HomeMy WebLinkAboutPermit Plumbing 1982-7-7
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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
.
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SEQU:
eAKEN
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BY U1D
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PCK
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cm..1
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2
6
EST. COMPL.ETION DATE
TOTAL. FE:E'*'(,
25.00 CK
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--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: