HomeMy WebLinkAboutPermit Plumbing 1986-10-16
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Lane County Authorization for:
P.LUMBING
FOR OFFICE USE ONLY
Application/ 3 ~ ~;? ~
Permi t it -...-:;J ~ -tJ.Jc::,
TOWNSHIP
RANGE
SECTION
'27,3. ?
I
TAX LOT 'DOUT OF
1 0 . 600
LOT/PARCEL BLOC~
e. 0
PROPOSED USE OF PROPERTY I
WResidential 0 Industrial
o Commercial 0 Public,
1703
SJBDIVISION/PARTITION (ifAplicablel
, MeJiA _p~ :GIJD ADD.
LOCATION ADDRESS STREET
1163 Anderson Ln., Springfield 97477
STRUCTURES CURRENTLY ON PROEERTY
CITY ZIP
SFD
DIRECTIONS TO SITE
E on Centennial - N on Anderson
u2SCRIPTION OF PROPOSED WORK - BE SPECIFIC
Relocate water meter to front yard & install new water svc line from ruatfr t.1
" OF BEDROOMS # OF STORIES # OF EMPLOYEES WATER SUPPLY
DECLARED $' VALUE
hc:_ta0'
::J Proposed
I Existing
TELEPHONE NUMBER
, O;,'NER' S NAME AND ADDRESS
HIINTFR. r.Vllrlrl C:rlmp
CONTRACTOR'S NAME' AN~ OSR~~~'::>' FWA1.B/~. -=tFW~ftp7-
..gffifffi8W WAlcK RJ.~t' P,Q. Box R. Snri~lrl q7Jll] ,
~IIT TO BE MAILED TO NAME AND ADDRESS) ,
- .
--_.~
TELEPHONE NUMBER
_ 746 1676_
TELEPHONE NUMBER
I HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION FOR PERMIT, and <10 hereby certify that all information hereon is true and correct, and that I
.have the following legal interest in the property': Downer of record; D cGntr-act. pllrchaser; Dauthorized agent.
I Lcrther certify that any and all work perfo':"ed' shall be done in accordanr;e wi th the Ocdinances of Lane ~ounty and the Laws of the State of Oregon
pertaining to the work describe~ herein" and that NO OCCUPANCY will be made of ar.y st.rllcture without :the permission of ~he :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 ::LICATION THOROUGH/ / .' '~~ ./ /
J 1/n-to77o/'.Y //AA./LG"J-> V. ~2/ ~ /;~~ t0h
NAME (please print) /I _ ' . /, ~IGNATURE I ,; ..oATE
READ THIS SECTION CAREFULLY. YOUR AUTHORIZATION qAS BEEN.,BASED ON THE FOLLOWING CONDITIONS!
o PLANNING/ZONING: Zone
Parti tion #
Parcel #
Parcel !3ize
Minimum Setbacks: CL. front'
C' ,
L, s~de,
interior
rear
COMHENTS:
NO SPECIAL PLANING ,ACTION REOUIRED.
Date:
'10-14-86
#r-
Installation
Specifications:
Gallon
Tank
Lineal Feet
of Draii1Held
Installation Record Issued? 0 Yes 0 No
Maximum Depth
of Trenches
o SANITATION: S. 1. #
B. P. #
COMHENTS :
n
o PLANS EXAMINATION: Type Group Ale -
COM1>lENTS:fJrtJ..r1~CO~.FikAJ~FIilJ . . @:fA.
~F'UJ.kP.F.R . L.:Avi< PfPIAYiexen.,gb.iJUJTU';-'t'o::uIFlYlSfClrJuA1~7Of!..
'- :J=:QI2 .I A)5f-cz.... WAlS. Date: IO./IfQ./PJrp D
..
PE,"IT APPROVED " ,UILDING DFF,G'AL/D"'GNEE Coo< DR' 45~ ~ ~~
LANE COUNTY DEPARTMENT OF PUBLIC WORKS LAND MANAGEMENT DIVISION, 687-4061,
125 EAST 8TH AVENUE, EUGENE, OREGON 97401
~F.F. RRVF.R~F. FOR TN~PECTION INFORMATION
r 1/. _,?c:: QQ,.{,
.I
SETBr,CKS A~D OTHER CO~;:)lTIO:;S OF APPROVAL ~lUST BE STRICTLY OBSERVED, VIOLATIO~ CA~ RESULT IN REVO-
CA7IO~ OF 7HIS PERMIT, CITATIO~ UNDER PROVISIONS OF LANE COC~TY'3 INFRACTION ORDI~ANCE, AND/OR OTHER
REHEDIES ALLOWED BY LAW.
WHEN READY FOR INSPCCTIO~. CA~L 687-4065. A HI~IMUH OF AT LEAST 24 HOURS ADVA~CE ~OTICE FOR INSPEC-
TI0~ REQCESTS ~j~ST BE GIVE~. Have the following information ready: Fcrmit number, Job address, type
of inspection, when it wIll be ready, your name and phone number, and any special directions to site.
BUILDI~G DIVISION:
REQUIRED I~SPECTIONS:
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. ~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 Cnder-Floor Inspection: To be made after all in-slab or under-floor building
servi~e e~uipment, condu1t, 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 1n place 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 Gvpsum Board Inspection: To be made after all lathing and gypsum board, ~_nterior
ana-exterIOr, is 1n place but betore any plastering is applied and before 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. ~o 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 manufacturer's installation ~nstructions.
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 by the manufacturer.
2. Mobile home minimum finish floor elevation sha~l. be certified when required by a flood-
plain management letter.
3. ~obile 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 HUST 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 HORE THAN 180 DAYS,
SUSPENSION OR REVOCATION HAY OCCUR IF THIS PERHIT WAS ISSUED ON THE BASIS OF INCOMPLETE OR ERRONEOUS
INFORMATION,
ANYONE PROCEEDING PAST THE POI:;T or REQUIRED INSPECTIONS WILL DO SO AT THEIR OWN RISK.
SUBSURFACE AND ALTERNATIVE 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. ~he 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 construction does not comply with such rules, the Department shall notify the permit
holder and shall require satisfactory completion before issuing the certific~te. Failure to
meet the requirements for satisfactory completion w~thin a reasonable time constitutes a vio-
lation of ORS 454,605 to 454,745 and this rule,
Setbacks - Subsurface Sewaqe Disposal
From: Interior property lines
Edge of road rl~}lt-of-way
Buildinq foundation
Wells. other water sources
Septic Tank
10 '
10'
5 .
50'
Drainfield
10'
10'
10 .
100'
3J.;L3
"
AC/~IVITY INFORMATICA JSHEET
~
COMPLETE THIS SECTION. INCOMPLETE FORMS WILL BE REJECTED!
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'I
Rainbow Water Di~trict
PERSON MAKING REQUEST
, R~ :'0. Box 8
Cynda Hunter
PROPERTY OWNER
1163 Anderson Ln
.MAILING ADDRESS
Springfield, Or. 97477
MAILING ADDRESS
Springfield, Or. 97477
CITY
STATE
ZIP CODE
CITY
STATE
ZI P CODE
B7U~~NWt TELEPHONE #
HOME TELEPHONE #
BUSINESS TELEPHONE #
HOME TELEPHpNE #
; 2 PROPERTY ADDRESS
,; (IF DIFFERENT FROM MAILING ADDRESS)
, I
I
. 3 MAP & PARCEL NUMBER (from tax maps in Department of Assessment and Taxati on
,I (REQUIRED INFORr~ATION) or from tax statement)
17 03---.2.I
TOWNSHIP RANGE SECTION
--1Q6OQ
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: ACRES
: 4 SUBDIVISION (if applicable) 2nd Addition to Menlo P.ark LOT 8 BLOCK 2,
5 REQUEST (state exactly what you plan to do) Relocate water meter to front ,yard and install
new water service line from meter to house'
j 6 DIRECTIONS TO SITE:E on Centennial, N on Anderson
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** FOR STAFF USE ONLY **
.
ZONE/LAND USE:
14-33,
LAND MANAGEMENT DIVISION / 125 E. 8th AVE., EUGENE, OR 97401 / 687-4061
-, ,~~. ane
, .ounty
.;.UMBING AND MECHANICAL P~WJlIT
CHECK LIST
IS/MD' . ..'
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- ~ . ~.", A:. ..." ::: :::::-
, . -
L^ND M^NN"iEMrNT DIVISION
D""n:\'lrn(~nl nl P\Jhllc W()lk~
i.llli.l"
bWNER Cvnda Hunter
PLUMBING B'Y: Contractor!] Name ~~~5P1LJmhi 11~
Owner 0
MECHANICAL BY: Contractor 0 Name
Owner 0
PERMIT #
OSR # ?O- 1 6?PR
OSR#
,. " ,',', .""",',,, ,,"' ..,...,,,.,,., .",.....,~ ," ,,,,. "",. ,," ,',' . PLUMBING'. ",
o RESIDENTIAL (Shigle Faniily Dwelling/Duplex) 0 NON-RESIDENTIAL
o New Building no. of fixtures
no. "of fixtures
, ,,' ". "" no. of bathrooms
"~Alteration, Addition, Remodel
no. of new fixtures"
no. of existing fixtures
Underground Water and Sewer Lines
no. of feet in building sewer
no. of (;,0 feet in water service
no. of ' feei 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 (ejedor)
Other (specify): .
MECHANICAL ."
Number
Fee
Total "
$10.00
BASE FEE: All Permits $10.00
Furnace/Boiler/Compress'or up to
100.000 Btu/h
Furnace over 100000 Bt~/h
Heat Pump
Air Conditioner
6.00
7.50
6.00
6.00
6.00
4.50
3.00
2.00
.50
9.00
6.00
6.00
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 Irisert
SUBTO:r AL (Does not include State Surcharge o~ Plan Review)
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M9"8-246
Land ManagementDivision 125 E 8th Ave Eugene, Oregon 97401
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