HomeMy WebLinkAboutPermit Plumbing 1983-2-23
L.aneCounty Authorization for:
, / \ ~~~;~~a~49-g5
"a-b.ff/ ~~~~;; if~ DTWO Copie, 6, (,an, "
- jI'/-- DThree Copies of Plot plans
R,A. NGE A ~ SE~IdN -?~,' TAX ~A Q9UT OF DMech/Plumbing Checklist
C/ ~ q-......:..; 6 vC/ DLegal Interest Document
. S~lBDIVISION/PARTITION ,(if applic;able) LOT/PARCEL BLOCK D Plan Check Info Sheet
~~ON A~~~7' E~ ...7~/.< '//?~.~~'.-;J""". ,Z/~// "~:i~':n:::''"'D'Ind~'tda,
STRUC CURREN N PROP~/ . C.("'~ ~/ ,,~. . , .
, " ~ /: .' W' . ' " ,'. . D Corrunercial 0 Public
.'" ~~~~~~~~ 16~/4~ ~/V-?<<';-/
n~~~~~~~M/~,:P~~~~
~ or B~' .::, ST~ , # OF~ _ WATER SUPPL~~ ' ~~~~~~.
~AN~~ ~~Jg;4/~' ~?:~7/
,_ ~~~;;;'gd?3g~/;;;;y~~ b$?~;(l!?/
<~~ MAILED fo- <[f-7YJ~~ - ~ ~., - ~ ~ ., - / 63;1 d# ~
./
CAREFULLY EXAMINED THE COMPLETED APPLICATION FOR PERMIT, and do hereby certify that'all information hereon is true and correct, and that I
-have following legal iriter.:~st in the.property': Downer of record; 0 contract purchase"r; Dauth?rized agent' with eyidence of authority attached.
I f~r ler certify that any' and all work performed shall be done in accordance with the Ordinances o! Lane County. and the Laws of the State of Oregon
pertaining to the work desc~ibed h€fein, and that NO O~CUPANCY will bfi maqe of ~ny ~tructure ~ithout ~he permission of the Building, Division. I fur-
ther certify that registration with the B~ilder's Board is in full force and. effect as required by ORS 701.055, that if exempt the basis for exemption
~~_7'0~z:'~~~;"~'" "0" m~~. ~~:;?r oOlli" ":"";~J
-...:;;- NAME (please print), O~ ' / - SIGNfTURE / ,lfiATE
~
'1~"".
...;;.,,"
FOR OFFICE USE ONLY
TOWNSHIP
/7
\.;., -
READ THIS SECTION CAREFULLY.. YOUR AUTHORIZATION ,HAS
o PLANNING/ZONI~G: , Zone, 1'tI/d-, " Partition #
~::::~'~PbY?~~':L~ "~~~~~
~-<<.d~ . - :7 " , '"",' '~/ - ,
~/J>-T"! . ", Date:Vd~Z-J6~
o FLO~DPLAIN: , In flood haz~rd area? D NoD Yes, SEE ATTACHED SHEET. Date: n
BEEN BASED ON THE FOLLOWING CONDITIONS!
Parcel .# p~rcel Size ~ S 3
j('SANITATION: s. 1. #
Installation
Specifications:
COHHENTS: ~;"
{ ..
~,
B. P. # ~nstalJ:ation Record' Issued? DYes D No
Lineal Feet , Maximum Depth
Jo~1i::t6-- 01 ~'~~
Date: ,J,3. /v6-W3 ~
Gallon
'Tank
o PLANS EXAMINATION: Type
Group
Use
COHHENTS:
iJate:
n
TOTAL VALUATION $
CONSTRUCTION 'AUTHORIZED BY THIS PERMIT'
Descri,ption
a;p
'vV'" ----- /
/'7 /J'j
/Zj/~?F
( ~/?~-4 ~,.'. ,
~2b~ '
~ ,.- PERI\I'~PPROVED BY BUILDING OFFICIAL/DESIGNEE (per ORS 456.805 (1)) ,
, ' LANE CO~TY DEPARTMENT ~F PL~ING & COMMUNITY DEVELOPMENT / 125 EAST EIGHTH AVENUE,
Sq. Ft.
Fi~ed Fee!
.Uni t Cost
-Floodplain Fee
Subsurface Fees
Building I;ee
!-12ch!Plmbg Fee
plans Check Fee
S ta te Surcharg~
,DEQ Surcharge
TOTAL FEE
$ ,,/],,:)--
t;?(~ -
$
$
$
$
$
$$4~~-
~-5 h--6 0
DATE
EUGENE, O~GON 97401
SEE REVERSE FOR INSPECTION
INFORMATI~
I
/
/..
.,
":..~
"~"-~"-.
. - ~:.
....... .
- _"'" ..".~"'l_ _. ......-1... ,. ,..
"~
"
,j
.....:..
"'-
"
\ .<....
-~... --t, ~
"
\ ' ''\.,
,",
.....,
SETBACKS, AND OTHER CONDITIONS OF APPROVAL MUST BE.'STRICTLY OBSERVED. VIOLATIOl'l CAN RESULT IN"REVO-
CATION O(THIS PERMIT, CITATI9N UNDER PROVISIONS OF LANE COUNTY'S INFRACTION ORDINANCE, AND/OR OTHER
REMEDIES ALLOWED BY LAW. _ "
.. ... .
WHEN READY FOR INSPECTION; CALL '6,87-40&5. A MINIMUM' OF AT'LEAST 2~ HGURS ADVANCE NOTICE FOR INSPEC-, -
TION REQUESTS MUST BE GIVEN. Have the followJ:'ng ~inf6rmati'0~ 'r'eady') ~ permn: nu'ii;'bg1:; .J6b- a-ag.res's, "ty,pe
of inspection, when it will be ready, your name and phone number, and ,any specfa.l directio.ns ,to ,site.
';'._" ' ..... ~ ~t . :.0".,
('... -':
'"
BUILDING DIVISION:
." ..l!:
. .... ...,:\ .....
....' .
'"
, .)
.....
"
"".
....
REQOiRED 'INSPECTIONS: - ' ,
.-.--- . .~-;..; .. _.' ',;-.
" ,'O' .' . '~."_ " .... ....,..-..+ '" .... ~.", -,' ", ,"',..". -:"\1.,' '. .~"-". . . ...., "..... . ~
'1._ . Founda tioi'r. I'nspec,tion-:->. .To- be,.maCl,e af,ter'. 'tr,enches~ ar,e..excava ted and forms erected and -when' all_
ma ter"ials ,for the foundation a}::e delivered on the job. Where corici-e~~e' fr;am a c.e'il't.rar\~'mi-xirig ....... ...~'..
plant (commonly termed "transit mixed") is to be used, materials need",no:t 'bole, ciIj""the job:'"
... ......\ ~. - ,', ..... . ., ...~. ;. . .... : ... -d .~ - - ~ . " '
'2. CQ,l)crete Slab or Und.e.r:-Floor....lnspection: To be ma.de,after all in-.?l,ab.or under-floorb~ildrng
ser;.v'ice equipment, cO,nd1i:iJ:"c _pipj,ng acc.essor;j.es, _aDd- ht!1er ,anqiJ.,lary ,e.qpipment i terns are. '.i:n.~
...<i:' place .,but before any conc~~:~i~;~p.our~d ~or ~.~.~or ~h"eatli:i~9 ~,ns ~~~le~, i'nc~:...~d~~9 .Ht,he' SU?BOO,~~~ :, ,7,' -.,
\. 3. Framing ~ Insulation Inspe'c.tioris:' T0 -be m'ac;l.,'2 "a'fter-.the. roof" all- f-iami'ng',- fire- b10CK-ipgi..a.n9,-::~.,'
,br.ac'i'rill are in place and 'all pipes; fireElaces, chimney~ ;"and v,ents, are }ompl.ete and all rough'"
. electrica:l and plu'jnbing'" iir,!,! appr;ovE;d'. "'\Al.l ~wall . iris~la tlon .and v.a,por: ba,rhe~ aX'e" in: place'. . ',\,' ,
. ....... --.. .. >c_, :I J -,.. .. - .., . . -. 1 ':. "'..... - ". ~... - . _.....l .. '....J .. ~..... ~ ':,.- """:""'7, .: ,
.'.,'...4".., Lath.a:ndjor Gypsum' Board Inspection: To be made after all lathing,an'd_.g:Yp'sum.boar'~",in.!:e.rior
J 'and.",exterior, is in place !Jut be.fore ,any plastering is..applied and before gyps,uffi,. boa,rd j,oii1'ts' . ""
and fasteners are taped and finished.
,-..
"
, '
:."
'.
','
"
)
5. ,Final Inspection :To be made after the buildin'g' is comple'te and before occupa'ncy.
APPROVAL REQUIRED. ' 1'1'0 wor'k shall' be 'done on a!1y part of t,he 'build,ing or, structure beyond' the point
indicated' in each succe~sive ,inspection- without:. first obta.ining the approval of the building officiaL
~Such'approval shall be given Qnly after an inspection shall ~av~ been made of eac~ suc~essive,steR" -
in the construction as indicated by each of the inspections required.
.. . ~..... . .. --. '\0.
NOTE:~ 'All building permi ts req~ire 'in,spectiolls 'for the",wprk authorize.d.:,.... ~:u_2h,,~?,bu,t _~o~ -.1~:\li!-~d "~o:
A.Block"'wall: To be made aft~~\rei-;fcircin~. i~':in pla~e, but before any'~r~ut is poured. This
inspection, is required for each bond 'beam pour. , }'Chere',will be no' approval unt{l the plumbing
and electrical inspections have been made and approved'.
B.' Wood Stove:, To be made after completion of , masonry (if appl\ca))1e) and when installation is
" complete. 'Installation shall be in accordance with an approved~,nationally recog~ized testing
ag.ency and the manufacturer' s inst~llation in":tructions. ,
C.' Moi:;r'1e- Horne: An inspection, is required after'the mobile h'bme is connected to an, 'a'pproved
. sewer,' or septic'; sy):i tern for' se tback' req\liremen ts i '. olocking ,'" ,f oot;Lng ~onnec tion ,. _.tiedown s,.
skirting; 'and' p'11,lffihirig'co'nnections. -, ,.,,, -, '. ..1>"';: .' - ~ "
,... '. ... . .
1. Footings anfl. piers no comply wi th State foundation requirements for mobile nomes .'or, as, 'I
:::'. ... ',\ lieqOIlUT\ended ~y the manufacturer. '
2. Mobi'le home '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. Swimming Pool: Below grade when steel i,s ,in place and before concrete is poured. Above grade.~ '
when pool is installed.
,.
, .
APPROVED PLANS MUST BE ON. THE J,OB SITE AT ALL' TIMES DURJ,NG _ W?RKING HOURS" THIS PERMIT ~W,]l--L EXPIRE
IF WORK DOES NOT'BEGIN.:WITHIN 18'O'DAYS; dB. IF WORK' !oS; S\':JSPEN1lED OR ABANDONED FOR MORE T,RAN 180 DAYS.
SUSPENSION OR REVOCATION MAY OCCUR IF THIS. PERMIT WAS ISSUED ON THE BASIS ,OF INCOMPLETE OR ERRONEOUS
INFORMATION.
, '). . ~ .' ~ .
\'~~NYONE PROCEEDI~G 'PAS~ ~HE POINT 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 Cornrnunity'Development by submitting the
insta'llatJ.'on'record form. 'The Department shall"inspect the construction to deterl!line 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 permittholder.
I'f t~e construction does' no't comply with such ru'ies, the Department'shall notify the permit
holder and shall require satisfactory completion before,~~suing the certificate. Failure to
meet the requirements for satisfactory comp'1etion within a reasonable time constitutes a vio-
la tionof ORS 454.6 0.5, to' 454.745- and ,this rule.
~~) -~ .
'Set;backs Subsurface Sewage Dis'p'o'sal
Septic Tank
From: Interior property lines 10'
Edge ~f r~ad r~ght-of-way ',10'
Building foundation 5'.
Wells" ,other water sClurces 50'
Drainfield
-~ "
10 '.
.10 '..
10' ,
100' "
...
.j> ..'
".
"
, ,,'~~.../
~...'("
CO""...
-":".t4...; 2 $:'"
,- .....
\
.... '" '--
"
'.~
(.
"
\
, ~,~..,"'.
. j
','
/
j
t ~ I} ..
"
l, . .
\ \. U
"-.
. \ ~
"J ,}
i.u '
APPLIcANT CRONIN,
TLI 1703230000800
'J .J L NEW BLDG TYPE
Ov.,INEJ< NME '
CODE APPL NOr ACTION DESCRIPTION
ElF'
BP
BP
BP
BF'
L:(~INE
VIF<GIL.
SUBDIV
USE:R ElDRMS 0 UNITS 001 STORIES
(-m D I=<
SQ FT UNIT COST"VAL.UATION
COUNTYDEPT ENV MGT RECEIPT 0 24983 nATE 022383
ADDR 16023 ~REEN FORES1, LAPINE, O~EGON
LOT IlLI<
::J:BI...DGS 001 PHONE ~536 :'51'16
/
FEE
1)(.1''(;.
J L',
SUR
NO;. CONNECTOF<.:.'::
f1ECHANIC(~L FEE
STATE SUI:<CH(~lF;:GE.
PLAN CHFCI< FEE
'1 ~>. 00 EtleH -..
'PL NO. FIXTURES:
MECH
jjjPCI<
LR LC 24983 WELL
" .{l~~
(J~5~~' .
,
2~) ., 0(Y
/
CATG: (:':jPP
SEQU : 0
T'AKEN BY r'U..H
RA
FP SDS SI PCK
, 1
EST. COMPLE~ION DATE
OTH ISS
;.~
, Ii"
?
TOT (.~l... FEE **
20.00 CI< .
"r'
kme county
~,-r\NNING & COMMUNITY DEVELOPMENT 0)
, ACTIVITY INFORMATION SHEET9Xig ?d~'\;\~,\
COMPLETE THIS SECTION. INCOMPLETE FORMS WILL BE REJECTED! I <.;25 c:; ;'O.AJ I~_ ,~,,\
(he/G' f(ffo#iAJjl;/fJ III
, . PROPERTY f)~~ER , IL({>" /;1
Jc.ltJ7 c8~r Ifr~~~, .w.e:;\S~r.
MAILING ADDRESS -- .-
Sl~f)/CFifi/J tf4ESOA-l
CITY STATE
't)
, ,."""~,.".,..,,, ..._,....".._...,.,_.~ ..'. ... ~_.". ,.--.... .. ~..
" /)/Jlc ~/;;- C1aA//~J;fLLj)RI:!J?d:
. PERSON MAKING REQUEST /
16~4i ~,(J.cF# h~:~.
- MAILING ADD,RESS
lA !jN.e' LJA'E'6'6.A/ flY?
CITY STATE ZIP CODE
ZIP CODE
5Jt -c1oc37
BUSINESS TELEPHONE #
c.8h --J//6
HOME TELEPHONE #
1,1.6 '-797'1
BUSINESS TELEPHONE # HOME TELEPHONE #
2, PROPERTY ADDRESS
(IF DIFFERENT FROM MAILING ADDRESS)
3 MAP & PARCEL NUMBER (from tax maps in ,Department of Assessment and Taxation i
(REQUIRED INFORt1ATION) or from tax statement) !
17--c5 3-tV,,23 7~:It II-Ikca.~~~ M-tJo !
TOWNSHIP RANGE SECTION 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:
~rrffr5
,ACRES
4 SUBDIVISION (if applicable) ~ LOT BLOCK
5 REQUEST (state exactly what you plan to do) .f)/)//;; /-J-' ~lj;jj~..>7/G- tv&L-
~ Lv~ !:/L-,'-lie:: A;Ad~ Ib~g~ry ~~~-' ~ t/s"kUJ
17__ /)/1, ,. '/ ~. ;A/ f6'1Yf.-V - -
4:d/! - (/Pd-'H/Ctn; &i(~ 17 'u/W/V i -'~/~{l-r/t)4/ . '
,6 DIRECTIONS TO SITE: /)7J c1&T ~~~_ C4f,T .t];>I#>bCl/6';; tu/?nt~/n~ rIA//?
.__.~':t ..;aT r~; ~I /$.#///LI!~ ~ ;"zJp~!!!%fL~Lv 41rf1:~r {~J
** FOR STAFF USE ONLY ** . NUMBER ;ti
<.n
, ZONE/LAND USE: '
BY: DATE:
DATE
..
-i
;-:
TIME IN:
OUT:
TRS, TL
'Plot
Plan
Subdivision
Lot
Block
Vicinity Map
074-150
Job Location
Permit /1
Permit {I
Permit {I
(Address)' 33o? cfiAu?/ a.€~ L/f-/vL ~/N<1;;:'# t1';rq-/1/J t17f7?
\ / . /
, For . Permit {I For .
For Permit /1 For
For Permit {I For
~~ I ,~,JI /
;; ,y-- ~,-<' .
/~/ " (reU1 ~
~r ,~ \;~
( -= ',\ FEB2219, ~ '--
"_, L';O'Ln/ '83 - :>
.. ~vl w NG . " .)
,~ ~-_\ S:WIT,qnOf\J .(~lD "
'\ -<- .. I ,.... ' m/v'/$ll1A' ....
-<;)~ ";""I:tC.QtJr4TrY!){tl ..
'~'tn--T-<~ \
~1111...Lf'
~ f lM'bY v"""
, L4A1e..
N"
~
~
~
~
N
~'J
I C' ~
k "
(
~EC a.,s
. -;-17-$_
.z - 1e..9CAJ
.~:3 J'L
~ 7'lCAES
1Cc.cc. ~
')-.( ~ 00 &00
Jf>L
3307
~ B4(." L /,'
S'p~ T VIe'
KI"~I4& ~ ~,tAJ.
I "~4'6(J Id
97~77
--
f --_,
~QI.I~el
01 I
\- I
-\ - --I
r1
LJ. .JtrPT/C
I. ' l"t\~1(.
,...t!:t. _ _,
I tJ,'
" 1<>.
, ok I
, ".'
"'I
~
... .
"
its
")
1.
\
\
,
,
j
~!
/
,
~.. ~ ~
~
(;~
_\ ~~:.~~l> -
()l \ <0'" ~~y;~~ -
-, <<~~ <).' ,'~,~ j-
, v ,,,"" ,,,, .s.
,. .........:0. f''''')''
/' ."\.. "'. C.;~l L ""
c,,' ,~:.'. I~.......
~ /' C'~.', -<"
II,; -~"\ tp
COIII~l'