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HomeMy WebLinkAboutPermit Septic Tank 1988-11-16 V'fa "~. 1)~t\).:/' L&m Lane County Authorization for: SEPTIC INSPECTION FOR LOAN REVIEW FOR OFFICE USE ONLY Appl~ca tion'/'3 3 ""') 7 _ \/ D Perm~t # ~ 0 f 17 03 22.4.2 TAX LOT UUU'l OF' 3000 - mw;,;sHip ,S~'BDIVISIO,N/PARTITION (if applicable) I LOT/PARCEc. BLOCK PROPOSED USE OF PROPERTY [XJ Residential 0 Industrial o Commercial D Public, RANGE SECTION , LOCATION ADDRESS STREET CITY ZIP 543 BROOKDALE AVE., SPRINGFIELD, OREGON 97477 STRUCTURES CU~~NTLY ON PROPERTY EXISTING SINGLE FAMILY DWELLING DIRECTIONS TO SITE COBURG ROAD TO HARLOW ROAD, EAST ON HARLOW TO PHEASANT" TURN LEFT ON PHEASANT, LEFT ON BROOK- DALE, THIRD HOUSE ON THE ,LEFT HAND SIDE OF ROAD u~SCRIPTION OF PROPOSED WORK - BE SPECIFIC SEPTIC INSPECTION FOR LOAN REVIEW DECLARED $ VALUE NA NA PUBLIC o Proposed [Xl Existing TELEPHONE NUMBER 746-5239 I # OF STORIES NA ; O;,"NER' S NAME AND ADDRESS , " OF BEDROOMS # OF EMPLOYEES \~ATER SUPPLY DAVID AND KAREN LAFLEUR, SAME AS THE JOB ADDRESS ABOVE CONTRACTOR'S NAME AND OSR # - TELEPHONE NUMBER SAME SAME AS THE ABOVE , ?=:RJoIIT TO BE MAILED TO (NAME AND ADDRESS) SAME AS THE ABOVE TELEPHONE SAME u L'4UL'lO.c,.r.. I HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION FOR PERMIT, and t10 here!..lY .ce ttlfy that all information hereon is true and correct, and that I have the following legal interest in the property: OOowner of record; 0 contract. purchaser; Dauthorized agent. I f:.:.rther certify that any and all work performed shall be done in accordancE: \o,li th th8 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 an.y st.rl1cture vlithout the permission of t:-he Building Division. I fur- .ther certify that registration with the Builder's Board is in full force ond effect as re~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 use~ on this project. I HAVE READ AND CHECKED THIS APPLICATION THOROUGHLY. KAREN LAFLEUR DROP-OFF 11-16-88 NAME (please print) SIGNATURE DATE READ THIS SECTION CAREFULLY. YOUR AUTHORIZATION ~AS BEEN BASED ON THE FOLLOWING CONDITIONS~ [] PLANNING/ZONING: Zone NA Partition # Parcel # Parcel Size NA interior rear Date: ]J]J-~ RI H D Minimum Setbacks: CL, front CL, side COMHENTS: Nn SPFr.TAI PIANNTNr, ArnnN RFnllTRFn ~ VII Installation Record Issued? 0 Yes 0 No Maximum Depth ~ ~ ........2'0"Oh.' ~. Dot II~~ 4'. o SANITATION: S. 1. # B. P. # Installation Gallon Specifications: Tank C07lH NTS: ..u~ / ~ 5DS. o ,~.~~ rJ o PLANS EXAMINATION: Type Group Lineal Feet of Drainfield Use COMl'lENTS: Date: n ~~u'l ~~ " . II-;;j/ ~~PRbV~ BY BUIL~G OFF~L/DESIGNEE (per ORS 456.805(1)) '~ATE LANE COUNTY DEPARTMEMI OF PUBLIC WORKS LAND MANAGEMENT DIVISION, 687-4061, 125 EAST 8TH AVENUE, EUGENE, OREGON 97401 SRP. RRVRRSE FOR INSPECTION INFORMATION ro, /. ~')c;;. QQA_ ; ~ SETBACKS AND OTHER CONDITIONS OF APPROVAL MUST BE STRICTLY OBSERVED. VIOLATION CAN RESULT IN REVO- CATION OF THIS PERMIT, CITATION UNDER PROVISIONS OF LANE COUNTY'S INFRACTION ORDINANCE, AND/OR OTHER REMEDIES ALLOWED BY LAW. ~HEN READY FOR INSPECTION, CALL 687-4065. A MINIMU~I OF AT LEAST 24 HOURS ADVANCE NOTICE FOR INSPEC- TIO~ REQCESTS NUST BE GIVEN. Have the following information ready: permit number, job address, type of inspection, when it will be ready, your name and phone number, and any special directions to site. BUILDING DIVISION: REQUIRED INSPECTIONS: 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-Floor Inspection: To be made after all in-slab or under-floor building servi~e equipment, condu~t, piping accessories, and other ancillary equipment items are in place but before any concrete is poured or floor sheathing installed, including the subfloor. 3. Framinq & Insulation Inspections: To be made after the roof, all framing, fire blocking, and bracing are ~n 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 Gypsum Board Inspection: To be made after all lathing and gypsum board, interior and exterIOr, lS in place but betore any plastering is applied and before gypsum board joints and fasteners are taped and finished4 54 Final Inspection: To be made after the building is complete and before occupancy 4 APPROVAL REQUIRED. ~o 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 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. 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. 14 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. Swimminq Pool: Below grade when steel is in place and before concrete is poured. Above grade when poo:-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 PERMIT WAS ISSUED ON THE BASIS OF INCOMPLETE OR ERRONEOUS INFORMATION. ANYONE PROCEEDING PAST THE POINT 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 permiti 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 and this rule. Setbacks - Subsurface Sewaqe Disposal From: Interior property lines Edge of road rIght-of-way Building foundation Wells. other water sources Septic Tank 10' 10' S' 50' Drainfield 10' 10' 10' 100' " .... ......... . ......................................................... .............................................REHiQkD)~Si~~OHR k~S.............S\/......S)}..+~N)<G<)Ei<<}........ ane..{J ..... ........../;;'[JI '?Ji .. . .'Jiq '.' ./ r .-i>urytyH~~~~M~H~~~IJ'!~rtHiy~1251:;~thAY~. .~4ijene; OR 97401 . qq q .... ...q ... ;~;~~liliJ!!1 ( ; Please complete all lines inside white f) ()Jj ~ d fi' '< f.Arp ,1, LAS-: k ,-ur YUUH UAU~ ~ ...e:;4.~ 8rcokda../e. !:V-LYl..ll..P, yuu;r<Auiltfl:l;;\> ~'pl-inoj;e'/d CITY c v/ ~SMt~, 5tUn-L '.'1- boxes, if possible. Existing Buildings or / I IthkR Improvements on Property UAII: ~. House 'lLjt&-5~ .~q CJ Barn HONE CJ Garage CJ7'-f77 CJ Mobile. Home ZIP CJ Shed SEPTIC INSTALLED E). Yes I'HUNI: CJNo Water District ZIP ;ea.": "L'\j(.t) - .,~ License . , OWNER OF PROPERTY (if not same as above) OWNERS ADDRESS (if not same as above) Hange Section 1/4 Section lal Lot Directions to site from Courthouse Cobu.r;a R.ead Ie fltlr!r)/!t E!ic:,-fon lIark'lL : -/0 PIJI-'.:1.:';unl TUJrr; : t.-f+ : i>f'} fJh~ac;{iI'd. Left'on p,Y"JIJk.d l.Li~ /lV'!.fr'iJ.L~. Brei hO!Js:.. OJI I~# !{l/:J ~ CUNIHAl;IUH , MAP, PARCEL NUMBER (Found on tax maps In the Assessment & Taxation DepL) / 7 C/3 ~~, ~2.. ~P'c.:? townShip -Hange 5ectlon 1~ s~ctlon ~8X Lot Range Section 1/4 Section Tax Lot S 'E ADDRESS~'l./::? /S.n'?..Ib? - ..:~_ .//~~ '-'" r.~ ,ZA~-<//~/7"Y/ /k~, ,S/?~~ J 97'177 ZIP MAIL ~MIT TO: ::::... ') CITY { ,:.:~ -. ~ ZIP For Mobile Home Placement Only Brand Year Size No. of Tip-outs No. of Bedrm" License # " . . STAFFEVALUATlON<i+cOMMENTS1H ...... .. ..... '.. 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