HomeMy WebLinkAboutPermit Septic Tank 1988-07-07AQ b-2?
Lane County Authori zattot:^ for'
SEPTIC It'ISPECTION FOR L0AN REVIET^J
FOR OFFICE USE ONLY
Application,/0 -+7Permit #
iPWNSHIP
T7
RANGE
03
SECTlON
24.3.4
TAX LO?
115
r-lour oF
s'JBDrvrsroN/pARrrrroN (if ;F 1L;Elel LOTIPARCE!BI,OCK
FROPOSED USE OF PROPERTY
X nesidential [-l Industrial
fle,.,uri"C(,runerciaI
2490 North 16th Street. Springfield, Oregon 7 7 7 7- /6ft
LOCATIO}J ADDRESS Ltr':'YSIREET
V
ZTP
STR,UCTURES CURRENTLY
Off Mohawk Road or l9th street, turn l-eft, go to Hayden Bridge Road, turn right on North 16th
Street to Bill Medford sign in
SEPTIC II.ISPECTION FOR LOAN REVIEW
WORK . BE SPECITICD'SCRIPTION
na
STORIES
na
OIl EI"IPLOYECS
na Public
LY Proposed
Existi
Jack Or Gloria Bradford
S NAME AND ADDRESS
Same as the ob address above
TELEPHONE NUMBER
7 46-27 03
CONTRACTORIS NAME AND OSR *TELEPHONE NWBER
Same
Janet Mitzel 85815 Edenvale Road Pleasant Hill Or ron 97455 -7 26-0825
SIGNATURE
I }iAVE CAREFULLY EXAMINED THE COI,IPLETED APPLICATION FOR PERMIT, arrd rlo hcre!;, certify that alt inforTatiorr hereon is true and correct, ad that f
have the foltwing legal interest in the property,f]orn". of record; l]c.r,rr.,,,;. p,rr"haser;flauthorized agent.I f:rther certify that any ild aLl work perfomed shall be done in accordair.;r riih th,: ordrnances of Lane Cowty and the Iaws of the State of Oregon
Pertaining to the work described herein' and that NO OCCUPANCy will be nade of an'r structure without the pemission of the Builaling Division. f i*-ther certify that. registration with the Builderrs Board is in fuLl force iind effect as required by ORS 701.055, that j.f
is noted hereon, ed that only subcontractors ild employees who are in conpliance with ORS 701.055 will be used on this
CHECKED THIS APPLICATION THOROUGHLY
r
Janet Mitzel
NAME (please print)
exempt the basis for exemptiproject. I HAVE RE|AD AND
READ THIS SECTION CAREPULLY. YOUR AUTHORIZATION'TAS BEEN BASED ON THE FOLLOWING CONDITIONS:
Zone na Partition f Parcel # Parcel Size na
SEPTIC INSPECTIOT\ FOR LOAN REVIEW-.NO SPECIAL PLANNING ACTION REQUIRED
6-29-88Date:
rnstallation Recold rssued? f] r.= ! ril"
Installation
Specifications: _ Tank
Da Le
I pr,aus
rear
RLH
callon
COMT1ENTS
Date
"", .,un-i-n terf c).r
col,r)1ENTs
SANITATION: s. I. *B. P. #
Grour, Use
I pnuurucrzzoNrNG
Lineal Eeet
of ttr:ai.nfield
tlaxinm Depth
of Trenches
Minimum Setbacks, CL, front
a
E COUNTY D
oRS 456.805 r))
OF PUBLIC WORKS LAND MANAGEMENT DIVISION,687-4061,
8TH AVENUE, EUGENE, OREGON 97401EAST
SEE REVERSE FOR INSPECTION INT'OR},IATION cL4-2s R8+
UIELI UN5'1'U SIIE
\
1
SETBitCtiS AND OT:!:R CC:iDITIollS oF APPROVAL rlusT BE STRICTLY otsSlRvED. VIoLATION CAr* RISULT IN REVO-
C;,TIO:,i Oa TtIIS ?rRllIT, CIT;TIO:; Un'D5R PROVISIONS Oi L;\E --OU::iY':; INFRACTION OFDi:i-lNCU,;rllD,/OR OTIIER
RE}IEDIES ALLOWED 8Y LAI.I.
BUlLDING DIVISION:
REQUIRES IIiSPECTICNS :
2
Foundati.on InspecttoB: To be made after trenches are excav+Led and foiirsierected and uheri all
matetf;fE fot the tbundation are clelivered on the lob. I'Jhere concrete fron a central mixing
plant (comonly termed "transit mixed") is to be used, materials need not be on the job.
Concrete slab or Under-iloor InsDection: To be made afcer a]l in-s1ab or under-fIoor building
EEilvi*quipmoc. ondnit, pilii[-EEEEssories, and other ancillar-v equipment items are in
place but betore any concrete is poured or floor sheathing installed, incluriing the subfloor.
Franing & Insulation Inspect.ions: To be made after the roof, aLl franing, fire blocking, and
bracing are 1n place and all pipes, fireplaces, chimneys, and vents are comp],ete and all rough
electrical and plumbing- aie approved, AII waII i-nsulation and vapor barrier are in pl,ace.
liHEN RE.\DY loR i:iSPDCTION, CA:-:687-.1065. n llINIllU:1 OF -i.T L:;5T 21 IIOURS ADV.\::iE NOTICE FOR INSPEC-
il6Sn-EEIEST;h'-Sf-fciVr"-l-ira?? tne-totlowing infcrnation rea.dy: -tprmit nqtlber, job address- t)pe
of inspeccion, uhen i-l wrll be ready, your name anC pl^,oiL. runber, anC an!'slecial Circctions tO site.
Lath and,/or cl,psum Board Inspection. To be made after aIl Iathing and qypsun board, i.nt.erior
and exte!ior, i-s i.n p),ace but before any plastering is applied and before gypsw board joints
and fasLeners are taped and finished.
Final Inspection: To be made afler the bu.ilding is complete and befole occupancy.
APPROVAL REQUIRED. No work shalL be done on any part of the building or StrucLure beyond the point
indicated in each successive inspection wj.thout first obtainj.ng the approval, of the building official.
Such approval shall be given cnly after- an inspect.j,on sha]"I have been maCe of each successive step
tI the construction as indicated by each of the inspecticns.required.
NOTE: A11 building oermits require i.nspections for the work authorized, such as but not limiled to:
A. Block l,lall: To be maCe after rei.nforcing is in place, but before any grout is poured. This
Inspecrlo is required for each bond beam pour. There will be no approval until Lhe plumbinq
and electrical inspections have been nade and approved.
B. Nood Stove: To be nade after completion of nasonry (if applicable) and when installatj,on is
cofrFfeEn Installation shall be in accordance witt an approved, nationally recognized Eesting
agency and the manufacturerrs inscallatj-on instructions.
C. uobile Home: An inspection is required after the mobiLe home is connected to an approved
EEwE?-oi-s6ptic system for setback requirements, blocking, footj.nq connection, tiedowns,
skirting, and plwbin{ connecti-ons.
1. Footings and pj.ers to comply wj.th State foundalion requirenents for mobile homes or as
recomended by thd danufacturer.
2. Mobif,e hone nininum finish fl@r elevaeion shall be certified when required by a flood-
. plain management letter-
3. .Yobile hone Lj.edowns, when requj-red, and skirting shal-l be insLalled and ready fcr inspec-' ti.on within at least 30 days after occupancy. Tiedowns and skirting shall be installebper enclosure.
D. Swiming Poolr Below glade when steel j.6 in place and before concrete is poured. Above grade
when pool is installed,
APPROVEE PLANS:.IUST BE ON TIIE JOB SITE AT ALL TIMES DURING WORKING HOURS. THTS PERMTT WTLL EXPIRE
IF 9]ORK DOES NOT BEGIN WITIIIN I8O DAYS, OR IF WOR( IS SUSPENDED OR ABANDONED FOR }1ORE THAN I8O DAYS.
SUSPENSION OR REVOCATION i.IAY OCCUR IF THIS PERMIT WAS ISSUED ON T1IE BASIS OF INCOMPLETE OR ERRONEOUS'INFORH.ATION.
ANYONE PROCEEDIII€ Pr\ST THE POII.iT Or REQUIRED INSPECTIONS IIILL DO SO AT THEIR OWN RISK.
SUBSURFACE AND ALTERNATIVE SEI{AGE DISPOSAL SYSTEI'IS:
1. Permits shall be effective for one year from the date of issuance.
Upon completing the construction for which a permi-t has been issued. the permit holder shaLL
notify the Lane CounLy Department of Planning and Comunity DeveLopment by submitting theinstallation record form. The Department shall inspect the conslruction to determine if itconplies with the rul-es contained in this division. If the construction does comply rj.th suchrules, the Depa!tment shalI !9sue a ce,rbifiqale of satj.sfactory completion to the permiti holder.If the construct'lon does Ilot Compty with such:rules, the'Ddfariltent-shdil\otify t'hts pcymfts
holdet{nd ta}1 requrre satisfactory completion before issuing the certificate. Failure to
mee-ts--t'E& req\!remenLs for satj.sfactory comirletion wlthin a reasonable line constitutes a vio- :lation Ef oRs!U54:505 ro 15.i-715 and thi.s rulc. -
Setbacks - Subsurfacc Scrate P]jlosal
Septic Tnnk Drainfield
IiLerlor propert./ 1i.nes
Edge oi road rlgitt-of-uay
Brrrld.i.nq f oundaticn
lielLs, other ua.!c! 5ources 50'
TO'
l0 |
10'
100'
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B ASSI-
o 1 8rh Eugen OR
EXISTING BUILDINGS
ON PROPERTYHor""E Barn
EI Garage
E Mobile. Home
E Shed
Other
-
Please complete all lines inside white b
OWNEB OF PROPERTY tr\\, oR qzq90
ADOBESS
P HONE
a
o\t\)
oxes, if possible.
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Directlons to slte
from Courthouse
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MAP, PARCEL NUMBER (Found on tlr mrp. ln lh. 4.3.3.m.nt & Turtlon Dcpt)
1/a Scction
Town3hip
lTfEctian Tu fol
SITE ADDRESS
S.ctbn
ZIP
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U{ Setlon Tu Lot
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CITY
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.MAIL PERMIT TO:
FOR MOBILE HOME
PLACEMENT ONLY
No. ol Tip-outs
-
No. of Bedrms
License #
Model
Year
Size
Land Managem.nt Diy..tatf can not
be held rcsponrlble lor ovaluallone or
r.commandatlonr baacd on falte,
lneccurata or lncompletr lnformatlon
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