HomeMy WebLinkAboutPermit Septic Tank 1987-10-26
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Lane County Authorization for:
SEPTIC INSPECTION FOR LOAN REVIEW
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FOR OFFICE USE ONLY
APPlication/3d :)0 P'/7
Perml. t t '- T'" -IJ" {
TQWi:SHI P
17
RANGE
03
SECTION I 48'oO'T OOUT OF
25.2.1
LOT/PARCS'S , BLOCK
IT!'Y ZIP
PROpOSED USE OF PROPERTY
~ Residential 0 Industrial
o Ce,nunercial 0 Public:
S~BDIVISION/PARTITION {if applicable}
LOCATION ADDRESS
STRElT
1697 Lawnri dge (!tv 'Spri ngfi el d
STRUCTURES CURRENTLY ON PROPERTY
SFD
,t SW '"' Of~;O""'t,
UlReCTIQNS TO SITE
19th to Ramblina - R to Wemberlv - Lon Lawrnridae - Septic cover
.Ratio
uSSCRIPTION OF PROPOSED WORK - Be SPECIFIC
SEPTIC INSPECTION FOR LOAN REVIEW
= OF BEDROOMS I fI OF STORIES IIf OF El-JPLOYECS
O;~"NER . 5 NAME AND ADDRESS
COWAN, Kathleen XII site
CONTRACTOR'S NAME AND OSR # /J () ~r /
,""'"T TO BE MAILED TO !NAME AND ADORESS) /1 A M (J LA
PALERMO, Pete 74 E. 18th Ave., #lfi~gene'-9 01 - ~
DECLARED ~VALUE
WATER SUPPLY
o Proposed
~ Existing
TELEPHONE NUMBER
747 5446
TELEPHONE NUMBER
(. .I7-2.C /(;
687 $lT6LEP746E i78~r
I HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION f'OR PERMIT, dnd .10 hcrc!..ty c:ertlfy tchat all infol"mation hereon is trull and correct, and that I
havll the following legal interest in the property: Downer of' record; 0 cCAlcrd"t. jJurchaser; Oauthorized 'agent.
I f:.:.rther certify that any and all work. performed shull be done in '::'cl,:()l.daac", ',d th the !"lrdl.Oanct!~ of Lane County and the Laws of the State of Oregon
~rtaining to the work described herein, and that NO OCCUPANCY will bt..- :nadt! of ar,.,. S".Tllctllre without the pcI'1llission of the Building Division. I fur-
ther certify that registration with the Builder's Board is in full force ilnd effect d5 rec;:uired by ORS 701.055, that if -exempt the basis for excl1lption
is noted hereon, and that only subcontractors and employees who are in camplian with ORE 701.0 w' I be used on this project. I HAVE READ AND
CHECKED THIS APPLICATION THOROUGHLY.
NAME (please print)
.r~
NATURE
10-26-87
Pete Palermo
DATE
READ THIS SECTION CAREFULLY. YOUR AUTHORIZATION ~IAS BEEN BASED ON THE FOLLOWING CONDITIONS!
o PLANNING/ZONING: Zone
Partition ..
Parcel It
Parcel ,Size
Minimum Setbacks: CL, front
CL, side
interior
rear
COMNENTS:
SEPTIC INSPECTION FOR IO~ REVIFW--NO SPFCIAI
...~
PI ANNTNr; AnTON RFQIITRFI1 &
Date, 10-26-87 f)tl
Installation Record Issued? D Yes ~o
Maximum Depth
of Trenches
%; h-L ~-b-.,;'-..~ ~
DatJJ/(J-2 7- p, ~
o SANITATION:
S. 1. It
B. P. #
Installation Gallon
Specifications: Tank
COONENTS'~.P _;~~ Sp_"
J 5f:Itva -""> n , ()
Lineal Feet
of nrair:field
[] PLANS EXAMINATION: Type
Group
Use
COMHENTS:
Date:
n
~/'~RV: . /a-27~/7
~~~:~VED BY BUILDING O~;iIAL/DESIGNEE (oer ORS 456,805 Un - - DATE
LANE COUNTY DEPARlf,AENT OF PUBLIC WORKS LAND MANAGEMENT DIVISION, 687-4061,
125 EAST 8TH AVENUE, EUGENE, OREGON 97401
SEE REVERSE FOR INSPECTION INFORMATION
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SETB,\CKS ;,:;0 07!!I:R CC~;DIT!O:;5 Of '\PPRQ'/AL :.lUST B~ STRIC:-:'': OE:SERVED. \'IOLATIO:-;' c.;~ RESULT IN REVQ-
C;,7ro~; or ':'HIS rr.R:.l!7, CIT"TI0:: U~:DER PROVISIO:;S Or L,",;,E ,::0;,:::,;0'::; 1:1FR/\CTIO:-J 0!l.01:;.:,::0':, ;,:m/OR OT1LSR
RE~EDIES ALLO~ED BY LAW.
\\HE~: READY FOR r:;s['r.C7ro~, CA.:':' 6B7-~065. ,\ ~:r~I:.ILr:-: OF AT r..;;,;ST 2": HOURS ,\OV,\:::';E ::O,IC<: FOR IllSPEC.
'hU:1 HU~l."t.:~.;.s :,,:,;::;1' Ell.:.: G1JS:;:---;:r;I'IO the ::"ollowing in!"o~::1ation ~cJ.dy: ;:,crmil number, job address, type
ofinsp~ction, when it. will be nHdy, your :lame a:lG pho..c ;1\.:::lber, a:1d a:1'i special directions to site.
BUILDI::G DIVISIOS':
REQUIRED r::SPECTlO:1S:
foundation lnspectlon: ':'0 be. made .:liter trenches arc excavated a:1d forms erecl('u and when all
~~tCrlalS "or the toundation are ciclivercd on the Job. ~herc co~crcte ~rom a cc~tral mixing
plant (commonly termed "transit mixed") is to be used, ::laterials need not be on the job.
1.
2.
3.
X
4.
5.
Concrete Slab or Under-Floor InsDcction: To be made after all in-slab or under-floor building
serVI;;e (!~ment, concult, iJlplny accessories, a~d other ancillary equipment items are in
place but beiore any concrete is poured or floor sheathing installed, including the subfloor.
~raminq & Insulation Insoections: TO be made after the roof, all framing, fire blocking, and
raclng are In ?lacc and all ?lpes, fireplaces, c~imncys, and vents are complete and all rough
electrical and plumbing are approved. All wall insulation and vapor barrier are in place.
Lath and/or Gvosum Board Inspection: To be made after all lathing and 9ypsum board, 'nterior
ano-extcrTOr;-rs-rn-ptaCe but beiore any plastering is applied 'and beiorc gypsum board joints
and fasteners are taped and finished.
~ Insoection: 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 obt3in~ng ~he approval of the building official.
Such approval shall he given only after an inspection shall have bee~ made of each successive step
in the construction as indicated by each of the i~spections requ~re~.
NOTE: All building ~ermits require inspections for the work authorized, such as but not limited to:
A. Block wall: To be made a~ter reinforcing is in place, but befo~e any grout is poured. This
InspectIOn is required for each bond beam. pour. There will be no approval until the plumbing
and electrical inspec~ions have been made and approved.
B. \~ood Stove: To be made after completion of m/lsonry (if applicable) (lnd when installation is
com?l~ Installation shall be in accordance with an approved, nationally recognized testing
agency and the manufacturer's installation inst~uctions.
c. Mobile Home: An inspection is required after the mobile home is connected to an approved
sew;r-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 85
recolll!':lended by the I:I-anut"a-C1:urer". -"
2. ~obile hOI:le minimum finish floor elevation shall be certified when required by a flood-
plain management letter.
3. ~obile home ticdowns, when required, and skirting shall he installed and ready for inspec-
tion within at least 30 days after occupancy. Tiedowns and skirting shall be installed
per enclosure.
D. Swimminq Pool: Below grade when steel is in place and before concrete is poured. Above grade
wnen pool-rs-installed.
,\PPROVEDPLANS :.\uST BE ml' THE JOB SITE AT ALL TIMES DURING WORKING HOURS. 7111S PER.'lIT WILL EXPIRE
IF ll'ORK DOES NOT BEGIN WITHIN 180 DAYS, OR IF WORK IS SUSPENDED OR ABANDONED FOR ;.\ORE TIIAN 180 DAYS.
SUSPENSION OR REVOCATION ;.lAY OCCUR IF THIS PER:UT \~AS ISSUED ON TilE ,BASIS OF INCOMPLETE OR ERRONEOUS
INFORHATIOt'J .
A:n'ONE PROCEEDING PAST THE PDI::T or REQUIRED IN"SPECTIO:::; WILL DO so AT THEIR OWN RISK.
:...-
SUBSURFACE ~ ALTERNATIVE ~ DISPOSAL SYSTEMS:
1. Permits shall be effective for one year from the, cate of issuance.
2. Upon completing the co~struction for which a permit has been issued, the permit holder shall
notify the Lane County Department of Planning and Co~nunity 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 i~sue a certifiCate ~~ s/ltisfactory completion to the pcrmiti~older"
., r f the cons'truction clocs not co:nply W"ith such" nlles, the ~pan~:;lc'nt shalr. notifi" tHe rei-mil' -
holder and shall require. satisfactory completion before issuing the certific.lte. Failure to
meet the requirements for satisfactory completion wlthin a reasonable time constitutes a.vio-
lation 61 ORS ..5".L605 to ..54.7..5 anu this rule. - - -
~eLback5 - Subsurface ~ DlsDOSal
From: I:1lerior propert'/ lines
Ed'Je of road fl'1ht-of-way
BIli.ltiin<l founc!at:.o~
~clls, other ~atcr sources
Septic ~
10'
10'
5'
50'
Drainfield
10'
10'
10'
100'
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W: 5 LANE COUNTY DEPT tNV MGT RECEIPT ; 322087 DATE 102687
. ,~PPL. ICr'INT FF:YH,~CI(, JANET ',~DDI'( 2321 N. ': ~)TH, SPI":INGFIELD .
. TL; 1703252104800 SUBD~V LOTBLK
NEW BLD~ TYPE USE R BDRMS 0 UNITS 001 STORIES OBL.DGS 001 PHONE 687 2616
. OVJNEF': Nt-IE COWAN, I(ATHI...EEN '(~DDI~1697 l..AWNf::IDGE: Sf., S'PIUNGFIEI...D .
CODE APPI... NO ACTION DESCRIPTION SQ FT UNIT COST VAL.UATION .FEE DAYS
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ACTIVITY INFORMATION SHEET
I2\ID" . .:' c.....
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L..OOO....................._n"".......
l>>ro,.._.~,....__..,
..-'
_..~~~ty
-
Plea so complete ell Items above dolled line
FILLING OUT * LINES WILL GET YOU INFORMATION ONLY
*DATE/t> /.2~ /lJ)
*PERSONfil ~ ACTUAL ~ ~
MAKING - J .. . PROPERTY J {) n
REQUEST ~...o. OWNER ~~ d..... ~ ..
s<~,&t-P ~II ADDRESS' q..., A..~d.o-(
CITY . t'I , STATEI!Jt.-ZIP q7f'1l,lcITY~ ~..," ~STAT~ Z,P7'?1f7/
TELEPHONE (BUS J...R?-UI ~ (HOME) I} ft,-/~ TELEPHO.NE (~USI l- -; _(HOMtEI l/7--.54t./..k-
*PROPERTY ADDRESS /1",97 -- uN) QI'/t:7-l. . ->..r.A.I~'1-.P~ 1<9~-e....;
OR . , " /
MAP & PARCEL NUMBER.(Found on tax maps in the Assessment & Taxation Dept.)
STAFF WILL DETERMINE_
/1 .....b. j. ~.;2S'" - oW - ~a-a 21 ~ YR.t:>
Township Range- Section Tex Lot Zoned 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
*REQUEST(descrlbe what you want to dO)~J~ -/~:'r.
~_' -b~ ~
'/1_
~ <te/l'(:ut20
~'re' to site 1t.1 t! -4_ ~ M/~,,~ .12r -10 t1J~/9--iM~..._
'f--'J t2Y ~ diA~4P'-' ~ t1.tf-.O{!~ ~Er
. -A..~,d n ~ ~- (M--fh:..tJ
-(it .. ..
- - .-
....................5taff Use On~....................
Comments:
Land Management Division, Public Works Department 125 E. 8th Ave., Eugene, OR 97401 phone 687-4061