HomeMy WebLinkAboutPermit Septic Tank 1989-6-2
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SEPTIC INSPECTION FOR LOAN REVTEW
17 03
LOCATION ADDRESS
42
'T.u"UlT~ ..,,,
3700
",
\
~ TOWNSHIP
RANGE
SECTION
22
1/4 SECTION'
LOT i PARCEL
BLOCK
546 Brookdale st..
STRUCTURES NOW ON PROPERTY
S_fD: Sned
PROPOSED USE RESIDENTIAL COIIMERQAL INDUSTRIAL PUBUC
s~ringfielo: OR
Q7477-7sni
1'10. OF STORIES : \ NO. OF BEDROOMS
110. OF EMPLOYEES
CONSTllUCTION COSTNALUE
R
DESCRIPTION OF PROPOSED WORK .
Rf'nt. if' . Tnsnert, i ()~ fnr' T,nrln < Rpvi P1J
DIRECTIONS TO BITE PRO.reoURTHOUBE . .. '
Hrlyopn Rrio<:!p t.n Pnp'rls;:'!nt. t.n Rrnnln1rl1p', tllrn lo-Ft
SEPTIC INSTALLED
WATER INSTALLED
CZ M no.fLv i 1 t:i--li\T
OWNERS NAi1E&ABDRESS '
Larry Hayes
CONTRACTOR NAME
BroadvTay.
~'-~~.
nD
PHONE
4B.8.-6200
PHONE
APPUCANT NAME " ADDRESS
(site 'add.r)
08R UCEHSE ,
. ,PHONE
/
· MAIL ,"l::huIlT TO: " '''". '" ,,,,,..., ,,, ," "..,,~ =,""..,, 0, "~.,-,,,',,.,,~. .,,,,. , ]
c;. ~ ilt:) Wpo:::t 'Rr'1rllhT::lY Rll.;Jon,?, 0:"', g.:z4(ll. -2e'33
. NAME "n, ",.. ,..._,..~,.~~.~s,s _ '''~.".."'"'_..~.",,.,,'',.., ,.,
11 have carefully read Q"OTH sldes..lOf this appll~artd\here~cer'l~y, that pll Information Is vue and ~ct,
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FEES DUE: $. APPROVE~ B;~ ;;;Z/'" ~/;( ~ _ DATE; 6 -;2~"Pf?
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. C74-213
viOLA nONS
SETBACKS AND v, ''''''' CONDmONS OP APPROV ALMUST BE S1lUcn. Y OBSERVED. VIOLATION CAN RESULT IN REVOCATION OPTIUS PBRMlI'. '
Cn'ATIONS MAY BE ISSUFD UNDER TIlE PROVISIONS OP LANECOUNTY'S INFRAcnON ORDINANCE AND/OR OTHER REMEDIES AlLOWED BY LAW.
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A MINIMUM OF AT LEAST 24 HOURS ADVANCE NOTICE MUST BE GIVEN FOR INSPECTION REQUES,TS
Have the following information 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
REQUIRED INSPECflONS
FuUNDATION INSpECflON: To be made after excavations for footings are complete and any required reinforcing steel is in place.
UNDERGROUND t'il'll.j'G INSPECflON: To be made after all 'underground piping has been installed, prior to any backfill.
CONCRETE SLAB OR UNDER-FLOOR INSPECflON: 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 INSPECflON: To be made after all ducting and gas piping has been installed and prior to being covered.
ROUGH PLUMBING INSPECflON: To be made after all plumbing rough-in is in plaCe, prior to being covered.
FRAMING INSPECITON: To be made after the all framing, fIre blocking, bracing and roof are in place and all pipes, chimneys and vents are ~...t'lete
and the rough electrical, plumbing, and mechanical inspections have been made and "t't"U "ed.
INSULATION INSPECI10N: To be made after all insulation and vapor barriers are'in place, prior to covering.
LATH AND/OR GYPSUM BOARD INSPECI10N: 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 fmished.
ADDITIONAL INSPECTIONS MAY BE REQUIRED, such lis but not limited to;
BLOCK WALL: To be made after reinforcing is ,in place, but before any grout is poured. The inspection is required for each bond beam pour. There
will be noat't'.... Jal until the plumbing and electrical inspections have been made and at't'.... Jed.
FINAL MECHANICAL INSPECflON: To be made just prior to the structure or remodeled area being occupied and prior to operating any equipment.
FINAL PLUMBING INSPECflON: To be made just prior to the building, structure or remodeled area being occupied.
FINAL BUll..DING INSPECI10N: To be made after fInish grading and the building, structure or remodeled area is completed and ready for oCcupancy.
MOBILE/MANUFACfURED HOMES: Aft. inspection is required after the mobile home is connected to an "t't'",Jed 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 fmished floor elevation shall be certified ~hen required by Floodplain Management
Tiedowns, if required, shall be installed and ready for inspection within 30 days after occupancy. Tiedowns shall be installed per enclo~e.
APPROVAL REQUIRED ,
No work shall be done on any partof the building or structure beyond the point indicated in each successive inspection without fIrst obtaining the
approval of the building official. Such "t'y.... Jal shall be given only after an inspection shall have been made of each successive step in the construction
as nidicated by eacli of the inspections required.
APPROVED PLANS MUST BE ON TIlE JOB SITE AT All. TIMES DURING WORKING HOURS.
TInS PERMIT WIll. EXPIRE IF WORK DOES NOT BEGIN WITHIN 180 DAYS, OR IF WORK IS STOl"l"!ill OR ABANDONED FOR MORE TIlAN 180 DAYS.
SUSPENSION OR'REVOCATION MAY OCCUR IF TIllS PERMIT, WAS ISSUED ON THE BASIS OF INCOMPLETE OR ERRONEOUS INFORMATION.
ANYONF;IPROCEEDING PAST THE POINT Oil" REQUJIRED lINSPECnONS WILL DO SO AT THEIR OWN RISK.
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Your signatUre on the front of this form verifies the following: I HAVE CAREFULLY EXAMINED THIS COMPLETED APPUCA TION, and do
hereby Certify:th~i: 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 property, 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 & ALTERNATIVE SEW AGE DISPOSAL SYSTEMS:
When subsurface constru(;tion 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 construction complies with ail rules a certificate of completion will be issued to the permit
holder. If construction does not comply with rules. the permit-holder will be notified, and all corrections shall be made before'a certificate of vumt'letion
~ill 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 o( road right-of-way 10'
Building foUndation 5'
Wells or other water sources 50'
DRAlNFIELD
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10'
10'
100'
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"'.,., REQUEST FOR ASSISTANCE
'.. Land Management Div. 125 E. 8th OR 97401
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lAND MANAGEMENT DIVISION
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YOUR NAr;n: ~ ", \
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YOUR AUUReSS , "." \
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OWNERS ADDRESS (if not sanie 8S above)
CONIRACTOH
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Request for: ,
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, MAP, PARCEL NUMBER
(Found on tax maps In the Assessment & Taxation OepL)
/7 CJ "3,~~~ (L~3 70 D
lownshlp Range. SectIon 1/4 Section J ax Lot
/7 43 22 ,~ ;Z 37tH)
Township Range Section 1/4 Section Tax Lot
Township Range Section 114 Section Tax Lot
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MAIL PERMIT TO: ,
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STAFF
Information
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Existing Buildings or
Improvements on
Property
m House
CD Barn '
c:J Garage
c:J Mobile. Home
~ Shed
SEPTIC INSTALLED
c:J Yes
c:J No
Water District
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Directions to site
from Courthouse
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For Mobile Home
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Brand
Year
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No. of Bedrms
License #
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W: 5 .'LANE COUNTY DEPT ENV MGT RECEIPT '. 173389 , DATE 062789
APPLICANT HAYES, LARRY' ADDR 546 BROOK DALE ST.,. SPRINGFIELD
TL:ft: ,,1703224203700 'SUBDIV LOT ',' BLK
fEW BLDG TYPE USE R BDRMS 0'UNITS 001 STORIES tBLDGS 001 PHONE 488 6200
OWNER NME HAYES, LARRY ADDR 546 BROOKDALE ST., SPRINGFIELD
CODE APPL~ NO ACTION DESCFUPTION S(~ FT UNIT COST VAL.UATION FEE
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BP
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DAY S ~1~
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SWR: FT. WT~:
MECHANICAL FEE
STATE SUF~CHARGE
PLAN CHECK FEE
FT. f,AIN:,
FT .
~>%
25% '
LC ,1"13389 SDSV
60.00
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DEPOSIT
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10
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EST~ COMPLETION DATE
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