HomeMy WebLinkAboutPermit Septic Tank 1987-6-5 (2)
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Lane County Authorization for:
SEPTIC INSPECTION FOR LOAN REVIEW
FOR OFFICE USE ONLY
APPlication//? /7,/, -1::7
Perm.l. t t 7' cJ. -,
N~5HIP / r I RAllGE~~
S~BDIVl910N/PARTITION (if applicable)
PROpoSED USE or PROPERTY
~Sidential 0 Industrial
o Commercial D Public.
LOCATION ADDRESS !~T
/tJ.ZO. ,'~ / J~
STRUCTURES CURRENT~~PROPER ):
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o pr~po~ed
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:.1A NUMBER
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READ THIS SECTION CAREFULLY,
Zone
YOU~A HORIZATION ~AS
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r'L"./~ Partition #
/" CL, side
BEEN BASED ON THE FOLLOWING
[] PLANNING/ZONING:
Parcel It
CONDITIONS! ~ / / .
Parcel Size ~ ~
/
Minimum Setbacks:
C
L, front
interior
rear
CQMNENTS :
SEPTIC INSPECTION FO~AN RFVIFW
NO SPECIAl
PI ANN ING ACTION RFOlIIRFI1
Date, ~7-r-7~,
~ANITATION: S. t. it
~ - Installation Gallon
Sped fications: Tank
:J";;i!-~~SZ)'\
B. P. It
Installation
Record Issued? 0 Yes 0 No
Maximum Depth
of Trenches
Lineal Feet
of Drainfield
1~-<lM
;r; /...t.rA:;'w.~
Date, O..t-,-P7
[] PLANS EXAMINATION: Type
Group
Use
COMHENTS:
Dale:
n
At.) ~__
~ APPROVED BY gwILDING 0
LANE COUNTY DEPA
-((~\
CIAL/DESIGNEE (cer ORS 456.805(1)) DATE
ENT OF PUBLIC WORKS LAND MANAGEMENT DIVISION, 687-4061,
5 EAST 8TH AVENUE, EUGENE, OREGON 97401
REVERSE FOR INSPECTION INFORMATION
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SEE
r.lt._?~ RA4.
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.
SETB,\CKS AND 01'HER co,mI1'IO~S OF APPROVAL ~:UST BE STRICTLY OESERVED. VIOLATION CA~ RESULT IN REVO-
C;"7IO~ OF THIS rER~lIT, CITATIO:j UNDER PROVISIONS OF LA~E COU,:TY'S INFRACTION ORDI,;A~CE, MID/OR OTHER
REMEDIES ALLOWED BY LAW.
WHEN READY FOR INSPECTIO~, CAL~ 687-.<065, A ~lINH1U:'l OF AT LEAST 2~ !lOURS ADVA1:CE NOTICE FOR INSPEC-
T!uC>l HI:::CH';I::::iT::i ~,IJ::iT UI:: GIVt;,. HiJ'Ie tne tollowing information ready: t'crmit number, job address, type
of inspection, when it will be ready, your name and phone number, and any special cirections' to'site,
BUILDING DIVISION:
REOUIRED INSPECTIONS;
1.
Foundation Inspection: To be made after trenches are excavated and forms erected and when all
maten.als Lor the toundation are delivered on the jOb.- \~here concrete from a cen'tral mixing .
plant (commonly termed "transit 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
scrv~~e e~ment, conault, ~~p~ng accessories, and other ancillary equipment items are in
place but beiore any concrete is poured or floor sheathing installed, including the subfloor.
~raminq & Insulation Inspections: To be made after the roof, all framing, fire blocking, and
raclng are In place and 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.
3.
4.
Lath and/or Gvpsum Board Inspection: To be made after all lathing and gypsum board, ;.nterior
ano-eXICrIOr, ~s In-pIaCe but beIore any plastering is applied and before gypsum board joints
and fasteners are taped and fi~ished:
5. Final 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 mace 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 b~t 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
sewec-or septic 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. ~obile 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. Sw~mm~n9 Pool: Below grade when steel is in place and before concrete is poured. Above grade
wnen pool-rs-lnstalled.
APPROVED PLANS MUST BE ON THE JOB SITE AT ALL TIMES DURING WORKING HOURS. THIS PERMIT WILL EXPIRE
IF WORK DOES NOT BEGIN WITHIN laO DAYS, OR IF WORK IS SUSPENDED OR ABANDONED FOR MORE THAN 180 DAYS.
SUSPENSION OR REVOCATION :1AY OCCUR IF THIS PEIDlIT WAS ISSUED ON THE BASIS OF INCOMPLETE OR ERRONEOUS
INFORMATION.
ANYONE PROCEEDING PAST THE POlIn or REQUIRED INSPECTIONS WILL DO SO AT THEIR OWN RISK.
SUBSURFACE ~ ALTERNATIVE ~ DISPOSAL SYSTEMS:
1. Permits shall be effective for one year from the date of issuance.
2. Upon completing the construction for ~hich 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 permitj holder.
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 constit~tes a vio-
lation of ORS 454.605 to ~5~.7~5 and this rule.
Setbacks - Subsurface Sewage Disposal
SePtic Tank.
From: Interior property lines 10'
Edge of road ric;ht-of-way 10'
Building foundation 5'
~ells, other ~atcr sources 50'
Orainfield
10'
10'
10'
100'
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ACTIVITY INFORMATION SHEET
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Please complele all Items above dotted line
FILLING OUT * LINES WILL GET YOU INFORMATION ONLY
*DATE ~ I ~ I 57
* PERSON 71 ACTUAL JJ,. . II
MAKING .. / ,- -r: PROPERTY A ~ T:'
REQUEST /l t' "7 ' /V." I" tU c;'\ OWNER ",,1?1 / ' '-J I)J<.J r;; .$
ADDRESS I-!t'1 :~__--,n:' '_" 'r: n"'Ji/~ ~SS ~K,-1 /?, V p-R ~p I
CITY.~t2 ! ft.)C ,'f:,' EL./1 sTA'rd"\~ llP-dZr CI~Y t=: 1.1 ;'_,t:'""' Ai ~ sTATEaR ZIP 9 7 fI~ f
TELEPHONE (BUS)- ' (HOME) b lit - D -:;S ~ TELEPHONE (BUS) (HOMEI ? Fe- - 0 ~ 2)
*PROPERTY ADDRESS 16::A1) 17,11'/;:: nRII/J:"- ~P;:::I). /)~
OR
MAP & PARCEL NUMBER (Found on tax maps in the Assessment & Taxation Dept.)
STAFF ~LL DETERMINE_
~ CJ.;( 115 _-J<. rj -2100 U&J3p~tf
~hlP ) ~ ~ ~ '.Zoned I Flood PlaIn
Township
Range
Section
Tax Lot
Zoned
Flood Plain
TownshIp
Range
Section
Tax Lol
Zoned
Flood Plain
TOTAL CONTIGUOUS PROPERTY IN SAME OWNERSHIP:
ACRES
* R E QUE 5 T (describe what you want 10 do)
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Directions to site 1l.::2."""'-",( "6- >77... .' ~ - '~..,ID-R
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Comments:
Land Management Division, Public Works Department 125 E. 8th Ave., Eugene, OR 97401 phone 687-4061
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. W:. 5 LANE COUNTY DEPT ENV MG T RECE I PT ~ 179387 DATE 06028..
APPLICANT ,JONES. NAOMI ADDR 280 RIVER LOOP ~1. EUGENE. OREGON ~
TL~ 1802052407100 SUBDIV LOT BLK
. NEW BLDG TYPE USE R BDRMS 0 UNITS 001 STORIES ~BLDGS 001 PHONE 688 0250.
OWNER NME JONES, NAOMI ADD~ 280 RIVER LOOP ~1. EUGENE. OREGON
CODE APPL NO ACTION DESCRIPTION SQ FT . UNIT COST VALUATION FEE
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FT. WTr<:
MECHANICAL FEE
STATE SURCHARGE
PLAN CHECK FEE
47..
257.
LC 1 "19387 SDSV
60.00
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EST. COMPL.ETION DATE
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