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HomeMy WebLinkAboutPermit Septic Tank 1988-2-2 ,. .-. Lane , - -+ .--~- c~ .LJG-.!3 /j,o ~ . --2-:2- --rY~ . 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 ~ 0.:../ I ~~:r 3. 3 I~ 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 , ~ ,:;-~. \. ~r-~ An dAnnm- ~~ ) / "'. . ~ ~ 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 "'1. _')1:. DQA . . '~'1':-' .:... .. ..~ '. .. 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. :, :' BUILOI::G 0IVIS10:>: \. 'i,J.. REQUIRE:) I::SPECTlO:JS: " .'. f .' \ \ ~. . 'l- , . ',"',. ,'* 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, , , J 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 . _\..: ~ " ~ 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' ..t:'- " .. . ". , " , , . .. , , - -, " ., ~ .. , ',' ~. ,\ '. '- .-'. Gi . . . . , . 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~ ill .: m ~ . .! LC 29188,SDSV 60.00 w b 0: ... .~ w ... I' -~ m .~ ( 51. 257. . ,.. .~ " I · CATG: SEQU: . TAKEN APP 1 BY GT RA '2 FP . SDS SI PCK 3 COMPLETION DATE OTH ISS . 4 DEPOSIT ** .. o o 1t , 60.00 C.i EST. . ~ o j .~ ~'.~~;ty - . . ACTIVITY INFORMATION SHEET ElMD" " e'.:., '" "' .- .... .; -," - -- l.NI;)......,.,.......r.n".v''''''... o.-..,~_ n' ,,~_ ....10M.. 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 [' \"- ~ C" ,/~ Cl ~ I (V) ~ I . ~ ,j Sf~ .? ! f~ ~ E q V) 11 -i) \) n.'! -I. -..Sl . - -+ ,,~ ~ ~ J <1 MV1 :PC - .'" . . iJ'S" ~___-=I2_~_n :\, l=-......tJ r-p;s.t, 0-------, -Bol( ::l.S-' c)- <.....------.----",... ~C\... J( '. -'I' 10' ~ - '0 "( --- I 1 5 , l-'7 . (J , l'- C'i .J., <::.'- ..' ~~ ctv\ 0 'V '- r:-' , O!:-.., 10 __"'<:'_, l --, t ' /2.' --P<\'+"o SHot? ~ y CJ ----- "t ~ 1\ \) ~ (f}----- ..-~ IS' H - Cove... '-J) , C C{ ~ ,~ C'( Vo",'Ie. vo.t ' ...... to r '1 G'l >~c.. :.\ , I h..' l ~ , lAIr/! 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