HomeMy WebLinkAboutPermit Application 1985-4-3
~
Qc;
'/~3
5.f.pt,ir: Svst,Am revip:w for Loan
FOR OFFICE USE ONLY
Appl~cation/ t::J-Q...... t1 r-
Perm~t # 0'- (0 ~0
Lane County Authorization for:
17
RANGE
03
SECTION
24.4.3
TAX 'LOT' OOUT OF
6000
PROPOSED USE OF PROPERTY
~ Reside~tial 0 Industrial
D Commercial: D Public,
'NWNSHIP
SJBDIVISION/PARTITION (if applicable)
Second Addn - Ranch Market
LOCATION ADDRESS STREET
2223 Otto Street, Springfield, Or. 97477
STRUCTURES CURRENTLY ON PROPERTY
LOT/PARCEL BLOCK
1 4
CITY ZIP
SFD
DIRECTIONS TO SITE
~ESCRIPTION OF PROPOSED WORK - BE SPECIFIC
Inspection of Septic System for . loan.
~ OF BEDROOMS # OF STORIES # OF EMPLOYEES
DECLARED ~ VALUE
WATER SUPPLY
o Proposed
n Existing
TELEPHONE NUMBER
O;,NER'S NAME AND ADDRESS
Robert C. Johnson
CONTRACTOR'S NAME AND OSR #
State Federal 1065 Oak,
PERl-lIT TO BE MAILED TO (NAME AND ADDRESS)
Eugene, Or. 97401
TELEPHONE NUMBER
686 2134
TEL~rnv~~ NUMBER
State Federal
.1
I HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION FOR PERMIT, and uo hereby cettify that all information hereon is true and correct, and that I
have the following legal interest in 'the p~operty: Downer of record; D contract, purchaser; !Klauthorized 'agpnt with evidence of authority attach~d.
I f~rther certify that any and all work performed shall be done in accordance with the 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 any st,ructure without the permission of the ,Building Division. I fur-
ther certify that registration with the Builder's Board ~s in full force and effect as 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.' I HAVE READ AND
CHECKED THIS APPLICATION THOROUGHLY.
By Mail
4-3-85
NAME (please print)
SIGNATURE
DATE
READ THIS SECTION ,CAREFULLY. YOUR AUTHORIZATION 9AS B~EN BASED ON, TH~ FOLLOWING CONDITIONS!
E9 PLANNING/ZONING: Zone Partition # Parcel # Parcel Size
Minimum Setbacks: C front CL, side interior rear
' L,
cmmENTS: For Loan Review purposes only_ No special
U.
planninq required. , Date: 4:"'3-85 "
[] SANITATION:
Installation Record' Issued? 0 Yes 0 No
Maximum Depth '
::::;::;lj'at' tJ/;;;; ';UJ1ullt.lfu,;;':jI)'Ji}/ ditt cbJfl;~.w did . ... ..
~~ o~~ O~. Date': '~~-;s---7J' ~
S. 1. #
B. P. #
",Jr) 1lbhltJ!.
Installation
Gallon
Lineal Feet
o PLANS EXAMINATION: Type
Group
Use
COMl'lENTS :
Date:
n
, '~"
~~ .t((,nO<NG OFr?c:AL/OE5'GNE' (~< O><S 456 .8OS (l) l
LANE COUNTY DEPARTMENT OF PUBLIC WORKS LAND MANAGEMENT DIVISION, 687-4061,
125 EAST 8TH AVENUE, EUGENE, OREGON 97401
SEE REVERSE FOR INSPECTION INFORMATION,
~-$?-?S
DATE
C 14-25 R84-
SETB~CKS A~D OTHER CO~DITIO~S OF APPROVAL MUST BE STRICTLY OBSERVED. VIOLATION CAN RESULT IN REVO-
CA7ION OF THIS PER~lIT, CITATIO:1 UNDER PROVISIONS OF LA~E COU::TY' 5 INFRACTION ORDI:lANCE, AND/OR OTHER
REelEDIES ALLOWED BY LAW.
WHEN READY FOR INSPECTION, CALL 687-4065. A MINIMUM OF AT LEAST 24 HOURS ADVA~CE NOTICE FOR INSPEC-
TIO~ REQCESTS NUST BE GIVE~. Have the following information ready: permit number, job address, type
of inspection, when it will be ready, your name and phone number, and any special directions to site.
BUILDING DIVISION:
REQUIRED INSPECTIONS:
1. Foundation Inspection: TO be made after trenches are excavated and forms erected and when all
materials for the foundation are delivered on the job. Where concrete from a central mixing
plant (commonly termed "transit 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
service equipment, conduit, piping accessories, and other ancillary equipment items are in
place but before any concrete is poured or floor sheathing installed, including the subfloor.
3. Framing & Insulation Inspections: To be made after the roof, all framing, fire blocking, and
bracing are in place and 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 Gypsum Board Inspection: To be made after all lathing and gypsum board, ;.nterior
ana-exterIOr, is ~n place but before any plastering is applied and before gypsum board joints
and fasteners are taped and finished.
5. Final Inspection: To be made after the building is complete and before occupancy.
APPROVAL REQUIRED. ~o 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 be 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 any 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
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 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. Swimming Pool: Below grade when steel is in place and before concrete is poured. Above grade
when 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 SUSPENDED OR ABANDONED FOR MORE THAN 180 DAYS.
SUSPENSION OR REVOCATION HAY OCCUR IF THIS PERMIT WAS ISSUED ON THE BASIS OF INCOMPLETE OR ERRONEOUS
INFORMATION.
ANYONE PROCEEDING PAST THE POINT or REQUIRED INSPECTIONS WILL DO SO AT THEIR OWN RISK.
SUBSURFACE AND ALTERNATIVE SEWAGE 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.
If 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 Disposal
From: Interior property lines
Edge of road rlqht-of-way
Building foundation
Wells, other water sources
Septic Tank
10 '
10 .
5 .
50'
Drainfield
10 '
10'
10'
100'
..----~
0> ~'-. ~ a. :,>; 7 '. 'i<~;~~~~::i~;, .~~~~
, "RS V:P .. '... ,r... '^h'f,~q<;,., '11,-;
, I\'JI C I\JfJl'l1S~~";""'" '" .~
I:'V"E:/I::VI'\;jJ~;~~~;;a.:~...- .i!'i
. , ' ,,~;,;,.. t " '^ ",' h 'J;.,j~~~~~~~:;:::::,~~j
. ~STAT[L
j [DEM
I
TO ____Land Managem~~t Division
o
DATE
4- t-~?._
URGENT
D
125 E. 8th Ave.
Eugene, Or. 97401
L --- -ATTN:- Car'ol"Dyal
------.-.J--
SU IBJECT _~~pj:i c___i_I1~p_e,ctj_p.n___
2223 Otto - Springfield
-------I-7---0;J,....-:lfj:,'f..-3-~-~--
_ ,__..__,_~~a~ed ~s_~'!.r._.EEec.!< for $50 for a mor!g~g~!.~v,te~__o..!l_t.h,~,E~Pt,i~._E?y13,t_e_t)1_ fQr,tl'1e
_.!~~e...!'~n~_d_p_ro.p~!:.t~.. Thanks for your help_!...___,_
-..-- --'-----&=--1-1:. . J ;::.t:: .-/
-..--u---~~~i\!~D_--Chrg'-HC:Hlgli ,~~ Manager---
<:":>~;'i_', ~....'> ",,,,""" ,;, :, ;, :,,,;, :.>~i.~~,:.,".' "-' , .. ..'. ,~S,~~~.':',:, ,-,":;..' ~~~~;;t<";~~,,~;,.~,',;~.. I, ..", . ' , ..
_R,~;.r7i':i
l~SI':/}:>
R "Y /!-)
:-'J~~\' t>Tp
.::iSI 'i7I-~
R.SVP
~T"? <)' f,7?
RSVj:'
/? S' [7jD
RSVP
,r:S!/f~
RSVP
RSVP,
;:t S /'..:
ll.StJ_P
F,) C'I/P
.....lJ..J. ...
RSVP
.~'?l\' t/,;~,:;
SIGNED RSVP
-- - - -------.--- - ~ _._-~-- ---- ---- --"-- ---- -~,- .,-,------ ,-
DATE
INSTRUCTIONS TO SENDER-1, KEEP YELLOW COPY, 2, SEND ORIGINAL AND PINK COPIES.
IIU~TDII""Tln"l~ Tn I:JI::,...II:I\IIl:D 1 \AlCITC ceDI v ') neThrW hf\ln k"J:~O OIf\11l rnpv R~TIIRf\1 nRIr.:If\Ib.1 Tn C::~Nn~R