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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 .~ .~ <