HomeMy WebLinkAboutPermit Septic Tank 1989-1-27
..
/7
L
Lane County Au th
()6
for
FOR OFFICE USE ONLY
SEPTIC INSPECTION FOR LOAN REVIEW
APPllcatlon//~7/__ c;>C?
Perm~ t # / / ~ 6 /
/
. :o:JW: SHI P 18 I FA'iGE 02
S~BOIVISION/PARTITION (~f appl~cdble)
I SECTION
ITA), LOT
06, (, 2-- 1400
I L01/1Hr"Ct"'-S !
U OUT OF
P:r;,orOSED use OF PROPERTY
~ Rc~....dentlal Dlndustrlal
o COllL'TIerClal 0 PubllC
BLOCK
LOC/,TIO" ADD~SS
SfhEE.T
c, y
ZIP
3618 CHEROKEE DRIVE, SPRINGFIELD, OREGON 97478
~~RUCTURES CURRENTLY ON PROPERTY
EXISTING SINGLE FAMILY DWELLING, GARAGE
l5YR.'E'C'l'lONS TO SITE
MAIN ST RIGHT ON SOUTH 32ND STREET, TO JASPER ROAD, LEFT ON SOUTH 37TH, NORTH TO CHEROKEE DRIVE
LEFT TO SITE ABOVE
u:SCRIPTION OF PROPQSFD WORK - Be SP~CIFIC
DECLARED ~ VALUE
:: OF BED'=\OOMS
SEPTIC INSPECTION FOR LOAN
I # OF STORI~~ I II or Lt<J~~OYCC~
ADDRESS
REVIEW
I \'IATER SUPPLY
I
,
PUBLIC
o Proposed
~ EXlstlng
TFLEPHONE NUMBER
935-4134
m,
O~~ER'S NAME AND
(I TNJ9N tJ. "Tffl M~r-J.l ?S7hh PERKINS ROAD, VENETA, OREGON 97487
CONTRACTOR'S NAME AND OSR ~
TELEPHONE NUMBER
SAME AS THE ABOVE
?=RHIT TO BE MAI[ED TO {NAME AND ADDRESS)
BONNIE PETERSON, 1216 MOHAWK BLVD., SPRINGFIELD, OREGON 97477
SAME
TELEPHONE NUMBER
SAME
I HAVE CAREFULLY EXAMINED THE COMPLCTE.D APPLICATION I'OR {1:.RMIT dId k I ="1:..')) c~ttd\ t-hat. all lnfonnatloll hereon 15 true and correct, and that I
have the follow1ng legal interest in the property Downer of recvul 0 C:rilt,..t ,( !... t-d.tl..l\d~er ~uthor~ z(!d agent
I f_rther certJ.fy that any and all work performed shull be done 1n Q<..l..<.ll.d", I' - '" 1 tJ, t I to f)rdlll<Inct'~ of Lane County and the Laws of the State of Oregon
pLrtal,nlng to the work descrlbed hereln, and that NO OCCUPANCl w1ll 'It.- rl"C' at 1 <; TIll..t1l1e .lthout the permIss10n of the BU1.ldlng D1VlS1.0n I fur-
ther cert1fy that reglstratlon wlth the BU1lder's Board lS 1n full forcE' l1ld e[[e("l.. a<;. rcr;:ulled by O"S 701 aSS that 1f exempt the baS1S for exemptlon
lS noted hereon and trat only subcontractors and employees who are 1n compllJnce Wlt~ ORS 701 ass w1ll be used on thiS proJect I HAVE READ AND
CHECKED THIS APPLICATION THOROUGHLY
1<." A/ A/ / eNAM),Iea!:::.: 0<5 t?,t/
/
~ IJ ;f;~( ~C
. / ~IGNATURE
I
YOUR AUTHORIZATION ~AS BEEN BASED ON THE FOLLOWING
/ - :zy- ir7
DATE
READ THIS SECTION CAREFULLY
o PLANNING/ZONING Zone
NA
Part~t1on -II
Parcel -II
CONDITIONS'
Parcel slzeNA
M~nJ.mum Setbacks
C
L, front
CL Side
~nterl(>r
rear
COM.\1ENTS
NO SPECIAL PLANNING ACTION REOUIRED.
Date
1-24-89
RLH
n
o SANITATION
5 I #
B P ,
Installat10n
Record Issued"> DYes 0 No
M.ax1mum Depth
of Trenches
Installat10n
Spec~f1catJ.ons
~
J 7i-"/1
Gallon
Tank
CQMHENTS
~-
~'
Ll neal f'pet
u[ I1r IJf f.leld
j)J~
f
Y11',J /A.,
DatI?
-<7L JH . J"() l1A1-d~.{ .--- <t!'
/-.Fl-I"'j I_~
Iok~
1] PLANS EXAMINATION
~o,.
A1I..1,,/'A?L
(/
Type
Group
U"
CQMHENTS
Dale
n
~U)'"'~~ /' 1-2.7-?f'
P~-APPRQVED BY BUILDING~CIAL/DESIGNEE loer ORS 456 805(1)) DATE
LANE COUNTY DEPARJ:MENT OF PUBLIC WORKS LAND MANAGEMENT DIVISION, 687-4061,
125 EAST 8TH AVENUE, EUGENE, OREGON 97401
SEE REVERSE FOR INSPECTION INFORMATION
C 14.25 R84-
S:TB"C"S" 0 01"';::;<' CO DITLO 3 O~ "PPRO" L V,- B!:: ST'l.~C~~' OB;:,S'l.>'!::j) V10L"TIO' l.-.'- R_SL'IT 1'1 R"'\Q-
C ~10 0- -lIS t' ,'117 CI'nTlO U O!::R PIWVISrOJS OF L,'-~ _0", " ,1'lFR\C1'lO ORD~ Co. ,D/OR OTI'!::?
RE~~DIES ALLOwED B, L,,~
I'>)-II:..J R!::;D\ ~OR
;;10 I{l"':)...t.::i"';:'
Ot 1nspec!:J.on
,~l'!:L'rIO'l c,,_~ 687-~065 t\ 11'\1 JU
...::iT J'" GIVS ~I:! L t'l.... '0110W1"l<} ln
when ~!: ~J.ll be reudy jour "lilme and
Ol: d Lt::"ST 24 110LRS ,DV\ o-ref ""0"; I'1SP!'..C-
or~-" O"l ~e~dy ,8r~tt n~~ler Job address t.pe
?ro-.... lL~oer d"ld a- s?eclal JlrLctlons to slte
SUILDI'lG DlvIS10'l
~""DUI<:~ 1 SPCCTIO~S
Found.:! tlO 1 Inspec tlon -0 be mild.... il f ter trenchLs a1 e
l"'aterl<l.l", ~Ol t'le to~ndatlOn ,]re clLIIVerl-d 0'1 t'le Job
pl-"nt (common Iv te1meo t:rilnS1L mIxed) J.S to be used
e{ca\atet. a'1d forms erected an(l when all
\her~ CO'1creLe ~ro~ a cC"ltral ~1Xl'g
Matl-r1als reed ,ot be on tne Job
Concrete ::.lab or L,ndcr~~loor In5f}ect~on To be maae a;:ter ,11 1'l-slab or under-floor bUlldlng
Ser\1_e C~Ul?~ent C0'10UIL plplng accessorles ana other anclllar, equ1pMent Items are In
place out De ore any concrete J.S poured or floor s,cathlng J.nstal~8d, Inclua.ng the subfloor
Framlng ~ Insulatlon Insoectlons
bracJ."lg arB In ~l,t.~ d'l~ all Olpes
electrlcal ana plumbl'1g are anproved
To be made a1ter the root all tramlng flre blocklng and
flreplaces cr mneys an~ ve~ts are complete and all rough
All wall ~nsulatlon and ~apor barrJ.cr are ln place
Lath and/or G\osum Board Inspectlon
a,o c~riOrlSln-orace OLt. Detore
ana rasteners are tapea and fJ.nlshed
To be made atter all lathlng and qyosum board nterlor
any plasterlng Is applJ.ed and Detore g1psum board J01'1tS
Flnal InSpectlon
To be made afLer the bUJ.ldJ.ng lS co~plete and before occuoancy
APPROVAL RtQuIR!::D '0 work shall be done on anv part of t~e b~lldlPg or structure beyond the pOlnt
InClcatea In each sUCCeSS1!e ~'lspectJ.on wlthout flrst obt31n~ng t~e a'l'lrOval of tre oUlldlng oft_clal
Such aop~o/al Shall be glven only after an In~pectlon shall hale be~~ ma~e of each 5UCCeS51\e step
J.n the construCtlon as Indlcated by each of the In5~e~tl~ns reculred
'lOTE fill bUJ.ldlng oermJ.ts relUlre Inspectlons for the work authorlzed such as but not lJ.ffilted to
A Block Wall To be maMe a'ter relnforC1ng IS 1~ place but bcfoye ~ny crout 15 oObred 1"15
I'i1"5"j)ect:iOr\ J.S requlred lor each bond beam pour There <1111 be '10 approval untJ.l Lhe plumolno
and electrical Inspectlons have been made and approved
B tlood Stove TO be made after conpletto'l of masonn (If appllcable) -"n"" ",en Installatlon J.S
comol~ InstallatJ.o"! shall be J.n accorcance wit"! an appro~ed natlonally recog'l.zetl testlng
agency and t~e ~anuiacturcr 5 lrstallatJ.on InstrUctlons
C ~obJ.le Home An l"lSpeCtlon lS requJ.red after t,e mOblle hom~ lS connected to an approved
sewer or S~ptlC s\stem .or setoac~ requJ.re~ents olocklng rootJ.'1g cOnnectlon tlecowns
s~J.rtlng and pl~~blng conneclrons
Footlngs and plers to comply wlth State foundatlon requJ.rements for ffiobJ.le homes or as
recommended by t'le nan~racturer
'loblle hOMe mlnJ.mum ~lnJ.sh floor elevatlO'l shall be certJ.fJ.ed ""hen requJ.red by il flood-
plaJ.n ~anagement letter
oblle home t1edowns <lhen requlred and S~lrtlng shall be J.nstalled and reaoy for lnspec-
tlon wlthJ.n at least 30 days after occupa'1cv Tlcdownb and shlrtlng snaIL be J.nbtalled
per pnclosu/:"e
D
SWJ.mmJ.n~ Pool Below grade when steel J.S 1n place and before concrete 15 poured
~nen pool-rs-J.nstallcd
Above grade
iPP'l.OVED PLAJS lOST B!:: 0"1 THE: JOB SITE AT ALL TI\1ES DURI'lC WORKI"JG HOURS "'HIS P!::R.'1IT WILL EXPI'l.E
IF I'>ORK DOES ~OT IlEGI'l WITHIt. 180 D"YS OR Ir WORK IS SLSPE>..JDED OR AB;NDONED FOR 'lORE THAN 180 DAlS
SUSPENSIO~ OR REVOCATION I~Y OCCUR IF THIS PE~~IT WAS I~SUCD 0'1 THE BASIS OF INCOMPLETE OR ERRQN!::OUS
I~FORJ.'iATIO'l
N..,YO'lE PROCEEDI'lG PAST THE POI T or REQUIRED INSPECTI01S hILL DO SO AT TIJEIFl DIm rISK
SLBSUR""~CE A,D \LT=R'\ATIVE ~ DISPOSAL SYST!::MS
Permlts shall be effectlve tor one year from the c~te of lssuance
Upon comoletlng the corstructlon for whlch a per~lt has been Issued the permJ.t holder shall
'1otlfy the Lane County Department of Pldnnlng and ConmunJ.ty Development by submlttlng the
l'1stallatlon rl-COrU ~or~ The Department shall l'1Spect the constructlon to detCrmlne if It
compIles wlth the rules contalner In thlS dlvlS10n If the conStruCtlOn does compl~ wlth such
r..!les, the Department shall Issue a certlficate of satlS~aCtOry completlon to the perMlt, "older
If th~ ConSt'TuctlO"l ~oe!: not. comply ""jth suc'" rulc.s the DerJ-"rtment s)ll.ll not~ty the pc-rmlt
holder and shall reQUlre satlsfactory cOMoletlon before 1~~u1ng the certl 1c,te F~llure to
.eet the requJ.rements ~or satls<at.torf completlon wlthl'1 a reasonable tlme constltutes a V10-
la~lon of OR~ 45~ 605 to 45~ 7~5 ,no thls rule
~etb,cks - Subsurf,ce Sc~a~e Dlsposal
"LptlC "'an...
<~O~ T"ltcrlor propert, 11'lCS 10'
~dgL 0 ro-,,(j rl-I,t-O'-W1Y 10
F\u~ l(]~nq [oum'a ~ on :,'
~clls ot10r water so..!rces 50
Dra1'1fJ.eld
10'
10
10
100'
,
~ane_,
~ ~unty
-
REQUEST FOR:>-ASSISTANCE
land Management Dlv 125 E 8th Ave Eugene, OR 97401
~<~
~
l.NlO MANAGEMENT DIVISION
,
Please complete all lines Inside white boxes, If possible.
Cllnton N. Steelman
'rUUH NAoMI:;
1/24/89
OA"t.
25766 Perklns Road
935-4134
fUul1 ....iJiJ..l:~~
"HONt
Veneta.
CITY
Oregon
97487
97487
liP
(See Above)
OWNEA OF PROPERTY (II not ..me.. above)
..HUNI:
OWNERS ADDRESS (II nol ..me .. .bo....)
liP
C;UNIHA,\,.;,Utl
Llcen.. .
Request for: Seotlc Insllectlon - EnstJ.ng System
For FHA Flnanclng Purposes
,
MAP, PARCEL NUMBER
(Found on tu map. In the A.....m.nt .. Taxation o.pL)
18 02 06 1400
lownehlp ,r,ng;- ~ 1/4 Seellon laALOI
Township Rlng<t Seellon 114 s.c:uon hJllol
lownentf' ~ ::>'<:Ilon 1/4 :seCllon "I. Lal
.
ZONE FLOOD PLAIN
R-l ., 110
Sffld ~;:"'W"AtJu,1
,
SIIE ADDRESS
Jb18 CheroKee Drlve,
Sprlngfleld, Oregon
97478
, J.,vSP'" (!. T/~,v 7(",;{J/(7
~ N~F1M/T TO
~onnle Peterson % Blll Medford Real Estate
.
N....Me.
1216 Mohawk Blvd
AUUt1C::>:'
Snrl nofl.eld.
l,,;1I1
Oregon 97477
(k;,/j~7
I (I 1 .
liP
STAFF EVALUATION
Information Request Only c:J
COMMENTS /
FOLLOW-UP
Partition I Subdivision
TRS Verified
Allowed Use
c:JVe.
=Ve.
No c:J
No=
,
.
Land Management Dlv staff can
not be held responsible for
evaluatlons or recommendations
based on false, Inaccurate or
Incomplote Information
"
.. ...~
ExIsting BuildIngs or--- -
Improvemenls on
Properly
c:itJ House
c::J Barn -
dtJ Garage Attached
CJ Mob<le Home
CJ Shed
SEPTIC INSTAllED
mYes
CJNo
Water Dlstnct
Sprlngfleld
J
;
Dlrec/Jons to site
from Courthouse
Sllfld. Maln St.
....R.J..ohr no Snnrh 12nd
St. To Jasoer Rd.
Left on South 37th -
North to Cherokee Dr.
Left to 3618 Cherokee
Drlve.
.,
liP
.
. .
,.
For Mobile Home
Placement Only
Brand
Year
Size
No of Tip outs
No of Bedrmc
License #
. ,
.'
lot & Block
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33'
..
) 21'
12'
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fam11y
room
garage
15'
-,
~--,
wood deck : 1
I CD liD
k1 tcheo ) --! c:C
n ~ > - bedroom
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bedroom <:
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bedroom
>
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12 x 15 = 180
26 x 36 = 936
I1v1ng area. ~ sq. ft
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Tax
Lotted
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Mop
18 02 06
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1400
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