HomeMy WebLinkAboutPermit Mechanical 1986-3-12
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RURAL ADD~SING '
CHECKED MA. 3
Lane County Authorization
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for:
FOR OFFICE USE ONLY
Application/
Permi t i
~pc
roWi~5HIP I RANGE I SECTION.
17 ' 03 . 23.3.3
S~'BDA1C~apAX~Eh-'
LOCATION ADD~ I -STREET '--'"
2793 Manor-Dr., Sprin~field 97477
STRUCTURES CURRENTLY ON PROPERTY
) TAX LOT
.300
I LO'i/PARCEL
~;t
OOUT OF
PROpOSED USE OF PROPERTY
[K] Residential D Industrial
o Commercial D Public.
I.~
CITY
ZIP
r DI~~TIONS TO SIT~
SFD
Harlow Rd.
into Havden Bridae Wav - after crossina old railway line 1st st. ta left - 2 blks.
~ESCRIPTION OF PROPOSED WORK - BE SPECIFIC
Wood stove insert permit
DECLARED ~ VALUE
::: OF BEDROOMS
OF STORIES
# OF ENPLOYEES
I. WATER SUPPLY
RprOP9sed
Existing
TELEPHONE NUMBER
747 3611
I'
O~~ER'S NAME AND ADDRESS
WEBBER, W. C.
same
Ci)NTRACTQR'S NAME AND OSR.*
TELEPHONE NUMBER
P;;Rl>UT TO BE MA........::...... ....... lNAME AND ADDRESS)
TELEPHONE NUMBER
I HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION FOR PERMIT. and uo hcrchy cert.ify t.hnt all information hereon is true and correct, and that I
have tho following legal interest in the property: (XJowner of record; 0 contra!.:!; purchaser; Oauthorized agent.
I f:.:.rthcr certify that any and all work performed shall be done in accoldancf: .....1 th thO] Ordinances of Lane coUnty and the Laws of the State of Oregon
pertaining to the work described herein, and that NO OCCUPANCY will m- made of aT;).' st.rllcture without the permission of the Building DivisiOn. I fur-
ther certify that registration with the Builder's Board is in full force ilnd effect dS required by ORS 701.055, that if 'exempt the basis for exemption
is noted hereon, and that only subcontractors and employees who are in cOmpliance with QRS 701.055 will be used on this project. I HAVE READ AND
CHE:; THISw~PP:~T:O;BT::R:UGHLY' ,g! ;?l~ /~ 3-12-86
/ NAME 'please prlnt, X SIGNATUr~ DATE
READ THIS SECTION CAREFULLY. YOUR AUTHORIZATION gAS BEEN BASED ON THE FOLLOWING CONDITIONS:
o PLANNING/ZONING: Zone
Partition #I
Parcel #I
Parcel Size
Minimum Setbacks: eL, front
CL, side
interior
rear
Installa tion
Specificat~ons :
Gallon
Tank
Lineal Feet
of Drainfield
rlffl'
Oate, 3- 12-86
- J
Installation Record Issued? D Yes No
Maximum Depth
of Trenches
COMHENTS:
NO SPECIAL PLANNING ACTION REQUIRED.
o SANITATION:
S. 1. #I
B. P. It
Ca-u-IENTS :
Date:
n
o ~ EXAMINATION:
Type -
Grouo
Use
wS'
COMHENTS:
CALL
~oR
Ji'FC9li/I?Ft>
I}.J S' P=<
10.0<"
Date, '7- /7-R~
.--I[~
.l!ff''T ~
PERMIT
. ./
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APPROVED BY BUILDING OFFICIAL/DESIGNEE
PIkE
? -0- sCo
Coer QRS 456.805(1)) DATE
LANE COUNTY DEPARTMENT OF PUBLIC WORKS LAND MANAGEMENT DIVISION, 687-4061,
125 EAST 8TH AVENUE, EUGENE, OREGON 97401
SEE REVERSE FOR INSPECTION INFORMATION
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SETB,\CKS A:;:O OTHER CO~:DITrO='S OF APPROVAL ~lUST BE STRIC7LY OBSERVED. VIOLATION CAN RESULT IN REVO-
CATION OF THIS PERmi, CJTATIa:: U='DER. ?fOVISIONS OF LA~E COW::TY"S INFRAC!ION ORDI::A.NCE, AND/OR OTHER
REMEDIES ALLOWED BY LAW.
\o;HEN READY FOR INSPECTION, CALL 687-~065. A ~llNHlU~l OF AT LEAST 2'; HOURS ADVA::CE NOTICE FOR INS?EC-
T~(JN I\I:;Q[;I:;ST:' :iU::;T BI:; GIVEN. Have the following information ready; permit number-, job.address, type
of inspection, when it will be ready. your name and phor.c nu~ber, and any $~ccial circctiOilS to site.
BUILDING DIVISION;
REQUIRED I~SPECTIONS:
1.
Foundation lnseection: TO be made after trenches are excavated and forms erected and when all
~acerlalS ~or toe toundation are delivered on the job. Where concrete from a ce~tral mixing
plans (commonly termed ~transit mixed") is to'be.used, materials need not be on the job.
Concrete Slab or Under-Floor Insnection: To be made after all in-slab or underwfloor building
serVl~e equIpment, conault, plplng accessories, and other ancillary equipment items arc in
place but bcrore any concrete is poured or floor sheathing installed, including the subfloor.
2.
3.
~ramin9 & Insulation Insyections: To be made after the roof, all framing, fire blocking, and
raC1ng are 1n place and all p1pes, fireplaces, chimneys, and vents arc complete and all rough
electrical and plumbing are approved. All wall insulation and vapor barrier arc in place.
4,
Lath and/or Gypsum Board Inspection: To be made after all lathing and gypsum board, \nterior
ano-extcrIOr, 1S In-prace but before any plastering is applied and be~ore gyps~ board joints
and fasteners are taped and finished.
5. Final Inspection: To be made after the building is co~plete and before occupancy.
APPROVAL REQUIRED. ~o work shail 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 building official.
Such approval shall be- given only after an inspection shall have been made of each successive step
in the construction as indicated by each of the inspections required.
NOTE: All building permits require inspections for the work authorized, such as but not limited to:
A. Block Wall: TO be made after reinforcing is in place, but before any grout i9 poured. ThlS
rnspect~on is required for each bond beam pour. There wlll be no approval untll the plumblnq
and electrical inspections have been made and approved.
B. wood Stove: To be made after completion of masonry (if applicable) and when installation is
~l~ Installation shall be in accordance with an approved, nationally recognized testing
agency and the manufacturer's installation instructions.
C. Mobile Home: An inspection is required after the mobile home is connected' to an approved
~or-scptic syStem for setback requirements, blocking, footing connecciOn, tiedowns,
skirting, and plumbing connections.
1. Footings and piers to comply with State foundation requirements fo~ mobile ho~es or as
recommended by the manufacturer.
2. Mobile home minimum finish floor elevation shall be cercified when required by a flood-
plain management letter.
3. Mobile home tiedowns, when required, and skirting shall.be installed and ready for inspec-
tion within at least 30 days after occupancy. Tiedowns and skirt~ng shall be installed
per enclosure.
D. SWllnm1n9 Pool. Below grade when steel is in place and before concrete is poured. . Ab'ove grade
wnen pool-rs-lnstalled.
APPROVED PLANS MUST BE ON THE JOB SITE AT ALL TIMES DURING WORKING HOURS. TillS PERMIT WILL EXPIRE
IF WORK DOES NOT BEGIN WITIIIN 180 DAYS, OR IF WORK IS SL:SPENDED OR ABANDONED FOR ~IORE THAN 180 DAYS.
SUSPENSION OR REVOCATION HAY OCCUR IF THIS PER.\IIT WAS ISSUED ON THE BASIS OF INCOMPLETE OR ERRONEOUS
INFORl'lATION.
ANYONE PROCEEDING PAST THE POIl:T or REQUIRED INSPECTIONS WILL DO SO AT THEIR OWN RISK.
SUBSURFACE AND ALTERNATIVE SEWAGE DISPOSAL SYSTEMS:
1. Permits shall be effective for one year from the date of issuance.
2. Upon completing the construction for which a permit has been issued, the permit holder shall
notify the Lane County Department of Planning and Community Development by submitting the
installation record form. The Department shall inspect the construction to determine if it
complies with the rules contained in this division. If the construction does comply with such
rules, the Departmenc shall issue a certificate of satisfactory completion to the permitiholder.
If the construction docs not comply with such rules, the Department. shall notify the permit,
holder and shall require satisfactory completion before issuing the certific~te. Failure to
meet the requirements for satisfactory completion within a reasonable time constitutes a vio-
lation of ORS 454.605 to 454.745 ami this rule.
Setbacks - ~ubsurface
F~o::l;
Interior property lines
Edge 0: road riGht-of-way
BuildinQ foundation
~ells, other water sources
S~wage Disposal
Septic ~
10'
10'
"
50' .
Drainfield
10'
10'
.10'
100'
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L.ANE COUNTY DEPT UN MGT r::ECI::IPT 'U' 74'h16' DATE i')~i120t.
APPL.ICANT WEBBER, W. C. ADDR 2793 MANOR DR., SPRINGFIEL.D I'
, ~
,.TL.~:' 1 70~i233300300 SUBD I V . UlT BLI<
NEW BL,DG TYPE, USE I~ BN!MS 0 UNITS ()01 SlOI'lES '::BI_DCS 00', PHONE 747 36'", ~
OWNER NME WEBBER, W. C. ADDR 2793 MANOR DR., SPRINGFIEL.D ,.
. CODE APf:'L, NO ,~CTHIN DESCfnPTION S(~ FT UNIT COST V,KUATION FEE D'~Y'. ~
BF' "
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BI:'
.MECH L,C 74';><16 !oJS
I"'L. :U'F IX/Ilp,TH:
MECH
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sJ,m:
FT. WTR:
MECHAN I CM. FEE,:
ST ,HE SlJF!CHAf!CE
pL.(.,N CH[CI< F'EE
FT.
FiAIN:
FT
1 <;>.',)0
0.. ~;; (.j
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11'
4%
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BY GT
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A:.
FP
SDS
SI
F'CI<
3
OTH
ISS
4
TOTAL. FEE'~'*
.
4
EST. COMPL.ETION DATE
;:)'L~:)1 CI<
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ACTIeTY INFORMATION eHEET
klne county
.
CO~JLETf THIS SECTION. INCOMPLETE FORMS WILL BE REJECTED!
1
da~~
, PERSO~~IKING REQUEST
279-..5 7#d~ d,A/
'I MA1LING ADDRESS
4_L~~~/f!,4 ({)t?- ~'74-r7
YA ,~. STATE ,I 71IP COOEl
, 7+1 <,?~//
BUSINESS TELEPHONE # H6ME YELEPHO~
PROPERTY OWNER
MAILING ADDRESS
CITY
STATE
ZIP CODE
BUSINESS TELEPHONE #
HOME TELEPHONE #
2, PROPERTY ADDRESS I ,
(IF DIFFERENT FROM MAILING ADDRESS)
3 MAP & PARCEL NUMBER (from tax maps in Department of Assessment and Taxation: ,
(REQUIRED INFORMATION) or from tax statement)
~ft0t
5fP
17 () 1 _ .2.3.3~ _ l)D3 DO _
TOWNSHIP RANGE SECTION TAX LOT(S) OR PARCEL #
-3
ZONING
TOWNSHIP RANGE SECTION
TAX LOT(S) OR PARCEL #
ZONING
TOWNSHIP RANGE SECTIClN
TAX LOT(S) OR PARCEL #
ZONING
TOTAL CONTIGUOUS PROPERTY IN SAME OWNERSHIP:
4 SUBDIVISION (if applicable)
LOT
ACRES
BLOCK
,
I
I
5 REQUEST (state exactly what you plan to do)
,\..~~./.4L"f ~~ .....':.._ _-LA_t7_ ~~
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6 DIRECTIONS TO SITE: ~Y~..I.A_/"~ 7Y"a:..y~~ &A4<f~,tua/~
~/~h,~ d/Ah://----Y ./~.. /4 .417*,~# :2-~AVJ
J' ** FOR STAFF USE ONLY ** 'NUMBER ;<j
V>
ZONE/LAND USE:
BY: DATE:
DATE
-l
r-:
TIME IN:
OUT:
LAND MANAGEMENT DIVISION / 125 E. 8th AVE., EUGENE, OR 97401 / 687-4061
.
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TRS/TAXLOT
OHNER
APPLI CANT
(IF DlrrtKti11)
JOB ADDRESS
VALUATION .
. . . . . . . .
REVISIONS CALCULATED BY:
DATE:
.
ADDRESS
I\UUKtSS
REVISED
[ ] j.ddition
["1 Correcti on
Bldg.
Invest/
Db 1 Fee
Mech.
Plmb,
Fixtures
SHR FT
HTR-FT
RA IN FT
PCK
Surcharge
S i dewa 1 k ,
Fldpln
SDS
DEQ
Other
TOTAL
~&
,
3-/7- 8~
3}.(!)O
l{.CJC)
. CD4
35. (04
.
APPLICATION # 749 - 8~
PHONf
PHONe
PRIOR [ l.yefund
[J Dep. Only ['1" Amt. Due
/'=1.0= /2.0c>
4-75' L - ,75':1
.7Ct;:> r - . I 'Z ;1
2 t{. 5:/
1I~/3
(AMT.. PAID)
(AMI. DUE)
~ COUNTY
INSPECTION
R'ORll
TRS# J7-()~-d3-33
OWNER' S ~AME, \ ^ n ..
o ' c, w...e.Jb1)-t)\.. ,
CONTRACTOR'S NAME
~~
SET BACK REQUIREMENTS
Cl. FRONT Cl. SIDE INTERIOR REAR
WORK AUTHORIZED BY PERr1lT [\ I I SDS APPROVAL REQUIRED
I~)~ ~ ~.<U"lT r
DIRECTIONS TO :>11;' h 0 ~AJlL>Z- n ) 1~ ' /J d
- -1..1 (jJ')f2.o.,_'Y'- (K-D' y-..., ~'~:::--T) ~c/L I'))~ o--(...d
JvI.J~~ OA";^_.()_b~-AtiuJ- ,~~ ~ (.2 ~J
S lTE ADDRESS d / \-,..., _ ^ 11 n '
:d-793 ~ V/l ' ~
-, - -__ ,_ , _____ - - - I ,,_
FOOTING I FOUNDATION 0 IMOBIlE HOME PlACEM~NT 0 INSPECTION
Approved Date ICorrection Date
300
DATE ISSUED:
3-f1-[?b
PERMIT# 74'7- 8Co
PHONE NUMBER
'1'-/7-3C,/!
PH0NE NUMBER
# PLUMBING FIXTURES
Inspector
PLUMBING GROUNDWORK INSPECTION
Approved Da te ICorrecti on
Date
Inspector
UNDERSlAB PLBG.[] IUNDERFlR PlBG.O INSPECTION
Approved Date ICorrection Date
Inspector
OTHER INSPECTION
Approved Date
ICorrection
Date
Inspector
ROUGH PLUMBING (TOP OUT) INSPECTION
Approved Date ICorrection Date
1 FRAMING INSEf$.[IONJ ?' u!u...r~ 0""
Approved V Date ~ - '1./_ g'blCorrection Date
~OU~~~tAN~ If - .'. I - ,," I ( - , . -1'. (. i
~pprovea 1/- Date 4- /- S:>UCorrection Date
Inspector
Inspector ~
- ~~~spe:~o:~ ;~- - ~'~
v
INSULATION I VAPOR BARRIER'INSPECTION
Approved Date ICorrectian
Date
Inspector
lATH I GYPSUM BOARD INSPECTION
Approved Date ICorrection
Date
Inspector
-'-
(FINAL MECHANICAlOJ IWPOD STOVE 0 ' '
"A...... roved v Date ~/-FfJ.. ICorrection
FINAL PLUMBING INSPECTION
Approved Date ICorrecti on
Date
Inspector
(t/f
Date
Inspector
FINAL INSPECTION BUILDING 0 IMOBILE HOME 0 lAG PLACEMENTO
Approved Da te /Correcti on Date
Inspector
CERTIFICATE OF OCCUPANCY 0
Approved Date Insp.
TEMPURARY CERTIFICATE OF OCCUPANCY 0
Approved Date Insp.
M74-197