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HomeMy WebLinkAboutPermit Septic Tank 1989-10-10 ~ REQUEST FOR: \ SEPTIC SYSTEM VERIFICATION FOR LOAN ~ TOWNSHIP lB ....... 02 SECTlON 05 1J4 SECTION 2.4 TAll LOT 7900 auaavWOH I PARTlllON LOT 'PARCEL aLOCMt -LOCATION AOORUS 1021 Dixie Drive, "'iTiWCTURES NOW ON PROPERn' SFD Sprinqfield, OR 9747B ",OP08CD USE RESIDENTIAL COIAIIi:RaAL INlXlSTIUAL PU8UC MO.CJlI8TOIUD NO. or HDROOIlD NO. CJlI OIJfLOYUS COHSTAUCTION COITIYALUI R DESCRIPTION CJlI P..OPORD Wl;lRK IEPTIC"1ITALLED WAURIHBTALLED SFPTTr TNSPFr.TTON FOR LOAN REVIEW 1iiii:cno"Ns "TO llii'fROM couilritou~i. Main St. East to 42nd; right on 42nd 5th house on left (qreen house) -APPUCANT NAMl . "OCR... Hines, Lisa M. (site OWHIRI H...... . APDREBS patricia Green 4615 Scottsdale CONTRACTOR H....... yes yes to Jasper Rd; right on dixie dr; addr) eugene, OR 97404 OSJI UCENB.' PHOHI 747-B024 PHOHI 6BB-3125 "HONI , 'MAIL PERMIT TO: Rlck & Lisa Hines ~ HAMI I have Lisa ! (site addr) ADDREsa carefully read M. Hines BOTH hereby certify that all IYl. t-\.- h{J A- Information Ie true and correct 10- to -'69 DATi ~ PRNTNA',II; . . , . ,., ".,,:.:,. ,..,:: Authorization 10 Based On The FolIOwln!! Conditions :~\~\f: : , FEES DUE: $ APPROVED BY: /7 ~ " '~(. -- DATE CALL FOR INSPECTIONS (SEE BACK OF FORM FrMflNSTRUCTIONS) 687.4065 SEPTIC permits are good for one year. ALL other permits expire after 780 days unless Inspections ere current. , . C74-213 ,~q2 \t!\o\J , ..' VIOLATION8I I SBTBACKS AND onmR CONDr3r0p APPROY AL MUST DB STRICI1. Y OBSERVED. VIOLATION CAN tn.TIN RBVOCATlON opnm PERMIT. CITATIONS MAY BB ISSUED UNDBR nIB PROVISIONS OF LANB COUNITS INPRACI'ION ORDINANCE AND;OR 01HBR RBMEDms AlLOWBD BY LAW. " -. A MINIMUM OF AT LEAST 24 HOURS ADVANCE NOTICE MUST BE GIVEN FOR INSPECfION REQUESTS Have the following infonnation ready when you call: 6874065 Permit number - Job address - Type of inspection required When it will be ready Your name and phone number - Any special directions to the site PUBLIC OFFICIAL RIGIn' TO TRESPASS ON PRIVATE PROPERTY OKS DS.OIO POWIlR TO BNrBR UPON LAND. nm COMMISSION, AND ANY OF ITS MEMBERS, OPPlCBRS AND BMPLOYBS, IN nlBPBRPORMANCE OP1HEJR PL...... ......"'. MAY ENrnR UPON ANY LAND AND MAKB EXAMINATIONS AND SURVEYS AND PLAaI AND MAINTAIN nIB NBCBSSARY MONUMENTS AND MARKERS 11IERBON. REQUIRED INSPECITONS FOUNDATION INSPECITON: To be made after excavations for footings are complete and any required reinforcing steel is in place, UNDERGROUND PIPING INSPECITON: To be made after all underground piping has been installed, prior to any backfill, CONCRETE SLAB OR UNDER-FLOOR INSPECITON: To be made after all in,slab or under-floor building service equipmen~ condui~ piping accessories and other ancillary equipment items are in place but before any concrete is placed or floor sheathing installed, including the subfloor. ROUGH MECHANICAL INSPECITON: To be made after all ducting and gas piping has been installed and prior to being covered, ROUGH PLUMBING INSPECITON: To be made after all plumbing rough-in is in place, prior to being covered, FRAMING INSPECITON: To be made after the all framing, flre blocking, bracing and roof are in place and all pipes, chimneys and vents are complete and the rough electrical, plumbing, and mechanical inspections have been made and approved, INSULATION INSPECITON: To be made after all insulation and vapor barriers are in place, prior to covering, LATH AND/OR GYPSUM BOARD INSPECITON: 'To be made after all lathing and gypsum board, interior and exterior, is in place but before any plastering is applied or before gypsum board joints and fasteners are taped and fmished, ADDITIONAL INSPECfIONS MAY BE REQUIRED, such as but not limited to; BLOCK WALL: To be made after reinforcing is in place, but before any grout is poUred. The insp;,.tion is required for each bond beam pour, There will be no approval until the plumbing and electrical inspections have ~ mad~ and approved. FINAL MECHANICAL INSPECITON: To be made just prior to the strUcture'orremodeled area being occupied and prior to operating any equipment FINAL PLUMBING INSPECITON: To'be made just prior to the building, slIUcture or remodeled area being occupied. FINAL BUILDING INSPECITON: To be made after finish grading and the building, slIUcture or remodeled area is completed and ready for occupancy, MOBILE/MANUFACfURED HOMES: An inspection is required after the mobile home is connected to an approved sewer or septic system, prior to covering sewer or water lines. for setback requirements, blocking, tiedowns and plumbing connections. Footings and piers to comply with State foundation requirements for mobile homes or as recommended by the manufacturer, Minimum fmished floor elevation shall be certified when required by Floodplain Management Tiedowns, if required, shall be installed and ready for inspection within 30 days after occupancy, Tiedowns shall be installed per enclosure, APPROVAL REQUIRED No work shall be done on any part of the building or structure beyond the point indicated in each successive inspection without fIrst obtaining the approval of the building official. Such approval shall be given only after an inspection shall have been made of each successive step in the construction f!S indicated by each of the inspections required. APPROVED PLANS MUST BE ON TIlE JOB SITE AT ALL TIMES DURING WORKING HOURS, TIllS PERMIT WILL EXPIRE IF WORK DOES NOT BEGIN WTIlIIN 180 DAYS, OR IF WORK IS STOPPED OR ABANDONED FOR MORE TIlAN 180 DAYS, SUSPENSION OR REVOCATION MAY OCCUR IF TIllS PERMIT WAS ISSUED ON TIlE BASIS OFINCOMPLETE OR ERRONEOUS INFORMATION, ANYONE PROCEEDING PAST THE POINT OF REQUIRED INSPECTIONS WILL DO so AT THEIR OWN RISK. Your signature on the front of this formverifles the following: I HA VE CAREFULLY EXAMINED THIS COMPLETED APPLICATION, and do hereby certify that all information hereon is true and correct. and that I have a legal interest in the y....t.........). as owner of record or authorized agent. I further certify that any and all work performed shall be done in accordance with the Ordinances of Lane County and the laws of the State of Oregon per- taining to the work described herein. I further certify that if I am not the owner of the property. my registration with the Builders Board is in full force and effect as required by ORS 701,055, and that if exempt the basis for the exemption is noted hereon, and that only subcontractors and employees who are in compliance with ORS 701.005 will be used on the job, SUBSURFACE & ALTERNATIVE SEW AGE DISPOSAL SYSTEMS: When subsurface construction is complete. the pennit holder shall notify the County Land Management Division by submitting the installation record form. An iru>pcction will be made by a qualified sanitarian. If construction complies with all rules a certificate of completion will be issued to the permit holder. If construction does not comply with rules, the pennit holder will be notified, and all corrections shall be made before a certificate of completion will be issued~ Failure to meet satisfactmr completion within the allotted time constitutes a violation of ORS 454.605 to 454.745 and this rule. SUBSURFACE SEW AGE DISPOSAL SETBACKS SEPTIC TANK From: Interior Y'-Y-'J lines 10' Edge of road right-of-way 10' Building foundation 5' Wells or other water sources 50' DRAINFIELD 10' 10' 10' 100' --- ..,-_.. ,"._nn__ --' en -. :, "<'"i y ,.'. M'N. OHAJtV YIELD AS R1!Q ~.I!.D -". .\. ::~~' ... t:lYL.ANJtGOr..'N"7''I.''i!^!.~'''i_....,.::~.:..:. ~'};:~~,:f~ . . " '~\:"~~'''1 '. , #,'.,' '." "":" ~:j'.:. ... _.'__... _~~:;l..r,_", :' .. :. ~-:-~'-~.~.}~~ --' , I I l- I . ! 4J '" .( ill '" ... ptl.:: -l ~. . j:. "- ~ , u ~.: '- ..J " CD ~ " , ") - .. l? j , , ..I~ " . ~6 .. ---- -- -- \. ..-:;t"-- " ; i 1/ " MU.'~ E.A.R. J .~... "._" .~~".,. _~.., ..... h .# <;r,~,;.~,'j,:,: ';i~_'.. ._:; , .:.~~'~""~: ~; . '.' ," '~}\,i,".j{r K_'r " ~. '/ I ':>.. (,', " ", ) n ") ~ ....~- --- .-..- .--.- .-.-..- "-'''". . ... .::;~:.~, ..;.~...: ~ ,.'. :i:.",' .,.- .-;.. ~'~.. yr() L ) N .1:. '}/ 'F' E r )..1;>' ~ ..... . Please complete all lines inside white boxes, if possible. "HONl:. Existing Buildings or Improvements on Property c::J House c::J Barn c::J Garage c::J Mobile, Home c::J Shed' SEPTIC INSTAllED c::J Yes c::J No Water District ~r},'r, 'IJ::lS.PPLhor, L-i')A M rh't'\eS \'UU" "AMt; 10'/..1 Dix.le.. Dr. YUUH "UUHt;~::i 10-(0-1:6'1 UAllo rL11' 9.0"2 -I So(rcl Clni .. '?CL.+vLUO-..- Gvreeh OWNER OF PROPERTY (ft nol __ _ abo") lj 10 15 Sc..otl'i. deJe.. C11'flQ ZIP 1cq~,~11.5 "HUNt: OWNERS ADORESS (If not ..me .. .bow) ~lA.~ ' 0re <il'-lo~ '17-folf ZIP ~ t;UH I "A\,; I UK ~>t Directions to site from Courthouse ><' (~+ 0>' h-lU~t:.;;'1 ~ ~ Uce".. . ......Cl.J,..V\ 0", Tax Lot 1C>1.1 'DiA,e.:\lr Towne.hlp Ra;;OI Section lown.llp ~ lHCliOn "" MCuon luLoI tkAse . ~~,." . SITE ADDBESS 102..1 UiX'lt" 1)..... . S'P~ Iel: ne. , . . >>.'~', ",=".,"'"'..,.0 ~w...,. ....,., '->.." >.."... N' C{?Wl'i ~ ~)Oo""" . , ZIP . ~ .,... , . ZIP t:f;'" For Mobile Home Placement Only Brand Year Size No, of lip.outs No, of Bedrm- Uconse # " 1111 ""'-'. MAIL PERMIT TO: ~. k.iLK. .,y LIse.. lO?1 1l t' k' l-e AUUHS.,')V llr~ ""!i e ( c( ......t J J-\.,ne" D\r, ()re 91'-h, <i land Management Dlv. staff can not be held responsible for evaluations or rocommendations based on falso, Inaccurato or Incompleto Information ", . ~.,\' " ", ...," :-.., .' r n . . ." . .... I' , . . . " : i"j " , . " .',Z . ; " i . . r" , . .' . . . 1-. .1 - ' \ :;,i. .- W: 5 ' LANt COUNTY DEPT ENV MGT, RECEIPT 1285089 DATE 100689 . APPLICANT HINES; LISA r~DDI~ 1021 DIXIE DR., SPF([NGFIEL.D . TU' Hl02052407900 SUBDI V LOT BLI<".. NEW BLDG TYPE I USE R BDRMS 0 UNIT~ 001 STORIES OBL.DGS 001 PHONE 747 8024 . OWNEF~ NME GREEN, PATFnCIA, ADDH 461 ~> SCOTTSDALE, EUGENE . CODE APPL NO ACTION'DESCHIPTION SQ 1"1 UNIT COST VAL.UATION ' FEE DA"S BP .- eBp .. r' BF' , :' '})p .BF',. . ~ . F:'L. ~+IX/BATH: . MECH SUF:: PC\( . U~ LC ~lEl~>0B9 SDSV SWR: ,FT. WTR: , MECHANIC,~L FEE STATE' SLJI:~CH(4F~GE Pt.,AN CHECI< FEE FT. RAIN: . FT ~)% 2~5% . I" 60 :00 . , . . CATG: API" .SEQU: 1 TAKEN BY BB F~A FP SDS , S1 PCI( OTH ISS 3 DEPOSIT *If l' . . 60.00 CI( :2 EST. COMPLETION DATE . . ~{ . . . 00 i, . t .. ~.~ ' . . . '. fie I . . . . u . . . 'z" , , ., I t. ,. I " " -:-,-~--\-.'-:-"-;-:--~:-'-'~ -~- 1-#.-> . e /' . " . .~ ,'. . DUO . <. " \ \ . . . ~fiU . . . . -1- +--< . "- W: 5 ~ANE COUNTY DEPT ENV MGT RECEIPT . 285089' DATE 100689 . APPLICANT HINES, LISA ADDR 1021 DIXIE DR., SPRINGFIELD ' .. TLI 1802052407900 SUBDIVLOT BLK ,~~R ., 'NEW BLDG TYPE, USE R BDRMS 0 UNITS 001 srOklES' OBLDGS 001 PHONE 747 802.uU . OWNER NME GRi;:EN, PATRICIA AD DR 4615 SCOTTSDALE, EUGENE '. CODE APPL NO ACTION DESCRIPTION SQ FT UNIT COST VALUATION FEE DAY~ lip .BP '" ~P 0\ 'Lw ~.BP PL IFIX/BATH: .MECH I SUf< peK .LR, ,jlC 285089 SDSV .. " H ~ATG: .WQU: /r~N , . AF'P 1 BY -BB . . ~ "" FP SWR: FT. WTR: ME(:HANICAL FEE STATE SURCHARGE PLAN CHECI< FEE SDS pel< SI 2 EST. COMPLETION DATE ,FT. RAIN: 51. 25% OTH ISS 3 DEPOSIT IH