HomeMy WebLinkAboutPermit Septic Tank 1988-2-2
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County Authorization for:
FOR OFFICE USE ONLY
SEPTIC INSPECTION FOR LOAN REVIEW
Application/ "JO( Cr>
Perm;Lt i ~/ -rr r
.. roW::SHIP
t7
S~BOIVISION/PARTITION (if applicable)
RA!lGE ~
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I WT/PI:RCC:'
UOUT OF
PROpOSED USE OF PROPERTY
lX] Residential 0 Industrial
o Commercial 0 Public.
I BU?C~
ru;y~~fjP}6 ,(')A Or , ~
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I DECLARED ~ VALUE
SPECIFIC
SEPTIC INSPECTION FOR LOAN REVIEW
. ~D(j p.. I' OF~ I 'r\~C~ I T~~h bfl1.;)
at6h\~J1, au~ cd ~Jf).~
CrMCT:"~~D OSR i I Q740i NUMBER
t;!i~~.~2:;:!!,~~ 2C~ '" "",,~j~. '::'f~~hIn~~~~~~:=?'
have the following legal interest in the property: Oo...ner of n..con'l; 0 cr'fI-:rd"~ <,,,:n.::ha,,er; ",uthorized agent.
I f'.:.rther certi fy that any and all work performed shall be done in d.cl,;uul",:l';" ..-i tli th!;l ardu an ~s of Lan~ County and the Laws of the State of Oregon
pertaining to the work described herein, and that NO OCCUPANCY ....iU b... :narlC! of ar,j' S"T1Jctut:e ....ithout the pC'nnission of the Building Division. I fur-
ther certify that registration with the Builder's Board is in full forcll and effect, as reC;uircd by ORS 701,055, that if 'exempt the basis for exemption
is noted hereon, llnd that only subcontractors and employees who are in compliance with ORS 701:055 will be used on this project. I HAVE READ AND
CHECKED THfS APPLlCATIOH THOROUGHLY, d '" ~_ .. _ / ~. ~ p
(;p~~.f'A.2A(yn ~7 ~-cJ~ .-9-_.2.-/r
NAME tplease- p"rint) '- / SIGNATURE)4"
o Proposed
m Existing
TELEPHONE NUMBER
DATE
v
READ THIS SECTION CAREFULLY. YOUR AUTHORIZATION ~IAS BEEN BASED ON THE FOLLOWING CONDITIONS!.
o PLANNING/ZONING: Zone
Minimum Setbacks: CL, front
part~tion 11
CL, s,ido
Parcel #t
Parcel Size
interior
rear
COMNENTS :
SEPTIC INSPECTION FOR LOAN RFVI~--NO S~AI
PI ANNING Ar.nON RmllTRm
~-2-?F
Date:
~
o SANITATION: S. I. #I B. P. ij Installation Record Issued?DyesDNO
Installation Gallon Lineal Feet M.aximum Depth
::,~:::::tJi~ OA&dJ~~ .O)S r''';?!-<L ~~ O~ 4-
~~. .~J/~AflA.. .h1 iV~~j Dat.: (72--/7- 'J?F ~
o ~ EXAMINATION: r Graue, Use
COMHENTS:
Date:
n
li.
~?).. ~ ~ ~-//'~
-PE~APPROVED B~BUILDIN:~AL/DESIGNEE leer ORS 456.805(1)) DATE
LANE COUNTY DEPApMENT OF PUBLIC WORKS LAND MANAGEMENT DIVISION, 687-4061.
125 EAST 8TH AVENUE, EUGENE, OREGON 97401
SEE REVERSE FOR INSPECTION INFORMATION
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SETai,G:S ....,,0 O-:'!!Stl. CC::OITIO::S OF i,PPRO'.',\L ~:l:ST BE SiRIC-::S OBSERVED. VIOLATIO~ CA>' R!:SUI.T IN RE\'O-
C,-,710:: OF crus i'ER~lI;, CIT,-,TlO:: U::OO:R PROVIsro::s Or L,\:;E '::0\':::71"., l:lFRi\CTIOe: OF.Dr::....::et:, ;,:iD/OR OTllER
RE~EDIES ALLOWED B. LAW.
\\HE:: HEAD. FOR ;:::SPBc-:ro:<, C,\:':' 687-.;,,065. ',\ ~!I:inH..':.: OF AT LS;,ST 2': llOl.lRS "DV,\::~E. =,O':'ICE FOR INS't>EC-~"
no:: H.E':.'L:E~7::; ;';>~~7 l!S ~;iVE::. iW'le the J-oll?,":ing in:o~==!at.ior: ~e'ady: "G~:::it. nu;nber.'.job ~ddress, type;
of insp~cti:on, whelT it WLII be reildy, ,'our-:1amc and ;::l~or.c nu:::tler, \ilnC a::y~cLal clreCtl0ns ,t.O Slt.e. :,
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BUILOI::G 0IVIS10:>:
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REQUIRE:) I::SPECTlO:JS: " .'. f
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1. Found.J.tionl~'nspcction:. To ilc..E!.ade ~ftci: t.rel!:t!es!.lre\cxca\'~ted arid for~(~Fccted and'whe'n ad.
~atcrl.J.~S fo. the toundat.ion are delivered on the Job. ~here concrete from a central mixing
plant lcommonly tcrmcd "transit mixedM) is t.o be used, !:lil.tqrials need not be on the job, ,
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2. Concrete Slab or Under-Floor InsDection: To be made after nIl in-slab or under-floor building----
servl~e e~uipment, conuult, plplng accessories, and other ancillary equipment. it.ems arc in
place but before any concrete is poured or floor sheathing installed, including the subfloor.
3. Framing ~ Insulat.ion Inspections:' To_~e..mad~ after_ the roof, all framing, fire blocking, il,lJ.d
braclng are In ?ldCa una nll plpes, fireplaces, chimneys, and vents are complete and&all rough
electrical and plumbing are approv~d. All w~l insulat~on ~nd yapor barrier arc in place. '
..., '-' -.....
4.
Lath and/or Gvosum Boare Inspect.ion: TO
and ex::crIOr~n--pT'ii'Ce out netore any
and fasteners are t.aped and finished..:.-.
be made after all lathing
~lastering is appliea and
1 '.. .1_ .,:
and 9ypsurn board, ;nterior
beiore gJ'psum" board joints
. _\..:
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~ 5. ~Tinal Inspection: To be made after the building is complete and before occupancy.
, APPROVAL R~UJRED. :10 ...,-ork shall be done on any part of the building or structure beyond the ,point
indicated in'each successive ;pspect.ion w~thout first obtaining the approval ~f the building Official.
~uch approva,l sh~l~ be' ~iv~n only 'af~er .~n -insp~7tiC?n"" 'Sh!11Ihave been r.1ade ':,f ea<;=h successive.~sl~p i ,
'. \ .~n the' c~onst.ructlon, as_:nclcat!cd by eaCh, of t;he, lnSpeCtlonS., reCp.,lip!d. .. t ,I .' .._i ',~, I'
~OTE: All building permits require inspections for ,the work authorized, such as but'not limited t.o:
A. Blo~k Wall: 'To be !:lade after rein~orcing is in place, but before any grout is poured. ~his
InSPectIOn is required for each -bond beam pour. There will be no approval until the plumbing
and electrical inspect.ions have .~een made and approved.
B. wood Stove: To be. made after co:::pletion of masonry {if applicable} and when installat.ion is
comDI~ Installation shall be in accordance with an approved, nationally recognized testing
agency and the manufact.urer'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 conne':..t.ion~.~ . r ...' ...
1. footings and pio,rs to cQmply..w~th State foundation requirements for mobile homes Oi:iI~". :-.
recommended by th4e"rnanufacturer. .,. . ..
2. Mobile home minimum Dinish floor elevation shall. be certified when required by a flood-
plain management letter.
3. .'lobile horn€:! tiedowns, when required, and skirting shall be installed and ready for inspec-
tion within ut least 30 days after occupancy, Tiedowns and skirting shall be installed'
per enclosure.
D. Swimmin9 pool: Below grade when steel is in place and before concrete is poured" Above grade
wnen'po01-rs-installed.
,\PPROVED Pr.;..:1S :.lUST BE 0:1 THE: JOB SITE' A"!' ALL TIMES DURING WORKING HOURS. ':'HIS"PERMIT WILL EXPIRE
If WORK DOES NOT BEGI:1 WITHIN 180 DAYS, OR IF WORK IS SUSPENDED OR ABANDONED fOR ~ORE THAN IBO DAYS.
SUSPENSION OR REVOCATION :-1AY OCCUR If THIS PER,\lIT \~AS ISSUED ON THE BASIS Of INCOMPLETE OR ERRONEOUS
INFO~~TION. "
A~lYONE PROCEEDING P"ST TilE POI::T or REQUIRED IN5PECTIO~lS WILL DO SO AT THEIR OWN RISK.
SUBSURFACE ~ ALTERNATIVE ~ DISPOSAL SYSTEMS:
1. Permits shall be effcctive for one year from the c~te of issuance.
2. Upon completing the construction for which a permit has been issued, the permit holdcr shall
notify the Lane County Department of Planning and Community Development by submitting the
installation record form. ~he 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 sntisfuctory comp!ction to the permiti ~,older.
If the'constructiO:l docS--not.comply -with sucH. rules, thc'"m!"p5ttrnent- s'fl.<ill....notify tnc' p/irmi't ~
holder and shall require satisfactory completion before issuing the certific~te. FJilure to
meet. the requirements for sati...factoq~ cO!:lpletion within a reasonable time constitutes a vio-
'latior'lofORS'454.605t.o454.7.\5a-ndtnisrule. & - --. ... ~._. "
Setbacks - Sub~urface ~ Disposa~
Septic Tank
Drainfield
F!"O::::
Interior propert
EC<je o~" roau rtq
Blllldinq io\;nda~
~~lls. other ~at
10'
10'
10'
100'
lines
t-of-wdY
on
r sources
10'
10'
5'
50'
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W: 5 LANE COUNTY DEPT ENV MGT RECEIPT ~ 29188 DATE 020288
APPLICANT BRASHNYK, GREG ADDR 1142 WILLAGILLESPIE RD.,~7, EUGENE
. TL~ 1703233300800 SUBDIV LOT BLK.
NEW BLDG TYPE USE R BDRMS 0 UNITS 001 STORIES ~BLDGS 001 PHONE 484 98~
OWNER NME WEBER, STAN ADDR 2669 MANOR DR., SPRINGFIELD ,..
. CODE APPL NO ACTION DESCRIPTION SQ FT UNIT COST VALUATION FEE
BP
BP
. BP
BP
~ BP
· PL'
MECH
SUR
PCK
LR
'l'FIX/BATH:
SWR:
F.T. WTR:
MECHANICAL FEE
STATE SURCHARGE
PLAN CHECK FEE
FT.
RAIN:
FT
D'Wf~
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LC
29188,SDSV
60.00
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COMPLETION DATE
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DEPOSIT **
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60.00 C.i
EST.
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ACTIVITY INFORMATION SHEET
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Please complete all Items abova dolled IIna
FILLING OUT * LINES WILL GET YOU INFORMATION ONLY
*DATE c?{ I / I gg
* PERSON ~ ACTUAL
MAKING /' lA /l J I . / , ./ PROPERTY <"' -r- /1 ,,/
REauEs~Gh 7CrrSN'N l'K OWNER ..)//"-I'V
ADDRESS//~2. t0n.A c-,-LLii,tJ;e- A #7 ADDRESS 2(',{9 />'/'c:7/IM~
CITY LU(~ STAT~a ZIP 97~/ CITY S/' Pr) STAr?4t-? ZIP
TELEPHONE (BUS) ~~- 98/5(;OMEI TELEPHONE (BUS) (HOMEI
* PROPERTY ADD~ESS ~0 6 97ir 4' _/)/> )
OR
MAP & PARCEL NUMBER (Found on tax maps in the Assessment & Taxation Dept.)
STAFF WILL DETERMINE_
~8ML
/7
. Township
03 23';3
Range Section
800
Tax Lot
Zoned'
Flood Plain
Township
Range Section
Tax Lot
Zoned
Flood Plain
Township
Range Section
Tax Lot
Zoned
Flood Plain
TOTAL CONTIGUOUS PROPERTY IN SAME OWNERSHIP:
ACRES
~J1Y;/~~ .)
DlrecHons to s;te?~ n. ~~ 4cn;{( "" ~h./
....................5ta" Use On~....................
Comments:
Land Management Division, Public Works Department 125 E. 8th Ave., Eugene, OR 97401 phone 687-4061
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