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Home My WebLink AboutBuilding Septic Tank 1994-01-25 ~8-S;~?~ .., PERMIT # j _ I ~~ -'J-' - fM' " 'REQUEST FOR: SEPTIC SYSTEM VERIFICATION ~ fTO(o,fIISHp IVrNGE SCC1lON 114SECTION 17 03 28.4 '2605 ''''''''''''''2Mk>s Ga.nJ~'~~ 1st Acfd- id-t 5 ~; LOCAT\UIIAODRESS 1831 MENLO LOOP, SPRINGFIELD, OREGON STRUCTURES NOW ON PROPERTY EXISTING SINGLE FAMILY DWELLING -.... SEPT.c NST.-uB) WATERNiTALllD NO OF STORES NO OF EMPLOYEES CONSmUCTION COSTNAl.l.E RESIDENTIAL USE CITY OESCRIPTlCNOFPRCIPC6EDWOAK SEPTIC SYSTEM VERIFICATION FOR LOAN O~t:t:I~ ,Ot>lll:.~~ N~t:lil MAIN Nrl,HSlOC;rK:N NORTH ON ANDERSON LANE OFF OF CENTENNIAL BLVD., NO"'''''''''''' 5 1ST CUL-DE-SAC ON LEFT. APPUCANT NAME & ADDRESS STANLEY NELSON, PHONE 344-2400 OWNERS NAME & ADDRESS RONALD INGRAM, SAME AS THE JOB ADDRESS ABOVE PHONE 726-8320 CCHTRACTORINSTALLEWBUILOEA NAME NA I . W~J'tl~/~lE!30N , cau ,C> f-!-~(-'":~- .~ -' u-' 2677 WILLAKENZIE STREET, EUGENE, OREGON PHONE ~ 97401 l ~ _ STREET arv 2lP I hava carafully raad BOTH sldas of this app~lIcallo eby ~ a~rmallon Is trua and correct \i~-~-)gJ IJ~ ~,'=7_- ~ om "111'11'.,. r I 11:., ',' .' . . .. ..., ~. . - ".., . . . ,. ) $ APPROVED BY: , , ... , . . CALL FOR INSPECTIONS (SEE BAcfk OF FORM FOR INSTRUCTIONS) 687.4065 SEPTIC permits ere good for one yeer, ALL other permits expIre efter 180 days unless InspectIons are current, '. --f LMD 040 Rev. 6/92 . . ..- ~ ."'.- .. -.... or. ..: c . .....,.- . , '. . " ,,:- . VIOLATIONS SBTBACKS AND onmR. __._..._..J OF APAtOV AI. MUST BB ST1UCI1. Y OBSERVED. VIOLATION CAN RESULT IN RBVOCATION OPTInS PBRMrr, I, CrrATlONS MA Y'DB ISSUBI) UNDER nm PROVISIONS OF LANB COlJNl"Y'S INPRACI10N ORDINANCB AND/OR. onmR. RBMEDIBS ALLOWBD BY LAW. , ''-..' . A MINIMUM OF AT LEAST 24 HOURS ADVANCE NOTICE MUST BE GIVEN FOR INSPECTION REQUESTS Have the following information ready when you call: 687-4065 Permit number - lob address ,-, ,Type of inspection required When it will be ready Your name and phone number - Any special directions to the site PUBLIC omCIAL liGHT TO TlESPASSON PRIVATE PROPEITYORSD5.OIO POWBR TO BNrnR UPON LAND. nm COMMISSION, AND ANY OP rrs MEMBERS, OPFJalRS AND EMPLOYES, IN nmPERPORMANCB OF lHBIR FUNcnONS. MAY ENI1!R UPON ANY LAND AND MA1CB BXAMlNATlONS AND SURVBYS AND PLACE AND MAINTAIN nm NECESSARY MONUMBNTS AND MARKBRS . ,~", REQUIRED INSPECI10NS FOUNDATION INSPECI10N: To be made after excavations for footings are complete and any required reinforcing steel is in place, UNDERGROUND PIPING INSPECI10N: To be made after all underground piping has been installed, prior to any backfill, CONCRETE SLAB OR UNDER.FLOOR INSPECI10N: To be made after all in.slab or under-floor building service equipmen~ condui~ 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 INSPECI10N: To be made after all ducting and gas piping bas been installed and prior to being covered, ROUGH PLUMBING INSPECI10N: To be made after all plumbing rough-in is in place, prior to being covered, FRAMING INSPECTION: To be made after the all framing, fife blocking, bracing and roof are in place and all pipes, chimneys and vents are complete and the rough electrical, plumbing, and mechanical inspections bave been made and approved, INSULATION INSPECI10N: To be made after all insulation and vapor barriers are in place, prior to covering, LATH AND/OR GYPSUM BOARD INSPECI10N: To be mape after all latJting 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 fniished. ' 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 bave been made and approved, FINAL MECHANICAL INSPECI10N: To ~madeJusi prior to the structure or remodeled area being occupied and Prior to operating any equipment FINAL PLUMBING INSPECI10N: To b: ~ade'jUst_p}ior to th~bUiiding: s~cwr.e-Er remodeled area being o~~pi~d ,f': ' . 'OJ \ \ X.'". ":. FINAL BUILDING INSPECI10N: To be mad" after finish grading and the building, structure or remodeled area is completed and ready for occupancy, MOBILE/MANUFAcrURED HOMES: An inspection is required after the mobile home is connected to an approved 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 fotmdation requirements for mobile homes or as recommended by the manufacturer: Minimum finished floor elevation shall be certified when required by Floodplain Management Ticdowns, 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 frrst 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. '-. APPROVED PLANS MUST BE ON TIlE JOB SITE AT AU. TIMES DURJNG WORKIN(}" HOURS, TIllS PERMIT WIU. EXPIRE IF WORK DOES NOT BEGIN WITIIIN ISO DAYS, OR IF WORK IS S I vrrr.u OR ABk'uvncu FOR MORE TIlAN 180 DAYS, SUSPENSION OR REVOCATION MAY OCCUR IF TIllS PERMIT WAS ISSUED,ON TIlE BASIS OF, INCOMPLETE OR ERRONEOUS INFORMATION, ," . , ...... . .. . . , - ANYONE PROCEEDING PAST THE POINT OF REQUIRED INSPECflONS WILL DO SO AT THEIR OWN RISK, . ...,. . \ . ., ' \. '" '.. l ,. Your signature on the front of this form verifies the following: I HA VE CAREFULLY EX'AMINED TIllS COMPLETED APPLIC;:A TIO~, ~d do hereby certify that all infopnation hereon is true and correct. and that I have a legal interest in the Y......Y-..J as owner of record or authorized agent. I further certify that any and all work ~rformed 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 & AL TERNA TIVE SEW AGE DISPOSAL SYSTEMS: When subsurface construction is complete, the permit holder shall notify the County Land Management Division by submilting the installalion 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 pcnnit holder. If construction does not comply with roles, 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. ~ '. , :' \, \ ~ ,...J'\' \\""'-i \ " .- SUBSURFACE SEW AGE DISPOSAL SETBACKS SEPTIC TANK From: Interior ,.....Y-.J lines 10' Edge of road right-<lf-way 10' Building foundation 5' Wells or other water sources 50' DRAlNFIELD 10' 10' 10' 100' Please complete all lines Inside white boxes, If possible 9...". ",k," ib ~_A YOla'N~ - r - .r~-r;? 7, ~;;>-' "';z'#71 JII~k.,-e~- ~ "JC~ ~.k:.ff"r j,l!JI...IMr.ah..Cv,-, ~~~.tl bal. , Jf' 'f 'Z 'htXJ ~..... Q1/fof <AI> 7z..tf. &'~-U? ?7t:177 InllUUlIIM'fdUl108J/LOOn1raclOl' U,.;ts ucenae . ."""" MAP, PARCEL NUMBER (Found on laX ~In" AMoumentI TllUtJon Dept) t.2 t:J 3 2F V ~tJ \'- Townahlp Range SectIon 1/4 SKdon Tax Lot IO"'*-P ~ tiKUOII 114UKUon IULDI rownahlp ~ 5OCUon 1/4 5eCtion lax LOt , Site Address /f?31 dn~D Lo _~L:)~cL. .<"" ;, . Mail Permit 1b: 5-f-<?", M ~'" ~_.A-f"J_, ? I A,-F~.... ~ / ~- .z 67 7 1L/./~fV., '-:0',&1 ........ ~--t-~... ,..;;R cuy ---' =?7~1 ZIi> LMD staff can NOT be held responsible tor evaluatIons or recommendations based on false, Inaccurate or Incom- plete Information. LCPW 14Q-MO ExIstIng BuIldIngs 01' '- provements on file Properly _ House _Barn _ Garage _ Mobile Home _ Shad SEPTIC INSTAllED? .x... Ves _No Water Dis1ric1 , Directions to site from ':, '; nearest main Intersection X. J.h.AC. -"""" A ~(''K:l vi f.~ ~d::...- ~C'.!" f'(::~':" r JJY".~ ;.5f- r-: f ..4.:. <-:"..- _ ..(?J /..A4- ZIp. " For Mobile Home , Placement Only Brand Vear Size No, of Badrms Licansa' (No, always slarls with Xl X- __________ Distance from Mobile Home to: . l,tkJJ ~ok.5 ~P4l1c ).o't; 5 1St _) (3?-1 . _6 ~~" r , , \...-- /g) I M~V1 /0' Lp. . k-l'0 d-~rf/~~a~ 1Zb g 320 . . . . . . "~I' 11.' "I . .'11 . ,:.~! . . .0 . .~ (@ . ~ ,~ 7hi,/ 'l>l . .~ j l . . '.~ . .1 . .i J r II ~ i L~ ~ . . - -- . . . W' ~') 3 L.(.,NE COUNTY DEPT ENV MGT [<EeEIPT ,~ 26494 DATE ()1 21 94. APPL.ICANT INGRAM, RONAL.D ADDR 1831 MENL.O L.P.. SPRINGFIEL.D. OREGON TL.I 1703284002605 SUBDIV ,L.OT BL.K , .~EW [<L.DG TYPE USE M: BDF(MS 0 UNITS ()()I STORIES '~BL.DGS 001 PHONE 72(, 8320 . 'IUOWNER NME INGRAM, RONAL.D ADDR 1831 MENL.O L.P., SPRINGFIEL.D, OREGON ^ r"ICODE APF'L. NO ACTION DESCI~IPTION S(~ FT UNIT COST V('~UJfYrION FEE DAy~1 :'S .1'" , .~ BP ~ BP .w BP L.C 26494 SDSV 75,,00 .~ .~ .~ . 'l~ .~ . ~ ,.~ 'j ~ .i .IT ."L MECH SUf< ."CI( j ,11.-[< l d, O'FIX/BATH' SWf< , FT. WTI'< , MECHANIC"L FEE STATE SUF(CHf,f<GE PLAN CHECI< FEE FT. f<AIN, FT ~')% '11:-"/ ,,~..'>h. . 4fATG' S[I}U, T AI< EN '. PLN RA SDS 1 EST. l:e L. I::, PCI< ISS I SI OTI'< ..") 0- I'Y f<L.H COi1PL,ETHlN DATE DEPOSIT j"" 75.()() CI( .