HomeMy WebLinkAboutPermit Plumbing 1983-4-27
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I I~V~^REFULLY EX~NED ;HE ~p~ APPLICATION FOR PERMIT, and do hereby ~rtifY that all information hereon is true and correct, and that I
have the following legal interest in g property: Downer of record; 0 contract purChaser;~uthorize,d,agent with evidence of authority attached.
I f-.:.rthcr certify that any and all work performed shall be done in accordance with the Ordinances of Lane County and the La....s of the State of Oregon
pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without -the permission of the Building Division. I fur-
ther certify that registration with the Builder's Board is in full force and effect as required by'ORS 701.055, that if exempt the basis for exemption
:LS noted hereon, and that only subcontractors and employees who are in cOlDphance w:Lth ORS 701.055 w:Lll be used on this proJect. I HAVE READ AND
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READ THIS SECTION CAREFULLY. YOUR AUTHORIZATION HAS
o PLANNING/ZONING: Zone R' /l Parti tion #
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COM:'IENTS;. '.
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FOR OFFICE USE ONLY
Applica ti.c-? / ~ ?' 2
Perml.t i~ r- ~
DTWO Copies of Plans
DThree Copies of Plot Plans
LjMech/Plumbing Checklist
DLegal Interest Document
o Plan Check Info Sheet
PRO?OSED USE OF PROPERTY
~side_ntial D Industrial
D Commercial 0 Public.
BEEN BASED ON THE FOLLOWING CONDITIONS!
CL, 'ide~,I'1'7'
Parcel #
interior~/
Date;
o FLOODPLAIN,
In flood hazard area? r,g No 0 Yes, SEE ATTACHED SHEET.
Date:
~ANITATION: S. 1. #
~- Installation
Specifications:
': f('3d'8
Installation
B. P.
Gallon
Tank
Lineal Feet
of Drainfield
CQt-I.HENTS;
7i1k
1'.#-11 ,."..t
II V
/i__ 1 4J.J
f
/Ur
Parcel Size '112' y
rear ? I 7'tJ~
L/-/Z-O$
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Record Issued? DYes 0 No
Maximum Depth
of Trenches
~ ~ EXAMINATION, Type
COMl.1ENTS :
Group
e~
Date, IJ-H ?'...3
use~
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cate,A'-41,PJ-:?
Floodplain Fee $
Subsurface Fees $
Building Fee $'7~S'O
~e, $
P'ans Check Fee $ (,~\ /5
-
State Surcharge $ 3 ;7.J
DEQ Surcharge $
TOTAL FEE $$ /SI..2..7
TOTAL VALUATION $
CONSTRUCTION AUTHORIZED BY THIS PERMIT
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PERMIT APPROVED BY BUILDING OFFICIAL/DESIGNEE (per OR~6~~~
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4-"7~'1....f3?;
DATE~
SEE REVERSE FOR INSPECTION INFORMATION
LANE COUNTY DEPARTMENT OF PLANNING & COMMUNITY DEVELOPMENT / 125 EAST EIGHTH AVENUE, EUGENE, OREGON 97401
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SETBACKS AND OTHER CONDITIONS OF APPROVAL MUST BE STRICTLY OBSERVED. VIDLATION CAN RESULT IN REVO-
CATION OF THIS PERMIT, CITATION UNDER PROVISIONS OF 'LANE COUNTY'S INFRACTION ORDINANCE, AND/OR OTHER
REMEDIES ALLOWED BY LAW.
WHEN READY FOR INSPECTIDN,' CALL 687-4065. A MINIMUM OF AT LEAST 24 HOURS ADVANCE NOTICE'FDR INSPEC-
TION REQUESTS MUST BE "GIVEN. Have the following information ready: permit number, job address,' type
of inspection, when it will be ready, your name and phone n~~er, and any special directions to site.
BUILDING DIVISION: ' _.
REQUIRED INSPECTIONS:
,
1. Foundation Inspection: To be made after trenches are excavated aryd forms erected and when all
materials tor the foundation are delivered on the job. Where concrete from a central mlx~ng
pla\lt (co~only ~~rm.ed "transit mixed") is to be use~, .materials ne~d not be on t~e job.
Concrete Slab ~ Under-Floor Inspection: To be 'made after all in-slab or under-floor building
service equipment, conduit, pi;ping accessories, and o.ther. ancillary equipment items are in
place but before any concrete is poured or floor sheathing installed, including the'subfloor.
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3. Framins ~ Insulation Inspections: To be ~ade after the roof, all ftaming, fire blocking, and
bracing are in place and all pipes, fireplaces, chimneys, and ve~ts are complete and all rough
electrical and plumbing, are. a'pp~oved. .AI,1 wall insula~ion. and vapor barr~er are .in .plac~.
4. Lath and/eE. GYi;>sum Board Inspection: ."TO be mage after all iathing and gypsum board, fnterior
) -..anaexterl.or, 1.S.1.n p.lace'but 'before any plastering is applied and before gypsum board joints
and fasteners are taped and finished.
5. Final Inspection: To be made after the building is complete and before 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 masonry (if applicable) and when installation is
compl~ Installation shall be in accordance with an approved~ 'nationally recognized testing
agency ~nd the manufacturer I 5 installation ,i~structions. ',C " "
C. Mobile Home: An inspecti~n 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 certif~ed 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.
D. Swimming Pool: Below grade when steel is in place and before concrete is poured. Above grade
when pool-rs-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 INCOMPLETE OR ERRONEOUS
INFORMATION.
ANYONE PROCEEDING PAS~.THE POINT or REQUIRED INSPECTIONS WILL DO SO AT THEIR OWN RISK.
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SUBSURFACE AND ALTERN~TIVE SEWAGE DISPOSAL SYSTEMS:.~ . t;
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
installa~~on.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 permitl 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 certificate. Failure to
meet the requirements for satisfactory completion within a reasonable time constitutes a vio-
lation of ORS 454.605 to 454.745 and this rule.
Setbacks - Subsurface Sewaqe Disposal
From: Interior property lines
Edge of road right-of-way
Building foundation
wells, other water sources
Septic Tank
'X> , .,10' .,
. ..... 10 I. ~ , ,
5'
50'
Drainfield
10'
1'0 I
10 '
100 "
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COMPLETE THIS SECTION. INCOMPLETE FORMS WILL BE REJECTED!
l' re/J!~-
- - . PERSON MAKING REQUEST
(or.11 gcu.-lI'M~"(2"J '
MAILING Ab"D-RESS
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STATE
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i'cITY
937~2-2-2~ ~.c - ~
BUSINESS TELEPHONE # HOME TELEPHONE # r BUSINESS TELEPHONE #
2,. PROPERTY ADDRESS ), S-- ko V' I e..-
(IF DIFFERENT FROM MAILINb AUUKt~~j
974~/
ZIP CODE
bne courty
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!>>VJ. R, (/~-
. PROPERTY OWNER
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AILING AD RESS
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~NNING & COMMUNITY DEVELOPMENT~.
ACTIWfV INFORMATION~HEET
ZIP CODE
. /~ -C6(:)f?
HOME TELEPHONE #
3 MAP & PARCEL NUMBER
(REOUlRED INFORMATION)
(from tax maps in Department of Assessment and Taxation
or from tax statement)
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TOWNSHIP RANGE SECTION TAX LOTlS) OR PARCEL #
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zor I NG
TOWNSHIP RANGE' SECTION
TAX LOTlS) OR PARCEL # ZONING
TOWNSHIP RANGE SECTION
TAX LOTlS) 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) ri~;f -7'" Z;' '7/'-:",:/~-,'(jo _
4- &,.-I~; ~~z. .:?o.-.;-!/ R,.,,~ ~
6 DIRECTIONS TO SITE: /qLi?'04~1r- 'Z:, tu1'~~1 ~Z;( ~f~ dJ,
** FOR STAFF USE ONLY **
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ZONE/LAND USE:
BY: DATE:
TIME IN: OUT:
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L.ANE ,COUNTY DEPT ENV MGT f'(ECEIPT ~ '524B3 DATE. 041 ;!B3~
ADDR 80B24 L.OST CREEK RD., DEXTER; OREGON
2 t;NITS '001 STORIES ~BL.DGS 001 P~g~E 9:nB~~28 . .
ADDR 25 L.ORIE CT., SPRINGFIEL.D, OREGON
SQ FT UNIT COST VAL.UATIONFEE DAYS.
200 38.85 7770
80 47.70 3816
APPL.ICANT SLUSHER, L.M.
.JL~' 1703224102500 SUBDIV
~EW BLDG TYPE USE R BDRMS
I' OWNER NME R. CHARBANAU
, CODE APPL ~O ACTION DESCRIPTION
~ ~P REMODLE
: BP 'ADDITION
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LC 52483 F(AD
NO. FIXTURES:
.NO.
CONNECTORS:
MECHAN I CAl.. I',[E
STATE SURCHARGE
PLAN CHECK FEE
115B6
15.00 EACH ,=
92..50
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EST. COMPL.ETION DATE
TOTAL. FEE**
156.33
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