HomeMy WebLinkAboutPermit Septic Tank 1988-3-8
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URBAN GR,OWTH BOUND. OF SPRINGFIEL.
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Lane County Authorization for:
SEPTIC INSPECTION FOR LOAN REVIEW
Jfj{ 3~1~c9J'
FOR OFFICE USE ONLY
Application; ~//// C1~
PermI. t It _ _.J ~ ~ - d A""'"
W,..:;SHIP 17 I RAI1GE 03
S~BDIVlSION/PARTlTION (if applicable)
I SECTION
I TAX LOT
23,3.3 8700
I I.OT/Pl-.?t'S:' I
DOUT OF
rRO~OSED USE OF PROPERTY
~ Residential 0 Industrial
o Com.mercial 0 Public.
BLOCK
LOCATIO~l ADDRESS STRt.f:T
pl/!..
136 Greelnale, Springfield, Oregon
STRUCTURES CURRENTLY ON PROPERTY
CI'!'Y
ZIP
Single Family Dwelling
LJifU.;CTIONS TU SITE
North Springfield, Hayden Bridge Road to GroV~ale to Gree~ale
V~SCRIPTION OF PROPOSED WORK - BL SPECIFIC
Public
I DECLARED l;i VALUE
o Proposed
JX1 Existing
TELEPHONE NUMBER
343-6968
SEPTIC INSPECTION FOR LOAN REVIEW
= OF BEDROOMS 3 J # OF STO~IC:S I # OF ~~LOYECS
O;~~ER I S NAME AND ADDRESS
Irene McChesney, Same as the job address above
CJNTRACTOR'S NAME AND OSR #
Bill Medford, 1216 Mohawk Blvd., Springfield, Oregon
P;;RNIT TO BE MAILED TO (NAME AND ADDRESS)
WATER SUPPLy
97477
TELEPHONE NUMBER
746-7613
Same as above
TELEPHONE NUMBER
Sam e
I HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION POR PERMIT, dlld .]c-, hcr0uy e~tt.i.f~' that all information hereon is true and correct, and that I
have the following legal interest in the property: Downer of n.~col-d; 0 cr,llc:r<,",~, p'lI'cha::;er; ~..l.uthori zed agent.
I f~rther certify that any and all work performed shilll be done in i;>.CCUtJ,,:lf;'< Idtli t"1:.-,: ()nhllanc~:.; of Lan~ County and the Laws of the State of Oregon
pertaining to the work described herein, and that NO OCCUPANCY \0'111 hi.: ::w.rle of ar.,; S'-Yllctllre '...ithout tile pcI1llission of the Building Division. I fur-
ther certify that registration with the Builder's Board is in full force ilnd effect. dS rec;:uired by ORS 701.055, 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 is oject. 1 HAVE READ AND
CHECKED THIS APPLICATION THOROUGHLY. ~( // // t., /) /J
Bill Medford 1- ~ / /( ~~ 3-7- Kg"
NAME lplease print) . SIGNATUltE,,&; DATE
..
READ THIS SECTION CAREFULLY. YOUR AUTHORIZATION ~iAS BEEN BASED ON THE FOLLOWING CONDITIONS!
f] PLANNING/ZONING:
Zone
na
Parti tion #
Parcel #
Parcel Size~n8
Minimum Setbacks;
CL, front
CL, side
interic,r
rear
COM.\lENTS:
SEPTIC INSPECTION FOR LOAN REVIEW: NO SPECIAL PT.ANNTNC ArnON ''''(lnT''''''
Date:
1-07-88
1UJLD
Installation
Specifications:
Gallon
Tank
Lineal Feet:.
of nl."air:field
Installation Record Issued? 0 Yes 0 No
Maximum Depth
of Trenches
o SANITATION: S. 1. I
B. P. if
CON..\lENTS:
~
512.( /:/J~0 _ ~ /J- ~ .A~~d oiZ-
~.A<l ~UR' Dat.,O .7-~__Pf ~~
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o PLANS EXAMINATION:
Type
Groun
Usa
COMHENTS:
Date:
n
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~E&-.",... r\rPROVED ~y BUIL5!NG OFF! ESIGNEE (oer ORS 456.805 (1)) DATE
LANE COUNTY DEPART E OF PUBLIC WORKS LAND MANAGEMENT DIVISION, 687-4061,
125 AST 8TH AVENUE, EUGENE, QREGON 97401
SEE REVERSE FOR INSPECTION INFORMATION
C 1"_?~ Rs:/4.
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SETs/,eKS ",;0 OT!I:~ CO::01.1O::5 OF APPRO'.'t,L ;':U$T BE STRIC-:-:'Y OESER'.'!;:>. \':;OLA'!'IO~ cr.:; R::SL'l:r IN REVQ-
e....:-1-):: OF ':'HIS p,:R:nT, C1'1'.\110;; U::OER rRQVISIO::S OF L,',~E COi.:::TI":; INF'Ri.CTIO:l ORDi::,;::CE, ;,:WIOR OTHER
RE~EDIES ALLO~ED BY LAW,
I'IlE~l READY FOR r::srcC'rrON. G.:':' 087-":065. ,,\ ~:n:nlU:.l or AT LEi,ST 2..: HOliRS ADV,,;:CE :mTICE FOR r::SPEC-
,!'la:: REQ\:t:S7S :-,:..'s. 1!!:: GIV!:;:;-=---nl1'lC tnc: ~'ollowing in:or::lat.ion ready: ,~rmit nUOllber, job address, ty;:le.
of inspection, when .l.t will be ready, your :lame a:H.l ;:l!':or.c :l:.l:::oer, <lnd a:lj,' special dircctio:1s to site. _
BUILJl::G DIVISION:
REQUr RE:) I::SPECiIO:1S:
L
Foundiltion InspeCtIOn, To be made after trenches arc exca\'atcd illld forms erected and when 'ell
~ater1a!S ~or tne toundation are delivered on the Job. ~hcrc concrete fro~ a central mixing
plant (co~~only termed ~transit mixed") is to be used, materials need nOt be on the job.
2,
Concrete Slab or Under-:loor Insnection: To be mucie ai~er all in-slab or uncier-floor building
serV1~e e~uipment, conoult, p1p1ng accessories, and other ancillary equipment items are in
place but beiore any concrete is poured or floor sheathing installed, including the subfloor.
~raming & Insulation Inspections: To be made after the roof, all framing, fire blocking, and
rac~ng are 1n ?lace an2 all p1pes, fireplaces, chimneys, and vents are complete and all rough
electrical and plumbing are approved. All wall insulation and vapor barrier are in place.
),
'.
Lath and/or Gvpsum Board In~~ection: To be made after all lathing and gypsum board, interior
ana-exterIOr;"i'S1n ploJce""""5'Ut berore any plastering is applied and beiore gypsUI:I board joints
and fasteners are taped and finished.
5. final Insoection: TO be made after the building is complete and before occupancy.
APPRJVAL REQUIRED. :~o ..ork shall be done on any part of't.he building. or stru~ture beyond the point
indi=ated in each successive inspection without first obtaining the approval of the building official.
Such approval shall be given only after an inspection shall have been mace of each successive step
in the construction as indicated by each of the ins?ections required.
NOTE: All building ~ermits require inspections for the work authorized, such as but not li~ited to:
A. Block wall: To be made after reinforcing is in place. but befo~e any grout is poured. This
InSPection is required for each bond beam pou~. 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 masonrv (if applicable) and when inst.aIlation is
co~pl~ Installation shall be in accordance with a~ 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 septic system for sotback 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. ~obile home minimum finish floor elevation shall be certified when required by a flood-
plain management letter.
3. ~obile 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. Swimminq Pool: Below grade when steel is in place and before concrete is poured. Above grade
wnen pool-rs-installed.
,>PPROVED PLA:.JS ~IUST BE ON TilE JOB SITE AT ALL TIMES DURING WORKI:.JG HOURS. THIS PERMIT WILL EXPIRE
If WORK DOES NOT BEGIN WITHIN 180 DAYS, OR If WORK IS St:SI'ENDED OR ABANDONED FOR ~IORE THAN 180 DAYS.
SUSPENSION OR REVOCATION ;.1AY OCCUR If TillS PERlHT WAS ISSUED ON THE BASIS OF INCOMPLETE OR ERRONEOUS
INFORMATION,
ANYO~E PROCEEDING PAST TUE POI::T or REQUIRED INSPECTIOllS WILL 00 SO AT THEIR OWN RISK.
SUBSURfACE AND ALTERNATIVE ~ 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 with the rules contained in this division. If the construction does comply with such
rules, the Department liball i!::sue a certificate of satisfactory completion to the permit, !":.older.
. -- -rr- 't'111r"constnittio:i docs not comply wi th such' rules, the 'Otlpartment' shall notify the permi t
holder an~ shall require satisfactory completion before issuing the certific~te. Failure to
neet the requirements for sati~factory completion ~lthin a reasonable time constitutes a V10-
lationoCORS45.L605t045ol,745amlthisrule. .' . ._-~~'.-, .---
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Setbackli - Subzurfaee S~waqe Disposal
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. vI: 5 LANE COUNTY DEPT ENV MGT RECEIPT 'Ii 54488 DATE 03078.
APP(ICANT MCCHESNEY, IRENE AD DR 136 GREEN VALE, SPRINGFIELD. OREGON --
TL'Ii 1703233308700 SUBDIV LOT BLK ]rr
eNEW BLDG TYPE USE R BDRMS 3 UNITS 001 STORIES 'liBLDGS 001 PHONE 343 6968.
OWNER NME MCCHESNEY. IRENE __ ADDR 136 GREEN VALE. SPRINGFIELD. OREGON.
CODE APPL Na~ ACTION DESCRIPTION SQ FT UNIT COST VALUATION FEE DAY~ Ii
~P en
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60.00
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.PL 'liFIX/BATH:
MECH
SUF<
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~R LC 54488 SDSV
SWR: FT. WTR:
MECHANICAL FEE
STATE I SURCHARGE
PLAN CHECK FEE
FT. F<AIN:
FT
5%
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APP
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BY, RLH
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DEPOSIT *l(,
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60.00 ,CK ~__
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2
EST. COMPLETION DATE
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ACTIVITY INFORMATION SHEET
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PleasQ complete ell Items sbove dolled line
FILLING OUT * LINES WILL GET YOU INFORMATION ONLY
*DATE3 I ? I?Y
* PERSON Ll' /7 1 rJ ACTUAL cv ()
~~~STP.-..(..-I' h7 ~~ ~~O:Ee:~ m )Y/,..,f~_
ADDRES~/_ Jndhh~ ,!?'/.-jO ' ADDRESS/:?.t 4!;:?A//_ y~ /
CITY i!.e:?A~~~ STATE~. z'P9.7~77CITY.L.'1:. '.~ .h/~ STATEA- ZIP;7,?Y'??
TEL~'ONE (BUS)~~ -7L r ~ (HOMEl ~ELEP~ONE (BUs)3v.?-h ?{L(HOMEl
*PROPERTY ADDRESS I;S>L ~Mu_l/~ - k~ /.2-r-, 97t/?7
OR ' .
MAP & PARCEL NUMBER (Found on tax maps in the Assessment & Taxation Dept.)
STAFF WILL DETERMINE_
2/b-rl'- J'~/C
/'1
Township
(J3
Range
.23
3.3
O-$7ot?
Section
Tax 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
* R E QUE 5 T (describe what you want to dol
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Directions to ~le~4~--1.~-
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....................5ta" Use On~....................
Comments:
Land Management Division, Public Works Department 125 E. 8th Ave., Eugene, OR 97401 phone 687-4061