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Home My WebLink AboutPermit Building 1985-11-20 ~ '. Lane Cou~ Authorization /~E/2#eG" ~Jb~/ I TS300 I BLOCK . for: f?:N..1( IH1 FOR OFFICE USE ONLY Application/~~~~_C/~ Perm~t # JC-C-C>. 0 U row;;Sl" ~ P I RANGED 3 S~BDIVISION/PARTITION (if applicable) SECT ION 22.4.4 OOUT OF PROPOSED USE OF PROPERTY ~ Re~idential 0 Industrial o COlrunercial 0 Public. LOT/PARCE!.. LOCATION ADDRESS STREET 2455 Shad.~ane Or., Springfield, Or. ST<;n7~LFN 1;;;~L7 Vc.DW6-/ / In&- U!RL~410N~ 1U SIT~ , Coburo Rd. to Harlow Rd. - Harlow Rd. E to Shady Lane Dr. - Right (south) to 2455 CITY ZIP 97477 J;::SCRIPTION OF PROPOSED WORK - BE SPECIFIC Install fireDlace insert in fireplace . OF BEDROOMS J · OF STORIES I · OF ",lPLOYEES O;,"NER' 5 NAME AND ADDRESS OECLARED $ VALUE WATER SUPPLY o Proposed JiJ Existing TELEPHONE NUMBER 746 4970 Willard & Dona L. Berry, CONTRACTOR'S NAME AND OSR * same as above TELEPHONE NUMBER P:;Rl>UT TO BE MAILED TO lNAME AND ADDRESS} TELEP........:. .........;.~R owner I HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION FOR PERMIT, cHId ,10 hcrcuy certify that all info~ilIation hereon is true and correct, and that I have the following legal interest in the prope!'ty,(lgowner of record; 0 con':r...cl;. purchaser; o authori zed agent' . I f:.::rther certify that any and all work perfo~d shall be done in accutdtmce with thlJ Ordinances of Lane County and the La....s of the Stato of Dragon pertaining to the work described herein, and that NO OCCUPANCY will ~ made of anr st:ructure without the permission of the Building Division. I fur. ther certify that registration with the Builder's Board is in full force emu effect as rec;.uired by ORS 701.055, that if'oxempt the basis for axomption is noted hereon, and that only subcontractors and employees who are in compliance with ORS 701.055 ....ill be used on this project. I HAVE READ AND CHECKED THIS APPLICATION THOROUGHLY. Willard L. Berr~' NAME _ (please print) -f1'v~j,~. ~:~~ SIGNATURE,\ I)-)q-~< DATE READ THIS SECTION CAREFULLY. YOUR AUTHORIZATION ~lAS BEEN BASED ON THE FOLLOWING CONDITIONS: [] PLANNING/ZONING: Zon~ partition # Parcel # Parcel Size Minimum Setbacks: Ct, front CL, side interior rear COMNENTS: NO <;PFr.T AI PI ANNTNf, ACTION REOUIRED. Date : 11- 19-85 n Installation Specifications: Gallon Tank Lineal Feet of nrainfield Installation Record Issued? DYes 0 No !>1aximum Depth of Trenches D SANITATION: S, 1. * B. P. " ca-u-IENTS : Date: n D PLANS EXAMINATION: Type- COMMENTS, LA 1 L j::-~ j~ Groun Use w-~ f?G;:Qu IRI&t:> IAJ <Pr.=.L,/O().(" Dale, JJ -20 -~ ~@ rpl/~ PERMIT APPROVED BY BUILDING OFFICIAL/OESIGNEE (Der ORS 456.805(1)) J I-?c. - as- DATE LANE COUNTY DEPARTMENT OF PUBLIC WORKS LAND MANAGEMENT DIVISION, 687-4061, 125 EAST 8TH AVENUE, EUGENE, OREGON 97401 SEE REVERSE FOR INSPECTION INFORMATION c 14-25 R84- . . SETB,\CKS A~D OTHeR CC:;OITIO::S OF APPROVAL ~lUST BE STRICTtS OBSERVED. VIOLATION CA~ RESULT IN REVQ- C;'710N OF TillS PERm'I', cn....nc:; UNDER PROVISIONS OF LA:>;E COU:;T\";:; p~FRACTION ORor:-':ANCE, AND/OR OTHER RENEOIES ALLOWED B)' LAW, IOllEN READY FOR INSpeCTION, CAL:" 687-4065. A mNHlU~l or AT LEAST 24 nOURS '\OIl,,:;:;E NOTICE FOR rNSPEC- rlU;"l iu:Ql:I:::S'.s ;';...5'( Ut; G.iJE:-l. Have tnc 10110....in9 in!o:r:nation ready: rcrrnit number. job address, type of inspection, when it will be ready, your name and phor.c n~~ber. and any special directions to site. BUILDING DIVISION: REOUIRE~ INSPECTIONS: 1. Foundation Inspection: To bo made after trenches arc Qxcavated and forms erected and when all ~atcrlalS tor tne toundation arc uclivcrcd on the job. Where concrete from a central mixing plant (commonly termed -transit mixed-) is to be used, ~aterials need not be on the job. Concrete Slab or Under-?loor Inspection: TO bo ~de after all in-slab or under-floor building serVl~e equrpment, conault, ~lpln9 accossories, and other ancillary equipment items are in place but beiore any concrete is poured or floor sheathing installed, including the subfloor. ~raminq ~ Insulation Inspections: To be made after the roof, all framing, fire blocking, and raclng are 1n place a;a all plpes, fireplacos, chimneys, an~ vents are complete and all rough electrical and plumbing are approved. All wall insulation and vapor barrier are in place. 2. J. '. Lath and/or Gvpsum Board Inspection: TO be ID.Ade aiter all lathing and 9Yps\Ull board, l.nterior ana-extirIOr, 1S ln place but betore any plastering is applied and be:ore gypsum board joints and fasteners are taped and finished. 5. Final Insoection: To be made after the building is complete and before occupancy, APPROVAL REQUIRED. ~o 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 tOI 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 Stove: To be made after completion of masonry (if applicable) and when installation is compl~ 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 tho mobile home is connected to an approved sewer-or septic system for setback requirements. blocking. footing connection, tiedawns, skirting. and plumbing connections. 1. Footings and piers to comply with State foundAtion requirements for mobile homes or .s recommended by the manufActurer. 2. Mobile home minimum finish floor elevation shall be certified when required by a flood- .. plain management letter. 3. Mobile~h~me 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. SwimminQ Pool: Below grade when steel is in place and before concrete is poured. Above grade wnen pool-rs-installed. APPROVED PLANS 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 WOR~ IS SUSPENDED OR ABANDONED FOR MORE THAN. 180 DAYS. SUSPENSION OR REVOCATION HAY OCCUR IF TillS 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 ~ ALTERNATIVE ~ DISPOSAL SYSTEMS: 1. Permits shall be effective for ono year from tho 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 tho construction does comply with such rules, the Department shall issue a certificate of satisfactory completion to the permit.~01d8r. If the construction docs not comply with such rules, the Department shall notify the permit holder and shall require satisfactory completion before iS8uing tho certificate. Failure to meet the requirements for satisfactory completion within a reasonable time constitutes a vio- lation of ORS 454.605 to 454.745 Anu this rule. Setbacks - Subsurface From: Sewage Disposal SePtic ~ 10' 10' 5' SO' Dro1infield 10' 10' 10' /100' Interior proporty lines Edge 01' road ri.qht-of-way Buildinq foundation Wells, o,then ""ater sources ,. ~ -r "IIIIl .. ACTI~Y INFORMATION ~EET .kre carty - ~l. , . COMPLETE THIS SECTION. INCOMPLETE FORMS WILL BE REJECTEDI . 1 W;JJAR~ l, """EE'-.\;1B-v PERSON MAKING/REQUEST :;1.455 ~hA~'i.1l\NE- 1)f>,:" "'- MAILING ADDRESS ~-~;"''1f';,,- \d. llli,,-(,.o(ll q 1't'7" ~~ CITY STATE ZIP CODE \IJ: II "'fZ,.{ L."'l> :j)t'N./.'t L~ ~E.RRV PROPERTY O~NER J d--'ts"~ 51, ~cL hU\J E. 'nR" VE.. "MAILING ADDRESS 5flR~;ry'&f:f-)c\ fJ~", q,<tEbrl C IT STATE ZIP E BUSINESS TELEPHONE # 1't/"-'t'Ll_Q _ HOME TELEi'HONEU.' BUSINESS TELEPHONE # i4b-4'l,D HOME TELEPHONE * 2 PROPERTY ADDRESS (IF DIFFERENT FROM MAILING ADDRESS) 3 MAP & PARCEL NUMBER (REQUIRED INFORMATION) (from tax maps in Department of Assessment and Taxation or from tax statement) , f 'f I p--fr- - 1'1. 03 :1.:1. ... TOWNSHIP RANGE SEC~, L.j. Lf) O&~OO Ckx-IUt(S) OR PARCEL # ZONING TOWNSHIP RANGE SECTION TAX LOTIS) OR PARCEL * ZONING TOWNSHIP ~ SECTION TAX LOf(S) OR PARCEL # ZONING TOTAL CONTIGUOUS PROPERTY IN SAME OWNERSHIP: 4 SUBDIVISION (if applicable) &<'l.bVI"_ rI ....\ 1"'. LOT ACRES BLOCK 5 REQUEST (state exactly what you plan to do) . :TN .1;.-\.<>." E~\f.-\-;"'~r;~I:.?\ lH..<=- FI'RI:. O\Ac.c:. X.,~" Q+ .; tJo r 6 DIRECTIONS TO SITE: ~Db\AR~ ROM~ -\n \t1\.<<\OW \<,~. \-tf't-R\O\A? ~~. 'C..,a,(,--\- +" S~'l \ .."'~ "t)A.- R~~+ LSo\A.w.\ +0 ;J.....c:o;- 5~h,\...",,,_ (:"4>sLhr.d"_ "~)_W:~\_.. . . ** 'FOR STAFF USE ONLY ** NUMBER il ZONE/LAND USE: DATE ..~ BY: DATE: TIME IN: OUT: LAND MANAGEMENT DIVISION / 125 E. 8th AVE., EUGENE, OR 97401 / 687-4061 . LANE COUNTY TRS# 17~63-22-4-4 8300 OWNER'S NAME WILLARD & DONA L. BERRY CONTRACTOR'S NAME SAME SET BACK REQUIREMENTS Cl, FRONT Cl, SIDE WORK AUTHORIZED BY PERMIT FIREPLACE INSERT DIRECTIONS TO SITE . COBURG ROAD TO HARLOW ROAD. .., l I NSPECTJ ON REm! , DATE ISSUED: 11/21/85 PERMITii3'2'2S".SS- . PHONE NUMBER ?46-49?0 PHONE NUMBER # PLUMBING FIXTURES INTERIOR REAR ~ SDS APPROVAL REQUIRED HARLOW ROAD EAST TO SHADY LANE DRIVE. RIGHT (SOUTH) TO 2455 SITE ADDRESS 2455 SHADY LANE DRIVE, SPRINGFIELD, OR 9?4?? FOOTING I FOUNDATION 0 IMOBILE HOME PlACEMENTD INSPECTION Approved Date ICorrection Date Inspector PLUMBING GROUNDWORK INSPECTION Approved Date ICorrection Date Inspector UNDERSlAB PlBG.[] IUNDERFlR PlBG.D INSPECTION Approved Da te ICorrecti on Date FRAMING INSPEGlON Approved ~ .Date /1-.2_~J'\/Correction 'D~te__ _ . rK.:. -m /~AtL- / ~( -- rROUGH MECHANIJfAL -- I\pproved ./ Date 1'2~ 9~ fit( /Correction Date INSULATION I VAPOR BARRIER'INSPECTION Approved Date ICorrection OTHER INSPECTION Approved Date ICorrecti on ROUGH PLUMBING (TOP OUT) INSPECTION Approved Date ICorrection lATH I GYPSUM BOARD INSPECTION Approved Date ICorrection / [FINAL MECHANICAv~ IWOOD ST~ [] . 'Approvea-/ -Date./~-.g.11 ICorrection 'FINAL PLUMBING INSPECTION Approved Oate /Correction Inspector , .' Date Inspector Date Inspector Inspector ;{B Inspector ~ , Date Inspector I Date Inspector Date Inspector 1t~~/ Date Inspector FINAL INSPECTION BUILDING [] IMOBIlE HOME [] lAG PLACEMENT[] Approved Date /Correction Date CERTIFICATE OF OCCUPANCY [] Approved Date Insp. Inspector TEMPORARY CERTIFICATE OF OCCUPANCY [] Approved Date Insp. M74-197