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Home My WebLink AboutMiscellaneous Septic Tank 1989-9-19 " c ~ REQUEST FOR: ~f-:""'(Jr~ IAlSPEDrtOtJ LoMJ fZeVLE"W . I '0"'''''' 18 ...... 0 2 .",nDNO 6 . 1 ~. 5''''''' TAX LOT 8700 8UIClVllUOfiIII PAIIlITlOH LOT/'AllCE~ ILOCIl; >. LOCAflON AOORESS 1088 DONDEA STREEijT, SPRINGFIELD, OREGON 8TRucrVRES HOW ON PROPERTY EXISTING SINGLE FAMILY DWELLING, SHED PflOPO.EO USI RESlDDlTlAL COMMi:ROAL INDUSTRIAL I'IIIUC RESIDENTIAL USE HQ.WaTORlIEB NO. Of" BEDROOMS NO. 01' EMPLOYED CONSTRUCTION CO.TIVALUI DESCRIPTION W PROP08liD WOAK SEPTIC SYSTEM VERIFICATION 1iiiiiCiIONI TO SIll: ,."'~ liPURTHOU.. 2 TAKE I-IU' TO 4 NO STREET, .~nc "STALLED WATliR INBTAUED FOR LOAN GO SOUTH TO JASPER ROAD,'TURN RIGHT (WEST) ON JASPER TO DONDEA. LEFT TO SITE ABOVE 'iiiPLiCl"ilT N...... .. ADORE.. JIM WEESE. 1461 OAK STREET. EUGENE. OREGON 97401 'HOHO 345 - 6 7 8 9 'HOHO 741 -1372 OWNUS NAMI .. ADDiii"as ADAM AND FLORENCE RAHN, SAME AS THE JOB ADDRESS ABOVE ,. 'CC>>ITIlACTOfIl"""'ir.Uii: NA ) MAIL PERMIT TO: KATHY MAPLE, ~ NA..I I hava carafully read KATHY MAPLE OSR UCENSI . ~! A PHONI NA 5024 MAIN STREET. SPRINGFIELD, OREGON 97478-6058 ADDRI!BI PRNT"NAMb BOTH sides of this application and hereby certify that all DROP-OFF ....... Information Is true and correct 9-20-89 DA1'& '"'. .~:: ) FEES DUE: $ . APPROVED BY: ~7 /'9'-'>_ DATE q~/9 -P'7 11 CALL FOR INSPECTIONS (SEE BACK OF FORM FOR INsTRfJCTIONSj 687.4065 SEPTIC permits are good for one year. ALL othar parmlts expire after 180 days unless Inspecllons are current. " " C74-213 \ , . . VIOLATIONS . SETBACKS AND OTHeR --................. OF APPROV ALMOST DB S1lUCI'L YOBSBRVBD. VIOLATION CAN KT IN RBVOCA1l0N OFnn5 PERMrr. CITATIONS MAY BB ISSUED UNDER. nIB PROVISIONS OP LANB COUNTY'S INPRAcnDN ORDINANCB AND,IOR. OTHER RBMBDIBS ALLOWBD BY LAW; . ". A MINIMUM OF AT LEAST 24 HOURS AriV ANCE NOTICE MUST BE GIVEN FOR INSPECTION REQUESTS Have the following infornation ready when you call: 687-4065 Permit number - Job address - Type of inspection required When it will be ready Your name and phone nlDTlber - Any special directions to the site PUBLIC omClAL RIGlITTO TRESPASS ON PRIVATE PROPERTY OIlS ns.oao POWER TO BNmR UPON LAND. nm COMMISSION, AND ANY OF ITS MHMBBRS, OF'PICEU AND EMPLOYES, IN nm PERPORMANCB OF 1HBIRPUNcnONS,MA Y ENTER UPON ANY LAND AND MAKB BXAMINATlONS AND SURVEYS AND PLACB AND MAINTAIN nm NECESSARY MONUMllNJ'S AND MARKERS nmREON. REQUIRED INSPECTIONS FOUNDATION INSPECTION: To be made after excavations for footings are complete and any required reinforcing steel is in place, UNDERGROUND PIPING INSPECTION: To be made after all underground piping has been installed, prior to any backfill. CONCRETE SLAB OR UNDER-FLOOR INSPECTION: To be made after all in-slab or under-floor building service equipment, conduit, piping accessories and other ancillary equipment items are in place but before any concrete is placed or floor sheathing installed, including the subfloor. ROUGH MECHANICAL INSPECTION: To be made after all ducting and gas piping has been installed and prior to being covered. ROUGH PLUMBING INSPECTION: To be made after all plumbing rough,in is in place, prior to being covered. FRAMING INSPECTION: To be made after the all framing, fIre blocking, bracing and roof are in place and all pipes, chimneys and vents are complete ~d the rough electrical, plumbing, and mechanical'inspections have been made and approved. INSULA TlON INSPECTION: To be made after all insulation and vapor barrie", are in place, prior to covering. LATH AND/OR GYPSUM BOARD INSPECTION: To be made after all lathing and gypsum board, interior and exterior, is in place but before any plastering is applied or before gypsum board joints and fastene", are taped and fmished. ~ ADDITIONAL'INSPECTIONS MAY BE REQUIRED, such as but not limited to; BLOCK WALL: To be made after reinforcing is in place, but before any grout is poured. The inspection is required for each bond beam pour, There will be no approval until the plumbing and electrical inspections have been made and approved. FINAL MECHANICAL INSPECTION: To be made just prior to the structure or remodeled area being occupied and prior to operating any equipment. FINAL PLUMBING INSPECTION: To be made just prior to the building, structure or remodeled area being occupied. FINAL BUILDING INSPECTION: To be made after finish grading and the building, structure or remodeled area is completed and ready for occupancy, MOBILE/MANUFAcruRED HOMES: An inspection is required after the mobile home is connected to an approved sewer or septic system, prior to covering sewer or water lines, for se~back requirements, blocking, tiedowns and plumbing connections. Footings and piers to comply with State fOlD1dation requirements for mobile homes or as recommended by the manufacturer. Minimum fmished floor elevation shall be cenified when required by FloodplainManagement Tiedowns, if required, shall be installed and ready for inspection within 30 days after occupancy. Siedowns shall be installed per enclosure. APPROVAL REQUIRED No work shali 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 be given only after an inspe~tion shall have been ma'!e of each successive step in the construction as indicated by each of the inspections required. APPROVED PLANS MUST BE ON TIlE JOB SITE AT AU. TIMES DURING WORKING HOURS. TInS PERMIT WIU. EXPIRE IF WORK DOES NOT BEGIN WITHIN 180 DAYS, OR IF WORK IS STOPPED OR ABANDONED FOR MORE TIlAN 180 DAYS, SUSPENSION OR REVOCA nON MAY OCCUR IF TIllS PERMIT WAS ISSUED ONTIlE'BASIS OF INCOMPLETE OR ERRONEOUS INFORMATION. ANYONE PROCEEDING PAST THEPOINT OF REQUIRED INSPECTIONS WILL DO SO AT THEIR OWN RISK, Yoursignature on the front of Ibis form verifies the following: I HAVE CAREFULLY EXAMINED TillS COMPLETED APPUCATlON, and do hereby certify that all infonnation hereon is true and correct. and that I have a legal interest in the property as owner of record or authorized agent. I further cenify that any and all work performed shall be done in accoroance with the Ordinances of Lane County and the laws of the State of Oregon per- taining to the work described herein. I further certify that ifl am not the owner of the l".~l"--.J' my registration with the Builders Board is in full force and effect as required by ORS 701.055, and thatif exempt the basis for the exemption is noted hereon, and that only subcontractors and employees who are in compliance with ORS 701.005 will be used on the job, SUBSURFACE & ALTERNATIVE SEW AGE DISPOSAL SYSTEMS: When subsurface construction is complete, the permit holder shall notify the County Land Management Division by submitting the installation record fonn. An inspection will be made by a qualified sanitarian. If construction, complies with all rules a certifIcate of completion will be issued to the permit holder. If construction does not comply with rules, the permit holder will be notified, and all corrections shall be made before a certificate of completion will be issued. Failure to meet satisfactory completion within the alloned time conslitutes a violation of ORS 454.605 to 454.745 and this ruJe. SUBSURFACE SEW AGE DISPOSAL SETBACKS SEPTIC TANK From: Interior "'~".. 'J lines 10' Edge ofroad right-of-way 10' Building foundation 5' Wells or other water sources 50' DRAINFIELD 10' 10' 10' 100' . Please complete all lines Inside white boxes, If possible. - ~/M 'fUUH "_~ I c..f {p ( Wee5-e t:>c? k s '7". 9-/9-8') uln 3~s67!?9' t'"uA~ 9? $1&/ ZIP ..,Z[/-/37 Z . 97C/75r ZIP YUUH AUUHI;Iil;i ~/./;: #'/1/,t::"~ 0./2. --R..t1.1:LM, 11 i) f} In ...f- OWNER OF PROPERTY (D not ..m. .. .bon) / fl8?i l)O/,! Ot:=.4 OWNERS ADDRESS <II not ..me .. above) CITY F/.tJRt3'lJ/Cc S?,cL/). CUNIHAl.OlUH unn.. . . MAP, PARCEL NUMBER ~7!n w mops ': ~t"m;3 T~"~7~a own p ~ ec Ion ~1..ll.1;1l0n &:1 LOt TownlJllp ~ ~ 114 hcllon Tax lot lown.rllp ~ tiecliOn 1/4 tieCllOn I... LOl . SITE ADDR]S,1N ~>> . ;' 1/ -# 1Z(r2/7/ MAIL PERMIT TO: kATJ.J. V Mil PLF S/J7tJ MAIN sr , S P 1" I.fl b f:' iF" Lv t'J t:> "AM&:; AU,",HI:.l;;l;;I Cf7tf7f - . Z1G"O~; "':. ~ \';11' ; Land Manegement Dlv. staff can not be held responsible for evaluations or recommendations based on false, Inaccurate or Incomplete Information 0:\ 'f " Existing Buildings or Improvements on Property lZ:I House c::J Barn c::J Garage c::J Mobile. Home Ci::l Shed SEPTIC INSTAllED Cl::I Yes c::J No Water District ~.," , c, Directions to site EJ4ST from Courthouse I 7-4KE :r /06 m &./z /)1 5-1- SNLP, fj/J So. TO .T.4.5Cl;Le Rd +r.(/11 r/9/rl (woes!J (N'! .:r~5PrP /'0 I>tJJ1IJEI4 . j.,.:>pr: .~ C?7WP--- 6535- ZIP . For Mobile Home Placement Only Brand Year Size No. of lip.outs No, of Bedrmr License # ~;:..", ;.;'; I ()~ 7f [)o n j)~t} . 1-01' . Ut1t.6e. ".? GIl, I ~ w s -~ tJ E -- Q. I ~~. ~~fI\'/1l ~4, ~ i \. .__ _i.--.I.__ $,~. 1 I ~eo\ I ~il ,- YflR7) ~ ..) 0 IV D E A , 1 v.'). $, ! ) (W' lJ~{W)N It) ~IJ-/ e ( . t\J.V 11- 7~)' ~ ~ Il.J Q... '? ~ e, . . In n . . . . ~ ~.l . . . . -, I . . P" . - ' . . . . . 111 ... .l . . 111H . . . . \ .- W: 5 LANE COUNTY DEpT ENV MGT RECEIPT . 264689 DATE 092080 ,. APPLICANT I~AHN, ADAM ' AD DR 1088 DONDEA ST., SPRINGFIELD, OREGOI\. TUI'l B<:l2061 30B700 SUBD I V LOT m.1< 11 'I NEW BLDG TYPE USE R BDRMS 0 UNITS 001 STORIES IBLDGS 001 PHONE 345 6789 . OWNEF, NME F~AI"IN, ADAM ADDI:~ H)BB DONDEA ST., SPIUNGFIELD, OREGOI\. COD~ AppL NO ACTION DESCRIPTION SQ FT UNIT COST VALUATION FEE DAXS BP .Bp . ': ,'3F' . Bp l .BP . PL ~TIX/BATH: .MECH Slm pel< . U~ LC 264689 SDSV SWR: FT, WTR: MECHANICAL FEE STATE SURCHARGE , PLAN CHE:CI( FTcE FT . f~AIN: FT . 5% 25% ,60.00 . . . :' ~ /' CATG: .SEQU: TAI(E:N BY APP' 1 I:~LH RA FP SDS SI PCI< OTH 'ISS :3 DEPOSIT ** 1. 60.00 CI< 2 EST. COMPLETION DATE: . . 1'. 'I. . . .7" '. ~ . ' , I, .D il . ,I. . . , '1 . .' . . ' . . . . UO . . . . / - . e. . .COO . . . .' m . . . . . W: 5 LANE COUNTY DEPT ENV MGT RECEIPT ~ 264689 DATE 092080 . APPLICANT RAHN, ADAM . ADDR 1088 DONDEA S1., SPRINGFIELD, OREGOI\. 'H' 1802061308700 SUBDIV LOT, . BLK IUU NEW BLDG TYPE USE R BDRMS 0 UNITS 001 STORIES OBLDGS 001 PHONE 345 6789 . OWNER NME RAHN, ADAM 'ADDR 1088 nONDEA ST., SPRINGFIELD, OI~EGOI\. CODE APPL NO ACTION DESCRIPTION SQ FT UNIT COST VALUATION FEE DAYS BP .BP . up 'i)F' /" , ip , eBP ~ .. , \ PL eMECH, SUR , PCK eLR ~'FIX/BATH : \ SWR: ,FT. WTF~ :," MECHANICAL FEE STATE SURCHARGE' PLAN CHECK FEE 1-1. RAIN: FT LC 264689 SDSV 60.00 . tlUi . 5Z' 25i:: , . !D I '. GATG: , APP .SEQU: ' 1 TAI<EN BY RLH RA FP , SD,S SI ~ PCK 'OTH ISS-;:[ -______3- " ' . DEPOSIT 'H~ . , 2 ,1. 60.00 CI< EST. COMPLETION DATE e . m .. .