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Home My WebLink AboutPermit Septic Tank 1987-06-02cs2.7 no{rlu n orLane CountY Aut SEPT}C INSPECTION FOR LOAN REVIEW Application,/ Permit # -ICE USE ONLY EP BLOCK PRCPOSED USE OF PROPERTY 't-#aes ide n ti a 1 [-l con,rnercial f]e"uri" I ndus tr ial LOTIPARCELS -'BDIVI f CITY sfH1fr SPECIFICDiSCRIPTI EVIEt,JSEPTIC INSPECTION FOR LOAN OF ED I'ATER SUPPLY Proposed is ti NUI,lBERAND ADDRESS NU}.,lBERNAME I HAVE CAREFULLY EXAI{INED THE COS'TPLETED APPLICATION !'OR pERMrT, arril do hereLy certify t-hat all informtion hereon is true and correct' and that I Iorru, of record; f cc,r,*ra .!: Irrrrchaser; !authortzed agent. shall be done in ducolrlait,,i ritl: ti:': ordlr)ancee of Lane Cowty and the Laws of the State of Oregon NO OCCUPANCY will b(. made ot 1r,.) srlricture without the pemission of the Building Division. I fur- Board is in fu1l force and effect as required by oRs 701.055, that if exempE the basis for exenPti empLoyees who are in conpliance with ORS 701.055 will be usedl on this project. I HAVE READ AI{D C-/- APPLICAAION THOROUGHLY the foLlowing legal interest in the property I f:rther certj,fy tshat any and all work Perfomed to the work described herein, and that ther certify that regisEration with the Builder's is noted hereon. and Ehat onLy subcontractors &d IRED Date: ves n Ho Date : COMT1ENTS: DaLe / G UseDPLANS EXAMINATION: SPECIAL PLANNING ACTION R c _-L, 5tde.cL. B. P. #s. r. # CO}'L\IENTS Installation Record Issued? COM}lENTS IZATION qAS BEEN BASED ON THE FOLLOWING CONDITIONS: interior Parcel *Parcel Si Lineal Feet of t)rainfield SANITATION: Installation Specificatsions Ga110n Tank SEPTIC INSPECTION FOR LOAN REVIEI,J NO Partj.tion *-fl pmrqnrnc,zzoNrNG: Minimum Setbacks: t4aximum Depth of Trenches READ THIS SECTION CAREFULLY. YOUR -2 BY BU LANE COUNTY OFFICIAL,/DESIGNEE (DET ORS 805 ENT OF PUBLIC WORKS LAND MANAGEMENT D]VISION, 687.4061, 125 EAST 8TH AVENUE, EUGENE, OREGON 97401 SEE REVERSE FOR INSPECTION INFORMATION cr4-25 Rtt& e n rear \ SETBITCKS AND OTIIER CONDITIONS OF APPROVAL }IUST BE STRICTLY OBSERVED' VIOLATION CAN RESULT IN REVO- CATIoN oF TIIIS PEB}l1T, CITAT]OT UNDSR PROVISIONS Oi LA\.E COU)i?YIS INFRACTION ORDI\ANCE, AND,/OR OTHER RE}IEDIES ALLOWED BY LAW. WHEN RE.\DY FOR INSPECTION, CALL 687-4065. A llINII1Uil OF AT LEAST 2.1 IIOURS ADVAIiCE NOTICE POR INSPEC- W!iJareje_ro11owinginformat1onready:Pernj'tnumber,jobaddre5s,typeof inspection, when it will be ready, your name and phone number, and any spec.ial diiections to site. BUILDING DIVISION: REoUIRED I\-SPECT;ONs : l. Foundation Inspection: To be made after trenches are excavated and forms erected and when aLlmffiTs foi--tIE--Eondation are delivered on the job. t.lhere concrete from a central mj.xingplaot (comonly termed "transit mixed") j.s to be used, materiaLs need not be on the job. 2. concrete sl-ab or under-iloor rn:pection: To be made after atI in-s1ab or under-fIoor buil,dingEEivl:-*q:;iFmmtl- conEEt, pipiig@ssorfes, and other ancillary equrpment items are inplace but beiore any concrete is poured or floor sheathj.ng installed, -.i-n-Luding the subfloor. 3. -3I}!S & Insula+on Inspections: To be made af ter the roof , all f raning, f ire blocking, andbreclng -re -nlIrce ma-iIl-ElFes, fireplaces, chinneys, and vents are ionplete and aIi roughelectrical and plumbing are approved. All walI insulation and vapor barriei are in place. 4- Lalh and/or G-vPsuT lgeIg Il!!S9!]!!: To be made after all larhing and qypsun board, interiorand exterlor, rs in place but Eef o'-ore any pLastering is applied ana Uetoii' gypsw board jo j.ntsand fasteners are taped and finj"shed. 5. Final InsPection: To be made after the building is complete and before occupancy. APPROVAL REOUTRED. No work shall be.done on any part of the building or structure beyond the pointindj.cated in each successive inspection wi.thout first obtaining the ipproval of the Uuitaing oifi.i.1Such aoprovaL shnll be given cnly after an inspectioir shaLl have been-made of each successiie stepin the construction as indicated by each of the inspecti.ons required. NOTE: AII buitding oermits require inspecLions for the vork authorized, such as but not limited to: A. Block l{all: To be maCe after reinforcing is in place, but before any grout is poured. ThisiIGlEctI6E is required for each bond beari pour, There will be no approval. untii the plumbincand electrical inspecLj.ons have been made and approved. B. tlood Stove: To be made after compl-etion of masonr!, (if applicable) and when installation isqplete- Installation shall be in accordance with an appiovea, natronally recognized tesLingagency and the manufacturer!s i.nsLallaLion insLructions. C. l'lobi1e Home: An insPection is required after the mobile home is connected to an approvedswrci-36ptic-system for setback lequirenents, blocking, footing connection, tiedowns,skirting, and plwbang connecti-ons. Footings and piers to comply with State foundation requj-rements for nobile homes or aslecomended by the manufacturer. Mobile hone minimum finish floor elevation sha.Ll- be certified when required by a flood-plain management letler. Ilobj"l-e home tiedowns, when required, and skirting shalI be installed and ready for inspec-t.ion wi.thin at Ieast 30 days after occupancy. Tiedowns and skirting shall be install,eiper enclosure. D. swiming PooI: Below grade when steel is in place and before concrete is poured. Above grade'/itr- e@l ls rastalled. APPROVED PINNS }IUST BE ON THE JOB SITE AT ALL TIMES DURING T.IORXING HOURS. THIS PERMTT WILL EXPIREIF h'ORK DOES NOT BEGIN WITHIN I8O DAYS, OR IF !^]ORK IS SUSPENDED OR ABANDONED POR IIORE THAN 180 DAYS.SUSPENSION OR REVOCATION I":AY OCCUR IF TTIIS PERMIT WAS ISSUED ON THE BASIS OF INCOMPLETE OR ERRONEOUSINFORMATION. ANYONE PROCEEDING PAST THE POIIiT OT REOUIRED INSPECTIOIJS TiILL DO SO AT TI,IElR OWN RISX. SUBSURPACE AND ALTERNATIVE SEI{AGE DISPOSAL SYSTEMS: I. Permits shall be effective for one year fron the Cate of issuance. 2. Upon completing the construction for which a permit has been issued, the permit hol.der shaIInotify Lhe Lane county Departmenc of PLanning and comunity DeveLopment by subnitting theinstal'lation record form. The DepartsenL shall inspect thl construction Lo determi.. if i,tcomP.lies uith the rules contained in lhis Civision. If the constructj.on does comply uith suchru1es, the Department shall issue a certificate of satisfactory completj-on to the'p;rmiti holderIf the construction does not comply with such ruIes, the Departnent-shaII notify tire permitholder and shall requrre satisfactory conpLetion before isiuing the certificate. Failure tomeet the !equi-rements for satisfactory completion wi.thin a reasonable time constitutes a vio-Lation of ORS 454.605 ro 45,1.745 and this ru1c. Setback. - Sub.urfJcc Seaalc Qljl)osaI I. 2. 3. Interior property Iines Edge of road ri.ght-of-way Buildinq foundation liells, other water sources SepLic Tank r0 | 10' 50' Drainfield l-rom t0l 101 t0| I00 | s \' /\$ an€ -Please complete all ltems above dotted llne TIVITY INFORMATION SHEET LAiO i^{fi, d. d orvr\,(hSpn.r,!l.n .r pr.t* sr.. FILLING OUT * LINES WILL GET YOU INFORMAT]ON ONLY *DATE 5 tz1 tTa_ *PERSON MAXING REOUEST ACTUAL PROPERTY)e,rir: R,\A^, Phml B Cnme OWNE AD A/L[P f2to CITY TELEPHONE (BUS)________________ HOME)_ TELEPHONE rreo@ zpfr37L 1 {cpnoPERTY ADDRES OR t NUMBER (FounO on tax maps in the Assessment & Taxation Dept.)m STAFF WILL DETERMINE _ Zoned Flood Plain Zoned Flood Plain Zoned Flood Plain Townshlp Section Tax Lot Townshlp Range Section Tax Lot Township Range Section Tax Lot TOTAL CONTIGUOUS PROPERTY !N SAME OWNERSHIP: ACRES *REQUESTlaescrlbe what you want to do 1,. fi,l Range Foe baxl Directions to site I s. al th s oN S. Star of Z ,r rf a rrrtrrrsrrrr.. r staff use onlytttrrrf rr ar.r rrau r n Com ments: Land Management Division, Public Works Department 125 E.8th Ave., Eugene, 0R 97401 phone 6974061 ,J iir MAP & S < ,4ifi4 -\\$ 1', \\&a 'rqIV s'+e fr$rrff.. & F,f,oJ {s, o .t- rop Clrr u/AtEzu $#n 1-!tp 1 II l, ( N6r-ri+ ,t l=r --.t**.|.*-