The URL can be used to link to this page

Home My WebLink AboutPermit Septic Tank 1989-08-1606c lrZron6 fz-ZZ"/ Lane County Authori za,ttott for' SEPTIC SYSTEM VERIFICATIOT'I FOR OFFICE USE ONLY ffiApplicatiPermit *""bZ I\CWIiSHIP t7 02 RANGE i9.t4.2 SECTION 7500 TAX LOT Eour oE S.J.BDIVISION,/PARTITION (if applicable)LOTIPARCEL BLOCK PROPOSED USE OF PROPERTY fXlResidential [-l commercial [-l rndustrial Public 5552 yoLANDA AVE., spRINGFIELD, oREG0N !,OCATION ADDRESS CITY ztP EX I ST I NG S I NGLE FAI.1 I LY D\iJELL I NG, GARAGE STRUCTURES CURRENTLY ON PROPERTY TO SPRINGFIELDI TO HAYDEN BRIDGE ROAD TO YOLANDA AVENUE, TO SITE ABOVE DTEECT-IONS TO-ITE DiSCRIPTION OF PROPOSED WORK - BE SPECIFIC SEPTIC SYSTEM VERIFICATION FOR LOAN DECI"ARED S VALUE = OE BEDROOTTS t\l a f OF STORIES NA # OF EMPLOYEES NA Proposed ExisRA I NBOW ,LY OiINERTS NAME AND ADDRESS .IIINY HOPPFR, SAMF AS THE JOB ADDRESS ABOVE TELEPHONE NUMBER SAME CONTRACTOR'S NA}18 AND OSR # SAMF AS THE ABOVE TELEPHONE NUMBER SAME PIRI'IIT TO BE MAILED TO (NAIVIE AND ADDRESS) n- 7rtr?rprRcn-, 671 lvEsr cENTENNIAL,SPRINGFIELD, OREGON 97117 TELEPHONE NWBER 7 7 47 -3A54 I HAVE CAREFULLY EXN,IINED THE COI,IPLETED APPLICATION FOR PERMIT, arrd do hereby certify that all infomation hereon is true and correct, and that I have the foltowing legal, interest in the property,f]orr"t of recordi f,contract. purchaser;fiauthorized agent. I f:rther certi.fy that any and all work perfomed shall be done in accordance wiEh the ordinances of Iane cowty and the Lws of the State of Oregon to the work described herein, and that NO OCCUPANCy will" be made of any structure without the pemission of the Building Division. f fu- ther certify that registration with the Builderrs Board is in full force and effect as requj.red by ORS 701.055, that if exempt the basis for exempti arewho rn ance thwl 701-ORSlshereonnotedandthatildsubcontractorsonLycomplemployee THOROUGHLYAPPLICA?ION 0 tlR" ANDIL be ced on this project. I llAvE I seurrerrox, Specifications: _ Tank Date: I plens ON: COMI1ENTS: GalIonInstallation c0l..L}lENTS UseGrouD Date tr s. r. ll B. P. *flr"" flll" IZATION IIAS BEEN BASED ON THE T'OLLOWING CONDITIONS Partition #- Parcel *- Parcel ! si"" 4% - Iss fl pmuuruc,zzoNrNG: CO}4}1ENTS: Minimun Date: Installation inte Lineal Feet of nrainfield uaximun Depth of Trenches READ THIS SECTION CAREFULLY. Y L, S BU r ORS LANE COUNTY DEPARTME PUBLIC WORKS LAND MANAGEMENT DIVISION, 6874061, 125 8TH AVENUE, EUGENE, OREGON 97401 SEE REVERSE FOR INSPECTION INFORI'IATION ct4-2s R* SETBACKS AND OTIIER CONDITIOI]S OF APPROVAL MUST BE STRICTLY OBSERVED. VIOLATION CAN RESULT IN REVO. CNTION OF TI{IS PERI,IIT, CITATIO:J UNDER PROVISIONS Oi LANE COU)iTY'3 INFRACTION ORDINANCE, AND,/OR OTHER RE}IEDIES ALLOIdED BY LAW. WHEN READY FOR INSPECTION, CALL 687-{065. A MINI}1U}1 OF AT LEAST 21 IIOURS ADVAI{CE NOTICE FOR INSPEC- iLN-TEEf*TS-TISfEE-lVe s. rrav6lEe tollowing inf ormation ready I permi! nunber, job address, type of inspecEion, when.it wiIl, be ready, your name and phone nunber, and any special Circctions to si.te. BUILOING DIVISION: REQUIRED lN.SPECTIONS : I. Foundation Inspecti.on: To be made after trenches are excavated and forms erected and when alL ftaterials for the toundation are delivered on the job. lghere concrete from a central mj.xing plant (comonly termed "transit mixed") is to be used, materials need not be on the job. 2. Concrete SLab or Under-aloor Inspection: To be made after alI in-slab or under-floor buildj.ng sE?iiIre equrpmqt, <mault, prpingrressorfes, and other ancillary equipment it.ems are in place but before any concrete is poured or floor sheathing install-ed, including the subfLoor. 3. Franing & Insulation Inspections: To be made after the roof, aI1 framing, fire blocking, andbracing are in pl.ace and all pipes, fireplaces, chiinneys, and vents are conplete and alL roughelectrical and plumbing are approved. A11 walt ansulation and vapor barrier are j-n place. 4. Lath and/or Gypsum Board Inspection: Ao be made after all Iathing and qypsum board, interior -tilexfufu-_, u-FTrce-Eut EET6ie any prasteling j.s applied and befoie gypsm board joints and fasteners are Laped and fj-n.ished. 5. FinaL lnspection: To be made after the building is complete and before occupancy. APPROVAL REoUIRED. 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 buj,Lding offlcialSuch approval sha11 be given only after an inspection shaII have been maCe of each successive stepin the construcLion as indicaLed by each of the inspections requi.red. NOTE: a A11 buiLding oermits require inspections for the work authorized, such as buc not limited to: Block WalL: To be maCe after reinforcing is in place, but before any grout is poured. ThisinspecElm is required for each bond beam pour, There wilf be no approval until the plunbinq and eLectrical inspections have been made and approved. t'Iood Stove: To be made after conpletion of masonry (if applicable) and when rnstallation isffielete Instal.lation shaII be in accordance vith an approved, nationally recognized testingagency and the nanufacturerrs installalj-on rnstructions. c. l'lobi]e Home: An inspection is required after the mobile home is connected to an approvedwi--lEptic system for setback requirements, btocking, footing connection, ti.eilwns,skirt.ing, and plwbing connections. I. Footings and piers to comply with State foundation requirenents for mobile homes or asrecomended by the ninufactuler. 2. Mobile home minimum finish floor elevation shal1 be certified when required by a flood-plain managenenL let.ter. 3. Iobile hone tiedowns, when required, and skirting shall be installed and ready for inspec-tion within at least 30 days after occupancy. Tiedowns and skirting shall be installebper enclosure. D. swiminq PooI: Bel-ow grade when steel is in place and before concrete is poured. Above qradeuhen pool is jnstalLed. APPROVED PLANS MUST BE ON THE JOB SITE AT ALL TTMES DURING WORKING HOURS. TIIIS PERMIT WTLL EXPTREIF WORK DOES NOT BEGIN WIT}IIN 180 DAYS, OR IF I,IORK IS SUSPENDED OR ABANDONED FOR IIORE THAN 180 DAYS.SUSPENSION OR REVOCATION i,1AY OCCUR IF THIS PER!,IIT WAS ISSUED ON THE BASIS OF INCOMPLETE OR ERRONEOUS INFORM.qTION. ANYONE PROCEEDING PAST THE POINT OT REQUIRED INSPECTIONS WILL DO SO AT THEIR OWN RISK. SUBSURFACE AND ALTERNATIVE SEWAGE DISPOSAL SYSTEUS: 1. Permits shall be "*"at* t* o.,a V"* t* the Cate of issuance. 2. Upon completing the construction for which a permit has been issued, Lhe permit holder shalInotify the Lane County Department of Planning and Comunity Devel-opment by submitting theinstallation record form. fhe Departrent shall inspect the construction to deternine it itcompli.es with the ruLes contained in this division. ff the construction does comply uith suchrules, the Department shaLl issue a certificate of satisfactory complet.i.on to rhe p;rmitj holderIf the construction does not comp.ly vith such xules, the Depar-tment-shaIl notify tire pernitholder and shall require satisfactory completion before issuing the certj.ficat;. Fail,ure tomeet the requirements fo! satisfactory compLetion within a reasonable time constitutes a vio-lation of ORS 454.605 to 454.'745 and this ruIe. Setbacks - Subsurfacc Sewage Disposal Septic Tank Drainfield Interior property Iines Edge of road rrqht-of-way Bur Idj.ng foundation Hells, other water soulces From:l0l 10. 50' r0. t0 | 10' r00, Exlstlng Bulldlngs or lmprovements on Progerty tVt p1qu56 fJ.eurn dd cur"g" fJ^robile. Homer-l Shed. SEPTIC INSTALLEDtf YesI-r No Water District Please complete all lines inside white boxes, if possibte. nol rma PTIONE AP APOI,VNERS ADORESS (il not umc er ebovc) { fL^ 1 L- PHONE )v "ff{t- 3o ?y'1-sas-o Eilffi&-iFffir[ffiT-ilf- Tiiiri*i[- Tiil-gc- S;iffi- r7{EEiE-n- -fiiEi- Directions fo site t2 For Mobtle Home Placement Only No. of 1ip-outs - No. of Bedrms License #- Brand Year Size Land Management Div. staff can not be hetd responsible for evaluatlons or recommendations based on false, lnaccurate or lncompleto lnlormatlon IIffiJi- thc SITE ADDRESS JV z1P MAIL TO: I \ \ \, () € ,U t. ,4 \ \ ',' I"d -//a,/ ,8,/*,/,/ (> r,t,/ r,,/p/fr P,/P/''/ '(- / \/\ ,/\./ ./'..,/\ a'a to o a c ..t a I*{ tyP(+ o 1-t t \a a fur /L b { 4y, a 'x\ e Ctb .ro, \, ot% oa 'L*. "to \i) , 35ta 04aa/a'?rr s/r,tt,7L D' ZIEEEFIT 8' CCifPANY eir w. cENTENt\ilAL BLVD'-spntNGrtguo, oR 9747'1 aog-a47'go,ao ,,/" ,ra ;fr .,., .: /J: -- -.- . -.-: .. ._-.. 11' a \2 i ,rO o t :