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Home My WebLink AboutPermit Septic Tank 1986-04-22&e^4-r?D'lI7 gHEcKEsinpn;Ptr.-ADDRES Lane County Authori zattort fon SEPTIC DISPOSAL SYSTEM INSPECTION FOR LN. R FOR OFFICE USE ONLY Application,/Pernit * 2 , e EL BLOCK PROPOSED USE OF PROPERTY [Tj nesidential ! rndustrial fle,.'uri"Commercial ION 7zfizCITYZLP ^6=SCRIPTION OF PROPOSED WORK - BE SPECIFICSep!ic system inspection DECI"ARED S VALUE OF t^/A SUPPLY Proposed isti .r * S NuMBER I IIAVE CAREFULLY EXAMINED THE COTIPLETED APPLICATION r-OR PERMIT, arrd rlo hereby c.rtify that all infomatiop hereon is true and correct, and that f rtaining co the work descrj.b€d herein, and that No OCCUPANCY will be made of arit' strrrcture without the pemission of the Buj.lding Divj.sion. f fur-ther certify that. registration with the Builderts Board is in fulL force and effect as required by oRS 701.055, that if exenpt the basis for exemptiis noted hereon, and that only subcontractors ad employees who are in compl.iance with ORS 701.055 will be used on this project. I HAVE READ AND CHECKED THTS APPLICATION THOROUGHLY. */,2/nffiNAI'{E f:rther the lowifoI INinteres E the of cont ral1e9aln9propertyrecord i autho!i zedIorn"t purchaser agentxIcertithatandta1workshaldonebeINOIthfyanydanr:e WI Ord!tranceEthe Laneof andperfomed Lawsthe theof ofStateCowty Oregon READ THIS SECTION CAREFULLY. YOUR AUTHORIZATION I]AS BEEN BASED ON THE POLLOWING CONDITIONS: Installation Record Issueil? ! x"" ! x" Date: DaLe Use COI'OIENTS Eate,L PLANNING ACTION REOUIRENO SPECI SANITAIION: S. I. *B. P. * I er,ans EXA],trNATroN: Type Tank re ar Parcel #Parcel size interaor caIIonInstallation fl pmuuruc,zzoNrNG: COI'I.YENtS: Lineal Feet of Drainfield uaximum Depth of Trenches Minimum Setbacks, C!, frorrt-cL, =id.- Zone Partition # FOR LN. RV. PURPOSES ONLY. /-22-rC APPROVED BY LANE COUNTY DATE ENT OF PUBLIC WORKS LAND MANAGEMENT DIVISION, 687.4061, 125 EAST 8TH AVENUE, EUGENE, OREGON 97401 Der ORS 55 5 SEE REVERSE FOR INSPECTION INI'ORMATION c14-.25 R84 /D,-fL u tr Specifications: SETBACKS AND OTI]ER CONDITIONS OF'APPROVAL MUST BE STRICTLY OBSERVED. \iIOLATION CAN RESULT IN REVO- CATION OF TUIS PERMIT, CITAT1O:i UNDsR PROVISIONS OF LAN-E COUNTY'.1 INFRACTION ORDIIiANCE, AND,/OR OTHER REIIEDIES ALLOWED BY LAW. WHEN READY FOR INSPECTION, CALL 587-1065. A ]'1INI}1U}1 CF'AT LEAST 2'1 I1OURS ADVAI':CE NOTICE FOR INSPEC- @gN.Ha-retirefo1Lowinginrornationready:permitnumber,jobaddres5,type of inspeccj-on, when it wrLl be ready, your name and Dhone nunber, and any special Cirections to sile- BUILDING DIVISION: REQUIRED INSPECTIONS: f. Foundatj.on Inspection: To be made after trenches are excavated and forms erected and shen alL r.aTEilils f6r i-ne tmdation are delivered on the job. !'Jhere concrete fron a cenlral nixing planE (comonly termed "transit mixed") is to be used, nat.erials need not be on the job. 2. Concrete SLab or tjnder-a1oor Inspectioni To be made after all in-sLab or under-floor building "q"lF.mt, rcnEui-t, piFinE ressories, and other ancj.llary equipment items are,in place but-beiole any concret- is poured or floor sheathing installed, including the subfloor. Framinq & InsulaLion InsPections: Sramq tre in place aad all PiPe 3 elect!icaL and plumbing are approved To be nade after the roof, all framing, fj.re blocking, and s, fj.replaces, chimneys, and vents are complete and aLL rough All wall- insulation anC vapor barrier are in place. To be made after all lathing and gypsum board, i.nterior any plastering is applied and before gypsu board jointssLath and/or Gvpsum Board Inspection: End-elEsl6ri-i-sin-pl-re-Eut-EeTore and fasteners are Laped and finished. 5. Final Inspection: To be made after the buil,ding is conplete and before occupancy. APPROVAL REeUIRED. 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 offlcial. Such approval shaIl be given only after an inspection shall have been made of each successive steP in the construction as indicated by each of the inspections requj.red. NOTE: A11 building permits require inspections for the work authorized, such as but not limited to: A. Block tiall: To be made after reinforcing is rn place, but before any grout is poured. This in-ilrcEi6fr is required f or each bond bean pour. There will be no approval until the plunbinq and electricaL inspections have been made and apProveC. B. tl,ood Stove: To be made after completion of masonry (if appLicable) and when installatsion is comelet4 Installation shall be in accordance with an approved, nationaLly recognized testing agency and the nanufacturer's instalLation instructions. C. Mobile Home: An inspection is required after the mobile home is connected to an apProved EEwE!-oi-GEptic system for setback lequirements, blocking, footing connection, tiedowns, skirting, and plwbing connections. I. Footings and piers to comply with State founCation requirements for mobil-e homes or as recomended by the manufacturer. 2. Mobile home minimun finish floor elevation shall be certifj.ed when required by a flood- plain management fetter. 3. Mobile hone tj.edowns, when required, and skirti.ng shall be installed and ready for insPec- tion uithln at Ieast 30 days after occupancy. Tiedowns and skirting shall be installed per enclosure. D. Swiminq pool: Below glade vhen steel is in place and before concrete i"s poured. Above grade rTEn- po6r -i=-ins ta 1 Iec . APPROVED PLANS MUST BE ON THE JOB SITE AT ALL TIMES DURTN.G WORKING HOURS. THIS PERMIT WTLL EXPIRE IF h'ORK DOES NOT BEGIN WITHIN 180 DAYS, OR IF WORK TS SUSPENDED OR ABANDONED FOR IIORE THAN I8O DAYS. SUSPENSION OR REVOCATION i.lAY OCCUR IE THIS PERMIT WAS ISSUED ON THE BAS1S OF INCOMPLETE OR ERRONEOUS INFORMATION. ANYONE PROCEEDING PAST THE POIi.'T OT REQUIRED INSPECTIONS IIILL DO SO AT THETR OWN RISK. SUBSURTACE AND ALTERNATIVE SEI{AGE DISPOSAL SYSTEMS: l. Permj.ts shall be effective for one year fron the Cate of issuance. 2. Upon compl-etj.ng the construction for which a permit has been issued, the permit holder shall nltify tire Lane County Departrent of Plannj.ng and Comunity Devel,opment by submitti'nq the installatj"on record form. The Departrent shal-1. inspect the construction to determine if it complies with the rules contained in this dj.vision. If the construction does comply with such rules, the DeparLment shall issue a certifi.cate of satisfactory completion to the permiti holder- lf the constrlction does not comply with such ruLes, the Departsent shal1 notify the permit holder and shalI require satisflctory completion before issuing the certifj.cate. Faj.lure to meet the requiremenis for satisfactory completion within a reasonable time constitutes a vio- laeion of ORS 454.605 to 454.145 and this rule. Setbacks - subsurface Sewage Disposal Septic Tank Drainfield Interior property lincs Edge oi road rlght-of-way Buj.lolnq foundation l.ieLLs, other water sources Faom:t-0 | 10, 50' 10' t.0 | 10' 1.00 | hne ccx.rnty A. |IVITY INFORMATI - N SHEET COMPLETE THIS SECTION. INCOMPLETE FORMS I^lILL BE REJECTED! 6r - I ' ;)wia;.Lut t/r,,/r PERSoN l4A'KING REQUEST ld ?,9 V',1ttA lpruf MAILING ADDRESS 5),r,,r, lr,l (|,i*. 'te ??yll-'lffrrY I m 7eo /!7 tffiHOME TELEPHONE #B 2 PROPERTY ADDRESS ( IF DIFFERENT F 3 ruae B PAFIEEL NLTMBEFI ( REQUTREp rNF0RI4ATr0N) 5t 5 REQUEST (:;tate exact'ly what you plan to do) i J-n r ,- i-- l-l A (li'ilr^ t fLf /,r,', l,/ rf/t,.,'' TPtropFRTrot^lNER 1138 l/rpa a,eut MAILING ADDRESS I S.l?,, ,l,l f (l'uap- f?yzZqlrY- -m 7zA,-797L HOME TELEPHONE # I E (from tax maps in Department of Assessment and Taxationor from tax statement) ZONING TOINSE'TP RANGE SEeTmN m ZON I NG TOilNSHTF RANGE SETTIOru W ZON I NG TOTAL CONTIGUOUS PROPERTY IN SAME OWNERSHIP:ACRES O ,rBr*rN (if appl icable)Ljr5 _BL0CK;- t) 6 DIRECTIONS TO SITE:ilnnu lo V rrr, ** FOR STAFF USE ONLY ** ZONE/LAND USE: BY r _ DATE :_ TIME I N,_ OUT :-- NUMBER DATE -{nlt1 -{ LAND MANAGEMENT DiVISION / 125 E. Bth AVE., LUGENE, OR 97401 / 687-406I D 11 (?, 4L/ C\ c, 7 ct\ TOWNSHIP RANGE SECTION TAX LOT(S) ON PARCEL # Vi, en aFu