HomeMy WebLinkAboutPermit Septic Tank 1986-6-27
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RUj{Al ADDRESS;~~ J.
Cf;~Ci<F.D JU;el'
Lane County Authorization
SEPTIC SYST. INSP. FOR LN. RV.
Ji-i t,-/3
for:
FOR OFFICE USE ONLY
Application/
Permit #
I FS1-Pf..
BLOCK
PROpOSED USE OF PROPERTY
~ Residential 0 Industr ial
o Conunercial 0 Public.
J
I RANGE
02
S~BDIVISION/PARTITION (if applicable)
SECTION
19.3.2
) TAX
LOT/PARCEL
LOT DOUT OF
301
K1m\SHIP
17
LOCATION ADDRESS
STREET
CITY
ZIP
2955 Hayden Bridge Rd.
STRUCTURES CURRENTLY ON PROPERTY
Euqene
SFO
DlI~:IONS TO "ITE 20.~ G\ -Il. L
r;:)Q~JO - Qrl-VLJ Cu...&-
_1rktJ~ (~/_tiI1P\ ~
::lESCRIPTffN OF PROPOS~ECIFIC
Septlc insp. for In.
" OF BEDROOMS I fI OF STORIES
O;~"NER I 5 NAME AND ADDRESS
SMITH, Paul and Pearl
CONTRACTOR'S NAME AND OSR *
31 ~J: );t-r~:)
~ ~ ,~2f1-
I WATER SUPPLY
~
DECLARED :;; VALUE
---l:I.o.mp Fpn
Ln. Proc. Secr.
B :~~:o~ed
u tJ.ng
I TELE~jJONE J5,UMBER
/,cPc, -ro? 9
I TELEPHONE NUMBER
I TeLEPHONE NUMBJ:;R
I If OF EHPLOYECS
same
Home Fe. Saving &.Ln. Ass.
P.:;ru-llT TO BE MAILE:D TO (NAME AND ADDRESS)
Ell en Bri ones,
P.O. Box 10639. Eugene 97440-2639
I HAVE CAREFULLY EXAMINED THE Ca-lPLETED APPLICATION I'OR PI::RMIT. dlld .30 hereby cett.ify t.hat. all information hereon is true and correct, and that I
have the following legal interest in the property: Downer of record; 0 contrat;t purchaser; (1gauthorizcd agent.
t f::.rthcr certify that any and all work performed shall be done in aC(;OJ:dancr: I,dth th1:! Ordi.nances of Lane COW1ty and the Laws of the State of Oregon
pertaining to the work described herein, and that NO OCCUpANCY will b~ made of ar,y st.ructure without the permission of the Building Division. t fur-
ther CQrtify that registration with the Builder's Board is in full force ami effect dS required 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. I HAVE READ AND
CHECKED THIS APPLICATION THOROUGHLY.
Ellen Briones
NAME (please print)
SIGNATURE
6-17-RI)
DATE
Mail in
J
READ THIS SECTION CAREFULLY. YOUR AUTHORIZATION 9AS BEEN BASED ON THE FOLLOWING CONDITIONS!
[] PLANNING/ZONING: Zone Parti tion # Parcel # Parcel Size
Minimum Setbacks: CL. front eL, side interior rear
COMl-IENTS : FOR LN. RV. PURPOSES ONLY. NO SPECIAL
PLANNING ACTION REQUIREO. Date : 6-17-86
(,
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o SANITATION: S. I. * B. P. " Installation Record Issued? 0 Yes 0 No
Installation Gallon Lineal Feet M.aximum Depth
:::::::ti:n~2:~SO~ ~ ;;~i~/M~L~:/k
;;t-~.~~tYWL.u ~ Date, t:-Z7_'?' ~
I I ~
o PLANS EXAMINATION: Type Groun Use
COMNENTS:
Dat.e:
n
r:4U - ~~ I<-S'. ~ -27-rrc
~IT APPROVED ~8UI G UFFICIAL/DESIGNEE (oer ORS 456.805(1)) DATE
LANE COUNTY 1\RTMENT OF PUBLIC WORKS LAND MANAGEMENT DIVISION, 687-4061,
125 EAST 8TH AVENUE, EUGENE, OREGON 97401
SEE REVERSE FOR INSPECTION INFORMATION
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SETB,\CKS AND OTnER CO:>DITIO~S OF APPROVAL ~lUST BE STRICTLY OBSERVED. VIOr.ATION CA:;l RESULT IN REVQ-
CATIO:.l OF 'rlltS PERMIT, CITATlO:l U~DER PRQVISIO:-<S OF LANE COU:-:TY'5 INFRACTION ORDINANCE, AND/OR OTHER
REMEDIES ALLOWED BY LAW.
WHEN READY FOR INSPECTION, CALL 687-4065. A mNl}lU~t Of AT LEAST 24 HOURS ADVAt,CE NOTICE FOR INSPBC-
TIOCl Kt;Ql.;t;Srs ;,UST UJ:: uiVEN'. Have tile 1011owing information ready: permit number, job address, type
of inspection, when it will be ready. your name and pharoc nu~ber. and any special cirections to site.
BUILDING DIVISION:
REQUIRED INSPECTIONS:
1.
Foundation Inspection: To be made after trenches are excavated and forms erected and when all
rnaterLalS Lor tne roundation are delivered on the job. Where concrete from ~ central mixing
plant (co~~only termed ~transit mixed~) is to be used, materials need not be on the job.
Concrete Slab or Under-Floor Insyection: To be made after all in-slab or under-floor building
serVl~e eguIpment, conoult, plplng accessories, and other ancillary equipment items are in.
place but before any concrete is poured or floor sheathing installed, including t~e subfloor.
~raminq , Insulation Inspections: To be made after the roof, all framing, fire blocking, and
raclng are 1n p.lace ana 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.
2.
l.
4.
Lath and/or Gvpsum Board Inspection: To be made after all lathing and gypsum board, ~nterior
ana-cKtCrIOr, 1S 1n-pIaCe but bet ore 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 b~ given only after an inspection shall have been mad~ o~ each s~ccessive step
in the construction as indicated by each of the inspect10ns 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
1nspect!On 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
~l~ Installation shall be in accordance with ary 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-siptic 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
reco~~ended by the manufacturer.
2. Mobile home minimum finish floor elevation shall be certified when required by a flood-
plain management letter.
3. 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. Swimmin9 Pool: Below grade when steel is in place and before concrete is poured. Above grade
when pool-rs-installed.
APPROVED PLANS ~UST BE ON THE JOB SITE AT ALL TIMES DURING WORKING HOURS. THIS PERMIT WILL EXPIRE
IF WORK DOES NOT BEGIN WITHIN IBO DAYS, OR IF WORK IS SUSPENDED OR ABANDONED FOR MORE THAN 180 DAYS.
SUSPENSION OR REVOCATION HAY OCCUR IF THIS PERMIT WAS ISSUED ON THE BASIS OF INCOMPLETE OR ERRONEOUS
INFORMATION.
ANYONE PROCEEDING PAST THE Pon:T or REQUIRED INSPECTIONS WILL DO SO AT THEI.R OWN RISK.
SUBSURFACE AND ALTERNATIVE ~ DISPOSAL ~:
1. Permits shall be effective for one year fr~ 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 Cornnunity 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 permitj~Older.
If the construction does not comply with such rules, the Department shall notify the permit
holder and shall require satisfactory completion before issui~ tho 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 \'sewage Oisoosal
Septic Tank
10'
10"
5'
50'
From:
Interior property lines
Edge of road riGht-of-way
Buildinq foundation
Wells. other ~ater sources
Drainfield
10"
10'
10'
100'
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W: 5 LANE COUNTY DEPT ENV MGT RECEIPT ~ 185786
. APPLICANT HOrlE FEDERAL SAVINGS, AD DR P.O. ElO '10639, . EUGENE
TU' 1702193200301 SUDDIV LOT
NEW BLDG TYPE USE R BDRMS'0 ;BLDGS 001 PHONE
. OWNER NME SrlITH, PAUL.
CODE APPL NO ACTION DESCRIPTION'
Ilf"
.BP
BP
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UNITS 001 STORIES
ADDf(
SQ FT UNIT COST VALUATION
DA.n:: 061786
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6B6 BOC1S)i~. rl
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PL ~'I::'IX/BfnH:'
.rIECH
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.U( L.C 1 f:l~)7El6 SDSV
SWF:: FT. WTF(:
MECHANICM.. FEE
ST A TE SUI~CH(,I~GE
PLAN CHf,CI< FEE:
FT. RAIN:
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COi'iF"...ETION D,~TE
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TOT(,L. FEElH('
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60.00 CK
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Home Federal Savings arid lDan
59 East 11th .
Eugene, OR 97401
ATI'ENTION: lAND MANAGEMENT DIVISION
Lane CoW1ty Courthouse
125 E. 8th Avenue
Eugene, Oregon 97401
Please provide us with a septic tank inspection on the follooing
described property:
Street Address: 2955 Hayden Bridge Rd.
City:Eugene, OR
Tax lDt #: 17-02-19-32-00301
Legal Description: see attached
Sellers: Paul & Pearle Smith
Cv.HANers: Terry & Sue Matheny
Enclosed you will find a check in the arroW1t of $60.00 as payrrent for
this service.
Thank You.
Ellen Briones
!..Dan Processing Secretary
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WARRANTY DEED
,i~;;.G-~ LJu 16:. ::IlJ t.IuI'~:.1 Lb...tC'l:, lH.l.JllUII(j und wire, uS t~j.',~l~l.~ tJy
(.: ~t 1.1.'I.::t Y
thl' ~I';llllllr':: . dOl hl,l't'hy ~r:IIII.II;II'~llill. 1It'11 aud l'UIl\'t')' until
:l':~:l. L. :~I:llt i: ~L:lU F~lJ.'le M. ~)mlt.h, hUBlJhJJU 1.11111 wife, ua telbnt~ L:;,'
<"ntlrt>t.,
thl' ~r:IIl11','.:J. th,' rnllll\\"ill~ tl'......rih...d Jlrt'mbll'lI. tu-wil:bec1llli.1nt-: ut ti polut iu the; ce::ter
il:.t" .iI: C0U~1l:; h"':'\:lU r:o. Li~l, 2~dd pulr!t, bc.::lng ,:,:.:'H;.l~) feet Nor'th uncJ. It,f~62.0:
l\;(;t \}C'Gt 01' tl1~ ~OUth€lti3t CurllC!' 01' 3ection 19, TOWJlshlp 1'1 South, Hane€:' 2
!':l.'St ..11' t.i:~ ..!lll~JJl1ette J.1t;['ldlul"j ~:iij p01nt b.13u be1!1g 5T5.90 feet Eust 01'
l.ik ''':L~Jt lllit: l.'f the Felix SCutt DUJ1utloJl Ul(:U .Chd.m Ho. 62 01' said Towushlp
!..:. j !\-;;;.Cej !'U~;j.lliL thew::e !~O.l'tll .::s,o 43' llist 06.0 feet; thence South 10 H~' 4("
~'.Sl. ::':'l).u (eetj t1~t;:!lce SLiUUt :3;,10 ~31 West ()G.O feet; thence Horth 10 101 40"
l-!~:2i. ;>,0.0 t'ec::t. to the pcl:lt L.( LCl;:1ru!luL:, 11; uifle CUW1ty, Uregon.
SUBJECT TV: L\.;ud of 'J'rust to Lunc COUll cy ','itlu Cun,puny, Tru stee for the
\)~ncnt 01" the First National liank 01" Cregon recorded September 10, 1963.
RUcol'dcr's Reception ~Iu. 25016, '"hich '~he grantees herein I.lssume and agree
to p~.
TO IIA\.t; Asn Tu 1101.(1 Iht. ..,;;.titlll!"t.mi:lt':I. I~.ith tht'ir OI.lJpurlt'n..m'e" untu the lUlid Gnmt.ees .
t !lclr ht'i"l'IlIlI.I..:I:liKfl:l (0,."\'(,,,, AIlII Iht. l'I..id t;,.1IoIltur3 du hereby l'onvenant to and
....llh 1h.. ~i.II;":,"It'I'S .lh;11 th.. 'J' Ihl'.I.....:It'..:;) in f,'\" "impk ur !I.IIid IJremikll: Ih.. they are
l"I,,'h..m.,1I ill"I.mlt";lIl1't." 0XCc:pt (;b~c::.C:J~t 01' 1.6....:.:..r...:., Wld Deed :If Trust as noted
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ACCEPTANCE. INC. :
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PRIVATE PROPERTY
CERTIFICATION
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NOBLE, James Lewis and Edith
Le:~ 1 Ce......=:c:.-i:-~Ol of F:t.. ~ -'7:'
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Street Address: 82226 Bear Creek Rd., Creswell (, '1- 0::<-,;(/
T~e unce~$iS~ea cer~iiies t~3t:
~ The site is z~~ed to permit the ?lacement of che
ffiam;ract'..:rea ho<ce; wE O. q. I'~ q~4C
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~ Ace~~ate ?~blic ccc2~s from a 9ublic right-cf-~ay
is available to the site;
Ace~caLe ~ater 5u~~ly, sewage di~?Osal and stc~~
drainage facilities are avail~bl2 on the site:
Oth2r miniiili.lm local st.3.n::accs for' site suitability
are !l':er::
Lo:::J. cr State .:L"'C-C:it'j
Si~.,::C'..:.'""2 .c..--D Ti::J..:?
D::t0
CC;!:~L2tr::: th.~ fcllo',.lin,:] '..'hcn no st.Jec 0[" lcc~.l liccnsirKj ,J.L:t;;C'~i~'.:"
e:-:L:ts, or '.~'hC!l th0 licC'n::;in~! ':H~:~:ori~'/ (!cc~ not i.:st.:lbli'=::1 O!:
enfc:::-cc r:H:-'!~;:::"':;:l 3to.n(~.}r-:':3.
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G':'-12-00-12
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FOR VALUE RECEIVED
Edith Noble
WARRANTY DEED
'7549168
herein referred to as grantors, hereby grant, bargain, sell, and convey unto
James Lewis Noble
. herein referred to as grantees, the following described real property, with tenements, hereditaments. and appurtenances, to wit:
Beginnin~at the iron pipe marking the northwest corner of Section,28, To,mship 19
South, Range 2 West of the Willamette Meridian,.as established by County Survey No
2422; thence~outh 89035' 45" East 112.86 feet long the north line of said section
to a point; thence, North 0006' West 453.24 fee~ to an iron pin' marking the TRUE
POI"~ OF BEGINNING; thence, North 0006' ',est 113.64 feet to a point marked by an iron
pin; thence, South 89022'48" East 182.99 feet to a point marked by an iron pin; thence,
North 74027'33" East 207.~2 feet to an iron pin set on the centerline of County Road
No. 640; thence, South 16 54'30" East 174.92 feet along the centerline of said County
Road No. 640 to a point(being referenced on the ground by an iron pin bearing West 20.90
feet); thence, West 433.97 feet to the true point of beginning in Lane County, Oregon.
.
TO HAVE AND TO HOLD the said premises unto said Grantees. their heirs and assigns forever. And the said Grantors hereby
covenant that they are lawfully seized in fee simple of said premises; that they are free from aU incumbrances,
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