HomeMy WebLinkAboutPermit Septic Tank 1989-04-09{?R1 t,16€|-
Lane C6uiTy Authortza,ttor: fon FOR OFFICE USE ONLY
Application/Permit #
1B
TOWN.*SHIP
02
RANGE SECTION
06.1. tr
TAX LOT
670
TIOUT OFt'
SJBDIVISION/PARTITION (if applicable)L BI.oCK
PROPOSED USE OF PROPERTY
Res idential
Commercial
n rndustrial
flnouri"
g
5961 osAGE sr., spRINGFIELD, 0REGoN 97477
I,,OCATION ADDRESS ZIPSTREETCITY
EXIS
PROPERTY
ING SINGLE FAMILY DVJELLING
40rn sTREET To osAGE
SPIIC INSPECIION FOR INAN RE\[H^7
DESCRIPTION OF PROPOSED I{ORK - BE SPECIFIC DECI,ARED S VALUE
= OE BEDROOI'IS
NA
# OF STORIES
NA
# OF EI'IPLoYEES
NA PUBL I C
SUPPLY Proposed
is ti
CAROL EVAI{S I SAME AS THE JOB ADDRESS ABOVE
OiINERTS NAME AND ADDRESS TELEPHONE NUMBER
NONE GIVEN
CONTRACToRIS NAME AND osR #
OVESAME AS THE AB
TELEPHONE NWBER
SAME
BILL MEDFORD, 1216 MOHAI.JK BLVD., SPRINGFIELD, OREGON 971+77
p:Rt'trr ro BE MATLED To (NAME AND ADDRTSST **i106"-16T3
I IIAVE CAREFUILY EXAMINED THE COi'IPLETED APPLICATION FOR PERMIT, arrd do hereby cartify that aL1 infomation hereon is true and correct, anit that I
is noted hereon. ud that only subcontractors ed employees who are j.n conpliance with oRs 7OI.O55 will be ued on thls
For
Oregon
the following legal interest in the property r Io*n". of record;cont-raut purchaser ; ffi authorizetl agentI f:rther certify that any ad all work perfomed sha]1 be done in accordance with the Ordinances of Iane Couty and the Lws of the State ofrtaining to the work described herein, and that NO OCCUPANCy will be made of anl slrrrcture withouts the pemj-ssion of the Building Division. r fu-ther certify that registration with ttte Builderrs Board is in full f orce and effect as required by ORS 701.055, that if exempt the basis forproject. I HAVE READ AND
CHECKED THIS APPLICAIION THOROUGHI,Y.
SPIIC TNSPESIIOI{ FOR IXA}T RE\IIEW
READ THIS SECTION CAREFULLY. YOUR AUTHORIZATION I{AS BEEN BASED ON THE FOLLOWING CONDITIONS:
RLH
Installation Gallon
Specifications: Tank
COM}IENTS:
Date:
Da
UseGroup-
tr
s ide
co}&\ENTS
front"",C L,
}tr) EPFTTAT, PTANNTNG A'TTON
SANITATION: S. I- f B. P. #
I rr,eus EXAMTNATToN: rype
fl v." fln"
interior rear
Installation Record Issued?
Parce1 #
Li.neal Feet
of orainfield
Date: 4-05-89
,o."----I1- Partition l{-ft pmxHrnc,zzoNrNG:
Minimun Setbacks:
Maximum Depth
of Trenches
Parcer size N A
/-7Pf
BY BUILDING
COUNTY DEPARTMENT
125 EAST
ORS DATE
OF C WORKS LAND MANAGEMENT DIVISION, 6874061,
UE, EUGENE, OREGON 97401
PERMIT
SEE REVERSE FOR INSPECTION INFORMATION ct4-25 R*
ul&u'lruNs'1u blIL
o*k*:
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T
T
t..i $qeIv\
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SETB'TCKS ANO OTITER CONDITIONS OF APPROVAL MUST BE STRICTLY OBSERVED. VIOLATION CAN RDSULT IN REVO-
CATION OF TIIIS PERI{IT, CITATION UNDgR PROVISIONS Ol LAN-E COU\TYrS INFRACTION ORDINANCE, AND,/OR OTHER
REIIIEDIES ALLOWED BY, LAW.
}iHEN RE.\DY FOR INSPECTION, CALL 687-1065. A MINI}1U}1 OF AT LEAST 24 HOURS ADVAIiCE NOTICE FOR INSPEC-
@sN.-HaT*hefo]').owinginformationready:Permi!number,jobaddress,type
of inspeccion, when it uiIl. be ready, your name and phone number, and any special Cirections to site.
BUlLDING DIVISION:
REQUIRED INSPECTIONS:
I. Foundation Inspection: To be made after trenches are excavated and forms erected and when all
maT??lEfs fq tne Fondation are dclivered on the job. iihere concrete from a central mixlng
plant icomonly termed "transit nrxed") is lo be used, materials need not be on the job.
2. Concrete Slab or Under-aloor InsDection: To be made afte! aIl in-slab or under-floor buiLding
EEiv1re ejufpmmt, rcnEulElipiig ressorj.es, and other ancilfary equipment.items are in
place but befole any concrete is poured or floor sheathing installed, including the subfloor.
3. Franing & rnsulation Inspections: To be made after the roof, all framing, fire blocking, and
Ei=lnq are in place and tlL pipes, fireplaces, chimneys, and vents are complete and all rough
electrical and plumbing are apploved. AIt walI insulatj,on and vapor barrier are in place.
4. Lath and/or cypsum Board Inspection: To be nade after all lathinq and gypsum board, interior
-nd exterior, is in place but before any plastering is appLied and before gypsm board joi.nts
and fasLeners are taped and f.i-nished.
5. Final Inspection: To be maale after the buj,lding is compl.ete and before occupancy.
APPROVAL REQUfRED. No work shall be done on any parC of the buildj.ng or Structure beyond the point
indicated in each successive inspection without first obt.aining the approval of the building official
Such approval shalI be given onJ-y after an inspection shal-1 have been naCe of each successive step
in the construction as indicated by each of the inspections requj-red.
AII building germits requj.re inspections for the work authorized, such as but not linited to:
Block waLl: To be maCe after reinforcing is j.n place, but before any grout is poured. This
IiGEEcEiofr is reguired for each bond beam pour. There wilL be no approval untiL the plunbing
and electrical inspections have been made and approved.
ttood stove: To be made after completj.on of nasonry (if applicable) and when installation is
completa Installation shall be in accordance with an approved, nationaLty recognized testing
agency and the manufacturer's instaLLation lnstructions.
Mobile Home: An inspection is required after the mobile home is connected to an approved
-mi-septic
system for setback requirements, blocking, footing connection, tiedowns,
skirting, and plubing connecLions.
1. Footings and piers to conply oith State foundation requirements for mobile homes or as
recomended by the manufacturer.
2. Mobile home mininun finish floor elevation shaII be certified when required by a flood-
pLain management IeLter.
3. Mobile home Liedowns, when required, and skirting sha1l be installed and ready for inspec-
tion uithin at least 30 days after occupancy. Tiedowns and skirting shall be installed
per enclosure.
swiming Pool: Below grade when sleel is i-n place and before concreLe is poured. Above grade
,IEn pml-ls installec.
NOTE:
A.
APPROVED PLANS MUST BE ON THE JOB SITE A1 ALL TIMES DURING WOR(ING HOURS. THIS PERMI? WTLL EXPIRE
IF WORK DOES N-OT BEGIN ITITHIN lB0 DAYS, OR IF I'IORK IS SUSPENDED OR ABANDONED FOR IIORE THAN 180 DAYS.
SUSPENSION OR REVOCATION i.lAY OCCUR IF THIS PERMIT I^IAS ISSUED ON THE BASIS OF INCOMPLETE OR ERRONEOUS
INFORI.IATION.
ANYONE PROCEEDING PAST THE POINT OT REQUIRED-. TNSPECTIONS T41LL DO SO AT THEIR OIiN RISK.
SUBSURFACE AND ALTERNATIVE SEWAGE DISPOSAL SYSTEMS:
I. 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 Counly Depa!trent of Planning and Comunity DeveLopment by submj,tting the
installation record form, The Departnent shalI inspecl the construction to detcmj.ne if it
complies uith the ru.Ies contained in this division. If the construction does comply with such
rules, the Department sha.l-l issue a certificate of satisfactory completion to lhe permi.ti holder
If the construction does not comply vith such !ules, the Department shal.l notify the permit
holder and shaII require satj.sfactory complecion before issuing the certificate. Failure to
meet the requirements for satisfactory compLetj,on within a reasonable time constiLutes a vj.o-
lation of ORS 454.505 to 454.745 and this rulc.
Setbacks - subsurface Sewage Disposal
scptic Tank Drainfield
InLerior property Iines
Edge oi road rrqht-of-way
Buildinq foundatj.on
weIIs, other water sources
From:L0|
10'
50'
10 'r0 !
10,
1.00 |
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QUEST
agement Div. 125 R,,:97401
ri :r::'
Drvrs{o[
Exlstlng Bulldlngs or
lmprovements on
Property
.Et-House
El Barn
El Garage
Ef Mobile. Home
El Shed
SEPTIC INSTALLEDE Yes
EI No
Water District
Please complete all lines
(il nol -m. !r
4.t
.,
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6
not at
white boxes, if possible.
4*s--?2!6rr---
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MAP, PARCEL NUMBER
(Found on lrr mapa in th. Alrarimont & Trration DepL)k24b*/,,*,#/',(€/-
Eiffi Tiil $;iil rffiiiii- -r8-;Tr--
.Iffi ffi;i. S.?iEn- rTiTicTi- -filEi-
Directions to site
bg*
Courth
DRA 7
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For Moblle Home
Placement Only
No. ol Tip-outs-
No. of Bedrms
License #-
Brand
Year
Size
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MAIL PERMIT TO
NAME'
CITY
ADDR E SS
Land Management Div. stall can
not bs held responsibte for
evaluatlons or rscommendations
based on false, lnaccurate or
lncompleto lnformatlon
Partition / Suque Lot & Btock
STAFF EVAL
lnlormation He
TRS Verified :l-lYes Not-r
Allowed Use EIYes No Ef,
Ttr6FE--q)-c --
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