HomeMy WebLinkAboutPermit Miscellaneous 1986-8-12
..
\ .. \
.!'~!~'.1:" :.\,---.--:..', \.... I.
' .. . ,\
"f'''-' .
-,,-, . " .
Lane County Authoz:ization--for:
R PCl< [-IS
FOR OFFICE USE ONLY
woon STOll> IN MOBILE HOfll""
Application/ 'f'.c-/ ~ ~
Perm~ t # ~ t-, .r::r< -,1\0
'i\)'....i;SHIP I RANGE SECTION I TAX LOT DOUT OF PROpoSED USE OF PROPERTY
17 03 14 1500 00 Residential o Industrial
50BDIVISION/PARTITION (if applicable) LOT/PARCEL I BLOCK o Commercial o Public.
LOCATION ADDRESS STREET CITY ZIP
186 Deadmond Ferry Rd., Springfield 97477
STRUCTURES CURRENTLY ON PROPERTY
Mobile Home
DIRL~TION~ TO 51T~
Come down from form road to end turn on Deadmond Ferrv Rd.
2nd mobile home on left
~ESCRIPTION OF PROPOSED WORK - BE SPECIFIC
DECLARED ~ VALUE
~s ; n<t?-p.rct in JJ19bi 11' 10lj11'
= OF BEDROOMS l # OF STORIES # OF EMPLOYEeS
O;~"NER '5 NAME AND ADDRESS
t-IATER SUPPLY
o Proposed
[Xl Exis ting
TELEPHONE NUMBER
746 2817
TELEPHONE NUMBER
LEE, Jack C.
CQNTRACTOR'S NAME AND OSR #
same
P;:;RNIT TO BE MAILED TO (NAME AND ADDRESS)
TELEPH....;:. ..~..Bt;R
1 HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION I'OR PERMIT, and <.10 hcreLy certify that all information hereon is true and correct, and that I
have the following legal interest in the property: Downer of record; 0 contral;t- purchaser; o authori zed agent.
I f"-rther certify that any and all work performed shall be done in acco.Ldanr.:e wi th thtl Ordinances of Lane County and the Laws of the State of Oregon
pertaining to the work described herein, and that NO OCCUPANCY will he made of ar,y structure without the pennission of ~he Building Division. I fur-
ther certify that registration with the Builder's Board is in full force and effect. as required by ORS 701.055, that if exempt the basis for exemption
J.S noted hereon, and that only subcontractors and employees who are J.n compliance wJ.th ORS 701.055 10'.111 be used on this proJect. I HAVE READ AND
CHECI<EO THIS ~':4 TH~:H~ # JACK C. LEE 8-12-86
t-.A NAME {pleat;e pnnt) SIGNATURE DATE
~ THIS SECTION CAREFULLY.
o PLANNING/ZONING: Zone
YOUR AUTHORIZATION ~AS BEEN BASED ON THE FOLLOWING CONDITIONS:
Partition II
Parcel II
Parcel Size
Minimum Setbacks: CL, front
CL, side
interior
rear
CQM:'tENTS :
NO SPECIAL PLANNING ACTION REOUIRED.
Date:
8-12-86
n
Installation
Specifications:
Gallon
Tank
Lineal Feet
of Drainfield
Installation Record Issued? 0 Yes 0 No
Maximum Depth
of Trenches
o SANITATION: S. 1. #
B. P. #
COMHENTS:
Date:
n
[] PLANS EXAMINATION,
COM>IENTS, CALL
Type
Groun
-
Use
l.J S.
FoR
~QLlI Ff.~O
J/.JSFYEcn~AJ .
Date, t'9-I-"'-S(".. -I6..rI? 0
'PIkE
e~/i'- 6~
PERMIT APPROVED BY BUILDING OFFICIAL/DESIGNEE (oer ORS 456.805(1)) DATE
LANE COUNTY DEPARTMENT OF PUBLIC WORKS LAND MANAGEMENT DIVISION, 687-4061,
125 EAST 8TH AVENUE, EUGENE, OREGON 97401
~F.F. RF.VF.R~F. POR TN~PF.(,TTON TNPORMATTON
,,1.1. "t:.a~
..J
./
'"
SETB/\CI\S ;..~O OTHER CO:mITIO:!S OF APPROVAL ~IUST BE STRICTLY OBSERVED. VIOLATION CA:-I RESULT IN REVQ-
CA710:-l OF THIS PER~II7, CITATIO~l UNDER PROVISIONS Of LAl'E CQu:>n'" INFRACTION ORDr~;ANCE, ANDIOR OTHER
REMEDIES ALLOWED BY LAW.
WHEN READY FOR I:-iSPECTION, C>'LL 681--1065. A ~IINnlll~1 or AT LEAST 24 HOURS AOVA::CE NOTICE FOR INSPEC-
'1'10:1 IU::Q!,;!:;:;>:; ;'iU::d' tll:; {jlVEN. Hi.lVe the following information ready: permit. number, job address, type
of inspection, when it will be ready, your name and phone number, and any s~ecial directions to site.
BUILDING DIVISION:
REQUIRED INSPECTIONS:
1. Foundation Inspection: To be made after trenches are excavated and forms erected and when all
rnaterlalS :or the toundation are delivered on the job. Where concrete from a central mixing
plant (co~~only termed -transit mixed-J is to be used, ~aterials need not be on the job.
2. Concrete Slab ~ Under-Floor Inspection: To be made after all in-slab or under-floor building
serVlce equipment, conOult, plplng uccessories, and other ancillary equipment items are in
place but before any concrete is poured or floor sheathing installed, including the subfloor.
3. Framinq ~ Insulation Inspections: To be made after the roof, all framing, fire blocking, and
braclng are In place ~ all p1pes, 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 Gy~sum Board Inspection: To be made after all lathing and gypsum board, ~nterior
ana-eXECrIOr, 1S 1n-pIaCe but before any plastering is applied and be:ore 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. 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 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 mace 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 lif 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 manufacturer.
2. Mobile home minimum finish floor elevation shall be certified when required by a flood-
plain management letter.
J. 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. SW1mm1n9 Pool: Below grade when steel is in place and before concrete is poured. Above grade
"nen pool-rs-1nstalled.
APPROVED PLANS MUST BE ON THE JOB SITE AT ALL TIMES DURI~G WORKING HOURS. THIS PERMIT WILL EXPIRE
IF WORK DOES NOT BEGIN WITHIN 180 DAYS, OR IF WORK IS S~SPENDED OR ABANDONED FOR MORE THAN 180 DAYS.
SUSPENSION OR REVOCATION HAY OCCUR IF THIS PER.'lIT WAS ISSUED ON THE BASIS OF INCOMPLETE OR ERRONEOUS
INFORMATION.
ANYONE PROCEEDING PAST THE POIl:T or REQUIRED INSPECTIQ:1S WILL DO SO AT THEIR OWN RISK.
SUBSURFACE ~ ALTERNATIVE ~ DISPOSAL SYSTE~lS:
1. Permits shall be effective for one year from the cate of issuanca.
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 detcrmine 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 satisfuctory completion to the permiti 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 com~letion within a reasonable time constitutes a vio-
lation of ORS 454.605 to 01501.745 and this rule.
Setbacks - Subsurface
Fro::!:
Interior property lines
Edge or road rtqht-of-way
Buildinq foundation
~ells, other ~ater sources
Sewaqc Diso05al
Septic ~
10'
10'
5'
50'
Drainfield
10'
10'
10'
100'
.
.. . \.
. ...
.
.
.
1 I
.
.
.
.
f' r
.
.
.
. ._^;~;~ CDUN'Y-Y
A': " -..:C."':-'-- ~~ ~:E: i .J(~~~j~
-; 70"3" .~OC '.:' ~ ~;OJ
S!~.:BD~: 'J
t.:S'[ F: BDF~~IS
,.~c:<
n~Ol' F~NV Me"y' ~~CF1'~~ ~ ?~6?R6 T'pT~ 0q~~I~~
.~ ;:~J:, ::~ .,.. " 8 (,' 'i r~ADMCN)~: 1 '~'E:~" '(-'.,' '-'i;~~ .:.~. . ~~;,~, :~. .~: s':.~:: ~~':~~ ~ '-.e
LJT :J:".,(.~ I
o !...::<J:;",~':: O'~)1 ,~';;TO::\I[S :::;BLD~:S ""., l. ,.. ',,-, (;' ^' )('
fi ~) f-\ .'~ {~ :> ~;: f;:e : ~~: >1 Dr::' '::: ::;;:~ y :\ ~~;~ ~ L~': :: ::: ~:: = ~.~ i;; ~: ~~ ,.~~ ~~~ u, e
~[:,..: t:.:...~)G TYPE:
e :;'.,.,:~~~': \~::: ~'::~~I
.",...1.
~??:_ r~c AC'P::~~ DES:f,::P7:C~:
("r- r;:'''''
':".1,
:~:~IT :CS~ VA~L:J~.~:.8r.
-,.. "j(
.~ ':;,
.~
......
.' -,
" r<"
~:r ")
.'.
.
MEC~ LC 256286 ~S
.;'<~:::..
SUF\
~)::':!:x/r:~f-;:'!-l :
~~':~ ~T WTR:
";"T'
I:U~:::;,
",~:~:;:~:;::i": ::: ::I::::.~ FEr.:.
'.'.':\
.
S'f:~TE S!...!r~CHpIF~GE::
4;(,
(.' ";'(,
"... f U
, ,
.'-:;;1(
':'..J-:,\ ::H~::~::\ FE~:
::2~l:"'~
.
.
. r
.1:;;:4TG: .~:??
,~ ,0- r, , ,
........."..
":'P,:<~.::--! [":' (:;.....
.
I::~ .CJ
::":":.
S:DS
py
"',.",
L.,\
0"":": :SS
"
::\
<{
.
~:S;' H
;~~::i1?l.[:'IDN I),'HE
~f" .:; ..: ,q L. ;:. ~= E ~": ;'.
.
.
JI'
.
.
~
AC-r.TY INFORMATIO.HEET
.
~
./
COMPLETE THIS SECTION. INCOMPLETE FORMS WILL BE REJECTED!
w
1
.J A-l-If e (~e ~
, PERSON MAKING RtUDEST
.Ji.-u'r (I lee
. , PROPERTY OWNER
I rf, I?..R AI) ??? /7>'1/1 F -R "".,. f R v
, MAILING ADDRESS
/ ;r(, n.R ~//...,., ,,,,// ~~ y,,-.J H j)
MAILING ADD ESS .
,"p,.,.. J'Y10 P Ie L,J) (JJr"Y~>> f?Lr?) ,
. CITY STATE ZIP CODE
~p~ In!?/r, (LvI) CP.,. (7
CIl'Y STATE
t?7 '0; _
ZIP CODE
BUSINESS TELEPHONE #
7 '-It- ')'6(7
HOME TELEPHONE #
--
7 "'?~N? I
HOME TELEPHONE #:
BUSINESS TELEPHONE #
2 PROPERTY ADDRESS
(IF DIFFERENT FROM MAILING ADDRESS)
3 MAP & PARCEL NUMBER,
(REOUIRED INFORMATION)
(from tax maps in Department of Assessment and Taxation
or from tax statement) fJ >fb~/A/"
/1 1/3 Jej /"j7)O I.lrJ7/"pvsT-H.~
TOWNSHIP RANGE SECTION TAX LOT{S) OR PARCEL # ZONING
TOWNSHIP RANGE SECTION TAX LOT(S) OR PARCEL # ZONING
TOWNSHIP RANGE SECTION TAX LOT{S) OR PARCEL # ZONING
TOTAL CONTIGUOUS PROPERTY IN SAME OWNERSHIP: ~ ACRES
4 SUBDIVISION (if applicable)
LOT
BLOCK
5 REQUEST (state exactly what you ~lan to do) I ?7 _, T:;.. l1L /J/l!u-" u./dob
.,rlJu p- -~J~_)~^ ,
.6 DIRECTIONS TO SITE: -B-' -cA' 1. .hr-vl /~ r' 1 ,........~;(. ~f ,
_..{;,r>'Yl 0-.... tfJ. ~...L.-J ,0 L -'I _'J. ~~_ ~_.f' ......~A~~~'
. 1
** FOR stAFF USE ONLY **
ZONE/LAND USE:
14-33
LAND MANAGEMENT DIVISION / 125 E. 8th AVE., EUGENE. OR 97401 / 687-4061