HomeMy WebLinkAboutPermit Plumbing 1986-10-16(D
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Lane County Authori za,ttot:,_ fon
PLUMBING
FOR OFFICE USE ONLY
l3:*i;"i'""'-733 /-F6
?OWiiSHIP
17
RANGE
03
SECTION
27,3.2 (0 PROPOSED USE OF PROPERTY
fi@-slaentiar D f ndus tr ial
PublicCc:mmerci.al
S'JBDIVISION,/PARTITION (if appli,cable)
Mslrt>?ruy- Zqp LOTIPARCEL
(o
BI,oCK
F)
S
I
CI!Y ZLP
'1693 Sequo a (1 ield 97477
YON
SFD
DIRECTIONS TO SITE
E on Centennial, N on Anderson, E on cottofLwpqlL S on Sequoia
OF PROPOSED WORK - BE SPECIFIC
Relocate water meter to front yard and install n water service line from me r to hs.
= OF BEDROOMS # OF STORIES * OF EI"IPLOYEES hIATER SUPPLY Proposed
Exi s ti
S NAME SS
TH R L same
TELEPHONE NUMBER
CCNTRACTOR S NAME AND OSR #
.IRATNBOI^J WATER DISTR t
TELEPHONE NT]IqBER
746 1676
TELEPHONE NUMBER
r ltAvE CAREFULLY ExN.trNED THE coMpLETED AppLrcATroN t'oR pERMrr, arrd (to hereLv certi.fy that all inforratj-on hereon ls true and correct, md that r
have the following legal interest in ttle property
I f:lther certify that any and all work Perfomed
pertaining to the work described herein, and that
ther certify that registration with the Builderrs
is noted hereon, and that only subcontractors ild
CHECKED THIS APPLICATION THOROUGHLY.
[o*r"t of record; f].trt.ru,.t purchaser; !authorized agent.
Jilall be done in .".ridur,r., qith tir,i ordlr)ances of Lane Cowty and the Laws of the State of Oregon
NO OCCUPANCY wiLl be nade of :!r,l sr):,rcture without the pemissj-on of the Building Division. I fur-
Board is in full force ancl effect as required by oRs 701.055, that if exempt the basis for exemption
employees who are in conpliance with ORS 7OI.O55 will be used on this Project. I HAVE READ AND
L / f.ATEase
YOUR AUTHORIZATION '{AS BEEN BASED ON THE FOLLOWING CONDITIONS!
Partitj-on *- Parcel #- Parce1 Sizt-
I 0-l 4-86Date:
rnstallation Record rssued? fl v." f] *"
Date
COIO1ENTS:
Date:
CO}1}lENTS
I
ti<e
3
NO SPECIAL PLANNING ACTION REQU I RED
fl pr,ens EXAMINATION
cL. fro.t
B. P. #I seurtRtrou,
rear
READ THIS SECTION CAREFULLY
fl pmrqurnc,zzoNrNG
Minimum Setbacks
COI4}1ENTS:
Maximum Depth
of Trenches
Lineal Feet
of Drainfi€ldrnstalration Gallon
Soecifications: Tank
S. I. *
interio!c .-L, srde
PERMIT APPROVED BY BUILDING OFF ICIAL,/DESIGNEE Der oRs 456 DATE
LANE COUNTY DEPARTMENT OF PUBLIC WORKS LAND MANAGEMENT DIVISION, 687-4061,
125 EAST 8TH AVENUE, EUGENE, OREGON 97401
SEE REVERSE FOR INSPECTION INE'ORMATION cL4-,25 R*
I
t{"
T
SETBIC(S AND OTIIER COxDITIONS oF APPROVAL MUST BE STRICTLY OBSERVED. VIOLATION CAN RESULT IN REVO-
Ci?ION OF TIIIS PnR!1IT, CITATIOI UNDSR PROVISIONS OF LA\-E COUI*TYr.i INFRACTION ORDI:iANCE, AND,/OR OTHER
REUEDIES ALLOWED BY LAW.
WHEN RE.\DY FOR lNSPECTION, CALL 687-4065. A }lINI}IU}I OF AT LEAST 24 I]OURS ADVAITCE NOTICE FOR INSPEC.
@EN:-|.tavE_-EEE-FoIIowinginformationready:Permitnumber,job.addres5,.typeof inspectaon/ when it will be ready, llour name anC Dhoic rumber, anC any special Cirections to site.
BUILD]NG DIVISION:
REQUIRED ]\SPECTICNS:
I. Foundation Inspection: To be made after trenches are excavated and forms erected and when aIlmaterials fol the foundatlon are delivered on the job. i.lhere concrete from a cextral mixingplanl (comonly termed "transit mixed") is to be used, materials need not be on the job.
2. Concrete SIab or ljnder-aloor Inspecti.on: To be made after alI in-slab or under-f1oor buildingreivI-e e.lulpmmtl--EEnEnit, pipinq@ssorres, and other ancillary equipment items are inplace but betore any conclete is poured or floor sheathing installed, including the subfloor.
3. Franing & Insulation Inspections: To be nade after the roof, alI framing, fire blocking, andEaElnq arrfilfre fiA-n-plEes, firep.Iaces, chimneys, and vents are ionplete and a1i roughelectrrcal and plumbing are apploved. A11 wall rnsulation and vapor barrler are in place.
4. Lath and/or GypM Bogrd lMgg!l!!: To be made alter aII larhing and qypsum boald, i.nrerior
inlextulor, ls-in FIrce-Eut- 6efqe any plastering is applied una Uetoii,- gypsw board jointsand fasteners ale taped and fin.ished.
5. Final rnspeclion: To be made after the building i.s conpLete and before occupancy.
APPRoVAL REQUTRED- No work shall be done on any part of the buildj.ng or structure beyand the pointindicated ii each successive -inspection uithout firs!.obtainj-ng. the ipprovar of the'builaing aiticiatsuch approval- shaIl be given cnly after an j-nspection\shaII havb been made of each successiie itepin the construc!ion as j.ndicated by each of the inspeitions requ.ired.
NOTE: A1I building permj.ts require inspections for the work authorj.zed, such as but not Iinrted Eo:
A. Block l'lall: To be maCe after reinforcing is in place, but before any grout is poured. Thislnspectlon is required for each bond beam pour. There will be no approval untii the plumbinqand electricaL inspectioos have been made and approved.
B. l'Jood Stove: To be made after compl-etlon of nasonry (if applicable) and ween i.nstalLation isa6;tleTa:- rnstallation shalL be -in accordance roiti an appiovea, nationally recognj-zed testj-ngagency and the manufacturerrs instaLlation instructions.
C. Mobil-e Home: An inspection is requj-red after the mobile home is connected to an approved6w-E?-oi--EEptic system for setbacli requirements, blocking, fcotinE Gonnection, tieaiwns,skirting. and plwbang connections.
1. Footings and piers lo comply with State foundation requirenents for mobile homes or asrecomended by the manufacturer.
2. yobj'le home minimum fj.nish floor elevation shall be certified when required by a ilood:plain management Ietter.
3. Hobile home tj.edowns,-uhen required, and skirting shall be installed and ready for inspec-tion within at least 30 days after occupancy. Tiedowns and skj.rting shal-1 be installeiper enclosure.
D. *{ry!,ry9fj 991", grade when steel is in place and before concrere is poured. Above gradewhen pool is insta.IIeC.
APPROVED PLANS MUS? BE ON THE JOB SrTE AT ALL TII4ES DURIN'G WORKING HOURS. THIS pERXIT WILL EXpTREIE WORK DOES NOT BEGIN WITHIN 180 DAYS, OR IF !'ORK IS SUSPENDED OR ABANDONED POR }IORE THAN 180 DAYS.SUSPENSION OR REVOCATION i'lAY OCCUR IF THIS PER.}IIT WAS ISSUED ON THE BASIS OF INCOMPLETE OR ERRONEOUSINFORMATION.
ANYONE PROCEEDING PAST THE POIi,]T OT REOUIRED INSPECTIONS T4ILL DO SO AT THEIR OWN RISK.
SUBSURFACE AND ALTERNATIVE SEh'AGE DISPOSAL SYSTEMS:
I. Permits shall be effective for one year from the date of issuance.
2. upon comPleting the construction for which a permit has been issued, the permit holder shallnotify the Lane county Departilent of Plannj.ng and Comunity DeveLopment by subnj,tting t.helnstaLl'atj-on record form. The Departrent sh;11 inspect thi construction io determine if itcomplies with the ruLes contained in this division. rf the construction does compry wiltr sucnruIes, the Department shall issue a certificate of sarisfactory completion to t;;';:r;iij'rrifa..rf the construction does not comply with such rules, the Depar'tnent'shal). notify t;; p;;;iaholder and shaIl require satisfactory completion before isiuing the certificat.e. railure tomeet the requirements for satisfactory complction wrthin a reasonable time constitutes a vio-lation of ORS 454.605 to 454.'145 and this iuIe.
SeLbdcks - Subsurfacc So-raqe Drsposal
Septic Tank Drainfreld
, l'ron i Interior propertT lrncs
Edge of road rlgnt-of-way
Bui.ldinq founCation'rielIs, othet uater sources
t0 r
10'
50 |
L0 |
r0'
10,
.100 '
333 I
!r ?FAh rAC ^ IVITY INFORMATIC^. SHEET
COMPLETE THIS SECTION. INCOMPLETE FORMS I^lILL BE REJECTED!
ilI'
-
I Ro L. Thomas
1 693 SequoiaP. 0. Box 8
MAILING ADDRESS MAILING RESS
S rtn field,0r.97477
I
m HOME TELEPHONE #
d r
7 46-167 6BUSffi
2 PROPERTY ADDRESS
( IF DIFFERENT
3 rvlae e PAFTeEL NTJMETEFT
( REQUrRED INF0RMATIoN)
17
TMNSH'IP
(from tax maps in Department of Assessment and Taxationor from tax statement)
E
03 27
RNNGE SMTMN
I 0400m ZON I NG
TOINSF-IP MNGE SEETI-oII TAX LOT(S) OtrTAREEI-T ZON I NG
TMNSH-]P RTN-I3E SMTMN ffi ZON I NG
TOTAL CONTIGUOUS PROPERTY IN SAME OWNERSHIP:
4 SUBDIVISION (if appl'icable) 2nd Addition to Menlo Park LoT 8 gtocr 6
5 REQUEST (s;tate exactly what you plan to do)
new water service line from meter to house.
Relocate water meter to front yard and install
6 DIRECTI0NS T0 SITE: E on Centennial, N on Anderson, E on Cottonwood, S ofiSequoia
** FOR STAFF USE ONLY **
ZONE/LAND USE:
14-33
LAND MANAGEMENT DIVISION / 125 E. 8th AVE., tUGENE, OR 97401 / 687-406I
P.a i nbow Water Di stri ct
PERSON MAKING REQUEST
ffi
ACRES
TRS#7 - 03 - 27.3.3 -10,400 DATE ISSUED.10-17-86 PERI'II T#
Oi,.JN Eil'S NAME ROY L. THOMAS PHON E NUMtsER
qE
C1
BAC REQ I REI,I TS
SIDEC1FRONT
A HO DBY ERM i
i NTER I OR REAR
East on Centennial - north on Anderson -
south on Sequoia
HON NUMB
746-767
PLU NG URE
SDS A PPROVAL REQUIRED
east on Cottonwood
ci
R i0 TO
1l DDRESS
irNG /
App ro ve ci
NOAT I O
Date
E14ENT I INSPEC
Date
ILE E
Correction I n spector
PE CT
UND
pproved Dat e
D(LBG UN RPL
App roved Date
OTHER INSPECTIONApproved Date
/Correcti on Da te Inspector
Inspector
E
/Correction Da te
Correctjon_Date Inspector
GH LUMB I IOP O T INSPECTIONApproved Date Correc ti on Date I nspector
FRAMINGI NS PECTION
App roved Date Correcti on Da te I ns pecto r
H iilE
Approved Date Co rrec ti on_Da te
I
I nspector
IN
Approved
TION VAP RRI ER IY PECTI O
Date Correcti on Da te I nspector
LATH / GYP
Approved
SUM BOARD
Date
I NSPECTI ON
Correc ti on Da te Inspector
FINAL MEC}-]AN
App roved
r.J00D STOVE.i CAL D
Da te Correction Da te Inspector
r0 ve d Da te ,
ECTI iLD J/
Correcti on Da te
trT/I L IN GP ENT I
Insp ector
Inspector
E EApproved---._--Date Correcti on Date
M74-L9l
T
Insp.
tr
ved_Date_lnsp
CERTI
Appro
FICATE OF
ved
OCCUPANCT
Da te
El'1PO
ppro
T
A
Y CERTITT CATE OF CUPANCY
I
P )
n€. .UMBING AND MECHANICAL PE...JIT
CHECK LIST
no. of fixtures
ntu
OwNER Roy L. Thomas pERMIT #
PLUMBING BY: Contractorfit Name OSR #Owner tr
LAND MNNNGEMTNT OIVISION
D.o,Inrr^nl ol Prrbllc \A xka
29 1 62FB
OSR #-
Total
$10.00
MECHANICAL BY:Contractorfl Name
Owner tr
PLUMBINQ
E RESIDENTI.A,L (Singte Family Dwelling/Duplex) EI NON-RESIDENTIAL
E New Building
no. of fixtures
no. of bathrooms Underground Water and Sewer Lines
EI Alteration, Addition, Remodel no. of feet in building sewer
no. of Co feet in water service
no. of feet in rain/storm sewer
no. of new fixtures
no. of existing flxtures
Dishwasher
Disposer (garbage grinder)
Washing Machine
r#ater Heater
Floor Drain
Sewage and Sump Pump (ejector)
Other (specify ):
MECHANICAL
[Put Number of Fixtures in Blankl
Sink (kitchen, Iaundry, etc.)
Lavatory (wash basin)
Tub (with or without shower)
Shower (separate)
lilater Closet (toilet or urinal)
Special lVaste 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)
lYood Stove with New Yent
lVood Stove with Existing Yent
Fireplace Insert
AII
Number
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
SUBTOTAL (Does not include State Surcharge or Plan Review)
I
t498-246 Land Management Division 125 E 8ttr Ave Eugene, Oregon 97401
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