HomeMy WebLinkAboutPermit Plumbing 1986-3-31
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LOCATION ADDRESS STREET
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STRdC~URES CURRENTLY ON PROPERTY
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FOR OFFICE USE ONLY
Application/~~__ t7~
Perml.t # /vC-'" t?~
P~O;7D USE OF PROPERTY
l11'Residential D Industrial
o Commercial D Public.
CITY ZIP
:'S.::?~"'6-Ab?/l 9 ?~7J
uESCRIPTION OF PROPOSED WORK - BE SPECIFIC
if A?EC.~.a-=- 4h7Z'?e _<;";::}(7V"'F
iJ;F BEDROOMS 1_ #' OF STORIES
O;~"NER '5 NAME AND ADD';?
(>>: 134?~('.;Ir 17'","::;>So..v
",.r...,.J."\hc.;eR' 5 NAME AND OSR It
" .k!.qIiYrY?~ j:f.1..~ :Q.c<T./Z/r7
P'::;RHIT TO BE MAILED TO"'1NAME AND ADDRESS)
/.Zq/A/,s"..... WA~L /)/sr.e/cr,
I It OF
7Z> FA."o^,T r:-:~~L7
EMPLOYEES I WATER SUPPLY
~ .R!/9/'N~OW
5.8. '3 ~.PL1<9V
7?A!!o?<:',c.- ,?,hqy
/'0.80><' g, ~.A!""",.r-/R/.1_
I DECLARED .!;> VALUE
o Proposed
Ld.-97Z9Z })/5r~/~ r.. fRExisting
f TELEPHONE NUMBER
I TELEPHONE" NUMBER
I T~LePHONE NUMB~R
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I HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION t'OR PERMIT, arod ,]0 henl!Jy cer:tify t:hat all information hereon is true and correct, and that. I
have the following legal interest in the property: Downer of record; 0 contract pllrchaser; ~authorized agent.
I f-.:.rther 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
pertaining to the work described herein, and that NO OCCUPANCY will b... made of ar,y st~ructu:re without the permission of the Building Division. I fur-
ther certify that rQgistration with the Builder's Board is in full force and effect as required by ORS 701.055, that if "exempt the basis for exemption
is noted hereon, and that only subcontractors and employees who are in compliance with ORS 701.055 will be used on this project. I HAVE READ AND
CHECKED THIS APPLICATION THOROUGHLY. ~~ 7 / / /7
~ J / /~/.>fYf;' #NL.6Y (2} ,:::Z ~ ~ .::sk.Bhc,
NAME {please print] " . I 'SIGNATURE 1 / i DATE
READ THIS SECTION CAREFULLY, Y~~~THORIZATION gAS BEEN BASED ON THE FOLLOWING
o PLANNING/ZONING: zone./1// ~ Partition # Parcel #I-
Minimum setbaH/ CL, ~ / CL. side.../1 in~
COMHENTS, $# /'/" ~#~A' ~.-Y741-/ /~
/' .
,/
o SANITATION:
S. 1. #t
B. P. If
CONDITIONS~
#$-
/
Parcel Size
rear
~~
?-ZP~L-W
"'"
Date:
Installation
Specifications:
Lineal Feet
of Drainfle Id
Installation
Record Issued? 0 Yes 0 No
Maximum Depth
of Trenches
i'PLANS EXAMINATION: Type~/ A- Group ,,-t / A-
I( COMNENTS,j ~AvE: LJ~r.;.mlfJI::> ptPIA'lr_ ~ l1/-.lTlL ~\IF:D B:t "7'UP
R1.WtBIAlCt 11J5Peqn~. ~ f'IA'~I(., ~ I'.fJM(JLY vJ.j l~~ ~^'9
~. ~ Ftt. 1A.\~R=n'1IJJJS Da,e,~IIRG, D
PERMIT APPROVED BY BUILDING OFFICIAL/DESIGNEE Coer ORS 456'8051~~ ~ATE
LANE COUNTY DEPARTMENT OF PUBLIC WORKS LAND MANAGEMENT DIVISION, 687-4061,
125 EAST 8TH AVENUE, EUGENE, OREGON 97401
Gallon
Tank
COMHENTS:
Use
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Date:
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SETBt\CKS A~D OTHER CO:;DITIO:~S or APPROVAL ~:UST BE STRICTLY OBSERVED. VIOLATION CMl RESULT IN REVO-
CATIO;': or TlIIS PERm!, CITATIO:l UNDER PROVISIONS or LA~E COU::T\"5 INfRACTION ORDINANCE, AND/OR OTHER
REMEDIES ALLOWED BY LAW.
WHEN READY FOR INSPECTION. CALL 681-.W6S. A MINn\ll~l OF AT LEAST 24 HOURS AOVl\.t;CE NOTICE FOR INSPEC-
flOel I{:;Qt;ESTS ~lU::;T Ut; GIVEN. Have toe tollowing information ready: permit 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 ~nd when all
rnater1alS lor the toundation are delivered on the job. Where concrete from a central mixing
plant (co~~only termed Mtransit mixedbJ is to be used, materials need not be on the job.
2. Concrete Slab or Under-?loor Inspection: To be made after all in-slab or under-floor building
servIce equipment, conoult, pIpIng accessories, and other ancillary equipment items are in
place but before any concrete is poured or floor sheathing installed, including the subfloor.
3. Framln9 & InsulatIon InspectIons: To be made after the roof, all framing, fire blocking, and
oraclng are In piace ana all pIpes, fireplaces, chi~neys, and vents are complete and all rough
electrical and plumbing are approved. All wall insulation and vapor barrier are in place.
4. Lath and/or Gv~sum Board Inspection: To be made after all lathing and gypsum board, '.nterior
ano-extcrIOr, IS In-pIaCe but 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. ~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 lim~ted 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
and electrical inspections have been made and approved.
B. Wood~: 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 management letter.
3. ~obile 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. Swimmin9 Pool: Below grade when steel is in place and before concrete is poured. Above grade
wnen pool-rs-installed.
,\PPROVED PLANS }lUST BE ON THE JOB SITE AT ALL TIMES DURING WORKING HOURS. TillS PERMIT WILL EXPIRE
IF WORK DOES NOT BEGIN WITHIN 180 DAYS, OR IF WORK IS SUSPENDED OR ABANDONED FOR ~10RE THAN 180 DAYS.
SUSPENSION OR REVOCATION :1AY OCCUR IF THIS PERMIT WAS ISSUED ON THE BASIS OF INCOMPLETE OR ERRONEOUS
INFORMATION.
ANYONE PROCEED-ING~PAST THE POIllT or REOUIRED INSPECTIONS WILL 00 SO AT THEIR OWN RISK.
SUBSURFACE AND ALTERNATIVE ~ DISPOSAL SYSTEMS:
1. Permits shall be effective for one year from the cate 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 permitiholder.
If the construction does not comply with such rules, the Department shall notify the permit
holder and shall require satisfactory completion before issuing tho certificate. Failure to
meet the requirements for satisfactory completion within a reasonable time constitutes a vio-
lation of ORS 454.605 to 454.745 anu this rule.
Setbacks - Subsurface
" ,
S~waqe Disposal
Septic ~
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'10' .
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Drainfield
- .
,Ihterior property lines
Edge of rbad rlqht-of-way
Building foundation,
. ",'ells., other .wa tQI" st)urcesi
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. LANE COUNTY DEPT ENV MGT RECEIPT oj; 92286 DATE 03288'-
APPLICANT RAINBOW WATER DIST.; ADDR PO BOX'8, SPRINGFIELD, OREGON
TLoJ; 1703262100400 SUBDIV LOT BLK
.NEW BLDG TYPE USE R BDF\i'lS 0 UNITS 001 STORIES '~BLDGS 001 PHONE 746 1676.
OWNER NME HUDSON, ,BRENT ' AD DR 583 HAYDEN BRIDGE WY., SPRINGFIELD, Ri-
. CODE APPL NO ACTION DESCFnPTION SQ FT UNIT COST VAI.UATION FEE DAr;"S-" 'I
BP . .I~
BP iC
BP 3
~P .~
1/ BP ~
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PL oJ;FIX/BATH: SWR: FT. WTR: FT. RAIN:. FT _
MECH MECI'MNICAL FEE . ~
SUR STATE SUf,CHARGE 4% ~
.':'(~K' ..;:.
. PLI~N CHECI( FEE 2~5% .
PL LC 92286 Pl. 20.00 r , .~
F'CI( 5.00 . ~
.SUI', 0.80 .
.:ATG:
II Sf[,lLJ:
.TAKEN BY
EST. COMPLETION DATE
TOTAL FEEiH
25.80 CK
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