HomeMy WebLinkAboutPermit Plumbing 1982-09-02(G
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PERM IT
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AppIic
Permit
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Copics of Plans
Irwo Copies of Piot Plans
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! llumbing Checl'.Iist
Plan Checli Info Sheet
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SUBDI\iIS I
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NUMBER
APPLICAT
4-l -92
9 lGNATUREN}.MT e ase
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lnstallation
Specifications:
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FLOODn flood area? fJ *o fl ves, see attached sheet
ADDRESSING: (;RID COORDINATE N E
Date:
Date:
B. P. #lnstailatiori Record Issucd? f v"t I s"
Maxlmu$ Depth
of TrenchesGal lon
Tank
Lineal Feet
of Drainfield
Coments:
Date
g6r,axs/EXAMINATION: rype V -Nl ",o,n M- I Use +kq
Coments:
CONSTRUCTION AUTHORIZED BY TH]S PERMIT
Floodplain Fee
Sq. Ft Subsurface
Building F
g .@Fixed Fee,/
Unit Cost
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cr l-on
Sewer/Storm Drain/water
Plumbing Fixtures
Mechanical
P1ans Check Fee
State Surcharge
rorAl FIjE 77.05
FEES PATD BY:
$
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$
$
$
$
$
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TOTAL VALUATION $rewg By
PERTqIT APPROVED BY BUILDING OFF'ICIAL/;)ES 456.B05 DATE
LANE COUNTy DEPARTITIENT Or PLANNING & COI'LUUNITY DEVEIOPMFINT / l-25 EAST EIGHTII AVENUE. EUGENE, oFEGON 9740I
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SBE REVERSE POR INSPECTION INFOIiMATION
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ISETBACKS AND OTHER CONDITIONS OF APPROVAL M9!] gE STRICTLY OBSERVED. VIOLATION CAN RESULT IN REVOCATION OF THIS PERMIT,CITATION UNDER PROVISIONS OF LANE COUNTY'S INFRACIION ONOiNNICEI AND/OR OTHER REMEDIES ALLOWED BY LAW. I
WHEN READY FoR INSPECTION CALL 687-4065. A MINIMUM 0F AT LEAST 24 HoUR ADVANCE NOTTCE FoR INSPECTTON REQUEST i{UST BEGIVEN' Have the following information r.aayr F..rii.rro.i,"ior uJarerr,';ff;i iispection, when .it wi.lI be ready,your name and phone number, and any special-d.irections to iiie.-
BUILDING DIVISION:
l) F0UNDATIoN INSPECTI0N: .To.Qg made after trenches are excavated and forms erected and when all materials for the foundation@ob.wt,.""_ion...tefromacentra]mixingp]ant(common1ytermed.,tran5itmixed,,)istobeused,materials need not be on the Job.
2) CoNCRETE SLAB 0R UNDER-FLooR INSPECTI0I: To be made after a]l in-slab or under-floor building service equipment,.iii.;;.;;;p,.ni'ii",'areinp1acebutbeforeanyconcreteis.pouredor fioor sheathing installed, including tne su6ttdor: - - - "'r L qlrr uurrLrsut 'r PUurEu
3) FRAMING & INSULATIoN INSPECTIoNS: To be made after the roof, all framing, fire blocking and bracing are in place andsand-ventsarecomp1eteanda.lIrough6iectricitanapiumbingareapproved.A1.|walI insuiation and vapor barriei are in place.
4) LATH AND/oR GYPSUU.-E0ARDlllBEeflqN: To be made after a1l lathing and gypsum board, interior and exterior, is in placeo'o.to,egypi,,oou.d_;oint,andfastenersaretapedandfinished
5) FINAL INSPECTI0N: To be made after the building is complete and before occupancy.
APPRoVAL REQUIRED' No work shall be done on any part of the build'ing or structure beyond the poi.nt indicated .in eachsuccessive inspection without first obtaini.ng tjre'approval or-it..uuitaing oiiiiiir.- such approval shall be given onlyafter an inspection shall have been made of 6ach trli"isire-step in the c6nstruition as indicated by each of the inspectionsregui red.
N0TE: Al1 building permits require inspections for the work authorized, such as but not rimited to:A' BL0CK WALL: To be made after reinforcing is_in p1ace, but before any grout is poured. Th.is inspection isrequired for each bond beam pour. There will be'no approval until tfie"piumbing and electrical inspectionshave been made and approved.
B' t't000 ST0vE: To be made after completion of masonry (if applicable) and when .installation is comotete.hstallation shall be in accordance with an approved nationally recognized testrng agency arrd the manu-facturer's instal lation .instructions.
C. I4OBILE H0ME: An inspection is required after the mobiie home is connected to an approved sewer or septicsystem for: setback requirements, block'ing, footing connection, tiedowns, slirilniii inO-pirrUingconnecti ons.
(l) Footl'ngs and piers to comply with State foundation requirements for mobile homes or as recommendedby the manufacturer.(2) Mobile home minimum finish floor elevation shall be cert'ified when required by a floodplain
management Ietter.. (3) t4obile home tiedowns, when required, and skirting shall be installed and ready for inspectionwithin at ieast 30 days after occupancy. Tiedowns and skirting shall be instilled per'enclosure.
REQUIRED I NSPECTIONS
D. SWIMMING P00L: Below grade when steel is in place and before concrete is poured. Above grade when poolis instal led.
APPROVED PLANS MUST BE ON THE JOB SITE AT ALL TIMES DURING I,JORKING HOURS. THIS PERMIT I',ILL EXPIRE IF WORK DOES NOT BEGIN
IIUIry ]gg qAYS, OR IF tllORK IS SUSPENDED OR ABANDONED FOR MORE THAN ]8O DAYS. SUSPENSION OR REVOCATION MAY OCCUR IF THIS
PERMIT t.lAS ISSUED ON THE BASIS OF INCOI'IPLETE OR ERRONEOUS INFORMATION.
ANYONE PROCEEDING PAST THE POINT OF REQUIRED INSPECTIONS I,JILL DO SO AT HIS OI^IN RISK
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(2)
SUBSURFACE AND ALTERNATIVE SEWAGE DISPOSAL SYSTEMS
Permits shall be effective for one year from the date of issuance.
Upon conpleting the.construction for which a pqrmit has been issued the permit holder shal1 notify the
DepanBnerlt by sqbmitting.the.instal-lation recbrd fprtn. The Departtnent shali inspect the construciion to
determ.ine i.f it compliei with the rules contained in this divisi6n. li tfre construction does comply vrith
sqth,,:ytileq;lth€.Department sha'll issue a certificate of satisfactory completion to the permit hollei. If theconstruction'does not comply with such rulqs, the Department shpll notify the pepmit fioider and shall requ.iresatisfactory completion before issuing,the rcertificat€. Eailqr:b,to.meet+ the risuJredtents fon'satisfactory-
completjgn-ryithip a reasonable time constit-utes a violation of ORS 454.605 to 454.745 and thii iule.
Setbacks -
-iibsulface
Sewaqe Disposal
From:Interi or ;property- I ihes
Edge 0f, .r.odd' r.i Eht-of-wayBuilding foundation
Hells, other water sources
Septic Tank Drai nfi el d
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10'
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5'
50'
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t4
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20
27
24
26
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30
32
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36
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50
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PLANNING & COMMUNITY DEVELOPMENT
ACTIVITY INFORMATION SHEET
COMPLETE THIS SECTION. INCOMPLETE FORMS I^lILL BE REJECTED!
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Pnnt Tr,rcrtI ,. v/g J evt S€-Vt
PERSON MAKING REQUEST
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MAILING ADDRESS MAILING ADDRESS
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CITY STATE ZIP CODE
?26 - Z) '{ ( 74G - Yf6{ 7zL 37 '/ (ffiffiffi HOME TELEPHONE #
2. PROPERTY ADDRESS(IF DIFFEnEUT TRO
3 nnap e PAFIeEL NIJMBEFI
( REQU r REp I NF0RI4AT I0N )
(from tax maps in Department of Assessment and Taxationor from tax statement)t1 _o3 _alJs
TOHNSHIP RANGE STCTION
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TAX LOT(S) ON PARCEL # ZONING
TOhINSMP A;A-NGE SMT-ION W Z0XTNG
MTNSE]F RINGE SEETMN ffi ZON I NG
TOTAL CONTIGUOUS PROPERTY IN SAME OWNERSHIP:ACRES
4 SUBDIVISION ( if appl icable)BLOCK
5 REQUEST (state exact'ly what you plan to do)
6 DIRECTIONS TO SITE , -/ oK. T _/U <qte 4 M
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^** FoR STAFF USE ONLY **
ZONE/LAND USE:
NUMBER
DATE
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BY : _ DATE:_ TIME IN:--- OUT:_
PROPERTY OWIIEN
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CON STRU CT ION/PLAC E M ENT
PERM IT
CO}lPLETE THIS BLOCK. PLEASE USE BLACK INK AND PRINT.
FCF. OFI]CX L]SL] ONLY
AppI j"cati
I4*dLPerr,iit #
Ir*o Copies of Plans
Irwo Copies of Piot P]-ans
f, t.lechan ical Checklist
fllumbing Checi:Iist
fle:-an Chec}: rnfo Sheet
TOIfNSHI}'/7 FAI'lGE SECTION r/ri f-or ICUI' oI'
LOT.,/PARCEL BLOCK
LCCAT'I(-)N .\DDR-ESS STREET CITY ZIPfi"
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,ffirsidential
I commercial
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DES.-RIPTION OF PROPOSED WORK 5 VALUE
T OF BEDROOMS i Oi., STORIES + OF EMFLOYEES WATER SUPPLY Proposed
Exl s+.ing
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TELUI'IJO]IE N"U J\|iJ,1'R
!-rl lvl-r!N 5 U5h r DIBECTIONS TO SITE .?
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to the work described herei.n, and thaE NO OCCUPANCY will be Mde of any structur. wi.thout- thc- pcrmission of the Building Division. I furth.r erriifl'
that registration with the Builder's Board is in full force atrd effect as requ-ired by ORS 701.o55, that if exempt the basis for cxenlticrrr iei ni)t'd
hereon, and that only subcontractors and enployees who are in compliance with oRs 701'055 will be used on this project. I HA\'|E REID AllD CIIE(:f'ED THIS
APPLICATION THOROUGHLY.
L /r'4 #,/'/-*,-b0NA-ME (!lease prrnt)9lGNATURI
Parcel size /i #PLANNING ZONING z zane Partition t Parcel :
in te ri orCllrrrlmum Sctbacks: L, .frcnt c ILrlL. slde
Ccmlents r
I rr,ooopr,arN:
fl nunai, AppRESSTNG:
I sasrrArroN:
In flood hazard area?n r" fl v"s, see attacired sheet
()RrD COORDINATL N E
Date:
Date:
Date:
S. I. #B. P. #lnstall,atiori Record rssued? [ v.. I n"
1nsta1 lation
Specifications:
Gal lori
Tank
Lineal Feet
of Drainfi.eld
Maximur Depth
of Trenches
Coments:
Date:
66mr'rs,/
EXAMINATION: rro.V -l"l Llsa___ i ,' " t reGroupM*
Coments
A n FFr IL
Date li
CONSTRUCTION AUTHORfZED BY THIS PERMIT
Fixed Fee/
Uni-t Cost
Floodpla
Sq. Ft
?ap *To.rin Fee Pl*rbN*,
Subsurface Fees
Building Fee .
Sewer/Storm Drain/water
Plumbj-ng Fixtures
Mechanical
Plans Check Fee
State Surcharge
l.ac-au
Descript j-on w{r,t
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$
$
$
$
$
$
$
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TOTAL VALUATION $
rorAl FEE 7{.C5 $ .,'C-'h --'-':
FEES PAID BY: I cnecX f] casrr 'wIru6+52.o5 By:
Date
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PERIIIT APPROVED BY BUILDING OFFICI,CLIDESIGNF;E (;.'Jr ORS 456.805(}))DJ\TE
I,ANE COUNTY DEPART!..1ENT OF PLAIiINING & COI.UIUNITY DEVEU)PT1!]NT / L25 EAST EIGHTH AVT:NUE, EUGENE, OF€GON 9?4Oi
SBE RtrVERSE FOR INST,ECTION INFORMATION
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SETBACKS AND OTHER CONDITIONS OF APPROVAL MUST BE STRICTLY OBSERVED. VIOLATION CAN RESULT IN REVOCATION OF THIS PERMIT,cITATIoN UNDER PRoVISIoNS 0F LANE CoUNTY'S INFRACTToN oRDINANCE, AND/OR 0THER REMEDIES ALLOuED By LAt,|.
!,IHEN READY rbR tusprcrt0N CALL 687-4065. A MINIMUM oF AT LEAST 24 HouR ADvANcE NorIcE FoR INspEcrIoN REQUEST MUST BEGIVEN. Have the following information ready:. permit number, job address, type oi inspection, when it witt le reaay,your name and phone number, and any special directions to site.
BUILDING DIVISION:
REQUIRED IIiSPECTIONS
l) F0UNDAIIoN INSPECTION: -To be made after trenches are excavated and forms erected and when all materials for the foundationare delivered on the job. Where concrete from a central mixing plant (commonly termed "transit mixed',) is to Ue ri.j,materials need not be on the Job.
2) C0NqRFTE S!A? 0R UNDER-FLO0R INSPECTIqT: To be made after all in-slab or under-ftoor bui'tding service equipment,ci1lary.equipmentiiemsareinptaie-outbeforeanyi6nciete_ispouredor floor sheathing installed, including the subfloor.
3) F8$MIryG & II!:ULAII0N INSPECTI0NS: To be made after the roof, al'l framing, fire btocking and bracing are in place andsand.ventsarecompleteania.|trougn6iectricatand[1umb.ingare"approved.A.l1wall insulation and vapor bamier are in place.
4) LATH AND/OR GYPSUM BOARD INSPECTION: To be made after all lathing and gypsum board, interior and exterior, is in placeorbeforegypsumboardjoinisana-iisieneriaretapedandfinished.
5) FINAL INSPECTI0N: To be made after the building is complete and before occupancy.
APPROVAL REQUIRED. No work shall be done on any pant of the building or structure beyond the point indicated in eachsuccessive inspection without first obtaini.ng the approval of the bui'lding official. -Such approval shall be given oniyafter an inspection shall have been made of each sutcessive step in the c6nstruction as inailitea Uy eacrr ot ltre inifettlonsrequi red.
NOTE: AI1 building permits require inspections for the work authorized, such as but not limited to:
A. BL0CK WALL: To be made after reinforcing is in p1ace, but before any grout is poured. This inspection isreguired for.each bond beam pour. There wilI be'no approval unt'iI tire-piumbing'and electrical .inspect.ions
have been made and approved.
B. t'100D STOVE: To be made after completion of masonry (if applicable) and when installation is comotete.lnstallation shall be in accordance with an approved nationally recognized testrng agency arrd the manu-facturer's instal lation instructions.
C. I,IOBILE H0ME: An inspection is required after the mobile home is connected to an approved sewer or septic
system for: setback requirements, blocking, footing connection, tiedowns, skirting, and plumbing
connecti ons .
(l) Footings and piers to comply wjth State foundation requirements for mobile homes or as recommended
by the manufacturer.(2) Mobile home minimum finish floor elevation shall be certified when required by a floodplain
management letter.(3) l4obile home tiedowns, when required, and skirting shail be installed and ready for inspectionwithin at least 30 days after occupancy. Tiedowns and skirting shall be installed per enclosure.
D. SWIMMING P00L: Below grade when steel is in place and before concrete is poured. Above grade when poolis instalIed.
APPROVED PLANS MUST BE ON THE JOB SITE AT ALL TIMES DURING WORKING HOURS. THIS PERMIT l.lILL EXPIRE IF WORK DOES NOT BEGIN
I.IITHIN]8O DAYS, OR IF I,IORK IS SUSPENDED OR ABANDONED FOR MORE THAN I8O DAYS. SUSPENSION OR REVOCATION MAY OCCUR IF THIS
PERMIT tlAS ISSUED 0N rHE BASIS 0F INC0MPLETE 0R ERRoNEoUS INF0RMATIoN.
ANYONE PROCEEDING PAST THE POINT OF REQUIRED INSPECTIONS WILL DO SO AT HIS O[,IN RISK
SUBSURFACE AND ALTERNATIVE SEHAGE DISPOSAL SYSTEMS
Permits shall be effective for one year from the date of issuance.
Upon completing the construction for which a permit has been issued the permit holder sha11 notify the
Department by submitting the installation record form. The Department shali inspect the construction to
determine'if it complies with the rules contained in this division. If the construction does comply vtith
such rules, the Department shall issue a certificate of satisfactory completion.to the permit holder. If the
construction does not comply with such rules, the Department shall notify the permit holder and sha'lI require
satisfactory completion before issuing the certificate. Failure to meet the requirements for satisfactory
completion within a reasonable tjme constitutes a violation of ORS 454.605 to 454.745 and this rule.
Setbacks - Subsurface Sewage Disposal
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(2)
From
Septic Tank Drainfie]d
-T0'-Interior property lines
Edge of road right-of-way
Buiiding foundation
Wells, other water sources
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'I 0'
5'
50'
'I 0'
'I 0'
I 00'
LJ I.ir
LANE COUNTY I NSPECTI ON RECORD
PNAME
C E NHftt
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A EQU I RE
FRONT L SiDE I NTERI OR REAR
I,J,O AUTH R Y PERMiT
DIRECTIONS TO SITE
?
ESITEn
r-O-OTiNG I FOUNDATION INSPECTI
Approved Correcti on Di sapproved-Da te
ON OR MOBILE HOME SET UP ]NSPECTION
I nspector
C-O[CRETE SItrB / UNDER-FLOOR INSPEC ION
Approved Correctjon- Disapproved-Date_----I nspector
UXDEFSLAB / PLUMBING
Approved Correct'ion Di sapproved Da te
ROUNDI^JORK I NSP ECI I ON
I nspector
n-_ouGli FlUI'lg I NG I NSPECT I O N
Approved Correct j on Di sapproved-]Date I nspector
FRAMING INSPECTIONApproved Correcti on-Di sapproved Date i nsp ec tor
mffi BARRIER INSPECTION
Approved Correction Disapproved D ate I ns pec tor
LATH / G
Approved
YPSUM B OA RI] INSPt CTION
Correcti on Di sapproved Date.=---.-_-...--.-I nspector
FINAL PLUMBING INSPE CTION
Approved_=---.Correction- Disapproved Date----_-i nspector
FINAL I^IASTE D]SPOSAL SYSTEM INSPE ION
Approved Correcti onr__Di s proved Date I ns pector
PE ON BUILDIN
proved Correction
MOB I LE
sapproved Date ,- I ns pec tor
CERTIFICATE OF OCCUPANC Y TEMPORARY CERTIFICA TE OF OCCUPANCY
Approved__ _--Correc t i on-.=--.-D Inspector
Form Cl4-197
1 Sapprove d_--___Date
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