HomeMy WebLinkAboutPermit Septic Tank 1988-10-04"98 TeA
Lane County za,ttott fort
SEPTIC INSPECTION FOR LOAN REVIEI^I
EOR OFFICE USE ONLY
Permit #
Applica
L,?CIE
RAIIGE
1,1.3.l,
SECTIOT'l
1,01,5
TAX LOT I-lorrr oF
SJBDIVISION/PARTITION (if APPIiCAbIC)LOTlPAlia x:BLOCK
,ERCFOSED USE OF PROPERTY
X[ nesidential l-l tndustrral
f]el,uri.C(,rrLnerciaI
33A5 MONTEBELLO AVE.. SPRINGFIELD" OREGON-9?q??
T.CATION ADDRESS (--I',:',Y ZIPSTFi.EET
TAKE HAYDENN BRIDGE ROAD T0 N. 3r'lTH'' TURN RIGHT T0 ]I0NTEBELLO'' TURN RI6HT'' THIRD H0USE 0N THE
Y ON PROPERTY
G SINGLE FAI1ILY DIdELLING, GARAGE
HAND SIDE OF ROAD
PTION OF PROPOSED IVORK - BE SPECITI Srpuc INSPECTIoN FoR LoAN REVIEW
- OF BEDROO!4S
NA
# OF SToRTES
NA
# O]I EI'IPLOYEES
NONE
{./ATER S ProposedRAINBOLJExis ti
LY
O;TNER'S NAME AND ADDRESS NUMBERTELEPHONE
SAllE
CCNTRACTORIS NAME AND OSR #
SAT1E AS THE ABOVE
TELEPHONE NTJMBER
?q?-r+35b
P'R.I'IIT TO BE MAII,ED TO (NAME AND ADDRESS)
SA]IE AS THE ABOVE
TELEPHONE NUMBER
SAIlE
x(
aIIit nf orma onLi 1Shereon andtrue correct thatand I
duthor zed ntage
ance of Lane theand LawsCouty the ofState Oregon
w1 outrh the ofon Bui.the ur-pem Di vt onlding
red oRs .05701 ifthatby forthebasi.s exemptexempt
ild arewho n WI oRs 70employeesconpliance bewi 1l onused lhis ct 1 READHAVEprojeis noted hereon, and that only subcontractors
CHECKED THIS APPLICATION THOROUGHLY.
OR LOAN REVIE[,J**NO SPECIAL PLANNING ACTION REQUIRED
Installation
Specifications
Da te
I rr.eus TION
COM}IENTS:
Date:
NA
T
of S
COM}lENTS k
Parcel
+a8-s& RLH
I seurtatrou, s. r. *B. P. S
(;rour, Use
ON IiAS BEEN BASED ON THE
Date:
COI,L\ENTS
intertcrr
NG CONDITIONS:
Partition #Parcel *
Gallon
Tank
Lineal Feet
of t)l:air:f-ie Id
READ THIS SECTION CAREPULLY. YOUR AUTHORIZA
Installation Record Issued? fl r.r f! w"
!,taximum Depth
fl pmuuruc,zzoNrNG
Minimum Setbacks:
zoneJ-
c", fto.a-.
SEPTIC INSPECTION F
c",
"id..rear
BY ORS 6 DATP
PUBLIC WORKS LAND MANAGEMENT DIVIS]ON, 687.4061,
125 AVENUE, EUGENE, OREGON 97401
LANE COUNTY
SEE REVERSE FOR INSPECTION INF'ORMATION cl4-2s R*
t-
fr,/6-
'rut{i\5H1P
IJIRUC!IONS 1'O 5I'18
JORGE &- DENISE SARDUY, SAT1E AS THE JOB ADDRESS ABOVE
\
I
tr
SE?BnCXS AliD OT:l:it CC::ll1T.lO:1.3 OF APPROI,/AL I1UST BE STRIC":-'i Oi:ER\.'ED. \'IOLATION CAr" R!SULT IN REVO-
Cn:rOli OF T:lIS Pllll}lIT, CIT;.lIC:; U:lDrF PIIOVISiONS OF L;\\E ji)L::lY'5 INFRT1CTION OF.DI:i.lNCS,;rND/OR OTIISR
RE}IEDIES ALLOWED BY LAI^J.
hHEN FEADY FoR I:.iSPaC?ION, CA:a 68i-i065. ,\ rlIl-IilU:] OF,ir LEAST 21 IIOURS.\DV.\:::E NOTI.CE FOR INSPEC-
-f-': R-Ea'..ESTSltasT-nr r;iV:-::.--l:re tir.- loIIorinq inic:::tron.ef,dy:- iernit number, job address, tvpe
of i.nspeccron, uhen at wllI ire ready, your name anC.hoic ruicer, and aa)'s?eciaI Circctions to site-
BUILDING DIVISIOT{:
R'QUTRED 1}:SPECTIONS :
I. Foundatio[ ]I:!SS!r!1, To be made after trenches are exca!'ated and forms erected and ilhen all
nffi;ls io;-il;--lilndation are (lclivered on ihe Job. iiherc concretc fron a ceatral mixing
plant (comonly termed "transit mrxed") is to be useC, materials need not be on the job.
2. Concrere Slab or UnCer-:l.oor InsDection: To be nade ai|-er a1I in-slab or under-floor buil.ding
56:re e;-urpnmt,-cmurt, pf[in..1 .ressorfes, and other anci]-lar]'equipments itens are in
place but be!ore any concrete is poured or floor sheathing installed, including the subfloor.
3. Framing & Insulatiol Inspeggions: To be made aiter the roof, aI1 framing, fire blocking, and
EI;cInS arE--in rface aid:1f pipes, fireplaces, chimne_vs, and vents are complete and al-1 rough
electrica] and plumbing are approved. AI1 waII rrlsulation and vapor barrier are in piace,
4. Lath and,/or Glpsun Board Inspection: To be made air-er all lathing and qypsum board, ;nterior
ano ei:crior, -ls-inlilrce Eu-5ETue any plastering is applied and before gypsw board joints
and fasteners are taped and finished.
5. Final InspecLion: To be made after the buildi-ng is complete and before occupancy.
APPROVAL REQUIRED. No uork shall be done on any part of:he builCing or'it.u"tr.e beyond the point
indicated in each successive inspection without first obtrinrng the approvaL of the building otfrcial.
Such approval sha11 be given cnly after an inspection shall have been made of each successive stepj.D the construc+,ion as indicated by each of'-he inspections requireC.
NOTE: AlI buildi-ng permits requj-re inspections for lhe uork authorj-zed, such as but' not limited to:
A. Block l^Ial-L: To be made a:t.r reinforcing is 1n pLace, but before 3ny gEout. is ooured. This
InEll6ciToi is required ior each bond beam pour. There uill be nc approval until the plunbinq
and electrical inspections have been nade and approved. i
t
r
l'food S love :
compfe ta
To be made after
lnstallation shall
conpletion of nasonrj' (if applicable) and when instalLation is
be in accordance wi-t.h an approved, nationaLly recognized test.ing
agency and. Lhe manuiacturer's instal-Iation lnstructrons.
llobile Home: An inspection is required after the mobile home is connected to an approved
sewer or sept.ic sl,'stem for setback requirements, bl.ocking, footrng connecLion/ tiedowns,
skirting, and plmbrng connect.ions.
1. Footings and piers to comply with State foundatlon requirements for nobile homes or as
recomended by the nanufacturer-
2. $obil-e home ninimum linish floo! eLevation slrall be cert.ified when required by a fLood-
plain management Ietter.
.uob.i1e home tiedouns, when required, and skirting shalL be i.nstalLed and ready for inspec-
tion within at least 30 days after occupancy. Tiedowns and skirting shall be instalLed
per enclosure.
D. Swiming PooI: Below grade when steel is in place and before concrele is poured. Above grade
when pool is instal,Ied.
APPROVE}PI"ANS IIUST.BE ON ?HE JOB SITE AT ALL TIMES DURING WORKING HOURS. THIS PERI{IT WI].L EXPIRE
IF WORK DOES NOT BEGIN WITIIIN I8O DAYS, OR IF WORX IS SUSPENDED OR ABANDONED FOR }IORE THAN 180 DAYS.
SUSPENSION OR REVOCATION i'lAY OCCUR IF THIS PERTIIT WAS ISSUED ON THE BASIS OF INCOMPLETE OR ERRONEOUS
INFORMATION.
ANYONE PROCEEDING PAST THE POII,'T OT REOUIRED INSPECTIOIJS WILL DO SO AT THETR OWN NISK.
SIJBSUREACE AND ALTERNATIT/E SNh'AGE DISPOSAL SYSTEMS:
t. Pernits shall be effective for one year fron the Cate of issuance.
2. Upon completrng Lhe coistructlon for which a permit has been issued, the perm.it holder shaLl
notify Lhe Lane Count:/ Decartment of Planning and Comsunity Developmcnt by submitting the
installation lecord forn. The Dcpartrent shall.inspec! the consLruction to detcrmine if it
complies uith the rules contained i.n thi.s Cj.visi.on. If the construction does comply uith suchruIes, the Dcpartment sha1l, issue a certificate of satisfactory completion tc the permiti holder-If tire construction .loes not compLy with such rufes, the Deparhent shsll nottf!" the.pormithoLder and shaIL require satisfactor),completion before issuinq thc ccrtificJte. Failure tomeet the requiremonts for satisfactory complctlon wtthin a rcasonable time constilutes a vto-latron of oRs 454.605 to 454-'745 and this ru.Ie.
ig!!j"I" - Subsurfacc scralre ql:lasaL
Scptic Tank Drainfield
: .oni lrtcrror properti, lincs 1.0' iO'ECie o: road rliirt-of-way 1C, I0rRiriioinq ioli.lat:an 1C'ilells, othcr water sources 50' l0O'
3.
Lf,
q,i6-'4P,i. E copree c( plo* plan cL4b6, l-/+/N€Couuf
Exlstlng Bulldlngs or
lmprovements on
Property
X Hor""
EI Barn
Qd.c"r"eeE [[obile. Home
E Shed
SEPTIC INSTALLEDxYes
No
Water District
CITY
not sma r-
not uma af tboya)
Lican$ ,
cl
e
zlP
Qrutl "1
boxes, lf possible.Please complete all lines lnside white
325 l.-Lo'n*e,b<-tlo $;ar -kt
;l:F -Lr5qb
on trr mrpa ln th. A.a..rm.nt & Tultlon
fcrnrhip Rrng. Sction 'l/a S.afion Tu Lot
-*-, p-- *-F =rc-;- r iffi ......lur.o-i-
t0
D.pt)6J#,#J,-
PARCEL NUMBER
-tFEi-
OZ
hrnga
Dlrectlons to slte
Cct-r L\l i-k
cbro3
from
ztP
SITE ADDFESS
RMIT For Moblle Home
Placement Only
No. of Tip-outs-
No. of Bedrms
License #-
Brand
Year
Size
&
Land Management Dlv. staff can
not be held responslblE for
evaluatlons or recommendatlons
basEd on false, lnaccurate or
lncomplete lnlormatlon
prain Fie\d5
s."n,f*^q,^ (- t-lsr,J<
hilchen
Lu,'5 A*.^-
+2 +t
&d*.s
9o,-t"
i
l
I
tooo$
o
e"O QN541
CLLIQ-.
cR qtL{-rl
Flcu\ = \D58 $+.e Uoturne- = tbAt l+5
Rrrs
PLOT PLATV EXAMPTES
The following PLOT PLANS are used for all development applications.lf you have 2 acres or more, use BorH example t hnd example 2. lfyou have less than 2 acres, use example 2 only.
/r\
Cou Lane
Proposed
Drain
Field
Septic
Tank
Tax Lot
42 00
21O'x27O'
I
-. COUNTRY LANE
O Set-Oacks 20 ft from road or street rights-of-way
10 ft. from property lines
These ligures may vary for some non-rural zones
O For set-back dimensions for septic tank, drainfield, and
/t
ITE
House
Barn
30x50
1 50'
Replac
70'
\
em enl
Drain
Field
Area
I
--.-\
\*",,
Shed
20x30
replacement drainfield check with the Sanitarians at counter #3.
20.5 ACRES
D