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HomeMy WebLinkAboutPermit Mechanical 1985-2-6 . Lane County Authorization for: ~7fro..u.. ~Jl.u.) CUlD U..hJ.J If 1'O",SH1P(7 IRANGE03 1823.3.3 IT#I~ctrTOF Pi:::i~s:n:::;oPOIndustrial S"BD1UNQ~ART1T10N (if "';~iCAJ..am~ I LOT4RCEC I BLOr D Conunercial D Public. " LOCAT'ION AbD~~ET -. ~ ~~ITY "'iP;-.~ 2B02 iY\Q;nDr I ) , ,7\ LtlO Q74. (~,' . STR[i~ ~;;;(PROP3YI) - U t 'tP i IIfY') ~ '-' '4 . "'rn~'~Al~\f+-~~hm ~~)- 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 ~~~d~)/~~~~~~~~~~: ii~.' who a~i;;&MJ5 ~ ~Oj.ct_ I ~VE = ;- NAME Ipl.... pnnt) SlGNATPRE.:J/6J;- ~ f2,/"Y\ ~ -(;, -<6S- I- . FOR OFFICE ';::; USE ONLY Applicationt-..o C Permit t ~rl7 -,,~ '- 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 n use--cJl~ Pll'la. /~bP~t/./!;tII)\ , -PP. 'I . ~<;.i Z:> '""'- it.w Ul&JC:J b-;J:.. .e"# h9/w. ~ IJJ?_ ;-- ~ Dat., ?J:t--a ~f:f" ..../" - Date: n f!1~/II~ 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. .. . , \ ~ 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. .1 . . 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: ,. .'" 'Fro~: I~terior'property lines ':Edge of roaa riqht-of-way . Building foundation Wells, othar water sou~ces , - .- . .. ... \ J~~"-' .. ..... ,. "'- -'. , .\ (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 ...... , . i .' . . . . m . . . . oat . . . . . ",; . -, I , ~~ ~ \~ /. I . 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 . " . I DAYS . . 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 . on . 4X 65% . H (~ATG: . SEQU : TAKEN . APP 1 BY CAD RA FP SDS SI . PCK OTH ISS ~3 TOTAL FEE** 1_ 27.04 CI( 2 EST. COMPL.ETION DATE . . . m . . ACTIVITY INFORMATION COMPLETE THIS SECTION. INCOMPLETE FORMS WILL BE REJECTED! (JJil6~m a f?a-tnvt!/~ P ERTY NE . .... ...._.._..---M~trr!lLtmlRESS.u ........__u..__.. {/ . ~b it J(l, ff) /J KrL ( n V L11 e, 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 ~. 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 "" ~ : \ :."~.,: , . -4 ~ ** FOR STAFF USE ONLY ** -- ZONE/LAND USE: BY: DATE: TIME IN: NUMBER DATE ..... ...., OUT: LAND MANAGEMENT DIVISION / 125 E. Bth AVE., EUGENE, OR 97401 / 687-4061