HomeMy WebLinkAboutPermit Septic Tank 1987-1-27 (2)
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FOR OFFICE USE ONLY
Lane Count.y,Authorization
SEPTIC INSPECTION FOR LOAN REVIEW
for:
Appl~cation/ ")77 t)-
Perm~t II ~ -(
7
TOW"SHIP / r;
S~BDIVISION/PNRTITION
RANGE 0 -=)
(if applicable)
SEC:1~ J
3 13 Tc; r;cPl)T OF
LOT/PARCEL . BLOCK
PROPOSED USE OF PROPERTY
~8sidential 0 Industrial
o Commercial 0 Public.
LOCATION ADDRESS
WET
~OrTO IV" WOO))
ON PROPERTY
I
1- Vt9. \
CITY ZIP
S .p R ( ..A/(i:- PI C t-P
/39'3
STRUCTURES CURRENTLY
?F7)
DlRECTIONS--l'O SITE"
~
Af~ ~--'~. (P~~
w~SCRIPTION OF PROPOSED WORK - BE SPECIFIC
SEPTIC INSPECTION FOR LOAN REVIEW
DECLARED ~ VALUE
.
= OF BEDROOM.3
o;mr:-: fit IV ,ADD7Yl ct (j
CONTRACTOR'S NAME AND OSR # 0'
a(-1ow;~'/33 lJ};u-(rd~ f1J GJIL 9'lf7?
I HAVE CA LLY EXAMINED THE COMPLETED APPLICATION J:o"'OR PERMIT, and UO hcn.uy Ce~ifY that all information hereon is true and correct, and that I
have the following legal interest in the property: Downer of record; Dcontrat:t, pllrchaser;Dauthorized agent,
I f,,-rther certify that any and all work performed shall be done in accoLdance with the Ord1nances 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 arA}' structure without the pcnnission 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 arey;:,'n pliance with ORS 701.055 will be used on this project. I HAVE READ AND
CHECKED THIS APPLICATION THOROUGHLY.
4cc:n..l,O R H.~t-Iv- vJ ,).pI( ~/ 1- 7-7 - e 7
NAME '(please print) r r' SIGNATURE
# OF STORIES
I
# OF EMPLOYEES
WATER SUPPLY
y-lIo
o Proposed
-42r Existing
TEL~PHONt-NUMBER
-
P(!!j.T TO BE
MAILED
, ,
I TELEPHONE NUMBER
.1~6H:yJ~R?5
-
DATE
.
READ THIS SECTION CAREFULLY. YOUR AUTHORIZATION ~AS BEEN BASED ON THE FOLLOWING CONDITIONS!
[] PLANNING/ZONING:
Zone
Partition #
Parcel #
Parcel Size
Minimum Setbacks:
C
L, front
C 'd
L, S~ e
interior
rear
COMMENTS:
SEPTIC INSPECTION FOR LOAN REVIEW--NO SPECIAL PLANNING ACTION REOUIRED
/-.",:;. '9-r7
Date:
.@}
Ins talla tion Gallon
Specifications: Tank
COMJ.IENTS~ ~rf~
cl-4h, ~- fl
[] PLANS EXAMINATION: Type
Lineal Feet
of Drainfield
Record Issued? 0 Yes 0 No
Maximum Depth
of Trenches
D SANITATION:
S. 1. #
B. P. # Installation
So.S'. ~.~Af}_
-
~
Group Use
COMJ.lENTS:
Date:
n
l,
.
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-'PERMIT APPROVED BY'1!UI::~ OFFICIAL/DESIGNEE Coer ORS 456.805 (1)) DATlt
LANE COUNTY D~TMENT OF PUBLIC WORKS LAND MANAGEMENT DIVISION, 687-4061,
125 EAST 8TH AVENUE, EUGENE, OREGON 97401
SEE REVERSE FOR INSPECTION INFORMATION . ft~~
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SETBACKS A~D DTHER CO~DITIO~S OF APPROVAL MUST BE STRICTLY OBSERVED. VIOLATIO~ CA~ RESULT IN REVO.
CATIO~ OF THIS PERfIIT, CITATIO:1 UNDER PROVISIONS DF LA~E COU~TY'.5 INFRACTION ORDI~ANCE, AND/OR OTHER
REMEDIES ALLDWED BY LAW.
WHEN READY FOR INSPECTION, CALL 687.4065. A f1INHlU:'! OF AT LEAST 24 HOURS ADVAt,CE NOTICE FOR INSPEC'
TIO~ REQ~ESTS ~;UST BE GIVE~. Have the following information ready: permit number, job address, type
of inspection, when it will be ready, your name and phor.e nu~ber, 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. \vhere concrete from a central mixing
plant (commonly termed "transit mixed") is to be used, materials need not be on the job.
2. Concrete Slab or Under-Floor Inspection: TO be made after all in-slab or under-floor building
servi~e equipment, conduit, piping accessories, and other ancillary equipment items are in
place but before any concrete is poured or floor sheathing installed, including the subfloor.
3. Framing & 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/~ Gv~sum Board Inspection: To be made after all lathing and gypsum board, '.nterior
ana-extcr~or, ~s 1n 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. ~o 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
inspection 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 aD approved, nationally recognized testing
agency and the manufacturer1s 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.
D. Swimmins 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 ~lORE THAN 180 DAYS.
SUSPENSION OR REVOCATION 11AY 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 Co~munity Development by submitting the
installation record form. The Department shall inspect the construction to determine if it
complies with the rules contained in t~is division. If the construction does comply with such
rules, the Department shall issue a certificate of satisfactory .comp~etion to the permiti 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 Sewage Disposal
From: Interior property lines
Edge of road riqht-of-way
Building foundation
Wells. other ~ater sources
SePtic Tank
10 '
10'
5 '
50'
Drainfield
10'
10 .
10 '
100'
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F. M. N.
ACTION DESCRIPTION
COUNTY DEPT ENV MGT RECEIPT # 27787 DATE 012787
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L.OT BL.I<
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UNITS ()()1 STORIES #BL.DGS ()()1 PHONE 746 4060 '
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ACTIVITY INFORMA TION SHEET
LAND ""'''HAf''.f.....,. ron OIVI~IO"f
Oro-....I"...,...'...tP'.DtIr.v.A.....
Please complete all Items above dotted line
FILLING OUT * LINES WILL GET YOU INFORMATION ONLY
ACTUAL
PROPERTY r- '""""' "I
OWNER I' I rr
ADDRESS 1"2, S' 3 em I /0 nI (, 'Oee:!.
CITY ~P""N'tFlv/cf
TELEPHONE (BUSl .7uJ.1J 4 (!) (d)
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STATE "f(' ZIP P?c/77
(HOME)
Township
Range
Section
Tax Lot
Zoned
Flood Plain
Township
Range
Section
Tax Lot
Zoned
Flood Plain
TOTAL CONTIGUOUS PROPERTY IN SAME OWNERSHIP:
ACRES
* R E QUE S T (describe what you want to do)
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Directions to site C e Wr-l'A/ IJI 10
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Comments:
Land Management Division, Public Works Department 125 E. 8th Ave., Eugene, OR 97401 phone 687-4061
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RSUM R~AL PROP
ACCT: 232569 1985
INDEX: F MAP X ACCT EQ
ACCT STAT: OOPR,SADJ
,.,/ PFWP DEseR: 1'7. 0;::'; 27 33-06700
LEGAL: .,
ACCOUNT SUMMARY .
ASSE!3SMENT YEAR
~~l~n~-~cco Y~~ LE'
.::.". "'"I.::...:'I.::....)O::J r~H ,.~
10/29/86
11:53:58
COUNTY: L~INE
8E,
NAME ADDR: FRANCOIS JEAN M
F riANCO I S NANCY L
1393 COTTONWOOD AVE
SPRINGFIELD OR
97477
PROP
YRIA
PFWP
ADDR:
78
CLASS
YRLA 78
121 STAT CLASS'
ACRES CYCI_E
T f~UE CASH
9,450
36,960
LAST ACTIVITY
140
4 ZONE
ASSESSED
9,450
36,960
RATE ,-.c 4'-'
'::'-.1. .::.
1, 119. 74
1,179.74
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EXlvIPTS:
NET:
L RTS R(':') I QIIZIIZ!
LI,5., 4:l 0
'+6,410
08-07-86 CONTROL GROUP
LEVY CODE 19-03 TAX
TAX CERTIFIED:
AD W,)LOREM TAX:
SPECI AL ASSMTS:
1986 YEAR TAX:
TAX DUE 1986 YEAR:
TAX DUE PRIOR YEARS:
INTEREST AS OF 10-29-86
TOTAL BAU4NCE DUE:,
OLDEST DELINQUENT YEAR
'-'4
.::.
1903
LAND
I IVI PS
TIMBEI~
1,179.74
1,079. 71..
45,410 45,410
# 94220 1367004988
1,047.35
1986
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RIDTL REAL PROP' IMPROVEMENT ASSESSMENT DETAIL
ACCT: 232569 1986 ASSESSMENT YEAR COUNTY:
INDEX: FACeT EQ 20100232569 YRA LT 87 LEV X
ACCT STAT: OOPR,SADJ
VOUCHER TYPE REASON
MAP 17 03 27 33-06700 APPRAISAL DIST
YEAR: 1986 OOPR 36,960 NON-OOPR
LEVY: 19-03 OOPR 36,960 NON-OOPR
PROP CLS: 121 ACRES: 121.IZlel
HOMESTEAD NON HOMESTEAD QUAL ~
VALUE VALUE ADJ COMPL
36,960 0 0 10QI
10/29/86
11:54:26
LANI:
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o DATE INSP 10-27-77
o APPR # 819
ACTIVITY: 08-07-86
FOUNWALL ROOF ROOF
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SECOND FINISH FINISH UNFIN TOH~L GARAGE SPACE CARPORT TOTAL PARK
F':'L.OUR ATTIC BAC'ElvtT BASEMT FLO(JI~ A'T'T m:::T Ti"'M (-')T'T DFT SPACE AREA
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