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HomeMy WebLinkAboutPermit Septic Tank 1989-1-23 .. t/ frlIf - s/~ . 7,,/~ ...f P-1 SEPTIC INSEFTTON FOR I O~VTFW FOR OFFICE USE ONLY Applica tion;/"7 / _ f>q Perm;Lt # 7 oLU? d / Lane County Authorization for: 23 ) TAX LOT DOUT OF 44 700 I LOT/PARCE!. I BLOCK PROpOSED USE OF PROPERTY Ii] Residential 0 Industrial D Commercial 0 Public. 'I\JW'~;'P I RANGE 03 S~BDIVISION/PARTITION (if applicable) SECTION LOCATION ADDRESS STREET CITY ZIP 2520 Harvest Lane STRUCTURES CURRENTLY ON PROPERTY Springfield, OR 97477-1625 SFD:. Shed; Garaqe ~TIONS TO SiTE 7th to 1-105 (east) Sofld ctr exit: left on Pioneer Parkway: east on Q St.: left on N. 5th: J"ight: qn Ijqypen B"tc1Qf:' Ibad: left on Harvt?st lane oESCRIPTION OF PROPOSED WORK - BE SPECIFIC SEPTIC INSPECTION FOR LOAN REVIEW DECLARED $ VALUE RainI:xJw o proposed JKl Existing TELEPHONE NUMBER 747-0826 = OF3 BEDROOMS III OF S~RIES O~~1'IE:R I S NAME AND ADDRESS I II OF E~P LOYECS WATER SUPPLY Jennifer & Kent Peterson CJNTRACTQRIS NAME AND QSR # (site addr) TELEPHONE NUMBER P:;Rl>lIT TO BE lJJ-.~~.:.~ ,,0 {NAME AND ADDRESS) Jennifer & Kent Peterson TELEPHONE NUMBER (site addr) I HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION YOR PERMIT, arId <..Ie> hcrc!..>y ce!;t~fy "hat all infol"lllation hereon is true and correct, and that t have the following legal interest in the propertyHX)owner of record; 0 contrdL:t- pllrchaser; Oauthorized agent. I f:.:.rther certify that any and All work performed shall be done in accol'dilllC8 with tho! Oedinanctl~ of Lane County and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will b... made of any st:ructure without the permission of ~he Building Division. r fur- ther certify that registration with the Builder's Board is in full force ilnd effect as eequired 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 this project. 1 HAVE READ AND CHECKED THIS APPLICATION THOROUGHLY. SIGNATURE 1/19/89 DATE Jennifer Pete... ""'.. NAME (please print) L~v.....-=l Off READ THIS SECTION CAREFULLY. YOUR AUTHORIZATION gAS BEEN BASED ON THE FOLLOWING CONDITIONS! [] PLANNING/ZONING: Zone parti tian .. Parcel It pa rce 1 5i ze Minimum Setbacks: C L, front CL, side interior rear COMo\tENTS: Nn "PFrT 81 DI 8MMT MUrTT n>1 ~nl1Tn"n Date: 1-19-89 fJ:$ [] SANITATION: s. L * Installation Gallon Specifications: Tank COMHENTS: ::ltc..L..,.. ~~L~.. ,.1_ J Aft,,;, ~,,',. f [] PLANS EXAMINATION: Type B. P. *' Installation Record Issued? DYes 0 No Lineal Feet Maximum Depth of Drainfield of Trenches ~ ~ ~ /~i/ f~ (JIJ'12L,U Date, ~--Z;J-t? f&f; Groun Use s.{)s COMl>1ENTS : Dale: n ~ ~t{l./li-'~t ___ /~:J.)-?/ PERMU''''1\P~D BY BUILDINd-OREICIAL~DE E (oer OR5 456.805 (1)) DATE / LANE COUNTY DEPARTMENT. SLlC WORKS LAND MANAGEMENT DIVISION, 687-4061, 125 EAST H AVENUE, EUGENE, OREGON 97401 SEE REVERSE FOR INSPECTION INFORMATION rl~_?~RAL . . t SETBACKS AND OTHER CO::OITIO:JS OF APPROV,\L ~IUST BE STRICTLY DESERVED. VIOLATION CA:J RESULT IN REVQ- CATIO~ OF TillS PERMIT, CITATIO~l UNDER PROVISIONS OF LANE COUCiTY'S INFRACTION ORDINANCE, AND/OR OTHER REMEDIES ALLOWED BY LAW. WHEN READY FOR INSPECTION, CALL 681-4065. A mNnlU~1 OF AT LEAST 24 HOURS ADVAl:CE NOTICE FOR INSPEC- TIUN I\I::QI,;t;~r::; ~jV::;T HE GIVt;.. Have tile {allowing information ready: permit number, job address, type of inspection, when it will be ready, your name and phone number, and any special directions to site. BUILDING DIVISION: REQUIRED INSPECTIONS: L Foundation Inspection: To be made after trenches are excavated and forms erected and when all matcr.l.als tor the toundat.l.on are delivered on the job. Io/here 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 Inspection: TO be made after all in-slab or under-floor building serV1ce equipment, condult, piping accessories, and other ancillary equipment items are in place but before any concrete is poured or floor sheathing installed, including the subfloor. 3. ~raminq , Insulation Insoections: To be made after the roof, all framing, fire blocking, and rac1ng are ln place ~ all pipes, 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 GYl?sum Board Inspection: To be made after all lathing and gypsum board, ~.nterior ana-eXEerIOr, 1S In-pIiCe but betorc any plastering is applied and before gypsum board joints and fasteners are taped and finished. 5. 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 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 rnspictlon 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 Stove: To be made after COmpletion of masonry (if applicable) and when installation is compl~ 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 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 homo 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 poo~-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 lBO DAYS, OR IF WORK IS SUSPENDED OR ABANDONED FOR MORE THAN IBo DAYS. SUSPENSION OR REVOCATION HAY OCCUR IF TillS PERMIT WAS ISSUED ON THE BASIS Of INCOMPLETE OR ERRONEOUS INfORMATION. ANYONE PROCEEDING PAST THE POIl:T or REQUIRED INSPECTIONS WILL DO 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 docs comply with such rules, the Department shall issue a certificate of satisfactory completion to the permitiholdcr. 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 Sowaqe Disposal Septic Tank From: Interior property lines 10' Edge of road right-of-way 10' Building foundation 5' wells, other water sources 50' Drainfield 10' 10' 10' 100' J . . t'; . ... . . .. .. ... ... .. ... . .. .. . .. . .. . . ... . .. .. . . . ... .. . . .. . . . .. . . .. . .. . . ... . . .. . ... . ... . ... . . . . . . . . . ... . . .. . . .. . ... . .... ... . . . . . . . . . .. . .... .. .. . ... . ... .... . ... . ... . .. .... . . ... . ... . . . .... . . .. . ... .... .... . ... .... . ... .... . . . . . . . . . .. . . ... . ... . ... ... . .... . .. . ... . . .. . ... . . .... ... . . . . ... . ... . .... ... . ... . . ... . ... . .. . .. .. . ... .... .. . . .... .... .... . . . . ... . . ... .. . . ... .... . ... . .... . .. . .... . .. . .... . .. .... . ... . .. .. .. . .... . ... . .... . .. . ... . . .. . . .. . . . . .... . . .. . ... . .. . ... . . . .. . .. . . . . . . . . . . . .. .... . ... .... . .. . . .. . . .. . .. . . . . .. . .. . . .. . ... . . ..' . ... . .. . ... . . ... . ... . . . . .... . . .. . .... . . . .... . . ... .... .. . .... . . .. . ... . ... . ... . . .. . ... . . .. . .. .. . .. . ... . ::.'.'...-: ... . ..... . .. . . . . ... .. ... . . ... +-' .:-:- Q) ..... 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Kent D Peterson 2520 Harvest Lane Springfield, OR 97477 2-~ . ... . .... . . .-. . ... . . . . ... . . ... . ... .... .. . . .. . . ... .. . . ..... . .. ... . . . . ..... .... . . . ... ..... .. . .... . . . . ... . .. . .... ..... . . . . .. . . .. . . ... . .... . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . .... . . . . ... . .. . ... . ... . . .. . . .. . ... . ... .... . . . . .... . .. . ... . ... . ... . ... .... . ... . ... . .. . .... . .. . .. . . .... ... . ... . ... . ... . ... . . . . . . . . . . . . . . . . . . . . . . . . .. . ... . .... . ... . .. . . . . . . . . . . . . . . . . . . . . . ... . .. . . .. . ..... . . .... . ... . ... . .. .. ... .. . ... . ... . .... . .. . .. . .... .... .... . ... . .. . .. . . . . . ..... . .. ... . . .. . ... . . .... . . . . .. . .. . . . .. . ... . ... . .. . ... . .. . . .... . ... ... . ... . ... . .. .. . .. . ... .... ... . ..... ... ... . ... . ... . ... . ... . . . . . . . . . . . . . . . . . . . . ... . .. . . ... ... . . . .. . . . . . . . . . . . . . . . . . . . . ... .... . .. . ..... ... . . . . . . . . . . . . . . . . . . . . .. . . .. . . ... . .. . . . .. ... .... . ... . ... . ... . ... .... . ... .... . ... ... . ... . ... . .... . ... .. . . .. . . ... . .. .. ... .. . .... . ... . .... .... .. . .... .... ... . . ... .. . . ... . ... ..... . ... .. . . .. . . .. . .... . ... ... .... . ... . ... . ... . .. . . .. . .... . .. . . ... ... . .. . . ... . ... . ... . ... ... . ... . ... . . ... .. . . ... . .. . .... . . .. . .. . . . . . ... . ... . . ... . .. " . . ... . .... . ... . . .. . .. . ... . ... . . ... .. . . .. . . .. . ... . ... .. .. . ... . . .. . ... . .... ... . .-. . . . . . . ... . . ... .. . . .. . .... .... . ... .. . .... . .. . .... . .. .. .. . . ... ... . ... . ... . .. . ... . . .. . .... . ... . .. . ... . ... . ... . .... ... ... . ... . .... .... . ... .. . . ... . . ... . ... .. . .... . .. . ... . . .... .. . ... . ... . ... ..... .. . .... ... . ... . . .. . . . . . .... .... .. . . ... . .. . .... . ... ... . . ... . .. .. ... ... .... ..... .. ..... . .. . .... .... . ... ... . .... .. .. . ... .. . .... . .... .... .... . . . .... ... . .... .... .. . .... ... . . .. . .... . .. . ... . . .. . .... .... ... .... . ... . .... .... .. . . .. . ... . .... . .. . .. . . ... .... . .... ... . .. . ... . . .. . .... . ... . . . . . . . . . . . . . . . . . . . . .. . .... ... . . .... ... .. . ... . . . . . .... ..... ... . .. . . .. . ..... ... . - . . . . . . .. ... - . . . . - .. . . ... . .. . ... . .... .. - . . .. . ... . ... . .... ... . .... ... ... . .... . ... . ... . ... .... . ... .... .... . . . .... . .. . . .... ... . .. . .... . .. . ... . . ... . .. ..... . .. . . . . . . . . . . . . . . . . . . . . .. .. . .. . .. . . ... . . .. .,..-..............,..,..--........--..,..--..,..,..--..,..,..--..--..............,..,..--..--..,..,...... ~.~I~.~.~.~.~.~.~.~.~.~.~.~.~.~.~.~.~.~.~.~.~.~.~.~.~. ......................................................................................__,...... ~ l~t[[~~~~lj~li~~~i~~~t~~~ I. . "' E ~ ~ I I r I I-- . . . Please complete all lines Inside .Jt/lt III i ktr Pettf?sr5vl YOUH NAME - ~CiUJ 11n.;-Vf.st- Lv, . YUU" AUUHt:~~ C7D 1='.1 f 'f /fJ?f ./' OWNER~EBI'f'(""" oom. .. .....) OWNERS ADDRESS (if nat ..m. a. abo'H) white boxes, if possible. I -(q~21 DATi; '11j7-6'82-,b PHONi; t1 t Lift CITY ~ ZIP PHONE ZIP CONTAACTOH Llcen.. . . MAP, PARCEL NUMBER (Found on tax m.. In the ........m.n' . TaxaUon DepL) twzp ~;; ~~ 1iX:~n Z~p Townahlp "R:;"'" Section 1/4 S.ction Tu LoI lown.nlp "'Jr.nge ~.ct,on 1''1 ::iectlon I.. Lal , . SITE ADDRESS ,(J --Zi?2-D HtLrVe5:j- Ln. . ~i>~d / 01'-.. , . MAIL PERMIT TO: Jt/llVl.iFer .J ~I- Pt~ NAMI:. '20/.-0 Ho.rvts.+-~. AU~I:.~:;f'. >fvrt</ . 61( I,;lll U 17l!17_ ZIP /0~--- , , . . land Management Dlv. stall can not be held responsible for evaluations or recommendations based on falso, Inaccurate or Incomplete Informetlon . Existing Buildings or Improvements ~on Property 90 House '3 Yf Cl Barn ,- I !X;l Garage Cl Mobile. Home 90 Shed SEPTIC INSTALLED l;lQ Yes ClNo wa?dl~tJW .. Directions to site from Courthouse 1ft. tv I-to5 (eas /-) <5pF'd Cih..t Cfy-e.)(il- v L-e Fi- U7/) P;O/1eer PkIDl;t. R[qhr d7A ~ Sf-. uF+ t711 N.5tf, }!-. R-/-. trh Htl.fi4en Bir. &1. I-ef+ tr/.-1 HtLrlll$;f- '-h. '1 ~ qTI77-/0;;2S~ ZIP .' \,'". . For Mobile Home Placement Only Brand Year Size No. of lip,outs No. of Bedrmo License # , .................. .... . ..om :, ::q .) I ,',:. /111 r. . '~"'. . \. ..' . . rr p . . '. . ff' , .. .' . " . . . z ." ~ _. l , " . . '" . ~ ., '-.' .~ :. .', , . ~ l~ .. ~ : J.. . '. r: . . 'i i' .. ; . ! . . . ~ ~ I~ . ; . . . . ._ I '. .,. '. . I,.: 5 LANE COUNTY DEPT ENV MGT 1:(ECEIF'j' ~ 12689 DATE 0; 198';. APPLICANT PETERSON.,JENNIFER & KENT ADDR 2520 HARVEST LANE,. SPRINGFIELD .. 1';",' TL~:' 170~Q3440()7()O SUBDIV . LOT, "-L:ti.:.K .~E:.W BLDG TYPE USE I~ BDRMS 3 UNITS 001 SHlF\IES '~IiL.DGS 001 PHONE ~47 '~)826 . OWNE:.R NME PETE:.RSON,JE:.NNIFER & KENT ADDR 2520 HARVE:.ST'LANE:., SPRINGFIELD .. CODE: ,WPL. NO ACTION DESCFnPTION S(~ FT' UNIT COST VAL.UATION FEE DAY,~ .W . HBle' \ t., Br' 3: .p . BF' .:'1... ~'FIX/BATH: MECH SUF( .'CI( LR LC 12689 SDSV SWR: FT. WTR: MECHANICAL FEE ST A TE .s'UI'(CHAF(G( PLAN CHECI( FEE F'T.. FanN: FT . ~:>% . 2~5% . 11'1 60.00 . . . '. '\ ;~ .~(.',TC; : ,SEQU: TMEN . M:'P 1 BY BB F(A FP sns 2 SI PCI( OTH ISS :3 nEPOS I T lH(' . 10 CK EST. COMPLETION DATE f.,0.(,)0 . ., " ,'1' ' . .