HomeMy WebLinkAboutPermit Septic Tank 1986-9-19 (2) ecz p wep ra-ii, /.
(�, FOR O FFICE USE ONLY
01/ Lane Count 7-thori ation for: j<.f�
— Application/
�/9 � _ - �7 fT��7 Permit #
TOWNSHIP - RANGE /� ■=C ,•, , Z TAX LA' 'p OF PROPOSED USE OF PROPERTY
4.4101r esidential ❑ Industrial
S:iBDIVISIO /PA' ITION (if applicable) LOT/PARCEL BLOCK
n ercial [i Public ,
I• u••r TREET /� - CITY ZIP A Ade al -Ara .r� — �f —��� / ,/
S:•U 'U. S CURRENTLY ON •ROPERTY i
Air•NS 0 SITE
,r/ „�► Va .. a _7ge �� �--
u' • ••••• a •• DECLARED $ VALUE -
• • •• • • • S WATER SUPPLY 11�� �II I� ' Existing
I � �� � � �t � Existing
�OWNS" ' AME ; D ADDRESS TELEPHONE 'UMBER
�t" ' Ar / _%// " .%la st/ •rdd-t•eC's
N •'C • E AND OSR : '--EP 0. NUMBER
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1 TELEPHONE NUMBER g / e
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- I HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATTIIO/ONN 11 FOR PERMIT, and do hereby certify that all information hereon is true and correct, and that I
have the following legal interest in the property of record; ['contract purchaser;['authorized agent.
I further certify that any and all work performed shin done in accordance with the 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 any structure without the permission of the Building Division. I fur-
ther certify that registration with the Builder's Board is in full force and effect as required 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 70/55 will be used on this project. I HAVE READ AND
CHECKED T 'APPLICATION THOROUGHHLLYY../ �/•'I ))
� �1 e se print) /� �` I I.
SIGNATURE V �W.'Y I/'4,---.
V /�AT
READ THIS SECTION CAREFULLY. YOU�ZATION HAS BEEN BASED ON THE FOLLOWING CONDITIONS! �y
❑ PLANNING/ZONING: Zone Partition # Parcel # Parcel Size"C/
Minimum Setbacks: CL, front / CL, side ,e interior rear /
COMMENTS: � 1 ��E ' ��.CVs- .Is' ---...0.-
Date:
�i �z_
SANITATION: S.. I. # B. P. # . Installation Record Issued?❑ Yes [1]No
• Installation Gallon , Lineal Feet ,/// Maximum Depth
Specifications: ' a V Tank of Dra infie ld • �'y' of Trenches
1-'Al IJ //te
C• •LENTS: - . .' IJ . _i. / _ _ . . . .a . .LL - aa��r<.r.r..
1
I,r • ( /a.•a.r.�i�� 6 Date: I /I ^R'
Y PLANS EXAMS • ION: Type Group ' Use SCANNED
COMMENTS:
Date: ❑
d P RMIT APPROVE Y BU ING OFFICIAL/DESIGNEE (ner ORS 456.805(1)) DATE
LANE COUNTY PARTMENT OF PUBLIC WORKS LAND MANAGEMENT DIVISION,6874061,
125 EAST 8TH AVENUE, EUGENE, OREGON 97401
SEE REVERSE FOR INSPECTION INFORMATION rlt..9c Rad.
f v.`�\
SETBACKS AND OTHER CONDITIONS OF APPROVAL KUST'BE STRIC:'LY OBSERVED. ••VIOLATION CAN RESULT IN REVD-
( ., i I - CATION OF THIS PERMIT, CITATION UNDER PROVISIONS,OF LANE COUNTY,3 INFRACTION OR_DINAN_CE, AND/OR OTHER
REMEDIES ALLO'WEDDBY LAW. - - •. -
1
Q WHEN REQ51' FOE' ISSPECTIIV, CALL Have the65. A ing MINIMUM OF AT LEAST 24 HOURS ADVANCE NOTICE FOR.INSPEC-
• -- -TION REQUESTS MUST BE-GIVEN. e ready, following information ready: permib ecial , 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 forerected and w n 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
service equipment, conduit, piping accessories,.and otherancillary equipment items are,in. .
place but before anyconcrete is..poured or floor sheathing installed, including the subfloort, ' - -
3. Framing s Insulation Inspections: To be made after the roof, all framing, fire'blocking, and
bracing are n.,place and all pipes,.fireplaces, c neys, and vents arc complete and all rough., • .
. ". electrical-a`nd,plumbing are approved. All_wall insulation and vapor barrier are in place. - , -
',[ 4. Lath and/oF'Gypsum Board Inspection: To be made after all lathing and gypsum board, interior
. / exterior, a n place but before any plasteringis•applied and before gypsumT•board joints is
.a ' and fasteners are taped and'finished. . . . . ' _ - ' -
' _ 5. Final Inspection:- To be made after the building is complete and before occupancy-,
` \
.
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 approval shall be given only after an inspection shall have been made of each 'successive step - -
n 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
" nspection i required-for each bond beam pour. There will be no approval until the plumbing
and electrical inspections have been made and approved. .
B. hood Stove: To be made after completion of masonry (if applicable) and-when installation is
complete. Installation shall be in accordance wwith an approved, nationally recognized-testing . '
• • agency and the'manufacturer's installation instructions. - - ' -
C. Mobile Rome:` An inspection is required after the mobile home is connected to an approved
' sewer or septic system for setback requirements, blocking, footing connection, tiedowns,
'-• kirting,'and plumbing co ections.
1. Footings and piers to comply with State foundation requirements for mobile homes or "as "
recommended by the manufacturer. .
, 'e 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. Swimming Pool:` Below Below when steel is in place and before concrete is poured. Above grade(
when pool Is installed.
-- APPROVED PLANS MUST BE ON THE JOB SITE AT-ALL TIMES DURING WORKING HOURS.THIS PERMIT WILL EXPIRE O. _ ..... _
IF WORK DOES NOT BEGIN WITHIN 180 DAYS, OR IF WORK IS SUSPENDED OR,ABANDONED FOR MORE THAN 180 DAYS. '
SUSPENSION.OR REVOCATION MAY OCCUR IF'THIS PERMIT WAS ISSUED ON THE BASIS OF INCOMPLETE OR ERRONEOUS ,
.__.. .INFOATION. _. _ -
-
INFORMATION ..
'ANYONE PROCEEDING PAST THE-POINT OF 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 Departmen6 shall inspect the construction to determine if it -'
' - complies with the rules contained'in this division. If the construction does comply with such , •
. Mules, the Department shall issue certificate of satisfactory completion to the permit;holder.
Mules,
the construction dot-s•not comply with such rules,•the Department shall notify the permit •
• holder and shall requite atisfactory completion before issuing the certificate. Failure to '
requirements meet the r ents for satisfactory c mpletion within a reasonable time constitutes a vro-
_.. lotion of ORS 454.605 Co 454.745 and this rule. - `- 4•
Setbacks - Subsurface Sewage Disposal
- Tank _ Drainfield - .
From:
Interior property lines 10' i 10'
'• ... [ d e of-road It-o£ way 10' _- ._ ..
.. jai!ii � n foundation
,up lls. other .sources . _ 50' 100' ...
_ ...
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W : 5 LANE: COUNTY DEPT ENV MGT RECEIPT C 301586 DATE: 091886
• APPLICANT FRAI.N'AN, MAXINE ADDR 890 ASPRN N ST:. , SPRINGFIELD, OREGON 40
Ti...44, 1703342200600 . S1:Tin t V LOT F'.. <
NEW BLDG TYPE USE I-, >;D.,:I„ ,;. -?Na.T.. 801' STORIES O}aL..nGo PHONE ._6 ....._.."..
• OWNER NMEi. FRAUMAP , MAXINE • ADDR 890 A:SPRN. ,.ST'. , SPRINGFIELD, OREGON •
NME
APR... NO AIC T:l:tai! DESCRIPTION SR F . UNIT COST VALUATION FEE DAYS
p I r
BP ' Ps
•BE I i
�'P r
•, I, • '
•
•
: FIX/BATH : SUR : FT, WTR : FT. RAIN : FT
•>ilr:rl ME"CHAN:ECA1... 1 i`I::: •
•
SUR STATE SURCHARGEi. 4% .
POR PLAN CHECK FEE 25%
•SDS L C 301586 SDSP: ' ' 35.00 •
•
IIPj
• •
CA C APP RA FP EDS ST FOR 01H '155 •
•SECU : 1 2 3 4 •
TAKEN n:..Y i i l, EST. C OMF- c I tJx , D: TE DEPOSIT aEr 35, 0c
,.:n
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IP •
ACTIVITY ITY INFORMATIO• SHEET
COMPLETE THIS SECTION. INCOMPLETE FORMS WILL BE REJECTED! 110
1 M.Axu TRAtomA0 �An«
PER ON M KING REQUEST PROPERTY OWNER
gel o Acp6n) c-t 5amE
. MAILING ADDRESS MAILING ADDRESS
6phim Oldd «L at i d Sa-,vI ;
c6- STATE ZIP D CITY STATE ZIP CODE
17k 2 2 6-3 7 q 1 -8 1 AM-- 54I44-G I
BUSINESS TELEPHONE # HOME TELEPHONE # BUSINESS TELEPHONE # HOME TELEPHONE # ,
I
2 PROPERTY ADDRESS ,F
( IF DIFFERENT FROM MAILING ADDRESS)
3 MAP 6 PARCEL NUMBER (from tax maps in Department of Assessment and Taxation
(REQUIRED INFORMATION) or from tax statement)
03 '39Q
TOWNSHIP RANGE SECTION R
ON AX LOT(S) OR PARCEL ZONING
TOWNSHIP RANGE SECTION TAX LOT(S) OR PARCEL # ZONING
TOWNSHIP RANGE SECTION TAX LOT(S) OR PARCEL # ZONING
TOTAL CONTIGUOUS PROPERTY IN SAME OWNERSHIP: 72, ACRES
4 SUBDIVISION ( if applicable) LOT tBLOCK
5 REQUEST (state exactly what you plan to do) ero 1C. anIC.
PO vv‘ , 13tuo EA wAtAnvireid
6 DIRECTIONS TO SITE: t . b7k CQ/4'. Lail l'1 " Sau if,,1■. 4;19. `. ( ke
,) 4ib r ;� re.Q
. •
** FOR STAFF USE ONLY **
ZONE/LAND USE:
14-33
LAND MANAGEMENT DIVISION / 125 E. 8th AVE. , EUGENE, OR 97401 / 687-4061
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