HomeMy WebLinkAboutPermit Septic Tank 1988-7-20
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Lane County Authorization
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FOR OFFICE USE ONLY
SEPTIC INSPECTION FOR IO~ RFVIFW
APPlication/-"jO"'; ()o <Y
Perm~t '__~ ~ -Jr ~
roW~;SHIP RANGE SECTION I TAX LOT OOUT OF PROpoSED USE OF PROPERTY
17 03 34 22 flOfi [KJ Residential D Industrial
S~BDIVISION/PARTITION (if applicable) Im/PA'R(,C~- - I BLOCK o CC'llImercial D Public.
LOCATION ADDRESS STREET CI'!'Y ZIP
1595 Kellog Rd.,
STRUCTURES CURRENTLY ON PROPERTY
Springfield, OR 97477-3537
SID
UIHL~TIONS TO SITE
Centennial to Aspen to Kellogg Rd.
..~..'
~
VI
DECLARED S VALUE
u~SCRIPTION OF PROPOSED WORK - Be SPECIFIC
SEPTIC INSPECTION FOR LOAN REVIEW
'" OF BEDR~S I ~ OF S~RIES
O;~'NER '5 NAME AND ADDRESS
I fI OF EM~LOYECS
WATER SUPPLY
Public
o prc;>po~ed
[Xl EXJ.st1.ng
TELEPHONE NUMBER
Jack & Chervl Stanner
CJNTRACTOR'S NAME AND OSR It
1595 Kellog Rd.. Soringfield. OR
741-2423
TELEPHONE NUMBER
P:;RfollT TO BE MAILED TO (NAME AND ADDRESS)
TELEPHONE NUMBER
Jack & Chervl Stenner (l';itf'! ~f'!l';l';)
1 HAve CAREFULLY EXAMINED THE COMPLETED APPLICATION ,"'OR PERMIT, dnd ,lo hcrcL>y certify t-.hdt all information her~on is true and correct., and that I
have the following legal interest in the property: Downer of record; 0 cc./ltr<H:t. purcha::;cr; {J[authorizcd agent.
I f~rther certify that any and all work performed shall b<! done in .:.c<,:olllu:lf,,,= ....i th th~ ()r:dU\ance~ of Lane COWlty and the La....s of the Stato of Orogan
pertaining to the work. described heroin, and that NO OCCUpANCY will be ;n.;:adc of ar.y S".Tuctul'e without tile pc[1llission of tho Building Division. I fur-
ther certify that registration with the Builder's Board is in full forc~ anoJ effect as rec;uired by ORS 701.055, that if 'exempt the basis Cor exelllption
is noted hereon, and that only subcontractors and employees who are in COIllpliance with ORS 701.055 will be used on this project. 1 HAVE READ AND
CHECKED THIS APPLICATION THOROlKiHLY.
Melissa Bigbee
NAME Iplease pr~nt)
x -n/LL~,.
/
.YR.'t~
- SIGNl)l'URE
/- /s-d
DATE
READ THIS SECTION CAREFULLY. YOUR AUTHORIZATION '{AS BEEN BASED ON THE FOLLOWING CONDITIONS:
o PLANNING/ZONING: Zone
parti tian #I
Parcel It
pa rce 1 Si zc
Minimum Setbacks: CL, front
CL, side
interi()r
rear
CQM."1ENTS:
SEPTIC INSPECTION FOR LOAN REVIEW--NO SPECIAL PLANNING ACTION REQUIRED
7/15/88
Date:
~
Installation
Specifications:
Gallon
Tank
~~j31),}
bf :flJ& j~
Lineal Feet
uf lll"air:field
Installation Record Issued? 0 Yes 0 No
Maximum Depth
of Trenches
~M~ /..;G_ f
Date, U 7 -/ 'f ~Pf?'// 0
L/
o SANITATION: S. 1. #
B. P. #I
~
o PLANS
Type
Group
Use
COMHENTS:
Dat.e:
n
I \
~pdM.J~y a~d . E (oer ORS 456.805 (I)) 7 -rt!..TE --ff
LANE COUNTY DEPARTME OF PUBLIC WORKS LAND MANAGEMENT DIVISION, 687-4061,
125 ST 8TH AVENUE, EUGENE, OREGON 97401
SEE REVERSE FOR INSPECTION INFORMATION C 14-25 R84-
.
.
SETB;,O::S A:-;D O':'!!<:R CC::OIT!O::S Of l,PPRQ'.',\L ~:t:S'!' BE STR!C'::'Y O':5:::R'.'ED. \'IOLATIO:, CA:, RESULT I~ REVQ-
C;,:'IO:: OF 7!IIS i"!:R:.1IT, CIT;,TIO:: U::OER PROVISIO::S Or L';:;E :O;';::TY'~ I:;FR"CTIO:l OROI::.:"::C!::. ;,:-;O/OR OTllER
RE~LD[ES ALLO~ED ill LAW.
\o;I1EI'< RE.::"'OY FOR I::srcC'no:J, C;\L:' 687-';065. ;I, m~nll::-: OF ,\T t:~;,ST 2'; !IQURS ,\DV,\:;CE :mTICE FOR H1SPEC-
'l:::O'~ IH(1ll:.:~,::. .,~:;T lJL GIVL',: 11<1'/0 the tollo....i:Jg in:o~:nation rC3dy: ,,~rmit number, job address, type
of inspecti.on, when it will be randy, your n.:lmc and ?!'.or.~ :lU::lbcr, ol;JC 3:11' 5?cciJ.l directions to Site.
BUILDI~G DIVISI0~:
REQUIRE::J r::SPECTIO:1S;
1.
Found.:ltion Inspection: To be made after trenches arc cxc.lv<ltcd and forms erected and when all
r..aten.al:; ~Ol" the toundation are delivered on the Job. ',','here concrete from a central milnng
plant (co~only termed "transit mixed") is to be used, materials need not be on the job.
Concrete Slab or Under-Floor Insnection: To be mace after all in-slab or under-floor building
serV1~e e~uipment, concU1t, plp1ny accessories, and other ancillary equipment items are in
place but before any concrete is poured or floor sheathing installed, includin~ the subfloor.
2.
3.
~raming & Insulation Inspections: To be made after the roof, all framing, fire blocking, and
racing are 1n place und 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.
Lath and/or Gvpsum Board Inspection: To be made after all lathing and gypsum board, ~.nterior
ana-execrTOr, 1S 1n-pTiCc but ~efore any plastering is applied and before gypsum board joints
ana fasteners are taped and finis~ed.
5. final Insoection: To be made after the building is complete and before occupancy.
4.
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 off~cial.
Such app~oval shall b~ given only after an inspactio~ shall have bee~ made of each successive step
in the construction as indicated by each of the inspections required.
~OTE: All building permits require inspections for the ~ork authorized, such as but not limited to:
A. Block Wall: To be made a!tcr reinforcing is i~ place, but befo=e any grout is poured, This
InSPectIOn is required tor each bond beam pour. There will be no approval until the plumbin9
and electrical inspec~ions have been made and approved.
B. \.;ood Stove: To be made. nfter completion of masonry (if applicable) tlnd when installation is
C05?l~ Installation shall be in accordance with an approved, nationally recognized testing
agency and the manufacturer's installation instructions.
C. Mobile Home: An i~spection is required after the mobile home is connected to an approved
sewer or-5eptic system for setback requirements, blocking, footing connection, tiedowns.
skir~ing, and plumbing connec~ions.
1. footings and piers to comply with State foundation requirements for mobile homes or as
recommended by the man~ufactur.er. - -
2. Mobile home minimum finish floor alevation shall 'be certified when 'required by a flood-
plain management letter.
], ~obilQ home tiedowns, when requ1red, and s~lr~lng shall be installed and ready for inspec-
tion within at least ]0 days af~er occupancy. Tiedowns and skirting shall be installed
per enclosure.
D. Swimming Pool: Below grade when steel is in place and before concrete is poured. Above grade
when pool 1S installed.
APPROVED PLANS ~lUST BE ON THE JOB SITE AT ALL THIES DURING WORKING HOURS. TIllS PERt'lIT WILL EXPIRE
If "'aRK DOES NOT BEGIN WITHIN 180 DAYS, OR IF WORK IS SUSPENDED OR ABANDONED fOR ~10RE TUAN leo DAYS.
SUSPENSION OR REVOCATION ;.\AY OCCUR If TillS PERl.lJT WAS ISSUED ON THE BASIS Of INCmlPLETE OR ERRONEOUS
INFORHATION. .
ANYONE PROCEEOH1G PI\ST TilE POI::T or REQUIRED INSPECTIO::S WILL DO SO AT TIlEIR OWN RtSK.
SUBSURfACE ~ ALTERNATIVE SE~AGE 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 ~ith the rules contained in this division. If the construction does comply with such
rules, the Department shall i~5UC a certificate of satisfactory completion tethe ,permit; !':.older.
~n the construction oocs no~ comply with sucn-r.utes, 'the Depard:1ent- sha-ll notifythe-ilermlt .
holder <lnd .shall require satisfactory completion bafora issuing the certifi.c:ltc. Fililure to
. meet t~e requirements for siltisfactory completion .....lthin ~a rcasen~blc q\ll'41J:o!:!sS:itu~es a vi.o-
latlon of ORS ~54.605 to 454.745 and this rule.
Setbacks - Subsurface S~wa~c Disposal
SePtic T.:lnk
Drainfield
F:'o::J:
Interior propert
Edge Ot road rlq
Bulluinq (olOne-lllt
hells, other ....'.:It
10'
10'
10'
100'
lines
t-of-way
on
r sources
10'
'10'
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OWNer5
MR ~ 'f'f\R5 STICI r mer
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200 E. 11th Avenue
Eugene. Oregon 97401
(503) 345.6789
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. IJ: ,,) Ltd~E COUNTY DF.:PT ENV r1GT f!ECElPT '1.' 202Hl8 DATE 07HI~'
APPLICANT BIGBEE, MELISSA ADDR 200 E. 11TH AVE, EUGF.:NE '11
TLI 1703342200905 SUBDIV . LOT BLK
. N[W BLDG TYPE' USE I': BDJ:;:MS 3 UNITS 001 STORIES '~BL.DGS-"t)01 PHON[ 741 242:::'.
OWNER NME STARMER, JACK & CHERYL ADDR 1595 KELLOGG RD.. SPRINGFIELD ·
. CODE ('lPPI... NO ACTION DESCr::TpTION SQ FT UNIT COST VALu,nION FEE DtY."'~
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pl.,AN CHECK FEE
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ACTIVITY INFORMA TION SHEET
I1\1ID
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Please complete all Items above dolled line
"t,
FILLING OUT * LINES WILL GET YOU INFORMATION ONLY
*DATE 7
I /5 I BE
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* PERSON ACTUAL
~~I~~ST (Yi"" 1..5S",- r::'9!npp ~~O:EE:TY :7~c Ie: -f cheryl $-I-ARYh?,
AOORESs:JDh ~ lIt:+. A~ AODRESS )~_~ k"ello'19 --;?,..,c.d
CITY IE,,, 1"'^,P STATE OR ZIP97l./0/-CITY~.~r';tu'1(iPlcl STATE t'll? ZIP97'-177)
TELEPHONE (BUS) 3L/5-h 7R9 (HOME) '741-0b if!Z'I7TELEPHONE (BUS) 7<:11' ;;; ~,;,.....-' f,HOMEJ~ I .;;1LlQ3
*PROPERTY ADDRESS )S-q~ 1"'\",11(">"1'7 I< (,)l'\cI, ''5?R7:fl~;'j{;f3''f? Q?'-,/7 -3S37
OR . /7 03 31./ ::2;;l..,.o090~- . .
MAP & PARCEL NUMBER (Found on tax maps in the Assessment & Taxation Dept.)
... "7, 1 S~FF W~L DETERMINE_
/ 7 0 ..B '" ...,. 22-00903"" ~ t( ~
Township Range Section Tax Lot Zojed
Flood Plain
Township
Range
Section
Tax Lot
Zoned
Flood Plain
Township
Range
Section '
Tax Lot
Zoned
Flood Plain
'TOTAL CONTIGUOUS PROPERTY IN SAME OWNERSHIP:
ACRES
* REa U E ST (describe what you want to do) _<;',0 LJTJ"r
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Directions to site /..f/>'h--r.u~/
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....................5taff Use On~....................
Comments:
, Land Management Division, Public Works Department 125 E. 8th Ave., Eugene, OR 97401 phone 687-4061