HomeMy WebLinkAboutPermit Septic Tank 1985-04-09Ge
Lane Count Authori ation for'
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PROPERTYPROPOSED USE
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PTION OF IiORK fa€DECI.ARED S VALUE/
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I HAVE CAREFULLY EXAUINED TIIE COMPLETED APPLICITION FOR PERMIT, arrd do hereby csrti.fy that aLl infomation hereon ls true ild correct, ud that I
have the follming legal interest in the property,Eb*r"t of lecord; [--lconlract.purchaser;Iauthorized agent with ovidence of authority attached.
I f.:rther certify that any anal all uork performed ?n?lf U" done l"n u".lItur"" witsh the orditrances of Iane cowty and the Laws of the state of oregon
to the work descrj.bed herein, and that NO OCCUPANCy will be made of ar,j structure wj.thout the pemission of
THOROUGHLY.
4K
DATE
pertaining the Building Division. f fur-
, and that only subcontractors ed enployees who an
ther cerEify that registration with the Builder's Board is in full effect as requj.red by ORS 701.055, that if exenpt the basis for exerpti
is noted with ORS 70I.055 will be used on this project. I HAVE READ AND
Date:
rnstallation Record rssued? fl v." fl ro"
l,laximun Depth
Date:
fl er,ens EXAr'trNArroN :
COMIIENTS:
YOUR
cL
Gal10n
of s
COM}IENTS
Use
Date tr
: Tank
Setbacks
SANITATION: s. I. *B. P. #
qAS BEEN BASED ON THE POLLOWING CONDITIONS:
Installation
Specif.
interior rear
fl plannrnc,zzoNrNG:Parcel f Parcel
Lineal Feet
of Drainfield
Partition #
Minimur
COM}IENTS
c ._L, slde
READ THIS SECTION CAREFULLY
APPROVED BY OFF r ORS 455.805 1
!.ANE COUNTY DEPARTMENT OF PUBLIC WORKS LAND MANAGEMENT DIVISION, 687-4061,
125 EAST 8TH AVENUE, EUGENE, OREGON 97401
SEE REVERSE FOR INSPECTION INFORMATION cL4-25 R*
FOR OFFICE USE ONLY
ililiz"i*"ry;-l{
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SETBACKS AND OTIIER CONDITIONS OF APPROI.'AL !,IUST BE STRICTLY OBSERVED. VIOI.ATION CAN RESULT IN REVO-
CATION OF TIiTS PERMIT, CITATION UNDER PROVISIONS OF LAIiE COU:TTY'S INFRACTION ORDINNNCE, AND/OR OTHER
RE}IEDIES ALLOVIED BY LAW.
!$HEN READY FOR INSPECTION, CALL 687-.T065. A MINII'IU}I OF AT LEAST 24 IIOURS ADVANCE NOTICE FOR INSPEC-
@eN:.--raTEl.h-;-oIlowinginformationready:Permitnumber,jobaddres3,typC
of inspection, uhen it will be ready, your nane and phone nunber, and any special direceions to site.
BUILDING DMSION!
REQUI RED INSPECTIONS :
Foundation Inspection:
nlEIEif a-If r o r-TIE--E o[n aa
To be nade afler trenches are excavated and f6rns erected and ,hen all
t.ion are delivered on the job. l'Jhere soncrete fron a central mixing
I
plant (comonly terned "transit mixed") is to bc used, materials need not be on the job.
2. Concrete S1ab or Under-!Ioor Inspection: To be made after all i.n-slab o! under-floor building
iE?ilTE-eqT-rpmotl--EondufE, plping rcessorj.es, and other ancillary equi.pment iEems are inplace but before any concrete is poured or floor sheathing instal,l,ed, incLuding the subfloor.
3. Framing 6 Insulation Inspections: To be nade after the roof, all franing, fire blocking. and
SmEjng ar- m pIiEE EiE-TTI-piles, fireplaces, chimneys, and vents are complete anil all roughelectrical and plumbing are approved, AIl wall lnsulation and vapor barlier aEe in place.
4. l,ath qnq/gr qypsm Board Inspection: To be nade aiter ail lat.hing and gypsun board, i.nterior
i-n-d-eit6ri6rJETn-p-1=rce-5ut-EETo-re any plastering is applied an8 uetoii-gypsu board joints
and fasteners are laped and finished.
5. Final Inspection: To be made after the building is complete and before occupancy.
APPROVAL REQUIRED. No work shall be done on any part of the building or structure beyond the pointindicated in each successive j.nspection without first obtaining the approval of the buiLding official
Such approval shall, be gi.ven only after an inspection shall have been made of each successive stepin the construction as indicated by each of the inspections reguj.red.
AIl building permits require inspeceions for the work authorized, such as buL not Limited to:
Block WaII: To be made after reinforcing is in place, but before any grout is poured. This
insEEcEi66- is required for each bond bean pour. There vi11 be no approval untii the plunbing
and electrical inspections have been nade and approved.
l.]ood Stove: To be made after conpletion of nasonr!, (if applicabi.e) and when installation isa6fiFfete. InscalLatj.on shalI be in accordance with an approvea, nalionally recognized testing
agency and the manufacturerrs installation instructions,
trlobile Hone: An inspection is required after the mobile home is connected to an approved
seuer or septic system for setback requirements, blocking, footing connection, tiedowns,skirting, and plubj.ng connections.
1.. Footings and piers to comply with state foundatsion requirements for mobile homes or asrecomended by the manufacturer.
2- Mobile home minimum finish floor elevaLion shalL be certified when required by a flood-plain hanagenent Ietter.
3. Mobile home tiedowns, when required, and. skirti,ng shall be instalLed and ready for inspec-tion w.ithin at leas! 30 days after occupancy. Tiedowns and skirting shall be instafledper enclosure.
swiming Pool: Below grade when steel is in place and before concrete is poured. Above grade;Ien pmI-Ts installed.
NOTE:
n
APPROVED PI,ANS MUST BE ON THE JOB SITE AT ALL TIMES DURING WORKING HOURS. THIS PERIIIT IIILL EXPIREIF I{ORK DOES NOT BEGIN WITHIN 180 DAYS, OR IF VIORK IS SUSPENDED OR ABANDONED FOR IIORE THAN I8O DAYS.
SUSPENSION OR REVOCATION I,IAY OCCUR IF THIS PERMIT WAS ISSUED ON THE BASIS OF INCOMPLETE OR ERRONEOUS
INFOR!.IATION.
ANYONE PROCEEDING PAST THE POINT OT REOUIRED INSPECTIONS WILL DO SO AT THEIR OWN RISK.
SUBSURFACE AND ALTERNATIVE SEI{AGE DISPOSAL SYSTEMS:
1,. Permits shall be effecti.ve for one year from the date of issuance.
2. Upon completing the conscruction for which a permj.t has been issueal, the permit holder shallnotify the Lane County Departsent of Planning and Comunily DeveLopment by submitting Lheinstallation record forn. The Department shall j.nspec! the construction to determine if itconplies with the rules contained in this division. If the consLructj.on does comply wi.th suchrules, the Oepartmen! shalI issue a certificate of satisfactory completion to the perniti holder.If the construction does not comply with such ruLes, the Departsent. shall noti.fy the permit
holder and shall require satisfactory conpletion before issuing the certificate. pailure tomeet the requirenents for satisfactory compleEion sithin a reasonable time constitutes a vio-Iation of ORs 454.605 to.t54.745 arirl this ruIe.
Setbacks - Subsurfacc Seilage Disposal
Scptic Tank Drainfield
From: Interj.or property Li.nes I0' .L0 r
Edge or road riqht-of-way 10r 10,
Building foundation I0'
t{el}s, other iJater sources 50, I00l
Lrrx: CCtlrty
ACTIVITY INFORMATION SHEET
COMPLETE THIS SICTION. INCOMPLETE FORMS I^JILL BE REJECTED!
ffi!'
-Q] ' ct a lV, rfh r.r 0 ;a-r-rt
PERSON-trARITG_RE Q-utsT--7
MAILING ADDRESS
./' ft;!- ^/'bffi.Af,Z-BUYINESS TEEEPHONE #s-uffi HOME TELEPHONE #
2 PROPERTY ADDRESS
( TF DTFFERENT TnO
3 rvrae a PAFIcEL NLTMBEFI
( REQU r REp r NFoRI4AT I0N )
( from tax maps i n Departmen
or from tax statement)
t of Assessne
o?40C)/2/
nt and Taxation
[tqjeo+fsL # #, **2
P
.rOuJ-NSE"TF MNGE SETTI_OII W# ZONING
MTNSTP RMGE SEMION ffi ZON I NG
TOTAL CONTIGUOUS PROPERTY SAME OWNERSHIP:ACRES
4 SUBDiVISI0N (jf applicable)ror._,/11__BLOCK
5 REQUEST (state exactly what you plan to do
6 DIRECTIONS TO SITE
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** FOR STAFF USE ONLY **
TIME IN:_ OUT:-
NUMBER
DATE
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DATEBY
LAND Y1ANAGEMENT DIVISION / 125 E. 8th AVE., EUGENE, OR 9740] / 687.406I
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