HomeMy WebLinkAboutPermit Septic Tank 1989-3-27
..
:Sf~
for:
"tr i3~'
Lane County Authorization
Seotie Jenai r Pfo!rmi t
. 'roW4\SHIP
RANGE
SECTION
j TAX LOT oOUT OF
44 124
I LOT/PARCEL I BLOCK
CITY ZIP
17
03
23
S~8DIVISION, rht'.~u........~ (if applicable)
LOCATION ADDRESS
STREET
2580 D.unas fri ve
STRUCTURES CURRENTLY ON PROPERTY
Sorine:fie1d. 0 F. 97477-1553
If% !JJ
FOR OFFICE USE ONLY
Applica tion/ '7/17- 0. q
Perm~t # /u If /
PROPOSED USE OF PROPERTY
[] Residential 0 Industrial
o Commercial 0 Public.
1:FD
~CTIONS TO SITE
rril:'ll"'~' 11"'1 t..o....lW7'lnw m to H:1yrlpn Rl";n~ 1Oa(l." ~""+;nn h::::.t~n ~Th !:mn lQ+h crl-"l"OO+COO
1)1111 left on DImas in front nLEa<i" Rl"'Iell.t~"M7 Sr>hnn)
v~SCRIPTION OF PROPOSED WORK - BE SPECIFIC
Jenair &>pt:ir ,'1V(ltRn
. OF BEDROOMS J i OF STORIES
O;~"NER' 5 NAME AND ADDRESS
IIf OF EMPLOYEES
WA.TER SUPPLY
Larrv Kine:
CONTRACTOR'S NAME AND OSR ~
(Rit" "nnr)
P:';RNIT TO BE MAILED TO (NAME AND ADDRESS)
Larrv Kine:
(site addr)
DECLARED ~ VALUE
o Proposed
n Existing
TELEPHONE NUMBER
747-6828
TELEPHONE NUMBER
TELEPHONE NUMBER
I HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION ~'OR PERMIT, and ,]0 hereby certify t.hat all information hereon is true and correct, and that I
havo tho following logal into rest in the property, KJowner of record; 0 CQlltrdt;t- pun:haser; Oauthorized agent.
I f:.:.rther certify that any and all work performed shall be done in aecor-dancE: with the Ordinances of Lane County and the Laws of the State of Oregon
pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without the permission of the Building Division. I fur-
ther cc.rtify that registration with the Builder's Board is in full force and effect as required by ORS 701.055, that if 'exempt the basis for exemption
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
CKECKED THIS APPLICATION THOROUGHLY.
Larry King
NAME (please print)
..,(. /Yl /7_
-,
p
. ~ r::7/1r<---I
....... . Si:GNAT~~
V
i<.~
A
,3 - .:21 -II '1
~
DATE
, I
o PLANNING/ZONING: Zone
Parti tion #
Parcel #
READ THIS SECTION CAREFULLY. YOUR AUTHORIZATION ~AS BEEN BASED ON THE FOLLOWING CONDITIONS!
Parcel Size
Minimum Setbacks: eL, front
eL, sidE.>
interior
COMHENTS:
No snecj.al nl~nninrr ::l(,>T.inn n::>nl1in::on
rear
Date:
?-~/-P-9 ~
Installation Record Issued? 0 Yes 0 No
1. I I Jt Maximum Depth
. /~ :,).~Tre~:~. Z-6lJ'
k~~/Dat~' - ;P7-?-Fl _~
o SANITATION: S. 1. # B. P. #
Installation ~ Gallon
:::::::j,::M7;-:@' Tan~~ A>4
~ ...;,;, 41J l;::r~
o ~ EXAMINATION: Type Group
Use
CQMHENTS:
Date'
n
~~/;d. ~-_ --- .. \7~27f')
.... PE~PRQVED BY ~~~IAL/DESIGNEE (oer ORS 456.805 (1)) . DATE .
LANE COUNTY DEPART NT OF PUBLIC WORKS LAND MANAGEMENT DIVISION, 687-4061,
12 EAST 8TH AVENUE, EUGENE, OREGON 97401
SEE REVERSE FOR INSPECTION INFORMATION
C 14-25 RR4.
l . ~
\-,'
"\:
,
.\
.
.
SETB,\CKS A~m OTHER CO::OITIO:1S OF APPRO'IAL ~lUST BE STRICTLY OBSERVED. VIOLATION CA~ RESULT IN REVO-
C;'7IO:~ Of 'nIIS rER~lIT, CITATI0:: U::D~R PROVISI0:-JS Of LA:':E COL'::T\",5 l:-JfRACTIO:-J ORDI::;"NCE, AND/OR OTHER
REMEDIES ALLOWED BY LAW.
WllEN READY fOR H:SPCCTION, CALL 687-a65. A mNHIU:.l Of AT LEAST 24 HOURS ADVAt:CE NOTICE fOR INSPEC-
TIOCl Kt:Ql.ESTS :.lUST BE GIVE:l. Have tne tollowing information ready: permit number, job address, type
of inspection, when it w1ll be ready, your name and phone n~~ber, and any special directions to site,
BUILDING DIVISION:
REQUIRED I::SPECTIO:JS:
1. Foundation Inspect10n: To be made after trenches are excavated and forms erected and when all
materlals for the toundation are delivered on the Job. Where concrete from a central mixing
plant (commonly termed -transit mixed6) is to be used, materials need not be on the job.
2. Concrete Slab or Under-Floor Inspection: TO be made after nIl in-slab or under-floor building
service equipment, conauit, p1p1ng accessories, and other ancillary equipment items are in
place but beiore any concrete is poured or floor sheathing installed, including the subfloor.
3. Framln9 & Insulation Inspectlons: To be made after the roof, all framing, fire blocking, and
nraclng are 1n pldce ana all p1pes, fireplaces, chimneys, and vents are complete and all rough
electrical and plumbing are approved. All wall insulation and vapor barrier are in place,
<I. Lath and/or Gypsum Board Inspection: To be made after all lathing and gypsum board, ;.nterior
diiCleittCrIOr, LS 1n place but betore any plastering is applied and before gypsum board joints
and fastenern are taped and finished.
5. Final Inspection: 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 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 as indicated by each of the inspections required.
NOTE: All building permits require inspections for the work authorized, such as but not limited to:
A. Block Wall: To be mace after reinforcing is in place, but before any grout is poured. This
lnspe~t1on is required for each bond beam pour. There will be no approval until the plumbing
and electrical inspections have been made and approved.
B. Wood Stove: To be made after completion of masonry (if applicable) and when installation is
co;pl~ Installation shall be in accordance with an approved, nationally recognized testing
agency and the manufacturer's installation 1nstructions.
C. Mobile HO~e: ~n inspection is required after the mobile home is connected to an approved
~or-septic system for setback requirements, blocking, footing connection, tiedowns,
skirting, and pl~bing 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.
3. ~Iobile home tiedowns, when required, and skirting shall be installed and ready for inspec-
tion within at least 30 days after occupancy. Tiedowns and skirting shall be installed
per onclosuro.
0, swimmin9 Pool: Below grade when st~el is in place and before concrete is poured. Above grade
when pool-rs-installed.
APPROVED PLANS MUST BE ON THE JOB SITE AT ALL TIMES DURING WORKING HOURS. THIS PERMIT WILL EXPIRE
IF WOR~ DOES NOT BEGIN WITHIN 180 DAYS, OR IF WORK IS SUSPENDED OR ABANDONED FOR MORE THAN 180 DAYS.
SUSPENSION OR REVOCATION HAY OCCUR IF THIS PERMIT WAS ISSUED ON THE BASIS OF INCOMPLETE OR ERRONEOUS
INFORMATION.
ANYONE PROCEEDING PAST THE POINT or REQUIRED INSPECTIONS WILL DO SO AT THEIR OWN RISK.
~UBSURrACE AND ALTERNATIVE ~ DISPOSAL SYSTEMS:
1. Permits shall bo effective for one year from the cate of issuance.
2. Upon completing the construction for which a permit has been issued, the permit holder shall
notify the ~ne County Department 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 n 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 ~hall 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 anu this rule.
Setbacks - Subsurface
From:
Interlor property lines
Edge of road rlqht-of-way
BU11d1nq fo~ndation
Wells. other water sources
Sewage Disposal
Scptic ~
10'
10'
5'
SO'
Drninficld
10'
10'
10'
100'
.
/..VOr' l<iY-!'~~lsepT1<.j
. .~V:~.:~'~ -ro.nJ<1
-q \ \\\
FY"OhT 0 f-
CCLlA.J de Sct.c:...-
.
Bt 707-tl
, ,
--
.,) J i :
. I ,
~ - ,- t'"' --:---(i
~ ~ I
("~ \ PI
':.J "'Gb..
~ \- : VI i
II &?! \:i '
'1 -, ~ ~ !
jJ tF~. ~ !
-lU ,~ ; P i
.) J i i
\ ~
H~S~fr
I \)0) j
.
r
...... . ..... ....
........ .... ..... ...
.................:.:.:........:.:,.,: ....
............ ........
.
Please complete all lines inside white boxes, if possible.
v:!:AfirrZn~~1 72v-.
'Uu~ "fl;P
Suri~-f/ e./ ..I
CITY I
Sq... <;'.
OWNER OFMERTY (il nol ..m. .. above)
"wYr!(J/
OWNERS A RESS (it not um. a. above)
.J -02/-%"
LlAI~
?'it;:'- ("" ..9 ,z~
H N
r,/r 7 ?
"HONE
ZIP
(.;U~IHAl,;IU"
Lu:en.. .
.
MAP, PARCEL NUMBER
(Found on tall map. In the A.....m.nt . T.ntlon Dept.)
.tnZ Q- ~ 11~~t ~::f
Township ~ Beetlon 1/4 &.c:lion Tn Lot
lown.nlp -n;ng;- ~'CI";Jn 1/4 :section
laJI 1.01
.,.:: '.'.,".
SITE ADDRESS c9~l50 .DLt.ItI~ 7J,e', SPRL/
,
.
MAIL PERMIT TO:
Lt? r ry K"n9
"~S~ rDtA. nP:;.... .--01'.
AULlHt'.b~
&Dr i YL,-f:ie./J
CITY, Q
,/7<-/77
'ZIP'
. ....:;.:... ::"'''.
... .:.. ..:..,.:............
..jFiSVerJfled .
Ailowed Use
.
,
Land Management Dlv. staff can
not ba held responsible for
evaluations or recommendations
based on false, Inaccurate or
Incomplete Information
.,
:.
Existing Buildings or
Improvements on
Property
t:l3::(House
c::J Barn .-
c::J Garaga
c::J Mobile. Homa
c::J Shed
. ~PTIC INSTALLED
~es
c::J No
ypjar ~istricJ
1J;a.1 r7 b f) UJ
~
.
,
.
q 7'7 7?
, ZIIi'
#.
.
\,":..
For Mobile Home
Placement Only
Brand
Year
Size
No. of Tip-outs
No. of Bedrmo
Ucense #
. .
. .
.
. .
".,.
'-
. .
"
. .
II ,
~
. .
. .
"."1
. .
. .
. - .
. .
"'''r
. .
. .
'[ '. LANE COUNTY DEPT ENV MGT RECEIPT 0 70789 DATE 032189
. . APF'U CANT KING, LARRY ADDR 2580 DUMAS DR., SPf(( NGF I ELD .
TLO 1703234400124 SUBDIV LOT BLK
NEW BLDG TYPE USE. R BDRMS 0 UNITS 001 STOR):ES *BLDGS 001 P~~ONE 747 6828
. OWNEI:~ NME I<lNe;, LARF(y ADDR 2580 DUi'1!\S DR., SPRINGFIELD ..
CODE APPL NO ACTION DESCRIPTION SQ FT UNIT COST VAL.IJATION FEE DAYS
BP
.IF'
HI"
HI"
.'1"
., -
, .
'.
.~
.,., .
Pi...
.IECH
SUf~
PCK
.".D'"
, ,;1-
SDEQ
~'FIX/HATH :
SWf~ : FT. IAIH, :
MECHf'.tHC(~L FEE
STATE SUf~CHAF,GE
PI.J,N CHECI( FlOE:.
FT.
f~AIN :
FT
.
5/,;
2~:)%
LC 70789 SDSR
FE:E:
7,'). 00
~5. 00
.
';"11
'.
.
ClHe;:
.;E(~U:
"TflKEN
API"
f~A
FP
SDS
SI
PCI(
OTH
ISS
2
BY BE<
EST. COMPLE:TION DATE
DEPOS I T .~.,~
B0 . 00 CI(
;.
3
.
.
.
.
r \
. ''"'. ..
'~.......... '/-'" . .
'. I
. .
.. --
, W
./
. .
. .
uu ~
. .
. .
;~iiO,
. .
. .
~ ~ .~
. ; .
. .
m
. .
---------.-.---.------------.-----.-.---.----'-.--.----,-------
.
Uo 0
LANE COUNTY DEF'T ENV MGT HECElF'T ~ 70789 DATE 032189.
.APPLICANT l<lNG, LARRY ADDR 2580 DUMAS DR., SPRINGFIELD .
TL~ 1703234400124 SLJF.lDIV LOT/ BLK
NEW BLDG TYPE USE R BDRMS 0 UNITS 001 STORIES OBLDGS 001 F'HO~E 747 6828
. OWNER NME KING, UlRf<Y ADDR 2580 DUMAS DR., SPR I NGF I EL.D .
CODE APPL. NO ACTION DESCHIPTION SQ'FT UNIT COST VALUATION FEE DAYS
BP 000
.1" .
BP .
BF'
.:P
O!pD.
.iECH
SLm
PCK
.:DS LC 70789 SDSR
SDEQ FEE
'.
.
75.M
5.'00
.
j
.
.
OO~
.
~'FIX/BATH :
SWR:
FT. WH<:
MECHANICAL FEE
STATE SURCHARGE
PLAN CHECK FEE
FT....RAIN:
FT
.'-
51.
257.
.
CATG:
.'EQU:
_T~1<EN
81 I'
.
API"
1
BY BB
f<A
FP
SDS
SI
PCK
OTH
ISS
3
DEPOSIT **
80.00 CI<
'.
2
EST. COMPLETION DATE
,.
.
."
.
~
!.