HomeMy WebLinkAboutPermit Building 1974-06-21IANE COUNTY BUITDING PERMIT OR MOBITE HOME USE PERMIT
BUILDING [-.-] MH I PERMIT NO.
'!RTY OWNER'..<,-MAILING ADDRESS PHONE
CONTRACTOR MAILING ADDRESS PHONE
PROPERTY I,OCATION _ INCLUDE POST OFFICE
PROPERTY TEGAI- DESCRIPTION - METES, BOUNDS
ditlon Lo Haze lrood Bls€k L
RANGE SECTION TAX N CODE CENSUS TRACT
EXISTING STRUCTURES ON PROPERTY
0wellirr,,
APPT.
NAME
&
MAITING
ADDRESS
LEGAL ACCESS TO PROPERTY
PROPERTY SIZE - FT.
WIDTH DEPTH AREA
FOR MOBILE HOME PERMITS ONLY
No. of Bedrooms
STRUCTURES TO BE BUILT THIS PERMIT
Connect to Existi Sewo e
TYPE CONSTRUCTION
New
BDRMS VALUATION
m
SQ. FT
SEWAGE DISPOSAL
PUBUC tr SEPTIC TANK n
PLUMBING INSTATTED BY
OTHERE OWNER
WATER SUPPTY
PUBTIC
OTHER: NAME
OTH ER
F EESBU ITDING
WASTE DISPOSAT
PI.UMBING
PTAN REVIEW
PARK TRAITER
TOTAT
COUNTY BUILDING & SANITATION SPECIFICATIONS
MIN. SEPTIC TANK CAPACITY
WITH DIST. BOX: GAL.
DRAIN FIETD REQUIRED
TIN. FT TRENCH WIDTH FT-OR SQ. FT
prtio until thc locrtlo dralnficld is datenlni
TYPE OF STRUCTURE OCCUPANCY ZONE PUBTIC UTIL. EASEMENT
BI.DG. SETBACKS FT FROM CTR. OF ROAD RIGHT OF WAY USE CLASSIFICATION
FRONT SIDE INT SIDE EXT.REAR
AUTHORIZED SIGNATURE _ DATE- '1:
BI.DG. PERMIT _ WH ITE
OFFICE COPY _ WHITE
COUNTY TAX _ PINK
PI.UMBING _ CANARY
BUITDING _ GREEN
SANITATION - GOLDENROD
call 687-4065 to schedule oll required inspections. All consrruc-rion sholl comply wirh Uniform tiuilding Code, D.E.e. stondordsIMPORTANT: for subsurfoce sewoge disposol ond coinry regulolions coveringplumbing. All buildings require o cerrificorl of-occuponcy beforEbeing occupied.
(See Detoils on Reverse Side)
(POST THIS pERMtT ON MA|N BrDG. AT SITE)
IANE COUNTY, DEPT. OF ENVIRONATENTAT MANAGEAAENT
COURTHOUSE ANNEX, I35 EAST 6Ih, EUGENE, OREGON 9740Ironu !1 655- 13
DATE
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By
JUN 1 ? 1974
LANE COUNTY
ENVIRONMENTAL MGMT'
tog>-7/
Record 6f Indl,vidual oewage Lltsposar Dysrcrn
BY TNSTALII&*
I
PERM!T oyd f,mold Btilding pcrmitN---
lloiling
SIffCH ltr Lrlrairrl:
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s i
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4
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!t SUrt TO INDICATT NOTTHfltY
Srgnoturc
roR usE or s^Nr^r,l4,ll
Sptcm opgorcatly AIp
,MENT
(a
ONLY:
'AN
IIARIAN
{bitooc"red l.
JZ.a--
nts /
I
r
Totot aombcr: Uriag .oiJ
Wotcr supply by: Prblk ladhirir''l
Scatic toal: Dbtorc Feti.
Totol hagtt
\rYidth of trcach
Totol {lon tootogc
Dirtoncc bctrcco lir*:*
TTpc of filtcr ootcriol:
losement: Ycr D No
unity system-
of compcrt/e
ridth - - ?
ft. Lot line: Front
fr. well Nd 4J L
ft. Neorest
I
ft. lnside d .lr
Totol liquid gol. Inside f- tt.Dnmctcr-
- -
ft. Uquid dcptl
fih dirposol ficld:Ycr I tto51
kngth coch liac 7r:i'id ft. Dirtonce from:
ft. toundotion
Depth
LO_
-
feet
Othcr-
or.t 613 -a . inthrr.Dcpth o, filtrl mtrrbl
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d!s.)<ts
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function sotisfoctofly, ond is therelore
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AlNnoC 3Nbrt
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,6-&t-Q 6 rAx Lor-
CENSUS TRACT-
( ) Building Permit Application No'
APPL I CANT:1sNA}1E
ADD
( ) 5ite lnsPection
( ) Pre-Permit lnvestigation
COH}IENTS:
BUILDING INSP ECT ION SECTION
5. Plans Submitted
7. Soil Stabil ity (footings)
8. Flood Plain
g, 0ther (see Conunents)
Zon ins 0rd inance ??:i: "yfo )
Subd i v is ion ord inince Efrffiice
Requ i red Access
Building Site (Area, llidth' .\- Frontage, Setback)
Other (see comments)
PHONE
DATE
NAI'IE OATE
NOT YESNO
()
)
()
I icable
(
(l
()
()
()
(
(
2
3
4
5
(
(
()2.
NO YES
() (/0
NA},IENOT
,ppriseus-r)@i,^i4
()
()
)
((
()
()
)
()
CO}IHENTS:
SAN tTAT ION SECTION
t0.
il.
t2.
t3.
Sewage Disposal
Usable Area
Water Supply
0ther (see Comments)
ecab
NOT
app t
NO YES
(
)
()
)
)
()
()
()
()
)
)
)
)
TE
CO}4}4ENTS:
TO APPL ICANT:
.rYou r,+,,Building Permi-t / Site lnspection:
Can be approved.
Cannot be approved at this time as indicated on item N0.\above.
ntact the Lane-
at ion on i6; 5
n Division.
V ,').w Questions and further information on items I through 5 co
COUNTY PLANN ING DEPARTI-IENT. QUCST iONS ANd fUTthCT iNfOTM
through I l contact the Lane Count Bui di and San i ta lo
()
()
()
t/ill be held in this of ce unt i you can resolve the pro ems I i cated.
ls being returned.
Your building permit application fee is being returned under seParate cover.
I.ANE COUMY PI,ANNING DIVISION
135 Sixth Avenue East, Eugene, Oregon 9740L
Phone (503) 687-4L86
I.ANE COUNTY ENVIRONMENTAL MA\IAGB{EIIT
135 Sixth Avenue East, Eugene, Oregon 9740L
Phone (503) 687-4065
c55-28
B U I LD I NS1 s lT E, EVALUAT I oN Js/c
LANE COUNTY PLANNING DEPARTHENT
4
,4
DATE
IANE COUNTY BUILDING PERMIT OR MOBITE HOME USE PERMIT
BUTLDTNG {ut MH E PERMTT NO.,.
PROPERTY OWNER
llnriclro. Ernarl
MAII ING ADDRESS ad
PHONE
CONTRACTOR MAILING ADDRESS PHONE
PROPERTY TOCATION - INCTUDE POST OFFICE
PROPERTY LEGAL DESCRIPTION _ METES, BOUNDS
Blo.k 3 Lot 12
RANG E SECTION
!6
TAX LOT NO CODE CENSUS TRACT
t7-t86
Htral
EXISTING STRUCTURES ON PROPERTY
&*rl I ingAPPI..
NAME
&
MAITING
ADDRESS
IEGAI. ACCESS TO PROPERTY
Sragn Avenua
PROPERTY SIZE - FT.
WIDTH DEPTH AREA
FOR MOBILE HOME PERMITS ONLY
No. of Bedrooms Connect to Existin Sewo
TYPE CONSTRUCTION
New slem
STRUCTURES TO BE BUILT THIS PERMIT se FT l2 BDRMS VALUATION
lsrr (Ftllv rw)
SEWAGE DISPOSAT PLUMBING INSTALTED BY
OWNER n OTHER: NAMEPUBI.IC
BUI[DING
WASTE DISPOSAI.
PTUMBING
PTAN REVIEW
PARK TRAILER
TOTAL
SEPTIC TANK
FEES WATER SUPPTY
PUBUC ! tr OTHER
COUNTY BUILDING & SANITATION SPECIFICAIIONS
MIN. SEPTIC TANK CAPACITY
WITH DIST. BOX: GA[.
DRAIN FIEID REQUIRED
tIN. FT TRENCH WIDTH FT OR SQ. FT.
TYPE OF STRUCTURE olcuPANcY z9NE PUBTIC UTI[. EASEMENT
BI,DG.
FRONT
SETBACKS rT. FROM CTR. OF ROAD RIGHT OF WAY
SIDE INT. SIDE EXT.
USE CLASSIFICATION
REAR
AUTHORIZED SIGNATURE _ DATE DATE 3
BLDG. PERMIT _ WHITE
OFTICE COPY - WHITE
COUNTY TAX _ PINK
PTUMBING _ CANARY
BUILDING _ GREEN
SAN ITATION _ GOI-DENROD
Coll 687-4065 ro schedule oll required inspections. All construc-
tion sholl comply with Uniform Building Code, D.E.Q. stondords
IMPORTANT: for subsurfoce sewoge disposol ond county regulolions covering
plumbing. All buildings require o certificote of occuponcy before
being occupied.
(See Detoils on Reverse Side)
(posr THrs PERMTT oN MAIN BLDG. AT SITE)
IANE COUNTY, DEPT. OF ENVIRONMENTAT MANAGEMENT
COURTHOUSE ANNEX, I35 EAST 6Ih, EUGENE, OREGON 9740Ironu*655-13
OTHERN
SITE INSPECTION
Appnoveo D Drsnppnove, D
Reuanx s
Dare I Hspecron
FOUNDATION I NSPECTION
AppRovEo Drsappnoveo Dar E 2 PECTOR
Reulnxs
FRAMING INSPECT
Appnoveo
Re uanx s
Dr srppRoveo Darr 7-I xsprcr I
LATH OR
AppRovEo
RENlnx s
oo,, 4"2 3-- f(I Nspec
,oL,r /t
FINAL INSPTCTION
Ap pRov e o
Reuanx s
D oor._ ?'l/ - kDr sappRoveo I ruspec
CERTIFICATE OF OCCUPANCY
Reaov ro lssue
REuanx s
Nor REeov ro lssue Drre I usprcron
l/001-7 7?oo a"7e
J
d'
4r/-
Dt srppnoveod
FT
I.ANE COUNTY BUILDING
BUTLDTNG [_-1 MH I
PERMIT OR MOBIIE HOME USE PERMIT
PERMIT NO.
PROPJRTY OWNER MAILING ADDRESS PHONE
CONTRACTOR MAILING ADDRESS PHONE
E7\
PROPERTY TOCATION _ INCTUDE POST OFFICE
PROPERTY I.EGAI. DESCRIPTION _METES, BOUNDS
RANG E SECTION TAX LOT NO CODE CENSUS TRACT
EXISTING STRUCTURES ON PROPERTYAPPI..
NAME
&
MAILING
ADDRESS
TEGAI. ACCESS TO PROPERTY
PROPERTY SIZE - FT.
WIDTH DEPTH AREA
FOR MOBILE HOME PERMITS ONLY
No. of Bedrooms Connecl to Existin Sewoge System I New
TYPE CONSTRUCTION SQ. FT BDR MS VALUATION
m
STRUCTURES TO BE BUILT THIS PERMIT
SEV/AGE DISPOSAT
PUBl.rC tr SEPTTC TANK tr OTHERE
PTUMBING INSTALTED BY
OWNER ! OTHER: NAME
BUITDING
WASTE DISPOSAL
PTUMBING
PI-AN REVIEW
PARK TRAII.ER
TOTAL
FEES WATER SUPPTY
PUBUC tr tr oTHER
COUNTY BUILDING & SANITATION SPECIFICATIONS
MIN. SEPTIC TANK CAPACITY
WITH DIST. BOX: GAI..
DRAIN FIELD REQUIRED
IIN. FT TRENCH WIDTH FT OR SO. FT
TYPE OF STRUCTURE OCCUPANCY ZONE PUBTIC UTIT. EASEA,TENT
BTDG. SETBACKS
FRONT
FT. FROM CTR. OF ROAD RIGHT OF WAY
SIDE INT. SIDE EXT.
USE CI.ASSIFICATION
REAR
AUTHORIZED SIGNATURE _ DATE DATE
BI.DG. PERMIT _ WHITE
OFTICE COPY _ WHITE
COUNTY TAX _ PINK
PTUMBING _ CANARY
BUII.DING _ GREEN
SANITATION _ GOLDENROD
Coll 687-4065 to schedule oll required inspections. All construc-
rion sholl comply with Uniform Building Code, D.E.Q. stondords
Ii,IPORTANT: for subsurfoce sewoge disposol ond counly regulolions covering
plumbing. All buildings require o certificole of occuponcy before
being occupied.
(See Detoils on Reverse Side)
(posr THrs PERMTT oN MAIN BrDG. AT SlrE)
IANE COUNTY, DEPT. OF ENVIRONMENIAT MANAGEMENT
COURTHOUSE ANNEX, I35 EAST 6Ih. EUGENE, OREGON 9740Ironu Jf 655- 13
-I
/art'l--l€ffi=FL00R
PLUMBING GROUND/ORK
AeenovEo ruDrsappnovro
Reuanxs
oorrb4Y-?t I Hsercron
GAS PIPING GROUND/ORK
AP PRov E D
REua nx s
D DrsappRovro D Dare I nsprcron
ROUGH PLUMBING
AppRovro
Reul Rx s
DI SAPPRoVEDry D r*DL-ry-lrsprc
ROUGH GAS PIPING
Appnovco D Dtsappnoveo D
REManx s
DarE I Hs pr cron
FI NAL PLUMBING
AppRov r o
RE MARK S
y'?-2?
APPROVED Da SPEC
FINAL GAS PIPING
Appnovro D DrsAPPRovE, D
Rruanx s
Dare I usprcron
CERTIFICATE OF OCCUPANCY
Reaov ro lssuE D Nor Reaov ro lssuE D Dorr-
RE MARK S
I xspectoR
-
Cr#
-\.,---IANE COUNTY BUITDING PERMIT OR MOBII.E HOME USE APPTICATION
PERMIT TYPE - BUILDING MOBTLE HOME I OSC REG. #
ADDRESS
PERMIT
OWNER MAILING PHONE
7
co
PROPERTY
PROPERTY TOCATION _ INCIUDE POST OFFICE
PROPERTY LEGAT DESCRIPTION
I.OT-BLOCK_SUBDIV./5/'aatr 3r*METES&BOUNDSXYES
ATTACHED NO
'*2<RANGE SEC.TAX tOT CODE
DESCRIBE EXISTI
TEGAT
CENSUS TRACT g("
APPTICANT
NAME
AND
MAII.ING
ADDRESS
FOR MOBILE
Number of Bed
CTURES ON PROPERTY IF ANY
PRoPERTY _ RoAD NAME OR #
DEPTH AREA
ERMIT ONLY
Connect lo Existing Sewoge System or New System Req. E
STRUCTURES BUII-T THIS P TYPE CONSTRUCTION se. FT. # BEDRooMS vAtuATloN
53
FEE RECEIVED
PERMIT #
FT,
SEWAGE DISPOSAL
PUBLIC SEPTIC TANK tr OTH ER
FEES WATER SUPPTY
PUBTIC OTHER
PTUMBING INSTATI.ED BY
OWNER OTH ER
PTANS FURNISHED
YES NOE
SIGNATURE OF
/2."u
ONS
FACII.ITY PERMIT
NOYES
BI.DG.
WASTE DIS.
PLUMBING
PI.AN REVIEW
PARK TRLR.
PI NG FEES
FIXTU RES / Q o.oo
DATE
TE
TOTAL
MIN. SEPTIC TANK CAPACITY
WITH DIST. BOX: GAI.
SEWER
CONNECTION FEE
PUBTIC WATER
CONNECTION FEE
COUNTY BUILDING & SANITATION
DRAIN FIELD REQUIRED
tIN. FT. TRENCH WI OR SQUARE FEET
<_
TYPE OF STRUCTURE OCCUPANCY ZONE REAR YARD PUBLIC UTII.. EASEMENT
l/
BLDG. SETBACKS - FT. FROM CTR, OF ROAD RIGHT OF USE CTASSIFICATION
RONT SIDE INT SIDE EXT,REAR
PTAN N I Dqle
Form # c55-12
Dote BI-DG.
-H
ions lo Find Property:
COPY 'I _ OFFICE
COPY 2 _ JOURNAT
COPY 3 - AUDIT
27-:-@6-
liPFl. ilELo
CITY OF SPR OFEGO'V
O EV ELO PM ENT S ERV I C ES D EPARTM ENT
Springfield Police Departnent
Springfield Fire Department
Lane Council of Government
9l I Dispatch
Lane County Elections
Sanipac
Rainbow Water District
Springfield News
225 FIFTH STREET
SPRINGFIELD, OR 97477
(541) 726-3753
FAX (541) 726-3689
November9, 1998
Arlyss Silvius
3906 Osage Street
Springfield, Oregon 97478
RE: Previous Address Change Notification
Dear Mr. Silvius:
I am writing in response to the previous notification you were sent regarding the pending address change
for your property located at 3906 Osage Street, Springfield, Oregon, also known as Lani County Assessors
Map Number 18020614, Tax Lot 08900.
Following the neighborhood meeting which was held on August 25, 1998, a number of meetings were held
between our staff, legal counsel, and emergency services. Fortunately, I believe, adequate resolution has
been reached for all involved.
Jasper Park Subdivision to the west of you will be addressed following the City's standard addressing
policies, i.e., the even numbers will be on the north side of the street and the odd numbers will be on the
south side of the street. The new street in the subdivision that runs north and south will be named Hazelnut
Lane instead of South 39h Street, which will allow us to continue to use the 3800 numbers in the new
subdivision. Although these numbers will not align with addresses in the outer vicinity of the area, they
will maintain sequential continuity.
The City's sequential addressing policy for the north/south streets will result in the odd and even numbers
"switching sides" where the new suMivision meets with the existing residences. The Public Works
Departrtent has agreed to place a sign at the City limits sating that the County addressing system will be in
effect once you leave the City limits on both Pinyon and Osage Streets.
I will be sending a copy of this letter to the following agencies informing them that your address will not be
changed by the City at this time:
Lane County Sheriffs Office
Springfield Utility Board
U.S. Post Office
U.S. West Communications
Northwest Natural Gas
TCI Cable'
United Parcel Servicc
Register Guard
Previous Address Change
November 9, 1998
Page2
fication
Again, I would like to thank all of you for comments and concems during this process. If you have any
questions, please feel free to phone me at726-3790.
Sincerely,
Building Safety
cc: Dave Pueng Community Services Manager
Mel Obersg Planning Supervisor
SPR! FIELE,
September 4,1998
Arlyss Silvius
3906 Osage Street
Springfield, Oregon 97 47 8
RE: 3906 Osage Street Reference Number 1802061408900
Dear Mr. Silvius:
This letter is written as notification that the address change you were notified of on August 17, 1998
regarding your property referenced above is on hold until further issues can be resolved with Legal
Counsel, Emergency Services, the Developer, the Planning Division, and serving utilities.
As agreed at our meeting on August 25th, Dave Puent, Community Services Manager, will be contacting
your neighborhood representative Tuesday to set up a meeting to discuss the progress to this point.
I will be notifying the following companies and/or agencies of the hold by sending them a copy of this
letter:
?fr,
Springfield Police Departnent
Springfield Fire Department
U.S. Post Offrce
U.S. West Communications
Northwest Natural Gas
TCI Cable
United Parcel Service
Springfield Utility Board
Lane Council of Government
9l I Dispatch, Public Safety
Lane County Elections
Sanipac
Rainbow Water Distict
Springfield News/Register Guard
I would like to thank all of you for your comments and concerns during this process. If you have any
questions, please feel free to phone me at726-3790.
Sincerely,
Lisa Hopper
Building Safety Supervisor
CITY OF OFEGO'U
SPF"VGF'ETD, OREGO'VCITY OF
D EVELOP M ENT S ERW C ES DE PARTM E NT
Springfield Police Department
Springfield Fire Department
U.S. Post Office
U.S. West Communications
Northwest Natural Gas
TCI Cable
United Parcel Service
SP'tINGFIELD
Springfield Utility Board
Lane Council of Governments
9l I Dispatch, Public Safety
Lane County Elections Department
Sanipac
Rainbow Water District
Springfi eld News/Register Guard
225 FIFTH STREET
SPRINGFIELD, OR 97477
(541) 726-3753
FAX(s41) 726-368e
August 17,1998
Arlyss Silvius
3906 Osage Street
Springfield, Oregon 97 47 8
RE: Street Address Change
Dear Mr.& Mrs. Cox,
Due to a recent land use approval of a new subdivision in your neighborhood, the City must change a
number of addresses on your street in order to allow for additional address assignment to the west of your
property, and to provide numerical uniformity for Police and Fire Emergency Services.
Your property located at Lane County Reference Number l8 02 06 14, Tax Lot Number 08900, commonly
known as 3906 Osage Street, has been changed to3979 Osage Street, Springfield, Oregon.
I will noti$ the following companies and/or agencies of this new address by sending them a copy of this
letter:
This change will become effective 60 days from the date of this letter (October 16, 1998). Please change
your street address numbers on your home and on your mailbox by this date. I am enclosing address
change cards for you, which have been provided by the U.S. Postal Service to help with your address
change.
I sincerely apologize for the inconvenience this may cause you. Ifyou have any questions, please feel free
to phone me at726-3790.
Sincerely,
Lisa Hopper
Building Safety Coordinator
Ll -G
4-1
ePc<
,+ -t6!Lane Coun\fnaosLh
y Authori zation for'
r-ro fK 2rrzca Application/ @Permit L1 / ,/-
OFFICE USE ONL}
8.{
d PROPOSED USE OF PROPERTY
! nesidential
E commerc:.al
f, lndr"t.:..t
l-l puuric
CIl'Y ZTP
'-4>762
DECI.ARED S VALUE4tW*
WATER ] n.-gpou.a
{f,xisting
+18'85sDATE
YOUR AUTTIORIZATION IIAS BEEN BASED ON THE T'OLLOWING CONDITIONS !
PLANS ExA.ttINATIoN: rype VN "roun&L__
COMIENTS t
Parcel Size
.<-,/rea!
Insta.Llation R€cord Issued? ! vu" ! n"
zon"}A
COM}lENTS
Date
s. r. f B. P. #
READ THIS SECTION CAREFULLY.
*interior
col"[uENTs
Lineal Feet
of Drainfield
!,taximun Depth
of Trenches
use I Office attached to S.F.D.
Partition # Parce1 l*
cr,, tr.,nn 4{ "", "id"
E@NT,ZoNING:
Minimun Setbacks:
L
PERMIT APPROVED BY BUILDING OFF'roRs4
LANE COUNTY DEPARTM ENT OF PUBLIC WORKS LAND MANAGEMENT DtVtStON, 687.4061,
125 EASTSTH AVENUE, EUGENE, OREGON 97401
SEE REVERSE FOR INSPECTION INFORMATION cL4-2s R*
-4
s:IBDIVISION,/PARUTION (1t applrcaDle)LOI'l PARCIiL BI,OCK
Ilstallation callonSpecifications: Tank
o.... 4-lh@ J
SETBICKS AND OTnER CONDITIoNS Or APPROVAL MUST BE STRICTLY OBSERVED. VIOLATION CAN RESULT IN REVo-
CnTION OF T|lrS PERMIT, CITATIO:J UNDER PROVISIONS OF LAN-E Co,U:{TI'S INFRACTION ORDINANCE, ANO/OR OTHER
RE,\EDIES ALLOWED .BY LAW'
!iHEN READY FoR INSPECTION, CALL 687-i1065. A ITINII'IU}I OF AT LEAST 24 IIOURS ADVANCE NOTICE FOR INSPEC-
ffiel.l-li.aiE_EfrE-ToIIowinginformationready:permitnumber,jobaddreg3,..t.yP€oi-ir"pi.tio., when it will be ready, your name and phonc number, and any special directions to slte-
BUILDING DIVISIoN r
REQUlRED INSPECTIONS:
I. Foundatron Inspection: To be made after trenches are excavated and forms erected and when all
materra.Ls ror rne f6indation are delivered on the job. tt'here concrete from a central mixing
pii.t t"o*o.Iy termed ',transit mixed") is to be used, materi.als need not be on the job.
Z. concrete slab or under-i1oor Inspectim: To be made after alI in-slab or under-floor building
ffi.qtIp^-r;-.dAfir, pfFfE-;;EEssories, and other ancillafy equipmenL itens are-in
pLace but-beiore any.o..ritl is fourea or floor sheathinq i.nstatled, including th-e subfloor.
3- Framinq 6 InsuLatton Inspections: To be made after the roof, all franing, fire blocking, add
i;ffi ira-;-p: afrdt-t-I-FIFes, firepraces, chimneys, and vents are cohPrete and all rough
electrical anci plumbing are approved. A1l wall insulation and vaPor barrier are in place.
4- Lath and,/or cvpsun Board fnspection: To be nade after aI1 LaLhing and q!'psum board. inCerior" #.#;-.ifin pf*.-Eut-EETGe any plaslering j.s applied and beiore gypsw board joints
and fasteners are taped and finished.
5. Final Inspeclion: TO be nade after the bui"lding is conplete and before occupancy.
AppRdvAL REeurRED. No uork shall be done on any part of the buildiug o. sutr.uore beytnd ttre ioint
indicated in each "u"""r"ir. i-nspection uithout first obtaining the ipproval of the building official
lr.ir-ippi"".r shall be given cnly afler an-inspecrion shall have been nade of each successive step
in-tr,.'i"n"a."c!ion as indicated-by each of the insPections required'
NOTEi AlI building permits require inspections for the lork authorized, such as but not limited tor
A. Block vlall: To be made after reinforcing is in pl,ace, but-before any grout is.Four.ed..- This
ffi"p*f i"-i"q"li"a for each bond beai pour. There ui11 be no approval until Lhe prmbing
and'electrical inspecLions have been made and approved'
B' ldood stove: To be made after completion of masonr:r (if apPricable) and.wllen lnstarrati'on is
ffi:.ff'rn"t"ii"ti."n shalL be in accordance witi: art apbioved, nationally recognized testing
agency and the manufacturerts installation insrructions'
c. Mobile Home: An inspecti-on is required after the nobile hone is connected co an approved
ffr "fr".pti" "V"t^"* ior setback requirements, block j'ng, footing connection ' tiedowns 'skirting, and plmbing connecci'ons'
1. Footings and piers to comPly with State foundation requiremenls for mobile homea or as
recomended bY the manufacturer.
2.Mobilehomeninimumfinishftoore].evationshallbecertifiedvhenrequiredbyaflood-
PIai.n managenent letLer.
3. Mobile hone Lj.edowns, when required, and skirting shatl be inslalled and ready for insPec-
rion ui.rhin.;-i;;"i'30 days ifr". o"crpan.y. Tie,iowns and sklrting shall be inslalled
per enclosure.
Pool: Below grade when steel is in ptace and before concrete j's poured
.-lE-installed
Sep tiq TankE Drainfield
fnterior propercY lines
Edge of road riqht-of-way
Buj.l"ding foundation
Hells, other water sources
Above gradeSwtming
uhen Pool
APPRoVEDPLANSMUSTBEoNTHEJoBSITEATALLaT!'{EsDURINGtIoRxINGHoURs.THISPERI,IITIIILLEXPTRE
rF woRK DoES NOr BEGrN wrrHtN r8O DAYS, oR rF woii rs susPENDED OR ABANDONED EoR.Ia9I!_lElI 119^Plrs'
..SUSPENSTON OR REVOCATIoiI MAY oCCUR IF THIS PERMIi'I'{*5-ISSUED ON THE BASIS Or INCO!'IPLETE OR ERRONEOUS
INFOR},I.ATION. t
ANYONE pROCRirprNc pAsT THE POIN? Ot REQUIRED IOSPECTIONS WIL! DO Sq AT THEIR OWN.-"I.1SK.'..
suBsuRFACE AND ALTERNATTVE sEl{AGE DTSPOSAI SYFTEUS: i-1. t;ia""stratt ue effective for one year from lhe da'te of issrfince'
2.Uponcomplelinglheconstructionforwhichapermithasbeenissued,thepermitholdershallnotify the r,.n. cor.ty o.fa.t-"nt of planning'and comunlty Develooment bv submittinq Lhe
instaltation record form. The Departsent sh;II inspect thl constrirction io detemine if it
conpli€s witir tne iuies cone.ined'in this division. If lhe construclion doe! conply with such
rules, Lhe Departne;a ahiit i""uu a certificate of satisfactory compretion to.lhe pernitiholder'
tf the construction-'Joes-n-r compfy wltn iuctr rules, the Departnent shall notify the Permit
holder and snalt require satisf;ciory "o.ti"tion bifore issuing the certj.ficate. Failure to
meec the requiremencs for saEisfactoty ""i[i"ii"" within a reasonable Lime constituces a vio-
).iiio" ot oRs 454.605 to 454.'745 and this rule'
Setbacks - Subsurface Sewage Disposal
la
10
5
50
From:r0'
10'
10,
100 |
+<?--v-
D.
heccurty
ACTIVITY INFORMATION SHEET
COMPLETE THIS SECTION. INCOMPLETE FOR}IS t.lILL BE REJECTED!
D*ru D€RfuN
3i eb--OSAGA'IilqrtlnG' no'oRE"sS
hob @srM-E- l,rhrfrNE Aobn'ESs
??EUM q"q79 *et*b FLet$ 0 rz ?7?7q
C ITY
7?6 -s,z/
STATE ZIP CODE C ITY
74A's33 /
STATE ZIP CODE
7/C'776?7/6 A7C4
ffi HO-MTTELEPH(]NE # BUSINESS TELEPHONE # HOME TELEPHONE #
2 PROPERTY ADDRESS
( rF DrFFERENT rnO
3 marr c FAHoTL NlJMarFt (from tax maps in Department of Assessment and Taxation
R UIRED INFORMATION)or frorn tax statenrent)8?0 olb
MINSFIF
oz
mm ob,l
SMTTM
,l W I AL
ZONING
MENSH.IP AMGE SEETMN
o0leo
ffi
ffi
ZONING
MMNSH-IP MNGE SEETTON
TOTAL CONTIGUOUS PROPERTY IN SAME OWNERSHIP:
ZON ING
ACRES
4 SUBDIVISION (if applicable)LOT BLOCK
5 REQUEST (s;tate exactly what you plan to do) ttVk_S-[...&n'o 4n/O m*6,
/T A/ DFtre€ -
6 DIRECTIONS TO SITE:sz .?t ro 5.
2-I,AU (EtrT ru LD 7D <4 sr h?u-r€ O^/ 2J4zt€
** FOR STAFF USE ON Y**
zoNE/LAND USL
BY :
-
DATE:- TIME I N:- OUT:-
,3vo
NUMBER
DATE
-t7
l./1
d
LAND MNAGET-IENT DMSION / 125 E. 8th AVE., EUGENE, 0R 9740'l / 687-4061
I DnN HeN>s€-sort
PROPERTY Ol,lNER
,/-?*{
TRS#-op_-o
ENTS
FRONT
DATE ISSUED: t{- I 5' PERMr
*1
LUMB
REAR .'
SDS APPROIIA.L REQUIRED
3
I
,,{.-
TE
TIApproved Date
I NTER I OR
Correcti on Date
L SIDE
*t
LE T
Insp ector
I ZED
PLUMB I NG ROUNDWORK INSPECTION
Approved Date Correcti on Date Inspe ctor
UNDE PLBG. tr PLBG.PECTIONApproved Da te Correction Date Ins p ector
OTHER INSPECTIONApproved Date Comecti on Date Ins pector
ROUGH P rNG (TOP oUT)I NSPECTApproved_Date ION
Correcti on Date I nspector
Correcti on Date 7-f,-B{ inspecto r
ROUGH M I CALApproved Date Comecti on Date I nspector
EI
Da te ?-4-s{ /Correcti on Date
Correcti on Date
Ins pe ctor
App
U
roved Da Ins pector
FINAL ME I CAL n /w00D s E
Approved Date Comection Date I nsp ector
FINAL PLUMBI NG INSPECTIONApproved Da te
e Date
Correcti on Date
Comecti on Date
Ins pe ctor
Inspe ctor
CERTIFICATE 0F 0ccuPANCY n TEMPORARY CERT FICATE OF OCCUPANCY
Approved
M74-t97
Date Date Ins p.
-.1
LANE COUNTY INSPECTION RECORD
te
Insp. Approved_
L}NE COUNTY, OREGON
DEY>T. OF ENVIRON M ENTAL MANAG EM ENT
CGIFIFIECTIGIN NGITICE
JOB ADDRESS
TO
NOTE:
CONSTRUCTION PERMITS
& INSPECTION DIV.
DATE
BLDG. PERN/IT
d./J)DAJ
o
\
t
cs5-73
ECTOR
FlE.INSPECTIclN EIEOUIFIEtrl
FclFI APPFIOVALPhone eiE T-4OE