HomeMy WebLinkAboutPermit Septic Tank 1988-9-19
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Applica tion/.-:> 7.-"7 :::< _ l? c-...-
Perm~ t # -<::: ~ 0 (J
Lane County Authorization
SEPTIC INSPECTION FOR LOAN REVIEW
'l\)Wi';SH~P8 I RAt~GE Q?
S~BDIVlSION/PARTlTION {if applicable)
SECTiON
os
? 4 I T;~ ~OT <, ?nO~T OF
I ~DT/Ph2CF.~ 'BLOCK
FROrOSED USE OF PROPERTY
~ Residential Dlndus.trial
o COlTunercial D Public.
LQCI,TION ADDRESS
STREET
cr'~'Y
ZIP
1082 Clearwater Lane
STRUCTURES CURRENTLY ON PROPERTY
Sorinafield. OR 97478-9503
---,SFp
DIRECTIONS TO SITE
1-105 to Jasoer/42nd St. exit; riqht to end: left on Jasoer Rd; 2nd riqht
turn to Clearwater
""SCRIPTION OF PROPOSED WORK - 3e speCIFIC SEPTIC INSPECTION FOR LOAN REVIEW
DECLARED S VALUE
= OF BEDROOM.S
IIf OF
ADDRESS
STORIES
4
O~NER'S NAME AND
2
I if Ol:~ E/>JPLOYCCS
(...ATER SUPPLY
citv
o Proposed
fYJ Existing
I TELEPhONE NUMBER
97478-9Sd3
I TELEPHONE NUMBER
I TELEPHONE NUMBER
484-9527
Larry Swann
CONTRACTOR'S NAME AND OSR ~
1082 Clearwater lane.
Sorinafield. OR
P::;RHIT TO BE MAILED TO tNAME AND ADDRESS)
Karen McFall
1111 Valley River Dr., Euqene, OR 97401-2126
I HAVE CAREFULLY EXAMINED TilE COMPLETED APPLICATION t'OR PERMIT, <HId ,In h~r.:.'!)\' cetttfy t.hilt all lnfOlillation hereon is true and correct, and that I
have the following legal interest in the property: Downer of reconl; 0 cr-,l1'=Ldl'~. lJ'l.n:haser; fK].iuthorized agent.
I f:.:rther certify that any and all work p~rformed sh~ll be done in <>C(.;oula:le~ 1..'1 tl1 t'l:t! fl[,:hnanco;:!; of Lant! County and the Laws of the State of Oregon
pertaining to the work described herein, and that NO OCCUPANCY "dll' h..., :r.ildc or ,n.', .i'TlH;tllr€ ',>'ithout tile permission of the Building Division. I fur-
ther certJ.fy that regJ.strat1.on w~th the BUllder's Board 1S 1n full g;,ttlCC!' ,mu effect or, rec;ulted by ORS 701.055, that .if 'exempt the baSlS for exemptlon
1.S noted hereon, and that only subcontractors and employees who are 1- mphancc wlt:' ORS 701.055 wlll be used on th1-s proJect. I HAVE READ AND
CHECKED TH~::~':::~~~UGHLY' ~!!clrll/' O"-/(/--tf?'
NAME lpIe",e pnnt) (!" tNATURE I ' DATE
, ,
READ THIS SECTION CAREFULLY. YOUR AUTHORIZ~ON !:IAS BEEN BASED ON THE FOLLOWING CONDITIONS!
[] PLANNING/ZONING:
Zone
Parti ti_on
Parcel #
Parcel Size
Minimum Setbacks:
C
L, front
SEPTIC INSPECTION
CL, side
interic,r
rear
COM.c\tENTS ,
FOR LOAN REVIEW**NO SPECIAL PLANNING ACTION REQUIRED
Date:
9/16/88
~
[] SANITATION:
s.o.s.
~AxJ
Installation Record Issued? 0 Yes 0 No
Maximum Depth
of Trenches
$~L~~
. Date, tl9~/7/1' (/~
S. 1. II
B. P. II
Installation Gallon
Specifications: Tank
;~f;f~~~&~~ ~
[] PLANS 'Cr:T~ Type .
Li neal Feet
of Dr,dllfif"ld
7~,
GrotIn
Use
CQMHENTS:
Dale:
n
~ t.J A '.. 9---/7' -pJ?
~~PROVED BY BUIL~~F~FICI DESIGNEE (oer QRS 456,805(1)) - DATE
LANE COUNTY DEPART N OF PUBLIC WORKS LAND MANAGEMENT DIVISION, 687.4061,
125 T 8TH AVENUE, EUGENE, OREGON 97401
SEE REVERSE FOR INSPECTION INFORMATION
C 14-2~ RR4-
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SSTS"CKS ,,::0 O";',!2R CO::011',0::;:; 02 ,\PPRO'!,\L :.;vST Rf. STare,:,,-,' Of:S:;!l.':!:;}. vrOLA7IO:: c.:;:: RSSl!I:. I~ REVQ-
C;'--= IO:: Of 711IS p!;Eml'" CIT;,1'I0:: U::OSR PRovrSIO::S OJ'" L,\::E cai.:::jy':; I:lfRACTIO:, OED::::.',:;c!.;, i,::O/OR O'!'HER
~E:'iI:;D[ES ALLO..ED B~ Li,W.
\o;flEN RE'ICl' FOR r::srr:crr~ii. CA.r...:. 687-~r)65. ,\ ~lI",V1U:'1 or ,\1' LEi,ST 2,: HOURS AQV,,::CE ~OTTCl-: fOR rNSPf.C-
'1'10:: 1\:.0C!::S7S :..'~ST l!!:: lilV!::::, ;Ll'J~ th<..! :.ollmdn'1 il'1:o::-:nation ready; :'er::\it number, job address, tvpe
of inspection, when it will be ready, your :1<'lmc <l:1.;"?r,o::c O111::lbcr, and' .'lnys?ccial ::irccticns to' site.
BUILDI"G DIVISIO::,
?EOUl"S::! 1::SPCCTIONS;
1.
Found.:ltion inspection: To be madtl after trenches' arc cxca~'ated clncl forms erected and when all
r:'..:lter~als :'or t:w Lounllation are dcli...;ered on the job. ;':her.:> co;cretc fro::! u. cC:1tral r<1ixing
plant. (corr~'1>.only termed "transit mixec") is to be used, !!laterials need :"lot be on the job.
2.
Concrete Slab or Under-?loor Inspection:. To be nace after all in-slab or under-floor building
serVl:..:e e_,uillment, conouLt, .p~plng accessories, and other ancillary equipment items are in
place but betore any concrete is poured' or floor sheathing installed, including the subfloor.
Framinq !. Insulation Inspections: To be made after_ the roof, all framing, fire I.Jlocking, and
braClng are ln ~l~cC! anc all pipes, fireplaces, chimneys, and vents are co~plcte and all rough
electrical and plumbing arc approved. All wall insulation and vapor barrier arc in place.
'-
Lath and/or s:Psum Boara InspectLon: TO be made,after all lathing anri 9ypsllm board, '.nterior
~C!xtcrDDr, rs-Tn-pTaCe OUt octore any plosterlng is applicu and betore gypsum board joints
and f.::lstencrs ar,,! tapc~ .and" finished. " _\ .
5. Final Inspection: To be made after the building is complete and before occupancy.
4.
APPROVAL REQUIR~D. ~o ~ork shall be done on any.part of ~he builci~g or structure beyond the point
indicated in each successive inspection without first obt~ining the a~proval of the builcing official.
Such a~proval shall b~ given ~nly after an inspection shall have been made of each successive step
in the construction as indicated by each o~ the inspectio,n~ 'requi~ed. .
NOTE: All building permits :equire inspections for the work authorized. such as but not. limited to:
. A. BLOCk ,",all: TO be made after reinforcing is in ::>lace, but bero::-e ~ny grout is poured. This
inspect.ion is required for each bond beam pour. . There will be no approval until the p~umbin9
and elec~rical inspections have been made ana approved.
B. \.:ood Stove: To be made after completion of masonry '(if applicable;) and when installation is
compl~ Inst.allation shall be _in accordance wit.h an approved, nationally recognized testing
agency and the manufacturer's installation inst~uctions.
c. ~obile Home: An inspection is required after the mobile home is connected to an approved
sewer-or septic system for setback requirements, blocking, footing connection, eiedowns,
s~irting, and plumbing conneceions~
1. Footings and piers to comply with. State foundation requirements for mobile homes or as
recommended 'by the manufacturer......' . . ..... . ... .
2. Mobile home.minimum finish floor elevation shall be certified when requireu by a flood-
plai.n management letter. I'
J. Mobile home ticdowns, when required, and skirting shall be installed and,ready fc~ inspec-
tion within at least 30 days after occupancy. Tiedo~n$ and skirting shall be installed
per enclosure,
D~ Swimminq Pool: Below_grade when steel is in place and before concrete is poured. .Above grade
.wnen ~ool-rs-installed.
,IPPROVED PLA,"S :.lUST BE- ON THE JOB SITE AT ALL'TI:>1ES DURI"G h"ORKING HOURS. '!'IlIS PERl-lIT WILL EXPIRE
IF \WRK DOES NOT BEGIN WITllIN lilO DAYS., OR IF IWRK is SI.:SPENDED OR AB.;NDONED FOR }10RE THAN 180 DAYS.
SUSPENSION OR REVOCATION ;-lAY OCCUR IF TillS PER;.\IT WAS ISSuED O~ TilE BASIS OF INCO~IPLETE qR ERRONEOUS
INFOR;.lATION. ..
A~lYONE PROCEEDING PAST THF: POP:T or REQUIRED INSPE:CnOll$ ;"'ILL DO SO AT THEIR aNN RISK.
SUBSURFACF: ~ ALTERNATIVE SEWAGE DISPOSAL ~:
1. Permits shall be ~ffectivc for one year. from the datc of issuance.
2. Upon com?leting the cor.st.ruction for ~hich a permit has been issued, the permit holder shall
notify the Lane Countj Department of Planning and Co~~unity Development by submitting the
installation record.form, The Department shall inspect_the construction to determine if it
complies with the rilles contained in this division, If the construction does comply with such
rult.:s, the Departmcnt shall issue a certifi~ate of satisfactory completion to the permit, ;.:older.
'-,.. -tf" thecons.tructlO:l does"not comply~wi'tii.'''-s''lch-rul~s',.Lhc UCpa-ftment'sh.:i11 not::-t'y~thG -permit ,---
holder and shall require satisfactory completion before issuing the ccrti(ic~te. F~ilurc to
...eet. the requirement.s ~or sati:;factory completion~t.hj.n 'a:,r~~;.~mabl~..si~.e .son~:itu~.':s a vio.:..
~'lation of 'ORS 454.6051:0..5':'.745 anu this rulc....
Setback~ - Subcurfacc S~w~~e Disposal
S~ptic T<lnk
Drainfield
~rom: Interior property lines
Ecge 0:' rouu rl ilt-of-woy
Bui hiinq [ounda ::on
~clls. other ~u cr sources
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OWNERS AO RESS (II not se e 8S above)
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L/Pi/-YS.27
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LIcense.
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MAP, PARCEL NUMBER
(Found on lax maps In the A.....m.nt " TUlltlon Dept.)
To~n~p rtk- ~ 1~ ,?!!f-
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Town.t1lp Range, Section 114 S.clion T;~ L~t
lownstup ~ ::>eCllon ~14~ecllon TaxLoI
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MAIL PERMIT
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NAMI:
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Land Management Dlv. staff can
not be held responsible for
evaluations or recommendations
based on false, Inaccurate or
Incomplete Information
...
ExIsting BuildIngs or
Improvements on /J /> ~
~::?Z I/~
ouse "-(~'
c:::J Bar
~ge /--
c:::J Mobile, Home
CD-SIiSd
SE.e;FIC INSTALLED
~s
c:::J No
Water~~
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DIrections to sIte
from Courthouse
/IlC /';')
tllJr;/JF-y" 11-2 5'/-
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IE;:! ;J;V' IMp/4
AI) ,11110 A/-
h/lJ/O '1t1/7!l/
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17-/78'- '1503
ZIP
1_" :}
For Mobile Home
Placement Only
Brand
Year
Size
No. of Tip-outs
No. of Bedrmo
License #
W: 5 LANE COUNTY DEPT ENV MGT RECEIPT 0 272388 DATE 091688
. (.lPPL.ICMT MCFALL, Kf~REN AD.!)!', 11 i 1 VALLEeY FnVEF( DF(., EUGE~iE . .
TL'~'i B020~524(l0201 SUBDIV ' L:t:n. f.0..,,1{
NEW BLDG TYPE USE R BDRMS 0 UNITS 001 STORIES OBLDGS 001 PHONE 484 9527
mJNn, NME SWANN, LM:f,Y i4DDF, 1082 CLEeM,WfilTF, LN., SPRINGFIELD .
CODE APPI... NO ACTION DESCFnPTION SQ FT UNIT COST "ViiLUATlON FT:E DA/I.$
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