HomeMy WebLinkAboutPermit Plumbing 1986-10-13
~
Lane County Authorization for:
PLUMBING
FOR OFFICE USE ONLY
Appl~cation/~;?~~ ~;r
PermH II ~t:?</-q 4::>
TOWNSHIP RANGE SECTION
17 " 03
TAX LOT DOUT OF
27~.3,~ 11 ,109
.1 LOT4RCEL I BeK
CITY ZIP
PROPOSED USE OF PROPERTY
~ Residential 0 Industr ial
[j Commercial 0 Public,
SJBDIVISION/PARTITION (if applicable)
M~ p~ rtAJD ADD
LOCATION ADDRESS STREET
1145 Anderson Ln., Springfield 97477
STRUCTURES CURRENTLY ON PROP~RTY'
SFD
,a
"";:'~N:.CTIONS TO SITE'
E on Centennial - Non Anderson
u~SCRIPTION OF PROPOSED WORK - BE SpECIFIC
Relocate ater meter to front 'yard & install new..water svc. line from meter
" OF BEDROOMS # OF STORIES # OF EMPLOYEES WATER SUPpLY
b DECLARED $ VALUE
t hs.(i:l)1
o Proposed
n Existing
r TELEPHONE NUMBER
, O;;NER' S NAME AND ADDRESS
CROWE, Gerald same
CONTRACTOR'S NAME AND OSR # '"(;1:V(;,'b pLClI4BfA.r=l:P::: ZfZ)- tA.P2-
.--RAH!B8W-1\TCR OIJT., P.O. Box 8, Springfield 97477 (Tim)
fRl-1IT TO BE MAILED TO (NAME ~D ADDRESS)
...".
TELEPHONE NUMBER
7461676
- .. TELEPHONE NUMBER
I HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION jo'OR PERMIT. ar,d do hereby ce rtify that all information hereon is true and correct. and that I
have the following legal interest in the prope~ty:. Downer of record; 0 contract,p1lrchaser i 0 authorized agent.
I fccrther certify that any and a'll work performed shall be done in accor:danc8 wi tho the Ordinances of Lane County and the Laws of the State of Oregon
pertaining to the work described herein, and that NO OCCUPANCY will be made .of any strl.1cture wi thout ,the permission of the Building Division. I 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 and employees who are in compliance with ORS 701.055 will be used on this project. I HAVE READ AND
CHECKED THIS APPLICATION THOROUGHLY.
,/7/-:n~r -~A/./(:;~
NAME '(please print)
O~~~
(I. . -' ~~NAr~ . I
/// /'-r ~ c
. / 6ATE
READ THIS SECTION CAREFULLY. YOUR AUTHORIZATION, ~AS BEEN BASED ON, THE FOLLOWING CONDITIONS:
[] PLANNING/ZONING:
Zone
Partition #
Parcel #
Parcel Size
Minimum Setbacks:
C '
L, front
C'
L, side
interior
rear
COMHENTS:
NO SPFCIAL PLANNTNG AfTTON R FnIITRFn
Date:
10-14-86
.0
Gallon
Tank
Lineal Feet
of Drainfield
Installation Record Issued? 0 Yes 0 No
Maximum Depth
of Trenches
o SANITATION: S. I, #
Installation
Specifications:
, B, p', #
COMHENTS:
Date:
D
o PLANS EXAMINATION:
-..-.MJ10P W~l-lOE.-
COMHENTS:FfPt~I.JJM.P4Y ~1.}EJ!3~, fi.!J~ ~UM~ ,.,,~D ..;144i.L,J2AM A l-1C.CD6el2.-
PUJ~. ~ flPIAltE" ar-u.::e:b /JlJrll- .A.PPl:~("WHP go.( CcIJu-p{ JW~.J ~.
CAlL f-rJP ~.ffJIJS Date: IO/"fAf8~
Type
Group
o
I
~/ /- f 1~(4/~~
PERMIT APPROVED BY BUILDING OFFICIAL/DESIGNEE (per ORS 456.805~ r u~TE
LANE COUNTY DEPARTMENT OF PUBLIC WORKS LAND MANAGEMENT DIVISION, 687-4061,
125 EAST 8TH AVENUE, EUGENE, OREGON 97401
~'R'R R'RV'RR~'R FOR INSPECTION INFORMATION
(' 1/. _,? c; QQd..
SETBACKS A~D OTHER CO~DITIO~S OF APPROVAL MUST BE STRICTLY OBSERVED, VIOLATIO~ CA~ RESULT IN REVO-
CATIO:-J OF THIS PEmIIT. CITATIO~ UNDER PROVISIO:-JS OF LA~E COC~TY' S INFRACTION ORDI~ANCE. AND/OR OTHER
REelEDIES ALLOWED BY LAW,
WHEN RE,;DY FOR INSPECTION, CALL 687-4065. A ~1I:-JnlC~l OF AT LEAST 24 HOURS ADVA~CE NOTICE FOR INSPEC-
TIO~ REQ~ESTS ~jUST BE GIVEX. Have the following in:ormation ready: permit number, job address, type
of inspect~on, when it will be ready, your name and phone number, and any special directions to site.
BUILDING DIVISION:
REQUIRED I~SPECTIONS,
1. Foundation Inspectlon: ~o be made after trenches are excavated and forms erected and when all
materials for the foundation are delivered on the job. ~lhere concrete from a central mixing
plant (commonly termed "transit mixed") is to be used, materials need not be on the job.
2. Concrete Slab or Under-?loor Inspection: To be made after all in-slab or under-floor building
servi~e e~uipment, condult, 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 pldce and all pipes, fireplaces, chimneys, and vents are complete and all rough
electrical and plumbing are approved. All wall insulation and vapor barrier are in place.
4. Lath and/or Gypsum Board Inspection: To be made after all lathing and gypsum board, '.nterior
and exterior, 15 1n place but before any plastering is applied and beiore gypsum board joints
and fasteners are taped and finished.
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 installation is
complete. Installation shall be in accordance with an approved, nationally recognized testing
agency and the manufdcturer1s installation 1nstructions.
C. Mobile Horne: 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 by the manufacturer.
2. ~obile hom~ minimum finish floor elevation shall be certified when required by a flood-.
plain management letter.
3. Mobile home tiedowns, when required, and skirting shall be installed and ready for inspec-
tion within at least 30 days after occupancy. Tiedowns and skirting shall be installed
per enclosure.
D. Swimminq Pool: Below grade when steel is in place and before concrete is poured. Above grade
when pool-rs-installed.
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 :1AY OCCUR IF THIS PERMIT WAS ISSUED ON THE BASIS OF INCOMPLETE OR ERRONEOUS
INFORMATION.
ANYONE PROCEEDING PAST THE POI:'T or REQUIRED INSPECTIO:-JS WILL DO SO AT THEIR OWN RISK,
SUBSURFACE AND ALTER:-JATIVE SEWAGE DISPOSAL SYSTEMS:
1. 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 shall
notify the Lane County Department of Planning and Community Development by submitting the
installation record form. The Department shall inspect the construction to determine if it
complies with the rules contained in this division. If the construction does comply with such
rules, the Department shall issue a certificate of satisfactory completion to the permiti holder.
If the constructlon does not comply with such rules, the Department shall notify the permit
holder and shall requ~re satisfactory completion before issuing the certificate. Failure to
meet the requirements for satisfactory completion within a reasonable time constitutes a vio-
lation of ORS 454.605 to 454.745 anu this rule.
Setbacks - Subsurface Sewaqe Disposal
From: Interior property lines
Edge of road rtqht-of-way
BUlldinq foundation
Wells. other water sources
Septic Tank
10 '
10'
5'
50 I
Drainfield
10'
10 .
~O '
1~0'
~J d..5
AC .'IVITY INFORMATICA~SHEET
@
COMPLETE THIS SECTION. INCOMPLETE FORMS WILL BE REJECTEP!
...-,.," ,.,"--_..' ,.'
i
Rainbow Water District
PERSON MAKING REQUEST
P. O. Box 8
,MAILING ADDRESS
Springfield, Or. 97477
Gera 1 d Crowe
PROPERTY OWNER
, 1145 Anderson Ln
MAILING ADDRESS
Springfield, Or. 97477
CITY
746 1676
BUSINESS TELEPHONE #
STATE
ZIP CODE
CITY
STATE
ZIP CODE
HOME TELEPHONE #
BUSINESS TELEPHONE #
HOME TELEPHpNE #
2 PROPERTY ADDRESS
(IF DIFFERENT FROM MAILING AUUKt55')
, 3,
MAP & PA.RCEL NUMBER,
(REQUIRED INFORMATION)
(from tax maps in Department of Assessment and Taxation:
or from tax statement)
U 03 ZL
TOWNSHIP RANGE SECTION
11.100_
TAX LOT(S) OR PARCEL #
ZONING
TOWNSHIP RANGE SECTION
TAX LOT(S) OR PARCEL #
ZONING
TOWNSHIP RANGE SECTION
TAX LOT(S) OR PARCEL #
ZONING,
TOTAL CONTIGUOUS PROPERTY IN SAME OWNERSHIP:
'4 SUBD.IVISION (if applicable) , 2nd Addition to Menlo Park
LOT 8
ACRES
BLOC K 4
: 5 REQUEST {state exactly what you plan to do) Relocate water meter to front yard and install
npw w~ter sprvice linp from meter to house
16 DIRECTIONS TO SITE: E on Centennial. N on Anderson
,
;
,
, .,
** FOR STAFF USE ONLY **
.
ZONE/LAND USE:
14-33
LAND MANAGEMENT DIVISION / 125 E. 8th AVE., EUGENE, OR 97401 / 687-4061
~anE
~ ":ounty
_ ILUMBING AND MECHANICAL Pt:rlMIT
CHECK LIST
JS1,..MtJ..-
~"/, ......
., - . ............
"-.' --
-. .-
~~" .#:. ,:,- ':" ~
L^ND M^N^r.EMrNT DIVfSION
Df'n:HlnH'nt nl Pllhllc W("k~
,; . ~ I ...
OWNER hPri'll d Crow,:,
.DowiS. 1.
PLUMBING BY: Contractor~ Name ~ s Pl umbi no
Owner 0
MECHANICAL BY: Contractor 0 Name
Owner 0
PERMIT #
OSR #.2Q- 16?PB
OSR #
~, ",.. ,''''', .,~, ."" ."........., ". PLUMBING "
o RESIDENTIAL (Single Family Dwelling/Duplex) 0 NON-RESIDENTIAL
o New Building no. of fixtures
, no. of fixtures
no. of bathrooms
IX] Alteration, Addition, Remodel
no. of new fixtures'
no. of existing fixtures
Underground Water and Sewer Lines
no. of feet in building sewer
no. of 60 feet in water service
no. of feet in rain/storm sewer
..' .
[Put Number of Fixtures in Blank]
Sink (kitchen, laundry, etc.)
Lavatory (wash basin)
Tub (with or without shower)
Shower (separate)
Water Closet (toilet or urinal)
'Special Waste Connection
Drinking Fountain
Dishwasher
Disposer (garbage grinder)
Washing Machine
Water Heater
Floor DraIn
Sewage and Sump Pump (ejector)
Other (specify):
MECHANICAL
Number
Fee
Total
$10.00
BASE FEE: All Permits $10.00
Furnace/Boiler/Compressor up to
100,000 Btu/h
6.00
7.50
6.00
6.00
6.00
4.50
3.00
2.00
.50
9.00
6.00
6.00
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)
Wood Stove with New Vent
Wood Stove with Existing Vent
Fireplace Insert
SUBTOTAL (Does not include State Surcharge or Plan Review)
M98-246
Land Management Division 125 E 8th Ave Eugene, Oregon 97401
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