HomeMy WebLinkAboutPermit Septic Tank 1988-10-24 (2) 7)1
,. FOR OFFICE USE ONLY
"4'• Lane County.Authorization for:® Application/ 8 d
D
SEPTIC INSPECTION FOR LOAN REVIEW Permit # ..
•
TOWNSHIP RANGE - SECTION TAX LOT GOUT OF / PROPOSED USE OF PROPERTY
17 03 • 23.3.4 7200 • s . ' N Residential 0 Industrial
SUBDIVISION/PARTITION (i£ applicable) , LOT/PARCEL - 'BLOCK ,
., • Commercial n Public
CATION ADDRESS STREET CITY ZIP
468 BLACKSTONE STREET, SPRINGFIELD, OREGON 97477-1460. e
STRUCTURES CURRENTLY ON PROPERTY
EXISTING SINGLE FAMILY. DWELLING ' r . ,
.
' tt�y WWW a���YYY�
DIRECTIONS TO SITE - . -
COBURG ROAD TO HARLOW, TO 5TH STREET, LEFT AT FIFTH ,STREET, TO:.SECOND.-ST. , LEFT- TO SITE ABOVE
DESCRIPTION OF PROPOSED WORK - BE EPECIFICSEPTIC INSPECTION FOR 'LOAN .REVIEW'; DECLARED $ VALUE
OF BEDROOMS # OF STORIES - # OF EMPLOYEES ,' I WATER SUPPLY "' ❑Proposed
NA NA NA i RAINBOW (TO Existing
OWNER'S NAME AND ADDRESS . . . .. TELEPHONE NUMBER
LESTER H. ALLISON, SAME AS THE JOB--ADDRESS ABOVE- . . 746-0009•
CONTRACTOR'S NAME AND OSR # . , . TELEPHONE NUMBER
SAME AS THE- ABOVE SAME
PERMIT TO BE MAILED TO (NAME AND ADDRESS) - TELEPHONE NUMBER
SAME AS THE ABOVE' • ' SAME
I HAVE CAREFULLY EXAMINED THE'-COMPLETED APPLICATION FOR PERMIT, and do-hereby certify that all'information hereon is true and correct, and that I
have the following legal interest in the proper.ty')Dlowner of record; ❑contract purchaseriD authorized agent, •
I further certify that any and all work performed shallbe 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 Mu made of any-structure without the permission of the'Euilding 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 701.055 will be used on this project. I HAVE READ AND
CHECKED THIS APPLICATION THOROUGHLY. /
•
LESTER H. ALLISON //%�//��, �- ' , e. --�c/
NAME (please print) - V/ / ` SIGNATURE DATE
READ THIS SECTION CAREFULLY. YOUR AUTHORIZATION HAS BEEN BASED ON THE FOLLOWING CONDITIONS: •
❑ PLANNING/ZONING: Zone NA• Partition # Parcel:# ' .Parcel Size NA
•
Minimum Setbacks: CL, front CL, side interior ' . rear
SEPTIC INSPECTION FOR- LOAN REVIEW**NO SPECIAL PLANNING"ACTION REQUIRED
• COMMENTS: - - - 3 ' -
- Date: 10-18-88 RLH Ell
•
❑ SANITATION: S. I. # B. P. # '. Installation Record. Issued?❑ Yes ❑No•
Installation Gallon ... Lineal Feet r r Maximum Depth
Specifications: • Tank . • - ' of Grainfield ,.of-Trenches
COMMENTS: 1 .; ' 1 __L,.`_, / •'.•
i 1
❑ PLANS EXAMINATION: Type Group use. -
COMMENTS: - .
Date:
•
eS A tea. /.�
. ROVED BY :IILZrG OF -L/DESIGNEE (Der ORS 456.805(1)) /0 DATE
' LANE COUNTY DEPAR M T OF PUBLIC WORKS LAND MANAGEMENT DIVISION,687-4061,
• 125 EAST 8TH AVENUE, EUGENE,OREGON 97401
• SEE REVERSE FOR' INSPECTION INFORMATION C14_25RA4.
•
-SETBACKS AND OTHER CONDITIONS OF APPROVAL MUST BE STRICTLY OBSERVED. VIOLATION CAN RESULT IN REVO-
CAT.ION OF THIS PERMIT, CITATION UNDER PROVISIONS OF LANE COUNTY'S INFRACTION ORDINANCE,'AND/OR OTHER
REMEDIES ALLOWED BY LAW.
WHEN READY FOR INSPECTION, CALL 687-4065. A MINIMUM OF AT LEAST 24 HOURS ADVANCE NOTICE FOR'INSPEC-
TION REQUESTS MUST 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: .
el*`re�ir, n Rpt s - .
hi ! • 'f 1,.REQUIRED JSPECTIONS: ' -
t .,.9,.arfd'[7 p'5
P. materials 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, fromra 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 other ancillary equipment items are in
place but before any concrete is poured or floor sheathing installed, including the subfloor.
3. Framing 5 Insulation Inspections: To be made after the roof, all framing, fire blocking, and.
bracing are in 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
aErexterior, rs in p=e 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. No work shall be done on any part of the building or structure beyond the paint
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 n 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 i •
complete. Installation shall be accordanceswith a approved, nationally recognized testing
agency and the manufacturer's installation instructions.
' C. Mobile Home: An inspection is required after the-mobile home is ected to an approved
sewer or septic system for setback requirements. blocking, footing connection, tiedowns,
skirting, and plumbing connections. - - , ' •
1. Footings and piers to comply with State foundation requirements for mobile homes or 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. Swimming Pool: Below grade when steel is n place and before concrete•is poured.- Above grade •
when pool s installed. '
APPROVED PLANS MUST BE ON THE SOB 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 NAY'OCCUR IF THIS 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.
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 certificate. Failure to .
meet the requirements for satisfactory completion within a reasonable time-constitutes a vio-
' lotion of ORS 454.605 to 454.745 and this rule. ••
•
Setbacks - Subsurface Sewage Disposal --- - '
. - Septic Tank Drainfield '•
•From: Interior property lines 10' 10'
Edge of road right-of-way 10' . 10'
. _ . .Building foundation 5'. . ' 10' . . • •
Wells. other water sources 50' 100' •
•
., ' 1 .
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--
a� F?PQUEST FOR ASSISTAANCE ; ri y
Land! Management Div. 1.125 E. 8th Ave. Eugene, OR 97401 uwa" -•EMENr mnsloH
Please complete all lines inside white boxes, if possible. Existing Buildings or
/55-7Z+-I2..._ _ / Improvements on
. �L C./ s o /mil/ Property
YOUR NAME DATE // House
C6 ,ig{'` •T/®V cr. 7.4(6 O Ban/UR
ADDRESS PHONE C Garage
("a1f�/e/,t7�- /C� C� VI, 9767 7 O Mobile.Home
CITY ��1J ZIP CI Shed
I / 1 Z//_in TIC INSTALLED
OWNER OF PROPERTY(if not same as above) PHONE YoS
=No
11 ter District a ✓"�
OWNERS ADDRESS (II not same as above) ZIP /Ct•
.%
CONTRACTOR License a 0
Directions to site
from Courthouse
equest• for: _a_`- � 'cy?,,tv .
/ P, PARCEL NUMBER / _A
( upni on texOmaps In the Aas;megt a Taxan n Dept.) ZONE :'FLOOD 'PLAIN vL.�/Cq'% w//� ,�.5
To nZ e�ction 1M Ssction es of
yhip - y e moo- -�6
To nship Range Section 1/e Section Tax Lot
T nship 'Tanga Section 1/ Section es of
SITE ADDRESS
1 ZIP
AIL PERMIT TO: For Mobile Home
Placement Only
•
ME Brand
Year
.. -- Its • Size• No.of Tip-outs
ZIP No.of Bedrms
License#
■
/ S. I
STAFF EVALUATION COMMENTS
Information `Request Only p< FOLLOW-UP;i Partition I Subdivision Lot & Block
TRS Verified • Dyes No pi
• Allowed Use ; DYes No '
Land Management Div. staff can 1:-'-':'....:••••:••••••••••
..
not be held responsible for
evaluations or recommendations
based on false, inaccurate or
C. incomplete Information , oars; butt rmmra
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OW : 5 ' LANE COUNTY DEPT ENV MGT RECEIPT 0 305988 DATE 101801,
APPLICANT ALLISON, LESTER ADDR 468 BLACKSTONE ST. ,. SPRINGFIELD, ORE
AjL0- 170 SU
3233407200 BDIV • LOT ±11
'FEW BLDG TYPE USE R BDRMS 0 UNITS 001 STORIES OBLDGS 001 PHONE 746 00090
OWNER NME ALLISON, LESTER ADDR 440 BLACKSTONE ST „ SPRINGFIELD, ORE
CODE APPL NO ACTION DESCRIPTION SW FT UNIT COST VALUATION FEE DAYS.,
OP 'WE
BP 16I
P... P _ ..6
"Fp lin
94
THrEIrr
WL OFIX/BATH : SWR : - FT. WTR : FT . RAIN : FT 41;
MECH MECHANICAL FEE
•'CK • STATE SURCHARGE 5% P
Abg
IIPCK PLAN CHECK FEE 25% • Ws,
LR LC 305988 SDSV 60400
. „,
• •
. .
•ATG : APP RA FP SDS SI , PCK 0TH ISIS 41.;
FFSEWU : 1 - 2 3 10 2
.TAKEN BY RLH EST. COMPLETION DATE DEPOSIT ** 60.0.0 CK i
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