HomeMy WebLinkAboutPermit Septic Tank 1989-5-8 (2)
) , -;o~
an' ounty Aut orlza on
SEPTIC INSPECTION FOR LOAN REVIEW
-
for:
FOR OFFICE USE ONLY
Application/
Permit #
//~-~
TOWl\SHIP
RANGE
SECTION
27
3.3
TAX LOT OOUT OF
?Q()(),
BLOCK
PROPOSED USE OF PROPERTY
[X] Residential 0 Industrial
o Commercial D Public,
17 03
S~BDivisION/PARTITION (if applicable)
LOT/PARCEL
LOCATION ADDRESS
STREET
CITY
ZIP
1390 Cottonwood Ave:
"'l\u\..'.uRES CURRENTLY ON PROPERTY
Sorinafield, OR
97477-7616
SFD: Ga,raae
DIREl..n,v1<" TO SITE
r.~n~~nn;al ~n Annerson ~e to Cottonwood
0~SCRIPTION OF PROPOSED WORK - BE SPECIFIC
DECLARED $ VALUE
= OF BEDROOMS
SEPTIC
II OF STORIES
INSPECTION FOR LOAN REVIEW
II OF EMPLOYEES WATER SUPPLY
=:J Proposed
I Existing
TELEPHONE NUMBER
O;,NER'S NAME AND ADDRESS
,l.a.m 0 ':' XI G.r.e. 0 "\
CONTRACTOR'S NAME AND OSR II
? Q.CI R
LLh.f-'h lULoY\11o
R11*]ona
Q'O a"7..a.c:lt:;-~
~11~_~l=l?l=l
..--=
TELEPHONE NUMBER
P:SR/oIIT TO BE MAILED TO (NAME AND ADDRESS)
.~~~rn0NE NUMBER.
.T::>mOQ XI
r-l'"OOY\
(LlF,f-'h Xlvo
,::>nnl'" ,
I HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION FOR PERMIT, and uo hereby certify that all infol~ation hereon is true and correct, and that I
have the following legal interest in the property: rJowner of record; 0 contract, purchaser; Oauthorized agent.
I f'.:.rther certify that any and all work performed ~ll be done in accordance with the Ordinances of Lane County and the Laws of the State of Oregon
pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without the permission of the Building Division. I fur-
ther certify that registration with the Builder's Board is in full force and effect as required by ORS 701.055, that if 'exempt the basis for exemption
is noted hereon, and that only subcontractors and employees who are in compliance with ORS 701.055 will be used on this project. I HAVE READ AND
CHECKED THIS APPLICATION THOROUGHLY. '. Q II.
JAMt$ A. b(l.F..E;J ~'F' ~ U 5/4/89
I NAME (please print) , SIGNATURE DATE
I
READ THIS SECTION CAREFULLY. YOUR AUTHORIZATION ~AS BEEN BASED ON THE FOLLOWING CONDITIONS!
[] PLANNING/ZONING:
Zone
Partition II
Parcel #
Parcel Size
Minimum Setbacks:
C
L, front
C 'd
L, S~ e
interior
rear
COMHENTS:
NO SPECIAL PLANNING ACTION REQUIRED.
Date:
5/4/89
fil
[] SANITATION:
S. 1. II
B. P. #
Installation Record Issued? 0 Yes 0 No
M.aximum Depth
of Trenches
/6) ,1M - ~~'rM- ~ ~ ;-1---
Date: ~ ~-?t C! ~
Gallon Lineal Feet
Tank of Drainfield
COlliIENTS,-~.!!--. ~_...; Sl)~ \: O~~
--ro-., Q' -J /I A.tJ ' /7_' /
~A ~~lj~~;,A --~
[] PLANSI1XAMINATI~ Type . - - - Group
Installation
Specifications:
Use
COllilENTS:
Date:
n
<Jt} ~~?_-__' /;=:-/'-/7
~~ APP~VED~ BUILDI~OFFICI~IGNEE (oer ORS 456.805(1)) DATE '
~COUNTY DEPARTMENlJ1F PUBLIC WORKS LAND MANAGEMENT DIVISION, 687-4061,
125 EAST 8TH AVENUE, EUGENE, OREGON 97401
SEE REVERSE FOR INSPECTION INFORMATION
C 14-25 R84-
"
e
.
e
SETBACKS A~D OTHER CO~DITIO~S OF APPROVAL MUST BE STRICTLY OBSERVED. VIOLATION CA~ RESULT IN REVO-
CA';'IO:-J OF TillS PERMIT, CITATIO:1 UNDER PROVISIO:-JS OF LA~E COU~TY' 5 INFRACTION ORDnANCE, AND/OR OTHER
REMEDIES ALLOWED BY LAW.
WHEN READY FOR INSPECTION, CALL 687--1065. A ~IINHIU)\ OF AT LEAST 2.J 1I0URS ADVAt,CE NOTICE FOR INSPEC-
TIO~ REQCESTS ~jUST BE GIVE~. Have the following information ready: permit number, job address, type
of inspection, when it will be ready, your name and phone number, and any special directions to site.
BUILDING DIVISION:
REQUIRED I~SPECTIO~S:
1. Foundation Inspection: TO be made after trenches are excavated and forms erected and when all
materials for the foundation are delivered on the job. Nhere concrete from a central mixing
plant (commonly termed "transit mixed") is to be used, materials need not be an the job.
2. Concrete Slab or Under-Floor Inspection: To be made after all in-slab or under-floor building
service equipment, condult, plping accessories, and other ancillary equipment items are in
place but before any concrete is poured or floor sheathing installed, including the subfloor.
3. Framinq & Insulation Inspections: To be made after the roof, all framing, fire blocking, and
bracing are in place and all pipes, fireplaces, chimneys, and vents are complete and all rough
electrical and plumbing are approved. All wall insulation and vapor barrier are in place.
4. Lath and/~ GVl?sum Board Inspection: To be made after all lathing and gypsum board, ;.nterior
ano-extcr~or, ~s ~n place but before any plastering is applied and before gypsum board joints
and fasteners are taped and finished.
5. Final Inspection: To be made after the building is complete and before occupancy.
APPROVAL REQUIRED. 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 official.
Such approval shall b~ given only after an inspection shall have been made of each successive step
in the construction as indicated by each of the inspections required.
NOTE: All building permits require inspections for the work authorized, such as but not limited to:
A. Block Wall: To be made after reinforcing is in place, but before any grout is poured. This
lnspection is required for each bond beam pour. There will be no approval until the plumbing
and electrical inspections have been made and approved.
B. wood Stove: To be made after completion of masonry (if applicable) and when installation is
complete. Installation shall be in accordance with an approved, nationally recognized testing
agency and the manufacturer's installation instructions.
c. Mobile Home: An inspection is required after the mobile home is connected to an approved
sewer or septic system for setback requirements, blocking, footing connection, tiedowns,
skirting, and plumbing connections.
1. Footings and piers to comply with State foundation requirements for mobile homes or as
recommended by the manufacturer.
2. Mobile home minimum finish floor elevation shall be certified when required by a flood-
plain management letter.
3. Mobile home 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 installed
per enclosure~
o. Swimmin9 Pool: Below grade when steel is in place and before concrete is poured~ Above grade
when pool-rs-installed.
APPROVED PLANS MUST BE ON THE JOB SITE AT ALL TIMES DURING WORKING HOURS. THIS PERMIT WILL EXPIRE
IF WORK DOES NOT BEGIN WITHIN 180 DAYS, OR IF WORK IS SUSPENDED OR ABANDONED FOR MORE THAN 180 DAYS.
SUSPENSION OR REVOCATION HAY OCCUR IF THIS PERMIT WAS ISSUED ON THE BASIS OF INCOMPLETE OR ERRONEOUS
INFORMATION.
ANYONE PROCEEDING PAST THE POINT or REQUIRED INSPECTIONS WILL DO SO AT THEIR OWN RISK.
SUBSURFACE AND ALTERNATIVE SEWAGE DISPOSAL SYSTEMS:
1. Permits shall be effective for one year from the date of issuance.
2. Upon completing the construction for which a permit has been issued, the permit holder shall
notify the Lane County Department of Planning and Community Development by submitting the
installation record form. The Department shall inspect the construction to determine if it
complies with the rules contained in this division. If the construction does comply with such
rules, the Department shall issue a certificate of satisfactory completion to the permit, holder.
If the construction does not comply with such rules, the Department shall notify the permit
holder and shall require satisfactory completion before issuing the certificate. Failure to
meet the requirements for satisfactory completion within a reasonable time constitutes a vio-
lation of ORS 454.605 to 454.745 and this rule.
Setbacks - Subsurface Sewaqe Disposal
From: Interior property lines
Edge of road rlqht-of-way
Building foundation
Wells. other water sources
Septic Tank
10 .
10'
5 .
50'
Drainfield
10'
10'
10'
100'
;11
I
"
~ot^ 0",)
(b~V> .tl:--
-
r-
,
I
~
)
-
- I
5fP1\c..'
o
~, '
~
" .
,.
~
e A-C (,(... 'f. AI-./))
..-
L PoJ\> $ cft~ED
~. 1
.'
)
" ,
\
\
Hove. ~ .
~ "~I 'i y'''''/
vvoo 9
~
~.--J
,P fr'lLO
S ') A...t.Lr--
-'------~j
.
~
)
-
"
e
q~--r~
-rn b~v(
lj,l>nJ.
J
..
#
Please complete all lines inside white boxes, if possible.
-\.
CITY
~
ZIP
Existing Buildings or
Improvements on
c:> - \..{ - ~q Property
UAI~ ~ House
S <..( 1- S ~ 2.. ~ c::J Barn ,-
I'HON~ O!'J Garage
q ,1{ 0 S ""31/-1' f c::J Mobile. Home
c::J Shed
SEPTIC INSTALLED
[:szJ Yes
DNo
Water District
~ AMS;;-
'tOUH NAM~
a-OO E l(lD'~
YOUH AUUH~:;:;
EuG5VE..
S(A
OWNER OF PROPERTY (il not same.. abov.)
slPr
A.
(;; (2.E&-J
MJ
( +fJ Me.)
(WO(l~ 1<.{l-S8'P
I'HON~
OWNERS ADDRESS (II not .ame .. above)
ZIP
:"~
#
MAP, PARCEL NUMBER
(Found on lex map. In the A.....m.nt . Texallon DepL)
,~2p t2j sf(? ~/~~~on l'EfO
~
Directions to site
from Courthouse
<:: EfJ'T&J 1-J l/t'L \ '-'
HNO€Jl\OrJ LAtJE..
-r-o ~.'t1'D,.J w ~ () 0
~l
CONIHACIUH
License "
....
Township Rang. Seclion 1/4 S.ction
Tax Lot
lown.nlp Hange Section 1/4 ~ecllon
lax Lot
"
I
SITE ADDRESS
I '"'2,q 0 C~TrONWO'D1) Pt\J.
~
<; P FCD ,
CJ"1/!7?- 7C::./~
ZIP
~
,
I
\q
MAIL PER~MI.T TO: J ~
_~5 ~~:2/'vt-/
NAM~ /. )'
-S'.&;v~ 4~.1 a~p..,J I ?/J~""~.-/4ddJu/~ .
AUUH~:;:; l ~ ~
For Mobile Home
Placement Only
Brand
Year
Size
No. of Tip-outs
No. of Bedrm<>
License #
CII Y
ZIP
"
I
No c:::Jq
" '.' No c::J
Land Management Dlv. staff can
not be held responsible for
evaluations or recommendations
based on false, Inaccurate or
Incomplete Informat/on
....
"
01'
~
~
- I
5 El>t\c....
o
o'^ovJ
~~~\~~
-; I ~
-
".
~
G ,1\-( Ii<- '-( po, fj) )
L f\,J p S' c.A-() ED
)
\
Huv\~
c...-v '" 'TO-/
VV'oO 9
~
~~
i
Pfr'P-O
S 'I F1-f -c r;--
~
e
-
qPL"'-<-
fO b~v(
l/j,I}-nJ.
I
.'
.
.,....
e
e
.
'0
~ r r
.
.
.
I
.
.
'1 " I
..
. .~
r ;1 . :'
.. .
.
,
.
'1 1
.
.
.
e.
i" ~
.
.
.
.
.
.
el' I'"
, .AI: ,
f:~PF:'1... I Cf.ii'-lT
I '~("il::' f:i"III\j"/"/
...1",''<.., ,...., ..,\, I
:", ..; "I i' l q r7" 'J') l~1 T I::' (:) ,,:; r:) oil H (;'.'
Ir I '{ ..J \.. .. r . I... \..n \.. (.n.
, \II'" <........" 'I' "'1"'1'" T ...., ..,
n " ::. ., .:, I" I', .. p 1.." .. ,., I::, <.., J.)
j i''t "," Y:,' ;/ 1 1 "
...... ..,I..,."
(:.) ! J N ]' ']" ':':' ','" (':0. : <, ","(''') '''' "1' i'" " :": Y.'ll )') r .:;' (: ,,:) I. 1:'1..1 j") 'N"l::' "z:" "X "") '::: ") c'
o. .. .. 1_' \,:'J) ..). ,. .;.,.. ::. ,.> II J:. .... ..r to,' ..}~. I J.. .,. ...J . " ...J .. .,." ,,:.. 1,..' .
bII')I')'I:,~ 'j7CG rrl"('''I''n~'llnr)n i~VI~ ~~~'J"~\""I~"J'~'1 T)
I' . ....1 l \. \..' \.. ... ~ N \.. _ .~. '-1 J on .\ oJ t.:" r I.. . I ..r . ;,.. ,.,..
SQ FT UNIT COST V~I...UATION FEE DA~\
T' 1"'1'" "i' ,... "1 \ I .: j" ....' ,",.... ,",,'" ]' .... ,...
).) .. '" .., I" '. I" ." t.. 1
. .., ...1 IJ 1 _1 I .. ... ~..' too. .
, ::. ...' '.. I~' '''z (;i ',) r'r ..... ']" n \.I'JI i"1 j)")
fllH) , J...l., ~ <..J I ,..Lt. '.... J..
...j.......!...N
1 ,.1....
..T ."...._ ..
J(l!"IES f."..,
',::, i"i-'l"O)' \i
I.. \........ . t}.
....I r ..; ,... .. ........ ..1'..'.... (' "7'" .. ..
.. ) ... :lr I {(:)..J .....~ f ..:'S ..:S :> I I.,. (,:) (.)
.,.1 E:'IJJ \':,: i I) I" ,.., )0' 1:'1::' i I ~;. i::' j:~ J7{ I) F;' '0'< ':.::
. ... . 1. ..... _..1 l i "_ ... I" r." .. .. 1.. . r t 1_
OWNER NME GREEN, JAM~S A.
"00, n '('I [:. ~ 1::'1::0 I 1,,1 ... ,~:. j" .... '1' n ",\ r i:~ \'1" j:,. '1' I:> ']" '[ I" lo.,l
,., .._ J..' I:.. 1"1 ,.., ~ U I I _, I " ,.." ,) ....... .., ." ".I I
.IF:'
\"'1".
.r.... ,"
.
r ..., '''jPl
I ~l J::.t'
.'."1'"
'.11"
BP
\
~
.
..'!...
'f"i'I':~ ("'1'",
...../
'\!'IOO' '1'" r" \ ..... I ,
,\!,,, .,j<,/ H("il h,
<''I J'I'" ,
:.~. I/o '1, .
FT . I.')Tr-~ :
"'I'" ..'.'1 / \1'1' ..',( I I...'......,
1,1 .., I" 1'1' :' .. .. I"
I ...1",.. .., "... ._' "f ... ... ...
I::'''i'
I . .,
F;' /:~ ]' i\! :
." 1"1.. . .
f'" 'Y'
t" ~
.
.':'i":j/
". ...
".
1".1'\
....j ", I ..'1.1..'..' ,: 1'"''''1'''
1_ '='1" I ,J.. \. -....
...z''1. ,,: I... ._' ". ... ...
I::' IIi
..1'.'11
1')1::'111'
1:.....)/:;
1'1"1
, , ,
..~: I i I-:~I
I..' _. .
SI "j' r-; T E: I~~ l3 i:~ C; I..i {.:j F.~ C; ::::.
I I.' /1 l ("." 0(.1.... /'1 t 1
...1...: I'\./.y (,) "j r';l I~ .1) I:~' Ii
... ":/.
60,.+)
.
.
.
r r 1
...'..'....r,
.,H I ..< '
\'I::'PIJ' ,
I" 1... ,,\.. .
T(~I<EN
.
I-.1"li'"
'''II'' -
~
,
r;~ (i
FP
'~'Ir ':':'
I.~ ..) I..'
<:"1'
10:'..
1::'f"I<'
.01 .
ClTH
. 'i' .:'1;:'1
. " I,} I.~.
p.....l
. ..) l
BI::l
roo ..,....
t::. I:~ t ....
.., i")' ..tOO I .... ']" 'I' "j' ' 1'" ....,...
L... ("100' ..,I:, ,,\... r-.i ,Jf:" 1 ::,
i) '...!" ... ;" '.' ,...
,).I::,,"'U.:,.i, I
1t ')1:
... '\"
hi.) i'JH
... \/ /. \ "
".
"; ~,:)
00, I'
L\
..:)
...
..:)
e
'I I
.
.
.... . . ...
,
e
e':'~'
.
.
i~ n
.'
'"
,-.,
..;~ -r. II
. .
. ..
.:.'
, ' ,
,"'"
.
nun
,
.
.
.
.
no ~
.
,
, \
.
,
.
.
.
,.
,
.
uuU
.
,)
.
jtl ~ \
.
.
,
.
.
.
- - -.-~~~- -:-,-,-:-.-.,:.-.- -.'-.---- :_"-..- -.-.:-:-...-.-.-:--..-.:...... -.-.- - -.'_._---
.
.0
. w: ~> U.)NE COUNTY DEt.PT ENV MGT I:~ECEIF'T :fl: 11 46El9 DATE 0~:>0489.
APPL I Ct~NT GF~EEN J. JAMES A.' ADDF~ 1 :59~) 'COTTONWOOD AVE.} SPFn NGF I ELD
TUl: 170:~27330'7900 Sl.mrnv LOT BLI< nD"
.~EW ElLDG TYPE USE 1:< BDr-~MS 0 UNITS 001 STOIUES :fl:BLDGS (')01 PHONE ::V~:5 5B28
" (JtmEI~ NME Gl~EEN) JAMES (.~. ADDR 1 :~90 'COTTONWOOD (.WE.) SPRI NGF I ELl) ·
CODE APPL NO ACTION DESCRIPTION SQ FT UNIT COST VALUATION FEE DAYS
.~l~~' '
B~ ..
il !Ba'
.p .
"ElF'
.:'1.. ::::F1X/BATH:
MECH
SlJF~
e:'CI<
LR LC 114689 SDSV
SWR: FT. WTR:
MECHANICAL FEE
STATE SUI:::CHA~(GE
'PLAN CHECK FEE
FT. RAIN:
F1'
60 . 0~)
.
liul
.
C,OIl/
.> fu
,')t::'u/
,;....1'11
.
~! '.
.:ATG ; (.~PP
, SEQU ; 1
TAI<EN BY BEl
.
.
.
f<A
I."'"
. .'
SDS
?
~.
S1
PCI<
OTH
ISS
3
DEPOSIT,**
10-
60.00 CK
EST. COMPLETION DATE
.
.
~uc
.