HomeMy WebLinkAboutPermit Septic Tank 1987-8-18
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....... FOR OFFICE USE ONLY
Lane County Authoriz t nor: AP;lication/ 'i
SEPTIC INSPECTION FOR LOAN REVIEW Permit t ~5'/'3~
roW:;SHIP
I RANGE:
03
S~BDIVlSION/PARTITION (if applicable)
17-
SECTION
27.3.2
I
I TAX l~; DOUT OF
LOT/PA"RCE:' I BLOCK
PROPOSED USE OF PROPERTY
~ Residential 0 Industr ial
D Commercial 0 Public.
LOCATION ADDRESS STREET
1415 Fairview Dr., Springfield 97477
CITY
ZIP
STRUCTURES CURRENTLY ON PROPERTY
SFD
~DlHECTIONS TO SIT~
Centennial Blvd., L on Aspen - Ron Tamarak - L on Fairview Dr.
~ESCRIPTION OF PROPOSED WORK - BE SPECIFIC
DECLARED ~ VALUE
SEPTIC INSPECTION FOR LOAN REVIEW
= OF BEDROOMS j ., OF STORIES I # OF EMPLOYEeS
O;~'NER' 5 NAME AND ADDRESS
BAY MORTGAGE CO. same as site
WATER SUPPLY
o Proposed
fl Existing
TELEPHONE NUMBER
CONTRACTOR'S NAME AND OSR ~
TELEPHONE NUMBER
P:::;RNIT TO BE MAILED TO lNAME AND ADDRESS)
APPL: WYON, Chuck, Jean Tate Rlty, 1756 Will St., Eugene 97401
TELEPHONE NUMBER
484 2022
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I HAVE CAREFULLY' EXAMINED THE CQ1PLETED APPLICATION f'OR PERMIT, afld ,10 hcrc!..>y cert.ify t.hat all inf01"mation hereon is true and correct, and that I
have the following legal interest in the property: Downer of record; 0 CUlI1:r<H:!: pllrchaser; Oauthorized agent.
I f:.:.rther certify that any and all work performed shall ba done in accoldanc,", 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 ar,y structure without the permission of the Building Division. I fur-
ther certify that registration with the Builder's Board is in full force and effect dS requircd by ORS 701.055, that if.cxcmpt the basis for exemption
is noted hereon, and that only subcontractors and employees who are in compliancc with ORS 701.055 will be used on this project. I HAVE READ AND
CHECKEDTH'Sc~~:'~T~:o:DROUGHLY. 'X ~,8. ~ 8-17-87
NAME (plaase print) SIGNATURE // DATE
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READ THIS SECTION CAREFULLY. YOUR AUTHORIZATION qAS BEEN BASED ON THE FOLLOWING CONDITIONS!
o PLANNING/ZONING: Zone
Partition #
parce 1 It
Parcel Size
Minimum Setbacks: CL, front
CL, side
interior
rear
CQM..\IENTS:
SEPTIC INSPECTION FOR LOAN REVIEW
NO SPECIAL
PLA~NING ACTION REOUIRED ~
Da~, 8-17-87
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Installation Record Issued? Dyes 0 No
Maximum Depth
~k~T~S,~
oaJJ:-/?{}>7 _~
o SANITATION, S. 1. #
B. P. #
Installation
Specifications:
C"1IENTS , .7 L, -! ./
~:::fI.w, A';;';l J
Gallon
Tank
RA{.N1~ s: DS',
(/
Lineal Feet
of Dr<l.infield
~..vJ
I I
o PLANS EXAMINATION: Type
Grouo
Use
COMHENTS:
Date:
n
~4) ~- R-J' r:- /?~j:7
~IT APPROVED BY~UILD~~FFICIAL/DESIGNEE (oer ORS 456.805(1)) DATE. ,
LANE COUNTY DE&_I_MENT OF PUBLIC WORKS LAND MANAGEMENT DIVISION, 687-4061,
125 EAST 8TH AVENUE, EUGENE, OREGON 97401
SEE REVERSE FOR INSPECTION INFORMATION rlh_?~Q~
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SETBACKS A~D OTHER CO::OITIO::5 OF APPROV,\L ~lUST BE STRICTLY OBSERVED. VIOLATIO~ CA~ RESULT IN REVQ-
C;"TIO~ Of .!IIS rER.~IIT, CIT;"TI0:, U::OER PROVISIO~S OF' LA:->C COU::Ty'j INFRACTIO:.l ORCI::;'::CE. AND/OR OTHER
REMEDIES ALLOWED BY LAW.
IoiHEN READY FOR I:,SPCCTION, CALL 6B7-~06S. A mNHlll~1 OF AT LEAST 24 HOURS AOVA:;CE NOTICE FOR INSPEC-
TI.O:-< Kl::!,JI..l:.:'.:' ~lt;::;T tH. GIVEN. Have tt'le 1011owing infor:nat.ion ready: pl:lcmit number, job address. type
of inspection, when it will be ready. your name and pho~e nu:nber, and any special direct.ions to site.
BUILDI~G DIVISION:
REQUIRED I~SPECTIONS:
1. Foundation Inspection: To be made after trenches are excavated and forms erected and when all
mater13lS ~or tnc toundation are delivered on the job. Where concrete from a central mixing
plant (coll\lllonly termed ~transit mixed") is to be used, materials need not be on the job.
2. Concrete ~ ~ Under-Floor Inspection: To be made after all in-slab or under-floor building
serV1ce e~uipment, conault, pip1ng accessories, and other ancillnry 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
brac1ng are 1n place (lna all p1pes, fireplaces, chimneys, and vents arc complete and all rough
electrical and plumbing are approved. All wall insulation and vapor barrier are in place.
4. Lath and/or Gy~sum Board Insyection: To be made after all lathing and gypsum board, 'nterior
ana-eXICrIOr, 1S 1n-pIaCe out oetore any plastering is applied and be:ore gypsum board joints
and fasteners 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 ins?ections required.
NOTE: All building permits require inspections for the work authorized, such as but not li~ited 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 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 a?proved, 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
;ewer-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. ~obile home minimum finish floor elevation shall be certified when required by a flood-
plain management letter.
3. ~obile home ticdowns, 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.
O. Swimrnin9 Pool: Below grade when steel is in place and before concrete is poured. Above grade
wnen pool-rs-installed.
,\PPROVED PLANS :-lUST BE ON THE JOB SITE AT ALL TIMES DURING WORKING HOURS. THIS PERMIT WILL EXPIRE
IF ~ORK DOES NOT BEGIN WITHIN 160 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
INFORHATION.
ANYONE PROCEEDING PAST THE POINT or REQUIRED INSPECTIONS WILL DO SO AT THEIR OWN RISK.
SUBSURFACE ~ ALTERNATIVE ~ 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 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 permitl~older.
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 s~tisfactory completion within a reasonable time constitutes a vio-
lation of ORS 454.605 to 454.745 anu this rule.
Setbacks - Subsurfnce
fro:n:
I~terior property lines
Edge or road rH;ht-of-way
BuildinQ foundation
~clls. other water sources
S~waqc Disposal
SePtic ~
10'
10'
"
50'
Drainfield
10'
10'
10'
100'
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W: 5 LANE COUNTY DEPT ENV MGT RECEIPT I 258387 DATE 081787
. AF'PLICANT WYDN, CHUCI< (1 D 1)1', i T'>b ltJILLJ,METTE ST." EUGENE .
TLI 17032n20014~i SUBDIV LOT E<L1(
NEW E<LDG TYPE USE R BDRMS 0 UNITS OOt STORIES IBLDGS 00i PHONE 484 2022,'
OWNER NME BAY MORTGAGE CD., ADDR 1415 FAIRVIEW DR., SPRINGFIELD
. CODE lol"F'I., NO ACTION DESCRIPTION SQ FT UNIT COST VALUATION FEE
BP
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SW!', :
FT. WTR:
~IECHloN I CM__ FEE
STATE SUF,CI--!r-.!:,GE
Pl.AN CHECI< FEE
LC 2~>8:587 SDSV
M'P
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BY GT
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2
ST
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EST. COMPLETION DATE
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F,AIN:
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ACTIVITY INFORMA TION SHEET
E1\1D-';' ,
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1.....000 ...".......... MnfT 01V<<;.....
""1>-"'''-'' n' p,___..
Please complete all Items above dolled line
FILLING OUT * LINES WILL GET YOU INFORMATION ONLY
*DATE 't I 17/ ?I7
, * PERSON ~ uJ ACTUAL g3. ~ ~
MAKING ~ PROPERTY ,/?~~'
REQUEST OWNER ~--/ ,
ADDR~I7, ~ .:J._~hu(~J,~~2\DDRESS /SC/:!f r~~ ~,
11S@.TY ~~ I~'~P 7'?YI(cITY ~~~STATE&1- ZIP 97fC7l
TELEPHONE (BUS) If?l'f- h:J z.. "2- tHOME)"3 </ 'f -7?~ 2- T~LEPHONE (BUS) (HOME)
*PROPERTY ADDRESS /L.//~- F~_r-Ib-L. ~-RJ-u..~'U c1Z?
OR I / -'T/v /
MAP & PARCEL NUMBER (Found on lax maps in the Assessment & Taxation Dept.)
~2~?';> TO!!? '-4/!I~"lJ.:-
~hlP
7)~
Range
Township
Range
Section
Tax Lot
Zoned
Flood Plain
Township
Range
Section
Tax Lot
Zoned
Flood Plain
TOTAL CONTIGUOUS PROPERTY IN SAME OWNERSHIP: ACRES
*REQUEST(descrlbe what you wanl to do) ~,;,._ ~--<"'~
~ A~L._ ~^~-/?~~//A--"'/AA :_~
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Directions to site, ~ b/ ~
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. ....................5taff Use On~....................
Comments:
Land Management Division, Public Works Department 125 E. 8th Ave., Eugene, OR 97401 phone 687-4061
l,
U!ER FEE St!RVEY
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_.. ___ ~ "'""'"... ;;_ _;_: ~
Application Number For: ~r!! ( I f1CJ:M. mIl ~ep
Please record the amount of tIme, IN MINUTES, you spend on this application. On the appropriate
date line, enter the time, In minutes, under the column for your poslllon.
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ACTIVIeV INFORMATION feEET
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COMPLETE THIS SECTION. INCOMPLETE FORMS WILL BE REJECTED!
~.. ~
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.' PERSON MAKING REQUEST ~ PROPERTY OWNER
, ~/
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A'-
. MAILING ADDRESS ~ ,/ MAILING ADDRESS
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CITY STATE [j P CODE CITY STATE ZIP CODE
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BUSINESS TELEPHONE # HOME TELEPHONE # ~ BUSINESS TELEPHONE # HOME TELEPHONE #
2 PROPERTY ADDRESS ~
(IF DIFFERENT FROM MAILING ADDRESS) ~
3 MAP & PARCEL NUMBER (from tax maps in Department of As essment and Taxation
(REQUIRED INFORMATION) or from tax statement)
.
TOWNSHIP RANGE
TAX LOT(S) OR PARCEL #
ZONING
TOWNSH I PRANGE
TAX LOT(S) OR PARCEL #
ZONING
TOWNSHIP RANGE SECTION
TOTAL CONTIGUOUS PROPERTY IN SAME OWNERSHIP:
4 SUBDIVISION (if applicable)
5 REQUEST (state exactly wha
ZONING
ACRES
L~
BLOCK
6 DIRECTIONS TO~-- ---
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.. FOR S;AF~~
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ZONE/LAND USE:
14-33
LAND MANAGEMENT DIVISION / 125 E. 8th AVE., EUGENE, DR 97401 / 687-4061