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Home My WebLink AboutPermit Septic Tank 1986-06-04C a 7v -%c: ;;,c/ FOR OFFICE USE ONLY application,z / f f OUT OFTAX LOT 6500 ncwtisHI P IB RANGE 02 06. 4. 1 SECTION BLOCK PROPOSED USE OF PROPERTY Jfl nesidential l-l lndustrral Corunercial PubIicS'JBDIVISION,/PARTITION (if applicable)LOTIPARCEL 3922 Richlaqd 51,-Spl: ng ZIPCI?Y 97478 I^fCATION ADDRESS STRXET S to 90o turn - becomes Jas E to S. 39th S to Richland1nS.32nd L on Richland - 2nd hs. on L DESCRIPTION OF PRQPOSED WORK - BE SPECIFIC Senti "1$38' r n- OF EI"IPLOYEES SUPPLY roposedl./A s = OF BEDROOT'IS / I * or stonrrs TELEPHONE NUMBER l1 (ext. 444) OiiNER'S NAME AND ADDPESS ROGERS, Ronald 746 25same TELEPHONE NWBER 746 0325 CONTRACTORIS NAME AND OSR # TELEPHONE NUMBER I HAVE CAREFULLY EXA!.{INED ?HE CO|IPLETED APPLICATION r-OR PERMIT, arrcl do hereby crttify that all infomation heieon ie true and correct' and that I be done in occordan,,. with th,: OrdrDances ot Lane Couty and the Laws of the State of Oregon ,ANCY wilt be nade of aij str,rcture without the pemissi.on of the Building Division. f fur- in ful1 force and effect as requj.red by ORS 701.055, that if exempt the basis for exemption CHECKED THIS APPLICATION THOROUGHLY. NAME (please print)4"k TTacont rdrrJ prtrchaser;authorized agenthave the following legal interest in the PloPerty:owner of record; I frrther certify that any and all work perfomed shall pertaining to the work described herein, and that No ocCUP ther certify that registration with the Builde!rs Board is j-ance with oRS 70I.055 wiu^ be ued on this Project. I ttAVE READ ANDis noted hereon, and that only subcontractors ild emPloyees who are in compl Ronal d A. Rogers za,tuort for* .-7 YOUR AUTHORIZATION I{AS BEEN BASED ON THE FOLLOWING CONDITIONS: zone Partition #- Parce1 #- READ THIS SECTION CAREFULLY. rnstaLration t{ecord rssued? fl Y." f} No t'laximun Depth of Trenches I pr,ass Ex4vfxerreN, COMIIENTS: re ar Date A Datse Use Date Parcel cL,.ido-interiortc", fro, B. P. *SANITATION: s. I. l+ col&uENTs Lineal Eeet of l)r:ai.nf.ield Installation Gallon Soecifications: Tank I plaunrnc,zzoNrNG: Mininum Setbacks: 6-{ru OFF IC IAL,/DES IGNEE oRs 80s (1) )DATE OF PUBLIC WORKS LAND MANAGEMENT DIVISION, 687-4061, 125 EAST 8TH AVENUE, EUGENE, OREGON 97401 LANE COU BY SEE REVERSE FOR INSPECTION INE'ORMATION cr4-.25 R* AbPry -- --L Au DIITECTIONS TO SITE tr TvDe Group SETBiTCKS AND OTHER CONDITIONS OF APPROT,/AL MUST BE STRICTL'I OBSERVED. VIOLATION CAN RESULT IN REVO- C;TION OF illIS PERMII, CITATIO:l UNDER PROVISIONS OF LAN*E COU]-TY'S INFRACTION ORDINANCE, AND/OR OTHER REillEDIES ALLOWED BY LA',J. ViHEN RE.\DY FOR INSPECTION, CALL 687-4065. A T'IINIIIIU}I OF AT LEAST 24 IIOURS ADVANCE NOTICE FOR INSPEC- @ENl_.jr=aT6--EEE-To1Iowinginformationready:pernitnumber,jobaddres5.tyPeof inspecEion, when it uiLl be ready, your name and phone nunber, and any special directions to site. BUILDING DIVISION: REOUIRED INSPECTIONS: Foundation Inspection: To be made after trenches are excavated and forms erected and when all;ffif oi*the--Eofndation are delivered on the job. l{here concrete f rom a central mixing plant (comonly termed "transj.t mixed") is to be used, naterials need not be on the job. Concrete Slab or Under-a1oor Inspection: To be made after a11 in-slab or under-floor buj-Iding EElvTc*qu]pn*t, (:mauit, pipiig E6EEssories, and other ancillary equipnent j.tems are in Place but betole any concrete is poured or floor sheathing installed, including the subfloor. Franing & Insulation Inspections: To be made after the roof, alI framing, fire bl,ocking, andbracing ale 1n place ard all pipes, fireplaces, chj.mneys, and vents are complete and all roughelectrical and plumbing are apploved. Al1 wall insulation and vapor barrier are in pl,ace. Lath and,/or cypsum Board Inspection: and extslor .-Ts j.n-pIEEe-Eu E-E-etue To be made a!-ter all lathing and gypsun board, i.nlerior any plasterj.ng is applied and before gypsw board joints and fasteners are taped 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 inspection without first obtainj.ng the approval of the building oiftcialsuch aPproval sha1l be given cnly after an inspection shaII have been made of each successive slepin the construction as indicated by each of the j"nspections required. B NOTE:All building germits requi-re inspectj-ons for the work authorized, such as but not l-j.mited to: Brock l^rarl-: To be mace after reinforcing is in place, but before any grout is poured, ThisTiEFEcfiEi- is required for each bond beam pour, -There will be no approval untii the plunbing and electricaL inspections have been made and approved. llood stove: To be made after completion of masonry (if applicable) and when installation isconlDIetq rns!alLation shalL be in accordance wj-th an appiovea, nationally recognj.zed tesiingagency and the manufactureris installation j,nstructions. I'lobiLe Home: .An inspection is required after the mobi.le hone is connected to an approvedsewer or septic system for setback requirements, bl-ocking, footing connection, tiedowns,skirting, and plwbing connecrions. Footings and piers to compLy with state foundation requirements for mobile homes or asrecomended by the manufacturer. Mobile plain: home mini-nun finish froor erevation shalr be certified when requi.red by a frood-nanagement Ietter. Mobile home tiedowns, when required, and skirting shall be installed and ready for inspec-tion within at least 30 days after occupancy. Tiedowns and skirtj-ng shall be installei Per enclosure. syiming-PooI: Below-grade when steel i.s in place and before concrete is poured. Above gradewhen poo.I is installed. APPROVED PLANS MUST BE ON THE JOB SITE AT ALL TIMES DURING !,IORXING HOURS. THIS PERMI? WILL EXPIREIF I,;ORX DOES IiOT BEGIN WITHIN 1BO DAYS, OR IF !{OR( IS SUSPENDED OR ABANDONED FOR }IORE THAN I8O DAYS.SUSPENSION OR REVOCATION i4AY OCCUR IP THIS PERTYIT WAS ISSUED ON THE BASIS OF INCOMPLETE OR ERRONEOUS INFORMATION. ANYONE PROCEEDING PAST THE POIIiT OT REQUIRED TNSPECTIONS i{ILL DO SO AT THEIR OWN RISK. SUBSURFACE AND ALTERNATIVE SEI{AGE DISPOSAL SYSTEHS: I. Pernj.ts shall be effective for one year from the date of issuance. 2. Upon conPleting the construction for which a permit has been issued, the permi.t holder shallnotify the Lane County Department of Planning and Comunity Devel,opment by subnitti.ng theinstallation record form. The Department shalI inspect thl constructi.on lo deternin; if itcomPl-ies with the ruLes contained in this divisi.on, If the construction does conply uith suchrules, the DePartment shaLl issue a certifj.cate of satisfactory completion to the'p'ermi.ii holderIf the construction does not comply with such ruIes, the Depar-tlent-shal1 notify tie permitholder and shaLl requrre satisfactory completion before isiui.ng the certificate. Failure tomeet the requilements for satisfactory completion within a reasonable time constitutes a vio-Iation of ORS 454.505 to 454.t45 anrl this iule. S-9-!E!I_1 - Subsurficc Sewac,c Dj.sposaI Scptj.c Tank Drainfiel.d From: lnterior property lj.ncs 10 ' IO' Edge oi road rlqht-of-way lO' 10' Brrrldinq foundation IO,IteLLs, other water sourqes 50 ' IO0 r I 2 3 ACTIVITV INFORMATION SI-':ET ilI' - COMPLETE THIS SECTION. INCOMPLETE FORMS t,JILL BE REJECTED! Pornro A,Zr*c,.s 6 3 fJ MAILING ADDRESS S/e,*6pt ELb , OL q7flY ffi ZIP CODE C ITY STATE ZIP CODE "l.lL_ efl | 6-$. L/L/./ 1gL - o?J{ BUSINESS TELEPHONE # HOME TELEPHONE #ffi HOME TELEPHONE # 2 PROPERTY ADDR ( IF DIFFERENT ESS SfrI,AL I 1 3 rvrarr B t AFlcEL NUMEEFI ( REQUIRED I NFOR],IATI0N) (from tax maps in Department of Assessment and Taxation or from tax statement) rrll*lf o 2- ob 4 I .,Q b {@. .-.=TOilffiFIP MNGE SEETMN ZON I NG T61^1-NSFIF m[GE SETTI-01 ffi ZON I NG t TOEffiHTI MNGE SEemN I TOTAL CONTIGUOUS PROPERTY IN SAME OWNERSHIP: ffi ZON I NG ACRES 4 SUBDIVISI0N (if applicable)LOT BLOCK 5 REQUEST (s;tate exactly what you plan to do) Qr+t orr l{t*,,.t -To S, aJ.A 5art+ D 6 DIRECTIONS TO SI To TU L217fia2-F- o s.3 g 3 **F STAFF USE ONLY ** ZONE/LAND USE rN LAND I'IANAGEMENT DIVISION / 125 E. 8th AVE., EUGENE, OR 9740I / 687-406I :.t L4-33 I ]'lAiLING ADDRESS