HomeMy WebLinkAboutPermit Septic Tank 1985-2-20
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for:
FOR OFFICE USE ONLY
APPlication/z.l/J^- ~
<:: Perm1.t i 7 IrCD
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'RO?OSED USE OF PROPERTY
o Residential 0 Industrial
o Commercial D Public.
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Lane County Authorization
(1)(j III rrLLtm) () 3 '&~
"""'5Hlr { I RANGb 3 I s~'-7. 3.2- I TAX/ 3qDOUT OF
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J1ETRES~ (1l6~REV i ~ 11) ~ 't lid- PI J 1 d. > ~'r)NJ ZIP
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Orf'~ON ~FJPa1Linek)- BE~S~CI~~/ Imfr:1 - ili ~O~ J
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Ptll61; lI!;o TO l"(1A1rrssI n (]1ID!' u 0Jt10:E-i~Eg4
'\ HAVE CAREFULLY [lNEO THE =...,(EO AFFLICATION POR PE"'"
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nd do hereL>y certify t".hat all information hereon is true and correct, and that r
have the following legal interest in the property: Downer of record; D contract, p'lrchaser; authorized agent wi<:h evidence of authority attached.
I f:.:.rther certify that any and all work performed shall be done in accoI:dancf;: wi th th~ Ordi anc of Lane County and the Laws of the State of Oregon
pertaining to the work described herein, and that NO OCCUPANCY will bl.! made of any st.rllctUI:e witho t the permission of the Building Division. I fur-
ther certify thAt registration with the Builder's Board is in full force imd effect as rec;:uired by ORS 701.055, that if 'exempt the basis for cycmption
is noted hereon, lUld that only subcontractors and employees who are in compliance wi ORS 701.055 will be used on this project. I HAVE READ AND
CHECKED THIS APPLICATION THOROUGHLY.
/ NAME
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{please print)
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SIGNA'TURE
DATE
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READ THIS SECTION CAREFULLY. YOUR AUTHORIZATION ~AS BEEN BASED ON THE FOLLOWING CONDITIONS:
[] PLANNING/ZONING,
Zon~
Partition #I
Parcel #I
Parcel Size
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[] PLANS E:!r~
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o SANITATION: S. I. #I B. P. ., O?f~~nstallatiOn Record ISSued?~YeSONO
Installation Gallon Lineal Feet Maximum. Depth
Specifications; Tank / of Drainfield of Trenches
:4 r; (ft t:;;;!~~~. ,AJ~~ 11 ~~ct1
~, ~tP 4/ai deu3ui/ Date, -4 -:11) ,'f".r ~
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Group
Use
COMHENTS;
Dat.e;
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PERMI~APPROVED BY BUILDING OFFICIAL/DESIGNEE (oer QRS 456.805(1)) DATE
LANE COUNTY DEPARTMENT OF PUBLIC WORKS LAND MANAGEMENT DIVISION, 687-4061,
125 EAST 8TH AVENUE, EUGENE, OREGON 97401
SEE REVERSE FOR INSPECTION INFORMATION
(111._?c;, gAt...
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SETB,\CKS MID OTllER CO:'DITIO~lS OF APPROVAL MUST BE STRICTLY OBSERVED. VIOLATION CA~ RESULT IN REVQ-
C';:-10:.l Of TillS PERl-HT, CITA.TIO:l UNDER PROVISIONS or LANE COU:;TY'';; INFRACTION ORDINANCE, AND/OR OTHER
REMEDIES ALLOWED BY LAW.
..HEN READY FOR INSPECTION. CALL 687-4065. A ~tINnlU~l OF AT LEAST 24 HOURS AOVA:,CE NOTICE FOR INSPEC"':
TI0:-l Hl:::QU:;:;'i'::; ~H,i::'T UI;; t.! vEN. Ha'.re tne tollowing information ready: permi t number, job address. type
of inspection, when it will be ready, your name and phone number, and any special directions to site.
BUILDING.DIVISION:
REQUIRED INSPECTIONS:
L
Foundation Inspection: To be made after trenches are excavated and forms erected and when all
rnatcr!31S lor tne loundation are delivered on the job. Where concrete from a central mixing
plant (com:nonly termed "transit mixed") is to be used, materials need not be on the job.
Concrete Slab or Under-rloor Inspection: To be made after all in-slab or under-floor building
serV1~e equIpment, conau1t, ~lpin~ accessories, and other ancillary equipment itr.ms are in
place but before any concrete is poured or floor sheathing insta~led, including the subfloor.
~raminq , Insulation Inspections: To be made after the roof, all framing, fire blocking, and
rac1ng are 1n piace a~a aii p1pes, fireplaces, chimneys, and vents are complete and all rough
electrical and plumbing are approved. All wall insulation and vapor barrier are in place.
Lath and/eE.. GVl['sum Board Inspection: To be made after all lathing and gypsum board, l.nterior
ana-extcr1or, 1S 1n place but before any plastering is applied and before gypsum bo~rd joints
and fasteners are taped and finished.
5. ~ Inspection: To be made after the building is complete and before occupancy.
2.
3.
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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 a?proval of the building official.
Such approval shall b& 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 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 Stove: 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. ~~: 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. Mobile home minimum finish floor elevation shall be certified when required by a flood-
plain management letter.
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.
O. Swimming Pool: Below grade when steel is in place and before concrete is poured. Above grade
wnen pooi-rs-installed.
APPROVED PLANS MUST BE ON THE JOB SITE AT ALL TIMES DURING WORKING HOURS. THIS PERMIT WILL EXPIRE
IF WORK DOES NOT BEGIN WITHIN 180 DAYS, OR IF WORK IS SUSPENDED OR ABANDONED FOR NORE THAN 180 DAYS.
SUSPENSION OR REVOCATION t1AY OCCUR IF THIS PERMIT WAS ISSUED ON THE BASIS OF INCOMPLETE OR ERRONEOUS
INfORMATION.
ANYONE !,ROCEEDI,NG PAST THE POINT or REQUIRED INSPECTIONS WILL DO SO AT TIlEIR OWN RISK.
SUBSURFACE AND ALTERNATIVE SEWAGE 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 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 a 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 shall 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 4S4.605 to 454.745 and this rule.
Setbacks - Subsurface
Fro.....:
Interior property lines
Edge of road rtqht-of-way
Building foundation
Wells. other water sources
Se....aqe Disposal
Septic ~
10'
10'
5'
'0'
Drainfield
10'
10'
10'
100'
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APPLICANT COLE, HOWDY
, TLI 1703273200139 'SUBDIV'
.NEW ~~DG 1~YF:E _ ,: US[~ ,r:; B~r~~~ 0 UNITS (~~1 ,STORIES
OWNER NME,FACIFIC FI~ST FEDERAL, ADD~ 1".0. BOX
CODE APPL NO ACTION DESCRIPTION SQ FT UNIT
.BF'
, BP
a. 101'"
BP
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LANE COUNTY DEPT ENV MGT RECEIPT I
ADDR 1132 ARCADIA DR.,
_ 400El5 D~-:.E 021 ~)8.
EUGENE, Of\EC,ON
un BL.K ~O!
IBLDGS 001 PHONE 485 2223'
" 759, EUGENE, OREGON .
COST VALUATION FEE DAYS
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.F'L ,~, F.IXTURES,
MECH
SUF:
.PCK
,LR LC 40085 SDSV
SWR: FT. '/JTF::
MECHANICAL FEE
STATE SUF:CHARGE
PLAN CHECI( FEE
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1"1'. RAIN:
FT.
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4%
6~5%
50.00
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TAKEN
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TOTAL. FEI::;f-)~
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2
EST. COMPLETION DATE
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'A~I~ITY INFORMATI~
SHEET
Idne county
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COMPLETE THIS SECT~9N. INCOMPLETE FORMS WILL BE REJECTED!
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PERSON MAKING REQUEST
11.72 ArCAd,A hI".
MA III NG ADDRE SS
Pa <.; -h'l..- f:iVS 1-' Fe.,I,,.e,1 ..sQ '"~ <\'l'r ~../c.
PROPERTY OWNER .
P.O, go>(, l7~q
MA I LI NG ADDRESS
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CITY
o,e
STATE
91901
ZIP CODE
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CIT'!'
19 Ie.
STATE
97'Tro
ZIP CODE"
f'1'S'- ..L2....2.J
BUSINESS TELEPHONE #
~'7-.::lrJ''1
HOME TELEPHONE #
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BUSINESS TELEPHONE #
HOME TELEPHONE #
2 PROPERTY ADDRESS 1'1'1 Nirvi elooJ. S:/:lr; "', ';:"e.J.,(
(IF DIFFERENT FROM MAILING ADDRESS) ,
3 MAP & PARCEL NUMBER
(REQUIRED INFORMATION)
(from tax maps in Department of Assessment and Taxation
or from tax statement)
/ 7 o.:? :1.7- :r.2. /...1'0,
TOWNSHIP RANGE SECTION TAX LOT(S) bR PARCEL #
k.
ZONING
TOWNSHIP RANGE SECTION TAX LOT(S) OR PARCEL #
ZONING
TOWNSHIP RANGE SECTION TAX LOT(S) OR PARCEL #
ZONING
TOTAL CONTIGUOUS PROPERTY IN SAME OWNERSHIP:
4 SUBDIVISION (if applicable)
LOT
ACRES
BLOCK
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5 REQUEST (state exactly what you plan to do) _~_~.b:...c,..._ j"',rp~u.;fl'd'>>...~r
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had ..h'h"...r';"j ,,-{ sale. ",f profu+~
6 DIRECTIONS TO SITE: (!l"....h......,:J I f1or~~'"
_M__../'O If''~ nr,.,....J./... ".... TClma/rll(i) wPJI- ,,"-
** FOR STAFF USE ONLY **
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ZONE/LAND USE:
BY: DATE:
DATE
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OUT:
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