HomeMy WebLinkAboutPermit Plumbing 1977-12-6
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INFORMATI01\I SHEET '--.J " "'-
/ nrJ-/'33/c5~
"'---\. L-.
) Building Permit
~ite Feasibility Study for Septic Tank.
/::z -6 - 77
Number of sites
Acreage or Lot Sizp &:'3 ,4-c.v<:: -!rNVOX Test holes will be ready
Partitioning # ( ) Completed Subdivision
( ) Pending
.PPLlCANT'S NAME AND ADDRESS REVP1A-Yd -::/. .<;O(./)Jt<;k"qJsKL//4rl
WNER'S NAME AND ADDRESS, if different from applicant's . 6€RJ>'L<:I F C:;4.~e-F
CONTRACTOR'S NAME AND ADDRESS
Mail permit or results of site feasibility study to ( l/) Applicant ( ) Owner ( ) Contractor.
( ) Prefer to pick up. Call (owner, etc.) when ready.
Lot
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Phone ,<~t./-1/"'77
Phone
Contractors O. S. #
STRUCTURES NOW ON THE PROPERTY
hOMe-
WATER SUPPLY
PROPOSED USE (this permit) SiUSL~ FA-M/~
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SEWAGE DISPOSAl
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(existing or proposed well, etc. If public, name of system I
(existing or proposed septic tank, etc.) S.1. '"'
PLUMBING BY
Address
( ) PROPERTY IS WITHIN ONE MILE OF CITY (\ )
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.( ) New Address Necessary
ZONF
) Facility Permit Necessary
SETBACKS: Front Side Facing Street
(FROM CENTERLINE OF ROAOI
) Special Permit Area. Minimum Elevation.
Interior Side Yard Rear
(FROM PROPERTY LINES)
.. To: Planning/Building Inspector/Sanitarian/Surveyor.
This applicant appears to have a problem with
espon~ ~. - - . - ~ _ -
Vc> ~~ _;> By
.,,-- - _ DEPARTMENT OF ENVIRONMENTAL MANAGEMEN .
Permit Processing Section
125 East 8th Avenue
C55.1 2 687-4394
Permit Processing Section
Division
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ro~SHIP /? I RANGE c:J c? 1;P~ L/ / J T7~ 13r OF
SOB ~'ON PARTIT.lO (ii 'PPI-t;;e~, \61tJ 'fIDL I ~ ,
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.:lCOj...............:ON OF _ p~ WORK - BE S~IC /7\.. . _ I DE;:~D $ VALUE
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. OF BEORCXX<~ . J ~ Op#--- I' A//# f WATER SUPP~~-8vuJ 8rx~~~~~~
Or.7NAME AND ADDRESr ,I' / ~ - /?/? I n NUMBER
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P~R>IlT ;;' ~E MAl~(&"AME ANa ~SS)" ) ttJ/ "tf')' I TELEPHQfiE NUMBE;R
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I HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION ~'OR PERMIT, and .10 hereby cert.ify t t all information hereon is true and correct, and that I
have the following legal interest in the property: Downer of record; 0 contrdct purchaser; uthorized agent with evidence of authority attached.
I f~rther certify that any and all work performed shall be done in accordanGE: with th..:! Ord. ance of Lane' County and the Laws of the State of Oregon
pertaining to the work described herein, and that NO OCCUPANCY will be made of anr structure without the permission of the Building Division. I fur-
ther certify that reqistration with the Builder's Board is in full force {lnd effect as required by ORS 701.055, that if "exempt the basis for exeillption
is noted hereon, And that only subcontractors and employees who are in compliance with ORS 701.055 will be used on this'project: I HAVE READ AND
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~ NAME (please print)
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m~r J-I 'Y I LDERS .
Lane C913nty Auth"oRzation for:
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(<fey....
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FOR OFFICE USE ONLY
Application~~/__ ~~
Perm1 t i ,/ ~ /. a.-..:::>
PROpOSED USE OF PROPERTY
~eSidential 0 Industrial
o Commercial D Public.
1
J-(J(tU-t.,,€,t; L;Qp-~
SIGNATURE
DATE
READ THIS SECTION CAREFULLY. YOUR AUTHORIZATION gAS BEEN BASED ON THE FOLLOWING CONDITIONS!
~ PLANNING/ZONING: zone~ Partition 11 Parcel # - Parcel Size
Minimum Setbacks: CL, front ~ CL, side
-
Date :
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COMMENTS, ~It Q ~c...."
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o SANITATION: S. 1. .
Installation
Specifications:
Lineal Feet
of Drainfield
Installation Record Issued? 0 Yes 0 No
. Maximum Depth
of Trenches
B. P. #
Gallon
Tank
CQMloIENTS:
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; {PLANS EXAMINATION:
. COM>lENTS: CALL
'l'ype IJ-IJ
F=~~o.U)~
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Groun
Use
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Date:
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PERMIT APPROVED BY BUILDING OFFICIAL/DESIGNEE (cer ORS 456.805{i)} DATE
LANE COUNTY DEPARTMENT OF PUBLIC WORKS LAND MANAGEMENT DIVISION, 687-4061,
125 EAST 8TH AVENUE, EUGENE, OREGON 97401
SEE REVERSE FOR INSPECTION INFORMATION. "", ~< DCA
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SETBACKS A!'lD 01'l1ER'.<;O=-OITIO~S OF APPROVAL MUST BE STRICTLY OBSERVED. VIOLATION CA~ RESULT IN REVQ-
CATIO:4 OF THIS PERMIT, CITATIO:l UNDER PROVISIONS, OF LANE COli~;TY'5 INFRACTION ORDINA."CE, AND/OR OTHER
REMEDIES ALLOWED By'LAW.
..HEN READY FOR INSPECTION, CALL 687-4065. A mNHlU~l OF ;1 hAST 24 IlOURS ADVAf;CE NOTICE FOR INSPEC-
'i:IUC! KEQI.:I::::>T::> ~iLiS; BE GIVE:>!. H<.Ive tne following informa tian ready:" rern'\J. t- number, job address. type.. .. ... . ~ ....
of inspection, when it will be ready. your name and phone number, and any 'special ;:Hrcctions ~to..site. .
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Bu1~bI~G OIVISIOi: '"'.). \ '\ "~:. \~._ '.' ;., '\" \.),. '.. ...... \ ."\ \-' ;,.'. ...~, I"
REQUIRED INSPECTIONS:
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2. ,\.. " , . '. \ \, " \
Foundation InsE>ection: To be made after trenches are excavated and forms erected and when all '
matena'.Ls....~or the toundation are delivered on. the job. t1here concrete from a central mixing
'plant-,(commonly termed "transit mixed") is to be used, materials need not...be on.the~job.,,- -'
.... '- ~ .... - ". . -, ~ . ~.......~........ ,~'. .... . ~
Concrete slab ~ Under-Floor Inspection: To be made after all in-slab or under-floor building
serV1ce equipment, conau1t, p1ping acces!lories, /lnd other. ancillary equipment items are in
place but before...any. ~concrete _is p'ouredjor floor shea thing'.installed,including the sub floor .
, - . .. . ~ "- . ~ ~ .
~raming , Insulation Inspections: To be made after the roof, all framing, fire blocking, and
raclng are In. p.Lace, and a.L.L p1pes, fireplaces, chimneys, and vents are complete and all rough
electrical and plumbing....are approved. 'AU wall insulation and vapor b'arrier are in place. .."
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Lath,and/or Gvpsum Board Insoection: To
ana-exterIOr, 15, In_place nut betore any
and fasteners are taped and finished.
be made after'~}.lathing
plastering is 'appYie_~ and,
and gypsum board, ~nterior
before gypsum 'bOard joints
.... ....
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"'''''''\,5. F1nalInspectl.on: To ~e~made a:t~r....the bUlldlng is..complelte andtbefore occup!lncy: .... ._,~....
"-. ~ . ~......... "---" ........ -- h ..'- ,.. "-
APPROVAL REQUIRED. No work shall be done on any part of the bU1lding or structure beyond the point
I indicated in each successive inspectlon without first obtaining the approval of the building official.
such~approval shall. be given, only ,~fter an'inspectio~shall have~been made of e4ch,success~ve step
in the construction as indicated by each of ..the inspection's required. - ... -. ~ -- .-
NO,TE: All bbildtng permits ~~uire inspection~ for the work autho~ize~, such as bu~ not, limited to:
A. Block Wall: To be ma;!e';\fter reinforcing 1.5 1n plaCE!, but before "any grout, is "'poured. This
....~ctlon is required ior each bond beam pour. There will be no~pproval 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 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.
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1. Footings and piers to comply with State foundation requirements for mobile homes or as.
recommended by the manufacturer.
2. Mobile home minimum finish f:o~r_el~~ti~n. sha:l be certified when required by a flood-
. tllain management ""'tetter". .
J. 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.
swimmi~q~: Below grade when steel is in place and before concrete is poured. Above grade
wnen pool ~s ~nstalled.
0,
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APPROVEO PLANS MUST BE ON THE JOB SITE AT ALL TIMES DURING WORKING HOURS. THIS PERMIT WILL EXPIRE
IF WORK DOES NOT BEGIN WITHIN IBO DAYS, OR IF WORK IS SUSPENDED OR ABANDONED FOR MORE THAN IBO DAYS.
SUSPENSIDN OR REVOCATION MAY OCCUR IF THIS PERMIT WAS ISSUED O~ THE BASIS OF INCO~PLETE OR ERRONEOUS
INFORMATION.
.. ANYONE PROCEEDING PAST THE POINT or REQUIRED. INSPECTIONS WILL DO SO 'AT THEIR OWN RISK..~
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SUBSURFACE AND ALTERNATIVE SEWAGE 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 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 permitlholder,
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 anu this rule.
..
Interior property lines
Edge of road right-oi-way
Building foundation
Wells. other water sources
Sewage Disposal
SePtic~
10' .
-10'
5'
SO'
Drainfield
Setbacks - Subsurface
From:
10'
10'
10'
100'
',.
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March 21, 1985
LANE COUNTY BUILDING DEPARTMENT
125 'E. 8th
Eugene, Oregon 97401
Gentlemen:
Due to a fire at myresidence at 25 Kathleen Court, Springfield,
Oregon, r"am in need of a building permit to proceed with reconstruction.
I hereby authorize Donald R. Snethen as an agent of Meili Builders,
Inc, to apply for':the building permit.
Sincerely; ..
.,p.
.P..~
, Bernie 'Sp onskowski
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ACTIVITY INFORMATION SHEET
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kJne county
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COMPLETE THIS SECTION, INCOMPLETE FORMS WILL BE REJECTED!
3 MAP a PARC.L NUMBBR
(REQUIRED INFORMATION)
R ~'
Y;: lQ 1\0, \ ~ '0 TOWNSHI' RANGE "en ON
1
1 J\ll e ,li BjJ i id "" V'S
PERSON MAKING REQUEST
h.lfL...lLa..!1M~'M!~Dbk'ESsSt;...............". ,..
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JeITY STATE ZIP CODE
J%5-lq/7
BUSINESS TELEPHONE # HOME TELEPHONE #
2, PROPERTY ADDRESS SaU1 e
(IF DIFFERENT 'FROM MAILING ADDRESS)
BeV'Vl; e 'f~~~-li ~Ot'tR)c,l< ,e
....... _..? 2.. ,_f.(t;Lth.l.~~Y.l...._(] V]'.'..'._......hh_'
MAILING ADDRESS
Sn,a.f rd. Or-e.
, .arTY STATE
l...i'1-~g() I
BUStNEss TELEP~
ZIP.CODE
1Cf t- /q~"'7
HOME l~ #
(from tax maps in Department of Assessment and Taxation
or from tax statement)
) . 2--2--. L{ \ I un _
RANGE SECTION TAX LOT(S) OR PARCEL #
TowJs2p
K-fr
~ONING
TAX LOT(S) OR PARCEL #
ZONING
TOWNSHIP' RANGE SECTIUN
TOTAL CONTIGUOUS PROPERTY IN SAME OWNERSHIP:
TAX LOT(S) OR PARCEL #
ZONING
ACRES
4 SUBDIVISION (if applicable) LOT BLOCK
5 REQUEST (~;tate exactly what you plan to do) ,.Rem.ov:.e_.....-tLL~"d..tM11a.3:e.d
YYlat'eV'ia( a..MJi re,c,'ti2..0p. .<;~e..1tJ OV'fj/Vlt:l.{ ("/)J1...d./iitm,
6 DIRECTIONS TO,SITE:
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** FOR STAFF USE ONLY **
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NUMBER
DATE
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ZONE/LAND USE:,
BY: DATE:
TIME IN:
OUT:
LAND MANAGEMENT DIVISION / 125 E. 8th AVE" EUGENE, OR 97401 / 687-4061
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. ,LANE COUNTY DEPT ENV
APPLICANT MElLI BUILDERS, ADDR 10
TLO 1703224100100 SUBDIV
.NEW BLDG TYPE USE 'I~ BDI',MS 0
OWNER NME SPLUNSKOWSKI, BERNIE
CODE APPL Nb ACTION DESCRIPTION
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MGT RECEIPT 0 73185 DATE 03208'.
\!/;N BUREN ST., EUGENE" '(jf,EGON 11 '
l"OT F.<L1<
UNITS 001 STORIES '~BLDGS ~)01 PHONE 6W; 3801.
ADDR 25 KATHLEEN CT., SPRINGFIELD, OREGO~
'SQ FT UNIT COST VALUATION FEE DAYS ~
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t1ECHAN I CAL FEE
STATE SURCHARGE
PLAN CHECK FEE
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40001
RAIN:
242.50
FT .
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EST. COMPLETION DATE
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