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Home My WebLink AboutPermit Septic Tank 1988-12-29u SfR qG /A'rsD - Lane County Authori za,trott for' SEPTI C NSPFCTTON FOR LO RFV T FIJ FOR urr ICE USE ONLY Application,/, Permit # RANGE 02 3.1 SECTlON 19 TAX LOT 303 f]our oF:\3WI:SHI P L7 BLOCK PRCPOSED USE OF PROPERTY &-l nesidential [-l rndustrial Cornmercial PubIicS'JBDIVISION/PARTITION (if applicable)LOTIPARC:DL C]ITY 97477-1884 ZTP ,Y ON PROPERTY on N. STREET OR onon 274LN.33rd St. 3Ist Road; right on N. 33rd DECI,ARED S VALUEDESCRIPTION OF PROPOSED T,IORK - BE SPECIFIC SEPTIC INSPECTION FOR LOAN REVIEt^l PP Proposed Existi # OF STORIES # O!' EPIPLOYEIS= OF BEDROOI4S TELEPHONE NUMBER 747-2656 OitNER,S NAME AND ADDRESS Gregory Holt 2741 N. 33rd St. , Springfield, OR TELEPHONE NT'MBERCCNTRACTORS NAME AND OSR # TELEPHONE NUMBER (site address) FEffi-T TO BE EILEb TO (NAI4E AND ADDRESS) Gresorv Holt I HAVE CAREFULLY EXAMINED ?HE COMPLETED APPLICATION FOR PERI4IT, ar,d do hereliy certify that a1I inforratj.on hereon is true and correct, and that I have the foltowing legal interest in the property,frlor..t of record; f,cont.a,,t prrrchaser;!authorized agent. I f:rther certify that any and all work performed shall be done in accordance with thr: ordlr)ances of Lane Couty and the Iaws of the State of Oregon pertaining Co the work described herein, and that NO OCCUPANCY will be made of ani strrrcture withoul the pemi.ssion of the Building Division. I fur- ther cerlify that registration with the Builder's Board is in fu1l force and effect- as required by ORS 7O1.055, that if exempt the basis for exemPtion is noted hereon, and that only subcontractors ild enployees who are in compliance with ORS 7OI.055 wiu. be used on this project. I HAVE READ AND CHECKED TTITS APPLICA?ION TIIOROUGHI,Y. Gregory Holt READ THIS SECTION CAREFULLY. YOUR AUTHORIZATION qAS BEEN BASED ON THE FOLLOWING CONDITIONS: Date: rnstaltation Record rssued? f] Y"" I N" Date I puus COM}IENTS: Date sCOM.[lENTS UseON B. P. #SANITATION: s. r. f ParceI size front COM}lENTS interior rear Lineal Feet of tlrainfield l,laximum Depth of Trenches Installation Gallon Soecifications: Tank c .-L, SIdEMinimum Setbacks, "", zone Partj-tion # - Parcel # COUNTY DE SIGNEE r ORS 05 DATE OF PUBLIC WORKS LAND MANAGEMENT DIVISION, 687-4061, 8TH AVENUE, EUGENE, OREGON 974011 SEE REVERSE F'OR INSPECTION INF'ORMATION e.1L-)c Ptu- Springfield, I pnuHrNc/zoNrNG: Croun SETBACKS AND OTI{ER COi.OITIONS OF APPROVAL }1UST BE STRICTL)'oBSERVED. VIoLATIoN CAN RESULT IN REvo.CATION OF TIIIS PERMIT, CITATIO:,1 UNDER PT.OVISIONS OF LANB CoUr-TY'.1 INFRACTION ORDINANCE, AND,/OR OTHERREIIEDIES ALLOHED BY LAW. l'iHEN READY FoR INSPECTIoN, CALL 687-1065. A MINrllur oF AT LEAST 24 iloURS ADVAiiCE NoTrcE poR INspEC-@EN.Ha-'1hefoIlowinginfornationready:permitnumber,jobaddress,type of inspect.ion, when it uiII be ready, your name and phone number, anC an): special Ciiections to site. BUILDING DIVISION: REQUIRED INSPECTIONS: I. Foundation Inspection: To be made after trenches are excavated and forms erected and when aIImaterials for the foundation are delivered on the job. Hhere concrete from a central mj.xingplant (comonly terned "transj.L mixed'') is to be used, materials need not be on the job. 2. Concrete Slab or U!!el:i]ser In!!s!llen: To be made after atI in-slab or under-floor buj-IdingsElillZE-equipm*tl--Eona=Lrrt, pipinq;?Eessories, and other ancillary equipnent j.tems are inplace but before any concrete is poured or floor sheathing instatleC, intluainq the subfloor. 3. =lllilg & rnsula!.ion rns!Sq!!g!:: To be made after the roof, all framing, fire blocking, andbracing are in place ard all pipes, fireplaces, chimneys, and vents are complete and aIi roughelectrical and plunbing are approved. AII waLl insulation and vapor barrier are in place. 4. La!h and/or GyPsuT Bo?rd Inspection: To be made after all- Iathing and gypsun board, i.neerior and exterior, is in place but before any plasteri-ng is applied and beiore gypsw board jointsand fasteners are taped and fj-nished. 5. Final Inspection: To be made after the buildj.ng is complete and before occupancy. APPRoVAL REQUIRED. No work shall be done on any part of the building or stlucture beyond the pointindicated in each successive inspection without firsL obtaining the approval of the b;itdi.g oiticiaLsuch approval shall be given cnly after an inspection shaLL have been nace of each su""essri" st.pin the const.ruction as inC.icated by each of the inspecticns requireC. NOTE: A11 building Permits requj.re inspections for the uork auLhorized, such as buL not J-inited to: A. Block wal-l: To be nade after reinforcing is in place, but before any grout is poured. Thj.sinspectim is required for each bond bean pour. There witl be no approval untii lhe plumbingand electrical j-nspections have been made and approved. B' wood Stove: To be made after compLetion of masonry (if applicabl-e) and when installation iscompfete. Installation shaII be in accordance with an appiovea, nationally recognj.zed testj-ngagency and the manufacture!rs i.ostallatj-on instructions. red after the mobil"e home is connected to an equirements, blocking, footing connection, ti D I Mobile Hone; An inspection is requi sewer or septic system for setback rskirting, and pl-wbing connecLions. approved edowns, Footings and piers to conply with state foundation requirements for mobile hones or asrecomended by the nanufacturer. Mobile home min.imun finish floor elevatj.on shal1 be certified when required by a flood-plain management letter. t4obile home tiedowns, when requi.red, and skirtj.ng shalL be installed and ready for inspec-tion wilhin al l-east 30 days after occupancy. Tledowns and skirting shall be installedper enclosure. Slrimrng-Pgot: BeIow-grade when steel is in place and before concrete is poured. Above gradewhen pool ls rnsta.Lled. SUBSURFACE AND APPROVED PLANS MUST BE ON THE JOB SITE AT ALL TrMES DURING WORKING HOURS. TIIIS PERMIT VIfLL EXPIREIF !iORX DOES NOT BEGIN WITHIN 180 DAYS, OR IF I{ORK IS SUSPENDED OR ABANDONED FOR I''ORE THAN 180 DAYS. SUSPENSION OR REVOCATION MAY OCCUR IF THIS PERMIT WAS ISSUED ON THE BASIS OF INCOMPLETE OR ERRONEOUS INFORI.TATION. ANYONE PROCEEDING PAST THE POINT OT REOUIRED INSPECTIONS WILL DO SO A1 THEIR OWN RISK. ALTERNATIVE SEWAGE DISPOSAL SYSTEMS: Permits sha11 be effective for one year from the date of issuance. Upon completing lhe construction for Hhich a permit has been issued, the permit holder shallnotify the Lane County Department of Planning and Comunity Developmen! bi submitting theinstaLlation record form. The Departnent shall inspect the construction lo deternine it itcomPlies with the rules contained in lhis division. rf the construcLion does conply with suchrules, the Departmenl shall issue a certificate of satisfactory completion to !he-parniti hoLderIf the construction does not compLy with such rules, the Departlent-shal1 notify tire permitholder and shall require satisfactory completion before issuing the certificate. failure tomeet the requirements for satisfactory completion within a reasonable time constitutes a vio-lation of ORS 454.605 to 454.745 and thi-s rule. Setbacks - Subsurface Sewage Disposal Seotic Tank Drainfield From:Interior property ).ines Edge of road rrght-of-way Building foundatj.ontiells, other Hater sources l0' 10' 5' 50' IO' 10 t 10' 100 t /7-02 /7 3/ 3o3 I t I I I /r/," 7 ,n"r///) ES ement DM 25 e.Eu Please complete all lines inside white boxes, if possible.Exlstlng Bulldlngs or lmprovements on Property l--HOUSg E Barn E Garage E Mobile. HomeEl Shed SEPTIC INSTALLED 'r/a CITY ;l{o" ^ '< e-d-- ztP t OWNEA OF a3 EI Yes ENo Water OWNEBS nol samc !3 ztP UON I HACI OR Liccngc I Dlrections to site lrom Co MAP, PARCEL NUMBER (Found on tax mapr ln tha Aitc$mrnf & Tlrltion DGPL)*R#,,# *+1 ZONE OD Township Rang. Srctiotr t/a Scctioo T.r Lot Iown3hrp Hanga Sccttotr l/4 Scction T8r Lot /Y 3? SITE ADDFESS ./dlC zlP MAIL PERMIT TO:For Moblle Home Placement Only Brand /Year Size ztP No. of Tip-outs -No. of Bedrms License #- Land Management Div. stalf can not bs held responsibte lor evaluatlons or recommendations based on false, lnaccurate or lncomplete lnrormatton rilied EIYes ,, NoEIYes NoAllowed Use on f-- Ttr6E_-