HomeMy WebLinkAboutPermit Mechanical 1986-3-19
Lane
couty Authorization
MECHANICAL ONLY
.
for:
RPc...-I<
3-1~
~
.
FOR OFFICE USE ONLY
Applica Hon/ p.'-
Permit # ~~CJ~ ~
roW:;SHIP 17 I RANGE 03
5~BDIVISION/PARTITION (if applicable)
SECTION
22.4.4
I TAX LOT
6100
LOT/PAH<:E~ I
OOUT OF
PROpOSED USE OF PROPERTY
[K] Residential 0 Industrial
o Conunercial 0 Public.
BLOCK
LOCATION ADDRESS
STREET
CITY
ZIP
2720 Game Farm Rd" Springfield
STRUCTURES CURRENTLY ON PROPERTY
Ol~CTIONS TO SITE
~~SCRIPTION OF PROPOSED WORK - B[ SPECIFIC
Mechanical only NEw
J # OF STORIES
o;mER' 5 NAME AND ADDRESS
TIMBER PRODUCTS,
DECLARED ~ VALUE
: OF BEDROOMS
e~\
. -]
J:ufi'l.,JftgK
If OF EMPLOYEES
o.(Jiv
I WA.n:R SUPPLY
o Proposed
~ Existing
TELEP~ONE NUMBER
305 S. 4th St., Springfield 97477
CONTRACTOR'S NAME AND OSR It
Harvey & Price Co., P.O. Box 1910,
PE:RNIT TO BE MAILED TO (NAME AND ADDRESS)
Eugene 97440
TELEPHONE NUMBER
746 1621
TELEPHONE NUMBER
I HAVE CAREFULLY EXAMINED THE C(MPLETED APPLICATION POR PERMIT, ,!.rid .10 hcrcl1y cettify that all infol"lllation hereon is true and correct, lInd that I
ha.ve the following legal interest in the propc~ty.Oo"'ner of record; 0 contrd\,t. purchaser; [gJauthorized agent' .
I f~rthQr certify that any and all ....ork perfo~d shall be done in accoldilnce with thtl Ord1nances of Lane COW1ty and the Laws of the State of Oregon
pertaining to the work. described herein, and that NO OCCUPANCY will be made of an}" structure without the permission of the Building Division. I fur-
ther certify that registration with the Builder's Board is in full force nnd effect <IS required by ORS 701.055, that if 'exempt the basis for exemption
.1.5 noted hereon, a.nd that only subcontractors and employees who are in compl.1.ance ....ith ORS 701.055 w111 be used on thlS proJect. 1 HAVE READ AND
CH~~O:i~L:~'~THORO~L:'REWS()A/ X 1L4'A7J>. S'~ 3-12-86
NAME (please pnnt) V" SIGNATURE DATE
READ THIS SECTION CAREFULLY. YOUR AUTHORIZATION ~AS BEEN BASED ON THE FOLLOWING CONDITIONS!
[] PLANNING/ZONING:
Zon(>
Parti tion #I
Parcel #I
Parcel Size
Minimum Setbacks:
C
L, front
CL, side
interior
rear
COMHENTS:
NO SPECIAL PLANNING ACTION REQUIRED.
Installation
Specifications:
Gallon
Tank
Lineal Feet
of Drainfield
II
3-12-86 ~
/]((
Installation Record Issued? DYes 0 No
Maximum Depth
of Trenches
Date:
o SANITATION:
S. I. #
B. P. It
COMHENTS:
Date:
.
n
[] PLANS EXAMINATION: Type-
Group -
use.M/FW S"S' FUIPLJAO:. 0
I 1.J ~TL /"1IJS7' Co~Piv w I.I1:I::
~1!E.t19U'RIED I IJ <:"'C'_d 10,05.
DaCe, ~ - Jq - 8(". -&.1eJ
COM>lENTS, PRoVIDE 20 SQ./LJ, 01= CoM Ru5T/C)AJ AIR.
-rTIE c...JHJ6= HEc.HAAJ/CAL C4t:>/E'. CA-LLJ:oR
7>1 kE.. ~ -1'" - 8~
PERMIT APPROVED BY BUILDING OFFICIAL/DESIGNEE (oer ORS 456.805{lj) DATE
LANE COUNTY DEPARTMENT OF PUBLIC WORKS LAND MANAGEMENT DIVISION, 687-4061,
125 EAST 8TH AVENUE, EUGENE, OREGON 97401
SEE REVERSE FOR INSPECTION INFORMATION
c 14-25 R84-
.
.
.
. .
SETBACKS A:-ID OTHER CO:WITIO::S or APPROVAL :.:U51 BE STRICTLY OBSERVED. VIOLATIO~ CA:-l RESULT IN REVQ-
C';710:~ Of ,!lIS rc!t:U'i', CIT.;no:; U::OSR PROVI5IO:-:S OF L';~E CO;;::TY'':; INFRACTION QF.DI::;"NCE, AND/OR OTHER
REMEDIES ALLOWED BY LAW,
\o;HEN READY !O'QR I:.SPCC.IO:-l, CAt:. 687-..065. A ~lINHIL'~l OF AT LEAST 2.. HOURS ADVA::CE NOTICE FOR INSPEC-
'I-IUCI ItE:!!.!::::;-;-::; :.;:.;:rr-liEGIVC:l~idVC tne I-ollowing in~or~ation ready: rermit number, job address, type
of insp~ct~on. when it w~ll be ready, your name and ?ho~~ nu~ber, and any special directions to site.
BUILDING DIVISION,
RECUIRED INSPECTIONS:
L
FoundatIon lnsp~ctlon: To be made after trenches arc excavated and forms erected and when all
~atcrlalti ior t c toundation arc Jclivcred on the job. Where concrete from a central mixing
plant (COI!'~llonly termed ~transit mixed") is to be used, materials need not be on the job.
2,
Concrete Slab or Under-rloor Inspection: To be made after all in-slab or under-floor building
serVl~e c~uipment, conoult, plplny accessories, and other ancillary equipment items arc in
place but before any concrete is poured or floor sheathing installed, including the subfloor.
3.
Frami~~ ~ Insulation Inspections: To be made after the roof, all framing, fire blocking, and
DraClng are in ~ldce ana all plpCS, fireplaces, chimneys, and vents are complete and all rough
electrical and plumb1ng are approved. All wall 1nsulation.and.vapor barrier are in place.
4,
Lath and/or Gypsum Board Inspection: To be made after all lathing and gypsum board, ;nterior
ana-extcrIOr, 1S 1n-prace Dut Detore any plastering is applied and beiore gyps~~ board joints
and fasteners are taped and finished.
5. Final Insoection: To be made after the building is complete and before occupancy.
APPROVAL REQUIRED. ~o ~ork 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 be given only after an inspection shall have been made of each successive step
in the construction as indicated by each of the ins~ections required.
NOTE: All building permits require inspections for the work authorized, such as but not limited to:
A. Block Wall: To be made a:ter reinforcing is in place, but before any grout is poured. This
rnspectIOn 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
compl~ Installation shall be in accordance ~ith an approved, nationally recognized testing
agency and the manufdcturer's installation instructions.
C. ~lobile 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.
Swimminq Pool: Below grade when steel is in place and before concrete is poured. Above grade
When pool-rs-installcd.
D,
~PPROVED PLANS MUST BE ON THE JOB SITE AT ALL TIMES DURING WORKING HOURS. THIS PERMIT WILL EXPIRE
IF WORK DOES NOT BEGIN WITllHl 180 DAYS, OR IF WORK IS SUSPENDED OR ABANDONED FOR MORE THAN"ISO DAYS.
SUSPENSION OR REVOCATION 11AY OCCUR IF THIS PE&~IT WAS ISSUED ON THE BASIS OF INCOMPLETE OR ERRONEOUS
INFORMATION.
ANYONE PROCEEDING PAST THE POIl:T or REQUIRED INSPECTIO<lS WILL DO SO AT THEIR OWN RISK.
SUBSURFACE ~ ALTERNATIVE ~ DISPOSAL ~:
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 Cor..munity 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 certi(ic~te. Failure to
meet the requirements for satisfactory completion within a reasonable time constitutes a ~io-
lation of ORS 454.605 to 454.745 and this rule.
Setbacks - Subsurface
~'ro::l:
Interior property lines
t;d'Je. or road nqtlt-of-way
Buildinq foundation
Wells. Ot.her \o!ater soureeT ~
Sewage Disposal
Septic ~
10'
10'
;'
~O '
Drainfield
10'
10'
lD'
100',
. LANE COUNTY DEF"T ENV MGT F(ECEIPT ~ 740B6. DATE 0312Bf.
APPLICANT HARVEY & PRICE. ADDR P.O. BOX 1910, EUGENE
TL~ 1703224406100 SUBDIV LOT BLK I
NE:.W I~LDC TYPE:: USE F( fJDF(i'!S 0 UNITS 001 STOF':H:S ,r,'BLDGS 001 PHONE 746 10.:,2,1.
. DWNEF( NME TIMIti::F( PF(DDueTS, ADDF( 30:> S. 4TI-I ST.. SF'I\INGFIELD
CODE APPL NO ACTION DESCRIPTION SQ FT UNIT COST VALUATION FE::E DAY1 1'1'
DP
~p e.
I ,
- 1 r,p
BP
.BP
ME::CH LC 740B6 ME::CH
.F'L ~+IX/BAn'l:
MECH
SW(
Pf"'K
. .,
.
I' .
.
.
.'
.
j" ,
.
.
.
.
! .
.
.
.
.
1'1
CATC:
.SEQU:
TAKEN
.
r.,PP
I
BY GT
F(A
.
.
FP
EST~
SWF( :
FT . ~ITF( :
MECHAN I CAI_ FE:.E
STATE sur;:CHARGE
PUlN CHECK FloE
SDS SI
PCK
")
,~
COMPLETION DATE
.
OTH
FT.
F(AIN:
4%
25;~
ISS
:5
TOTAL FEE,,-)>
.
.
.
~
-Ii
H
.~
I
.
.
~, I 'I
.
.
.
.
.
.
FT
16.00
0.64
4. (~0
.
~ ;. :
.
.
~.
20.64 CK
.
.
H-MI./ev ~ Pt<,/CcCo,
(Name or 'fInn-Please Pnnt)
01.
PLLJ;\lBING CONTRACTOR
Finn
'.
Address
o No o Self
~IEO[ANlCAL CONTRACTOR 0 Yes Finn
Address
o Noc!fSelf
Type of Fixture
Sink
Lavato[y (Wash Basin]
Tub (with or without shower)
Showc'r, senarate
Water Closet (toilet/urinal]
Dishwasher
Disposer (garbage grinder)
Washing i-Iachine
Water Heater
Floor Drain
Sewer--lst 100 ft.
each additional 100 ft.
Water Servicehlst 100 ft,
each additional 200 ft.
Stann and Rain Drain--lst 100 ft.
each additional 200 ft.
Special ll'aste Connection
Seh'age and Sump PtunP (eiector]
,\lohiie Home Sel,'er and Water
Other (specify)
SUB-TOTAL (~unimum $15.00)
Type of Equipment
i-Iechanical Pemi t Base Fee
Furnace up to 100,000 BTU/H
Furnace Ol'er 100.000 BTU/H
Clothes Drver Vent
Bathroom Ventilation Fan & Duct
Ranlie Hood with i-lechanical Exhaust I
Ilooc! Stove nvood StOVl> Vf'nt $3,00)
Air Conditioner Onl"
Heat !'lun!)
Floor Furnace
Gas Piping System 1 to 4 Outlets
Per OUtlet Over 4
Other (specify)
SUB- TOTAL
if?- 0 I Be) x: /? /0
l~bIllng Address)
EiJ66V5
.~ ty or 101m)
Cant. OSR#
/f1:!,q,U6j '(I-- fJ/{t'C.iE ~ Cant. OSI<#
6WfS' NU60Er wAY
97lf.vo
(LIp Lode)
77
l"LUMBI/-;G
Number of Each
Total
I TOTAL FEE
^ IE GlAN I CAL
i\'umber of Each
Fee On Each
$ 7.50
7.50
7.50
7.50
;,50
7.50
7.50
7.50
7,50
7.50
30.00
15.00
20.00
15.00
30.00
15,00
7.50
7.50
15,00
Total
IWT AL FEE
Fee on Each
~ 6.00
7,50
3,00
3,00
4,50
6.00
6,00
6,00
6,00
2.00
.50
S 10.00
;;',00
ACTleTY INFORMATIONaHEET
klne county
.
COMeLETE THIS SECTION. INCOMPLETE FORMS WILL BE REJECTED!
5J65tJ.6
CUY
7Lf.C, - /0 J.. /
BUSINESS TELEPHONE #
otf..
STATE
97c/-f{O
ZIP CODE
TlI'11 6 &.. iJz 0 cI () c 1>
PROPERTY OWNER
30:; s, L:f-t1z
MAILING ADDRESS
S;;~W6-RE tI 01('.
CiTY STATE
17lf-77
ZIP CODE
1
I-/- MU E:Yt ~ fJ~../Ct:: Co ~
, ' PERSON MAKING REQUEST : '~---r-
0;;.0, 8Dt IC){D
MAILING ADDRESS
HOME TELEPHONE #
BUSINESS TELEPHONE #
HOME TELEPHONE #
Sf7,e'At6" ih; Ie!
2 PROPERTY ADDRESS d-.7d-O . 6/'1--11E. F-4ftvT (-(od
(IF DIFFERENT FROM MAILING ADDRESS)
3 MAP & PARCEL NUMBER
(REQUIRED INFORMATION)
(from tax maps in Department of Assessment and Taxation
or from tax statement)
y P j)JJ4-
17 tl 1~4<t O(P~f>Q
TOWNSHIP RANGE SECTION TAX LOTlS) OR PARCEL # ZONING
TOWNSHIP RANGE SECTION
TAX LOTlS) OR PARCEL # ZONING
TOWNSHIP RANGE SECTION
TAX LOT(S) OR PARCEL # ZONING
ACRES
TOTAL CONTIGUOUS PROPERTY IN SAME OWNERSHIP:
4 SUBDIVISION (if applicable)
LOT
BLOCK
.5 REQUEST (state exactly what you plan to do) ~1=rL~CE ELl:l-lrrl<:" RJ'RIJAc~
"
IA.JrrH lac., --"" ~ G~, Fl2R1JACE.. O~Ly_~'
l!J.ILL "lIE /J..)<:7JI1!",U;JJ )~_,E5t ,e/' U77Ury'iTb<Dl'7 .
6 DIRECTIONS TO SITE:
** FOR STAFF USE ONLY **
NUMBER
DATE
--l
;0
VI
ZONE/LAND USE:
BY: DATE:
.
--l
,--;
TIME IN:
OUT:
LAND MANAGEMENT DIVISION / 125 E, 8th AVE" EUGENE, OR 97401 / 687-4061