HomeMy WebLinkAboutPermit Miscellaneous 1986-3-6
..
eJRAL ADDRESSING~
CHECKED MAR 0 '+
Lane County Authorizati~-::;~
WOOD STOVE INSPECTION 0 ^ 0 J
.
R. P (If <-.
~-fC
J-
FOR OFFICE USE ONLY
Application/ / //7- pC
Permi t # l1? T 0
roW.,SHIP
RANGE
SECTION
TAX LOT
UOUT OF
X8Im 2800
S~BDIVISION/PARTITION (if applicable)
I..OT/PARCE~
I BLOCK
CITY
I PROPOSED USE OF PROPERTY
~idential D Industrial
r 0 Commercial 0 Public.
18
02
04
LOCATION ADDRESS
STREET
ZIP
5410 Mt. Vernon Rd.. Sprin~field
STRUCTURES CURRENTLY ON PROPERTY
SFD
UI~CTION~ 1U SIT~
l~cnp,.. Rrl
tc' Mt-_ Vt:lTnlJIl - let- nr;vpl.J~Y t'n lpfr :I~ ~nnn :I~ Y""" !'>....')~~ RR ,..,...:::.,..,T,..
Littlest of the two houses.
~ESCRIPTION OF PROPOSED WORK - BE SPECIFIC
Wood Stove inspection
=: OF BEDROOMS I " OF STORIES
O;~"NER' 5 NAME AND ADDRESS
DECLARED ~ VALUE
I " OF EMPLOYEeS
WATER SUPPLY
Rproposed
Existing
I TELEPHONE NUMBER
7.!if". ~qf'o"(7472737.)
r-TELEPHONE NUMBER
I ";':;;:'- 7Ji- .Jb
LIVELY, Gwen
CONTRACTOR'S NAME AND QSR ~
34972 M~Kenzie View Dr__ Snr
P"R>l~ ~IL~D~ \ Lf-~o LV, (3111 \ ~J
I KAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION FOR PERMIT, arod .10 hereby eert.ify t.hllt all inforfDatioll hereon is true and correct, and that I
have the following legal interest in the property: (i)owncr of record; 0 contract purchaser; Oauthorizcd agent.
I f..:.rthor certify that any and all work performed shall be done in 8.l:l:oldanr.fo wi th th~ Ordinanc~~ of Lane County and the Laws of tho Stato ot Oregon
pertaining to the work described herein, and that NO OCCUPANCY will bu made of any st'.clIctm:e without the permission of ~he Building Oiviaion. I fur-
ther certify that registration with the Builder's Board is in full force .1nu effect. as rcc;uircd by ORS 701.055, that if exempt tho ~8i. for llXcllIption
is notod hereon, and that only subcontractors Ilfld employees who are in compliance with ORS 701.055 will be usod on this project. I HAVE READ AND
CHECKED THIS APPLICATION THOROUGHLY.
(;.VJE'Af)olyrt.- L L/~CLY
NAME (pLoase print] J
~<
~-:,~~
SIGNATURE ....J
'IJ
,
.
~ -e2I'- (,
DATE
READ THIS SECTION CAREFULLY. YOUR AUTHORIZATION ~AS BEEN BASED ON THE FOLLOWING CONDITIONS!
o PLANNING/ZONING: Zone
parti tion "
Parcel "
Pa rce 1 Si ze
Minimum Setbacks: CL, front
CL, side
interior
rear
CQ~l'IENTS :
NO SPECIAL PLANNING ACTION REQUIRED.
Date:
2-28-86
~
Installation
Specifications:
Gallon
Tank
Lineal Feet
of Drainfield
Installation Record Issued? DYes 0 No
Maximum Depth
of Trenches
o SANITATION: S. 1. .
B. P. "
COMNENTS:
Date:
n
o PLANS EXAMINATION: Type-
Group
Use W.".
COMHENTS '. rAl L
Fe. ~ Ti'F"C3u' R(;:O
JI.J~PE<::'TIO I<J .
Dale, ~ - <o-S(.,
~tJPl
PERMIT
/'/%
~UIIJ!$ING ~ICIAL/DESIGNEE (ocr QRS 456.805 (1))
LANE COUNTY DEPARTMENT OF PUBLIC WORKS LAND MANAGEMENT DIVISION, 687-4061,
125 EAST 8TH AVENUE, EUGENE, OREGON 97401
SEE REVERSE FOR INSPECTION INFORMATION
DATE
)-J;~:;;'
~5-
.~
APPROVED BY
'P IfeE....
:J-<o-e~
r1J,_.?c;, gJ:Lot..
.
.
r
SETBr,CKS A~O orliER co~mITIO~S OF APPROVAL MUST BE STRICTLY OBSERVED. VIOLATION CAN RESULT IN REVQ-
CAiION OF TillS PER~IIT, CITATIO~l UNDER PROVISIONS OF LA)>';E COU~TY'S INFRACTION ORDISANCE, AND/OR OTHER
REMEDIES ALLOWED BY LAW.
I'HEN READY FOR I~:SPECTION. CALL 687-4065. A mNHIWI OF AT LEAST 24 HOURS "OVA:,CE NOTICE FOR INSPEC-
TION REQl,;!:::'>,:; ;..l.l::;T 01:; GIVE~l. Have tne tollowing information ready: permit number, job address. type
of inspection, when it will be ready. your name and phone nu~ber, and any special directions to site.
BUILDING DIVISION:
REQUIRED INSPECTIONS:
1. Foundation Insoection: TO be made after trenches are excavated and forms erected and when all
materuus Lor the toundation are delivered on the job. l'ihcrc 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 buiiding
serVl~e equIpment, condult, plplng accessories, and other ancillary equipment items are in
place but beiore any concrete is poured or floor sheathing installed, incl~ding the subfloor.
3. Framing ~ Insulation Inspections: To be made after the roof, all framing, fire blocking, and
Draclng are ln place a;a all plpes, 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
ana-eXICrIOr, 1S In-pIaCe but betore any plastering is applied and beiore 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 made after reinforcing is in place, but before any grout is poured. This
rnspictlon 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~: 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 ho~e 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. swimmin9~: Below grade when steel is in place and before concrete is poured. Above grade
when pool lS ~nstalled.
APPROVED PLANS MUST BE ON THE JOB SITE AT ALL TIMES DURING WORKING HOURS. THIS PERMIT WILL EXPIRE
IF WORK DOES NOT BEGIN WITHIN IBO DAYS, OR IF WORK IS SUSPENDED OR ABANDONED fOR MORE THAN IBO DAYS.
SUSPENSION OR REVOCATION HAY OCCUR IF TillS PERMIT WAS ISSUED ON THE BASIS OF INCOMPLETE OR ERRONEOUS
INFORMATION.
ANYONE PROCEEDING PAST THE Pon:T or REQUIRED INSPECTIONS WILL DO SO AT TIlEIR OWN RISK.
SUBSURfACE ~ ALTERNATIve ~ OISPOSAL 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
From:
Interior property lines
Edc;e of road rlC;ht-of-way
BuildinQ foundation '.
~ells. other water sources
Sewaqe Disposal
Septic Tank
10'
10'
5'
;0'
Drainfield
10'
10'
10'
'HIO'
TRS/TAXLOT
O\.JNER
APPLI CANT
(IF OlrrtKtiiij
JOB ADDRESS
VALUATION .
REVISIONS CALCULATED BY:
DATE:
.
.
ADDRESS
fiUUKtSS
REVISED
[ ])l.<fdition
[ l' Correcti on
Bldg.
Invest/
Db 1 Fee
Mech.
Plmb.
Fixtures
SHR FT
\.JTR .FT
RAI N FT
Iq.oo
PCK
Surcharge
Sidewalk.
Fldpln
SDS
DEQ
Other
" .75"
.7(,.,
TOTAL "2..4.51
A!f!. rp.
-
?-C:.-ES(O
.
APPLICATION # c't/7-&,Co
PHONE"
PHONE
PRIOR [ J ~fund
[J Dep. On ly [ y--Amt. Due
JG..e;,o
l/. d)O
.(;,,4
2c>Jc4
(AMT. PAID)
<:. <:)~
. /2
. /"2.
~V1i
~;\UE)/ 'f!t,
.;gr~
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. LANE COUNTY DEPT ENV MGT I'~ECEIPT ~ 64786
APPLICANT LIVELY,GWENDOLYN ADDR 420 W. 13TH, ~UGENE
TL~ 1802040002800 SUBDIV
NEW BLDG TYPE USE R BDRMS
. OWNER NME LIVELY, GWENDOLYN
CODE APPL NO ACTION DESCRIPTION
BP
.ElP
., TlF'
BP
.BP
MECH LC 6478& WS
PL ~FIX/BATH:
"'..,ECH
SUR
PCK
.
o UNITS 001 STORIES CBLDGS 001
ADDR 420 W, 13TH, EUGENE
SQ FT UNIT COST VALUATION
DATE 02288t.
LOT BLI(
PHONE 342 4436.
FEE DAY!} I;
1 I'
.,:.
I l.
,i
SWR:
FT. WTR:
ME,CHAN I CAL FEE
ST A TE SUI'~CHAF,GE
PLAN CHECK FEE
FT.
RAIN:
FT
16.00
0.64
4.00
.
.j
,
,
1 c;
,
,
.'
4%
25i::
.
.
I' .
CATG:
.SEQU:
TAKEN
API'"
I
BY GT
j<A
2
FP
SDS
SI
PCK
3
OTH
ISS
4
TOTAL FEElH
20.64 CI(
..
.:
EST. COMPLETION DATE
.
.
.:
ACTI~Y INFORMATION ~EET
lcllle (cunty
COMPLETE THIS SECTION. INCOMPLETE FORMS WILL BE REJECTED!
(!
Gwendolyn L. Lively
PERSON MAKING REQUEST
34972 McKenzie View Drive
MA I LI NG ADORE SS
Jack B. Livelv Estate
PROPERTY OWNER
Gwendolyn L.Lively
MAILING ADDRESS
,
Springfield, Oregon 97478
CITY STATE ZIP CODE
CITY
STATE
ZIP COD
746-5984
BUSINESS TELEPHONE #
747-2737
HOME TELEPHONE #
BUSINESS TELEPHONE #
HOME TELEPHONE #
2 PROPERTY ADDRESS 5410 Mt. Vernon Road, Springfield, Oregon 97478
(IF DIFFERENT FROM MAILING ADDRESS)
3 MAP & PARCEL NUMBER (from tax maps in Department of Assessment and Taxati
(REQUIRED INFORMATION) or from tax statement)
18 02 04 02800
TOWNSHIP RANGE SECTI ON TAX LOT{S) OR PARCEL # ZONING
TOWNSHIp. RANGE SECT! ON TAX LOT{S) OR PARCEL # ZONING
TO\~NSHTP RANGE SECTION TAX LOnS) OR PARCEL # ZONING
TOTAL CONTIGUOUS PROPERTY IN SAME OWNERSHIP: 90.37 ACRES
4 SUBDIVISION (if applicable) LOT BLOCK
5 REQUEST (state exactly what you plan to do) install wood stove in dwelling
6, DIRECT,IONS TO SITE: /~ ~ ~ c:::rrd-.
tJ~ fr-V~~ c~ ~->-_J
** FOR STAFF USE ONLY **
--
l~- Id' \
Rf? ~A ~d~d-AlJ
( 1---"
NUMBER
ZONE/LAND USE:
BY: DATE:
DATE
TIME IN:
OUT:
LAND ~~NAGEMENT DIVISION / 125 E. 8th ^VE., EUGENE, OR 97401 / 687-4061
...(";n, tV
,,,'.t.ol
,'.'11"01,
>" '19B6
19B5-B6
\ .,tl,;I\,
REAL
Ill) 1.1",
.)(,f
.,
.
r:;..HJl: Arno
Account Nurnl)cr
.19-01
561157
Proporly Description (r::\x Lol Number)
/vItlp Numher . I
1.1WIl,I.;;;j liiln~lo 1f:'>tJI:IIUllllrl\ 11/161
lB 02 04 0 0
. . ._~3'~S ~~~:.G;;;-1;3U3c''';1
Parcel
02BOO
Pull NlImbor
CODE SPLIT
LIVELY JACK B EST OF
%LIVELY GWENDOLYN L PERS REP
34972 MCKENZIE VIEW DR
SPRINGFIELD OR 97477
SEE REAL (1) 0561165
1!llme:.H Included
Tax Yc:ur
.-
I:,:: 11~j' J.:.~~ ~{~l~_~__,._._
Amount
t I, .;tlro pr"t.I'l.ltlll j9~ will be
.I,,j .liil:1 .hilr lh (HI rnol
l,UIIY I:O~OIlIlI~. 'Nith illl llll-
,,1 l1,,1:l(I(.l) 101 :tIlY l<lx ye,1I
r"i(,(~O ~i:lh hll ll:>i<=ric,l: (;t).
LEASE
AKE
~ YMENT
0:
,h
Lane County
lJupllilmr:nl of ^ssp.ssrnent and Taxation
'l!)I';1 -Jlr~ .------I-;;;d~-.----
~~f.0.:.:;~ --- C~l~
,.
I Spocial
InlQl'e~t
.
T
^
X
True Cash VaIIH': Ltl51 Year This YUlrl
LAND 2B,240 26,9BO
IMPS 32,250 30,960
TOTL 60,490 57,940
c
o
M
p Truo (':;"i5h value is rU~.llc:e(l ~y a porconlngo InGltlt. 10 nivo ~::.:::::~;~:(j. :ill:~,
~ EXMS
I Net Assessed Value S B', 07.0
<5 TaxRa,.Each$1000 lB.43
N Property Tnxos 1,070.23
Current Taxes Levied By Tax Rate
-SCHOOL J.'1 .--1"b:"2?
LANE ESD EL .49
LANE ESD HI .25
LAN COM CLGE 1.76
LANE COUNTY 1.04
TOTAL RATE
19.Bl
Property Tax Totnls
Less Pnyment By Slate of Oregon
'.I^
~
c.
'M
~F.
tI
T
5
lJ.:N:,I, ~l~ii,~ :::;~Il~(~r~r~;:;'Ij,',r~,.. n,,"cvunll
---I DiSCotllrl Allr'Wl}(1. I-I P:lY Bv
FUl.L-3% 34.43 11-15-B5
15.30 11-15-B5
11-15-B5
1/3 - !'l()ll(~ ____
'NEW LAW-READ PAYMENT INSTRUCTIONS
2/3 ~ 20A,
57,940
19.Bl
1,147.79
Tnx AnH)lItll
9 1.4"2-.-6 B .
2B.39
14.49
101.97
60.26
1,147.79
.00
1,147.79 :
\-.I""Y ~'~ 113 '. '3'6"",1
749.aB
3B2.59
TO
FROM
SUBJECT
'(() ('(:1 .
\~ I reco llowing revised fees be approved,
: ,~fect immediate or wood urning applicances.
.
Roy Burns
.
MEMORANDUM
.
lane county
-
John S. Smeed
Wood Burninq Appliance Fees/Revision
Exampl e: #1
/
$10.00
6.00
16.00
.64
4.00
20.64
.15-. QO "
($jo:o4. )
~
$'1n. 00
. , 6:-Q0
16.0-
.64
4.
$~64
Ekmple:
DATE
February 12, 19B6
adopted and put into
Mechanical permit base fee
Fireplace insert (woodstove fee)
Mechanical fee
4% State surcharge
25% Mechanical plan check (per State Mech. Code)
Subtotal
Pre-investigation inspection
TOTAL .
#2 Woodstove or anY Free Standinq Wood Burninq Appliance (exist-
inq vent or flue)
Mechanical permit base fee
Woodstove
Subtotal
4% State surcharge
25% Mechanical plan check (per State Mechanical Code)
TOTAL
#3 Woodstove. Zero Clearance Fireplace or Any Free Standinq
. ood Burninq Appliance (with a new vent)
$10.00 Mechanical permit base fee
6.00 Woodstove
3.00 Vent
19.00 Subtotal
.76 4% State surcharge
~ 25% Mechanical plan check
c.. $24:51 ) TOTAL
ClarifiCat~ion:
(per State Mech. COde)
Permits for a fireplace insert includes a $15.00 fee for the pre-investigation
inspection. The $15.00 fee is allowed by the existing fee schedule.
JSS/jbw
/
~/.- /
Y?r~
.
LANF r.DlINTY
JNSPFCTION
.
R F r.o !ill
DATE ISSUED: 3/06/86 PERMIT#~4l7-8~
PHONE NUMBER
746-5984 / 747-2737
PHONE NUMBER
342-4436
# PLUMBING FIXTURES
TRS# 18-02-04 2800
OWNER'S NAME
GWEN LIVELY
CONTRACTOR'S NAME
SET BACK REQUIREMENTS
CL. FRONT CL. SIDE
WORK AUTHORIZED BY PERMIT
WOOD STOVE INSPECTION
DIRECTIONS TO SITE
JASPER ROAD TO MT. VERNON,
INTERIOR REAR
~ SDS APPROVAL REQUIRED
FIRST DRIVEWAY TO THE LEFT AS SOON AS YOU CROSS THE
RAILROAD TRACKS, IT'S THE SMALLER OF THE TWO HOUSES.
SITE ADDRESS
5410 MT. VERNON ROAD. SPRINGFIELD, OR 97478
FOOTING I FOUNDATION 0 IMOBILE HOME PLACEMENTD INSPECTION
Approved Date ICorrection Date
.PLUMBING GROUNDWORK INSPECTION
Approved Date ICorrection Date
UNDERSLAB PLBG.[] IUNDERFLR PLBG.D INSPECTION
Approved Date ICorrection Date
OTHER INSPECTION
Approved Date
ICorrection
Date
.ROUGH PLUMBING (TOP OUT) INSPECTION
Approved Date ICorrection Date
FRAMING INSPECTION
Approved Date
ICorrection
Date
ROUGH MECHANICAL
Approved Date
ICorrection
Date
INSULATION I VAPOR BARRIER.INSPECTION
Approved Date ICorrection Date
LATH I GYPSUM BOARD INSPECTION
Approved Date ICorrection Date
FINAL MECHANlc;AL[] {WOOD STOVEr] .
Approved "./" Date ,::r-,fd"-cP" ICorrection Date
FINAL PLUMBING INSPECTION
Approved Date
ICorrection
Date
FINAL INSPECTION BUILDING [] IMOBILE HOME [] lAG PLACEMENT[]
Approved Da te ICorrecti on Date
CERTIFICATE OF OCCUPANCY D
Approved Date Insp.
Inspector
Inspector
Inspector
Inspector
Inspector
Inspector
Inspector
Inspector
Inspector
Inspector //k
Inspector
Inspector
TEMPORARY CERTIFICATE OF OCCUPANCY []
Approved Date Insp.
M74-197