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Home My WebLink AboutPermit Septic Tank 1985-06-20b-t4 OFFICE USE ONLYLane Count Authoriz ion fort App Iication,/ Permit * iDwN-sHIP / 7 RANGE a3 TAX BLOCK PROPOSED USE OT PROPERTY Xfncsiaentiat I I ntlus tr ial PublicCommercial S'JBDIVISION/PAR?ITION (if applicable) - I,OTlPAF.C]EL ZIP(--I'iY f)zr*- ra.{T2,ry S-2.4 2F/6Ee.BESPDISCRIPTION OF PROPOSED **"'u"'Wz.2,aak) E;;::r;$ ; oF BEDiooMS _-,?, --<, T or srcnrEil,4//*,422€# OF EI"IPLOYEES Vrza-,4 ,fuzal 2P2-27qrNAME ,/.{A r(v fy that all infomation hereon is true and correct, and that f ,ase)ffutnorized agent ordt'liancts of Lane Couty and the Laws of the state of oregon rtaining tso the work described herein, and that NO OCCUPANCy will be nade of arri'structure without the pemission of the Building Division. f fur- ther cerEify that regisEration uith the Builder's Board is in fu1I force and effect as reguired by is noted hereon, and that only subcontractors ed emptoyees who arc in conpliance with ORS 701.055 will be used on this project. I HAVE READ AND APPLICATION DATE COMPLETED IiOR PERMIT ,loarrd h ce rtHAVEIEXAMINEDAPPITICATIONrebyCAREFULLY ofr record con!racl:the le fni-nterest the purchfollowinggarpropertyIor.. shal donebe accordai(ieTN thw1 theIcertif:rther that and al workfyany perforfled ORS 701.055. that if exempt the basis for exempti IZATION I]AS BEEN BASED ON THE EOLLOWING CONDITIONS: Date: rnstall-ation Record rssued? [] v"" I N" Maximum DepthInstallationof TrenchesSpecifications : Date : CO!4}1ENTS: cL * Jo Use Date fl pr,eus EXAMINATI COIT\ENTS nA,,tfrlSANITATION: S. I. #B. P. # : Type interi-or Parcel # rear Parcelfl pmwwruc,zzoNrNG: Minimun setbacks: GalIon Tank Lineal I'eet of Drainfield READ THIS SECTION CAREFULLY. YOUR c .-L, srde. APPROVED BY BUILDING OFFICIAL,/DESIGNEE r oRs 456.805 1 LANE COUNTY DEPARTMENT OF PUBLIC WORKS LAND MANAGEMENT DIVISION, 687.4061, 125 EAST 8TH AVENUE, EUGENE, OREGON 97401 SEE REVERSE FOR INSPECTION INI'ORMATION cL4-25 R* THE GrouD tr tion # 6'go -sr DATE SETBiICKS AND OTIIER CC:iDITIONS OF APPROI,IAL }1UST BE STRICTL! OBSERVED. VIOLATION CAN RESULT IN REVO- CnTION OF TiIIS P|RIIIT, CITATIO)i UNDER PROVISIONS Oi LANE aoU].TY'5 INFRACTlON ORDII;ANCE, AND/OR OTHER RE}IEDIES ALLOWED BY LAW. WHEN RE.IDY FOR IN'SPCCTION, CAL:687-1065. A }1INIilU}1 OF AT LEASI 21 I]OURS ADV,\}iCE NOTICE FOR INSPEC- TlbN--FEafESTS }],JS'r 8! Givrr-. iia;rc -Ehe follosing infcrnation ready: .ernit number, job address, type of inspectron, when it HrIl be ready, your name and phone number, and any special directions to site. BUILDING DIVlSION: RtoutFI) I \sPtcTto}ts : 1. Foundation IMlgllgl, To be made after trenches are excavaceC and forms erected and when al] nater.ials for the foundaLion are delivered on the:lob. lJhere concrete from a central n.ixing plant (comonly lermed "transit mixed") is to be used, naterials need not be on the job. 2. Conclete Sl,ab or Under-iloor InsDection; To be made after aLl in-sLab or under-floor building Ewi* ejuipmeit, m-ourt, pipinl a?cessories, ancl other ancillary equipment items are inplace but betore any conc!ete is poured or floor sheathing instalLed, j.nc)-uding the subfloor. 3. Framing & lnsula-Lion lnspections: To be made after the roof, all framing, fire blocking, and bracing are in ?lace and all pipes, fireplaces, chimneys, and vents are complete and alI rough electrical and plumbing are approved. AIl wall insulation and vapor barrier are in pl-ace. 4. Lath and,/or Gypsum Board Inspection: To be made after all Lathing and qypsum board, incerior and exterior, is in place but before any plastering is applied and berore gypsw board joints and fasteners are taped and finished. 5. FlnaL lnspection: To be nade after the building i.s complete and befole occupancy. APPROVAL REoUIRED. \"o 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 buil,ding officiaL. Such approval shaIl be given cnly after an inspection shall have been made of each successj-ve step in the constructi.on as ind.icated by each of the rnspections required. NOTE: A1I building pexmits require inspections for the uork autho!ized, such as but not limited to: A. Bl"ock i"iall: To be maCe after reinforcing is in place, but befo.e any grout is poured. This I-nspecti6n is required for each bond beam pour. There will be no approval until the plunbine and electrical inspections have been made and approved. B. tr:ood Stove: To be made after completion of masonrl' (if applicable) and when instal-Iation is(]6efete. InstaLlation shatl be 1n accordance with an approved, national-Iy recognized testing agency and the manufacturerrs install-ation lnstructions. 4gbllg !l!{!e: An inspection is required after the nobile home is connected toC sewer or seplic system for setback requj-rements, blockinq, footing connection, an approved tiedovns, skirting, and plwbj-ng coonections. 1. Footings and piers to comply wath State foundation requirements for mobile homes or as recomended by the manufaclurer. 2. Mobile home ninimun finish floor elevation shaLl be certified when requj.red by a flood-plain management letter. 3. Mobj"le home tiedowns, when required, and skirting shaLl be installed and ready for inspec- tion withj.n aL least 30 days after occupancy. Tiedowns and skirting shall be instalLedper enclosure. Swiming Pool: Below grade when steel is in place and before concrete is poured. Above grade ;Ien pm]-ls instatled. D APPROVED PLANS MUST BE ON THE JOB SITE AT ALL TIMES DURI\'G WOR(ING HOURS. THIS PERMIT WrLL EXPTREIF WORK DOES NOT BEGIN WITHIN- i8o DAyS, OR IF hrORK IS SUSPENDED OR ABANDONED FOR !1ORE THAN I80 DAyS. SUSPENSION OR REVOCATION idAY OCCUR IP THIS PERMIT I/IAS ISSUED ON THE BASIS OF INCOMPLETE OR ERRONEOUS INFORMATION. ANYONE PROCEEDING PAST THE POII,]T OT REOUIRED INSPECTIONS WILL DO SO AT THEIR OWN RISK. SUBSURFACE AND ALTERNATIVE SEI{AGE DISPOSAL SYSTEMS: t. Pelmits shall be effecti-ve for one year from the Cate of issuance. 2. Upon completing Lhe construction for which a pernit has been issued, the permit holder shall notify the Lane County Department of planning and Comunity Development by submitting theinstallation record forn. The Department shall inspect the construction to determj.ne if itcomplies with the rules contained in this Civision. If the construction does comply with suchrules, the Departrent shaIl issue a certificate of satisfactory completion to the permiti holderIf the construction does not compl,y with such rules, the Departsent shaIl notify the pernit holder and shall requrre satisfactory completion before issuing the certificate. Failure tomeet the requirements for satisfactory completron within a reasonable time constitutes a vio-l-ation of oRs 454.605 to 454.145 and this ruIe. Setbacks - Subsurface Seuage Disposal Septic Tank Drai.nfield I'ron: Interior property lines L0' 10' Edge oi road rlqht-of-way 10, 10' Buj.ldrng foundaticn 10' heLls, other uater soutces 50' L00 | hne ccxrrty I ACTIVI r Y INFORMATION Sr ^iET COMPLETE THIS SECTION. INCOMPLETE FORMS t,lILL BE REJECTEDI ' r/f,f lfC'd' 57r, H^,, u 1 q-J::r:.- SqLqyeV16,5 h I f, *U O*. ?2/? MAILING ADDRESS MAILING Soi ""o,{ "C4 ADDqSIS Cr"4*., 17qn, ctu STAJE ZIP CODE 7/l -2q+81*q8ts- BUSINESS TELEPHONE # a26-7Eo / HOME TELEPHONE # BUSINESS TELEPHONE # 2 pR6pERTyADDRESs /7trt R*r-*bl;u'r)r, ,-Se HOMF -TELEPHONE #g,or. 3 rvlae B PAFIeEL NUMEEFI ( REQUIRED INFORI4ATION) IF DIFFERENT FROM MAILING ADDRESS) /7 MENSIP ,Yr.)P 0v'/ (from tax maps in Department of Assessment and Taxation or from tax statement) ?"t;/ ZONING ( ca 25--2 I 230O NANGE sEeTTM W MNGE SMTION WTMNSHTP TOTAL CONTIGUOUS PROPERTY IN SAME OWNERSHIP: 4 SUBDIVISION (if applicable) ZONING MMNSHIP R,AN6E SEETI_O.N ffi ZONINC ACRES LOT BLOCK 24:za,i /o rr, r€c)ie.; a*-4 L--rgt-c- .,4 a-c < 6 DIRECTIONS TO SITE: tr - { /-,r.--.r^€,,rd Orf -T^//Z'' N, l?*4 Zl-\- ?o,-'6/; ** FoR STAFF USE oNLY ** ZONE/LAND USE: BY: _ DATE:_ TIME IN:_ 0UT:_ NUMBER DATE fr(.t) {fi LAND MNAGEMENT DIVISION / 125 E. 8th AVE., hUGENE, OR 9740I / 687-4061 5 REQUEST (state exactly what you plan to do) t ,.1 -D ec/N 16rx tl' S;4c-r^lq.tK )r; r.r< 6 t' App"4 I I tst4+ t7t I 8S'l'= l2trlHov vn d I;"11.{ n rE ?^,jt,t ^. )uo S S Oaf{a ) f\""-s<-