ITY STATE ZIP CODE
L- ,bb>1L{"-a1o{m
*/2 PROPERTY ADDRESS
( TF DTFFERENT TnO
3 rvlae B PAFIeEL NLTMBEFT (from tax maps in Department of Assessment and Taxationor from tax statement)(RE UIRED INFORNATION)
MINSFTP MNGE SMTMN W
TOTAL CONTIGUOUS PROPERTY IN SAME OWNERSHIP:
4 SUBDIVIS ION ( i f appl icabl e)
5 REQUEST (state exact'ly what you plan to do)
BUSINESS TELEPHONE # HOME TELEPHONE #
ZON I NG
ZON I NG
ACRES
LOT BLOCK
NE
MuINSH-TF NNNGE SECTI0-N TW 7ON-Im
MFNSEIP RAffiE SEE-rIon W
OL
6 DIRECTIONS TO SITE:
** FOR STAFF USE ONLY **
ZONE/LAND USE:
14-33
LAND MNAGEMENT DIVISION / 125 E. 8th AVE., EUGENE, OR 97401 / 687-406I
ACTI - ITY INFORMATION JHEET
J
--2 ,
TRS# fi _03-22.4-2 100 DATE ISSUED:8-6-86 PERMTT#z4Gr/-a G
OI^lNER' S NAME PHONE NUMBER 726-3362ROBERT SMTTH
CONTRAC TOR'S NAME PHONE N ER
BACK
FRONT
REQU I REU ENTS # PLUMBI F I XTURES
L SIDE I NTER I OR
WOOD STOVE INSERT
REAR
ED BY SDS APPRO\XAL REQUIRED
Harlow - Ha Brid - left on War e (across from
1 t on North 2n 3 miles dor^m Jayside on r t
TE S
NG NDA
App ro ve d Date
2867 Wa side I S ingfield, OR
IL
Correct i on Date
PE
I nspector
PLUMB I N G GROUNDWO-RK NSPECTI ONApproved Date Correcti on Da te Ins pector
UNDER SLAB PLBG.TJ ERFLR PLBG.INSPECTIONApproved Da te Correcti on Date I nspector
OTHER INSPECTIONApproved Date Correcti on Date I n s pector
ROUGH PLU
Approved
MBrNG (ToP ouT)-I NSPECTION
Date Correcti on Date I c r
roved Date Correcti on Date Ins pe ctor B
Proved u-DateI f-A-tL / Correcti on Date lnrp"rto, 6
I NS ULA TION / VAPOR BARRIER INSPEC TI ONApproved lDate Correcti on Date Inspe ctor
LATH / G}'PSU M BOA RD INSPECTIONApproved Date Correcti on Date Inspector
DS
roved te ?-bPL/Correction IDa te I nspector
FINAL PLUMBING INS PECTION
App rove d Da te Correcti on Da te I nspecto r
FINAL INSPECTION B urLDrNG ! /MOBILE HOME E LAC ENT
Correcti on
/AG P
Da InspectorApprovedDa te te
t474-t97
Da te
PANCY N
Insp.
T proved_Date Ins p.
trCERTI
Appro
ICATE OF PORARY CE IFICATE O OCCUPANCYved
L^,,c C0UNTY II{SPECTI0N REC0RD