HomeMy WebLinkAboutPermit Septic Tank 1988-08-257/U- S-fr€s-g %"
Lane County Authori za,trott for,
SEPTIC INSPFCTION F LOAN RFVTFI^J
FOR OFFICE USE ONLY
ApplicatioPermit #
L7 o2
SECTlON
36,2
'AX LOT
301
appli LO?/PAt?.('EL BLOCK
FFCF'OSED USE OT PROPERTY
Knesrdential D
Cc,lrLnerc ia I f e,.,uri-"
I ndus tr iaI
ION ADDRESS
7776 Thurst,on Road ingfieldS Oregon 97478
Exist le famil dwell arage building
Y
6to ieH to 69th ht and followHrturn left on 6 9th to Thurston Road
fromro
I.'ORK - BE SPECIFICOF
SEPTIC INSPECTION FOR LOAN REVIEW
6
OFS
2
# ol.I{ATER SUPPLY
well
ES
none Proposed
ExistiS NAME
en Provost 5051 Main Street
ADDRESS
S ield 0r on
TELEPHONE NUMBER
7 26-2L7LCONTRACTORS NA}48 AND OSR
.boveSas the TELEPHONE NUT{BER
Same
776 T]lru ton Ro ield 97 478Cr Same
r ttAvE CAREFULLY EXA!{rNED THE cor.rpLETIiD AppLrcATroN PoR pERMrr, drlJ ,ra h{-.rerr
ra,.... !,rrchaser; Slauthori zed agent.l i Lli tl.,r ardrr)anceu of Lane Cowty and the Laws of the State of,f ar,_r srrilctrtre without the pemission of the Buitding Division.effect as required by ORS 701.055, that if exempt the basis for eance with ORS 701.055 witt be used on this projlct. I HAVE READ
E'ag-EF
DATE
(please print)
have the following legal interest in theI flrther certify that any and aII work
property: f]o*r". of recorct; !..,r,.,perfomed shall be done in occoldal,.-to lhe work heredescribed n and NOthat wlOCCUPANCY nadel:erthethatcertifytrationthregiBuildertherdBoafuITNforce ilndhereonnotedandthaEonLyildsubcontractorswhofnemployeeconpli
cetti,fi, that aII rnforratio!) hereon is true and correct, and that I
ANDCHECKED THIS APPLICATION THOROUGHLY
Sabree C. Hamel
Oregon
I fur-
YOUR AUTHORIZATTON 'IAS BEEN BASED ON THE FOLLOWING CONDITIONS:
-2-
CO}4}IENTS:
DaLe:
Axl-;
Da v
I pr,aus EXA},IINATION
COM.TIENTS
s. r. *B. P. fi
(\
Grou]r Use
rnstallation Record rssued? f] v"= fl N"
rear
Parti.tion #Parcel f
Specifications:
READ THIS SECTION CAREFULLY.
i nte rr(rr
ca1lon
Tank
Lineal Eeet
of ltrai.r:fieId
Maximun Depth
of Trenches
o.t", 0B-23-BB RLH l_l
I pr,auurNcrzzoNrNG: zone___.Ilil_
Minimum Setbacks, cL, fro.t
Parcel Size na4
C L, side
2_?- y
APPROVED BY r ORS 1
LANE COUNTY DEPARTMENT OF PUBLIC WORKS LAND MANAGEMENT DIVISION,
125 EAST 8TH AVENUE, EUGENE, OREGON 97401
SEE REVERSE FOR INSPECTION INI'ORMATION
DATF
687-406't,
c14-25 R%
NAME
l1
as
aO*.tU*aa,
tr
\-
t-I
SETB,''Ci(s A]iD oT:i:a CC:iDITI.J::S o. APPRo',/iL iiusT BE sTRICT:.'. C:..:R''.ED. \'iOLATIoN CA\ R:sULT IN REvo-
C.i:Io:i cF:IiIs i.::ni1IT, CIT;'.TIC:: U}iD.R PIIOVISIO}iS Oi L;\\E JJU::]Y..: INFRNCTION OFDi:;.qNCE, NND/OR OTIIER
RE}!EDIES ALLOViED I]Y LAII.
tiHEri READY .3R ;:isP.CTIoN, C.\:-: i.a-,t-1065. A t1IN1t]U:.i CF .,1,f L:;\ST 21 IIoURS ADVA::3E NoTIcE FoR INSPEC-
ffi,;.s't=iv;:i-li.il.Lh.-.o}Iowin9in:orIationready:iernj'Lnumber,-]obaddrss,tyPe
of i"nspeclion, when rt wrll be ready, Tour namc and ?hoic turcer, anc aa) speci-il drrcctions to site'
BUILDIN6 OIVISION:
REQUlRED lNSPECTIONS
C
2.
l.
D. Swiming PooI: BeIOW grade when steel, is j-n place and before conclete is poured. Above grade
wlen trool lt installcc.
APPROVED pLAilS tlusT BE ON THE JOB SITE AT ALL TIMES DURIN-G WOR(ING llOURS. THIS PERMIT WILL EXPTRE
rF i4'oRR DoES NoT BEGrN WITHIN 1BO DAYS, OR IF lloRK Is SUSPENDED oR ABANDONED FoR ]loRE THAN 180 DAYS'
SUSPENSION OR REVOCATION :'lAY OCCUR IF THIS PER}IIT !'IAS ISSUED ON THE BASIS OP INCOMPLETE OR ERRONEOUS
INFOR}IATION.
A|;YoNEPRoCEEDINGPASTTHEPoIIiToTREQUIREDINSPECTIO}JSvjILLDosoATTIIETRowNnIsK.
SUBSURFACE NND ALTERNATIVE S'i{AGE DISPOSAL SYSTE}IS:
1- Permits shall be effective for one year from the Cate of issuance'
2.UponcomPJ'etlngtheconstructionforwhichapermiLhasbeenissued,thepermilhofderShall
notify the l-u^" co..tf Dcpartment of Planning- and Comunity Developmcnt by submittinq the
rnstaLlation record form. The Dcpartrent sh;11 inspect Ehe construction to detcrmj-ne if it
complres u!th Lhe rul.es contained in this division. If the construction does comply uith such
ruIes, lhe Department shall issue a certificate af satisfactory completion t?.1h9-Fe,rI1!iholder
If-the construction.joes not comply with such ru1es, lhe Deparhent shaIl not:fy-the-permit
holder and shall requlre satisfrcaory completion before issulnq the certj.ficate' Failure to
neet the requirements Jor satlsfactoty to*plotto^ $lthin a rcasonable time constjtutes a vio-
Iation of oRS 154.605 to 454.'745 and this rule'
-j!!SI_: - il!,!!43ss s-.'{9-!" lrii)e-!3r
scptic T3nk Drainfield
Intcrtor proPert)' f ]nes
Edge oi roac rrgitt-of-waY
Ruilornq {ouidation
lieIIs, other Hater sources
Farlnriation Inspectton: To be made afte! trenches are exeavated and fgrms erectcd and when all
naterlail ior !rc !ounrdtron are,.ieIi!'ered on ille;ot'. llrerc coicrcte iroa a certral nixing
;;;;l-i;;;";ty termea ,,rransit mixed,,) 1s to bc uierl, materrals reed no! be on the iob.
.^n.rere ildb or unccr-,:loor InsDccL:on: To be nJce a:l-er alI:in-slab or under-t1oor building
ffi"ifr*fr.ffiip;g -Ea"rorres, arc otxer anclLrar' e'quiPment items are in
place but betore any concret'e is pourea or floor Sheathing insta.IIed, rncluding the subfloor'
Franinq & lnsulation Insoectj-ons: To be made after the roof, all framing, fire blocking, and
iffi;.-i".,i=a ffi"., fj.replaces, cirinne!s, and vents are compfete and all rough
.iuat.i"uf anci plumbi-ng are approved. Ai1 walI risuiation anC vaPor barrj-er are rn place'
Lath and/or q]!!!I Lo=Iq l!t-"1s1."", To be made altrer aLl lathing and qypsum board' lnLerior
anoesLe!ror,:stnL).dcebJ:Dc!oreanyprasEeringrsapplre3andbeioreg)'psmboardioiit's
and iasteners are taped and finished.
5. FinaLlnspection: To be nade after the building is complete and before occupancy'
APPROVAL REQUIRED. No work shal1 be <ione on any Palt of the buj.lding or structu': b9y?1q.the point
indicated in each.r"....iru inspection wlthout first obtainlng the;pprcvaL of the building offrcial'
ir"n.!pro""f shafl;;.9iven cnly after-an-inspection shaII have beer mace of each successive steP
in the construction as i.aicat"a-by each of thl inspecticns lequired
NoTE: A11 building permits require inspections for the work authorj'zed, such as but not limited to:
A. Block l^IalL: To be mace after reinforcing is in pLace, but befo.e any qrout is poured. This
ffi"11*'ir-i"q"i.ua f or each bond beam pour. There wilI be no approval until the Plwbing
and electrrcal inspections have been made and approved'
B. iiood Stove: To be maCe after completion of masonrl' (if appl.icabLe) and when installation i's
ffifatf
'rnstallation shall be in accordance uith an approved, nataonaLly recognized testing
agency and the manufacturer's installation anstructrons'
c. llob.iIe ltome: An inspectj-on is required after the mobile home is connected to an aPproved
sewer or septic syst;m:or setback requirements, btocking, :ooting connecticn' tiedowns'
skrrlrng, and PIMbang ccnnections.
I.Footingsandpierstocomplywj.thStatefoundationlequirementsformobj.lehomesoras
recomended bY the manufacturer.
2. Mobife hone mj.nimum finish floor elevation shall be cerri-fied when required by a flood-
PIain management letter.
l. .yobj-Ie home tiedowns, when required, anC skirting shalL be installed and ready fcr insPec-
tion s!thin at least 30 days.fter occupu^.y. T-ielowns and sklrtj-ng shaII be installed
per enclosure.
t*-
10'
10'
50'
10,r0'
lc'
100,
E ASSIS TA
125 Ave.e
tt/.
Exlstlng Bulldlngs or z
lmprovements on ,/ -./'ffi:,!.9p
dB^rn L/
Eeareg€ ' S/ro€E trrlobile. Home
EIf Shed
JEPTIC INSTALLED6 yes
Ef No
Please complete all lines inside white boxes, if possible.
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MAP, PARCEL NUMBER
(Found on tar mrp. ln lh. Atta3m.nt & Tuatlon DcDLt./- 02 36, zo -3o /.G;,p-- *-s- ffi;- rjGtEii6i- -TilEil-
Eiffih- ft-il. ffi rE!ir'i.- -;E.-
EilHF- TA;46- $Eiion-- rZEiEii6i- -filf5i-
Directlons to slte
from Courthouse
6 , /* -&,.,-
tr/ ao 6za /-
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ffurn corb€
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SITE ADDFESS
MAIL PERMIT TO:
e
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C I
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For Moblle Home
Placement Only
No. of Tip-outs
-
No. of Bedrms
License #-
Brand
Year
Size
Land Managemsnt Dlv. staff can
not be held responslble for
evaluatlons or recommendatlons
based on false, lnaccurate or
lncomplete lnformatlon
*"":ot!:'"W luzl
? ?'t 78
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o Job Location (Street, mile t-TRS, TL Lot-_ Block
YICINITY MAP Subdivision
FO R SANITARTA N'S USE ONLY:System APProved Eo
Tank CapacitY /ZSo qrl A) tLltrta{frManufa
COMMENTS:6fix un r,i^bd. c${a^4
Svstem Disapproved n Needs Correction
fippltcs,,^rL rqg t*^,Y]'fu)Ne/t,
ure:
FOR INST ALLER'S USE: Trench DePth z4 30 Filler Depth Below Tile
SZU.I€
6"
sT'o
/'t^ ?'.
10
L
$9aE
Measured distance to well from tank
---_
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\
/oo ' from drainfield
PLOT PLAN
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I 49t SantE soc,z<?. o{
INSTALLATION RECORD AND CERTIFICATE OF SATISFACTORY COMPLETION
When signed bY the CountY Sanitarian, this certif icate is evidence as per ORS 454.665 of sat-
isfactory comPletion of a sub surface sewage disPosal sYste m at the above location
Permit Processing Section, Department of Environmental Management,
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Return this form to
P lic Service Building, 1 A venue, Eugene 97401 c51
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