HomeMy WebLinkAboutPermit Building 1986-6-30
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FOR OFFICE USE ONLY
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Lane County Authorization
C ~/.Yf , ~J/c /?? /:!c~'?7'r~/v
Application/
Permit i
/ fJf-JY
ro~SHIP / f I AANG~ ~
SJ8DIVIS~/~ARTITION (~f applicable)
SECTION ,/ ~ TAX
4'h./. ~)
1 r..oT/PARC8L
LD9 jf7 OF
j BLOCK
/
SE OF
PROPERTY
D Industr ial
D Public.
D Commercial
LOCATION ADDRESS
STREET
CITY
ZIP
3655 Duke St., Springfield, Or. 97478
~RES CURRENTLY ON PR~ _ /J
'::J.~?oZ;ftfi~ r~/7---7',r~ /u//-:7/ f7:?;";/
Jasper Rd. to Dondea - L on Duke St. - N. side
uESCRIPTION OF PROPOSED WORK - BE SPECIFIC
Septic insp. for In.
= OF BEDROOMS I~ # OF STORIES
O;~"NER' 5 NAME AND ADDRESS
DECLARED ~ VALUE
STEPHENS, Timothy T.
C0NTRACTOR'S NAME AND OSR #
687 4150
o Proposed
~ Existing
TELEPHONE NUMBER
726 6167
I # OF EMPLOYEr:S
loJATER SUPPLY
TELEPHONE NUMBER
P:;RNIT TO BE MAILED TO {NAME AND ADDRESS)
TELEPHONE NUMBER
I HAVE CAREFULLY EXAMINED THE COMPLETED 1\.PPLIC1\.TION l"OR PERMIT, dlld ,10 hcrcuy cert.ify t.hat all info:l-mation hereon is true and correct, and that I
have the following legal interest in the property: liJowner of record; 0 ccmtrac:t- pllrchaser; Oauthorized agent.
I f:.:.rther certify that any and all work performed shall be done in aCCOl.dilllC" ....ith the Ordinance:; of Lane COW1ty and the Laws of the State of Oregon
pertaining to the work described herein, and that NO OCCUPANCY will be ronde of ar.y structure without the permission of the Building Division. I fur-
ther certify that registration with the Builder's Board is in full force Clnd effect dS required by ORS 701.055, that if "exempt the basis for exelllption
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.
NAME (please print)
1!~~j-~7~
rYn(.:? J 0
DATE
Timothy T. Stephens
READ THIS SECTION CAREFULLY. YOUR AUTHORIZATION YAS BEEN BASED ON THE FOLLOWING CONDITIONS!
o PLANNING/ZONING: Zone
Partition ,,_
Parcel "
Parcel Size
Minimum Setbacks: CL, front
CL, side
interior
rear
COMNENTS :
FOR LN. RV. PURPOSES ONLY.
NO SPECIAL PLANNING ACTION REOUIREO
n-l~-Rn ~
Installation Record Issued? 0 Yes 0 fT1
Date :
o SANITATION:
S. I. " B. P. "
Installation Gallon Lineal Feet Maximum Depth
Specif1cat1ons: Tank of Dr.ainfield of Trenches
.7f'MNENTS' ~A_S:^S. ~~fi.L.L~~_~
o.x-~~- I~~~~ ~ Date, (J1..-JO~,h~ ~
o PLANS EXAMINATION: Type Grouo Use
COMHENTS:
Dat.e:
n
~(),~R\\'. (,,-JG-lc
-PERM~APPROVED BY BUILDIN~FICIAL/DESIGNEE (ocr ORS 456.805(1)) DATE
LANE COUNTY DEPAlJlMENT OF PUBLIC WORKS LAND MANAGEMENT DIVISION, 687-4061,
125 EAST 8TH AVENUE, EUGENE, OREGON 97401
SRR RRVRRSR POR TNSPRr~TON TNPORMA~TON
ro..' ...~ n~
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SETB,\CKS A~O OTHER Ca:>'OITIO:-:S Of APPROVAL ~1UST BE STRICTr,y 08SERVED. VIOLA'I'IO:-l eM. RESULT IN REVQ-
C..710;.: or TillS PER~lIT, CITATIO~I U~DER PROVISIONS OF LA~E C01J~TY'5 INFRACTION ORDI~IANCE. AND/OR OTHER
REMEDIES ALLOWED BY LAW.
WHEN READY FOR INSPECTION, CALL 687-4065. A MINIMU~1 OF AT LEAST 24 HOURS AOVAt,CE NOTICE FOR INSPEC-
710:-.1 Kt;QI,;J::~J.::' "":;,, lit. I.>!v'::N. Have tne following 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 Inseection: To be made after trenches are excavated and forms erected and when all
materla~s lor the toundation are delivered on the job. Where concrete from a central mixing
plant (co~~only 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
serVlce equlpment, conault, plplng accessorles, and other ancillary equlpment items are in
place but before any concrete is poured or floor sheathing installed, including the subfloor.
J.
~raminq & Insulation Inspections: To be made after the roof, all framing, fire blocking, and
raclng are ln place ana 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-exterIOr, lS In-pIaCe 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. No work shall be done on any part of the building or $tructure 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 authori2ed, such as but not limited to:
A. Block Wall: To be made after reinforcing is in place, but before any grout is poured. This
rnspection 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 Ho~e: An inspection is required after the mobile home is connected to an approved
;ewer-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. SWlmmln9 Pool: Below grade when steel is in place and before concrete is poured. Above grade
.men pool~lnstallcd.
APPROVED PLANS MUST BE ON THE JOB SITE AT ALL TIMES DURING WORKING HOURS. TillS PERMIT WILL EXPIRE
IF WORK DOES NOT BEGIN WITHIN 180 DAYS, OR IF WORK IS SUSPENDED OR ABANDONED FOR ~IORE THAN 180 DAYS.
SUSPENSION OR REVOCATION l1AY OCCUR IF THIS PE~~IT WAS ISSUED O~ THE BASIS OF INCOMPLETE OR ERRONEOUS
INFOR."lATION.
ANYONE PROCEEDING PAST THE POINT or REQUIRED INSPECTIONS WILL DO SO AT THEIR OWN RISK.
SUBSURfACE AND ALTERNATIVE ~ 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 Co~~unity 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 docs not comply with such ~ules, the Department shall notify the permit
holder and shall require satisfactory completion before issuing the certificate. F~ilure to
meet the requirements for satisfactory completion within a rcasonnble time constitutes a vio-
lation of ORS 454.605 to 454.745 anll this rule.
Setbacks - Subsurface
From:
Interior property lines
Edge of road rlqht-of-way
BUlldinq foundation
Wells, other water sources
Sewaqe Disposal
Septic ~
la'
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5'
SO'
Drainfield.
la'
la'
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100'
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'j I lJ: ~::; L.i:iNE COUNTY 1)[['='T EN\/ f'IGT RECEIPT
. APf"L.HJ,NT STEPHENS.. THH:lTHY ioD!)F, ::5,,~yr; DUKE: ST...
TLO 1802061309211 SUBDIV
NEW BL.DC TYPE USE R BDRMS
. mliNER NtiE: STE:!"'HE:NS.. THiDTHY
CODE: APPL. NO ACTION DE:SCRIPTION
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06 I :i86
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fori ~:l34n6 DInE
SPHINGFIE:LD
LOT
o UNITS 001 STORIES OBLDGS 001 PHONE:
ADDR 3655 DUKE ST./ SPRINGF"J:El"D
SQ FT UNIT COST VALUATION
~:+IX/I'td'H '
FT. fi:AIN,
S"H': , [::'T .. lHf, ,
rlECHAN I CAI.. FE:.!::
STfOTE SUf,CH,;RGE
PI.J,N CHEC[( FET
L.C IB348'6 SDSV
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COi'iPLE:TION Df.iTE
TDT l=1L. FEE ~f")t"
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. ACT_TY INFORMATION.,HEET
CQlfPLETE THIS SECTION. INCOMPLETE FORMS WILL BE REJECTED!
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PERSON MAK NG REQUEST
~~.s L1zt;;:- ,-V.. ....
, MAILING ADDRESS
5~,VC{;K /)~~ATE q~7?o'fif
)<;)'J-#Ls.O .2,Bd,-?,/&7
~~TELEPHONE # HOME TELEPHONE #
: 2 PROPERTY ADDRESS ~~ S II ~/
(IF DIFFERENT FROM MAILING ADDRESS)
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: 3 MAP & PARCEL 'NUMBER
(REQUIRED INFORMATION)
~AJ7J12:.
PROPERTY OWNER
MAILING ADDRESS
CITY
STATE
ZIP CODE
s~"'S'
BUSINESS TELEPHONE #
~ff
HOME TELEPHONE #
.,
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TOWNSHIP
(from tax maps in Department of Assessment and Taxation
or from tax statement) /
~~E &?TIoj3 fix ~~:~~~R-:PAtio/;:.~jNI~;j-
TOWNSHIP RANGE SECTION
TAX LOT(S) OR PARCEL # ZONING
(.
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TOTAL CONTIGUOUS' PROPERTY IN SAME OWNERSHIP:
TOWNSHIP RANGE' SECTION
TAX LOT(S) OR PARCEL # ZONING
ACRES
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'4 SUBDIVISION (if appliicable) l'1J1i',d)rl~) CQ,J Jaff'.
5 REQUEST (state exactly what you plan to do) j,rJ4,A/
LOT ~
1!'i5';:::VrAr.F
BLOCK../J
.
6 DIRECTIONS TO SITE: :TA~f'Z~ ~,.j ..r,; DelA/ov ) f!:.EL O,u D'f.l:F Sf; 4?, ,1/. r7J?q-
.
** FOR STAFF USE ONLY **
ZONE/LAND USE:
!
14~33
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LAND MANAGEMENT DIVISION / 125 E. 8th AVE., EUGENE, OR 97401 / 687-4061
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'rimothy T. stephens
3655 Duke Street
springfiel~ Oregon
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REGISTERED 1
PROFESSIONAL
LAND SURYEYOR
PLANTS a ASSOCIATES
~.O":..IONA.L (NOIHeCfllS
. LAND IU_V'YO".
140 CINT."NIAL LOa"
CUGINI, OIllIGON .7.01
"NON I .031.....all
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OREGON
~UL' U. In.
UARYIN So KRUSH
. 16411
S'O IIHOWOOO "11111'
.LOaI:NCI. OiltCOOH ,.".S'
..NO.... &031""'..11
DA TE: AUllust 19. 1980
D..criptioDI Lot 25, Block 2, THIRD AUDITION
TO M~ADOW GR~EN ~STAT~S, as platted and recorded
oregon plat Records, in Lane County, oregon.
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Charter First.gage
_ATTN: Marge
I. ... uncbnlpd, do _ c:onIfy - 1 "-
cauIId to be rnedI under my suplh'bion . mort8IlII
_I... '" ... I"'I....ng _bOd.... ..-..
Inli 1bt . 1hnon. and 1hI bulldlngl
upon the ukI ruI propeny do not encroa::h upon
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_Ing __ do .......-._ u1d......
IRY, unIoa __ _ _ Thl, drowlng
fer ... .1 .... _ - ponIoo lot __
-aNy.
Thlt doa not ., . ,.. am.., and II
IUtJtect to .", IMCCUrlCia um . boundary two
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in Book 65, Page 27, Lane County
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SlJrvey Approved" For Ana
Tille Insurance
~ITlE INSURA~ COM~ .
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