Loading...
HomeMy WebLinkAboutPermit Septic Tank 1992-4-2 .~ ~ PERMIT # q~'-_02-" .. ". ...~ -I - '- f,,:. 7~' 1,,- t-'-;:- ~ ~ J I.. ~;....."., NO. OF IEDROOMS ~ FEES DUE: $ II APPROVED BY: i-) '" ,r f.-- j.,..'" L I' 1/ ' .[\ l1U, /1 ,.?i~-:.K0r~.4fJ1./8JA TE ~ ,~ . I- CALL FOR INSPECTIONS (SEE SACK OF FORM FOR INSTRUCTIONS) 687.4065 SEPTIC permits are good for one year. ALL other permits expire after 180 days unless inspections are current. ~ \. .1,' :" ~ . VIOLATIONS SETBACKS AND OTIIER Cv..~.. .ONS OF APPROVAL MUST BB STRIcn. Y OBSBRVBD. VIOLATION CAN RBSUL TIN RBVOCATION OF TInS FBRMIT. Ii CITATIONS MAY BB ISSUFD UNDBR TIm PROVISIONS OF LANB COUNTY'S INPRACTlON ORDINANCB AND/OR OTIIER RBMBDIBS ALLOWBD BY LAW. fI" A MINIMUM OF AT LEAST 24 HOURS ADVANCE NOTICE MUST BE GIVEN FOR INSPECTION REQUESTS 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 - ,Ar!Y special direc!i~~ .to the site. PUBLIC OFFICIAL RIGIITTO TRESPASS ON PRIVATE PROPERTY ORS 21S.080 POWBR TO BNTBR UPON LAND. TIm COMMISSION, AND ANY OF ITS MBMBBRS, OPFICBRS ANo BMPLOYBS, IN TIm FBRFORMANCB OF TImIR FUNCTIONS, MAY BNTBR UPON ANY LAND AND MAKB BXAMINATIONS AND SIIRVBYS ~ FLACB AND MAINTAIN TIm NBCBSSARY MONiJMBNTS AND MARKBRS THBRBON. REQUIRED INSPECTIONS FOUNDATION INSPECTION: To be made after excavations for footings are complete and any required reinforcing steel is in. place. UNDERGROUND PIPING INSPECTION: To be made after all underground piping has been irIStalled, prior to any backfill. CONCRETE SLAB OR UNDER-FI,.oOR INSPECTION: To be made"after all in-slab or under-floor building service equipment, conduit, piping accessories and other llJlcillary equJpment items are in place b\!t before any cop.cr~te is pla~d or flo9r sheaJ:hing irIStalled, including the subfloor. ROUGH MECHANICAL INSPECTION: To be made after all ducting and gas piping has been irIStalled and prior to being covered. ROUGH PLUMBING IN~PECTION: To be made after all plumbing rough-in is in place, prior to being covered. FRAMING INSPECTION: To be made after the all framing, fire blocking, bracing and roof are in place and all pipes, chimneys and vents are complete and the rough electrical, plumbing, and mechanical irISpections nave been made and approved. . INSULATION INSPECTION: To be JIlade after all.irIS.ulatio.n aJ}d vapor banjers are in.place, prior to covering. . . LATH AND/OR GYPSUM BOARD INSPECTION: To be made after alllathiIlg 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 finished. ADDITIONAL INSPECtIONS ~A YBE REQUIRED, such as 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 no 'approval until the plumbing and electrical irISpections have been made and approved. FINAL MECHANICAL INSPECTION: To be made just prior to the strUcture or remodeled area being occupied and prior to operating any equipment. FINAL PLUMBING INSPECTION: To be made just prior to the building, structure or remodeled area being occupied. FINAL BUILDING INSPECTION: To be made after finish grading and the building, structure or remodeled area is completed and ready for occupancy. MOBILE/MANUFACTURED HOMES: An inspection is required after the mobile home is connected to an ,,!-,!-,wved 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 finished floor elevation shall be certified when required by Floodplain Management Tiedowns, if required, shall be irIStalled and ready for inspection within 30 ~ays ,after occupancy... Tiegowns shall be irIStalled per enclosure. _ APPROVAL REQUIRED. No work shall be done on any part of the building or structure beyond the point indicated in each successive irISpection without first obtaining the approval of the building officlal. 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. APPROVED PLANS MUST BE ON TIlE JOB SITE AT ALL TIMES DURING WORKING HOURS. TIllS PERMIT WILL EXPIRE IF WORK DOES NOT BEGlN WITI-IlN 180 DAYS. OR IF WOR!<- IS STOPPED ORABANDONED FOR MORE TIlAN 180 DAYS. SUSPENSION OR REVOCATION MAY OCCUR IF TIllS PERMIT WAS ISSUED ON THE BASIS OF lNCOMPLETE OR ERRONEOUS INFORMATION. ANYONE PROCEEDING PAST THE POINT OF REQUIRED INSPECTIONS WILL DO SO AT THEIR OWN RISK. Your signature on the front of this form verifies the following: I HA VE CAREFULLY EXAMINED THIS COMPLETED APPLICATION, and do hereby certify that 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 construction is complete, the permit holder shall notify the County Land Management Division by spbmitting the irIStallation record form. An inspection will be made by a qualified sanitarian. If construction complies with all 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 completion will 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 of road right-of-way 10' Building foundation 5' Wells or other water sources 50' DRAlNFIELD 10' 10' 10' 100' .,'....l..'.',....\~,,...,,,....-- ~J 'I '6 2" .....".'".....~',.>:_'<, 'OQ4 . .~.. '" ~..~.""-~~ ~,. , :/,-;:,:::f;j.,~"'" ..':.'J":"". :1. ;'.... ~ ~-M , , .,,~ ,~'". f' . I ,_ _", _ . . F, :, . " II I, . /~o,r. I' w~.r ~N This map Is made solely for the' purpose of assisting 111 locatlnr: the premises herein described. Western' Plo~e~r ~i~le of Lane County assumes no liability for v~natJons, If any, 1n dimensions llnd locations ascer" ~lnable by i:lctuill survey. . t. , . . )ARCEL '!A" .) LANE. COUNTY) /" ~~ ~.~1::~~ /O~$.O~'. .~"c9aS"" " /c?<('''''''' ~7.6w' """""'//h'/( 7.5:0' ''''; 7';0' r' ""'';rs. 0'" 01.1'0'- 7.5.0' II"",' '"'..,. ;; " . ~ . 4300 ,.' .. '. 4'200 "4100 ,~.:4000 3900 38 ~ . <l~ ~ ~ ," r - CJ 0'" \; ~, 5 ~ ~ ~ : V ~ ~ r t ......" i ..; ...l J J -\ / -'J ~ ~ " , ~, j ~ ~ ~ ,'\ )'. ' , ,~ :... -' . o. ~,~ ~ _ ~ \ ~ P t>t1~~AJ . 9 ~.~ 8 7:1;0' " 17 .~o' '~O "'~~. Va . A~... .' 'J ___ ~ , ~ .', '0 '. J6 7.5:0' 5 '7S:0' 4 /II "~I - _.~ C.A'RDJNAL 6'0. 0 I 6 ~~o,5000- 4900 ,\ ~ ,,'r:-' .1\ ~ ,--, . .r' . ~ \. \ ,,0 "'? ~ ~ 6 'k ) , -" · ~~,f . I~ -l Ji'. '-- - .. '.. _.. . " ".. , /, 7 ?>S":.s' 5 d'a o' 4800 (:t,. '-" 4 c 47 I 'r. ~ -- ~ ,- '. See ~ '. y ~. IV ' \ 1~) Bell//)1 e , 1 I I / C';t'dt/~/ ~ --1.;L .<:::< ' ..'::P-i ~ tb"bcy' ~ ,;:;;- . ~ l~ ,~ ~ ~ J {: .~ _ J -- , ~ ~ 3'~;'~+/Off. 'If !") I ~ I ~~a5e ! " '11 ! j I : .. ^N \ G-araJl8 , Ca 'lOY'- f ~ J I . . , ~ \ ~ AckJ" _ T<~h..KJ<<J Pa..rk , ut ~ Bffd4h \! f I ,: \ \ . S7~ Card/}fc;(/ !J/a/ -.... 5ir/~ {:t?/~ tJrC?j1CJJ1 <y7f-77 I 7 -~ -:J - 2-2- I ~ Lf(d 0 .. ., Please complete all lines Inside white boxes, ~&to/c/ C/e>>I~T ~?(!>~/1 !>~7L/ Grcl~ICt) ~y lUUH AUUH~~~ , , 5pr/n q/;'t?kl cJrp<70.r1 CITV/" , ..:?am e OWNER OF PROPERTY (If nol 88me aa above) If possible. 3--2b--?2 UAI~ 7?,7-7/~-O I'HUN~ P?"'Y77 ZIP "HONI: OWNERS ADDRESS (" nol ..me .. obove) ZIP INti"'LL~H I IIUILU~H I C;UNI HAc;lUH Llcenae , j. MAP, PARCEL NUMBER (Found on IlIll m""a In Ihe Aueaamenl . Taxallon DepL) '7 ()~ -:?..~ J. Z, 4100 10W~lp ~nll8 1l.c'llon tie _lion lax LoI TOWllGhlp Ranll8 Section t/4 Section Ta Lol lownanlp tl8nge _lion tie ~8Cllon ra Lol ,.. ,I , II.... ~ ~, '" , , + SITE ADDRESS !>7~ CCrrd/Hd / d!Cf/"i/ , , . ~ ' " , . , " ,..- MAIL PERMIT TO: , rlJlrCJ/c/ C. 7dlrhpJ1 .5"7~ Cc?r/'>>d / t/~{ V AoJoJSPY,/h q-/reo/d, tJ//'COt?O.n '77-Y77 \;IIY/ / ./ "' '" Existing Buildings or Improvements on Property Ii&- House I <<"".1_ D Bam ~-<.. ' IiID Garage ~ J. -'~. D Mobile. Home C7,CZ::U v~ __ Shed SEPTIC INSTALLED Iii!!I Yes c:::J No ~ater ~istriC! ,/1' er " IJ b p tV 5/ r; 11 9J; f? / d. 4iet!1"'I" j})~1: ,~ / ~ ~ ,-'- ~ Directions to site from nearest main IntersectlolJ g~/T/;'>>e t3Ct".5/ IV' V::a')J1 e hr Y' m ~dc/ ~cplA C7J1 &-t:/ J?1e' r;, r ~ ".f c/ IV' /(1: C7 J1 Carc:t>>a / t:t0 v. / 5:pr/';1q;;~1cI ~r~ .. / / ZIP I~':, ii,::"" Land Management Div. staff can ,',",. ,',' " not be held responsible for ...... evaluations or recommendations based on false, inaccurate or LMD149. 2192 incomplete '" ., M14-68 02/92 / ,. II> 1:.J 1.:J I'll ~ n; r '" .", , ll( -C,! , '[ C ~ ~ . i ~ t ," .. ~ " b I i :~ ,1:\ '~ .... , , ,n ~ 3: o o " go ~. ~, o .~ ~. .. If)'~ I" r~:; -..- . . ..... I'" III ..1.... I 'J ' ,.. ... /... t::l r,j E:. CD U N J Y D [ E; r"1; ':., E F.!.!!u: .~ r1 (~ J ':" l:~ E r; !~ J P ;rll" ',..- :::: ,., I;~; ~ 1,~ 5: ;2 F" 'I' n (, :r E (-) :--:~ ;.:.~ '::; ':-;- 2 ,...I.....' ... .l.L{~N I "'i:~ ... ...::, ::.1\, I"d~ ''':!..J .n)) i',lL ..,1',. ..~ (,../ LH " )II\!I"'l... \A,,""., ,::. - h ..1\l..v . ..1::.I...D T L.:J:: 1 70:.3 :::.~ 2; 204 ; 00 S Li E{ D I V L. 0 T D 1...1< ' I~~EW BLDG TYPE USE R BDRMS 0 UNITS 901 STDRIES tBLDGS 001 PHONE 747 7150~~~ OWNER NME PAULSEN, HAROLD ADDR 574 CARDINAL WAY, SPRINGFIELD CODE APPL NO ACTION DESCRIPTION SQ FT UNIT COST VALUATION FEE )3F' "BP DAYttY r,'L :"'iECH SUf~ f ij .i:,OZ, :~:F I :::(/E-:() TH :" 2~:lJ.jl:~ : FT". !/,JTf~ : i"jECH(~,H I Ct,i... FEE S'T i~1 TE SI...lF~CH{:'IF;:GE PLi=ir",j CHEC:I< FEE, FT ., F:{-) I j\j : FT ;~ t! e i . I BF' BF' \::p ~,.. F;~ LC: Ii :::~ -4 9 :::.~ S :0 S \l 'l~::; ,", ()t:.) Co! ~ ... ""'~ ~ , :'i~ b ;'J ~ .... ~:; ~~.: .-'11::' u/ ,:.. ..... /n CATG: PLN F:(~ , SDS ...., .,.' I:~ :..1::. PCI< IS'S- ./ SI OTF: ~;'EI)I,..1 : Tt,~:Ef'.,! E-:'y' C(~D E~T. COMPLETIDN DATE DEPOS: I T .j('~I: '?~5:. 00 C:I< ;: ~ " ~ i , ,~ ~ ~, ... o , f 3 ~ "I :\.t:) ~ 1'" ! ~'} I;} . .~:?~, - ; ~ O. 1 ~ ~; , _ / o . ..~ "l ~. ...... . .- .,......... ! \ ,,'. :. . unn Un " i \ \. M'U\\U ~clB . ,~:.' "", i..:., .. ~ " ......~,.. '~~4 ' ~ ! I W~P~ICANT PAULSE~, HARO~eNE COUNTY D~BbRE~~4ME~RB~~~~P~AY~ s~~f~2FI~e~E 032592 TLI 1703221204100 SUBDIV LOT BLK ~IHEW BLDG TXPE USE R DDRMS 0 UNITS 001 STORIES IBLDGS 001 PHONE 747 7150~Ki OWNER NME PAULSEN, HAROLD ADDR 574 CARDINAL WAY, SPRINGFIELD CODE APPL NO ACTION DESCRIPTION SQ FT UNIT COST VALUATION FEE DAYS BF' 'BP BP F.{p '~~P " ~. PL. " :jl:FIX/BATH: '1ECH.... SUF< ~ R ~:ijc 1< ~R L.C 93492 SDSV SWR: FT. WTR: MECHplNICAL FEE ST(.~TE .s'UF~CHAF:GE PL.AN CHECI< FEE FT. F<AIN: FT :>% ~~ ~i I~ 1}';i'Q dt~ 7~5 ^ 00 CATG: . PL.N S'EQU: TAKEN BY CAD I:;: A ,', ) ~ /.1 .., '/:'~:(I-,/... < i 'f.' . ~~ .. 10'. . ~ 1.,. -L- I\.~ ''''' ,1,'_ l !'~ (;, , /\(:/'. {" ; ~,:' ) , t . '. ""'iL, ,I '/"'" 6<>':Y/ I .~ 1 7 ;t{-' j I. .,' YlI'" SDS ELE' j::,tl< ag.;;,~f") /,;:tsI OTR 1 1 f EST. COMPLETION DATE DEPOSIT ** 75.00 tK > tM~'~ Ih~'