HomeMy WebLinkAboutPermit Building 1989-5-12
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Lane County Authorization for:
TEMPORARY IIOC)BlLE HOME RENEWAL
FOR OFFICE USE ONLY
APP1~cation/a J_OCl
Perm~ t # '7 /. n /
r roWl-:SHIP
", RANGE
SECTION
17 03
SJBDIVISION/PARTITION (if applicable)
22
41 I TAxl~~O OOUT OF
IDT/PARCEL BLOCK
PROPOSED USE OF PROPERTY
~ Residential 0 Industrial
o Commercial D Public,
LOCATION ADDRESS
STREET
CITY
ZIP
35
Ann Court
Spr:ingfield, OR
97477-1302
STRUCTURES CURRENTLY ON PROPERTY
SID: Shed;TMH
DlRECLLv"" TO SITE
Hayden Bridge Way to Wayside Loop to Ann Court. (Brownish-stained house)
w2SCRIPTION OF PROPOSED WORK - BE SPECIFIC
DECLARED $ VALUE
Renwal of TMH # 211-87
" OF BEDROOMS # OF STORIES
# OF EMPLOYEES
3
o;mER'S NAHE AND ADDRESS
1
o
\1ATER SUPPLy
public
_ Proposed
i7 EX~_S t;.in.g
TELEPHONE NUMBER
Samuel & Vir~inia Booher
CONTRACTOR'S NAME AND OSR #
35 ~ Ann Court. Spring-field. ' OR
746-6~3,
TELEPHONE NUMBER
P::;R1-lIT TO BE MAILED TO (NAME AND ADDRESS)
TELEPHONE NUMBER m
Samual & Vir~inia Booher
35 ~ Ann Court,
:i1
Springfield. OR 97477-1302
I HAVE CAREFULLY EXAMINED THE" COMPLETED APPLICATION I'~OR PERMIT, and Jo h.cre1JY cert.ify that all infol~mation hereon is true and correct, and that I
have the following legal interest in the property: [XIowner of record; 0 contract. purchaser; Dauthorized agent.
,I L:rther certify that any and all work performed shall be done in ac:col'danc" wi th 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 anj.' st.rllcture .....ithout the permission of the Building Division. I fur-
ther certify that registration with the Builder's Board is in full force a.nd efte.ct. as res: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.
Samuel & Virginia Booher
NAME (please print)
By mail
1/12/89
SIGNATURE
DATE
READ THIS SECTION CAREFULLY. YOUR AUTHORIZATION qAS BEEN BASED ON THE 'FOLLOWING CONDITIONS!
[] PLANNING/ZONING:
Zone
Partition #
Parcel #
,Parcel Size
Minimum Setbacks:
C
L, front
CL, side
interior
rear
COMMENTS: THIS J:'liliMIT IS VALID UNTIL JAN L 1991. OR UNTIL HAlIDSHIP CEASES
WHIClIEVER mMES FIRST. ' Date: E2 I /12 /89
~
o SANITATION:
S. 1. #
B. P. #
Installation
Record, Issued? DYes D No
Maximum Depth
of Trenches
~~~. '~~1
~<;'- !I-Fl U ~
Installation Gallon Lineal Feet
Specifications: , Tank of ,Drawfield a n
COMHENTS: iff ~J.~ .s:bS_ drt""U
a" fJfbu.. "iff ~ A ~) ,iLdt ~_ o.e.atii)- ~ /"
i-- ---. .. - 1f if! -, U
o PLANS EXAMINATION: T,ype Group
'C'1l ~..u.)
Date:
Use
COMHENTS:
Date:
n
~) ~~ ~-\~/2..-?1
~IT'APPRdVED BY BUILDING OFFIC~LiDESIGN~E Coer ORS 456.805(1)) DATE C c
LANE COUNTY DEPARTMENT OF P,~~IC WORKS LAND MANAGEMENT DIVISION, 687-4061,
125 EAST 8TH AVENUE, EUGENE, OREGON 97401
SRR RRVRRSR FOR INSPECTION INFORMATION (,,1', _')1;. DQA
SETBACKS AND OTHER CO~DITIO~S OF APPROVAL MUST BE STRICTLY OBSERVED. VIOLATIO~ CA~ RESULT IN REVO-
CATIO~ OF THIS PERMIT, CITATIO:. UNOER PROVISIONS OF LANE COU~TY' S I~FRACTIO~ ORDI~ANCE. AND/OR OTHER
REelEDIES ALLOWED BY LAW.
WHEN RE.~DY FOR I~SPECTION, CALL 687-4065. A ~IINnlU:'l OF AT LEAST 24 HOURS ADVAt,CE NOTICE FOR INSPEC-
TIO~ REQGESTS NUST BE GIVE~. Have the following information ready: permit number, job address, type
of inspection, when it will be ready, your name and phon~ number, and any special directions to site.
BUILDING DIVISION:
REQUIRED I~SPECTIONS:
1. Foundation Inspection: To be made after trenches are excavated and forms erected and when all
materials for the toundation are delivered on the job. Where concrete from a central mixing
plant (commonly termed "transit mixedtl) is to be used, materials need not be on the job.
2. Concrete Slab or Cnder-?Icor Inspection: To be made after all in-slab or under-floor building
servi~e equipment, condu~t, piping accessoriest and other ancillary equipment items are in
place but before any concrete is poured or floor sheathing installed, including the subf1oor.
3. Framing & Insulation Inspections: To be made after the roof, all framing, fire blocking, and
bracing are in place and all pipest fireplaces, chimneys, and vents are complete and all rough
electrical and plumbing are approved. All wall insulation and vapor barrier are in place.
4. La th and/or Gypsum Board Inspection: To be made after all la thing and gypsum board, ~.nter ior
and exteriort ~s in 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 inspections for the work authorized, such as but not limited to:
A. Block Wall: To be made after reinforcing is in placet 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 approvedt nationally recognized testing
agency and the manufacturer's installation instructions.
c. Mobile Horne: An inspection is required after the mobile home is connected to an approved
sewer or septic system for setback requirements, blockingt footing connection, tiedowns,
skirting, and plumb~ng 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 tiedownst 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 poo"l-r5installed.
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 PERMIT WAS ISSUED ON THE BASIS OF INCOMPLETE OR ERRONEOUS
INFORMATION.
ANYONE PROCEEDING PAST THE ponn 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
rulest the Department shall issue a certificate of satisfactory completion to the permit, 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 anu this rule.
Setbacks - Subsurface Sewaqe Disposal
From: Interior property lines
Edge of road rlqht-of-way
BUlldinq foundation
Wells. other water sources
SePtic Tank
10 '
10'
5 .
50'
Drainfield
10 .
10 .
10 '
100'
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MOBILE hvME TEMPORARY PERMIT k€NEWAL,
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APPLICANT
MAILING ADDRESS
, 1703224101000
BODHER ,STEVEN R &' CHERYL A
35 ANN- COURT
SPRINGfIELD, OR 97411-13tJ~
CITY, ZIP
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i:i::I:i:i:H:::i::::::::::::::i::::drmtmmm:::1m:mr:;:::::::::::::]1:1: INFORMA TlON PRO VIDED BY APPLICANT Wft:Hii:m::i:@lWmiJJSnii1immib::i:mml
1. WHO HAS A MEDICAL HARDSHIP? (NAME) .,:j-/J-//)//~:t /)~, S~4/-1E;e
2. WHO IS PROVIDING CARE? (NAME) .::5/G""I/EIl/' /2 L9/J~#E/Z.-
3. WHAT RELATION is THE CARE-PROViDER
TO THE PERSON WHO HAS THE HARDSHIP? . .s~N'
4. WHO LIVES IN THE MAIN DWELLING? (NAME) _">'TlE#19V ~ -8t!'JCJ/~e,le
5. WHO LIVES IN THE TEMPORARY MOBILE HOME? (NAME) $/;hJu~~; // Jf'(J{f'#&?2-
6. LIST THE FOLLOWING MOBILE HOME INFORMATION IF KNOWN:
MAKE: 1-//,(,i.{!,eLfr YEAR: /99';- /fE /4 X. ~ (.
7. SIGNATURES /..~ c:? ~ 0 ~
- PERSON WITH HARDSHIP
~~e~
, - PERSON PROVIDING CARE
L1CENSE# )( /1 :rifg .3
DATE
DATE
mm:iml:m::::Si:illMt:::ii:::rmmmINFORMA TlON PRO VIDED BY PHYSICIAN OR THERAPIST m:mn:::::m::iiiMMfui:mHtH!
,.NAMEOFPATIENT:t~ /I. ~ ' '.
2. NATURE OF MEDICAL HARDSHIP: 0 ~ ~,<7 ,d~
(p) ~~ (-8) ~4~~ ~,4,~~~:-
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3. DOES THIS HARDSHIP NECESSITATE THAT A FAMILY
MEMBER PROVIDE CARE? PLEASE COMMENT:
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4. PHYSICIAN'S SIGNATURE: ~.t.f cLr- In ( &]-r..4-c~ / ~
MAILING 'ADDRESS: /6 2- I ~ ~.
CITY, ZIP ~~ fUU. ~Lv 9" :1 J??
Lane County Land Management Division 125 E. 8th Ave. Eugene, OR 97401
DATE
9(2. . 87
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I SPRINGFIELD, ORE. ':
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LANL COUNTY DEPT ENV MGT RECEIPT
APPLICANT BOOHER, SAMUEL & VIRGINIA ADDR 35 1/2 ANN'CT.,
TLI 1703224101000 SUBDIV
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OWNER NMt BOOHER, SAMUEL & VIRGINIA ADDR 35 1/2 ANN CT., SPRINGFIELD
CODE APPL NO, ACTION DESCRIPTION SQ FT UNIT' COST VALUATION FEE DA\S
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.~ APPLICAN7 BOOHER, SAMUEL &'VIRGINIAADDR 35 1/2 ANN CT., SPRINGFiELD
TL.f,: 1702')224101000 SUBDIV .~, LOT BL.I<
NEW BLDG TYPE MH USE R BDR~~ 3 UNITS 90tSTORIES IBLDGS 001 PHONE 746 6993
OWNER NME BOOHER, SAMUEL & VIRGINIA ADDR 35 1/2 ANN cY., SPRINGFIELD
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