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Home My WebLink AboutPermit Septic Tank 1986-2-25 ~ tpJp~so - 2 7 for: RV. 7OW:'S18 I RANGE 03 I SECTION S'BDIVft~NQaCr~lr~et~ rl LOC2oN ADDRESS -1dM'" -Jn1 2030 Harbor Dr., STRUCTU?ES CURRENTLY ON PROPERTY 1 TAX WT 11.2.2 4100 rDr/P ~CEL I BLOCK 40 c{'(/ Springfield 97477 UOUT OF SFD DIRE TLONS TO SlTL ~~SCRIPTION OF PROPOSED WORK - BE SPECIFIC Septic inspection for ln purposes .:: OF BEDROOMS I' \-I^TER SUPPL'{ OF STORIES I # OF EI'lPLOYEr:S O;,~ER' 5 NAME AND ADDRESS CARTER, James CONTRACTOR'S NAME AND OSR # POUNDER REALTY (Bill Farr) 10808 N. E. Halsey St., Portland 97220 P'=;Rl'lIT f3 fit; MAILED TO \NAME AND ADDRESS) ~tll"''''Pounder Gt:? ;;J..'d-! FOR OFFICE USE ONLY Application/ / /? d 0- / Perm~t # b-c T-T./ L, PROPOSED USE OF PROPERTY ~sidential D Industrial D Corrunercial D Public. ZIP DECLARED ~ VALUE o Proposed f0 Existing TELi~~BNE NUMBER TELEPHONE NUMBER 256 0220 TELEPHONE NUMBER I HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION ~'OR PERMIT, dn.:l dD hl'E'l)y cettLfy t.hdt all infol"lllatioll hereon is true and correct, and that I have the following legal interest in the property: Downer of record; 0 C<jl,~r:M-,t pun:haser; [XJauthorized agent. I L..rther certify that any and all work. performed shall be done in dccoulanc<, Id tll tb: Ordtnanc",:; of Lane County and the Laws of the State of Oregon pertaining to the work. described herein, and that NO OCCUPANCY will Ix, mane oC 'if-i strllcture without the pcrnission of the Building Division. I fur- ther certify that registration with the Builder's Board is in full force and effect "s rec;:uired by ORS 70t.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 CHECKE~;~;~:N TH;HLY.~ R 12- ?/g~. .r; ~ .2 ~D""~ %1. .. NAME ~lease Ffcintl - SIGNA7XJ~~ /:.;~r -If [] PLANNING/ZONING: Zone Partition # Parcel It READ THIS SECTION CAREFULLY. YOUR AUTHORIZATION qAS BEEN BASED ON THE FOLLOWING CONDITIONS: Parcel Size Minimum Setbacks: C L, front CL. side interior NO SPECIAL PL~NNINr, Ar.TTnN Date: R mI.1 T Illi' J." ,/ 2-26-86,~ ' ," Record Issued? 0 Yes 0 No M.aximum Depth of Trenches COM.:'IENTS : FOR LN. REV. PURPOSES ONLY, [] SANITATION: S. 1. It B. P. It Installation Installation Gallon Lineal Feet Specifications: Tank of nrainfjeld , COM"ENTS, J.I.v..... rJ-1Err: S-DS, ~ ZO ~/J:t~ -;t,~ "'; j,~'4~;K /l~\";~~f) 1!F- cv::.te~ PLANS EXAMINATION: Type ~~J Use COMNENTS : rear ~ ..~ Date: n ,.....5{:~d;.,,~~.ILD~I~AL/DESIGNEE leer ORS 456,805(1)1 J -'1'-4 LANE COU~ DEPARTMENT OF PUBLIC WORKS LAND MANAGEMENT DIVISION, 6874061, 125 EAST 8TH AVENUE, EUGENE, OREGON 97401 SEE REVERSE FOR INSPECTION INFORMATION C 14..25 R84- J:. , L.. ;.. , '. "I;'IL'JI i' SETe;,c"s A~D OTilCR CO:\DITIO~,S OF APPROVAL ~UST BE STRIC:'LY 08SERV!:D. VIOLATION CA~ RESULT IN RE\'O- C';7IO:, OF 7!l~S rER~1~7, CI,ATIa:; UNDER PROVISIONS Of L\~E CO:..':;!Y'':; INFRACTION ORDINANCE, A:JD/OR OTHER RE~EDIES ALLO~ED BY LAW. ..'HEN RC;"C'N ,OR 1:,SYCCTION, CAL:" 687-~065. ,,~~INI~1:"'~1 or ,\T LEAST 2~ HOURS ADVA1:CE NOTICE FOR INSPEC- T:ON RH.)lt:~." "OSTllc GIVEN:----1I3.ve the following informatIon ready: r~rmit number, job address, type of inspeC~lon, when it will be ready, your name and ?ho~~ ~u~ber, and any special cirections to site. BUILDING DIVISION: RF.OUIRED INsrECTION~; 1. Foundation Inspectlon: To be made after trenches are excavated and forms erected and when all materlals -:or tt'le toundation .lre delivered on tbe job. ;'lherc concrete from a centr"l mixing plant (co,n.llonly termed ~transit mixed") is to be used, materials need not be on the job. 2, Concrete Slab or Under-Floor Inspection; To be made after all in-slab or under-floor building serVI~e e~uipme;t, CO~OUlt, plplng accessories, and other ancillary equipment items are in place but before any concrete is poured or floor sheathing installed, including the subfloor. J. ~raming , Insulation Inspections: To be made after the roof, all framing, fire blocking, and raCl:lg ire 1n ".tace and all ;apes, fireplaces, chimneys, and vents are complete and all rough electrical and plu~bing are approved. All wall insulation and vapor barrier are in place. 4, Lath and/or Gvpsum Board Insnection: To be made,aiter all lathing and qypsum board, ;nterior ana-extcrIOr, 1S In-pIaCe bJ! betore any plasterlng lS 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 RSQUIRED. ~o ~ork 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 builcing official. Such approval sh311 b~ given only after an inspection shall have b~en made of each successive step in the construction as indicated by each of the inspections required. ~OTE: 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 TnSPectTOn is required for each band 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 co~pletion of masonry (if applicable) and when installa~ion is compl~ 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 mobi~e home is connected to an approved sewer-or-5eptic systen 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 r~comrnend~d by ~he Manufacturer. 2. ~obile home minimum ~inish floor elevation shall be certified when requireo by a flood- plain management letter. 3. ~obile home tiedowns, when required, and skirting shall be installed and ready for inspec- tion within at least 30 days after occupancy. Tleoowns and skirting shall be installed per enclosure. Swimmi~ Pool: Below grade when steel is in place and before concrete is poured. Above grade wnen ~dol-rs-lnstalled. o. APPROVED PU.:,S ~UST BE O~ THE JOB SITE AT ALL TIMES DURI~G WORKING !lOURS. 'i'lllS PERMIT WILL EXPIRE IF WORK DOES NOT BEGIN WITHIN 180 DAYS, OR IF WORK IS Sl:SPEN"DEO OR ABA:WONED FOR NORE THAN 180 DAYS. SUSPENSION OR REVOCATION ;1AY OCCUR IF THIS PERMIT WAS ISSUED O~ THE BASIS OF INCOMPLETE OR ERRONEOUS INFOR."lATION. ANYONE PROCEEDING P,\ST THE POlla or REQUIRED I:-JSPECTI0:1S WILL DO SO AT THEIR O....N RISK. Sl:BSURFACE ~ ALTERNATIVE SEWAGE DISPOSAL ~: 1. Permits shall be effective for one year from 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 Community Development by submitting the installation recoro 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 permiti holder. If the construction does not comply with such rules, the Department shall notify the permit holder and shall require satisfactory completion before issuing the certific3te. Failure to meet thc requirements for satisfactory completion within a rcasonable1time constitutes a vio- lation of ORS ~54.605 to ~54.745 anu this rule. Setback~ - Subsurface Sewage ~osal fro~: Interior property lines Edge 0: road rl:;:lt-o~-way Builuinc fo~nrlation ~ells. other ~atcr sources Septic Tank 10' 10' Drainfield 10' 10' 10' 100' 5' 50' . . ,----.--- klne ccunty . A"", TIVITY INFORMATkJN SHEET . COMPLETE THIS SECTION. INCOMPLETE FORMS WILL BE REJECTED! 15// .Fa'?? Pc~"jof R~'/!-r /.~sf: PERSON MAKING REQUEST ) ()rf"08';t/-E /h;/,,<>v SI ~ MAILING ADDRE$]' ' P0-rJk~O OK. 97220 CITY STATE ZIP CODE BUSINESS TELEPHONE # HOME TELEPHONE # 1 f"Q r/-{? V JrY/l\l PROPERlY OWNER MAILING ADDRESS CITY STATE ZIP cor.iE 2 PROPERTY ADDRESS .2() -'? [) #,ff , /'>/ r (IF DIFFERENT FRDM MAILI~G AD~~ESS) BUSINESS TELEPHONE # 1Jr. ,S~ Yr ~. -;; ,,,:r J , t.I HOME TELEPHONE # 3 MAP & PARCEL NUMBER (from tax maps in Department of Assessment and Taxation (REQUIRED INFORMATION) or from tax statement) T~~P Rc2~ s~{0? 2 TAX Lof~9PA~EL # ZONING TOWNSHIP RANGE SECTION TOWNSHIP RANGE SECTION TOTAL CONTIGUOUS PROPERTY IN SAME OWNERSHIP: 4 SUBDIVISION (if applicable) 5 REQUEST (state exactly what you plan to do) 3~ir]_' , 6 DIRECTIONS TO SITE: ** FOR STAFF USE ONLY ** -- ZONE/LAND USE: BY: DATE: TIME IN: OUT: TAX LOT(S) OR PARCEL # ZONING TAX LOT(S) OR PARCEL # ZONING AC RES LOT BLOCK A~u'" e///~<<J vV' c5Y~c' (l NUMBER ..I -< :;c Vl -< ...., DATE LANO MANAGEMENT OIVISION / 125 E, 8th AVE., EUGENE, OR 97401 / 687-4061 ...., I, . . I 1"1 ~ r .n " . , .. I: ',r ~ , , . ~ , W: 5 LANE COUNTY DEPT ENV MGT RECEIPT 0 APPLICANT POUNDER REALTY, ADDR 10808 N. E. HALSEY TLI 18031'2204100 SUBDIV NEW BLDC; TYPE USE R BDRMS 0 OWNER NME CARTER, JAMES CODE APPL NO ACTION DESCRIPTION BP f.<P BP I:' f.iF' BF' 62486 DATE 022686 ST., PORTL(,ND LOT I:lLl( lJNITS 001 STORIES :~BLDGS 001 F'HONE 256 02?0.~' ADDR 2030 HARBOR DR., SPRINGFIELD SQ FT UNIT COST VALUATION FEE DAY~} i I . PL ~FIX/BATH: MECH SUI": PCI< LR LC 62486 SDSV SWR: FT. WTR: MECHf.,NIC,',I.. FEE ST A TE SUI:':CHAI:~GE PL,iN CHECI< FEE FT. i':I',IN: FT 4% 2~5% , , b5..00 ., C',yrC; : (,1"1" r~i) FT' SDS SI PCi( OTH IS'S' SEQU: , ') 3 4 I , ~ , TAKEN BY GT EST.. Cm1F'L.ET I ON DATE TOTAL. FEEl")" 6~:).. 00 C!( '1 :'