HomeMy WebLinkAboutPermit Septic Tank 1987-09-18Uka*srR G€ 7/6
Lane County Authori zafttott for'
SEPTIC iNSPECTION FOR LOAN REVIEt^J
FOR OFFICE USE ONI,Y
izii:i;'"yf,f,7+Z
RANGE OF
applicable LOTIPAR(',n:ALOCK
PFCI,OSED USE OF PROPERTY
X rr.esrdential l-l tndustrj-al
l-l p,ruri"Cc,ru:rerc i- a I
EI L-I':'Y
PROPERTY
SEPTIC INSPECTION FOR LOAN REVIEt^l
WORK - BE, SPECIFIC
= OF BEDROOMS Or| EI':P WA1ER SUPPLY Proposed
Exi.sti
NA}4E TELEPHONE NUMBER
#TELEPHONE NWBER
ther cert.ify that registration with the Builder's Board is in full force and effect as required by oRS 7o1.055. that if exempt the basis for e
is noted hereon, and that only subcontractors ad employees who are in compliance wi
APPLICATION THOROUGHLY.
DATE
f:rthe
p,,,r"t ."o.)p(ho.i ".dtt..j .rl.fance! of Lane
slr
HAVE CAREFULLY COI{PLETEDTHE !'oRAPPLICATIOI.I PE RM I'T rloard ce that al"inrr l;.,.forration reonhe true correctand and that
thehave of c(,1 I fali1ninteresttherecord agentlegalfollowingpropertyf]o*n"i.Tr,JrthatandworkaLl-rfomed shal donebe IN trldal,- e theand ofLawscertifyanypeCowty Statethe of Oregon
to workthe scribedde here in thatand OCCUPANCYNO 1lwt irra de o1:lc ilre thout9/l tire ofmt5sfoo theai"t pe Bui Divis i onpertaining I fur-lding
701.055 on this project. I HAVE READ AND
I REDNING ACTION
Date:
rnstallation Record rssued? [ v." f] w"
Maximm Depth
V
COM}IENTS
Da
UseGrorrL
COM}lENTS
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--NO SPECIA
B. P. #SANITATION: s. 1. #
PLANS EXAMINATTON:
of Trenches
READ THIS SECTION CAREFULLY
I pr,axuruc,zzoNrNG:
Minimurl Setbacks:
COI'LUENTS
inter1or rear
Lineal Feet
of [)r"ri nf-ieId
Installation Gallon
Specifications: _ Tank
ORIZATION']AS BEEN BASED
Partition #
ON THE FOLLOWING CONDITIONS:
Parcer #- Parcer ,rr" , ?bc .-L, sade
?r{z
OFF
125 EAST 8TH AVENUE, EUGENE, OREGON 97401
SEE REVERSE FOR INSPECTION INF'ORMATION
DATF
OF PUBLIC WORKS LAND MANAGEMENT DIVISION, 687-4061,LANE COUNTY
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SETAJlCXS AIiO OT:][il CC::DITIO:;S O' APPRol''rlL }iUST B! STRTCT:,':' OEJ:R\,'5D. \,'IOLAT]ON CA:,J R:SULT IN REVO.
C.iTIO:j CF !llIS iiljlill?, CIT;'IIO:i UND!R PROVISIO\S Oa LA);E a ja::Ti r: INFR.ICTlON OFr!i:;-l:iCi, iil;D,/OR OTIIER
RE}1F]DIES ALLOhED BY LAI",].
T,iI]EN READY F'OR iIiSP:CTiON, CA]-: b87-.iOIr). li HItr-liiu:,l CF .1T L:;\ST 21 IIOLN,S ADV.\::'E NOTICE I:OR INSPSC-
aroir-ErfrslSltaST-a- Giv:r"rlire tha:rollodinE in:crn3tion readr-: .ernit number, lob address, type
of inspection, when it wlIl'be reaCy, Tour name ail :hoic fln.er, Jnc in) s?ecial: dlrections to sitt._
BUILDING DIVISION:
REQUIRED II"SPECTIONS :
Foundation Il!!Sg!lgl, To be made after trenchcs are excavated and:orms erecte.d and when ElImateria.l.s lot the foun.lation are.ielivereC on tl'.e lob- iihere ccncrete from a central nixing
plant (comonly termed "transit mixeC") is to be used, mateli.lls need not be on the job.
Concrete SLab or LinCer-:1oor Insoection: To be maie ai+,er a1f in-s1ab or under-floor brildrng
:]@ix e.iurpm*tl-ccnEurt, piprn.l rc*ssorfes, anc oirer ancillar! equrpnent items are inplace but betore any concrete is poured or floor sheatning instal-ieC, including the subfloor.
Framing & Insula,tion Inspections: To be nade after the roof, aIl framing, fire blocking, and
bracing are in !.Lace and al1 pipes, fireplaces, cltinnevs, and vents are compl.ete and al-1 rough
efectrica.L_ and plumbing are approved. Al1 wa.l-I risuiation,""d ":p:a barrler are in piace.
Lath and/or Gvosum Board Insoection:
and exlerior, is in place buL before
and fasteners.are. taped and _finished
To
any
I.
2.
3
be made ar-ter all lathing and qypsum board, in!eraor
pLastering rs appiieC and beio.e gypsum board joints-
5. Final Inspection: To be made after the buil-ding is complete and before occupancy.
APIROVAL REQUIRED- \o work shall be done on any part of',he builCing or structure beyond the point
indicated in each successive rnspection wiLhout first obtaining the approval of tie buildj.ng offtcial.Such aDproval sha1l be given cnly aftel an inspection shall have beer naCe of each successive stepin the construction as indicated by each of the ins,Decticis refuj-reC.
:lOie: AII building permits reluire inspectlons for the work aurhorrred, =o.h as but noL IrirLed Eo:
A, Block l"Jall: To be maCe aitcr reinforcrng is ia place, but beiore:ny Erout is poured. Thts
Ins-p<t1Ei is required for eacb bond beam pour. There will be no approval uatii Lhe plumbinq
and electrical inspecticns have been made and approved.
B. Iiood Stove: To be naie after conpletion of masonr!, (if appLicable) and when installarion rs(:Wlet4 lnstallatron shaIl be in accordance with an approvea, natlonally recognized testtngagency and the manufacturerrs installation anstructions.
C- uobile Home: An inspection is required after the mobile home is connected to an approved
:==-^;---:;^li^ -.,--y.-- -]stem for setback requirements, bl-ocking, iootinq connecLion, tiedowns,skirlj.ng, and plwbing connections.
Footings and piers to comply Hith State foundation requirements for mobile homes or asrecomended by Ehe mdadfactu?er-
l4obile home minimum irnis
pLain management letter.
h floor eLevation shaIl be certaf.ied shen required by a flood-
IobiIe home tiedowns, when required, and skirting shalI be installed and ready fcr inspec-tion within at Ieast 30 days after occupancy. Tiedowns and skirting shal1 be insta.l.Ied
Per enclosure.
I
2
3
D- Swiming PooI: Below grade when steel is in place and before concrete is poured. " Above grade;Is ercI-is instalLed.
APPROVED PLANS I1UST BE ON TIJE JOB SITE AT ALL TIMES DURIr*G WORKING HOURS. TI{IS PERI4IT ttILL EXPTREIF WORK DOES NO'I BEGIN WlTi]IN 1BO DAYS, OR IF I,IORK ]S SUSPENDED OR ABANDONED FOR }]ORE THAN }80 DAYS.SUSPENSION OR REVOCATION i'lAY OCCUP. IF TI1IS PER}IIT WAS ISSUED ON TI{E BASIS OF INCOMPLETE OR ERRONEOUS
INFORMATION.
. ANYONE PROCEEDING PAST THE PoII,:T Or REQUIRED INSPECTIO:JS !!'ILL DO SO AT TIIEIR OwN 1ISK.
SUtsSURFACE AND ALTSR).JATIVE SEI{AGE DISPOSAL SYSTEMS:
I. Permits shall be effective for one year from the cate of issuance.
2. Upon completing lhe coistruction for which a permrt has been issued, the permit holder shalInotify the Lane Count? Decartfient of PLanning and Comunity Development by submitti.nq thelnstallation record forn. The Deparlment sh;I1 inspect the construction to detcrmine if itcomf'Iies with the rules contained in thi,s Civision. If the constructi.on does comply.with suchrr;ies, .+c Dcpartment -haII i-iue a cerLrfi.cate of saErsfacEorv campletion to !he'.D;rmitj holdcr-'n tt,e clnst,"Lc'rion,io.:s:no.-.".'rv;;;;-;.;';da.;-;;;';:::;L-:X'i"ii,iiil'"ii,i'r'L[:j;:';;;;'""' -holder and shaIl requlre satlsf;ciory conpletion before issuinq the certit-rcati. l"'ii"i"-tcj. ;.-:::-:.^:^:.::::-::::-:: :::i-:-":"'v e Lrie cer'arrcdE'r' rdllure !o. ^-.: - - neet the requirements for satisfactory complction wtthin a reasonable time censtitute_s i vi_o: .lation of ORS'454.605 to 454-7,15 and this ruLe,
Setbacks - Subsurfacc 9="g!" Dl=!.:g1
Soptic Tank Drainfield
:.om: Iiterior prcperti, .lincs iO' jO,
EcAe oi road r1.i-iit-of -way 10' IO'Iluildrnq ioun(lation it IO,tiells, oth.rr satc! sources 50, I00t
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(D=r* o ACTIV1TY INFORMATTON SHEET
Please complete all ltems above dotted line
' ?ff1.,1'l$:l1i,TLIL iY:**
FILLING our * LTNES wrLL GET you INFoRMATIoN oNLy
*DArE Lrt€-t tr*
*PERSON
MAKING
HEOU
ADDRESS
CITY ATE-ZIP-CITY
TELEPHONE (BUS)_(HOME)____,
*pnopenTY ADDRES
OR
MAP & PARCEL NUMBER (Found on tax maps in the Assessment & Taxation Dept.)
ACTUAL
PBOPERTY
OWNER
d
, //o re.
&
4
ATE-ZIP-
STAFF WILL DETERMINE _f*Ory JZ_fz
Township Range Section Tax Lot
Townshlp Range Section Tax Lot
Township Range Section Tax Lot
TOTAL CONTIGUOUS PROPERTY !N SAME OWNERSHIp: ACRES
*REQUESTlaescrlbe what you want to do )
Zoned
Zoned
Zoned
Flood Plain
Flood Plain
Flood Plain
site
arrrrrrrrrrrr..arrrastaff use onlytttfara.farrr.r.arr.
Com ments:
Land [,lanagement Division, puhris works Depaflment 125 E. gth Ave., Eug 0R 97401 phone 6874061
Directions to
USER FEE SURVEY
Application Numbe r -44f-of For:
Please record the amount of ilme, tN MINUTES, you spend on thls app[cailodate llne, enter the ilme, ln mrnutes, under tne dorumir tor your poirilon.'
n. On the approprlate
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"$
ts
(t,
dDate
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Land Management Dlvlslon, publlc works Department, Lane county