HomeMy WebLinkAboutPermit Septic Tank 1988-2-1
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Lane County Authorization
SEPTIC INSPECTION FOR LOAN REVIEW
.:
for:
6'G-
-1-:J-'1-r.
FOR OFFICE USE ONLY
Application/ ~~~ ~~
Perm~t i ~ V-# ,.
roW:;SHIP
RArlGE
SECTION
06.1.3 j TA.~5~~
I [.aT/PAi{Cr::. I
OOUT OF
rROpOSED USE OF PROPERTY
~ Residential 0 Industrial
o CCtl1unercial 0 Public.
lR 02
S~BDIVISIONipARTITION (if applicable)
BLOCK
LOCATlml ADDRESS
STREET
IT:'Y
ZIP
1074 Dondea
Springfield 97477
57RUCTURES CURRENTLY ON PROPERTY
SFD
UI~CTIONS TO SITe
42nd to Jasper Rd. - R - then L on Dondea across from Elementary School (in cul de sac)
~ESCRIPTION OF PROPOSED WORK - BL SPECIFIC
SEPTIC INSPECTION FOR LOAN REVIEW
= OF BEDROOMS I " OF STORI~S I #I 01-' I::I-IPLOYCCS
m;NER I 5 NAME AND ADDRESS
NOFFKE. Marion 41653 Madrone
DECLARED $ VALUE
r WATER SUPPLY
,
o proposed
rKl Existing
TELEPHONE NUMBER
896 1I8U<<3834
Springfield 97478
CONTRACTOR'S NAME AND OSR #I
TELEPHONE NUMBER
P:::;Rl>llT TO BE MAILED TO (NAME AND ADDRESS}
T~LEPHONE NUMBER
KINLEY. Cheryl
200 E. 11th. Euqene 97401
345 6789
I HAVE: CAREFULLY EXAMINED THE COMPLETED A.PPLICATlotl }-'OR PERMIT, dltd .]0 hcra:..y cettifY~_h t <111 infol"lllat.iOIl hereon is true and corrcct, and that I
have the following legal interest ill the property:Oo....ncr of rucoJ:d; Ocr-'IlO;L.dt.~, p'lIchasuc; ..tut.horized agent,
I f'.:rther certify tha.t any and all work pl!rformed shall be donI! in <iCl..:UU1,,:ll;., Idtli tl:l;) Or llanC~!) of Lan~ County and the Laws of the State of Oregon
pertaining to the work described hercin, and that NO OCCUPANCY ....tll be :nadc of ilf.; 51.ructlIL.C without t.he permission of the Building Division. I fur-
ther certify that. registration with the Builder's Board is in full focce and effect. <lS required by ORS 701.055, that if.exempt the basis for exclIIption
is noted hereon, and that only subcontractors and employees who are in compliance wit~: ORS 701.055 will bo used on this project. I HAVE READ AND
CHECKED THIS APPLICATION THOROUGHLY.
Cheryl Kinley
NAME (please printl
)( ~!~ !t~~;/!;ft
1-29-88
DATE
READ THIS SECTION CAREFULLY. YOUR AUTHORIZATION 'lAS BEEN BASED ON THE FOLLOWING CONDITIONS:
[] PLANNING/ZONING:
Zone
Parti tion #
Parcel It
Parcel Size
Minimum Setbacks:
C
L, front
CL, side
interior
rear
cO!>mENTS:
SEPTIC INSPECTION FOR LOAN REVIEW--NO SPECIAL PLANNING ACTION REQUIRED
l-?q-RR
.Date:
~
a..uJ.O~""<1
//
~~/..
U
Date:
Installation Record Issued? Dyes 0 No
Maximum Depth
~f Tren~hes ~'
... .I::J:: _ .. , _
..2 - / -{IIf/ ~ .
[] SANITATION:
S. 1. It
B, P. It
Installation Gallon
Specifications: Tank
COMHENTS,_ L.1L lL- . ~f-,d~1- .JDS_
", I- .:8f4 ?~,:"..'I -' (/
Lineal reel
of Ilt.ilir:fjeld
[] ~ EXAMINATION: Type
Group
USe!
COMNENTS:
Dale:
n
[
,~~/f) ~- 2-/-ff
~ROVED BY BUICDtNG/OFF~C VDESIGNEE leer ORS 456.805(1)) DATE
LANE COUNTY DEPARTM OF PUBLIC WORKS LAND MANAGEMENT DIVISION, 687-4061,
125 E T 8TH AVENUE, EUGENE, OREGON 97401
SEE REVERSE FOR INSPECTION INFORMATION
C 14-25 R84-
.
.
SETB,\CKS A:m Q7!!::R CC::OITIO::S OF' ;"PPRQ'J,\L ~:\jST BE SiRIe,:,:.,' OE5!:R'.'ED. VIOL.;TIO:: CA:, RESULT IN RE\"O-
C;,:'10:: Of crus 1',:R:HT. CIT;,TIO:: U::D:;R PROVI5ro::s Or LA~E;:ai.:::TY';; INFR"CTIQ;.J OIlDI::,;:;CI::, ;,,,ajOR OTHER
RC:.1EDIES ALLOWED BY LAW,
\o'HE:l RE,\DY FOR r::SPE.':7rO;J, CAL:" &f17-';065. ,., ~1I;:J:.:L':.: or AT L::;,ST 2'; llOt;RS ;\OV,\:;CE ::O':'IC!': FOR IllSPEC-
TIV:: 1{t;r~\L":::;7:i :.;:.;::>'1' ITS GIVE::. Ha'.'c tne ,allowing in::o~::Ia~::on :-cacy: ,ormit number, Job address, type
of inspect.~on. when it wi.ll be ready, your name and pr.Of.C :lU::lbcr, and any s;Jccial directions to site.
BUILDI~G D!VISIO~:
REQUIRE:> l::SPCCTlONS;
1. FOl.:nd<ltion InSPCCt.lon: To be mild€! .lfter trenches are excavated and forms erected and' when all
C'.aterlaJ.S :;or Ene toundation are delivered on the.job. I.o'here concrete fro::! a central mixing
plant (commonly termed "transit mixed") is t.o be used, r.'Iaterials need not be on the job.
2. Concrete Slab or Under-;:.loor Inspection: To be mace after all in-slab or under-floor building
serVl~e equrpment, conOUlt., plplny accessories, and other ancillary equipment items are in
place but before any concrete is poured or floor sheathing installed, including the subfloor.
3. Framing ~ Insulation Inspections: To be made after the roof, all framing, fire blocking, and
braclng arc tn ?J.acc ~ aJ.J. plpes, fireplaces, chi~neys, and vents are complete and all rough
elect.rical and plumbing are approved. All wall insulation and vapor barrier are in place.
4. Lath and/or Gvosum Board Inspection: To be made after all lathing and 9ypsum board, interior
and eXICrTOr;-rs-rn-prace ou~ oeLore any plastering is applied and beiore gypsum board joints
and fasteners are taped and finished.
5. ~ Insoection: To be made after the building is complete and before occupancy.
APPROVAL REQUIRED. ~o work shall be done on any part of the building or structure beyond the point
indicated in each successive inspection without first obt3ining the approval of the building off:cial.
Such approval shall be given only after an inspection shall have been made of each successive step
in the construction as indicated by each of the inspections required.
All building permits require inspections for the work authorized, such as but not limited to:
Block wall: TO be made a!ter reinforcing is in place, but befo~e any grout is poured. This
rnspection is required for each bOnd beam pour, There will be no approval until the plumbing
and electrical inspections have been made and approved,
Wood~; To be made after completion of masonry (if applicable) and when installation is
co~plete. Installation shall be in accordance with an approved, nationally recognized testing
agency and the manufacturer's installation instructions.
Mobile Home: An inspection is required after the mobile home is connected to an approved
scwer-or septic system for setback requirements, blocking, footing connect.ion, 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. ~obile home minimum finish floor elevation shall be certified when required by a flood-
plain management letter.
3. ~lobile home tiodowns, when required, .1nd skirting shall be installed and ready for inspec-
tion within at least 30 days after occupancy. Tiedowns and skirting shall be installed
per enclosure.
O. Swtmmln9 Pool Below grade when steel is in place and before concrete is poured. Above grade
~nen pool-rs-installed.
~OTE:
A.
B.
c,
,WPROVED PLA:lS :.IUST BE 0:; THE JOB SITE AT ALL TI:-JES OURI"G WORKING HOURS. ':ollIS PERJolI1' WILL EXPIRE
IF WORK DOES NOT BEGIN WITHIN 180 DAYS, OR IF WORK IS Sl1SPE::DEO OR ABA~DONED FOR :.lORE THAN 180 DAYS.
SUSPENSION OR REVOCATION ;.lAY OCCUR IF THIS PERl.IIT I~AS ISSUED ON TilE Bj\SIS OF INcmlPLETE OR ERRONEOUS
INFORHATION.
^NYO~E PROCEEDING Pi\ST TilE POIl1T or REQUIRED INSPECTIO:1S WILL DO SO AT TIlEIR OWN RISK.
:i
SUBSURFACE ,\ND "LTER~ATTVE SEHAGE DISPOSAL SYSTE}IS:
1. Permits shall be ~ffective 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 Department of Planning and Co~munity 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.con~t;uction does comply with.such
'to rules, .the Oep,Jrtment. s!1all issue: a I.!cttificate of. ,satisfacto.r.Y.,s:oDlpletion to. the perlllit; holder.
If the construction clo~s not comply wittT such ~ules;, the De-partmefit shall nonly' the"p~I'\ntt'
..holder and shall require satisfactory completion before issuinq the certifiC;;J.tc. F.:\ilurc. tQ_
meet the .requirement.s for sati5f.1ctory completion ""ithin a reason<Jble time constitute;; _a \7io-
'1.rtion of ORS -15-1.605 to -154.745 and this rule. . - -
Setbac~s - Subsurface S~wdqe Dis~osa~
From: Interior propert, lines
Ed,;c 0:- road n:;i1t:-o!-way
BIll10lnq toun(!ation
~ells. other ~;;J.tcr sources
ScPtic~
lO'
10'
5'
50'
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100'
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W: 5 LANE COUNTY DEPT ENV MGT RECEIPT ~ 26688
APPLICANT KINLEY, CHERYL ADDR 200 E. 11TH ST.. EUGENE
TL~ 1802061j08500 SUBDIV LOT
NEW BLDG TYPE USE R BDRMS 0 UNiTS 00~ STORIES ~BLDGS 001' PHONE 345
OWNER NME NOFFKE, MARION ADDR 41653 MADRONE ST.; SPRINGFIELD
CODE APPL NO ACTION DESCRIPTION SQ FT UNIT COST VALUATION FEE
Bf
BP
BP
BP
BP
.
DATE 01298E
BL~
67A9
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~FIX/BATH:
SWR: FT. WTR:'
MECHANICAL FEE
STATE SURCHARGE
PLAN CHECK FEE
FT'.
RAIN:
FT
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PL
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SUR
PCK
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5X
257.
LC 26588 SDSV
60.00
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DEPOSIT **
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EST. COMPLETION DATE
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ACTIVITY INFORMATION SHEET
ENID"
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,I_ounty
-
Please complete all Items above dolled line
FILLING OUT * LINES WILL GET YOU INFORMATION ONLY
;k(1~ tudJl~.A:V;- wk ~
*DATE / 1 ;'/11 ~~ ?!.aee~", /_. - -
17 ACTUAL /1 J
t;?uruL /~ it1 /-tu ~~O:E~TY f'1MIdtA. Ah f'{ke
AODRESS ,M(J k. II~ I AODRESS 4/Vf{3 /JI/ adY~Ilt?-
CITY J:1"'1L1.AA-! STATE lJl zlPdf7'11i CITY ~ STATE ()12 ZIP<17tf7J!
TELEPHONE (Bu0J/5-~7gj)(HOMEI ' . TELEPHONE (BUS) tHO ME) 896' 3~3t/
/()'/II /)DII~/.l.- - StJM c?7fL77
* PERSON
MAKING
REOUEST
* PROPERTY ADDRESS
OR
MAP & PARCEL NUMBER (Found on tax maps in the Assessment & Taxation DepL)
STAFF WILL DETERMINE_
!{ 1d3'- :::IrA
Zoned Flood Plain'
IE .,; ~). - or, - /.5
g5~O
Township
Range
Section
Tax Lot
Township
Range
Seclion
Tax Lot
Zoned
Flood Plain
Township
Range
Section
Tax 'Lot
Zoned
Flood Plain
TOTAL CONTIGUOUS PROPERTY IN SAME OWNERSHIP:
ACRES
*REQUEST(descrlbe whal you wanl to do)
-~t:?+/(J. i7'1.~"ec-It'/)AJ
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..&;;;. /u /'u!<V' :
Directions Ao site
, frt.<,..J.j lJl4" I/i
>r/'tJ. M I '--
tk!.~~- wi
-f1.IJ1!Jc_J;;7....~J#I2f
....................5taff Use On~....................
comments:.~~~
'land Management Division, Public Works Department 125 E. 8th Ave., Eugene, OR 97401 phone 687-4061