Loading...
HomeMy WebLinkAboutPermit Plumbing 1982-7-7 . ~-~ Applic:at~/l r <::;t-? Perm~t. #'-t4{{)-CX-/ []TWO Copies of Plans Cm1PLETE THIS BLOCK. PLEASE USE BLACK INK AND PRINT. OTWO Copies of Plot Plans TOWN!:iHIP I RANGE I SECT2;Ne;, :3. '3 9YOODOU'l' OF DMechanical Checklist 17 03 . , OPlumbing Che.cklist SUBDIVISIONiPARTlTION (if applicable) I LOT/PARCEL ~ BLOCK > I Dplan Check info Sheet LOCATION ADDRESS l EET ~ P P~D USE' OF PROPERTY s~~~~,cu"!"' .._NTL ,Y ~ _' "3pr-GY\.~ Q("4t7 Residential DIndustrial CJ>(1.jA..LJv\",OI ~l.JY\4\' u2.) 0 Corrmercial Dpublic OE~~Pf0f-~t-O~ lvI~JI SVALUE 1# OF BE~Ms ~ S~ES I # OF E . YEES I w~ J~P~LY . /, O~o~ed <0 3 I Cf-.J I U&...L: / n. ,~,. [3'Exishng on',. NAME;;~Q:D~rGW1LamV1 Yo.lwa 2-426 ~& T~t~E~ cci~~~~snOb?(Will)8119\(''8t~Wu fu q;:tol (~.g~E~ 30zof40SR # I ?~;,,~ ~ -1() . .) ( ~lN2 ~ (lPiDn ~dc::UL 'eh, LW-. ,( fl M~(1BCDr-~ ) I HAVE CAREFUV< EXAMINED TilE COMPLETED APPLIC^T;~N FOR PERMIT, iJ do ~cr~crtifY thnt till infQrmiltioll hcreon lll/trUI! ilnd concct ilnd J furtl1er certify that any and all work performed shall be done in accordance with the Cit:dinances of Lane County and the La'o'/S (If the Sttltq of Or~q::l11 l")IL,litlin9 to the work described herein, and that NO OCCUPANCY will be made of an str ture without the pcrmir.sion of the Builcling Division. I furthl')r c\~rti[}' that. registration with the Builder's Board is in full force and ef as re uired by ORS 701.055, that if exempt th€, basis for exemption is not~d hereon, and that only subcontractors and employees who are in ORS 701.055 cued on this projec:t. I HAVE READ ArlO CIlECY.ED THIS AP~ON::: LM t=R-S 0 k1 ~ ~ NAME (~l.asc print) CONSTR.TION/PLACEMENT. , . PERMIT FOF: OFFICE USE: OKLY D~r -(.- f5"2- ~mctor DATE ~ Agent o PLANNING/ZONING: Zone N'.A Partition # Parcel # Parcel SizE' \. JJC\- t-lini.murn Setbacks: Comments: ~ CL, front. CL, siqe interior rear (ltlltnn Ln~ {JL.:J-t (Tn '71 0Qd 11 h 0 ri / \ 1 Date,JrJ' I.X?; ro n o o o o FLOODPLAIN: In flood hazard area? [] No [] Yes, see attached sheet. Date: RURAL ADDRESSING: SANITATION: GRID COORDINATE N E Date: S. 1. #I B. P. # lnstallation ReCI)rd Issued? 0 Yes D No lnscallation Specifications: Gallon Tank Lineal Feet of DrainfiQ1d Maximum Depth of Trencher. Comments: Date: D ~LANS EXAMINATION: ~'-4-R. Type /1Il6-t/1f Group 14~4" Use Comments: Subsurface Fees I oatc,~l..lll ~ r 1n- ~ ;U.Ln.c-~~~ $ $ $ $ $ $ $ $ 0Vv~ CONSTRUCTION AUTHORIZED BY THIS PERMIT ~~c~AF, ''N'dt1Jn. )~ Sq. Ft. Fixed Fee/ Unit Cost Floodplain Fee Building Fee Sewer/Storm Drain/Water Plumbing Fixtures Mechanical Plans Check Fee State Surcharge VW~ TOTAL FEE $ FEES PAny: ~~eck D Cash BY'~ -6m.J Date, <IJ.I.~ '7 Jf/LI1 "~;",. ,:;;,(, ",... Z,6,6U TOTAL VALUATION $ LANE PERMIT APPROVED BY BUILDING OFFICIAL/DESIGNEE (per ORS 456.805(1)) COUNTY DEPARTMENT OF ENVIRONMENTAL MANAGEMENT / 125 EAST EIGHTH AVENUE, h C74-194 SEE REVERSE . SETBACKS AND OTHER CONDITIONS OF APPROVAL ~T BE STRICTLY OBSERVEO. VIOLATION CAN R~T IN REVOCATION OF THIS PERMIT, CITATION UNOER 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: REOU I RED HISPECTI ONS 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 (corrmonly 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 before 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 lll::ioulation and vapor b~rrier are in place. 4) LATH AND/OR GYPSUM BDARO 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) FINAL INSPECTION: To be made after the building is complete and before occupancy. APPROVAL REQUIRED. No work shall be do~e on any part of the building or structure beyond the point indicated in each successive inspection without first obtaining the approyal 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 masonrv (if applicable) and when installation, is comolete. Installation shall be in accordance with an approved nationally recognized testlng agency dlld the manu- facturer's installation instructions. C. MOBILE HOME: An inspection is required after the mobile home js 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 requiremen~s 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 IBO DAYS, OR IF WORK IS SUSPENDED OR ABANDONED FOR MORE THAN lBO DAYS. SUSPENSION OR REVOCATION MAY OCCUR IF THIS PERMIT WAS ISSUED ON THE 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 detennine if it complies with the rules contained in this division. If the construction does comply \olith such rules, the Department shall issue a certificate of satisfactory completion, to the permit holder. If ~he construction does not comply with such rules, the Department s~all notify the.permi~ holder and shall requlre satisfactory completion before issuing the certificate. Failure to. meet tne requirements for satlsfactory completion within a reasonable time constitutes a violation of ORS 454.605 to 454.745 and this rule. Setbacks -, Swbsurface Sewaae Di soosa 1 .' From: Interior property 1 ines ,Edge of road right-of-way Building foundation Wells, other water sources Seotic Tank 10' 10' 5' 50' Drainfield 10' 10' 10' 100' ). . ! L.ANE COUNTY DEI"T EN\' rlGT RECEIPT ~:' 'i'46'F! DATE 06,)182. I ""'PLICAN! SOLAR CONCE': HILL ADDR '" ,. 6TH, EUCENE, OREG!" xL.I 1703233309700 SUBDI\' L.OT BL.K. ~EW DLDG TYPE USE F~ BDI~t1S 0 UNITS' 001 SrmnES IBLDGS, 00'i PHONE 345 0208 · ~ OWNER NME WALTERS, EUGENE ADDR 242~> GFWVEDAl:E, SPFD'..,' CJF(EGON . CODE APPL. NO ACTION DESCRIPTION SQ i"T UNIT COST VAL.UATION FEE DAYS. ~p SOLAR I' I:,' BP ADD ...l:W \ ~iP BP . . ~'L NO. FI XTLJRES : FMtCH _UI:~ ""!"CI( BP LC 94682 RAAA NO. CONNECTOf(S: MECHAN I Cr~L. FEE STATE SUF:CI"I~RGE, . I"I...r~N CHECK FEE 1 5.00 EACH -- . -4% . 6~:)% :15.00 . .:ATG: SEQU: eAKEN ,.', I . t.PP o BY U1D F~A FF' S'DS SI PCK 1 0b0'i'B2 cm..1 ISS . ,. I . 2 6 EST. COMPL.ETION DATE TOTAL. FE:E'*'(, 25.00 CK . . ,. . . . · I ~ ( "r . Ii, . eJ' 1 ~ . \ . .i, .~ , . .\ ' ~ 7- .~ " " ~ ;., .' ~ . . "I \ . ..r. " 'J' .1.: ~ ..- ...~. . . .~ Ii,. . . . . .i 'i. --raT Environme!1tal Managemelli. . AC l~ITY INFORMATIOMl'SHEET 6ne county ~ ~ COMPLETE THIS SECTION. INCOMPLETE FORMS WILL BE REJECTED~ CD 1/........... ,,,,,, 1:1- J"-I So ..ar? PERSON MAKING REQUEST <-~"<-- coN cEPV'::> ?~II 'AI /_1=\\ ;::::(/~:N~_ MAt LING ADDRESS "f':( //""'Pr--J"". " /~I A"1"-i, ,-'/AI -reF.S PROPERTY OWNER 7AZ6 /""rZ.Ove-PALf':. MAILING ADDRESS ~0~.-Nf'- _ qTY 012- ~TATE q7~J .zip CODE 41'1?--L1:--:lM1'"t'f='LD . .CITY /l?-,- STAT~ qJ+7? ZIP CODE ~-n7---= -""'-177 _ _. f./'. ~ BUSINESS TELEPHONE NUMBER flOME TELEPHONE NUMBER BUSINESS TELEPHONE NUMBER 71L - ?..~5Z- kOME TELEPHOIJE NUMBER Q) TAX MAP/PROPERTY DESCRIPTION NUMBER (from tax maps in Department of Assessment & Taxation or from tax statement) : Map & Parcel Number: '70? Township Tax Lot(s): Q7...?O o Out of TL # By Partition # Tax Map & Parcel Number of Adjoining Property in Same Ownership: ?-~ ~""'? Range Section Tax Lot(s): Township Range D None Section o Unknown Q) SUBDIVISION (if applicable): BLOCK: LOT: @) REQUEST (briefly describe information needed): 1)o..J~-;~1 /~ (_~ ~.,~ H-oT VVA-rCIZ.... A 1'/ I -f":'1 ~ COMPLETE THIS SECTION FOR LAND USE, CONSTRUCTION APPLICATIONS, OR PROPOSALS. SEE *NOTE BELOW. Q) PRESENT USE, OF PROPERTY: ~I,,--,ro/:P_ ~~I/-:-r,~..h- **FOH STAFF USE ONLY** zr/ ~/I I?;~ I -7',? id---- TIME INITIATED: ~'" e,.....-~ ;::::.-1 NUHBER: CD TOTAL CONTIGUOUS PROPERTY IN SAME OWNERSHIP: acres @ PROPERTY ADDRESS: :Z. ""f zz::; &. ~\A:=' .D.b...L.E... DATE: CHECKED BY: ATTACHED EXHIBITS: - - Garage_ Other (specify) Shop_ Barn o Plot Plans (2) o Constr. Plans (2) DSite Plan GD NUMBER OF STRUCTURES ON PROPERTY; Standard home~Obile home_____ Modular home. RV in use as residence_____ Storage_____ @ ACCESS TO PROPERTY: Public Road Name ~~/~ _02><1 ..P'_ o Copy of Tax Map Dother SCREENING VERIFICATION: :.--- Private Road Name By: Road Easement '--- width ! of -Users Date: @ OTHER EASEMENTS OVER PROPERTY: Time In: Out: (j) l'lITER DISTRICT: 0f'PD @FIRE DISTRICT: o Accept 0 Reject Routed to: . @ PENDING PER.'1ITS ON PROPERTY: 9/81 REV (OVEH) *NOTE: ATTACH A COpy OF 'l'AX MAP; SHOW EXISTING STRUCTURES AND TAX LOTS IN YOUR OWNERSHIP. ()H.- TArN TAX MAP IN SELF HELP AREA OF A & T. rJ COMPLETE THIS SECTION FOR LAND USE OR CONSTRUCTION APPLICATIONS. i@ PROPOSED USE OF PROPERTY IN DEtL: ..,:? 1\0..1 /_p'~ ~ -r :. ~;..77r,..e -I-~ Z/ I {D BUILDING REQUESTS: """..<>-o.,*""l2..... Contractor' 5 # ~/4?--J.,q.. (for mobile home setup also) Directions to Site: -I--l-Ae.LnIAJ (~"'=T) ...,-0 h~I~I?.o..--1 1"'_ """'_~I (/e.",,-,..,';" ,"o";'p-) Check the type of permit requested: Dowelling: D New D Addition o Modular Horne DRV D Plan Check Only o Commercial: Use. D,Agricultural: Use o Others: ~ Use o Change of Use - "How? ~ NUMBER OF BEDROOMS ~ ~ SANITATION REQUESTS; BL-lX.-Ic::.. P!:>V\lN oH ~~~rt; o Replacement o Alteration; o Mobile Home - Model o Standard Construction; Year Floor Area Floor l\.rea NUMBER OF STORIES { [] Site evaluation for SOS feasibility D New system installation o Repair/replacement o Al teration/relocation o Hook to existing ADDITIONAL INFORMATION: ~ **FOR STAFF USE -0NLY.,** ZONE/LAND USE: By: Date: Time In: .Jut: D Accept D Reject o Planning Ap!?lication .0 Construction Permit App. o Information Only Zoning: Compo .Plan Designation:_ SANITATION: By: Date: Time In: Out: D Accept D Reject o Constr. Permit Issue o Site Evaluation Issue PERNIT ISSUED (SAME DAY ONLY): Permit #: By: Date: Time In: Out: