HomeMy WebLinkAboutPermit Plumbing 1986-10-16Lane County Authori zauttot't' for,
PLUMBI NG l:l*i:"i'""/ 33sJ-f{
CE USE ONLY
17
P
03
I,OT BLOCK
PROPOSED USE OF PROPERTY
Residentiaf !rndustrialx
Commercial PubIic
ION L'ITY ZTP
ri field 974771671 Se uol a
SFd
,Y
ffi
E on Centennial. N on Anderson. E on Cottonwood. S on Sequoia
hs.
DESCRIPTION OF PROPOSED WORK - BE SPECITIC '@lnew water svc.Relocate water meter to front yard & install I ine frotm meter to
Proposed
Exi s ting
I,A1'ER SUPPLY* OF SToRIES # OF EI.,IPLOYEES= OF BEDR,OOMS
TELEPHONE NUMBERO;t'ilER'S NAME AND ADDRESS
sameY0IJNG - Ral oh
TELEPHONE NUMBER
746 1676
TELEPHONE NUMBER
7CON?RACTOR S NAME AND
I HAVE CAREFULLY EXAMTNED THE COMPLETED APPLICATION l'OR PERMIT, arrd do hereby certify that aI1 infomation hereon is true and correct, anti that r
have the following Legal interest in the property, [o*..t of record; f cortrat:t purchaser; Iauthorized agent.
I f:rther certj-fy that any and all work perfomed shall be done in accoldailqe wiLh the Ordrr)ances of Lane Couty and the Laws of the State of Oregon
pertaining to the work described herein, and that NO OCCUPANCy wi.lf be made of ar,l'structure without the pemission of the Building Division. f fur-
ther certify that registration 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 ad employees who are in conpliance with oRS 70I.055 will be used on this project. I HAVE READ AND
CHECKED THIS APPLICATION THOROUGHLY.
READ THIS SECTION CAREFULLY. YOUR AUTHORIZATION IIAS BEEN BASED ON THE FOLLOWING CONDITIONS:
rear
I 0-l 4-86Date:NO SPECIAL PLANNING ACTION REQUIRED
rnstallation Record rssued? fl v." ! N"
Maximrm Depth
of Trenches
Date:
COM}IENTS:
Date:
c L
COM}IENTS
tr PLANS EXA},IINATION:"{+F
B. P. *E qaugerypn: s. r. #_
Minimum Setbacks:
CO},LIIENTS
fl plauurtlc/zoNrNG:
Lineal I'eet
of Drainfield
Installation Ga1lon
sDecifications: Tank
c", uid.- interror
PERMIT APPROVED BY BUILDING OFFIC IALIDESIGNEE r ORS DATF
LANE COUNTY DEPARTMENT OF PUBLIC WORKS LAND MANAGEMENT DIVISION, 687.4061,
125 EAST 8TH AVENUE, EUGENE, OREGON 97401
SEE REVERSE FOR INSPECTION INT'ORMATION cr4.2s R*
zone
-
Partition #- Parcel #- Parcel Si'e-
D
n
SETB/iCKS AND OTIIER CO:.iDITIONS OF APPROVAL T1UST BT STRICTL'Y OBSERVED. VIOLATION CAN RESULT IN REVO-
CATION OF ?ilIS PERMIf, CITATIOT'' UNDSR PROVISIONS OF LAN-E COUNTYT3 INFRACTION ORDIr*ANCE, AND,/OR OTI{ER
REI1EDIES ALLOWED BY LAW.
liHEN READY FOR INSFECTION, CALL 6A7_1A65. A IlINI}1U:'1 OF;T LEAST 24 I]OURS ADVAI{CE NOTICE FOR INSPEC-
@EN.ir;G-tIeTo1Iowing1nformatIonready:Permj'tnumber,jobaddress,type
of inspeccion, when it wlll be ready, youi iame and phonc nunber, and any speciaL dlrections to site,
3
BUILDING DIVISION:
qaulnp Ir'sPE9TIoNS :
1. Foundatj.on Inspection: To be made after trenches are exca!,ated and forns erected and when a11
r,at-l;ls fo;--Ele IoundaEion ale delrvered on the job. l{here concrete from a central mixing
plant (comonly termed "transit mrxedr') is to be used, materials need not be on the job.
2. Concrete Slab or Under-aloor Inspection: To be nade after aIl, in-s1ab or under-floor buil-ding
EEivi-e ejulpm*t, -onnult, pipingessories, and other ancil-Iary equipment items are in
place but before any concrete is poured or floor sheathing instalLed, including the subfloor.
Framing & InsuLation InspectionS: To be made after the roof, aIl fran.ing, fire bIockang, and
bracing are in p.lace and al1 pipes, fireplaces, chimneys, and vents are complete and aI1 rough
electrical and plumbing are approved. All wall insulation and vapor barrier are in place.
Lath and,/or Gypsum Board Inspection: To be made after all lathing and qypsum board, interior
and exterio!, is in place but befole any plastering is applied and before gypsm board joints
and fasteners are taped and finished.
Final Inspection: To be made after the building is complete and before occuDancy.
APpROVAL REQUIRED. \-o work sha1l be done on any part of the building or structure beyond the point
lndicated in each successive ifispection without first obtaining the approval of the building ofiacial
Such approval sha11 be given only after an inspection shalL have been made of each successive step
in the construction as indicated by each of the inspecti-ons required.
NOTE: A11 building permits require inspections for the work authorized, such as but not l"rmited to:
A. Block tlall: To be maCe alter reinforcing is in place, but before any grout is poured. This
in-sprctl.m is required f or each bond beam pour. There will be no approval until the plumbinq
and electrical inspections have been made and approved.
B. l{ood Stove: To be made after conpletion of nasonry (if applicable) and when installatron is
com,pletn fnstallation shall be in accordance with an approved, nationally recognized testing
agency and the maoufacturerrs installation instructions.
C. Mobile Hone: An inspection is required after the nobile home is connected to an approved
wi-o7--Eptic systen for setback requirements, btocking, footrng connection, tieiiwns,
skirLrng, and Flwbinq connecLions.
L. Footings and piers to compl-y with State foundation requirements for nobile homes or asrecomended by the manufacturer.
2- Mobile home minimum finish floor elevation shall be certified when required.by a flood-plain management Letter.
3. Nobile hone tiedowns, when required, and skirting shaII be instal-Ied and ready for inspec-tion uithin at Least 30 days after occupancy. Tiedowns and skirting shall be installedper enclosure.
D. swiming Pool: Below grade when steel j.s in place and before concrete is poured. Above grademe;-E66r- l:-i n s ta l Ieri .
APPROVED PLANS UUST BE ON THE JOB SITE AT ALL TIMES DURING WORKING HOURS. THIS PERMIT I^IILL EXPIREIE h'ORK DOES NOT BEGIN IIITHIN lBC DAYS, OR IF WORK IS SUSPENDED OR ABANDONED FOR }IORE THAN 180 DAYS.
SUSPENSION OR REVOCATION IdAY OCCUR IF THIS PERMII I^IAS ISSUED ON THE BASIS OF INCOMPLETE OR ERRONEOUS
INFOR-I4ATION.
ANYONE PROCEEDING PAST THE POII,]T OI REQUIRED INSPECT]O}Js I'ILL DO SO AT THEIR OWN RISK.
SUBSURFACE AND ALTERNATIVE SEI{AGE DISPOSAL SYSTEUS:
1. Permits shall be effective for one year from the Cale of.issuance.
2. Upon completing the construction for which a permlt has been issued, the permit holder shatlnotify the Lane County Depa!tment of Planning and Comunity Devel,opnent by submitting thelnstallation record form. The Department shaIl inspect the construction to determine if itcomplies with the rules contained in this Civisj.on. rf the construction does conply with suchruIes, the Department shall issue a certificate of satisfactory completion to the-p;rmiti holderIf the construction does not comply with such ru1es, the Departsent shaIl. notify the permitholder and shalL requlre satisfactory completion before issuing the certiflcate- Failure tomeet Lhe requiremenLs for satisfactory completron urthin a reasonable time constrtutes a vio-lati-on of ORS 454.605 to 154.745 and this rule,
Setbacks - Subsurface Serage DisposaL
Scptic Tank
5
. From: Interlor prOperty -ltnes
Edge oi road rlqilt-of-way
Builcirnq foundation
i{eIl.s, other.Hater sources.
r0 '10'
50
Drainfield
IO'r0'' t0'
100 '
3rvL
AC iVITY INFORMATIO.. SHEET
COMPLETE THIS SECTION. INCOMPLETE FORMS hlILL BE REJECTED!
ill'
-1 Rainbow Water district R,PnHe Young
P. 0. Box d,ERSON
MAKING REQUEST PROPERTY OWNERl67l Sequoia
spri nsri e I d, tJ.L Id|%fzDDRESS - MAILING ADDRESSSpringfield,0r. 97477
CI STATE ZIP CODE C ITY STATE ZTTTODE
7 46 1576BUSffi m BUSINESS TELEPHONE #HOME TELEPHONE #
2 PROPERTY ADDRESS
( IF DIFFERE NT FROM MAILING ADDRESS)
3 rvlae e PAFTeEL NUMBEFT
( REQU r REp r NF0RI4ATr0N )
(from tax maps in Department of Assessment and Taxationor from tax statement)
17 03 27
TOI,JNSHIP RANGE SECTION
1 0700
TAx LOT(S) OR PARCEL # ZSIM
TOilNSHTP R;A-[GE SEETMN W ZON I NG
MINSHTP RAME SEETTON W ZON I NG
ACRES
4 SUBDIVISION (1f appticablehd Addition to Mento oark LOT g BL0CK 7
5 REQUEST (s;tate exactiy what you plan to do) Relocate water meter to front yard and isntail
new water s ervl ce I ine from meter to house
6 DIRECTI0NS T0 SITE: E on
** FOR STAFF USE ONLY **
14-33
LAND MNAGEMENT DIVISION / 125 E. 8th AVE., EUGENE, OR 9740I / 687-406I
TOTAL CONTIGUOUS PROPERTY IN SAME OWNERSHIP:
N on Andprson- F on Cntfnnwnnd q Sonrrni e
ZONE/LAND USE:
.UMBING AND MECHANICAL PE..,dIT
CHECK LIST LNNO MNNNGEMTNT OIVISION
D.o.rrkil.'^l .rl PUbllc W.rk3
O}VNER PERMIT #
PLUMBING BY: Contractorfi! Name OSR #20-16?pR
Owner tr
MECHANICAL BY:ContractorI NameOwner tr
PLUMBINQ
El RESIDENTIAL (Single Family Dwelling/Duplex) E NON-RESIDENTIAL
n€
ntg
OSR #
E New Building
no. of fixtures
no. of bathrooms Underground Water and Sewer Lines
IXI Alteration, Addition, Remodel no. of feet in building sewer
no. of 6o feet in water service
no. of feet in rain/storm sewer
no. of new fixtures
no. of existing fixtures
Dishwasher
Disposer (garbage grinder)
Washing Machlne
Water Heater
FIoor 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 Waste 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 rtnge hood)
Gas Piping System
gas piping outlets (more than 4)
Wood Stove with New Yent
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
F.a 1 ph Young
ffi r',rrn, no
TRS#17 - 03 - 27.3.- 10,700 DATE iSSUED: 10-17-86 PERMI T#
OI,JNI i] ,S NAME PHONE NU MtsERRALPH YOUNG
P NE NUMB
FI
746-7676
ET
L, FRONT Ci
S
SIDE #PL
q
t-
i NTER I OR REAR
DBY ITi
DI T T
SDS A PPROVAL REQUIRED
East on Centennial - north on Anderson - east on Cottonwood
south on Sequoi a
SiTE ADDRESS
u NDA N
App ro ve d Date
L tr ECT i ON
Co rrect'ion Date Inspector
-?Y 'pproved te Correcti on Da te I ns pec to
UN DERS LAB PLBG /UNDIRF LR PLBG. D I NSPECTi ONApproved Date
OTI{ER INSPECTION
App ro ved Da te
Correction Date
Correcti on Da te
I nspector
Inspector
ROUGH
App ro
0P OUTJ
te
INSPECTIONPLUMB ING (Tved Da Correc t'i on Da te Ins pector
IN I NSP I N
App roved 0ate Correction Da te I ns pector
n
Approved Date Correcti'on Da te
i
Inspector
i NSU TION / VAP OR BARRIER I NSPECTI ON
App roved Date /Correc ti on Da te I nspector
YPSUM RDI
App ro ve d Date /Correction Da te
ECTI ON
Inspector
F INA
App r
L MECI]AN
oved
ICAL D
Da te
/l,lOOD sTOvE I
Correction Da te Inspector
INAL IN5 CTIOII UIL NG
App ro ved Da te
Correction Da te
ILE trCorrecti on
Ins pector
PLA
Da te Inspector
t174 -t97
Da te
AN T
Insp A pproved
ENT E
Da te Insp.
TI T
Ap p ro ved
I NSPE
It -iII E.
LATH
ved Da