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Home My WebLink AboutPermit Septic Tank 1986-05-09GC,r-r- EURAL ADDRESSING CHECKED MAY - 5 Lane County Authori za,ttot:. -for' SEPTIC nISP0SAI SYSTFM TNqp FnP L0{N REV FOR OFFICE USE ONLY E I,OT "*5 PROPOSED USE OF PROPERTY JTI nesidential f--l commercial l*l rndustrial I eruri" ZLP ON ru ? DECI,ARET-g VALUEo:scnrprrolr or rnoeosffi SEPTC INSPECTION FOR LOAN Proposed Existing I.iATER SUPPLYffi--T # or eupt-ovtrs/v// i : aF AFhDn^Mq *oF ?W)W<;NAME AND ADDRESS TELEPSONE NWBERt,)/ffi;ccurnesron' s ruelae euE-Effi-i,8 JZN fuz-:- './ I HAVE CAREFULLY EXAUINED THE COi4pLETED APPLICATION t'OR PERMIT, arrd ,lo hereby cettify that all infolfiation hereon is true and correct' md that I CHECKED THIS APPLICATION THOROUGHLY. 6 raut,,(o,nut shaLl be of recofd COIr rrrch rase authori zedt)agentthe1elni nteres t the Tfollowing9arproperty of Statethe olndonedan,rracco!thwf Ordrt lic ofDanceS Lane theand OregonIawsCostythataIandworkcerti,perfomedfyany dena of rrctstr w1LITE theLhout ml ossron Di.vlston fur-!nhere and NOthat wilIOCCUPANCY anl'pe Bui ldin9thedeworkscribed!hetortainingpe tiditnect,eff red 70 05 that e the forbastherhlderBuisfsBoardnforcerequra5byxemPt e xemPfulLrthethatrationcertifyre9ectREADHAVEANDrnancethel701oRswiIbeonth isusededwhoare Projhereonnotedandlhatsubcontractorsemployeecomplonly of Trenches Date r CO}4.TIENTS: Date ,_{. COt"ll'lENTS UseGrountrPLANS EXAMINATION: B. P. # Z READ THIS SECTION CAREFULLY I pnNtlrNc,zzoNrNG Zone Minimum Setbacks: col&\lENTS Date YOUR ZATION T{AS BEEN BASED ON THE FOLLOWING CONDITIONS: interi"or re ar Lineal Feet of ttrai.nf ie Idrnstallation GaIIon Soecifications: Tank &eN:sr:s,s. r. l{ cL, =id"-- rnstallation Record rssued? fl v.= [ "" Maximum Depth D5,|iri^h * Parce1 # Parcel Si NO SPECIAL c", fto. FOR LOAN REV I EI,J PURPOSES ONLY PLANNING ACTiON REQUIRED {-q -re PERMIT OFF SIGNEE (DCT ORS 455 OF PUBLIC WOHKS LAND MANAGEMENT DIVISION, 125 EAST 8TH AVENUE, EUGENE, OREGON 97401 SEE REVERSE FOR INSPECTION INFORMATION DATE 687-4061,LANE CO BY cl4-.25 R* izi'^ii i,."""/F/y'-F/ 1 T I SETBITCKS AND OTIIER CO\DITIONS OF APPROI,rAL MUST BE STRICTLY OBSERVED. VlOLATION CAN RESULT IN REVO- CNTION OF TI]IS PERMIT, CITATIO:I UND5R PROVISIONS O' LANE COUNTYI.] INFRACTION ORD]NANCE, ANO/OR OTHER REitIEIDIES ALLOT'IED BY LAtl. HI]EN RE.IDY FOR INSPECTION, CA:-L 68?-JT65. A !1INI}IU}1 OF AT LAAST 2.1 IIOURS ADVA!.::E'NOTICE FOR INSPEC- ffiellrlav6--EIe7oI]'owinginformationready:Permitnumber,jobaddres5,tyPe of inspecLion, when it wiIl be ready, your name and phonc nunber, and any special idirections to site. BUILDING DIVISION: REQUIRED INSPECTIONS: Foundation Inspectj.on: To be made after trenches materials for t.he foundation are delivered on the pLant (comonly termed "transit mixed") is to be u A. are excavated and forms erected and when a11 job. l{here concrete from a central mj.xing sed, materlals need not be on the job. 2. Concrete Slab or llnder-aloor InsDection: To be made after all in-slab or under-fLoor building E6i-vi:req u-ipnmtl--EEnZmlpiping-EZEdssoraes, and other ancillary equipment items are inpl,ace but before any concrete is poured or floor sheathing installed, including the subfloor. 3. Framing & Insulation Inspections: To be made after the roof, alt framing, fire blocking. andbracing are in place and aII pipes, fireplaces, chimneys, and vents ale complete and all rough elect!ical and plumbing are approved. A1I wall insulati.on and vapor barrie! are in place. 4. Lath and/or Gypsun Board Inspection: To be made a!ter all lathi-ng and gypsum board, i.nterior a-if,elfql6rl-E-Tn-pTrce-5trE-b--Itre any plastering i.s appl-ied and beto.e-gypsm board joints and fasteners are taped and finished. 5. FinaL lnspection: To be made after the building is conplete and before occupancy. APPRoVAL REQUIRED. No work shall be done on any part of the building or structure beyond the point indicated in each successive inspection wj.thout fj-rsr obtaining the approval of the building offici.al.such approval shal.l be giver cnly after an inspection shall have been nade of each successive stepin the construction as indicated by each of the inspections required. c A1l. building pernits require inspecLions for the uork authorized, such as but not limited to: Block I'IaIL: To be maCe after reinforcing j.s in place, but before any grout is poured. This i;s-prctIoi- is required for each bond beam pour. There will be no approval until che plmbinc and e.Lectrical inspectj-ons have been made and approved. i.lood Stove: To be made after comp]etlon of nasonry (if applicable) and when installation isMpleta Installation shall be in accordance uith an approvea, nationally recognized testingagency and the manufactureris installation instructions. Mobile Home: An inspection is requj-red afler the mobile home is connected to an approvedsewer or septic systen for setback requj-renents, blocking, footing connection, tiedowns,skirting, and plmbing connections. 1' Footings and piers to comply with state foundation requirements for mobile homes or asrecomended by the manufacturer. 2. yobile home minrmum finish floor elevatj.on shall be certified when required by a flood-plaln management Ietter. 3. MobiIe home tiedowns, when required, and skirting shalL be installed and ready for inspec-tj.on within at least 30 days after occupancy. Tiedowns and skj-rting shall be installeiper enclosure. syrimj.ng-P?oI: Below grade when steel is in place and before concrete is poured. Above gradewhen pool is installed. APPROVED PLANS MUS? BE ON THE JOB SITE AT ALL TIMES DURING !.IORKING HOURS. THIS PERMIT WILL EXPIREIT WORK DOES NOT BEGIN WITI]IN 1BO DAYS, OR IF WORK IS SUSPENDED OR ABANDONED FOR }IORE THAN I8O DAYS.SUSPENSION OR REVOCATION I4AY OCCUR IF THIS PERMIT WAS ISSUED ON THE BASIS OF INCOMPLE?E OR ERRONEOUS INFORMATION. ANYONE PROCEEDING PAST THE POIIiT OT REQUIRED INSPECTIONS WILL DO SO AT THEIR OWN RISK. SUBSURFACE AND ALTERNATIVE SEI{AGE DISPOSAL SYSTEMS: L Permj.ts shaLl be effective for one year from the Cate of issuance. 2. Upon completing the construction for which a pernit has been issued, the permit hol.der sha11notify the Lane County Departrent of Planning and Comunity Development by submitting theinstallation record forn. The Departnent shal1 inspect the construction Lo detemin; if itcompl'ies with the rules contained in Lhis division. If the construction does cohply uith suchrules, the Departrent shaLL issue a certificate of satisfactory completion to the-pirnit; holderIf the construct.ion does not comply with such rules, the Departtent shatl notify tire permitholder and shaLl require satisfactory completion before issuinq the certificat;. Failure tomeet the requi-lehenCs for satisfactory compLetion within a rcasonable time consLitutes a vio-lation of ORS 454.605 to 454.745 and this rule. Setbacks - Subsurface Sewage Disposal Septic Tank Drainfield D Interior property Iines Edge of road ri.ght-of-way Buj.ldinq foundation l,lelIs, other water sources From:10 | l0' 5, 50, I0 ' 10 | 10' 100 ' I ,I 7 tc h', ,1 \.. 3+ J$ N \ I -s \ \ , [g*:]I t l / t$l-).t r"e I-h=rt? Dr'"A ", iEt-tl )ll'l fi\lr' r t{ \ ,5 [-- 't rJ * 0,n''1 Fro hi f (rA ?,tt\ K,/ i-C:(} "t_ ift;k -l-J- t- T.7:rJ:J:t, ) Lt,i7; I I ) \-:t ) I LI I t -t ( \ t ln)r-.; t 14I {n:t-11 "rfi'a} r *:I-t7*l:7:11:t AC-IVITY INFORI\.'IATIOI" SHEET ilI'--COMPLETE THIS SECTION. INCOMPLETE FORMS I.lILL BE REJECTED! I !)ecnE)l s M Sa.---/'-TERSCIN-XmTN=r R E QU E s r se-q L)ot+ DvE PROPERTY OWNER /t/b l'1AILING ADDRESS MAILING ADDRESS c t I CITY STATE ZIP CODE ffi H E BUSINESS TELEPHONE #EOMTT-LEPHONE # 2 PROPERTY ADDRESS ( IF DIFFERENT PPOM-MATI]XG ADDRESS) 3 ruae g PAneEL NUMEIEFI (RE UIRED iNFORMATION) r' 17 TOWNSHIP o3 27,3,-3 //Ul o RANESEETM ffi ZON I NG MINSFTP RANGE SEI]MN T-AX LoT(S) 0R PARCEL #ZON I NG milNSErp mNcE sEeTmN ffi ZON I NG TOTAL CONTIGUOUS PROPERTY IN SAME OWNERSHIP:ACRES O ,rrr*ON (if appl icable)LOT BLOCT.. 5 REQUEST (s;tate exactly what you plan to do)5'DS 4?21 , 6 DIRECTIONS TO SITE 5 oye-fls.s L F c o tr n e4o ** FOR STAFF USE ONLY ** t4-33 LAND I'TANAGEMENT DIVISION / 125 E. Bth AVE. , EUGENE, OR 9740I / 687-406I (from tax maps in Department of Assessment and Taxation or from tax statement) ZONE/LAND USE..