HomeMy WebLinkAboutPermit Plumbing 1983-10-14
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Lane County Authorization for:
PLUMBING
FOR OFFICE USE ONLY
Appl~cation/-:>3 ") LJ c::v-
Perm~ t # -.::J c::>( 7-0 ,k;>
TOWNSHIP'
RANGE
SECTION
o OUT OF
2713.3 :10,800
TAX LOT
'SJBDIVISION/PARTITION (if applicable)
. Mf3JW p~ "'lAJD Ar:iD
LOCATION ADDRESS STREET
LOT/PARCEL
3
BLOCK
-6
PROPOSED USE OF PROPERTY
Gl Residential 0 Industrial
D Commercial D Public.
17
03
CITY
ZIP
1157 Anderson Ln., Springfield 97477
STRUCTURES CURRENTLY ON PROp,ERry'
SFD
~
u~~~rIONS TO SITE
E On Centennri.a 1 - N on Anderson'
D~SCRIPTION OF PROPOSED WORK - BE SPEC~FIC
Relocate water meter to front yard & install new water svt. line fr6m meter
c OF BEDROOMS # OF STORIES # OF EMPLOYEES WATER SUPPLY
DECLARED $ VALVE
:0 hs. (pC)
::J Proposed
-, Existing
TELEPHONE NUMBER
: O;,"NER' S NAME AND ADDRESS
YARBOROUGH, Burlen G. same
CONTRACTOR'S NAME AND OSR # ~ PLUdP/ A. 7~ ~w ' 1(;,2--
. -Rf\WO~T~n PJ$T~J.Cl,,~b. Box~Sprfnqfielci9747/
(':;~T TO BE MAILED TO (NAME AND ADDRESS)
_ _ ~,_. .__.____Uu__
TELEPHONE NUMBER
746 1676
TiLtaeHONE NUMBER m
I HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION FOR PERMIT, and do hereby certify that all information hereon is true and correct, and that I
have the following legal interest in the property: Downe~ of record; 0 contract, purchaser i o authorized agent. .
I f::rther certify that any arid all work performed shall be done in acc~rdanr;e with 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 ,;nade of anr st.ructure without the permission of the Building Division. I fur-
ther certify that registration with the Builder's Board is in full force arid 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.
I.-I /~D~J-' ~A/ t.. 0
NAME (piease prInt)
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READ THIS SECTION. CAREFULLY.' YOU-R AUTHORIZATION ~ASBEEN BASED ON THE FOLLOWING CONDITIONS~
o PLANNING/ZONING: Zone
Partition #
Parcel #
Parcel Size
Minimum Setbacks: CL, frOnt
CL, side
interior
rear
COMHENTS:
NO SPECIAL PLANNING ACTION REQUIRED.
Date:
10-14-86
.4
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Installation
Specifications:
Gallon
Tank
Lineal Feet
of Dr.ai.nfield
Installation Record Issued? 0 Yes 0 No
Maximum Depth
of Trenches
o SANITATION: S. 1. #
','
B. P. #
COMl-1ENTS:
Date:
n
t
o PLANS EXAMINATION: Type Group olol@@ ra~ OF- W ~-r:t:Ee aIJE" -
COMl-1ENTS:.f(PJA'4~' MM,,>LY 1A.J/t 9~t::jfr.#. fiPlIJ~ I=flJII1 M~ T().5FP#t,UN..l-&-.-.~-A
L.-~ ~. LPAV(;t F/Pll4 ~Ff):RP tJAmI..~lir/;>E{ G.cvJ7Y JIJ~ u2.. .
Cf./ ./ PFP 1 ^)S~c Uf/AJ5 Date: !n/lh/I3(-. ~ D
p,,,m ""'ROV'O BY '"".0'" O"''''L/O'''''''' (DO' 0"" 4~ ~/<€~
LANE COUNTY DEPARTMENT OF PUBLIC WORKS LAND MANAGEMENT DIVISION, 687-4061,
125 EAST 8TH AVENUE, EUGENE, OREGON 97401
SEE REVERSE FOR INSPECTION INFORMATION. co 1/, ., c DCA
..
SETBACKS A~D OTHER CO~DITIO~S OF APPROVAL MUST BE STRICTLY OBSERVED. VIOLATIO~ CA~ RESULT IN REVO-
C';TIO~ OF T!lIS PERMI.T, CITATIO~1 UNDER PROVISIONS'OF LANE' CO[j~TY'S INFRACTION ORDI~ANCE, AND/OR OTHER
RE,IEDIES ALLOWED BydLAW.' . . , .~ ,..,., , .' ..
, '
WHEN RE.~DY FOR I'~SPECTION., CALL 687-4<f65. A ~lINHlU~l OF AT LEAST 24 HOURS ADVAt!CE N.o.TICE FOR INSPE~.-. ".,1 .-
TIO;.J REQL:ESTS NUST .BE GIVEN:" Have the -followIng Informa tlon ready-: -perml. t number,' Job ad'dress,. type.
of inspection, when it will be ready, your name and phone number, and any s?ecial directions to site.
BUILDING DIVISION:
REQUIRED I~SPECTIONS:
1.-. Foundation Inspec-t"Ton: '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 (corrunonly termed "transit mixed") is to be used, materials need not ,be on the job.
2. Concrete Slab or Under-Floor Inspection: To be made after all in-slab or under-floor building
service equipment, conduit, plping accessories, and other ancillary equipment items are in
place but before any concrete is poured or floor sheathing installed, including the subfloor.
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3. Framinq & Insulation Inspections: To be made after the roof, all framing, fire blocking, and'
'bracing are in '-place a~d all pipes,' fi"replaces, chimneys, and vents' are complete and all -rough
electr,ical and plumb~ng ,are"approvea.' All wall i.n~sulatio'n 'and vapo'r barrier are in place. "
I
4. Lath and/or Gvpsum Board Inspection: To be made after all lathing and gypsum board, ~.nterior
and exterior, is in place but before any plastering is applied and before gypsum board,joints
~nd fasteners are taped 'and-finish~d.'
5. Final Inspection: To be made after the building is complete ~nd before occupancy.
..,.., -: '.,..... '
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APPROVAL REQUIRED. No work ~hall ~be9\,.done on any'part~o,f" the buirding :,6r";s'tr.ucture beyond the' .poi~nt'
. indica ted in each successive inspect-j;orl..~~ thout. fir,s ("7cibtaining: "th~ ,~~i?ioval"'o'f tfte bui-lc1.ing......o,tficia.l.
Such approval shall be given only after an inspection shall.h~ve been made'of eacn successive s~~p'.
1n the construct1on as lndlcated by each of lhe' inspections t~quired.. 0 ~:
. .
NOTE: .All buildin~ 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
a~d electrical inspections have been made ~nd approved.
B. Wood Stove: To be made after completion of masonry I(if applicable) and when installation is
complete. Installation shall be in accordance with a~ approved, nationally recognized testing
agency arid the manufacturer" s i'nstallation' instrucfions'.
r C. r-tobile Home: An ins?€:ction is re'qui~ed after' the mobile home is connected to an' approved
sewer ~r septic system for setback requirements, blocking, footing connection, ~iedowns,
skirting, and plumbing connections. '
1. Footings and piers to co~ply w~th State foundatlon requ1rements for mob~le homes or .~s.
recommended _.by th~ m.anufa~~':1~er. ~:~ . ' ....
.~. 2. Mobile home minimumi.f"inish......f~fo6-r ..e::..v...e~l<:n....sha.ll\be cert~fled when requ1red by .a)f~o.o~-,,:
plain manage~ent' leeter. .~\. "' -. \ "\
3. HObi).e h_ome,..t'~edowns; whe1).\req~ire~, and. skirting'sha'll be installed and re~dy for, inspec-
~ion within at least 30 days after occupancy. Tiedowns and skirting shall be installed
per' enclo.sure';' \
D. Swirnminq Pool:' "Below grade when 'steel is in plac'e and befor.e concrete is. poured. Abov~ grade
when pool-rs-installed.
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.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 ,lORE THAN 180 DAYS.
SUSPENSION OR REVOCATION 11AY OCCUR IF .THIS PEfu~IT WAS ISSUED.ON THE BASIS OF INCOMPLETE OR ERRONEOUS
. INFORJ-l1\TION.
ANYONE PROCEEDING PAST THE POItlT or REQUIRED INSPECTIONS WILL DO SO AT THEIR OWN RISK.
SUBSURFACE AND ALTERNATIVE SEWAGE DISPOSAL SYSTEMS:
.. l.
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 permit holder shall
J notify~' the La;ne County Department of Planning and Cornmunity'-;Development by submitting. the
installation record form. The Department's'hall"""inspect the construc,tion'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 permit, holder.
r"f the construction does not comply with such rules, the. Department shall notify 'the permit.
holder and shall require satisfactory completion before issuing the certificate. Failure to
meet the requirements for ,satisfactory completion within a reasonable time constitutes a vio-
la'tion'"of 'O'RS 454.605 to'.j'54.745 and this nile,
Setbacks - Subsurface Sewaqe Disposal
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.~ .' .'''" _-...;:c}ge: of road riSht-of-way "., 1"01":'-'-
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AC "IVITY INFORMATIC.JSHEET
@
.
Bu..r..l.e.P h. Vi'! rt"torOltgh
PROPERTY OWNER
1157 Anderson Ln
MAILING ADDRESS
Springfield, Or. 97477
CITY
STATE
ZI P CODE
CITY
STATE
ZIP CODE
Z4fi 1676
BUSINESS TELEPHONE #
HOME TELEPHONE #
BUSINESS TELEPHONE #
HOME TELEPHpNE #
I 2 PROPERTY ADDRESS
(IF DIFFERENT FROM MAILING AUUKt:S5)
; 3 MAP & PARCEL NUMBER.
(REQUIRED INFORMATIO~)
(from tax maps in Department of Assessment and Taxation'
or from tax statement)
lZ 03 II
TOWNSHIP RANGE SECTION
1Q800
TAX LOT{S) OR PARCEL #
ZONING
~
-,
TOWNSHIP RANGE SECTION
TAX LOT{S) OR PARCEL #
ZONING
TOWNSHIP RANGE SECTION
TOTAL CONTIGUOUS PROPERTY IN SAME OWNERSHIP:
TAX LOT{S) OR PARCEL #
ZONING.
: 4 SUBDIVISION (if applicable)
2nd Addition to Menlo Park
LOT 8
ACRES
BLOCK ,3
: 5 REQUEST (state exactly what you plan to do) Relocate water meter to front" vard and install
new water service line from meter to house
6 DIRECTIONS TO SITE: E on Centennial, N on Anderson
. "...........",.."....." .~"". ".".....,_.'."... ...,........ "...~".- ,..".. .-..-. - '....._. .
** FOR STAFF USE ONLY **
.... ...,6
ZONE/LAND USE:
14-33.
LAND MANAGEMENT DIVISION / 125 E. 8th AVE., EUGENE, OR 97401 / 687-4061
...
.
ane
f. ounty
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LUMBING AND MECHANICAL PL .MIT
CHECK LIST
B2MJJ'
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L^NO M^NN''';EM["NT DIVI~ION
Of"'n:1flln(~nl nl PlJhUc WOfk~
OWNER Burlen G. Yarborouqh
PLUMBING BY: ContractorlX] Name ~..&~.s eJ.uin.bi n~
Owner 0
MECHANICAL BY: Contractor 0 Name
Owner 0
PERMIT #
OSR # ~n-1 n~PR
OSR #
~, ','""'',",''' ....". ,- ... "..., ,"'. ". ,... .....""... '" PLUMBING' ,
o RESIDENTIAL (Single Family Dwelling/Duplex) 0 NON-RESIDENTIAL
. 0 N B .Id. g no. of fixtures
" ew UI ID
'. no. of fixtures
...., no. of bathrooms
~Alteration, Addition, Remode"
no. of new qxt~res' .
no. of existing fixtures'
Underground Water and Sewer Lines
no. of feet in building sewer
no. of ~ 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
Dis"iioser (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
SUBTO:r AL (Does not include State Surcharge or .Plan Review) .
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M98-246
Land Management Division 125 E 8th Ave Eugene, Oregon 97401
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