HomeMy WebLinkAboutPermit Building 1984-5-4
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Lane County Authorization
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FOR OFFICE USE ONLY
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I HAVE CAREF~X~ E OMPLETEO APPLICAT)o,. FOR PERMIT, an: do horeby certIfy that all 'nfomatIon hereon" true and cOHect, and that I
have the following legal interest in the property: Downer of record; 0 contract purchaser; Oauthorized agent with evidence of authority attached.
1 f~rther certify that any and all work performed shall be done in accordance with the Ordinances 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 any structure without the permission of the 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
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. .
Applica tion/ \'1"\ "" \ <;U \
Perm~ t # \J J -t\ '-+
o Two Copie 5 of Plans
DThree Copies of Plot Plans
DMech/Plumbing Checklist
o Legal Interest Document
D Plan Check Info Sheet
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P~D USE OF PROPERTY
~ Reside_ntial 0 Industrial
.dti ~'Jmmercial D Public.
--r? fY1 If! (lryyi J
I DEClARED ~ VALUE
~oposed
I jl:;xisting
ELEPHONE NUMBER
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SIGNATURE
DATE
READ THIS SECTION CAREFULLY. YOUR AUTHORIZATION HAS BEEN BASED ON THE FOLLOWING CONDITIONS!
[] PLANNING/ZONING,
Zone
Partition #I
Parcel #I
Parcel Size
CL, side
,'} V~ Ig-~I-05
. ('O()~. (.I. ~hel }f' h ,
o FLooo:~~~a:rd) a~.~~ol~ :.5. SEE ATTACHED SHEET.
Hinimum Set
CL, front
interior
rear
('jy II rn l-I i
trot.
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Date :
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o SANITATION: S. I. #I B. P. It Installation Record Issued? 0 Yes 0 No
Installation Gallon Lineal Feet Maximum Depth
7.:~J~i:Jj:J;fjl/ijj?~~~:.a~/
o Date , ~}/9i'?' ~
o ~ EXAMINATION: Type Group Use
COMNENTS:
Date:
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TOTAL VALUATION $
CONSTRUCTION AUTHORIZED BY THIS PERMIT
--
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. ()-~I
Sg. Ft.
Fixed Fee'!
Unit Cost
Floodplain
Subsurface
Fee
$
$.Jr{UJD_
$ ?6(J'rr-
/
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APi.OO
Fees
Building fee
H~ch/P 1mbg Fee
Plans Check Fee
State Surcharge
DEQ Surcharge
$
$
$
$
TOTAL FEE $$
7/~.(lI1!d'k ~f (9?Y
PERMITLAPPROVED BY BUILbING OFFICIAC1DESIGNEE (per ORS 456.805(1)) DATE
LANE COUNTY DEPARTMENT OF PUBLIC WORKS LAND MANAGEMENT DIVISION, 6 -4061. C 14-25
125 EAST 8TH AVENUE, EUGENE. OREGON 97401
SEE REVERSE FOR INSPECTION INFORMATION
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SETBACKS ANO OTHER CONDITIONS OF APPROVAL MUST BE STRICTLY OBSERVED. VIOLATION CAN RESULT IN REVO-
CATION OF THIS PERMIT, CITATION UNDER PROVISIONS OF LANE COUNTY'S INFRACTION ORDINANCE, AND/OR OTHER
REMEDIES ALLOWED BY LAW.
WHEN REAOY FOR INSPECTION, CALL 681-4065. A MINIMUM OF AT LEAST 24 HOURS ADVANCE NOTI'CE FOR INSPEC-
TION REQUESTS MUST BE GIVEN. Have the following information ready: . permit number, job address, type
of inspection, when it will be ready, your name and p~one number, and any special directions to site.
BUILDING DIVISION:
REQUIRED INSPECTIONS:
1. Foundation Inspection: To be made after trenches are excavated and forms erected and when all
materials tor the foundation are delivered on the job. Where concrete from a central mixing
plant (commonly termed "transit mixed") is to be used, mate;-ials ne~d not be on the job.
2. Concrete Slab or Under-Floor Inspection: To be made after all in-slab or under-floor building
serv~ce equIpment, condu1t, pip1ng accessories, and other ancillary 'equipment items are in
place but before any concrete is poured or floor sheathing installed, including the subfloor.
3. Framing ~ Insulation Inspections: To be made after the roof, aIr framing, fire blocking, and
brac~ng are in.place and all pipes, fireplaces, chimneys, and vents are complete and all rough
electrical and plumbing are. approv,ed.'. .All ~all insulation. and vapor barrier are in place.
4. Lath and/~ Gy~sum Board Inspection: To be made after all lathing and gypsum board, interior
ana-exter~or, ~s ~n place 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 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 inspection~ for the work authorized: suc~ as but pot ,limited to:
A. Block Wall: To be made 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 (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 requirement!?,. blocking, footing co~nect~on, tie,downs,
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. Swimming Pool: Below grade when steel is in place and before concrete is poured. Above grade
when pool-rs-installed.
APPROVED PLANS MUST BE ON THE JOB SITE AT ALL TIMES OURING WORKING HOURS. THIS PERMIT WILL EXPIRE
IF WORK DOES NOT BEGIN WITHIN 180 DAYS, OR IF WORK IS SUSPENDED OR ABANDONED FOR MORE. THAN 180 DAYS.
SUSPENSION OR REVOCATION MAY OCCUR IF THIS PERMIT WAS ISSUED ON THE BASIS OF INCOMPLETE OR ERRONEOUS
INFORMATION.
,ANYONE PROCEEDING PAST THE POINT or REQUIRED INSPECTIONS WILL DO SO AT THEIR OWN RISK.
SUBSURFACE AND ALTERNATIVE SEWAGE 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 Community Development by submitting the
installation record form. The Department shall inspect the construction to determine 1f 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 permi tf 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 Sewaqe Disposal
Septic Tank
Drainfield
From: Interior property lines
Edge of road right-of-way
Building foundation
Wells, other water sources
10'
10'
5 .
50'
10'
10'
10 '
100 '
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APPLICANT TIGNER,
'~L. 1703224f04801
. NEW BLDG TYPE
OWNEr, NME
'CODE APPL NO ACTION DESCRIPTION
. BP
FiP
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;! BP
11AF( CY
SUBDIV
USE X BDRMS 0 UNITS 001 STORIES
ADD[,
SQ FT UNIT COST VALUATION
LANE COUNTY DEF'T ENV MGT RECEIPT '~1 051 84 DATE 0419r.
AD DR 383 G,"ME Ftll~M FW., SprnNGFIELD, 9~!4"n'
, LOT BLI< '.1 ~
'~BLDGS 001 F'HONE '19'1 9'n'.
EST. COMPLETION DATE
TOTAL F'EElf."
FI::E DiWS
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25.00 .
60.00
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NO" FIXTLJi~ES:
NO. CUNNECTOf,S:
MECHANICAL FEE
STATE'StmU'lARGE
PLAN CHECK FI::E
15.00 EACH ..
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LC 105184 TMHI',
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APPLICANT: < ~ll.JMRS. 'ERM~ HaRTWICK
MAILING ADDRESS:,tS29831'G~ME F^RM RoaD
CITY, STATE, ZIP: SPRINGFIELD. OREGON 97477
'Re: Renewal of Temporary Mobile Home, Placement Permi t No.: 2590-81
MAP/Tax Lot No.: TRSITL#17Q03-22-41-#4R01
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INFORMATION PROVIDED BY THE APPLICANT
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1) a. Was a lettEir f'rom your doctor or the'raj:list submittedwh~n you first
obtained the permit?
Yes
YES
No
b. If a letter from your doctor or therapist was submitted, does the
same medical hardship still exist?
Yes
YES
No
c. If a letter from your doctor or therapist has not been submitted,
please obtain and attach the doctor's letter to this letter when
renewing your permit.
2). Please identify the name of the person who has the medical hardship and
this person's family relationship to the other person(s) who live on the
same property:
Name: MRS. ERMa HaRTWICK
Family Relationship: MOTHER
3) . ENCLOSE THE $85.00 renewal fee.
4) Signature:
~~^RTWICK
Thank you for your cooperation. If you have any questions regarding this letter
or need assistance, please contact Carol Dyal 9687-3607, Marsha Miller #687-3955
or Mary C. Rissberger #687-3772, Land Management Division, 125 East 8th Ave,
Eugene, OR 97401
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2983 GA~ARM ROAD
"SPRINGFIELD, OREGON
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':; EE:BRU A.R'(::23 , 1984
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MRS ERMA HARWICK, AGE 87 IS STILL DEPENDENT UPON C^RE
FROM MY WIFE AND I, SHE IS STILL UNDER C^RE OF DR. C^LL^N,
AND CANNOT LIVE ^LONE WITH OUT HELP FROM MYSELF.
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