HomeMy WebLinkAboutPermit Plumbing 1986-10-16Lane County Authori za,tion for'
PLUM ING
FOR OFFICE USE ONLY
Application/
Permit #
FANGE
03
SECTION
27, ) ,7
TAX LOT
il
f--louT oF
,bdo17
T\3M;SHIP
"r"5LOTPAR(-EL
PROPOSED USE OF PROPERTY
lX--l nesidential f] rnaustrral
I e,ruri.Commercial
ffis
I .l40 Ponderosa
TREET
d,,
Cl Y ztP
Spr.97477
SFD
E on Centennial, N on Anderson, E on Cottonwood, S on Sequoia, W on Ponderosa
-TTRECT-f oTSTO--STTE-
DECI,ARED S VALUE
hs.)
DESCRIPTION OF PROPOSED WORK - BE SPECIFIC (a_
new water svd.-line from meter tlRelocate water meter to fron yard & install
I.iA?ER SUPPLV sedPr
S
* OF EI'IPTOYEES= OF BEDROOI'IS # OF STORIES
TELEPHONE NUMBERO;INERIS NAME AND ADDRESS
BR0WN. Mar,y same
TELEDHONE NUIIBER
z {6 / 67 c,S NAME AND OSR 5
P
TELEPHONE NU]'IBERAND ADDRESS)
r ltAvE CAREFULLY ExA!,trNED THE cot4pLETED AppLrcATroN PoR pERMrr, arrd do here\ certify that all infolration hereon is true and correct, and that r
lornur of record; l-] c.rrtru,.: prrrchaser; f authorizetl agent.
shall be done in accordalr:, ujLh th,: ordrDancca of Lanc Couty and the Laws of the State of Oregon
NO OCCUPANCY will be made of ,rr,i st-rircture without ttre pcmission of the Building Division. f fur-
Board is in fuIl force and effect ds required by oRS 70I.055, that if exempt the basis for e
? *li
enployees who are j.n compliance with oRS 701.055 wiLl be used on this Project
the following legal interest in the property
I f:rther certify that any and all work perfomed
rtaining to the work described herein, and that
I HTVE READ AND
ther cerEify thaE registration with the Builder's
is noted hereon, and that only subcontractors ad
CHECKED THIS APPLICATION THOROUGHLY.
READ THIS SECTION CAREFULLY. YOUR AUTHORIZATION liAS BEEN BASED ON THE FOLLOWING CONDITIONS !
zone- Partition #- Parcer #- Parcer si'e-
I 0-t 4-86Date:
Tnstallation Record rssueal? ! xu" fl u"
Maxinum DepthInstallation
Soecifications: Tank of Trenches
Date:
COMI'IENTS:
Date:
caIIon
COM}lENTS
tr
PLANS EXAMINATION:
NO SPECIAL PLANNING ACTION REQUIRED.
B. P. *SANITATION: S. I. *
* (fr'o?aWdEP- LllE -
COTL\IENTS
interi-or rear
Lineal Feet
of Drainfield
fl pnuuruc,zZoNrNG:
Minimum Setbacks:cL, front- cL, =id.-
PERMIT APPROVED BY BUILDING r ORS DATF
LANE COUNTY OEPARTMENT OF PUBLIC WORKS LAND MANAGEMENT DIVISION, 6874061,
125 EAST 8TH AVENUE, EUGENE, OREGON 97401
SEE REVERSE FOR INSPECTION INF'ORMATION cr4-.25 R%
J
D
Group-
tr
SETB;TCKS AND OTIIER CC}:DITIONS OP APPROI,IAL MUST BE STRICTLY OBSERVED. VIOLATION CAN RESULT IN REVO-
C;TIOn* OF iltIS PERIII?, CITATIo:i UNDER PROVISIoT-S Oi LANE COU\TYr.t INFRACTION ORDINAi'CE, AND,/OR OTHER
REI1EDIES ALLOWED BY LAW.
!iHEN READY FOR INSPECTION, CALL 68]-4055. A }'1INITlUil OF NT LEAST 24 IIOURS ADVAI{CE NOTICE POR INSPEC-
@el.rrare-i6eroIIowinginformation!eadylPermitnumber,jobaddress,tyPeof inspectlon, uhen it wrll be ready, your name and phone number, and any special drrections to site.
BUILDING DIVISION:
REQUIRED INSPECTIONS:
I. Foundation Inspection: To be made after trenches are excavated and forms erected and when all
naterials for the founCation are deLivered on the job. i{here concrete froil a central mixing
plant (comonly termed "transit nrxed") is to be used, materiaLs need not be on the job.
2. Concrete SLab or Under-a1oor Inspection: To be made after a11 in-slab or under-f1oor building
EEivl:e equfpmmt,-ioniufT, pi-ping ressoraes, and other ancillary equipment j,tens are in
place but before any conclete is poured or floor sheathing installed, including the subfloor.
3. Framing & Insulation Inspections: To be made after the roof, all. framing, fj.re blocking, and
bracing are rn pLace and alI pipes, fireplaces, ch.imneys, and vents are complete and alI rough
electrical and plumbing are approved. AfI wall j-nsulation and vapor barrier are in p1ace.
4. Lath and,/or Gypsum Board Inspection: To be made after all Lathing and qypsun board, jnterior
and exterror, is in place but before any plastering is applied and before gypsm board joints
and fasteners are taped and finished.
5. FinaI Inspection: To be made after the building is complete and befole occupancy.
APPROVAL REQUIRED. No work shall be done gn any part of the building or Structure beyond the point
indj.cated in each successive rnspection without first obtaining thelapproval of the butlding off!cial-.such approval shalI be given cnly after an inspection shall have been mace of each successive stepin the conslructj.on as indicated by each of the inspections requiled.
NOTE: AII building permits require j-nspections for the work authori?ed, such as but not Iimited to:
A. Block l.lall: To be made after reinforcing is in place, but before any grout is poured. ThisInspectlo is requiled for each bond bean pour. There will be no approval untii the plumbj.nq
and electrical inspections have been made and approved.
B. tlrood stove: To be made after completion of masonrv (if appticable) and when instalfation iscom,pletc fnstal-lation shall be in accordance with an appioved, nationally recognized testingagency and the manufacturerrs installati.on instructions.
C. Mobile Home: An inspection is required after the mobile home is connected to an approvedEEw6i-oi-!6ptic system for setbacl< requirements, blocking, footing connection, tiedtwns,sk.irt j.ng, and plwblng connections.
l. Footings and piers to comply with state foundation requirements for mobile homes or asrecomended by the manufacturer.
2. Mobj-le home minimum fi-nish floor elevation sha.ll be certified when required by a flood-plain management Letter.
3- Mobil-e home tiedowns, when requj,red, aod skj"rting shaLL be installed and ready for j-nspec-
tion ili.thin at least f0 days after occupancy. Tredowns and skirting shaLl be j.nsralled
per enclosure.
D' Swiming PooI: Below grade when steel is in place and before concrete is poured. Above qradetIs lrul-ls installcd.
APPROVED PT,AHS UUST BE ON THE JOB SITE AT ALL TIMES DURING WORKING HOURS. THIS PER}IIT WTLL EXPIREIF WORK DOES NOT BEGIN WITHIN 180 DAYS, OR IF TiORK IS SUSPENDED OR ABANDONED EOR T1ORE TI]AN 180 DAYS.SUSPENSION OR REVOCATION i4AY OCCUR IF THIS PERMIT WAS ISSUED ON THE BASIS OF INCOMPLETE OR ERRONEOUS
INFORI'IATION.
ANYONE PROCEEDING PAST THE POINT OT REQUIRED INSPECTIONS I4ILL DO SO AT THEIR OI4N RIS(.
SUBSURFACE AND ALTERNATIVE SEWAGE DISPOSAL SYSTEMS:
1. Permits shal.I be effective for one year from the daLe of issuance.
2. upon completing the construction for which a permit has been issued, the permit holder shallnotify the Lane County Departrent of Planning and Comunily Development by submitting theinstallahion record form. The Department shall inspect the construction Lo determj..t it ltcomPLies viLh the rules contained j-n this divislon. If the construction does compty uith suchruIes, the Department shall issue a certj.fj,cate of satisfactory completion to the p;rniti holder.rf the construction does not comply with such rules, the Department-shaII notify tie permitholder and shall requrre satisfactory completion before issuj.ng the certificate. Failure tomeet the requirements for satisfactory compLetron ulthin a reasonable time constj.tutes a vio-lation of ORS 454.505 to 454-745 and this !ul.e.
Setbacks - Subsurfacc Sewage Disposal
Septic Tank
I0,t0'
5!" 50,
Drainfield
Fron: IiLerior propertl Ilncs
Cll^ o: roJ(i rr :j.t-o: -way- ButIdliq fourdation
tlcIIs, otner ulEcr 5o^Jrces
lc'
10,
100'
332 r
NC.'IVITY INFORMATIC-{ SHEET 6t\-
COMPLETE THIS SECTION. INCOMPL ETE FORMS I^IILL BE REJECTEDI
I Rainbow blater District MarY Brown
T
P. 0. Box 8 I 1 40 Ponderosa
PROP ERTY Ol^l NER
MAILING ADDRESS MAILING DDRESS
Springfield, 0r - 97 477 Springfield, 0r. 97477
STATE Z I P CODE C ITY STATE ZIP CODE
ffi BUSINESS TELEPHONE #HOMilTEITPHONE #
(from tax maps 'in Department of Assessment and Taxation
or from tax statement)
CITY
746 1676ffi
2 PROPERTY ADDRESS
( IF DIFFERENT
3 naae B PAFIcEL NUMBEn
R UIRED INFORI4ATION)
ZON I NG
TOINSE.IP MNGE SEETMN TAx LoT(s) 0R PARCEL # zoNrNG
MWNSFIP-RENGE SEETIOII W ZON ING
TOTAL CONTIGUOUS PROPERTY IN SAME OWNERSHIP:ACRES
4 SUBDIVISI0N (if applicable)Znd Addition to Manlo Park o
BLOCK J
5 REQUEST (state exact'ly what you plan to do)Relocate water meter to front yard and install
new water service line from meter to house
6 DIRECTI0NS T0 SITE: E on Centennial, N on Anderson, E on Cottonwood, S on Sequoia,
W on Ponderosa
17 03 27 J-L000-
TtfrN-SH]P NNNGE 5MTMN ffi
LOT 8
** FOR STAFF USE ONLY **
ZONE/LAND USE:
L4-33
LAND MANAGEMENT DIVISION / 125 E. 8th AYE., EUGENE , OR 97401 / 687-4061
PERSON MAKING
I.RUM TVIAILINU )
n€
)LUMBING AND MECHANICAL P. .MIT
CHECK LISTntu LAND MAN GEMTN' OIVI:iION
O^D.rrhti^61 .rl Publlc W.rrLt
-OWNER Mar Brown PERMIT #
-
PLUMBING BY: ContractorE NameOwner tr
,s
MECHANICAL BY:Contractorft Name
Owner tr
PLUMBING
E RESIDENTIAL (Single Family DweIIing/Duplex) EI NON-nTSIDENTIAL
OSR #2fi-1 62p B
OSR *
EI New Building
no. of fixtures
no. of bathrooms Underground tilater and Sewer Lines
no. of feet in building sewer
no. of G'D feet in water service
no. of feet in rain/storm sewer
EI Alteration, Addition, Remodel
no. of new fixtures
no. of existing fixtures
Dishwasher
Disposer (garbage grinder)
lVashing Machlne
rrVater Heater
Floor Drain
Sewage and Sump Pump (ejector)
Other (specify)
MECHANICAL
no. of fixtures
[Put Number of Fixtures in Blankl
Sink (kitchen, laundry, etc.)
Lavatory (wash basin)
Tub (with or without shower)
Shower (separate)
Water Closet (toilet or urinal)
Special lYaste Connection
Drinking Fountain
BASE FEE:
Furnace/Boiter/Compressor up to
100000 Btu/h
Furnace over 100000 Btu/h
Heat Pump
Air Conditioner
Suspended or Unit Heater
Range Hood with Mechanical Exhaust
Exhaust Fans (other than range hood)
Gas Piping System
gas piping outlets (more than 4)
lVood Stove with New Vent
\Yood Stove with Existing Yent
Fireplace Insert
Number
All Permits
Fee
$10.00
6.00
7.50
6.00
6.00
6.00
4.50
3.00
2.00
.50
9.00
6.00
6.00
TotaI
$10.00
SUBTOTAL (Does not include State Surcharge or PIan Review)
tl1g8-246 Land Management Division 125 E 8th Ave Eugene, Oregon 97401