HomeMy WebLinkAboutPermit Septic Tank 1988-8-10
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Lane County Authorization
SEPTIC INSPECTION FOR LOAN REVIEW
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e
for:
JiiJ ~o
FOR OFFICE USE ONLY
Appl~cation/ ~~ 0,/ Lr7
Perm1t # ~~I ~/
roW:,SHIP
RANGE
SECTION
TAX LOT
DOUT OF
PROPOSED USE OF PROPERTY
~Residential D Industrial
o Commercial 0 Public,
17
03
27.3.3 6500
S~BDIVISION/PARTITION (if applicable)
I~T/PAP.CE~ BLOCK
LOCATION ADDRESS
STREET
CI','Y
ZIP
1455 Cottonwoodt S~ringfield, Oregon
STRUCTURES CURRENTLY ON PROPERTY
Existin~ sin&le family dwelling
, DIRE'-LLv,'" TO SITE
Cobuig Road to Centennial Road to Aspen to Cottonwood
wSSCRIPTION OF PROPOSED WORK - BE SPECIFIC DECLARED ~ VALUE
SEPTIC INSPECTION FOR LOAN
= OF BEDROOMS # OF STORIES
# OF E~JPLOYEES
I~A'1'ER SUPPLY
na
O;;NER'S NAME AND ADDRESS
Glen F. Marsonette, 2460 Crescent, Eugene, Oregon
CONTRACTOR'S NAME AND OSR #
na
na
Public
D Proposed
15<1 Exis ting
TELEPHONE NUMBER
344-1812
97401
Same as the above
PSRl-IIT TO BE MAILED TO (NAME AND ADDRESS)
Same as the owner above
TELEPHONE NUMBER
Same
"",':''''rnvNE NUMBER
Same
I HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION Jo'OR PERMIT, and 1]0 hcre~JY cert.i.fy t.hat all infollnation hereon is true and correct, and that I
have the following legal interest in the property:{iXowner of record; 0 C()lt":"r-dLt. V1.1rchasec; o authorized agent~
I f::.rther certify that any and all work performed shall be done in "ccOLda",,'" wi th tlo8 ()cdlllance~ of Lane County and the Laws of the State of Oregon
pertaining to the work described herein, and that NO OCCUPANCY will b" made of ar.; st',ructure 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.
Glen F. Marsonette
NAME (please print)
DROP-OFF
8-10-88
SIGNATURE
DATE
READ THIS SECTION CAREFULLY. YOUR AUTHORIZATION qAS BEEN BASED ON THE FOLLOWING CONDITIONS!
[] PLANNING/ZONING:
Zone
NA
Parti tion #
Parcel #
Parcel Size NA
Minimum Setbacks:
C
L, front
C 'd
L, 51. e
interior
rear
COMHENTS:
SEPTIC INSPECTION FOR LOAN REVIEW--NO SPECIAL PLANNING ACTION REQUIRED
Date:
8-10-88
RLH
D
o SANITATION:
S. 1. #
B. P. #
Installation Record Issued? 0 Yes D No
Lineal Feet Maximum Depth
:;;;:::O'dAf, .~_ ~<::Oh.'.
/ Dt!e: r--20(P~ ~
[]
Installation Gallon
specifications~~ Tank
C ''''', .>Hd/ ff!jj~ ~:y:
..-1 MAA () ~~
r V
Type
Group
Use
COMHENTS:
Dale:
n
rx1IA). ~ ,F" 2..Z#
.......- ~IT APPROVED 'BY BULL N OFFICIAL/DESIGNEE (oer ORS 456.805 (1)) ,; DATE
LANE COUNTY D 8 RTMENT OF PUBLIC WORKS LAND MANAGEMENT DIVISION, 687-4061,
125 EAST 8TH AVENUE, EUGENE, OREGON 97401
SEE REVERSE FOR INSPECTION INFORMATION C 14-25 RB4- ..4
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SETS;\CKS ASD OT!!ER CC:;OITIO::S OF APPROVAL :-lUST BE STRIC':':"Y OBSERVED. VIOLATIO~ CA.:\' RESULT IN REVQ-
C.\7IO:J OF ':'!lIS rr:R:'lIT, CIT;"TIO:~ U:\DER PROVISIO~S OF Lf\~E '':OL"::TY'.'J l:JFRr\CTIO;J ORDI:~.;:;C!::, ;\~'~D/OR OTHER
REMEDIES ALLOWEO BY LAW.
W!iEN READY FOR I~SPCCTIO~, CA.:":" 687-4065. A ~INIMU~l OF AT LEAST 2~ 110GRS ADV^~::E ~OTICE FOR INSPEC-
1'10>J I\EQt:!::S7S :.j:;ST BE GIVS~';~a'.'e the [0110'.....ing in::ol'::na tion ready: permi t number I job address, type
of inspection, when it will be ready, your ~ame and ?ho~c ~u~ber. and any special ~ircttions to site.
BUILDING DIVISION:
REQUIRE~ I~SPECTIONS:
~
1. Foundation Inspection: To be made after trenches are excavated and forms erected and when all
materlals for the toundation are delivered on the job. \~here concrete from a central mixing
plant (commonly termed "transit rnixedtl) is to be used, materials need not be on the job.
2. Concrete Slab or Under-?loor Inspection: To be made after all in-slab or under-floor building
servi~e e~uipment, condult, piping 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 ?lace 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/or Gvpsum Board Inspection: To be made after all lathing and gypsum board, ;nterior
and exterIOr: lS In 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 be 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. \\lood Stove: TO be made after completion of masonrv (if applicable) and when installation is
complete. Installation shall be in accordance with a~ approved, nationally recognized testing
agency and the manufacturerls installation instructions.
C. Hobile 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.
I. 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. ~lobile home tiedowns, when required, and skirting shall be installed and ready fer inspec-
tion within at least 30 days after occupancy. Tiedowns and skirting shall be installed
per enclosure.
D. Swimming~: Below grade when steel is in place and before concrete is poured. Above grade
when pool 1S installed.
APPROVED PLANS ~UST BE ON THE JOB SITE AT ALL TI~ES DURING WORKING HOURS. THIS PE~~IT WILL EXPIRE
IF WORK DOES NOT BEGIN WITHIN 180 DAYS, OR IF WORK IS SUSPENDED OR ABANDONED FOR ~IORE THAN 180 DAYS.
SUSPENSION OR REVOCATION :'L~Y OCCUR IF THIS PERHIT WAS ISSUED ON THE BASIS OF INCOHPLETE OR ERRONEOUS
INFORHATION.
ANYONE PROCEEDING PAST THE porr;T or REQUIRED INSPECTIONS WILL DO so AT THEIR OWN RISK.
SUBSURFACE AND ALTERNATIVE SEHAGE DISPOSAL SYSTEHS:
l.
2.
Permits shall be effective for one year from the date of issuance.
Upon completlng 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
inst~llation 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 permiti holder.
If the construction uoes not comply with such rules, the De'Partm~nt shall -notify the permit
holder and shall requlre satisfactory completion before issuing the certific~te. Foilure to
meet the requirements for satisfactory completion wlthin a reasonable time constitutes a vio-
lation of ORS 454.605 to 454.745 anu this rule.
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Setb~cks - Sub~urfnce S~wa~c Disposal
Septic Tank
Dr~infield
F~om: Interior property lines
Edge oi road rlqilt-o[-way
Rll~ldinq foundation
~clls. other ~atcr sources
10'
10'
5 '
50'
10'
10'
10'
100'
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Please complete all lines inside white
C. · e,-, .r:- ~ M e~ .e..
'rUUH HA .\1: . .
yu2-~~t~l;9 c ., (\c 4'"'- \- ce..-
o.,.~
boxes, if possible.
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ZIP
CITY
OWNER OF PROPERTY (II no. same as above)
!'HUNI:
OWNERS ADDRESS (II no. aame aa above)
ZIP
CUHIHAI;IUH
Llcen.. "
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MAP, PARCEL NUMBER
(Found on lax mapa In the A..eaament . Taxation DepL)
10~3r.. ~n~ ~1n 1/4~cln ~?BO
Town.hlp Range Section 1/4 Seclion
Tax Lot
townan,p Hange lliecllon 1/4 lliBc',on
lax Lo.
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SITE ~S to4-l-o",,"l..UOJ
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For Mobile Home
Placement Only
Brand
Year
Size
No. of lip-outs
No. of Bedrm~
License #
MAIL PERMIT TO:
HAMI:
AUUHl:llilli
ellY
ZIP
Existing Buildings or
Improvements on
Property
~ Rouse
c::J Barn
c::J Garage
c::J Mobile. Home
c::J Shed
SEPTIC INSTALLED
c::J Yes
c::J No
Water District
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Directions to site
from Courthouse
. { Ca~"., (tJ ~
r ..wJ., tIIl"- :..IJ -h
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t l.i ~<' ( 9-\4. a"", "'U t) " C '
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ZIP
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Land Management Dlv. staff can
not be held responsible for
evaluations or recommendations
based on false, Inaccurate or
Incomplete Information
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";\lI::: COUNTY DEPT ENV MGT RECEIPT :ft: 228188 DATE 08108.
· APPLICANT MARSONETTE, GLEN AD DR 2460 CRESCENT, EUGENE, OREG'ON , _;
TL=ll: 1703273306500 SUBDIV LOT BLI< I I
.NEW BLDG TYPE USE R -BDRMS 0 UNITS 001 STORIES :ft:BLDGS 001 PHONE 344 1812.
' OWNER NME MARSONETTE, GLEN ADDR 2460 CRESCENT, EUGENE, OREGON ^
CODE APPL NO ACTION DESCRIPTION SQ FT UNIT CO~T VALUATION FEE DA(SI~
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MECHANICAL FEE
STATE SURCHAF<GE
PLAN CHECI< FEE
SDS
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F'CK I
EST. COMPLETION DATE
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FT.' RAIN:
5%
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ISS
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DEPOSIT **
FT
60.00
60.00
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T COUNTY DEPT ENV MGT f~ECEIF'T ,:ll: 22Eli BB DATE 08108.",'
· (.iPPI... I CANT MAF~SONETTE, GLEN (.ljDD'~ 24~i~) CI~ESCENT" EUGENE, ClF~EGON ..
TU~ i70:~273306~>0(') SUBD IV LOT 111...1< 000
NEW 81...DG TYPE USE R BDRMS 0 UNITS 001 STORIES #BI...DGS 001 PHONE 344 1812
. GWNEf~ NME r1M~SONETTE, I..U:,N I:~DDF~ 241.)0 Cm::SCENT, ,EUGENE, OF~EGON .
CODE APPI... NO ACTION DESCRIPTION SQ FT UNIT COST VALUATION FEE DAYS
BP .
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BP
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PL.
.MECH
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I.. IN \ .
FT , WTI;~ :
MECI"IANICf-IL FEE
STATE 5:l.JRCHAI:~GE
PLAN CHECI< FEE
FT.
F~~H N ;
FT
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COMPLETION DATI:~
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