HomeMy WebLinkAboutPermit Septic Tank 1988-7-12
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Lane County Au
SEPTIC INSPECTION FOR LOAN REVIEW
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'7-~
for:
FOR OFFICE USE ONLY
Application/
Permit j.
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17
03
I SECTION
23.3.2 ) TA;~T
I LOT/P1,~c:r::. r
DOUT OF
roW,;SHIP
RA!JGE
LOCATION ADDRESS
STREET
CI'~'Y
ZIP
rKO~OSED USE OF PROPERTY
~ Residential 0 Industr ial
o co_o..,.,~.
S~8DIVISION/PARTITION (if applicable)
BLOCK
2900 Manor Drive, Springfield, Oregon
STRUCTURES CURRENTLY ON PROPERTY
Existin~ sin~le family dwelling, garage
DIRECTIONS TO ~IT~
97477-1318
HArlow Road east over tracks to Havden Bridge Road. to Manor Drive. turn left. near end of
~rrppr on the left ha~~ _~~~~.9f road
~ESCRIPTION OF PROPOSED WORA - OL ~~~L~t~~
SEPTIC INSPECTION FOR LOAN REVIEW
DECLARED S VALUE
= OF BEDROOMS I ~ OF,STORIES
na na
O;,'NER' S NAHE AND ADDRESS
Gary & Reba Swinney, Same as the job address above
CONTRACTOR' 5 NAME AND aSR it.
I #. OF Et-1PLOYECS
none
I-I^ l'ER SUPPLY
Public
D Proposed'
(X) Existing
TELEPHONE NUMBER
746-4562
Same as the above
P:;Rl>lIT TO BE MAILED TO (NAME AND ADDRESS)
Dan Leahy. 656 Charnel ton Street, Eugene, Oregon '97401
TELEPHONE NUMBER
Same
TELEPHONE NUMBER
484-3800
I HAVE CAREFULLY EXAMINED THE COMPI..ETED APPLICATION f'OR PERlHT, dud ,10 horo!JY eettLfy t,ha all infol"1l1atioll hereon is true and correct, and that I
have the following legal interest in the property: Downer or record; 0 Cc.",r,Hct: ",'lIchascr; ~uthorized agent.
1 f',,:,rther certify that any and all work performed shall be done in <>cc.:otd....nc" ...'i tJ-, tl:t;! flni an tlS of Lantl County and the Laws of the State of Oregon
pertaining to the work described herein, and that NO OCCUPANCY \>'ill hI.' :nacic of ,Jr,';' Sl',nJc.:t u:e without ttlC permission of the Building Division. I fur-
ther certify that registration with the Builder's Board is in full force .md. effect as. rC'luircd by ORS 701.055, that if "exempt the basis for cxelllption
is noted hereon, and that only subcontractors and employees who ar/2in CO.lllPl".anc.c wit~ ORS 701.055 will be used on this project. I HAVE READ AND
CHECKED THIS APPLICATION THOROUGHLY " ~ 4
Dan Leahv ~'l.., fZ"jA--:flh1 ~~.....
NAME Iplease print] ~~ ~- DATE
READ THIS SECTION CAREFULLY. YOUR AUTHORIZATION !IAS BEEN BASED ON THE FOLLOWING CONDITIONS:
[] PLANNING/ZONING:
Zone
na
Parti tion It
Parcel #
parcel Size na
Minimum Setbacks:
C
L, front
CL, side
intericlr
rear
COM.\lENTS:
SEPTIC INSPECTION FOR LOAN REVIEW--NO .SPECIAL PLANNING ACTION REQUIRED
7-06-88
Date:
RLH n
o SANITATION:
S. 1. It
B. P. it.
Installation Record .Issued? 0 Yes 0 No
Maximum Depth
of Trel)ches
.:;r;;- ~ ~~/~
Date,/J 7-IL-PP/! ..4A
- - ~
Installation Gallon Lineal Feet
Specifications: Tank of llr:ilir:field
COMNENTS, .;:zt..~~ . .H.':;)t'~ i~' y- S.u5: ft.. r7",'u<1
<71-; # '//. I ..~I
~.J .t. A.A"-
o PLANS ~INATION ape ~ Group
Use
COMHENTS:
Dale:
n
"p~Ci~y B~L~Ef:I:- si;;;f{~rS-:'56.B05 (1)) 7~<~ -ff
. LANE COUNTY DEPARTME F PUBLIC WORKS LAND MANAGEMENT DIVISION, 6874061,
125 E 8TH AVENUE, EUGENE, OREGON 97401
SEE REVERSE FOR INSPECTION INFORMATION r.1L._?~ RAot..
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SETB;,cr::S ,.,so O':'~!ER CC:;DITrO~;5 OF ';PPRQ,!,.,L ~:UST Bf. STRIC':':",' 0,':5::1<'.'::0. \'IOLATIO~: CA:, R!:SULT IN RE....O-
C,\:-IO:: Of ':'1IIS P~:R:UT, ClT.-,TIO:; U",DSR PROVISrO:.S OF L,\"r; CO<,:::,,':; 1::fR;,CTIO:l ORDi::.;::cr;, ;,::O/OR OTHER
RE~EDIES ALLOWED BY LAW.
'"IIEN READY fOR I::SI'r:C,ro-.:.'!., C,\:':' 687-~f}65. ,\ ~:I~V1U:,: OF ,\T L;;;,ST 2~ II OURS ,\OV,\::Cf. ;":OTICE FOR INSP!:C-
1IU:J IU:Qt..:<..S',':; :.,:";ST U!:; GIVE::. Have tne Lollowing in:':n-:.1at,iort-rc:tcy: ,cr::tlt number, Job address, ty.pe
ot insp~ction. when it will be ready. your name and ?~one :J~~~er, and any s?cclal ~lrcctlCns to Site.
>>
BUILDING DIVISION:
REOUIR!:::l r:;SPf.CTIO:1S:
1.
Found~tion_Inspcction: To'bc made after trenches are.excav~tcd and f~rms erected and_when all
~~terla!S :or the toundation arc delivered on the job" ~hcre concrete from a central mixing
plant (commonly termed ~transit mixed~) is to be Used, materials need not be on the job.
Concrete Slab or Under-210or Insoection: To be made aiter all in-slab or under-floor building"
serVl~e e~uipment, concult, pIplny accessories, and other ancillary equipment items arc in
place but betore any concrete is poured or floor sheathing installed, including the subtloor.
2.
3.
~raming & Insulation Inspections: To be made after the roof, all framing, fire blOCking, and
racing are In ?lacc a~d all plpes, fireplaces, chimneys, and vents are complete and all rough
electrical and plumbing arc approved. All wall insulation and vapor barrier are in place.
,
."'.
4.
Lath and/or Gvosum Board Inspection: To be made after all lathing and gypsum board, l.nterior
anc-axtCrIOr~n-prace but balore any plastering is applied and before gypsum board joints
and fasteners are taped and finished.
5. Fin~l Inspection: To be made after the building is complete and before occupancy.
APPROVAL REQUIRED. ~o ~ork shall be done on any part of the building or 5tructure beyond_the point
indicated in each successive inspection without first obt3ining the a?p~oval of the builcing off:cial.
Such app~oval shall be given only after an inspection shall have b~en made of each SUCCessive step
in the construction as indicated by each of the inspections~requir~d. _ :.
NOTE: All building permits require inspections for the ~ork authorized, such as but not limited to:
A. Bloci<; \~all: To be milc:e .after reinforcing is in place, but before any grout is poured. This
InSPectIOn is required ior each bond beam pour. There will be nO approval until the plumbing
and electri.cal inspect.ions have been made and approved.
B. Hood Stove; To be made after complet.ion of masonry (if applicable) and ,",'hen installation is
complete. Installation shall be in accordance ~ith an approved, nationally recognized testing
agency and t.he manufacturer's installation inst~uctions.
C. Mobile Home: An inspection is required after the mobile home is connected to an approved
sewcr-or septic system for setback requirements, blocking, footing connection. tiedowns,
s~irting, and plumbing connections.
1. Footings and piers to comply wfth State"foundat~on requirements for mobile homes or as
recommended, b1': t~"e""man_1;1f"acturer. \ -., .~. - c. ........- "... .
2. ~obile home minim~~ finish floo; elevation shall be certified ~hen required by a flood-
plain management letter. .
). ~obile home ticdowns, when required, and skirting shall be installed and ready fer inspec-
tion within at least )0 days after occupancy. Tiedo~ns and skirting shall be installed .
per enclosure.
D. SWlmmIn9 Pool: Below grade when steel is in place and before concrete is poured. Above grade
wnen pool-rs-lnstalled.
,\PPRQVED PLANS }lUST BE O~ THE JOB SITE AT ALL TIMES -DURING WORKING HOURS. TillS PER}lIT WILL EXPIRE
IF \o:ORK DOES.NOT BEGI~.WITHIN 180 DAYS, OR IF WORK IS SCSPE:-lDED OR ABA:1DO:1ED FOR :.\ORE THA:1 180 DAYS.
SUSPENSION OR REVOCATIO~ ~mY OCCUR IF THIS PE~1IT WAS ISSUED O~ THE BASIS OF INCO~PLETE OR ERRONEOUS
INFORNATION.
ANYONE PROCEEDING P,\ST THE POI:;T or REQUIRED INSPEC'!'ImlS WILL DO SO AT TI1EIR OWN RISK.
SUBSURFACE ~ ALTERNATIVE ~ DISPDSAL SYSTEMS:
1. Permits shall be effective for one year from the_c3te 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
i~stallation record form. The Department shall inspect the construction to determine if it
complies ~ith the rules contained in this division. If the construction does comply with such
rules, the Department shall issue a certificate of satisfactory completion to the permiti~older.
If. the constructi'on dees not comply with such .rules, the Depart.l!'lent shull notify rhe pl"rmit -
holder. and shall require satisfactory cO!:lpletion before issuing the certifiC.:J.tc. Failure to
meet ~he requirements for satisfactory completion ~ithin 3 reasonable time constitutes a vio-'
latton of eRS 454.605 to 454. 745 and this ru16. ." -
Setbacks - Subsurface Se~a~c Disoosal
Septic ~
~rom: I~terior propert lines 10'
E(l')c 0:" road rH; t-of-way 10'
Rul1uinq fO\lm!at on 5'
\,,~lls. other "':.:J.t r sources 50'
Drainfield
10'
10'
10'
100'
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. W: 5 L.ANE COUNTY DEPT ENV ~lGT F;:ECE:IPT ':~ 192608 DATE 070M'
APPLICANT SWINNEY, GARY ADDR 2900 MANOR DR., SPRINGFIELD, OREGON'-'
TL.O 1703233200700 SUBDIV LOT 'BLK
.NI:..,.W I:,l!,., 1)('.:, '!' Y 1:'[: I)"," I'" "DI"'l"'" "'li"'I"I'" ()0' .,.Iell....I""" ''''1'1 D("S' ')0' I"'II()NI- ..", 4",e
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OWNER NME SWINNEY, GARY ADDR 2900 MANOR DR., SPRINGFIELD, OREGO~
. CODE ,;PPL. NO ,;CnON DESCRIPTION SQ FT UNIT COST VAL.UAnON FEE D,~y.di!j
BP .0
(I EIP ~
. BP .~
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BF' a
.PL.
MECH
SUf~
.PCK
LF;:
~'FIX/E'ATI-I :
SWR: FT. WTF! :
MECHANICAL FEE
STATE SUF!CHAI:!G[
pLAN CHECK FEE:
FT. RAIN:
FT
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LC 1 ?2Ml8 SDSV
60.00
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EST. COMPLETION DATE
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Please complete all lines inside white boxes, if possible.
'-0 f2 A/
YOUK NAMI. .
'OUR t~f
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f1?#.d-CA/EL /4#
7- 6 ~fj>?'
DAT~
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CITY
OWNER C1RO'fr.J';- ~ <>L R (!, b 8.
<7'7)/(1/-;2(,,/0
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OWNERS ADDRE'SS
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CUNIHAl,;lOH
Llcen.. .
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MAP, PARCEL NUMBER
(Found on tax map. In the A.....m.nl . Tuallon Dept.)
lown.n,p
/1
Town.hlp
Han".
03
t>>eellon
1/46eellon
IU.LOI
..2-$ 3. 2-
'7uo
T~Lol
Ran".
Seellon
114 Sec:llon
lown.nlp
Han",
1/41Hcllon
blClIon
TULol
:tct6C\
SITE ADDRESS
Vvl dv. rl'v-
"5 h (41 ~
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~ 'i. 71f77-IJlf · "'Ww,
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MAIL PERMIT TO:
-------D A l\ '^ EO A ~ '1 '" ),{
nAMe
(J't)1/JtI.=2;~~~.
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~. Q711.l'i
ZIP
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ADOReS
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l;ITY
Land Managament Dlv. staff can not
b. h.ld responslbl. for evaluallon. or
recommendation. ba.ed on fal..,
Inaccurale or Incomplet. Information
.',
EXISTING BUILDINGS
ON PROPERTY
DZrHouse
: y (Jl"rn
Garage
CI Mot>le. Home
CI Shed
Other
DIrections to site
from Courthouse
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FOR MOBILE HOME
PLACEMENT ONL Y
Model
Yaar
Size
No. of Tip-outs
No. of Bedrms
Ucense #
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