HomeMy WebLinkAboutPermit Building 1987-2-2
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CHECKED JAN,,2,.'
Lane CountY4uthorization Jar:
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. SJBD~ION/PARTIT~. ~f.J~PPlicab,le) , , "* ./]:.OT/PAR, .c"sc, BLOCK,' '
C7tUL~f ULUlillCJYlJ,tO 'l1Q.nClV(~ru.., II I,'" ,0 Commercial D Public
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)-'Jf~~ ~ +r';';:;QOY~ rn~~ ti~ OOJtmcJ 4:i:-43~D5 !
, =,O~jBf1>ROOM,.S # OF ST~E~''''''tf # OF ~~~iwkjs . \'iA'J'ER SUPPLY " D~posed '
: TV\I~j J ~". nOYVL 0-u..bL-C ~ !7fExisting
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E?){i';;~C~ 'ViX: ADD." .. f(y~. ~ Onn &iuf.., ~?Ji 'Z!/~7"R .:
I HAVE CAREFULLY EXAMINED THE CO ETED APPLICATION FOR PERMIT, and do hereby certify that all information hereon,is true and correct, and that I
have ~he following legal interest ~n the p~opert~: Downer of record; 0 contral t purchas~r; Dauthori'zed agent.
iI 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 st.ructure without the permission of the Building Division. I fur-
ther certify that registration with' the Builder's ,Board is in full force find' effe'ct. as r~c;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 w~11 be used on this project~ I HAVE READ AND
:CHECKED THIS APPLICATION THOROUGHLY. ' ,
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FOR OFFICE USE ONLY
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Appl~ca tion,?, L I 0- '7
Perml.t # ~? - 0
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I l' NAME (please (pfint)
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DATE
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READ THIS SECTION CAREFULLY.
YOUR AUTHORIZATION ~AS BEEN BASED ON THE FOLLOWING CONDITIONS!
o PLANNING/ZONING: Zone Parti tion # Parcel # Parcel Size
e e ' , ' t ^~/)
Minimum Setbac s: L, front _ ,L, s1de :Ln erior r(p'/
eOMHENT' " nrnrtJ va.J U::C LLJY1hJ~ 2tiylt,~,lli.JL/~' ~ (lrh1,;i) _
hG .tf CfYof?1J wh~) (i~i JrMo''''ZJLn-11\1C//fL d8('
o SANITATION: S. I. #, , B. P. # ' ,Installation Record Issued? 0 Yes 0 No ,
Installation Gallon Lineal Feet , Maximum Depth
Specifications: . Tank ", . of Drainfield "of Trenches .1-
eO~IHENTS: tf1', 1, ~:;&~~t~,~>>ikj,",t'A/"':l, ;4LA,.-~J L M, 'AlAi) /;(~' tA1,f.:r%
OJ- 1,,/1 . -#LL, /I -.1) 12 II U j, ":.
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o PLANS EXAMINATION: TytJ ' (J Grc/ ": Use"
emll.IENTS':
Date:
n
cl/P;ROveo "'
LANE COUN
, :R r "~-:L-?7
LDIN~ oFFle~L/DESIGNEE (oer ORS 456.805(1)) . v DATE
EPARTMENT OF PUBLIC WORKS LAND MANAGEMENT DIVISION, 687-4061,
125 EAST 8TH AVENUE, EUGENE, OREGON 97401
SEE REVERSE FOR INSPECTION INFORMATION
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SETBr,CKS A~D OTHER CO;WITIO;:S OF APPROVAL ~lUST BE STRIC7LY OBSERVED. VIOLATIO~ CA:; RESULT IN REVO-
en::' ro~ OF 7HIS PERl>lIT, CIT';TIO~J UNDSR PRQVISIO:-.lS OF LA:-;E ;:Ot:~:TY' j I NFRACTIO~ ORDI~A:-JCE, A~D/OR OTHER
REMEDIES ALLOWED BY LAW.
"HEN RE,;DY FOR I:;SPECTIO~, CALL 687-4065. A ~!I:;n!U;'l OF AT LEAST 24 HOURS ADVA;:c;E :;OTICE FOR INSPEC-
TIO:-J REQL:I::STS :.il.:ST ns GIVE~~avc the{ollowing info!:"::l3tion ready: permit number, job address, type
of inspection, when it will be ready, your name and ~~or.c nu~ber, and any special directions to site.
BUILDING DIVISION:
REQUIRED I:;SPECTIO~S:
1. Foundation Inspection: ~o be made after trenches are excavated and forms erected and when all
materials for the foundation are delivered on the )ob. Where 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-?loor Inspection: To be made after all in-slab or under-floor building
servi~e equipment, condu~t, piping acccssor~es, and other ancillary equipment items are in
place but berore any concrete is poured or floor sheathing installed, including the subfloor.
3. Framing & Insulation Inspections: To be made after the roof, all 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 approved. All wall insulation and vapor barrier are in place.
4. Lath and/or Gvpsum Board Inspection: To be made after all lathing and qypsum board, ;nterior
and exterior, ~s ~n place but betore any p:astering is applied and before gypsum board joints
and fasteners are taped and f~nished.
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 ?ermits require inspections for the work authorized, such as but not limited to:
A. Block Wall: To be made after reinforcing is in place, but befo~e 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 ~ade 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 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. ~obile 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 poo1-rs-installed.
APPROVED PLANS MUST BE ON THE JOB SITE AT ALL TIMES DURING 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 !1AY OCCUR IF THIS PERl-lIT WAS ISSUED ON THE BASIS OF INCOMPLETE OR ERRONEOUS
INFORMATION.
ANYONE PROCEEDING PAST THE POrtJT 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 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, ~older.
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 ?ewaqc Disposal
From: Interior property lines
Edge of road rlqht-of-way
Buildinq foundation
Wells, other water sources
Septic Tank
10'
10'
5'
50 '
Drainfield
10 '
10 '
10'
100'
'. ~
ane
ounty
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APPLICANT:
Sarn~e1Bo~her
,3':5 - Ann' 'Court '
.:'$pr:ini5~,ie1d" OR '97477,
BP4~3-a5; 17-03~2i~4_1-;
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LAND MANAGEMENT DIVISION '
Depilrlment 01 Public Works
MAILING ADDRESS:
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1.000 I
CITY, STATE, ZIP:
RE: Temporary Mobile Home Permit Number:
Map/Tax Lot No. :
INFORMATION PROVIDED BY THE APPLICANT
1) Person with medical hardship 5A/J1UE ~ If. l!J~tJ//b-;;2
2) Person providing care 6 TcOc,,(1 ;P LltJCJI/E"R.
3) Family relationship of the above
~T#~R/ Jl!J..y'
~rctJLI'/ &Jo#c/Z
4) Resident of the principal dwelling
5)
6)
Resident of the t~orary m;;i1e.~ 6/l~QC!""'(
Signatures:~<< V~
Person with Medical Hardship
;-~ e c8CJ~
, Person Providing Care
b't?.e?#E" ,.e
Date:
J- f-c!7
Date:
1-, tf -/7
INFORMATION PROVIDED BY THE PHYSICIAN OR THERAPIST
1) Name of pat+ent
Samuel A. Booher
Cerebratheroselerosis; StroCke', brain
~ssen~~al nyper~ension
2) Nature of the medical hardship
3) Does this hardship necessitate that, a family membg~ p'rovide care? '
Please comment: Patient afraid to drive ana has some di ffieul ty with
, his memory. ALSO pat~en~ exper~enees ailx'ie'Ly dl.UuuJ !-It:uple
or ero\ids.
4) Physician's Signature
.~L- Jr-A~: Ir-t9.-. Date, 1-7-87
Hailing Address:
l62lCentennial Blvd.
City, State, Zip: Springfield, Oreg<?n 97477
~
Lane County Public Works / Land Management Division / 125 E. ~th Ave., Eugene OR ,97401
Telephone: 687-4061
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LANE COUNTY DEPT ENV'MGT RECEIPT ~ 21187 DATE 012787
APPLICANT BOOHER, SAMUEL/VIRGINIA ADDR 355 ANN COURT, SPRINGFIELD
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LANE COUNTY DEPT ENV MGT ~ECEIPT e 21187 DATE 012787
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