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Home My WebLink AboutPermit Building 1990-2-8 ~ , REQUEST FOR: PERMIT # ag'3--Q[) Temporary Mobile Horne Renewal \ , TQWMSHIP 18 .....G. 02 SECnON 05 11"SIECTIClH TAXLOY .1.3 3700 Springfield 97478 .uaQV~/"ARnnoN LOT I .......en. -.OCK LOCA nON AD""'iiU. 4637 Jasper Rd., ""UClURiS NOW ON PROPERTY Existing MH, TMH PROPOSEr;) USI aa>1lc ".'ALLlO .ATER ...TALLle Residential DUCIllPllON Of ""Of'OBEU WORK NO. DP aTONES MO.Ol" illPLOftEII CONBTRUCTJDtll conlYALUI ~ NO. 01" aEDROOMf TMH Renewal of 3237-88 OIREcnON8 TO BIn "'OM COURTMOU.. 42nd St. to Jasper Rd; Past Clearwater Lane APPUCANT NAMI . ADORU. Jean Woolery, 4637 Jasper Rd., Springfield 97478 OWNERS NAMlI .. AOOfta" Kenneth Woolery, 4637 Jasper Rd., Sprinqfield 97478 'C'ONiiiACTOR N..... 08R UCiN81 . PHON I 746-9567 ,""DNa 746-9567 PHON I ) MAIL PERMIT TO: Jean Woolery, ) H.....I! I hava carefully read BOTH _B~rp;vpn hv mrt;l ~ PRNfIWA& . 4637 Jasper Rd., SRrinqfield ..OOIlEsa 97478 ""'" ) sides of this application and hereby certlly that all January 1990 -- Information Is true and correct tf . .:~: . . "', :' ,~ ) FEES DUE: \ /1 .L:hlit,'t - DATE .1 -;.-ffO CALL FOR ~NSPECTIO~S (SEE BACK 0; FORM FOR&STRUCTIONS) 687-4065 SEPTIC permits are good for one year. ALL other parmlts expIre after 180 days unless Inspact/ons ara currant. $ APPROVED. BY: : J -- VIOLATIONS SBnACKS AND OTHI!R _.,_..._.,J OF APPROVAL MUST BB STIUC'Il. Y OBSERVED. VIOLATION CAN RBSULTm RBVOCAT1ON OFnDS PERMIT. CITATIONS MAY DB ISSUED UNDER nIB PROVISIONS OF LANB COUNTY'S INPRAcnON ORDINANCB AND/OR OTHI!R RRMBDIRS AlLOWED BY LAW. . . , 0....... A MINIMUM OF AT LEAST 24 HOURS ADVANCE NOTICE MUST BE GIVEN FOR INSPECTION REQUESTS Have the following infonnation ready when you call: 687-4065 Permit number - Job address - Type of inspection required When it will be ready Your name and phone nwnber - Any special directions to the site ): , PUBLIC omClAL liGHT TO TRESPASS ON PRIVATE PROPERTY OR! ns.oao " POWER TO BNJ'ER UPON LAND. nm COMMISSION, AND ANY OP ITS MEMBERS, OPPICERS AND EMPLOYBS. IN nm PBRPORMANal OPTHBIRPUNcnONS, MAY , ENIBR UPON ANYLAND AND MAKB BXAMINATIONS AND SURVEYS AND PLACE AND MAINTAIN nm NRCBSSARY MONUMENTS AND MARKERS nmR:E.ON. REQUIRED INSPECTIONS FOUNDATION INSPECTION: To be made after excavations for foolings are complete and any required reinforeing steel is in place. UNDERGROUND PIPING INSPECTION: To be made after all underground piping has been installed, prior to any backfill, CONCRETE SLAB OR UNDER-FLOOR INSPECTION: To be made after all in-slab or under-floor building service equipmen~ condui~ piping accessories and other ancillary equipment items are in place but before any concrete is placed or floor sheathing installed. including the subfloor. ROUGH MECHANICAL INSPECTION: To be made after all ducling and gas piping has been installed and prior to being covered. ROUGH PLUMBING INSPECTION: To be made after all plumbing rough-in is in place, prior to being covered. FRAMING INSPECTION: To be made after the all framing, fIre blocking, bracing and roof are in place and all pipes, chimneys and vents are complete and the rough electrical. plumbing, and mechanical inspections have been made and approved. INSULATION INSPECTION: To be made after all insulation and vapor barrie", are in place, prior to covering. LATH AND/OR GYPSUM BOARD INSPECTION: To be made after a1llatlting and gypsum board, interior and exterior, is in place but before any plastering is applied or before gypsum board joints and fasteners are taped and fmished. ADDITIONAL INSPECfIONS MAY BE REQUIRED, such as but not limited to; . BLOCK WALL: To be made after reinforeing is in place, but before any grout is poured The inspection is required for each bond beam pour. There will be no approval until the plumbing and electrical inspections have been made and approved. FINAL MECHANICAL INSPECTION: To be made just prior to the s\rUCture or remodeled area being occupied and prior to operating any equipment FINAL PLUMBING INSPECTION: To be made just prior to the building, structure or remodeled area being occupied. FINAL BUILDING INSPECTION: To be made after finish grading and the building, structure or remodeled area is completed and ready for occupancy. MOBILE/MANUFACfURED HOMES: An inspection is required after the mobile home is connected to an approved sewer or septic system. prior to covering sewer or water lines, for setback requirements, blocking, tiedowns and plumbing connections. Footings and piers to comply with State fOlmdation requirements for mobile homes or as recommended by the manufacturer. Minimum fmished floor elevation shall be certified when required by Floodplain Management Tiedowns, if required, shall be installed and ready for inspection within 30 days after occupancy. Tiedowns shall be installed per enclosure, APPROVAL REQUIRED No work shall be done on any part of the building or structure beyond the point indicated in each successive inspection without flrst 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. APPROVED PLANS MUST BE ON TIlE JOB SITE AT All. TIMES DURING WORKING HOURS. TIllS PERMIT WILL EXPIRE IF WORK DOES NOT BEGIN WTIllIN 180 DAYS, OR IF WORK IS STOPPED OR ABA,wu"cD FOR MORE TIlAN 180 DAYS, SUSPENSION OR REVOCATION MAY OCCUR IF TIllS PERMIT WAS ISSUED ON TIlE BASIS OF INCOMPLETE OR ERRONEOUS INFORMATION. , ANYONE PROCEEDING PAST THE POINT OF REQulit'EDINSPECTIONS WILL DO SO AT THEIR OWN RISK. . . . " Your signato;' on the front of this fonn verifIes the f~ll;'w~g: I HAVE CAREFULLY EXAMINED TIllS COMPLETED APPUCATION, and do hereby certify that all infonnation hereon is true and correct, and that I have a legal interest in the property as owner of record or authorized agent. I further certify that any and all work perfonned shall be done in accordance with the Ordinances of Lane County and the laws of the State of Oregon per- taining to the work described herein. I further certify that if I am not the owner of the y.......r'.~J. my registration with the Builders Board is in full force and effect as required by ORS 701.055, and that if exempt the basis for the exemption is noted hereon, and that only subcontracto", and employees who are in compliance with ORS 701.005 will be used on the job. SUBSURFACE & ALTERNATIVE SEW AGE DISPOSAL SYSTEMS: When subsurface construction is complete, the pennit holder shall notify the County Land Management Division by submitting the installation record form. An inspection will be made by a qualified sanitarian. If construction complies with all rules a certificate of completion will be issued to the permit holder. If constnic~ion does not comply with rules, the pennit holder will be notified, and all corrections shall be made before a certificate of completion will be issued. Failtlre to meet satisfactory completion wi~ the alloned time, constitutes a violation of ORS 454.605 to 454.745 and this rule. SUBSURFACE SEW AGE DISPOSAL SETBACKS SEPTIC TANK From: Interior Y.....Y.....J lines 10' Edge of road right-of-way 10' Building foundation 5' Wells or other water sources 50' DRAlNFlELD 10' 10' 10' 100' . .-, -. . . MOB!LE HOME TEMPORARY PERMIT RENEWAL. JSMD. , . . -;:'- ...... ..... -t -. .... ':, .'. '""."., . .1.._...............:......~__1 o.....-..-...__u (~~~~ty) - -' APPLICANT MAILING ADDRESS 1802051303700 TMH 3237-88 KENNETH waOOEY , '46:17 JASPER RO'" SPRHIGFIELD, OREGON 97478 ~------,- --- / CITY, ZIP ~"'~"''''''',mw,m"''''"'''"m''''''m'''''''''''Mii;l INFORMA TION PROVIDED BY APPLICANT "."""."""".""""..,,".,.,,,>;,.,"".*'"@'''''''' :A~_~ pjd .t_~ j)~~_ 3. WHAT RELATION IS THE CARE-PROVIDER rJ Lq,J.. IL' "0 _ TO THE PERSON WHO HAS THE HARDSHIP? --1....Lj)J.lV- AJlA. "'" X]Hi-u.!, -~.J ') 4. WHO LIVES IN THE MAIN DWELLING? (NAME) f(,p __" ..; . \..e..u..l L U J ~ t7 J /) 5. WHO LIVES IN THE TEMPORARY MOBILE HOME? (NAME) j!?jJo/\ ~ " ~JJ~f~f!.J, 1. WHO HAS A MEDICAL HARDSHIP? (NAME) ;: J4~h .J:l: 1::.' i; '"" oJ- 2. WHO IS PROVIDING CARE? (NAME) 6. LIST THE FOLLOWING MOBILE HOME INFORMATION IF KNOWN: MAKE" YEAR: SIZE X 7. SIGNATUR~C::: 'rz:i~ ~QJJ . PERSON WITH HARDSHIP j/ '//.t'A---<-U =;I-~~ (;0'~SON PROVIDINGCA~ (j L1CENSE# !~ ~~ 90 DATE /-7-7'0 DATE lm'":>>>.",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,">>>"','INFORMATlON PROVIDED BY PHYSICIAN OR THERAPIST "''''''''''''''''''','''m'',@,",'''''''''~ 1. NAME OF PATIENT: ~./~ -~/~1;t?;.u... 2. NATURE OF MEDICAL HARDSHIP' C. # r- _, jJ V.J/ / 3. DOES THIS HARDSHIP NECESSITATE THAT A FAMILY r MEMBER PROVIDE CARE? PLEASE COMMENT: ~ -- .' , ~~~~A ~ ~ ~/d'P~ I" it "7' /?' 4. PHYSICIANSSIGNATURE:K % --4" ~ MAILING ADDRESS: 105 ~,l-!- KI~';:;/ CITY, ZIP ~~RINGiA~go~:ilJ:~~~'~ p; ~~~" Q Lana County Land Managament Division 125 E. 8th Ave. Eugene, b 9740;: 1 ..f.t. :j~y;., \ .'. -l "fi1 '0 _./:', / ~m:.,<l 12 ,.t. ..,-V'{jA t.~~...)~.~lt//"''''.:-~.~:., ~ _hi},''''", ,.,.. . __ 'Vir .,lit.... *'/ . ~ff~~ ./ ,-. . \ . . . .-" . rf ~ e . . . '\ " ~ , , . . A . . ir r . . . . 11.1 . . . . rr r . . .~ r 5 ~ . ef "I e e<. ~ · ~F'F'tICANT WOOLERY, JEANLANE COUNTY DHlRE~t3~G3A~f.tPH., ~SP~~~C~IEeflTE 01 249~. TU' 1802051 30:n00 , SUBDIV' LOT BLK eNEW BLDG TYPE MH USE I, F.lDI'~MS 0 UNITS 001 STORIES ~BLDGS 001 PHONE 746 9%7. OWNER NME WOOLERY, KENNETH ADDR 4637 JASPER RD., SPRINGFIELD . CODE APPL NO ACTION DESCRIPTION SQ FT UNIT COST VALUATION FEE DA"S BF' :'. r r ('IP BP .F.W . BP .I:'L MECH sur, .PCI( MH .SDS I\UL frl . CATC;: SEQU: TAKFN ... ~FIX/F.lATH : SWI\: FT. WTR: MECHANICAL FEE STATE SURCHARGE PLAN CHECK FEE FT. RAIN: FT . 5% 2~5% Ii OJ r~ . LC 28390 TMHR.' SDSC FEE 60.00 25.00 . APP I:~A 1 BY ,BB FP SDS SI PCK QTH ISS :3 DEF'DS I T ,)ill e 10 . 85.00 CI( ~ er : , ". U1o- .~ ,. 2 EST. CDMPLETION DATE e