HomeMy WebLinkAboutMiscellaneous Septic Tank 1988-2-1
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Lane County Authorization
SEPTIC INSPECTION FOR LOAN REVIEW
e:
for:
6'G-
-1-:J.-'1-r.
FOR OFFICE USE ONLY
Application/ ~~~ ~~
Perm~t i ~ V-# ,.
roW:;SHIP
RArlGE
SECTION
06.1.3 j TA.~5~~
I [.aT/PAi{Cr::. I
OOUT OF
rROpOSED USE OF PROPERTY
~ Residential 0 Industrial
o CCtl1unercial 0 Public.
lR 02
S~BDIVISIONipARTITION (if applicable)
BLOCK
LOCATlml ADDRESS
STREET
IT:'Y
ZIP
1074 Dondea
Springfield 97477
57RUCTURES CURRENTLY ON PROPERTY
SFD
UI~CTIONS TO SITe
42nd to Jasper Rd. - R - then L on Dondea across from Elementary School (in cul de sac)
~ESCRIPTION OF PROPOSED WORK - BL SPECIFIC
SEPTIC INSPECTION FOR LOAN REVIEW
= OF BEDROOMS I " OF STORI~S I #I 01-' I::I-IPLOYCCS
m;NER I 5 NAME AND ADDRESS
NOFFKE. Marion 41653 Madrone
DECLARED $ VALUE
r WATER SUPPLY
,
o proposed
rKl Existing
TELEPHONE NUMBER
896 1I8U<<3834
Springfield 97478
CONTRACTOR'S NAME AND OSR #I
TELEPHONE NUMBER
P:::;Rl>llT TO BE MAILED TO (NAME AND ADDRESS}
T~LEPHONE NUMBER
KINLEY. Cheryl
200 E. 11th. Euqene 97401
345 6789
I HAVE: CAREFULLY EXAMINED THE COMPLETED A,PPLICATlotl }-'OR PERMIT, dltd .]0 hcra:..y cettifY~_h t <111 infol"lllat.iOIl hereon is true and corrcct, and that I
have the following legal interest ill the property:Oo....ncr of rucoJ:d; Ocr-'IlO;L.dt.~, p'lIchasuc; ..tut.horized agent,
I f'.:rther certify tha.t any and a.ll work performed shall be done in <iCl..:UU1,,:ll;., Idtli tl:l;) Or llanC~!) of Lan~ County and the Laws of the State of Oregon
pertaining to the work described hercin, and that NO OCCUPANCY ....tll be :nadc of ilf.; 51.ructlIL.C without t.he permission of the Building Division. I fur-
ther certify that. registration with the Builder's Board is in full focce and effect. <lS required by ORS 701.055, that if.exempt the basis for exclIIption
is noted hereon, and that only subcontractors and employees who are in compliance wit~: ORS 701.055 will bo used on this project. I HAVE READ AND
CHECKED THIS APPLICATION THOROUGHLY.
Cheryl Kinley
NAME (please printl
)( ~!~ !t~~;/!;ft
1-29-88
DATE
READ THIS SECTION CAREFULLY. YOUR AUTHORIZATION 'lAS BEEN BASED ON THE FOLLOWING CONDITIONS:
[] PLANNING/ZONING:
Zone
Parti tion #
Parcel *
Parcel Size
Minimum Setbacks:
C
L, front
CL, side
interior
rear
cO!>mENTS:
SEPTIC INSPECTION FOR LOAN REVIEW--NO SPECIAL PLANNING ACTION REQUIRED
l-?q-RR
.Date:
~
a..uJ.O~""<1
//
~~./..
U
Date:
Installation Record Issued? Dyes 0 No
Maximum Depth
~f Tren~hes ~.
....I::J:: _ ..' _
-2-/-{IIf/ ~ .
[] SANITATION:
S. 1. It
e, P. It
Installation Gallon
Specifications: Tank
COMHENTS,_ L.1L lL.. . ~f,d~1- .JDS.
-"I- .:8f4 ?~,:". II ./ (/
Lineal reel
of Ilt.ilir:fjeld
[] ~ EXAMINATION: Type
Group
USe!
COMl'IENTS :
Dale:
n
[
,~~/f) ~- 2-/-ff
~ROVED BY BUICDtNG/OFF~C VDESIGNEE (eer ORS 456.805(1)) DATE
LANE COUNTY DEPARTM OF PUBLIC WORKS LAND MANAGEMENT DIVISION, 687-4061,
125 E T 8TH AVENUE, EUGENE, OREGON 97401
SEE REVERSE FOR INSPECTION INFORMATION
C 14-25 R84-
.
.
SETB,\CKS A:m Q7!!::R CC::DITIO::S OF' APPRO'J,"L ~:\jST BE SiRIe,:,:.,' OE5ER'.'ED. vrOL,;TIO:: CA:, RESULT IN RE\'O-
C;,':'10:: Of crus 1',:R:UT, CIT;,TIO:: U::OER PROV1510:.S Or LA:-;c;:ai.:::TY';; INFRACTION OIl01::.;::CI::, ;,:-;DjOR OTHER
RE:'IED1ES ALLOWED BY LAW.
\o,'HE:l RE,\DY FOR r::SPE':7rON. CAL.L. &f17-';065. .., ~lI:a:.:L':.: OF AT L::;,ST 2'; 1l0t;RS ,\DV,\::~E ::O':'ICE FOR IllSPEC-
Trv:: 1{t;r~'L":::;7:i :,;:.;:;'1' ITS GIVE::. Ha','e tne ,ollowing in::o~::Ia~ion ~eady: ,ermit number, Job address, type
of inspect~On, when it wi.ll be ready, your name and pr,or,c :lU::lber, and any s;Jccial directions to sit.e.
BUILDI~G D!V1SIO~:
REQUIRE:> 1::SPCCTlONS;
1. FOl.:nd<ltion Inspectlon: ':'0 be milde .1fter trenches are excavat.ed and forms erected and' when all
C',atcr~aJ.S :;or Ene toundation are delivered on the.job. \-"here concrete fro::! a central miXing
plant (commonly termed "transit mixed") is to be used, r.'Iaterials need not be on the job.
2. Concrete Slab or Under-j"loor Inspection: To be mace after all in-slab or under-floor building
se~vt~e equrpment, concu~t, ?~Plny accessories, and other ancilla~y equipment items are in
place but before any concrete is poured or floor sheathing installed, including the subfloor.
3. Framing ~ Insulation Inspections: To be made aiter the roof, all framing, iire blocking, and
brac~ng are tn ?J.ace ~ aJ.J. ?~pes, fireplaces, chi~neys, and vents are complete and all rough
electrical anc plumbing are approved. All wall insulation and vapor barrier are in place.
4. Lath and/or Gvosum Board Inspection: To be made after all lathing and 9ypsum board, interior
and cXICrTOr;-rs-rn-prace QU~ bet ore any plastering is applied and beiore gypsum board joints
and fasteners are taped and finished.
5. ~ Insoection: To be made after the building is complete and before 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 off:cial.
Such approval shall be given only after an inspection shall have been made of each successive step
in the construction as indicated by each of the inspections required.
All building permits require inspections for the work authorized, such .1S but not limited to:
Block wall: TO be made a!ter reinforcing is in place, but befo~e 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.
Wood~: To be made after completion of masonry (if applicable) and when installation is
co~plete. Installation shall be in accordance with an approved, nationally recognized testing
agency and the manufacturer's installation instructions.
Mobile Home: An inspection is required after the mobile home is connected to an approved
scwer-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. ~obile home minimum finish floor elevation shall be certified when required by a flood-
plain management letter.
3. ~lobile home tiodowns, when required, .'lnd skirting shall be installed and ready for inspec-
tion within at least 30 days after occupancy. Tiedowns and skirting shall be installed
per enclosure.
o. Swtmm~n9 Pool Below grade when steel is in place and before concrete is poured. Above grade
~nen pool-rs-installe~.
~OTE:
A.
B.
c.
,WPROVEO PLA:lS :'IUST BE 0:; THE JOB SITE AT ALL TI:-JES OURl"G WORKING HOURS. ':'llIS PEroU,. WILL EXPIRE
IF WORK DOES NOT BEGIN WITHIN 180 DAYS, OR IF WORK IS Sl1SPE::DED OR ABA~DONED FOR :.lORE THAN 180 DAYS.
SUSPENSION OR REVOCATION ;.lAY OCCUR IF THIS PERl,IIT I~AS ISSUED ON TilE B,\SIS OF INcmlPLETE OR ERRONEOUS
INFORHATION.
^NYO~E PROCEEDING Pi\ST TilE POIllT or REQUIRED INSPECTIQ:1S WILL DO SO AT TIlEIR OWN RISK.
:)
SUBSURFACE ,\:.10 ALTCR~ATTVE SEh'AGE DISPOSAL SYSTE}IS:
1. Permits Shilll be ~ffective for one year from the date of issuance.
2. Upon completing the construction for which a permit has been issued, the permi~ holder shall
notify the Lane County Department of Planning and Co~munity 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.con~t;uction does comply with.such
'to rules, .the Dep,utmcnt s!1all issua a I.!cttiilcate of, .satisfacto.r.Y.,s:oDlpletion ta. the perlllit; holder.
If the constructio:1 oo<,s not comply wit" such rules;, the De-partmefit shall not1.1y' the"p~I'\ntt'
..holder and shall require satisfactory completion befora issuinq the ccrtific;;J.te. Fuilure. to_
meet the .requirement.s for sati5f<'lctory completion ,^,'ithin a reasonable time constitute;; _a vio-
'1.rtion of ORS -15-1.605 to -15-1.7-15 and this rule. . - -
Setbacks - Subsurface S~wdqe Dis~osa~
From: l:1terior propert., lines
Ed,:;e 0:- road n:;i1t:-o!-way
Blll1o~nq toun(!ation
~clls. other w~tcr sources
ScPtic~
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10'
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50'
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W: 5 LANE COUNTY DEPT ENV MGT RECEIPT ~ 26688
APPLICANT KINLEY, CHERYL ADDR 200 E. 11TH ST.. EUGENE
TL~ 1802061j08500 SUBDIV LOT
NEW BLDG TYPE USE R BDRMS 0 UNiTS 00~ STORIES ~BLDGS 001. PHONE 345
OWNER NME NOFFKE, MARION ADDR 41653 MADRONE ST.; SPRINGFIELD
CODE APPL NO ACTION DESCRIPTION SQ FT UNIT COST VALUATION FEE
B'p
BP
BP
BP
BP
.
DATE 01298E
BL~
67A9
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~FIX/BATH:
SWR: FT. WTR:'
MECHANICAL FEE
STATE SURCHARGE
PLAN CHECK FEE
FT..
RAIN:
FT
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PL
.MECH
SUR
PCK
LR
5X
257.
LC 26588 SDSV
60.00
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CATG:
SEQU:.
TAKEN
APP .
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BY GT
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FP
SDS
SI
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3
DEPOSIT **
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60.00 ce j
EST. COMPLETION DATE
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ACTIVITY INFORMATION SHEET
ENID"
'.-
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l.....' ...~.."''' ...,Nt o'~,,,.....
......"............",.~~-_...
./
, ~. anE
,I_ounty
-
Please complete all Items above dotted line
FILLING OUT * LINES WILL GET YOU INFORMATION ONLY
;k(1~ tudJl~.A:~ wk ~
*DATE / 1 ;'/11 ~~ ?!.aee~", /.. - -
17 ACTUAL /1 J
t;?uruL /~ it'l /-tu ~~O:E~TY 1'1/1.rIdtA. Ah f'{ke
ADDRESS ,M(J k. II~ I ADDRESS 4/Vf{3 /JI/ adY~Ilt?
CITY '::;"'1 LI.AA./ STATE {)f.. ZIP df7 'I Ii CITY ~ STATE (J12 ZIP 97t(7f
TELEPHONE (Bu0J/5-~7gj)(HOMEI ' . TELEPHONE (BUS) tHO ME) 896' 3~3t/
I()'/II /)DII~/.l.- - StJM c?7fL77
* PERSON
MAKING
REOUEST
* PROPERTY ADDRESS
OR
MAP & PARCEL NUMBER (Found on tax maps in the Assessment & Taxation Dept.)
STAFF WILL DETERMINE_
!{ 1d3' - :::1r.lf
Zoned Flood Plain.
IE ..: ~). - or, - /-5
g5~O
Township
Range
Section
Tax Lot
Township
Range
Section
Tax Lot
Zoned
Flood Plain
Township
Range
Section
Tax 'Lot
Zoned
Flood Plain
TOTAL CONTIGUOUS PROPERTY IN SAME OWNERSHIP:
ACRES
*REQUEST(descrlbe what you want to do)
- ~ t:? +/ (J. i7'1.~"ec..-lt'/) AJ
I ) ,
..&;;;. /U /l..l!<V' :
Directions Ao site
, frt.<...J.j lJl4" 1./1
>r/'tJ. .v'/ '--
tk!.~~- wi
-f1.IJ1!J._J;;7"'~J#I2f
....................5taff Use On~....................
comments:.~~~
'land Management Division, Public Works Department 125 E, 8th Ave., Eugene, OR 97401 phone 687-4061