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Home My WebLink AboutPermit Plumbing 1986-10-13 v.. . Lane County Authorization PLUMBING . for: FOR OFFICE USE ONLY Application/ ~:7 ~ r.7 ~~ Perm~ t # ...-J..;;.JD1< / '776 . roW",SHIP I SECTION j TAX LOT DOUT OF 27. "3 :3 11.300 I w7rrc I BWe CITY ZIP PROpOSED USE OF PROPERTY o Residential 0 Industrial o Commercial 0 Public. I RANGE 17 03 S~c~~;~~~JN/PARTITION (if applicable) I ~(-f) p~ ~ ~ LOCATION ADDRESS STREET 1135 Ponderosa (l;(- Spr. 97477 STRUCTURES CURRENTLY ON ~ROP8RTY SFd ~lONS TO 51TE E on Centennial. N on Anderson. E on Cottonwood. S on Sequoia. Won Pondersosa ~.~ 1 o;1f.iJ tp WllP" Tf'tfr tn f.Dln = OF BEDROOMS J ~ OF STORIES O;~'NER I 5 NAME AND ADDRESS DALBY. Ailene same CON~CTOR'S NAME ANO OSR i"LZ:>t4'-::, P't...UMt:::::>'IV~ :il=dt? 1hZ. ~RAINBOW WATER DIST., P.O. Box 8, SprlngfielrB 974~' P':;Rfm' TO BE MAILED TO (NAME AND ADDRESS) '00..:.. ~ '(<Irq II. ifl'it~ 11 I it OF EMPLOYECS ("CI . nPr~i}ter ~Yr- l,np WATER SUPPLY from mptpr I DECLARED ~ VALUE th h~. Rproposed Existing TELEPHONE NUMBER ~ESCRIPTION OF PROPOSED WORK - BE SPECIFIC (Tim) TELEPHONE NUMBER 746 1676 TELEPHONE NUMBER I HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION POR PERMIT, d"d ,10 hereby certify thilt all infot"Tllation hereon is tnJ,C and correct, and that t have the following logal interest in the property: Downer of record: 0 crmtrdt,t purchaser; Oauthorized agent. I f:.:.rther certify that any and all work performed shall be done in accQl-dallCf, wi tll tht,! (')cdinanct;!S of Lant;! County and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will b<.: made of any structure without the permission of ~he Building Oiviaion. I fur- ther certify that regiGtration with the Builder's Board is in full force and effect dS required by ORS 701.055, that if exempt the basis for exemption is noted hereon, and that only subcontractors and employees who arc in compliance with ORS 701.055 will be used on this project. I HAVE READ AND CHECKED THIS APPLICATION THOROUGHLY. j //'Y7n77-/1:' ~A/CGY NAME lplease print) -/y~ti:-f ! /~ ~1a{gL READ THIS SECTION CAREFULLY. YOUR AUTHORIZATION qAS BEEN BASEO ON THE FOLLOWING CONDITIONS! [] PLANNING/ZONING; Zone parti tion #I Parcel #I Parcel Size Minimum Setbacks: C L, front CL, side interior rear COM,\1ENTS: NO SPECIAL PLANNING ACTTON RFOIITRFO Date: 10-14-86 & Gallon Tank Lineal Feet of Ilrainfleld Installation Record Issued? D 'lea 0 No Maximum Depth of Trenches [] SANITATION; S. 1. i Installation Specifications: B. P. " CQMr>IENTS : Date: o PLANS EXAMINATION; Type Groun ~ t/)/IIF UIA1:l:f2 UIlE COMNENTS, RPfA1S ~1- 'J:JMP...'t t.tIlt98J.~. Pif'lJJCft t:Il04 ~ 7EJ5FJ7~"-'-= 8'( A . I . Ll~~..b F't.I/JAkdJ. 1-':{p'(A';;j EtR/f'5l:b (/..vrtt~APjl>p(}lI~ av ~:A.I~rr...: .fUR.... em ~ t=nJ2: /IJ~~ 10. <S Oal., I~ [,__ 0 n ] 1/J1LL. 101/6 AAOATE PERMIT APPROVED BY BUILDING OFFICIAL/DESIGNEE (oer ORS 456~5(1)) ~ LANE COUNTY DEPARTMENT OF PUBLIC WORKS LAND MANAGEMENT DIVISION, 687-4061, 125 EAST 8TH AVENUE. EUGENE. OREGON 97401 SEE REVERSE FOR INSPECTION INFORMATION C 1u..2~ RR4. - . . SETal,eRS ANb OTHER CONDITIO::S OF APPROVAL MUST BE STRICTLY OBSERVED. VIOLATIO~ C1>.:-< RESULT IN REVQ- C,;710:-I or .llIS PERMIT, cnAno:: UNDER PROVISIONS OF LANE COli::TY'S INFRACTION ORDI~;ANCE. AND/OR OTHER REMEDIES ALLOWED BY LAW. IoiHEN READY FOR 1:~SPCCTION. CALL 687-4065. A ~lINHlWl OF AT LEAST 24 !lOURS ADVAt:CE NOTICE FOR INSPEC- TION REQl,;t;ST:; ,.;U5T llE GIVEN. Have ttle tollowing information ready: permit numbc'r, job address, type of inspection, when it will be ready, your name and phor.e nu~ber, 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 ~atcr1alS tor tne toundation are delivered on the job. Where concrete from a central mixing plant {commonly termed -transit mixed-) is to be used, materials need not be on the job. 2. Concrete Slab ~ Under-Floor Insp'ection: To be made after all in-slab or under-floor building serVlce e~uipment, conduit, plping accessories, and other ancillary equipment items are in place but before any concrete is poured or floor sheathing installed, including the subfloor. 3. Frami~9 ~ Insulation Ins~eetions: To be made after the roof, all framing, fire blocking, and Dracing are 1n place ana 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/~ Gv~sum Board Inseection: To be made after all lathing and gypsum board, \nterior ana-e~ter1or, 1S 1n place OUt DeIore 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. :-10 work shall be -done on any"part of the building' or, structure beyond the point indicated in each successive inspection~~ithout first obtaining the 'approval of the'building'official. Such approval shall be given only after an inspection s~all 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 rnspictlon is required for each bond beam pour. There will be no approval until the plumbing and olectrical inspections have been made and approved. B. Wood,~: 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 instructions. C, Mobile Home: An inspection is required after the mobile home is connected to an approved sewer or-5eptic system for setback require~ents, 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 rnjnimum 'finish flo~r elevation shall be certified when requirc~ by ~ flood- plain management letter. 3. ~obile homo 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. SW1rnm1n9 Pool: Below grade when steel is in place and before concrete is poured. Above grade woen pool-rs-lnstalled. 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. MYONE PROCEEDING PAST THE POItJT or REQUIRED INSPECTIONS WILL DO SO AT THEIR OWN RISK. SUBSURFACE' AND ALTERNATIVE ~ 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 issuo a certificate of satisfactory completion to the permitiholdcr. 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 within a reasonable time constitutes a vio- lation of ORS 454.605 to 454.745 anu this rule. Setback~ - Sub~urface , From: Sewage Disoosal SePtic Tank 10' 10' ;' 50' ~ .40. Orainfield ,Iflterior property-lines Edqeoi road r\qht-of-way Buildino foundation Wcl~s. othcr.~a~cr source~ 10' 10' 10', lOa' .~ I. ,\ '. \ ',' \ .. , .. , .. '. :- I . , . , .' '," '. \ , \. AC.VITY INFORMATlotI SHEET 3J';?"'7 . COMPLETE THIS SECTION. INCOMPLETE FORMS WILL BE REJECTED! Rainbow Water District PERSON MAKING REQUEST P. O.Box 8 Ailene Dalby PROPERTY OWNER 1135 Ponderosa MAILING ADDRESS Springfield, Or. 97477 CITY STATE 746 1676 BUSINESS TELEPHONE # ZIP CODE MAILING ADDRESS Springfield, Or. 97477 CITY STATE ZIP CODE HOME TELEPHONE # BUSINESS TELEPHONE # HOME TELEPHONE # . 2 PROPERTY ADDRESS (IF DIFFERENT FROM MAILING ADDRESS) 3 MAP & PARCEL NUMBER (REQUIRED INFORMATION) (from tax maps in Department of Assessment and Taxation or from tax statement) " ~( _ Ql ?7 TOWNSHIP RANGE SECTION 11100. TAX LOT(S) OR PARCEL # ZONING TOWNSHIP RANGE SECTION TAX LOT(S) OR PARCEL # ZONING TOWNSHIP RANGE SECTION TAX LOT(S) OR PARCEL # ZONING ACRES TOTAL CONTIGUOUS PROPERTY IN SAME OWNERSHIP: 4 SUBDIVISION (if applicable) ?nd Addition to Mpnlo P~rk LOT R BLOCK ,l n 5 REQUEST (state exactly what you plan to do) Reloc~te w~tpr mptpr to_front v~rrl ~nd install npw w~tpr sprvicp 1 inp from meter to house 16 DIRECTIONS TO SITE: E on Centennial. N on AnrlersOIL.-E on r.~,ttonWOOrl. S on SPQuoi~ W on Ponrlerosa ** FOR STAFF USE ONLY ** . ZONE/LAND USE: 14-33 LAND MANAGEMENT DIVISION / 125 E. 8th AVE., EUGENE. OR 97401 / 687-4061 '~I ane ~ I-=:ounty eUMBING AND MECHANICAL P~IT CHECK LIST ~~l\e:'/I :....\ --21::V1: J L^NO MM"^r;[!Mn,,y DIVISION 0"0."1""'"' "'''"blM':: ............... OWNER JI.ilene Dalby L:~:U"'~ . ~ PLUMBING BY: CootractorlKl Name Ia.... _. P11IJl1ni n,:, Owner 0 MECHANICAL BY: Contractor 0 Name Owner 0 PERMIT # OSR # ?O-16?PR OSR # PLUMBING o RESIDENTIAL (Single Family Dwelliog/Duplex) 0 NON-RESIDENTIAL o New Building no. of fixtures no. of fixtures no. of bathrooms ~ Alteration, Addition, Remodel no. of new fixtures 00. of existing fixtures (Put Number of Fixtures in Blankl Sink (kitchen, laundry, etc.) Lavatory (wash basin) Tub (with or without shower) Shower (separate) Water Closet (toilet or urinal) . Special Waste Connection Drinking Fountain BASE FEE: Furnace/Boller/Compressor up to 100000 Btu/h 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 Underground Water aod Sewer Lines no. of feet in building sewer no. of ..6:!L feet in water service no. of feet In ralo/storm sewer Dishwasher Disposer (garbage grinder) Washing Machine Water Heater Floor Drain Sewage and Sump Pump (ejector) _ Other (specify): MECHANICAL Number Fee Total All Permits $10.00 $10.00 6.00 7.50 6.00 6.00 6.00 4.50 3.00 2.00 .50 9.00 6.00 6.00 SUBTOTAL (Does not Include State Surcharge or Plan Review) M98-246 Land Management Division 125 E 8th Ave Eugene. Oregon 97401 I .4 ane '~ IlIIIII:ounty )' I eUMBING AND MECHANICAL P.IT CHECK LIST ~~ j" ~,.. ...... .:,:::. ~:. ~/ ~ ~ LAND M^N^nt~MrNT DIVISION Or-n."''''''"' ,,' "'ubllr. W".... OWNER Ailene Dalbv ~""c,.'~ PLUMBING BY: CootractorK] Name a._~. Pll.mnin,:, . Owner 0 MECHANICAL BY: Contractor 0 Name Owner 0 PERMIT # OSR # ?O-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 ~ Alteration, Additioo, Remodel no. of new fixtures no. of existing fixtures (Put Number of Fixtures in Blankl Sink (kitchen, laundry, etc.) Lavatory (wash basin) Tub (with or without shower) Shower (separate) Water Closet (toilet or urinal) "Special Waste Connection Drinking Fountain BASE FEE: Furnace/Boiler /Compressor up to 100000 Btu/h 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 Underground Water and Sewer Lines no. of feet in building sewer no. of ~ feet in water service no. of feet In rain/storm sewer Dishwasher Disposer (garbage grinder) Washing Machine Water Heater Floor Drain Sewage and Sump Pump (ejector) Other (specify): MECHANICAL Number Fee Total All Permits $10.00 $10.00 6.00 7.50 6.00 6.00 6.00 4.50 3.00 2.00 .50 9.00 6.00 6.00 SUBTOTAL (Does not include State Surcharge or Plan Review) M98-246 Land Management Division 125 E 8th Ave Eugene. Oregon 97401 &F COlJNIY . INSPFCTI0N RECQBll 10-1786 PERMIT#332.7-6te PHONE NUMBER PHONE NUMBER TRS# 17 - 03 - 27.3.3 - 11.300 OWNER'S NAME DATE ISSUED: AILENE OAL8Y ~TRACTOR'S~ OU4iS. .. _ '/Iip.JJJG:a SET BACK REQUIREMENTS . CL, FRONT CL, SIDE INTERIOR REAR J~R~U,THORIZ~D BY PE.R~ . ..._ I. s ~ .OF W-.~Or::-, Ot"^~ Mt:..lt;E- DIRECTIONS TO SITE . - .u_ East on Centennial - north on Anderson south on Sequoia - west on Ponderosa SITE ADDRESS 1135 FtJv~~~ c..T. 5~~t!F1F') 1:> FOOTING I FOUNDATION D /MOBdE HOME PLACEMENT 0 INSPECTION Approved Date ICorrection Date "\ PLUHBING G.ROUNOjoIORK INSF U'1:1UN . Approved V"'Datej.l-S-:-~ ICorrectlon Date UNDERSLAB PLBG.D IUNDERFLR PLBG.[] INSPECTION Approved Date ICorrection Date OTHER INSPECTION Approved Date ICorrection Date ROUGH PLUMBING (TOP OUT) INSPECTION Approved Date ICorrection Date FRAMING INSPECTION Approved Date ICorrection Date ROUGH MECHANICAL Approved Date ICorrection Date INSULATION I VAPOR BARRIER INSPECTION Approved Date ICorrection Date LATH I GYPSUM BOARD INSPECTION Approved Date ICorrection Date FINAL MECHANICAL[] IWOOO STOVED Approved Date ICorrection Date t~INAL pLUMBING INSPECTION ;-_._......mmu i rproved v Date //-~J1t.,/Correction Date FINAL INSPECTION BUILDING D IMOBILE HOME D lAG PLACEMENTD Approved Da te /Correcti on Da te CERTIFICATE OF OCCUPANCY 0 Approved Date Insp. 746-1676 # PLUMBING FIXTURES ~ SDS APPROVAL REQUIRED - east on Cottonwood Inspector Inspector /ii\ I nspec tor Inspector Inspector Inspector Inspector Inspector Inspector Inspector Inspector &x Inspector TEMPORARY CERilFIChTE OF OCCUPANCY 0 Approved Date Insp. M74-197