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HomeMy WebLinkAboutPermit Septic Tank 1991-1-31 ~..ljl .. PERMIT # 37S:- -91 - - SEPTIC VERIFICATION FOR LOAN REVIEW 23 lI...ECTlON .3.3 TAl LOT ~QVlllKlN/"AI'IllTlON LOT/PAllc&&. -.OCK . , .....P , 17 03 ,~OC:ATlON ADORPI 247 Estate ....... IECllOH 3300 I STRUCTURES NOW UtI P"OPIR, Y House; Garaqe; iiMOPOSED USl "'iiiillc IlIIT.1.LLa:O Resid. Yes gp(;h1f11.u.oo. U; -::.~;:;.;; -;~~ Verify septic system Diii'iCTlONI TO .iii"'i'iil;lll COURTNOU.' Coburg Rd. to Harlow Court, Springfield Shed .ATEJI.lTAllID NO.OI'ITORIP MO.OI'IIIU'LOYt:D CONlITRUCllOJI COSTIVAUlI MU.Ul- ......0QIg for Rd. loan review 3 to Castle; turn left to Estate Court; Red house with white trim "i'","PUCANT NAME . ADDRE.I Karl Skoog, 611 OWNi"l HAMI . AODRlsa Lenard & Mary, CONTRaCTOR NAME "V" St., Sprin~field 97477 Keith, 247 Estate Court, Sprinqfield OSIl UCIEN.. , '"DNI 747-3415 PHOHI 746-6006 "NONI MA/L PERMIT TO: Karl Skooa. 611 "V" ST. Soringfield I 97477 NAil' ..0011.... I have carefully read BOTH sides of this epplI~I.9? erd fftreby certify that all Karl Skoog ~____ PRNT NAMIl 81..,...';' , Information Is true and correct ~/-?..l-'iJ '., ~ .:.~' " . . ~~ " .; ~ '~.::;"M.. '~'...~F ~..;:'~ ~ :~:;.,~: ~<.~>~ '.~ .' ,: :. .. "'- ,1'7:"<-.,',',;.:.," .'.;'}~'>'~~\'~ .~~i. ......:~.;......,' $ APPROVED BY: DATE z.J13J<tl , , CALL FOR INSPECTIONS (SEE BACK OF FORM FOR INSTRUCTIONS) 687.4065 SEPTIC permlls are good for one year. ALL other permlls explra after 180 days unless /nspect/ons are current, . , , . SB11IACKS AND DnmR .......'~.........,) OF APPROVAL MUSTOB snucn. Y OBSERVBD. VIOLATION CAN RESULT IN REVOCATION OPnDS PeRMIT. CITATIONS MAY BB ISSUED UNDBR nm PROVlSIO~S OP I..ANB COUNI"Y'S INPRAcnoN ORDINANCB ANDJQR. OTHER RBMEDIBS AlLOWBD BY LAW. VIOLATIONS e. ... . \ \ I I \ \ " \ A MlNIMuM OF AT LEAST 24 HOURS ADVANCE NOTICE MUST BE GIVEN FOR INSPECI'lON REQUESTS . Have the following information ready when you call: 687-4065 Permit number - Job address - Type of inspection required When it will be ready Your name and phone number - Any special directions to the site PUBLIC OmCIAL RIGHT TO TIlESPASS ON PRIVATE PROPERTY ORB 215.010 POWER TO BNTER UPON LAND. 1lIB COMMISSION, AND ANY OF ITS MEMBERS, OFFICERS AND BMPLOYBS, IN1lIBPBRPORMANtE OP1HBIR.PUNC'nONS, MAY ENTER UPON ANY LAND AND MAKE EXAMINATIONS AND SURVEYS AND PLACI AND MAINTAIN nIB NECESSARY MONUMBNTS AND MARlCBRS nmRBON. REQUIRED INSPECflONS FOUNDATION INSPECflON: To be made after excavations for footings are complete and any required reinforcing steel is in place. UNDERGROUND PIPING INSPECflON: To be made after all underground piping has been installed, prior to any backfill. CONCRETE SLAB OR UNDER-FLOOR INSPECflON: To be made after all in.slab or under.floor building service equipmen~ condui~ piping accessories and other ancillazy equipment items are in place but before any concrete is placed or floor sheathing installed, including the subfloor. ROUGH MECHANICAL INSPECflON: To be made after all ducting and gas piping has been installed and prior to being covered. ROUGH PLUMBING INSPECflON: To be made after all plumbing rough.in is in place, prior to being covered. FRAMING INSPECflON: To be made after the all framing, fIre blocking, bracing and roof are in place and all pipes. chimneys and vents are complete and the rough electrical. plumbing, and mechanical inspections have been made and approved. INSULATION INSPECflON: To be made after all insulation and vapor barriers are in place, prior to covering. LATH AND/OR GYPSUM BOARD INSPECflON: To be made after all lathing and gypsum board, interior and exterior, is in place but before any plastering is applied or before gypsum board joints and fasteneIll are taped and finished. ADDITIONAL INSPECTIONS MAY BE REQUIRED, such as but n,ot limited to; BLOCK WALL: To be made after reinforcing is in place, but before any grout is poured. The inspection is required for each bond beam pour. There will be no approval.uiui\ the' plumbing and electrical inspections.have been made and approved. FINAL MECHANICAL INSPECflON: To be made just prior to the structure or remodeled area being occupied and prior to operating anyequipinenL FINAL PLUMBING INSPECflON: To be made just prior to the building, structure or remodeled area being occupied. FINAL BUILDING INSPECflON: To be made after fmish grading and the building, structure or remodeled area is completed and ready for occupancy. MOBILEjMANUFACfURED HOMES: An inspection is required after the mobile home is connected to an approved sewer or septic system. prior to covering sewer or water lines. for setback requirements, blocking, tiedowns and plumbing connections. Footings and piers to comply with State fOlmdation requirements for mobile homes or as recommended by the manufacturer. Minimum finished floor elevation shall be certified when required by Floodplain Management Tiedowns, if required, shall be installed and ready for inspection within 30 days after occupancy. Tiedowns shall be installed per enclosure. APPROVAL REQUIRED No work shall be done on any part of the building or structure beyond the point indicated in each successive inspection without fust 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. '. APPROVED PLANS MUST BE ON TIlE JOB SITE AT AU. TIMES DURING WORKING HOURS, TIllS PERMIT WIU. EXPIRE IF WORK DOES NOT BEGIN Wfl1IIN 180 nAYS, OR IF WORK IS STOPPED OR ABANDONED FOR MORE'TIIAN t80DA YS. SUSPENSION OR REVOCATION MAY OCCUR IF TIllS PERMIT WAS ISSUED ON THE.BASIS OF INCOMPLETE OR ERRONEOUS INFORMATION. ." . -., :' ".,' . ANYONE PROCEEDING PASl'T.HE POINT OF REQUIRED INSPECTIONS WILL DO SO AT THEIR OWN RISK. Your signatu;' on the front of this form verifIes the follo';'ing: 1 HAVE CAREFULLY EXAMINED TillS COMPLETED APPUCA TION, and do hereby certify that all infonnation hereon is bUe and correct, and that I have a legal interest in the r........-..} as owner of record or authorized agent. I further cenify that any and all work performed shall be done in accordance with the Ordinances of Lane County and the laws of the State of Oregon per. taining to the work described herein. I further certify that ifl am not the owner of the 1'....1'....../. my registration with the Builders Board is in full force and effect as required by ORS 70\.055. and that if exempt the basis for the exemption is noted hereon, and that only subcontractors and employees who are in compliance with ORS 701.005 will be used on the job. SUBSURFACE & ALTERNATIVE SEW AGE DISPOSAL SYSTEMS: When subsurface cons~ction is complete. the permit holder s~all notify the County Land Management Division by submitting the installation record fonn. An inspection will be made by a qualified sanitarian. If construction complies with all rules a certificate of completion will be issued to the permit holder. If construction does not comply with rules. the permi! holder will be notified, and all corrections shall be made before a certificate of completion will be issued. FailUre to meet satisfactory completion within the allotted time constinites a violation of ORS 454.605 to 454.745 and this rule. SUBSURFACE SEW AGE DISPOSAL SETBACKS SEPTIC TANK From: Interior Y'~Y-'J lines 10' Edge of road right-of-way 10' Building foundation 5' Wells or other water sources 50' DRAINFIELD 10' lO' lO' 100' ~ ~~nE ~ Uilty .- . . REQUEST FOR ASS/STANCE L,nd M,n,gement Div. 125 E. 8th AVe. Eugene, OR 97401 .: ~ , Please complete all lines inside white boxes, if possible. K.ot-\ VUUH N.(M~ WUN AU~.t I \J S t: .c:;.~FL {). (j~ .s Kcoa ....J 1-3,1-9J UAh, q?~~ ~ l(ei1:h 'J'f0-3'i6 ..rlVNt: Q7'-l1'1 ZIP Ji~ - (;Occ., ~'lf) ZIP CITY Le!'\r1-~ 4 1'f\C<.l"-1 OWNER OF PROPERTY (il nol ume u .bb....) d~P-~+y+e {~~ri OWNERS ADDRESS (il nol ume .. abov., Lleens.. MAP, PARCEL NUMBER (Found on lu maps In the Au",sment &. Tuatlon ~pt.) /7 03 ~3 ,3.';3 3306 lown,nlp ~ :>ec\lon 1/4 ~.ct'on I.. Lot Township ~Se<lion Tax Lot 1/4 Seetlon .;3wnsI'Up ~~1'4s.eelion ,.. Lot , S/TE ADDRESS ~<I( :E.s-l-a:re- (#.QUA..:i- 5;? ~":::-: c(iMM.EfJI~/\ u . .' FOCLOW-~UP":'.'" 'p rtil~bd. . I ". ". . ',. ....... ""')1"}>:.""':.>~t" ~61~~.2;:..,g~ on, _ "f ( . .,.~. .....:,. .".1:':.\\ DI L. 7'" 7'" ~ .\"..J t:eit)ft.JOn., '.' >--- . ''- ," ", w," "_._. '.. ". ,.,- ',' -'.,. , . " _ ~ v . . -. c . . , , :r,A.lS P6'~ 11:"010 1l.e:"~L T ~ MAIL ;Cf:7~::: \tO~d:\ NAMe! C; /I V bC '-l ~ AUUNT So, ~FL () 0 () R. / c,,, \ / ZIP ct'1l.j~ f) " >". .... . .::--.- ~..:". ;$+}./=/= EVALUATION}' . "-:;:-:-::"":'." ........:;<.. .0 'Tnioiiilatio'; Requost Oniy.,:':,} ...., . .. "--," ":'NoCJ:' No='::: . 'v." ,,ioTRS.Verified .'. Allowed Use CJYes =Yes , Land Management Div. staff can. not be held responsible for ovaluatlons or recommandations based on falso, inaccurato or Incompleto Information .. . ~""" .~ ~'''': ~. --. ~~~-:: ~:;:; ~ lAHO MA"ACo..fHr OlV1$/ON , > .. Existing BuildIngs or Improvemenls on Property ~uso ~&arn . arage ;~bila. Homa hod . .JiEPTIC INSTALLED ,)8:I.y as c:J No Water District .1 Directions to site (r~Couithouse""'" ...c..ou. ~_\.'I"I" c...P J..~ / D,\.....~ ~J.../.." '\ ~\ R,.,\ -I-r) \ Co", -1:./ e. (,..-\i.1v.. ") \ -/:." fsk-J,." ("" d;. ad--!....c., ,', :;).I.jlf ~.....l \-..,," <p -.~+.. --h.-tV; / " ,-..,,' ,. ~. ZIP ~ >,.J For Mobile Home Placement Only Brand Year Size No. of lip.outs No. of BedrmC" Licenso # , Lot & Block U.lf! ~1.lIjn<l..' , . . .~ ~ \ 0.afl'e. \ ~ , " CQstl'2 ~ ~ 0-'''-'''' <-:J 9,~>0c... $...]) .,[~ LiJ0 / m \~ \:) 10~ 75. ~)0 CI< .' ! ~ -! ~ - , ,- , ~ IHv li~ I , r:;;, . ~ a nn ~ .. 4i ~ 1111 . - ,. . , . , - " - .. " ~-~ [.~ ~ t- ---4 f - BACKUP LANE COUNTY DEPT ENV MGT RECEIPT 0 37591 DATE ~ APPLICANT SKOOG.. KARL ADDR 611 Y ST., SPRINGFIELD TLO 1703233303300 SUBDIV LOT NEW BLDG TYPE USE R BDRMS 0 UNITS 001 STORIES OBLDGS 001 PHONE 747 ~ OWNER NrtE KEITH, L.ENARD ADDF~ 247 ESTATE couln. SPRINGFIEL.D CODE APPL. NO ACTION DESCRIPTION SQ FT UNIT COST VALUATION FEE imp ~BP BP BP aBP PL. OFIX/BATH: aMECH SUF~ PCI< aLR L.C :n591 SDSV SWR: FT. WTR: MECHANICAL. FEE ST A TE SLmCHAF~GE PL.AN CHECI( FEE FT. RAIN: FT 5A: 2~5% 75.00 ~ II i . CATG: Pl..N ""SEQl.J : -TAKEN BY ML.C RA I SDS EL.E PCK ISS 3 SI OTR / ') ,- EST. COMPL.ETION DATE DEPOSIT ** 4i 4J 4i .. inl .. " ~~ t I ~. I . ~~ , Iii". ~~ : . , .1 , ! j .~ . " .].1 III c, """ e. - 0131 '11 E'L.I< . 3415 , "" DAY~ ,'m ',,", .~ ,~ I -I .! . \ , .'! " Ini; . ,= .J