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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~ . . . . . . . . . r If: . ..~ I . . , . . . . . " . . . . . . . . . . . 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