HomeMy WebLinkAboutPermit Septic Tank 1986-1-23
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SEPTIC DISPOSAL -SYSTEM ~ON FOR LN. REV.
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FOR OFFICE USE ONLY
APP1~~ation/ #)f>~ ~/
Perm~t # ~Ar'-() ~
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17
03
SECTION TAX LOT OOUT OF
24.4.1 3018
I LOT/PARCEL , BLOCK
CITY ZIP
PROPOSED USE OF PROPERTY
~ Re~iden~ial D Industr ial
D Commercial 0 Public,
TOWNSHIP
RANGE
SJBDIVISION/PARTITION (if applicable)
LOCATION ADDRESS
STREET
2798 Burlington St., Springfield
STRUCTURES CURRENTLY ON PROPERTY
SFD
DIRECTIONS TO SITE
Take County Rd. #681 to 28th St..l - turn South bn 28th to Burlinaton - Hs. on N.E. Corner
D~SCRIPTION OF PROPOSED WORK - BE SPECIFIC ,
Septic inspection for 10a~lpurposes
~ OF BEDROOMS # OF STORIES # OF ENPLOYEES
DECLARED $ VALUE
\vATER SUPPLY
=:J Proposed
~sting
TELEPHONE NUMBER
746 0039
o;mER'S NAME AND ADDRESS
COGGINS, John & Phyllis
CONTRACTOR'S NAME AND OSR #
same as above
COUNTRYMAN RLTY
656 Charnel ton St., Eugene 97401'
TELEPHONE NUMBER
484 3800
P;:;RJolIT TO BE MAILED TO (NAME AND ADDRESS)
Dan Leahy, c/o Countryman Rlty
---- TE1"'rn,,,,,,, NUMBER
I HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION FOR PERMIT, and <10 hcrcuycettify that all infonnatioll,hereon is true and correct, and that I
have the following legal interest in the property: Downer of record; 0 contract, pll!ChaSeri (gJauthoriz'ed agen.t.
I fc.rther certify that any and all work performed shall be done in accordane" wi th the Ordinances of Lane County and the Laws of the State of Oregon
pertaining to the work described herein, and that NO OC~UPANCY will ,be made of any st.rncture without the permission of the ,Building Division. I fur-
ther certify that registration with the'Builder's Board is in full force and ef ,t as resuired by ORS 71.055, that if 'exempt the basis for exemption
is noted hereon, and that only subcontractors and employees who are in compl' c with ORS 7 1,055 w' b, ~~n this project. I HAVE READ AND
CHECKED THIS APPLICATION THOROUGHLY. / ~
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READ THIS SECTION CAREFULLY. YOUR AUTHORIZATION ~AS BEEN BASED ON THE FOLLOWING CONDITIONS~
[] PLANNING/ZONING:
Zone
Partition #
Parcel #
Parcel Size
Minimum Setbacks:
C ,
L, front
CL, side
interior
rear
COM:'IENTS:
FOR LN.
NO SPECIAL
REVIEW PURPOSES ONLY.
PLANNING ACTION REQUIRED
Date:
1-22-86
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[] SANITATION: S. I. # B, P. # Installation Record Issued? DYes D No
Installation Gallon . Lineal Feet Maximum Depth
Specifications: " Tank ' of Drainfield of Trenches
CO~IENTS: > Jt.p ;~--<_s:nOS.q~M.~ ~ r~
4- ~ 7~.(J/" RuJM~ aM~u ,(,/) ~ Date: 1-027m
I
[] PLANS EXAMINATION: Type Group , Use
CO~IENTS :
Date:
D
,
~J ~ f(~,p /-;1. '3..Pt.
r P~-Pr' APPROV-ED -BY'-B11ILD~N IeIAL/DESIGNEE (per ORS 456 .B05 (1)) DATE
, LANE COUNTY DE TMENT OF PUBLIC WORKS LAND MANAGEMENT DIVISION, 687-4061,
, 125 EAST 8TH AVENUE, EUGENE, OREGON 97401 '
SEE REVERSE FOR INSPECTION INFORMATION r' 1/. ')<: DQA
":
SETBACKS A~D OTHER CO~DITIO~S OF APPROVAL MUST BE STRICTLY OBSERVED. VIOLATION CA~ RESULT IN REVO-
e;..:, IO:-.J OF THIS PER~lIT, CITATIO~; L'NDER PROVISIO~S OF LANE COC::TY'':; INFRACTIO~ ORDI~.;:';cE, AND/OR OTHER
REMEDIES ALLOWED BY LAW.
WHEN READY FOR I~SPCCTID~, CALL 687-4065. A MINIMUM OF AT LEAST 24 HOURS ADVA~CE NOTICE FOR INSPEC-
:-rON RECl:ESTS :.l~ST 13E G.:::\lE~~iiave the following infor::\3tion ready: rermit number, job address, type
of inspection, when it will be ready, your name and phonc number, and any special circctions to site.
BUILDI~G JIVISION:
REQUIRED I~SPECTIONS:
1. Foundation In5pect~on: To be made after trenches are excavated and forms erected and when all
mater~als 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-?loor Inspection: To be made after all in-slab or under-floor building
service equipment, condult, 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 In pldC8 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 ~sum Board Inspection: To be made after all lathing and gypsum board, '.nterior
and ext~rlC)r, rs-ln 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 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 \~all: To be made after reinforcing is in place, but before any grout is poured. This
lnspection 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 manufdcturcr1s installation instructions.
C. Mobile Home: An inspection is required after the mobile home is connected to an approved
sewer or septic system for 5etback 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 ticdowns, 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 pool-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 ~lORE THAN 180 DAYS.
SUSPENSION OR REVOCATION :1AY OCCUR IF THIS PERMIT WAS ISSUED ON THE BASIS OF INCOMPLETE OR ERRONEOUS
INFORl1ATION.
ANYONE PROCEEDING PAST THE POItJT 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 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 certific~te. Failure to
meet the requirements for satisfactory completion wlthin a reasonable time constitutes a vio-
lation of ORS 454.605 to 454.745 and this rule.
Setbacks - Subsurface Sewa~c Disposal
From: Interior property lines
Edge ot road rlqllt-o[-way
BU1ldinq foundation
~ells. other water sources
Septic Tank
10'
10'
5'
50'
Drainfield
10'
10'
10'
100'
idne county "
ACTr~\'TY INFORMATION oHEET
--:\
COMPLETE THIS SECTION. INCOMPLETE FORMS WILL BE REJECTED!
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· / - P~'RSON MAKING RfQUEST
b.5.t t!?dd~ij t? /4 51--
MAILING ADDRESS
J~h W, 0< Pit l/ Ut s ::r C?~ q ( :;...>
PROPERTY OWNER ,~
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MAl LI NG ADDRESS
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I CITY - STATE ZIP CODE I 'CITY STATE ZIP CODE
1/8'1-- 3 fjlJ () 7~t - Q(J3 9 ,"
BUSINESS TELEPHONE # HOME TELEPHONE # BUSINESS TELEPHONE # HOME TELEPHONE #
; 2 PROPERTY ADo"RESS ~ 7 9 f!1 'B//;,-/r~# ~h1. -, 5/;,/ a0 t/4,-P,? n-t -
(IF DIFFERENT FROM MAILING ADDRESS)' /
3 MAP & PARCEL NUMBER, (from tax maps in Department of Assessment and Taxation
(REQUIRED INFORMATION) or from tax statement)
) {' . () 3 ;2 t( ~- I - (3 0 I &3 ) 1C-fI \
TOWNSHIP RANGE SECTION TAX LOT(S) OR pARtEL # ZONING
TOWNSHIP RANGE SECTION
TAX LOT(S) OR PARCEL #
ZONING
TOWNSHIP RANGE SECTION TAX LOT(S) OR PARCEL #
TOTAL CONTIGUOUS PROPERTY IN SAME QkJNERSHIP: ' . a 7 kJ1c 0 ")
, ,~ f.+d~'h.. '" ~
4 SUBDIVISION (if applicable) C-8-l'\.+erbur-V V;lC~"4eLOT /':1
, l
ZONING
ACRES
5 REQUEST (state exactly what you plan to do) ~~ ~
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BLOCK l'
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6 01 RECTIONS TO SITE: -t ~_ k e
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** FOR STAFF USE ONLY **
NUMBER
DATE
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ZONE/LAND USE:
BY: DATE:
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TIME IN:
OUT:
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LAND MANAGEMENT DIVISION / 125 E. 8th AVE., EUGENE, OR 97401 / 687-4061
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DEPT ENV MGT RECEIPT
ADDR 686 CHARNELTDN
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ST., EUGENE
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NEW ~LDG TYPE USE R BDRMS .. UNITS 001 STDRIES~BLDGS 001 PHONE 484 3800
OWNER NME COGGINS, JOHN & PHYLLIS ADDR2798.BURLINGTDN ST., SPR!NGFIELD
CODE APPL NO ACTION DESCRIPTION' SQ FT UNIT COST VALUATION FEE
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