HomeMy WebLinkAboutPermit Septic Tank 1986-06-13Runnt- ATToRESSING
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PROPOSED USE OP PROPERTY
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5DESCRIPTION OF P PECIF'IC DECI.ARED S VALUE
- OF BEDROOMS * ,)f sroRrEs /f OF EI'IPLOYEES SUPPLY Proposed
Existi.
D r'o a< E/1/so /i/,l(, " "1 Q-nro (
O;NERIS NAME AND ADDRESS TELEPHONE NUMBER746-O/ I L
CONTMCTORIS NAME AND OSN # \TELEPHONE NWBERGt6-)/ L /P:RI'IIT TO BE MAILED TO (NAME AND ADDRESSI TELEPHONE NI,JMBER
I HAVE CAREFULLY ExAl'tINED THE CO|'iPLETED APPLICATION FoR PERMIT, and (1o hereLv certify that all inforration hereon Ls true and correct, ed that f
have the following legal interest in the property
I f:rther certify that any and all work perfomed
pertaining to the work described herein, and thatther certify that registration with the Builder.s
i.s noted hereon, and that only subcontractors ud
CHECKED THIS APPLICATION THOROUGHLY.
DATE
, lorr.r of record;c(,nt rar-L prrrchaser ;authorized agent
shall, be done in accordanr:e kitlt tite Ordrnances of Lane Cowty and the Inws of the State of Oregon
NO OCCUPANCY wj.ll he made of ar,l srrrrcture without the pemj.ssion of the Building Division. I fur-Board is in full force and effect- as required by ORS 70I.055, that if exempt the basis for exenptionemployees who are in conpliance with oRs 70I.055 will be used on this project. I HAVE READ AND
4r/eeNAME (please print)
D
-r7
7o
u,'cJtC5,!ization for'L.,UN i0Aut
E
READ THIS SECTION CAREFULLY. YOUR AUTHORIZATION ltAS BEEN BASED ON THE FOLLOWING CONDITIONS:
Date:
Use
COM}IENTS:
Date:
COM}IENTS
J 7tr-Z7trSANITATION: s. I B. P. #tallation Record Issued?fv"=!n"
tr PLANS EXAMINA
ParceI Size
Setbacks:interior rear
Partiti-on #Parcel #
InstalLation Gallon
Specifications: Tank
Lineal Peet
of Drainfie
Itaximum Er€pth
of Trenches
I pnnurnc,zzoNrNG: zone_
Mini.mum
COI'!\IENTS
cL, frort "", "ido-
6-tt-76
APPRoVED BY
LANE COUNTY
IGNEE Der ORS 456.805 DATE
OF PUBLIC WORKS LAND MANAGEMENT DlVlSlON, 687-4061,
125 EAST 8TH AVENUE, EUGENE, OREGON 97401
SEE REVERSE FOR INSPECTION INI'ORMATION cr4..2s Rtt+
T
SETBiTCKS AND OTI]ER CONDITIONS OF APPROVAL MUST BE STRICTLY OBSERVED' VIOLATION CAN RESULT IN REVO-
CATION OF iIIIS PERMIT, C]TATIO:I UNDER PROVISlONS OF LANE COU};TY'S INFRACTION ORDINANCE, AND,/OR OTHER
REIIEDIES ALLOWAD BY LAII.
!iHEN RE.IDY FOR I^*SPECTION, CALL 687-1065. A MINI}1U)1 OF AT LEAST 2{ IIOURS ADVAIiCE NOTICE FOR INSPEC-
@EN:-1]aiet-hefoI1owinginformationready:pernitnumber,jobaddres5,type
of insp;cLion, when i! will be ready, your name and phone nunber, and any speciaL Cirections to site.
t-
BUILDING DIVISlON:
REQUTREp IN!!!SIfe!q,
Foundation lnspectionr To be made after trenches a
m:T;;l;ftfo! Lhe fqundation are defivered on the j
plan! (comonly termed "tlansit nj-xed") is to be us
Z. Concrete SIab or u!4el:iI9!r Inspectioni To be made af+-er aII in-slab or under-floo! building
;a? ".f"+*ot, rcnEult, pi.Fl;g aEaassories, and other ancillary equi-Pment items are in
place but beiore any concretL is pourea or floor sheathing installed, including the subfloor.
l- Framinq & Insulation Inspections: To be made after the roof, a1l franing, fire blocking, and
biffi tre-;:jre aiE=E--:-1orpes, firepraces, chimneys, and vents are comprete and aLl rough
elecrrical and plumbing are appioved. A11 wall insuLation and vaPor barrier are in p1ace.
4, Larh and/or GvDsum Board Inspection: To be made after all Iathi-ng and gypsum board, inlerior
" ffi.ir";-.ifi"lt;;e-Eut-6aide any prasterj.ng is appried and before gypsw board joints
and fasteners are taped and finished.
5. Final tnspection: To be made afte! the building is complete and before occupancy.
AppRovAL REOUIRED. No work shall be done on any part of the building or structure beyond the Poj'nt
j.ndicated j-n each "u"."rrir" inspection without first obtai.ning the approval of the buiLding offlcial'
s,.r, upp.o,.r shaIl be given only after an'inspectj.on shall have been nade of each successive Step
in-lir.-to""t.rctj.on as indicated by each of the insPections required'
NOTE: AlI buildrng gernj.ts require inspections for the work authorized, such as but not limited to:
A. Block waLI: To be maCe after reinforcing j-s in place, but before any grout is.poured-. This
ffi"p""ti6i"i"-iuquir.a for each bond bean pour. There will be no aPproval until the plumbj'ng
and electrical inspections have been rade and approved'
B. tlood stove: To be made after completion of masonry (if appLicable) and when installation is
ffif;a".
'rn"l"ii"tion shalI be in accordance with an approved, nationally recognized testing
agency and the manufacturerrs instaLlation instructions'
c. Mobile Home: An inspection is requiled after the mobile home.is connected to an approved
Eir6-r oi-E6ptic systen for setbacl< requirements, blocking, footing connection, tj'edowns,
skj"rting, and plwbang connections.
I.Footingsandpierstocomplywithstatefoundationrequilenentsformobj.]-ehomesoras
recomended bY the manufacturer.
2. MobiIe hone ninimun finish floor eLevation shall be certified when required by a flood-
plain management Ietter-
3. Mobi1e hone tj-edowns, when required, and skirting shall be installed and ready for inspec-
tion Hithin at least 3O days ift.r occup.ncy. Tiedowns and skirting shall be installed
per enclosure.
D. swiminq pool: Below grade when steel is in place and before concrete is poured- Above grade
wIEn p@I-is instdlled.
APPROVED PLANS MUST BE ON THE JOB SITE AT ALL TIMES DURING I^IORKING HOURS. THIS PER.I'IIT WILL EXPIRE
rF woRI< DOES NOT BEGrN liITBrN 180 DAYS, OR IF WORK IS SUSPENDED OR ABANDONED FOR IIORE THAN 180 DAYS.
SUSPENSION OR REVOCATION I4AY OCCUR IF THIS PER}IIT WAS ISSUDD ON THE BASIS OF INCOMPLETE OR ERRONEOUS
INFORMATION.
ANYONE PROCEEDING PAST THE POIIJT OT REQUIRED INSPECTIONS WILL DO SO AT THEIR OWN RTSK'
SUBSURFACE AND ALTERNATIIE SEWAGE DISPOSAL SYSTEMS:
I. perriits sha1l be effective for one year frorir the date of issuance'
z, Upon completing the construction for which a permit has been issued, th.. pe..it.holder shalI
noti.ry tle Lan; county Department of pLanning and comunity Development by submj,tting thd.
installatlon record fLrm.- The Department shtll inspect the construction to deterhine if it
conplj.es wj.th the rules contained in lhis dj-vision. If the construction does comply with such
ruIes, the Department sha.l-1 issue a cerlificate of satisfactory conpletion to.the Perniti holder
If the constrlction does not comply with such ru1es, the Department shall notify the Pernj.t
holder and shall requ.j.re satisficiory compLelion befo!e issui.ng the certifi'cate. FaiLure to
meet the requi.remenis for satisfactory compLetion urthin a reasonable tj'me constj'Lutes a vio-
lation of oRs 454.605 to 154.745 and this rule.
Setbacks - Subsurface 9:19!9 Disposal
septic Tank
Fromr Interior ProPerty fines I0'
ECge ot road rlqht-of-way 10'
BurI<l.inq foundation
Hells, other uater sources 50'
re excavated and forms erected and shen all
ob. ir'here concrete from a central mixing
ed, naterials need nol be on the job.
Drainfi.eLd
10'
r0'
l0'
r00 !
.t,
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5.. la,",l
tl
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Appl i ca ti on requi rements Fo ]] Site Insp ection For 0n-site Sewage Disposal
The-followi'ng minimum information will be required before your applicationwill be accepted:
1. Using_black ink or #2 oencil on a standard lg]|/z x ll] or 1ega.lsize [81 /.2 x 14] sheet of paper ino*-i-scal6 drawing or'the en-tire perineter of the property to be inspected. ch6ose a scaleto the base Ten (i.e. l',=.I0,, 1',=20,, l',=30,, etc.i-whicn wif fshow the property as large as possibie for ilre-piper-iii..
Note: Dimensjons and configuration of your property may be foundfrom the following sources: t ) Rssesi*"i.,t a"rixit.ion *ipi,2) private survey] or 3) final'parition map.
2' Accurately locate the following on your plot plan: please make theplot plan neat and easily legiote ai it will b.ior. u'[".run.nt partof the records for the suuieit property. Do not use color to distin-guish items as our copy maihine'copies-on1y in bl;.i ;;; white.
A. North direction (indicate by using an arrow)
B. Scal e
c. show any rivers, 1akes, streams, ponds, springs and drainageways.
D. Show existing roads, driveways, structures, easements etc.
E. Exi sti ng we1 1 s
F. Existing wells on adjoining property if wjthin .l00 feet of yourpropqrty. If there are none, indicate sarne by noting "no wittson adjoining property within .I00,,,.
G. Proposed parcel lines if your property is being divided.
H. Interior fence lines (use this symbol x___x____x_-____x).
Note: Measurements are to be referenced from property linesnot fence lines.
NOTE
I. Location of all test holes. If test holes have not been dug acopy of your piot plan w'ill be given to you to locate the holes
when you have them dug. when you have the test holes locatedreturn the copy of the plot plan and this will serve noticethat your site is ready for inspection.
n[*t.fjeld.inspection has been completed you may be required to supplyadditional detailed information before tinil appioval can ue gir.n.
MM/KMW/j bw
PLACE NAIVIE & APPLICATION NUMBER ON ALL COPIES OF YOUR PLOT PLAN
ACT /ITY INFORMATIOI
LOMPLETE THIS SECTION. INCOMPLETE FORMS t,lILL BE REJECTED!
SH EET mI'
-z
\
RTY E
MAILING ADDRESS
C ITY STATE ZIP CODE
BUSINESS TELEPHONE # HOME TELEPHONE #
2 PROPERTY ADDRESS
( IF DIFFERENT
3 ruap Gi PAFIeEL NuMBEFI
( gEquI&ED r NFoRT4AT r 0N )
(from tax maps in Department of Assessment and Taxat'ion
or from tax statement)+lZ- ct
TOIdNSHIP RANGE
.q.:f,4.2 6>d3smTmTAX LoT(S) 0R PARCEL # ZoNTNG
TOINSF-TF RTNGE SECTIO-N ffi ZON I NG
MWNSHTF RNNGE SEETI-ON
TOTAL CONTIGUOUS PROPERTY IN SAME OWNERSHIP:
4 SUBDIVISION (if applicable)
W ZON I NG
ACRES
LOT BLOCK
5 REQUEST (state exactly what you plan to do) S DS 3"1dr-A-v--v
6 DIRECTIONS TO SITE:
** FoR STAFF USE oNLY **
ZONE/LAND USE:
14-33
LAND MANAGEMENT DIVISION / 1?5 E. 8th AVE., EUGENE, OR 9740I / 687-406I
I