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Home My WebLink AboutPermit Septic Tank 1986-06-13a zv/D - Lane Count thori z tion fort FOR OFEICE USE ONLY Application,/ Permit * 7/3 SECTIONx2.,/ I BI,OCK PROPOSED USE OE PROPERTY ,ELresidential fl rndustrial f]n,.,uri.Commercial ZIP OF PROPOSED WA"ER SUPPLY sedisti '-z--t'TELEPHONE NUMBER S NAME AND OSR &JELEPHONE NIJMBER7V-z:z-r I HAVE CAREFULLY EXAI4INED THE COI,IPLETED APPLICATIO,N FOR PERMIT, arrd rlo hereLy certify that all infolTation hereon is true and correct, and that I CHECKED THIS APPLICATION ,lSJurtePb f:rther ,R:' slr TNinterest the ofr recordfotheJ-egaJ.propertyIlowing rrtrchase zedIorn.!,agent I certi that and aI work s ha1 donebe an dairceoIfyanyperfomed rhvI Ord!the Lane and the ofLaws Statethe OreofCowty gontoworkthescribeddeInhereandNOthatnartainingpewillOCCUPANCYbeofdeureIthethoutMIossronDivlsIonfur-pe Bui ldin9thetheLthatrationthBuithelderBoardfn15forceful1andcertsifyre9a5ffecLulreoRs70thatbyifthe a5bas for riexemptexenphereonnotedandthatildtorswholnancethORSonly70Lwill-055 usebe ond this I HAVEemployeescomp READ ANDproject READ THIS SECTION CAREFULLY. YOUR AUTHORIZATION qAS BEEN BASED ON THE FOLLOWING CONDITIONS: Minimun Se rear Date: Installation Record Issued? f] x"= f] no Maximum Depth of Trenches I pr,eus ATI COM}IENTS: Date: INcLs Da UseTYpe Specj.fications:Tank ANITATION: S. I. *B. P. * Parcel si,zefl pr,aNnrnc,zZoNrNG: Installation callon Lineal- Eeet of Drainfield Partition # Parcel # /3J^rL PERMIT BY r ORS 456.805 (1) )DATE NTY DEPARTMENT OF PUBLIC WORKS LAND MANAGEMENT DIVISION, 687.4061, 125 EAST 8TH AVENUE, EUGENE, OREGON 97401 SEE REVERSE FOR INSPECTION INF'ORMATION LANE ct4-.25 R* 7 7 H corlt ra.rl:T .055, c L, SETBIiCI(S AND OTI{'R CO]iDITIO:IS OF APPROVAL }1UST BE STRICTLY OBSERVED. VIOLATION CAN RESULT IN REVO' c;TIoN oF T1IIS ?ERMIT, CITATIOT UNDSR PROVISIONS OF LANE COUf,.TY'.S INFRACTION ORDIf,.AN*CE, AND,/OR OTHER REIIEDIES ALLOIIED BY LAW. WHEN RE.ADY FOR INSPTCTION, CALL 687-1065. A MINIT1U}1 OF AT LEAST 24 IIOURS ADVAIiCE NOTICE FOR INSPEC' @g:l.-TdiE--EEetoI].owinginformationready:Permitnumber,jobaddress,tyPe of insptcuion, when it uill- be ready, your name and phone number, and any special dilections to site- BUILDING DIVISlON: REQUIRED INSPECTIONS: I. Loltgellsn Inspection: To be made after trenches are excavated and forms erected and when a1I tr-t;;l:Ff o;-.I--f otrndati,on are delivered on the job. l{here concrete f rom a central mixing plant (comonly termed "transit nixed") is to be used, materials need not be on the job. Z. Concrete Slab or Under-aloo! Inspection: To be made after aL1 in-slab or under-floor building l.*q-rip*mt,-EonEuft, pj.Fl;9-aUZEssories, and other ancj.ll-a!y equipment items are in pJ.ace but-before any concrete is poured or floor sheathing installed, including the subfloor. 3. Framing & Insulat.ion Inspections: To be made after the roof, all framing, fire blocking, and 51"ffit are-Tn-pTrce anE-i-r:, pipes, firepLaces, chj.nneys, and vents are complete and all rough elecLrical and plumbing are approved. Afl walL insuLation and vapor barrier are in p.l-ace. 4. Lath and/or Gvpsum Board Inspection: To be made after all lathinq and gypsum board, i.nterior ano exLerror, rs rn-plre-5u-E-5-efre any plastering is applied and before gypsm board joints and fasteners are taPed and finished. S. Final Inspection: To be made after the building is complete and before occupancy. AppRovAL REQUIRED. \*o work shall be done on any part of the buifding or structure beyond the poj'nt indj-cated j-n each successive inspection without first obtaining the approval of the building offlcial Such approval shaII be given cnly after an inspection shall have been made of each successive steP in the tonstruction as indicated by each of the inspecti.ons required. NOTE: n AII buildlng permits require inspeclions for the work authorized, such as buL not limited to: Bl-ock wall: To be made after reinforcing is in place, but before any grout is pouled. This ii!-prcEl66 is required for each bond beam pour, There will be no approval until the plunbing and electrical inspections have been made and approved. !{ood stove: To be made after completion of masonry (if applj.cable) and when installation is rcmEIeta Installation shall be in accordance with an approved, nationalfy lecognized tesLing agency and the manufactu!e!'s installation instructions- MobiLe Home: An inspecti.on is required after the mobile home is connected to an approved EEw6?-oi-G6ptic system for setback requirements, blocking, footing connecLj.on, tiedowns, skirting, and plmbing connectj.ons. 1. Footings and piers to comply with State foundation requirements for nobile homes or as recomended by the manufacturer. 2. Mobile home minimum finish floor elevation shalI be certifj-ed when requiled by a flood- plai-n management letter. 3. Mobile hone tiedowns, when required, and skirtj.ng shall be insLalled and ready for inspec- tion within aL least lO days after occupancy. Tiedowns and skirtj.ng shall be installed per enclosure. Swiminq pool: Below qrade when steel is in pJ.ace and before concrete j.s poured. Above grade ,hpn .oo-L rs rnstalled. APPROVED PI.ANS MUST BE ON THE JOB SITE AT ALL TIMES DURING WORKING HOURS. THIS PERMTT WTLL EXPIRE IE WORK DOES NOT BEGIN WITHIN lso DAYS, OR IF WORK IS SUSPENDED OR ABANDONED FOR l'lORE THAN 180 DAyS. SUSPENSION OR REVOCATION I,1AY OCCUR IF TH1S PERMIT WAS ISSUED ON THE BASIS OF INCOMPLETE OR ERRONEOUS INFORMATION. ANYONE PROCEEDING PAST lHE POIIiT OT REQUIRED INSPECTIONS I'JIIL DO SO AT THEIR OWN RISX' SUBSURFACE AND ALTERNATIVE SEWAGE DISPOSAL SYSTEMS: l. Permits shalt be effective for one year from the date of issuance' 2. Upon completing lhe construction for uhich a permit has been issued, the permit holder shall notity ti,. Lane County Department of Planning and Comunity Development by submitting the installation record form. The Department sh;l1 inspect the construction to detcrmine if it compJ.ies uith the rules contained in lhis division. If the construction does comply wi.th. such rutis, the Department shall issue a certificate of satisfactory comPletion to.the Perniti holder If the constructlon does not comply with such rules, the Departhent shall notify the permj.t holder and shaIl require satisfictory completion before j.ssuing tho certificate. Failure to meet the requl-remenis for satisfactory "o.pl.tion within a leasonable time constiLutes a vio- lation of ORS 454.60S to 454.745 and this rule. Setbacks - Subsurface Sewage Disposal Septic Tank rnterior prope!ty Iines Edge of road riqbt-of-way Buildi,nq foundation liel1s, other water soulces Drainfield t0' 10' t 00 ' l-0' 1.0 , 50, ACT^ ITY INFORMATION SHEET fil' - COMPLETE THIS SECTION. INCOMPLETE FORMS WILL BE REJECTED! 1Ulllian J Camo)e rrU t I tt4 ,/.o.* ,to fl*l //tl-? 6sp T MAILING ADDRESS MAILING ADDRESS .-- C "a',t'U{2 /t "*l/n 74 STATE ZIP CODE 7uo22s HOME TELEPHONE # BUSINESS TELEPHONE # HOME TELEPHONE # 2 PROPERTY ADDRESS - ( TF DTFFERENT TnO CITY -_ ffi 3 rvlap 6i PAFIeEL NUMBEn ( REQUIRED INFORI4ATION) (from tax maps in Department of Assessment and Taxation or from tax statement) / 7 03 :2;2-,13 / or ,/a-7"r' MINSH_.IP ENNM SMTMN ffi ZON I NG MENSEIP NENGE SEET-IOII W ZON I NG W ZON I NGTOWMEIP RANGE SEETIOII TOTAL CONTIGUOUS PROPERTY IN SAME OWNERSHIP:ACRES O ,rrr^ON (if appl icable) 5 REQUEST (s;tate exactly what you plan to do) LOT t BLOCK .) 6 DIRECTiONS TO SITE: L ** FoR STAFF USE oNLY ** t 14-33 LAND MNAGEMENT DIVISION I 125 E. 8th AVE., EUGENE, OR 9740I / 687-406I Yq ZONE/LAND USE: t':t