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Home My WebLink AboutPermit Septic Tank 1984-08-07F C6l!'-- Lane Coun Authorization for'FOR OFFICE USE ONLY lElii:';'""'aail-fr' Two Copies of Plans Three Copies of Plot Plans Mech,/Plumbing Checklist Legal Interest Document PIan Check Info Sheet ?owN*sHIP ir 7 R'.NGE o -{77y',a-TAX LOT [--]OUT OFlEaV S-..]BDIVIS LOTIPARCEL BLOCK ztP PROPOSED USE OF PROPERTY Efueside-ntiat [-l rnaustrial I e,-,uri"rc ia1 DECI,ARED S VALUE SUPPLY ffi:r:$ TELEPHONE NUMBER 7ryrys1 APPLICATION THOROUGHLY NAME ccrtifv that aIl infomation nu..nu"..)dothori zed asen- tne oraiiG& of Lane cow HAVEI EXAMINEDCAREFULLY COMPLEAEDTHE FOR do rehe he fsreon andtrueby correct thatand I have tinteres theINlegaIfollowing r contract tIorr.property wi evidenceth of authori dattachetrtyIcef:rther !hat and workaL1 sha]be INdone w1accordance thrtifyanyperfomed and Lawsthe of lhe oftety OregontoworktheheredescribednandNOthatwiIlOCCUPANCYmadebeofstructurepertainingwfoutththetheDivfonofanypemr ssaon ur-Bui ldingtherthatthw1thecertifyregistrationBui lder 5 asBoard fullln andforce ffee a5ct 701ORS 055 that e forthebasisbyrequiredxempt e xempt 15 hereonnoted and that adsubcontractors who anare with 70oRs .0 wI55 be1Ionlyemployeescompliance onused th ect HAVEI ANDREADprol Date: Installation Record Issued? Maximw DepthSpecifications:of Trenches COIl}lENTS: I er,ens EXAMTNATToN: CO}4}lENTS: Date: YOUR z4 c"C L /G*,-callon -'( L- TyPe UseGroup. s. r. #B. P. # f- I xu" f]u" ZATION HAS BEEN BASED ON THE FOLLOWING CONDITTONS ! l'linimum Setbacks CO}OIENTS: Partiti-on #Parcel *ParceI Size READ TH]S SECTION CAREFULLY fl plaxurnc/zoNrNG: zone Lineal Feet of Drainfield TOTAL VALUATION $CONSTRUCTION AUTHORIZED BY THIS PERMIT AO Sq. Ft per ORS 4 NTY DEPARTM PUBLIC WORKS LAND MANAGEMENT DIVISION, 687 125 8TH AVENUE, EUGENE, OREGON 97401 Fixed Fee,/Unit Cost Floodplain Fee $ Subsurface Fees $ Building Eee $ llech/Plmbg Fee $ Prans Check Fee $ State Surcharge $ DEQ Surcharge S TOTAL FEE S$ SEE REVERSE FOR INSPECTION INFORMATION DATE c t4-zs -rls' #Lt I f-7-rg SETBACKS AND OTHER COND]TfONS OF APPROVAL MUST BE STRICTLY OBSERVED. VTOLATION CAN RESULT ]N REVO- CATION OF THIS PERMIT, CITATION UNDER PROVISIONS OF LANE COUNTY'S INFRACTION ORDINANCE, AND,/OR OTHER REMEDIES ALLOWED BY LAW. WHEN READY FOR INSPECTION CALL 687-4065, A MTNIMUM OF AT LEAST 24 HOURS ADVANCE NOTICE FOR INSPEC- T]S GI . Have the f-611owing informatlon ready: permit number, job addiessl typeof inspection, when it will be ready, your name and phone number, and any special directions to site. BUILDING DIVISION: REQUIRED INSPECT]ONS: 1 Poundation fnspection: To be made after trenches are excavated and forms erected and when aItr materials for the foundation are delivered on the job. Where concrete from a central mixing plant (commonly termed "transit mixed") is to be used, materials need not be on_the job. Concrete SIab or Under-Floor Tnspection: To be made after aII in-slab or under-f1oor building2 , condu.it, piservCCplace but before any conqfete i-ng accessories, and other ancillary equipment items are ins poured or floor sheathing installed, including the subfloor. p i 3. Framing & Insulation Inspection.s: To be made after the roof, all framingT f-ire blocking, and. 5aa-jng -reAn place and all prpes, fireplaces, chimneys, and vents are complete and all rough electrical and plumbing are approved. .A1I wall insulation and.vapor barrier are in pJ-ace. 4. Lath and,/or Gypsum Board Inspection: To be made after all lathing and gypsum board, i.nterior . and exteri-or;ls-fn place-Eut Sefor-e any plastering is applied and before.gypsum board joints. and fasteners are taped and finished. 5. Fina1 rnspection: To be made after the building is complete 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 without first obtaining the approval of the building official Such approval shall be given only after an inspection shalI have been made of each successive step in the construction as indicated by each of the inspections required. NOTE: AII building permits require inspections for the work authorized, such as but not limited to: A. Block WaIl: To be made after reinforcing is in place, but before any grout is poured. This I-nspectlEi- is required for each bond beam pour. There will be no approval until the plumbing and electrical inspections have been made and approved. B. Wood Stove: To be made after completion of masonry (if applicable) and when installation is complete. Installation shall be in accordance wj-th an approved, nationally recognized testing agency and the manufacturerrs installation instructions. C. Mobile Home: An inspecLion is required after the mobile home is connected to an approved sewer or septic system for setback requirements, blocking, footing connection, tiedowns, skirting, and plumbing connecti-ons. 1. Footings and piers to comply with State foundation requirements for mobile homes or as recommended by the manufacturer. 2. Mobi-le home minimum finish floor elevation shall be certified when required by a flood- plain management letter. 3. Mobile home tiedowns, when requj-red, and skirting shall be installed and ready for inspec- tion within at least 30 days after occupancy. Tiedowns and skirting shall be installed per enclosure. D Swimming PooI: wTen pool-as ins Below grade when steel is in place and before concrete is poured. Above grade ta11ed. APPROVED PLANS MUST BE ON THE JOB SITE AT ALL TIMES DURING WORKING HOURS. THIS PERMIT WILL EXPIRE rr woRK DoEs NoT BEGIN WTTHTN L80 DAYS, OR rF WORK rS SUSPENDED-oR ABANDONED FOR-MORE THAI& 180 DAYS- SUSPENSION OR REVOCAT]ON MAY OCCUR IF THIS PERMIT WAS ISSUED ON THE BASIS OF INCOMPLETE OR ERRONEOUS INFORI{ATION. - . ANYONE PROCEEDING PA,ST THE POINT OT REQUIRED ]NSPECTIONS WILL DO SO AT THE]R OWN RISK. SUBSURFACE AND ALTERNATIVE SEWAGE DISPOSAL SYSTEMS: Permits sha1l be effective for one year from the date of issuance. Upon completing the construction for which a pernit has been issuetl, the permit holder shall notify the Lane County Department of Ptanning and Community Development by submitti.ng the installation record form. The Department shal1 inspect the construction to determine if it compJ-ies with the rules contained in this division. If the construction does comply with such rules, the Departrent shall issue a certifj.cate of satisfactory completion to the permitiholder. If the construction does not comply with such rules, the Depart*ent shall'notify the permit holder and shall require satisfactory completion before issuing the certificate. Failure to meet the requirements for satisfactory completion within a reasonable time constitutes a vio- lation of ORS 454-605 to 454-745 and this ru1e. Setbacks - Subsurface Sewage Disposal Septic Tank 10r 10 t 5t 50' Drainfield I 2 Interior property lines Edge of road right-of-way Building foundation Wells, other water sources From:10r 10t r0t 100 r ACTIV1TY TNFORMATION SHEET GCOMPLETE THIS SECTION. INCOMPLTTE FORMS l,JILL IJE RtJL.CTI-DI I B 7Q6 -CI L=o BUSINESS TEIEPHONET B.l Beisot^l(I Z -t7JC OWNERa4o MAILING RESS C ltY HOME TELEPHONE #BUSINESS TELEPHO E # HOME P 5 IATE Z IP CODE(1 u 2 PROPERTY ADDRES ( IF DIFFERENT F S -? -1 "dn TELEPHONE # 2q?\41 6 ssment and Taxation 2oo ZONING TAX L (s) on pnRmr-7 ZONING ffi ZONING ACRES LOT BLOCK NUMBER DATE L A (RE UIRED I N FORI,IAT I ON ) TmNSE]F' RANGE SEETmN T-OWNSH.IF N.A_NGE sE.TIoN TOfiN.SH_TP MNGE SECTI_ON TOTAL CONTIGUOUS PROPERTY IN SAME OWNERSHIP: 4 SUBDIVISI0N (if applicabte) 3 rvlae a FAFIeEL NuMBEFT tate exactly what you plan to do) 6DI CTIONS TO SITE: ** FOR STAFF !!E ot'tLY ** BY:DATE TIME IN:OUT (from tax maps in Department of Aor from tax statement) n\ r? 6z t 1.1^7 OR 5 REQUEST (s $"n-H L{D ruli \ ) ( {7 aJ1 - LAND MANAGEMENT OIYISION /125 E. Bth AyE. .EUGENE, oR 97401 / 687_4061 hne ccuntY PERSON MAKING REQUEST-qq \I)[B]n \+ S Df 9Y t^7 ZONE/LAND USE: )It \ NsJ ,lh I /*f,rf&, ft"// 423' I)1( ( I I {r I -....i/-"-.--____ ,{' a 'r .i :r i:j i:r 'i ,i .+ .: ..i iii ii:r ! : I :... i::'i:;' ;.,i;i i:r +;i+ri i, ,il