HomeMy WebLinkAboutPermit Mechanical 1980-10-27d E lo-lq
CoN STRU CT ION / PINCEM ENT
PERMIT
Fon orFrcs USE ONLY
ii"*,?'w
Irwo Copies of P]ans
fi r*o Copies of PIot Pl-ans
f] taechanical Checklist
Ielumbing check]ist
COI\TPLETE THIS PLEASE USE BLACK INK AND PRINT.
F PLANNING ZONING:Zone
CCl'linimum Setbacks: L, fronl L
Partition #_ Parcef #_
, side interior
Plan Check Info Sheet
Parcel Size
re ar
TAX LOT OUT OF
3001
SECTTON
24.4.1L7
TOI{NSHIP
03
RANGE
LOTlPARCEL BLOCK@ica.ute)
NA
PROPOSED USE OF PROPERTY
ffiesJ-dential
I commercial
nrndustrial
flnuuric
ZlPLOCATIONSTREET
S VALUEDESCRIPTION OP PROPOSED WORK
Install electrict furnace
WATER SUPPLY
na
Proposed
Existing
+ OE BEDROOMS
na
# OF STORIES
na
# OF EMPI,OYEES
na
TELEPHONE NUMBER
7 47 -8s33Ilarold D. Gillis Same as above
OWNi]R-S NAME AND ADDRESS
Ron Peirce HeatinE - 4089 W. llth. Eugene. oR
CONTRACTORIS NAME AND ADDRESS TELEPHONE NUMBER
343-6829
CONTRACTORIS OSR #
15306 Hari[ilw. left on 14th. Rieht on Yolanda. on risht side
DIRECTIONS TO SITE
I HAVE CAREFULI,Y E;{A-MINSD THE COMFLETED APPLICATION FOR PER}IIT, and do hcr.rt)y .rertify that all informatiorl hereon is true and correct and f further
certify that any and all work performed shall be done i-n accordance with the Ordj-rranccs of Lane County alrd the Lans of the State of Oreqcn PcrLaining
to Lhe work described herein, and that fio OCCUPANCY witl be made of any sLructure aithout the pernission of the Building Division. I further certify
that registration with the Buitder's Board is in fu11 force and effect as required by oRS 701.055, that if exempt the basis for exemption is not.rd
hereon, and that only subcontractors and employees who are in compliance with ORS 701.055 witl be used on this project. I HAVE READ AND CllECf.ED THIS
APPLICATION TTIOROUGHLY.
/o-/3 - yo--..--T-.-----Fn--J A.ro /1$C-(p1ea;Frrnt)
I or,.er
fl Contractor
,4 asent
Cofiunents:
1o:B'8Q-
tr FLOODPLAIN: rn ftood hazard area?
fl nunar, ADDRESSTNG' cRrD cooRDlNAl'E
tr SAIiITATION: s. r. #
lnstallation GaI lon
TankSpecifications:
Coments:
D r" I v"s, see attached sheet
E
Date:
Date:
Date:
B. P. #Installation Record Issued? f v.. I n"
Maximun Depth
of Trenches
Lineal Feet
of Dra.infield
Date:
Sl pr,aNs EXAMINATION: rype' lN ",ou, fi'?Use orz,/ m&//.
Coments:
Date:W
CONSTRUCTION AUTHORIZED BY THTS PERMfT
-1. Ft
Fixed Fee,/Unit Cost
Floodplain Fee S
Subsurfar ees $:Building Fee $
Sewer/Storm Drain/Water $
Plumbing Fixtures $
Mechanica - $
Plans Che Fee $
State Surcharge $
TOT
FEES
By:
Date:
Description
Elect,ric furnace
TOTAL VALUATION S fJcasrr
PERMIT APP ROVED BY BUILDING OFFICIAL/DESIGNEE (per ORS 456.8O5(1))
LANE COUN1Y DEPARTMENT OF ENVIRONMENTAL MANAGEMENT / 125 EAST ETGHTH AVENUE, EUGENE,
C74-L94 SEE REVERSE
97401
.-
ll
T
:gIglgIS,AND oTHER coNDiTroNs 0F AppRovALcITATI0N uruaEn'i;niiviirons or-rniir'tbiiiliil'Yil^fEfJfi'3[5l,fft3El'^'i;ro['3iflllrg,fitil,i5,Xll,ilr*EyTiillo, oF THrs pE:r,,rr,
ijiitl'li]ritini-;:if]J9}rtfii,flil;f3fu;".1 MINTMUM oF AT LEAST 24 HouR ADVANcE NorrcE F,R.rNspEcrroN REQUE'T MUsr BEvour name anu ptrone'numbei, ;il';;;'iil"iili'i,"::iT;}.'iy:i;":"0 uai"""l'iyi! o'i'ii'p"ittoiil'rr,.i"it',iiir o. ready,
BUILDING DIVISION:
IRED IONS
3)
1)ffi*T,!i*::JIl:i.Tffin;'.:;;.:i.;#ff3;?:,I"f,;#;iJ"f"il:o-n;l.i]],,.iliiJ3J,,I"i,.l:j3:x:".,,,
2) CoNqRFTE SfAp 0R UNDER-FLooR INSPECTL0N-: To be made after all in-slab or under-floor buildins service equipment,cr.11aryqquipmentiiemsJreinpiai"_outbeforeanyc6ncreteisioui.edor floor sheath'ing installed, including the subfloor.
FRAMING & INSULATI0N INSPECTI0NS: To be made after the roof, all framing, fire blocking and bracing are in p
sandventsarecomp1eteanda1Irougtr6iectricar-ina[1umbingare"approved.
wal l insulation and vapor barrier are in p1ace.
(1)
(?)
'I ace and
All
4) !4$_{XqrcLGIPsUM BOARD INSPECTI0N: To be made after a1l lathi ng and gypsum boardn interior and exterior, is in place
nts and fasteners are taped and finished.bft ile@ or before gypsum board joi
5) FINAL INSPECTi0N: To be made after the building is complete and before occupancy.
APPR0VAL REQUiRED. No work shall be done on any part of the building or structure beyond the point indicated in each
successive inspection without first obtaining the approval of the build'ing offic'ial. Such approval shall be given onlyafter an inspection shall have been made of each successive step in the construction as indicated by each of ihe inspettions
requi red.
NOTE: A11 building permits require inspections for the work authorized, such as but not limited to:
A. BLOCK U,A[-L: To be made after reinforcing is in piace, but before any grout is poured. This inspection is
required for each bond beam pour. There will be no approval until the plumbing and electrical inspections
have been made and approved.
B. LI00D STOVE: To be made after completion of masonry (if applicable) and when installation js comolete.
Installation shall be in accordance with an approved nationally recognized testrng agency arrd the manu-
facturer's instal lation instructions.
M0BILE H0ME: An inspection is reQuired after the mobile home is connected to an approved sewer or septic
sy-stem for: setback requirements, blocking, footing connectjon, tiedowns, skirting, and plumbing
connecti ons.
(f) Footings and piers to comply with State foundation requirements for mobile homes or as recommended
by the manufacturer.(2) Mobile home minimum finish floor elevation shall be certified when required by a floodplain
management letter.(3) Mobile home tiedowns, when requjred, and skirting shall be installed and ready for-inspection
within at'least 30 days after occupancy. Tiedowns and skirt.ing shall be installed per enclosure.
D. STTJIMMING P00L: Beiow grade when steel is in place and before concrete is poured. Above grade when pool
is instal'led.
APPROVED PLANS MUST BE ON THE JOB SITE AT ALL TIMES DURING WORKING HOURS. THIS PERMIT WILL EXPIRE IF I'IORK DOES NOT BEGIN
WITHIN]8O DAYS, OR IF I,IORK IS SUSPENDED OR ABANDONED FOR MORE THAN]8O DAYS. SUSPENSION OR REVOCATION MAY OCCUR IF THIS
PERMIT t^lAS ISSUED ON THE BASIS OF INCOMPLETE OR ERRONEOUS INFORMATION.
ANYONE PROCEEDING PAST THE POINT OF REQUIRED INSPECTIONS I,IILL DO SO AT HIS OlrJN RISK
SUBSURFACE AND ALTERNATIVE SEl^lAGE DISPOSAL SYSTEMS
Permits shall be effective for one year from the date of issuance'.
Upon completing the construction for which a permit has been issued the permit holder shali notify.the
Dbpartmeht by iubmitting the installation recbrd form. The Department shall inspect the construction to
determine ii it coinp'l"iei with the'rules contained 'in th'is division. If" the construction does comply with
such rules, the Depirtment shd'l1 issue a certificate of satisfactory completion to.the permit holder. If the
construction does irot comply with such rules, the Department shall notify the permit holder and shal'l requ'ire
satisfactory completion before issuing the certificate. Failure to meet the requirements for satisfactory
completion wittrlh a reasonable time constitutes a vio'lation of ORS 454.605 to 454.745 and this rule.
!etbq
From
Septic Tank Drainfield
-T0r--Interior property f ines
Edge of road right-of-way
Building foundat'ion
lrlel'ls, other water soL
T0'-
'l 0'
5'
50'
t0'
l0'
I 00'
]NSPET E_q 0RpN0I
/1s-/
TOt,lNSH I P RANGE
suBT 'Sr0N/PARTTTT0N
ION TAX LOT
\?@ /
PERMIT NUMBER
3- yo,/,
LOT/PARCEL BLOCK
0WNER'S NAME AND SITE ADDRESS nil*,,#J Il -b
CONTRACTOR"S NAME AND ADDRESS
# BEDROOMS
Serial Equa 1
SDS INSTALLATION
SPEC I FICATION :
Ln. ft. Drainfield
Max. trench depth
Net,r Repa i r
TELEPHONE NUMBER
TELEPHONE NUMBER
"34 -4
WATER SUPPLY
I I on Tank
MINIMUM SETBACK
REQUIREI4ENTS:C
C
I
L, fron
L,e
ri or
# PLUMBING FIXTURES # EMPLOYEES
DIRECTIONS TO SI
AI teration _
u (/&l
1
,/4/fr -4)-?// arl A&--Z(
(FIEL/ CARD (
Y
C a
/2 - (o-"{
ILI
LANE C0UNTY DEFT ENv }'16T RECEIFT * ?83380 DATE
APPLICANT RON PEIRCE HEATING/GILLIS ADDR 4OS9 I''. ttTH, EUGENE' OR
TL* t ?03344{ OSoOt SUBDTV LoT
NEUI BLDE TYPE USE R NO BDRI{S OO NO UNITS OOt NO STT}RIES NO BLDGS
COOE AF.FL T. O ACTION DESCRIFTION SQ FT UNIT CO"ST VALUATION FEE
t 01 38F
TtLK
oot
DAY}-
EF
BF'
BF.
BP
BF.
BF
BP
PL
}tECH
suR
* FCK
l3cl
.'O
a)
3
@
LC ?83380 BAAA
NO. FIXTURES:NO. CONNECTT}RS :
HECHANICAL FEE
STATE SURCHARGE
FLAN CHECK FEE
FT" SDS SI F'CK
1
EST. COilF.LETION DATE tO288O
{ 5. O0 EAC}{ *
4y,
5A7.
0Tr"{ I ss
?
TOTAL FEEXX
t6.o0
0.64
B.OO
?4.64 CK
o
o
@
!
nATf; : AF F.
- SEQU: O
TAKEN BY CH
L'
rrrrEl
RA
I
lene county
,\l'l'l.l (:.\\ I' I Nl't)l$L\l'lt)N:
Cil4HCKfl-AST
Pt-ufuilBI NG/ fu[ECI-XIAN [CAH-
Oi;I:ICIAI- USE O\I,\
r\p1rli./
l)cr':rti t #
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IIECII,\\IC\L CON'III\C C]II f T'CS Fi nn
(.ont. 0Sliii
Cont
a
osnt /f3p 6
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Eu1, ,
rrIE!t!(!!&Et Elr"Ertrsql.tGSFl;EffiP{E"sl l)1 ,lnll] j Nt;
k). //fL
ar' 97Y62-
1'ota1Fce t)r Each-Nunl',er of [:ircirTlpe of Fixtule
$ .s. 00S ink 5. 00i]S111l.:ti'lrtotr'(.5.00Slrotie.l'aI'rttc
.5. 00
-5 . tjO
r- 1'u 1'1 I)illr:r t c r-oSCt to1
Ili -s rirrshe r
l)is Crrrs lt I qe rlxt
r.l5 I IICll Il iC
5. 00
5. 00
5. U0t el'I l.l t c' r i l,-- l't
5. tl
15.00Serrer'- - lst 50i t.Fl oor- l)ra irl
10. 00elch adcii tiona] 100 ft
15.00lirtc'r Scrr i cc - - 1s t 1t)0 :f t
i0.00Lttccch additiorurl 1t)0
15.00Ii.uin Dr-aitr--1stStitntt lrttl 100 i't
rc"00
5.00
itic,nlrt t(10 ft.
Spec i aI itas te_
ertclt acltl
Conrrec t I otr
\r \I\'1 (t{) :lflf 5 .00c-ctoL
lane countyHOLD SLIP 6t! r--\rIZ
APPLICATION #
NAME
O^-do
Af/ 7,//1/J dl
dT/l)^
?,,9;g
LOCAT I ON
,Zt/ V 7174'{ l/r /4 tt/6
.4y')/ru
?')
/1rl ADDRESS
vftNF
DF /la
AE zy'a z
E
-/ //E y'f fl,l .',r/z,tu,tt4
The above appljcat'ion is being held for the following reaso
D //tu Ul
1 ,J,2t//;'/t,Df lurl ,i/T n.
Q^,53L 4 7 Dn)
/--- //--a#-{._
DATE
Ans t
PHON E
This appljcation will be
above has not been furn'i
held until If the jnformation required
hed by that*Gte your appljcatjon will be cancelled.
Building fees paid for permits cancelled under these circumstances will be prorated
according to the work that has taken place as of the date of cancellation.
BUILDING & SANI ' ION / ENViRONMENTAL MAN, .MENT DEPARTMENT
125 East 8th Avenue / Public Service Bui"lding / Euqene, 0regon 97401 I (503)687-4061
6tt t tS z t'>
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