Loading...
HomeMy WebLinkAboutPermit Building 1985-9-25 ca- Lane cotty Authorization . for: p. p c.~ q_19 FOR OFFICE USE ONLY 'Ronf A 1 tpr~r; on Application/ ~/ r-rf O-~ Perm1t # p<"'f&',? /-n....:../ I RANGE 17 03 S~BDIVISlbN/PARTITION (if applicable) roW..SHIP 25.2.1 I TAY.. LOT DOUT OF 1o{,700 I LOT/PhP.CE!.. I BLOCK PROpoSED USE OF PROPERTY Gl Residential D Industrial D CCJmmercial 0 Public. SECTION LOCATIO~ ADDRESS STREET CI'!'Y ZIP 1819 Havden Bridge Rd.. Springfield 97477 STRUCTURES CURRENTLY ON PROPERTY SFD DIRECtIONS TO SITE '1'~k" 1 Q.h North - '''nl 1 "ft. on H~vden Brid"e Rd. vESCRIPTION OF PROPOSED WORK - BE SPECIFIC h\ ~, (/ ~~RE'pd VNiC o P.P=l'Posed ~xisting I TELEPHONE NUMBER ,J_ '_' -":_". ~.~r 747 0870 -r-' ?'Vcrf::l...:;) TELEPHONE NUMBER 9 7~77 P"}.....4= = OF BEDROOMS .1 Ol'; oriE:~lJ,;~csTMC ( "ATER SUPPLY ~'f-Ol!:).,...;nn f,.............. If OF SroRIES . O;~~ER . 5 NAME AND ADDRESS CONTRACTO\~ALiJ:;X:~~p f?& same;;~, P:;RNIT TO ~E MAILED TO lNAME AND AnDRESS) above ......'.."...0....0 I Tt;LEPHONE NUMBER I HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION t-'OR PERMIT, and ,10 hen.1!Jy certify t".hat all infoL"lllation hereon is true and correct, and that I have the following legal interest in the prope~ty.liJo""ner of record) Ocon':ract: purchaser; Dauthorizcd agent' . I f::.rther certify that any and all work perform~d shall be done in aCl:OtdilllCf.: ....ith th1,l Ordinances of Lane County and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will he made of anj' structure without the pcnnission 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 70t.055, that if.exempt the basis for exemption is noted hereon, and that only subcontractors and etllployees who are in compliance with ORS 701.055 will be used on this project. I HAVE READ AND CHECKED THIS APPLICATION THOROUGHLY. NAKE (please print) y?~d,,_ SIGNATURE Q-/3-jfC DATE L ;Sa. f'" J,._ READ THIS SECTION CAREFULLY. YOUR AUTHORIZATION qAS ~ PLANNING/ZONING: zone-R..A- Parti tion # Hinimum Setbacks: eL, front CL, side CO""'ENTS~""<M J .~.,....,,,., BEEN BASED ON THE FOLLOWING CONDITIONS: Parce 1 # -. Parcel Size interior rear Ins talla tion Specifications: Gallon Tank Lineal Feet of Drainfield Date'~ ~ ~ 0 \- }l~KJ Installation Record Issued? ~es 0 No Maximum Depth of Trenches o SANITATION: S, 1. " B. P. It CQWIENTS: Date: . n o PLANS EXAMINATION: Type Grouo COMHENTS, CAL L loR 'R~(J I ~aD / JJ r R:c.T1o.(J<:;: use~E fR (bel,t: Oale, q - ZS""- es- -4':1a 1 FEES ])lJ~ '1:0.07 rp)~ 9-2S-~ PERMIT APPROVED BY BUILDING OFFICIAL/OESIGNEE leer ORS 456,805(1)). DATE LANE COUNTY DEPARTMENT OF PUBLIC WORKS LAND MANAGEMENT DIVISION, 687-4061, 125 EAST 8TH AVENUE, EUGENE, OREGON 97401 SEE REVERSE FOR INSPECTION INFORMATION C 14-25 R84- , . SETB,\CKS A~D OTHeR CC::OITIO::S Of APPRO'IAL ~lUST BE STRICTLY OBSE!l.VED. VIOLATIO~ G.~ R!:SULT IN REVQ- C';7IO,J OF T!lIS r>!:r,~lli. CIT';TIO:: U:':OER PROVISrO:.lS Of Lt\l'E COU:;T\"j INFRACTION ORDI:;ANCE, AND/OR OTflER REMEDlES ALLOWED BY LAW. ~llEN READY FOR INSPtCTIO~, CAL:' 687-4065. A }lINHlU:-1 OF ,,1 Lt:AST 2~ !lOURS ADV,\::CE NOTICE fOR INSPEC- no", l<t;QL'~S,'S ;",'...i::iT ElE GIVE:;. Have the tollowing infor:nation ready: pcrr:lit number, job address, type of inspection, when it will be ready. your name and phon~ number, and any s~ecial directiOns to site. BUILDING DIVISION: REOUIRE~ INSPECTIONS: 1. Foundation Inspection: To be made after trenches are excavated and forms erected and when all rr.aterlillll lor tne toundation are delivered on the job. \'Ihere concrete from a cC:1tral mixing plant (corrunonly termed "transit mixed") is to be used, materials need not be on the job. 2. Concrete Slab or Under-rIoor Insnection: To be mace after all in-slab or \lnder-floor building serVl~e equipment, conDUit, piping accessories, and other ancillary equipment items are in place but beiore any concrete is poured or floor sheathing installed, including the subfloor. ). Framino & Insulation Inspections: TO be made after the roof, all framing, fire blocking, and braCing arc 1n pLace ana nii pipes, fireplaces, chimneys, and vents are complete and all rough electrical and plumbing are approved. All wall insulation and vapor barrier arc in place. "')." 4. Lath and/or Gvpsum Board Insoection: To be made after all lathing and gypsum board, ~nterior ana-eXiCrTOr, is in place but berore any plastering is applied and beiore gypsum board joints and fasteners are taped and finished. S. Final Insoectio~: To be made after the building is complete and before occupancy. A~PRO~AL REQUIRED.~ ~o,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 mace 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 Qade after COQpletioo of masonry (if applicable) and when installation is complete. Installation shall be in accordance with 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, tiedowns, skirting, and plumbing connections. 1. Footings and piers to comply with State foundation requirements for mobile homes or as recommended by the manufacturer. 2. ~obile 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. Swimmin~ Pool: Below grade when steel is in place and before concrete is poured. Above grade wnen pooi-rs-installed. APPROVED PLANS MUST BE ON THE JOB SITE AT ALL TIMES DURING WORKING HOURS. THIS PE~IT WILL EXPIRE IF WORK DOES NOT BEGIN WITHIN 180 DAYS, OR IF WORK IS SUSPENDED OR ABANDONED FOR MORE THAN~IBO DAYS. SUSPENSION OR REVOCATION :1AY OCCUR IF THIS PERMIT WAS ISSUED ON THE BASIS OF INCOMPLETE OR ERRONEOUS INFORMATION. ANYONE PROCEEDING PAST THE POIlJT or REQUIRED INSPECTIONS WILL DO SO AT THEIR OWN RISK. . .~ !' SUBSURFACE AND ALTERNATIVE ~ 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 co~~unity Development by submitting the installation record form. The Department shall inspect the construction to determine 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 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 certific~te. Fuilure to meet the requirements for satisfactory completion within a reasonable time constitutes a vio- lation of ORS 454.605 to 454.745 and this rule. Setbacks - Subsurface From: S~waqe Disposal SePtic ~ 10' 10' 5' 50' Dr.:linfield 10' 10' 10' i,lOO' Interior property lines Edge of road rlqht-of-way Buildinq foundation Wells, other water sources . .. ',/ .. r . ~ 16If.A1IJe'1 81'1. . /-'/Sd CtJ/e O~~la~ B p# 265"7-85' ~-. --"__ tlllitef'lra.L_J"e~;!~.._~-_. .:. .. - -'.-::~.: _ -----1-- I Af)~-Jt- _] L01l0 _ · -=_ -L ~b-1i.fttl. .~~~j1:,!~ ~.:.~'.'.. r~-::_...- · ~----; '__ . . . ._', ~_r ~~p~d' -- _____ -+ {-,'afl))t'At; 'V!' 'y lLtt@C.5 __ _ __-c-_ ------ ---- '_ +__ _f1e{.Ii__f~~1C'!~_6t?1' LGlr!/ri~~___~---P_------ !- -- I --8J1-6- lt~:~ Nt-~~ '-'f11ftL~:9}i~-~?{11-L-?--=-~~ i .., . '.' . ~I/'~, ~ ,I ',~ . DO) " '......, I.. " . ,. . . m . . . . ODD . . . . , " m r . j." ,. ,'-=',. \: \ ..J~' ..:.- ... ,. .', . ."" "j" ,.. . , . , . , - . ", . . ,0 ~ ~. . ;~. . ..... , ..,' ;. .. , . .' "':"; .. ')II . -:'" . :r.. ' ... ~~~~7~-~-~~~-----~--~~~--~-----'--~--------- "', ., . ~. ' 'Oa ~ ..... L.lNE COUNTY D'EPT ENV. MGT RECEIPT ,~, 26S7E15 DATE 09:5ol! . A'PPL.ltANT' COLE,.. 'USA. I. ADDH1819 HAYDEN BHIDGE HOAD, SprUNGFIELD, .,. TL.~' 1 7(J32521 f270(> SUBIHV . . . L.OT BLK. . ., lllEW BL.DG .TYPE . USE. R FDRMS O. UNITS 001. STORIES '~BL.DGS. 001 I':HONE 747 0870 ..: .'O.WNERNME COLP.::" pSA. ADDF~ 181'71..IAYDEN E1ruDt;E ROAD, SF'RINGFIEl...rO,li . CODE Ap.PL NO, AcnON DESCF(IF'TION SQ FT UNIT COST VALUATION. FI~E DAY." . Ell" ElF' . .. .ElP lW Oi III" .. BP .. PL MECH .:.SlJl~ ... PCK .. Ell" .. '.. .. i. , . . LC, 265785. SUPP <lJoFIX/~AT.H : '," . , 'SWR: . FT'. WTI~::, . . i1ECHANICAl.. FEE STATE.SURCHARGE. . . PL.AN CHECK FEE:. FT. RAIN: 3,8.50 FT '. 41. .651. .1.SA 25.03 -2:5.. 00 . 00. . . SlJPF' " .~ . , ~.ATG:.:, ua JEQlJ: . tAKEN lW '. APP ~) RLH J(A ,1'1". , SDS. SI . . .PCK. OTH ISS .0 TOTAL. FEEl(.* . .EST. CbMPL.ETION tiATE . . . ( A0.0? C1< . . . ,.. ' . ",,:t " . ( I.. ,- , " ," .. ,;; . . TRS/TAXLOT OWNER APPLICATION # 2(a57-as- ADDRESS PHON( APPLICANT (IF DIFFERtiil) t1UUKt~~ PHONe JOB ADDRESS VALUATION . . . . . . . . . REVISED P'q9R [ ] Refund [ ] Addition [ Dep. Only ['1Amt. Due [ ] Correction CoJJ 7RJ.K.r 2';.80, Bldg. 58 .~o '25,0 c::> n.sCJ - - Invest/ Db 1 Fee Mech. Plmb. Fi xtures ..SHR FT I1TR FT RAIN FT PCK '2.5, C:13 --C> Z.S.e>J Surcharge f . $71- -D } .S4 Sidewalk . Fldpln SDS DEQ Other TOTAL (p5:07 2.5'.0= '10;07 (AMT. PAID) (AMI. DUE) DATE: ~!P q - ""Z.5"" - as- REVISIONS CALCULATED BY: ...... .' .0 AC.ITY INFORMATIO'SHEET kJre county . COMPLETE THIS SECTION. INCOMPLETE FORMS WILL BE REJECTED! II. Lis,,- Calr. PERSON MAKING REQUEST J~lq Haytf.ILIN~~'fif!r.~s &1 Spfi~P~,..J,p QL, 97'12? . trTY' STATE ZIP CODE )Ja1J.~.!L".LiSJL UJJ~.. PROPERTY OWNER ];319 Hay")"')? ~r;~p- .!?d MAl L NG DRESS Sprl'''Qr. P,-dr.l TY / .~ STATE Q7'177 . ZIP CODE ') '17 -O$PO BUSINESS TELEPHONE # )l/)-Q!1.?O HOME TELEPHONE # '/4)- O~70 .J.!j7-0:PO BUSINESS TELEPHONE # HOME TELEPHONE # '. ., .. 2 PROPERTY ADDRESS Som,... (IF DIFFERENT FROM MAILING ADDRESS) 3 MAP & PARCEL NUMBER (from tax maps in Department of Assessment and Taxation (REQUIRED INFORMATION) or from tax statement) ~n~~ J7 _.:$5:.:2.' , / Z. /fJ " gg- 01 QQ2Q.n TOWNSHIP RANGE )tl..lluN TAX LOT(S) OR PARCEL # ZONING TOWNSHIP RANGE SECTION TAX LOT(S) OR PARCEL # ZONING ~(}Y TOWNSHIP RANGE SECTION TAX LOT(S) OR PARCEL # ZONING TOTAL CONTIGUOUS PROPERTY IN SAME OWNERSHIP: . u_ ACRES 4 SUBDIVISION (if applicable) LOT BLOCK 5 REQUEST (state exactly what you plan to do) ~ Ap;t-~' ( r1 .f .,,/}.// ~ - .~ 6 DIRECTIONS TO SITE: 1aK,. icrtn North bJcn...k.fLoXL)-ItJ.y.Jon fJr,d.yp RJ. ~ ** FOR STAFF USE ONLY ** NUMBER DATE -t :;tl U> ZONE/LAND USE:. BY: DATE: . -t ...-: TIME IN: OUT: LAND MANAGEMENT DIVISION / 125 E. Bth ^VE., EUGENE, OR 97401 / 687-4061