HomeMy WebLinkAboutPermit Septic Tank 1987-10-13{c-io-1(Il
-
Lane County Authori za,ttott for,
SEPTIC INSPECTION FOR I OAN RFVIFT^l
FOR OFPICE USE ONLY
Applicationr/
Permit #
:DWiiS HI P
17
RATIGE
03
SECTION
23.3.4
TAX LOT nour oF
9900
FROPOSED USE OA PROPERTY
X Residential
[l cc,,runercial
fl lndustrral
I e,luri"
SJBDIVISION/PARTITION (if appticable)IOTlPAF.CEL BLOCK
I,CCATION ADDRESS STREET (--r':'Y ZTP
2609 n. 5th st., Springfield
STRUCTURES CURRENTLY ON PROPERTY
SFD
DIRECTIONS TO SITE
Off beltline take a R to Hayden Bridge - go down Hayden Bridge Rd. - take a L on N. 5th down 4
houses on R side
DiSCRIPTION OF PROPOSED I^'ORK . BE SPECIF]C
sept'ic 'iNSPECTION FOR LOAN
DECI,ARED S VALUE
- OF BEDROOT'IS # OF STORIES # OF E},IPLOYEES {./ATER SUPPLY Proposed
Exist
O;rNER'S NAME AND ADDRESS
HAST INGS, Robt.site TELEPHONE NU!4BER
CONTRACTORIS NAME AND OSR #TELEPHONE NI.N4BER
P:RI'IIT TO BE MAILED TO (NAME AND ADDRESS)
DRAKE, I 'inda 590 Nebrasks Eugene 97402 687 5t
TELEPHONE NUMBER24 461 2524
I HAVE CAREFULLY EXAI{INED THE COTIPLETED APPLICATION FOR PERMIT, arid da hi}rel)j, certi.fy thaL all -inforration hereon is true and correct, and that I
have the follrying legal interest in the property,f]orr.t of recorcii []cr,r,.ra,"; p'rrchaseri!authorized agent.
I f:rther certify that any and aII work perfomed shall be done in accotdal,:., witli tf.,l Ocdrr)ances of Lane Couty and the Laws of the State of Oregon
Irertainj.ng to the work described herein, and that NO OCCUPANCY wilt be nade of ar.: strilcture without the pemission of ttle Building Division. I fur-
ther certify that registrati-on with the Builder's Board j.s in full force and effect as required by ORS 701.055, that if exempt the basis for exetnption
is noted hereon, and that only subcontractors ad employees who are in compliance with oRs 701.055 wi.lI be used on this project. I HAVE RE"AD AND
CHECKED THIS APPLICATION TIiOROI'GHLY.
Linda Drake 4 e't"a/a I 0-9-87
NAME (please print)DATE
READ THIS SECTION CAREFULLY. YOUR AUTHORIZATION IiAS BEEN BASED ON THE FOLLOWING CONDITIONS:
SEPTIC INSPECTION FOR LOAN REVIEhJ--NO SPECIAL PLANNING ACTION
fl pr,aNs EXAMINATION: T*/pe- (;roul:-- use
Installation
Specifications: _ Tank
a
GaIlon
Date:
COM}IENTS:
DaLe
(
front cL
No
J
Parcel size
s ide
COI$IENTS UIRED
fl pnuxrnc,zzoNrNG:
interlcrr rear
Lineal Eeet
of llrai.rlfield
Date: l0-9-87
! saurterrgn: s. r. f B. P. f
Mininnn Setbacks, "r,
Installation Record Issued? n v.=
lraxinum Depth
of Trenches
zone Partition *- Parcel *
BU
LANE COUNTY DE
SIGNEE ORS DATE
OF PUBLIC WORKS LAND MANAGEMENT DIVISION,687.4061,
8TH AVENUE, EUGENE, OREGON 974011EAST
SEE REVERSE FOR INSPECTION INT'ORMATION cr4-25 R*
-L/H-W
tr
SETts.:\CKS AND OTIlii. CC:iDITI0:lS OF APPRO!,7AL I1UST BE STRICT:': O'iSES.!'tD. VIOLATION CA:l RLSULT IN REVO-
lT
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Ir
I
t C:':IO:,: OF ?IIIS PI:I1}I]T, CIT;'fIC:; U::D!R PI1OVISIO}iS OF L.\IE,-:]C:;i\'"I INFR;ICTlCN OF,D:::.i\CT, NND/OR OTIIER
REiiEDIES ALLOVJED BT LAW.
HHEN R5.1DY FCR IilsPllc?ION, CALi 687-.10fi5. i }1INI:.1U:.1 Or ..iT l:-r{ST 24 llOUnS ADVi::CE NOTICE FOR INSPEC-liui: IiritliSiS:':'-sT Lai jIVl):. ii3!e the foLLowiag in:..altroi.eld_v: .crnit nuirber, job address, tvpeof inspec!1on, when it Hrll ce leady, i,our iane anl:l-.oiL. ruirer, anC ai)'spccial Crrcctions to site.
BUILDI:iG DIViS]ON:
RICUI^Er ljfMfll]|t,
1. Foundation Inspectron:' lc be made after trenches are excavated and forms erected and when allnatcria.Is ior tie ioundation are lielivered on the job. i;here conclete fron a central mixingplant (cormonly t-ermed "transit mlxed'') is to bc used, naterials need not be on the iob.
2. Concrete SIab or Under-iloor Inspection: To be maie aiter alI in-stab or under-floor buildingiEiv-IIe eq-uipmilt, cond-ilt, plffig-aiZEsso!ies, and other ancillar!,equipment items are inplace but beiore any conclete is poured or floor sheathing instalLeC. rncluding the subfloor.
3. Framing & rnsulati.on ]lllSglilre, To be made after the roof, aI1 framing, fire blocking, andbracing are in 9.lace ard aIl pipes, fireplaces, cninnevs, and vents are complete and aII roughelectrical and plunblng are approved. A11 wal1 rnsuiatlon anC vapor barrier are in p],ace.
4. La!h and,/gr G-vpsun Bo?ri ILspection: To be made after aIl lathing and qypsum board, i.ncerior
and e::te!io!, is ia glace bur- befoae any plastering j.s appliec and be;ore gypsm board jointsand fasteners are taped and finished.
5. Final InsPectj.on: To be made after the building is conplete and before occupancy.
APPRoVAL REQUIREQ. :Jo work shal.l be done on any part of the building or stlucture beyond the pointj.nd.icated in each successive inspection wj.thout firsL obtai.nfng the tpproval of the tiitaing olficial.such aDproval sha1l be given cnly after an inspectj.oi shall have been nege of each successj-;e stepj.n lhe conslruction as indicated by each of the inspecticns requireC.
NOTE: AII building permits require inspections for the work authorized, such as but noL tinj.ted to:
A. Block t'Jall: To be made after reinforcing is ia place, but befo.e Jny grout is ooured. Thj.sIrspectlm is required for each bond beai pour. There wil-1 be nc approval untii the prumblnqand electrical j.nspections have been made and approved.
B. l"'ood Stove: To be maCe after conpletj.on of masonri, (if appLicable) anC when instal]-at1on is+' -"-{$t ...- qqmpletq Installatron shaII be in accordance with an appiovea, nati-onalLy recognized testingagency ani the manufacturerrs installation rnstructions.
C. Iiobj'le Home: An inspection is required after the nobile home is connected to an approvedseiEF-rci-GEptic system for setback requirenents, blocking, footinE connecrion, tiedowns,skirting, and plubing connecrions.
1. Footi.ngs and plers to comply with State fo_undation reqlj.rements for mobil,e homes or asrecomended by the manufacturer.
2- l4obile home hinimum finish floor elevation shall be certified when required by a flood-p)-ain nanagement Ietter.
3. llobile home ti.edowns, when requj-real, and skirting shat.I be instalLed and ready fcr.inspec-tion within at least 30 days after occupancy. Tieiowrs and skirting shaLL be installedPer enclosure.
D. +]!+Ig,P991j Below grade when steel is in pJ-ace and before concrere is poure<l. Above grade,hen pool rs instaIIcC.
APPROVED PLANS I4UST BE ON THE JOB SITE AT ALL TIMES DURrN*G wORKIl.lc IIOURS. TIIIS pERqrT IIILL EXpTREIF h'ORK DOES NOT BEG]N I^IITIIIN 180 DAYS, OR IF WORti IS SUSPENDED OR AB.\NDONED FOR }1ORE TI]AN I8O DAYS.SUSPENSION OR REVOCATION :.lAY OCCUR IF TIIIS PER-TIIT T,IAS ISSUED ON TI{E BASIS OF INCOIIPLETE OR ERRONEOUSINFORMATION.
ANYONE PROCEEDING PAST THE POIiIT Of REQUIRED INSPECTIO:IS !iILL DO SO AT TUEIR OWN NISX.
SUBSURFACE AND ALTERNATIl,/E SSIT'AGE DISPOSAL SYSTEUS:
1. Permits shal.l be effective for one ycar fron the Cate of issuance.
Upon conpleti
notify Lhe La
i.nstaLlation
comp I ies with the rurules,' If the
thc DeparLmen
i:onsti[ictron
form. The Department sha11 inspect
LLes contained ic this division. IfLt g,hall issuc a certificate pf,. satisdoes not coriply'with such rtria, tneulre satlsfactory completioi before tissuing the ccrtifica te ure loulthin a rcasonable time constit.utes_a vio-
ng the construction for which a permit has been issued, the permit holder shallne counti, Department of Planning and comuni ty Development by subnitting therecordthe construction ne if iL
wi th such
holdsr and shall req
m€dt the reouirement' lation bt ons s'sq.eo 5 to 454.745 and
y completion
this ruIe.
-etbJcks - Subiurf3cc Serd.le Drs;,ot1ll
Soptic Tank
!'rom: Irtcrior propert), Iincs l0'
ECqe oi road rr:nt-of-way lO'Brrildinq ioun(lation
iiells, other tater 3ources 50,
s for satisfactor
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(&:m,,ACTIVITY INFORMATION SHEET
l^s r^irrf 6 o,v,q
hrFd^*F,..
Please complete att ltems above dotted llno FTLLING our * LTNES wtLL GET you INFoRMATToN oNLy
*DATELotq tDa
*[''nffi do Dra,ltp ,UathREO
ADDRES
IELEPHONE
0 ra )0,
ACTUAL
PROPERTY
OWNE
ADDRES q 1/ .rn
CITY rt
TELEPHONE
? z'y'are 0L z,r-9-Z&
u (/-2s2
rJ5*pnopeRTY ADDRES
OR
Townshlp Range
J-
0 r Y1
MAP & PARCEL NUMBER (Found on tax maps in the Assessment & Taxation Dept.)
7 03 STAFF WILL DETERMINE _23 3+
Section
a@ Sf,<,
Townshlp Range Section Tax Lot
Township Range Section Tax Lot
TOTAL CONTIGUOUS PROPERTY tN SAME OWNERSH|p: ACHES
*REOUESTldescrlue what you wanr ro d
C ./(O Ara
Tax Lot
4
Zoned FIood Plain
Zoned
Zoned
Flood Plain
Flood Plain
o
o e
Di ections to si ter
I d 0a t*0t
?oAr
,rJrutrnrrrErutrrEntStaff Use OnlynztrrrrrrrrrraEtrar.
Com ments:
f I
Land Management Division, Public works Depaflment 125 E.8th Ave., Eugene, oR g7401 phone 687-4061