HomeMy WebLinkAboutPermit Septic Tank 1988-08-25lob'sffH Eg sAr/
Lane County Authori zattott for'
SEPTIC INSPECTION FOR LOAN REVIEW
FOR OEFICE USE ONLY
i'"yry7-{trApplica
Permit
:DWiiSHIP
L7
RANGE
03
SECTION
22.L.3
TA}: LOT
11,100
fJou? oF
ALOCK
n rndustrial
iF.CF()SED USE OP PROPERTY
X nesidential
[l cc,,unercial Public
S-'BDIVISION/PARTITION (if applicable)LOTIPAir( I:
i,OCAT]O}J ADDRI]SS STF'IE-T
3227 Oriole Street. Sprinefield. Oreson 97477
ZTPL'I':'Y
Ilarlow Road to Game Farm Road. left on Partriage. right on Oriole
STEECFToNS ro srrE
DECI.ARED S VALUED'SCRIPTION OF PROPOSED WORK - 3' SPECII-IC
SEPTIC INSPECTION FOR LOAN REVIEt^J
1./A?ER SUPPLV ProposedExist
# OF STORIES
na
# OIT E}iPLOYEES
na
= OF BEDR,OOMS
na
TELEPHONE NUMBER
7 47 -07 3LDorothy Sustello. Same as !he-ia-b Eld
O;$IERIS NAME AND ADDRESS
ress above
CONTRACTORIS NAME AND OSR #
Same as the above
TELEPHONE NIJMBER
Same
TELEPHONE NWBER
7 41 -7 885Mary T. Brown. 205 North 37th Street, Sprlq&f,
F=NIT_TO_EE-MIIED TO (NAME AND ADDRESS)
ieLd. Oregon 97477
I HAVE CAREFULLY EXAMINED THE COI4PLETED APPLICATION !.OR PIiRMIT, arrJ (lo hr-rclrr' certlfi' thrt all inforaation hereon is true and correct, ild that I
have the following legal interest in the property,f]orn". of record; f cr,r,rra,.l. p,rrchaseriflaubhorized agent.
I f :rther certify that any and aLI work perf omed shal1 .be done in occoldJil,,9 I j Lli tl:,j ordlrlances of Lae Couty and the Iaws of the State of Oregon
pertaining to the work described herein, and that NO OCCUPANCy will he fradc of tt- strrlctrlle sithout the pemission of the Building Division. I fu-
ther certify that registration with the Builder's Board is in full force and effect ds required by ORS 701.055, tshat i.f exempt the basis for exemPtion
is noted hereon. and that only subcontractors ud employees who are in compliance with oRS 701.055 will be used on this Project- I HAVE READ NID
CHECKED THIS APPLICATION THOROUGHLY.f, , Y4J*r,-- flil|; ^
Mary T. Brown
NAl'1E--(please print )
READ THIS SECTION CAREFULLY. YOUR AUTHORIZATION'tAS BEEN BASED ON THE POLLOWING CONDITIONS:
zone-Ja- Partitj.on *- Palce1 *- Parcel si"--na-
oate, 8-24-88 RLII-
Date
UseI pr,ans
CO}4}1ENTS:
DaLe:
NATION
COI.,$1ENTS
B. P. *SANITATION: S. I. f rnstallation Record Issued? [ v"" I n"
REQU I RED
, fron interr()r rear
Lineal Peet
of t)r'di nfie Id
Maxinum Depth
of Trenches
GalIon
Tank
Installation
Specifications:
I plauurNc,zzoNrNG:
Minimum setbacks: cL
SEPTIC INSPECTION FOR LOAN REVIEt^J--NO SPECIAL PLANNING ACTION
cL,
=ido-.
BY
LANE COUNTY DE
-Z
ORS 805 DATE
PUBLIC WORKS LAND MANAGEMENT DIVISION, 687.4061,
125 8TH AVENUE, EUGENE, OREGON 97401
SEE REVERSE FOR INSPECTION INE'ORMATION cl4-2s R*
(;ror lr,
r
r"
VIOLATION CAr- RISULT IN REVO-C.i:1O:i OF !:lIS irilR.\lIT, CIT;TIO:; ur-DcR PROVISIO\S oi L;\..i a-,'.::f i'.t l\FR,\aTION ORDi)i.l,NCt, .;rND,/OR OTIIERRE}IEDIES ALLOHED BY LAW.
SETB;ICXS AIiD OTiI:R CC:;DlTIO):S OF APPRO!./AL }1UST BE STRICT:i ONS'RvED
Brock tlall-: To be made aftcr reinforcing is ia pl-ace, but before rny grout is poured. ThisinspectTo is required for eacb bond beari pour. There will be no appr6val untii the plumli.qand electrical inspections have been made and approved,
h'ood Stove: To be mace after completj.on of masonrl'(if applicable) and when installation _is{::(rcleln rnsLallation shall be in accordance with an appiovea, nationally recognized testingagency and the nanufacturerrs install.aLion tnstructions.
llobile Home: .An inspection is required after the mobile home is connected to an approvedsewer or septic system for setback requirements, blocking, footing connection, tiedtwns,skirting, and pLNbing connections.
1. Footings and Piers to conply with state foundation requirements for mobile homes or asrecomended by the manufacturer.
2. Mobile home minimuh finish floor elevation shalL be certified when required by a flood-plain management letter.
3. .\lobiIe home tiedowns, when required, and skirti.ng shal-1. be installed and ready fcr inspec-tion eithin at least 30 days after occupancy. Tierlowns and skirtinq sharr be installedper enclosure.
swimj.nq Pool: Below qrade when steel is in place and before concrete j.s poured. Above grade'^rwercfls insralledl
wHcli RE.\D\'!CR i).iSPlCTIoN, CAL:68r--.1nt)i. I:1INI)1Uii OF..ir L:i\ST 21 1lOURS ADVA:;aE NOTICE FOR INSp!C-:;J'xL!--"isTJ.\lrT |a-arvl::- :l:-;c t-lrcJoIIoHinl in:.:rlt:on ready: .ernj.t number, job address, tvpe.of rnspecLron, when rt lrII ce realy, i,ou. rf,mc Jrj.:o:,a r'jrrer, cnc rej.s:c_-ial :rie:ticns to.riil,
BUILDING DIVISION:
F.EQUIRtD 1:(SPECTIONS :
FoundaLioll ln:!s!!len: To be made after trenches are.excavated and iorns.erected and when aIInateria.ls for the foundation are alelivered on the Job. i{here conclete from a cenlral nixingpfant (comonly termed "transit mixed") is to be used, materials need not be on the job.
Concrete Slab or Under-aLoor InsDection: To be made after aL1 in-slab or under-floor buildings*ilj*q-uipnmt, or;uit, piFiE:;Ezassorres, and other ancillary equipnent items are inpLace but betore any concrete is poured or floor sheathing install;d, -incLuding the subfloor.
Framing & rnsuration lr,9!ss+ier:r To.be made after the roof, alr framing, fire blocking. andSnclnq are--In .ulre ;ra=efTEFes, f irepraces, chinneys, anil vents are 6omplete ana ari'rorjnelectlical and Plunbing are approved. AlL wall rnsuiation and vapor barriei are in place.
Ejn 4e/qr Gyp_suln Boqrd llspection: To be made after all larhing and qypsum board, interiorand exterior, rs rn Place bu'- before any plastering i,s applied and beiore-gypsu board jointsand rasteners are Laped and finished.
5. Final lnspection: To be made after the building is complete and before occupancy.
APPRoVAL REQUTRED- No work shall' be done on any-part of the building or slructure beyond the poj.ntindicated in each successi-ve inspection uithaut firsr obtaining the ipproval of the nLitaing o!t:.:.u1such approval sharr be given cnly af-cer an inspection s!ra)-l-harie been'mace of each sucessiie stepin the conscruction as indicated by each of tbi insp-ectipns requireC- :NoTEr A1I buildinq permits require inspectj.ons for the uork authorized, such as but not Lj-mited to:
B.
c
D.
NPPROVED PLANS }IUST BE ON THE JOB SITE AT ALL TTI!,ES DURING WoRKING HoURS. TIIIS PERMIT I^IILL EXPTREIF WORI( DOES NOT BEGTN WITHIN ]80 DAYS, OR IP WORK IS SUSPENDED OR ABANDONED FOR }IORE THAN ],80 DAYS.SUSPENSION oR REVOCATIoN :l\Y OCCUR IF TItIs PERTuIT wAS ISSUED oN THE BASIS oP INCoMpLETE OR ERRONEoUsINT'ORMATION.
ANYONE PROCEEDI,NG PAST THE POliiT OT REQUIRED TNSPECTIO};S IA'ILL DO SO AA TUEIR OWN NISK.
SUBSURFACE ANp ilM!4lffg sEh'AGE prsposAl sysrEl,js:
t. Pernits shall be effective for one year from the Cate of issuance.
2. upon completing the construction for which a permit has been issued, the permit hol,der shaIInotify the Lane ccunt? Department of Pranning-and comunity oevelopment by submitting theirstal-raLion record forn- The Dcpartment sh;11 iaspec! rh; constructron to detcrmine if itcomplies with the rules contained in thj-s division. rf tne coniiiuction does compry wiih-suchrures, the Depa!tment shar.l" issue a certj.ficate of satisfactory c-mpletj.on t" tn"'pl..iir'ltraer.1f tlre construcrioa rjoes nor compry wirh such rules, the;;;;;;;;; shdrt notif),the permit-i-9Lder and sharr requrre satisfictory completion l"r"r" i"!"i.q-lhn.o.arfr""t.. Fairure toneet the requlrements for_saLisiactory "o*pl"tio^ ulthin a."ulJnotr. time constj.tut", u rro-latron of oRS 454.605 to 154-745 an,l this ;u.l:c.. -;--'-'
r'et.bick5 - Sub.:urLlce :re !lljrosdl
scpric rank q3Ilf_gu
:roi: iitcrior propert)'lrncs lO, iO'ad,le oi road rr:iirt-oi-way I0r I0'Rui ldinq forn(latici 10'i{.IIs, other Haicr sources 50, IOO 'r
s
8thT
Exlstlng Bulldlngs or
lmprovements on
Property
E House
E Barn
E Garage
EII Mobile. Home
E Shed
{t)
&
District
E NIo
SEPTIC INSTALLED
Yes
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SITE ADDFESS 3re (
MAIL PERMIT TO:
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Brand
Year
Size
For Moblle Home
Placement Only
No. of Tip-outs
-
No. of Bedrms
License #-
m
Land Management DIv. stalf can
not be held responslble for
evaluatlons or recommendations
based on false, lnaccurate or
lncomplete lnlormatlon
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