HomeMy WebLinkAboutPermit Septic Tank 1976-4-28
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LANE COUNTY PERMIT FORe
PERMIT NO. 695-76
CONSTRUCTION [x]
MOBILE HOME [ ]
RT. 10
PLAN REVIEW [ ]
/Ii Contractor
ROBERTS SANITA~ION
Box 269
ADDRESS
8&> PARK
ADDRESS
SPRINSfIELD, OR.
CITY
TERRACE, EUGENE,
CITY
CHANGE OF OCCUPANCY [ ]
97477
726-7347
ZIP CODE PHONE
OR. 9(404 688-4531
1'~ ZIP CODE PHONE
~(; <Y;- ~(''''
C! 4:- ^' 4ib Cf-U /
.;""\"' l'^
Census Trac.t A.. Cf
9 () v'.'
'~ /v 4u "'Co<
Width 1:9. I}>.<- 7.
/6''''('; Oa '
~,~~
10)-
Depth
o Owner PAUL YODER
NAME
O.S. Reg. #
17
NAME
q4921
Twp
Range
oq
Section
l'j
Tax Lot
2701
Codp 4- 62
Subdivision
NA
Lot
Block
Acreagr
Access to Property (Road Name):
GAME FARM RD,
-< S (.{l2-
Existing Structures on Property:
HOME
Directions to Property. Address:
SAME FARM RD.
STRUCTURE (# BEDROOMS)
SQ. FT.
VALUATION
REPAIR SEPTIC SYSTEM
SEWAGE DISPOSAL:
PUBLIC I] SEPTIC TANK [
BUILDING
PLUMBING
3% SURCHARG"
MOBILE HOM"
WASTE DISPOSAl
PLAN REVIEW
OTHER [ )
PLUMBING INSTALLED BY:
OWNER [] OTHER I J NAMF
WATER SUPPLY: PROPOSED [ ]
EXISTING (J
[ ] PUBLIC
I J COMMUNITY. NAME:
( ] PRIVATE WELL
( ] OTHER - SPECIFY:
25.W
TOTAL
25.00
CONSTRUCTION PERMITS & INSPECTIONS AND WATER POLLUTION CONTROL SPECIFICATIONS
MIN. SEPTIC TANK CAPACITY:
GALS. MIN. DRAINFIELD lIN. FT. MAX. TRENCH DEPTH INCHES
CANCEL: FULL REfUND, NO WORK DONE BY WATER POLLUTION CONTROL DIVISION. PER~:J NOT NEEDED.
STAY 100' FROM ALL WELLS
TYPE OF CONSTRUCTION GROUP FIRE ZONF USE CLASSIF.
SETBACKS. FT. FROM CTR. OF rfW:
FRONT SIDE EXT.
FT. FROM PROP. LINE:
SIDE INT. REAR
ZON"
AUTHORIZED SIGNATURES:
/s/
ISSUANCE DATE:
4-28-76
JH
BLDG. PERMIT - WHITE
OFFICE COPY - WHITE
COUNTY TAX - PINK
PLUMBING - CANARY
BUILDING - GREEN
SANITATION - GOLDENROD
IMPORTANT:
Call 687-4065 10 schedule all required construction inspections. Call 687-4061 to schedule all required
septic system inspections. All construction shall comply with the Stale Buidling Code, D.E.a, standards
for subsurface sewage disposal and the State Plumbing Code. All buildings require a certificate of
occupancy before being occupied, .
(See Details on Reverse Side)
(POST THIS PERMIT ON MAIN BLDG. AT SITE)
C5S.13
LANE COUNTY, DEPT. OF ENVIRONMENTAL MANAGEMENT
COURTHOUSE ANNEX, 135 EAST 6th, EUGENE, OREGON 97401
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CONSTRUCTION PERMITS & INSPECTIONS
U.B.C. SEC. 302(d) EXPIRATION
Every permit Issued by the Buiiding Official under the provisions of the Code shall expire by limitation and become null and
void, if the building or work authorized by such permit is not commenced within 120 days from the date of such permit, or II
the building or work authorized by such permit is suspended or abandoned at any time after the work is commenced for a
period of 180 days. Before such work can be recommenced a new permit shall be first obtained to do so, and the fee therefor
shall be one-hall the amount required lor a new permit lor such work, provided no changes have been made or will'be made In
the original plans and specifications for such work; and provided, further, that such suspension or abandonment has not
exceeded one Yl?ar. 1
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U.B.C. SEC. 302(e) SUSPENSION OR REVOCATION
The Building Official may, in writing, suspend or revoke a permit Issued'under provisions of the Code whenever the permit Is
issued in error or on the basis of incorrect information supplied, or in violation of any ordinance or regulation or any of the
provisions of this Code.
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U.B.C. SEC. 304(d) REQUIRED INSPECTIONS (CALLED INSPECTIONS)
The Building Official, upon notification from the permit holder or his agent, shall make the 10Howlng Inspections (allow 1 to 3
working days) and shall either approve that portion 01 the construction as completed or shall notlly the permit holder or his
agent wherein the same fails to comply with this Code.
(1) FOUNDATION INSPECTION: To be made after trenches are excavated, forms erected, and steel reinforcement In
place (if required) AND BEFORE ANY CONCRETE IS POURED.
(2) FRAME INSPECTION: To be made after the roof, all framing, fire blocking and braces are in place and all rough
plumbing, rough electrical and fireplace, chimneys and vents are complete. NO WORK SHALL BE COVERED UNTIL
THIS INSPECTION HAS BEEN MADE AND APPROVED. There will be no approval for cover until the plumbing and
electrical inspections have been made and approved.
(3) LATH and/or WALLBOARD [Sheetrock] INSPECTION: To be made after all lathing and lor wallboard, interior and
exterior, is in place; but before any plaster Is applied or the wallboard joints and fasteners are taped and finished.
(4) FINAL INSPECTION: To be made after the building is compiete AND BEFORE OCCUPANCY.
OTHER INSPECTIONS: In addition to the called Inspections specified above, the Building Official may make or require
any other Inspections or any construction work to ascertain compliance with the provisions of this Code and other
laws which are enforced by the Division of Construction Permits and Inspections.
MOBILE HOME INSPECTIONS: A plumbing inspection Is required after the mobile home Is connected to an approved
sewer or septic system to inspect the plumbing connection and setback requirements.
ANYONE PROCEEDING PAST THE POINT OF REQUIRED INSPECTIONS WILL DO SO AT THEIR OWN RISK.
You may make your request for Inspections between 8:00 a.m. and 5:00 p.m. Monday through Friday al135 East 6th Avenue,
Eugene, or call 687-4065. Other areas may call the fOllowing also: Florence Area, 342-8328, 997-3461, or 687-4358; Cottage
Grove Area, 942-4493; Oak ridge Area, 782-1 D41.
NO REQUESTS FOR INSPECTION WILL BE ACCEPTED WITHOUT THE FOLLOWING INFORMATION: (A) Name of Permit
Holder: (B) Permit Number; (C) Location of Job; (D) Type of Inspection Requested.
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WATER POLLUTION CONTROL
OAR CHAPTER 340 Division 7 Subsurface and Alternative Sewage Disposal Subdivision 1 Standards for Subsurface and
Alternative Sewage and NonWater-carried Waste Disposal.
71.015 (7) A permit Issued pursuant to these rules shall be effective for a period of one year from the date of Issuance.
71-017 (1) Upon completing the construction for which a permit has been Issued the permit holder shall notify the Department.
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 violation 01 ORS 454.605 to 454.745 and this rule.
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SDS
RECPT.. 34182.
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R' E rUN D
o rF E E
THE LANE COUNTY DEPARTMENT Of ENVIRONMENTAL MGT. I HAVING REQUESTED REfUND
Of fEE T'O:-
ROBEnT9 SANITATION
NAME
:< (~), ..
Of'), '88IJPt'RK
,.
ADDRESS
TF'RR'^r~_ rll,nr.-nn-
nD
:'7401!,
ApPLICATION fOR BUILDING PERMIT DENIED, ANO NO APPEAL or SUCH DENIAL
HAVING BEEN MADE.
XX ApPLICATION fOR BUILDING PERMIT CANCELED.
APPLICATION fOR BUILDING PERMIT, OVERPAYMENT.
ZONING PETITION.
..
APPLlCAT,nN fOR RESTAURANT LICENSE,
.
ApPLICATION'fOR CERTifiCATE nf SANITATION.
APPLICATION fOR PRELIMINARY SITE INS~ECTION.
FOR THE fOLLOWING REASON:
CANCEL: PER'IIT NOT NEEDED. No \/OR:( DO~E UY DIVISION. 'ULL REfUND.
AND THE APPLICANT DESIRING THAT THE fEE BE REfUNDED, THE DIRECT~R ~f rlNANCE
AND AUDITING IS REQUESTED TO REfUND THE AMOUNT or $ 2,.00 , (UNDER ArPLICATION
NUMBER 695-76 IN THE CASE Of APPLICATION fOR' BUILDING,PERMIT), WHICH IS THE
rEE CHARGED.
DATE
APRl'lL 28, 19'{6
P7C ~':J- I
Q-t'.k;2;?,~:;,-( -
S. E. PETRASEK, r I E'_D SAN I TAR I AN 5UPERV I gIn
HAllEn POLLUTION COIHROL D'VIS'OII
lANE COUNTY ENV I RO,jMENTAL MA~AGEr<.EN~ rE~:.,,'n.1P'
J~:
55-029-12
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BUILDING PERMIT
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1&CJ
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SUPPLEMENT NO.
126
6:r~ .-I'~
OWNER
PA UL YODER
address
phone
OR. 91401>
phone
CONTRACTOR
ROGSnTS S^~ITATIO~
880 PA:1f( Tt!lRACE, EUGEOE.
address
PROPERTY ADDRESS
G"f4E FAW: RD.
~o ~C~K DONE 8Y DIVISION.
Revised( ) Prior ( )
[]addition
[]correction
X C^NCELAT 10f:
Bldg,
Waste - C).vv
Plumb,
Plan R.
3%sur,
[]amt. due
)[-i1refund
(Building Valuation)
CIINCEL: pm;-.11T ;.JOT NEEDED.
".:Il.;.c~
"LL ilEFU/!DG .IRE ISSUED BY,
LArJE COUi\JTV F I NANC[.~L SERV I GES.TOTAL -
amt.paid ::''i.OO amt. due
;>rj.cn r!EI:"U .1..
Signature of Applicant
Date
Fee Received By JEAN Date Ll-28-76 []cash []check Jtl
LANE COUNTY DEPARTMENT OF ENVIRONMENTAL MANAGEMENT
C74-119