HomeMy WebLinkAboutPermit Septic Tank 1990-10-8
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Lane County Authorization
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FOR OFFICE USE ONLY
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SECTION
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13600 OOUT OF
LOT/PARCEL I BLOCK
CITY ZIP
$"1>K.; >J /~iE.(u
PROpOSED USE OF PROPERTY
!Xl Residential 0 Industr ial
D Commercial D Public,
S~BDIVISION/PARTITION (if applicable)
LOCATION ADDRESS
STREET
~~~K.
ON PROPERTY
I)KiVf"
11.:!.f34
STRUCTURES CURRENTLY
DIR!::~~b~ ~O--Si:TE
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. OF a~OOMS J · OF Sj"RIES
O;~'"NER I S NAME AND ADDRESS
~'S tJ)A~o"t~i ~ ~ K tL.~
IAlK;1 ......
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So~ 4'U.s~.. S?.l~.
,
I DECLARED $ VALUE
o Proposed
Waf & l8J Existing
TELEPHONE NUMBER
~r€.. 747-t~B4q
TELEPHONE NUMBER
:>:::SCRIPTION OF
PROPOSED WORK - BE SPECIFIC
'"i)KA,:-~ f S!A sl tfYI
I#! -or- 'EHPLOYEr:S . r WATER SUPPL~.
- "P....bl;<> hlbutJ- &kVr.
PERNIT TO BE MAILED TO (NAME AND ADDRESS)
""Dc:....",tf> \,.r~:f-'^*" ,1/
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sP.(..D. ,~f
97471J :;4E~,":N~ad:;
I HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION ~'OR PERlUT, "u,d ,10 hnrdJY certify t.hat all information hereon io true and correct, and that :I
have the following legal interest in the property: Downer of record; 0 contract. purchaser: Oauthorized agent.
I f~rther certify that any and all work performed shall be done in acco~danc~ ~ith th~ Ordinances of Lane County and the Laws of the State of Oregon
pertaining to the work described herein, and that NO OCCUPANCY will Ix! made of ar,y st:ructure without the pomission of the Building Division. I lur-
ther certify that rcgiotra.tion with the Builder's Board is in full force ilnd effect as required by ORS 701.0SS, that if 'exempt the basis for C!xemption
is noted hereon, and that only subcontractors and ettployees who arc in compliance with ORS 701.055 will be used on this project. I HAVE READ AND
CHECKED THIS APPLICATION THORotXiHLY.
vc........;;<; i.,t~;(....ht
NAME {ploase print)
J:L
I..J...-i,A-
SIGNATURE
9- 7-8 ~1o
DATE
READ THIS SECTION CAREFULLY. YOUR AUTHORIZATION 9AS BEEN BASED ON THE FOLLOWING CONDITIONS!
[] PLANNING/ZONING,
Zone
Parti tion #
Parcel #
Parcel Size
S. I. #
'97-.:2.:2.&
C. ~"
_ ;'"PL, side ,- ,~nter~or
,~4//.7?~~ .~~,,#~ / ;-
-.;::/ ~ Date, /# -?1 F/~/
,/ /
Installation Record Issued? 0 Yes 0 No
~
rear
Minimum Setbacks: CL, front _
CO><'IENTS, I/~ pf- ~
~
[] SANITATION,
B. P. #
Installation jn/\. Gallon
Specifications: / t-/cJQ Tank
COMHENTS,.Insi....JI ~"'I>~..6
. it
d...LL'/"""
I 0- ;::;:' / Lineal Feet
_J of Uraintie1d
*htJ dp-SII'1'I /8 11t~
Sfle A:rJJ pM.Q/...,
T- /' U Maximum Depth Sf).....
.....:::J ~ of Trenches VOl
IJ"P ~r<L-J ( ()../II1.,J.., p.pe \
Date, )--lJr-# 9 J -
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';-0
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[] PLANS EXAMINATION,
..Jh..h
..wR
Type
Group
Use
COMr-tENTS ;
Date:
n
-
\ ~c!'r~~' YdJl/!d
~ERMIT APPRO~D BY BUILDING OFFICIAL/DESIGNEE (cer ORS 456.805(1)) - DATE
LANE COUNTY DEPARTMENT OF PUBLIC WORKS LAND MANAGEMENT DIVISION, 687-4061,
125 EAST 8TH AVENUE, EUGENE, OREGON 97401
SEE REVERSE FOR INSPECTION INFORMATION
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SET8,\CK5 AND OTHER CO~DITIO:~S OF APPRO'N,L ~IUST BE STRICTLY OBSERVED. VIOLATION CAS RESULT IN REVO-
e';7IO:1 Of THIS rER~lIT, CnATIO:l u~m=:R PROVISIONS Of LAl'E C01J::n"5 INFRACTlml ORDI::';:-:CE, AND/OR OTHER
REMEDIES ALLOWED BY LAW.
~HEN READY FOR INspeCTION, CALI. 687--1065. 11 mNHllJ~1 OF AT LEAST 2.j !lOURS ,\DVA1:CE NOTICE FOR INSPEC-
rIO'" Kf:;QL;t::STS ~jl,j::;T 1lJ:: GIVEN. Have ttle. following information ready: permit number,1 job address, type
of inspection, when it will be ready, your name and phone nu~ber. and any special directions to'site.
BUILDING DIVISION:
,.
REQUIRED INSPECTIONS;
1. Foundation Inspection: To be made ~ftcr trenches arc excavate~ and forms erected and when all
materialS tor tnc 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. Concret.e Slab or Under-?loor Inspect.ion: To be made after all in-slab or ~nder-floor building
serVl=e equIpment., conOu1t, p1p1ng accessories, and other ancillary equipment items are in
place but beiore any concrete is poured or floor sh~athing installed, including the subfloor.
3. Framinq & Insulation Inspections; To be made after the roof, all framing, fire blocking, and
Drac1ng are 1n place a~d 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.
4. Lath and/eE. Gvpsum Board Inspection: To be made after all lathing and gypsum board, '.nterior
ana-exterlor, 1S 1n place out Detore any plastering is applied afd b~fore gypsum board jo~~ts
and fasteners are taped ~nd finished. .
5. ~ 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 be given only after an inspection shall have been made of each successive step
in the construction as indicated1by 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 befo,e any grout is poured. This
InSpectIOn is required for each bond beam pour. There will be no approval until the plumbinq
and electrical inspections have been made and approved. .
B. Wood Stove: To be made after completion of masonry (if applicable} and when installation is
co;pl~ Installation shall be in accordance with an approved, nationally recognized testing
agency and the manufacturer's installation instructions.
C. Nobile Home: An inspection is required after the mobile home is connected to an approved
sewcr-or-5Cptic systom 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 ticdowns, 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.
O. Swimming Pool: Below grade when steel is in place and before concrete is poured. Above grade
when pool-rs-installed.
APPROVED PLANS MUST BE ON THE JOB SITE AT ALL TIMES DURING WORKING HOURS. TillS PERMIT WILL EXPIRE
IF WORK DOES NOT BEGIN WITHIN 180 DAYS, OR IF WORK IS SUSPENDED OR ABANDONED FOR MORE THAN 180 DAYS.
SUSPENSION OR REVOCATION :1AY OCCUR IF THIS PE~~IT WAS ISSUED ON THE BASIS OF INCOMPLETE OR ERRONEOUS
INFORMATION.
ANYONE PROCEEDING PAST THE POU,T or REQUIRED INSPECTIO<15 WILL DO 50 AT THEIR OWN RISK.
SUBSURFACE AND ALTERNATIVE SEWAGE DISPOSAL SYSTENS:
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.
Jf the construction does not comply with such rules, the Department shall notify the permit
holder and shall require satisfactory completion before issuing the certific~te. 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
F:-o::l:
I~terior property lines
Edge 0: road riqht-of-way
Buildinq foundation
~ells. other w~ter sources
S~waqe Disposnl
Septic ~
10'
10'
5'
SO'
Drainfield
10'
10'
10'
100'
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PLOT PLAN APPROVED
A permit is reQ urn
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llATF 1(-.:1. f- -I 7
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EllYiiOnment31 Healtlt Se~
125 East 8th Avenue
Eu&ene, 9re&on 97401
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LANE COUNTY DEPT ENV MGT RECEIPT 0 338190 DATE 100890
. APPLICANT WRIGHT, BETTY ADDR 1684 HARBOR DR., SPRINGFIELD, OREGON.
~LO 1803023203600 SUBDIV LOT BLK
NEW BLDG TYPE USE R BDRMS 0 UNITS 001 STORIES OBLDGS 001 PHONE 747 6849
.OWNEF( NME WRIGHT, BETTY ADDFi 1684 HAI~B()Fi DR., SPIUNGFIEL.D, OFiEGDN.
CDDE APPL ND ACTION DESCRIPTION SQ FT UNIT COST VALUATION FEE DAYS
H~P .\j'j
.~P , .~'
BP
BP
,.p .
PL OFIX/BflTH: SWR: FL WTFi: FT . RAIN: FT
,
~ECH MECHANICAL FEE .'
SUR STATE SURCHARGE ~>%
F'CK PLAN CHECK FEE 257- .~
.'\OS LC 3~~81 90 SDSS 160.00
SDEQ FEE 5.00 .
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CATG: PLN F(A SDS ELE PCI< ISS I SI OTI~
.'i'EQU: .1 2 "e,
r AK EN BY RL.H EST. COMPLETION DATE DEPDSIT !"* 165.00 CI< !
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" ,~.,.I.. $7-J1-.;z.~..
/h' !-.:k~'2' //!:::,..;-7-~C (//'//.>77 ?// ~ ?>~/
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... Written Directions \(-;{'//7-,/- /7/ .f.".:? ,:Cd- ?/}! /"'::;':;'r"'~// /"'~.
Subdivision: /-77'/:/7/ T /{>'"/.;J/ /~ ~:,r;/;<>'.Y' /~/ .-' ': /,>" "/-',. /7 ,'/ ~>771 /'?;C' t;///"?7?~.'
/
Lot /, S" Block WATER SUPPLY.
APPLICANT'S NAME AND ADDRES!'///>nr (" ...>> M~ / /-'-;"' // 72 / --;'/;?;;<-".,-;'i /?
~ . . .'. ~ - / . ", /' .
OWNER'SNAMEANDADDRESS //....2!..-;7/.q:- all:7/7/,/."d/,-",,"/.// /.:'-/:.J,....-::- .'. - 7C/7 "7
STRUCTURES NOW ON THE PRO'PE~TY /;/y,/ ~;; L<;;" 7T7;.1~ (r,,,,,,~/ /:; 7~'/c';' j PROPOSED USE OF PROPERTY
r . ./
I hereby certify that Ihe above statements 'ere t~e and securals, and that I have the following le~al int~rd;;I in the property: Xowner of rocord; _contract purchaser.
_reallor or agent. I further certify that (if not the OW"9r) I am authorized to act for the owner 01 fecor6t ani:t that said owns! is aware and approvos ollhis action.
TEST HOLES READY /t/LZt'.. .. .0-::71:GJ /.... 'Signature" 1/''1.1._,".;1.: _/ I./,<.....~/:-~I
........ ..~.......... ....... ........... ............ OFFICE USE ONLY BELOW THIS LINE................. ..'I.............. ....... ..........
SITE MEETS STATE STANDARDS YES NO YES NO
Standard System e;y" 0 Low Pressure Distribution 0 0
Sand Filler 0 0 Holding Tank 0 0
.....:.
1 Foot Capp,ing Fill 0 0 Other 0 0
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TRS, T' /J . (/") . //2 {'. ..,.) t<~/,Y,) Job Location
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Phone '7?/;:: -c:; '(:/' Z;;>
Phone r/b.-7r---
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rv'ltentlal buyer,
DatA /0 -
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Zonin,,:,
LAND USE COMPLIANCE
(TOTAL)
Partitioning'
I\creage or Lot Size
Parcel'
I Completed
Pending
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FLOOOPLAIN INFORMATION ~
o Approximate Allor part of this site may be in a ftood hazard
Study Area area lot which 100 year nood levels have nOt
been established. Extra precautions may be
appropriate to assure that the building site will
be reasonably safe trom nooding.
o Detailed All or part of this site may be in a ftood hazard
Study Area area for which 100 year flood levels have been
THIS IS A PRELIMINARY REPORT WHICH DOES NOT ENSURE THE ISSUANCE OF A FUTURE e.labUshed. Abuilding elevation ebovethe 100
year flood level may be required.
BUILDING PERMIT. ANY PLANS OR EXPENDITURES MADE IN RELIANCE UPON THIS REPORT 0 Floodway All or part ofthi. sile may be in a flood hazard
ARE AT YOUR OWN RISK. IF SITE IS APPROVED, SEE REVERSE SIDE. araa in which a fIoodway h<. beendesignaled.
.. /~ ..' I ;;; -7 Building may be prohibited subject to
_....' J /~~f-'-" roO -' / /\ -' J.. ,.. , demonstration thatthe cumulative effect of
,/ . ',.. AUTHORIZED SIGNATURE . DATE;r. , , proposed development will notlnaea.e the
...... 100 year nood level at anypoinl
LANE COUNTY DEPARTMENT OF PUBLIC WORKS LAND MANAGEMENT DIVISION, 687.4061, 125 EAST 8TH AVENUE, EUGENE, OREGON 9740t
C5S-32