HomeMy WebLinkAboutPermit Building 1985-2-20
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Lane County ~uthorization for:
(1&rn~ A ^^0.bL /~ 0 J ~Ih~ 11 Vi LL
. row:;sH'PI Q, I RANGE 0 Z I oS: l. 3 j T~ ':;T080UT OF PROPOSEO USE OF PROPERTY
CJ 40 r\A'Residential 0 Industr ial
S:J:D~.SStION/.P.R.TITION (i_f'.a,~,Pl L-,icabOl "e) I UJTj):lRCE~ I a~K I ""'I
..J.::::Y"-f _ ~ l/-J <LJ 0 Commercial D Public.
'~~t;:?5D7S' STREET PcacL. 'CI")\u& ,0 9Mr7
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(~V\.-) ~ .1' , Le.iXL hCJu.x- JocUt. c1ROurcl ~ ')
~ION o~,isJ-;'O~':-;E SP Inc~~' I DECLARED ~ VALUY
,~btw~ ~J I ;~~ !"!pERSU*b 1J~ ~~~~;~~~:
O;;NER'S NAME AND ADD* ::-t -;;r 1:' V? :i ~ I T~PHONE ~~;;/'
Lor~ ~. H7Bt ?\'t1^(1n"Y1, II'nad, . 721A-.q.! lfV1
COtkili(li;D 0 r~: L( ,~. \~ f) ~ "~L.~ r ~LEPHCiNE lMIaER '
P~C0;~ro (N:tA~U~(~ ~'.- Ii ~ ~ ~ 7) '~PHUNE lMIaER
I HAVE CAREFULLY EXAMI.;O TIlE ~LETEO APPLI ATIO.~~ amI.o here"" c"t'fy that all Info=atio,,:"ereon i. true and cor t. and that I
have the following legal interest in the propert : Downer ~~ont~llr e' . oriz~~t. wiih ~vidence of authorit a ached.
I f:..rther certify that any and all work perform shall be don~' aCCH1:d lCf.: w' the r inn es 0 ~~~e Laws of the State cegon
pcrta1.m.ng to the work descnbed herein, and th t NO OCCUPANCY Wl l' e ~of ~, t \l e Shout ssJ.;r. ofl&';e:ding Dlvision. fur-
ther certify that rcglstration w1.th the Builder s Board 1.5 ln ful ,\ <! ef " !lby-'6RS" ,it. aft ilfl:; p the basis for e e tlon
is noted hereon, and that only subcontractors d employees who ~i'l'l~fllJanc~ wir"_':.RS 70~.05S wlll be used on t is p oJe t., I HAVE READ 0
CKECKED THIS APPLICATION TKOROUGKLY. I t \Q~ ~V~
PfI'tJJ.J.lPttE ~Jr(1 ~" ?)~TUJ<Jt'35 /t1~r1~Y1'
FOR OFFICE USE ONLY
Applica Hon/ "J~ V ~
Permlt # rv.l ")-~
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READ THIS SECTION CAREFULLY, YOUR AUTHOR~ON ~AS BEEN BASED ON THE FOLLOWING CONDITIONS! /
o PLANNING/ZONING: Zone "-JA. parti~ Parcel It Parcel Size /
Minimum Setbacks: CL, front eL, side ~ior rear ~
COM>IENTS~/ '-LQ{)J1 YhlLJ X1lLrlLt ohL.l~-.3I-~ aY'~richLo
~~-' ~ (lLmvJ")) 2]& Date'~ . 0
o SANITATION: S. I. # 8, p. It Installation Record Issued? 0 Yes 0 No
Installation Gallon Lineal Feet Maximum Depth
:::::::tJ/~JlM~T~$l?U~d .00 V!!#df Drainfield 'L 6~ Of~~~.. .. '
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T...... Date,
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PERMITLAPPROVED BY BUILDING OFFICIALTOESIGNEE (oer QRS 456.805(1)) DATE
LANE COUNTY DEPARTMENT OF PUBLIC WORKS LAND MANAGEMENT DIVISION, 687-4061,
1li5 EAST 8TH AVENUE, EUGENE, OREGc:iii7401
SE_EVERSE FOR INSPECTION IN~TION C 14_?~ RR4-
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SETIl,-'CKS A:-lD OTllER CO:>OITIO~S OF APPROVAL ~lUST BE STRICTLY OBSERVED. VIOLATION CAS RESULT IN REVO.
C;",10:.l OF THIS PERm., CITATlO:l UNDER PROVISIO"1>lS or LANE COU:\TY'S INFRACTION ORDINANCE, AND/OR OTHER
REMEDIES ALLOWED BY LAW.
"'HEN READY FOR INSPECTION. CAL!. 681-';065. A MINnlU~1 OF AT LEAST 24 HOURS AOVAI:;CE NOTICE FOR INSPEC-
'I'lO~ H!::QL:I::::;T:; ~lV:;T f.lE GIVEN. Have ttle following information ready: permit number, job address. type
of inspection, when it will be ready. your name and phone number, and any special cirections to site.
BUILDING DIVISION:
REQUIRED INSPECTIONS:
1. FoundatIon rnspectlon: To be made after trenches are excavated and forms erected and when all
mater1alS 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 or Under-rloor Inspection: To be made after all in-slab or under-floor building
serVl::e J]~ment, conOult, 'plplng accessories, and other ancillary equipment items are in
place but before any concrete is poured or floor sheathing installed, including the subfloor.
3. Framin.':l:. Insulation Inspections: To.be made after the roof, all framing, fire blocking, and
oraC1ng are 1n place una all plpes, flreplaces, chimneys, and vents are complete and all rough
electrical and plumbing are approved. All ....all insulation and vapor barrier .are ,in place.
4. Lath and/or Gypsum Board Inspection: To be made after all lathing and gypsum board, \nterior
ana-eitCrIOr, 15 ln place but before any plastering is applied !n~ before gypsum board jo~nts
and fasteners are 'taped and finished.
5. Final Inspection: To be made after the building is complete and before occupancy.
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APPROVAL REQUIRED. ~o 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 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 authori~ed, such 4S 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 ....ill be no approval until the plumbing
and electrical inspections have been made and approved.
B. Wood Stove: To be made after completion of masonry (if applicable) and ....hen installation is
compl~ Installation shall be in accordance ....ith 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 septic system for setback requirements, blocking, footing connection, tiedovns,
skirting, and plumbing connections.
1. Footings and piers to comply vith State foundation requirements for mobile homes or as
recommended by the manufacturer.
2. Mobile home minimum finish floor elevation shall be certified ....hen required by a flood-
plain management letter.
3. Mobile home tiedowns, vhen 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. S....immin~~: Belo.... grade ....hen steel is in place and before concrete is poured. Above grade
....nen poo~ lS lnstalled.
APPROVED PLANS MUST BE ON THE JOB SITE AT ALL TIMES DURING WORKING HOURS. TillS PERMIT WILL EXPIRE
IF WORK DOES NOT BEGIN WITHIN ISO DAYS, OR IF WORK IS SUSPENDED OR ....BANDONED FOR MORE THAN ISO DAYS.
SUSPENSION OR REVOCATION HAY OCCUR IF THIS PERMIT WAS ISSUED ON THE BASIS OF INCOMPLETE OR ERRONEOUS
INFORMATION.
ANYONE PRO~EEDING. PAST THE POINT or REp~IIRED INSPEc.T!ONS WI~LL 00 SO AT THEIR OWN RISK.
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SUBSURFACE ~ ALTERNATIVE ~ DISPOSAL ~:
1. Permits shall be effective for one year from the date of issuance.
2. Upon completing the construction for ....hich 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 ....ith the rules contained in this division. If tho construction does comply with such
rules, the Department shall issue a certificate of satisfactory completion to the permit,hOlder.
If the construction does not comply vith such rules, the Department shall notify the permit
holder and shall require satisfactory completion before issuing the certificate. Failure to
meet the requirements for satisfactory completion within a reasonable time constitutes a vio-
'lation of ORS'454.~05 to'454.745 and this rule.
Setback~ - Subsurface Sewage Oisposal
Septic ~
10'
10'
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50'\.
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Drainfield
From:
Interior property lines
Edge of road riqht-of-vay
Building foundation
Wells. other ~ater sources
10'
10'
10'
100'
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RE: Temporary Mobile Home Permit Number:
Map/Tax Lot No.: Ie:;, -()? - ():')- / ~
1 /l IQ.. H Il /V( A (I LIlA I-Vt
If 1 5-1 ~ <,:/1~ fL J ~,
~~("A(!It,.~ frO ~. C?1JL7.P
- 7 ( ,
;) 3-'63
<1 ;;1,00
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APPLICANT:
MAILING ADDRESS:
CITY, STATE, ZIP:
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," INFORMATION PROVIDED BY THE APPLICANT
1) Perso~ wi~h medica'l hardshi~ . V -# / )tl/7t..cb/U)t2tl.P
2) Person providing care 'L-- dtlll/4 '771~A
3) Family relationship of the above V 7/j'~ ^ tJby~.A. '.
4) Resident of the principal dwellin$l: /~ ~L'LJLU'k/1
5) Resident of the temporary mobile home ~~r' d~!/1d-
6) Signatures:
Person with Medical Hardship
L~/L~'/0d~~
Person Providing Care /
Date:
~:
Date:' J:" 5-: 7~
INFORMATION PROVIDED BY THE 'PHYSICIAN OR THERAPIST
,j) '!IF
1) Name of patient~rf'.I;L; 9)d/U..#hU l/)oAt..f...-
; ..... - '1!.-
2) Nature of the medical hardship I,'):>......... ~ :l . ~ M r
3) Does this hardship necessitate that a family member provide care?
Please comment:
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Mailing Address:
fj" II
~MEI A. ~~.~} ~. tcr--nate:
311 Mill..........
S;~ilINGFlElO. OREGON 074 .
1Hu",,, ''''''~..ua-
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8.1'l.:F_llS5 AflwJ.Uas.a SIC UIm:I
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4) Physician's Signature
!r?~
City, State, Zip:
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LAND MANAGEMENT DIVISION / Public Works Dept. / 125 E. 8~Ave., Eug. OR 97401 (503)687-4061
- - -- -~.~-_-...--
(~"'~~ase remit this form, together with the application
\ Management Div" 125 E, 8th Ave., Eugene, OR 9740l.
.' please contact Marsha Miller at 687-3955.
fee, to this office at Land
If you have any questions
, MM/jbw
LAND MANAGEMENT DIVISION / Public Works Dept. / 125 E. 8th Ave., Eug. OR 97401 (503)687-4061
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JAMES A. McHAN, M.D.
PHYSICIAN a SURGEON
311 MILL STREET
SPRINGFIELD. OREGON 97477
ADDRESS =RRECTlON REQUESTED
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LANE COUNTY DEPT ENV MGT RECEIPT 0 23385 DATE 02128~ .
. APPLICANT MACAULEY, LORETTA ADDR 4757 -IASPEF( RD., SF'RINGFIELD, OI~EGON.
., TL~' 1802051304200 SUDDIV . LOT DLI( ~05
NEW BLDG TYPE USE R DDRMS 0 UNITS 001 STORIES OeLD~S 001 PHONE 746 4026 ,
. OWNER NM'E MACAULEY, LOf~EnAADDI'< 47~n JASF'ER RD"" Spr~INC;FIELl), m~EC;(lN.
,CODE APPLNO ACTION DESCRIPTION SO FT U~IT COST VALUATION 'FEE DAYS
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MECHANICAL FEE
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PLAN CHECI( FEE
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EST. COMPLETION DATE
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FT.' RAIN:
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TOTAL FEEn,
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