HomeMy WebLinkAboutPermit Plumbing 1982-6-10
CONSTRV ;ION/PLACEMENT.AV'~ . FOR O~ U~;LY
PERMIT ~', \jrA1,J ~~~~"~767-?2--
'0\- \ (p\ 0 Two Copies of Plans
CO!-lPLETE THIS BLOCK. PLEASE USE BLACK I AND' PRINT. . 0 Two Copies of Plot Plans
TOI'il'isHIP , /7--- \ RANGE /? 7,' . SEC~~ ;; -!_/L.~ TAY~, ~ ...C~:JUT'OF' ,.. DMechanical Checklist
/ I C/ ~. ~&?f/ 7' T _ / /'7C/ OPlumbing CheC}:list
SUBDIVISION/PARTITION (i~- ~.?f' . .1 L~ . L,BL~ ;,jD~l~n ,~h~~k ',In,fO Sh~~t
LOCATION.L~JS ~ (F:Ij ~ . h? / ~ >>y :;?'/~ PROPOSED USE OF PROPERTY
STRU /.(~RREN .~~~ ~- .-- ~~ . ~~ ~Y,/:~;::7 ~esidential DIndustrial
~~ 4 ~ ~~ _ . . DCommercial Dpublic
-""YlP.)'" ~~~ - - ~ /. _ /: 7 . ~/.? _ ) $ VAW'
/ ~~A ~~_~ ~~J-L.~~A'/ -7/~
,ro~ #,.O':fu~~ .'-O'~,?7/,_ I W^~.~~/~ ID~~~~~~~
:~?rRES~/./ ~~/ g~A/ - ?P;-:;;:?d.
v,~o~ ~R _ _ ~~.
,c-;t:p#" r ''" ~~./4~~_~~.
~Av4 /~ _~~4~~-~/
I HAV~AREFULLY EXAMINED THE COMPLETED APPLICATION FOR PERMIT, and do hereby cc Ify that all information hereon is true and correct and I further
certi,f~h~~ any. and all work performed shall be done" in accordance with the Ord: nces of Lane County and the La",vS of the State of Oreq~Jll p~rlaitli ng
to the work described herein, and that NO OCCUPANCY will be made of any structure without the permission of the Building Division. I further certify
,that. registration with the Builder1s 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 ~nd employees who are in compliance with ORS 701.055 will be used on this project. I HAVE READ AND ClIECY~D THIS
APPLICAT 7T OROUGHLY. .
(/.&~ !r:.o/tc/#~
~
1<10 &-3
o
[] BURAL ADDRESSING:
E:( SANITATION: s. 1. #
~A/l.f_ s~M/ to /?D~Y;7
t1 PLA~NING>ZONING: so~' R/}/r;;'" p~rtltwn ~~ pa~cel ~ ~ Parcel s~/)/$Z / '
'.....r J ~ I C / ~, ~ /
Hlrl1.mUm Setbacks: L, "",ECs1- L, s1.de l.nter1.or C'2-' rer,,~
comments~\6 ~~v~~~_ ..___C~\r~_ - \~L~
'C'\ 0'- Y\.r-. "_\. ~1_l'~'-"" ~J,.~ \..eA_~e~2--v W'
FLOODPLAIN: In flood hazard area? ~ 0 Yes, see attache~eet. Date: / D
D
~ner
o Contractor
DAgen t
'-
GRID COORDINATE
N
E _ ./ Date:
~~..#~nstallation Record ISsued? 0 Yes D No
B. P.
Installation
Specifications:
. Gallon
Tank
Lineal Feet'
of Drainfield
Maximum Depth
of Trenches
Comments:
../
.-----[!(;~~~S EXAMINATION:
Date:
c., I/%r ~
" ,
Type
. N\ -5 N Group IJ\.
Use
S TfJ R..Ah f:
Comments:
GfA. f W1i
Date:-LCX VJJ Iv ~l. ~
CONSTRUCTION AUTHORIZED BY THIS PERMIT
Description
/? ,~)
{~@/{I~~/
~.::<: cJ~ ~ ~~
dP~~
~Y'~~
Sq. Ft.
~~CJ f
'Fixed Fee/
Unit Cost
a: a:
Floodplain Fee
Subsurface Fees
Building Fee
~ ~wer/Storm Drain/Water
~ /~./ Plumbing Fixtures
Mechanical
Plans Check Fee
State Surcharge
TOTAL FEE
/-/ S-tJ
/~.
" t??
$37,5
$
$
$ C:<~.
$
$
$
$
$
J';
..--.
TOTAL VALUATION
$
FEES PAID B'i~eck rJ,c~
BY:./~-/~;~
Date: ~ // ~4kL-
V; rjutc- ~~
~DvJ _.
PERMIT APPROVED BY BUILDING OFFICIAL/DESIGN E (per ORS 45~))
COUNTY DEPARTMENT OF ENVIRONMENTAL MANA MENT / 125 EAST EIGHTH
DATE
AVENUE, EUGENE, OREGON
97401
LANE
C74-194
SEE REVERSE
I
'"
SETBACKS AND OTHER CONDITIONS OF APPROVAL I"IUST BE STRICTLY OBSERVED. VIOLATION IN REVOCATION OF THIS PERMIT,
CITATION UNDER PROVISIONS OF LANE COUNTY'S INFRACTION ORDINANCE, AND/OR OTHER REMEDIES ALLOWED BY LAW.
WHEN READY FOR INSPECTioN CALL 687-4065. A MINIMUM O'F AT LEAST 24 HOUR ADVANCE NOTICE FOR INSPECTION REQUEST MUST BE
GIVEN. Have the following information ready: Permit number, job address, type of inspection, when it will be ready,
your name and phone number, and any special directions to site.
BUILDING DIVISION:
REQUIRED INSPECTIONS
1) FOUNDATION INSPECTION: To be made after trenches are excavated and forms erected and when all materials for the foundation
are delivered on the job. Where concrete from a central mixing plant (commonly termed "transit mixed") is to be used,
ma teri a 1 s need not be on th,e job.
2) CONCRETE SLAB OR UNDER-FLOOR INSPECTION: To be made after all in-slab or under-floor building service equipment,
conduit, piping accessories and other ancillary equipment items are in place but before any concrete is' poured
or floor sheathing installed, including the subfloor.
3) FRAMING & INSULATION INSPECTIONS: To be made after the roof, all framing, fire blocking and bracing are in place and
all pipes, fireplaces and chimneys and vents are complete and all rough electrical and plumbing are approved. All
wall 1n~ulation and vapor barrier are in place.
4) LATH AND/OR GYPSUM BOARD INSPECTION: To be made after all lathing and gypsum board, interior and exterior, is in place
but before any pl asteri ng is appl i ed or before gypsum board joi nts and fasteners are taped and fi ni shed.
5) FINAL INSPECTION: To be made after the building is complete and before occupancy.
APPROVAL REQUIRED. No work shall be done on any part of the building or structure beyond the point indicated in each
successive inspection without first obtaining the approval of the building official. Such approval shall be given only
after an inspection shall have been made of each successive step in the construction as indicated by each of the inspections
required.
NOTE: All building permits require inspections for the work authorized, such as but not limited to:
A. BLOCK WALL: To be made after reinforcing is in place, but before any grout is poured. This inspection is
required for each bond beam pour. There will be no approval until the plumbing and electrical inspections
have been made and approved.
B. WOOD STOVE: To be made after completion of masonry (if applicable) and when installatio~ is c~mDlete~
Installation shall be in accordance with an approved nationally recognized testlng agency and the manu-
facturer's installation instructions.
C. MOBILE HOME: 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
connections.
(1) Footings and piers to comply with State foundation requirements for mobile homes or as recommended ~o
by the manufacturer.
(2) Mobile home minimum finish floor elevation shall be certified when required by a floodplain
management letter.
(~) Mobile home tiedowns, when required, and skirting shall be installed and ready ,for inspection
within at least 30 days after occupancy. Tiedowns and skirting shall be installed per enclosure.
D. SWIMMING POOL: Below grade when steel is in place and before concrete is poured. Above grade when pool
is i ns ta 11 ed.
APPROVED PLANS MUST BE ON THE JOB SITE AT ALL TIMES DURING WORKING HOURS. THIS PERMIT WILL EXPIRE IF WORK DOES NOT BEGIN
WITHIN 180 DAYS, OR IF WORK IS SUSPENDED OR ABANDONED FOR MORE THAN 180 DAYS: SUSPENSION OR REVOCATION MAY OCCUR IF THIS
PERMIT WAS ISSUED ON THE BASIS OF INCOMPLETE OR ERRONEOUS INFORMATION.
ANYONE PROCEEDING PAST THE POINT OF REQUIRED INSPECTIONS WILL DO SO AT HIS OWN RISK
SUBSURFACE AND ALTERNATIVE SEWAGE DISPOSAL SYSTEMS
(1 )
(2)
Permits shall be effective for one year from the date of issuance,.
Upon completing the construction for which a permit has been issued the permi~ holder shall notify.the
Department by submitting the installation record form. The Department shall lnspect the constructlon ~o
determine if it complies with the rules contained in this division. If the construction does comply ~Ilth
such rules, the Department shall issue a certificate of satisfactory completion, to the permit holder. If ~he
construction does not comply with such rules, the Department shall notify the permit holder and shall requlre
satisfactory completion before issuing the certificate. .Failure to meet the requirements fo~ satisfactory
completion within a reasonable time constitutes a violatlon of ORS 454.605 to 454.745 and thlS rule.
Setbacks - Subsurface Sewaoe DisDosal
From: Interior property lines
Edge of road right-of-way
Building foundation
Wells, other water sources
Septic Tank
10'
10'
5'
50'
Drainfield
10'
10'
10'
100'
, 0
/
v
~'
I, _..
')!I'
I
iN
i
f
~
;
G
. _ 1._ ._ ____........ _. _ ~
r
I .
r----
, ?-\
.C
, .
T'
,
./~.
;1-...'
I
,
I
J:,
~ !',.V
\- \ 1/' ><
" \ 'J '
., \'
~.- ::;.
"
1
I '-..
\
~~.' L.
f;
~r
A
u--'
..
App\
FOR CONI
\
DATE I 8'JIJIV f:J... \. /,
LAKE C\ .. "
COM6TRUDTlfJN PERMITS 8, '
~
! -
,/
fi
!--;
~
~J~ {j
I ~:J
/'! -
A, ,
.I, I I
C 1\,
171
r~r\j
'-"'
'-
;1'
"
/.~l
~.. I
5-11 ocr
1&c:J~
- -~-
~ \ \ e,<\ CLJ~J'NJ,.'C-;; rJ .
,. _'-.' J L _,~ ""'. ',....
, \
I
\
\
/
/
/'
/'
~
~,
~
1
t
I' I'
, I
n
,. .
I
APPLICANT LOHNER,
'I'L~ 1703224401900
\!EI..=.j BL.QG TY"PE::
CJ I..J i",,! E F;:
" I,' "
","'.',,'" Y',l C
... ...11.. I...
":{p
FiF'
DP
j..,~j"'IE (Iti
(:i F' F' !... j\! C)
'f.:.; ;::~
EiP
DP
c:' L.
{"jECH
LC
I~} ~::; .4 B ::.~~
i"~(] .,
FIXTl...ir;~ES :
SI.JF;.:
'::'r:1(
S'DS'
II' I'
,
"::(.)TC: (iFP
SEG~1...1 : ()
Tti!(E::N E-:Y F;~LH
\
Ltii'.,!E
C(~F:L ,
::.;.' LJ I~ )) I \i
I..,iSE F 'E-:DRhS:
, .
1 'I ~
\
\ I'
,
'I 'I i (
CDUNTY DEPT Ei'--.!\!
(-,DDr;: 4()
hC T F:Ecr: I F"I' ::1: ':?54'::l2 Dtl TE ()603E:? ',:,
(-IL.LEI"'! tl\lE.,! ,S'F'r;:II\!C;FIEL))} Oi:;':EGOi"'~
LCI'I' IJLI< L
:~BL.D{;S 001 F't'1(JNI~: '746 62f39
" UNITS 001 STORIES
(1:0 Dr;: (! (i
ACTION DESCRIPTION
CDVEr;: (JV !::: I:;: iAiCIO:O
S'TDF~tiGE (',REti
F:t,
F;~ (:~! (::.! I~:I
. ;~;.IF:EF
FF'
EST ,.
SG:: FT
I.JNIT
.4(-)0
'....!iJ ...
c:[) N ~\!E C; T 0 F;~::';" :
FEE::
S.I or i:':l or E
r'IECHt,N I Ctlt..
,:';: l.J F: C H (:1 r;.: c:; E
Pi.:.(li'--! C::HEC!< FEE
S'DS ,,:..1.
COi"I('L.ET I ON
pel<
::.:.:
Dtl'I'E
O.::';;?5:::l2
(o::.;:'I'
..:;., 'I:::>
-1 !::;', {.) ("j
{:'}::::::?;
nTH
\It!l...i...lt!TI Dj\,! '
FEE
D(:","'(Sl
"
"
"
IJ
'"
<'
:1
"
l:
", ~.:~ 6 (.}
-,
!~
[1
:, 2 (~((
[tiel--! ::::
n
<
n'
(;
1 'I I ::I
, 1 -
::.~~ ::.~~ .'. () ()
.-:.:. /;,
()... ;::5;::5
,.
!'
"-'
:...
~
Co
'"
"ol
1 .,:::. ... ~':::;O
..~1
{.~:-.
IS.;;:
(:J.
~~C
(7'J:
CC
I':X:
..:)
,oj (\
, ~
\ ,
TOTt,L. FEE:!!:,,:!!:,
:.'~~ 7 ,', 1 B c:: 1<
,..
'\NN I NG & COMMUN ITY DEVELOPMENT
ACTIViTY INFORMATION~HEET
Idne county
COMPLETE THIS SECTION. INCOMPLETE 'FORMS WILL BE REJECTED!
~ 1
,
l
,
l
j
l
(1J;/i J y 1.:\ 1/ .11;:=, Ii>
. - PERSON M~T ' 1
L/o ~',/ f -AI ,AJJ,
MAILING ADDRESS ( ,
S p~ c(- () rR , y"?''7!' 7 l
I CITY STATE ZIP CODE
",
;
("!~,
I( ~(j4nL/..~ 1\
PROPERTY OWNER ' , "
1/0
AI-I. E. ((/ A r/ ~
MAILING ADDRESS
5 p.Lc/
I CITY .
o (! tf7f{?7 ~
STATE ZIP coot .
? ~ ~ - 16.' ':2R''f
BUSINESS TELEPHONE # HOME TELEPHONE # BUSINESS TELEPHONE # HOME TELEPHONE #
~ 2" PROPERTY ADDRESS ~ 0 .-/
(IF DIFFERENT FROM MAILING ADDRESS)
; 3 MAP & PARCEL NUMBER
(REQUIRED INFORMATION)
.
(from tax maps in Department of Assessment and Taxation;
or from tax statement) ;
1 (!)3' 2214.4-
TOWNSHIP, RANGE SECTION
rqoo
TAX LOT(S) OR PARCEL #
ZONING
TOWNSHIP RANGE SECTION
TAX LOT(S) OR PARCEL # ZONING
TOWNSH IP RAN~.~ SECTION
\
TOTAL CONTIGUOUS PROPERTY IN SAME OWNERSHIP:
j 4 SUBDIVISION (if applicable)
TAX LOT(S) OR PARCEL K ZONING,
ACRES
LOT
BLOCK
.5 REQUEST (state exactly what you plan to do) ftu~' RfJ~t' rhM--t.,J -?,,~
~~ ,,~ ~~ . .f"'-r--' Na.",~ ~
.
i 6 DIRECTIONS, TO SITE: ~l 111 ~~ ~.~~t:1~ thutJ
U afl t~ .716 4"d ""~-G--~' "
I
..
TIME IN:
OUT:
\ ^ \D
~ \ ~ ',b \
1(\ ~ I
D/ \ .
,
,~
NUMBE'R /0,11-
DA TE -0f ':?
..
-I
::0
(/)
** FOR STAFF USE ONLY **
ZONE/LAND USE:
BY: DATE:
..
-I
,r-: