HomeMy WebLinkAboutPermit Plumbing 1983-5-24
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AREFULLY EXAMINED THE C LETED APPLICATION FOR PERMIT, and do hereby certify that all information hereon is true and correct, and that I
have t e allowing legal interes n the property: []owner of record; []contract purChaseri~thorized agent with evidence of authority attached.
I f~r r certify that any and 1 work performed shall be done in accordance 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 made of any structure without 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. '
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TOWNSHIP / 7
'SJBDIVISION/PARTITION (if applicable)
SECTI;;? ~ T~~ OF
,LOT/PARCEL BLOCK
RANGE
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SIGNATlJRE
NAME- (please print)
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READ THIS SECTION CAREFULLY. YOUR AUTHORIZATION HAS
Zone /tJ /4
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Hlnlmum Set ac : " ,f.E-,<nt ~
COMHENTS:0/~ ~~ _
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FOR OFFI.CE USE ONLY
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D Two Copies of plans
DThree Copies of Plot Plans
DMech/Plumbing Checklist
DLegal Interest Document
D Plan Check Info Sheet
ZIP PROPOSED USE OF PROPERTY
D Industrial
D Public
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$ VALUE
J. Pr~o~ed !
~istl.ng i
I TELEPHONE NUMBER .1
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$9~;;2~~
TELEPHONE NUMBER
>,-S/z?:>llJ"3
DATE
o PLANNING/ZONING:'
Partition #
Parcel #
BEEN BASED ON THE FOLLOWING CONDITIONS!
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Parcel Size '~~~
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;y. 75-cC3
(;$ ~A
interior
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D FLOODPLAIN:
In flood hazard area? 0 No'D Yes, SEE ATTACHED SHEET.
D SANITATION: S. 1. #
Date:
D
D
Date:
Ins talla tion
Specifications:
Lineal Feet
of Drainfield
Installation Record Issued? 0 Yes D No
Maximum Depth
of Trenches
B. P. #
Gallon
Tank
, COHNENTS:
Date: ~
A"PLANS EXAMINATION: Type V - JJ GroupM- I ( ~-~) Use 6aALWA-m;e.~6. 5'i:,T:
COMNENTS: t:~t..L Fb2.. ~~ ~~~\t.AL I &.UM~A~ f WAf- IIJ~lI.cxJS.
Pi2ov'~ ACI"~<'~ ~lQ.... 'JJgEl.,-m~ ".OlIeJt..lf::r 11J5PE C(1.~Al.s .
0ate:~/z4/~ D
TOTAL VALUATION $
CONSTRUCTION AUTHORIZED BY THIS PERMIT
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Fixed Fee/ Floodplain Fee $
Sq. Ft. Unit Cost Subsurface Fees $
Building Eee $ d'S,~
1-12ch/Plmbg Fee $ ~S:.t:J.
plans Check Fee $ ,;5'J':.s;,
S ta te Surcharge $
DEQ Surcharge $
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PERMIT
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APPROVED BY BUILDING OFFICIAL/DESIGNEE (per ORS 456.805(1)).
TOTAL FEE $$ / S-?/t':J
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DATE
SEE REVERSE FOR INSPECTION INFORMATION
LANE COUNTY DEPARTMENT OF PLANNING & COMMUNITY DEVELOPMENT / 125 EAST EIGHTH AVENUE. EUGENE, OREGON 97401
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SETBACKS AND q:rHER CONDITIONS OF APPROVAL MUST BE STRICTLY OBSERVED. VIOLATION CAN RESULT IN REVO":'
CATION OF THIS' PERMIT,' C,ITj\TION UNDER PROVISIONS OF LANE COUNTY I S :INFRACTION ORDINANCE', AND/OR' OTHER'
REME.DIES ALLOWED 13~. LAW.' ,.., .;: ".
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WHEN HEADY FORINSPEC:rIO~., CALL',687-4065. ,'A,MINIMUM O~ .AT""LEAST "'2~" HOB.RS ADVANCE .NOT.IGE FOf ',INSPEC:- '
TION REQUESTS MUST BE GIVEN. Ha-ve the following i:n~cirma ti9'ri"rea.dy: .. pe-rmit. 'number~' 'joJ:(,'address, type
of inspection, .when -i t wil~.:,?": ready, ,{'o~r ,name.:~rid ,phone, fluml?er ',~ a.'nd ,any special:' di~~ctiC?n...s, ~to s'ite.
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REQ'ufRE'D" :(NSPE'CTIONS : .. ~
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, 1. Foundatioii'...rnspecti.on: 'To be' made" a.fter-, trenches a"re excava t'ed and - forms erected,' a'nd whe'n a'Ll:
materials for the foundation are delivered 'on~.the job'. Whereconcr~\:e frorn.-a' 'ce'ntral ml.xl.ng
plant (commonly termed "transit mixed") i's, to ,b.e' use<(',.:mater.fals need not be ":'on..."thejob."
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2; Co!,\crete Slab or Under-Flpor Inspection: To be ma~~. after all in-slab,or under-floor"building
se:rvJce i':quipment, condtii t", giping accessories, and .othei"~ancillary equlpment' items ar,e' in ' ,
place' ~u,t before any con,crete is poured or floor sheathi!1g installed, including the' sl,lSfloor,'
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,3. Frainfl)g' &' Insula tion -Inspections: . TQ' be' 'made' a'fter the 'roof,' all' ,framin.g..'. f'i,re biocking:,;and' ,.." ::'
" bracing"j3,'re in place:<'arid all pipes, ,fireplaces, .chimneys, and vents a'r!= cO!pplet~e' and all ,r9~9h
'electrical: and plumbingc ar=.,app:r:oved,' _ !'~:~,:v~l~'.insul,a t~~n' and,. vapor;ba:rlfe.~ . ~re-' _iI!. pl,~c~;. " ;',~ _ C:c'
4. Lath and/or Gypsum Board Inspection:' To be 'made'after' al'llat'hi~ga,nd gypsum,board, interior,
and exte:r:ior", is' in place but, before any plastering; is applied and~'be'f0r,e.,.gypsum board,'-:joirlts, ,.'
'a'nd fasteners are taped and finished. Co"
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5. Fina'lTns'pect~on: To be ,made'arter the building, is comple~e and b.efor~ occupancy.
APPROVAL REQuiRED. No workshal.l be done on any part of the "buildi'ng or s,tructure beyond the point
r'ndica ted" in eacn. s':!ccessi've inspection wi thou t 'f ir's t ob:ta'ining" ,the approval of the building 'of f icial.
Such approval 'shall be giv,en only after an inspection shal'l have been made of each successive step
:tn the construction as indicated by each,of thi': in,spec~ions required. '
N~'1;E: AILbuilding r::ermits , require~ .inspe,ctions, fo):" th7 wo!k' authorize?, suc;:h a's '.b.u't' Aot li)ni ted' to':,
,A. Block Wall: To be made after reinforcing is in place, but before any grout is poured. This
inspection' is"req'uired"for'.each bond 'beam' pour. There will be no 'approval until the plumbing
and elec,tricaL j,nsp,ec,uions have been made and approved.
';'!3". :Wood' Stove ~ ':['0 be made after ,completion of masonry (if applica.!:>le) and, when installation is
complete. Installation shall be in accordance wi th an' approved, na.t-ionally recogrii zed testi'ng
agency and the manuf~cturer I s insta)latiQn instructions,.
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C.Moblle Home: An inspection is required after'the mobile home is connected to 'an approved
sew,er'or>sep,tic:-sys,tem, fo'r. 'setback 'r,equiremi':n,t,s,biocking, foo'ting" con'~ec,tion,' ,tied,ciwy.s,
sk'ir"trn'g'; 'and plumbing 'coii.m~~c'dons.' - , ... -, . - -". ' .. "
.~., , Footi~gs and piers to comply with State foundation requirements for mobile homes or as
reco~eQded ,by the manufacturer. .
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2. Mobile home minimum finish floor elevation shall be certified when required by, a flood-
pla~n, management letter. "
3. Mobile home tiedowns, when required, and skirting shall be installed and ready for insp.ec-
tion 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. Abov~ grade
'when pool is 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 MORE THAN 180 DAYS.
$USPENSION OR REVOCATION MAY OCCUR IF THIS PERMIT WAS I$SUED ON THE BASIS OF INCOMPLETE OR ERRO~EOUS
INFORMATION.
,ANYONE PROCEEDING PAST" THE POINT or REQUIRED ,~N,SPECTIONS. WILL DO SO AT THEIR OWN RISK.
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SUB$i/RF;~t~..:AJ~p7l1'riT&~Nh~I:0E;.}S'E;WhGi DISPOSA4 'S):ST'EMS~" ,(1 i,,J, ..' ....' ,
;1~'..;..r~pm).;.t'~~'I~s.l.ilf.l~1 b~. :€~f.~;~'c,g~.~~, 1~9rJ O~~I. y~r ~f6m ~.~'l;rl1e~;"")~a,te,n~f ~.$i;~~~n~E?'. 1':,~) <'"_~.,;:.:j >,.:... "._,
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:2. U~p'on' '"c;o~pletirig' the' conos~;;1Jcti~n f~~ wlii~h a ' permit hasoeen i~sued, -,the ..permit I.olde-r sha,lT ':
notify. th,e Lane Gbilp.\t:.yJD.f;p~'~trile:tll!. 9 fi':Yllav.Ni,E1"'i! a.!i4''qG!~U'hli,JY'~ pey'elOI:ii-qen,t;::py" sUbmi t'1;,~{.I)g J):i,ti~'~ "t
installa.t,io~ r;ecord. forni. The DepaI'tment shall inspect the construction to determine if it
complies:::\1:.l..th'ft-h:e',r,~,les contained in this division., If the con~struct.ion does comply with such
rules,., the Departm~n-f shall,issue a certificate of satisfactory completion to tJ:le permit;holder.
'If 'the construction, does not comply with such rules, the Department shall notify the permit
hol~er and-shall require satisfactory completion be~ore issuing the certificate. Failure to
~e~t,the requirements for satisfactory completion'within 'a'i~asonable time constitutes a vio-
lation of ORS 454.~05to 4~4.745 and this rule.
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Setbacks - Subsurface
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Interior property ~ines
Edge of road right-of-way
Building foundation
:, ,Wells, other ,wa ter, sources
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LANE COUNTY DEPT ENV MGT RECEIPT t 80683 DATE 0523L_
. At::'I:'l_ICAN"Y" I~ANDAI._I._! B:[i...'i... AI)I)R 341~~ BAl.DY Vlj~W! SF)R:l:N(;!::":[E:l...I)J ()Ri~~:G(:)N
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NEL.,j ))I...DC T"(PE
OWNER NME " ,ADDR
(::(:)!)I~ AI:::!:::}... N(J A(::TION I)I~~SCF~:[J:::l'IC)N' S(~ Fl' t.JNl:'T" COS"I"' VAI...l.JA1':!:ON
tJSE R BI)f~MS 0 lJNJ:"rS 001. s'rOF~\IES '~BL...DGS 001 .F~~i(JNE "74"/ "740(
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pLtij',,! CHECK FEt
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ESTA C(JMJ::II...I~~:'I'I[)N DAT!~
T D 'r f~'i L. F E E:~ .)(. .)(.
FEE
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ACTI<01^~~G ;~~oN~~D~T~oEN." SHEET
bne county
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COMPLETE~.T ',-I'1U~h\ ,INCOMPLETE FORMS WILL BE REJECTED! ..h___....
fl. ~~~~~?~;;N~ UREQUEST BOYLES, DURrR~~~RTY DWNER
211 West 6th 3415 Baldy View Lane
MAILING ADDRESS MAILING ADDRESS
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HOME TELEPHONE #
BUSINESS TELEPHONE #
747-7400
HOME TELEPHONE #
97477 J1
ZIP COOE I
Eugene.
CITY
345-0208
BUSINESS TELEPHONE #
Oregon
,97401
STATE ' ZIP CODE '
Springfield
CITY
Oregon
STATE
2" PROPERTY ADDRESS 3415 Baldy View Lane, Springfieid, Oregon 97477
(IF DIFFERENT FROM MAILING ADDRESS)
i 3 MAP & PARCEL NUMBS;::;
(REQUIRED INFORr4ATION)
(from tax maps in Department of Assessment and Taxation
or from tax statement)
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TOWNSH IP RANGE SECTION
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TAX LOT(S) OR PARCEL #
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ZONING
TOWNSHIP RANGE SECTION
TAX LOT(S) OR PARCEL #
TOWNSHIP RANGE SECTION
TAX LOT( S)ORPARCEL # ZONING
ACRES
TOTAL CONTIGUOUS PROPERTY IN SAME OWNERSHIP:
,
: 4 SUBDIVISION (if applicable)
5 REQUEST (state exactly what you plan to do)
LOT
BLOCK
Install i n 9 domestic Solar hot
water system.
6 Col lectors
Oraindown
xx 0 r a i n b a c k
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II ~ DIRECTIONS TO SITE: Belt Line Road east to Game. Farm Road, north then east
on Game Fam Road to Baldy View Lane, then .south to site
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NUMBER
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ZONE/LAND USE:
BY: DATE:
DATE
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TIME IN:
OUT:
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lane county
PLANNING AND COMMUNITY DEVELOPMENT
SOLAR SYSTEM INSTALLATIONS CHECK LIST
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Applicant:
SOLAR CONCEPTS, INC.
Site Address: 3415 Baldy View Lane, Springfield, Oregon 97477
Application Number: B0t0-63
Installer:
SOLAR CONCEPTS, INC.
6
Number of collectors (absorbtion, evaporative, solar panels, etc.)
4
Number of pumps (any pump used to convey any heat transfer fluid
or potable water)
3
Number of tanks (any solar heated storage tank, drain down or
drain back tank or expansion tank)
( 13
Total number of components)
THE FOLLOWING INFORMATION IS REQUIRED TO BE SUBMITTED FOR
A CONSTRUCTION PERMIT TO BE ISSUED
1. A floor plan locating the new and/or existing storage tanks. Identify
the space in which it is installed by name.
2. A framing plan of the roof, showing the size, spacing and spans of the
roof support system.
3. Installation details of the panel support and bracing systems.
4. The maximum surface temperature of the panel.
5. A schematic diagram of the proposed piping system, showing all gate,
check and pressure valves, location of air vents, location of pumps
and location of any other components of the system.
LANE COUNTY DEPARTMENT OF PLANNING & COV~UNITY DEVELOPMENT
125 East Eighth Avenue, Eugene, Oregon 97401
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Date
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Name
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Address
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City/State/Zip Se....'...~; flfU 0 R.. '17'177
Phone
747- 7'fDc'
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, the owner of the above
property, hereby authorize SOLAR CONCEPTS, INC. to act in
my behalf as my authorized agent for the purpose of obtain-
ing a building permit for the property described above.
Signed .1/v~ X u;5:..-L
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