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Home My WebLink AboutPermit Septic Tank 1993-4-19 , ... SEPTIC VERIFICATION FOR LOAN REVIEW IiII ~Tir m LOCATION ADDRESS 1715 COTTONWOOD AVE.) STRUCTURES NOW ON PROPERTY HOUSE i GARAGE i PROPOSED USE SEPTIC NSTALLED PRIVATE YES DESCRIP'TlCN CF PAOPCSED WORK VERIFICATION OF EXISTING SEPTIC SYSTE~I FOR LOAN PURPOSES DIRECTIONS TO SITE FROM NEAREST MAIN INTERSECTION CENTENNIAL TOWARD SPRINGFIELDi OVER 1-5 OVERPASSi TAKE 1ST LEFTi TO COTTONWOOD i R I GliT ON COTTorJWOOD. ~ APPLICANT NAME & ADDRESS ( U l; t 1\1 t L 0 Y DE. DR A K E) Il! 61 0 A K S To) iRK X ~ ~ K X uo~ 9 7 4 0 1 OWNERS NAME & ADDRESS P IUS E Ii L L) 1 715 COT T 0 tJ\1 0 0 D A V E .) S P R IrJ G FIE L D CONTRACTOR IINST ALLER! BUILDER NAME CC8' rUA > MAIL PERMIT TO: LOVD DRAKE/EXCEL REAL ESTATE) 1461 OAK ST.) EUGENE > NAME STREET arv I have carefully read BOTH sides of this apPlict,n and her~y c~rtify that all Information LOYD DRAKE 1 ~,~ ~ PRINT NAME -Signsw,;' Slirf 114:!~ mo SUBDMSICN I PARTITION LOTIPARCEL BLOCK SPRINGFIELD 97477 SHED WATER INSTALLED CITY NO. OF STORIES NO. OF EMPLOYEES CONSTRUCTION OOSTNALUE NO. CF BEDROCJ.AS 2 BLOCKS 97477 PHONE 3q5-6789 PHONE 726-6999 PHONE ZIP J 97401 Is true AAY DATE and correct /((/93 . ....... ....... .... ..'. ............ ,,',.,'... .,'.. '" .... ..........'.'.'.'. Your Authorization Is Based On The Following Conditions )" . FEES DUE: $ APPROVED BY: ~ _~..,~______ DATE S--~~L< ,. .-...\-- - -Ii - ~ ~ ' . , . ....... . , '1 CALL FOR INSPECTIONS (SEE BACK OF FORM FOR INSTRUCTIONS) 687.4065 ) ~ SEPTIC permits are good for one year. ALL other permits expire after 180 days unless Inspections are current. LMD 040 Rev. 6/92 . . - . . , '.. VIOLA TIONS SETBACKS AND 0THIlR ~u..~...ONS OP APPROV AI.. MUST BB STRIC11. Y OBSBRVBD. VIOLATION CAN RBSULT IN RBVOCATION OF nus PERMIT. CITATIONS MAY BB ISSUBD UNDBR nIB PROVISIONS OP LANB COUNTY'S INPRAcnON ORDINANCB AND/OR 0THIlR RBMBDIBS AIl.OWBD BY LAW. A MINIMUM OF AT LEAST 24 HOURS ADVANCE NOTICE MUST BE GIVEN FOR INSPEcrION REQUESTS Have the following infonnation ready when you call: 687-4065 Permit number - Job address - Type of inspection required When it will be ready Your name and phone number - Any special directions to the site PUBLIC OFFICIAL RIGIIT TO TRESPASS ON PRIVATE PROPERTY ORS ns.080 POWER TO BNTER UPON LAND. nIB COMMISSION, AND ANY OP ITS MBMBBRS, OPPlCBRS AND BMPLOYBS, IN nIB PBRPORMANCB OP nIIlIR PUNcnONs, MAY BNTER UPON ANY LAND AND MAKB BXAMlNATIONS AND SURVEYS AND PLACB AND MAINTAIN nIB NBCBSSARY MONUMENTS AND MARKBRS THBRIlON. REQUIRED INSPECTIONS FOUNDATION INSPECTION: To be made after excavations for footings are complete and any required reinforcing steel is in place. UNDERGROUND !'ll"lNG INSPECTION: To be made after all underground piping has been installed, prior to any backfill. CONCRETE SLAB OR UNDER-FLOOR INSPECTION: To be made after all in-slab or under-floor building service equipment, conduit, piping accessories and other ancillary equipment items are in place but before any concrete is placed or floor sheathing installed, including the subfloor. ROUGH MECHANICAL INSPECTION: To be made after all ducting and gas piping has been installed and prior to being covered. ROUGH PLUMBING INSPECTION: To be made after all plumbing rough-in is in place, prior to being covered. FRAMING INSPECTION: To be made after the all framing, fire blocking, bracing and roof are in place and all pipes, chimneys and vents are complete and the rough electrical, plumbing, and mechanical inspections have been made and "yy.vved. INSULATION INSPECTION: To be made after all insulation and vapor barriers are in place, prior to covering. LATH AND/OR GYPSUM BOARD INSPECTION: To be made after all lathing and gypsum board, interior and exterior, is in place but before any plastering is applied or before gypsum board joints and fasteners are taped and fInished. ADDITIONAL INSPECTIONS MAY BE REQUIRED, such as but not limited to; BLOCK WALL: To be made after reinforcing is in place, but before any grout is poured. The inspection is required for each bond beam pour. There will be no approval until the plumbing and electrical inspections have been made and ayy.u ..ed. FINAL MECHANICAL INSPECTION: To be made just prior to the structure or remodeled area being occupied and prior to operating any equipment. FINAL PLUMBING INSPECTION: To be made just prior to the building, structure or remodeled area being occupied. FINAL BUILDING INSPECTION: To be madfl after finish grading and the building, structure or remodeled area is completed and ready for occupancy. MOBILE/MANUFACfURED HOMES: An inspection is required after the mobile home is connected to an "yy.vved sewer or septic system, prior to covering sewer or water lines, for setback requirements, blocking, tiedowns and plumbing connections, Footings and piers to comply with State foundation requirements for mobile homes or as recommended by the manufacturer. Minimum fInished floor elevation shall be certified when required by Floodplain Management Tiedowns, if required, shall be installed and ready for inspection within 30 days after occupancy. Tiedowns shall be installed per enclosure. 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 "yy.u..al 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. APPROVED PLANS MUST BE ON THE JOB SITE AT ALL TIMES DURING WORKING HOURS. TIllS PERMIT WILL EXPIRE IF WORK DOES NOT BEGIN WITHIN 180 DAYS, OR IF WORK IS STOPPED OR ABANDONED FOR MORE THAN 180 DAYS. SUSPENSION OR REVOCA nON MAY OCCUR IF THIS PERMIT WAS ISSUED ON THE BASIS OF INCOMPLETE OR ERRONEOUS INFORMATION. ANYONE PROCEEJI)lING PAS'r 'rillE POINT OF lREQUXRlEJI) lINSlPECrxONS WIlI..lI.. DO SO AT TlH!E][jR OWN mSK. , Your signature on the front of this form verifies the following: I HA VB CAREFULLY EXAMINED TillS COMPLETED APPLICATION, and do hereby certify that all information hereon is true and correct, and that I have a legal interest in the property as owner of record or authorized agent. I further certify that any and all work performed shall be done in accordance with the Ordinances of Lane County and the laws of the State of Oregon per- taining to the work described herein. I further certify that if I am not the owner of the property, my registration with the Builders Board is in full force and effect as required by ORS 701.055. and that if exempt the basis for the exemption is noted hereon, and that only subcontractors and employees who are in compliance with ORS 701.005 will be used on the job. SUBSURFACE & ALTERNATIVE SEW AGE DISPOSAL SYSTEMS: When subsurface construction is complete, the permit holder shall notify the County Land Management Division by submitting the installation record form. An inspection will be made by a:qualified sanitarian. If construction complies with all rules a certificate of completion will be issued to the permit holder. If construction does not comply with rules. the permit holder will be notified, and all corrections shall be made before a certificate of completion will be issued. Failure to meet satisfactory completion within the allotted time constitutes a violation of ORS 454.605 to 454.745 and this rule. SUBSURFACE SEWAGE DISPOSAL SETBACKS SEPTIC TANK From: Interior property lines 10' Edge of road right-of-way 10' Building foundation 5' Wells or other water sources 50' DRAINFIELD 10' 10' 10' 100' . . . . .' . . nH ~ ~ ~ . . . A ~ . ill . ~ . .. 1 . -2 1,1. \11' 'I ~ ~ . .: J: rr II! II' 2 . .1 . i - . .! i . .1 ~~n I 4Hj . . -. . - - ---- . .- -- . . . . . ~ I. ~ L . . . . P (I ~ ~ . . . . APPLICANT DRAKE, LOYD . ~.~.... .... ...111..'....... .... ....I..'.... .....~" . "(" .... j"'j'" ('"I'" 'j.j..'.... Il ". .... I .. I'"' I.. I I I'" 1 \" III , I. t- 1.J 1"1 I I" '"j u:. :< ," 9";:' ....1.. c. '..' ,...... , ". '::. .. (:.', .:J .... ::. .... ::. '.' .. 'Il' , .... I . ..... f.\ r) '1") 1:" .; /, i.'; f') ,..." 1/ ," "," 'I:~ I Ji" I:~ '1\1',::' ..,.. ... ,..,. ,..., ....,,, ,., ..' ." ... '.:.-... .... D(.:-I'fE {:l":;';....;;.:,..l. "" .... f ....1 ... I"~ I": (,I LOT :iJI...K I ',"" ,. T " {:l (:l .; .:;' '1"1"'lj:" '1' I::' <:. .Il. "', I ") f" <', (1 Cl ' ... , I ... 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' . v ." .. ,. , (",/ ,.;<- d :ll:FIX/BATH: SWR: FT. WTR: MECHANICAL FEE STATE SURCHM~GE PLAN CHECt< FEE FT. FT . RAIN: 5% '1r.;:% ':'..1 0 75" 00 . (!fif',\ 'IY,h~ LC 175793 SDSV . . CATG: PLN RA SDS ELE pel( ISS / SI OTR SECW: 1 ? .... TAKEN BY MLC EST. COMPL.ETION DATE DEPOSIT ** . . . - ~ --- .9 75.00 CI< . . (\ I S c-Y 1 I C- V). <; j sn"'1 I, . 7fVI{ 0 C' -, /W , e j) D U BL b- f ~ '''- 6-rt /~ It 67.::-- Irllf/V ~Sb- ~ -....{ -- 11 /~) C () T /0 ILl (J.J tJ t) .b rtuF. ~ ;; ~ /-- ,/w \ Directions to site from "". ",', .,H ',',' nearest main Intersect/on CIE"AJ"n:utJlrA L -roUJa~,) S i>FL.-t) ClVb"R :c. - ~ tJi/I::V-PItS5 'Tht:.t: I g- LGF, .1- gL()Cf~ fO Com~ 000 <H/ K(~ 1')/..1 Cd 7TlJN&. JOoD H, ...,H.,."l!7/~J " \ 9?Y1i ........ ..... ........ .. .......... ... ............... ....... ..... . .......... .. . . . .. .,........ .. . Please complete all lines inside white boxes, L.6 Y D \Uun ..,..i if possible. f111t-tt /Cj (9 .3 UAI~ 3tfS'- to 1~'i ""UNt: C;'7 '-10 ) ZIP 7~p 'iIlf/S- (!J 9q Cf ""UNt: F. ~b R.tAY-b OAt:. {!)(c, 1 Uu" ('t"~, J ')PF'- Y CITY /' Pi uS &-H'- I OWNER OF PROPERTY (It nol ...... u above) 1'7/.5 ClJt(ol-/ UJde) D OWNERS ADDRESS (It nol ..m. u above) ~l C{?v71 ZIP 1Nl:lIALLt:H 1 IIUILUt:H 1 l;UNIHA\;IUH Llcen.. . <il .... ......... ........ .. .... " ........ .. .............. ... ....... . . ... ... . . . . .. .. ~ MAP, PARCEL NUMBER (Found on 10 mapa In Ih. Aueum.nl . Taallon Depl) /7 CJ3 ~?....f;3 c5...:>do ,. ownshlp ""ngo _lion 1/4 _lion I a LOI Townahlp Range Seellon 1/4 Seellon , own.hlp """lie _lion 1/4 If.clllon , ........ . ~ SITE ADDRESS 11/; TaLoI taLoI Co T1tJM.Udo.lJ /tul""" SP Ft-5J 'll .... ... , . . ... ..... . .... ...... . . . . . . . .. ....... . . . . . .. .. .. .. .. ....... . .................... . MAIL PERMIT TO: Loy 0 /;:1( C fC L- 72l::R L NAME I t.f&J ( () It (( AUUHt:1f1f L1J ~/ CJ(( ,. D1ZAtc(:- I?Srn Tl;:- ~T . y'7 C-( CJ / City I ZIP , . .... . '.' . ~ ,\':::;:: Land Management Div. staff can .. not be held responsible for, "........ .'..... , .., .... ,.,"'.' evaluations or recommendations.: '.<,";"':'''','';':''......, ' based on false inaccurate or ..,".',,';',",.."':..":',,: ,.': ":,,' ":,::::.. ' . .::..::.::::::..::................. LMD 149- 2/92 Incomplete information.' . ~. M14-68 02/92 ,'..,....., .. ........ I(~ l\. Existing Buildings or Improvements on Property C2f House aBam Cd Garage f::j Mobile. Home ~ Shed ....e4 SEPTIC INSTALLED ~Y9S c::J No "'!J1JJr District... C-r::-/ ( ...,~", ) ~ , ' 'I .... .~ ZIP . ... "I . .........-.J .. ... .. ..... ....... ...... ..... 1Ii:,. For Mobile Homy Placem...ent Only Brand-. ~~Of B~~ Licen,e # \ J, , .' \ :,~ " ' .,.~ < Dlstapce from \ Ho"/e to: ,. . Water " \ MOb~ Sewer/Septic ,