HomeMy WebLinkAboutPermit Building 1983-1-24
, L47'57DRESS I STREET PoQCl.,
STRCCTU~5 C~RREIn'LY 'G~ c: ~
fJXJ.~lff\q; (tarzG-.- :K1YU~~
~IPTION OF P OS~:.:uebUl ~
'--OF EEDil-1S' ICJOF ~~to~s pOF :Q30YE S
O(];di2G~X 'I 4757
cO(2;1~~ Q~ ~~~
CO~C"flKS OSR' I DIRECTIONS T51~ . '"j''c Q J I. li-l)1 '
I/.J de . t'lY1 LV:~ +0 1. ~ " LJL.4<L , jl4fYlL. tJrv
~ 1u.~ ~ fJb'Pd, Ao;;t: Opl~e~ h '1 u.1~ ~. .
~- J'.' .~-'.0.
I II V, CAREFU EXAMINED 'rilE COMPLE . APPLICATION FO P.RMIT, and do h<':'H.'b:; r:crl:lr',~ O~ - -i~~ll~ and ~orn'~_ ,\Il\ t{nUPer
ccrtif hat any and all work performed shall be done in accordance with the Or:dillilnc.:as of Lima Count:y - lid the !"r,~s of tl,,~ SU,te nf Qn''l~JIl r"~' l,1il1in'1
to the work described herein, and that NO OCCUPANCY will be made of any structur!l without the permission of tho Building DLvision. [furUl'"lJ: c('r~ify
that registration with tIll.! Builder's Board is in full force and effect as. requir~d by ORS 701.055, that if exempt the b~sis for 8xcmpti~J/l is not"o
hereon, and that only subcontract-ors an"d rlOyeeS who are in compliance. withlORS 70\OSS..will be.us~d on t~js p.ro~,. ....!:.':'IVE READ , Cll~~\) THIS
APPLICATI~N THOROUGIlL:. L-wii.cY V ~~CJ.D.l-! +0 LL.UV U'"\ ~ .(LoYJl:CU...l..J I J)
r::-. lere:ttU.Sl ~~ ~ ~ O'^"e,
LJ".,iyv!a..." Ml4'~ 'x. ~Au-4.~' ~.r.n,J, , I;'oh~ Dconmc,o,
NP.ME (pleasE.: print) ) ,SIGN;;tl;1RE - . D.;TE ~9Cllt
,
'. r\~ A.tt
CON'siRUCTION/PLACEMENT
.
n~ tD/,..f PERMIT ~\Opp 11 D
\.I / . \ ~
COMPLETE THIS BLOCK. PLEASE USE BLACK INK AND PRINT.
TOI","HIP 15 J PANGE 02 I sEeTOS . l.:' 1,:2 {CO ~oiorC)
SUBDIVISION/PARTITION (if applicable) r LOT/PARCEL
I
.
I BLOCK
.'
~. FOR OF?ICS USB O~LY
Applicati)(l).i, Q"2
Permlt #L:..-,-() )
o Two Copi;S of Plans
o Two Copies of Plot plans
D!'lechanical Checklist.
o Plumbing Chec}:list
[JPlan Check Info Sheet
ZIP
PRoposeD us!:: or Pi\OPERTY
~Resi~ential [Jlndustrial
o Commercial
OPublic
o PLANNING/ZONING: zonDqt 1-'artition # Parcel i:; Parcel SizE'
Nirnmum Sct.bad;s: :>(Jf~'W'~ CL, si.de. interior 15 I" re<:lr 20'
1_, J ,comments,-!Vl1:0 Q?hYVlIt,llilL:.t lLifItiL" V2/31/'84 fry- (j/Y)i.tJ.)
r 'UJillr.Cun (~; ~ ~?\r5i Date,~+1Q/'f<...=; <ID
ff F~PLAIN: In flood hazard area? ~NO [)-ds, see attached sheet. Date, \ -'2-0 - e>'O ~L
o RURAL ADDRESSING: GRID COORDINATE N E Date, 0
B""~~!J<:>N: S.1. B, p: # W73-f-C. Installation Record Issued?DYesDNo
." (J InSt~ Gallon Lineal Feet Maximum Depth
Specifications: Tank of DrainfiQld of Trenche~~
comments:~/ ~
Phslt~. :yp,("/"A>
/
(' (er''''-''+ a....
~LANS EXAMINATION:
-
Use
M4+
Type
Group
Comments:
SEE REVERSE SIDE OF PERMIT ~ND
:'-:':'':.Qtl_'::U;:S r~~ ~~~::.\HA=Fte:
REQUIREMENTS,
~,
AUTHORIZED 'If THIS PElRMIT
CONSTRUC'l'ION
~~~~t)
~~~
Fixed Fee/
Unit Cost
"_,,,,1...11. )
Date, .1..<14 83
i
~
'Date,~3
o
10,00
.") B ' ('rD
0Z.oo
~.0n
JO ,(')()
Floodplain Fee
Subsurface Fees
Building Fee
Sewer/Storm Drain/Water
Plumbing Fixtures
Mechanical
Plans Check Fee
State Surcharge
Sq. Ft.
TOTAL FEE
$
$
$
$
$
$
$~,~
$
$
. TOTAL VALUATION
PlRMITS FOR ALL ELECTRICAL WORK
SHALL rE SECURED FROM THE STAtE
OF OREGON, DEPARTMENT OF
COMMERCE, ELECTRICAL SECTION.
FE2D BY: [j/check 0 Cash
- By: ri1.n<lP,
Date: y1CS/33
(,0' ORS 456:~ ~~E
$
rkO
PERMIT APPROVED BY BUILDING bFFICIAf/' .SIGNEE
LANE COUNTY DEPARTMENT OF PUL~NING & C ~~UNITY DEVELOPMENT / 125 EAST EIGHTH AVEPUE, EUGENE, OPEGON 97401
SEE REVERS' FOR INSPECTION INFORMAT:ON
.
.
.
.
SETBACKS AND OTHER CONDITIONS OF APPROVAL MUST BE STRICTLY OBSERVED. VIOLATION CAN RESULT IN REVOCATION OF THIS PERMIT,
CITATION UNDER PROVISIONS OF LANE COUNTY'S INFRACTION ORDINANCE, AND/OR OTHER REMEDIES ALLOWED BY LAW.
WHEN READY FOR INSPECTION CALL 687-4065. A MINIMUM OF AT LEAST 24 HOUR ADVANCE NOTICE FOR INSPECTION REQUEST MUST BE
GIVEN. Have the following information ready: Permit number, job address, type of inspection, when it will be ready,
your name and phone number, and any spec,ia.l.direct.;ons" to site. .
BUILDING DIVISION:
REDUIRED lIISPECTlONS
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. Where concrete from a central mixing plant (cormlonly termed "transit mixed") is to be used,
materials need not be on the job.
2) CONCRETE SLAB OR UNDER-FLOOR INSPECTION: To be made after all in-slab or under-floor building service equipment,
conduit, 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 in place and
all pipes, fireplaces and chimneys and vents are complete and all rough electrical and plumbing are approved. All
wall insulation ~nd vapor barrier are in place.
4) LATH AND/OR GYPSUM BOARD INSPECTION: To be made after all lathing 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 finished,
5) FINAL INSPECTION: To be made.after the building is complete and before occupancy.
APPROVAL REQUIRED. No 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 masonrv (if applicable)' and when installation is comolete.
Installation shall be in accordance with an approved nationally recognized testlng agency aud the manu-
facturer's installation instructions.
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
connecti ons. .
(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 shall be certified when required by a floodplain
management letter. .
(3) Mobile home tiedowns, when required, and skirting shall be installed and ready for inspection
within at least 30 days after occupancy. Tiedowns and skirting shall be installed per enclosure.
0, SWIMMING POOL: Below grade when steel is in place and before concrete is poured. Above grade when pool
is installed.
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 MAY OCCUR IF T~
PERMIT WAS ISSUED ON THE BASIS OF INCOMPLETE OR ERRONEOUS INFORMATION, ""
ANYONE PROCEEDING PAST THE POINT OF REQUIRED INSPECTIONS WILL DO SO AT HIS OWN RISK
SUBSURFACE AND ALTERNATIVE'SEWAGE DISPOSAL SYSTEMS
(1) Permits shall ,be ef,fective 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
Department by submitting the in~fal1ation record. form. The Department shall inspect the constructlOn to
determine if it complies with .the' rules contained in this division. If the constructlon does comply ,"th
such rules, the Department shall issue a certificate of satisfactory completion. to the permit 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 ~ertificate. Failure to 'meet the requirements for satisfactory
completion ~ithin a reasonable time constitutes a violation of ORS 454.605 to 454.745 and this rule.
Setbacks' - S~bsurrace Sewaae OisDosal
From: Interior property lines
Edge of road right-of-way
Building foundation
Wells, other water sources
Seotic Tank
10'
10'
5'
50'
Drainfield
10'
10'
10'
100'
'- ~~'. )
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CHECKLIST
PLUMBING/ MECHANICAL
APPLICANT INFORMATION:
AAfJ.(' jJ 11 P 0 q"
lNaffis/or FIrm-ple~ PrInt)
PLUMBING CONTRAcrOR 0 Yes Firm
Address
l~BIllng AddreSS)
o No o Self
MEGlANICAL CONTRACTOR 0 Yes Firm
Address
o NoD Self
Type of Fixture
YLUMBING
Number of Each
Total
Sink
Lavatorv [Wash Basin)
Tub (with or without shower)
Shower, separate
Water Closet [toilet/urinal)
Dishwasher
Disposer (garbage grInder)
Washing Machine
Water Heater
Floor Drain
Sewer--lst 50ft.
each additional 100 ft.
Water Service--lst 100 ft.
each additional 100 ft.
Storm and Rain Drain--lst 100 ft.
each additional 100 ft.
Special Waste Connection
SewaQe and Sumo Pumo (eiectorJ
~bbiie Home Sewer and'Water
Other (specify)
SUB-TOTAL (Minimwn $10.00)
I TOTAL FEE
Type of Equipment
MEGlANICAL
Number of Each
Mechanical Permit Base Fee
Furnace UP to 100,000 BTU/H
Furnace over 100.000 BTU/H
Clothes Dryer Vent
Bathroom Ventilation Fan & Duct
Ran~e, Hood with Mechanical Exhaust
Wood Stove
Air Conditioner Only
Heat Pumo
Floor Furnace
Gas Piping System 1 to 4 Outlets
Per Outlet
Other lspecify)
SUB-TOTAL
, '!DTAL FEE
OFFICIAL USE ONLY
Appl~./ ~5-E3
PermIt #
lClty or Town) lZIP Code)
Cant. OSR#
Cont. OSR#
Fee On Each
$ 5.00
5.00
5.00
5.00
5.00
5.00
5.00
5.00
5.00
5.00
15.00
10.00
15.00
10.00
15.00
10.00
5.00
5.00
10,00
Fee on Each Total
$ 10.00
$ 6.00
7.50
3.00
3.00
4. SO
6.00
6.60
6.00
6.00
.50
.
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. LANE COUNTY DEPT ENV MGT RECEIPT ,~ 2383 DATE 01108. !
APPLICANT MACAULEY, LORETTA ADDR, 4757 JASPER RD.. SPFD., OREGON .
TL~ 1802050002400 SUBDIV ' LOT BLK I
eNEW BLDG TYPE MH USE R BDRMS 2 UNITS 001 STORIES 1 '~BLDGS 001 PHONE 746 4026. (
OWNER NMEMACAULEY, LORETTA ADDR 4757 JASPER RD.; SPFD.. OREGON ,.d
....,,!:.OD..E APPL NO ACTION DESCRIPTION SQ FT . UNIT COST VALUATION, FEE DAYS.!';
~r TEMP. MOBILE HOME -
PLACEMENT l
BP
BF'
ej3p
1 [,BP
...~H
WMHF'L
MECH
'.SUR
:'CK
SDS
, PCK
.P
SUR
47.
07.
. <
1
62.50 . ,
40.00
4.10 .
50.00 \, /
19.00 e
10.00
5.00
" LC 2383 TMH
NO. FIXTURES:
NO.
CONNECTORS:
MECHANICAL FEE
STATE SURCHARGE
PLAN CHECK 'FEE
15.00 EACH =
SDSC
e:ATG:
l:,SEQU:
eTAKEI'J
2
F'CK .
3
OTH
ISS
4
TOTAL FEE**
e
27'
190.60 CK .
APP
o
BY CAD
RA
FP
, 1
EST.
SDS SI
COMPLETION DATE
.
.
.
/
(')
JAMES A. MCHAk..~"~.D.
PHYSICIAN 61 SURGEON
PHONE 746-9605
311 MILL STREET
SPRINGFIELD OREGON 97477
12-29-82
Lydia VanderWaal needs s~pervisional
care for Diabetes Mellitus, Essential
hypertension, ASHD and Congestive heart
failure and needs mobile home permit
for "liv~ on premise~ at Linda Macauley's.
sry" re y,
IA/~
Jam i A. McHan. M.D~
PLANN4IIt & COMMUNITY OEVELOPMENT
ACTIVITY INFORMATION
.
SHEET
~i
~
COMPLETE THIS SECTION. INCOMPLETE FORMS WILL BE REJECTED!
.~,~ !
1 l."'rH~ Mrl,ICLI! ,~I ~ ~v-e..,'\ta_"'~!1~atJJ(,LI
PERSON MAK1NG REQU,ST PROPERTY OWNER ~
LJ7S1 JM~ (\lrj . Ln~ ~b.,"..I1)~ f?(1 ,
MAILING ArfDRESS MAILIN~ ADDRESS
~eld flR. C(7Lf17 ~nM:fI'flrl 0R. a-rU1'1
"ClJY' . STATE ZIP CODE cm.J' sTATE Z~
BUSINESS TELEPHONE #
/44,,- LJ(\?k
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)
Ml)lall'(..~ 'l~ ~ oS"
TOWNSHIP RANGE SECTION
2.L{ '1ll/.0
f' k..ct: ""ocA TOWNSHIP RANGE SECTI ON
1'116;
<..lod.v~ \ bd:~ TOWNSHIP RANGE SECTI ON
fl\/Yt.o.L ~ OL4<:OAnr\-:-
TAX LOT{S) OR PARCEL # ~G
TAX LOT(S) OR PARCEL # ,ZONING
TAX LOT{S) OR PARCEL # ZONING
TOTAL CONTIGUOUS PROPERTY IN SAME OWNERSHIP.:
Y.O~
ACRES
4 SUBDIVISION (if applicable) LOT BLOCK
5 REQUEST (state exactly what you plan to do) T 1.'llltU I)~ -I-r-, rlJ..h. t"l,.Wo./.lLd-<L...-
_~M.& ) ,'",. o!'0 i:11"9"Lspot~MJ~ f\h) M. ) WlIl~V- ~t ' 'v
jV\<::,hvo. !e..ny l..~{lJ'~ is -I'o1l/l'1i fLNlL ~I,., 'i<lcuh, .
6 DIRECTIONS TO SITE: ~ll1i, "'A. l{j~."<t-;", '~~_.-I.J..M.i-:1 jt. vu....1\~;
-tuvIA /&I-!<VU ,1,,^~_Rd. ... 9tl ~~ ~ J-u... ~~. ~~' Y\'1.,-cLL.d.wz4
.~""A: r,:pA\ "p,jt. .r.;;-~~~. FO~'''r,::AFF ~ ~"':~ I ~;..,: &:ti N~~B;;" 'N....
ZONE/LAND USE:
BY: DATE:
DATE
s~J-
)MJ k}.a .
-l
'"
V>
-l
r-:
TIME IN:
OUT:
I,
~Ru;ldit'lg P..rmll-W~jlo
"OI"c".-61....~
Counly 1IlJl-Pin~
O'/iCot-Conorv
Olli(II'-(';"'"''
1>/"'>1';"'0 CO"'!nl)~ion-Gold..n'oJ
Yublle Worln-Bl.IlI
APPLlCA~ FOR BUILDING PER..
Lane County, Oregon
No.
2073 -66
Owner MACAUEL Y , Ha ro I d Moiling Address R t.
Contractor Moiling Address
Location of Proposed Building (and Posl Office), about
side, green house with white barn
'Existing Structures on Property? yeslf so, describe:
; Does property have legal access? yes If so, describe:
legal Description of Building Site - Metes and Bounds
Box 354, Spfld.
Phone 746-402
Phone
on right hand
mile past Mt. Vernon School
dwelling, barn, garage
Co. Road # 49
Twp. 18 Range 02 Sec. 5 Tax Lol NO.2400 Code 19-01
Size of Properly, Width Deplh Area
Structure. to be built under this permit: Square Footage
3.87 acreS
Type of Construction
Bdrms.
Valuation
'Addition to existing dwelling
Living room and bedroom
540 @l $10.
frame
total
3
5,400.
NO plumbinq
1 Proposed Waler Supply, Public
Proposed Sewage Disposal, Public
l Plumbing to be Installed by Owner (
,FEES,
'Building . $'" 15.00
Septic Tonk
Sanitary Ccnne~tions
:'
Spring
, Septic Tank
Plumber ( )
, Well, Drilled
ex 1st S' Pit Privy
Name of Plumber:
ex is tl> Driven i Dug
, Garbage Disposal Unit?
none
.. ~ ....,..... ..,
., ...----,...-.-..,
TOTAL
$
15.00
/s/ Mrs. HQrold Macauely
Signature of Applicant
Dale
10-20-66
COUNTY BUILDING & SANITATION SPECIFICATIONS
SANITATION:
Septic Tank: Minimum liquid Capacity with Distribution Box 900
Subsurface Disposal Field Required: 1 SO Un. Ft.
Gals. rep 1 ace if needed
3ft. Widtn of Trench. or
450
Sq, Ft.-
Maintain
system.
at least 50 ft. from any well with any part of sewage disposal
See supplement.
STRUCTURE,
Zone AQjJdg. Setbacks, Front 45 Feel from Cenler of Road. Side, Inferior 5 feet;
Exterior (if corner 101) 40 Feel from Cenler of Rood.
CONSTRUCTION TO COMPLY WITH UNIFORM BUILDING CODE AND STAff REGULATIONS GOVERNING PLUMBING AND SEW-
hGE DISPOSAL,
A portion of the work covered by this permit sholl be storted within 60 doys from dOle and 011 work completed within one
:~ear. If n;t, ;~~;=nV~lid unless renewed by ~~ .c/?nt~:i;~c101'
J . BOStiUIlDING '~jt'PESIoilr I es HarbaJl1h C. p. Knopt^NI,^,~ Dole 10-25-66
. N SIGNED BY THE SANITARIAN AND BUILDING INSPECTOR. THIS FORM BECOMES YOUR BUILDING PERMIT FOR THE STRUCTURES LISTED HEREON, POST
TH S PERMIT IN A PROMINENT LOCATION ON OR ADJACENT TO THE MAIN BUilDING BEING CONSTRUCTED.
.
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TP #
23-83
MAILOUT NOTIFICATION
On
January 25, 1983
Notification of Intent to Issue was
mailed to property owners within 300'
of the property on which this
temporary mobile home will
be 1 oca ted .
A copy of the mailing labels
is
attached.
Permit Processing Section
Dept, of Environmental Management
Mailing Date
l/25/83
Appealed
Issuance Da te
2/8/83
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PERMIT #
23-83
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NOTIFICATION OF INTENT TO ISSUE
A.TEMPORARY MOBILE HOME PERMIT
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Jan. 25. 1983
On Feb. 7. 1983 , a 2-year temporary mobile home permit will be
issued or renewed to accolllJ1odate a family member disabil ity situation for
Loretta Macauley
,
4757 Jasper Rd., Spfld, OR 97477
If you have reason to believe that (1) the 'family member disability claimed is
not valid, or (2) if you have evidence that the septic system is failing and
creating a health hazard. you may appeal issuance of this permit in writing by
submitting your letter to the undersigned. Appeals must b~ received by 5:00 p.m.
of the issuance date noted above. Please be advised that it will be up to you
to prove the validity of your objection. If your appeal is accepted, an appeal
hearing will be scheduled before the Board of County Commissioners and all
property owners within 300' of the subject property will be notified of the
date and place.
Very truly yours,
DEPART~ENT_~NVIRONMENTAL MANAGEMENT
687-4061
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ENVIRONMENTAL MANAGEMENT OEP.1RTl1ErIT
12S EAST 8TH AVENUE I EUGENE, OREGON 97401 I
(S03)687,4394 OR 1,800,452,6379
AUMINISTRATIVE DIVISION I
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.CAULEY:
23-83
.ne Chase
Jasper Rd.
Spfld, OR 97477
William & Geneva Welch
4709 Jasper Rd.
Spfld, OR 97477
Bobbie Wright
4821 Jasper Rd.
Spfld, OR 97477
,
Elmer & Margaret Gardner
4705 Jasper Road
Spfld, OR 97477
,Loretta Macauley
4757 Jasper Rd.
Spfld, OR 97477
Jane Welther
6413 W. 80th St.
Westchester CA 90045
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Kenneth Cox
4714 Jasper Rd.
Spfld, OR 97477
Isaac & Mora Johnson
4724 Jasper Rd.
Spfld, OID: 97477
......
Raleigh & B.J. McClatchley
941 S. 47th
Spfld, OR 97477
Carolyn Janecek
927 S. 47th St.
Spfld, OR 97477
Marion & Nancy Mooney
4855 Jasper Rd.
Spfld, OR 97477
Jack & Lela Wright
4833 Jasper Rd.
Spfld, OR 97477
Howard & ldella Hinshaw
4801 Jasper Rd.
Spfld, OR 97477
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