HomeMy WebLinkAboutBuilding Septic Tank 1988-05-09G4 4/
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CHEc6fti :'': U 3
Lane County Authori zatrort fon
SEPTIC INSPECTION FOR LOAN REVIEt^l
POR OFPICE USE ONLY
2-f,7Application,/
Permit #
:DWiiSHIP
t7 03
RAIIGE SECTIOI.]
27 .3 .3
TAX LO?
1100 0
nour oF
S.JBDIVISION/PARTITION (if appliEbIe)BIPCKt,oT/PA]].I T:
FFCPoSED USE OF PROPERTY
.lles i-dential
Cc,rrLnerc ia1
[-l lndustrrat
PubIic
x
1140 Ponderosa Ct., Sprinqfield 97477
IOCATION ADDRESS r_t:l ZTPSTREET
STRUCTURES CURRENTLY
SEPTIC INSPECTION FOR LOAN REVIEW
D'SCRIPTION OF PROPOSED !iORK - BC SPECI!'IC DECI.ARED S VALUE
= OF BEDF,OOA,IS # oF sroRrEs # OI' EI']PLOYEES I./A?ER SUPPLY Proposed
Exis ti
OiINER,S NAME AND ADDRESS
siteBROWN, Mary T
TELEPHONE NUMBER
7 47 788s
CCNTRACTORIS NAME AND osR #TELEPHONE NIJMBER
,#(0
TI]LI]PHONE NUMBER
7//-// 75
pertaining to the work described herein, and that NO OCCUPANCY will be nade of rr.1 strrrctrrre without the pemission of the Building Division. f fur-ther certify that regislration with the Builder's Board is in ful1 force and effect as required by oRs 70I.055, that ifis noted hereon, and that only subcontractors ild employees who are in compliance with ORS 701.055 will be used on this
CHECKED THIS
5-3-BB
NAME (please print)s DATE
HAVE EXAMCAREFULLY THEINED APPLICATIOI.ICOMPLETED PERMfT!'oR ,lcat !J rah.ti-na hereonoIl truets and correct and Ithat
thehave resinte lnt the of i zed ntlegalfollowingrecor(1 cor EatProperty agenIcef:rther that and all dwork beshafl done occOl dn Lhrtifyanyperfome Latre theand ofLaws Statethe OreCouty gon
exempt the basis for exemptiproject- I HAVE READ AND""tr"i
READ THIS SECTION CAREFULLY. YOUR AUTHORIZATION'iAS BEEN BASED ON THE FOLLOWTNG CONDITIONS:
Parcel. Size
rear
5-3-8 8Date:
Installation Record Issued? ! v." fl N"
I er.eus EXA],rrNATroN :
COMI'IENTS:
Da
Use
cL,front c L
r. #B. P. f
coIIIIENTS
Parcel *
Minimun Setbacks
COI'L!ENTS
caIIon
Tank
Lineal Eeet
of I)r'd i r:f ie lcj
Maximum Depth
of Trenches
I snurtetrou, s
Installation
Specifications:
, side_ illterr()r,
SEPTIC INSPECTION FOR LOAN REVIEW--
E[ pr,at'rN r t{c,/ z oNr NG :Zone Partition #
.f- 7
T BY Der ORS 6 5 DATE
C WORKS LAND MANAGEMENT DIVISION, 6874061,
125 H AVENUE, EUGENE, OREGON 97401
LANE COUNTY
SEE REVERSE FOR fNSPECTION INE'ORMATION cr4-25 R*
I cert tfv
f]o,nu.
ti:,r of of
tr
SETBr-,CXS A:iD OT:l:R CC:iDITIo::3 tl APPROvnL I:UST BE STRICT:', OE:5-q'.'5D. \'iCLATIO:{ CAr* RiiSULT IN REVO-
C.-':IO:i Ci !:lIS P::iiilIr, CIT;T1o:i Ll);D:F PiiOVISIO\S Oi LAIE:,\'J::Ti": 1NFR,'TCTIO! OFDi:i.ir*C5, ;5D,/OR oTllER
RE}IEDIES ALLOWED Bt LAW.
riHEll R5.1:lY iaR iliSl!C?IO)l , CA:: LBi -40..1 . ir )1Ir-IilUl.i OF .'\T L:;1ST 2i IIOLI.S .1DV-l::aE l..OTICE FOR INSPTC-
aa:J-TITr-ST;ltL1--lt! GrV:::- -,i:l-c tlreJollowing in:o.:ition re3dy: iernit nunber, lob address, type
of inspectlon, when it wrII be ready, your name and phoi!-:runber, anC an) s?ecial. Circctions to srte.
BUlLDING DlVISION:
I,EQUIl'D I ::SI'ECTiCNS :
-Foundation lMgll]gl: To be made afrer trenches are excavated and forms erectcd and when aI1
fuiiEEri;-Is i'or Ehe tounCation are .lelivered on the job. l{here concrete f rom a central mixing
pLan! (comonly termed "lransic mi-xed") is to be used, naterials reed not be on the job.
Concrete slab or Under-aLoor Inspectioni To be nade after alI in-slab or under-floor building
EEwi-*lu-ipmmt-, rm:ult, pllinq ressorres, and other ancil-lar)'equipment items are j,n
pLace but before any concrete i.s poured or floor sheathing installed, includ.ing t,he subfloor.
Framing & Insulation Inspections: To be made aiter the roof, all framing, fire blocking, and
braci-rg are in ?lace aad alI pipes, fireplaces, chinneys, and vents are comp.Lete and a1I rough
electrical an<i plumbing are approved. Al-l wall lnsulation and vapor barrier are in place.
I
2
4. Lath and/or cypsum Board Inspection: To be made after all lathing and qypsum board, interior
aid er:cerior, is rn place buL ocfore any plaster.j.ng is applied and beiore gypsm board joi.nts
and fasteners are taped aod fj.nished.
5. Final Inspection: To be made after the building is conplete and before occupancy.
APPROVAL REQUIRED. lto work shall be done on any part of ihe buildiog or structure beyond the poj.nt
i.ndicated in each successive inspection without first obtf,ining the approval of the buildj.ng official.
Such approval shall be glven cnly after an inspect-ion shaIl have beel nade of each successive step
in the construction as indicated by each of r.he inspecti-cis requireC
NoTE: A11 building peimits'iqui." inspections for- the work authorized, such as bu! not limited to:
A. Block tlalL: To be made aater reinforcing is ia place, but before 3ny grout is poured. This
IilFEcEIEn is required lor each bond beam pour, There wilL be no approvaL until the plmbj.nq
and electrical inspecLions have been made and approved.
B. l'lood stove: To be naCe after conpletion of masonrr, (if applicable) anC when installation is
ffipIete. Installatfon shall be i-n accordance ulth an approved, nationally recognized testing
agency and the manufacturerrs instalLation instructions.
C. llobile Home: An inspection is requj.red after the robile home is connected to an aDproved
EEwEi-oi-*ptic system icr setback requirements, blocking, :-ooting connecticn, tiedowns,
skirt.j-ng, and plwblng coDnections.
1. Footings and piers to comply with State foundation requirements for mobile homes or as
recomended by the manufacturer.
2. Mobile home minimum finish floor elevation shall be certified when requj.red by a flood-
pLain managemenl letter.
3. ilobile home tiedowns, when required, and skirting shall be installed and ready for j-nspec-
tion within at least 30 days after occupancy. Tiedowns and skirtinq shall be instalLed
Per enclosure.
D, Swimrng PooI: Below grade when st.eel is in place and before concrete is pouled. Above glade
rrot-ls insta.l.led.
,IPPROVED PIiINS }IUST BE ON THE JOB SITE AT ALL TIMES DURING WORKINC HOURS. THTS PERMIT WILL EXPIRE
IF IIORK DOES NOT BEGIN WIIHIN I8O DAYS, OR IF-WORK IS SUSPENDED OR ABANDONED FOR }IORE THAN ].80 DAYS.
SUSPENSION OR REVOCATION i,lAY OCCUR IT THIS PERMIT WAS ISSUED ON THE BASIS OF INCOMPLETE OR ERRONEOUS
INFORMATION.
ANYONE PROCEEDING PAST THE POIIJT OT REQUIRED TNSPECTIONS WILL DO SO AT THEIR OWN NTSX.
SUBSURFACE AND ALTERNATIVE SEIiAGE DISPOSAL SYSTEHS!
l. Permits shall be effective for one year from the Cate of issuance.
permit holdor shalI
r
Upon completing lhe construction for which a permiL has been issued, the
notify the Lane County Department of Planning and Comunity Developnent
installation record form. the Department shall j.nspect the construction
by
Lto
subnitting the
detcrmi.ne if it
complies wi-th the rules contained in this divisjon. If the construction does comply with such
ruIes, the qeparLment shall issue a certificate of satisfactory completron to the perniti holder.
If the c6nstitctioi'.ioes ndt c,Sifoly with such ru1es, the Delarhent shall not:flr the permit
holder and shall require sallsfactorj,conpletion before issuing the certificite. Failure to
meet the requirements for sati5factory compLetion wrthin a reasonable time constitutes a vio-
1a:ion of oRS 154.605 to 15,t.115 and this ruIe.
seLb.lcks - subsurfaco q"'19jE qlTlj3f
.slgllg rank
lnterror properti, fincs
Edqe ol road rrgi)t-of-way
BrriLciinq foundatlon
irclLs, o-ther water sources
Dra rfl ffslS
i0'
10,
10,
100,
10,
10'
50'
RTQUEST FOR ASS/S t ANCELane County Land Management Division 125 E. 8th Ave.
Please provlde lnformatton about yoursetf and the property PERMIT #
T B SI/45 TL
+02{#ff,trc
Please tell us what type of asststance you need
INF
Dlrectlons to slte from Courthouse
Land Management Dly..lafl can not
bc held ;eeponslble for evaluallons or
rccommendatlonc baaed on lalae,
lnaccuratc or lncomplol. lnformation
MAIL PERMIT TO:STAFF EVALI,IATION
Zonlng
TRS Verifl
Allowed U,
Floodplaln
ed EYes No Ese EYes NoE
AF I-IDF l-l RF-l NoneE
COMMENTS / FOLLOW.UP
Partition / Subdivlslon
D:ir---
Lot & Block
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