HomeMy WebLinkAboutPermit Plumbing 1984-5-10
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fu:u.uo.tltrru Ox .oJ,xy'Ohryx9Ju,:?f1l1YY\. DTWO Copies of Plans
0... U 0 ~ DThree Copies of Plot Plans
I?OW"SHIP I RAN~3 I S~3"ON. 'j. '2. I T~~T~..lJOUT OF DMech/Plumbing Checklist
) 7 u v ? -' ~) DLegal Interest Document
S:JBDIVISION/PARTITION (if applicable) I LOT/PARCEL I BLocK 0 Plan Check Info Sheet
LOCATI1 AD~~ STREET __. ~ crTY ZIP PROPOSED USE OF PROPERTY .
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DO RIPTION O;dRr;c;;o/c:5~sPEQ:Kr~hn ci.uQl; cL - iL , DE "D. VALUE
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Lane County Authorization
.
for:
FOR OFFICE USE ONLY
I HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION FOR PERMIT, and do hereby certify that all information hereon is true and correct, and that I
have the following legal interest in the property: f'lit'owner of record; 0 contract purchaser; Dauthorized agent with evidence of authority attached.
I f~rther certify that any and all work performed~l be done in accordance with the Ordinances of Lane County and the Laws 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
~:n~~~~~\z~~;;~;;" who are i7&;;:~;? 2d::~Oject. I MVE ~M MD
NAME (pl.... pdnt) - s~' , // ~-;z~
READ THIS SECTION CAREFULLY. YOUR AUTHORIZATION HAS BEEN BASED ON THE FOLLOWING CONDITIONS!
[] PLANNING/ZONING:
Zone
Parti tion I/:
Parcel I/:
Parcel Size
Cot-l.-\IENTS:
CL, sirde inlzerior rear
(2e J lL(-Y)~ G,ChAY\J lliLl~ Utodl.1r'
~ n_ "~_ _.,~ -O~' ,~ ^~^'~~ :::-'W!:'tlJ'25f ~
o FLOODPLAIN:
rf SANITATION: S. 1. I/:
Y"\ Installation
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~ .....:.. a.A/~.JdLJ 0 Date: ,s: /I)-r~ ~
. - - I
Gallon
Lineal Feet
Installation Record Issued? 0 Yes 0 No
Maximum Depth
B. P. #I
[] PLANS EXAMINATION: Type
Group
Use
COH.\1ENTS :
Date:
n
TOTAL VALUATION $
CONSTRUCTION AUTHORIZED BY THIS PERMIT
--
~ Description Sq.
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LANE COUNTY D
Ft.
Fixed Fee/
Unit Cost
Floodplain Fee
Subsurface Fees
Building fee
Hzch/Plmbg Fee
P'ans Check Fee
State Surcharge
DEQ Surcharge
$ ;-.---:--r..P _
$ --'-=-~ C/-
$
$
$
$
$
TOTAL FEE
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$$ c ~_ ') .-e=.
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ING OFFICIAL/DESIGNEE (per ORS 456.805(1)) DATt
IIIRTMENT OF PUBLIC WORKS LAND MANAGEMENT DIVISION, 687-4061,
125 EAST 8TH AVENUE, EUGENE, OREGON 97401
SEE REVERSE FOR INSPECTION INFORMATION
C 14-25
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SETBACKS AND OTHER CONDITIONS OF APPROVAL MUST BE STRICTLY OBSERVED. VIOLATION 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 INSPECTION. CALL 687-4065;. A MINIMUM OF AT LEAST 24 HOURS ADVANCE NOTICE FOR INSPEC-
TION REQUESTS MUST BE GIVEN. Have the following informa tion ready: pe"rmi t number, ~ jOb address, -type
of inspection, when it will be ready, your name and phone number, and any special directions to. site.
BUILDING DIVISION:
REQUIRED INSPECTIONS:
1.
Foundation Inspection:. To be made after trenches are excavated and- forms erected and when all
materials tor the foundation are delivered on the job. Where concrete from a central mixing.
plant (commonly termed '''transit mix~dll), is to .be used, materials, need !lot be on"" the' j'ob.
2.
Concrete Slab ~_ 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.
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,
I
Framinq & Insulation Inspections: To be made after the roof, all framing, f1re blocking, and
bracing are in place and, all pipes, fireplaces, chimneys, and vents are complete and all rough
elec~rical and plumbin~ are approved. All wall insulation and ~apor barrie~ are in place.
3, .
4. Lath and/~ Gy~sum Board Inspection: To be made after all lathing. and gypsum board, interior
and exter1or, 1S 1n-p!aCe-ollt betore 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 wor~ 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 ~equire inspections for the work ~uthorize~, 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
an~ electrical inspections have been made and approved.
B. Wood Stove: To be made after completion of masonry (if applicable) and when installation is
complete. Installation shall be in accordance with an approved, nationally recognized testing
agency and the manufacturer's installation instructions.
C. Mobile Home: An inspection is required after the mobile home is connected, to an approved
sewer or septic systeq-t for setback requirements, blocking,: fOQting .cpnl}ectior},_tie40\jns,
s}cirting, and plumbing connections. . , t
, "
1. Footings and piers to comply with State foundation'requtrements for mobile homes or as
recommended by- the manufacturer.
2. Mobile home minimum finish floor elevation shall be certified 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. Swimmins 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 ~ITE,AT ALL ffMES DURIN~ WORKING HOU~S. ,THIS PERMIT WILL EXPIRE
IF WORK- DOES N0T BEGIN WITHIN. 180 'DAYS, OR IF WORK IS SBSPENDED OR\ABANDONED FOR MORE THAN 180 DAYS.
i~~~~~~gN~~,~VO~AT~ON MAY~ OCC~~ ~IF ~rHIS\~ERM~~.~AS\~SSUED ON T~E_BASI~ oy. INC~MPLETE OR,ERRONEOUS
-'ANYONE PROCEED~NG BAST THE POINT or REQUIRED INSPECTIONS WILL DO SO AT THEIRIOWN RISK~
SUBSURFACE AND ALTERNATIVE SEWAGE DISPOSAL SYSTEMS:
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
installation record form. The Department shall inspect the construction to determine ~f 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 permi t{ 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
10'
10'
5'
50'
Drainfield
10'
10'
la'
100'
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LANE COUNTY DE:PT E:NV ~1GT m::CEIPT 'II' 121 Ml4 DATE (l5<1',.4
APPLICANT BRALLEY, DUANE AD DR 214 GREENVALE DR., SPRINGFIE:LD, ORE
/to. TL.'II' '170::,2:3:5:,O'!O()0 SUBDI\' ". LDT '(<L.I< .'
. NEI,.! E<L,DG TYPE UST F: !JDl'niS '3 UNITS 001' STDI:([-ES 'H~L.DGS 001 PHONE 746 211
OVJN E I:! NME , ADD!'! I
CODE APPL NO ACTION DESCRIPTION .-SQ FT UNIT COST VAL.UATION
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NO. FIXTUF\ES:
NO.
CONNECTDF!S:
MECHAN I CM. FEE
SThfE SLJF,CHARGE
PLMJ CHECI< FEE
'15.00 EACH ..
'4%
6~5%
L.C 121684 SDSV
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Vicinity Map
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Job Location (Address) 2/4 C/2.{&r.Jt.?t Lt .t.2i2 ~,c-ct? tk.
Permit (J For Permit n For
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ACjIVITY INFORMATlctI SHEET
COMPLETE THIS SECTION. INCOr~PLETE FORMS WfLL BE REJECTED!
~]ne county.
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PERSON MAKING REQUEST
. 214 c:f/gEl:7U01-Lt= /JIZ.
MAILING ADDRESS
0/7;V/I/(jHeLI'? {)(< fl7f!77
'=F-J CITY STATE ZIP CODE'
7/({.;-2rl/ X C/3C, 7 ((6rOl9cJ
BUSINESS TELEPHONE # HOME TELEPHONE #
2)Vr1/l/~ L &4 LU::.V
PROPERTY OWNER
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MAILING ADDRESS
CITY
STATE
ZI P CODE
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, BUS I NESS TELEPHONE #
HOME TELEPHONE #
2, PROPERTY ADDRESS
(IF DIFFERENT FROM MAILING ADDRESS)
3 MAP' & PARCEL NUMBER
(REQUIRED INFORr1ATION)
(from tax maps in Department of Assessment and Taxation
or from tax statement)
R~E ffi~ON 3. ~x LOT~ ~R ~Rc2 #
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TmmSH I P
ZONING
TOWNSHIP RANGE SEcfIoN
TAX LOT(S) OR PARCEL #
ZONING
rOWNSH ip RAf'fG{ SECTION
TAX LOT\S) OR PARCEL #
ZONING
TOTAL CONTIGUOUS PROPERTY IN SAME OWNERSHIP:
4 SUBDIVISION (if applicable)
ACRES
BLOCK
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LOT
5 REQUEST (state exactly what you plan to do)
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** FOR STAFF USE ONLY **
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NUMBER
DATE
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ZONE/LAND USE:
BY: DATE:
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TIME IN:
OUT:
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