HomeMy WebLinkAboutPermit Septic Tank 1986-01-30G<-
Lane County Authori za,tuon' for'
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OUT OFTAX LOT
2600
:\f,WN*SHI P
17 03
RANGE
22.4.4
SECTION
BI,OCK
PROPOSED USE OF PROPERTY
f,-l xesidential n rndustrral
f rruri"Commercial
s'-,BDrvrSjONTPARTiTroN ( i f applicable )LOTIPARCEL
2600 Wayside Dr., Springfield
CI?YLCCATION ADDRESS ZIPSTREET
STRUCTUPES CURRENTLY ON PROPERTY
SFD
Harlow Rd. to Wayside Ln. - turn R on Wayside - go thru Gate
D EECTT-}IS TO-SITE
DECI,ARED S VALUED'SCRIPTION OF PROPOSED WORK . BE SPECIPIC
Septic inspection for ln. review.
PLY Proposed
Exist
# OF EI'IPLOYEES= OF BEDROOMS # OF STORIES
TELEPHONE NUMBER
747 7824
OiINERIS NAME AND ADDRESS
BESAhl, RandY { ,,/"h c\r same as above
TELEPHONE MIMBERCONTRACTOR'S NAME AND OSR #
TELEPHONE NU}IBER
r ltAvE CAREEULLY EXAT.ITNED THE COMPLETED APPLTCATTON FOR pERMtr, and do hereLy cettify t-hat all infomation hereon ls true and correct' ed that r
have the following lega1 interest in the property,ffiornu. of record; Ic<,ntract. prrrchaser;Iauthorizetl aqent.
I f:rther certify lhat any and all work perfomed shall be done in accordaDce with thc ordinances of Lane cowty and tha Iaws of the state of oregon
pertaining to th! work deicribecl herein, and that No occUpANcY will be macie of ar,] st-ructure without the Pernission of the Building Division. I fu--ttrer certity that registration with the Builderrs Board is in full force and effect as required by oRs 7o1.o55, that if exempt the basis for exemption
is noted hereon, and that only subcontractors ed enployees who are in compliance with oRs 7ot'055 uiu. be used on this project- r HAVE READ AllD
CHECKED THIS APPI,ICATION THOROUGHI,Y.
1-24-86
DATE
YOUR AUTHORIZAT]ON IIAS BEEN BASED ON THE FOTLOWING CONDITIONS !
1-24-86Date:
Installation Record Issued? f x." [ ""
l.laximum Depth
of Trenches
COIIIIENTS r
Date
TION:EXA.I',I
COM}IENTS:
DaLe
t
tr PLANS
ttrai.nf ie Id
PLANNING ZONING
B. P. #
Groun Use
reari-nterror
Parcel Size
Lineal Feet
COl4r\ENTS
READ THIS SECTION CAREEULLY
callon
Tank
Installation
Speci fications
c .-L, slde
zone Partition *- Parcel *
Minimum Setbacks, C", ,tort
-JO
IGNEE (Der oRS 456.
ENT OF PUBLIC WORKS LAND MANAGEMENT DIVISION' 687
25 EAST 8TH AVENUE, EUGENE, OREGON 97401
5,
APPROVED BY BUI DATE
4061,LANE COUNTY
SEE REVERSE FOR INSPECTION INI'ORMATION cL4-.25 R*
NAI,G (pledse print)
tr
! sasrtarrou: s. r. *
your name and phone number, and any special directions to site
SETBIICKS AND OTIIER CONDITIO:\"S OF APPROI,/AL IqUST BE STRICTLY OBSERVED. VIOLATION CAN RTSULT IN REVO-
C;?ION OF iIIIS PER}1IT, CITATIO:i UNDSR PROVISIONS Oi. LANE
'OUNTYIS'INFRACTION
ORDIT-ANCE, AND/OR OTHER
RE}IEDIES ALLOWED BY LAW.
WHEN READY FOR INSPECTION, CALL 687-4065.
ffieNl---EeivE--Eiie fo
A:V1INII1U}1 OF AT LEAST 24 IIOURS ADVAI{CE NOTICE FOR INSPEC-
llouing information ready! permit number, job address, typeof inspection, when it wilL be ready
BUILDING DIVISION:
REQUIRED Il'SPECTIoNS :
Concrete Slab or Under-a1oor
EE rI re e q-u i pmeicl- cE nEITE-pplace but before any conclete
Foundation Inspectj-on: 1o be made after trenches are excavated and forms erected and when aIImateria.l.s for the foundation are rlelivered on the lob. l{here concrete from a certral mixingplant (comonly termed "transit mixed") is to be used, nateriaLs need not be on the job.
Inspection: To be nade after alL in-sl-ab or under-floor building,iping accessories, and other ancillary equipment items are inls poured or floor sheathj.ng instalLed, includiog the subfloor.
3. Franing & Insul.ation Inspections: To be made after the loof, aIl framj.ng, fire blocki-ng, andbracing are 1n p]ace and afl pipes, fireptaces, chimneys, and vents are complete and ali roughelectrical and plumbrng are approved. Al-I wall insulation and vapor barrier are in place,
4. Lath and/or Gypsum Board Inspection: To be made a!ter all lathing and q),psum board, interior
and e\terj-or, is rn place bu+- before any plasterj-ng is applied and before gypsu board joiotsand fasteners are taped and finished.
5. Final Inspection: To be made after the bui1di.n9 is complete and before occupancy.
APPROVAL REQUIRED. r'o work shall be done on any part of the builCing or Slructure beyond the pointindicated ln each successive rnspection wilhout first obtaining the approval of the Uuita:-ng otftcialSuch approval shall be gi.ven cnly after an inspectj.on shalL have been mace of each successive stepin the conslruction as indicated by each of the inspections required.
NOTE:
I
AII building permits requj.re i.nspections for the work authorized, such as but not Ij.mited to:
BLock I'Jarl: To be mace after reinforci-ng j.s in place, but before any grout is poured. Thisill!-ecEi6i is required for each bond beai pour. 'There will be no.pprorit untii the plunbingand etectri-caI inspections have been made and approved.
h'ood Stove: To be made after cohpletion of masonry (if applicable) and when installation isconefetq Inst.aLlation shall- be in accordance with an aoproved, nationaLly recognized tesiinqagency and the manufacturerrs installaLion j-nstructions.
MobiIe Home: An inspection is required after the mobll-e home is connected to an approvedsewer or sePtic syslem for set.back requirements, bl-ocking, footing connection, tiedovns,ski-rt j.ng, and plwbing connecrions.
I. Footings and piers to comply with State foundation requirements for mobile homes or asrecomended by the manufactuter.
2. .Yobile home minimum finish fLoor elevat'ion shal-I be certified when required by a flood-plain management letter.
3. Mobile home tiedowns, when required, and skirting shall be j,nsta]Ied and ready for inspec-tion within at least 30 days after occupancy. Tiedowns and skirting shal1 be instatLeiPer encLosure.
syiming,PgoI: Below.grade when steel is in place and before concrete is poured. Above gradenhen pool rs installed.
APPROVED PLANS MUST BE ON THE JOB SITE AT ALL TrMES DURING WORKING HOURS. THrS PERMTT WrLL EXPTREIF WORK DOES NOT BEGIN WITHIIJ 180 DAYS, OR IF WORK IS SUSPENDED OR ABANDONED FOR }IORE THAN ],80 DAYS.SUSPENSION OR REVOCATION idAY OCCUR IF THIS PERMIT WAS ISSUED ON THE BAS1S OF INCOMPLETE OR ERRONEOUSINFORMATION.
ANYONE PROCEEDING PAST THE POINT OT REOU]RED INSPECTIONS WTLL DO SO AT THEIR OT.IN RISK.
SUESURFACE AND ALTERNATIVE SEiIAGE DISPOSAL SYSTEMS:
l. Permits shall be effecttve for one year from the date of issuance.
2, Upon compLeting lhe construction for which a pernit has been i-ssued, the permit holder shaIInotify the Lane counly Departrent of PLanning and comunity Devel,opment by submitting thelnstallation lecord form. the Departsent shaIl inspect thl construction to determine if ircomplres with the rules contained in this division. If the construction does conply wj.th suchru1es, the Departfrent shaII j,ssue a certj.ficate of satisfactory completion to the'plrmiii-holaerrf the construction does not comply wj.th such ruIes, Lhe oepar-tnent'shaLl notlfy t'lre pu.iritholder and shaII requlre satlsfactory completion before issuing the certrfrcate. pailure tomeet the iequiremenls for satisfactory compl.tron aithin a reas6nable time cons!icua". i rio-lation of ORS 454.605 ro 454.745 and rhis iule.
.setbacks - Subsurface Sewage Disposal
Scptic Tank Drainfield
Interior property fines
Edge of road rrght-of-uay
Builrirnc foundatron
liells, other watcr sources
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ACTI\ , TY INFORMATION ,H EET
COMPLETE THIS SECTION. INCOMPLETE FORMS WILL BE REJECTED!
6lI'rI7
I Ed*-8..-uW PROPERTY OtdNER
?-Goo wa-sr)c'Ln
ILI D
.5ppqp,Efl er-$:a
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2 PROPERTY ADDRESS
1,f 1 -7 g>*
HOME TELEPHONE'#BUS SS TELEPH E HOME TELEPHONE #
( r F Dr FFERENT rnoM-MATLTNG FoonrSSl
3 ruae a PAFIeEL NUMBEn
( REQUIRED INFORMATION)
(from tax maps in Department of Assessment and Taxation
or from tax statement)'? aJ )?I,/
TOWNSHIP RANGE SECTION I 260dW ZONTNG
MLINSETP MNGE SEETION rA-x-ror(s) oRa PARCEL # ZoNTNG
MIMETP RANGE SEETIOII
TOTAL CONTIGUOUS PROPERTY IN SAME OWNERSHIP:
W ZON I NG
ACRES
4 SUBDIVISION (if applicable)LOT BLOCK
c5 REQUEST (state exactly what you plan to do)(
6 DIRECTIONS TO SITE://"*/*,R)- R
** FOR STAFF USE ONLY **
ZONE/LAND USE:
BY:
--
DATE:_ TIME IN:- 0UT:-
NUMBER
DATE
-lDLr,
LAND MANAGTMENT DIVISION / 125 E. Bth AVE., EUGENE, OR 97401 / 687-4061
MAILING ADDRESS
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