HomeMy WebLinkAboutPermit Temporary 1989-3-27
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Lane County Authorization
TEMPORARY M:>BILE HCME RENEWAL
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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~
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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 .
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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
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'APPLICANT NAVE. VIRGIL & YVONNE
TLO 1702190000800 SUBDIV
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OWNER NME NAVE, VIRGIL & YVONNE
. CODE APPL NO ACTION DESCI:([PTION
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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
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PLAN CHECI< FEE
L.C 74~)D9 TMHF(
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EST. COMPLETION DATE
FL RAIN:
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