HomeMy WebLinkAboutPermit Septic Tank 1990-11-21'luailnc eB suoiloedsul sselun sr{ep ggg rc11e e4dxe syuted lr.qto 1lV zeei euo rc1 pood ete eywted gqdls
to x,va l,s, sNottcldsNt aot nvc990?-t89 (sttoucnutsM aot
ittvo :48 olAOAddV 3 :ano sa7t
suolllpuoc toJ eql uo posBg 8t uoDBztroqmv rno^ I^l-lnJSuvc OVSU
39VHJU0) AlllAslql lo sepls HlOg peer r(11n1arEc eABq I
pu8 onrl 8l uoltBrrlrolul llE Iqereq pue
T0 ) AJ-13 B z-h\h) dn-J 1'1V3
l.J09lu0 ,0'tltlst,ltuds ,l_lluls ,1u Z/\ 0ggz
lA0av 3J_rs 0J lllurs HLII i\i0 1H9IU 'illUls
ti@r.r.io.ox NOllV3lllulA l^Jll_SAS llldls,.Or grtsaoE rO xouq38iO
,-rr. *,lL"f i7Z *o"u" g0ron* lf "*.u*o,
txoHd VN
,Alln0 lN I ''l0uv3
IXOHE
, l9vHJU0) 1113A
HLll HruoN 0r
)l,1VH0l^l 01
lt{oHd
a ltltan uolcYSr.No,
!iltYil aurxrolGlCddY
lanoHlunoc iotl lrla
1S I X]tlBntcnulS
{,Aitl,
Vfu VN
CNT- I
or, {*6rltrcro
l9r/UV9 ' 9N I t-13110 1t I l/.JVJ l-l 9t',lIS Illuldotd rloN0eiu0 ,ctStlgNIuds ,13jU1S tlLlI HI
i I0Z-hBt/
ltsS- th I
0t t90I ug Nt0 VH N0 lll't , OVOU :90 I UE NJCAVH O]- HI.UON I I I X]
IVAIUdlsn oisdordlsn 3dtaavll[ alraa
i'l0llV3IllU lA t,tllsAS lIldls tslnosa
:aot
o
Elnrtsa 5 'il
VIOLATIONS
SBTBACKS AND OT}IBR CONDII.IONS OP APPROIAL MUST BB STR'ICTLY OBSBRVBD' VIOLATION CA}{ RTSULT IN RBVOCATTON OF THIS PBRMIT'
crrATroNs MAy BE rssr.lED uNDER THB pRovrsroNs op ;;ft io:urrv'i mrp-lcnox ononroxe uolon orHER REMEDIBS AIrowBD BY LAw'
A MINIMUM OF AT LEAST 24 HOI.]RS ADVANCE NOTICE MUST BE GIVEN FOR INSPECTION REQUESTS
Ilavethefollowinginformationreadywhenyoucall:68740ij5
Permit number - Job address - Type of inspection r"q,uTd , - When it will be ready
Yournameandphonenrrrnber_Anyspecialdirectionstothesite
powERroBNrERL'pc,NLAND. ,*""1H*f,o3':1ffi#3$lllAffit'S&!'1ffi'ffiH'Bli$1*fi*o*t^*oPrHBIRFuNcrIoNs'MAY
EI{TAR UPON ANY LAND AND MAKE BXAMINIITIONS AND ST'RVEYS A!{D PLACB AI{D MAINTATN THB NECBIISARY MONT'MB{TS ATTD MANTBNS TTIEREON'
REQLTIRED INSPECTIONS
FOLINDATION INSPECTION: To be made after excavarions for footings are complete and any required reinforcing steel is in place'
UNDERGROUND pIpING INSPECTION: To be made after all underground piping has been irytalle4.Pt'* to any backfill'
coNcRETE SLAB OR UNDER-FLOOR INSPECTION: To be made after all'in*lab or under-floor building service equipmeng conduit' piping
accessories and other anciltary equipment items are in place but before any concrete is placed or floor sheathing installd' including the subfloor'
ROUGH MECHANICAL nr-spgcrroN: To be made afrer all ducting and gas piping has been installed and prior to being covered'
ROUGH PLUMBING INSPECTION: To be made after all plumbing rough-in is in place, prior to being covered.
FRAMING IN5pECTISN: To be made after ttre all framini fire blo-cking, bracing and roof are in place and all pipes, chimneys srd vents 8e complete
and the rough elecfical, plumbing, and mechanical inspections have bee'n made and approved'
INSULATION INSPECTION: to Ue made after all insulation and vapor barrien are in place' prior to covering'
LATH AND/OR GY.psuM BoARD INSPECTION: To be made after au lathing and gypzum board' interior and exterior' is in place but before any
pturtering is applie.d or before gypsum boardjoints and fasteners are taPed urd finished'
iUUfU-ONei fNSpSCTIONS MAY BE REQIIIRED, such as but not limited to;
BLocK WALL: To be made after reinforcing is in place, but before any grout is powed- The inspection is required for each bond beam pour' There
will be no approval urtilthe ptumbing and electrical irspections-have beenmade and ap'proved'
FINAL MECHANICAL INSpECTION: To be made just prior to rhe stnrctwe or remodeled area being occupied and pior o operating rry equiplenr
FINAL PLUMBING INSPECTION: To be made jusiprior to the building, struchre or remodeled rea being occupied'
FINAL BUILDING INSPECTION: To be made after iinish grading and 0re building, smlc[lre or remodeled area is completed md ready for occupancy.
MOBILEMANUFACIURED HOMES: An inspection is required after the mobile home is connected to an approved sewer or sqrtic
system, prior to covering sewer or water lines, for setback requiremens, blocking, tiedowru urd plumbing connections'
Footings anA piers to comply with state formdation requirernenu for mobile homes or as recommended by the manufacturer.
Mininyum finished floor elevation shall be certified when required by Floodplain Management
Tiedowru, if required, sha[ be insta1ed and ready for inspection within 30 days after occupurcy. Tiedowns shall be installed per enclosure.
APPROVAL REQI.IIRED
No work shall be done on any pafl of the building or structure beyond the point indicated in each successive inspection without first obtaining the
approval of the building officiat. Such approval shall be given orily after an inspection shall have been made of each successive step in the construction
as indicated by each of the irspectiors required.
APPROVED PI.ANS MUST BE ON TI{E JOB SITE AT ALI. TMES DURING WORKING HOURS.
ITIIS PERMIT WILL E)(PIRE M WORK DOES NOT BEGIN WTTITIN I8O DAYS, OR IF WORK IS STOPPED OR ABANDONED FOR MORE TI{AN 180 DAYS.
SUSPENSION OR REVOCATION MAY OCCUR IF TIIIS PERMIT WAS ISSUED ON THE BASIS OF INCOMPLETE OR ERRONEOUS INFORMATION.
ANYONE PROCEEDING PAST THE POINT OF REQTIIRED INSPECTIONS WILL DO SO AT THEIR OWN RISK.
Your signanrre on the front of this form verifies the following: I HAYE CAREFULLY EXAMINED TttrS COMPLETED APPLICATION, srd do
hereby iertify that all information hereon is true and corect, and that I have a legal interest in tlre property as owner of record or authorized agent. I
further certify that any and all work performed shall be done in accordance wi0r the Ordinances of Lane County and the lawg of tlp State of Oregon per-
taining to the work described herein. I further certifu Orat if I am not the owner of the property, my rcgisuation with the Builders Board is in full force
and effect as required by ORS 701 .055, and 0rat if exemp the basis for the exemption is noted hereon, rtd that only subcontractors and employees who
are in compliance with ORS 701.005 will be used on the job.
SUBSURT'ACE & ALTERNATIVE SEWAGE DISPOSAL SYSTEMS:
When subsurface.consrruction is completg the permit holder qhall notify q\e Co-unty Land Management Division by submitting the installation record
form. An irupection will be made by a qualified sanitarhn. If constnrctioh complies wi0r all rules a certificate of completion will be issued to fte peonit
holder. If construction does not comply with rules, the permii bolder will be notifie4 and all corrections shall be made before a certificate of completion
will be issued. Failure to meet satisfactory completion within th6 allonetl time constinrtes a violation of ORS 454.505 to 4Y.745 and this nrle.
SUBSURFACE SEWAGE DISPOSAL SETBACKS SEPTIC TANK DRAINT'IELD
From: Interior property lines 10' 10'
Edge ofroadright-of-way l0' 10'
Building foundation 5' 10'
Wells or other water sources 50' 100'
,
c
a
'Egottcgro l,YN nil/.tns xardEnog a/l.hn0rsgas r \ryn,r sorc t,ancot,Nr 1Nro't ;ItogtrEmg sr oMr l,frAang /.aYQNnoEI y fi$n'ar,trgroo LtoN ggoq ErE&
'$07 0rrg EH,,L NddI) HC'oAONE ,tON OA p,rrd afrdoad0fir.6ffapoy fitt$ N'odt2 soff.ro?rntr EHifr &r\rt ony Jsrroaftdoui ottt-t{rooQt SrJo Nodn ttltollpmr ,froN od $o1 arrs .rrr$ Nodn gorrclnrac' EH$ go/vrdffr.f E.l,oEIr EH.n No dssrg anr ort/.yaq $.d,orlr,trrJo NoNt4o$s E,NEltfi./.oadrlr IINY s,rNgNnNoN ElI.x JE dfrr.rffo/ffior gy;." $orlarYd iryafi -:B^gl_t..finnr ,to tyq rr$ga srrf6 frr{ t,q trQyk syl tSUEdOudc'rgru',s.rc u,adgY &r{d .to rolicfidB/fr Ny Lnrfi,b ,t,tt$a$c Jr.rgcfioo'a&nt t ottg lrro t stgn{oud,. o,trutr^a Bro,rg/,arosrpoin11 * oe ttrr1, A, f
t 0€ s o_l frtlros
996r .g-€ trNnr.
N oofiao ,rraoag
.if3?gup
.,],,tNnoc.. fiNrT ,scaocsu eyld Noosgo
?P- -fry"\f '08 yo-r4- 'Og Entt*,totr ri oneao,ev drty adisyttard rqNrrotr o$ ttotiicrqy xttnog ,g- iio\g ,-i' ,;i"
t l,to Ltrd IuLsw
T,fiNNBr 'J!
t,l
trtl
gi,zvobl
t?ttt i
I
(,f 'trol
I
ur
I
I
o
'I
0lI
tI
0.
I
0
p
.{I
N$
F
Irl
r
I
F
z
o
F.{F
qYt<$
a
il
q
:
!I
c
a
F
I
2 ')t'rq? .L.'.l
'Z :,r-rgqi .r o.1
A,,ES, i?td a
6
F{I
1,,. ,
,s',Q?
rl
bt-tDa
rra^iad
, o?..col t
u
b
lrrrlg HrLr .N grt,?.' BlwtoH.A
^eyb
N
F
I
$
NI
0 i:
6
tJ
u D.\ l?i6.txct,
td.(
_ * yoonuo .q,tataoI?Y-g
os&r,rs Hfilr Hraofi lorgoarto{ ,N trrrg
l.
t
;\-%r I ur*-l I 4*l- g h
STATEM EMT'\r1\-,
Seanctt't DRAIN SAVERS
ScpUc & Draln Clcanlng
2140 Primrose St.
EUGENE, OREGON 974p,2
(503) 6886018
COLD}'ELL BANTER
C/O Polly FaruerTo: Jerry & Cindy Howee
ttllts
10-08-90
Scrrctl't DIAIMAVEBS
Scpth & Dnln Cbmlng "f-,r"hcAr-
50
?AY I.A., ATOUN?tia TXlt COLUXi
Loo: 2407 N. 17th St.
Springfleld, OR
Septio ayateu inapeotion
BAI-ANCE FORWARD
a
urEgmrnure t-
$A?
t
!.ScantA.- qRAtN sAvERst t{ ' A '
*qfdHiln Gloenlns tsLl: h*---dl4
EUGB.IE OREGON gl4o? v v$'q,44v
(so3) 99&88:t .68S{Ot8 72&77in
v alft*drd
7Q,
F
ti'
II
i
!
I
I
Ii
II
I
t
I
I
t
and raturnad
5809 MUST b. rccomp.nt.d by
.)
,n13tfu1 TnankTou
(-
,
,l
2qo u
fADqrr
kffi+
.EO.I'
ory.OESCRIPTION PRICE AMOUNT
r D'sor-,l^ r a /:t)-*,Ar.-/I
* tl'ru^:tu iln I
?n/l n 4 t*,+ttot;.,h o I
I,L,I
b;tl,{A,-' : ffiL-1 ,.4 L*tr.,t'i ffi '1, )- ,,h/
hnLJL n ,-.__,tgL-/* "/ ;/b,-Vz
^O-.t^'rr+-/A ,X. ' fr- e,',J*-J-,\J-1 I
Il+t i.affi,"ry/;,r!,I
,.7*!-a l-AA-t -h I ;/J *r"0t-7*-,,;(/I(/
I
II
'a*tz f)I
4,t,-aAJ,s"t"*"-**,/ -ar,*r/t--t-ol--
n',*-d^ ,^,-l- n^e* \^ /I,TAX-
.Y al q7 ,)
I
I
I
t
i
I
I
I
lr-.'l: : .*:
ffi;,:,*-r;
I
l,ooo nlh rza<;.t ,r--i
t;-rt"*f
L :./,
4-
Alrr-r/zn1
/)*-cl.; -&
,/.,
". - ^-J-'..,\,ti4
--J)
Scnactt't DRAIN SAVERS
Septlc & Dnln Glcanln:zl4o Primrose St.
EUGENE, OREGON 974f/2
COLDS'ELL BAI{trER REALTY
T!42 T{ILLAGILLESPIE RD S7
EUGENB OR 974OL
ATT![: POLLY FARIIER'
Re Septio syateu inspeotion
Z4O7 N. 17th StreetSpringfield, OreBon
To whom it Eay oonoern,
As requeeted on 10-08-90, I inepeoted the aeptio syaten
located at the addreeg liated above.
The tank lid ig located on the outlet end of the tank, L6
feet eaet and 13 feet north of the southeast oorner of the houge.
The oapacity of the tank is 1r0OO gallona and it is made of
oonorete. Both bafflea are intaot and free flowing.
lile puuped the tank out aE ot, 10-11-90.
The drain field ahows no eiEne of failure above ground suoh
aa water eurfacing or exoeeeive vegetation growth. rt is
funotioning fine aa per water flow teat and an adequate air Epaoe
above the water level. in the tank.
Thig eeptic syatem is in fine operating order at the tine of
thiE inapeotion.
Thank your
Wlffi
lIaraus l{. Garter
BEDSEjITS DRAIN SAVERS
(503) 6885018
DEQLIC*36052
$rA rtrMEtr8*::!!'l
_DRAIN sAvERs
#[tif"um'"Btl5^"
(503) 688-6018
;#Ji*rni,'il,r"si:,
ATTN; MART KAY }IELLINGER
r
rERilS:
10-t 7_9o
4q* oEracx &o tEuit ttrh yQa itxlr&ct
00
f#,["*Y,il'ug{,{i
"flI8IX'
LASTTHIS,IN
PUI{PED 1,OOO gatton SEPTIC TAI,IK
BALANCE FORWARD
Loc; ?Ig! N 17th stSPRTNGFISI,O Oi
$rao
I
DATE
BALANCE
i
i
F.l .u\
- --.-rl.v-rr,\.=JrF.,
Seunett'a PRAIN SAVERS
Septic & Drain Cleanlng
2140 Primrose St.
EUGENE, OREGON 97402
(503) 998-1383 688-6018 726-7732
D
-ri 7
NAME
q )L+,) i
,,"^., I
c.o.D.
I
*^*71 oxeccrt.,lupsr.neTo.SOLD 8Y
",'ll'^
PAID OUT
OTY.DESCRIPTION PRICE AMOUNT
...ir.a,z!. /ddT s.,a I //ru */L,,,I
-""-l *,ttl.J "r-o'.fi. n 'l .o i.,--il-^, A-n-^l f
-a,
11i,t F --n-r.,*,; 'D,'{^ $,;, i I t,a )
, 'i* t"1('i .r*-{ x. /,oou n -ftt lr"
;i l1
{/l) x )'. o,- t./trt ooit i
I
I
t'i
t
/'tite . Ar I
t)t A.l i' r)i,? E (t' /** n fp I
I
I
I
I
I
I
TAX
REcErvEo "f), ,rt tv /\ Y), ,,TOTAL lr,o O0)
iI
Il
I
I
II
i
1
'i
I
I
!-
I
!
5799
Ail and returned
MUST be accompanied by ,n13"o?,i ThankTou
) ,.
't-
I
I
:
I
I
t
l-
tt
I
I
:. j,.:_.
I
,\
I
I
r---
I
I
I
I
i
I
I
I
, lggl
I
!r -l
I
I
I
I
IL.
aoo
tuu,
ct)ztUg
i
,
Prrrncnl Frcclvcd:
7-25_90
Uctnr lrucd:
l0-2-90
Uccnio Erplrrs:
l-\-L*=30, r99r J
I
t
;
I
I
I
Ie-rr-eo
oEonrcl.102 (7.90,
)
I)
)
t
t
conroriftmbcr 13ggg
,!
I.tcEhlsB
36052
il fupor orly
),I
Exlstlng Bulldlngs or
Improvements on
Property
El House
Ell Barn
fil Garage
EII lvlobile. Home
E Shed
SEPTIC INSTALLEDItl yes
l-l No
Water District
Please complete all lines inside white boxes, if possible.
ztPJur
Liccnsc I
7
1
v/-,<,7')
4LU
)
L/
OWNERS ztP
/t,c/.)
7al-p
E
o ''l
'Jo/ /
L_
,)y07.>
nol gma
nol 3lmc t3
?r{a t
o^r, //7 /, '
MAP, PARCEL NUMBER
(Found on tar mrp. ln lh. A.s3m.nf & Tuatlon OGpt,R+;r#,# i${J
Town3hip Brng. S@tion 1/4 Srction Trr Lot
I own3hlp Hango S*tton 1/4 Scction Trr Lot
rt Dlrections lo srleI fis6-gsu#fhousa
, I t ': - I- ,a ) a-<_
I
7\
u
71 r), )"14
SITE ADDRESS J4o'7 )r d
ztP
/'/
MAIL PERMIT TO:
ztP
rtc 5
Plax /1d;
For Moblle Home
Placement Only
No. ol Tip-outs
-
No. of Bedrms
License #-
Brand
Year
Size
Land Management Div. staff can
not be held responsible for
evaluatlons or recommendations
based on false, lnaccurate or
lncomplete lnformatlon
,k
it.
Z),t ]e-;1,€xrf,