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Home My WebLink AboutPermit Septic Tank 1989-9-8 :.~~w.~_~..........-..,~.._~~~... ~, PERMiT # a~~~g9 SEPTIC VERIFICATION FOR LOAN REVIEW I .'. ,s ..""......IIP,tlli.,.,.:'.,. "., '- ~ TOWNSHl P 17 RANGE 03 SECTION 22 1/. SECTION 42 TAX LOT 3100 SUBDIVISION I PARTITION LOT I PARCEL BLOCK LOCATION ADDRESS 555 Brookdale STRUCTURES NOW ON PROPERTY SFD; Shed PROPOSED USE RESIDENTIAL COMMERCIAL INDUSTRIAL PUBUC R Sprinafield. OR 97477-7552 NO. Of' STORIES NO. Of' BEDROOMS NO. Of' EMPLOYEES CONSTRUCTION COSTNALUE DESCRIPTION Of' PROPOSED WORK SEPTIC INSTALLED WATER INSTALLED Septic Verification for ~oan Review VP~w DIRECTIONS TO SITE FROM COURTHOUSE Coburg Rd East on Harlow; turn North on ~hea~ani to site on Brook,dale '. APPUCANT NAME . ADDRESS Damon & ChristIne Brown OW,NERS NAME. ADDRESS Same PHONE '( si te addr) 726-7421 PH.ONE CONTRACTOR NAME OSR UCENSE , , PHONE :t MAIL PERMIT TO: Damon Brown (site addr) I f NAME ADDRESS I I have carefully read' BOTH sides of this appllca~1J'1 and 'here~y~lfy that all X Utth fL- J-I~fE5 X M~"IL-~~~ I PRINT NAME . ~' 'Sign.iiRe' I .'f .". . . .. .,..". "l. L~EAD ",:~~.~FUll Vi ". YO,~,r .!uthorlzatlon , Information Is true and correct )<' f-8-89. DATE . APPROVED BY: ~ "~- ' DATE '9-/3-/'9 ;' ~ .., ',~_ ...._ ,;...:1. ;:_ ~~~u~.~:::::i:.:~'- ........... .... - . .'. . '--......:.~. .. ~. - :':':~'~' +" L .....".:-"-.. -- .~. ....mt, =" ~......., ,""" "".L<,IIl1.I.l" . , CALL FOR INSPECTIONS (SEE BACK OF FORM 1i6R INSTRUCTlQNSj 687-4065 . SEPTIC permits are good for ,one year. ALL other permits expire after 180 days unless inspections are current. -- --.. , $' ~,. _\:.,~ I_j..:il.~ C74-213 I , , . VIOLA nONS . "i~" SBTBACKS AND 01lDlR "''''u, "ONS OF APPROVAL MUST BB snucn. Y OBSBRVBD. VICl1..ATlON CAN RE5'6~f IN RBVOCATlON OF1lUS PBRMIT. CITATIONS MAY BB ISSUBD UNDBR nIB PROVISIONS OF LANB COUNTY'S INFRACflON ORDINANCB AND/OR OTIlBR RBMEDIBS AlLOWBD BY LAW. . ' r '. A MINIMUM OF AT LEAST 24 HOURS ADVANCE NOTICE MUST BE GIVEN FOR INSPECTION REQUESTS Have the following infonnation ready when you call: 687-4065 Permit number -' Job address - Type of inspection required When it will be ready Your name and phone number - Any special directions to the site PUBLIC OFFICIAL RIGIIT TO TRESPASS ON PRIVATE PROPERTY ORS 21S.08O POWBR TO BNTBR UPON LAND. nIB COMMISSION. AND ANY OF ITS MBMBBRS, OFFlCBRS AND EMPLOYES, IN nIB PBRFORMANCB OF 1HBIR FUNCflONS, MAY ENTBR UPON ANY LAND AND MAKB EXAMINATIONS AND SURVEYS AND PLACB AND MAINTAiN nIB NECESSARY MONUMENTS AND MARKERS THEREON. REQUIRED INSPECTIONS FOUNDATION INSPECTION: To be made after excavations for footings are complete and any required reinforcing steel is in place. UNDERGROUND PIPING INSPECTION: To be made after all underground piping has been installed, prior to any backfill. CONCRETE SLAB OR UNDER-FLOOR INSPECTION: To be made after all in-slab or under-floor building service equipment, conduit, piping accessories and other ancillary equipment items are in place but before any concrete is placed or floor sheathing installed, including the subfloor. ROUGH MECHANICAL INSPECTION: To be made after all ducting and gas piping has been installed and prior to being covered. ROUGH PLUMBING INSPECTION: To be made after all plumbing rough-in is in place, prior to being covered. FRAMING INSPECTION: To be made after the all framing, fIre blocking, bracing and roof are in place and all pipes, chimneys and vents are complete and the rough electrical, plumbing, and mechanical inspections have been made and '"t-l"" led. INSULATION INSPECTION: To be made after all insulation and vapor bm?ers are in place, prior to covering. LATH AND/OR GYPSUM BOARD INSPECTION: To be made after all lathing and gypsum board, interior and exterior, is in place but before any plastering is applied or before gypsum board joints and fasteners are taped and finished. ADDITIONAL INSPECTIONS MAY BE REQUIRED, such as but not limited to; BLOCK WALL: To be made after reinforcing is in place, but before any grout iJ poured. The inspection is required for each bond beam pour. There will be no approval until the plumbing and electrical inspections have been made and Ul'}""ved. . , ' FINAL MECHANICAL INSPECTION: To be made just prior to the strUcture or remodeled area being occupied and prior to operating any equipment. FINAL PLUMBING INSPECTION: To be made just prior to the building; structure or remodeled area being occupied. FINAL BUILDING INSPECTION: To be made after finish grading and the building, structure or remodeled area is completed and ready for occupancy. MOBILE/MANUFACfURED HOMES: An inspection is required after the mobile home is connected to an "Pt'""ed sewer or septic system, prior to covering sewer or water lines, for setback requirements, blocking, tiedowns and plumbing connections. , Footings and piers to comply with State foundation requirements for mobile homes or as recommended by the manufacturer. Minimum fInished floor elevation shall be certified when required by Floodplain Management Tiedowns, if required, shall be installed and ready for inspection within 30 days after occupancy. Tiedowns shall be installed per enclosure. 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 Ul't',,,val 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. APPROVED PLANS MUST BE ON TIlE JOB SITE AT AlL TIMES DURING WORKlNG HOURS: THIS PERMIT WIlL EXPIRE IF WORK DOES NOT BEGIN WITHIN 180 DAYS, ORIF WORK IS STOPPED OR ABANDONED I:OR MORE TIlAN 180 DAYS. SUSPENSION OR REVOCATION MAY OCCUR IF TIllS PERMIT WAS ISSUED ON THE BASIS OF INCOMPLETE OR ERRONEOUS INFORMATION. ANYONE PROCEEDING PAST THE POINT OF'REQUIRED INSPECTIONS WILL DO SO AT THEIR OWN RISK. Your signature on the' front of this form verifies the followmg: I HAVE CAREFULLY EXAMINED TillS COMPLETED APPLICATION, and do hereby certify that all information hereon is true and correct, and that I have a legal interest in the property as owner of record or authorized agent. I' further 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 per- taining to the work described herein. I further certify that if I am not the owner of the prVt'''''Y' my registration with the Builders Board is in full force and effect as required by ORS 701.055, and that if exempt the basis for the exemption is noted hereon, and that only subcontractors and employees who are in compliance with ORS 701.005 will be used on the job. SUBSURFACE & AL TERNA TIVE SEW AGE DISPOSAL SYSTEMS: When subsurface conStruction is complete, the permit holder shall notify the County Land Management Division by submitting the installation reCord form. An inspection will be made by a qualified sanitarian. If cons~ction complies with all rules a certificate of completion will be issued to the pennit holder. If construction does not comply with rules, the permit holder will be notified, and all corrections shall be made before a certificate of completion will be issued. Failure to meet satisfactory completion within the allotted time constitutes a violation of ORS 454.605 to 454.745 and this rule. SUBSURFACE SEW AGE DISPOSAL SETBACKS SEPTIC TANK From: Interior property lines 10' Edge of road right-of-way 10' Building foundation 5' Wells or other water sources 50' DRAINFIELD . 10' 10' 10' 100' . ~ Please complete all lines inside ;) ,4"'-'t 0 If./' ~ C1~ns h /1'e- YUUH NAMt: . S-SS- l?r-OoLdq Ie YUUH AUUHt::i:i S-prt tif bt e!Y . S~C OWNER Of PROPERTY (If not ....me as .bove) 5~c white boxes~ grow/v 7-1-89. DAII: 7 z~- 7<(2-/ PHUNI: q 1t(77 {JJr-( CITY ZIP PHONt: OWNERS AOORESS (If not ....me as above) ZIP CUNIHACIUH Ucense .. MAP, PARCEL NUMBER (found on tax maps In the A.sessment & Taxation OepL) J'1 0'3 1.--1.--- t.frz- (:) 3 L iJ 0 Township Hange Section 1/4 Seetion lax Lot Township Range Section 1/4 Section Tax Lot T ownsh'p Hange :iect,on 1/4 Section T ax Lot }.., ~ 1111111111111111 SITE ADDRESS 5~6 8/2-f!JO tk.-f)4LI& <)'p$t AJ I:rA t'L f) (!)rzE }. . jI . ... ... ..... .. MAIL PERMIT TO: f) fl Jt1 0 tJ' g I2-DtJ AI NAMt: e::;S-':) g ;zoOI:.tf)/-1-L!t- AUUH?ponCj '~el / Ore CllY / 1'7cj/7 ZIP , Existing Bulldlngs or Improvements on Property W House c:J Barn - c:J Garage c:J Mobile, Home Go Shed ~. SEPTIC INSTAllED Yes No Water Disyict fA rvtPO"t./ >.1 ..~ "". Directions to site from Courthouse Co~ fA c(Jr o y'l I ~locJ - T tt/rtl AJo~ (!i'l (J~oJftrlf fo 5':)6 8/DOKlq/e ., ............ .. ...,...., " - ........ . ,_...... ....n. 'i q~L(?'1- .' '~:;{~ ...;.', .. ..... Zl~; "~. ~t;"" ~ ,:l For Mobile Home Placement Only Brand Year Size No, of Tip-outs No. of Bedrm? License # "il- '. ,-. 'I i'l .. ? u .' . ~ q '1 '] II" r " , . , ~ '\ Ii P I J W: ~~~ l..AN!~~; C()l.JN1'Y I)E~:F:"I' I~~:NV MG'Y' 1:~E~Cf~IF::'r :=: 24~32~~9 I)A"rE~: 090fl89 APPLICANT BROWN. DAMON & CHRISTINE AbDR 555 BROOKDALE, SPRINGFIELD :T'i~~:: 1703224203100 SlJBI)IV ~ I.~f)'r HLNI< i",jEl,J ,))!...i)G. 'rYPE:: . l"iSE F: 'i::.DF<I.liS () Ul-..JITS' 00'1' S'TDF:IE::';: ::~:c\!.~,Dd:~;:' 'OO'i 1::OHO(.!C "'.l2(, :?4~.~::'lt.: " OWNER NME BROWN, DAMON'& CHRISTINE. ADDR 555 BROOK'DALE; SPRINGFIELD , CODE r::'IF';::'i.:. (lCI ('IC:'fION DESCF:IPTIC)I\! S'Q F'r Ui\!I'f COST:",'\i(IL'i..,ltl"qi:Oi) FEE .,i}i:'IY'", E:F' ' 'BP ... 't "'!i'.' , .131'" (.:. r..::P "e, . ~~~ .131'" " j--' L. :;;: F I X /., E.: (:'1 'r H : 1"iEC:H ::';.'UF;~ SI;.iF:: FT .: l.<.ITF::' ;\l 'j::T' '..\ i'. ;'.i T f'" '~'I ';::. I::' r.:- I 1 ... ..,I 1"1",.1. .....1..\... I ...1:... ;s.:'r (:":j T E: ;:';~ LLF.~C: l..t (\ r;~ c.~ E. F:"r I, F~ f:':', I (.! : FT :"'11,' ...I /u PCK PLAN ,CHECK FEE." ~~ ....1 J::' Ul .' '... ...........11 o~ j j"', !...!"" L. c:: ::.:.~ .-t':~ E: ::.:.:~B 1:.;.:1 ;s.t I! ,S: \/ /.,(-) . (.j(.) ... .. " .. .. (~. 'l::rYfG': ril"'j--' SEQLi :,_ . . . 'r ti 1< E~: t....! E.; 'y' In) i',,~ 'i~:'i I : I !" r' SDS PCi< UTH '.ISS 1 ",~ :::: 'E::::.;.l.r I. 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