Loading...
HomeMy WebLinkAboutPermit Septic Tank 1990-7-25 , REQUEST FOR: SEPTIC SYSTEM VE~IFICATION ~ TOWNSHIP 18 RANG' 02 SECTlON 0 - '" BU;TlON J.L.'1 'AXLO' 300 auBDlVISION I PNlTlTKIN LOr I PARQI,. ROCK . LOCATlOi Ai.... U ::> COLE ';:AY, SPRINGFIELD, O~EGO~ 97~78 STRUCTURES NOW ON l'ftOPIIITT E:: I 5T I NG S I :',GLE PROPOSED un: alPllC ..TALLlO F Ai-' I L Y .AlUl "TAWO D\'JELL I ~G JIIO.OIBlOfUi3 MO.OIEllPLDYUB COIGTRUCnotf CCUIVAWI P~IVATE USE ~IIIP11ONOI'''''OPOIImWORll SEPTIC SYSTEM VERIFICATION Il1O. 01' UDIlOOlll OIucnOHB w ~fI 'ROIl coy,.~ou.. I-Iv::> TO ~LND ST., TO JASPER ROAD, TO DIXIE DRIVE TO COLE ~AY TO SITE A'PUCANT NAIIE . ADDRnB JACK GIS(;;-:~L, ,""0'" 7if6-7oB OWNEI'lB NAIll. AODR." ~O~ SIX3Y, SA~E AS THE JOB ADDRESS ABOVE ....ON. NONE GIVEN CONTRACTOR N.....E 0SIl UCIEN.. I PHON I ~A NA NA ~ MAIL tfl1e'/f"l~~Q~ jJ :.; Et.L EST ATE, 1216 MOHAV:K '3L VD" S PR I N G FIELD, OR E Gor< 971:,77 : NAM' &ODRIISII- I have carefully read BOTH sides of this apPllc~td )le!e!ly ~rtffY th,t l!~ \flformatlon Is true end correct JACK GISCf-:EL .A I/f ~.A,uf---b PRM'N....,lI. .....';:;:;7 DAT& ~ ( ; Iv , .' l'" .':,. , FEES DUE: $ I APPROVED BY: ~.~~- DATE 7~2-. r-F~ (CALL FOR INSPECTIONS (SEE BACK OF FORM FOR~STRUCTIONS) 687-4065 SEPTIC permits are good for one yaar. ALL other permits expire after 180 days unless Inspections ara currenf. J . VIOLATIONS . SBTBACKS AND onmR _.................. OF APPROV ALMUST BE STRIC'It. Y OBSERVED. VIOLATION CAN RESULT IN REVOCATION OPnDS PERMIT. CITATIONS MAY DB ISSUED UNDER nm PROVISIONS OF LANB COUlfiY'S 1NPRAC110N ORDINANCl AND/OR. OTIIBR RBMBDIES ALLOWIID BY LAW. . A MINIMUM OF AT LEAST 24 HOURS ADVANCE NOTICE MUST BE GIVEN FOR INSPECTION REQUESTS Have the following infonnation ready when you call: 687-4065 Permit number - lob address - Type of inspection required When it will be ready Your name and phone nwnber - Any special directions to the site . PUBLIC OFFICIAL RIGIIT TO TRESPASS ON PRIVATE PROPERTY ORB ns.oso POWER TO BNTER UPON LAND. 1HB COMMISSION, AND ANY OP ITS MEMBERS, OFPICERS AND BMPLOYBS, IN nm PBRPORMANCB OP THBlRPUNC110NS, MAY ENTER UPON ANY LAND AND MAKE EXAMINATIONS AND SURVBYS AND PLACB AND MAINTAIN nm NBCBSSARY MON1JMBNJ"S AND MARKERS ..~,:.. REQUIRED INSPEcnONS FOUNDATION INSPEcnON: To be made after excavations for footings are complete and any required reinforcing steel is in place. UNDERGROUND PIPING INSPEcnON: To be made after all underground piping has been installed. prior to any backfill, CONCRETE SLAB OR UNDER-FLOOR INSPEcnON: To be made after all in-slab or under-floor building service equipment. conduit. piping accessories and other ancillary equipment items are in place but before any concrete is placed or floor sheathing installed, including the subfloor. ROUGH MECHANICAL INSPEcnON: To be made after all ducting and gas piping has been installed and prior to being covered. ROUGH PLUMBING INSPEcnON: To be made after aU plumbing rough-in is in place, prior to being covered. FRAMING INSPEcnON: 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. INSULA nON INSPEcnON: To be made after all insulation and vapor barriers are in place. prior to covering. LATH AND/OR GYPSUM BOARD INSPEcnON: 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 fasteners are taped and fmished. ADDITIONAL INSPECfIONS MAYBE REQUIRED, such as but not limited to: BLOCK WALL: To be made after reinforcing is in 'place, but before any 8rou1 is poured. The inspection is required for each bond ~ pour, There will be no approval until the plumbing and el"!'lricai inspections haveJ~e,e)1_made,and approved, FINAL MECHANICAL INSPEcnON: To be made just prior to the sb'UCture or re;modeled area being occupied and prior to operating any equipment FINAL PLUMBING INSPEcnON: To be made just prior to the building. structure or remodeled area being occupied. FINAL BUILDING INSPEcnON: To be made after ftnish grading and the building, structure or remodeled area is completed and ready for occupancy. MOBILE/MANUFACfURED 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 fotmdation requirements for mobile homes or as recommended by the manufacturer. Minimum ftnished floor elevation shall be cenified 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 wrhi1N 180 DAYS. OR if WORK IS STOPPED OR ABANDONED FOR MORE TIlAN' 180 DAYS, SUSPENSION OR REVOCATION MA Y ~~UR IF TIllS P_E~ WAS ISSUED ON TIlE BASI~ OF INCOMP~~ OR ERRONEOUS INFO~ATION:, ANYONE PROCEEDING PAST THE POINT OF REQUIRED INSPECTIONS WILL DO SO AT THEIR OWN RISK. Your signature on the front of this fom verifies the following: I HAVE CAREFULLY EXAMINED TillS COMPLETED APPUCATION, and do hereby certify that all information hereon is true and correct, and that I have a legal interest in the property as owner of record or authorized agent. I further cenify that any and al\ 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 funher certify that if I am not the owner of the propeny, my registration with the Builders Board is in full force and effect as required by ORS 701.055, 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 construction is complete. the permit holder shall notify the County Land Management Division by submitting the installation record form. 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 permit holder wUI be notifie4, and all corrections shall be made before a certificate of completion will be issued. Failure to meet satisfactory completion within the allotted time constitutes a violation of ORS 454.605 to 454.745 and this rule. SUBSURFACE SEW AGE DISPOSAL SETBACKS SEPTIC TANK From: Interior r'"r--, lines 10' Edge of road right-of-way 10' Building foundation 5' Wells or other water sources 50' DRAINFIELD 10' 10' 10' 100' i: ,,' <:.,:~ if possible. . r ' " .~ "~ ,,', ~ . Please complete aU lines inside white boxes, J4-dt ~/<.f'O/&L 'UUH1i{(.€ 44/;pJdJk 7J L-i/tD ~pc{.J, , RON ..,0 }(/3y' OWNER OF PROPERTY (It not ..me .. .bove) ! ()?:-? r; l E: u.A Y OWNERS ADDRESS (It no, _me .. .bon) ~a- rJa.. 977'77 ExIstIng BuildIngs or Improvements on Property ~use l=:J Barn l=:J Garage l=:J Mobile, Home l=:J Shed 9EPTIC INSTALLED lZfYes l=:J No Water District }-f//U4?76" c=- 'iUUH f\I..."u: ?-,2o-9o ullt: PHONt: City ZIP SdAO, I" "HUNt: 9'7'/78 ZIP LUI'IIH"'I,;IUK / U/;en.. . DIrections fa site a ,. .s )vrl't MAP, PARCEL NUMBER (Fo~n tIIx JII" In the "-am..... . Tuadon ~L) !.iiNp ~ ~<[c;~ -['fP /6 TownMlp ~ BeeUon ". SectIon lox .... . ownalup ~ ~ecuon 114 :ieCUOn ... LOI ,,.., , . SITE ADDRESS/,/ / I /0 '70 LO tJL VV"/t y' , ,Y--;'~L,o- 0/7. Yi7f'7rJ ZIP ~ ~ MAIL PERMIT TO: /@,/(,,-- /t/cPr7:Jkh M.IVl-L ;:(r;AT~ f\IAMt: /,;2./';:' ~h'/lU)k 73Lt..-'/Q AUUH~..c:c.r? n/2- ( :S4-ek ) For Mobile Home Placement Only Brand Year Size No. of Tip-outo No. of Bedrmo Ucense # '-'11""'- , ( 9- 7~7? ZIP Land Management Dlv. staff can not be held responsible for evaluations or recommendations based on false. Inaccurate or Incomplete Information . 1\ , ~ " ~t::l ~~ }l\ 11 () " t-.. E ~, , ~ C)~ i\) ~ ~ h f\ h l' f'1 . . () o \" ~ ;ZOI " ...., l. . ...-1..,....,..-- ...,!,-...... {'!-- /" ...... ~~. ~ .r4...,-<"~ I\) ~~ o ~.\> o ./~ .,/, ,../. +'1 ;;.,.r: ,,,',1 ,~' l',o<' -<' '\ \ -:.. '\ \~ '\~ , .. ""\," '\ .' ~'''.lr' ,il f,.... aJ \"1 0 "1-- 0 - '0 t7I ~(J) Y' 0 'Y 0 '0 0 '0 ...,j I\) , oU o <" "j -r" 'I J1 , ".~r [j'j~ . 01 / dr"Jy '.t, '1fI..l' \ ~ > " ...,j \ " (J) \' \' 0 IV 0 \ /ESTJ-\T~S .._,_.._,....,__:W_ I I , ...,j ...,j , o ~ O~ FlnS-r , ~~ ~i ,/,#'r.,y :"/ ,~. ""Ar",.., - /I" f J" "." ,''''''' (]J "-' ;-) ~ ~ (J) N o ~~ "';.:.. ,.. ~''\. _~.. -.1!.," "', ~ - - ~-:"\::'.;., d~.. ..,.. s....r.;... ) .:.:' ~/.<(/1" 1 ...,j l> o ' c 0.. , , N /tI"TN U' \.-:w ~ 0J '---J JJI It"';',". ,1 ".rl' I .a"C' /,,, JI ...... ",.. .J.r'/~ '/ ....."'..,f..,.,. I, ~. ...,j l.>l " o , o .. y~ H NOj.j f\) ~CIS.....u' .1'".1.,..... ..t..,./" , I A """6, f' A r cr. N .Ie '.'.'1' .~-# f,'l- /t1J"J"w , ". .."""r"", . . '.. ~o ..;' " I~ -:1 I~ ,\ "'w~ )-:;,'7 (I , ~ I , ~ I~ ... .. ~I~ , ~ ~I .. I ~ I~ I I~j I ',." r"-:;'" ~I/r ~ , (J) o o -oJ ~ o ;: o , . ~ ... .. ""'AT..- ". ...,j -oJ en 01, o ~ 0 ~ 0" 0 , , J-\ DDJTJON II. tI.z' . 1~J.6" '''#,/' ~ ,U) " ~ , , " , ~ , " .. .. :r .. " ~ ,",' " .. .' ,.. .. ~ -10 " "- . ~ ct >. ~ 40 , ~ ~~. ~ CD ','\- r: ~ ~ I H \ l.>l ~ ". ::0 o 1> o . ,...at'. ~ :, '. " ,--'" _. -~ ,.,-",'5",1 , .' ..!~ i 't I,".. 1'., ~. ~~ ~r,,;' '~r.--+ - '1':'" J.:~' ~. z o I c ,.,' .' I ~ I ~ I: .l> .l> _-tv -Ot:".rd~ .. .~ I\) I CD ,.. l' ~I " '-' , ~; I ,'''- ~~~ L-..;,-~ '~ . 'E.,' . .... .\ "l ' , -~- - ~-- -~ --- --.- . " .":, ' ,'. . I " . .,.... . aoft . . . , - ao ~ . . e, . ~o n .. . - , ~.;, . . . . . flUn . . . . m . """"------------.----------------------------------. . ,. ~l ~. 5 LANE COUNTY DEPT ENV MGT RECEIPT A ?34790 DATE 07?09~ . AF'PLICANT BIXBY, RON ADDR 1075 COLE WY., SI"RtNGFIELD, o,(EGof;l . TU, 1802052400~i00 SUBDIV' LOT --._BLK " NEW BLDG TYPE USE R BDRMS, 0 UNITS 001 STORIES '~BLDGS 001 PHONE 746 -'1.613 " . OWNE,(/NME BIXBY. RON AD DR 1075 COLE WY., SP,(INGFIELD, OREGON . CODE ' APPL NO ACTION DESCRIPTION SQ FT UNIT COST VALUATION FEE DAYS BP , . 6~ft , lIP ~P . BP .BP E ~ FI_ ""1ECH .SUF( PCK .'_R '~'FIX/fIATH : " LC 234790 SDSV . CATG: PLN RA .SEr~u : rAI(EN BY RLH . ni . . SDS 1 EST.