HomeMy WebLinkAboutPermit Septic Tank 1988-07-07r u@- s
La,ne Couhty Authori za,ttort for'
6h
SEPTIC INSPECTION FOR LOAI\I REVIEI^I
FOR OFT'ICE USE ONLY
Applica
Permit #
lDwiiSHl P
17
RANGE
03
SECTION
22 72
TAX LOT
3400
uour oF
S-BDIVISIoN/PARTITION (if appli.cable)LQ"l/PA?.la--BLOCK
FFOPOSED USE OF PROPERTYx
u
Re s idential
Cc,mlflerc ia I
l-l tndustrral
fle'-ruri"
Springfield, OR 97477-755L /
i^lCATIO}J ADDRESS (_'1,t,Y ?,LP
Q310 orqgr9 !1.,
,Y D
Coburg Bqad to I{arlcxu Rd; left on Pheasant
DIRECTIONS TO SITE
left on Oriole
SEPTIC INSPECTION FOR LOAN REVIEI{
DESCRIPTION OF PROPOSED !,]ORK - 3E SP ECIF 1C DECI.ARED S VALUE
= OF BEDROOI4S
3
# OF sToRIEs
I
# OI' EI'iPLDYEES
0
I.JATER SUPPLY
Ci Proposed
Exis ti
Do>nalynn Sloan 8030 So. C. St., Sprinefietd. OR g747y:
OiNER'S NAME AND ADDRESS
Robert &
TELEPHONE NUMBER
726-685t
CCNTRACTORIS NAME AND OSR #TELEPHONE NUMBER
p:Rr'rrT To BE miLED TO-lr,lAr4E-AITD
Bobert &, G. 97478-9631Sloan 8030 So. C. St
I HAVE CAREFULLY EXAI'IINED THE COI,IPLETED APPLICATION !'OR PARMIT, drrd (la trlrcL).certif), that all infomatiol hereon is true and correct, and that f
have the following legal interest in the property,f]orrur of record; [] cr,r,.ra,,t p,rrchaseriIauthorized agent.r f:rther certify that any and all work Perfomed shall be done j-n occo!da:r.. hiLL ti:,i ordrr:aices of Lane cowty and the Laws of the state of oregonpertaininq to the work described herein, and that No occuPANcy will rE naric of ai1 si]':rctitre without the pemissj.on of the Building Division. I fu-ther certify that registsration with the Builderrs Board is in full force .rnd effect as required by oRS 701.055, that if exempt the basis fo! exenptionis noted hereon, ild that only subcontractors &d employees who are in compliance with ORs ZOf.OSi will be used on this proj-ct. I HAVE READ ANDCHECKED THIS APPLICATION THOROUGIIL] .
Sloan x d* /rrRobert &
CAREFULLY. YOUR AUTHORIZATION 'IAS BEEN BASED ON THE FOLLOWTNG CONDITIONS:
SEPTIC INSPECTION FOR LOAN REVIEhI--NO SPECIAL PLANNING ACTION REQUIRED
Date:
rnstallation Record Issued? f] vu" fl t.l"
Ins tallation I,laximum Depth
of Trenches
Date:
I rr,aus EXA]rrNArroN:
COMIIENTS:
DaLe
callon
col't-[lENTS
UseType
SANITATION: s. I. #B. P. #
Specifications:Tank
COITL\IENTS
Zone Parcel size
i.nterrcrr re ar
Partition #Parcel #
Lineal Eeet
of I)r'd j rrfj e Id
READ THIS SECTION
I pr,aHuruc,zzoNrNG:
Minimum Setbacks:cL, front c_L, SlOe
7-7ftr
LANE COUNTY
(Der ORS 56 5 DATE
ENT OF PUBLIC WORKS LAND MANAGEMENT D]V]SION, 687.4061,
EAST 8TH AVENUE, EUGENE, OREGON 97401
SEE REVERSE FOR INSPECTION INF'ORMATION c14-25 R*
THLL]PHONE NUMBER
NAttE (please print)
T
f:
E
SETBT1CKS i,ND OT:ICR CC:;DITIO:,IS OT APPROYAL }1UST BE STRIC?:,Y OESSRV'D. VIOLATION CAI RISULT IN REVO.
C.-,?ION OF lilIS Pilll}lIT, CITnTIO:J Un*DcR PROVISIONS Oi LAI-E JoLl:fYr.l INFR,ICTION OFIDi:i.\NCE, AND,/OR OTIIER
REiIEDIES ALLOHED BY LAW,
HIiEN RE.il'i ilR i:;StaCTIOf,*. CA:,: {)Sl -4C65. i }1I}*li1Ui1 CF ,i': L:nST 2l !lOL3.S .iDV.\:;JE ::OTIC: FOR I}iSPtC-
a1,i:i Itdi=sT:l :.aST i:: civlr. Iaril the following in:ornation !eidy: icrmit number, lob address, tvpe.
of inspection, ahen rt wrl.I be ready, you! iane 3r.l ir.cic r:a.er, 3iC f,r? sirecial Clrectrons to stte-
BUlLDING DIV]SION:
i.E-a!-$_:! 1 ::s PECTTcNS ;
I. Foundatio:l U:!S!E9!, To be nade afte! trcnches are e:<cavated and forms orected and uhen all
r.aTliiill:or- tirc ton.iatj.on ale rjelivercd on the lob. i'ihcre concrete ilom a certral mixing
plant (comonly termeo "r-ransi-t mrxed") is to be useai, naterials reed not be on'.he job.
2. Concrete Slab or Under-:loor InsDection: To be nace after aIl in-slab or under-floor building
lEivie e,iuifimmr, ccnEulE piFing aresso!ies, anci other ancillar-v equi.pment items are in
place but betole any conc!ete is poured or floor s:'.eathin9 instalieC, including the subfloor.
3. Franing E Insulation II:lSSjieI:, To be made after the roof, all framing, fire blocking, and
6realnS -re rn.,Iace and al"I pipes, fireplaces, ciiimnevs, and vents are complete and aIl rough
, electrical and plumbing are approved. ALl wall rnsuiatlon anC vapor barrier are in piace.
{. Lath and,/or cvp.:M Board Inspection: To be made aiter all lathing and q},psum board, inlerior
aileit6rlor,ls-Tnllrce Eu*- befre any plastering is applied and beiore gypsm board joints
and fasteners are taped and fini.shed.
5. pinal Inspection: To be maale after the building is complete and before occupancy.
APPROVAL REQUIRED. No uork shall be done on any part of the buifding or structure beyond the point
indicated in each successive inspection without first obt3in!ng the approvat of t.he builCing official.
Such approval sha11 be given coly after an inspection shall have been made of each successive step
in the conslruction as indicated by each of the inspecticns required.
NOTE: e)-l buiJ.ding pernits require inspections for the uork authorized, such as buL not limited to:
A. Block t,Ialli To be naCe after reinfolcing is i-n p1ace, but before 3ny grout is poured. This
Ii'EEecEIoi- i.s required ior each bond beam pour. There will be nc approval untiL the plumbing
and electrical inspections have been made and approved.
B. tfood Stover To be naCe after conpletion of masonri'(if applicable) and when installation is
ffieleta Installatlon shaIl be in accordance (ith an approved, natronally recognized testing
agency and the manufacturerrs installation rnstruclions.
C. Uobile Hone: An inspection is required after the mobile hone is connected to an approved
EEilrereptic system for setback requirements, bl-ocking, iooting connection, tiedowns,
skirtrng, and plwbang connections.
1. Footings and piers to compLy wj.th State foundation requirements for mobile homes or as
recomended by the manufacturer.
2. Mobile home minimum finish floor elevaLion shaLl be certj.fied vhen required by a flood-
plain management letter.
3. Ilobile home tiedowns, when required, and skirtinq shalI be installed and ready fcr inspec-
tion ui.thin at least 30 days after occupancy. Tiedowns and skirtinq shall be installed
per enclosure.
SwiMing
when pool
Pool: Below glade when steel is in place and before concrete is pouled-ls-installed.Above grade
APPROVED PLANS MUST BE ON THE JOB SrTE AT ALL TIMES DURIN-G WORKING HOURS. THIS PEru4rT WfLt EXPfRE
IF WORK DOES NOT BEG]N WITHIN 180 DAYS, OR IF VIORK IS SUSPENDED OR ABANDONED FOR I'IORE.THAN I8O DAYS.
SUSPENSION OR REVOCATION i,lAY OCCUR IF TIIIS PEfu\,lIT WAS 1SSUED ON THE BASIS OF INCOMPLETE OR ERRONEOUS
INITRMATION . _
ANYONE PROCEEDING PAST THE POIIiT OT REQUIRED INSPECTIONS 'JILL DO SO AT THEIR OWN RISK.
SUBSUREACE AND ALTERNATIl./E SEITAGE DlSPOSAL SYSTENS:
L, Permits shall be effective for one year from the Cate of issuance.
2, Upon conpletrng the construction for which a permit has been issued, Lhe pelmj.t holder shaLl
notify the Lane Couilty Departfient of Planning and Corfiunity Development by submitting the
irstaLlaLion !ecord for$- The Department shal1 inspect the construction to detcrnj.ne if it
complres uith the rules contained in Lhi,s divisj.on. If the construction does comply uith such
ruIes, the DeparLment shall issue a certificate of satisfactary completion tc the permitl 5older.
- -,If lhe construction .ioes not comply with such ru]es, tE Deparhent sirall notify the permit -'
hotder and shall rcqulre satrsficlorl, conpLetion before issuing thc ccrtiiicite. Fai.lure to
meet the lequrrcments for satr5idctory comi,Ietron rrthrn s aeaSonable time co,rstiLutes a vio-
lation of ORS 154.605 to 454.715 and thi-s ruIe.
g,aqES_E_t - Subsurf acc !="{. Siri,":9!
ScDtic Tank Dla i nfield
Interio! prope!tr- lincs
Edge ot road rlqirt-of-way
Brrilciino foundation
liells, other Hatcr sources
tl
10,
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50,
IO'
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EXISTING BUILDINGS
PR PEoON
HouseE
Barnl-
Shed
orh er
Please comptete all lines inside white boxes, if possible.
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PHONE
RS ADD
Liccn3G I
€f
3 )
ztP
OWNER OF ERTY
Or d
+
Dlrectlons fo site
from Courthouse
ke{/
-/ouCu
h P)easo
,33 )O a riab
l/4 Scction Tu Lot
l/4 Seciion Tu for
Srctbn
-s;i6-
(Found on tu map3 ln th. A33ca3m.nt & Tustion DcpL)
Township
I ownshtp
Reg.
-
xangc
2-2 /Rsrctpn l/4 Scction
MAIL PERMIT TO:
d &"*
FOR MOBILE HOME
PLACEMENT ONLY
No. of Tip-outs
-
No. of Bedrms
License #
Model
Year
Size
Land Managemenl Div. statl can not
be hold responslble tor evaluation. or
r.commendatlon! baled on falee,
lnaccurale or lncomplclc lnformatlon
/. n{/ n , orio b
MAP, PARCEL NUMBER1z 0=--TMEEe- ....Tiiigc-