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HomeMy WebLinkAboutPermit Building 1986-2-11 ... WCKEO:E8 I 3, Lane County Authorization . w<- for: FOR OFFICE USE' ONLY Renew Temp. Mobile Home Application/ Permit # %S-R \P "'WI'5HIP 17 I RANGE 03 S~BDIVISION/PARTITION (if applicable) SECTION 22.4.1 I TAX LOT 4801 LOT/PARCE~ I DOUT OF PROpOSED USE OF PROPERTY o Residential 0 Industrial o Commercial D Public, BLOCK LOCATION ADDRESS STREET CITY ZIP 2983 Game Farm Rd., Spf1d OR 97477 STRUCTurES CURRENTLY ON PROPERTY Dwelling & TMH DIRt.:L"TIONS TO SITE Between Game Farm Rd and the railroad tracks. uESCRIPTION OF PROPOSED WORK - BE SPECIFIC DECLARED ~ VALUE FRnf.~ ~MH 1051-84 :: OF BEDROOMS [If OF STORIES O;~"NER I S NAME AND ADDRESS Donald & Erma Hartwick CONTRACTOR'S NAME AND OSR # I If OF ENPLOYEr:S \~ATER SUPPL'i D Proposed n Existing TELEPHONE NUMBER TELEPHONE NUMBER P':;RNIT TO BE MAILED TO {NAME AND ADDRESS) TELEPHONE NUMBER I HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION "'OR PERMIT, arId do horcuy cert.ify t.hat: all information hereon is true and correct, Ilnd that I have the following legal interest in the property: Downer of record; 0 contract- p1U:chaser; Oauthorized agent. I f:.:rther certify that any and all work performed shall be dOne in accotdanc& with tht! Ordinanct!s 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 ani:' st.ructure without the permission of the Building Division. I fur- ther certify that rcgistration with thc Builder's Board is in full force and effect. dS rec;uired 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. Donald Hartwick NAME (please print) Bv Mail 2/4/86 SIGNATURE DATE READ THIS SECTION CAREFULLY. YOUR AUTHORIZATION ~AS BEEN BASED ON THE FOLLOWING CONDITIONS! Kl PLANNING/ZONING: Zone parti tion # Parcel # parcel Size Minimum Setbacks: eL, front CL, side interior rear CO~"ENTS, This permit is valid until 1/1/88 or until hardship c:a::~~~i~~(~omes fir~ o SANITATION: S. L H B. P. H Installation Record Issued? 0 Yes DNa '( Installation Gallon Lineal Feet Maximum Depth :::::::ti~_ .,~;;~ __ LJ~-'~7J /J~Z'd I "'1)~: T~k/ -t-%~ ~~. ;tI..(.cJ ~V~~' J ~ ate'.. 2~/ -PC; V -!2t.O ~-... -. :/U.O<li'" .".....<JJf~.L I ~~ ' ~ '.I,~...." Pl.) E IN 10: Type}" Gr rr- U ..r- COW1ENTS: Date: n : rv<7~ ~J'.r: .;z~ II-/t ~P~T APPROVED BY BUI~G OFFICIAL/DESIGNEE (oer ORS 456.805(1)) DATE LANE COUNTY DGPARTMENT OF PUBLIC WORKS LAND MANAGEMENT DIVISION, 687-4061, 125 EAST 8TH AVENUE, EUGENE, OREGON 97401 SRR RRVRRSR FOR TNSPRr''T'TON TNF'ORMA'T'TON n'l/_ ....~ Ol:Ll . q. SETB;,CKS ASD OlliER CQ::OITIO::S OF APPROV"IL ~:UST BE STRICTLY OBSERVED. VIOLATIOX CA~ RESULT IN REVQ- C..7IO" OF illlS "ER~ll'i', CITATIO:l UNDER PROVISIO:JS OF LA:>;E CQU:>Tl'S INFRACTION ORDI::ANCE, A:>JO/OR OTHER REMEDIES ALLOWED BY LAW. WHEN READY FOR r::SPECTION. CALL 687-4065. A ~IINHlU~l or .;, LEAST 24 !lOURS '\OVAl,CE NOTICE FOR INSPEC- 1'10" Kt;Ql.;t;STt> ~jUST fiE GIVEN. 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: L Foundation Inspection: To he made after trenches are excavated and forms erected and when all rnatcrldlS ~or tne raundation are delivered on the job. Where concrete from a central mixing plant (co~~only termed "transit mixed") is to be used, ~aterials 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 equipment, conduit, ~lplng accessories, and other ancillary equipment items arc in place but before any concrete is poured or floor sheathing installed, including the subfloor. 3. ~raming & Insulation Inspections: To be made after the roof, all framing, fire blocking, and raCing are in pLace and alL pipes, fireplaces, chimneys, and vents are complete and all rough electrical and plumbing are approved. All wall insulation and vapor barrier are in place. '. Lath and/or Gvpsum Board Inspection: To be made after all lathing and gypsum board, ;.nterior ana-eXFCrTOr, 1S 1n place but before any plastering is applied and before gypsum board joints and fasteners are taped and finished. 5. ~ 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 ttructure 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, hut before any grout is poured. This In$pectlon is required for each bond beam pour. There will be no approval until the pl~binq and electrical inspections have been made and approved. . B. wood Stove: To be made after completion of masonry (if applicable) and when installation is co~pl~ 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 ~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. O. Swi~~inq Pool: Below grade when steel is in place and before concrete is poured. Above grade when pool 1S installed. APPROVED PLA~S MUST BE ON THE JOB SITE AT ALL TIMES DURING WOR~ING HOURS. THIS PERMIT WILL EXPIRE IF WOR~ DOES NOT BEGIN WITHIN 180 DAYS, OR IF WORK IS SUSPENDED OR ABANDONED FOR MORE THAN 180 DAYS. SUSPENSION OR REVOCATION ~~y OCCUR IF THIS PE&~IT WAS ISSUED ON THE BASIS OF INCOMPLETE OR ERRONEOUS INFORMATION. ANYONE PROCEEDING PAST THE POIl<T or REQUIRED INSPECTIONS WILL DO SO AT THEIR OWN RISK. SUBSURFACE AND ALTERNATIVE SE~AGE DISPOSAL ~: 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 permitiholder. If the construction docs 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 ~S4.605 to 454.745 and this rule. . Setbucks - Subsurfuce from: Interior property lines Edge of road ri.qht-of-way Budding foundation' Wells, other water sources S~waqe Disposal Septic Tank, 4 .....---=..l. 10' 10' 5' 50' ,..DroJinfield 10' ' 10' 10' 100' . . " . . . . 'r. . . . Iii ,en I I II ' . . . . 1 " . . . . i ~ . . . . . . . . . . '1 . '~ 405B6 DATE 0205B. RD., SPRINGFIELD, ORE LOT BLK UNITS 001 STOI~IES i~BLDGS 001 PHONE 999 999S'. ADDR 29B3 GAME FARM RD., SPRINGFIELD, ORE,.. SQ FT UNIT COST VALUATION FEE DAYR .~ .: LANE COUNTY DEPT ENV MGT RECEIPT APPLICANT HARTWICK, DONALD ADDR 2983 GAME FARM TLO 1703224104B01 SUBDIV .NroW m.DG TYPE USE R BDRMS 0 OWNER NME HARTWICK, DONALD CODE APPL NO ACTION DESCRIPTION .BP Bt-' BP .BP II fJP .F'L MECH SUf( .F'CI< HH SDS . OFIX/BATH: SWR: FT. WTR: MECHANICAL FEE STATE SURCHARGE PLAN CHECK FEE FT. f(AIN: FT . 4% 2~5% . LC 405B6 TMHR SDSC 25..00 60.00 II ' . .CATG: . SE(~lJ: r ;rAI<EN . AP.F' 1 BY JLB I:(A FP SDS SI PCI< OTH ISS :5 TOTAL FEEH' . 10 B5.00 CI< ,2 EST. COMPLETION DATE . . . 'APPLICANT: . . MAILING ADDRESS: Marcy Tigner 2983 Gam e Farm Rd. Spfld OR 97477 CITY, STATE, ZIP: RE: Temporary Mobile Home Permit Number: . \ \)S\ -5<'-\ Map/Tax Lot No.: Vi-\)?'-3d-l.\\ \L\'9.nl 1) Person with medical hardship 2) Person providing care 'C>""v AL\',. INFORMATION PROVIDED BY THE APPLICANT to,~) Htffl~ J./fJ r... flU I c.K 3) Famiiy relationship of the above SON 4) Resident of the principal dwellinp; ho,vAL-i'I J.iAA.rt.UfCK 5) Resident of the temporary mobile home 2n/VYlL1./ II anr~./ 6) Signatures: f/)/l'V,4.1 #MJ(--u,:...),. Date: r2/Zz./g'~ Pe~n with Me. dica.l HardshiPJ.1 I I ' W~J)O J/~JSI Date: r'/2Z-/&'S- Person Providing Care' ;r . INFORMATION PROVIDED BY THE PHYSICIAN OR THERAPIST 1) Name of patient .EN /VI A flA PT /1// CJ( 2) Nature of the medical hardship ~ (;~./Y'V1( > I 3) Does this hardship necessitate that a J;amiJy.}"ember pr Please comment: ,~ ' -frJ~ ,~0f ~ ~ Df/2 ?v~~ j City, State, Zip: . /)~~'~1 . Date: &e:d/"--4tL /~~ 0/ ~ /.' . efiBWf ftlJie c7 L?71 ~ f7.7 Y}7 /' -c:::;7 / C7 J . ) /'1t/16 4) Physician's Signature Mailing Address: LAND MANAGEMENT DIVISION / Public Works Dept. / 125 E. 8th Ave., Eug. OR ~7401 (503)687-4061 ~!w._ Marcy Tigner 2983 Game Farm Road Springfield, Oregon Land Management Division Public Works Dept, 125 East 8th Ave. Eugene, Oregon 97401 .- .- ~ \ I ( _\ - ! - ~ - , .. , Yj .' \ ~I '''\: ~ .