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Home My WebLink AboutPermit Septic Tank 1985-07-05{n t?10-eo Lane County Authori za,ttort' for'FOR OFFICE USE ONLY Application,/ Permit * RANGE Z IS appli LOTlPAir.CEL BI,OCK PRCPOSED USE OT' PROPERTY j&,tu"ntia1 nrndustrial f]nuuricCc,mmercial iacA'ADDR.ES PROPOSED I ) o".*D s VALUE _l Prooosedf,axiitins ADDRESS tca+n*e+e*.s narqe-ello' osp. d.Z/ ,/..{,&zz bza,/,24 -?= fuvar26a TELEPHONE NJMBER ?IRI'IIT-TO BE MAILED TO (NAME AND ADTRES9 -E)ZD)E 72ra*a €ze/.7 TELEPHONE NUMBER CO.IpLETED APPLICATION l'OR PERMIT, arrd do hereby certify that qll inforration hereon ls true and correct, and that I in the property,[o*n"t of recordr Icontract. p,.r.t"ser;ffiphorized agent with evidence of authority attached. I f:rther certify that any ad all work perfomed shall be done in accordairr:e with thc ordaDances of Iane Couty and the Laws of the State of Oregonpertaj.ning to the work described hereinr and that No oCCUPANCY will be made of ail' st-ructure without the pemission of the Buj.lding Division. I fu- NAI,IE DATE I HAVE CAREFULLY EXMINED have the fo).lowing le9a1 interest ther certify that regisEration with the Builder's is noted and that only subcontractors ad THOROUGHLYCHECK.ED uired by ORS 70I.055, that if exempt the basis for exempti 701.055 xill be used on this project. I HAVE READ AND Board is in full force and effect as euployees who ale in conpliance with rnstallation Record rssued? fl r"" I w" !,laxinum DepthInstallationLineal Eeet Speci fications .EJDate: I er,aus ExAMrNArroN "" '7 / t Date ,4 1d of Use CO}1.TIENTS SANITATION: s. I. #B. P. * rour:-- ZATION t{AS BEEN BASED ON TIIE FOLLOWING CONDITIONS: I pLat'rwrNc,/zoNrNG Minimum setbacks: cor.$lENTS inter rear GaIIon Tank partition f Parcel- * Parcel Si C L, SI READ THIS SECTION CAREFULLY. YOUR BU (Der ORs 456.805 E COUNTY DEPARTMENT OF PUBLIC WORKS LAND MANAGEMENT DIV]SION, 687-4061, 125 EASTSTH AVENUE, EUGENE, OREGON 97401 SEE REVERSE FOR INSPECTION INE'ORMATION PERMIT cL4-25 R* r'wlisHrP / 7 CI.:Y cL, T D,r'g-r DATE SETB.',CKS AND OTI]ER CO:,]D]TIOIiS OF APPROYAL }1UST BE STRICTLY OBSERVED. VIOLATION CAN RESULT IN REVO- C.iTION OF TIIIS i-iinslIT, CIT;TIO:l UNDgR pROVISIONS Or' LAI"E JOU\TY'; INFR,\CTION ORDIr*ANCE, Ar'D,/OR OTHER RE}IEDIES ALLOWED BY LAW. giHEN READY FOR lNSPECTION, CA:.l 687-J065. A HINIilIUIl OF AT LEAST 2{ IIOURS ADVAI.]CE NOTICE FOR INSPEC- @Er*.xdiilthe-?o}1owingi.nformationready:Fermitnumbe!,jobaddress,tyPe of inspectj.on, when it wrll be leady, your name anC phone nunber, and an!'specj,aI Cirections to site- BUILDING DIVISION: REQUIRED I:.SPECTIONS : FoundaLi.oa Inspectron: ?o be made after t!enches are excavated and forms erected and when aIl m-aIErlEjfloi--EIE-t-ondation are delive!ed on the job. i{here concrete from a ceitral. mixing pl.ant (comonly termed "transit mixed") is t'o bc used, materials need not be on the job. Concrete Slab or Under-aI(:r !LS!S!]!]g!: To be maie after afl in-s1ab or under-floor building aeru-requipmmt, (:@iuit, piFincl ressorres, and otber ancillar! equipment itens are in pl.ace but beiore any concrete is poured or floor sheaLhing installed, rncluding the subfloor. 3. Framing & Insulation Insoectj-ons: To be nade after the roof, all framing, file blocking. and 5re;6-arE-In-pTre ai<iifT-p-ipes, fireplaces, chj.mneys, and vents are complete and alL rough electrical and pLumbing are approved. AlL walt insulation and vapor balrier are in place. {. Lath and/or cypsum Boatd Inspection: To be made after all lathinq anC qypsum board, i.nceri.or aiE-ererrcri13-mlTrce-5ut 6ET6Fe any pLastering is applied and beiore gypsu board joints and fasteners are taped and finished. 5. Final Inspection: To be made after the building is complete and before occupa.ncy. APPROVAL REQUIRED. No work shall be done on sny part of the building or structure beyond the point indicared in each successive inspection without fj"rst obtaining the approval of the building offrcial. Such approval shalL be given cnly after an inspection shall have been made of each successj-ve step in the consLruction as indicated by each of the inspections requireC.' NOTE: A11 building permits require inspectj.ons for the work authorized, such as buf not limited to: A. Btock walL: To be mace after reinfotcing is in place, but before any grout is poured. This I'i-p*tio-i' is requ j-red f or each bond beam pour. There will be no approval until the plsbing and electricaL inspections have been nade and approved. B. Wood Stsove: To be made after conpl,etion of masonr!' (if applicable) and when installation is ffipLet* Installataon shaII be in accordance with an approved, nationally recognized testing agency and the manufacturer's installati.on instructions. C. I'lobile Home: An inspection is required after the mobile home is connected to an apProved -sMi-reptic sysLem for setback requirements, blocking, footing connection, tiedorns, skirting, and plwbrng connections. Footings and p.iers to comply wj.th State foundaLion requirements for nobile homes or as recomended by the manuiacturer. Mobile home minimun finish floor el.evaLion shall be certified when requj.led by a flood- pla!n management letter. rlobile home tiedowns, when required, and skirting shall be installed and ready for inspec- ti-on wiLhin at Ieast 30 days afLer occupancy. Tiedowns and skrrting shall be installed per enclosure, swiminq Pool: Below grade uhen steel is in place and before concrete is poured. n5m-po6r-ls instarred. Above grade APPROVED PI.AIJS MUST BE ON THE JOB SITE AT ALL TIMES DURIs.G WORKING HOURS. THIS PERHIT WILL EXPIRE IF WORK DOES NOT BEGIN WITHIN lBO DAYS, OR IF I,]ORK IS SUSPENDED OR ABANDONED FOR }IORE THAN ].80 DAYS. SUSPENSION OR REVOCATION i4AY OCCUR IP THIS PERMIT WAS ISSUED ON THE BASIS OF INCOMPLETE OR ERRONEOUS INFORI{ATION. ANYONE PROCEEDING. PAST TIIE POIIiT OT REQUIRED INSPECTIO,'IS WILL DO SO AT THEIR OI'JN RISX. SUBS;RFACE AND ALTERNATIVE SEWAGE DISPOSAL SYSTEMS: l. Permits shall be effectj,ve for one year from the Cate of issuance. 2, Upon completing the construction for which a pernit has been issued, the permi.t holder shal,l notify the Lane Counly Departrent of Planning and Comunity Development by submitting the installation record form. The Department shall inspect the construction to determine if it complies with the ruLes contained in Lhis division. If the construction does conply uj,th such rules, Lhe Department shaLl- issue a certj.ficate of satisfactory completion to the permiti holder. If the construction does not comply wi.th such rules, the Departnent shall notify the permit holder and shalL require satisfactory compLeti.on befo!e issuing the certificate. Faj.lure to meet the requirements for satisfactory completron wathi.n a reasonable line constiLptes a vio- l-ation of ORS 454.605 to 454.745 and this rul.e. Setbacks - Subsurface Serage Disposal Septic Tank Drainfield F.on: Iitcrior propertr' Lines L0' 10' ECge of road rlgirt-of-way I0' I0 | uurldinq foundation 10' l,iells, other waLer sources 50 | 100 ! I 2 3 lane ccunty AC |IVITY INFORMATION SHEET .COMPLETE THIS SECTI INCOMPLETE FORMS l,lILL BE REJECTED! I /e- rca/; o- ,{",o.-n a ,t '?770 /€oo €Ae NER ESS o z ?Z/q 3 ruae B FAFIeEL NUMBEFT ( REQUTREp INF0Ri4ATroN) -CTTT3?)- /78 r STATE ZIP CODE (from tax maps in Department of Assessment and Taxationor from tax statement) .ETTY- 78s- r,> s m / 82- )s 17 BUSINESS TELEPHONE #HOME TELEPHONE #BUSINESS TELEPHONE # HOME TELEPHONE # IF DiFFERENT FROM {Lft 7h l**E,r^O -'rrr*l*?J i7 MENSTP o3 MNGE 27 -3) SECTION /t>-W ZO-N]NC MilNSFIF MNGE SEE]MN TAX LOT(S) 0R PARCEL #ZON I NG TOINSFItr RANGE SEETT-ON TOIAL CONTIGUOUS PROPERTY IN SAME OWNERSHIP: W ZON]XG ACRES SUBDIVISiON (if applicable) Fs+ Ald,t-0,..- h &,ie,,,n:al G"",le"tl}I_-l? -_BLOCK b 5 REQUEST (state exactly what you plan to Ao) __-=S_epfi<- jt,"to<-l-dx a <.s'a 6 DIRECTIONS TO SITE: C ZONE/LAND USE: on U, ** FOR STAFF USE ONLY ** DATE:_ TII4E IN,_ OUT:- NUMBER DATE -{FlJ', -{ l- BY: rAlrn MntrnntrMtrr\tT nTl,TqTnft I 17c, tr Q+h AvF Ennrilttr nD oTInl I Rg'7-4051 ffiE ?. a. k* /7.:a MAILING ADDRESS 2 PR0PERTY ADDRESS ./ .s- 6 6 fu, Qu, i na (.1-Spi^"A "(ot o/ 4 r 1... i-fiI I.l,t r\,, i]l::'[:''1' t-1 lt!lh' ,-1 : r_, ! ._ -1- i-_- :-i |rl :.r j--:iit-.1 it" I l+t. I lr o,lut5l o Q n^,f * /b)-sr k),C/"i ,t q, +- kr courty I ACTIVITY INFORMATION SHTET COMPLETE THIS SECTION. INCOMPLETE FORMS l.JILL BE RIJECTEDI I PERSON MAKING REQUEST PROPERTY OWNER MAILING ADDRESS MAILING ADDRESS CITY m 2 PROPERTY ADDRESS STATE ZIP CODE C ITY sIAIt ZIP UUUL HOME TELEPHONE #BUSINESS TELEPHONE # HOME TELEPHONE # ( TF DIFFERENT TnO 3 ruae B PAFTeEL NIJMBEFI ( REQUTREp rNFORi4ATroN) (from tax maps in Department of Assessment and Taxationor from tax statement) TME'TF EANGE SMTMN W ZON I NG ffiINSF]P MNGE mTr0N W mlt'Im- MFRSRTP MNGE SMTMN TOTAL CONTIGUOUS PROPERTY IN SAME OWNERSHIP: W ZON I NG ACRES + SUBOMSTON ( if appl icable)LOT BLOCK 5 REQUEST (:.;tate exactly wlrat you p'lan to do) 6 DIRECTIONS TO SITE: ** FOR STAFF USE ONLY ** ZONE/LAND USE: BY : _ DATE :_ TIME I N:_ OUT:_ NUMBER DATE v(h { ,t-j I_AND MANAGEMENT DIVISION / 125 E. Bth AVE. , T.UGENE, OR 9740I / 687-4061 TRS# 77-03-27-3-2 LL2 DATE ISSUED: e/24/Bs PERMIT#ZCJ?7-aS Ol^lNER'S NAME PHONE N ERD, M. DESSAUER 726-77 29 T SAME PHONE BA CK REQUIR ENTSEM CFRONT # PLUM BING FiXTURES L SIDE RK RI ZE ERI4IT WOOD STOW PERMTT I NTER I OR REAR SDS APPRO\XAL REQUIRED SITE ADDR ESS Ti NG DATIOApproved Date OR /4 / / ENI E Correcti on Date LE T ON Inspector PLUMB I N G GROUN-DMRK NSPECTI ON Approved Date Correcti on Da te Ins pector UNDERS LAB PLBG.fl 7 UNDERFLR PLBG. D -_I PECTI ONApproved Date Correction Date Ins pe ctor OTHER INSPECTIONApproved Date Correcti on Date I n s pector ROUGH PLI.JI'4BI NG (T0P Our] rNSp ECTION App ro ved Date Correcti on Da te Inspector iNSPECTION App roved Date Correcti on Date Ins pecto.r ROU ECHAN I CAL Approved Date Correcti on Date Inspector I NSULATi ON / VAPOR BARRI ER INSPECTIONApproved Da te Correcti on Da te Ins pector LATH / G YPSUM BOARD iNSPECTMN Approved Da te INAL NI D roved Da te Co ti on Date rrecti on Da te Correcti on Da te Inspector L Ti Inspecto InspectorApproved_l Date t47 4 - t97 5P Da te tr Insp.roved Ttr Da te Insp. FINAL IN Approved ECTION B UILDIN GZ/MOB ILE HOME /AG PLACEME Da te Correct'ion Date Inspector I Ap p ro ved LANE COUNTY INSPECTION RECORD CENTENNTAL ROAD. NORTH TO ASPEN, RTGHT ON TAMERACK. LEF? ONTO QUINALT. PANCY UF OCCUCERTiFCERTIFI YU