HomeMy WebLinkAboutPermit Septic Tank 1988-10-11
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Lane County Authorization for:
SEPTIC INSPECTION FOR LOAN REVIEW
JJJj to;{/
FOR OFFICE USE ONLY
APplication/~/?~~ ~~
PerrnJ.t It ~///-cr6
. roWi-;SHIP
17
03
I SECTION
23,3.3
I
I TAX LOT . Dour OF
2300
LOT/PARCEL, I BLOCK,
I PROPOSED USE OF PROPERTY
, El Resid~ritial D Industrial
I '0 'Cc:mmercial D Public.
RANGE
SJBDIVISION/PARTITION (if applicable)
LOCATION ADDRESS
STREET
CITY
ZIP
2762 MANOR DR., SPRINGFIELD, OREGON 97477
STRUCTURES CURRENTLY ON PROPERTY
EXISTING SINGLE FAMILY DWELLING
Ol.M.l;;(":'l'lQNS TO SITE
1-105 TO PIONEER PARKWAY, NORTH BOUND, RIGHT ON HAYDEN BRIDGE, LEFT ON MANOR DR., 2 1/2 BLOCKS
QN TH~~FT ~~~p. SIDE OF ROAD .
O"SCRIPTION OF PROPOSED WORK - BE SPECIFIC SEPTIC INSPECTioN FOR LOAN REVIEW .
DECLARED $ VALUE
= OF BEDROOMS I # OF STORIES
NA NA
O;~"'ER' S NAME AND ADDRESS
I # OF EHPLOYECS
NONE
\"l'ATER SUPPLy
PUBLIC
o Proposed
~ Existing
I TELEPHONE NUMBER
. 746-7116
I
I
TELEPHONE NUMBER
SAME
BARRY BOGART, SAME AS THE JOB ADDRESS ABOVE
CONTRACTOR'S NAME AND OSR #
SAME AS THE .\80VE
P'=;RNIT TO BE MAILED TO (NAME AND ADDRESS)
TELEPHONE NUMBER
SAr.E AS THE ABOVE
SAME
I HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION FOR PERMIT, and do hcreL>y ce'rt'ify that all iriformation hereon is true and correct, and that I
have the following legal interest 'in the property: Downer of record; ~t't:"<'Ict, pllrchaser; Dauthorized agent,
I f::.rther certify that any and all work performed shall be done in accoldanr.:" with the Ordinances of, Lane County and the Laws of the State of Oregon
pertaining to the work described herein, and that NO OCCUPANCY w~ll Ix- made.of ar,y structure without the permission of ~he Building Division, I fur-
ther certify that registration with the Builder's Board is in full force and effect, <'IS 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.' .
13A~{Z- y
T>DCo ~~T
(j)~ ~GC~,
rO)1l h~
DATE
NAME (please print)
READ THIS SECTION CAREFULLY. YOUR AUTHORIZATION gAS BEEN BASED ON THE FOLLOWING CONDITIONS!
[] PLANNING/ZONING:
Zon€'
':,lA
Parti hon #!
Parcel,#!,
Parcel' Siz_e...NlI..
Minimum Setbacks:
C
L, front
CL, side
interior
rear
CQM.'lENTS:
SEPTIC INSPECTION FOR LOAN REVIEW**NO SPECIAL PLANNING ACTION REQUIRED
RLH n
Date:
10-11-88
Installation
Specifications:
Gallon
Tank
Lineal Feet
of Drainfield'
Installation Record IS;'lued? DYes D No
Maximum Depth
of Trenches
[] SANITATION: s. 1. #
B. P. #-
~
[] PLANS
j<J- P1jt~ .5;D..S
XAMINA:N':~e' . NM . ~::<R-' ·
~ ~~--- ~.A"~.~?h.
. / Date, (OtL( '! _// ~
Us'e
COMHENTS:
Date:
n
-~,_) __ ~ IO~/f/~/f
~RO\I'Eb"m' "BUILDING FICIA~/DE E' (oer QRS 456.805 (1)) , . DATr.'
LANE COUNTY DEPARTMENT F UBLlC WORKS LAND MANAGEMENT DIVISION, 687-4061,
125 EAS . H AVENUE, EUGENE, OREGON 97401 .
SEE REVERSE FOR INSPECTION INFORMATION nH 0< ,,,,.
.
.
"
SETBACKS AND OTHER CONDITIONS OF APPROVAL MUST BE STRICTLY OBSERVED. VIOLATION CAN RESULT IN REVQ-
CATIOCl OF TillS PERMIT, CITATION UNDER PROVISIONS Of LANE COUNTY'S INFRACTION ORDINANCE, AND/OR OTHER
REMEDIES ALLOWED BY LAW.
WHEN READY FOR INSPECTION, CALL 687-';065. A MINnlU~1 OF AT LEAST 24 HOURS ADVANCE NOTICE FOR INSPEC-
T1UN KEQ~~~1S ~USl e~ GIVEN. Have tne tollowing information ready: permit number, job address, type
of inspection, when it will be ready, your n~me and phone number, and a~y special directions to site.
BUILDING DIVISION:
REQUIRED INSPECTIONS:
1.
Foundation Inseection: To be made after trenches are excavated and forms erected and when all
materla~s tor the toundatlon are dellvered on the job. Where concrete from a central mixing
plant (commonly termed Mtransit mixed") is to be used, .materials need not be on the job.
2,
Concrete Slab or Under-Floor Inspection: To be made after all in-slab or under-floor building
serVlce equipment, COndUlt, p1plng accessories, and other ancillary equipment items are in
place but before any concrete is poured or floor sheathing installed, including the $ubfloor.
3.
~raming ~ Insulation Inspections: To be made after, the roof. all framing, fire blocking, and
raC1ng are 1n pLace ana all p1pes, fireplaces, chimneys, and vents are complete and all rough
electrical and plumbing are approved. All wall insulation and vapor barrier are in place.
4,
Lath and/or Gypsum Board Inspection: To be made'after all lathing and gypsum board, ~.nterior
ana-exterIOr, 1S 1n place but before any plastering is applied and before gypsum board joints
and fasteners are taped and finished.
5.' ~ Inspection: To be made after the building is complete and before occupancy.
APPROVAL REQUIRED. No 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 buildin~ permits require inspections for the work authori~ed, 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 aT} approved, 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 orseptic 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. Mobile 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 installed
per enclosure. '
D. SWllMlln'] Pool: Below grade when steel 'is in place'and before concrete is poured. Ab~ve grade"
wnen pool-rs-lnstalled.
APPROVED PLANS MUST BE ON THE JOB SITE AT ALL TIMES DURING WORKING HOURS. TillS 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 MAY OCCUR IF THIS PERMIT WAS ISSUED ON THE BASIS OF INCOMPLETE OR ERRONEOUS
INFORMATION.
ANYONE PROCEEDING PAST THE POINT or REQUIRED INSPECTIONS WILL 00 SO AT THEIR OWN RISK.
SUBSURFACE ~ ALTERNATIVE ~ DISPOSAL SYSTEMS:
1. Permits shall be effective for one year from the date of issuance.
2. Upon completin9 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 issue a certificate of satisfactory completion to the permitiholder.
If the construction does not comply with such rules, the Department shall notify the permit
holder and shall require satisfactory completion before issuing the certificate. Failure to
meet the requirements for satisfactory completion within a reasonable time constitutes a vio-
lation of ORS 454.605 to 454.745 and this rule. - \
Setbacks - Subsurface Sewage Disposal'-
From: Interior property lines
Edge of road right-of-way
Building foundation
wells. other water sources
Septic Tank
10'
10'
.5'
SO'
, Drainfield
10-;-
10'
10'
100'
'.
,
,
I. .::.:::<:;:~::t
..... ..
.. . ..........
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'Please complete all lines inside white boxes,
15 t'\;~~ ~ '8 DIO""R."'-
'tUUH NAMI;;
:;17f.p';).... kl'H.lo~ ?(2\ \.J E::
if possible.
10/'0 (g<r
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"'HUNt:.
~ 1> R I N (7 F I E:..L l>
9'747/
ZIP
CITY
OWNER OF PROPERTY (II no, ..m. .. abov.)
"'HUNt:.
OWNERS ADDRESS (II not ..m. .. .bove)
ZIP
CONTHACTOR
,
UI;.n.. ..
.
MAP, PARCEL NUMBER
(Found on lu mapa In the A.....m.nt . To:aUon o.pL)
A ~ .2..? ,:1:1. :Ji:f2f
Township R;;'" 8ec:Uon 1/4 Bel;tion To: Lot
10wn"'lp '1r.ilg:;- 6ec:lIon 1'4 be'l;l>On 10: LOI
,
..................
~ .....:.::...:.:..~:.:.;.:.., ....
,
11111
SITE ADDRESS
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,
MAIL PERMIT TO:
-K
NAMt:.
IUIUHt:.l;;tI
!;lll"
ZIP
Land Management Dlv. staff can
not be held rasponslble for
evaluations or recommendations
based on false, Inaccurate or
Incomplete Information
..
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'.' :', .... .:-:;.,.'. :~:~./{/t:~:~:rt;:::.>
Existing Buildings or
Improvements on
Property
l::2r1iouse
c:J Barn
c:J Garage
c:J Mobile. Homa
c:J Shed
SEPTIC INSTALLED
C03-yes
c:J No
Water District
',,,
.
J
,.
Directions to site
from Courthouse
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.....0 P,C>"'E;uPrt-~IQ..vI>.'1'
1"oln""lt~u fo.JD
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ZIP
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For Mobile Home
Placement Only
Brand
Vear
Size
No. of Tip-outs
No. of Bedrmc
Ucense #
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.W: 5 LANE COUNTY DEPT ENV MGT RECEIPT 'il' 30118B DATE 10118t'.
APPLICANT BOGART, BARRY ADDR 2762 MANOR DR., SPRINGFIELD, OREGON^
TLO 1703233302300 SUBDIV LOT BLK ~
.IEW BU)G TYPE USE I~ BDI~MS 0 UNITS 001 STORIES !~BLDGS 001 PHONE 746 71 1~ .8
OWNER NME BOGART, BARRY ADDR 2762 MANOR DR., SPRINGFIELD, OREGON @
'r~ODE APPL NO ACTION DESCRIPTION SQ FT UNIT COST VALUATlbN FEE DAYS.
.'1" .:
BF:~ i
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a"L !~F I X/BA TH :
~ECH
SUF~
.'CK
~R LC 301188 SDSV
11 f'
.
SWF(: FT 0 WTR:
MECHANICAL_ FTE
STATE SURCHARGE
PLAN CHECK FEE
FT. RAIN:
FT
w
..
e:
':::
~>%
25%
60.00
.
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..ATG:
SEQU:
T AI< EN
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API"
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BY I:~LH
RA
FP
SDS
SI
PCK
OTH
ISS
3
DEPOSIT **
60.00
o
5
;
10.~
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2
EST. COMPLETION DATE