HomeMy WebLinkAboutPermit Building 1986-1-16
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FOR OFFICE USE ONLY
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Lane County AuthoIjzation for:
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DOUT OF
Application/ / '7~, C> ../
Permit # ./ (f b
I
SJBDIVISION/PARTITION (if applicable)
LOT/PARCEL
BLOCK
PROPOSED USE OF PROPERTY
0'Residential D Industr ial
D Commercial D Public,
TOWNSHIP
RANGE
SECTION
TAX LOT
03
23
200
LOCATION ADDRESS STREET
3411 Baldy View Ln.,
STRUCTU~ES CURRENTLY ON PROPERTY
SFD & Garage
DIRECTIONS TO SITE
E. Beltline to Garm Farm Rd., left on Game Farm to Deadmons Ferry Rd., Right on Deamond Ferry
CITY ZIP
Springfield 97477
0ESCRIPTION OF PROPOSED WORK - BE SPECIFIC
Construct roof over walk area betwe~n hs. and qaraqe
;; OF BEDROOMS # OF STORIES # OF EHPLOYEES \'iATER SUPPLY
~~-
~~'.
/r
~LARED $ VALUE
/~Oo
:J Proposed
I Existing
TELEPHONE NUMBER
746 8444
O;,rlER'S NAME AND ADDRESS
BOYLES, Durward L.,
c;__.~ ...TNAME AND OSR #
ROBERTS~ Rick A.
PERHIT TO BE MAILED TO
same as above
CDN.~TOi::-
same as above
(NA!'lE AND ADDRESS)
TELEPHONE NUMBER
11'11
TELEPHONE NUMBER
I HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION FOR PERMIT, abd .30 hereby 'ce rt.ify r,hat all infonnation hereon is true and correct, and that I
have the following legal interest in the property: Downer of record; D ,contract; purchaser j 0 authorized agent.
I f~rther certify that any and all work performed shall be done in accot'danc," .wi tl1 tbe Ocdinances of Lane County and the Laws of the State of Oregon
pertaining to the work described ,herein, and that I;'JO OCCUPANCY will b~ made of any st_ructure '..,i thout the permission of 1;.he Building Division. I fur-
ther certify that registration with the Builder's Board is in full for~e and ~ffect ~s resuired 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:70l.055 will,be used on this project. I HAVE READ AND
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NAME (please print) 'J SIGNATURE DATE
[] PLANNING/ZONING:
READ THIS SECTION CAREFULLY. YOUR AUTHORIZATION ~AS BEEN BASED ON THE FOLLOWING, CONDITIONS~
Zone Af::J, Partition # Parcel # Parcel sizer~,4,L.a.c...
CL. 'front 50'
CO~"'"." f\1'> ~(\ ~""
Minimum Setbacks:
C' ,
L, side
interior
12>'
rear
~
h g '1' ", J h-.D {J..
) - ,
V
Date:
j,-/q -?<( ..
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Installation
Specifications;
Gallon
Tank
Lineal Feet
of [Jrainfi~ld
Installation Record Issued? DYes D No
Maximum Depth
of Trenches
o SANITATION: S. 1. # '
B. P. #
COMl-1ENTS :
Date:
n
o PLANS EXAMINATION:
COMl-IENTS: C ALL
TYpe -
Group -
use~~G F
<:bNAJ e-C.T(cA.)
J:oli! RE~'~SD
II..) c: ~'--, IO,{J S .
Date: /- ICe - E!3~
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7,"'E {- ICe - e'~
PERMIT APPROVED BY BUILDING OFFICIAL/DESIGNEE (oer ORS 456.805(1)) DATE
LANE COUNTY DEPARTMENT OF PUBLIC WORKS LAND MANAGEMENT DIVISION, 687-4061,
125 EAST 8TH AVENUE, EUGENE, OREGON 97401
~F.F. RF.VF.R~F. FOR TN~pF.c:rrTON INFORMATION
r'1/. .,C;: QQA,
SETBACKS A~D OTIlER CO~DITIO~S OF APPROVAL MUST BE STRICTLY OBSERVED, VIOLATION CAN RESULT IN REVO-
CA7IO:.l OF THIS PERHIT, CITATIO~' UNDER PROVISIO~S OF LA~E COC~;TY'''' I~FRACTION ORDI~A~CE, A~D/OR OTHER
REelEDIES ALLOWED BY LAW.
WHEN READY FOR INSPCCTIO~, CALL 687-4065. A HI~IHUH OF AT LEAST 24 1l0URS ADVA~CE ~OTICE FOR INSPEC-
':'IO:-J REQL:'SSTS :.::';ST BE GrVE;\~:-ra':e thefollowing inforr:la tlon ready: rermi t number I job address, type
of inspection, when it will be ready, your name and phone number, and any special directions to site.
BUILDI~G DIVISION:
REQUIRED I~SPECTIONS:
1. Foundation Inspection: To be made after trenches are excavated and forms erected and when all
materials for the foundation are delivered on the job. 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-?lcor Inspection: To be made after all in-slab or under-floor building
service equipment, conduit, plping 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, all framing, fire blocking, and
bracing are in place and all pipes, fireplaces, chimneys, and vents are complete and all rough
electrical and plumbing are approved. All wall lnsulation and vapor barrier are in place.
4. Lath and/or Gypsum Board Inspection: To be made after all lathing and gypsum board, ;.nterior
ana-extcrIOr, is 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. ~o work shall be done on any part of the bui~~tn~;~~~~JQft~\h~ point
indicated in each successive inspection without first obtaininq th~'~pp~al~'~~ejo'i~!'Hg o~ficial.
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, 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. Installatlon shall be in accordance with an approved, nationally recognized testing
agency and the manufacturer1s 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. 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. Swimmin9 Pool: Below grade when steel is in place and before concrete is poured. Above grade
when pool-rs-installed.
...'.~.'.
APPROVED PLA~S HUST BE ON THE JOB SITE AT ALL TIHES DURING WORKING HOURS. TillS PERMIT WILL EXPIRE
IF WORK DOES NOT BEGI~ WITHIN 180 DAYS, OR IF WORK IS SUSPENDED OR ABANDONED FOR 'lORE THAN 180 DAYS.
SUSPENSION OR REVOCATIO~ :1AY OCCUR IF THIS PERHIT WAS ISSUED O~ THE BASIS OF INCOHPLETE OR ERRONEOUS
INFORl'lATION.
ANYONE PROCEEDING PAST THE POI:<T or REQUIRED INSPECTIONS WILL DO SO AT THEIR OWN RISK.
SUBSURFACE AND ALTERNATIVE SEWAGE DISPOSAL SYSTEHS:
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, 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 ccrtific~te. Fililure 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 - Sub~urfncc Se'~~ Disposal
F~om: Interior property 11ncs
Edge ot road rlqtlt-of-way
Buildlnq foundation
Wells, other water sources
Scptic Tank
10 '
10'
5 '
50' '
Drainfield
10'
10'
10'
100'
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LANE COUNTY DEPT ENV,MGT RECEIPT
APPLICANT ROBERTS, RICK AD DR 3411 BALDY VIEW
TL# 17~3230000200 SUBDIV
I~E,^1 BL.DG TYPE US.'E F;: f.lDF:hS 0
OWNER NME BoYL.ES, DUR~ARD
CODE APPL. NO ACTION DESCRIPTION
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# 17786 DATE 01148~
LN., SPRINGFIELD,
LOT BI..,I<
UNITS 001 STORIES #BLDGS 001 PHONE 746 8444
ADDR 3411 BAL.DY VIEW LN., SPRINGFIELD
SQ FT UNIT COST VALUATION FEE
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:~~40
4.00
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idne county
ACT!\ lTY, INFORMATION ,-"HEET
COMPLETE THIS SECTION. INCOMPLETE FORMS WILL BE REJECTED!
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. PERSON MAKING REQUEST
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MAILING ADDRESS
C"1)<A..\ u)-$vt, dJ L. fS OL l..u
PROPERTY OWNER 1
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HOME TELEPHONE #
6~UI~ ~.
MAILING A6DRESS ~ '
'SfVL~~dd DtrC
, CITyl U STATE
7tffa ~8C/W
BUSINESS TELEPHONE #
q.7~>7
ZIP CODE
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3~ll
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, CITY' U
7 %-8W()
BUSINESS TELEPHONE #
(9r-e 77Lf77
STATE zip CODE
HOME TELEPHONE #
.
'2 PROPERTY ADDRESS ' ~Gvvv\.-( ,
(IF DIFFERENT FROM MAILING ADDRESS)
. ,
'3 MAP & PARCEL NUMBER
(REQUIRED INFORMATION)
(from tax maps in Department of Assessment and Taxati on: ,
or from tax statement) ; ,
\/ D~ 2--3
'1 ~C1 TOWNSHIP RANGE SECTION
\,' 0(,'6
& TOWNSHIP RANGE SECTION
(6-
2-0-0
TAX LOT{S) OR PARCEL #
ZONING
TAX LOT(S) OR PARCEL #
ZONING
1
!
TOWNSHIP RANGE SECTION
TOTAL CONTIGUOUS PROPERTY IN SAME OWNERSHIP:
TAX LOT{S) OR PARCEL # ZONING
~ ACRES
~ ,~
~ 1
!
~ I
;
4 SUBDIVISION (if applicable)
'--""""'A1A-.
LOT
BLOCK
LP a.l L 0u'L..e...~
,
c (Jv1..t 1-ru.-c+ 1r'a-6J cr0 Gr-
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~sko~ ~ '&-Z. ' ~j ~Q5?/.
5 REQUEST (state exactly what you plan to do)
6 DIRECTIONS TO SITE: de. 6e.-t-2~ & 6~~U1 4/.,: ,if L-eJ-I- 0Vt.. ,
i r;~~~ ~Ctct~ ~ /!do/-RI oZ;\ ~(.~'7~
· J-o JSCet ~ UI-0 ~ ** FOR STAFF USE ONLY ** NUMBER' 'it
I_i--v' t7l... &ald '1 ~ ;n
ZONE/LAND USE: DATE ,~
BY: DATE: TIME IN: OUT:
LAND MANAGEMENT DIVISION / 125 E. 8th AVE., EUGENE, OR 97401 / 687-4061