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HomeMy WebLinkAboutPermit Temporary 1989-3-27 .. //--0 teCT bJ- Sf!!. Lane County Authorization TEMPORARY M:>BILE HCME RENEWAL . for: FOR OFFICE USE ONLY Application~~ ~ C7~ Perm.lt i / / J-tJ / roW:-:SHIP RANGE 17 02 SECTION 19 ) TAX LOT 800 I LOT/PARCE!.. I BLOCK OOUT OF PROpoSED USE OF PROPERTY [X] Residential 0 Industrial o Commercial 0 Public. S~BDIVISION/PARTITION (if applicable) LOCATION ADDRESS STREET CITY ZIP 97477-1742 3092 Hayden Bridqe Ibad STRUCTURES CURRENTLY ON PROPERTY Springfield, OR SFD DIRECTIONS TO ~lTE Tn !';nrinafield to Havden Bridqe R:i ~~SCRIPTION OF PROPOSED WORK - BE SPECIFIC Renewal of T=.'t"-'Lary ~bile Ilale # 210-87 = OF BEDROOMS I * OF, S~RIES I It OF EN~LOYEES o;mER' 5 NAME AND ADDRESS DECLARED ~ VALUE WATER SUPPLY RprOP,?sed Existing TELEPHONE NUMBER 726-8033 TELEPHONE NUMBER yj,rr1il & Yvonne Nave CONTRACTOR'S NAME AND OSR It (site addr) P'=;Rl>llT TO BE MAILED TO (NAME AND ADDRESS) TELEPHONE NUMBER Virail & Yvonne Nave (site addr) 1 HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION FOR PERMIT, and do hereby certify that all information hereon is true and correct, and that I have the following legal interest in the property: I\;lowner of record; 0 contract purchaser; Oauthorized agent. I f:.:rther certify that any and all work. performed ~ll be done in accordance with thO;! Ordinances of Lane County and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of anr strncture without the permission of the Building Division. I fur- ther certify that registration with the Builder's Board is in full force and effect as require? by ORS 701.055, that if "exempt the basis for exemption is noted hereon, and that only subcontractors and employees who are in compliance with ORS 701.055 will be used on this project. I HAVE READ AND CHECKED THIS APPLICATION THOROUGHLY. Virgil & Yvonne Nave NAME (please print) By Mail 3/24/89 SIGNATURE DATE READ THIS SECTION CAREFULLY. YOUR AUTHORIZATION qAS BEEN BASED ON THE FOLLOWING CONDITIONS: o PLANNING/ZONING: Zone parti tion It Parcel # Parcel Size Minimum Setbacks: eL, front CL, side interior rear C011.'1ENTS: THIS PERtolIT IS VALID UNl'IL JAN 1. 1991. CEASES. WHICHEVER ro1ES FIRST. OR UNl'IL HARDSHIP 3/24/89 Date: fEll 66- o SANITATION: S. I. It B. P. '* Installation Record Issued? 0 Yes 0 No Maximum Depth of Trenches Installation Gallon Lineal Feet A~~f~;p!r'Z"(J o ;LAfs EXAMINATION: Type f Groun ~ flte: )0.1 -?LtL o~ {),3-2,/ -IT ~ Use COMHENTS: Date: n z;1~~y Bt~~OFI5f1 ~E (oer ORS 456.805(1)) _7-207.:../'1 LANE COUNTY DEPA T OF PUBLIC WORKS LAND MANAGEMENT DIVISION, 687-4061, 1 EAST 8TH AVENUE, EUGENE, OREGON 97401 SEE REVERSE FOR INSPECTION INFORMATION C14-25R~ . . I SETBI,CKS A:-lO OTHER CO:-;'OITIO:.:s Of' APPROVAL MUST BE STRICTLY oeSERVED. VIO[.ATIO~ CA:.l RESULT IN REVQ- C"TIO:-< OF TillS PERmT, CITATro:_ UNDER PROVISIONS or LA~E COliXTY'S INFRACTION ORDI:-;ANCE, AND/OR OTHER REHEDIES ALLOWED BY LAW. WHEN READY FOR I:':SPECTION. CALL 667-';065. A !>lINI~IU>1 OF ;'T LEAST 24 HOURS ADVA::CE NOTICE FOR INSPEC- nOel IU::IJC!::STS ~;USI Ill:: GIVt;,.. Have the tollowing informat.ion ready: permit. number, job address, type of inspect.ion, when it will be ready, your name and phone nu~ber, and any s?ccial ~irect.ions to site. BUILDING OIVISION: REQUIRED INSPECTIONS: 1. Foundation Inspection: To he made after trenches are excavated and forms erected and when all l:l.aterliUS tor tne foundation are delivered on the job. \~here concrete from a central mixing plant (com:nonly termed -transit mixed") is to be used, materials need not be on the job. 2. Concrete Slab ~ Under-Floor Ins~ection: To be made after all in-slab or under-floor building serVlce equipment, condult, plplng accessories, and other ancillary equipment items are in place but before any concrete is poured or floor sheathing installed, including the subfloor. 3. Framinq!. Insulation Inspections: To be made after_ the roof, all framing, tire blocking, and braclng are ln place ~ all plpes, fireplaces, chimneys, and vents are complete and all rough electrical and plumbing are approved. All wall insulation and vapor barrier are in place. 4. Lath and/or GYl;lsum Board Inspection: To be made after all lathing and gypsum board, ;,nterior ana-eXICrIOr, lS ln place but before any plastering is applied and before gypsum board joints and fasteners are taped and finished. 5. Final Insoection: To be made after the building is co~plete 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 b~ 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 mad~ after reinforcing is in place, but before any grout is poured. This rnspeCtlon is required for each bond beam pour. There will be no approval until the plumbinQ and electrical inspections have been made and approved. . B. wood~: To be made after completion 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. Mobile home minimum finish floor elevation shall be certified when required by a flood- plain ~nagement 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. SWlmmln~ Pool: Below grade when steel is in place and before concrete is poured. Above grade wnen pool-rs-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 SUSPENOED OR ABANDONED FOR MORE THAN 180 DAYS. SUSPENSION OR REVOCATION MAY OCCUR IF THIS PERMIT WAS ISSUED ON THE BASIS OF INCOMPLETE OR ERRONEOUS INFORMATION. ANYONE PROCEEDING PAST THE POINT or REOUIRED INSPECTIONS WILL DO SO AT THEIR OWN RISK. SUBSURFACE ~ 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 Community 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. It the construction does not comply with 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 454.605 to 454'.745 and this rule. Setbacks - Subsurface Sewaqe Discosal Septic ~ ~~Ol:l: Interior property lines 10' Edge of road riqht-of-way 10' Building foundation 5' Wells. other water sources 50' Dr.:iinfield 10' 10' 10' 100' T' . ,a~~~ty) - -' MOBILE ~M~ TEMPORARY PERMIT lNEWAL . \, ,~~,..:....~ ..... . ~ -":" -:. ~'. ':::::,.. , .L.....DM.........t:M...Y_IOOO.j 0.-.....__...___. APPLICANT Yn ~//..I'-/~./?u~Y)CI~. 1702190000800 tY J / ,,,/ NAVE VIRGIL V -t. YVONNE H MAILING ADDRESS, .:109d /../oL/bja4dt.~(J Ket 3092 HAYDEN BRIDGE RO j . tl. . / SPRINGFIELD OR 97477'-/79-.2. CITY, Z'P~.'!r~7-j-0 d..:, ,.;g./f 0</l7~_,__u_ _h ____j3.p .;2.10.-5(.1/ """"":""""""""""",,,"""""""'..,.,.,.le""""""""'",,, """". INFORMA TION PROVIDED BY APPLICANT ~""'"'''''''' .,."."nw"....... ....w.. ......w. "',"'''''''.'''''''''';' 1. WHOHASAMEDICALHARDSHIP?(NAM~' 'tJ,. f~~~~-t-P- 2. WHO IS PROVIDING CARE? (NAME)~) ~.4()'~/1 ~/~/ ;t:d.u<.J' , 3. WHAT RELATION IS THE CARE-PROVIDER j.. ' n / If J1 TO THE PERSON WHO HAS THE HARDSHIP? .~ ~i"'? t':A./ L4VJA-, i-n, "_-'" JU--U. 4. WHO LIVES IN THE MAIN DWELLING? (NAME) ~),r-/';".i ~~ : d-<LR 5. WHO LIVES IN THE TEMPORARY MOBILE HOME? (NAME) 7/J. frlA?'L-U.// 6. L1STTHE.f. allOWING Ma"LEHOMEi~~R.r~NIFKNOWN' ., "/-rf1c1 MAKE: c.A-,~=-rcf/ .YEAR: SIZE .=J'fX ~2- L1CENSE# X 13:t..gso 7. SIGNATURES . >no ,~dM.<~./ ~ 3-/3-8-7' PERSON~~RDSHIP DATE ~?(~ ?:-- 4~ 5-/~- 07. e--- PERSON PROVIDING CARE DATE FW"""""""""",,,,"'''''",".,"''''''fNFORMATION PROVIDED BY PHYSICIAN OR THERAPIST """",.&l""""l"".';''''''''''''''llWl 1. NAMEOFPATIEN~: . YJ7. ~~/e~.d'/ C;;~ 2. NATURE OF MEDICAL HARDSHIP' SIGNOID COLOSTOMY H"_'''''__';;:::;::;~'''''''' 3. DOES THIS HARDSHIP NECESSITATE THAT A FAMILY MRS. NAVE HAS RECENTLY UNDERGONE SIGNOID MEMBER PROVIDE CARE? PLEASE COMMENT: COLOSTOMY SURGERY. DUE TO COLON CANCER. SIX MONTHS AGO, THERE WAS A~CUTE TH OlD PROBL~M ~NU1~~ 1~ tHYROID THERMIA. MRS. NAVE MAY HAVE MORE COLOSTOMY RaPA~ IN E NEAR FUTURE. IT IS EXTREMELY IMPORTANT SHE HAVE Hl~ """"" U\"L~ ur ",\!,JiLl iu5"~li' L ~ ARTHUR J. INNES, m; 4. PHYSICIAN'SSIGNATURE: l-'-/'-/~~ ~ " , M.D., F.A.C.A. . DATE 3 If MAILlNGADDRI="". 960 No. 16th St. 1#211 crrv, ZIP Snrirurfie1d.Orell'On 97477 Lene ~ounty Lend Menegement Division 125 E. 8th Ave. Eugene, OR 97401 .' r r ~ . . . . rr jI At ,-' . . . :'1' I' . . . '. . . l,j: 2 LANE COUNTY 'APPLICANT NAVE. VIRGIL & YVONNE TLO 1702190000800 SUBDIV .II::'W 1:11 I'r 1-" I:' E. IJ"lc I'" ':II)I:"M'" 0 .\!_. .._ }_T 1 'R ....... '\ J:.: \ ,,} OWNER NME NAVE, VIRGIL & YVONNE . CODE APPL NO ACTION DESCI:([PTION J.~p i' -Il!? .'131" . . "'JP Ill'" ..1.... MECH 'WI:, ..'CI< BP . .'DS .(UI... "I- r .' 'l'C'. ,...~t T' SE(~U : tiil\I<EN . . DEF'T ErN 11GT m:CEIF'T 0 74~5B9 DATE 03248S. ADDR 3092 HAYDEN BRIDGE RD., SPRINGFIELD f" LOT BI...I< 1- tJN"I'T'S' (')01 ,'''-r e"i' ",., ,'1:11 DC'" (')(')1 F'I.'f)NI::' "';:>' ,"'.'-"-'. .. I.. ,~ I .J 1"\ .. r:... ,.> ,II"'M I.~ 1 . d. f 'M' \":J \;) ~') ,),~ ADDR 3092 HAYDENBRI~GE RD., SPRINGFIELD. SQ FT UNIT ["OST VI\LUATION FEE DAY':. OFIX/BATH: SWR: FT. WTR: MECI-I{,NICAI... FEE ST,~ n: SUf,CHr,RGE PLAN CHECI< FEE L.C 74~)D9 TMHF( SDSC F[E (,PP '; BY BB RA n' SDS SI PCI< OTH 2 EST. COMPLETION DATE FL RAIN: ~) ;:~ 2~:}% ISS :; I)[F'OSIT 'l>i'~ . . FT . 1'1 . 60.00 25 .(~0 . . 10 B~). ('0 CI< . I .~ I ' .