HomeMy WebLinkAboutPermit Plumbing 1988-8-24
'-
Lane coun'Y it:orfzr~~~or!t
SEPTIC INSPECTION FOR LOAN REVIEW
11Jj %eJ
FOR OFFICE USE ONLY
Application/ ~// j/' _(/~", -
Perm1.t i e><.7/fIJ 0"
TQW~SHIP I RANGE
17 03
S~BDrVISION/PARTITION (if applicable)
I SECTlON
22
TAX LOT
2800
OOUT OF
PROpOSED USE OF PROPERTY
~ Residential 0 Industrial
o C(lIumercial D Public.
LOT/P;"RCE~
BLOCK
LOCATION ADDRESS
STREET
CI'!'Y
ZIP
496 Harlow Road, Springfield, Oregon 97477
STRUCTURES CURRENTLY ON PROPERTY
Existin~ single family dwelling,
Dl~CTIONS TO SITE
Cobur2 Road. ri2ht on Harlow Road. 3/4 mile east of 1-5. on corner of Pheasant and Harlow Road
~~SCRIPTION OF PROPOSED WORK - Be SPECIFIC
SEPTIC INSPECTION FOR LOAN
~ OF BEDROOMS I n OF STORIES
3 na
O;~1JER 's NAME AND ADDRESS
Joanne B. Smith~_Same as the iob addrss above
CONTRACTOR'S NAME AND OSR #
DECLARED ~ VALUE
IIf OF EHPLOYECS
na
liA TER SUPPLY
Rainbow
o Proposed
1?4tExisting
TELEPHONE NUMBER
726-7731
Same as the above
P.:;RNIT TO BE MAILED TO (NAME AND ADDRESS)
r.~ru DraDer. 1200 Executive Parkway. Eugene. Oregon 97401
TELEPHONE NUMBER
Same
TELEPHONE NUMBER
485-2223
I HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION POR PERMIT, cu,d .10 hcrclJy certify t.hat all information hereon io true and correct, and that I
have the following legal interest in the property, Downer of recoL"dl 0 C~,lL,:r<H'::- P'II:chaser;~\,Ithorized agent.
I f~rther certify that any and all work performed shall be done in o.l.:t.:Qu.lall<;'; ...'ith tho;: nrdLnanCt;!~ of Lane County and the Laws of tho Stata of Oregon
pertaining to the work described herein, and that NO OCCUPANCY will be :nanc of ar.r St-_TuctUl:e without the pcnnission of the Building Division. I fur-
ther certify that registration with the Builder's Boilrd is in full force anu effect <'Is. required by ORS 701.055, that if "cxcmpt the basis for exemption
is noted hereon, and that only subcontractors and cmployees who are in compliance with ORS 701.055 will be used on this project. I HAVE READ AND
CHECKED THIS APPLICATION THOROUGHLY. _...1 "I..
Gary DraDer T ~ ~ 3-2..>-8'S'
NAME (please print) ,. ( SIGNATURt DATE
"
READ THIS SECTION CAREFULLY. YOUR AUTHORIZATION gAS BEEN BASED ON THE FOLLOWING CONDITIONS!
[] PLANNING/ZONING:
Zone
na
Partition .,
Parcel It
Parcel Size na
Minimwn Setbacks: eL, front
CL, side
interior
rear
COM:.\tENTS:
SEPTIC INSPECTION FOR LOAN REVIEW--NO SPECIAL PLANNING ACITON REOUIRED
8-23-88
Date:
RLH
n
Lineal Feet
of (}["ilinf.ield
Installation Record Issued? 0 Yes 0 No
Maximwn Depth
of Trenches
[] SANITATION:
S. 1. It
B. P. *'
C001-1ENTS :
~~ A
[] PLANS . INATION: (/Ype
. " :/ ShS . ~ %k~h- ,
J(,i7t./A ~//~J~O ,V Date, ~.-2</_pt7.~
Grour,
Use
COMHENTS:
Dat.e:
n
~2c.J r~{" .As r ;?--.zt.!_..pP
r ~ APPROV~D BY BUILDING ~r;nAL/DESIGNEE (oer QRS 456.805 (1)) ~ATE
LANE COUNTY DEPARi[tJ4ENT OF PUBLIC WORKS LAND MANAGEMENT DIVISION, 687-4061,
125 EAST 8TH AVENUE, EUGENE, OREGON 97401
SEE REVERSE FOR INSPECTION INFORMATION C i4-25 R84-
r
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.
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I
SE-TB;,CKS ..:;0 07HCR (0::01T10::5 OF APPRQ'),\L ~:L'S'!' BE STRIC':':'Y 03SER'.'SD. VrOLATIO:, CA:\' RESULT IN REVQ-
c,\:-IO:: OF T!lIS 1':::R~llT, CrT;;TIO:; U::OSR PROVISIO:;S OF L,\;;'f. -:m:::T\":; 1:,FR';CTIO:l OHDI::':"::C!::, ;,::O/OR orllER
RE~~DIES ALLOWED B. LAW,
\o;HEN READY FOR r::SPI:CTIO:;, CA:':' 6BJ-';065. i\ ~:n:I:-:u:.: or ;,T LS';ST 2~ 1l0l'RS ,\DV,\::CE :\'OTICE POR I:1SPF.C-
'1:u;; IH,/)L't;S';'S ;';;":ST me; Gi'/S::. HiI'..e the ~ol101.dng in:::J:;,:natiO:l reJ.dy: ;:,crmit numbar, job address, type
of inspectlOn, when it will be rendy, your :!~me and ?ho~c :!u~~er. ane any s?ccial cirections to site.
BUILOI~G OIVISIO:\':
REQUIRE:> t::SPECTiQ:1S;
1. found.ltlOh Inspectlon' 70 be'made .lfFer"trenches' are. excavated ilOC fotms erected and when all
r::aterl<lls ~Ol the toundiltlon <lre uclivcrcd on the job. ',';here concrcte from a cC:-ltral mixing
plant icom:nonly termed "tr<lnsit mixed") is to be used, !;Iaterials :-Ieed not be on the job.
2. Concrete Slab or Under-Floor Inspection: To be made after all in-slab or under-floor building
serv::.::e o0JTPment, CO:lGUlt, ,.HPln<j accessories, a:ld other a:lcillary equipment items arc in
place but belore any concrete is poured or floor sheathing installed, including the subfloor.
3. Frami~9 & Insulation Inspectlons: To be made after the root, all framing, fire blocking, and
braClng are ln ?lace ~ all plpes, fireplaces, chi~neys, and vents are complete and all rough
electrical and plumbing are approved. All wall insulation and vapor barrier arc in place.
'.
4. Lath and/or Cv~sum Board Insoection: To be made after all lathing and Sypsum board, 1nterior
ana-exterTOr, lS In-prace but betore any plastering is applied and before gypsum board joints
and fasteners are taped and fi,nished. ...
5. Final Insoection: To be made <lfter the building is complete <lnd before occupancy.
APPROVAL REQUIRED. ~lo work shall be done on any part of. the building or structure beyond the point
indicated in each successive inspection without firat obt~ining 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 eaeh of the inspections r~guired. ~
NOTE: All building permits require inspections for the ~ork authorized, such as but nOt limited to:
A. Block wall: To be ~ade after reinforcing is in place, but befo~e 3ny grout is poured. This
InSpection is required for each bond beam pour. There will be no approval until the plumbing
and electrical inspections h<lve been made and approved.
B. wood Stove: To be made after co~pletion of masonry (if applicable) and when inst<lllation is
compl~ Installation shall be in accordance with an approved, nationally recogniz~d testing
agency and the manufacturer's install<ltion instructions.
C. Mobile Home: An inspection is required after the mobile hOme is connected to an approved
sewer or-5eptic system for setback requirements, blocking, footing connection, tiedowns,
skirting, and plumbing connections., ....
1. Footings tlnd' piers~c.Q..co';p~"Wi\b s'ta'te"(olnid~_ti.~n- requirements for mobile homes or as
recommended by the ma~ufacturer. - ,
2. ~obile home minimum finish floor elevation sh<lll be certified when re~uired by a flood-
plain m~nagement letter. ....
). ~lobile home tiedo'...ns, 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.
O. swimmin9 Pool: Below grade when steel is in place and before concrete is poured. Above grade
wnen pool-rs-installed.
,WPROVED PLANS :.IUST BE ON THE JOB SITE AT ALL TIMES DURI~G HORKING flOURS. TIllS PER.'lIT WILL EXPIRE
IF \"-ORK DOES NOT BEGIN WITIIIN laO DAYS, OR IF WORK IS Sl.:SPENDED OR ABANDONED FOR ~IORE TIlAN 180 DAYS.
SUSPENSION OR REVOCATION ;.LW OCCUR IF THIS PEIUUT \~AS ISSUED ON THE BASIS OF INCmlPLCTE OR ERRONEOUS
INF'ORN.ATION.
A::YONE PROCEEDI~G .P,\S1' TilE POI:;" or REQUIRED INSPECTIO:lS WILL DO SO AT TIlE:IR OWN RISK.
SUBSURFACE ~ ALTER:1ATI'lE ~ DISPOSAL SYSTE}lS:
1. Permits shall be effective for one year from the date of issu<lnce.
Z. Upon completing Lhe construction for which a permit has been issued, the permit holder shall
notify Lhe Lane County Department of Planning and Co~~unity Development by submitting the
installation 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 i5suo a cortificate of satisfactory completion to the ~ermit.~older.
If Lhe construction does not comply with such rules, thG''''Dcpcirtment sh..ll not~fy the perm"it
holder and shall requLre satisfactory completion before issuing the ccrtiflc~te. f~ilure to
meet the requirements for satisfactory completion ~lthin <l reasonajle time con5titutes a vio-
ldtionofOR5"454.605to454.745anJthisrulc.~ '"- -~.~ .- ~._. .
-'
Setb<lck5 - Sub5urfaco Sew<lqe D~snosal
.seotic '!'<lnk
Dr<linfield
Fro::J:
l:1tcrlor propert
Ed~e of road riG
Ruil<iino (Ol.:nl'lilt
~clls. other ~at
lines
t-Of-Wdy
on
r ~ourccs
10'
la'
S'
50'
10'
la'
10'
100'
.
.
Please complete all lines inside white boxes,
,uunG~y ~
/.i ep...f?Uc,:f~J:;;(7 ~ P~VI At
r;,u~tai', t'J~1=o
CITY .
o1#r~71;;1;;;!~n;
OWNERS ADDRESS (II not ..m. .. above)
t;U/'\llIKA\OIUH
'. .:.:....
.... :......:.........:.. .:.....".::..
,
MAP, PARCEL NUMBER
(Found on lax m.- In the A.....m.n1 . loatlon o.pl)
I? O~ Z:2- :? g'()D
'.wn-.hIP ""Jr."ng;"'" l;lKl,on 1'4 _Cllon lax LOI
Townahlp nong41 Seellon 1/4 Section Tn Lol
lown.nlp
,
,
SITE
.
,
"'J!ian"gi"" becuon 1'4 _Chon I U Lal
ADDRESS 1/9(,
;//IJt?Le vi
if possible.
B-a 3-<jg
VAll::
1~:~~~~
.!l..1c}O/
ZIP
. ;zaf- 7ZlL
S PIe/I( GPf&Ut..oR q 7'1-77
ZIP
Llcen.. .
,ed.
SOil LJ 61=1 Gl-O ,
MAIL PERMIT TO:
I? G! M RJt.... ~ b4l-~:s
/'\lAMe
.ul-flOO f:1(ectil7~ PA71<.wM
E::U~5J oLE:
Am..! GA.e. V
'.
!WIlY
Land Manasamant Dlv. staff can
not be held responsible for
evaluations or recommendetlons
based on false, Inaccurate or
Incomplate Information
.
.#3~
Gf740/
ZIP"
'.
Existing Buildings or
Improvements on
Property ;Z ~t/,
l:S6 House "/ '~
ElBarn
c::J Garese ~
c::J Mobile. Home
c::J Shed
~ SEPTIC INSTALLED
Yes
No
~t
/
,
~
Directions to site
from Courthouse
t'_()f3t.d..6 ..ed R...
p 1J 1:iJtF..t.A..J
R d 3/'1 MJ.. E::- .
~J: I-5. ON
C!.oAU fX t7F
P~h7<Ir ftAA:1
~ Rd. ~PFt.t.
.~
,<Y!:: .
97477
ZIP
~
'~:::i--
For Mobile Home
Placement Only
Brand
Year
Size
No. of Tip-outs
No. of Bedrms
License r
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.APPLICANT SMITH, JOANNE
TL~ 1703220002800 SUBDIV
~EW BLDG TYPE USE R BDRMS 0
.OWNER NME SMITH, JOANNE
CODE APPL NO ACTION DESCRIPTION
BP
.p
BP
BP
.p
: :OUNTY DEPT ENV MGT RECEIPT
AD DR 496 HARLOW RD.,
~ 241688 DATE 082388
SPRINGFIELD, OREGON .
LOT BL.K
UNITS 001 STORIES OBLDGS 001 PHONE 726 7731
ADDR 496 HARLOW RD., SPRINGFIELD, OREGON.
SQ FT UNI~ COST VALUATION FEE DAY~~l
.~J OFIX/BATH:
.ECH
SUR
PCK
eR LC 241688 SDSV
"~~
iD
.(11
~
60.00
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SWR: FT. WTR:
MECHANICAL.FEE
STATE SURCHARGE
PLAN CHECK FEE
FT. RAIN:
FT
5%
25%
.
CATG:
.'EQU:
, IT~KEN
.
APP
1
BY RLH
RA
FP
SDS
SI
PCK
OTH
ISS
3
DEPOSIT **
60.00
1.,
CK ;
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l I
I,
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2
EST. COMPLETION DATE
.