HomeMy WebLinkAboutPermit Septic Tank 1987-9-11
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Lane
County
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Authorization for: FOR OFFICE USE ONLY
Appl~cation/tI") /L/ L p'n
Perm~t # ~/(# .7-(J /
g#'7
SEPTIC INSPECTION FOR LOAN REVIEW
f
17
03
SEC'i'iCJN
'24, ft I
13t/;!/? OOUT OF,
LOT/PARCEL, BLOCK
.. . -
PROPOSED USE,OF PROPERTY
[g] Residential D Industrial
o Commercial, 0 Public,
1
fuwNsiiIP
RANGE
SJBDIVISION/PARTITION (if appli~able)
LOCATION ADDRESS 9t- STREET "
, , 2764 CanteJbury , 5''1. ,\spri ngfie"d
STRUCTURES CURRENTLY' ON PROPERTY
CITY
ZIP
DIRECTIONS TO SITE'
Mohawk BedN to Yolanda -turn 'R to 27th - turn L to Cantebury - turn R on Cantebury - L side
of st.
, i:l2SCRIPTION OF PROPOSED WORK ,- BE SPECIFIC
DECLARED $'VALUE
, = OF BEDROOMS
\oJATER SUPPLY
o Proposed
n Existing
TEL?f~N~~~ER
- 7118 773')
TELEPHONE NUMBER
1111 Valley River Dr., Eugene 974)1
,. TELEPHONE NUMBER
I HAVE CAREFULLY EXAMINED THE COMPLETr;D APPLICATION. FOR PERMIT, and do here!~y ee rtlfy that all information hereon is true and correct, and that I
"have the following legal interest in the prop~rty: Downer of orecordiD contract. purchaser; Oauthorized agent.
I fc:rther certify that any and all work performed ,shall be done in accot'danc,o wi tl1 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 st.ructure without the permission of the Building Division. I fur-
:ther certify that registration with the Builder's Board is ir full force nnd,effect as resuired 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. '
NAME (please print)
. '~
Xl'. ,,'
, 0t?~o~ ~
./ ':-r'~" SIGNATURE '
.. ,I'""" " " ,
C--7-F7
DATE
READ ,THIS SECTION CAREFULLY. 'YbUR AUTHORIZATION ~AS BEEN BASED ON THE FOLLOWING CONDITIONS!
[] PLANNING/ZONING:
~one
Partition #
Parcel #
Parcel, Size
Minimum Setbacks:,
C
L, front
c~, side
interior
rear
COM,'IENTS: ,SEPTIC INSPECTION FOR LOAN REVIEW NO SPECIAL
,0 SANITATION: S. I. # B. P. #
Installation Gallon Lineal Feet
Specifications: Tank " ", of or.ainfield
PLANNING,ACTION REOUIRED
Date: 8-7-87
Ar'~
Instal.lation Record Issued? 0 Yes 0 No
Maximum Depth
of Trenches
COMl-IENTS:
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Date:
.s~ /.s r-e- c..TG /7 L-~
<'{-If -f"7 ~J:
[] PLANS EXAMINATION': Type
Group
Use
COMl-IENTS :
Date:
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<1'-//1- 9"7
PERMIT APPROVED BY BUILDING OFF~CIAL/DESIGNEE (per ORS 456.805(1)) DATE
LANE COUNTY DEPARTMENT OF PUBLIC WORKS lAND MANAGEMENT DIVISION, 687-4061,
125 EAST 8TH AVENUE"EUGENE, OREGON 97401
SEE REVERSE FOR INSPECTION INFORMATION.
C 14-25 RB4-
SETBI,CKS A~O OTHER CO:;OITIO:;S OF APPRO'!AL ~lUS" BE STRIC"LY OBSERVED, VIOLATIO~ CA~ ReSULT IN REVO-
CX:'IO~ OF 7HIS PER~~I7 J CI7;"T:::::~; t.:~DER PROVISIO:-.lS OF LA~E ':OC:\TY' J INFRACTIO~ ORDI:;A~CE: I A~D/OR OTHER
RE,IEDIES ALLOWED BY LAW,
WHEN READY FOR INspeCTIO~. CALL 687-40&5. A MI~IMUM CF A" LEAST 24 HOURS ADVA~CE ~O"ICE FOR INSPEC-
TIO:-J REQCESTS ~':I:ST -us GIVE~;~--:-~.fa'..e ~e-(ollo,.....ing in:or~1i t .:.on :ready: rcrmi t number, Job address, type
of inspection, when it will be ready, Jour name and phon~ nu~ber, and any special directions to site.
BUILDING DIVISION:
REQUIRE~ I~SPECTIO~S:
1. Foundation Inspect1on: 70 be made after trenches are excavated and forms erect~d and when all
mater1als forthe fO'Jnddtlon arc delivered on the Job. ;.,'herc concrete froM a central mixing
plant (commonly termed "transit mixed") is to be used, mdterials need not be on the job.
2. Concrete Slab or Under-?loor In~nection: TO be made after all in-slab or ~nder-floor building
servi~e e~uiprnent~ndult,-pIPrngracc-cssoriesl and other ancillary equipment items are in
place but before any concrete is poured or floor sheathing installed, including the subf1oor.
3. Framinq & Insulation Inspections: To be made after the roof, all framing, fire blocking, and
bracing are in ?:~ce a~d all pi~(!s, fireplaces, c~imneys, and vents are corr.plete and all rough
electrical and plumbing are approved. All wall insulation and vapor barrier are in place.
4. Lath and/or Gvpsum Board :nspection: To be made after all lathing and qypSUI'! board, 'nterior
and cxtcrior7 is in-p~ace-SUt bctorc any plastering is applied and betore 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 ~hall 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 edch of the inspections required.
~OTE: All building gerrnits 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. Installatlon shall be in accordance with an approved, nationally recoqnized testing
agency and the manufacturer's installution lnstructions.
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.
1. Footings and piers to comply with State foundation requirements for mobile homes or as
recommended by the manufacturer.
2. ~obile home minimum =inish floor elevation 3h~ll be certified when required by a flood-
plain management letter.
3. ~lobile 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 pool-rs-installed.
APPROVED PLA~S :1UST BE O~ THE JOB SITE AT ALL "I~ES DURI~G WORKI~G HOURS. "HIS PE~~IT WILL EXPIRE
IF WORK DOES NOT BEGIN WITHIN 180 DAYS, OR IF WORK IS SUSPENDED OR ABA~DONED FOR MORE THAN 180 DAYS.
SUSPENSION OR REVOCATION ;,LW OCCCR IF THIS PER:'lIT WAS ISSUED ON THE BASIS OF INCOMPLETE OR ERRONEOUS
INFORHATION.
ANYONE PROCEEDING PAST THE POI;:T or REQUIRED INSPEC"IONS WILL DO SO AT THEIR OWN RISK.
SUBSURFACE AND ALTERNATIVE SEWAGE DISPOSAL SYSTEMS:
1. Permits shall be f!ffective 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 Depdrtment of Planning and Community Development by submitting the
installation record forI'!. 7hc 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 ~hal~ issue a certificate of satisfactory completion to the permitj holder.
If the construction does not comply with such rules, the Department shdll notIfy the permit
holder and shall require satisfactory completion before issuing the certific~te. Failure to
meet the requirements for sati~fdctory completion wlthin a reasonable time constitutes a vio-
lation of ORS 454.605 to 454.745 anu this rule.
Setbacks - Subsurface S~~a~c DIsposal
SePtic Tank
Drainficld
From: Interior property :lncs
Edge at road rl'1lit-of-w<..lY
BuildInq found<..lt~on
~clls, other w~tcr ~ources
:0 I
10 I
10'
10'
100'
10'
5'
5G I
_ ~~~~ty
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ACTIVITY ,INFORMA TION SHEET
]i\1lJ
LAND MAN^r.FMrr.n OfVI<:;ION
~p'l'I''''''''''1 01 P"b1~ W<....~
Please complete all Items above dotted line
FILLING OUT * LINES WILL GET YOU INFORMATION ONLY
-
-- --
*DATE_.? f. -; (17 ,
* PERSON' Cf:?' . "t ~ ~ ACTUAL
MAKING' PROPERTY ('t D ~ -' A_
REQUEST OWNER ' ~ U/U.pAJ.)
ADDRESS . . .~ [)~ ADDRESS.2 7 (, 'I ('
CITY-'::;~?'~ STATE/O'l z1P97'10L C'TY~_A~'1fu-U
TELEPHONE (BUSl (HOMEl TELEPHONE (BUS) 7Jj7- 9'-1.;1 /
*PROPERTY ADDRESS :J 7 t, L/ r -t>/Vl r~-(J' Q..,;.
, OR -, () \ /
MAP & PARCEL NUI\!IBER (Found on tax maps in the Assessment & Taxation 6ept.)
STAFF WILL
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STATeZQD zIPf'IV 77
tHOME) "J 'ih - 'J73o
DETERMINE
, f 7 (')3
Township Range
Town~hip Range
Township Range '
;:;4
Section
tl- O,Zr')~
Tax lot
Zoned
Flood Plain
Section
Tax lot
Zoned
Flood Plain
Section
Tax lot
Zoned
Flood Plain
, ,
TOTAL CONTIGUOUS PROPERTY IN SAME OWNERSHIP:
ACRES
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* REa U EST (describe wh,at you want to' do)
Directions to site 'nwAawlv ~ 7UYct:IJ PJ '1.,f~ -~)
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. rANt ::;tbJUVlj - .Y/I- /.l..(k~ frl ' Zlu, LJ-c)uJ J , (/
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....................Staff Use On~....................
Comments:
Land Management Division, Public Works Department 125 E. 8th Ave., Eugene, OR 97401 phone 687-4061
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