HomeMy WebLinkAboutPermit Mechanical 1985-2-6
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Lane County Authorization for:
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1'O",SH1P(7 IRANGE03 1823.3.3 IT#I~ctrTOF Pi:::i~s:n:::;oPOIndustrial
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LOCAT'ION AbD~~ET -. ~ ~~ITY "'iP;-.~
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o&~~&~rO~ 'nJ' I I ') o.-.g LunV 1 DEClARED S VALUE
:: OF BEDROoMs I If OF STORIES 0 I "~F EMP,LOYEES I WATER SUPPL~.A_ . 0 Prop,?sed
J,f'rJ JX--J iUJ(') n ~ LJl1.J)""'(f n Existing
o;m~; ~~DflAD~S) Rn i ml >ill 0 ) ~Ll..Lu 1l!!Tt'~Eh~l.
CONTRACTOR'S NAME AND OSR # ~ ~~ 1;>) , . . I~ ~BER
2,~.2, ,. AOfY'tTJ ()~'Hl~ 'Z-4-"T-- .v7.~
P~~Il~v~- C::F~~:E~X~~N~::~ ~P:T~o~2i3 ~ "~arel~ 0~y Or~o'~~I. t~u.~nLdE:::ct~:~Rthat I
have the following legal interest in the property: Downer of rucord; 0 contrdct. PllrCha.scr;O:uthoriZCd agent with evidence of authority attached.
I f:.;rther certify that any and all work performed shall be done in accordance wi th thO;! Ordinances of Lane COtmty and the Laws of the State of Oregon
pertaining to the work described herein, and that NO OCCUPANCY will be made of any strncture I,'ithout th permission of the Building Division. I fur-
th.r certify that ragutn".n.,th the Builder', Board" in full fo~c~o~l.ffact .. required by OR 7 l.055, that 'f.x.mpt tha ba,i, for .xampt,on
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NAME Ipl.... pnnt) SlGNATPRE.:J/6J;-
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. FOR OFFICE
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USE ONLY
Applicationt-..o C
Permit t ~rl7 -,,~
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READ THIS SECTION CAREFULLY. YOUR AUTHORIZATION ~AS BEEN BASED ON THE FOLLOWING CONDITIONS~
[] PLANNING/ZONING:
Zon~
parti tion It
Parcel /I
Parcel Size
Minimum Setbacks: CL, front
COM>!ENTS, ~ nfA?r j() l
CL, sid~
interior
rear
f1l (] rn hlJrlL{ &;tr (')Y\
Lineal Feet
of Dr.ainfield
Dat.,__fctua/R5 dIP.
Installation Record Issued? 0 Yes 0 No (
Maximum Depth
of Trenches
[] SANITATION: S. 1. I
Installation Gallon
Specifications: Tank
B. P. "
Ca-u-IENTS :
[] PLANS EXAMINATION: Type
COWIENTS, (iU.L"Ult- ~.I(1LJ~.dl /iJoJJ/.U;(/IJP,4'1,
4,20::3 ~
1..-'101:- p,D/v
-? g <E::- AM(. PJe.
Groun
l?7
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use--cJl~ Pll'la. /~bP~t/./!;tII)\ ,
-PP. 'I .
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Date:
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PERMIT APPROVED BY BUILDING OFFICIAL/DESIGNEE (oer ORS 456.BO~(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
t/Z-tJ6-gS'
C 14-25 RR4.
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SETBACKS A!-lD OTHER CO~DITIO:;S or APPR'O'lAL }lUST BE STRICTLY OBSERVED. VIOLATIO~ CA~ RESULT IN REva.
C;...IO:-J OF iBIS [>E~mT, CIT,\TIO:1 UNDER PROVISIONS Of LA~E CQU::n"5 INFRACTION ORDINANCE, AND/OR OTHER
RE~EDIES ALLOWED BY LAW.
liHEN READY FOR INSPEC,IDN, CALL 687-.1065. A mNU1U}\ OF AT LEAsr 24 !lOURS ADVA:::CE NOTICE FOR INSPEC-
TIO~ IH::Ql,;t;::d~ ~IU~T Ill:: GIVe,. Have tile tollowing informat.ion ready: permit. number, :Job address, type
of inspection, when it will be ready, your name and phone nu~ber. and any special directions to site.
BUILDING DIVISION:
REQUIRED INSPECTIONS:
1. Foundation Inspection: To be made after trenches are excavated and forms erected and when all
mater131S lor tne toundation are delivered on the job. Where concrete from a central mixing
plant (commonly termed -transit mixed-) is to be used, materials need not be on the job.
2. C~ncrete Slab or Under-Floor InSp'oction: To be made after all in-slab or under-floor building
servi~e equIpment, conduit,.p1p1n~ accessories, and other ancillary ~quipment items are in
place but 2.oiore any concrete is poured or floor sheathing installed, incl~ding ,the subfloor.
). FraminQ' Insulation Insoections: To be made after the roof, all framing, fire blocking, and
orac1llg are 10 place ana all p1pes, fireplaces, chimneys, and vonts are complete and all rough
electrical and plumbing are approved. All wall insulation and vapor barrier are in place.
4. Lath and/or Cvpsum Board Inspection: To be made after all lathing and gypsum board, \nterior
ana-e~terror, 15 1n-prace out Detore any plastering is applied and before gypsum board joints
and fasteners are taped and finished.
S. ~ Insoection: To be made after the building is complete and before occupancy.
APPROVAL REQUIRED. :-10 work shall be done on any part of the building or !ltructure beyond the point
indicated in each successive inspec~ion wit~out 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
rn 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 mace after reinfo,:c!ng is in place, but before any grout is ,poured. This
rnspect10n is required for each bond beam pour. There will be no approval until the piumbinq
and electrical inspections have been made and approved.
B. Wood Stove: To be mace after completion of masonry (if applicable) and when installation is
compl~ Installation shall be in accordance with an approved, nationally recognized testing
agency and the manufacturer's installation instructions.
C. Mobile Horne: An inspection is required after the mobile home is connected to an approved
sewer-or septic system for setback requirements, blocking, footing connection, tiedowno,
skirting, and plumbing connections.
1. Footings and piers to comply with State foundation requirements for mobile homes or as.
recommended by the manufacturer.
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2. Mobile home minimum finish floor elevation shall be certified when required by II flood-
plain management letter.
3. Mobile home tiedowns, when required, and. skirting shall be installed !lnd ready for inspec-
tion within at least 30 days after occupancy. Tiedowns and skirting shall be installed
per enclosure.
D. swimmin9 Pool: Below grade when steel is in place and before concrete is poured. Above grade
wnen pool-rs-installed.
APPROVED PLANS MUST BE ON THE JOB SITE AT ALL TIMES DURING WORKING HOURS. THIS PE~~IT WILL EXPIRE
IF WORK OOES NOT BEGIN WITHIN 180 DAYS, OR IF WORK IS SUSPENDED OR ABANDONED FOR MORE THAN 180 DAYS.
SUSPENSION OR REVOCATION I1AY OCCUR IF THIS PERMIT WAS ISSUED 0:-1 THE BASIS OF INCOMPLETE OR ERRONEOUS
INFORMATION.
ANYONE PROCEEDING PAST THE POWT or REQUIRED INSPECTIONS WILL 00 SO AT THEIR OWN RISK.
SUBSURFACE AND ALTERNATIVE ~ DISPOSAL SYSTEMS:
1. Permits shall be effective for'ono 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 farm. 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 Department shall issue a certificate of satisfactory completion to the permit,holder.
If the construction does not comply with such rules, the Department shall notify the permit.
holder and shall require satisfactory completion before issuing tho certificate. Failure to
meet tho requirements for satisfactory completion within a reasonable time constitutes Q vio-
lation of ORS 454.605 to 454.745 anu this rula.
Setbacks
Subsurface
Sewage Disposal
Septic ~
10'
10'
. S'...
... 50'.
prainfield,
10'
10'
10'
100:
,.
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'Fro~:
I~terior'property lines
':Edge of roaa riqht-of-way
. Building foundation
Wells, othar water sou~ces
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(tJ' J/1C1'ffi 1-1 ~AlrUllle
'ame or Inn-PLease Pnnt
PLri~ING CONTRACTOR D Yes All
. ~Cl.~ ;l'IAAloL Df(. SPI-Id
(rlallmg AddreSS) (qtv or Town)
. ~ont. OSR#
r.L4. 77
(LIP LOde)
Address
D NO~$elf
~IEOIANlCAL CONTRACTOR D Yes Finn
Address
83T- ~:6
Con t. OSR#.
o No~SeH
Type of Fixture
I'LlJt>1BING
Nwnber of Each
Sink
Lavatory (Wash Basin)
Tub (with or without shower)
Shower. sepal'ate
Water Closet (toilet/urinal)
Dishwasher
Disposer (garbage gnnder)
Washing ~Iachine
Water Heater
Floor Drain
Sewer--lst 100 ft.
each additional 100 ft.
Water Service--1st 100 ft.
each additional 200 ft.
Stolm and Rain Drain--lst 100 ft.
each additional 200 ft.
Specia.1 Waste Connection
Sewage and SwnD PumD (eiector)
~lobiI e Home Sewer and Water
Other (specify)
SUB-TOTAL (Minimwn $15.00)
Fee On Each Total
$ 7. SO
7. SO
7.50
7.50
1.5U
7.50
7.50
7.50
7.50
7. SO
30.00
15.00
20.00
15.00
30.00
15.00
7.50
7.50
15.00
I TOTAL FEE
. ~ ar-rt;;;3:: ~
T)"pe of Equipment
~1EQ-lANICAL
",'umber of Each
Fee on Each
. Total
Mechanical Pelmi t Base Fee
Furnace UD to .100,000 BTU/H
Furnace o\'er 100,000 BTU/H
C.1othes Dryer Vent
Bathroom Ventilation Fan & Duct
Ral1~e Hood wi th ~lechanical Exhaust
\~ood Stove n~ood Stmlf' "pnt B.OOl
Air Conditioner Onl\..
Heat PtUl\D
Floor Furnace
Gas Pipin.Q. System 1 to 4 Outlets ,':f 77J OS
Per OUtlet Over 4
Other (specifv) .~ ~ JJaII/II.VU1. ~or~., 4n .
. ~
5 10.00
S 6.00
7.50
3.00
3.00
4.50
6.00
6. bb
6.UO
6.00
2.00
.50
":3~.J:::
t:,~
SUB-TOTAL
q~
25 f3!:.-
I TOTAL FEE
on
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rl. . LANE COUNTY DEPT ENV MGT RECEIPT ~ 28785 DATE 02068.0:
. APPLICANT RAINVILLE, WILLIAM ADDR 2592 MANOR DR., SPFD., OREGON
TL~ 1703233301600 SUBDIV LOT BLK OU"
.NEW BLDG TYPE USE I~ ElDRf'lS 0' UNITS 001 STORIES ~BL.DGS 001 PHONE 689 6500.-
OWNER NME RAINVILLE, WILLIAM ADDR 2592 MANOR DR., SPFD., OREGON
CODE APPL. NO ACTION DESCRIPTION SQ FT UNIT COST VAL.UATION FEE
ElF'
..IiP
itl 1'1"
. ElP
.ElF'
BP
PL
.MECH
SUR
PCK
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DAYS
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LC
28785 F:l"oL.
~ FIXTURES:
SWR:
FT. WTR:
MECHANICAL. FEE
STATE SURCHARGE
PLAN CHECK FEE
FT.
f(AIN:
FT.
16.00
0.64
10.40
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on
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4X
65%
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H (~ATG:
. SEQU :
TAKEN
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APP
1
BY CAD
RA
FP
SDS
SI .
PCK
OTH
ISS
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TOTAL FEE**
1_
27.04 CI(
2
EST. COMPL.ETION DATE
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ACTIVITY INFORMATION
COMPLETE THIS SECTION. INCOMPLETE FORMS WILL BE REJECTED!
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P ERTY NE .
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PERSON MAKING REQUEST
_.-:2Sg~.iJa4~-fs~.._.])R-.. - . .-
S Pf2mQr:-le /d ()R ql(n1
CITY' STATE ZIP CODE
~fr~;~~~!~F~1 :ti~E~~f #
2 PROPERTY ADDRESS \. )(] mf ..;"
(IF DIFFERENT FROM MAILING ADDRESS)
1
.
SH EET
k1ne carty
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CITY
&me
BUSINESS TELEPHONE #
STATE ZIP.CODE
&me......
HOME TELEPHONE #
3 MAP a PARC.L NUMBER (from tax maps in Department of Assessment and Taxation
(~EQUIRED INFORMATION) /1 .-ifrolll ta~s,t~~n~t) / 0 r:rO
TOWNSHIP RANGE S~ON TAX LOT(Sf OR PARCEL # ZONING
TOWNSHIP RANGE SECTION
TAX LOTlS) OR PARCEL # ZONING
TOWNSHIP RANGE SECTION
TAX LOTlS) OR PARCEL # ZONING
TOTAL CONTIGUOUS PROPERTY IN SAME OWNERSHIP: ACRES
4 SUBDIVISION (if applicable) j11I'.KPflZIf' )1/lAloL LOT BLOCK
5 REQUEST (state exactly what you plan to do) _.Lns.TA.b.L..._..J'IL!J.rI)j(g__L:_h~C;
_7k'l Line Erom Ji)eTef. r,.." ~J!.sP ____
X> /I TAPe:, ro Vnn1I"'.<:':7Ir. hilT wfJTp.Lhe{~Tev.5flJ hro Tf>r'4.-
6 DlRECTIr:.t?JfnWu n, ~B c/f,n' "J'~f-,~/e ~,~e fi~ cd "" ~
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** FOR STAFF USE ONLY **
--
ZONE/LAND USE:
BY: DATE:
TIME IN:
NUMBER
DATE
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OUT:
LAND MANAGEMENT DIVISION / 125 E. Bth AVE., EUGENE, OR 97401 / 687-4061