HomeMy WebLinkAboutPermit Plumbing 1986-8-14 (2)
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RURAL ADDRESSING
:HECKEDAlJG 11
County Authorization
for:
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FOR OFFICE USE ONLY
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SEPTIC DISPOSAL SYSTEM INSPECTION FOR LN RFVTFW
7OW"SHIP RA!1GE SECTION I TAX LOT OOUT OF
17 03 25 1.2 600
S~BDIVISION/PARTITION (1.f apphcableJ I LOT/?!, per!- I BLOCK
PROPOSED USE OF PROPERTY
o ReSldentl.al Dlndustrl.al
o Commercl.al 0 Publl.C
LOCATION ADDRl:.SS
1920 Lamond
STRUCTURES CURRENTLY
5 f~ET
ItVt: )SPrl ngf1 e 1 d
ON PROPERTY
CITY
ZIP
97477
SFD
""""i:i'rRECTlONS TO SITE
J:SCRIPTION OF PROPOSED WORK - BE SPECIFIC
SEPTIC INSPECTION FOR LN
.:: OF BEDROOMS J 'If OF STORIES I 1< OF E~PLOYECS
O.~NER I 5 NM1E AND ADDRESS
DECLARED ~ VALUE
WATER SUPPLv
o proposed
n EXl.stlng
TELEPHONE NUMBER
SCOTT, C11fford
same
CONTRACTOR'S NAME AND OSR ff
OME FEDERAL SAVINGS & LOAN
P.O.
..
,
Box 10639, Eugene 97440
TELEPHONE NUMBER
?C~'~;;;; B~r~~~~s:O ~~~': ~:dADDRE5S) (~_~ ~~\
I HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION ~:R ~ER11I/<lf~d .10 hcr('by certlJ:y 'that all 1nfonnat1oll hereon 15 true and correct, and that I
have the following legal Interest In the property Downer of reC01d 0 contrdc t pnH..haser Oduthor1Zed agent
I f_rther certlfy that any and all work performed shdll be dont! 1n c.lcL(n.dal1r~ 1>1 th tIc. OrdinanCe!;. of Lane County and the Laws of the State of Oregon
perta:l.n:l.ng to the work descr1bed hereln, and that NO OCCUPANCY \0,111 blO 'f!ade of ur 1 structme Without the perm1sslon of the BUlhhng Dlv1Slon I fur-
ther certify that reglstratlon w1th the BU11der's Board 1S 1n full force ,nJ effect a~ rer,Ulred by ORS 701 055, that 1f exempt the baSIS for eXempt10n
1S noted hereon, and that only subcontractors and employees who are 1n cOMpl1ance wlt~ ORS 701 055 will be used on thiS proJect I HAVE READ AND
CHECKED THIS APPLICATION THOROUGHLY
TELEPHONE NUMB~R
MAIL IN
B-8-86
NAME (please print)
SIGNATURE
DATE
READ THIS SECTION CAREFULLY
~PLANNING/ZONING
YOUR AUTHORIZATION 9AS BEEN BASED ON THE FOLLOWING CONDITIONS I
Zone
Part:l..t:l..on #-
Parcel #
Parcel SIze
MInImum Setbacks
C
L, front
CL, sIde
InterIor
rear
Date
8-8-86
,5
COM..\tENTS
FOR LN
REVIEW PURPOSES ONLY
'NO SPFr.T 1\1
PI ANNTNG Ar.nON RFnllTR~n
D SANITATION
S I #
B P #
InstallatIon Record Issued? DYes 0 No
Llneal Feet MaXImum Depth
~l~~~~:C
,/ rJ . V'#-'
, Date \?"'~ (/;<f-f?: ..~
InstallatIon Gallon
SpecIfIcatIons Tank
COMNENTS \.IL(l~ ~~ d~loLiL.
~I ;;t/u'<J :t~ U 0
o PLANS EXAMINATION Type Group
U,e
COM..\lENTS
Dat.e
n
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.- ~T APPROVED ~ BU~jtNG OFFICIAL/DESIGNEE (oer ORS 456 B05(1)) DATF
LANE COUNTY QltPARTMENT OF PUBLIC WORKS LAND MANAGEMENT DIVISION, 687-4061,
125 EAST 8TH AVENUE, EUGENE, OREGON 97401
C;RR RRVRRC;R POR TNC;PF:(,'T'TON TNF'ORMATTON
P1/. 'lC QQA
SETB"Cf-..S A'JO OTHER CO 0IT10....S OF APPRO"'\L 'lUST BE STRIC~L, OPSER\SD VIOLATIOr. CA'J" RESI...LT It. REVQ-
C,,~IO' OF ~11l5 PE."'HT CIT"TIO 1 l.-'J"OSR PROVISIO 15 OF LA"E ::01...' T'l ., I'JFRACTIO" OROl A CE A"D/OR OTHER
RE~EDIES ALLO~ED BY LAW
\o.HE'J READY "OR
~RE'i"t..t:~l'S
at 1.nSpect1.on
I C;PCCTIO'J CA~~ 687-.\065 A' I'll '1",'1 OF AT LE,'\ST 24 llOLRS ,"IDVA lE "OTTCF FOR 1'JSPEC-
",t;"r bL G1VE....-H-ave t'le lollow1.ng 1.n~;)r-'1lal1.on ..eady rerm1.t number Job address type
when 1.t w1.11 ~e ready your name a1d phorL nunber, and any s~ecla~ d1.rect1.ons to S1.te
BUILDIr.G D1V1SIO'J
REQUIRED I'5PECTIO'JS
1
Found~t1.on Inspectlon ~o be made after trenches are
lrater-1.als-~ort~toundat1.on are del1.vercd on tne 'ob
plant (co~'1lonly termed 'tranS1.t mlxed ) lS to be used
cxca\ated and forms erected and when all
\ hLr-e co~crete from a ce~tral rnlxlng
'1latcrlals need not be on the Job
Concrete Slab or L.nder--loor Inspectlon To be made after all 1.n-slab or under-floor bU1.1d1.ng
serVI_e e~ulp~ent, C010Dlt ~l?lng accessorles, and other anc1.11ar} equLpment ltems are In
place but betore any concrete lS poured or floor sheathlng lnstalled lncludlng the subtloor
~ramlnq & Insulatlon Inspect1.ons To be made after the roof all rram1.ng f1.re blocklng, and
raCl~g ar~~ace a~d all p1.pes 11.replaces, cn1.nneys and v~nts are conplete and all rough
electr1.cal and plumblng are approved All wall 1.nsulatlon and vapor barr1.er are 1.n place
Lath and/o~ Gypsum Boar~ Insoectlon
and e^.erLor lS 1.n p~ace out oelore
ana fasteners are taped and fIn1.shed
To be nade arter all lat~lng and gypsum board nterlor
any plasterIng 1.5 appl1.cd and betore gypsum board JOlnts
Flnal InspectLon
To be made after the bUlldlng 1.S con~lete and before occupancy
APPROVAL REQuIRED ~o work shall be done on any part of t~e bUlld1.ng or structure beyond the p01.nt
lndlcated In each succeSSlve .nspectlon w1.thout flrst Obtalnlng the aporoval of .he bUlldlng offlclal
Such aaproval ahall b~ glven only after an lnspectlon shall have bpen made of each sUCCeSSl\e step
In the constr~Ctlon as lnd1.cated by each of the InsnectLons recul~ed
'J"OTE All bUlldlng Oermlts requ1.re 1.nspect1.ons for the work author1.zed su~h as but not Ilnlted to
A Block Wall To be made a ter reInforclng lS In place but befo~e any grout lS poured ~;lS
In;pectIOn 1.5 requ1.red [or each bond beam pour There wlll be no aoproval unt1.1 the plumblnq
and electr1.cal 1.nspect1.ons have been made and approved
B Wood Stove TO be made after cO'llplet1.on of -na50nrj: (If appllcable) and when lnstallatlon 1.5
compl~ Installat1.on shall be 1.n accordance wlth an approved, nat1.onally recogn1.zed test1.ng
agency ana the manutacturer's lnstallatlon 1.nstruct1.0n5
C ~loblle Home An 1.n5~ect1.0n 1.5 requ1.red after the mob1.1e home 15 connected to an approved
sewer-or septIC sY5~e'l\ ror setbac~ requ1.rements blocklng ~oot1.ng con~ect1.01 tIedowns
S^lrtIng and plumb1.ng conneC~1.ons
Foot1.ngs and p1.ers to comply wlth State foundat1.on requ1.rements for moblle names or as
recommended by t~e manutacturer
~oblle ho~e m1.n1.mum f1.n1.sh floor eleVatlOn shall be cert1.fled when requlred by a flood-
plaln manage~ent letter
~oblle home tlcdowns when requlred, ana sklrtlng shall be lnstalled and read} for lnspec~
tlon wlthln at least 30 days after occupancy Tledowns and sllrtlng s~all be lnstalled
per enclosure
o
SW1.~'1l1.nq pool Below grade when steel lS 1.n place and before concrete lS poured
~hen ?ool-rs-lnstalled
Above grade
APPROVED PLA'J"S ~UST BE ON THE JOB SITE AT ALL TIMES DlJRIr.G WORKIr.G HOURS "'HIS PERMIT WILL EXPIRE
IF \o.ORK DOES NOT BEGI'J WITHIN 180 DAYS, OR IF WORK IS SLSPENDED OR ABANDONED FOR ~ORE THA~ 180 DAYS
SLSPENSION OR REVOCATION ~.AY OCCLP IF TlllS PERMIT WAS ISSUED ON THE B"SIS OF INCOMPLETE OR ERRO"lEOUS
INFORHATION
ANYO'<E PROCtEDI G PAST TilE POI T or REQUIRED INSPECTlO 1$ WILL DO SO AT THEIR OW~ RISK
SL3SLRFACE ~ AL"'ER'ATIVE SEI'.AGE DISPOSAL SYSTEMS
Perm1.ts shall be effectlve for one year from the date of 1.ssuance
Upon comp~et1.ng the construct1.on for whlc~ a pern1.t has been 1.ssued the perm1.t holder shall
notlfy the Lane County Department of Plannlng and Commun1.ty Development by submlttlng the
lnstallatlon record ~or~ ~he Department shall 1.nspect the constructlon to determlne lf It
compl1.es w1.th tne rules conta1.ned In thls dlvlslon If the constructlon does comply wlth such
rules thL Department shall lss~e a certlflcate of sat1.sfactory complet1.on to the perm1.t, ~older
If t,e constructlon dops not comply wlth such rules, the Department shall not1.fy the pprmlt
holaer and shall reaUlre sat1.sfactory cO'1lpletlon before 15sulng the certltlclte Fl1.1ure to
meet the reqUIrements f~r 5at1.sfactory complctlon wlth1.n a reasonable tIme constItutes a VIO-
latlon of ORS .\S4 &05 to ~54 74~ anu th1.s rul~
Setbacks - Subsurface Sewaq~ Dl~posal
" om
I~terlor propert; ll~es
Edge ot road rl~ t-of-way
BUllolnq .c~~dat ~~
I'Blls othe" ~atcr sources
SLptlc ~
"0'
10
5'
50
Drulnf1.eld
10
10'
10'
100'
...
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H~E lOAil) i,,~ fR\':~1:&&
PLEASE RUSH!
Nome Federal Savinqs & Loan
P. 0 Box 10639
il1qGM, Or8Q'Oft 9-7440
A'ITENTION lAND MANAGEMENT DIVISION
Lane County Courthouse
125 E. 8th Avenue
Eugene, Oregon 97401
Please provide us Wl th a septlc tank lnspectlon on the follOtnng
descrilled property
Street Address 1920 Lemond, Spnngheld, OR 97477
Clty Spnngheld, OR
Tax Lot # 17-03-25-12-00600
Legal DescrlptlOn Lot 3, Blk. 1, LCCH LCMOND TERRACE, AS P & R ln
Vol 46, pg. 8, LCOPR, Lane Co., OR
,
Sellers' Chfford & Efhe Scott
~nvvlers Gordon & Charlotte Green
Enclosed you wlll flnd a check in the annunt of $60.00 as payrrent for
thlS servlce.
Thank You.
2..n n ,
Q)("G~
Ellen Brlones
Loan ProcesSlllg Secretary
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I,;: ~i ' , LANE COUNTY DE ::'T [Nil riGT
t,PPL ICM1T Hm,]!:: FEDERtlL. StlVINCS.. ,~mF: PO BO/
TL~ 1703251200600 .SUBDIIl
NHJ L<L.DG TYPE 'U,Sf: F{ BDFNiS 0
OWNER NME'SCOTT, CLIFFORD
CODE' APPL. Nd ACTION DESCRIPtION
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RECEIPT 0252986 DATE,080886
010639, EUGENE:, OREGON
L,(;)i" BU<
~NITS 001 SrORIE~ *BLDGS 001 P~~ONt 999 9999
A )DI~ i 920 LON,aND AVE 4 I S.'PF.\~I~1GF.J:EL.D I Of~r;:G()i,.
S(~ Fl UNIT, COST VALUrYIION' FEE, :'i,11.-,
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PL.AN CI. E:CI< FEE
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SEQU : , 2 3 \ A " ,
. l ni" ,;1< n) BY l:;':l..H EST Cm1PLETION !) HE TOJ;~1.. FEE.)t.~(. 160 ,. {jO GJ{
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