HomeMy WebLinkAboutPermit Septic Tank 1986-7-10
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Lane
R1Ati_- AD^i)RJ;:'t~SIi\I~' t'-
Goun y ~U .u.orrza IOn
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for:
FOR OFFICE USE ONLY
SEPTIC DISPDSAL,SYSTEM INSPECTION FDR LN. REV.
Application/ J/I ~_ 0/
Perm~t It ex ~->. O/t:::'
27.3.2
I
) TAX ~;DO OOUT OF
LOT/PARCE~ I BLOCK
PROpOSED USE OF PROPERTY
G Residential 0 Industr ial
D Commercial 0 Public.
roW:;SHIP 17 I RANGE 03
SJBDIVISION/PARTITION (if applicable)
SECTION
LOCATION ADDRESS
1411 Linden
IJ;.ET , c:;;k- 17177
ON PROPERTY f
CITY
ZIP
STRUCTURES CURRENTLY
SFD
UUU:;CTIONS TO ~lT.E::
Centennial to Aspen to Tamarack to Linden - L side of St.
~~SCRIPTION OF PROPOSED WORK - BE SPECIFIC
Septic insp. for In.
= OF BEDROOMS j ! OF STORIES I K OF E/-IPLOYEES
O;~'"NER' 5 NAME AND ADDRESS
DECLARED $ VALUE
WATER SUPPLY
o Proposed
JX1 Existing
TELEPHONE NUMBER
same
TELEPHONE NUMBER
~~9 So. 4~t._ Snrinnfi~ld 9747R
ADDRESS)
fiR~O 746 579?
TELEPHONE NUMBeR
I HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION FOR PERMIT, arId ,)0 hcrcUy cen,ify t.hat all information hereon is true and correct, and that I
have the following legal interest in the property: Downer of record; 0 contract- pllrchaser; Dauthorized agent.
I f::.rthcr certify that any and all work performed shall be done in accol'dunce with th<l Ordinanc<lS 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 st.rllcture without the permission of the Building Division. I fur-
ther certify thAt registration with the Builder's Board is in full force and effect,as required by ORS 701.055, that if 'exempt the basi. for exemption
is noted hereon, and that only subcontractors and employees who are in compliance with ORS 701.055 will be used on this project. I HAVE READ AND
CHECKED THIS APPLICATION THOROUGHLY.
Kelt!
Jq,,^er ale
NAME (pleAse print)
ft4f~GNATUFX
7-10-86
DATE
READ THIS SECTION CAREFULLY. YOUR AUTHORIZATION ~AS BEEN BASED ON THE FOLLOWING CONDITIONS!
[] PLANNING/ZONING,
Zone
Partition ..
Parcel It
Parcel Size
Minimum Setbacks:
CL, front
eL, side
NO SPECIAi:t~~;~NING ACTION ;~~UIRED. !i7,
Date, 7-10-86
/
o SANITATION: S. I. It B. P. # Installation Record Issued? DYes 0 No
Installation Gallon Lineal Feet l-l.aximum Depth
Specifications: Tank of Drainfield of Trenches
COMNENTS'. ,"'2tJ./ u~' .iDS. r,r~ 5K" ~/~- ~-
cJ-~A~L4 A~~~~h>~~ate' 07~1/-f! _~
o PLANS EXAMINATION: Typ Group Use
COM.\tENTS:
FOR LN. REV. PURPOSES ONLY.
COMr-lENTS:
Date:
n
~4) ~___- R-\,l 7-II-/'C
- ~rt'tT AP~hlLOING OFFIClAL/DESIGNEE (per ORS 456.805 (1)) - DATE
LANE CO~Y DEPARTMENT OF PUBLIC WORKS LAND MANAGEMENT DIVISION, 687-4061,
125 EAST 8TH AVENUE, EUGENE. OREGON 97401
SEE REVERSE FOR INSPECTION INFORMATION
n..,. "'I~ OIl"'1.ll
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SETBACI\S i\.~lD OTHER CO~OITIO~S or APPROVAL :-IUST BE STRICT!.Y OBSERVED. VIOLATION CA:-J RESULT IN RE\'O-
C';':'IO:: or TillS PER:-IIT, CITATIO:l U~DER PROVISIONS Of' L';:-;E COL'::n"S INFRACTION ORDi:;;"~CE. AND/OR OTHER
RE~IEDIES AI..LOWEO BY LAW.
\o;HEN READY FOR r::SPECTION, CALL 687-4065. A mNnlu:-t OF ;"T LEAST 24 HOURS AOVA:;CE NOTICE FOR INSPEC-
TION REQ~ESTS ~UST B~ GIVSN: Have the tollowing information ready: permit number, job address, type
of inspection, when it will be re~dy. your name and phone nu~ber. and any special directions to site.
BUILDING DIVISION:
REQUIRED 1::SPECTIONS:
1.
Foundation Inspection: TO be made after trenches are excavated and forms erected and when all
materialS ~or the Ioundation are delivered on the job. Where concrete from a ce~tral mixing
plant (com.:nonly termed ~transit. mixed") is to be used, materials need not be on the job.
Concrete Slab or Under-Floor Insoection: To be made after all in-slab or under-floor building
serVice equipment, COnaUit, plplng accessories, and other ancillary equipment items arc in
place but before any concrete is poured or floor sheathing installed, including the subfloor.
2.
3.
~raminq & Insulation Inspections: TO be made after the roof, all framing, fire blocking, and
raclng are in place ana all pipes, fireplaces, chimneys, and vents are complete and all rough
electrical and plumbing are approved. All wall insulation and vapor barrier are in place.
4. Lath and/or Gvpsum Board Inspection; To be made after all lathing and gypsum board, ~nterior
ana-eXECrIOr, 15 In-priCe but before any plastering is applied and before 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 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 reGuire 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
rnspectIOn 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
compl~ Installation shall be in accordance with an approved, 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
sewcr-or-septic system for setback requirements, blocking, footing connection, ticdowns,
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.
D. Swimmin9 Pool: Below grade when steel is in place and before concrete is poured. Above grade
When pool-rs-installed.
....PPROVED PLANS MUST BE ON THE JOB SITE ....T ALL TIMES DURING WORKING HOURS. TillS PERMIT WILL EXPIRE
IF WORK DOES NOT BEGIN WITHIN IBO DAYS, OR IF WORK IS S~SPENDED OR ABANDONED FOR MORE THAN IBO DAYS.
SUSPENSION OR REVOCATION ~~y OCCUR IF THIS PE~~IT WAS ISSUED ON THE BASIS OF INCOMPLETE OR ERRONEOUS
INFORMATION, .
ANYONE PROCEEDING PAST THE POIl:T or REQUIRED INSPECTIO::lS ,WILL DO SO AT THEIR OWN RISK. .
SUBSURFACE AND ALTERNATIVE SEWAGE DISPOSAL ~:
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 454.605 to 454.745 amI this rule.
Setbacks - Subsurface
From:
S~wa<]e Disposal
Septic ~
10'
10'
5'
SO'
Drainfield
10'
10'
10'
100'
Interior property lines
Ecge of rOud rlqht-of-way
Buildinq foundation
~ells, other water sources
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APPLICANT JANECEK, KEN
TLI 1703273202600 SUBDIV
. NEloJ ElLDG TYPE USE n BDI;:MS
OWNER NME LAXTON, LILY
CODE APPL NO ACTION DESCRIPTION
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ElP
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LANE COUNTY DEPT ENV MGT RECEIPT
ADDR' ~)~)a ~f) fi?NI) ~'T
," ,J '...." 'f...~ .. ,~. .c,
~,~116~;tl6 DATE 0710B.
SPRINGFIELD
LOT BL.!<
o UNITS 001 ST()I;:IES ' '::'ElLDGS (101 F'HONE 689 0200.
ADDR 1411 LINDEN AVE., SPRINGFIELD
SQ FT UNIT COST VALUATION FEE
IFIX/BATH:
SWf!:
FT. WH!:
11E::1~HANICM" FEE
ST f~ TE SUI~CHAf!GE
PLAN CHECK FEE
FT.
r':AIN:
FT
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l_G 21 6~)B6 SD.sV
60.00
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SDS
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OTH ISS
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TOTAL. FEElf*
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EST. COMPLETION DATE
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AerIVITY INFORMATleN SHEET
.
COMPLETE THIS SECTION. INCOMPLETE FORMS WILL BE REJECTED!
f?gcj-oLeo 7r.6-'-~/"i2
BUSINESS TELEPHONE # HOME TELEPHONE #
2 PROPERTY ADDRESS / If /1 L,'~je\r...
(IF DIFFERENT FROM MAILING ADDRESS)
BUSINESS TELEPHONE #
1
HOME TELEPHONE #,
TO~SH1r
(from tax maps in Department of Assessment and Taxation
or from tax statement)
~ :2J ~ ;2-- .~_ //> r}1J
RANGE ~ TAX L~b~EL;-- ZONING
3 MAP & PARCEL NUMBER,
(REQUIRED INFORMATION)
TOWNSHIP RANGE SECTION
TAX LOT(S) OR PARCEL # ZONING
TOWNSHIP' RANGE SECTION
TAX LOT(S) OR PARCEL # ZONING
ACRES
TOTAL CONTIGUOUS PROPERTY IN SAME OWNERSHIP:
4 SUBDIVISION (if applicable)
LOT
BLOCK
5 REQUEST (state exactly what you plan to do) S'-el>l-~c ~ kc::!>ei21-I'Ov-... ...r",ir JCJ~'"
- / -
6 DIRECTIO~S TO SITE: ~-I-...e---;~J ~,-lt~ fl7 1..............______
L/6 ~()/{IL-r?_I:"to ~'~J
** FOR STAFF USE ONLY ** J~-~ .
L-(- f ~ rfJ .J&i-
ZONE/LAND USE:
14-33
LAND MANAGEMENT DIVISION / 125 E. 8th AVE., EUGENE, OR 97401 / 687-4061
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