HomeMy WebLinkAboutPermit Plumbing 1995-3-23
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DIRECTIONS T081T! FROM NEARESTlUJN!~?liifECT~ ~-'-l
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OWNERS NAME' AOOAEfoJ ""C
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RACT INSTAI.lBVeullO
Xf'AIL PERMIT TO: Pe>N M~~ ?!r
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I have carefully read BOTH sides of this eppllcation and hereby certify that all Information Is true and correct
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FEES DUE:
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'APPROVED BY:
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DATE
CALL FOR INSPECTIONS (SEE BACK OF FORM ,FOR INSTRUCTIONS) 687-4065
SEPTIC permits ere good lor one year. ALL other permits expire alter 180 days unless Inspections are current.
lMD 040 Rov. 6/92
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VIOLA nONS
\: -_." SHI'BACJCS AND anmR. __.'_..._.'..) OP APPROV ALMUSTBB S11UCI'L Y OBSERVED, VIOLATION CAN RBStn.T IN RBVQCAnON OPnn5 PERMrr,
......., -crrATlONS MAY DB ISSUBD UNDER nmPllOVlSlONS OPLANBCOlJNI'Y'S OOlRAcnoNORDINANCEANDJOR011iERN:....;...~ AlJ.OWED BYLAW.
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A MINIMUM OF AT LEAST 24 HOURS ADVANCE NOTICE MUST BE GIVEN FOR INSPECTION REQUESTS
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Have the following infonnation ready when you call: 687-4065
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Permit number - lob address - Type of inspection required' ',:::: ~Wheri'it'will be ';;adY
Your name and phone number - Any special directions to the site '~.: _,.,', .".'..:.,
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... PUBLICOmClAL R1GIFfTOTRItSPASSoN,.rvATEPROPERTYORS 215.019, ;\.' oJ, ~.. ~ j; " .~... .
POWER TO mrmR UPON LAND.~nm COMMISSION, AND ANY OF ITS MEMBERS, OFFICERs'AND EMPLOYES,mnm PERPOJUotANCE OP1lIBIRPUNCI10NS:MA Y ..,
mrmR UPON ANY LAND AND MAJCRBXAMINATlONS AND SURVEYS AND PLACE ANDMAlNTAIN'IR!!.~SARY z:t:~,~M.-.yumRS~':i<~ \.
REQUIRED INSPECrIONS '" , ",
FOUNDATION'jNSPECrIO!'l; T9lJO m~F_ afler,exCllvati~Jor foo.tin&S'8re ~pletf: IIlld my require(lreiftfo!'Cirig~steells m plaCe. /' . , :', ,'.
UNDERGROUND PIPING INSPECrION: To be made after all underground piping has been installed. prior io any backfill. . "
CONCRETE ShAB ORUNDER'FLOORINSPECflON: 1'o,be mOde'aftOr'alIln-slab,oI'!'under-floor buil~ s~ice equiPnitn~'Condui~ piping
accessories and other ancillary equipment items are in place but before any concrete is placed or'floor,sheathing installed, including the subfloor.
ROUGH MECHANiCAL INSPECrION: To be made after all ducting and'g;.;i'pipingh';' been irisiane.i and priOrto'behig~~vered.' "',"
ROUGH PLUMBING INSPECrION: To be made after all plumbing rough-in is in place, prior to being covered. "" ~ , ,/':~
FRAMING lNSPECflON: To be made after the all framing, frre,blocking, bracing and roof!!r.e il] place and,all pipes,'~hiI)mey~ and vents, are complete
and thel:oukh,eieCtricai; plumbing, and mechanical inspections have been made and',aj>ph,'voo.' '; .'.. ~ ~'\', "~'\,:.,,~, - i \~\ ...
INSULATION INSPECrION: To be made after all insulation and vaparbamers are in place, prior to covering. I,'
LATH AND/OR GYPSUM BOARD INSPECrION: To be made after all lathing and gypsum boan!, \nterior and exterior, is in place but befonf~y
plastering is applied or before gypsum boan! joints and fasteners are taped and fmished" .. : ( '. ,"" "" -.. ,
ADDlTIONALINSPEcTIONS'MAYBEREQUIRED,Such.asbutno!lintii",rto';" '.' ..... ::,':,...' \' .'\,h'.... "
BLOCK WALL: To be made afterreinfon:ing is in place. but before any grout is poured. The inspection is required for each bond beam pour, There
will be no approval until the plumbing and electrical inspections have been made and approved.
FINAL MECHANICAL INSPECrION: To be made just prior to the structure or remodeled area being occupied and prior to operating anyequipmenL
FINAL PLUMBING INSPECrION: To be made just prior to the building, structure or remodeled area being occupied.
FINAL BUILDING INSPECrION: To be made after finish grading and the building, structure or remodeled area is completed and ready for occupancy.
MOBILE/MANUFACfURED HOMES: An inspection is required after the mobile home is connected to an approved sewer or septic
system, prior to covering sewer or waler lines, for setback requirements, blocking. tiedowns and plumbing connections.
Footings and piers to comply with State foundation requirements for mobile homes or as recommended by the manufacturer.
Minimll!!'fmishedl1?elevationshall.~C!'fIified.whenrequiredbyAoodpl!'iE..Management ". .,.... _ , ,_~
Tiedowns, if iequirOd; shall be installed and ready for inspection within 30 days after occupancY, Tiedowns shall be installed per enclosure.
APPROVAL REQUIRED
No work shall be done on any part of the building or s~cture beyond the point indicated in each successive inspection without frrst 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.
APPROVED PLANS MUST BE ON TIlE JOB SITE AT ALL TIMES DURJNG WORKING HOURS.
TIllS PERMIT WILL EXPIRE IF WORK DOES NOT BEGIN WITIIIN 180 DAYS, OR IF WORK IS . <vn"'" OR ABAHuvHcu FOR MORE TIlAN 180 DAYS,
SUSPENSION OR REVOCA nON MAY OCCUR IF TIllS PERMIT WAS ISSUED ON THE BASIS OF INCOMPLETE OR ERRONEOUS INFORMA nON,
ANYONE PROCEEDING PAST THE POINT OF REQUIRED INSPECTIONS WILL DO SO AT THEIR OWN RISK,
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Your signature on the front of this form verifies the following: I HA VE CAREFULLY EXAMINED TIllS COMPLETED APPUCA TION. and do
hereby certify that all information hereon is true and correct, and that I have a legal interest in the Y....Y.....J as owner of record or authorized agent. I
further certify that any and all work performed shall be done in accordance with the Ordinances of Lane County and the laws of the State of Oregon per-
taining to the work described herein. I further certify that if I am not the owner of the Y' _Y"", ' my registration with the Builders Boan! is in full force
and effect as required by ORS 701,055, and that if exempt the basis for the exemption is noted hereon, and that only subcontractors and employees who
are in compliance with ORS 701.005 will be used on the job.
SUBSURFACE & ALTERNATIVE SEWAGE DISPOSAL SYSTEMS: .. .,', ,'.', ,
When subsurface construction is complete. the permit holder shall notify the County Land Management Division by submitting ,the installation record
form. An inspection will be made by a qualified sanitarian. If construction complies with all rules a certificate of completion will be issued to the permit
holder, If construction does not comply with rules, the pennit holder will be notified. and all corrections shall be made before., a certificate of completion
will be issued, Failure to meet satisfactory completion within the allotted time constitutes a violation of ORS 454,605 to 454,745 and this rule.
SUBSURFACE SEW AGE DISPOSAL SETBACKS SEPTIC TANK
From: Interior y._y_.) lines 10'
Edge of road right-of-way 10'
Building foundation 5'
Wells or other water sources 50'
DRAlNFIELD
10'
10'
10'
100'
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APPLICANT NELSON, LYNN
TL#'~703251205100 SUBDIV
NEW BLDG TYPE USE R BDRMS 0
OWNER NMENELSON, LYNN
CPDE APPL NO ACTION DESCRIPTION
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DEPT ,ENV MGT RECE"': # 100998 DATE 033098
'ADDR 2035' LOMOND~., SPRINGFIELD, OREGON
LO.T BLK
UNITS 001 STORIES #BLDGS 001 PHONE 747 6504
ADDR 2035 LOMOND ST., SPRINGFIELD, OREGON
SQ FT UNIT COST VALUATION FEE DAYS
. #FIX/BATH:
SWR:
FT. WTR:
MECHANICAL FEE
STATE SURCHARGE
PLAN CHECK FEE
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RAIN:
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5%
25%
LC 100998 SDAR
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SDS
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COMPLETION DATE
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