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Home My WebLink AboutPermit Plumbing 1986-10-14 RURAL ADDRESSiNG ~ ,} .HEC~<i:IJ "f'T \ 3 .~ J1/0"1 " J~ FOR OFFICE USE ONLY La~ C2.?nt~ AY.-EhorI"z.a~~n for: , #fl'~ ~.d~/44/"';~/ ;' / /T 'lDW!\SHIP / 7 RANGE O? I ~ION h ) TAX LC?..J ..............J.:10UT OF P~ED USE OF PROPERTY U ~$:~ ?7'C/v ~Residential DIndustrial "....:.<J......,ION/PARTITION (~f apphcable) I L.OT/PARCSL I BWOK ____ J 0 Corrunerc~al D Public 7?7D~~~h~~~ ~.?~~~~ /~/y 0" . ^"~TLY ~:Z;;;:0 &~~ ~ / - # ~ ~~)~~.~~ ~/~~~~~ ~ ,~//y_~ . --'~'-""'~ ...~4"'~~~~~:///~,52P~~ r" .. O~~:k;~;;~ .~~ ~~~;J' DEClARED' VALUE " C'D"""^,JOMS ~ yif OF ZJY."/Y' /? I # Ees ~R SUPPL'L-/ ~ ./ d" ~ 0 Proposed , _ -:::::;;.2--LJ '/z//h' ~ 17 /~~~ tK-Emt>ng 0;m~2AND~~~/ ~~~/~ ~7~7' C~~AN~~~ ~~~~~~-/-/ ~?7Jkr l~;:LEDT~;;W)c;;7~;; ~ I ~ - ~VE CAREFU~LY EX~NE~ ?PLETED APPLICATION FOR PERMIT, dIJd ,10 hcr()JJY certlfy that all lnfoL'1I'IlItloll hereon 1S t;ue and correct, and that I hav the followJ.ng legal 1.nte st 1.n the property. Downer of record) Dcontral.t.. purchaser; author1.zed agent. I _rther cert1.fy that any and all work performed shall be done 1.n aCC01.dtlllr.:r. wi th thO! Ord I an !;. of Lane COW'lty and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will bt: mad o[ ar,y st:rl1cture wit t the permission of the Building Division. I fur- ther certify that registration with the Builder's Board is in full fo e anu fect <15 require ORS 701.055, that if "exempt the basis for exemption is noted hereon, and that only subcontractors And employees who are "n complia ce with ORS 7 .0 will be used on this project. I HAVE READ AND C~EC;Z-;;7~~AY ) - -NAKE (please print) / .-' Application/~~~~ ~/ Perm~t # riC-7tf -/..6 DATE / / READ THIS SECTION CAREFULLY. YOUR/~THORIZAtION ~AS BEEN BASED ON THE FOLLOWING CONDITIONS: ~ o PLANNING/ZONING: Zon{! #/# Partition It Parcel" Parcel Size ~ / C . / MinimumSe~~CL,>>-t/7 L~~__) ~:.//......~ ...-..--yar _ _. COM-'IENTS, '7~ ?f~~~ /~..-?""----~/~.....-.-?'~ / - . -. c7' . . /7 Date, /O'~~~~~~ ~NITATION: S. I. " B. P. It Installation Re~ ISS~? DYes 0 No /"\ Installation Gallon Lineal Feet M.aximum Depth :::::::ti.~~_~--r:]j\. 6:.;::n~.k fu_~_,~re~ _ dt ~h.,ff~, ~a...n__.. ~ u,.~ Date, I~ o PLANS EXAMINATION: Type Group Use COMHENTS: Date, n ~&)~~-~-P~ ~~~~ ~T APPRO'ltO BY- BU OFF(CIAL/OEslGNEE (oer ORS 456.805 (1)) [lATE LANE COUNTY ~RTMENT OF PUBLIC WORKS LAND MANAGEMENT DIVISIQN, 687-4061, 125 E~ST 8TH AVENUE, EUGENE, OREGON 97401 SRR RRVRRSR FOR TNSPRr~TON TNFORMA~TON ,.,.., "'~ nt"}~ ", ~ . . SETB;"CKS A:-ID OTHER CO,:OITIO,:S OF APPROVAL :-lUST BE STRIC7LY OBSERVEO. VIOLATIO:-l CA:-I RESULT IN REVO- C;"710,1 OF TillS PER:-1IT, CITATIO:l U~DER PROVISIO:-<S Of LA:-<E COU::TY'5 INfRACTION ORDI,:A~CE, AND/OR OTHER REMEDIES ALLOWED BY LAW. I.;HEN READY fOR I~SPECTION, CALL 687-4065, A :-tINHIU:.1 Of AT LEAST 24 HOURS AOVA::CE ~OTICE FOR INSPEC- ::lUC'l Kt:;Ql,;i;;'i'~ '\l"~~ or. i:;:iv'::N. Hilve t.ne tollowing informat.ion ready: permit number, job address, type of inspect.ion, when it will be ready, your name and phone number, and any s~ecial directions t.o site. BUILDING DIVISION: HEOUIRED l~SPECTIO%: L Foundation Inspection: To be made after trenches are excavated and forms erected and when all materlalS Lor tne toundation are dellvcred on the job. Where concrete from a central miXing plant (commonly te~med "transit mixed") is to be used, materials need not be on the job. 2, Concrete Slab or Under-rIoor Inspection: To be made after all in-slab or under-floor building serVlce equIpment, conduit, plplng accessories, and other ancillary equipment items are in place but before any concrete is poured or floor sheathing installed, including the subfloor. 3. ~raminq , Insulation Insoections: To be made after the roof, all framing, fire blocking, and raclng are In.place and all pipes, fireplaces, chimneys, and vents are complete and all rough electrical and plumbing are approved. All wall insuldtion and vapor barrier are in place. 4. Lath and/or Gvpsum Board Inspection: To be made after all lathing and gypsum board, ;.nterior ~e~tcrror, lS In-prace but before any plastering is applied and before gypsum board joints and fasteners are taped and finished. 5. Final Insoection: To be made after the building is co~plete and before occupancy. APPROVAL REQUIRED. ~o 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 b~ given only after an inspection shall have been made of each succes6ive 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 mace after reinforcing is in place, but before any grout is poured. This InSpectlon 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 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 sewcr-or-5eptic 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 ae recommended by the manufacturer. 2, Mobile home minimum finish floor elevation shall be certified when required by a flood- plain management letter. ). Mobile home tiedowns, when required, and skirting shall be installed and ready for inspec- tion within at least )0 days after occupancy. Tiedowns and skirting shall be installed per enclosure, D. SWlmmln9 Pool: Below grade when steel is in place and before concrete is poured. Above grade wnen pool-rs-lnstalled. APPROVED PLANS' :-IUST 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 :-IORE THAN 180 OAYS. SUSPENSION OR REVOCATION 11AY OCCUR IF THIS PE~~IT WAS ISSUED O~ THE BASIS OF INCOMPLETE OR ERRONEOUS INFORMATION. ANYONE PROCEEDING PAST THE POI::T or REQUIRED INSPECTIONS WILL DO SO AT THEIR OWN RISK. .\. SUBSURFACE AND ALTERNATIVE ~ 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 i6sued, 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 if it complies with t.he rules contained in this division. If the construction does comply with such rules, the Department shall issUQ a certificate of satisfactory completion to the permit,holder, If the constructlon does not comply with such rules, the Department shall notify the permit holder and shall require satisfactory completion before issuing the certifi"cJ.ta., Fililure to .meet the requirements f?t' satisfactory completion'within a roasonable time constitutes. a.,vio- lation of ORS 454.605 to 454.745 and this rule. ". .- , . tetbilckt: - Subsurface Se~agQ Di500sal. '" SePtic ~ From: Interior property linas 10' Edge of road rtqht-of-way 10' Buildinq foundation 5' ~eIls, other water sou~ces 50' \' Dro'linfield 10' 10' 10' 100' . / ' " , , .' 'f ,- ACleJITY INFORMATIOre SHEET . COMPLETE THIS SECTION. INCOMPLETE FORMS WILL BE REJECTED! tOte STATE 97<101 ZIP CODE X(LI?RLI ~q~ / PROPERTY OWNI?R J 8 t./ r:!/?ee/lJl{ AtE" MAILING ADDRESS Spte "/7C;r;-e L/) (()/C 97~77 CITY , STATE ZIP CODE ];1'lfY Cp.U"/~Oj\/ /) .IIiRSON MAKING REQUEST K4n'IS I-<eo-Cu; ~/5 /0. I3Roadw/-}t.! MAILING ADDRESS / /fa ~p C'fTY 1fS-fo~oo BUSINESS TELEPHONE # HOME TELEPHONE #BUSW~ TELEPHONE # 2 PROPERTY ADDRESS j 64 .~..t?/yuJ./-zt. (10 ~- . (IF DIFFERENT FROM MAILING ADDRESS) L. 9'" , 3 MAP & PARCEL NUMBER (from tax maps in Department of Assessment and Taxation (REQUIRED INFORMATION) or from tax statement) _ /1 03 ca. ~,1 i ??9 DO . TOWNSHIP RANGE SECTION ~LOT(S) OR PARCEL # 1 71f7-"ld-.B-i/. ! HOME TELEPHONE' # ~21 !( ZONING ToW~SHIP RANGE SECTION TAX LOT(S) OR PARCEl. # ZONING TOWNSHIP RANGE SECTION TAX LOT(S) OR PARCEL # ZONING TOTAL CONTIGUOUS PROPERTY IN SAME OWNERSHIP: ACRES 4 SUBDIVISION (if applicable) 5 REQUEST (state exactly what you plan to do) ~orZu-'~ ,-fb,~r/J"hm .J 1fJh ) d IJ It Y "'-.'i/Yl J - r- (1',-. Y'c-H.? . 6 DIRECTIONS TO SITE: j.JcU;~~~~1 ~D) do LOT BLOCK ~A1.4ffi~ I ** FOR STAFF USE ONLY ** - -- oW ZONE/LAND USE: 14-33 LAND MANAGEMENT DIVISION / 125 E. Bth AVE., EUGENE, OR 97401 / 687-4061 " IVr~2q~-60 . . . ~ ~ 17--03--23, 33 , _. 'g<:Jo()- L; , .' "---' J'1 ~ i~ ! -- ------..----- _.._~---.'- ----.--------------- ---~ -- ----- . - . ~ ---'" ---- --._-- ---...--- -- . '-;'/ '" p.o..'l:;,eD I t.U tJ I" ' ,--Pi , -fPr"j(., ove.R- J~;'Ht., x <<1' ---'---=-01 ,-------- l~. 'i:i (j - ~<;) ~~l I .._.._J , i pf-.- ! ~--_. - -----........---..-- F;~",;l<1 Rf" - i , I i ; , _....;L___.~.____,._____ 1------ ~G?t/~~.a~~ . . >: .~ ~'. 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