HomeMy WebLinkAboutPermit Septic Tank 1989-10-24
--
(/tfg. ~/?~&:,~~J)
Lane County Authorization for:
SEPTIC SYSTEM VERIFICATION
FOR OFFICE USE ONLY
Appl1cahont:::>~ / /'1_ (?C}
Perm~t # ,-y;,;YI C1 /
c :o:JW:,SHIP 18 I RANGE 02
SJBDIVISIONjPARTITION (~f appllcable)
06.1.2
) r OT/PARC ::::~
I T1700
I
UOUT OF
PROPOSED USE OF PROPERTY
B Res.1dentJ.al 0 Industr l.al
o CommercJ.al 0 PubllC
S1:.CTlON
BLOCK
LOCATIO~l ADDR!:.SS STREET
3572 CHEROKEE DRIVE, SPRINGFIELD, OREGON
CITY
ZIP
STRUCTURES CURRENTLY ON PROPERTY
EXISTING SINGLE FAMILY DWELLING
DlRECTIO-"S TO SITE
NORTH TO 32ND ST., TO JASPER ROAD, LEFT JUST PAST DOUGLAS GARDENS SCHOOL TO
THE END, TAKE LEFT, SECOND HOUSE ON THE RIGHT FROM THE END
w:SCRIPTION OF PROPOSED WORK - Be SPECIFIC
SEPTIC SYSTEM VERIFICATION FOR LOAN
DECLARED $ VALUE
NA
I # OF STORIES
NA
ADDRESS
I # OF
1t-1PLOYE.cS
loJATER SUPPLY
.:: OF BEDROOMS
NA
PUBLIC
o Proposed
I!l EXlstlng
TELEPHONE NUMBER
746-3270
o mER I S NAHE AND
STEVEN ~ WRIGHT,
CONTRACTOR'S NAME AND OSR ff
SAME AS THE ABOVE
P"';i<l'Il'I' TO BE MAILED TO lNAME; AND ADDRESS)
STEVEN WRIGHT, 707 MAIN STREET, SPRINGFIELD, OREGON
TELEPHONE NUMBER
SM1E
97478
TELEPHONE NUMBER
SAME
I HAVE CAREFULLy EXAMINED THE COMPLETCD APPLICATION FOR PLRMIT dT":] do herel.>y cet"t.lfy that all lnforll1atlon hereon ls true and con:ect and that I
have the followlng legal lnterest In the property :KJowner of record 0 c-ontTd<..t p'lrC'laser Dduthorlzed agent
I f_rther certl.fy that any and all work performed shdll be done In a<..l..ordi'!'1c( Wl th tl e Ordll1anCe~ of Lanl.. County and the Laws of the State of Oregon
pertal.nl.ng to the ""ark descrlbed hereln, and that NO OCCUPAN(.Y wl11 bl.- made of an] sLrncture dl.thout the perml.ssl.on of the BUlldl.ng Dl.vl.sl.on I fur-
ther certlfy that regl.stratlon wlth the BUl.lder's Board l.S l.n full force ,nu effect as requl.red by ORS 701 055, that l.f exempt the basl.s for eXemptlOn
l.S noted hereon, and that only subcontractors and employees who are lon Compllance Wl. ORS 70~055 w It:be ed on tha proJect I HAVE READ AND
CHECKED THIS APPLICATION THOROUGHLY
STEVEN W ~IR I GHT X {r'. c< ~ ...1-/()-~-f?'f
NAME (p~ease pnnt) S~GNATURf f \ DATE
READ THIS SECTION CAREFULLY
I
YOUR )A31HORIZATION YAS BEEN BASED ON THE FOLLOWING CONDITIONS I
/7// #- Part.1. tl.on # Parcel # Parce 1 S.1.ze
CL~nv:? / C~ 4---- /~'or _
f~4Y~d?.# ~Z~d /;/~/---P'
V //' Date /O/~//;:r -tel
-
Installatl.On~Ord I~Ued? DYes D No
M.aXl.mum Depth
S ~ f":1:::v~
Date 10 -;Zt/- &
Zone
k/M
/
[] PLANNING/ZONING
Minimum S;t~
CO'1.1ENTS ~
rear
/
[] SANITATION
S
#
B P
Installatl.on Gallon
Specl.f.1.cat~ons Tank.
COMMENTS ~L..- ~ ._ ~<;p<;;,
.1J;;Jt;;~e;rJ;::~~- ",<I- iU.~~ :;7'~->
[] PLA'/I EXAMINATa. Type v
Llneal Fpet
of Dnl.lnbeld
4j?/Jr;.~~
II'
~~
Group
U,e
COMHENTS
Dale
n
4'11) ~J2A - - /O-;;u/rFl
,.,.- P'BR!I1IT hPPRc!JED .BY'-s'OILDIN~ICIAL/DESIGNEE (oer ORS 456 80S (1)) DATF
LANE COUNTY DEPA MENT OF PUBLIC WORKS LAND MANAGEMENT DIVISION, 687-4061,
25 EAST 8TH AVENUE, EUGENE, OREGON 97401
SEE REVERSE FOR INSPECTION INFORMATION C14-25R~
SETBtlCKS A'lD OTllER co DIT~O'.S OF APPROVAL 'lUST BE STRIC-~) OHtoERVED VIOLATION CA'J RESULT IN REVO-
C,,-IO~ OF THIS "LImIT CITATIO LtDER PROVISIO'JS OF LA"E ~o...'n :; I'lFRACTIO'J ORDI'.A'.CE A'JDjOR OTIlER
REm.DIES ALLOWED Bi LAW
y,HE'l REo\DY !-OR I~SPECTI'2.:'! CAL~ 687-4065 A 'lINPlL \ OF \T LEAST 24 HOURS ADVAhCE NOTICF FOR INSPEC-
'flO\ !{Jo;QL-LS-;;;g ~ST BE GIVE"--Have thefollowlng lnformiltlOn ready rcrmlt number Job addlCSS type
of lnspect10n, when 1t wlll be ready your namL and phorL nunber a,d any spcc1al d1rcct1ons to Slte
BUILDING DIVISION
REOUIRlD I'.SPECTIO'lS
Foundatlon Inspectlon ~o b~ made after trenches are
natcr1als tor-~foundatlon are dellvered on the Job
plant (commonly termed trans1t mlxed') lS to be usod
excavated dnd forms t"rectE'd and when all
Whlre concrete fron a ce,tral m1x1ng
materlals need not be on the Job
Concrete tolab or Under-~loor Insn~ct1on To be made after all In-slab or under-floor bU1ldlng
serVl_e equ1pment condul~olp1~g accessorles and other anc1llarv equlpment ltems are 1n
place but betore ~ny concrete 1S poured or floor sheath1ng lnstalled lnclud1ng the subfloor
Fram1nq ~ Insulatlon Insp~ct1ons
braclng are ln ~~ace a,d ,ll p1p~S
electr1cal and plumblng are approved
To be made after the roof all framlng f1re block1ng and
(lreplaces c,lmneys and vents are complete and all rough
All wall lnsulatlon and vapor barr1er are 1n place
Lath and/or Gvpsum Board InsEectlOn
~e^t.crior 1S 1npTace" bUt. Oetore
and fasteners are taped and f1n1shed
To be made atter all lathlng and gypsum board nter10r
any plaster1ng 15 appl1ed and bet ore gypsum board ]Olnts
F1nal Inspect10n
TO be made after the bU1ld1ng 1S complete and before occuoancy
APPROVAL REQUIRED ~o ~ork shall be done on any part of the bU1ldlng or structure beyond the pOlnt
1n01cated 11l each succeSS1ve lnspect10n w1thout f1rst obta1n1ng the approval of the bU1ld1ng off.clal
Such aoproval shall be glven only after an 1nspect10n shall have been made of each succeSS1ve step
1n the construct1on as lnd1cated by each of the lnspect10nS requlred
NOTE All bU1ldlng oerm1ts requlre 1nspect1ons for the ~ork author1zed such as but not Ilm1ted to
A Block Wall To be madp after relnforclng 1S 1n olace but be~ore any grout 15 poured Th1S
lnspect10n 1S regu1red for each bond beam pour There w1Il be no approval unt1l the plumb1nQ
and electrlcal 1nspect1ons have been made and approved
a \~ood Stove To bc made after cOMplet1o, of masonr'z (If appllcable) and when lnstallatlon lS
compl~ Installat10n shall be 1n accordanCe wltn an approved natlonally recogn1zed testlng
agency and the manufdcturer's lnstallat10n 1nstruct1ons
C Mob1le Home An 1nspect1on 1S reqUlred after the mOb1le home lS connected to an approved
sewer or sept1c system for setbac~ requ1rements block1ng fooL1ng connectlon t1edowns
sk1rt1ng, and plumb~ng connect1ons
1 Foot1ngs and plers to comply wlth State foundatlon regu1rements for mob1le homes or as
recommended by t~e manufacturer
~oblle home m1n1mum f1n1sh floor elevatlon shall be cert1f1ed when requ1red by a flood-
pla1n management letter
Mob1le home t1edowns when requ1red and sklrt1~q shall be lnstalled and ready for Lnspec-
t10n w1th1n at least 30 days after occupancy Tledowns and sk1rt1ng shdll be 1nstalled
per enclosure
D SW1mm1nq Pool Below grade when steel lS 1n place and before concrete lS poured Above grade
when pool-rs-lnstalled
APPROVED PLA'lS ~UST BE 0" THE JOB SITE AT ALL TI~ES DURING WORKING HOURS ~HIS PERMIT WILL EXPIRE
IF I'oORK DOES NOT BEGIN WITHIN 180 DAYS OR IF WORK IS SUSPENDED OR ABANDONED FOR ~10RE TIlA~ 180 DAYS
SUSPENSION OR REVOCATION 1AY OCCUR IF THIS PERMIT WAS ISSUED ON THE BASIS OF INCOMPLETE OR ERRONEOUS
INFORMATION
A/IoYONE PROCEEDING PAST THE POI,lT or REQUIRED Il\SPr:CTIO,JS Io.ILL DO SO AT THEIR OWN RISK
SUBSURFACE AND ALTER~ATIVE SEWAGE DISPOSAL SYSTEltS
Perm1ts shall be effect1ve for one year from the date of lssuance
Upon complet1ng the constructlon for Wh1Ch a perm1t has been lssued, the perm1t holder shall
not1fy the Lane County Department of Plann1ng and Commun1ty Development by submltt1ng the
1nstallat1on record 'orm ~he DepartmE'nt shall lnspect the construct1on to determ1ne 1f 1t
compIles w1th the rules contalned 1n th1S d1vls1on If the construct1on does comply wlth such
rules the Department shall lssue a cert1flcate of satlsfactory complet1on to the perm1t. ~older
If the construct1on does not comply w1th such rules, the Department s)MIl not~fy the perm1t
holder and Shall requ1re sat1sfactory complet1on before lssu1nq the cert1f1c~te ra1lure to
meet the requ1rements for satlsfactory completlon w1th1n a reasonable t1me Constltutes a V10-
lat10n of ORS 454 605 to 454 745 and th1S rule
Setbacks - Subsurface Spwaq~ D1sDosal
I,terlor propertj 11nGS
Edge ot roa<..l rl~llt-of-way
BUlldlnq foundation
Wells other ~ater sources
~Lpt1C ~
10'
10
;
SO'
Dralnfield
F'-om
10
10'
10
100'
,
~ane
~~unty
-
REQUEST FOR ASSISTANCE
Land Management DIV. 125 E. 8th Ave. Eugene. OR 97401
~
lANo I4A.NAG6dEN{ OIVISlOl{
, ( Directions to site
t from Courthouse
, ->__J J_
./"'/';-4. 7'7l"].j' TU
" ",:- :~,~ I/ikyv~ 'or/' /e,c r
..~...<~~ ~ ~.~~.../~.:...~:<:~>(<.= </~ ":;~ \ .'<-'~.:~;-UUQrI- /~<;rr- lhtA-jk-S
ZONE' , ",' . 'FLqOD PLAIN ~.Jl.,x yLr/ 1''' 62
',^, .t'ix.rJ. -1-" p-~ <<. /e /" ~
~ c( -
, " ~A;::;~ n,~U
.
Please complete all lines Inside white boxes, if possible.
::s3?:r.///Y' ;;, ) tJhGL/
Y15'Uti NAMe
//J -.;20 - If?
UAlI-;:
'/4& J..;no
PHONE .
97'17 ;7
ZIP
'141c2 f.s-ri'
.u/!J.2<jrllt/ ""' r-
~'~JL_/:Y
/n~ -0.!~,e';1/"""/e
OWNER OF PROPERTY (If not same .. .bo....)
"HONI::
OWNERS ADDRESS (tt not "m~ .. above)
ZIP
l;,;UftIHA!,,;I(JH
Lleense .
,
~r::-..:; . ._ ~
liiirru,~$t. ~of:, ~r~'..tA'~It'~~','
j:_1~~. ~ ';- ~ ~... ~ ~ ... ~ v .;~. Q:
,.,
~ V~ ~
...".-;: .
to;
,
MAP, PARCEL NUMBER
~rcfJP tax maps In tlM A..e..metrt. Taxation Oepl.) d
~ 4i-~ ,,2: ::Z?J
TOWf'lahlp
~S~lon
Tall; Lot
1/4 Section
10wnSI'Ilp
~ :::ieehon
'.
'"
"
'/4~lIOn
Tu; Lot
"
,
"
,
''"
,
.<~ ~~ ... . I
, .
-...... ~~
,
~/
/ '
SITE ADDRESS
. _~-)7,;;:? r7ht'!/-/')k~~
h
~~:~ ~~ l{j)Ai1:r
.UUH<:t/J"7 ,>>;Cr~j . ~ ('/
--. ~7/u.--r1I'Lo/-"/ C;:7<L7x
\;IIT / r7 !/ - - I
ZIP
srAFF EVALUATION
Information Request Only I::=::J
COMMENTS /
FOLLOW-Up
Partition I Subdivision
TRS Verlfled I::=::JVes
Allowed Use =Ves
NOI::=::J
No=
Land Management Div. staff can
not be held rC!sponslble for
evaluations or recommendations
based on falso, Inaccurate or
Incompleto Information
.
" .
,
Existing Bulldlngs or
tmprovements on
Property
ex) House -:'"
l:=J Barn
l:=J Garage
l:=J Mobile Home
l:=J Shed
SEPTIC INSTALLED
l:=J Yes
l:=J No
Water Dlstnct
,
ZIP
.
,
For Mobfle Home
Placement Only
Brand
Year
Size
No of Tip-outs
No 01 Bedrm"
License #
, .
#.
Lot & Block
V"I"
j
1
I
I
)
-::;r..T1lfllr"l.
N
I 1+----= ( \ I KK
( -
'--
I I
l l .. l l \ "--
Ll l I f
zJ I I
,---- I ~
I
-I'
357~ (!/1JLM/I/~/
j,.j;,.-- --.."
=s=: \ -\-~~ ~
;f2rgd( fvv a~
s
STEVEN W WRIGHT '0'"
REALTOR'" R...
ERA<!l CHARLES ELLIS REALTY....
707 MaIO Street
Sprmgfleld, OR 97477
'1 Offlce 503-746-3270
Home 503-746-5727
G}
ERA. REAL ESl'ATE iii8 m
Each office Independently owned and operated
.
PLOT PLAN EXAMPLES
~: ;:::.(;~ ,;;~.;,;,~~:=x:"",!~~:.~:[,~~~<il;:?:<(-->>'J:::;:::&';:.:::""<i%~,:>m~;::::~.:::;.">>">>">; ~~Wr" <<- . ':-:""'>'<x<.,<<,~.;.,*,~~:i~,<<~~_~,~~~~~"?:~y:';;:;;;~::J.w::::>':;'-::,,>~:~,:'
-S,:i";;"'JM;:..~m.:u,',~'<',~'n"d..:;,jj;jf:,;
The following PLOT PLANS are used for all development applications.
If you have 2 acres or more, use BOTH example 1 and example 2. If
you have less than 2 acres, use example 2 only.
EXAM.eLE 1
205 ACRES
~
\TE~
\
Country Lane
p<oposed:i
Dram
FIeld
Sep"c ~__
Tank ~
I Raplac
:ement
. Drain
I Field
I Area
1- _ __
n ;~~o
~70
Barn
30xSO
~-----
L,-.----"\
1 House ~~ ':
t :
50 I
I
Tax Lot
4200
210'x270'
I
I
~
150"
~well
~
I I
_ _ _ _ _ _ COUNTRY '-, LANE
. Set-backs
20 ft from road or street rights-of-way
10ft. from property lines
These figures may vary for some non-rural zones
. For set-back dimensions for septic tank, drainfield, and
replacement drainfield check with the Sanitarians at counter #3.
^",^:~^~~:~::::.:>>~'''''",:'~ ~>..::.1=~~= >':::"'V::::<::-J~~~~'''!.:>Y''l: : ~'- V< '" ^C'ff'~ ~...^:'"^ ~^~~R'~,"^ ----~':::~ ,,:<-.~: ^,..~....:t~w
M14-39