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Home My WebLink AboutPermit Plumbing 1986-10-16Lane County Authori zattott fon PLUMB NG FOR OFFICE USE ONLY i1:.!^:i"i'""/ =3 22-rf c 27 "3,) SECTlON TAX LOT NOUT OF 1 0,200-IDWN_SHIP 17 RANGE 03 BLOCK7 PROPOSED USE OF' PROPERTY lil Residential fl rndustr:.a1 [-lcommercial f]nuuricS'-'BD IVI S EL ZIP 1 660 Sequoia CURRENTLY L]ITY SFD 79 774ifIdSn1eprg N on Anderson, E on Cottonwood, DTEEdFTONS-TO SITE S on Sequo'iaE on Centennial, PTION OE PROPOSED WORK - BE SPECIFIC hs OF ProposedExisti TELEPHONE NUMBER x tt OitNER S NAME RAiNB0t^l WATER DISTR IS NAI4E AND OSR BR0WN, Jerry TELEPHONE NUMBER 746 1676 TELEPHONE NIIMBER 7 I HAVE CAREFULLY EXAMTNED THE COMPLEIED APPLTCATTON r.OR pERMrr, arrd .lo hereby certify that all infomation hereon ls true and correct, md thats r CHECXED THIS APPLICATION THOROUGHLY , lDATE coll ra(;rrrch ta5e authorizedofrecordp agentntheLowiinterestpropertyDfo1Ior..Iegaltheng oandLawsthetheofState Oregonther)ance9Ordr LaneofacOLwidaDCe CoutyINshIdonebethatalandworkIIcef:rther any perfomedrti fur-of the vtsronDitIrcturethoutHItheBui IdingmlssronWIbeofPenadeNOthatOCCUPANCYdescribedworkrehetnandthetopertainj-nq ti,tthat f the bas exempforxempto570oRsandforcee ffect bysBoardanfu11requiredththeBuildercertherri.tha!fy regisLration READITAVE ANDonusedthech.WI oRsth -055701 be ProjarewhoINcomp).i-anceadthatemployeesubcontractors1Shenotedreonandonly zone partition *- parcer *- Parcer siz.- 14-Date: rnstallation Record rssueal? fl vt" f] N" Maximrm Depth of Trenches Date l-'l pr.mls EXAMTNATToN : COIOIENTS: I COMI'IENTS TDate REOU IPLANNING ACTI IOP t G B. P. *SANITATION: S. I- * UWO - YOUR AUTHORIZATION IIAS BEEN BASED ON THE FOLLOWI NG CONDITIONS: rearinterior READ THIS SECTION CAREFULLY. COFLYENTS fl pt,arwrnc/zoNrNG Lineal Eeet of I)rai.rrf ie IdGaIl0n Tank Installation Specifications c", ridoCMinimum Setbacks: -L, fron PENUTT APPROVED BY BUILD tr,lC OFr tC IaI,,/DESIGNEE (Der oRS LANE COUNTY DEPARTM ENT OF PUBLIC WORKS LAND MANAGEMENT DIVISION' 125 EAST 8TH AVENUE, EUGENE, OREqON 97401 SEE REVERSE FOR INSPECTION INI'ORMATION DATE 687-4061, ct4-,25 R* same JRESS)> I ASf5 I SETBIICXS AND OTI1ER CC:':D1TIor"S OF APPROI,TAL }IUST BE STRICTLY OBSERVED. VIoLATION CAN RESULT IN REVO-cATroN oF Tllrs PERMTT, CTTATIoT- UNDgR PRovrsroNs oi LANE !-ourryii TNFRACTToN oRDr.*ANCE, AND,/oR oTHERREi!IEDIES ALLO!iED BY LAl.l. WHEN RE.\DY FOR Ii*SPEC?ION, CA!! 687-{065. A TIINI}1U}1 OF AT LEAST 24 I]oURs ADVANCE NoTICE FoR INSPEC.ffi!I-a'-e-ToI1owinginfornationready:Pernitnumber,jobai]dresS,typeof inspecE.ion, when lt will. be ready, your name and phone number, and any special directions to site. BUILDING DIVISION: REQUI RED 1 NS PECTI ONS 1. Foundation Inspection: To be made after trenches are excavated and forms erected and when a.Llnaterials for the foundation a!e delivered on the job. l{here concrete from a central mixingpLant (comonly termed "transit nrxed") j.s to be used, materiaLs need not be on the job. 2. concre te slab or u"9S=19". Ir!!S"!:"n r To be made af ter all in-slab or under-f loor bu j.ld j"ngs*vf-e elilpnmtl-conEult, pipaAt;;rc-ssorfes, and other ancillar)r equipment items are inplace but before any concrete .is poured or floor sheathlng installad, -inituaing the subfloor. 3. -el+lg 6 rnsulalion Inspections: To be made after the roof, all franing, fire blocking, andbracing areln-p1rcE;nE-aTI-pIpes, fireplaces, chimneys, .ni rent. are complete and aIl- roughelectricaL and plumbing are approved. A11 wall insulation and vapor barriei are in place. 4. !e![ and,/9r G]'PSum Board Inspection: To be made aiter all lathing and qypsum board, interiorand exterior, rs fnl-1re-ElE-5Efu-e any plasrering is apptied ini n":oii,'gypsm uoira joinrsand fasteners are taped and finished. 5. Final InsPection: To be made after the building j-s complete and before occupancy. APPROVAL REQUTRED. n'o work sharr be done on any parc of the build,ing, or strlcture beyond the pointindicated in each successi-ve inspection wlLhout firsr obtairiing,thq ipprova.:. oi ln. tiiriiJi^q-oiii.i.f,such- approva.L sha}l be given cnly after an inspection shalL have been-nade of each successiie stepin the construction as indicated by each of thl rnspections required. NoTE: Al'l building oernits require lnspections fo! the work authorj,zed, such as buc not timited to: A. Bl"ock wall: To be.nade-after reinforcing is in p1ace, but before any grout is poured. ThisInspecrlm j.s reguired for each bond beai pour. There uiIl be no approval until the plumbinqand electrical inspections have been made lnd approved. B. I'lood stove: To be made after completion of masonry (if applicable) and when installation is@Ietq rnstarlation shalI be in accordance witi an appiovea, nationa.rly recognized testingagency and the manufacturer's installation instructions. c. Ilobj're Home: An inspection is requiled after the mobile home j-s connected to an approvedsEi6?-rci-Tepti'c-system for setback requirements, blocking, footing connection, tiedowns,skirtj.ng, and plwbing connections. l' Footings and Piers to conPly with State foundation requirenents for mobj.Ie homes or asrecomended by the nanufacturer. 2. Mobile home mlnimum finish floor elevation shal1 be certified when required by a floodrplain management letter. 3' 'uobile home tiedowns, when required, and skirting shall be instaLled and ready for inspec-tion within at reast 30 days after occupancy. Tiedowns and skirting shaLL be':-nstarieiper enclosure. D' *++I+g.P?9tj Bel-ow grade when steel i.s i-n prace and before concrete is poured. Above gradewhen pool ts instaL.Led. APPRoVED PLANS MUST BE oN THE JoB SITE AT ALL ?IMES DURI\*G WORKING HOURs. THfS pERMfT wILL ExpIREIF WORK DOES NOT BEGIN WITHIN lBO DAYS, OR IF WORI( IS SUSPENDDD OR ABANDONED FOR }IORE THAN 180 DAYS.SUSPENSION OR REVOCATION )4AY OCCUR IF THIS PERMIT WAS ISSUED ON THE BASIS OF INCOMPLETE OR ERRONEOUSINFORMATION. ANYONE PROCEEDING PAST THS POIIiT OT REQUIRED INSPECTIONS !4ILL DO SO AT THEIR OWN RISX. SUBSURFACE AND ALTERNATIVE SEWAGE DISPOSAL SYSTEMS: 1. Pernits shall be effective for one year from the Cate of issuance. 2' upon completing the construction for which a permi-t has been issued, the pernit holder shal,rnotify the Lane county DePartsent of Planning- and comunity oevelopment by submittj.ng thej'nstallation record form. The Departrent sh;11. inspect lr.3."..i.i.tion to deternine if itconplies with the ruLes contaj.ned in this dj-vision. ri tn. ".""ii"ction does comply with suchrures, the Department sha.Lr issue a certificate of satisfactoiy-"o^prution to the permiti horder.rf rhe construcrion does nor comply with such rules, -the ;;;;;'t ;;; shart norify the permithorder and sharr requrre satrsficLory compretlon uerore i"'suin9 tie certrficate. Failure tomeet the requirements for satlsfacto.y ao.pratron wlthin a reas6nabre time consti,tutes a vio-iarion of oRS 454.605 ro.154.745 anU Lnii iure. setbacks - subsurfacc sewage el!!osal Septic Tank Drainfield'fron: Interior properh.,' lj.ncs Edge oi road rtgitt-of-way Burldrnq foundation'weIls, other wjtcr soulces t0 l0 10 100 t0' . 5!' 50' 3?27 AC T IVITY INFORMATIO,I SHEET COMPLETE THIS SECTION. INCOMPLETE FORMS t4,ILL BT REJECTED! ilI' -I Rainbow Water District Jerry Brown PERSON MAKING REQUESTP. 0. Box 8 PROPERTY OI^INER 1 660 Sequoia MAiLING ADDRESSSpringfield, 0r.97477 MAILING ADDRESS5pringfield,0r.97477 CITY STATE ZIP CODE C ITY STATE ZIP CODE 7 46 1676ffi HOME TELEPNONET ffi HOME TELEPHONE # 2 PROPERTY ADDRESS ( IF DIFFERENT ILI 3 rvrae e PAFTeEL NuMBEFT ( REQUTREp rNF0RI4ATr0N) (from tax maps in Department of Assessment and Taxationor from tax statement) L7 03 27 TOWNSHIP RANGE SECTION '102n0 TAx LOT(S) OR PARCELI MN]XG MFNSH-IP RENGE SEETMN ffi ZONING MFNSEIP RANGE SEETI_ON TOTAL CONTIGUOUS PROPERTY IN SAME OWNERSHIP: W ZON I NG ACRES 4 SUBDIVISI0N (1f appl icable) 2nd Arrrrition to Men'to park LOT 7 BLOCK z 5 REQUEST (s;tate exactly what you plan to do) Relocate water meter to front yard and install naw waf or corrri ca 'l i no f ram motor f n hnrrco 6 DIRECTISNS T0 SITE. E on Centennial, N on Anderson, E on Cottonwood, S on Sequoia ** FoR STAFF USE oNLY ** ZONE/LAND USE: L4-33 LAND MANAGEMENT DIVISION / 125 E. 8th AVE., EUGENE, OR 9740I / 687-406I I-r-UMBING AND MECHANICAL PEr"dlT CHECK LIST !- OIyNER Jerry Brown p PLUMBING BY: Contractorfl Name E-rrF Plrrmhing n€ ntg LN NO MN NN GEMT NT DIVISION OFD,rrl,rr.'61 ol Publlc Wrkr ERMIT # OSR #2n-16 Owner tr MECHANICAL BY:Contractor[ Name OSR # Owner tr PLUMBINQ EI RESIDENTIAL (Single Family Dwelting/Duplex) E NON-RESIDENTIAL E New Building no. of fixtures no. of fixtures no. of bathrooms Underground lilater and Sewer Lines no. of feet in building sewer no. of Go feet in water service no. of feet in rain/storm sewer 6 Alteration, Addition, Remodel no. of new fixtures no. of existing fixtures Dishwasher Dlsposer (garbage grinder) lVashing Machine rrVater Heater Floor Drain Sewage and Sump Pump (ejector) Other (specify) MECHANICAL [Put Number of Fixtures in Blankl Sink (kitchen, laundry, etc.) Lavatory (wash basin) Tub (with or without shower) Shower (separate) r#ater Closet (toilet or urinal) Special \Yaste Connection Drinking Fountain BASE FEE: Furnace/Boiler/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 Wood 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 Total $10.00 SUBTOTAL (Does not include State Surcharge or Plan Review) I MgB-246 Land Management Division 125 E 8th Ave Eugene, Oregon 97401 TRS# OI.JNE N DATE ISSUED: 10-17-86 PTRMI T# JERRY BROWN N c C L T BAC RE REI'IEN FRONT Cg SIDE PHON ER 746-1616 ING K AUTH TZ DBY ITF i NTERi OR REAR SDS APPROVAL REQUIRED East on Centenn'ial - north on Anderson - east on Cottonwood DIR I ONS south on Sequoia SITE AD ES 0i Approve d l\ tr htlt TI ON B L HOME EN N LI ON Date Correct'i on Date I n spector rove Date rrect'ion Da te I nspe c tor Ui\ U I IL / UNDE Approved Date Correcti on Da te I nspector OTIiER INSPECTIONApproved Date Correct'ion Da te Insp ector ROUGH PLUMBING (TOP OUT) INSPECTIONApproved Date Correc ti on Date Insp ector l lt I NSP ECT ION Approved Date Correcti on Da te Inspector ROUGH MECHANiCAL Approved Date /Correcti on Da te Inspe ctor iNSULATION / VAPOR BARRIER, iNSPECTiON App rov ed Date /Correcti on Da te I nsp ector LATH / GYPSUM BOARD INSPECTIONApproved Date Correcti on Date Inspector FINAL MECHANiCALE Approved Date /w00D sT0vE [] / Correcti onr Date Ins pe ctor p rove d Da te Correcti on Da te I nspec FrNAL iNSPECTToN BUILDtNG EApproved Date HOME tr /Correcti on Date I nspec tor CERTIFICATE OF OCCUPANCY DApproved Date TEMPORARY CER TtrrcAIE OF OCCUPANCY E t17 4 -t97 Insp.Approve d-Date-InsP.--- /MOB I /AG PLACEMENT