HomeMy WebLinkAboutPermit Septic Tank 1989-6-1
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_ ,/c!f?#: l'S?~7"BS-
Lane
-:::EP7/c
ounty Authorization for:
<~~/=,'" /#'5rA~.#-r/6""A7
FOR OFFICE USE ONLY
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>\OW:;SHIP /7 I RAr~~ I s~T3 _/~ I T:;;T?~; OF
S~u~4,~~ION/PARTITION (if applicable) LOT/~EL I BLOC~
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LOCATION ADDRESS STREET CITY ZIP
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STRUCTURES CURRENTLY ON PROPERTY
1M:: !',;-r
D1RLLTiONS To SITe
PROpOSED USE OF PROPERTY
keJ Reside~tial 0 Industrial
o Commercial D Public.
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~::::SCRIPTION OF PRO~~ WORK - BE SPECIFIC ~ ".' Ii" . ~.~~ ~ "I 'f1\CLARED ~ VALUE
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. OF BEDR,~S r' OF STOR/"ES I 'OF EMPLOYEeS I \~ER SUPPLY~' MA ::'," 0 Proposed
,? rUZJL./C ,:- Y 3 0 i~"q,:. ;.: ,WI, Existing
O;~"NER' S NAHE AND ADDRESS \ U T..E! :PHONE NUMBER
0Mr r&cY~D \. l1i1o"',, ' ,. r::?f'~--;''t~$::z.
CONTRACTOR'S NAME AND OSR # \.l;' ^ ::d ,ytLEPHONE NUMBER
~'I1"r~ /i?/f/~ ! P2'??b, ~.,r;z? "3"-6'-'7P YJh--.~or6'-3;rB<.
P::;RH.l'l' '1'0 BE MAILED TO (NAME AND ADDRESZ) DIWt. \lo-...~ ' 2':l-S-- #~ .t:::> '9' _ IUl' I TELEPHONE.a~Bf~
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I HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION FOR PERMIT, dnd ,10 hcral.>y eetttfy t,hat all information hereon is true and correct, and that I
have the following legal interest in the property:Oowncr of r~cord; Ocontrdl.:t pllrcha50r;Oauthorized agont.
I f'.;.rther certify that any and all work performed shall be done in accOtdaacr. wi th th~ Ordinanct!f; of Lane COWlty and the Laws of tho State of Oro<}on
pertainin<} to the work described herein, and that NO OCCUPANCY will 00 made o[ nnr Sl-,cncture ....ithout the permission of the Buildin<} Division. I fur-
ther certify that registration with the Builder's Board is in full force .md effect. as required by ORS 70t.055, that if exempt the basis for C!xemption
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)
SIGNATURE
DATE
READ THIS SECTION CAREFULLY. YOUR AUTHORIZATION ~iAS BEEN BASED ON THE FOLLOWING CONDITIONS!
o PLANNING/ZONING: Zone
Parti tion It
Parcel #
Parcel Size
Minimum Setbacks: eL. front
eL. side
interior
rear
COMHENTS :
Date:
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li1I SANITATION: S, 1. *
Installation j,/lr. j\
Specifications: t::It:=/U
CQM.\lENTS:... Z" ~kl ,..."
Gallon
Tank
i;;tJ
~~...
Lim~al Feet
of Dr.oinfield
Yip,
Installation Record Issued? D Yos D No
(}I I Maximum Depth
c:>C-1 of Trenches
~,~ ~~f/-L. ,
I L-, 8-~
11
Date:
..Qilil?
B. P. It
tZ N2D
8rl
o PLANS EXAMINATION: Type
Grouo
Use
COMHENTS:
Date:
n
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PERMI'jAPPROVED BY BUILDING OFFICIAL/DESIGNEE (oer QRS 456.805(1)) ~--~ATE '
,t'i& b.e. L1\NE COUNTY DEPARTMENT OF PUBLIC WORKS LAND MANAGEMENT DIVISION, 687-4061,
J (pO 125 EAST 8TH AVENUE, EUGENE, OREGON 97401 ....... ~
1b~~f~~ SEE REVERSE FOR INSPECTION INFORMATION r1~_?'~~~
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SETBt\CKS AND OTHER CO::OITIO:!S OF APPROV,\L ~lUST BE STRIC7LY OBSERVED. VIOLATION CA:~ RESULT IN REVQ-
C;'7IO,l OF T!lIS PERHIT, eITATIa:; lJ~DSR ,,'ROVISIONS OF L'';).;E COli:;TY'3 INFRACTION ORDr.:;;"~CE~. ,\NO/OR OTHER'
RENEDIES ALLOWED BY LAW. . . '. } '. . ',~ . .~.
\o;HEN READY FOR Ic<SPECTION, CAL:" 687-..065. A mNHlU:-l OF AT LEAST 2.. HOURS ADV.\I;CE,NOT.ICE FOR INSPEC-
TlUN HEQI.:t.:~Tt; ;.jl.i~T llE GIVEN. ,lave toe :.ollowing information ready: :cermlt number, Job address, type
of inspection, when it will be ready, your name and phor.e nUr:1ber, and any spec'leI ,hrcctlons to slte.'
BUILDING DIVISION:
",
REQUIRED INSPECTIONS:
1: ,'FOund<l.tion inspection': To be made d"fter tre'nches"aie excavated and forms'erected~~p when_all
rnater1als ~or tne toundation are delivered on the job~ Where concrete from a central mixing
plant (commonly termed "transit mixed") is to be used, materials need not be on the job.
2. Concrete Slab or Under-rloor Insoection: To be made after all in-slab or under-floor 'building
serV1~e equipment, conau1t, ?lp1ng accessories, and other ancillary equipment items are in
place but before any concrete is poured or floor sheathing installed,i~cludin~ the subfl~or.
). Framing ~ Insulation Inspections: To be made after. the roo'f, all fr~ming; fire blocking, and
brac1ng are 1n place and all p1pes, fireplaces, chimneys, and vents arc complete and all rough
electrical and plumbing are appro,v.ed. AIl'wa'll insulation and vapor barrier are in pla'ce.
4.
Lath and/or Gvpsum Board ~ection: To be made after all lathing and gypsum board, ;.nterior
ano-extcrIOr, 1S 1n-pracelblJf before any plastering 1S applied and before gypsum board joints
and fasteners are taped and finished.
5. Final Inspection: To be made after the building is complet~ and befor~ occupancy.
APPROVAL REQUIRED. ~o work shall be done on any pa~t of'thebuilding'~r-Stfucture beyond the point'
indicated in each successive in~pection.withoub'first obtaining the approval of the building official.
Such approval shall b~"given only after an inspec~i~n'shall have been made of each successive step
in:',the construction a.s~iildicated by each of..!:he.insP!"cti~ns required.,. .' '....". ...
NOTE: All building ~(!rmits require inspections for the work authorized, such as but not limite'tJ to:
A. Block Wall; To be made after reinforcing is in place, but before any grout is poured. This
InSpect10n is required for each bond beam pour. There will be no ap?roval until the plumbinq
and electrical inspections have been made and approved. .
B. wood Stove: To be made after completion of masonry (if applicable) and when installation is
compl~ Installation shall be in accordance with an approved, nationally recognized testing
agency and the manufacturer's installation instructions.
C. Mobile Home: An inspection is required after the mobile home is connected to an approved
sewer-or-5eptic 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. Mobile home minimum finish floor elevation shall be certified when required by a flood-
plain management letter.
). Mobile home ticdowns, when required, and skirting shall he 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
wnen pool-rs-installed.
,\PPROVED PLA~S :.IUST BE O~ THE JOB SITE AT ALL TIMES DURING WORKING HOURS. TillS PERMIT WILL EXPIRE
IF WORK DOES NOT BEGIN WITHIN 180 DAYS, OR IF WORK IS SUSPENDED OR ABANDONED FOR MORE THAN 180 DAYS.
SUSPENSION OR REVOCATION 11AY OCCUR IF THIS PE~~IT WAS ISSUED ON THE BASIS OF INCOMPLETE OR ERRONEOUS
INFORMATION.
ANYONE PROCEEDING FAST TUE FOI,;T or REQUIRED INSPECTIO,lS WILL DO SO AT THEIR OWN RISK.
SUBSURFACE ~ ALTERNATIVE SEWAGE DISPOSAL SYSTEMS:
1. Permits shall be effective 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 gepartment of Planning and Community Development by submitting the
installation record form. 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 permitiholder.
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 vio-
lation of ORS 454.605 to 454.745 and this rule.
Setbacks - Subsurface
Sewa'1C DisDosal
Septic Tank
10'
10'
5'
50'
Drainfield
10'
10'
10'
100'
F:-om:
Interior property lines
Edge of road rlqilt-of-way
Buildinq foundation
Wells, other water sources
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APPRoVED ONLY FO" ".
IN ACCORDA ~ RESIOENnAL US!
Of THE SPR'NGF~~ ; VITH ARTICLE 16 ..:
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APPLICANT KONOLD, GARY
."U!i 703:~31400903 SUBD:!:V
NEW BLDG TYPE USE R BDRMS 0
OWNER ~ME KONOLD, GARY
. (;emE (.'lPPI.. NO ACTION DESCf<:;:eT:,ON
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ADDR '685 DIAMOND ST.,
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UNITS 001 STORIES IBLDGS 00~ PHONE 726 3~S0 .
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LANE COUNTY DEPT ENV MGT RECEIPT ,g, 14261;19 DATE 060189.e
APPLICANT KONOLD, GARY ADDR 1685 DIAMOND ST., SPRINGFIELD, OR uBO
.:L~ 1703331'400903 SUBDIV LOT BL.K.
NEW BLDG TYPE USE,R BDRMS 0 UNITS 001 STORIES ~BLDGS 001 PHONE 726 3669
OWNER NME KONOLD, GARY ADDR 1685 DIAMOND ST., SPRINGFIEL.D, OR
. CODE APPL NO ACTION DESCRIPTION SQ FT UNIT COST VALUATION FEE DAY~.
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22~'North 5th Street
Springfield, Oregon 97477
Building Division
726-3753
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Job t.oc.:%Cion:
Subdiuisiotl:
CUner:
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AddrCD:J:
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City:
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Date of Applicatioll
Contractors
General
5-\0,-69
Plumbing
t'l1;chanic;l1
-EJ.ccc.rit:.al
G";)V"-l, k...t-.Jo\..o
D"", L<2-0\s,
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Tex Lot
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Siqr,ed:
Data:
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Value 03,000"'==
Lise." 'Iildrs llourel Re~.
S""Z-I"llo
gxp:t.n~s
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14<,-,<, -r,
O INsur.A'rrON/VIlPOR llAliRIf:n INSPF:C'rIVN:
To be loode aftor all inuuZ;zti:m a.>Jd
. rcqu-:'J.ed vapor.1;Q1'l''':o1'o aro in pl.aOB
but 1:eforo any latll~ gypsum board or
well covering is appli6d~ end befo:rQ
~IY inaulatio'l ia concealed.
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DRYI/AU. INSPCCT!ON: To be mado
artCT' an dr'YlJaLl iD in placc,
but prior to any tapinu.
MASONRY: Steal looatio'l, bond
ben"':J, grouting or vcr'ticala in
acool'Clanca l.1i.t}, U.B.C. Saction
2415.
WOODSTOVF.: After inotallation ia
ccmpletcd.
zip:
Deacriba r,'orh:
~~e..
It i4 ~hfJ rooponoibi.lity of t}w pormit holdeI' to BOD that all inopcctiono a..ro mada at thQ pl'OpD'l' timc, that eaoh =ddruo is l'ca.1a.;:o:
from th" Dtreut, an:! t}lat the PCI'mit oaN! ia l.:x:atud at the [I'Ont of tho propel'ty.
~,!jui!.di:1l) O{vi::io.': apPl'oJ..'cd plan shell J'cl1U1itl on thz Du~l,/i.lI!1 Sit:; at all timeD.
.pnOCSOURE FOn IN.<:PF.CTION RE:OUES7':CALL 726-3769 (J'ccorclar) otatu you" city .:le/J~an.:rted job numbc,.~ job ac!drcBB~ typo 01 in:Jpl:c~iC'1l
l'cquc:Jtcd a::d 1ol.1;1!tl you uiL l be ready {or inspeotion, COlltractoro or lAJnor:r nama and phono numbel'. Rflquf:ot. recoiv"d bDforo 'I :00 C':1
:..'ill. bo made the uame dey, requosts medo aftc~ 7:00 am wilt bz tooelo tho n~xt :xn'kin.J daY'n 4n<
YOllr City Deoia,:ated Job NlUnbcr 10: ("')q(j r)S
J1ro.q"~:"'L'A r..'~n...,..h:r.,.,q
,~ SIT!.' ItlSN.'C'."lON: To b~ m:rda altcl'
~ C%cov.:1ti..:m, !mt pr'ie1' t~ :Jet lip of
forms.
,I UNDrHSLA8 pw,',mmr., nrCTHIC,IL &
.-.-J MECHANICAL: To bc made be[ol'ij any
work is ~ouel'cd.
CJ
FOOTINC ~ FOU.vO.1TIC/I: To be m:rc!a
after tr.mdl;!Q are excavated and
formo arc Ct'cctJd, but priot, to
pouring cenC1'ct.:.
U,\'DSRC.WUND P:'Uflf!![NC, SS/IF..r?, f/.iTER,
DHAIIIA~'f.": 1'0 be Irrz:1'e pI'ior' to liL-
~ir.{J tl'anc}jq~,
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UHDF:RFWOR rr.U/..'DING ,~ NEC!fANICA~:
10 be ma.de prior to itlutaLLat'ton of
j100l' inDulction or de~king.
POST AND BEAM: To be made prior to
instaLlattC'1 of floo)' in31:lation Ol'
dccki"!i'
nnur.lI ,nr,ll.'ml}!.9..._ r.r,r.C'[ji!CI1r. .~ MRClI;.
AN/ellf.: No wol'k. iu L'O be eOL'al'ed
ur.tiL t1jC3a in~pec:io':3 h.-we beet:
made and aPP~'oJ.Je:!.
FI.~F.P{.ACE: Prior to plc.cil:q facing
metol.taLs and befol'c [''CJJnina iuopec-
tior:.
:J
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:J
FRAI!/Nr.: /oIu:;t be l'equcatecl after
approJ.J.:rl of J'ouoh plwr.bill!J, ;']lactri-
caL & mcchani~al. ALl roOfing
bl'acing ~ chimn~YD, et~. nr~3t 36
; compLeted. !lo rJ:Jrk ia to be conM
. cocLBd IIntil CIlia in3pcction has
'beo.n mad~ and appl'Ol:cd.
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CUIlD ,( A}lJ'ROACI1 APRON: After fonna
Q1'C cra~ti!d bu.t pr'ior to POUl'inU
.:on.:rete.
'D<'I/OLITION OH !lOVrD BUILD[/ICS
:=J Scini~a..ry SQUCl' ::tapped :it p~opcrt~. Lir.e
=:J S.ptio tank pump.d, and fit/.d uitiz .1'O0'!
~ FinaL - l{,hon abovo items arc ecmp~ated
---.J ar-d lJ}um demolition is oomplete Ot' Otl1lJM
turo moved and pr&mi.aea ohano:J u.p.
Jr.Jobi le I1cmflo
~ BlookinU and S,t-up
~ PlwnbiniJ connBct~ons -- DCt"lOr' and lJa~ar
---, ELootrioal Cannootion - BLooking, DO:-U~
---l and plumbing conneotions nr~Bt co appro~,d
bofore raquooting BlDo~rical inspcc~io~
=:J Aoaoo.:JoT",,' Bui l~ing
~ Fin.:1.t - AftfJr p:Jra1:oo, okirtin!J, deck!J,
~ ote. are ecmpZetcd.
[J
:All project (londitiona, ouch aD tlle l:nstaLlatO::on of o-t.J'oot troeB, co.~loti"n of t~c' ,
r'equircd Zand:Icc.pi':a~ etc., 'mla~ be oatisficd b_cfore tho DUILDINe FINA4 c:an .!to l'squcDt:Jd.
:=J FIlIAL PWf.:811!G
D FIliAL ME~lIA:lICM.
o FINA~ rUCTRIC/.L
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f'/N.-1L DU!1,OrNC: 7'}z(! f'i'lal 8:litdi'I!l Inopc(:tiotl nnlot be roqucotod altoI' t}la Final Plwnbi'IJ
E:Lcctl'.i~aL, am! Mechar.ictll Inspecciol1o havo boen mado and approv~d.
o
srm:fIt.r,K ,( VRIt'f.,'/II.Y: Fo,' all con-
CJ'i!te pavina withit, atroot riaht-
of-/X.y, to bc made aftel' all e.rea-
vatin!J conpleto & fOl"::I IJOl'k & cub~
ba:;c roo.te~iaL in pla::o.
'AI,!. I,MNIIO~rS AND CU:A/lCU1'S IIUST Of: ACCf.'SSIDU:. ADJUSTUrll'!' TO B8 IL1Dr AT /I~ COST TO CITY I Po,le of ~
D
[R]~~ks
!'F.NCf.': h'her: cOo7lpleta -- Provide
aatec OJ' movable tJaotiono through
P.U,F",