HomeMy WebLinkAboutPermit Septic Tank 1986-05-09GL*7RURAL ADDRESSING
Cr.--:KED T1AY - 6
Lane County Authori za,ttort fon
SEPTIC DISPOSAL SYSTEM INSP. FOR LN. REV.
S JBDIV app
FOR OFFICE USE ONLY
Application/
Permit #
**"'3 ,7 'P{Z.Z
I,OTIPAF.C]EL BLOCK
PROPOSED USE OF PROPERTY
flnesidential l-l rndustriallA-LtF-I commercial I n,ruri"
2715 N. 20th St., Springfield 97477
I,CCATION ADDRESS ZIPSTRNETL]ITY
.*
follow to Yolanda - turn R on YolandaI I 05 to Mohawk off ra turn to I 9th
then L on N. 20th St.
DESCRIPTION OF PROPOSED WORK - BE SPECIFIC
Sentic insnection for'l n
DECI,ARED S VALUE
c iI,JATER SUPPLY
St
Pr oposed= OF BEDROOMS .-rJ # oF sroRrEz # OF EI"IPLOYEES
KING, Verral E. and v'i rgi ni a L.5l5l Solar Heights,
(/
Eugene 974
Oitl'lERrS NAME AND ADDRESS rEr,tpHoNEJ lruMsen
05 484 5t 5t
CONTRACTORIS NAME AND OSR #TELEPHONE NUMBER
TELEPHONE NUMBER
SIGNATURB ^-
to the work described herein, and that No oCCUPANCY will he nade of ani' st-ructure without the pemission of the Building Division. I fur-
ther certify that registration with the Builderrs Board is in full force anrl effecl as requixed by ORS 701.055, that if exempt the basis for exemp
F-r-/6
DATE
L,
CoMPLETED APPLICATION !'OR
in the propertrffiorn..
work perfomed/strai. Ue
HAVEI EXAMINEDCAREEULLY THE PERM IT dalr do tl althat an hereonfomation andt rueh c re lrl/correct thatand I
fo.the lowi tinteres conlra()r authori doflegaln9prrrchaserecord;agent
f:rtherI rtice thal and all INdone w1accordanqe theth ofOrdinances Lane theand ofLaws Stathe ote OrefyanyCouty 90n
ance with ORS 701.055 will be used on this project. I HAVE READ ANDis noted hereon, and that only subcontractors md employees who are in
CHECKED THIS APPLICATION THOROUGHIY.
READ THIS SECTION CAREFULLY. YOUR AUTHORIZATION IIAS BEEN BASED ON THE FOLLOWING CONDITIONS:
Yes
CO}4}IENTS:
Dale
Da
'ffi*I Usetr
C L,s ide
I seurtetrou: s. r. *B. P. #
NO SPECiAL PLANNING ACTION REQUIRED.
re ari-nterior
Parcel Size
Install-ation Record Issued?
Date:5-6-86
COTO1ENTS:
I pmNNrxc,zZoNrNG:
Installation Gallon
sDecifications: Tank
Lineal Eeet
of l)r:ainfie ld
Minimum Setbacks, CL, frort-
Maximum Depth
of Trenches
FOR LN. REV. PURPOSES ONLY.
Zone partition f parcel #
<1 ), x/?L*- ?s-7/-Ynutr eppnoveo Bf=urLDrlc@crer,,zonsrcNee (Der oRS 456.805 (1) )
LANE COUNTY DEpfTtMENT OF pUBLtC WORKS LAND MA
DATE
NAGEMENT DIVISION, 687.4061,
125 EASTSTH AVENUE, EUGENE, OREGON 97401
SEE REVERSE FOR INSPECTION INI'ORMATION C1lL.,2\ RF/L
fs
T
T
SETBiICKS ANO OT:]ER CO\.DIT1O\"S OF APPROVAL ]iIUST BE STRICTLY OBSERVED. VIOLATION CAN RESULT IN REVO-
C;TION OF TIlIS fERMIT, CITATIO)J UNDSR PROVISIONS OF LANE COU):TY'; INFRACTION ORDitr-ANCE, AND,/OR OTHER
REIIEDIES ALLO!^/ED BY LAI4.
I,iHEN READY F3R INSP:CTION, CALL 681-4A65. A }1INII1U}i OF AT L;AST 21 IIOURS ADVAIiCE NOTICE FOR INSPEC-
TioS REOUESTS ilUST utr cIVEN.-ll;r*Ee f olLowrng inf ormatron ready: permit number, job address, type
of inspection, when it uilt be ready, your name and phone numbet, and any special- Cirections to site.
BUILDING DIVISION:
REoUIRED Ir'SPECTIONS :
Foundati-on Inspection :
nateri.als for the founda
To be made after tlenches are excavated and forms erected and when all
.ti-on are delivered on lhe job. t'Ihere concrete from a central nj.xing
plant (comonly termed "cransit mrxed") is to be used, materials need not be on the job.
Concrete Slab or Under-aloor InsDection: To be made after aI1 in-slab or under-floor building
EEivlle ecurpmmt, ono[lT, pipi;? ressorres, and other ancillary equipment items axe in
place but before any conclete is poured or floor sheathing rnsta.lled, includtng the subfloo!.
Framing & InsuLalion Inspections: To be made after the roof, all framing, fire blocking, and
Erclnq irE-lnEEre ila-ff-FiFes, f irepLaces, chimneys, and vents are complete and all rough
electrical and plumbing are approved. AfI wall insulation and vapor barrier are in Pl,ace.
Larh dnd,/or Gvpsun Board Inspection:
and cxrcrror, is in place buE before
To be made after all Iathing and qypsum board, i.nterior
any plastering 1s applied and before gypsm board joj-nts
and fasteners are taped and f.inished.
5. Final rnspection: To be made after the building j"s complete and before occupancy.
APPROVAL REQUfRED. No work shall be done on any part of the building or structure beyond the point
indicated in each successive inspection without flrst obtainrng the approval of the building offrcial.
Such approval shall- be given cnly after an inspectj-on shall have been maCe of each successive step
in Lhe construction as indicated by each of the inspections required.
NOIO: AlI building permlts require inspeclions for lhe Hork authorized, such as bul not limited to.
A. Block t,lall: To be maCe after reinforcing is in p1ace, but before any grout is poured. Thas
inE!6cil6f, is required for each bond beam pour. There will be no approval untj-l Lhe plumbing
aod electrical inspections have been made and approved.
B. h,ood Stove: To be made after completion of masonry (if appLicable) and when install-ation is
com_pfeta Installation shalL be in accordance with an approved, nationally recognized testing
agency and the manufacturerrs instal]ation instructions.
C. llobile Home: An inspection is required after the mobile home is connected to an approved
ilrcreptic system for setback requirements, blocking, footing connectj,on, tiedovns,
ski!tinq, and pLwbing connections.
1. Footings and piers to conply with State foundation requirements for mobile homes or as
recomended by the manufacturer.
2. Mobile home minamum finish ftoor elevation sha1l be certified when required by a flood-
plain management letter.
3. MobiLe home tiedowns, when requ.i-red, and skirting shalL be installed and ready for inspec-
tion within at leasL 30 days after occupancy. Tredowns and ski!ting shal1 be instal-led
Per enclosure.
D. Swiming pool: Below grade when steel is in place and before concrete is poured. Above grade
anm poo-t -i=-i nstalIeC.
APPROVED PLANS MUST BE ON THE JOB SITE AT ALL TIMES DURIN.G WORKfNG HOURS. THIS PERMIT I^]ILL EXPIRE
IF WORK DOES NOT BEGIN WITHIN IBO DAYS, OR IF WORK IS SUSPENDED OR ABANDONED FOR }1ORE THAN I8O DAYS.
SUSPENSION OR REVOCATION IJ.AY OCCUR IF THIS PERMIT WAS ISSUED ON THE BASIS OF INCOMPLETE OR ERRONEOUS
TNFORMATION.
ANYONE PROCEEDING PAST THE POII.]T OT REQUIRED INSPECTIONS WILL DO SO AT THEIR OWN RISK.
SUBSURFACE AND ALTERNATIVE SEI\,AGE DISPOSAL SYSTEUS:
1. Permits shall be effective for one year from the date of issuance.
2. Upon completing the construction for which a permit has been issued, Lhe pernit holder shalI
notify the Lane County Departient of Planning and Comunity Developnent by submitting the
rnstallation record form. The Department shal.1 inspect the construction to determine if it
compli.es with the rules contained in this division. If the construction does comply with such
ruIes, lhe Department shall issue a certificate of satisfactory completion to the permi.ti holder
If the construction does not comply with such ru1es, the Department shall notify the permj.t
hoLder and shalJ- require satisfactory compfetion before issui.ng the certificate. Failure to
meet the requj.rements for satisfactory completion aithin a reasonable time constitutes a vio-
lation of oRs 454.605 to 454.745 and this rulc.
Setbacks - Subsurface Sewage Disposal
SePti-c Tank Drai'nfield
Interj.or prope!ty lines
Edge of road right-of-way
Building foundation
Hells, other Hater sources
10
10
5
50
l'ron:10,
10 |
10'
100 |
1
-tACTI\ IITY INFORI\{ATION SHEET
COI'IPITTT THIS SECTION. IruCdM-PITTE FORMS WILL BE REJECTED!
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ffi EOME-TETEPHONE #BUSINESS TELE tr
2 PROPERTY ADDRESS 27IEI ?.>t 7?
( IF DIFFERENT F
3 :vrae e FAFIeEL NIJMSIEEI
( REQU I REp I NFoRI4AT I0N )
(from tax maps in Department of Assessment and Taxation
or from tax statement)
TOIilNSH]F RANGE smTTO_N ffi
ftIN"SFTP R-;ANGE SEeTI-olt Tax L0T(s) 0R P EL#ZON ING
m[NSF]p RANGE sm116N ffi ZON I NG
TOTAL CONTIGUOUS PROPERTY IN SAME OWNERSHIP:ACRES
4 SUBDIVISI0N (if applicable),a)LgT I 7 BL0CK
5 REQUEST (s;tate exactly what you plan to do);A
LA ?/5
C C
6 DIRECTIONS TO SITE:D t,/q.h --.lt-
L -/jt-c,t A),2o.lq aD,,L
** FOR STAFF USE ONLY
ZONE/LAND USE:
L4-33
LAND MANAGEMENT DIVISION / 125 E. Bth AVE., EUGENE, OR 9740I / 687-406I
'/91- , / 5/ffi
ZON I NG
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