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Home My WebLink AboutPermit Septic Tank 1988-03-17S/r< Uffi €c '-l'6 - Lane County Authori zattort for' SEPTIC TANK ]NSTALLATION FOR OFFICE USE ONLY ;li;:l"i'"", 667-E{ lJwiiSHIP l7 RA!.]GE 02 19. 3. 3 SECTION tarX LOT f lotrr oFtfrz S'-'BDIVISION/PARTI?ION (if applicablt LOTIPAi?.( [l BLOCK iFOPoSED USE OF PROPERTY l-il nes idential n tndustrral f e,-,ur:..Cc,nunerc ia1 I,OCATIO}J ADDRESS ('1't'YSTIi-EET ,2522 N. 31st St.Springfield 97 477 STRUCTUR.ES CURRENTLY ON PROPERTY EEEX Vacant Spr to 31st -(Mohawk Rd. to DIRIJCIIONS TO S]TU 31st, ) turn L Left si-de of Rd DiSCRIPTION OP PROPOSED WORK - 3I]Septic installat SPECIF1C r-on DECI,ARED S VALUE = OF BEDR.OOMS + OF STCRIES # OT EI',IPLOYEES LY Proposed Exis ti BECKMAN, Margie 422 S. 68th Pl., Springfield 97478 t ffiffi Fr5 -uld1E -AnEudldil n t S-AN 1'TELEPHONE NUMBER CCNTR.ACTOWISIjIB4E AND OSR #TELEPHONE NUMBER P.RTTIT To BE MAILED To (NAME AND ADDRESS)TL;LEPHONE NUMBER r IIAVE CAREFULLY EXAMTNED THE COMPLETED APPLTCATION PoR PBRMTT, arri Llo hr:re)l.,, certlfy thnt. aLI inf6rqnation hereon i,s true and correct, and that I 3-16-88 NAME (pleaselrin-)DATE Margie Beckman the interest theln ofowner recordfoLlowinglegalproperty C(,irr: f d rlcnaSe r zedU,J Iautnorj agent.f:rEhe rI certi that and work shal I donebefyanyperfomed fn dar,r..Lll i;r !Dance of Cow and Lawsthe ofty the ofState OregonthedescribedworkrnhereandNOthattortainingpewi1OCCUPANCYheoflnaie: ilctureai,')tirethout ofpemrssaon Bui.the ldi Di ron'rs In9 fur-rthe that tration theth lderBuicertifyre9r Board ln ferceful1 e ffectand re oRs 70 055 thatquiredby for ethebasisexemptrshereonnotedandghatildsubcontractorsarewhoanw1a nce ORSth 701onlyenployeecompli 11wt usedbe thison I HAVEproject.READ ANDTHISCHECKEDTHOROUGHLYAPPLICATION ".,.nftP-3FI ser.:rrerrou ' Ins tallation CO}OIENTS: DaLe: cL rear COMIIENTS a*24, Speci fications: an THEZATION Parti tion B. P. # CONDITIONS: Parcel Size i-ntertor rnstallation Record Issued? fl v"" I n" READ THIS SECTION I pmxtlruc,zzoNrNG: Mini-mlxn cor"$1ENTS ca11on Tank Lineal Feet of I)r'ai rrfie c",.ido nl a,/ // .4- f l4aximum Depth of Trenches 6; BY DeT ORS r))DATF ENT OF PUBLIC WORKS LAND MANAGEMENT DIVISION, 687-4061, 125 EASTSTH AVENUE, EUGENE, OREGON 97401 REVERSE FOR INSPECTION INF'ORMATION NTY cL4-25 R* r SETBi,Ci(S A:iD OTII:R CC:;DITIO:iS OF APPRO]/iL !1UST B!] STR]CTL':' CESER\.'ED. \:JOLATION C.\\ RJ]SULT IN REVO- C.ilIO:i OF TIiIS f:lRl.lIi, CIT;TIO:; Ur-D:R PROVISIO\S OF LA\E iJU::i'i'.1 INFR.\CTION OaDi:iAr..CI , nND,/OR oTl1ER REUEDiES ALI,OWED BY LAW, W}]E}i R'AD}''CR i:iSIICTION, CALL 681-4A6'. I'r !1II'I)1U]1 Oi;'i L';ST 21 I]OURS '\DVA::JE \OT1CE FOR INSPEC- -.i\ nF,:'Jt-.sT-l I::r r,I crV:::- ,li]_c rle tollorrag in:..artron.e:d!': .?rnit nrtmber, job a!.ldress, t;pe of inspectron, when i-t rvrll be ready, your name and phone xlnaer, and an-l'speciaf a.lrections to slte. BUILDING D1V]SION: R'Q{-IIR:) I:]SPECTICNS : l. Foundatio,l Lnsp:!!1in: To be made after trenchcs are excavated and forms erected and when aIl n;reil;fs ioi the fuundation are.lelivercd on the lob. iihere co.crete from a cenLral mixj-ng piant (comonly termed "transit nrxed") is to be used, naterials reed not be on the job. 2. Concreae Slab or Under-alcor InsDection: To be maie ai+-er aIl in-s1ab or under-floor building wi* eq-urpmmt, co:rrrt, prffiq;ressories, an.l other ancil-Iar-v equipnent itens are in place but beiore any concrete is poured or floor sheathing insta.l-l-ed, rncluding the subfloor. 3, Framing & Insulatim Inspections: To be made after the roof, all framing, fire blocking, and 6rualnq -re in p1ace aad a1I pipes, fireolaces, cnimneys, and vents are complete and all rough electrical and plumbing are approved. AIl wa.II ansuiation and vapor barrier are in place. 4. Lath and,/or Cypsum Board ]rapectlgn: To be made af'Ler a1l lathing and qypsun board, interior ma exrcribr, rs ilr place bu*- before any plastering is appl.i.ed and beiore gypsm board joj-nts and fast'eners are taped and finished. 5. FinaI Inspection: To be made after the building is complete and before occupancy. APPROVAL REQUIRED. llo work shatl be done on any part of:he builCing or structure beyond the point indicated in each successj-ve inspection withouL first obt3ining the approvaL of the building offacj.al Such approval shall be gi.ven cnl-y after an inspection shall have been made of each successive step in the construclion as indicated by each of the rnspecticns requireC. NOTE: AlI building permits require inspections for the work authorized, such as but not limited to: A. Block l{aLL: To be maCe after reinforcing is ia pLace, but before any qrout is poured. This InstActid is required for each bond beam pour. There nill be no approval until the plumbinq and electrical inspections have been made and approved. B. I.;ood.s+-ove: To be made after completion of masonr\' (if appLicable) and when installation i-s (:Meletn Installatron shall be in accordance with an approved, nataonally recognized testing aEency and the manufacturerts installation instructions, C. llobiIe Home: An inspection is reguired after the nobile hone is connected to an appxoved EewE?1i--eptic s1-stem ior setbacl,, requirements, blocking, footing connection, tiedouns, skirting, and plwbrng connections. 1. Footings and piers to compLy with State foundation requirements for mobile homes or as recomended by the manufacturerj 2. Mobile hone ninimum finish floor elevaLj-on shall be certified when requireri by a f)-ood- plain nanagement letter. 3. .\lobile home tiedowns, when required, and skirting shaLL be installed and ready fcr inspec- tion rithin at Ieast 30 days afLer occupancy. TieJowns and skirting sha1l be installed per enclosure. .-. D. Swiming P@1: Below grade when steel is in plre and before concrete is poured. Above grade alen pml-is instaf 1ed. APPROVED PLANS iIUST BE ON THE JOB SITE AT ALL T]MES DURING WORKING HOURS. TIiTS PER}IIT 9{TLL EXPIRE IF WORK DOES NOT BEGIN WITHIN I8O DAYS, OR IF WORK IS SUSPENDED OR ABANDONED !'OR T1ORE THAN lBO DAYS. SUSPENSION OR REVOCATION:.1AY OCCUR IF THIS PER}IIT IIAS ISSUND ON THE BAS1S OF,INCOMPLETE OR ERRONEOUS INFOruATI ON . ,- ANYONE PROCEED]NG PASi THE POII,]T OT REQUIRED INSP-ECTIONS, h'ILL DC SO AT TI]EIR OWN NISK. suBsuRFACE ,iNp l!'M!!lIlIq sEirAGE prsPosAL sYSrE}ls: 1. Permits shal1 be effective for one year from the cate of issuance. 2. Upon completing the construction for which a pernit has been rssued, the permit holder sha1l noErfy Lhe Lane Counly Department of Pl-anning and Ccmunity Development by submitting the irstallation record. forn. The DeparLment shall inspect the construction to determine if it- complies with the rules containeC in this Civision. If the construction does comply with such ruIes, the Depariment shal-f j.ssue a certificate of satisfactory completion to the permiti holder.- If-the constructio'n ,logs"not Liomply with sllch rules, thlE Departfient siraIl notify the pcrmit holder and shalL require satlsfactory completion before issurng the certifrcJte. Failure to meet Lhe requirements for satisfaclory completlon rathin a reasonable time constitutes a vio- larion of oRS {54.605 ro 454.?45 an.l'this ;irIe. Setbicks - Subsurfacc Seraqe DrsposaL septic Tank Drd infield I rom: lnterior propertl, Iircs i0' ]C' Eclge o: road rlllit-of-way t0' l0l Brriloriq iolnclatron L0' ilclls, other (aier sources 50' I00l ,*? I I(L:m.,CANCELLATION L^NO M^i^..€MF!t Orv.S& o'n.nrn.nr 6r Pubn. w,r!REFUND AUTHORIZATION PERMTT 6?. ,e o K,r'nsnw /7-oJ- lZ_,_tNAME (PLEASE PRIN ry JIADDRESS APPLICANT()owNER ( .)) REASON FOR CANCELLING PERMIT(OR APPLICATION) ooNTRACTOR( ){e / aln SIGNATURE FEES PAID FOB WASTE DISPOSAL SYSTEMS (SITE INSPECTIONS AND/OB APPLICATIONS TO INSTALL THE SEPTIC TANK AND DRAINFIELD) ARE ORDINARILY NONREFUNDABLE. SOME REFUNO MAY BE ON BUILDING, PLANNING,ORPLUMBING POBTIONSACCORDINGTOTHE AMOUNT OF THE PERMIT/APPLICOT'O* "*ocessEo. FEES PAID % REFUND -o/o _% _% _% -o/o _% _% 5Ow --:T' /OO "y"_% -o/o _% _% Flood Plain Fee Building Permit Fee Mobile Home Fee Plumbing Permit Fee Mechanical Fee Plan Check Fee State Surcharge Fee Land Use Application Planning Director Recording Fees Partitions Copies & Ordinances Surveyors Minus $25. for Processing Fee $ TOTAL AMOUNT TO BE REFUNDED $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ aO60 ----------Sd:- % % ds _% oo -25 ooLo SIGNATURE. TO DEPARTMENT OF FINANCE: Building Permit Refund State Surcharge Befund Septic Disposal Refund Site lnspection Refund Land Use Application Planning Director Recording Fees Partitions Copies & Ordinances Surveyors TOTAL AMOUNT BEFUNDED $ PLEASE MAKE CHECK PAYABLE TO: $_____ ___24 - 067 4 I Acct.4 2 1 20 I P r o g $____ ___24 - 0 67 4 I Acct. 421 23 I P r o g bd- ? 24-0427lAcct.42133lPr og 24 -0427 I Acct.42 1 34 I P r og 24 - 067 4 I Accl.4 6202 I P r og 020 020 244 240 020 24 -067 4 I 4cc1.46202 I Prog. 0 1 0 24-18701{cct.4621 1/Prog.1 1 0 24 - 067 4 I Acct.46202l Pro g .0 1 0 24-1 87 0l Accl.4441 9/Prog. 1 1 0 25-067 4l Acct.4445 1 /Prog.0 1 0 &E p p p p p p p p p p $ $ $ $ $ $ $ Recei Recei Recei Recei Recei Recei Recei Recei Recei Recei t# t# t# t# t# r# t# t# v-ci--d;;-' t#_____ _-, #z"A4U2Lzt -" NAME ADDRESS 41-7 {.7-.7.D/1, J,?r?-4 'izc V1"' - .r,zY: t 125 E. 8th Ave., Eugene, OR 97401 (509)687-4061 24d€7) 7/67ut2t) f€7 -LAND MANAGEMENT DIVISION I Public Worki"Department 1 *, st? 7 ->G/ T, /ao Septic Disposal Fee Site lnspection Fee DEQ Surcharge .U ( 6