HomeMy WebLinkAboutPermit Septic Tank 1988-10-24GG /o-/7
D6A_ g)prto
E'OR OFE'ICE US8 ONLY
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IJWiiSHIP
1'?
RANGE
03
SECTION
e4.1.3
TAX LOT
L,b0u
Eour oF
BI,OCK
PROPOSED USE OE PROPERTY
F.es idential
Cc,mmerCial
fndus trral
PubIic
&S,'BDIVISION,/PARTITIoN (if applicable)LOTIPARCEL
-C"i.r,]lo:; ;TDDF.ESS STidET
315? PHEASANT BLVD., SPRINGF]ELD, ORI6ON
ztPCITY
EXISTING SIN6LE FAHILY DIdELLING.' SHED
STRUCTURES CURR.ENTLY ON PROPERTY
HAROLI,,J ROAD EAST TO PHEASANT BLVD., GO ONE ]TILE., SITE IS ON THE RI6HT HAND SIDE OF ROAD
-TREC-Ti6TS-TO-]TE-
DECI,ARED S VALUE
# OF EI'IPTOYEES
NA
I.JA?ER SUPPLY
RAINB0t'J
Proposed
Exist
= OF BEDROOI'IS f OE STORIES
NA NA
TELEPHONE NUMBER
?qb-01,?3JERRY TABOR, PEq SELIARD AVE.. SPRTNGFIELD, OREGON 1?LI??
O;\NER,S NAME AND ADDRESS
CON?RACTORIS NAME AND OSR #
SAIIE AS THE ABOVE
TELEPHONE NWBER
SATlE
P:RI'iIT To BE ETLED To INEME ANilADDRE-S)
SAI1E AS THE ABOVE
TELEPHONE NWBER
SAI'1E
I l{AvE CAREFULLY EXAMINED THE CO{PLETED APPLICATIoN FOR PERMIT, arrd do herely certj.fy that all infomatiolr hereon is true and correct, md that I
have the foll.owing lega! interest in the property, [lor.u. of record; I contra.,t prrrchaser; Iauthorized agent.
I f:rther certify that any and all work perfomed shall be done in accordan.ie with th*: ordrr)ances of Lane Couty and the Iaws of the State of Oregon
Pertaining to the work described herein, and that NO OCCUPCNCy will be made of ani strrrcture without the pemission of tte Buitding Division. f fu-ther certify that regi6tration with the Builder's Board is in futl force and effect as required by oRs 701.055, that if exenpt the basis for exenptionis noted hereon, and that only subcontractors ild employees uho are in conpliance with ORS 701,055 will be used on this project. I HAVE READ AND
CHECK.ED THIS APPLICATION THOROUGHLY.
l,u-1,1-gg
DATEa5e
TABOR \DEBORAH
Lane County Authori za'tian fon
SEPTiC INSPECTION FOR LOAN REVIEI,.l
DiscRlprroN oF PRoPoSED woRK - BE spEcrrrsEpTIC INSpECTI0N FOR LOAN REVIEhI
-
YOUR AUTHORIZATION HAS BEEN BASED ON THE FOLLOWING CONDITIONS!
OR LOAN REVIEt^l**NO SPECIAL PLANNING ACTION REQUIRED
READ THIS SECTION CARE
NA
Date
Date:
UseGrorp_
COMN1ENTS
tr
front
-
TIC iNSPECTION F
CL, aido- interr()r- rear.
SEP
I sanrratrou, s. r. *B. P. #! v"" f]or"
COI\&YENTS
Installation Record Issued?
Partition #Parcel #ParceI
Installation Gallon
Specifications: _ Tank
Lineal Feet
of i)rai rrf ield
Date: 1,0-11-88 RLH
Minimum Setbacks, tr,
f] pr,exnrxc/zoNrNG: zo'ujlL_
Maximun Depth
of Trenches
LANE COUNTY
' - '/47r oRs 456.805 - 5ArE
ENT OF PUBLIC WORKS LAND MANAGEMENT DIVISION, 6874061,
125 EAST 8TH AVENUE, EUGENE, OREGON 97401
SEE REVERSE FOR INSPECTION INFORMATION cL4-25 R4
D
SETBACKS AND OTHER CONDITIONS OF APPROVAL MUST BE STRICTLY OBSERVED. T/IOLATION CAN RESULT IN REVO-
CATION OF TIIIS PERMIT, CITATION UNDER PROVISIONS OF LANE COUNTY'.; INFRACTION ORDINANCE, AND/OR OTHER
REI1EDI ES ALLOI"JED BY LAw .
WI]EN READY FOR INSPECTION, CALL 687-1065. A }11NIllU}l OF AT LEAST 24 J]OURS ADVAN'CE NOTICE FOR INSPEC.
@eu.HaTEtrreroI1owinginformationready:permitnunber,jobaddress,type
of inspection, when it wlII be ready, your name and phonc nunber, and any special Cirections to sj.ti.
BUILDING DIVISION:
REQUIRED INSPECTIONS:
L. Foundation Inspectionl To be made after trenches are excavated and forms erected and when al.Imaterials for the foundation ale delivered on the job. l{here concrete fron a central mixingplant (comonly termed "transit mixed") is to be used, materials need not be on the job.
2. Concrete Slab or Ullej:ifeer Inspection! To be made after alt in-slab or under-floor building
suVic-requip-mmt7-?on?ul-t, pip-ing-aZesories, and other ancillary equipment items are inplace but befole any concrete is poured or floor sheathing installeC, includinq the subfloor.
3. Framing & Insulation Inspections: To be made after the roof, all- framing, file blocking. andbracing are in place and alL pipes, fireplaces, chimneys, and vents are complete and all rouqh
electrica.L and plumbing are approved. A11 wall insulation and vapor barrier are in pLace.
4. Lath and,/or cypsum Board lnspection: To be made after all lathing and gypsum board, i.nterior
and exte!ior, is in place buL before any plastering is applied and before gypsm boald joints
and fasteners are taped and fini,shed.
5. Fj.naL lnspection: To be made afler the building is complete and before occupancy.
APPROVAL REQUIRED. No work 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 building official.
Such approval shall be given onl-y after an inspectj-on shall have been maCe of each successive step
in the construction as j.ndj.cated by each of the inspections required.
NOTE: All building permits require inspections for the work authorized, such as buL not linited to:
A. Block !,lall: To be naCe after reinforcing is in place, but befo.e any grout is poured. This
ii-E-prcE16fr is required for each bond beam pour. There will be no approval until the plumbing
and electrical inspecEions have been made and aPproved.
B. Wood Stove: To be made after compLetion of nasonry (j.f applicable) and when installation is
compl,eta Installatlon shaII be i-n accordance with an approved, nationalLy recognj,zed tesLing
agency and the manufacturerrs instalLation instructions.
C. Mobile Home: An inspection is required after the mobile home is connected to an aPproved
EEwEi-oi-Feptic system for setback lequirements, blocking, footinE Gonnection, tiedowns,
skirting, and plwbing connections.
I. Footings and piers to comply with State foundation requirements for mobile homes or as
recomended bY the manufactuler.
2- Mobile home ninimum finish floor el-evation shall be certified when required by a flood-
plain management Ietter.
3. Mobile hone tiedowns, when required, and skirting shalf be installed and ready for inspec-
tion uithin at Ieast 30 days afher occupancy. Tiedowns and skirti-ng shall be install'ed
per enclosure.
swiminq :
when Pool
Pool: Bel,ow grade when steel is in place and before conclete is poured. Above grade-13-i-nstaLled.
APPROVED PI,ANS MUST BE ON THE JOB SITE AT AI,L TIMES DURING WORXING HOURS. THIS PERMIT !iILL EXPIRE
IP WORK DOES NOT BEGIN IiITHIN I8O DAYS, OR IF WORK IS SUSPENDED OR ABANDONED EOR MORE THAN 180 DAYS.
SUSPENSION OR REVOCATION MAY OCCUR IP THIS PERMIT WAS ISSUED ON THE BASIS OF TNCOMPLETE OR ERRONEOUS
INFORMATION.
ANYONE PROCEEDING PAST THE POINT OT REOUIRED INSPECTIONS WILL DO SO AT THEIR OWN RISK.
SUBSURFACE AND ALTERNATIVE SEWAGE DISPOSAL SYSTEMS:
1. Permits shall be effective for one year from the date of issuance.
2. Upon completing the construction for which a permi! has been issued, the permit hoLder shall
notify Lhe Lane County Departmenl of Planning and Comunity Developnent by subnitting the
instal,Iation record forn. The Department shall inspect the construction !o determine if it
complies with the rules contained in this division. If the constluclion does comPly with- such
ru1es, the Department shall issue a certificate of satisfactory completion to the Perniti holder
If Lhe construcLion does noc conply wj-th such rules, the Department shaLl notify the permit
holder and shall requj.re satisfacLory completion before issuing the certificate. Failure to
neet lhe requiremenis for satisfactory completion within a reasonable time constitutes a vio-
Iation of oRS 454.505 to 454.745 and this rule.
SeLbacks - subsurface Sewage Disposal
septic Tank
Eiom: Interior property fj,nes IO'
Edge of road rrght-of-way l0'
Building foundation
wells, other water sources 50'
D
Drainfield
L0
10
10
r00
. Eugene, OR 97401
/
Exlstlng Bulldlngs or
lmprovements on
Property
)dlor."El Barn
E Garage
EI lvtobile. Home
l$-snea, SEPTIC INSTALLEDE Yes
l-] No
Water District
Please complete all lines inside white boxes, if possible.
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OWI{ERS AOOBESS (ll not 3rmc 13 rboy.)ztP
CONTBACTOR tL.nuf
,TetfiL Taloof
MAP, PARCEL NUMBER
(Found on tu mrp! ln lh. Arurm.nl I Turtlon D.pL,k##/;*'A'€/
6;h-h-- r"-i[ ffi rffii ffi-
Efniffi E-e.- fsii6l- r7lEtilil -ffEi-
Dlrectlons to site
fr_z-
from Courthouse
ADDR
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MAIL PERMIT TO:
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For Moblle Home
Placement Only
No. ol 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
Incomplete lnlormatlon
Yes
Allowed es
s
o u
Not-t
No l-t
O(zr,or)
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Sorinafi el.l
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TRS# 17-0s-22_7_3 1600 DATE ISSUED: 11/26/Bs PERMTTi3Z3Z-Ag
OI,JNER'S NAME PHONE NUMB ERJAMES WTLHELM 747-147 B
CONTRA OR'S NAME PHONE ERJTM WASHBURN 7 47-448 5
ENTS
FRONT nl SIDE
K L ING FI
L I NTER I OR 5' REAR 5'
KAU ED BY SDS APPROVAL REQUIRED
?0 BLVD. NORTH rN GAME BIRD VILLAGE,
SITE DRESS
SPR
Dat e_/=3&._/
NS
Date
0R 97477
Correcti on te
Correcti on Da te
I n spector
U
Approved Inspector
UNDERS PLBG. n /ERFLR PLBG.tr INSPECTI
App roved Date Correction Date Ins pector
OTHER INSPECTIONApproved Date Comecti on Date Inspector
ROUGH PLUMBTNG-(ToP-T) INSPETTMApproved Date Correcti on Date .I nspector
e Corre Date
Correcti on Date
p"rtr" 6'ins
Approved Date Inspector
prove
Approved
R
Date
BOARD i
Date
CTI
Correcti on Date
Correcti on Date
I nspec
N
Inspe ctor
FiNA L MECHANICALD 7I,JOO srovE IApprovedDa te Correcti on Date I nspe ctor
I.INA PL UMtsiNG i N sPECTIL
Approved Date Correcti on Date Inspector
M74-r97
Date Insp.
ED
proved..--Date Insp.
r I LAC
Correct Date I nspector
Appro ved
L^,'IE COUNTY I NSPECT ION RECORD
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