HomeMy WebLinkAboutPermit Building 1986-5-2
r
..
RURAL AD.~ j//1--- / 5'Z-/-.fe
eHECKED~ 'tl--
Lane County Author~~~:or:
,/2~~ ~g'~ , ~
. '\OW"HIP I P I RANGG~:3 I SECTIO 2j'~ I. TAX ~~
S~-f~~~e- I '717 I aUlC> I
'Q;;;5 .:z:;!?~b? ~~ '-. V~';/zP.??e:97~Z 7
S~,TL :~ //}?~:Y-~ ~~ -:7Z' ' ~, '~/?/.?#dz7
~;J"v /;a-:-~j, '~-SP~.<'/-'/~~ /~c /~~~/
~?7/F /'0 --z;;;:P~#7/'L/ ~~.~ Q:,r:--
~ES~ON ?!:;:l~ ~ - BE SPECIFIC . / /' _~,.,. /' / c ._ ( - I ~ECI.ARED $ VALUE_
n.4f4~ ~~/-~~ //q//.~ //~, t:"'?>c~ J ~.5?L''''2::::
4. OF BEDROOMS-,? '" "OF~TORIES I AI" OF EMPLOYEr:S" I WA.TER 9'tfPPL'l / ~ Rproposed
v- /1h"/T ./ ~& ~ Existing
~N~??~4~, ///?~'. r M>>~ ~ ~~~~~ ~?/;:,2.J/5
CONT ~~ 5 I.lAME AND OSR It P?./7 _~ '" - ,/ / .. TELEPHONE NUMBER
,/?/1"/~ n,"./.:?- AV7!'~tf/e- ~~T
P:"'S~/;7(~ AOD_5~/tY~ 1'~;':;~6-
. ,
I HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION FOR PERMIT, and ,]0 hcro::J.;y cert.ify t.hat all information he::-eon 1a true and correct, and that I
have the following legal interest in the property: ~ner of record; 0 contrdr.;t. pllrchaser; Oauthorized agent. ,
I f:.;rther certify that any and all work. performed ;WI be done in <>.ccOtdancfo wi th tho! Ordinanctls of Lane County and the LAws of the Stato of Orogon
pertaining to the work. described herein, and that NO OCCUPANCY will bE: made or ar.y structure without the permissilln of the Buildinq Division. I fur-
ther certify that registration with the Builder's Board is in full forct! nnd effect. dS required 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. 1 HAVE READ AND
CHEC~IS AP~ION THOROUGHLY. d rf)
~4:/-4-//tZ~.,,~))y/~ or.!tJ~~~t-
(~G- $-5"
fJ. (I K
~
FOR OFFICE USE ONLY
Application/ /~~~__~~
Perml.t>> /J c...c-'" -b-
PRO?OSED USE OF' PROPERTY
J81!esidential D Industr ial
o Commercial 0 Public,
DATE
./
REAlHe..1{;.TIO~SA".gk,~UR AU)HrIZAT~ YAS ~-Y~~;4 F~ ;~NDI:I~C OM
~pdA~NIN~~G: ~~/ ~'t'on # Parcel # Parcel Size
"?: ,~ : CL. front Lr-.\2{; CL. 5,de interior t'J' '. rear ~ 19c.-r e)
~A \~'30>t'IENTS: i'~<"'cJ>/<:;<lY-c"\.a""'-~ \'\r,,'c"1-~.... ~qo . Is, ;,,:0..... . ~.l. ,.be_
c-. 3''\\.~~s.Occ~\::'on ~\.JLD,."uu('.u.:\ ~1 Date'-.b~~ ?/AhO
~ \......) _I. C-- -=:=- '-- , ,
SAN :rATION: s. 1. It B. P. It c?- ~.t 'j (14- ~ 71 Installation F.ecord Issued? DYes 0 No
Installation Gallon / Lineal Feet Maximum oepth
Specifications: Tank of Dr.ilinfleld of Trenches
C"""'IEN:5,np~.J) 'Pt"t.;.b / /'.4::''JJ,~ ~ ~.I__ lb-wn.e(iJ!ijL. :dI ~ ~'.i.~_
~D.s. ,d-;Ii:x/~l Z/r.d-;tb., O~~~ Date: S--7-ft. ~
~P~~~' - Groun U - Use M-H - -.
~
\
\
COt-1NENTS :
sU: REVERSE SIDE OF PERMIT mo
ENCl~':':":~.:: :::: :::~..... I IlTtl"t,U
REQUIREMENTS..
PER:.lITS FOR All ELECTRICAl "'*,
SHAll EE SECURED FROM THE ST"'.'
07 ORE~orl. DEPARTMENT OF
CO!.lMERC.:, ElECTRICAL SECTION,
Dale, 5!ZS,fBtp
n
~ 'J)( IF. .f~.(')gQ..
PERMIT APPROVED BY BUILDING OFFICIAL/DESIGNEE
~~
Coer ORS 456 .B05 (ll)-
AI?..o/8~"
I
\
LANE COUNTY DEPARTMENT OF PUBLIC WORKS LAND MANAGEMENT DIVISION, 687-4061.
125 EAST 8TH AVENUE, EUGENE, OREGON 97401
SEE REVERSE FOR INSPECTION INFORMATION
"'/.o..?<; 1l.Qd..
...;..:--
, - ~~-! \
I
I.,
.
';.,',
.
SETSl,CKS A~D OTIlER CO~DITIO~S OF APPROVAL ~IUST BE STRICTL\ OBSERVED, VIOLATION CA:-l RESULT IN REVO-
CAi'IO;.J OF TllIS PER.."1IT, CITATIO:l UNDSR PROVISIONS OF LA!>:E ,COb:::TY'S INFRACTION ORDINANCE, AND/OR OTHER
REI-IEDIES ALLOWED' BY LAW,
"'HEN READY FOR INSPECTION, CALL 687-..065, A ~INHlU~l OF AT LEAST H 1l0URS ADVAt:CE NOTICE FOR INSPEC-
'nUN I\EQI,;E:>J.'::i ~iu::;r UE GIVEN, Huve tne tullowing information ready: permit number, job address, type
of inspection, when it will be ready, your name and phor.c number, and any special directions to site,
BUILDING DIVISION:
REOUIRED INSPECTIONS:
1, Found~tion Inspection: To be made after trenches are excavated and forms erected and when all
~ater~als ~or tne toundation are delivered on the job, Where concrete from a central mixing
plant (com:'tIonly termed ~traf!:~it 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
serVl~e equIpment, conou~t, p~p~ng accessories, and other anc~llary equlpment items are in
place but beiore any concrete is poured or floor sheathing',installed, including the subfloor.
], Framin9 & Insulation Inspections: To be made after the roof, all framing, fire blocking, and
bracing are ~n place ana all p~pes, 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 Gvpsum Board Inspection: To be made after all lathing and gypsum board, \nterior
ann-eXEerIOr, ~s ~n place but before any plastering is app~ied,and before gypsum board joints
and fasteners are taped and finished.
5. Final Inspection: To be made after the build~ng 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 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 made after reinforcing is in place, but before ~ny 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 masonry (if applicable) and when installation is
compl~ 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 manuf~cturer.
2. Mobile 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. Swimrnin9 Pool; Below grade when steel is in place and before concrete is poured. Above grade
~nen pooltsinstallcd. I .
~ _1 ~ .4 1 ~;lt" --..; ,
,APPROVED PLANS :<lUST.BE ON THE JOB SITE AT ALL TIMES DURING WORKING HOURS. TillS PERMIT WILL EXPIRE
IF WORK DOES NOT BEGIN WITHIN 180 DAYS, OR IF WORK IS SUSPENDED OR ABANDONE~FOR MORE THAN 180 DAYS.
SUSPENSION OR REVOCATION r~y OCCUR IF THIS PE&~IT WAS ISSUED O~ THE BASIS OF 'INCOMPLETE OR ERRONEOUS
INFO&'1AT'ION. ..
ANYONE PI'.OCEEDING PAST THE"POHlT/or'13EQUIRED INSPECTIO~S'WI.LL DO ,60 AT THEIR OWN R}SK.
SUB'SURFACE MW ALTERNATIVE SEWAGE !)ISPOSAL SYSTEMS: . ..;
1. Permi;;-shallibe effective Jor one y~ar from the date ot'issuance.
2. Upon completing the construction (or~which a, permit has been issued, the permit holder shall
notify the Lane County Depa~tment 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 satisf~ctory completion to the permiti~older.
If the construction doe~ not comply with such rules, the Department shall notify the permit
holdo:v- and sh~l'l require satisfactorv completion before issuing the certificilt'l' .Failure to
meet-the'requlrements for satisfactory completion within 6 reasonable ~ime constitutes ,a vio-
~lati~n o,f ORS 454.605 to 454.7~5 and this rul;". + t,' ... -.
\'Setbacks - Subsurface St;lwagc' Disposal " \. ., "
Septic ~ Drainficld
-10' 10'
10' 10'
5' 10'
50' 100'
.-'
From.:
Interior property lincs
Edge of road riqht-of-way
B-uild~in'q foundation'
. \-"c lls, otl'lcr......,at:cr' .~6urces
"
,
; ,
.t i:
:'J \/::
\
,
'.--'
,.....
,
.'
,
.' '......"'\
\ ).
"
,~;~
,\-'"
" 1''-....
"
, .
,
I'
"'
"
~
...
r
,
I
:T
...
.r
\
,
,';',
.'
.
j
.
TRS/TAXLOT
Ol.INER
APPLICATION # f ?J22~5( (')
ADDRESS
PHONE
APPLI CANT
(IF DIFFERI:NT)
JOB ADDRESS
ALJUKI:SS
PHONE .
VALUATION .
. . . . . . . .
REVISED
[ ] Addition
[ ] Correction
Bldg. ~2..?O
Invest/
Db 1 Fee
PRIOR [ ] Refund
[ ] Dep. Only ~ Amt. Due
(,1.5:)
-"-
Mech.
. Plmb.
Fi xtures ?IS.ao
SWR FT
\.JT R FT
RA IN FT
$L:JO
-'" -
PCK
Surcharge 3~5a .J.!!>O _'If - .
~k z5:ao Z,5.M .t1-
Fldpln
FiR b 1!&~/F1u.-natJ. QF= SDS .~.OO . fJJ.()O - .. '.,.;--
puWlJl~ 'flBfU/~ DEQ lj.OO 5.tJ(J ~C:,.~
~ther .~.OO _"(J'--o" ---..~.()O
TOTAL 2/t.OD I ff3l. 00 30.00
(AMI. PAl D) (AMI. DUE)
REVISIONS CALCULATED BY: ~
DATE: ~/~
.
.
.
'I',
.
. II
"
.~
(
i.
.
,
.J
',1' l
, ,
)
.j
.
.
. "
'I
'\'1":'
.:
__._ 1:....._., _. _ .~
.
. 1 AN"" "'I-lIN-I'" \)""1""1' I::>"'. 'IC'1- I:""'C. E.:' I '::"1' ,", "1 "~':>':>cl L I)A'I'''' (.)"1':'''1':\'
. _.11:. eJM ,1..1:.. ...1'(1) I J \1:_. u,.....~.......;:C) [.. ~_.....ct..
APPLICANT BORK. LADONNA AD DR 1863 INLAND WY., SPRINGFIELD, OREGON
TL;~' 1 B030233041 ~)0 SUBDIV ' ':- LOT II l.. I<
.NE~J BI...DC TYPE USE R BDm'lS 0 UNITS 001 STOFUES 'UHLDGS(')01 PHONE 741 1:5'1~5. '
mJNEF, NME f'UI'W, U,DONNA {-,DIm 1 B<<l INl..t,ND WY., SF'IUNGFIEl_D, cmU;DN
CODE APPL ND ACTION DESCRIPTION SQ FT UNIT CDST VALUATION FEE DAy~l
.Bp . ~.
HI" Ii
HI'" Ii
.Hp . I
Bf' · I
il I i
.F'l..' ~rIX/HrYrH: s~m, FT. (rm, FT. I'IAIN: FT . !
MECH MECHANIC,'d... FTE {
sur, ST(HE SUI'(CHrd:,GE 4% '
.F'CI< F'LAN CHECI< FEE 2~')" . !
HI" .LC 132286 SUPP 30.60 I
11'1 b!
.'
'.
.
.
II
.,""'1"'-'
.,1'" \;r.
SE(~I...I :
I i frAKEN
.
,'>1"1"
o
BY m_.I-1
F:(,
1"'1"
:ms
SI
PCI<
liTH
IS;';'
o
TOTAL F'EElH'
30. 0~) CI<
.,1
!
EST. COMPLETION DATE
.
.
,
i
,.
.
.
,
(jJ~ 1i ,),/w
N/-# q;q/?JD €G
(
(IJG- (2/ 'C L (); Of(. 2 G0f.J 9'1tfl) 'J
1 'J~ - 7 ~J g
SC Ii- L[ -1 I ffr d 0 /l
M JLj)J-&:J d) 3Ad ~ a~ 1:iA"~
M~ V~"II'I'!> A 7l'Al'~ tA;J.lT. f5'; ~-
_ I'" r\
,,~
'.5
~:,\~.,
Cf\RQ"~~1
I .'::1:
Co '. ,
< "l11/'''1( ~ 10-",
A
_.. I .
2 r'M'~ Q
-
~&D'-> !
v '
'f
IS" ':S1
PvG if. P.B UJKreIL PIPrN9 PtiOfItlB~ I-. A rv 0
U1J~~.
P4DVIDE 'R-E:.J<' c.o(/Pt.l~ ~ H~
l\IJP UAIt6R.4fUJUIJP PIPt~. '.......- ,
PeatJ10e nE~ F512- n!E:. ATrAafEt>. .
0'
>--
~
.t
\Aj
~
~
---.
> '.
J'\ .
"
~5~TA'''K.1
t_
,.
'L x 151 I rJG- F'i. (l.!c..(
""
.,.
"'I'
.j"
i
,
\)
i
, ''[I
,
,
'l~ '<-
'\ S1oH'r&:
"
,
-
.<
-:;
-:r
~
, ,
\(
'0'
I.
/
v
/1<-
~rJ
\
V)
l<1
~
APPROV~I!)
DATE .17, Seof liD
BY ,buuJ
LAND USE
APPROVED
DL {"0,~'Q?
'f'0-~
~~
'-i
LJ!+ Y
'.
. "
I,
/'
\~
'v/
Date
To:
S"-S--BC.
FLOODPLAIN ~lArIAGEMEfjT ~
Management/125 East 8th Ave., Eugene, Oregon
687 -4357 /c
. By J:tJ!
ec
Department of Environmental
~ Permit Processing
o Planning
o Pub1 ic Works
PA' /3Z/-8f"
. ~.T, ..v.. .Iv. t3P.r? J::J -8b
Subdivision No.
..,~
Permit No.
ADDliro"nt ,Name L A.2A:uVN.4 /.B.w/2/c.
vNAfo site //j~"3 Z~./LA-NP W4'-f _)R~
t:j .-1. SFD AG ~ ADD. COMM.
~n)(;~ <imate flood hazard study area, extra precautions may be appropriate to
U I' .~ ~ that the building site will be reasonably safe from flooding.
uJ m€;vrv\IJ I flood hazard study area. Data Source ~m/J0'7.wil;,-~ ?4-~C
~ ~hometiedownsrequired...: . ~f'-/.5-.s-7/ L)/z..
Intia1 improvement.
~ n regulatory f100dway channel, building prohibited unless it is demonstrated
that .he cumulative effect of proposed development will nut increase the base .
flood at any point. Contact Floodplain Management for more information.
o BASE FLOOD ELEVATION + l' = I (MSL). Certification at or above
this elevation required as checked below.
o OTHER
~************************~*************************************************************************;
. -
o CERTIFICATION OF ELEVATION
!,
o
o
o
o
o
, a Registered Profession~l
in the State of Oregon, do hereby
certify to Lane County, that the following elevation represents a survey
made by me or under my supervision.
The foundation elevation (including basement slab) =
The ground elevation that structure will be placed on =
The first floor elevation = , (MSL).
The elevation of the top of f10odproofing =
Other
:;:
Q>
-c
I (MSL).
......
~
, (MSL). ~
I (~lSL). ltJ
,
~
N
w
W
Reference Bench Mark No.
Location
Signature SEAL
Date
-f
r-
Original to be certified and returned to Lane County
Floodplain Management
1st copy.with application/inspection
2nd copy to applicant
3rd copy to Floodplain Management
t
~
l\
&1/Z
/1/ ~
i ::e -ftt7411
. .,. .':.... . .~~.. .. ,.
ACWTY INFORMATIO_HEET'.
CQMPLETE THIS SECTION. INCOMPLETE FORMS WILL BE REJECTED!'
~ '. ..
..
11 L d f)",. YI/1 tA IJ UrPYr-<.,-
PERSON MAKING REQUEST
J <:)I~ -3 X'/lI Jq 1'l_J Wa U .
, MAILING ADDRESS h
SPR,'noQe)/ cPR I >Y?)
city / STATE ZIP CODE
7(/ J- } '315-"
BUSINESS TELEPHONE # HOME TELEPHD E #
L"Yl'.4~A,(/ii'c Jt)yP" "t IStJP<J...
/PROPERTY OWNER
} 2.(;:.3. T;y k~ tda '-I
. MAILING ADDRESS /
~ Btf.'v,:JC,<!!)J DfJ 9 >ti>)
CITY STATE ZIP CODE
i
141/- ;:3/~-
HOME TELEPHONE #
BUSINESS TELEPHONE #
~ 2 PROPERTY ADDRESS
I (IF DIFFERENT FROM MAILING ADDRESS)
I
i 3 MAP & PARCEL NUMBER (from tax maps in Department of Assessment and Taxation
!"d;!JQUIRED INFORr~ATION) If _ ;; fromo; stateme;; ()() 1----.
rvf\: -I ~ TOWNSHIP RANGE S~CTION TAX LOT(S) OR PARCEL # ZONING
~~~~::: TOWNSHIP RANG~ SECTION TAX LOTtS) OR PARCEL . ZONING
SIlt of1\i.()U1S": ---::1--::: -
~~.OfB~Il~~ -;::"p,.: .' TOWNSHIP RANGE' SECTION
TOTAL CONTIGUOUS PROPERTY IN SAME OWNERSHIP:,
4 SUBDIVISION (if applicable) h 'J 1Je.~TCoI tYI)Ue- LOT J </ BLOCK ::2--'-
5 REQUEST (state exactly what you plan to do) P,rI- Akt) E:.1 JIt!J'r1-1t!. ""'"'
S ,'Tf; ~
TAX LOT(S) OR PA~~ ZONING
~~JAV""-VACRES .
i 6 DIRECTIONS TO SITE: .2rJ <;:-r.- ; 011 S Pf''nlQ~ @ILToJ/Q.@&',p l/"1t(. 7i1:L A He:Jk,q.i
. /
~ -
.
."
ZONE/LAND USE:
~/;:;:SE ONlY"
J ;>: [. t. )1
. l\ I
14~33
. ."-'.' ......, '~
\
LAND MANAGEMENT DIVISION / 125 E. 8th AVE., EUGENE, OR 97401 / 687-4061
. . . .
. . . .
. .
'"1
. .
"
. .I~
it]
11 , @
~
Ii:
. e:
~
~
w
. "
.-
.~
w
" '1~
.
. .;
~
. .
I 11 I 0 ~I
. .~ :
1"
:i' ,
. . .~
3 .
, '" I"
I <
. .~
.., -
~. .
. 1 I
, · Lt-,NE COUNTY DEPT ENV' MGT f'\ECEIF'T ~.I:Q206 DATE 0~i02B('
APPLICANT BURK. LADDNNA ADDR 1063 INLAND WY.. SPRINGFIELD, OREGON I
TLO 1003023304100 SUBDIV FIlBERTGRDVE '. . LOT 034 BLK O?
.NEI~ BLDG TYPE MH USE I~ Bl\f,MS 2 UNITS 001 STOF:IES .~BI.~DGS ';)01 PHONE 741 L'll~'i. i
OWNER NME BUf'\K, LADONNA ADDf'\ 1063 INLAND WY., SPRINGFIELD. Of'\EGON,.,
CODE APF'L NO ACTION DESCI'nPTION' S(~ FT t)NIT COST VAU.liHION FEE DAt'.o',
.BP . I~I
. it] ,
BP
BP .@
~P .~
<
'lBp ~
.MH LC 1322B6 MH 62. ~i0 . ~
~HPL OFIX/BAT0: 2. SWR: FT..'WTR: FT. f'\AIN: FT 25.0b ~I
MECH MECHANICAL. FEE . 1:
.'FS,UCIK~ ST,;TE SUF(CHARGE. 4% 3.50. .~.'
PLAN CHECK FEE 0% -
~
SDS SDi\N . 60.00 ,..~
.SDEQ :i. 00 ~
p,;SO FEE, 25.00 .
.CATG: .
II '""-("1)"
,,}!...:":. .
.TAKEN
BY I'~LH
EST. COMPLETION DATE
TOTAL FEE.H
1131.00
.~
i ~~ ~
,
CI< .l
APP
I'~A
1':'1'"
SDS.
SI
PCK
4
OTH
ISS
5
2
~3.
.
I
(
-
o
.~
.~
<