HomeMy WebLinkAboutPermit Septic Tank 1989-5-27
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Lane County Authorization for:
FOR OFFICE USE ONLY
SEPTIC INSPECTION FOR LOAN REVIEW
Application/ n <<CI <:JCi
Perm, t t . 1,,-- V I - 0 l
~ roWt,SHIP
RANGE
SECTION
17
03
28
j T2504 DOUT OF
LOT/PARCE~ I BLOCK
PROpOSED USE OF PROPERTY
KJ R~sidential D Industrial
o Commercia~ 0 Public.
S~BDIVlSION/rnn~~~~JN (if applicable)
LOCATION ADDRESS STREET
1840 MENLO LOOP, SPRINGFIELD, OREGON
CITY
ZIP
STRUCTURES CURRENTLY ON PROPERTY
EXISTING SINGLE FAMILY DWELLING
OFF CENTENNIAL TO MENLO LOOP,AT THE CUL-DE-SAC
~~
~
UIHL~TIONS TO SITe
~~SCRIPTION OF PROPOSED WORK - BE fPECIFIC
DECLARED $ VALUE
= OF BEDROOMS
3
J ~ OF
ADDRESS
STORIES
SEPTIC INSPECTION FOR LOAN REVIEW
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814
I II OF EI-1PLQYEES
BRIAN GEREN,
CONTRACTOR'S NAME AND OSR #
SAME AS THE ABOVE
ANTOINETTE LN"
SOUTH SAN
FRANCISCO
Q~,?posed
1!'1~x1.stlng
I TELEPHONE NUMBER
583-0995
I
TELEPHONE NUMBER
Q;mER' S NAME AND
SAME
P;:;Rl>llT 'TO BE MAILED TO (NAME AND ADDRESS)
THE REALTY CONNECTON,
1725 PEARL
ST. ,
EUGENE,
ORE.
97401
ATTN I
TELEPHONE NUMBER
GLEN 344-181.
1 HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION FOR PERMIT, and <10 hereby eettify that all inforrnat{OIl hereon is true and correct, and that 1
have the following legal interest in the property: Downer of record; 0 contract. purchaser; [!Jauthorized agent.
I f~rther certify that any and all work performed shall be done in accordance with. th~ Ordinances of Lane County.and the Laws of the State of Oregon
pertaining to the work described herein, and that NO OCCUPANCY wi 11 be made of ar,i' structure wi thout 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.
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/ NAME (please printl
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READ THIS SECTION CAREFULLY.
o PLANNING/ZONING: Zone
Parcel #
CONDITIONS~ ~~~
Parcel Size~~
Minimum Setbacks: eL, front
YO~}AUTHORIZATION ~lAS
~~ Partition #
/
BEEN BASED ON THE FOLLOWING
eL, side'
interior
rear
eo~mENTS :
NO SPECIAL PLANNING ACTION REQUIRED~'
,
Date;
~/7-r7
~
J~~L.I-<;1-- _ ~.J,:)S
:Y;:. _ A {;
- ~
C:;./!$b'Vl
/1
Installation Record Iss~d? 0 Yes 0 No
Lineal Feet Maximum Depth
of IJrainfield of Trenches
~/Ab'.,?~;"~~~
/!te, .<;:-7,?J.?J="? . W
o SANITATION:
S. 1. II
B. P. #
Installation
Specifications:
e(l>U>lENTS:~
fl,t _ .(/-;.~
Gallon
Tank
o PLANS EXAMINATION, Type
Gro"';',
Use
eOMHENTS:
Date:
n
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pEJUQ'1"'" ~OVED~BUI:CDING'--oFFICi}9"DESI tE lPJ"Y ORS 456.805 (1)) DATE
LANE COUNTY DEPARTMEtp'OF P BUoYVORKS LAND MANAGEMENT DIVISION, 687-4061,
125 EAST 8TH AVENUE, EUGENE. OREGON 97401
SEE REVERSE FOR INSPECTION INFORMATION r.lfi_?~R~
.
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SETBt,CKS A~D OTHCR CO:;oITlO~:S OF APPROVAL ~lUST BE STRICTLY OBSERVED. VIOLATION CA~ RESULT IN RE:VO-
C,;TIO;J OF TillS PERmT, CITATIO~1 UNDER PRQVISIOi'lS OF LAl"E COU~:TY'5 INFRACTION ORor:w,CE, AND/OR OTHER
REI'IEDIES ALLOWED -BY LAW.. ~ .
\o:HEN READV fOR I~SPECTION. CAL!.. 687-.t065. A MINH1U~1 OF AT LEAST 24 HOURS AOVAl:CE NOTICE FOR INSPE;C-
no=-< Kt::Qt.:E~T:', ;.;U~T Ill;; GIVE::. Have tlle to11owing infor:llation ready: perlllit 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 INSPECTIONS;
1.'
Foundation Inspection:' To he made after trenches are excavated and forms erected and when all
materIalS Lor tne toundation are delivered on the job. Where concrete from a central mixing
plant (commonly termed -tr~nsit mixed-) is to b? used, materials need not be on the job.
Concrete Slab or Under-?loor Insoectlon: To be made after all in~slab or under-floor building
serVl~e equIpment, conault, ~lplng accessories, and other ancillary equipment items are in
place but before any concrete is poured or floor sheathing installed, including the subfloor.
2.
3.
~raminq , Insulation Inspections: TO be made after the roof, all framing, fire blocking, and
raclng are In piace ana 81i p1pes, fireplaces, chimneys, and vents are complete and all rough
ele,:trical and plumbing are approved. All wall .insu~ation and vapor barrier are in place.
Lath and/or Gypsum Board InSpect10n: To be made after all lathing and gypsum board, l.nterior
ana-exterIOr, lS 1n place but betore any plastering is applied and before gypsum board joints
and fasteners are taped and' finished. (.
4.
5. ~ 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
compl~ Installation shall be in accordance with an app~oved, 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. Mobil~ 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 installod
per enclosure.
D. swimmin9 Pool: Below grade when steel is in place and before concrete is poured. Above 9rade
wnen pool-rs-installed.
,"IPPROVEO 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 PE~~IT WAS ISSUED O~ THE BASIS OF INCOMPLETE OR ERRONEOUS
INfORMATION.
ANYONE PROCEEDING PAST THE POINT or REQUIRED INSPECTIONS WILL DO SO AT THEIR OWN RISK.
SUBSURFACE ANO ALTERNATIVE ~ DISPOSAL SYSTEMS:
1. PermitlJ .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 i~sue a certificate of satisfactory completion to the permit, holder.
If the construction aoes not comply with such rules, the Department shall notify the permit
holder and shall require satisfactory completion before issuing the certificate. Failuro to
meet the requirements for satisfactory completion within a reasonable time constitutes a vio-
lation of-ORS 454.605 to 454.745 anll this rula. .
Setbacks - subsurface Sewaqe Disposal
SePtic ~
Fro~: Interior property lines 10'
Edge of road riqht-of-way 10'
Buildint;! foundation 5'
Well~. other ~ater sources .50'
prainfield-
la'
la'
la'
100'
, .
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,H,~iiE~ntST FOR'~SSjS'iANCE '
"land Management Diy. 125 E. 8th AYe. Eugene,' OR 97401
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Please complete all lines inside white
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OWNER OF PROPERTY (If not ..m. a. abovI)
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OWNERS ADDRESS (II nOl ..me a. abon)
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boxes, if possible.
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MAP, PARCEL NUMBER
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SITE ADDRESS
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MAIL PERMIT TO:
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.Allowed Usei'.:':':bVes
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Land Management Diy. slaff can
not be held responsible lor
evaluations or recommendations
based on false, Inaccurate or
Incomplete Inlormatlon
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Existing Buildings or
Improvements on
~:~erty
House
c::J Barn .-
c::J Garage
c::J Mobile. Home
c::J Shed
SEPTIC INSTAllED
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Water District
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Directions to site
from Courthouse
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<( For Mobile Home
Placement Only
Brand
Year
Size
No. 01 Tip-outs
No. of Bedrm"
License .1.1'
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