HomeMy WebLinkAboutPermit Plumbing 1986-10-16La,ne Cor'rntY Authorization for'
PLU\\BlNg
Application/
Perrnit t 330
FOR OFFICE USE ONLY
ilw}is H I P
17 03
RANCE
27,, 3 ,j
SECTION TAX LOT.l0,3 LJour oF
00
S'JBDIVISION/PARTITION (if
l4att-o P*er-
apolicable )
?.JD AD i,OTlPARCEL
I
5lULI7
PRCPOSED USE OF PROPERTY
[f] nesidential [--l rnaustrial
Commercial I erur:."
l,ccATIoN ADDRESS fl ..DTmFt
1684 Sequoial." ' i Springfield 9t4ll C]ITY ZTP
STRUCTURES CURRENTLY ON PROPERTY
SFD
E on Cottonwood, S on Sequoia
UI,RIJUI'IONS TO SITE
E on Centennial,N on Anderson,
- BE SPECIFICP?ION OF PROPOSED
ate wa
= OF BEDR.OOMS # OF SToRIES # OF EI'IPLOYEI]S WA?ER SUPPLY Proposed
Exist.
OiINER'S NAME AND ADDRESS
WARE, Dick same
TELEPHONE NUMBER
TELEPHONE NUMBER
iErE n6nf4i*;1q76"
IS NAME AND OSR t
/'l
I HAVE CAREFULLY EXAMTNED THE COMPLETED APPLICATToN !-oR PERMTT, ar,d rlo here)ry certify that all infomati.on hereon is true and correct, and that I
I f:rther certify that any and all work perfomed
pertaining to the work described herein, and that
ther certify that registration with the BuiLderts
is noted hereon. and that only subcontractors ad
CHECKED THIS APPLICATION THOROUGHLY.
,Iorn". of record; I c<,ritrar:t lrrrchaser; Iauthorized agent.
shal1 be done in accofdaircir qilh thc OrdlDances of Lane Cowty and the Laws of the State ofNo oCCUPANCY will be nade of 3i] strilcture without the pem.ission of the Building Division.Board is in full force and effect as required by oRS 701.055, that if exempt the basis for eenployees who are in compliance with ORS 701.055 will be used on this project. I IIAVE READ
z
the following legal interest in the property.:
Oregon
f fur-
AND
READ TH]S SECTION CAREFULLY. YOUR AUTHORIZATION IIAS BEEN BASED ON THE FOLLOWING CONDITIONS:
l'linim\m setbacks, cL, frort C",
"id.
of Trenches
I er,eus EXAMTNATToN
COMTIENTS:
Date:
No
COM}lENTS
Date D
NO SPECIAL PLANNING ACTION RIQUIRED
interior
I saurratrou, s. r. *B. P. i+
T'ype_ c.orp_
I 0- I 4-86
rear
col'!\1ENTs
fl pr,axrlrrqc/ zoNr NG :parcel #ParceI Size
Lineal Peet
of l)rainfield
lnstallation Record Issued? n V""
Maximum Depth
Zone Partition #
PERMIT AP,PROVED BY OFP 80LANE COUNTY DEPARTMENTOF PUBLIC WOBKS LAND MANA728 EAATD}U Atr>-+€€\ g(r!rE$tE,aREGON97401
GEMENIDI y,s,oN-
DATE
Bgf_t@1.
SEE REVERSE FOR INSPECTION IN!'ORMATION
ttl, AF A^.
'ar
!
Date
Installation Gallon
Specifications: Tank
s::3iaxs AXD o-.r=o ^^.._:;:Ic:r oi ::rri'.ii,,ii''j::9:i oF ippRoyAl r4u.sr aFni.l:EDrEs eir.on.r-uij-i.i,!1rdrrc:J Usosp pRovrsrori"or'i,i.:i.-].,ii;il.l'i;._,\Jpll.Tr?J^9ar Fssulr rN REV._11UN oRDITAT.Cf,, nND/oR OTHER
:ffi;'93*.#]#9...oi,,*,l,yl^9:ATLEAST.24IioURsADVAI,CENoTICeFoRrNsPEC-of irs;Jcrron, ;;;,";.";iii ,",3Jior.i.rjS],;l;:r"i!':;l:J,:x.;::li;,.;i;lrj,l:lr.i,j::.1:ii:j;=lr::
BUILDING DIVISIOIi:
I:allr:an TIcDcarr^\ra./\!Jet/\,!
a ,""*a*" aaa"-aa*: To be made after trenches ale exca!'ated and forms erected and uhen a1I
r.atElfETs :u-TI!- tondatlon are delivered on the job. i{here conclcte from a central mixing
plant (comonly termed "transit mrxed") is to be useal, materials need noL be on the job.
2, Concrete Slab or Under-a1oor Inspection: To be made after aII i-n-slab or under-floor buildj'ng
svire,fu1pmmt,-EonEuit,--piplng-ressoraes, and other ancillary equipnent items are-in
place but betore any concretl is pout.a or floor sheathing installed, including the subfloor-
3. Franlnq & Insulation Inspections: To be made after the roof, all framing, fire bl-ocking, and
iffi ir;-:. ;:* mit-tr pipes, f irepraces, chimneys, and vents are complete and aJ"1 rough
electrical and plunbing are appioved. Ail- wafl insulation and vapor barrier are in place.
4.Lathand/orGypsunBoardlnspectiontTobemadeafteralLlathingandgypsunboard,lnterior'
"1u- r;;-rf-tE-inlf.rce-Eut-fefm any prastering is appL.ied and before gypsu board joints
anC fastene!s are taped and finished.
5.Finallnspection:TobemadeafterthebuildingiSconPleteandbeforeoccupancy.
AppRovAL REQUIRED. )-o work shall be done on any part of the building,or slructure beyond the poinl
j.ndicated in each successlve rnspection ilithout first obtaining the aPProval of the building off:cial
such approval shall be given only after an inspection shal-l have been maCe of each successive step
i.n the-construction as indicared by each of the insPections required'
A.
AII building Dermj-ts require inspections for the wolk authorized, such as but not linited to:
Block I{aLI: To be maCe after reinforcing is in place, but before any grout is poured- This
fnt-prct]Ei is required fo! each bond bean pour. There wiII be no approval until the Pluhbing
and electrical inspections have been made and approved'
glood stove: To be made after completion of masonrl, (if applicable) and when tnstallatton is
*pr;ff rnsaaLLation shall be in accordance with an approved, nationalLy recognized testinq
agency and the manufacturer's installat.ion instructions'
Mobile Home: An inspecti-on.is required after the mobile home is connected to an approved
sEfr* oi-reptic systlm for setbac)a lequirements, blockrng, footing connection, tiedowns,
skirt.ing, and plwbang ccnnections.
1. Eootings and piers to comply wj-th state foundation requirements fo! nobile homes or as
recomended by the manufacturer.
2. Mobile home mrnimun finish floor elevation shaIl be certj-fied when required by a flood-
plain management Ietter.
3. Mobile home Liedowns, when.required, and skirting shaLl be instalLed and ready for inspec-
taon within at least 30 days ifL"r occupu."y. Tiedowns and skirting shalI be installed
per enclosure.
Swj,ming pool: Below grade when steel i.s in ptace and before concrete is poured. Above grade
;Ien p@I-ls installed.
c.
D
APPRoVED PI,ANS MUST BE ON THE JOB SITE AT ALL TIMES DURING I^IORKING HOURS. THIS PERMIT WILI, EXPIRE
rE woRK DOES NOT BEGrN WTTHIN I8O DAYS, OR rF WOR( rS SUSPENDED OR ABANDONED FOR t"lORE THAN 180 DAYS.
SUSPENSION OR REVOCATION I.IAY OCCUR IF THIS PERMIT WAS ISSUED ON THE BASIS OF INCOMPLETE OR ERRONEOUS
INFORMATION.
ANYONE PROCEEDING PAST THE POINT OT REQUIRED INSPECTIONS WILL DO SO AT THEIR OWN RISX.
S:BSUREACE A\D ALTERNATIVE SEI{AGE DISPOSAL SYSTEMS:
I. Permits shall be effective for one year from the Cate of issuance.
2. Upon compieting the constructlon for which a permit has been issued, the permit holder shalL
notify the Lane County Departrent of Planning and Comunity Development by submitti.ng the
installation record form. The Department shalt inspect the construction to determj.ne if it
complies with the rules contained in this Civision. If the construction does comply with such
rules, the Department shall issue a certificate of satisfactory completion to the permiti holder
If the construcLion does not comply uith such rules, the Departsent shaIl notify the permit
holder and shall requrre satisficlory conpletion before j.ssuing the certificate. Faj.Iure to
meet the requiremenis for satisfactoty ao^pI"tron ulthrn a reasonable ti-me conslitutes a v1o-
Ialion of ORS 454.605 to 454.145 and this rule'
Setbacks - Subsurface Se?age Disposal
Septic Tank Draj'nfieLd
l0 ' 10'to, r0'
101
50 ' r00 r
F!om: lnterior ProPertY lines
' Edge oi road rlgilt-of_way
BuiI.jrng tcJnCat:on
* !'iell-s, .other uater sources
3 33o
AC-IVITY INFORMATIC*. SHEET
COMPLETE THIS SECTION. INCOMPLETE FORMS t^IILL BE REJECTED!@
1 Rainbow Water District Dick Ware
P. 0.Box 8
PERSON MAKING REQUEST
1684 SequoiJ ERTY OWNER
MAILING ADDRESS MAI LING ADDRE
Springfield, 0r.97 477 Springfield, 0r. 97477
CITY STAT ZIP CODE IP
7 a,6 1676
sus lNrs-s-fELEmoxE-T HOME TELEPNONEI ffi HOME TELEPHONE #
2 PROPERTY ADDRESS
( IF DIFFERENT FRO
3 rvlap e PAFTeEL NUMBEFI
( REQUIRED INFORMATION)
(from tax maps in Department of Assessment and Taxationor from tax statement)
#mErPttNm sE#m ffi ZON I NG
MINSHTP MNGE SrETI_ON TAx LoT(s) 0R PnRrELl ZONING
MilNSEIP MNGE SECTMN ffi ZON I NG
TOTAL CONTIGUOUS PROPERTY IN SAME OWNERSHIP:ACRES
4 SUBDIVISION (if appticabte) 2na Addition to Menlo Loop LOT 7 BLOCK I
5 REQUEST (state exactly what you plan to dolRelocate water meter to front yard and install
new water service line from meter to house
6 DIRECTISNS T0 SITE. E on Centennial, N on Anderson, E on Cottonwood, S on Sequoia
** FOR STAFF USE ONLY **
ZONE/LAND USE:
14-33
LAND MANAGEMENT DIVISION / 125 E. 8th AVE., EUGENE, OR 9740I / 687-406I
UITY
-LUMBING AND MECHANICAL PL-.,I,|IT
CHECK LIST
OWNER Dick L,lare p
PLUMBING BY: ContractorE *urlr.
n€
L ND MN NACEMT N7 OIVISION
O.o,rrtlr'^l ol Publlc Wo.kt
ERMIT #
OSR #20=162P8Owner tr
Owner tr
PLUMBINQ
D RESIDENTIAL (Single Family Dwelling/Duplex) E NON-nESIDENTIAL
fl New Building
no. of fixtures
no. of bathrooms
6 Alteration, Addition, Remodel
no. of new fixtures
no. of existing fixtures
Dishwasher
Disposer (garbage grinder)
Washing Machine
Water Heater
Floor Drain
Sewage and Sump Pump (ejector)
Other (specify)
MECHANICAL
lPut Number of Fixtures in Blankl
Sink (kitchen, laundry, etc.)
Lavatory (wash basin)
Tub (with or without shower)
Shower (separate)
rilater Closet (toilet or urinal)
Special \Yaste Connection
Drinking Fountain
Number Fee
BASE FEE: All Permits $10.00
Furnace/Boiler/ComPressor uP to
100000 Btu/h 6'00
Furnace over 100000 Btu/h 7'50
Heat Pump 6'00
Air Conditioner 6'00
Suspended or Unit Heater 6'00
Range Hood with Mechanical Exhaust 4'50
Exhaust Fans (other than range hood) 3'00
Gas Piping System 2'00
g", pipitg outlets (more than 4) '50
Wood Stove with New Vent 9'00
Wood Stove with Existing Yent 6'00
Fireplace Insert 6'00
SUBTOTAL (Does not include State Surcharge or PIan Review)
no. of fixtures
Underground Water and Sewer Lines
no. of feet in building sewer
no. of 6o feet in water service
no. of feet in rain/storm sewer
Total
$10.00
I.,lgB-246 Land Management Division 125 E 8th Ave Eugene, Oregon 97401
TRS#DATE ISSUED: 10-77-86 PERMI T#
0i^/NEii.S NAME PHONE NUMB
SE
C1
T REQ ENTS
C1 SIDEFRONT
PHO
LUMB i
ER
XTURES
7 46-767 6
KAU
RE rt
I NTER i OR REAR
SDS APPROVAL REQUIRED
East on Centennial - north on Anderson - east on Cottonwood
(-i ITDBYP
south on Sequoia
D q
0iI
App rove d Date Correction Date
F EH ill\PECTION
I n specto r
p rove Date
UND PLB UND
App roved Date
Correcti on Da te Inspector
LBG.NS PE
Correcti on Da te i nsp ector
OTI{ER INSPECTIONApproved Date Correcti on Da te I n s pector
ROUGH
Appro
PLUMBTNG (r0P 0u T) INS PECTIONved Date Correc ti on Da te Ins pector
FRAi,l ING INSPECIION-
App roved Date /Correction Da te I nspector
I't E
App roved
CAL
Date Correcti on_Date Inspector
INSULATI0N / VAPOR BARRIER INSPEC TI ON
App roved Date Correc tj on Da te Inspe ctor
LATH / GYPSU M BOARD INSPECTION
Approved Date Correcti on Da te Inspector
N LM
App roved
ICAL /r.J00D
Date
Etl
Correcti on Da te Inspector
te -s+Co rrec ti on Da te Inspector
FINAL INS
App ro ved
PECTIOII BUILDIN /MOB I L E n /AG PLACEMEN
Da te Correcti on Da te Inspector
CER CA
Approved
(^
t174-t97
Da te Insp.Ap p roved.---.--Da te Ins p.
Anp ro ve
D D