HomeMy WebLinkAboutPermit Mechanical 1986-03-05RUBA! ADDRESSTNG 3HECKED i,tAR 0 tr
La,ne County A-uJ'h otrza,tion fort
I^IOOD STOVE INSERT INSTALLATION
3--'
FOR OFFICE USE ONLY
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:DWiiS H I P
L7 02
RANGE
19.3.3
SECTION
301
fJour oF
S'JBDIVISIoN/PARTITION (if applicable)I,OTIPARCEL BLOCK
PROPOSED USE OF PROPERTY
ffisiaential f rnaustr:.al
PubIicCommercial
I'CATION ADDR.ESS STREET
3060 yolanda Ave",Springfield
C]ITY ZIP
57DSTRUCTURES CURR.ENTLY ON PROPERTY
awk exit - turnI
D=SCRIPTION OF PROPOSED WORK - BE SPECIFIC
SFD
DECI,ARED S VALUE
: OF BEDROOHSr # OF STORIES # oF Er'rPLoy,EEs
.-*-/fu
t.,ATER PLY Proposed
ting
OiINERTS NAME AND ADDRESS
OLAEN- T,owe'l'l S a7 L77qrmp
TELEPHONE NUMBER
7 1,7 7 nCA
CONTRACTOR'S'NAME AND OSR #TELEPHONE NUMBER
owner
PJR}IIT TO BE MAILED TO (NAME AND ADDRESS)TELEPHONE NU}4BER
I HAVE CAREFULLY EXAMINED THE COI.'IPLETED APPLICATIoN FOR PERMIT, arrd do herelry certify that all infomation hereon is true and correct, and that I
have the following legaL interest in the property, Qornut of record; I contra,,'-. prrchaseri Iauthorized agent.I f:rther certify that any and all work perfomed shal1 be done in accordance witlr the oxdrrlancea of Lane couty and the Laws of the State of Or€gonpertainj.ng to the work described herein, and that NO OCCUPANCY will be made of aii si.rircture without. the pemissj.on of the Buj.laling Division. f fur-ther certify that registration with the Builder's Board is in ful1 force and effect as requj.red by oRb 701.055. that if exenpt the basis for exenptionis noted hereon, and that only subcontractors ed employees who are in compldQce with ORS 701.055 wiII b€ ued on this project. I HAVE REID AND
CHECKED THIS APPLICATION THOROUGHLY. ,' J 4
v
DATE
a &-ag- Id
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READ THIS SECTION CAREPULLY. YOUR AUTHORIZATION ]]AS BEEN BASED ON THE T'OLLOWING CONDITIONS:
cL, frort- "",.ido,
COI'{.\lENTS:
Instal-Lation Record Issued? f v"= fl N"
Installation
Specifications: Tank
GaIlon
CO}4}tENTS:
Date:
PLANS EXAMINATION:
Cn tt-
Date:
D
n G
COMIlENTS -s.
Date: 2-28'86
! senrterroN, s. r. it B. P. *
tr"8'FCorll AD I Llstr<Ttol-)
Zone Parcel Sir._
interior rear
Partition #Parcel #
Lineal" Peet
of Ilr:ainfield
Maxinum Depth
of Trenches
I pnuuruc/zoNrNG:
Minimum Setbacks:
PERMIT APPROVED BY BUILDING OF'FICIAL,/DESIGNEE oRs 45 DATE
LANE COUNTY DEPARTMENT OF PUBLIC WORKS LAND MANAGEMENT DIVISION, 6874061,
125 EASTSTH AVENUE, EUGENE, OREGON 97401
SEE REVERSE FOR INSPECTION INI'ORMATION c14..25 R*
NAME (please print)
Lowell S. Olaen
x"J/
u=uLl*}S.
5-.>--AQ
SETB TCXS AND OTI.IER CO:iDITIONS OF APPROVAL MUST BE STRICTI'Y OBSERVED' VIOLATION CAN RESULT IN REVO'
CATION OF tHIS PERMIT, CITATIOII UNDER PROVISIONS Oi LANE COU]-TY'S INFRACTION ORDIN.\NCE, AND,/OR OTttER
RE}IEDIES ALLOT,I,ED BY LAW.
HHEN READY FOR INSPDCTION
TISTRTQUESTS }IUST BE GIVEN
of inspection, when it' will
CALL 687-{065. A MINII.IU}I OP AT LEAST 24 HOURS ADVAIiCE NOTICE EOR INSPEC'
-Uare Clre following i.nformation readyr Perm
be ready, your name and phone nunber, and any special directions to site
it number, job addless, tYPe
athing and gypsum board, i.nterior
ed and before gypsu board joints
BUILDING DIVISION:
REQUIRED INSPECTIONS
FoundaLion Irepectron: To be made after trenches are excavated and forns erected and when aIl
rut;;GLiol-hE-Eundation a!e deLivered on the job. !'Jhere concrete from a central mixj.nq
planc (comonly termed "transi.t mixed") is to be used, materials need no! be on the job.
Concrete SLab or Under-aIoor Inspection: To be made after all in-slab or under-floor buiLding
sEii:-_e equ--rpmag,--EonEurt, piping-;:ressories, and other ancillary equipnent itens are in
pl,ace but beiole any concrete is poured or floor sheathing installed, including the ^subfloor.
Franinq & Insulation Inspections: To be made after the roof, aIl franing, fire blockin9, and
iffi t..j-;;-I-e ma';n-pIpes, fj.replaces, chimneys, and vents are complete and all rough
electrical anci ptumbi-ng are approved. AIl wall j-nsulation anC vapor barrier ale i.n place.
Lath and,/or Gypsum Board Inspection:
anilexterior, j-s i.n place but bef ore
and fasteners are taped and fj.nished.
5. pinal Inspection: To be nade after the building is complete and before occupancy.
APPROVAL REeUIRED. \-o work shall be done on any part of the building or Structure beyond the Poi;t
indj-cated j-n each successive tnspection uj.thout firsc obtainlng the approval of the building officj'al.
Such approval shall be given cnly after an inspection shall have been maCe of each successive step
in the;onstruction as j.ndicated by each of the insPections required'
NOTEr Atl building permi.ts require inspections for lhe work authorized, such as but not limited to:
A. BLock t^Iall; To be maCe after reinforcing is in p1ace, but before any grout is poured.- This
i;-lfectf6;'is lequired for each bond beam pour. ahere will be no aPproval until the plunbing
and electrical inspections have been made and approved.
B. !^,ood Stove: To be made after conpletion of masonry {if applicable) and when insta}Iation is
*pf"t.- Installation shalt be 1n accordance with an approved, nationally recognj'zed testing
agency and the manufacturer's installation rnstructions.
c. Mobile tome: An j.nspecti-on is required after the mobile home is connected to an approved
sw*'oi *ptic systlm for setbac)a requirenents, blocking, footing connecLion, tiedowns,
skirtj.ng, and plwbing connections.
l.FootingsandpierstocomPlywithstatefoundationrequj-renentsfornobilehomesoras
recomended bY the manufacturer.
2. Mobj.le home minimum finish floo! elevation shalI be certified when required by a f).ood-
pLain management letter.
3. $obile home tfedowns, when required, and skirting shalL be installed and ready for inspec-
tion uithin a! least 30 days ift.. o."rp...y. Tiedowns and skirting shall be installed
per enclosure.
lite!ior property 1]nes
Edge oi road rrgilt-of-uay
Burldinq foundati.on
tiells. other uater Sources
To be made after all L
any plastering is appli
septj.c Tank
t0,
10'
50'
D swiminq
when pool
Below grade when steel is in place and before concrete is poured' Above gradePool:
.-iE-ins ta I 1ed
Setbacks - Subsurface Sewage Disposal
Drainfield
APPROVED PLANS MUST BE ON THE JOB SITE AT ALL TIMES DURIN'G WORKING HOURS' THIS PERMIT WILL EXPIRE
rE tdORK DSES NOT BEG1N gITHIN 130 DAYS, OR IF !.IORK IS SUSPENDED OR ABANDONED FoR !1ORE THAN 180 DAYS'
SUSPENSION OR REVOCATION :.TAY OCCUP' IF THIS PERMIT WAS ISSUED ON THE BASIS OF INCOMPLETE OR ERRONEOUS
INFORMATION.
ANYoNEPRoCEEDINGPASTTHEPoIiiToTREQUIREDINSPECTIoNSWILLDoSoATTHEIRowNRISI(.
SUsSURFACE AND ALTERNATIVE SEI{AGE DISPOSAL SYSTEUS:
]. Permits shall be effective for one year from the Cace of issuance'
2.t]poncompletlngtheconstructionforHhichapernithasbeenissued,thepelmitholdershall
notify Lhe l,urn cor.ly Department of planning and comunily Development by submitting the.
install.ation record form. The Departrent sh;11 inspect Ehe construction to detcrmine if il
complies with the rules contained in this di.vision. If the const.ruction does comply uith such
rules, the Department shall issue a certi.ficate of satisfactory comoletion to the permiti holder
If the constructron does not compl-y with such rules, the Department shaII notify the permit
holder and shaII require satisflciory conpletj'on before isiuing the certificate' Failure to
meetLher.qu,.....L.forsatisfactorycompletionwlthinareasonabletimeconstitutesavio-
Ialion of oRs 454.605 to 454.145 and this rule'
From:10 |
r0l
10'
100 |
AETIVITV INFORMATION SHEET
COMPLETE THIS SECTION. INCOMPLETE FORMS l.lILL BE REJECTED!
ilI'
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I e /&v1
t
pCa o
ILI RESS
7
ITY I T ZIP
i
7tt z-zarzl 7Er*ztrL/ffi HOME TELEPHONE #HOME TELEPHONE #
2 PROPERTY ADDRESS
( IT DIFFERENT ILI
3 rvrae B FAFIeEL NUMBEFI (from tax maps in Department of Assessment and Tax a.t{ion
( REQU rREp r NFoRr4ATrolr )or tax statement)
E SMTMN m
osSo I
7 ON I NG
i7 - ,L /1.3.3
TOWNSHIP RANGE SECTION
"t
TAX LoT(S) 0R PARCEL # ZoNTNG
'j
I
TOTAL CONTIGUOUST
i
4 SUBDIVISI0N (it applli
TOilNsF]tr RTNGE SEEM-N W ZON I NG
PROPERTY IN SAME OWNERSHIP:
Clqs, flcable)ttl- Clcz> le-l
ACRES
LOT BLOCK
5 REQUEST (s;tate exact'ly what you p lan to do).F5'Cho
6 DIRECTIONS TO SiTE:D 4 o au
/o .,J
I ** FOR STAFF USE ONLY **
ZONE LAND USE:
LAND MANAGEMENT DIVISION / 125 E. 8th AVE., EUGENE, OR 9740I / 687-406I
)
L4-33
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