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HomeMy WebLinkAboutPermit Septic Tank 1986-10-14 ~ HUHAL ADDRESSJI\IG . ~'r'",'. . "lr',. ... \J~ ~.' .,~-'^ .t. \-.;J Lane County Authorization. .for:_ SEPTIC DISPOSAL SYSTEM INSPECTION FOR LOAN REVIEW P~1>-1 FOR OFFICE USE ONLY Application/ ~ ')"-/_ P' / Permi t i :/ o(..;} .i 0 V7 roWi,SHIP I TAX LOT 2703 UOT9RCEC I OOUT OF PROpOSED USE Or PROPERTY [!} Residential 0 Industrial o Commercial D Public. I RANGE I SECTION 17 03 24.4.2 S~TBDI~N/FX~i~CouLun jJ. I LOCATION ADDR&S6 WFET l 2240 1 Bonita rt.-" springfield 97477 STRUCTU . CURRENTLY ON PRQpERTY BLOCK CITY ZIP U' Havden Bridoe to El Bonita vESCRIPTION OF PROPOSED WORK - BE SPECIFIC Septic inspection for loan '" OF BEDR~ I tf OF ST07ES O~NER'S NAME AND ADDRESS CRONE, Leslie same CONTRACTOR'S NAME AND OSR # ZIMMERMAN, Wayne DECLARED S VALUE I II OF EHPLOYECS I )M)TER SUPPLY nlbLLrJ o g.z'oposed !:rExisting TELEPHONE NUMBER 643 Main St., Springfield, 97477 L TELEPHONE NUMBER 74[1 3301 P.;;RNIT TO BE MAILED TO (NAME AND ADDRESS) I TELEPHONE NUMBER I HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION ~'OR PERMIT, and .10 h(!I;(~l.Jy c.rt.ify r.hat all infOl"mation hereon is true and correct, and that I have the following legal interest in the property: Downer of record; 0 contrad: purchaser; OauthOrized agent. I f'.:.rther certify that any and all work performed shall be done in accotdancf: ....i th th~ Ordinancl;lS 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 st,rllctUl"e without the permission of the Building Division. I fur- ther certify that registration wit.h the Builder's Board is in full force ....nll effect. as required by ORS 701.055, that if.exempt the basis for oxemption 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. , / / . ), . .....0 , fW4'(NE _~A/ ~ ~ATURB .~. 10-~:T~6 ,,; READ THIS SECTION CAREFULLY. YOUR AUTHORIZATION gAS BEEN BASED ON THE FOLLOWING CONDITIONS! o PLANNING/ZONING: Zone Partition" Parcel 8 Parcel Size Minimum Setbacks: CL, front CL, side interior rear CQIo1.\iENTS : FOR LN. REVIEW PURPOSES ONLY. NO SPECIAL PLANNING ~r.TION R"OTR"n Date : o ( 1 0-8-86 L~ o SANITATION: w5 B.IP." :YO,,:r-cP-C Installation Record Issued? 0 'tes 0 No Installation Gallon Lineal Feet Maximum Depth Specifications: Tank of Drilinfield of Trenches CCA'L'lENTS: .:'U...... h/1VI/(~::;-S;.b.), ~ ~~ ~~-~ Q ;l~;, ./4~' 0: dJ'f' A~.u.p;;'" /~ V ')'>j a;~1h M'L- oRe, (0 -/If - (fL ,~ ~~~~ ~~~ Group Use s. 1. " o CQWlENTS : Date: n c><74) J/7-r4~ tf,-J. /(J -/(/.Pl c;; ~IT APPRovED lW-""BUI~Fn:CIAL/DESIGNEE (cer ORS 456.805 (1)) ......~.(,. LANE COUNTY 0 RTMENT OF PUBLIC WORKS LAND MANAGEMENT DIVISION, 687-4061, 125 EAST 8TH AVENUE, EUGENE, OREGON 97401 C::PP 'RP'UP'RC::P pr'\'P Tl\lc:ppr.,.,Tnl\J T~~'()'RM;n.rrT()N ,." I .,c DOA . . , " SETBACKS A:-:O OTIIER CO:':DITIO~S or APPRQ'l.\L MUST BE STRICTLY OBSERVED. VIOLATIO~ CA~ RESULT IN REVD- C;"710:.l OF TillS PERmT, CI'I'ATIO:l U~D.sR PROVISIO~S OF L';:-;E CQuny'S INFRACTION ORDI~;AI'CE. AND/OR OTHER REMEDIES ALLOWED BY LAW. ...HEN READY FOR INSPECTION, CALL 687-4065. A ~IINUlU~1 OF AT LEAST 24 HOURS AOVA:;CE NOTICE FOR INSPEC- TI0Cl K~QLI::::;l::; ,W::>l UI:: GIVEN. Have the tollowing information ready: permit number, job address, type of inspection, when it will be ready, your name and phone nu~ber, and any special directions to site. BUILDING DIVISION: REQUIRED I~SPECTIONS: 1. Foundation Inspection: To be made after trenches are excavated and forms erected and when all materIalS tor toe toundation are delivered on the job. Where concrete from a central miXing plant (co~~only termed -transit mixed~) is to be used, ~aterials need not be on the job. 2. Concrete Slab or Under-Floor Inspection: To be made after all in-slab or under-floor building serV1~e e~ment, conaU1t, p1p1ny nccessories, and other ancillary equipment items are in place but beiore any concrete is poured or floor sheathing installed, including the subfloor. 3. Framin~! Insulation Inspections: To be made after the roof, all framing, fire blocking, and orac1ng are 1n place 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. 4. Lath and/or Gypsum Board Inspection: To be made after all lathing and gypsum board;\j,nterior ana-eXEerIOr, 1S In-prace but before any plastering is applied and beiore gypsum boai~ joints and fasteners are taped and finished. 5. Final Inspection; To be made after the building is complete and before occupancy. 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 ~ade 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 made after reinforcing is in place, but before any grout is poured. This rnspiCtlOn 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~: To be made after completion of masonry (if applicable) and when installation is complete. 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 septic 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. .~obile home minimum fini;h fl~or eievation shall ~e'certified ~hen required by a,flood- plain ma~agement le:tter:.....: .. ~. /".. I' . " . ;., ~. ' 3. Mobile 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 enclosure. Swimminq Pool: Below grade when steel is in place and before concrete is poured. Above grade when pool-rs-installed. D. APPROVED PLANS MUST BE ON 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 :.lAY OCCUR IF THIS PERMIT WAS ISSUED ON TilE BASIS OF INCOMPLETE OR ERRONEOUS INFORMATION. ANYONE PROCEEDING PAST THE POWT or REQUIRED INSPECTImlS WILL DO SO AT THEIR OWN RISK. SUBSURFACE ~ ALTERNATIVE ~ DISPOSAL ~: 1- 2. Permits shall be effective for one year from the date of issuance. Upon completing the construction for which a permit has been issued, the permit holder shall notify the Lane County 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 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 certific~te. Failure to meet the requirements for satisfactory completion within a.reasonable time constitutes a vio- lation of ORS 454.605 to ~5~:745 and this rule. " Setbacks .- Subsurface S'1waqe Disposal Septic ~ From: Interior property lines 10' Edge of road riqht-or-way 10' Building fo~ndation 5' ~el15. other water sources 50' .~ Drainfield 10' 10' 10' 100' ,. , -, v " , '. \: \ .t' J 4 "'"' COMPLETE THIS SECTION. INCOMPLETE FORMS WILL BE REJECTED! . AeIVITY - J-.:J.S/-& P INFORMATI~ SHEET (I . I UJ.4"'".IG"' : I SO MJI: NG R QU-ST llJl~ !A1,/#/.,v .3l' !')P/d) . .'7M.iiiLlNG ADDRES3' '/ . , . ~~ O~Tt: ~I?ro?1 I 7l/7.... ~ ;Z;t.?( ~NESS'TELEP~ONE # HOME TELEPHONE # 2 PROPERTY ADDRESS ). 2. $I(J t::{.. (IF DIFFERENT FROM MAILING ADDRESS) L~/~ (J(l~""-.J~ PRut'tK I f OWNER 2.- 2--C/1) eC, e, ...,/.17.4- . MAILING ADDRESS ~~-4?' d/LfT STATE ZIP CODE BUSINESS TELEPHONE # HOME TELEPHpNE # R" ",.//7"9 3 MAP & PARCEL NUMBER (REQUIRED INFORMATION) '( TOhNSHIP (from tax map~i Department of Assessment and Ta.xation o~rom~ st t~mL(: 2- d! 0 3- RANGE SEtTION TAX LOTIS) OR PARCEL # ZONING TOWNSHIP RANGE SECTION TAX LOTIS) OR PARCEL # ZONING TOWNSHIP RANGE SECTION TAX LOT(S) OR PARCEL # ZONING ACRES TOTAL CONTIGUOUS PROPERTY IN SAME OWNERSHIP: 4 SUBDIVISION (if applicable) LOT BLOCK , 5 REQUEST (state exactly what you plan to do) <:::;,-.fO 7...... r --r-.4 ~ 1< J -t..st>~,~ ~ .. CAP I . ~A. L.ri A .... ./' . ~ DIRECTIONS TO SITE: f/.411)4t?'~, DCL!:-___i'"'d G'L. &9 ~..7 ~ I ri ** FOR STAFF USE ONLY ** ZONE/LAND USE: 14-33 LAND MANAGEMENT DIVISION / 125 E. 8th AVE., EUGENE. OR 97401 / 687-4061 \ .:........ .. . . \ , \1 .;- "'~~ CI) ~j<- '- \ "" - "\ ~. \ \ 0 ~ E.~ ~, ~ ~ c" ~ - -- ~ ~ .--> ~ ~ ~ \ i~"" ~ 0\- - -\~ ~~ I r------ f U' , I \' /