HomeMy WebLinkAboutPermit Septic Tank 1986-06-06cHE)KED _/#fi/ 0 e
C?- 7RU RAL ADDRESSINGLaneCountyAuthorization for,vse oNzi
/ 6 a-z-;r6Application,/
Permit #
ffoa03J3.3.I
I,OTIPARCEL BI,OCK3
PROPOSED USE OF PROPERTY
[fxesidential ! rndustr:.al
l-l p,ruri"Commercial
app
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PROPOSED WORK - BEPTION
Proposed
Existing
WATEREI"IPLOYEES
TELEPHONE NUMBER
AND ADDRESS
TELEPHONE NUMBER
1?2 ?zt oNAMEOSR
NAME
*J -r/;",b1ffi
regfs
THOROUGHI,Y
lnfomation hereon is true and correct, and that r
APPLICATION POR PERMIT, arrd 'lo here]J'z certi'iy that
I HAVE CAREFULLY EXAMINED THE authorized agentconlraLL Prrrcliaser;r of record;in the propertY, Io',u and the Laws of the state of oregonthe followinq leqal interest wi th th.: Ordlnance s of Lane Cowtydone in accordanr:ework perfomed shall be Building Division- I fur-that any and all strrrcture without the pemission of ttleI f:rther certify will be made of ani, and that No oCCUPANCY the basis for ework described herein oRs 70I.055, that if exemPtpertaining to the I force and effect- as required bYtration with the Builder's Board is in ful I IIAVE READ ANDwill be used on this Projectther certifY that in comPliance with oRS 7OI'055employees who areonly subcontractors adis noted hereon, and that
CHECXID THIS APPLICATION
YOUR AUTHORIZATION IiAS BEEN BASED ON TH E FOLLOWING CONDITIONS !
READ THIS SECTION
fl pmnnrtlc,zzoNrNG:
Mininun Setbacks:
CAREFULLY
Zone
.^. -.-:r:^- { Parcel # Parcel slze'-
cL, fronl t", .iuu i-nterior rear
cole\ENTS o t 6Date
B. P, #rnstallation Record rssued? fl v"= [ N"
tr SANI TATION:s. r. *Maximum DePth
of TrenchesInstallation
Specifications:
caIlon
Tank
Lineal Eeet
of Drainfield
Date
Use
I pr,eus EXA]'lrNATroN :
Group.- -
tr
Da!e
COM}GNTS
(per oRs 5 DlvlsloN, 687'4061'
ON
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DEPARTMENT OF PUBLIC WORKS LAND
125 EAST 8TH AVENUE'EUGENE, OREGON 97401LANE
SEE REVERSE FOR INS PECTION IN!'ORMATI
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t
Interior propert./ lrncsfdge oi roao rr:;rr-oi _wayBuiLdinq foundationlieIls, other kater sources
I
BUILDING DIVlSION:
REQUIRED ANSPECTIONS:
1. Foundation Inspecti.on: To be made after trenches are excal,ated and forms erected and when aII
;atdEls fo;--tle foundatlon are delivered on the r-ob. I'lhere concrete from a central mixing
plant (comonly Lermed "transit mixed") is to be used, naterials need not be on the job.
2. Concrete SIab or Under-aloor Inspecbion: To be made after al1 in-s1ab or under-f1oor building
-wirejufpmmt,
rcncurt,plflmq rcrcssories, and other ancj-Ilary equ]pment itens are in
place but before any concrete is poured or floor sheathlng installed, includiog the subfloor.
3. Framing & lnsuLation Inspections: To be made after the roof, all framing, fire blocking, andbracing are in place a.d a1l- pipes, f.ireplaces, chimneys, and vents are complete and aI1 rougheLectrica.l- and plunbing are approved. Atl wall" insulation and vapor barrier are i.n place.
4. Lath and/or Gypsum Board Inspection: To be made after a11 lathing and qypsun board, interior
and exte!io!, is in place buf befce any plaslering is applied and before gypsw boald joints
and fasteners are taped and finished.
5. Final rnspection: To be made after the buitding is complete and before occupancy.
APPRoVAL REQUTRED. No work sha1l be.done on any part of the building or structure beyond the poj.ntindj.cated in each successj.ve inspectj.on without firsr obtaj-ning the ipproval of the Uuitairg oif:"iu1such. approval shal1 be- given only. afEer an inspection shall have been'made of each successi,ie stepin the construction as indj-cated by each of thL inspections required.
NOTE :
A.
Al1 bui)-ding permits require inspections for the Hork authorized, such as but not limited to:
BLock wall: To be maCe after reinforcing is in place, but before any grout is poured. ?his
-nspecIIEi-
is required for each bond beari l"ri. 'rn.ru wj.r.r be "".pir6r.r untir the plumbinoand electrj.cal inspections have been made ind approved.
l'ood stove: To be nade after completion of masonry (if applicabte) and when rnstarLation iscolllprete' rnstarlatron shall be in .."o.a..."-ritn
". appiovea, nationalry recognj.zed testi.ngagency and the manufactuler's installation instructions.
MobiLe Home: .An inspection is required after the mobire home is connecLed to an approvedsewer or septic system for setback requirements, blocking, i.oiirq-;;r".ltion, tledowns,skirting, and pfwbing connecrions.
1' Footings and piers to comply uj.th state foundation requirenents for mobile hones or asrecomended by the manufacturer.
2'
Xi:i*'.*];"*:lit:.;:l:" r1oor elevation sharl be cerriried when required by a rrood-
3' Ilobire home tiedowns, when required, and skirting shalr be instarled and ready for j.nspec_
:::".N:i::X.:t Least 30 davs irtu' o"t'pu'"v. riedowns u.a.ii.ti.g shar.f be insralred
D.
###r-*i^.lii?Xu?r"0. when sreel is in place an<i before concrere j.s poured. Above grade
APPRoVED PLANS MUs? BE oN THE JoB srrE AT Ar,L TrMEs DURrN-c woRXrNG HouRs. THrs pERurr r4rLL ExprRErF woRK D.ES Nor BEGrN !4rrrHrN l'80 DAYS, on ii wonr rs suspenorb on iigANior,,uo FoR r,roRE THAN rB0 DAys.:Xi:il:+?ir:" REVocArroN I,AY occuR rr-i'uii pimiit was lssuED oN rrr eiilii oF rNcoMpLErE oR ERRoNEous
ANYONE PROCEEDTNG PAST THE POIIiT OT REQUIRED INSPECTIONS WILL DO SO AT THE]R OWN NISK.
SUBSURFACE iND ALTERNATTI:- -__--^...... r i/E sEt{AGE DrsposA], SysTEMS:
l. permits shaI.I be effective for one y.u.-flo. the Cate of issuance.2. Upon completinq Lhe construction for which a permit has been issued, the permit holder sha11notify the Lane county oepartment oi piii.i^g and comunity o"r"ioJ.unt by submittj.nq rheinscarlarion,..".9.f::^:_ r;-ilp;;;;;I',in;rr t";;;;;..;;l IIiliII..r"" ro dercrmin; ir it;lTiii'!!:';:o".:il:Ht.:,:il"lil:S-J;*:i:,i::i:':?::::i.i::.:r::il::.r, i;.;-;;;;i;-,iin,r,"r,rf Lhe consrruction does ""1-..""ri;;i""':,1:f':,,?:-tt:l:l::.?.y completion ro tn.'pL.ri.t'rJro..
lili:i.,1,;lrii!;:!?i:.'i::i:iiii:il'i:rui!:r:i":::ii; i=iilT:ri":i*i'.rii! 't"li*::."Lat.ion of oRs 4s4.6Os to.ls,l-ia5-"ri-lni!,,,frr.. Ie time consrirures;;io_
Setbacks _ Subsurface Sewage Disposal
Septic Tank
I0'I0,
50,
Drainfield
IO'I0l
10 |
100 '
SVP MEMO o Freedom
E U ML SA\/t tG S A ID LON\I ASJOCATUV.
MESSAGE
URGENT
TO Land Management Division
L25 E. 8th Avenue
Eugene, OR
Atrn: Carol
DArE 5127 /86
SUBJECT SePti e InsPection
FROM: Sharon Jenkins
Freedom Mortgage
Enclosed is check for $60.00 to have a septic inspection done at the following
address: 2678 North 5th Street., Springfield, OR
attention to this matter.
llLT 03 23 34-09500 srcNED
91477. Thank you f your
REPLY
SIGNED
INSTRI,,CTK'I{S TO SEI{D€R- 1 . KEEP YELLOW COPY, 2. SEND ORIGINAL AND PINK COPIES.
INSTRUCNONS TO RECEIVER- 1 . WRITE REPLY. 2. DETACH ANO KEEP PINK COPY, RETURN ORIGINAL TO SENDER.
GB-101
DATE
_l
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