HomeMy WebLinkAboutPermit Septic Tank 1987-06-29Lane CountY Auth o ion for'
SEPTIC INSPECTION R LOAN REVI
'ICE USE ONLY
Applica
Permit *
19 .4.2
CTION
6200
TAX
0217
BLOCK
Residentiaf !Industrial
PubIic[-l ctrmmerciat
x
PROPOSED USE PROPERTY
f LOT,PAR(:ijL
ZIPCITY
24BB N. 37th St., S
STREET
i ngf i e'l d 97 477
SFD
5
37th-Rturn-lblok-b hs. on R - Caces cul-de-sac streetr. Rd rown
SCRIPTION OF PROPOSED WORK - BE SPECIPfC
INSPECT
ProposedExisti
!{AT'ER SUPPLYLOYEfSOFoFs
NUMBER
265
DE FORREST, B'il I & Charl ene
O;INERr S AND ADDR.ESS 687 51same as site
TELEPHONE NI]MBER
CONTRACTOR s lteup AND OSR #
THE COI4PLI]TED APPLICATIOII IiOR PERMIT, arrd,lo hrrebr certify thit all rnfomation hereon is true and correct' and that I
{r' 1*l* t 7
pertaining
ed
I TIAVE CAREFUI,LY EXAMINED
conf rart. prrrchaser; Iaulhorized aqentinterest in the ProPerty:owner of record;the following legal and the Laws of the State of Oregonwi th ti:tr lrdrttanceg of Lane Coutyperfomed shall be done in acuoldall';q
and that No oCCUPANCY will- be nade ofI f:rlher certify that any and all work of the Building Division. f fur-lii strilcture without tire pemj.ssionto the work described herein,if exempt the basis for exemptiffect es required by oRS 701.055' thatthat regisEration with the Builderr s Board is in fu11 force.lnd ether certifY project. I IIAVE READ ANDe with ORS 701..055 wil'1 be used on thisenployees who are in conplianc
/2, /
is noted hereon, ild that only subcontractors
CHECKED THIS APPTICATION THOROUGHLY.
READ THIS SECTION CAREFULLY 'YOUR AUTHORIZATION 1]AS BEEN BASED ON TIIE FOLLOWIN G CONDITIONS:
I pmNnruc/zoNrNG zone partition # Parcel #- Parcel Si"-
Mininum Setbacks, cL, fro"c-i nterior rear
cot'$lENTS S
"*{7Date:
I sellrterront
Installation
s. r. *B. P. #rnstallation Record rssued? [ v"" ! N"
caIlon Lineal Eeet
of Llr:ai-nf ie Id
Maximum Depth
of Trenches
Specifications:
-
Tank
Date
l-'l pr.eus EXAMINATION Group Use
Date
CO},I}IENTS:
6 -tt*;fF
tvlsloN, 6874061,iGNEE (DeT ORS 456
OF PUBLIC WORKS LAND MANAGEME NTD
EAST 8TH AVENUE, EUGENE, OREGON 97401
1
LANE COUNTY
SEE REVERSE FOR INSPECTION INF'ORMATION ct4-25 R*
ffour oFtcwlisHrp
u
SETBiTCKS AND oTIIER CC\DITIO]-S OF APPROVAL }IUST BE STRICTL! OBSERVED. VIOLATION CA:'] RDSULT IN REVO-
C;TIoN oF TIIIS PIR}IIT, CITAT1O:i UNDER PROVISIONS Oi. LANE.O.U):Ti.3 INERACTION ORDI}*ANCE, AND/OR OTHER
RE}IEDIES ALLOWED BY LAW.
HHEN RE.\DY FOR INSPECTION, CALL 687-1065. A :{IN*I}1U}1 OF AT IEAST 21 I]oUT,S ADVA},]CE x.oTICE FoR INSPEC-ffiEN:'l;vE_The-io]lowinginfornatlonready:Fermitnunber,jobaddreSS,typeof j'nsPection, when it will be ready, your name and phcne nunber,'and any special directions co site.
BUILDING DIVISION:
B!!!13:? 1\sPECrroNS:
1. Foundation_Inspdis: To be made after trenches are excavateal and forms erected and when a11naterrals for the tmneat.ion are felavered on Lhe lob. lrhere concrete from a central maxingPlant (comonly termed "transit mrxed") is to be uied, materials need not be on the job.
2' g::=_ s--1+_?+-u.9::.:!99f rnspection: ro be made af rer a1l in-s1ab or under-f loor burldingservlie equlpment, conoulL, prpiog accessories, and other ancillary equipment items are inpl.ace bur berore any concrere is poured or fLoor shearhlnq insrarL;d,'i;;i;ji";-;;; lritroo..
3' -g4lg e lnsuralion rnqpeglio{rs: To be made after the roof, all franing, fire blocking, andbracing are ln pJ-re ieFaTl-lIpes, fireplaces, chimneys, ancl vents are conprete and alr roughelectricar anci plumbing are approved. A11 wal-1 rnsula'tion and vapor barriei are in place.
4. Lalh and/or Grcsum Bcard inspection: To be made after all- Iathrng and qypsum board, jnteriorand eirerlor, -G-In-plrce-Eui-leTo?e any prasterinq ir "ppii.J"and before gypsm boarc jointsand fasteners are taped aod fj^nished.
5' Final rnspection: To be made after the building j-s conprete and before occupancy.
APpRovAr' REoUTRED' I'Jo work sha1l be done on any-part of the building o! structure beyond the pointindicated in each successj-ve iispection without rirst outainrot-lrrn'-ipp.orur of the building offacial.such approvar sh311 be giveo cnly after an inspection sharl haie ueen maee of each successirle stepin the consrruction as indicated by each of thi inspectio"i i.q"ii"i.
NorE: All building permits require inspections for the work authorized, such as but not 1j-mited to:A' Block l^lall-: To be made after reinforcing is in place, but before any grout is poured. ThisIn?EEcElin is required for each lo"J u..^ por.. There will be no approval untir the prumbingand electrical inspections have been rade ind approved.
wood stove: To be made after conpletion of masonry (if applicable) and when lnstarlation is.:@I-tq rnsralr-ation sharl be in ^ccordance ri.i u..p;;";;;; ".ti"n.rry recognized testingagency and the manufacturer,s installation instructions.
Mobile Hone: An lnspection is required after the nobile home is connected to an approved:iI;:':;.':i:';'ffii:U:3:"::;?3::."quirements' btockins, r""'i"q-;;;;;"tion, tiehowns,
1. Footings and piers a?.lgT-plyiwit.h stace foundation .uqur.e."^t" for mobile homes or asrecomended by the mariufabturer.
2 Mobile hone minimum finish floor erevation sharr be certi-fied when required by a frood-plain management Ietter.
B.
c.
3' luobj-re home taedowns.-when required, and skirt.ing sharr be instarled and ready for inspec-tj-on uithin at least lo days urtn. o."rpu..y. Tiedowns."a-.iiiti"q sharl be installedper enclosure.
D' ###.'i+i^,13]i3ol'"u" when steel is in place and before concrere is poured. Above srade
APPROVED PLANSIIUST BE oN THE JoB srTE AT ALr, TrMEs DURTNG woR(TNG HoURS. rHrS pERMTT wrLL ExprRErF wolK DOES NOT BEGrN wrrHrN 140 DAYS, on ir wo'nx rs suspENDED on aear{Doiino FoR }roRE TrrAN 180 DAys.:X::iffii?Xr:" REVocArroN rdqY occuR rF iurs pnn-rii was rssuED oN rHE BASia oF rNco!4pLErE oR ERRoNEous
ANYONE PROCEEDING PAST TIIE PO]I..'T OI REQUIRED INSPECTIONS WILL DO SO AT TIIEIR OWN RISK.
SUBSURFACE AND ALTEF.NATIVE SEI{AGE DISPOSAL SYSTEMS:
I. permits shall be effective for one year from the Cate of issuance.2' upon compreting the coistruct'ion for which a permit has been issued, the permit horder shalrnoEify Lhe Ldnc Count... Oe3i,.i"ir.t,"i*.;.;;;,,;;.;:,";fl.3:,::J:::":l:,i"i.::H:"i;l ::x:*:::l:,ri."::T:ii*! :l;r.compries with the rules containea'rn tnis ar"i.r"". rf the construction Joe, conpry with such' rules' the Department sha1l :ssue . ."riiti..iJ-If satrsractory completion to the permitr horderrf the constr;tti"" J""t-n"t comply with.r"i, iurJ., the Department sharr notify the permitholder and shall requlre satlsfici.ory ."*pi.ai"^.-t.fore issuing the certifrcate. Failure to' meet the requiremends for sa+-isracto.i .;.;r;;;;; rr"irin " reasonabLe tine constrtutes a vio-'larion of oRs .154.605 ro 4s4-7.1s ana inii ;;i;.-.
Setbacks _ Subsurfacc Sewage Disposal
Septic Tank
I0'
10'
50,
Drainfield
Interior oroperty IinesEdge of road rlgitt-of-way
Buildinq foundationiieIls, other water soutces
From:t0 '10,
10,
100 '
\\.r--
ad
t L ACTIVITY INFORIIIATION SHEETan€
ountU
Please complete all ltems above dotted line FILLING OUT * LINES WILL GET YOU INFORMATION ONLY
*DArE 6 rffi,-il
-
* [''^??r'J
REOUEST
ADDREss 34
rlt n ACTUAL
PROPERTP 7 I I/'t( n^roonrss J ,-/*q /). 374
CITY t"*
TELEPHONE
srxe(97, ztp'.!7 \O7cnv
Honq J-+? - -A;!]afi er-r p xolue
sror.S,L ^rQl!!)1t.o{.
5--o36r
*pnopeRTy ADDRES
OR
MAP & PARCEL NUMBER (round on tax maps in the Assessment & Taxation Dept.)
ff :Z
Towr$hlp Range on Tax lpt--
Townshlp Range Section Tax Lot
Township Range Section Tax Lot
TOTAL CONTIGUOUS PROPEBTY tN SAME oWNERSHtp: ACRES
*REQUESTlaascri be what you want to do)
a
IC
STAFF WILL DETERMINE
-
Zoned Flood Plain
Zoned Flood Plain
Zoned Flood Plain
L.A Z v1-/
4
Di ,to site Aons
l.Ll t /a"e
,rrrrrrrrrrrrraarartstaff use onlyttttraa.rr.rrr.aa.r.
Com ments:
Land Management Division, Public Works Deparlment 125E.8th Ave., Eugene, 0R 97401 phone 687"4061
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ACT}ITY INFORMATION^ SH EET
COMPLETE THIS SECTION. INCOMPLETE FORMS l.JILL BE REJECTED!6D
-I
PERSON MAK ING REQUEST P ROPERTY OWNER
I
i
a
MAILING ADDRESS MAILING ADDRESS
CITY STATE ZIP CODE CITY STATE ZIP CODE
ffiffi BUSINESS TELEPHONE #HOME TELEPHONE #
2 PROPERTY ADDRESS
( IF DIFFERENT F ESS
3 vlarr e PAFTeEL NIMBEn
( REQUTREp r NF0RI4ATr0N)
( from tax maps i n
or from tax stat
De t of Assessment and Taxation
TOilIISH]F RANGE m ZON I NG
TOINSH'TP MNGE
MNGE
ZONING
TOWNSJ"I{ P W ZON I NG
TOTAL CONT
4 SUBDTVTSToN ( i
5 REQUEST (s;tate
IGUOUS P Y IN SAME OWNERS P ACRES
f app able)LOT BLOCK
ctly what you plan to do)
6 DTRECTIONS TO SITE:
** FOR STAFF USE ONLY **
ZONE/LAND USE
r.4-33
LAND MANAGEMENT DIVISION / 125 E. Bth AVE., EUGENE, OR 97401 / 687-406I
SECTIOM"
SEETIOru W
I