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Home My WebLink AboutPermit Septic Tank 1992-3-4 , REQUEST FOR: PERMIT # C:,GI- 9~ JI. " SEPTIC SYSTEM VERIFICATION :::.9..:::.~~.:~. .. LIV.r..C~1 ..........j I TOWNSHIP 17 flANGE 0 2 SECTION .. 9 .,... BifTlOH 1 . J. l. """"307 '.,. ~'. , IRTlTlON LOT I """CEL aLOCK L"f"l'PI't;"'.('''''' 2 9 3 'LO) &) HAYDE~ BRIDGE ROAD, STRUCTURES NOW ON 1""0'IUI11 EXISTING SINGLE FAMILY DWELLING, SHED PROPOSED USE 8EPl1C "STALLED .AiEi ..STALUiD MO. Of""'""iTOiifEl PRIVATE USE SPRINGFIELD, OREGON 97477 NO. OF IEIlPLOTEEB COoGTJIIUCTlON COSTNAWI OESCRlPT1QH Of' PROPOSaJ WOAK NO. Of' HDAOOIIS SEPTIC SYSTEM VERIFICATION "G"OcTloNT'O'o "H"A'Y'''''D E"'ltllTHBo'R"I D G E V I A 31 S T , . STREET OFF OF MARCOLA ROAD IN SPRINGFIELD. APPUCANT HUlE . ADDREas MYRNA BUSS. 'OWNERS NAME . ADORES. BRAD AKERS, SAME AS THE JOB ADDRESS ABOVE PHONE 746-3498 PHONI 744-1070 CONTRACTOR NAME NA ) MAIL PERMIT TO: MYRNA BUSS. , N....1I1 . I hava carafully ~lYRNA BUSS oaR UC;:EHBE , NA PHQ"'1i NA PRNTNAME and hareby J.1f~at all Information IIAa . AA.dA- la true and corract 1,\.", .:?-~- <7":> J 3332 MAIN STREET, SPRINGFIELD. OREGON 97478 ADDRESa j . . READ CAREFULL YI Your Authorization Is Based On The Following Conditions FEES DUE: . $ APPROVED BY: 4~_' DATE '7-</-92 , ..c...:..:..:....-_ CALL FOR INSPECTIONS (SEE BACK OF' FORM FOR4NSTRUCTlONS) 687-4065 SEPTIC permits are good for one year. ALL olhar permits expire after 180 days unless Inspect/ons are . < current. ~ -1c -p/€4r 'Se- ~~ (;i2 7#-1'~ 70 .1M- a:.ppr tit- 746 - 3<1Cf!" () VIOLATIONS ".. .""': SB1:&l'gc;S. AND onmR CONDmONS OP APl'ROV AI. MUST BB STR.ICI1. Y OBSPRYBD. VIOLATION CAN RBSULT IN REVOCATION oPnns PERMrr. 'CITATIONSMA Y.8B ISSUED UNDER nIB PROVlSlONS OP LANB COUNTY'S INFRAcnON ORDINANCE. ANDJQR 01HER REMEDIES AlLOWED BY LAW. " . f A MINIMUM OF AT LEAST 24 HOURS AnY ANCE NOTICE MUST BE GIVEN FOR INSPECTION REQUESTS Have the followmg information ready when you call: 687-4065 Permit number - Job address - Type of inspection required When it will be ready Your name and phone nmnber - Any special directions to the site PUBLIC omClAL RIGHT TO TRESPASS ON PRIVATE PROPERTY ORS ns.olO POWER ro BNIER UPON LAND. nIB COMMISSION, AND ANY OF ITS MEMBERS, OPFICERS AND EMPLOYES, lNnm PERFORMANCE OFnmIR FUNcnONS, MAY ENTER UPON ANY LAND AND MAKBBXAMlNATIONS AND SURVEYS AND PLACE AND MAINTAINnm NECESSARY MONUMENTS AND MARKERS 1HERBON. REQUIRED INSPECITONS FOUNDATION INSPECITON: To be made after excavations for footings are complete and any required reinforcing steel is in place. UNDERGROUND PIPING INSPECITON: To be made after all underground piping has been installed, prior to any backfill. CONCRETE SLAB OR UNDER-FLOOR INSPECITON: To be made after all in-slab or under-floor building service equipmen~ condui~ piping accessories and other ancillary equipment items are in place but before any concrete is placed or floor sheathing installed, including the subfloor. ROUGH MECHANICAL INSPECITON: To be made after all ducting and gas piping has been installed and prior to being covered. ROUGH PLUMBING INSPECITON: To be made after all plumbing rough-in is in place, prior to being covered. FRAMING INSPECITON: To be made after the all framing, fire blocking, bracing and roof are in place and all pipes, chimneys and vents are complete and the rough electrical, plumbing, and mechanical inspections have been made and approved. INSULATION INSPECITON: To be made after all insulation and vapor barriers are in place, prior to covering. LATH AND/OR GYPSUM BOARD INSPECITON: To be made after all lathing and gypsum board, interior and exterior, is in place but before any plastering is applied or before gypsum board joints and fasteners are taped and finished. ADDITIONAL INSPECTIONS MAY BE REQUIRED, such as but not limited to; BLOCK WALL: To be made afterreinforcing is in place, but before any grout is poured. The inspection is required for each bond beam pour. There will be no approval untiJ the plumbing and electrical inspections have been made and approved. FINAL MECHANICAL INSPECITON: To be made jilst prior to the stniciure Or remodeled area being occupied and prior to operating anyequipmenL FINAL PLUMBING INSPECITON: To be made just prior to the building, structure or remodeled area being occupied. FINAL BUILDING INSPECITON: To be made after finish grading and the building, slrUCture or remodeled area is completed and ready for occupancy. MOBILE/MANUFACfURED HOMES: An inspection is required after the mobile home is connected to an approved sewer or septic system, prior to covering sewer or water lines, for setback requirements, blocking, tiedowns and plumbing connections. Footings and piers to comply with State fOlmdation requirements for mobile homes or as recommended by the manufacturer. Minimum finished floor elevation shall be certified when required by Floodplain Management Tiedowns, if required, shall be installed and ready for inspection within 30 days after occupancy. Tiedowns shall be installed per enclosure. APPROVAL REQUIRED No work shall be done on any part of the building or structure beyond the point indicated in each successive inspection without frrst 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. APPROVED PLANS MUST BE ON TIlE JOB SITE AT ALL TIMES DURING WORKING HOURS. TIllS PERMIT WILL EXPIRE IF WORK DOES NOT BEGIN WlTIlIN 180 DAYS, OR'IF WORK ISS wrrnu OR ABANDONED FOR MORE TIlAN 180.DA YS. SUSPENSION OR REVOCATION MAY OCCUR IF TIllS PERMIT WAS ISSUED ON THE BASIS OF INCOMPLETE OR ERRONEOUS INFORMATION. ANYONIj;PROCEEDING PAST THE POINT OF REQUIRED INSPECfIONS WILL DO SO AT THEJR OWN RISK. Your signature on the front of this form verifies the following: I HAVE CAREFULLY EXAMINED THIS COMPLETED APPUCATION, and do hereby certify that all infonnation hereon is true and correct, and that I have a legal interest in the y.....}"...nJ as owner ofrccord or authorized agent. I further certify that any and all work performed shall be done in accordance with the Ordinances of Lane County and the laws of the State of Oregon per- taining to the work deseribed herein. I further certify that if I am not the owner of the property, my registration with the Builders Board is in full force and effect as required by ORS 701.055, and that ifexernpt the basis for the exemption is noted hereon, and that only subcontractors and employees who are in compliance with ORS 701.005 will be used on the job. SUBSURFACE & ALTERNATIVE SEW AGE DISPOSAL SYSTEMS: When subsurface construction is complete, the pennit holder shall notify the County Land Management Division by sllbmitting the installation record form. An inspection will be made by a qualified sanitarian. If construction complies with all rules a certificate of completion will be issued to the permit holder. If construction does not comply with rules, the pennit holder will be notified. and all corrections shall be made before a certificate of completion will be issued. Failure to meet satisfactory completion within the allotted time constitutes a violation of ORS 454.605 to 454.745 and this rule. SUBSURFACE SEWAGE DISPOSAL SETBACKS SEPTIC TANK From: Interior r'"r_ujlines 10' Edge of road right-of-way 10' Buildin&;f?unc:ra~oir ':1 ". '.' '5' "':.'. Wells or other water sources 50'. .... . :",.~ \ ,- ,\ DRAlNFIELD 10' 10' "." 10'_ 100' ..-',-,,-S> \' , , )f- , ...........~;.:<.i?;\j\l"r:.';:..:.... ....,\,.......!i.;<..:.t..... ..... . """':'i"""'R" .....E......Q.......'.U..vE....S. T'" ."...F'..'O.... R....'.'A'. . '5'" '5' 'J"'S' ..7:.A.......N.....C.'...E. .' . :\:::':'::{~F.:' . ~" . ~t(. .'. -'.::" . .~ ..:. '., . .;.:,.", . ~'..:.. -"-. . ';('Land'Managemenl Dhi:'.12SE>.Blh Ave,' Eugene, OR '97401 ...;.......,t.......' ~ ..;......'.', " .... . 1.- ano' ~ unty - . :,' ;"" '..: . ".:. '. .....;. . Plea.se complete all lines Inside white boxes, If possible. '.!\J\l..(hNA \v. . \."...\ ~uSS ~ ~/ q:1. ~tb '?Jlj.qQ . 33 :3 ;) 1\14..,' ,^ fUUIi "''''U"~'''1f ~.... . .' 'n CIU, . ..:li.I(A,~ ~d1 OWNER 0' PROPERlY {II nol ..m. .. o_".J J.l~ n 1~\ ~\\.tt;,"~~,r.'.-IJ ~ 0 OWNERS ADORESS (II n.' um. 'iI. obo"1 ~ CU'" I R'JR ~,., I . liIr:/ IO?.1L If ;;47'1 ~p L.......'H,II,\.IUH "ICI"" . 1f!~~~lf~~~::~r=~~~lW .. .::,...,i.:,:';?../...,.....g...:, ,'f,'.i"" .-;,::,,:;.........'.. ....,.:.:.... I MAP, PARCEL NUMBER (Found ,n In ''''I" In ttM A....."'."' . Tne'kI" o.pL) T!.?.~:~'. ~~. BL~ 1,.~j.." D~~c)'7 To"n.hlp ~ SKllolt 114 ant"" ,.. lol 10_"_"". ~ .Kllon 1/4 S.CUon I.' ..., , SITE ADDRESS r.7;i<;J S <:iI. 3;;l....~ , ',;".-",'.' . ""';'.' . .-. : :..... ....~.: '"'' ,..........,...-.....................'. . . ,,- ...... ... '" \~;; L.AHD MAHACDlEHf DlVlSK'lfl' . -, ,,-- Existing Buildings or tmprovements on Property - q;a House c::J Barn- c::J Garage c::J Mobile. Home c:t;I Shed SEPTIC INSTALLED r;:s Ves c::J No Waler District . , " .:, .. Directions to slle ~ ..r1...1 *!d..~ 1ft 1?ut./l.J\~ J..,p. ....M- .~ ^:....LilU ~ ~- , ~ Ie-! r.WtJ <'-'A 13 Irl cI n -<1_ ---p ~ r> ; I ~tO q~ <!-rJ1 ZIP . MAIL PERMIT TO: I NAMt: AUUHII;-":lo CII' ZIP STAFF' EVALUATION Information. Roquest Only c::l' COMMENTS / FOLLOW.UP Partlllon I Subdivision TRS'Verllled . c::lVeo ,. No c::l Allowed Use . =Ves "'.: No = ....:. .:,.-' , I . Land Managomont Dlv. starr can n'ol be held responsIble for evaluations or recommendallons basod on falso, Inaccurate or Incomplele Information ", .h.. . ' ~ ....{ . For Mobile Home Placement. Only Brand . Vear Size No, of lip-outs No. 01 Be<tm': license "I . ; I Lol & Block ...:, V." :.l.1I1"".'. .' . ~~~.~ ~... r .,^-r:.V\.sfed-1DV\ ?lo-+f>l~1I\ :,e>r,c. -,------ - - - -. -.. " ~ \) V-~ \~ {- t 3273 3:;;L~~ f+ll,\J-LV\ ~ -.r\ 4-"- \<..oo.&. ,~ Vi . , . . . . I. . . . . . t ~ ~ ~ ~i ~ i' . .1. m lD . .~ ll: . . .f w !! ~ . .~ ... ,:-i Iii' : I f~ 'II . .~ . .~ g . l' . .i ~ 0 ~ . .~ << . . W: 5 3 LANE COUNTY DEPT ENV MGT RECEIPT I 66192 DATE 030392 APPLICANT AKERS, BRAD AD DR 3285 HAYDEN BRIDGE RD., SPRINGFIELD, . TLI 1-'02193100307 SUBDIV LOT BL.I<. r'b,NEW BLDG TYPE USE R BDRMS 0 UNITS 001 STORIES IBLDGS 001 PHONE 744 107~" . I OWNER NME AKERS. BRAD ADDR 3285 HAYDEN BRIDGE RD., SPRINGFIELD ,.' . CODE' APPL NO ACTION DESCFnPTION SQ FT UNIT COST VAL.UATION FEE DAY BP .. BP .m . BP lC BP ~ . BF' , . ~ PL OFIX/BATH: SWR:. FT. WTR:. FT. RAIN: FT f MECH MECHANICAL FEE W . .~ SUR STATE SURCHARGE 5% ~ \ i \ ,PCK PLAN CHECK FEE 25% I 'J l!l ." LR LC 66192 SDSV 75.00 i: .~ ~ . CATG: PLN SEQU: . TAKEN BY RLH . r~A SDS , EST. ELE PCI< ISS 2 / SI OTR COMPL.ETION DATE DEPOSIT If'X' . 9 . 75.00 CK .! !' .! o l I ~ / .: . . 'r .