The URL can be used to link to this page

Home My WebLink AboutPermit Septic Tank 1986-4-22 '0 .. ~4-7 r.U.RAL ADDRESSING' [.EeKED APR 2 3 Lane County Authorization SEPTIC DISPDSAL SYSTEM INSPECTION FOR LN. ;j)J.4-~ . . for: , FOR OFFICE USE ONLY ~~~~~~aiion~~~ ~~--~;1" RV roW,,;SHIP I SECTION 23.3.2 I TAX2;~ O~UT OF LOT/~ARCEL I B~K PROpOSED USE OF PROPERTY [Xl Residential D Industr ial o Conunercia.l 0 Public. I RANGE 17 03 S~BDIVISION/PARTITION (if applicable) McKenzie Manor/1st Addition LOCATION ADDRESS STREET 2915 Manor Dr., Springfield CITY ZIP 97477 STRUCTURES CURRENTLY ON PROPERTY SFD ur~CTIONS TO SITE Harlow Rd. E - 1st St. N after 3rd St. ~~SCRIPTION OF PROPOSED W9RK - BE SPECIFIC. Septic system inspection ,. OF BEDROOMS J # OF STORIES O;\~ER' 5 NAME AND ADDRESS FERRY, John DECLARED ~ VALUE I If OF EMP~YEE~ WATER SUPPLY o Proposed 6fl Existing TELEPHONE NUMBER 4479 P.O. Box 1363, Springfield 97477 CONTRACTOR' 5 NAME AND OSR # P':';Rl>lIT TO BE MAILED TO (NAME AND AI?Df'lliSSJ TELEPHONE NUM~ J~lZN: Yu~B.! I HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION "'OR PEPMIT, ..nd cIo hereuy eett.ify th<>t all infol"l'natioll hereon is true and eorrect, and that I have the following legal interest in the, property: l&Jowner of record; O'colltrat:t:. p\lrchaser; Oauthorized agent. I f::.rther certify that any and all work performed shall be done in accotuanCf: wi th th<J Ordinance:;; of Lan!;! County and the Laws of the State of Oregon pertaiiling to the work described herein, ~nd that NO OCCUPANCY will be made o( ar.,. st:Cllcture withou1;- the permission of 1;-heBuilding Division. I fur- ther certify that registration with the Builder's Boara is in full force i1nd effect as required by ORS 701.055, that if exempt the basia 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 THOROOOHLY. NAME Iplease prJ.ntl Dropped off SIGNATURE 4-22-B6 DATE READ THIS SECTION CAREFULLY. YOUR AUTHORIZATION 9AS BEEN BASED ON THE FOLLOWING CONDITIONS! o PLANNING/ZONING: Zone Partition # Parcel # Parcel size Minimum Setbacks: CL. front C . '.d L, 51 e interior rear Installation Specifications: Gallon Tank . fyf- Installatio~ Record Issued? 0 Yes 0 No Maximum Depth '=;-._ffA':<<1~ -;,:l~t~,~, ;;::~ ~ ~ :;y;---~ ~/_ Date, ~/-Jf:. ~. iL REVIEW PURPOSES ONLY. REQUIRED Date: 4-22-86 NO FOR LN SPECIAL PLANNING ACTION COMNENTS : o SANITATION: S. 1. # B. P. # Lineal Feet , Group Use PLANS EXl\11INi):::: COMHENTS: Date: I] ~&/ ~d'. K.,\ y/-Fc ~~IT APPROVED ~ BUILDING O~F/DESIGNEE (oer ORS 456.805(1)} DATE LANE COUNTY DEPART T OF PUBLIC WORKS LAND MANAGEMENT DIVISION, 687-4061, 12 AST 8TH AVENUE, EUGENE, OREGON 97401 C:l<'l<' Ol<''l7l<'OC:l<' J;'O()O T1\TC:Dl<'r'rrT()1\T T1\Tl;'()OM1't.rrT()1\l . . SETBACKS A~D OTHER CO::OITIO::S or APPROVAL }lUST BE STRICTLY OBSERVED. VIOLATION CA~ RESULT IN REVO- CATIO:-l Of ,HIS PERmT, CITATIO~l U~DER PROVISIONS Or LA~E cOY:-;'TY:S INFRACT_ION ORDI:1A:-:CE, AND/OR OTHER REMEDIES ALLOWED BY LAW. ~HE:N READY FOR INSP~. CALL 6a7-~065. A MINH1U~l OF AT LEAST 24 HOURS ADVAt:CE NOTICE POR INSPEC- T!U~ H.cC'L;t;STS ~IUST BE GIVEN. Have tne tollowing information ready: permit number, job address, type of inspection, when it will be ready. your name and pho~~ number, and any sp~cia~ directions to site. BUILDING DIVISION: REQUIRED INSPECTIONS: 1. Foundation Ins~ectio~: To be made after trenches are excavated and forms erected and when all materlalS lor tne toundation are delivered on the job. Wh~r~ concret~ from a central mixing plant (co~~only termed "transit mixed") is to be used',materials need not be on the job. 2. Concrete Slab or Under-floor Insoection: To be made after all in-slab or under-floor building serv~~e e~uipment, COnOUit, p~p~ng accessories, and other ancillary equipment items are in place but before any concrete is poured or floor sheathing installed, including the subfloor. 3. Framinq ~ Insulation Insoections: To be made after. the roof, all framing, fire blocking, and brac~ng are ~n plaCe ana all p~pes, 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/~ Gv!?sum Board Inspection: To be made after all lathing and gypsum ,board, ,;.nterior ana-exter1or, 1S 1n-pTiCe out O~Iore any plastering is applied and before gypsum board joints and fasteners are taped and finished. 5. 'Final Inspection: To be made after the building is complete and be~or~ 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 rnspection 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 complete. Installation shall be in accordance with an 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-or septic system for setback requirements, blocking, footing connection, ~iedowns, 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: Swi~~inE Pool: Below grade when steel is in.place and be fora concrete 1s poured. Above grade wnen pool-rs-installed. APPROVED PLA~S MUST BE ON THE JOB SITE AT ALL TIMES DURING WORKING HOURS. THIS PERMIT WILL EXPIRE IF WORK DOES NOT BEGIN WITHI~ 180 DAYS, OR IF WORK IS SUSPENDED OR ABANDONED FOR MORE THAN 180 DAYS. SUSPENSION OR REVOCATION l1AY OCCUR IF THIS PE&~IT WAS ISSUED ON THE BASIS OF INCOMPLETE OR ERRONEOUS INFORMATION. ANYONE PROCEEDING PAST THE POINT or REQUIRED INSPECTIONS WILL DO SO AT THEIR OWN RISK. SUBSURFACE AND ALTERNATIVE SEWAGE DISPOSAL SYSTEMS: 1. Permits 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 issue a certificate of satisfactory completion to the permit, holder. If the construction docs not comply with such rules, the Department shall notify the permit holder and shall require satisfactory completion before issuing the certificate. Failure to mect the requirements for satisfactory completion within a reasonable time constitutes a vio- lation of'ORS 454.605 to 4501.745 and this rule." Setbacks - Subsurface Sewaqe Disposal SePtic~ From: Interior property lines 10' Edge Ot road riqht-of-way 10' Buildinq foundation 5' ~ells. other water sources 50' Drainfield 10' 10' 10' 100' .' " . . ACT~ITY INFORMATIO~HEET klne county <I ". COMPLETE THIS SECTION. INCOMPLETE FORMS WILL BE REJECTED! ~~\r...~ ~~ ~~'\ PERSON MAKING REQUEST ~,D, ~O~ \'3\"~ MAILING ADDRESS ~b 't\~ ~ E. ~ R'1 PROPERTY OWNER ~.t), ~C)~ \~~~ MAILING ADDRESS s~~\~(.~\~\,~ D~ '\'\~')') CITY STATE ZIP CODE . {g 't '\ - '\\\ l'V\ BUSINESS TELEPHONE # HOME TELEPHONE # BUSINESS TELEPHONE # HOME TELEPHONE # 2. PROPERTY ADDRESS d-~\S ,",""~~~ '\:)~\~~) <::,~~,~l,~\\:,\,\:)) D~'t.~b~ (IF DIFFERENT FROM MAILING ADDRESS) . " S~"\l..\~"'~\'i:\'~1 D~ CITY STATE '\'\~'\') ZIP CODE I.:.<t'\. l-\L\ '\ ~ 3 MAP & PARCEL NUMBER (REQUIRED INFORMATION) (from tax maps in Department of Assessment and Taxation or from tax statement) \~ t)~ ~~.?:.~ TOWNSHIp. RANGE SECTION ~ ~ tlD TAX LOT(S) OR PARCEL # ZONING TOWNSHIP RANGE SECTION TAX LOT(S) OR PARCEL # ZONING TOWNSHIP RANGE SECTION TAX LOT(S) OR PARCEL # )/6-. ZONING TOTAL CONTIGUOUS PROPERTY IN SAME OWNERSHIP: ACRES BLOCK to ~~~~b'\)~" " 4 SUBDIVISION (if applicable) ~'-~~<.\5:. VI.~~bR. tt\9-b\: ).I;>\) LOT ~ 5 REQUEST (state exactly what you plan to do) ~';;;..~" \3\:~ .0, ~ . , \- C>~ 'V~~"",v. S,\"''''-'<>\3\ ~Ol&. ~~\.~o...~c..\~1o ': , 6 DIRECTIONS TO SITE: ~~""~~ ::'R~ \-\~~\.,~~ R~ ~'" S'\. - . \<,"\ c:;:;'\,,~~\ ~\)~~~ S""" 'i. ~"\ J ** FOR STAFF USE ONLY ** -- NUMBER DATE .. -l ;;0 V> -l r-: ZONE/LAND USE: BY: DATE: TIME IN: OUT: LAND MANAGEMENT DIVISION / 125 E. 8th ^VE., EUGENE, OR 97401 / 687-4061