HomeMy WebLinkAboutPermit Plumbing 1998-4-23
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'REQUEST
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LOT/PARCEL El.OCK
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LOCAnoo ADDRESS
2092 HARl?OR DR.. SPRINGFIELD" OR 97477
STRtY.:TURESNON~TY
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PAOPOSED USE ~AI.l.ED WATal NSTAUal
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Dl::.S(;;Rf>TJ;:W-.A-PRCPO>EDWOAK
NO.OfSTOAES
NO. OF EMPLOYEES
lXlNSTIlUCTlONCXliSTIVALLE
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A1.TF:fLEXlS~ING SE,'liAGE SVS'Ih"1 um,
DIRECTIONS TOSrTE ~~ NEAREST MAIN INTERSECTION
---50lJTI-I ON SEQJND 'm HARFO~ nR!"\IF:.,~SE.._Ql'LEND. RTr..HT Ht~t:ILl..~lf)R
N'l'LJCNl r NAMIo & ADDRESS
PHONIi
PRAr>~ C;r]<;AN "~1.T1'IlJl. 2092 I{l\RRnR nR
OWNER$ NAMa:, AODRESS
C;PR I Ne::" 11"1.n o1L91'.l27
PHONE
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C;A.VoE p..c AID\!'"
CCMflACrofMNS1~EWaulU)ER NAME
~:V:~~~~Al.n-" ~~YrAVArr r()N
r MAIL PERMIT TO:
BRAD & SUSAN EKLUND.
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I hava carafully raad BOTH
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PANT NAME
cca,
PHONE
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2092 HARBOR DR., SPRINGFIELD. OR 97477
STREET arv
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Is true and correct
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sldas of this ap~~on and hereby certify ~hat all j'formation
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FEES DUE: $
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APPROVED BY:
DATE
CALL FOR INSPECTIONS (SEE BACK OF FORM FOR INSTRUCTIONS) 687.4065
SEPTIC permits ere good for one year. ALL ofher permits expire after 180 days unless Inspecflons ere current.
,
lMD 040 Rev. 6/92
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VIOLATIONS
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SETBACKS AND OTHBR CONDmONS Of APl'ROV AL MUST BB STRJc:JL Y OBSERVED. VIOLATION CANRBSULT IN RBVOCATION OP TInS PERMIT.
CITATIONS MAY DB ISSUED UNDER 1lIB PROVISIONS Of LANE COUNTY'S INFRAC1l0N ORDINANCE AND,IOR onmR. RBMEDIBS AlLOWRD BY LAW.
A MINIMUM OF AT LEAST 24 HOURS Anv ANCE NOTICE MUST BE GIVEN FOR INSPECflON REQUESTS
Have the following information ready when you call: 687-4065
Permit number - Job address - Type of inspection required When it will be ready
Your name and phone number - Any special directions to the site
PUBLIC OFFICIAL RIGHT TO TRESPASS ON PRIVATE PROPERTY ORS 215.010
POWER TO BNTER UPON LAND. nIB COMMISSION, AND ANY OF ITS MEMBERS, OFFICERS AND BMPLOYBS, IN TIm PERFORMANCE OF nmIR PUNcnONS,MA Y
EN'11iR UPON ANYLAND AND MAKE. EXAMINATIONS AND SURVBYS AND PLAc:E AND MAINTAIN nIB NECBSSARY MONUMENTS AND MARKERS n-IERRON.
REQUIRED INSPECflONS
FOUNDATION INSPECflON: To be made after excavations for footings are complete and any required reinfon:ing steel is in place.
UNDERGROUND PIPING INSPECflON: To be made after all underground piping has been installed, prior to any backfIll.
CONCRETE SLAB OR UNDER-FLOOR INSPECflON: To be made after all in-slab or under-floor building service equipmen~ condui~ piping
accessories and other ancillary equipment items are in place but before any concrete is placed or floor sheathing installed, including the subfloor.
ROUGH MECHANICAL INSPECflON: To be made after all ducting and gas piping has been installed and prior to being covered.
ROUGH PLUMBING INSPECflON: To be made after all plumbing rough-in is in place. prior to being covered.
FRAMING INSPECflON: To be made after the all framing, fire blocking, bracing and roof are in place and all pipes, chimneys and vents are complete
and the rough electrical, plumbing. and mechanical inspections have been made and approved.
INSULATION INSPECflON: To be made after all insulation and vapor barriers are in place, prior to covering.
LATH AND/OR GYPSUM BOARD INSPECflON: To be made after alllathing 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 fmished.
ADDITIONAL INSPECTIONS MAY BE REQUIRED. such as but not limited to;
BLOCK WALL: To be made after reinfon:ing is in place, but before any grout is poured. The inspection is required for each bond beam pour. There
will be no approval until the plumbing and electrical inspections have been made and approved.
FINAL MECHANICAL INSPECflON: To be made just prior to the structure or remodeled area being occupied and prior to operating any equipment
FINAL PLUMBING INSPECflON: To be made just prior to the building, structure or remodeled area being occupied.
FINAL BUILDING INSPECflON: To be made after finish grading and the building. structure or remodeled area is completed and ready for occupancy.
MOBILE/MANUFACfURED HOMES: An inspection is required after the mobile home is connected to an approved sewer or septic
system, prior to covering sewer or water lines, for setback requirements, blocking, tiedowns and plumbing connections.
Footings and piers to comply with State foundation requirements for mobile homes or as recommended by the manufacturer.
Minimum fmished floor elevation shall be certified when required by Floodplain Management
Tiedowns, if required, shall be installed and ready for inspection within 30 days after occupancy. Tiedowns shall be installed per enclosure.
APPROVAL REQUIRED
No work shall be done on any part of the building or structure beyond the point indicated in each successive inspection without fust 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. .
APPROVED PLANS MUST BE ON TIlE JOB SITE AT AU TIMES DURING WORKING HOURS.
TIllS PERMIT WIU EXPIRE IF WORK DOES NOT BEGIN WITIllN t80 DAYS. OR IF WORK IS STOPPED OR ABk'uv,""D FOR MORE TIlAN 180 DAYS.
SUSPENSION OR REVOCATION MAY OCCUR IF TIllS PERMIT WAS ISSUED ON THE BASIS OF INCOMPLETE OR ERRONEOUS INFORMATION.
ANYONE PROCEEDING PAST THE POINT OF REQUIRED INSPECTIONS WILL DO SO AT THEIR OWN RISK.
Your signature on the front of this form verifies the following: I HAVE CAREFULLY EXAMINED TillS COMPLETED APPLICATION. and do
hereby certify that all infonnation hereon is true and correct., and that I have a legal interest in the property as owner of record or authorized agent. I
further certify that any and all work performed shall be done in accordance with the Ordinances of Lane County and the laws of the State of Oregon per-
taining to the work described herein. I further certify that if I am not the owner of the 1'...1'....;, my registration with the Builders Board is in full force
and effect as required by ORS 701.055. and that if exempt the basis for the exemption is noted hereon. and that only subcontractors and employees who
are in compliance with ORS 701.005 will be used on the job.
SUBSURFACE & ALTERNATIVE SEW AGE DISPOSAL SYSTEMS:
When subsurface construction is complete, the permit holder shall notify the County Land Management Division by submitting the installation record
form. An inspection will be made by a qualified sanitarian. If construction complies with all rules a certificate of completion will be issued to the permit
holder. If construction does not comply with rules, the permit holder will be notified, and all corrections shall be made before a certificate of completion
will be issued. Failure to meet satisfactory completion within the allotted time constitutes a violation of ORS 454.605 to 454.745 and this rule.
SUBSURFACE SEW AGE DISPOSAL SETBACKS SEPTIC TANK
From: mterior Y.....Y"'".j, lines 10'
Edge of road right-of-way 10'
Building foundation 5'
Wells or other water sources 50'
DRAINFIELD
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Please complete all lines Inside white boxes, If possible
kdty ;.StL~arl Eklur7d :;'-/5- 98
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Owner 01 Parcel (11 not urne 8.!1 aboVe) Phone
ExIstIng BuIldings or '-
provements on file Pro~
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_Barn
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J(. Mobile Home
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SEPllC INSTAllED?
x:... Yel jff7 T- 71
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WeIer Dls1rict
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MAP, PARCEL NUMBER
(FlMnS on tax mtpe, In.. hi.... ._li. Jaudon D.pt)
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Site Address
:J()q.;; Harboy e r. :. \pCd.
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LMD staff can NOT be held
responsible for evaluations or
recommendatIons based on
false, Inaccurate or Incom-
plete InformatIon.
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CONTRACTOR
: SAME,
PROPERTY LOCATION - INCLUDE POST OFFICE
, 5TH\ AOOITI~N TO F,ILBERT GROVE ESTATES
, PROPERTY LEGAL DESCRIPTION - METES, BOUNDS
LOT 52 BLOCK 3
~~ILDIN~' PERMIT OR
MH 0
MAILING ADDRESS
591 WEST '10TH
MOBILl)O. USE' PERMIT'
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PERMIT NO.
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1~77- 74
f~ONE
EUGENE, OREGON Jllq-5785
MAILING' ADDRESS
PHONE
I1ARBOR DRiVE:
TWP
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RANGE
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SECiO\ Ii. z, Z~NOIF z?f~
EXISTING STRUCTURES ON PROPERTY
NONE
'_LEGAL ACCESS TO PROPERTY
HARBOR DRIVE
CENSUS TRACT
APPl.
NAME.
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MAILING
5; R. CROSLEY
591 WEST 10TH
PROPERTY SIZE - FT.
AOORESS EUGENE,' OREGON
'OR,00BllE HOME PERMITS ONLY
N.c. of Bedrooms
WIDTH
DEPTH
AREA
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STRUCTURES TO,BE BUILT THIS PERMIT
Connect to' Exis.ting Sewage System 0
TYPE CONSTRUCTION SQ. FT. +t BDRMS
New System 0
VALUATION.
. INSTALL SEWAGE DISPOSAL'SYSTEH ONLY'
,
iEWAGE DISPOSAL
, i"'RIOR
'UBlIe" 0 SEPTIC TANK' 0 OTHERD
JIlDING It
ASTE OiSPOSAl ')0.00
UMBING
A.N REVIEW
.RK TRAILER
PLUMBING INSTAllED BY
FEES
OWNER 0 'OTHER, NAME
WATER SUPPLY
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COUNTY BUilDING & SANITATION SPECIFICATIONS'
DRAIN FiElD REQUIRED DEPTH
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11TH DIST. BOX: GAL
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.-FENCE. TO BE I NSTALLED AROUND .SEWAGE
!P.E OF STRUCTURE
OCCUPA~CY
lONE
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PUBLIC UTll.. EASEMENT
DG.. SETBACKS"_ FT. FROM CTR. OF ROAD RIGHT OF WAY'
4 . 5'" 5"
ONT' 5' SlOE INT. . SlOE EXT.
AUTHORIZED SIGNATURE - DATE
/5/ J. E: Boss BY C. HARBAUG'! '
REAR
5
USE ClASSIFICATION
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J SHOOK/SAN I TAR I A~ATE9/24/74
DG. PERMIT - WHITE
'FICE COPY - WHITE
IUNTY TAX - PINK
JMBING - CANARY
ILDING -' GREEN
.NITATlON - GOLDENROD
Call' 687.406~ to schedule 011 r~quired in~pections. 'All. construc-
tion sholl comply with Uniform Building Code, D.E.Q. standards
IMPORTANT:' for subsurface sewage disposal and county regulations covering'
p~umbing. All buildings r,equire a certifiCate of occupancy before
. being occupied.
(See Details on Reverse Side)
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'(POST 'THIS PERMIT ,ON 'MAIN BLDG. AT 'SITE)
LANE COUNTY, DEPT. OF EHVIRONMEN~AL MAN~GEMEHT
COURTHOUSE ANNEX, 135 EAST 6'''. EUGENE. OIlFnntoJ Q7A"1
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. P.SF\SEWAGE DISP~SAL SYSTEM RECiIi ~ '~.
top.'part d_i tor signature' .and submit b<W:.S h applic~ g '~::::::--. .
, ' .' . PE IT NO. r.l 7- r
PRUl't.itl y ~LlLlKt.~) '. , JS -.:
HARBOR DRIVE '
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INSTALLER: Complete
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','1'0. Living Units/ Bedrooms Baths,
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Sept i c 'Tank:
Ft. from well Steel ,Dconcre,te ~ 'NO~ Compartments I Gal. Cap~clty /0,' c?
Inside Dimensions: Ft. , . Ti Ie Disp!>sal. Fleld:.....-,<;
LeMth ~;r Width. {. Diameter Depth' Distribution Box: lVe~' No
OWNER Other Distribution-type
NAME S. R~ CROSLEY , . '
Basement
Yes 'No
Water Supply
Public>( Other-List
Total Sq.
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Feet from'
WEll
Lot Li ne .
Front
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Li nes 1,->
Foundation
MAILING, ,91 WEST 10TH
ADDRESS
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Rear
, IFlller Below
inJrlle t. In. '
.;
EUGENE. OREGON
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CERTIFICATE OF 'SA"ISFACTOR~LETION, I . J
For Sanitarian, Use Only,: , ,,' , ' ,', "Date:./D -1..-/,'7 ,...
In accordance with 1973 Oregon Laws Chapter 835. Secti 214 this certificate is issued'
as evidence of satisfactory completion of a subsurface'sewage disposal system at,the above
loca~.' ".' "
, , .Approved: System. Installation conforms to current standards
c==J,Disapproved: Does not conform to current standards
Remarks: .
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STATE OF OREGON DEPARTMENT OF
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S!, ar Ian I s Signature
LA COUNTY
ENVIRONMENTAL QUALITY
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NEW BLDGTYPE USE R BDRMS
OWNER NME EKLUND, BRADLEY
CODE APPL NO ACTION DESCRIPTION
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DEPT ENV MGT RECaIIr . 119898 'DATE 041698
'ADDR 2092 HARBOR~."SPRINGFIELD, OREGON
: 'LOT BLK
o UNITS 001 STClRIES 'BLDGS OOiPHONE 746 8097
ADDR ~092 HARBOR DR., SPRINGFIELD, OREGON
SQ FT UNIT COST VALUATION FEE DAYS
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PI 'FIX/BATH: SWR: 'FT. WTR': 'FT. RAIN:' FT
MECH MECHANICAL FEE
SUR STATE'SURCHARGE' 5%
peK PLAN CHECK FEE 25%
SCS LC 119898 SDAR 350.00
SCEQ FEE SDAR 30.00
ACM, FEE 52.50
TECH FEE '5.00
,CATG: PLN RA SDS ELE PCK IS'S i SI OTR
SEQui" 1 2 ,9
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