HomeMy WebLinkAboutPermit Septic Tank 1989-3-27
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. Sf ~ lt0 fk . GN FO: ~F~I: USE ONLY
Lane County Auth lzationrc;r:'
Applica Hon/...,..n?- 90'9
Perm~ t ilL -' --.J - [J
SEPTIC INtit'&.:.1'ION FOR IDAN REVIEW <
ro~5HIP
RANGE
17
03
I SECTION
27.3.2
I TAX LOT
1900
I LOT/PA'ReEL 'BLOCK
CITY
Springfield
[JOUT OF
PROpOSED USE OF PROPERTY
~ Residential 0 Industrial
o Conunercial D Public.
S~BDIVISION/PARTITION {if applicable)
N/A
'J
LOCATION ADDRESS STREET
1603 Linden Avenue
ZIP
97477- q(:,(dJ
STRUCTURES CURRENTLY ON PROPERTY
~
UIRLCTIONS TO ~IT~1
Centennial to Aspen to Tamnarack.
Ocd--
fcrlct
Left on Linden, South side (green house)
uESCRIPTION OF PROPOSED WORK - BE SPECIFIC
DECIARED oS VALUE
SEPTIC INSPECI'ICN FOR IDAN REVIEW
= OF BEDR40MS J ~ OF STOiIES I # OF EMPLOYEES I WATER
O;~llER I 5 NAME AND ADDRESS
Mr. & MrS. Robert F. Wilcox
CONTRACTOR I 5 NAME AND OSR II
SUPPLY
Rainbow
o Proposed
~Existing
TELEPHONE NUMBER
747-9387
TELEPHONE NUMBER
P::;Rf>llT TO BE MAILED TO (NAME AND ADDRESS)
Steven W. Wright 846 "N" St.
Springfield
97477
TELEPHONE NUMBER
746-3270
I HAVE CAREFULLY EXAMINED TIlE CC>>lPLETED APPLICATION FOR PERMIT, and uo hereby certify that all information hereon is true and correct, and that I
have the following legal interest in the property: Downer of record; 0 contract. purchaser; o authori zed agent.
I f'.;.rther certify that any and all work performed shall be done in accordanc~ wi th the Ordinances 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 an}' structure without the permission of the Building Division. I fur-
ther certify that registration with the Buildor's Board is in full force and effect as required by ORS 70t.055, that if "exempt the basis 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. P /} ~
Steven W. Wri9'ht .~ ~hM h f/ U~ 3/22/89
NAH.E (please print) n -- ( SIfNATUI}E DATE
READ THIS SECTION CAREFULLY. YOUR AUTHORIZATION gAS BEEN BASED ON THE FOLLOWING CONDITIONS!
o PLANNING/ZONING: Zone
partition #I
Parcel It
parce I Si ze
Minimum Setbacks: eL, front
CL, side
interior
rear
COM-'1ENTS:
N) SPECIAL PlAL'<J.'~"'" ACI'ICN REl;lUIRED.
Installation
Specifications:
COMHENTS : .;i4 J)./
~
Gallon
Tank
~r~ ~I\"
Lineal Feet
of Dr..infield
Inst:::~iO~~?:'ued? 0 Yes 0 N~
M.aximum Depth
~P./ r ;l.;Z::::- J5I'~
- (/ Date: ()? - 2. 7.,?i r.JJJr
o SANITATION:
S. 1. It
B. P. *'
~.d-4 11D
o PLANS EXAMINATION: Type
Groul)
Use
COW-tENTS:
Date'
n
~~~Y so~!1I /;;;;IGNEE Coer ORS 4S6.80S(l)) J - 2.D~(l
LANE COUNTY DEPART OF PUBLIC WORKS LAND MANAGEMENT DIVISION, 687-4061,
125 AST 8TH AVENUE, EUGENE. OREGON 97401
SEE REVERSE FOR INSPECTION INFORMATION. C 14-25 R84-
.
.
SETBACKS A.~O OTHER CO:;DITIO~:S OF APPROVAL MUST BE STRICTLY OBSERVED. VIOLATION CA~ RESULT IN RE:VO-
CA-:'IO:~ OF THIS PERt-lIT. C11'''1'10:1 UNDER PROVISrm:s OF L,\NE cou::n"s INFRACTION ORDl::ANCE:, AND/OR OTHER
REMEOIES ALLOWED ~y. LAW,
IOHEI'< READY rOR INSPECTION, CALL 687-~06S. A mNHlU~1 OF' AT LEAST 24 !lOURS ADVA1;CE NOTICE FOR INSPl':C-
TIO~ K~Q~~ST~ MUST BE GIVEN. H~ve tne tollowing information ready: permit number, job address. type
of inspection, when it will be ready, your name and pho~e nu~ber. and ~ny special directions to site.
BUILDING DIVISION:
REQUIRED INSPECTIONS:
L
Foundation Inspection: To be made after trenches are excavated and forms erected and when all
mater~als lor the toundation are delivered on the job. Where concrete from a central mixing
plant (commonly termed ~transit mixed") is to be used, materials need not be on the job.
2.
Concrete Slab or Under-Floor Insp'ection: To be made after all in-slab or under-floor building
serV1ce equIpment, condult, plplng accessories, and other ancillary equipment items are in
place but before any concrete is poured or floor sheathing installed, including the subfloor.
~raminq , Insulation Inspections: To be made after the roof, all framing, fire blocking, and
rac1ng are 1n place ana all plpes, fireplaces, chimneys, and vents are complete and all rough
electrical and plumbing are approved. All wall insulation and vapor barrier are in place.
3.
4. Lath and/or Gypsum Board Inspection: To be made after all lathing and gypsum board, ~nterior
ana-exterIOr, lS ln place but betore any plastering is applied and before gypsum board joints
and fasteners are taped and finished.
S. 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 mace 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 mace after reinforcing is in place, but before any grout is poured. This
In$pect1on 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~: 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. Mobile Home: An inspection is required after the mobile home is connected to an approved
sewer-or-5Cptic 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.
D. SW1mm1n9 Pool: Below grade when steel is in place and before concrete is poured. Above grade
wnen pool-rs-1nstalled.
APPROVED PLA~S MUST BE O~ THE JOB SITE AT ALL TIMES DURING WORKING HOURS. THIS PERMIT WILL EXPIRE
IF ~ORK DOES NOT BEGIN WITHIN 180 DAYS, OR IF WORK IS SUSPENDED OR ABANDONED FOR MORE THAN 180 DAYS.
SUSPENSION OR REVOCATION MAY OCCUR IF THIS PE&~IT WAS ISSUED ON THE BASIS OF INCOMPLETE OR ERRONEOUS
INFORMATION.
ANYONE PROCEEDlNG PAST THE POlllT or REOUIRE!? INSPECTIONS WILL DO SO AT THEIR OWN RISK.
SUBSURFACE ANO ALTERNATIVE SEWAGE DISPOSAL ~:
1. Permits sh~ll 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 permitjholder.
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 and this rule.
Setbacks - Subsurface Sewage Disposal
Septic ~
From: Interior property lines 10'
Edge of road rlght-of-way 10'
Building foundation 5'
Wells, other water sources 50'
Drainfield
10'
10'
10'
100'
/';... ....".
.
Please complete all lines Inside
t ~'M. ~
I IV"" Lf::t!?3 " /J{d~/L .4/J.t..-
white boxes, if possible.
-I
UAII;.
PHONfl
S\nild-
CITY -, ,
nb?/"M IJ, . I (f ,(J)(
~f PROPERTY (It nol ..m. a. abov.)
.<t'?/77
ZIP
-21:.?-9 !""L
OWNERS ADDRESS (II not .sm. a. above)
ZIP
CUNIHA(;;TUH
Lleen.. .
,
.
MAP, PARCEL NUMBER
(found on tax mapa In the A.....m.nt . Taxation Dept.)
10~nZ ~ ui?n l/-l:c~ -~l1fJ
Township n;;;;:- Sactlon 1/4 Section Ts.. Lot
lown.nlp ~ ::Iactlon 1/4 ueellon Ts.. LOI
"
SITE
ADDRESS /603 XJ~.the... =-~L/L
r y
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MAIL PERMIT TO:
\ b E!!TS1I~" I",], JJ,.,." "'- +-
r, M?I/t. Iv I A ~r.'
ilA'UUl;"l:.lliJ
-::$A.........., /'.... I cJ ~.
LII. , ,
97t/7 ..,
ZIP
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.
Land Management Dlv. staff can
not be held responsible for
evaluations or recommendations
based on falsel Inaccurate or
Incomplete Information
)/0 rgS
,..:......\
.,..'..........'.'.~'.,...,.
Ex/sting Buildings or
Improvements on
Property
~ouse
c:J Barn-
c:J Garage
c:J Mobile. Home
c:J Shed
SEPTIC INSTALLED
12::1 Yes
c:J No
Water District
.
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,
D/rectlons to sl/e
from Courthise
(!t'''''~'''M''O< ?b
110/1' ~ ..J,.,
'71Iw._~~t:. k
j,.,f -I- ~...b__j,...."Ie-...
;:-\(1....:1"'- ~,'de...
(r;~~~
~j
'7 '7~7 7
ZIP
.'
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For Mobile Home
Placement Only
Brand
Year
Size
No. of Tip-outs
No. of Bedrmr
License #
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DEPT ENV MGT RECEIPT . 72389
ADDR 846 N. ST, SPRINGFIELD
...: --..- .;::.. ~ 1-. _~ ..
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DATE 03228S.
L.OT BLK
o UNITS 001 STORIES '~BL.DGS ~)01 PHONE 746 3270 .
ADDR 1603 L.INDEN AVE., SPRINGFIELD
SQ FT 'UNIT COST VAL.UATION FEE
/ '
'FIX/BATH:
SWf( :
FT . WH~ :
MECHANICAL FEE
STATE SUF~CHARGE
PLAN CHECK FEE
251.
.
-0 ~
I"
. lJ: ' 5 LANE COUNTY
APPLICANT WRIGHT, STEVEN
TLI 1?03273201900 SUBDIV
.IEI~ BLDG TYPE USE I~ [{DRMS
OWNER NME WILCOX, ROBERT
COD~ APPL NO ACTION DESCRIPTION
.'P
BP
BP
.'P
il.B~
.'L.
MECH
SUR
.'CK
, Lf~
LC
FT.
RAIN:
5%
72389 SDSV
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.;ATG: APP RA
rS"QU: 1
U~"!II<EN BY CAD
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--
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FP
. SDS' SI F'CK
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I, A".
COMPLETION DATE'
OTH
ISS
:~
DEPOSIT **
EST.
FT
60.00
60.00
DAY sciJD
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10
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