HomeMy WebLinkAboutPermit Septic Tank 1986-11-24
RURAL ADDRESSING .
. CHECKED NOV 2 i
County AutJ:?or.i~;:ttipn._Jor;
SEPTIC DISPOSAL SYSTEM INSPECTION FOR LOAN REVIEW
NALl1.i1 H~:J.I-~
FOR OFFICE USE ONLY
Application/ 3rf //1' c./
Perm1t . '/ 7". ~;6
roW;;5HIP 17 I RAIIGE 03
S~BDIVISION/PARTITION (if applicable)
SECT ION
25.2.1 I T~3~;0 OOUT OF
I LOT/PARCEL I BLOCK
PROpOSED USE OF PROPERTY
[Kl Residential D Industrial
o Corrunercial D Public.
LOCATIO~ ADDRESS STREET
1855 Hayden Bridge Rd., Springfield 97477
~T:S7~~Ou~:gh O~";;PERTY
DlRE~~lON~ ~ SIT~ I
1-105 to Mohawk Blvd. exit - turn L and take N 19th to Hayden Bridgge. Left on Hayden Br.
CITY
ZIP
2ns hs on L lLt Grnl Has ESMLS sold siqn
~ESCRIPTION or PROPOSED WORK - BE SPECIFIC
SEPTIC INSPECTION FOR LOAN
in front window.
315 W. Broadway
I DECLARED ~ VALUE
WATE)I7UP~LY U ~ 1.1.-r.. f'\ ....-/.... R Proposed
~ LUt:l-f..LL, AJt...ILL" Existing
1 TELEPHONE NUMBER
485 6~00
TELEPHONE NUMBER
Eugene 97401
'" OF BED:5: I " OF STOjES
Q;\"NER' 5 NAME AND ADDRESS
HOWARD, Karen (Rams Rlty)
CONTRACTOR'S NAME AND OSR It
I It OF EMPLOYEES
P.:;RHIT TO BE MAILED TO (NAl".E AND ADDRESS)
TELEPHONE NUMBER
t HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION POR PERMIT. arId .]0 herouy certi.fy t:hat all infonllation hereon ia true and correct, and that I
have the following legal interest in the property: Downer of record; 0 cOlltr,H;:t; pllrchancr; ~l1thorized agent.
I f-.:.rther certify that any and all work performed shall be done in accordant:" wi th th~ Ordill~ of Lane County and the Laws of the Stato of Orogon
pertaining to the work described herein, and that NO OCCUPANCY will Ix- made of. nny structure without the permission of the Building Division. I fur-
ther certify that registration with the Builder's Board is in full force and effect <11> required by ORS 701.055, that if 'cxcmpt the basis for oxemption
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 ANO
CKECUf?;;~~TIOH;::rJ ~ rJ.lnlJ/1}, ~(! !1-dO -/J
NAKE Iplease print) ---, SIGNATURE DATE
READ THIS SECTION CAREFULLY. YOUR AUTHORIZATION gAS BEEN BASED ON THE FOLLOWING CONDITIONS:
o PLANNING/ZONING: Zone
parti hon It
Parcel #
Parcel Size
Hinimum Setbacks: CL, front
CL, side
interior
rear
o SANITATION:
S. I. #
B. P. It
11-20-86 ~
Installation Record Issued? 0 Yes ONO
Date:
COM..'IENTS:
FOR LOAN REVIEW PURPOSES ONLY.
NO SPECIAL PLANNING ACTION REOUIRED------------
Installation Gallon Lineal Feet Maximum Depth
Specif~cat~ons: Tank of Drainfleld of Trenches
CC><NENTS, ~ ~ f!,,;;I;;r <'.DS. ~. -E. 11, LJ~ L'M1i;~ -
~ ;tIbL) ::/~1/_ 1'2.-~ ~A/!i1 / .10 /.lu1if~vPee: / I-~ t./.rJ r/-
I - \
o PLANS EXAMINATION: Type Groun Use
COMNENTS:
Date:
n
~4) ~L'~ Rr -L/-~~
.,......- --vE:P.MIT APPROV~ BY BUIL~ OFFICIAL/DESIGNEE (cer ORS 456.805 (1)) DATE -
LANE COUNTY DE~TMENT OF PUBLIC WORKS LAND MANAGEMENT DIVISION, 687-4061,
125 EAST 8TH AVENUE. EUGENE, OREGON 97401
SEE REVERSE FOR INSPECTION INFORMATION
C 14_2~ RR4.
, ..
.
.
SETal,eRS A:-lD OTHER CO,mITIO~:S OF APPRO'l,\L MUST BE STRICTLY DESERVED. VIOLATIO:J CA~ RESULT IN REVQ-
C;'7rO:-.l OF THIS PERmi, CITAT10:1 U~DER PROVISIO~S OF L,\~E COUXTY'5 INFRACTION ORDI~;ANCE. AND/OR OTHER
REMEDIES ALLOWED BY LAW.
~HEN READY FOR n;SPECTIO:-J, CALL 687-4065. 11 mNHlU~l OF AT LEAST 24 HOURS ADVA::CE NOTICE FOR INSPEC-
1'IU:-.l IU:QLI::::il::. ',U::;f lJl:: lilVE~l. Have tne following information ready: permit number, job address, type
of inspection, when it will be ready, your name and ~hor.c nu~ber, and any s~ecial directions to site.
BUILDING DIVISION;
REQUIRED I~SPECTIONS:
1. Foundation Inspection: To be made after trenches are excavated and forms erected and when all
~aterlalS ~or tne 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 Insoection; To be made after all in-slab or under-floor building
serVl~e equipment, conau~t, p~plng accessories, and other ancillary equipment items are in
place but before any concrete is poured or floor sheathing installed, including the subfloor.
J. Framina & Insulation Inspections: To be made after the roof, all framing, fire blocking, and
braCIng are in place ana nIl p~pes, 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/e,E. Gvpsum Board InS,!?ection: To be made after all lathing and gypsum board, i,nterior
ana-c~tcr~or, ~s In-prace out Detore any plastering is applied and before gypsum board joints
and fasteners are taped and finished.
5. ~ Inspection: To be made after the building is complete and before occupancy.
APPROVAL REQUIRED. ~o work shal~ 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 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 made after reinforcing is in place, but before 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
~l~ 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 septic system for setbaCk requirements, blocking, footing connection. tiedowns,
skirting, and pl~~bing 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.
J. 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. Swimminq Pool: Below grade when steel is in place and before concrete is poured. Above grade
wnen pool-rs-installed.
APPROVED PLANS MUST BE ON THE JOB SITE AT ALL TIMES DURING WORKING HOURS. THIS 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 ,~Y OCCUR IF THIS PE~~IT WAS ISSUED ON THE BASIS OF INCOMPLETE OR ERRONEOUS
INFO~\lATION.
ANYONE PROCEEDING PAST THE POIllT or REQUIRED INSPECTImlS WILL DO SO AT THEIR OWN RISK.
SUBSURFACE AND ALTER~ATIVE ~ DISPOSAL SYSTEMS:
1. Permits shall be effective for one year from the cate 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 Co~~unity 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 izsue a certificate of satisfactory completion to the permiti holder.
!f 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 Sewage Disposal
SePtic ~
rro~: Interior property lines 10'
Ecge of road ru;ilt-o(-way 10'
BuildinQ foundation 5'
~ells, other ~ater sources 50'
Dr~ infield
10'
10'
10'
100'
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" .W: 5 . LANE COUNTY DEPt ENV MGT RECEIPT ~ 374786 DATE 112086
, 'APPLICANT HOWARD. KAREN ADDR 315 W. BROADWAY ST., EUGENE
.TL~ 1703252113100 SUBDIV 'LOT BLK.
NEW BLDG TYPE USE R BDRMS 0 UNITS 001 STORIES ~BLDGS 001 PHONE 485 6200
OWNER NME HOWARD, KAREN AD DR 315 W. BROADWAY ST., EUGENE
. CODE APPL NO ACTION DESCRIPTION SQ FT UNIT COST VALUATION FEE
BP
BP
.P
BP
BP
.
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MECH
esUR
PCK
LR
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CATG:
SEQU:
erAKEN
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~FIX/BATH:
SWR:
FT . WTF~ :
MECHANICAL FEE
STATE SURCHARGE
PLAN CHECK FEE
FT.
RAIN:
FT
4%
25%
.LC 374786 SDSV.
60.00
APP
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BY GLT
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DEPOSIT **
60.00
OTH
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COMPLETION DATE
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ACTIVITY INFORMA T/ON SHEET
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Please complete all lIems above dolled line
FILLING OUT * LINES WILL GET YOU INFORMATION ONLY
*DATE II I~ {) I Tb . tJt4
* PERSON ~ du~ ~fr ACTUAL
MAKING. PROPERTY
REQUEST - OWNER
ADDRESS .31c!J I.J}. t5 (IJ tLefuJ~ ADDRESS
CITY FA J:g'" /)"2~ ~ STATE at!!- ~P q 7C(()! CITY .
TELEPHONE (BUS) t.f 113 '6.J(jLJ (HDMEl . TELEPHONE (BUS)
*PROPERTY ADDRESS / 9~5.:5 JLu.j. r&1U
OR tf
MAP & PARCEL NUMBER (Found on tax maps in the Assessment & Taxation Dept.)
/",",STA~F )~L ~~~INE_
_/7 1J3 --9..:)";;1 /3/tJO '-,(i) I ~\f')
Township Range Secllon Tex Lot ~ Z~d Flood Plain
STATE
ZIP
~HOMEI
6.;LaG ;fd .
tJ /
-<Jid.
Township
Range
Secllon
Tax Lot
Zoned
Flood Plain
Township
Range
Secllon
Tax Lot
Zoned
Flood Plain
TOTAL CONTIGUOUS PROPERTY IN SAME OWNERSHIP: ACRES
*RE~EST(deWlbe what you want to do) ~o:T.:ib /~ ./}~n~~._
~ Mrw- ~ U"W{) C,@,(
~.r ctions to site T-/!L5 b; /J1&A~ ~'c/ ~,~
9- ~/# ,f?../~ IU, /4-bL h, .d/( /,~-1 ~~u.
~2-~, '/JJ(~~~,f:/f4i E.s~ts-::~~;7;~d
....i'...............5t8ff Use Only.................... 40: ,zd~.
Comments:
~
Land Management Division, Public Works Department 125 E. 8th Ave., Eugene, OR 97401 phone 687-4061
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