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Home My WebLink AboutPermit Septic Tank 1993-8-31 ~. ~. j . . Management" DI~isl~n12i; . E.;8IhAve. "E"ugene. ;OR ','. ., . : . .' . ...,' ,," .... . . . ~' ':;'PERMIT II 5/4z.-Q3 . , REQUEST FOR: REPAIR EXISTING SEPTIC SYSTEM 'T"""",,, ........ """'" 17 03 It''SECTION ;!4.4.1 SlRlMSlCNfPARTI11Cf\I lOTfPAflCEL a.ocK LCCATICH ADDRESS _~PP4 HAYD~N BRIDGE ROAD, 8T~EiNOWCN PROPEATY SSISTING SINGLE FAMILY DWELLING ~USE SEPTCNSTALUiO WATEANiTAUED N)OFSTORES RESIDENTIAL USE RAINBOW WATER ~~PR.lF'C6EDW(:.AA REPAIR EXISTING SEPTIC SYSTEM OREGON AND GARAGE NOOFEMPt.OY(&S ~~COSTIVALLE "'CE""""",,, OlRECTIONS TO SITE F~ NEAREST MAIN NTERSe..,., ...... NONE GIVEN APPLICANT NAME a ADDRESS JAMES M. STAIGHT, SAME AS THE JOB ADDRESS ABOVE PHONE 725-4504 OWNERS NAME. ADDRESS pHQNi SAME AS THE ABOVE SAME CClI'I'TRACTOR INST ALLERr' BUILDER NAUE BEDORTHA I MAIL PERMIT TO: MAIL PERMIT TO THE OWNER AT THE JOB ADDRESS ABOVE CC8' PI-lONE , . I tw.I~ STREET , I have carefully reed BOTH sides of this application a~ereby certify that .;"i'M"~~S M. STAIGHT ...'. ~ ~ __ ~ ~. ~. alY lIP t all Information Is true end correct i..n>- 31- n Your Authorization la Ba..d On Th. FEES DUE: $ APPROVED BY: ~ ~ DATE 7-'77 . .- - . . . -:, I CALL FOR INSPECTIONS (SEE BACK OF FORM FOR INSTRUCTIONS) 687-4065 ) . SEPTIC permits are good for one year. ALL other permit. expire aftar 180 day. un/... In.pactlon. are current. LMD 040 Rev. 6192 . .. ViOLATIONS SBTBACKS AND 0'IlIBR __.'_u._.'" OP APPROV ALMUST BB STlUCIL Y OBSERVED. VIOLATION CAN RESULT iN RBVOCAll0N OFTInS PERMrr. CrrATIONS MAY DB ISSUBD UNDER TIm PROVISIONS OF LANE coumy'S INPRACI10N ORDINANal ANDJDll 011fI!R RBMEDIES AU.OWBD BY LAW. A MINIMUM.OF AT LEAST 24 HOURS ADVANCE NOTICE MUST BE GIVEN FOR INSPECTION REQUESTS Have the following information ready when you call: 687-4065 Permit number - Job address - Type of inspection required When it will be ready Your name and phone mnnber - Any special directions to the site PUBLIC OFFICIAL RIGIITTO TRESPASS ON PRIVATE PROPERTY ORS n5.0s0 POWER TO Bm'ER UPON LAND. nIB COMMISSION, AND ANY OP ITS MBMBERS, OPPlCBRS AND EMPLOYES, IN nIB PBRFORMANC! OF nmIR PUNcnONS,MA Y ENTER UPON ANY LAND AI\"'D MAXB BXAMINATIONS AND SURVBYS AND Pl.ACl AND MAINTAIN nIB NBCBSSARY MONUMBNTS AND MARKERS TIJEREON. 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~ conduit, 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, frre 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 fastener.; are taped and finished. ADDITIONAL INSPECflONS MAY BE REQUIRED, such as but not limited to; BLOCK WALL: To be made after reinforcing is in place, but before any grout is poured. The inspection is required for each bond beam pour. There will be no approval until the plumbing and electrical inspections have been made and approved. FINAL MECHANICAL INSPECITON: To be made just prior to the structure or.r&OjIeled area being occupied and prior to operating any equipment 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, structure or remodeled area is completed and ready for occupancy. MOBILEiMANUFACTURED HOMES: An inspection is required after the mobile ho~e is connected to an approved sewer or septic system. prior to covering sewer or wiuer'ihtes, for setback reQurrements; blockirig, tiedowns and plumbing connections. Footings and piers to comply with State foundation requirements for mobile homes or as recommended by the manufacturer. Minimum fmished 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 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. APPROVED PLANS MUST BE ON TIlE JOB SITE AT All. TIMES DURING WORKING HOURS. TIllS PERMIT WILL EXPIRE IF WORK DOES NOT BEGIN WITHIN 180 DAYS, OR IF WORK IS >JUrYCU OR ABANDONED FOR MORE TIlAN 180 DAYS. SUSPENSION OR REVOCATION MAY OCCUR IF TIllS PERMIT WAS ISSUED ON THE BASIS OF INCOMPLETE OR ERRONEOUS INFORMATION. ANYONE PROCEEDING PAST THE POINT OF REQUIRED INSPECflONS WILL DO SO AT THEIR OWN RISK. ,.:),. '\ : ... Yoursignature o~ the front of this fonn verifies the following: I HAVE CAREFULLY EXAMINED TIllS COMPLETED APPUCATlON, and do hereby cenify that all information hereon is true and correct, and that I have a legal interest in the propeny as owner of record 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 described herein. I further certify that if I am not the owner of the r _y_",., my registration with the Builders Board is in full force . and effect as required by ORS 701.055, and that if exempt 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 permit holder shall notify the County Land Management Division by submitting 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 permit holder will be notified, and all corrections shall be made before a certificate of completionlwill 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 SEW AGE DISPOSAL SETBACKS SEPTIC TANK From: Interior ....~~...-nJ lines' 10' Edge of road right-of-way 10' Building foundatiori .., 5" Wells or other water sources 50' DRAINFIELD 10' 10' '10' 100' .-. EJ'i\:ST/\JG Nr.W .)f,6,3, Hf'." D~N p':'RIDGE ~D, ..:yt M STAIGHT N ~-- E~\5,-,,.JG:Jr I NE.W , .....c::. ..-- ' '- \ ;;l.'C;" 'TO W f.S'( \-.PII. OF PROI'iCR''( . . 16', E II" .;lli: .:.~. ~ ',-' u' , .. -", ~. "..... -' .... , .' ',' ~l .. / , " ,,- "\ , / , / C' ,,- / ,/ " ,.- rJISf,y6 ,/ ,.- -rAIJ/<. " " " \ ;' ~ \ '" \ ,/ \ " / \. / " / , ~l ~ - 0 ~~ ," '" :. ~~~ ~ ~- , ,a~1!'l!M: ~~ -~f. !!.1t"'~ I' '1."'C> -:\.' iblt$ \l)'~ 1:E~2I " .. ta <C' ~ f. ':" g." g ~,;: oS lEI'- ..""1; l'l ;~,-~'N~'(~' '~t; ~ ~':,G..;8.~U' '4::3i' '. .-a;"."",51 .. ~Q~ .; ::~ ~ ..Q,p.. ~ = B r<.110 ~ ' l\ c,.., ~ =.- ~~ . ~ ~4; ~ --~-_.:..._-- Wi , ~ . ~ . . ~: 5'6" ~ \)'- ( ~ "- tf\ ~ ~, , I , " 5' , t'\p<I!'J j W"STE. FRon HOUSE. , I i. "b !~ . NEW LOCI'I'\ION 1000 GA\.LON I 5tPTI(. ,.p..N '(. ~ . , Pr",,~ Rel0<0!'~" ~~ sop/.'c 1<.~ /. ,5 ~..d> ~S"'J .b.sI"h."'. ~ . \ -"'y'; , \ \ \ ~\ .:J\ ~O\ ~ ~\ Z\ \ .s ~ 15~""0 wES"'f ~ PROOe.ll.'Y LINe.. vr U "\ . ... -~- . Please complete aI/lines Inside white boxes, if possible ;:j"f>.r\ i:):S M. S"T f\ I,", H \ v......... _,:2~~"'3. \-\('I'l'0'\""> \\RIl)GS \CD. Y04JlAcldr.. '5::: PI<: I >J6."FI I> LU) (\R is"Gcr--> ""Y fl-?'I- 93 oale . ExIstIng BuIldIngs or 1m- . provements on file ~ ,/ House _Barn -Jt! Garage _ Mobile Heme _ Shed SEPTIC INSTAUED? -LYe. _No Water District 7<ez/rJ.b?e.v ag. S<:," .'7.:1<:-'1..\3'1 ...... "'1,'/, I <<> owner cr t"ropeny (II no( UrM alllCMtJ rnon. VM'IIt ~ ,. f'IClI UIN as.:xweJ ~Ll"=!1;..\l-ll"\ tnltaJlel'/tlUl""I~ up l,;l;I1LIC:8t1I.. ....... Directions to site from nearest main Intersection "---w~Q-JV~ v MAP, PARCEL NUMBER (Foundontu~In"". . I TuadonDepQ /-;7 03 ::20 4C-/ ToWMhlp Range 6KIIon 114 s.ctIon /:3~ ruLot IOwnenlp lIiniii""" 5KISOn 1f451lC11on (..Lot lOWlWlllp ~ ~on 114 tiICUOn lax LOt Site Address ;}6:G3. \-\('\''''0''''''' l'::,R,D",'" Ro. ~PFO_ Ca. .. .. . ......................,..,....:....,;. . ...... . . ..............::: ...,.':.;:..... . ":.".:.;.;. Mail Permit To: TAn.:>" n. 5.n,.tGI-l\ .... .::lG:G;:'\ 1-1o.'T'C">,si-> (-l.,R.n"',~ ~PR 1t->G;Fnh.o 0(2 ~"..... QIy , RD. .........;::;......:......'-: ................w.'...,..w,......, F~blle Home Pia ent Only Brand Year ""- Size "- No. of Bedrm. ~n~ atNay~~th Xl :~ce trom Mobile \ /_::~. to: Wale' Sewer/Septic LMD staff can NOT be held responsible for evaluations or recommendations based on false, Inaccurate or Incom- plete Information. LCPW 148-6193 ~. . . . . ,i!- "I, . . . . :d' ~ ~ . .. - . . . I " r, ~ . . . . . . . '~'~ C .~ -S .! ~I . i -I .1 .i . PL MECH . SUR 't:" :, PCK SDS - SDEQ ~FIX/BATH: SWR: COUNTYDEPT ENV MGT RECEIPT ~ 314293 DATE 0ElA~ ADDR 2663 HAYDEN BRIDGE RD., ,SprnNGFIELl)~ LOT BLK. o UNITS 001 STORIES ~BLDGS001 PHONE 726 45~ ADDR 2663 HAYDEN BRIDGE RD., SPRINGFIEl~\ SQ FT UNIT COST VAL.UATION FEE rt(~ , I . '.. , ~ ." (I 100.00 ~J 10.00 .1 . .i 110.00 c.1 1 ~j , , FT. WTR: MECHANICAL. FEE STATE SURCHAr~GE' PL.AN CHECK FEE FT. ,RAIN: FT W: 3 LANE APPLICANT STAIGHT, JAMES TL.~ 1703244100132 SUBDIV NEW BL.DG TYPE USE R BDRMS OWNER NME STAIGHT, JAMES CODE APPL NO ACTION DESCRIPTION BF' BP BP BP BP 5% 25% L.C 314293 SDSF( FEE SDSR . CATG: PLN' RA SEQU: . TAKEN ElY F(L.H ' SDS 1 EST. EL.E PCK ISS I SI OTR ..., ~ COMPLETION DATE DEPOSIT ** . P.\ r \ ~\. .