HomeMy WebLinkAboutPermit Mechanical 1986-11-3
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RURAL ADDRESSING cJ
,,,,HECKED OCT 2 It
Lane County Authorization for:
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FOR OFFICE USE ONLY
Appl~cation/ ~/L/L/ ~~
'Permlt # cJ 7c.r/.J-di:r
. mWNSHIP ~ RimGE. ') . ,S;CTI~a ~ -j. TAX LOT "?~:~ PROPOSED USE OF PROPERTY
,/ 7 ~ ' r:;:;.~ ~ ' /. 7~~..~ -^. Z/5 d. 'R~e'sidential 0 Industrial
: S:JB1'JIVISION/PARTITION (if ap. p.licable) . .', ,.' .,1 L, OT,./PA.,pec,' L . BLOCK ~
'A'~ . D Commercial 0 Public.
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STRU,CTURES CURRE;;;%Y ilN PROPERTY ~- ~ / ~ - r
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W2mcPRrJPs7:-hE~~~ ~~~".' .~ DEC~D$VALUE
..~Jo~?; #./1~ ,..~~"J;;C? ~;~TERSUPPLY ~~<<--~~~~~~~~;.un.'
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C0NT~'~~OSR '# .,/ ___~~. . . -... ' _-7: ..' ~ /.. '. ~p~o. NE mMBER
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~~T~ MAILED~E ~/,~~~-4(~' . c;;;';7f/ZP -iiL~~HUNE NUMBER ,.
~ HAVE CAREFULLY EXAMI~T~~'COMPLETED A~PLI~AT!ON FOR PERMI~ and do he~euy c~'tifY t infol~ation hereon is' true and correct, and that I
'have the following legal interest in the property-: O'owner of'record; 0 contract. purchaser; - uthorized agent.
. I f-..:rther certify that any and all work performed shall' be done in aqcol:dancF.: :wi -;:h. the Or nances Lane County and .the Laws of the State of Oregon
pertaining to the work describe~ herei!l., ~np tha~ ry~, 9,9CUPANCY will be '!1ad~ of any st.ructur:e without ~0~ permission of t:he Building Division. I fur-
ther certlfy that reglstratlon wlth the Builder'~ Board is in full force and effect as re~ulred by ORS 701.055, that if exempt the basis for exemptlon
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- NAI-\E' (please print) ~ ll.:.) ~ {( SIGNATURE DATE
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READ THIS SECTION ,<;:AREFULLY.
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YOUIj. AUTHORI.ZATION ~~AS, BEEN ~
ON THE FOLLOWING CONDITIONS!
[] PLANNING/ZONING:
Zone
Partition #
Parcel #
Parcel Size
. .
C ,., " . c.' , ' . . . . '
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, Co . . ,.. /.....
o SANITATION: S. I. # B. P. #., Installation Record Issued? 0 Yes 0 No
Installation Gallon' Lineal Fee.t , M.aximum Depth
Specifications:' Tank of Di:Ainfi:eld of Trenches
COMNENTS:
Date:
o
:APLANS EXAMINATION: Type - Group U~e ~ - <;. .,.
;Z;T".C'ALL fbR 'J?G"GUI1?E:l) wt;PEGTto1J C '
. 0 1::: -r1iJ~ PEf?H)T)~ FoR Fui2AJAc..E l/..JS7t,OAJL}..>_,u~PJOHJ!JI..J<El.
Date:JI-s-8Co 4- D
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PERMIT APPROVED BY BUILDING OFFICIAL/DESIGNEE (per ORS 456.805(~)) 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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SETBACKS A~D OTHER CO~DITIO~S OF APPROVAL MUST BE STRICTLY OBSERVED, VIOLATION CA~ RESULT IN REVO-
C",~Iml OF THIS PERHIT, CITATlO~ UNDSR PROVISIONS OF LANE COUC:TY' S INFRACTION ORDI~ANCE, AND/OR OTHER
REMEDIES ALLOWED BY LAW.
~HEN READY FOR INSPECTION, CALL 687-4065. A MINIMUM OF AT LEAST 24 HOURS ADVANCE NOTICE FOR INSPEC-
TIO~ REQCESTS MUST DE GIVE~. Have the following information ready: permit number, job address, type
of inspection, when it will be ready, your name and phonc number} and any special directions to site.
BUILDING DIVISION:
REQUIRED I~SPECTIONS:
1. Foundation Inspection: To be made after trenches are excavated and forms erected and when all
materials for the foundation 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. Concrete Slab or Under-?Ioor Inspection: To be made after all in-slab or under-floor building
servi~e equipment, condult, piping accessories, and other ancillary equipment items are in
place but before any concrete is poured or floor sheathing installed, including the subfloor.
3. Framing & Insulation Inspections: To be made after the roof, all framing, fire blocking, and
bracing are in place and all pipes, fireplaces, chimneys, and vents are complete and all rough
electrical and plumbing are approved. All wall insulation and vapor barrier are in place.
4. Lath and/or Gvpsum Board Inspection: To be made after all lathing and gypsum board, '.nterior
and exterior, is ln place but before any plastering is applied and before gypsum board joints
and fasteners are taped and finished.
5. Final Inspection: To be made after the building is complete and before occupancy.
APPROVAL 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 building official.
Such approval shall b~ 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 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. Wood Stove: To be made after completion of masonry (if applicable) and when installation is
complete. 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
sewer or septic system for setback requirements, blocking, footing connection, tiedowns,
skirting, and plumbing connections.
1. 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 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 skirting shall be installed
per enclosure.
D. Swimming Pool: Below grade when steel is in place and before concrete is poured. Above grade
when pool-rs-installed.
APPROVED PLANS MUST BE ON THE JOB SITE AT ALL TIMES DURING WORKING HOURS. THIS PERMIT WILL EXPIRE
IF WORK DOES NOT BEGIN WITHIN 180 DAYS, OR IF WORK IS SUSPENDED OR ABANDONED FOR HORE THAN 180 DAYS.
SUSPENSION OR REVOCATION I1AY OCCUR IF THIS PERMIT WAS ISSUED ON THE BASIS OF INCOMPLETE OR ERRONEOUS
INFORMATION.
ANYONE PROCEEDING PAST THE POINT 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 Department shall issue a certificate of satisfactory completion to the permiti holder.
If the construction does not comply with such rules, the Department shall notify the permit
holder and shall require satisfactory completion before issuing the certificate. Failure to
meet the requirements for satisfactory completion within a reasonable time constitutes a vio-
lation of ORS 454.605 to 454.745 and this rule.
Setbacks - Subsurface S~waqe Disposal
From: Interior property lines
Edge of 'road rlqht-of -way
Buildinq foundation
Wells, other water sources
Septic Tank
10 .
10'
5'
50'
Drainfield
10'
10 '
10'
. .100 '
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WOOD STOVE &
FIREPLACE INSERT PERMIT
A PERMIT MA Y NOT BE APROVED UNTIL A COpy OF THE
MANFACTURERS INSTALLATION INSTRUCTIONS ARE SUBMITTED
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LAND MANAGEMENT DIVISION
Department of Public Warka
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!NAME
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PHONE ?,:'t&'1ltof!
CITY S Pr1r-JC'.f:.; /J
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MODEL S~c .Job
ADDRESSD &: JU'l\l J n \~ ...,,J~, I ~rJ
,MANUFACTURER -~4772/teC;f1e "":r(l.)J-u~ J rl./.!J
INST ALLER '~~"" fJ.!j. f '0 e q r ~
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WOOD STOVE & FIREPLACE INSERT CONSTRUCTION ~_~~"IOM"Wdl~lO_.Ji<'.-"
A. The unit is listed by 0 UL 0 leBO ISlI Other p::r e L
B. The floor protection is II inches thick. The material is CO Vl',....t .f.(.
C Chimney type ~ Facto'ry 0 Masonry Lined? 0 YES 0 NO
ORS#
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FREE STANDING STOVE DIMENSIONS ~~.ua.,"".._,...."'-,~_IDi~-
(IN iNCHES) (NOT RI;QUIRED FOR FIREPLACE INSERTS)
1 Side of unit to protected wall (unprotected wall) i-?
2 Rear of unit to protected wall - (unprotected wall) ~
3 Corner to protected wall (unprotected wall) If)
4 Floor protection at side of unit f7 rear tr front -G!5 /(/ I
5 Length of wall protection ~ rear ,..- side ;
6 Height of wall protection ~, material
7 Edge of protection to nearest door or window
~, 8 Air space between protection and wall
9 Dia. of vent connector or stovepipe [P
Type
D Factory
(Kl26 ga metal
NOTES ~,iM;;;--!'~M;l~~;t:}'t\'ffii:!ki\\t;;;.~1t,;!~lt~~~....... _~;gz;~~~~~1nIl- "~iII
(1) OUlside combustion air,is required for all fuel burning appliances. A 7 sq, inch (min. area) closable vent'located within 24"01 the fireplace aFappliance on the floor
or base 01 a wall.
(2) A copy 01 the approved manufacture~s installation instructions must be on the job s~e at the time of inspection, Inspection cannot be completed without these
insturctions,
(3) Your 'Approved' plan/application must be on the job s~e for use at the time 01 inspection,
(4) Not all units are approved for corner installation or reduced clearances w~h wall protection. (Refer to manufacture~s listing)
(5) W masonry chimney is used, IT MUST BE LINED (Required by Law), Existing flues must be approved by inspector prior to use, You MUST provide access for the
inspector to make a complete visual inspection of your entire installation,
(6) A fireplace insert installation may require wall framing to be exposed at the time of inspection,
(7) Fireplace inserts are not permitted in factory-buik or prefabricated.metal'O' clearance fireplaces, unless specijically tested and listed,
(8) Fireplace inserts are not permitted in masonry fireplaces w~h existing heat form type of metai fireboxes unless specijically tested and listed.
(9) Unlisted un~s must be installed in accord with the State Mechanical Code, utilizing the materials and clearances set forth in Chapter 5 of this code,
(10) IF YOlfHAVE ANY QUESTIONS REGARDING YOUR INSTALLATION, CONTACT THE COUNTY BUilDING INSPECTION OFFICE 687.4061
PERMIT iSSUED AS NOTED =......,,-.....w INST ALLA TION APPROVED ...
BY.--e. d? ,BY
DATE II /3 /8c.o DATE /
PERMIT #'ILjLjo- 8CQ
LAND MANAGEMENT DIVISION 125 E 8TH AVE EUGENE, OR 97401
C~14~32
CIRCLE THE SKETCH MOST
CLOSEL Y RESEMBLING
YOUR INS1AL..LATION
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IF YOURINST ALLA TION DIFFERS
FROM THESE EXAMPLES, OR)F
THE INSTALLATION IS A FIRE.
PLACE INSERT, PLEASE PROVIDE
A PLAN AND ELEVATION DRAWING
WITH DIMENSIONS
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F:MAJ ACTN LANE COUNTY DEPT ENV MGT RECEIPT' I 344086 DATE 102381
APPLICANT F~OBERTS AND Dr~UI~Y, ADDR 20~5 N. 9TH, COTTAGE GFWVE, OREGON ' F
n.AI: 1702193200203 SUBIHV r LOT BLK (Iti '
NEW BLDG TYPE USE R BDRMS 0 UNITS 001' STORIES OBLDGS 001 PHONE 942 4435
OWNER NME WAGNER, LES 'ADDR 3067 HAY,DEN BRIDGE I~D., SPRINGFIELD
, ^
CODE APPL NO, ACTION DESCRIPTION S(~ FT UNIT COST. VALUATION FEE DAYS
BP
BP
,',1 UfP
BP
BF'
MECH LC 344086.
PL OFIX/BATH:
MECH
SUR
'PCI< '
SWR: FT. WTR: ,FT. RAIN: FT
MECHANICAL FEE 17.00
STATE SUf~CHARGE 4%. 0.6B r :: <1
PL.AN CHECK FEE 25::C 4.25
n I.
C;A TG : APP '!:;:A
SEQU: i :~
TAKEN BY RLH
FP
.SDS
SI
PCI(
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OTH
ISS
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DEPOS I T 1(.*
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EST. COMPLETION DATE
21 .9,3 CI(
1; :
ACTIVIT" INFORMATlONSI ET . / .a
COMPLETE THIS SECTION. INCOMPLETE FORMS WILL BE REJECTEP! :O/;) 3& "JIiI
.,.-.,"."'...... .. ,... ........ .............. .. .,'... ...'-....'......"......'''..-..'..'..'.. ....,........... .'. "- .,... ,".....',....... ... ..",. .. ..,.. h' "I. -" , . ..
< 12~~l~. foe(.e~y L~_'\W4q~{L
" PERSON MAKING REQUEST. . PROPERTY OWNER
d-o~) a1J9r/.JSr 'f:' DIP; ;Jn~rki)'B",--'~
MAILING ADDRESS. '. " MAI~ING ADDRESS'-T7
, Co;kCf..t Gr-DtK Oe. 97t("V{ ~~eIlJq rC~ (J' de. i.
; eITY STATE ZIP CODE CITY <1 . STATE ZIP CODE
ql(2--C(1{~5 J 7:;,;;.,-?'-(of(
BUSINESS TELEPHONE. # '. HOME ~.~ BUSINESS TELEPHONE # HOME TELEPHpNE#
: 2 PROPERTY ADDRESS ~
(IF DIFFERENT FROM MAILING'ADDRESS)
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910'7 :
: 3 MAP &. PARCEL NUMBER
(REQUIRED INFORMP ON)
I T:JHIP
(from tax maps in Department of Assessment and Taxation;
drtom/r;: ;i:trnt) ~() 3 ~.~
RANGE SECTION TAX LOT(S) OR PARCEL # ZONf~G ~j
TOWNSHIP RANGE SECTION
TAX LOT(S) OR PARCEL #
ZONING
\
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TOWNSH1P RANGE SECTION
TOTAL CONTIGUOUS PROPERTY IN SAME OWNERS~IP:
TAX LOT(S) OR PARCEL # ZONING
ACRES
: 4 SUBDIVISION (if applicable)
: 5 REQUEST (state e~act1Y what you plan to do)
t..oCX0 d / 3 (-e'c.rrr I ~_ PO r0~C"'(
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LOT BLOCK ,
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110 . g;)q")(q- t5f2...g, cf.r, 1.Jc4-
.
I 6 01 RECTlONS TO SITE:
;
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** FOR STAFF USE ONLY **
.
ZONE/LAND USE:
14-33..
LAND MANAGEMENT DIVISION / 125 E. 8th AVE.. EUGENE. OR 97401. / 687-4061
ane
ounty
PlUMBI.,,~ AND MECHANICAL PERMIT
CHECK LIST
~MD'
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-
bWNER 1~'S W AC, ,y-P~
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PLUMBING BY: ContractorD Name
Owner. 0 ~ r J
MECHANICAL BY:Contractor tel Name .'. ~~ t- ~
. Owner' 0
L^ND M^N^ra;:MrNT DIVISION
D,....n;Hln"~nl 01 PlJhllc Work~
PERMIT #
OSR #
'10 r-U(l' \
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OSR#
, M'.,' . ";"-" '-' ......... ... ............_.. PLUMBING ',." ,",..., ",""".. ,........ ,."... ....., 0.'
~RESIDENTIAL (Single Family Dwelling/Duplex) 0 NON-RESIDENTIAL
, 0 New' Building no. of fixtures
, no. of fixtures
no. of bathrooms
O'AJtenition, Addition; Remodel
no. of new fixt~r,es .
no. 'of existing fiXtures'
[Put Number of Fixtures in Blank)
Sink (kitchen, laundry, etc.)
. Lavatory (wash basin)
Tub (with or without shower)
Shower (separate)
.. .
Water Closet (toilet or urinal)
.' Special W~ste Connection
Drinking Fountain
Underground Water and Sewer Lines
no. of feet in building sewer
no. of feet in water service
no. of feet in rain/storm sewer
. Dishwasher
Disposer (garbage grinder)
Washing Machine
Water Heater
Floor Drai'D
Sewage and Sump Pump (ejector)
Other (specify):
Number
MECHANICAL '":-' ,,,,....
Total
Fee
BASE FEE: All Permits $10.00
Furnace/Boiler /Compress'or up to
100.000' Btu/h
Furnace over 100000 Btu/h
Heat Pump
Air Conditioner
Suspended or Unit Heater
Range Hood with Mechanical Exhaust
Exhaust Fans (other than range hood)
Gas Piping System
gas piping outlets (more than 4)
Wood Stove with New Vent
Wood Stove with Existing Vent
Fireplace Insert
/
tJ---
$10.00
6.00
7.50
6.00
6.00
6.00
4.50
3.00
2.00
.50
9.00
.6.00
6.00
/-~
SUBTOT AL (Does not include State Surcharge or Plan Review)
M98-246
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10, 11,1 _ 1_. .,....'I~...: I ~Il.;. .liil.IOol.~;"':. ,J I. .1. 1.,,",,...111,01".,,.. "... ,I ,III"I~,
Land Management Division 125 E 8th Ave Eugene, Oregon 97401