HomeMy WebLinkAboutPermit Plumbing 1982-9-2
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I UAVE CAREFULLY EXAMIt/ED TilE COMPLETED 1\.PPLICATIOfl FOR PERMIT. and do hereby <:'nl; i r")' tlhl t 1111 i fl (orm.,tioll 1It'1 "'')11 i'1 Lru'" ,1ml corK'-:1 .lwi 1 I lilt fl' r
certify that any and all work performed shall be done in accordance with the On.lill<l:'lCCS of 1..1nc Counly and t.he l.a....'J of th.) Stil'~ of 01"'1>11 I' ~l_ljllilq
to the work described herein, and that NO OCCUPAHCY will be made of any structur,:, without the permission of the Building oivi:doll. I furth"r C. T'.ity
that registration with the Builder's Board is in full force and effect as required by OM 701.055. that if ex~mpt the ha!lolS for Clxcml,t!(Ill ir "ntno
~~~~~~T~~~ ~~~:"~~~ry~UiHJ;;;~ 1i::OY'sW:O"'ll C:3~ncv~oRS 70;;;'" b,~ed on ,t,hIS pro)Qct. I HAVE READ 11110 Cm:n:fD T!lIS
.~ / .I r o Ot-'lIer
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'10." ~e 0"" , ~ ~ L" ~ ~ - I1,w(:ontr."COt
. NlMf (plea.se print) J SIGN;.TURE. -- ...- D.:"TE ~Asa lit
~
CONST~CTION/PLAC1~ EN~
THIS BLOCK. PLEAS~~:~L:K INK~~D pw2.
I SECTI~1, I
I
cm1PLETE
TOI'lNSHII' ? J
I
:::UBDIVlSION/PARTlTlON
RANGE
03
(if applicable)
I ~m 0001' or'
WT/PARCEL r iiLOcK
~:( ~?m
L ATION ADDRESS ~TREET
GO ' .__~
srr;;u~s rC;:NTLY;;' p;p~ a. e-
~CR"\'nON OF pt~~oiu< ~ ~ / _ ,
!t \..a,;r q- w ,l~~
. OF BEDROOMS _ j . OF;~ I # 'tl EiJfEES . I
75 S N lE AND 7f.S5 ' T
. _ ".-9)) ,~ :.rY'tAA P.A'-' "
t)~CtaS%lE;;~~; 0.3~
3'820). ~' I \f'RECTlONS TO SITE
~.
WATE~Srt~ '
FlI....9-e-n e...
(J
u.
o PLANNING/ZONING:
NA
Parcel ..
Part..i tion !1
Zone
l.Jinimum Setbacks: CL, front eL, sidc' interior
comment.,.tf?) pt'1!Yl~~ n~~ ) ~J I; H fLr1
~o....n() ( I __ri<<i, D
tj FLO~'; N: hazard a ca7 0 No 0 Yes, see attached sheet.
o RURAL ADDRESSING:
o SP.NITATION:
GRID COORDINATt
N
E
lnstallation Rocord Issued? DYes 0 No
Date:
S. 1. it
B. P. it
Installation
Specifications:
Lineal Feet
of Drainfield
Gallon
Tank
Comments:
FOR OFFICr USE ONLY
Appl~c(ltion~ r..e:..._9-..~ .
Perm.lt f!_! ":-}l..J...."I ll(.../
o Two Copies of Plans
DTWO Copies of Plot Pl.:lns
O!1echanical Checklist
o Plumbing Chec}:list
[JPlan Check Info Sheet
PROPOSEIJ u~!.: tlf PJ.-Oi'ERTY
~Sidential []lndustrial
o Commercial D Public
IS
V;,LUE
o Proposed
Wxisting
TELEPlIOiIE lWHBER
TELEPHo:m NUNBEl<
'Jd -0 'J.H 3
Parcel Su,;(>
re.1l"
N() Mri I -h f"rrLV.L)
Date,...9J.:J"')6 GD
n
o
Date:
!>laximllI'l Depth
of Trallchcl~
Date:
o
~PLANS EXAMINATION:
Type \},-IJ
Grou~3/Mrl Use ~UL. W--d-rr9
$t~TEM
Date'.9/2./SZ-
THIS PERMI~ ~ ><rLo..~
Floodplain Fee <--J-,--
Subsurface Fees $
$ ~'5. OC)"
s
S.-ZO.OO
s
s
s
Comments:
*"c# I~ Fl'P fn:-<?J/t:riL> I~c:...
CONSTRUCTION AUTHORIZED BY
Description
~('Ir ~,
"'f\(rW~~2i1J1rY'.
Fixed Fee/
Unit Cost
Sq, Ft.
o
Building FeE7
Sewer/Storm Drain/Water
Plumbing Fixtures
Mechanical
FEES PAID BY: 0 Check 0 Cash
By,r~.J
q,I,1s'~
.9h/6Z-
; DATE
Plans Check Fee
State Surcharge
TOTAL FEE
TOTAL VALUATION S
r~ 'OUe?'f51.05
PERMIT APPROVED BY BUILDING OFFICIAL!DESIGNF:E {;-.er ORS
Date:
~2!/
456.805 (1) l
2.5. e5
1.80
S 7(g.o5
LANE COUNTY DEPARTMENT OF PLA.~NING & COH,'lUNITY DEVELQPHENT ! 125 EAST EIGHTH AVENUE, EUGENE, OREGON 97401
SEE REVERSE FOR INSPECTION INFORMATION
\
. . t
SETBACKS AND OTHER CONDITIONS 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 ALLOWED 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 phone number, and any special directions to site,
BUILDING DIVISION:
REOUIRED I1ISPECTIONS
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 (conmonly 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, I ,
conduit, piping accessories and other ancillary equipment items are in place but. before any concrete is'lpoured I. .'
or floor sheathing installed, including the subf100r, , ' " (" '.'. ,I
~ l."
3) FRAMING & INSULATION INSPECTIONS: To be made after the roof, 'all' framin'g; fire blocking' and brac.ing .aie in place and
all pipes, fireplaces and chimneys and vents ~re complete and all rough electrical and plumbing are approved, ftll
wall insul~t1on and vapor barrier are in pl;ace. . .', . . ~ '. "~ '.
..',
4) LATH ANDIOR GYPSUM BOARD INSPECTION: To be made after all lathing and gypsum bOard, interior, and exterior,' is in place.
but before any plastering is applied or before gypsum board joints and fasteners,are taped and finished: ,
,
5). Fl~AL INSPEC:TlON: To be made after .the ,~uil,d,ing i~ com~l,e.t~ an~ ,~efore ,9cCUpa~cy\ ,~_ ... ; ~ ~; ~"11 ,<, , " \ '.
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 ;'nspection~ ~
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 masonrv (if ,applicable\. and when instal,lation' is comolete.
Installation shall be in accordance with an approved riat'ionally recognized tes,tl,ng ag'eiii:Y' and 'the manu-
facturer's installation instructions. '
c. 110BILE 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
connect; ons. .
(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, Tied~ns 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 OAYS, OR IF WORK IS SUSPENDED OR ABANDONED FOR MORE THAN lBO DAYS, SUSPENSION OR REVOCATION MAY OCCUR IF THIS
PERMIT WAS ISSUED ON JHE BASIS OF INCOMPLETE 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)
(2)
Permits shall be effective for one year from the date of issuance,
Upon completing the construction for which a permit has been issued the permit holder shall notify the
Department by submitting the installation record form. The Department shall inspect the construction to
deter:mfnei;'f it"complies with t~e'rules contained.in this divisiQn,.. ,If the construction does comply >lith
such rules ,"tli'ii De'pai-tinent'shall' '-5sue a I:er'tifrc:a'te' of satisfactoh 'Completion. to the permit holder, If the
construct~on.ttoes not comply with such rules, the Oepartment shall notify the permit holder and shall require
satisfaciory~completion before issuing the certificate. Failure to meet the requirements for satisfactory
completion within a reasonable time constitutes ,a,'v'iblation 'of OR.S 454,605 tp 454,'7'45 and' thi sru1e., 1 \,..
~ " .."'... ~ i r-"" i' ...' ,.' " ..... :.-....;.-1 '-{'- . '.,.,
Setb~cks::~~', Subsurface SewaCle Di sposa 1
.
"
.
From: Interior property lines
Edge of road right.of.way
Building foundation
Wells, other water sources
Septic Tank
10'
10'
5'
50'
Drainfie1d
10'
10'
10'
lOa'
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