HomeMy WebLinkAboutPermit Plumbing 1986-3-31
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Lan~unty Aut.btorization ~or:
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S~BDIVISIONrPARTITION (if applicable)
I~Z..2 / I T7 ~ OF
I LOT/PARCEL I BLOCK
LOCATION ADO,;.s STREET
t. -Z 2. I/-9J:1l~ 73~,</ &~ ~,;U),
STRUCTURES CURRENTLY ON PROPERTY .
CITY
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:~TO SITE
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~~SCRIPTION OF PROPOSED WORK - BE SPECIFIC ~
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= OF BEDROOMS J If OF STORIES I 11 OF EMPLOYEES
O;~'NER I 5 NAME AND AD.J2.BESS
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CJNTRACTOR'S !,lllM'" "'lIB OSR If
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P:';RNll' TO BE MAILED '1'0 lNAME AND ~~
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FOR OFFICE USE ONLY
Application~ ~--;7 ~~
Perm~t # ~r;:-( /77 ~
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P~D USE OF PROPERTY
[!j Residential D Industr ial
o Commercial 0 Public.
ZIP
/ j I DECLARED $ VALUE
7V ~{hVr ~4
] WATER SUPPLY 0 Proposed
A?A//V,t'b~v W..rn= 7)S:l7e/cr ~Existing
TELEPHONE NUMBER
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TELEPHONE NUMBER
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TELEPHONE NUMBER
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I HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION ~'OR PERMIT, and do heceby eett.ify t.hat all information heceon is true and cocrect, and that I
have the following legal interest in the property: Downer of record; 0 contract p1lrchaser; ~authorized agent. '
I f:.:rther certify that any and all work. performed shall ba done in accoldanc"" ...'i th th~ Ordinilnctls 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 ar,y structure withOut the permission of the Building Division. I fur-
ther certify that registration with the Builder's Board is in full forcll nod effect. dS req'uired by QRS 701.055, that if'exempt the basis for exemption
is noted hereon, and that only subcontractors and employees who are in compliance with S 701.055 will be used on this project. I HAVE READ AND
CHECKED THIS APPLICATION THOROUGHLY.
, I ~6'/7;;"" 4~ I'-'=-
NAME (please print)
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. ~NATURE I
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CONDITIONS: J~
Parcel size./1 .// #-
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READ THIS SECTION CAREFULLY. Y~iM:ORIZATION ~IAS BEEN BASED ON THE FOLLOWING
o PLANNING/ZONING: zone~ Partition II Parcel ##
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Installation
Specifications:
Gallon
Tank
Lineal Feet
of Draintleld
Installation Record Issued? DYes D No
Maximum Depth
of Trenches
o SANITATION: S. 1. i
B. P. II
COM.HENTS:
Date: r-l
!\r;LANS EXAMINATION: Type JJ/A GrouP-1:1I-A- use. ~-elC11OZJO/L WATU .pj.A05
/\-:OMNENTS'~ u"'~ew~ ~tJ1Jl7L, ~ BY 71fg R.J;MS/~
~-ro~. 41.l P1p/0 -m {"/lMPL..Y ~~9M 5,u,.-, P.lD~~.
/" ALL me IN~/',lJQl,. Date, . __ n
PERMIT APPROVED BY BUILOING OFFICIAL/OESIGNEE (oer ORS 45G:BJU;---t't 3/3f/~TE
LANE COUNTY DEPARTMENT OF PUBLIC WORKS LAND MANAGEMENT DIVISION. 687-4061,
125 EAST 8TH AVENUE, EUGENE, OREGON 97401
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SETB,\CKS A~D OTHER CO:>DITIO~S OF APPROVAL ~lUST BE STRICTLY OBSERVED. VIOLATION CA}l RESULT IN RE:VQ-
Cil7IO~ OF TlIIS. PERMIT, CITATIQ:l m.:oER PRQVISIO:-lS OF L,\NE COU:>TY' S'rNFRACTION ORDI:->ANCE. AN?/OR OTHER
REMEDIES ALLOWED BY LAW.
~HEN READY rOR I~,SPECTION, CALL 6B7-4065. A mNIHml OF AT LEAST 24 HOURS AOVA1:CE: NOTlCE FOR INSPEC-
rrO:-l Kl:;QLt.'5'fS"""},uf;:i' 1:It: (;1'11:.:>1. HUVC. the tollowing information ready: permit number, job address, type
of inspection, when it will be ready, your name and phone number, and any special cirections to site.
BUILDING DIVISION:
REQUIRED I~SPECTIONS:
1.
Found~tion In5~ection: To be made after trenches are excavated and forms erected and when al~
materlals lor the toundatlon are dal1vered on the Job. Where concrete from a central mixing
plant (commonly termed "transit mixed") is to be used, materials need not be on the job.
2.
Concrete Slab ~ Under-Floor Insp'cction: To be made after al~ in-slab ?r unde:-floor bu~lding
serVlca equipment, conoult, plplng nccessorles, and other anclllary equ1pment 1tems are 1n
place but before any concrete is poured or floor sheathing installed, including the subfloor.
3.
~raming , Insulation Inspections: To be made after the roof, all framing, fire blocking, and
rac1ng are ln, place ,ana: all p1pes, fireplaces, chimneys, and vents are complete and all rough
electrical and plumbing" are approved:" All wa~l insulation and vapor. barrier are in place.
Lath and/or Gvpsum Board Insyection: To be made after all lathing and gypsum board, i,nterior
,ano-exterIOr, 1S ln~e out Detore any plastering is applied and before gypsum board joints
and fasteners are taped and finished.
4.
5. ~ Inspection: To be made ~fter the building is complete an~ 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 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 \~all: TO be made 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
sewer-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 as
recommended by the manufacturer.
2. Mobile home minimum.finish, floor elevation shall be certified when required by a flood-
plain ma'nagemen"t letter. - -. . ..,) ~ '
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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. sW1mm~n9~: Below grade when steel is in place and before concrete is poured. Above grade
when pool lS 1nstalled.
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APPROVED PLANS MUST BE ON THE JOB SITE AT ALL TIMES DURING WORKING HOURS. THIS PERMIT WILL EXPIRE
IF WORK DOES NOT BEGIN WITHIN IBC DAYS, OR IF WORK IS SUSPENDED OR ABANDONED FOR MORE THAN IBC DAYS.
SUSPENSION OR REVOCATION :~y OCCUR IF THIS PE&~IT WAS ISSUED ON THE BASIS OF INCOMPLETE OR ERRONEOUS
INFORHATI0N.
ANYONE PROCEEDING PAST THE POIl;T" or REQUIRED IN~SPECTIONS WILL DO SO AT THEIR ,OWN RISK,_
SUB5URPACE ~ ALTERNATIVE ~ DISPOSAL ~:
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 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 issue a certificate of satisfactory completion to the permit, holder.
If the construction docs not comply with such rules, the Department shall notify the permit
holder and shall require satisfactory completion before issuing the certificate, Pailure 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,
Setback~ - Subsurface
Sewage Disposal
Septic ~
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5' -
'-50' "
, Drainfield
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Fro"m: .lIntell"lor 'Property lines
Edge" bf road riqht-of-way
... Buildinq foundation., ,
We~ls,-' other~....aterl sources.
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10'
10'
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L.ANE: COUNTY DEPT ENV MGT. HECEIF'T ':~ 927B6 DATE 032BB,.
APPL.ICANT HAINBOW WATER DIST., ADDR PO BOX 8, SPRINGFIELD, OHEGON
TL.I 1703262100700 SUBDIV L.OT BL.I<
.NEWBI_DG TYPE USE I': [<Dm'IS 0 UNITS 001 STORIES '~BL.DGS 001 PHONE 746 1)',76.
OWNER NME SIMPSON, GEOHGE ADDH 622 HAYDEN BRIDGE RD., SPHINGFIEL.D, i~'
__ CODE APPL NO Cll~TH)N DE:SCRIPTION S(~ FT UNIT COST VALUATION F.I::E DAYA.,
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FT. lHR:
MECI'h;NICAL FEE
STATE: SURCHARGE
PL,;N CHECI< FEE
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927tl6 PL.
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SDS
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TOTAL FEElH(.
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EST. COMPLETION DATE
e
LANE
COUNTY
TNSPFr.TTON
RFr.olID
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TRS# 17-03-26-2-1 700 DATE ISSUED:
OWNER'S NAME
GEORGE SIMPSON
CONTRACTOR'S I Nl1IiE -t->
~/A/801(j WA7ER~ v~,
SET BACK REQUIREMENTS - -
Cl, FRONT CL, SIDE INTE'RIOR REAR
WORK AUTHOR I ZEO BY PERriIT -_.
&..oCA1E. ~1R' ~.JZYIa. Ullt; -m~Arr" YA(>l>.
DIRECTIONS TO SITE .
NONR GIVEN.
4/01/86 PERMIT#92.7-&o
PHONE NUMBER
PHONE NUMBER
746-1676
# PLUMBING FIXTURES
~ SDS APPROVAL REQUIRED
SITE AOPRESS .
lD~ HA.'f'DfrIJ &~ eb, ~ 6Ff.>~a..D
FOOTING J FOUNDATION d if.10BILE FlOME pTAcEME'N'r U INSPECTION
Approved Date jCorrection Date
Inspector
Inspector ~
~J~BIIIN~(jR(i)tlJNl\l2/(i)RK~m-- .
Approved / Date-*__~orrectlOn Date
UNDERSLAB PlBG.[] IUNDERFLR PLBG.[] INSPECTION
Approved Date ICorrection Date
Inspector
.DTHER INSPECTION
Approved .Date
ICorrection
Date
Inspector
ROUGH PLUMBING (TOP OUT) INSPECTION
Approved Date ICorrecti on
Date
Inspector
FRAMING INSPECTION
Approved Date
ICorrection
Date
Inspector
ROUGH MECHANICAL
. Approved Date
ICorrection
Date
Inspector
INSULATION I VAPOR BARRIER INSPECTION
Approved Date ICorrecti on
Date
Inspector
LATH I GYPSUM BOARD INSPECTION
Approved Date ICorrection
Date
Inspector
FINAL MECHANICAl[] IWOOD STOVE[]
Approved Date ICorrection
Date
Inspector
FINAL PLUMBING INSPECTION
Approved Date
ICorrection
Date
Inspector
FINAL INSPECTION BUILDING [] IMOBlLE HOME [] lAG PLACEMENTLJ
Approved Da te ICorrecti on Date
Inspector
CERTIFICATE OF OCCUPANCY []
Approved Date Insp.
TEMPURARY CERTIFICATE OF OCCUPANCY []
Approved Date Insp.
M74-197
.
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