HomeMy WebLinkAboutPermit Plumbing 1982-9-23
LOCATION ADDRESS
J of)
OW~YO" .
&~cM(U\.;'
.; OF B~'1S I ' OF STOrES ---' I "OF "('f)YEES
01);; ;;R~t ~D~sr,f)Ml . (1n IIm'H N.) r - fL 2rQ)p ~LEP':'E NU'h0
1~1~ffj'S~D~~It1c.Q8er66 ~. ~l;;':. M~fEI
~T)r.9jO~~sR" I ~I;;~:T'r1NS TO snfJ <A " I ;... ,~.,.4 r<(i. ) r11~ +n - J.t t
~/. :(y ) ~ Jf JI > 4f,~ or: ~Lt 0 11 )lJ..JUllL,l~ ~ .J I
~~~21~~HE~E' mLlCT1o"eOR~~nd~en-'~~,'~nCi~'~;;' ,,,,,,.,:,,.,,,,,,," 11""'",.
certify that any and all work pcrfonned shall be done in accordance with the On.lina:lcc~ of !.iltlC Coullt.y and tlH' l.il""':'> of th" St.,le of U,....pll 1"lt.1101l1'1
to the work described herein, and that NO OCCUPANCY will be made of any structur~ without the pcrminsion of the Buildillg Division. I furt.hr:lr cTr~ilr
that registration with the Builder's Board is in full force and effect as rcquir'=ld by OR~ 701.055. tho!. if exempt the basis for uxcmptioll ill !lotNi
hereon, and that only subcontractors and employees ....ho arc in compliance ....ith ORS 70l.055 will be u91!d on this project. I HAVE Rf.,,\O AriD CIlECt~D TillS
APPLICATION THOROUGHLY.
"
cmlPLETE
CO~?TRUoltoN/PLACEMENT
O~O PERM IT '
THIS BLOCK. PLEASE USE BLACK INK AND PRINT,
RANGbz
(if applicable)
,
TOI''';;HIIi.A J
:::UBOI VI S ION/PART 1 TlO;l
Un ~qffPt;'R~UIUIIJJj,
o PLANNING/ZONING:
Partition If
Zone
Parcel ~
N~:l~mum SctnaeJ.:J:;:
C
L,
front
eL, side. interior
r1I'.l1 (jYI) 91 trt R I; h e.1i /
f1111/ 0('1 ,I '>
haze!) area? 0 N~ 0 Yes, sc~ attached sheet.
RURAL ADDRESSING:
SlUHTATION: S. 1.
GR1D COORDINAT~
N
E
Installation Record Issu~d? [] Yes [] No
Date:
CONSTRUC1'ION AUTHORIZED BY THIS PERMIT~ . 'tJ>~
Fixed Fee/n~F~OOR~~~in Fee $
Unit Cost ......".,~ $ 2,00
Building Fee $ t.~.no
Sewer/Storm Drain/Water $~.~
Plumbing Fixtures S
Mechanical S
Plans Check Fee 3$,75 $~ . -i -
State Surcharge 2..2.Ds ~..'\!a-
TOTAL FEE.tJIIII!!IP$ ?"h. (fl)
FEES PA~eCk 0 Cash
pee We- -7-." ~.9.95 :::eq;/0/i~/
_~ 9h3~Z-
PERMIT APPROVED BY BUILDING OFrrCL~L/:)ESIGNF.E C;:'e!~ ORS 456.805 (1)) ~, DATE
B. P. #I
lnstallation
Spccificlltions:
Gallon
Tank
Lineal Feet
of Drainficld
Comments:
GrPLANS EXAMINATION:
Type " - kL
Comments:
*CAt...lJ
Sq. Ft.
TOTAL VALUATION
$
.
FOR OF:ICr USE ONLY
APPlicati~
Permit t. -
o Two Copies 0 . lans
[]TWO Copies of Plot Pl~ns
[JMechnnical Checklist
o Plumbinsr ChecJ.:list
I OPlan ChecJ.: Info Sheet
ZIP
PROPOSED U::il.: or PhOPERTY-
~sidential Olndustrial
D Conunercial
OPublic
I 5
VALUE
o Proposed
o Existing
I
~ 00.""
q ((a- ~.ntr"c'o"
l' E DA~::f"llt
Parcel Size
.
t-fw'\O.U
Date, ~ ) c[1)
Date: r--l
o
Maximum Depth
of Tranche:.
Date:
Date, ~/zg/8z..
o
SEE REVERSE FOR INSPECTION INFORMATION
LANE COUNTY DEPARTMENT OF PLk~NING & COr~IUNITY DEVELOPMENT I 125 EAST EIGHTH AVENUE. EUGENE, OREGON 97401
\
.
.
SETBACKS AND OTHER CO~DITIONS OF APPROVAL MUST BE STRICTLY OBSERVED. VIOLATION CAN RESULT IN REVOCATION OF THIS PERMIT.
CITATION UNDER PROVISIONS OF LANE COUNTY'S INFRACTION ORDINANCE, AND/OR OTHER REMEDIES ALLOWEO BY LAW.
WHEN READY FOR INSPECTION CALL 687-4065. A MINIMUM OF AT LEAST 24 HOUR ADVANCE NOTICE FOR INSPECTION REQUEST MUST BE
GIVEN. Have the following information ready: Permit number, job address, type of inspection, when it will be ready,
your name and phon~ number, and any special directions to site.
BUILDING DIVISION:
REOUIRED IIISPECTlONS
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 (colTlTlonly termed "transit mixed") is to be used,
materials need not be on the job.
2) CONCRETE SLAB OR UNDER-FLOOR INSPECTION: To be made after all in-slab or under-floor building service equipment,
conduit, piping accessories and other ancillary equipment items are in place but ~~fore 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 and 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 GYPSUM BOARD INSPECTION: To ,be made after a11- lathing and gypsum board, interior and exterior, is in place
but before any plastering is applied or before ~ypsum board joints and fasteners are taped and finished.
5) FINAL INSPECTION: To be made after the building is complete and befor~ 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 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 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 ma<onrv (if applicablel and when installation is comolete.
. ..I~stal1.at.io~ ~h~I.1. b~ in .acc,ord,a~~~:,},'/\ith an ap.f.roved I\ationally' recognized. t~stlng..ag~~cralld the manu,- ,\ \ ,',
f~~ture~~',s~~~~\a\llatlon'.~~)fructl.~n~.'o\ \~:''''J\l\\i''f\\\ '..:\\\.. ~./).\:I..}.; ,1\~~t)I)1 ..J..)'.)\~ :~~_' ~..._...~~,.:
C. I~OBILE HOME: 'A~ \;'spection is required'!lft~r:th~':;;;;bi.l\e' h'ome is con~ected 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 floodplain
management letter.
(3) Mobile home tiedowns, when required, and skirting shall be installed and ready for inspection
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
is 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 MORE THAN 180 DAYS. SUSPENSION OR REVOCATION MAY OCCUR IF THIS
PERMIT WAS ISSUED ON THE BASIS OF INCOflPLETE OR ERRONEOUS INFORMATION.
ANYONE PROCEEDING PAST,THE POINT OF REQUIRED INSPECTIONS WILL DO'SO AT HIS OWN RISK
SUBSURFACE AND ALTERNATIVE SEWAGE DISPOSAL SYSTEMS
(1) Permits shall be effective for one year from the date of issuance.
(2) . Upon com~letin9. the, construction for which a permit has been issued the permit holder shall notify the
.. Department.bj.~ subnli,ting th.e..inslal1ation reco'rd'fo[m.. The Departij1ant,shall inspect the construction to
detennine if it'complfes'-with the rules cOlitaineCi "in this division, If the construction does comply \'/ith
such r,ules',:.tb~' Department shall issue a certificate of satisfactory completion to the permit holder. If the
construction does not comply with such rules, ~e Departmen~ shall rotify.~he permit holder and shall require
satisfactory c.ompletion before issuing the certific"at~.... f.ailure.to'meet.~he: requireme~~s Jor:satisfactor,y ,',
completion witpip a reasonable time constitutes a violation of ORS 454.605 to 454.745 and this rule.
'., :;. .. --:~' \ '.;'" ':. .
Setbacks - Subsurface Sewaoe Disposal
. -,
,
From: Interior property lines
Edge of road right-of-way. ., .
........: Building foundat.ion____. '._.
. ~ 'Wells, other water sources
~. -' ;, -'
Septic Tank
10'
: 10'1
,-. .'!"' 5'"
50'
Drainfield
10'
10'
10'
100'
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COUNTY DEPT ENV MGT RECEIPT 0 164782 DATE 100682
AD DR 1082 pnDNDEA. SPRINGFIELD, r~EGON
l :JT ;:~I ,( .
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tBLDGS 001 PHONE 747 8166
UN!TS 001 STORIE3
AIlDR
SQ?T UNIT eeJST .\ALUA':lON
~E'::
D:'l",.
.
~ LANE
. APPLICANT SOLPF, RESOURGES,
. TLI 1802061308600 SUBDI~
N~~ RLDG TYDE USE X BDRMS 0
~ . (lI'Ji'I':F, NME
. COl'E API";'" NO ACTION Df.:SCRIPT:~ON'
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Nfl ~ F."YTURJ:":~'
Nl. CONNEClOP, ,
. '"'1,it'NICAL ;:"E.E
STATE SURCHMGE
P:_AN CHECK FEE
1 '5 0':) EAGH -
Le' 16,17;;>" SUP!"
2.00
:35.75
2..20
30.00
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TOTAL FEEr,,,
69.?5
EST. COMPLETION DATE
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LANE COUNTY DEf"'T ENV MGT RECEIPT ;; 164782 DATE 092082.
36
APPLICANT SOLAR RESOURCES, ADDR 2150 PRAIRIE ~D~. EUGENE, OREGON
eTU' 1 8(.\2061 3086\~0 SlJBDIV LOT ElLi<
1!. NEloJ K,DG TYPE USE R BP~(MS 0 UNITS 001 STORIES ~'r.{LDGS 00) PHO~!E 74"i 811.,6 .
OWNER N~E CRUMRINE. CAROL & GILBERT ADDR 1082 DONDEA , SPFD.. OR. 97477
~. CODE r~PPL NO ACTION UESCRIPTION Sf~ FT lINIT COST VALUATION FEE
SF'
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BP
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DAYS.
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NO. FIXTURES:
NO.
CONNECTORS:
MECHANIC,~l FEE
STATE SUF(CHAF(GE
PL,~N CHECK FEE
15..00 EACH =
.
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651.
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lC 164782 RAAA
25.00
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EST. . COMPLETION DA.TE
TOTAL FEE*'*
25.00 CI<
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ACTI.fY INFORMArION _riEE"!'
~
COMPLETE THIS SECTION. INCOMPLETE FORMS WILL BE REJECTEO!
"
1, CPD SOLAR RESOURCES, INC.
PERSON MAKING REQUEST
'. Gilbert & Carol Crumrine
PROPERTY OWNER
2150 Prairie Road
MAILING ADDRESS
1082 Dondea
MAILING ADDRESS
1
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i
I 688-9419
BUSINESS TELEPHONE #
2, PROPERTY ADDRESS
: (IF DIFFERENT FROM MAILING ADDRESS)
Eugene, Oregon 97402
CITY STATE
ZIP CODE,
Springfield, Oregon
CITY
97477
STATE
ZIP CODE
HOME TELEPHONE #
BUSINESS TELEPHONE #
747-8166
HOME TELEPHONE #
~~S
OWNSHIP
(from tax maps 'in Department 'of Assessment and Taxation'
or from tax statement)
m. _(p 51)~"35ec. 8?p 00
RANGE SECTION TAX LOT(S) OR PARCEL # 'ZONING
,3 MAP & PARCEL NUMBER
(REQUIRED INFORMATION)
TAX LOT(S) OR PARCEL # ZONING
'TOWNSHIP RANGE SECTION
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) Install Solar Resources, Int'l. Mark "'.lLLL-
Domestic Solar Hot Water Heating System.
6 DIRECTIONS TO SITE:
Map f~rL
** FOR STAFF USE ONLY **,
NUMBER
DATE
J
-i
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<n
ZONE/LAND USE:
BY: DATE:
.
'=!
TIME IN:
OUT:
/
/
Il