HomeMy WebLinkAboutPermit Septic Tank 1987-9-29
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La~ti ::~:ization
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FOR OFFICE USE ONLY
SEPTIC INSPECTION FOR LOAN RFVT.il/
Application/ ~~~~ ~7'
Perm~t # "...L..7/1~--r
7OW;:SHIP
RAtlGE
17
03
SECTION
25.2.1
I TAX LOT OOUT OF
12,700
IDT/Ph~CC~ I BLOCK
PROpOSED USE OF PROPERTY
~ Residential 0 Industrial
o Commercial D Public.
S~BDIVISION/PARTITION (if applicable)
77~77
Sp})
T'" ~ ~ ~ r .-/f/ """ (7.::(/
'ES~ON ~t;;p:/f}~s~iCl \ - /j) .Av-. (~ /2- /C/ ;c;- &~~D ~ Ei .a
septic inspection for loan ~u
= OF BEDROOMS J # OF STORIES
o;~~ NAME AND ADDRESS
'thomason, Don
CONTRACTOR'S NAME AND OSR #
I~~I
STRUCTURES CURRENTLY ON PR<!PERTY /
1819 u'r~8R 81; .I",J";"', [p\';"~./;G;d 3fttl7
DlRECTIONS TU SITE
LOCATIO~ ADDRESS
1<f/9
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C1':'Y
ZIP
\4.;.. ~........-I!-:-.: j~_ ~.~.--L
I i! OF E"JPLQYCCS
WA1'ER SUPPLY
o Proposed
!XrExisting
TELEPHONE NUMBER
N. 33rd,
Springfield 97478
TELEPHONE NUMBER
P~R!>IIT TO BE MAILED TO (NAME AND ADDRESS)
BARNES, L. Dwight
site
TELEPHONE NUMBER
746 5560
I HAVE CAREfULLY EXAMINED THE COMPLETED APPLICATION ~'OR PERMIT. dnd ,k, hcr;:lJY eertlfy thut all infonlliltioll hereon is true and correct, and that I
have the following legal interest in the property: Downer of record; 0 Cf,r,>:l'dl.t- purchaser; O<iuthorizcd agent.
I f:.:.rther certify that any and all work performed sh...11 be done in ':'ccol-(li1:\I~<: ..0'1 th tl:t: ()n:lwanc~~ of Lan~ County and the Laws of the State of Oregon
pertaining to the work described herein, and. that NO OCCUPANCY will be :nude of dr..,. s".rllcture without ttle permission of the Building Division. I fur-
ther certify that registration with the Builder's Board is in full force and effect. dS rec,uired by ORS 701.05S, that if'exelllpt the basis for cxc~tion
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 AND
CHECKED THIS APPLICATION THOROUGHLY. . "..J A\ ~'
L. Dwiaht Barnes ;.)<7\ (\.1. . ~ 9-28-87
NAME (please print) ..... S NATURE - DATE
READ THIS SECTION CAREFULLY. YOUR AUTHORIZATION 'I AS BEEN BASED ON THE FOLLOWING CONDITIONSl
o PLANNING/ZONING: Zone
Parti tion #
Parcel It
Parcel Size
Minimum Setbacks: CL, front
CL, side
interior
rear
COfomENTS:
SEPTIC INSPECTION FOR LOAN REVIEW--NO SPECIAl
PI ANNING ACTION RF(1IITRI'n /JA
Date, 9-28-B7 ~
Installation
Specifications:
CQtoINENTS:~--'"
0:1 ~~.
(] ~ EXAMINATION:
Gallon
Tank
. . . . .......t-:- (<" ,..... S"
..f~_ ..>.1/. .
~nAb.
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Installation Record Issued? 0 Y'es 0 No
Lineal Feet Maximum Depth
of Pr:llir:field of Trenches
~.l..P: f':JA'~"!'~ ~
)/\ fh'-;f',.Lfp ( Date. t:j' _-2-c;>f-{f>,? fQ1
o SANITATION:
S. 1. It
B. P. II
Type
Group
Use
CQMHENTS:
Date:
n
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/~,iIT APPROVED BY au
LANE COUNTY
~F
NG OFFICIAL/DESIGNEE (cer ORS 456.805(1)) DA~
PARTMENT OF PUBLIC WORKS LAND MANAGEMENT DIVISION, 687-4061,
125 EAST 8TH AVENUE, EUGENE, OREGON 97401
SEE REVERSE FOR INSPECTION INFORMATION
9-'z9/?
C 14-25 R84-
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SETBi,CKS ;":-;0 07!!SR CC~:DIT!O:;S OF APPRO'.';.I. ~:UST Bf. STRlC':':'';" 035ER.'.'SD. \'rOLATIO~l CAe; RSSULT IN Rf.\'O-
C;,;10:: or :lUS Pi:",-!!., CI7,\no:: G:lDER PROVISIO:;S Or !..,\::E'::-:><.::;j'y'':; I:JFR,\CTIO~ OEDr::,;::C!::, ;,:WIOR OTHER
RE~EDIES ALLOWED BY LAW.
.....HE:; READY FOR r::SPCC7IO~, CAi..:" 687-~065. ,\ :'lIl\nll':': OF ,\T L::;'-,ST ~.; !lOURS ,'IOV,i.::CE :Wiler; FOR ItJSPF:C-
'hue: H~:':.'l.t:~.;..s ;.j:",'::>1' lJe: GIVS::~,J.':e lhe :0110',;i:19 ir.::o~:;lat.:on reJ.dy: ,er;';\iL number, job address, type
of inspection, when it will he ready. your name and phone n~:;lber, and any-special directions to SltC.
BUILDr;;c orVISIO;;:
RF.QUIRSn I::SPECTIO:1S:
1.
Found<ltion Inspection: To be made .:liter trenches are excavated and forms erected and when ;i-l
r.:.:J.terlals ~or the toundation are \lelivered on the job. ~.;her:;- cO:Jcrctc from a cC:Jual ~ixing
,plant (commonly termed "transit mixed") is to be used, !:1aterials need not be on the job.
2.
Concrete Slab or Under-Floor.Insnection; To be mace after-all in-slab or under-fioor building
serVl:::e c'iuipment, conUUlt, p1plng accessories, and other ancillary equipment it:ems are in
place but belore dny concrete is poured or floor sheathing inst:allcd, including the sublloor.
3.
~raminq , Insulation Insoections; To be made after the roof, all framing, fire blocking, and
racing arc 1n ?ldCe and all ?lpeS, fireplaces, chi~neys, 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 Boare Inspection: To be made aiter all lathing and gypsum board, 'nterior
and e~t:erIOr~n-prace but before any plastering is applied and betore gypsum board joints
and fasteners are taped and finished.
5. Final Insoection; TO be made after the building is complete and before occupancy.
APPROVAL REQUIRED. ~o work shall be done on any part of ~he building or ~tructurc beyond the point
indicated in each successive inspection without first obtaining the approval of the building official.
Such appro~al shall b~ 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 Hall: To be' made after reinforcing is in place, but before any grout is poured. This
rnspectIOn is required for each bond beam pour. There will be no approval until the plumbing
and electrical inspections have been made and approved.
B. \\'ood Stove: To be made after completio:l of masonry (if applicable) anc when installation is
complete. 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
sewcr-or-ieptic syst:cm for sctback requirements, blocking, footing connection, ticdowns,
Skirting, and plumbing connections. .
1. Footings and piers to comply with State foundation requirements for mobile homes or as
recommended by the r.'ianufacturer. - .
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 fer inspec-
tion within at least 30 days after occupancy. Tiedowns and skirting shall be installed
per enclosure.
D. SWlmr.lln~ Pool: Below grade when steel is in place and before concrete is poured. Above grade
wnen pool-rs-lnstalled.
,\PPROVED PLANS :'lUST BE 0:'1 THE JOB SITE AT ALL TIMES DURING WORKING HOURS. '!'HIS PER.~HT WILL EXPIRE
If \WRK DOES NOT BEGIN WITHIN 160 DAYS, OR IF WORK IS SL:SPENDED OR ABANDONED FOR :.10RE THAN 160 DAYS.
SUSPEtlSION OR REVOCATION ;.\AY OCCUR IF TillS PER.\lIT WAS ISSUED 0:>1 TllE BASIS OF INCOMPLETE OR ERRONEOUS
H~'FORMATrON .
M:YO:>lE PROCEEDING P,\ST THE por::T or REQUIRED INSPECTIO<IS WILL DO SO AT THEIR OWN RISK.
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SUBSURFACE AND ALTERNATIVE ~ 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
comp!ies with the rules contained in this division, If the cOnstruction does.comply with such
rul.es"" tha Department 5.ha1.1 issue a certi fica te of sa tis fact?ry. c5'mple~10n to...the ,permi t~ ~older.:.....
.If thrl constract':1o!1. oo<::s rlot comply wlth such rules, the Department 511;>.1-1 notlfy-thc"'peJ'mlt
holder and shall require sat:isfactor~ completion pefore issuing ,the certificate. Failure to
~ meet the requirements for sa~i~fnctoLy"ssmRlction ~ithin a. reasonable time constit~tes a V10-
"ldti"on6f OR~ 454.605 t;O 4S4.145~a~na-'thls rul"C. ~"... . -~ --., . ~. . ._" " .
....
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Setbacks - Subsurface S~waryc Disposal
Septic '!'ank
Drainfield
Fre::!: Interior prepert',' lines
Ed'Je 0: road rlqht-of-w<lY
fhllhiinq :ounc!ation
\->ells. Other ....ater sources
10'
10'
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10'
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10'
100'
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60 Noer1-J OJU 10) rH Ie> I-/AYDl:t0 ~Jt ~D.
60 ""eST ON HA'-'lD'C.}.,J ~e, l<.D. 10 1.'0'\01 I
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INFORMATION ~ FOR A SIGN PERMIT
1
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. Pennit Ntmber
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Total Sq. Ft.
,
(erect )
Building t'="':t application is to (alter )
(relocate
a sign according to specifications
. and description given below and de-
) tailed plans sulmitted.
Location of Sign (Address)
Name of Business and Address
CMner of Sign (Name and Address)
.
Sign Erector (Name and Address)
DIMENSIONS. cmsTRlJCITON & INSTAUATION INFORMATION
Vert. Height of Sign
Total Height Above Grade
Material Sign is Constructed of
Type of Sign (Check Applicable Itens)
Horiz. Width of Sign
Thickness or Depth
. "
Identity Sign
Non-Identity Sign'
Billboard
Single Face
Double Face
Wall Sign
Pole Sign
Roof Sigti
Marquee Sign
Projecting Sign
Other .
M,llti-Face if
IDITS :
Plans Required: ~ canplete sets of plans drawn to scale, sOOwing d:ilrensions and
height ot sign; advertising message on sign; location of sign on t'~vt'c~""f with dimensions
to property lines; structural details of sut-t'v~"s. framing. bracing and footings; mater-
ials of construction f= sign and sign structure; electrical equipnent and lighting;
size and location of existing signs on property for same business. .
Electrical: Pennits for all electrical work shall be secrued fran the state elec-
trical division.
M55-78
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. wi 5 LANE COUNTY DEPT ENV MGT RECEIPT I 298687 DATE 09288?
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(..,M,..........r..1I 131n,"\ :.,,}/ 11..;(- ('L)..... 1\: I. 1"1 ';.1 ,'''.I. :I;;' '\'~I .. .... ..," ,::...
TLI 1703~52112700 SUBDIV LOT BLK
NEW BLDC TYPE USE R BDRMS 0 UNITS 001 STORIES IBLDGS 001 PHONE 746 5560
. OWNEf~ NME THot1ASON, DON ADDf~ HW;> HAYDEN IlI~IDGE FW., SprnNGFIEI...D .
CODE M'PI... .NO. ACTION DESCFdPT ION S(~ FT UNIT COST VALLIf,~rIC)N FEE DAY."j.
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.U~ LC 29868;'. SDSV
SWR: FT. WTR:
MECH"N I C,;1... FEE
STrHE SUF:CHAf,GE
PLM! CHE:CK FEE
'FT. RAIN:
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DEPDS I T lH'
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ACTIVITY INFORMATION SHEET
EiVJD..,
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L"OOOMAH""'''''''''D''''''ooo.
u.-"'.._..,......."'_~..
Please complete all lIems above dotted line
FILLING OUT * LINES WILL GET YOU INFORMATION ONLY
*DATE q / c8 / 87
* PERSON , ACTUAL
~~la~ST 1 ,UN (.sh/ r 'B.AeNCo!, ~~O:EE:TrotlN
AOORESS I '2 I OJ f-b, U f)EN. f\e E. D. AODRESS
CITYE)PI;?J.N&Flf:LD STATED~ z1P.92i27 CITY0Pf-LD.
TELEPHONE (BUS) ~ l.> -Sf5t"D tHOMEI TELEPHONE (BUSl
*PROPERTY ADDRESS
OR
~/1 ~ MAP & PARCEL NUMBER (Found on tax maps in the Assessment & Taxation Dept.)
!(;V,O, STAFF WILL DETERMINE_
r T~~hIP ~n~ ~~of/ ~~?()O ~U~laln
ll-lC>\t\i\A<SC>N
I\} ~~ eD.
STATP~ z,PC\74lt;
. (HOMEI
Township
Range
Section
Tax Lot
Zoned
Flood Plain
Township
Range
Section
Tax Lot
Zoned
Flood Plain
TOTAL CONTIGUOUS PROPERTY IN SAME OWNERSHIP:
ACRES
*kS~YOU want to dO)-J~;7':;~ tt!f---do/7/~'/
#
Directions to site
....................Staff Use On~....................
Comments:
Land Management Division, Public Works Department 125 E. 8th Ave., Eugene, OR 97401 phone 6874061