HomeMy WebLinkAboutPermit Building 1988-3-26
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County Authorization for:
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mW,SHIP
FOR OFFICE USE ONLY
Reneual of Temp. ~:ObilG Home
Appllca t~on/ I -lo \
Perml t # 1.D
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LOCl\TIO~l ADDRI:SS ~ ST~\ET ./
4655 Jasper Road, Springfield
5T~UCTURES CURRENTLY ON PROPERTY
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LOT/Ph?CC:::"
ITA>. LOT Dour OF
2201
I BLOCK
PROPOSED USE OF PROPERTY
o T{esldentlal 0 Industr lal
o Commerclal D PubllC
RANGE
SECTION
18
!tt 02
05
SJBDIVISION/PARTITION (If appllcable)
1...1'T'Y
ZIP
OR
~7478
MR, TMH
JlRECTION5 TO SlT~
42nd Streat to Jasper Road, only moible hone pact Clearuater Lone.
u:SCRIPTION OF PROPOSED WORK - BE SPLCIFIC
DECLARED ~ VALUE
Rene", TMR 268-84
= OF BEDROOMS J # OF ST~RIES
o ,"'\jER I S Nt\l>1E AND ADDRESS ,/
Kenneth & Jean Iloolel:y, 1m 4637 Jasper
CONTRACTOR'S NAME AND OSR #
/ I i! or eMPLOYEes
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I \1A rER SUPPLY
1)..1/ ,,"r..<'1
. ./0y.. .rl./
Road. Sprin~field OR 97478
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o Proposed
,n E>astlng
TELEPHONE NUMBER
746-9567
TELEPHONE NUMBER
?~RHLT TO BE MAILr.:.D TO ~NAM.E AND ADDRESS)
TELEPHON~ NUMBER
I liAVE: CAREFULLY EXAMINBD THE COMPLETED APPLICATION tOR PLkMIT, dnd .10 hcrLl)y certtf,. thdt all .lllfoL<llat.lon hereon lS true and correct and that I
have the fo110w.lng legal .l.nterest .l.n the property Downer of reco.l.d 0 c()!JI-l.at ~ plnc.ha~er Dduthorlzed agent
I e.r cert1fy that any and all work performed shall be done 1n 3c.L.otdmH f \oq th tl,- Ordl.l1ance... of Lane Countj and the Laws of the State of Oregon
pe l.l.ng to the work descr1bed here.l.n, and th;;lt NO OCCUPANCY wl.ll ilL- Ilildc of cifly 5 rlJcture ,nthout the penn1ss1on of the BU1ldl.ng D1Vl.S.l.On I fur-
ther cert1fy that reg.l.strat.l.on w1th the BU.l.Jder's Board lS 1n full forc!' <Inti effeC'l 15 rec,u1ted by OR,S 701 055 that.l.f exempt the basls for exempt.lon
1S noted hereon, and that only subcontractors and employees who are 1.[\ compb.ance w::..th ORS 701 OSS 101111 be used on tl'1ls proJect I HAVE READ AND
CHECKED THIS APPLICATION THOROUGHLY
Kenneth Woolery
By Mail
m 3/3/86
NAME (please pr.l.ntJ
SIGNATURE
DATE
READ THIS SECTION CAREFULLY
YOUR AUTHORIZATION 'IAS BEEN Si"\.SED ON THE FOLLOWING CONDITIONS I
:0 PLANNING/ZONING
Zone
PartJ. tl.on #
Parcel #
Parcel SJ.ze
Minimum Setbacks
C
L, front
eL, Side
.loterJ.or
rear
COM.'IENTS This Dennit is valid until 1/1/03 or until hard"hin "en..,,"
9hi~hpvpr ~omP-A firAt.
Date
n
Ll'1Ld1 Feet
of Ihcl.l.r>f..leld
InstallatJ.on Record Issued? DYes 0 No
MaxJ.mum Depth
of Trenches
0 SANITATION s I #
Ins talla t.lon Gallon
SpecJ. fJ.ca t.l.ons Tank
CQl>lNENTS < .
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0 PLANS EXAMINATION Type
COM}lENTS
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PERMIT APPROvED BY BUILDING OFFICIAL/DESIGNEE (eer QRS 456 805(1)) DATF
LANE COUNTY DEPARTMENT OF PUBLIC WORKS LAND MANAGEMENT DIVISION, 687-4061,
125 EAST 8TH AVENUE, EUGENE, OREGON 97401
SRI" RRVRRSR FOR TNSPRl:'T'TON INFORMATION
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SETB"C"S ..,"D 0"" ICR CO"OlTIO IS OF APPRO'/"L lUST SF S<rRICTL' OBSERVED VIOLA"'ION C\'-' R:::SUL7 It>< REVQ-
C,,~IOl OF 7tIS ,.RNIT C1,,,T10 U'JDER PRQVISIO"S Or "''''E COw~, ., 11FR,CTrO\ ORDI'",CE ,,'OIOR OTIIER
RnlEDIES ALLOWED B't. LAW
wHEt<. RE'\DY FOR
"l0 RE:.nl.!:.S-o.
of In:.pectlOn
I'SPECTIO'J C,\...L 587-1065 i\. 'lIl\I'lU'\ OF "T LEAST 24 HOURS ,OV'>. CE ".OTIC=: FOP rrSPEC-
wST Bt GIVE' Hale the tollOW1~S In~ornatlon read} ~prmlt nu~ber Job address t\pe
when It WIll be ready jour 110me and pho-~ nurber and any s?eclal dIrectlonS to slte
BUILDI~G DIvISION
RfOUIRED I'SPCCTIO'S
FoundatIon InspeCtIon To be maul.. after tr-enche.s ,ne e"cavatea and forms erected and wt1en all
ll'aterl<llb lor tne tount.dtlon dl"e delIvered on t'1e Job IInere concrete ro'll a ce"ltral muo.ng
plant (co~onlv termed trans~L m~xed') 1S to be used, materials reed not be on ~he Job
Concrete Slab or Under-~loor Inspoct~on To be made af~er ,11 tn-slab or under-floor bu~ldlng
serVl~e o~u~pment condult, plp~ng accessor~es and other anC111ar2 equ~pment lLems are ln
olace but beroro any concrete lS poured or floor sheat'lng ~nstalled 1nclu~lng the subfloor
Framlllg ~ Insulatlon Inspect~ons To be made atter the root all fram~ng fire block~ng and
bracl"1g are ln olac~ a,d till p~pe5 flreplaces chlmneY$ and vents are complete and all rough
electrlcal and plumb~ng are approvcd All wall lnsulatlon and va~or barrler are ~n place
Lath and/or GvpsLm Boara Inspectlon
ancte>terIOr, 15 ll--prace Dut Detore
ana fasteners are Laped and .1nlshed
TO be made arter all lathlng an~ qypsLm board nterlor
any plaster~ng lS applled a,d berore gypsum board Jo~~ts
F~nal Inspectlon
TO be made after the bUl1dlng lS complete and before occupancy
APPROVAL REQUIRED ~o ~ork shall be done on any part of t;e bLl1dlng or structure beyond the po~nt
l~d~catea ~n each SUCceSSIve lnspectlon WIthout flrst obta~n~ng the aoproval of the bUIldIng off~c~al
Such aoproval shall b~ glven only after an lnspectlon snaIL have been ~ade of each succeSSIve step
In the construCtlon as lndlcated by each of the Inspectlons reqUIred
~OTt ~ll bUl1dlng oerml~S requlre inspectIons tor the ~ork authorlzed such as but not l~mlted to
A Block wall To be made after relnforClng IS l' place, but bcfoye any grout lS poured ThlS
InSpectIOn lS reqUIred for each bond beam pour There w~ll be no approval untIL the plumolnq
ana electrlcal l"1.SpectIOns r-a\e been made and approved
B \\ood Sto"e TO be m,de after cornpletlo, of masonr2 (~' appllcable) and when lnstallatIon lS
co~pl~ Installatlon snall be 1~ dccorOdnce Wlt~ an acaroved, natlonally recognlzed test~ng
agency an~ the nanutucturer's lnstallat~on Instruct~ons
C Nobl1e Home "n I'1sj)ectlon lS requlred after the mob~le home l5 connected to an approved
sewer or-5eptlC 5~s~em for setbac~ requlrements blocklng footlng co~neCtlon tIe~owns
S~lrtlng and plumbIng conneCtlons
1 Footlngs and pIers to conply wlth State foundation reqUlrements for moblle homes or as
recommended by the manufacturer
~Obll~ home mInimUm finlsh floo~ elevatlon shall be certlfled when reqUlred by a flood-
plaln management letter
lob~le home tledowns when requtred and sklrtlng $hall be lnstalleo ann reaay for lnspec-
tlon wlthln at least 30 days atter occupancy T~edo~ns dnn s~lrtlng shall be lnstalled
per enclosure
o
SW1~lnq Pool Below grade when steel lS In place ana before concreto IS poured
~nen pool-:S-lnStalled
Above grade
,\PPRQVED PLA'JS lUST BE O~ THE JOIl SITE AT ALL TI'1ES OloRI G wORKING !lOURS THIS PER.'1IT \i\ILL EXPIRE
IF I'.ORK DOl:.S f;OT BEGI'" WITHIN 180 DAYS OR IF WORK IS SUSPENDED OR ABANDONED ~OR 'tORE THA'J 180 DAYS
SlJSPENSIO'J OR REVOCArrO~ 1AY OCCUR IF THIS PJ:RNIT WAS ISSUED ON THE BASIS OF nCONPLETE OR ERROllJEOUS
It-.r QR.IATIO~
At-.YONE PROCEEOH G PAST TH:: POll T 01 REQUIRED nSPCCTIO IS WILL DO SO AT THEIR OWN RISK
SUBSUR~ACE A,D ALTER~ATIVE SEWAGE DISPOSAL SYSTEMS
Pernlts shall De e+fectlve for one year from the ~ate of Issuance
Upon COMpletIng the co,structlon lor Whlch a permlt has been Issued the pe""m.1t holder shall
notIfy the Lane Count} Deoartment of Plannlng and Communlty Development by submlttlng the
lnstallatlon record +orm The Department shall lnspeCt the construct~on to determlne If It
compl~es wlth the rules conLalned In thlS dlvlslon If the constructlon does comply wlth such
rules the Dcpa~tment s'1all lssue a certlflcate of satlsfactory completIon to the permlt, '101der
If the construc~10~ does not comply wlth suc~ rules, the DepartmLnt shall not.fy the permlt
holder and shall requtre sat~sfactory conpletlon be'ora lssulng the CCrtl[IClte Fal1ure to
meet the n~quIrements tor satIsfactory compl~llon I>.lthln a reasonable tI~e COl1st~tutes a VIO-
l~tlon of ORS 454 605 to 45~ 745 and t~lS rule
Setbacks - Subsurface S~~age ~lsPo$al
ScptIC Tan\..
~ O~ l'ter~or propert~ llnes la'
~dge or [Old rlqnt-or-~ay 10
BUlhll~q rOll~{la~IOn 5'
~clls other ~~tcr sources 50'
Dr~Infleld
10
10'
10'
100'
~ ~~~~ty)
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MOBILE HOME TEMPORARY PERMIT RENEWAL
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L1. V11:J
APPLICANT
KENNETH WOOLERY
4655 Jasper Rd.
Spr~ngf~e1d, OR 97478
1802050002201
MAILING ADDRESS
CITY, ZIP
~""O"'''''''''''.E_NT DfVr";1ON
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:: ^-~ ~~: :- ,-r::::::;:;:::n:-_:::J INFORMA TlON PROVIDED BY APPLICANT :. "'L':-:O:^,~ :-"'-~_~~:?:_i"%l
WHO HAS A MEDICAL HARDSHIP? (NAME)~E" /S I €
2 WHO IS PROVIDING CARE? (NAMF) 1< e Y1Yl '€ '1-J..
8 u,11" p~t: \ ~ \,.j,
\.A~oo(.pIQ..L..j
3 WHAT RELATION IS THE CARE-PROVIDER C I
TO THE PERSON WHO HAS THE HARDSHIP? ,.-;) 0 )? - I 11 - Q W
4 WHO LIVES IN THE MAIN DWELLING? (NAME) M A'.. ~_ tl.1tes. K. l. IJJ 0 C) tp, p i..I
I
5 WHO LIVES IN THE TEMPORARY MOBILE HOME? (NAME) 1:: / S I e i3 IJ. TI e ~ -\ \ e. I d
6 LIST THE FOLLOWING MOBILE HOME INFORMATION IF KNOWN
MAKE k.J c. (.(-"1'_. YEAR ~ I SIZE---fp X .$.6"
7 SIGNATURES.cL~" dfJ'L M-u ~)!.A.LA
PERSON WITH HARDSHIP - - ~ - p- .
7~P~R~~N~Gd!:~ )
L1CENSE# X 900109
31 DA~ / 'i' J'
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DAn::
(;::-:~':";=-:~L"JINFORMATlON PROVIDED BY PHYSICIAN OR THERAPIST ;L"" ~::~~~::..~~
1 NAME OF PATIENT f1?v"j &1'.7i.21~o".kL/
2 NATURE OF MEDICAL HARDSHIP /' ~ J..---
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3 DOES THIS HARDSHIP NECESSITATE THAT A FAMILY J ;/ / / ' A'.,.L'
MEMBER PROVIDE fiJARE? PLEASE COMMENT / /I # L2 - /f .( ~ ~_~ V-4
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4 PHYSICIAN'SSIGNATURE (' ~ ~ / DATF ?~;- ~25
MAILING ADDRESS _. JOSEPH KI Z MD. _ ( / /' / '
----fl[;....A........H.n.n.. U~",jjl. ..n.... J"ll:..l..I!\-U'l.Clo__
1110 NORTH 18'h
CITY, ZIP C.PlHN't::lO'TJ;'T n f"'llH'r-rU.T 0"1 i...,."
Lane County Land Management Division 125 E 8th Ave Eugene, OR 97401