HomeMy WebLinkAboutMiscellaneous Septic Tank 1987-6-12
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Lane County Authorization
SEPTIC INSPECTION FOR LOAN REVIEW
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for:
FOR OFFICE USE ONLY
Application/, ~~~__~ '7
Permit #~()
Ob
I ~ I Tq ~ I .~rT OF
I LOT/PARCE!.. I BLOCK
PROpOSED USE OF PROPERTY
~ Residential D Industrial
o Commercial 0 Public.
- roW"7'g I RANGCJ;:)
S;JBDIVisION/PARTITION' (if applicable)
SECTION
LOCATION ADDRESS STREET
1I'7'} ;-o~
STRUCTORES CURRENTLY ON PROPERTY
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CITY
ZIP
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PROPOSIQ2I WORK - BE SPECIFIC <::::l DECLARED ~ VALUE
SEPTIC INSPECTIDN F~R LOAN REVIEW
J #' OF STORIES I " OF EMPLOYEI:S WATER SUPPLY 0 Proposed
ft1 Existing
o;'r.~s~~ I 7f6N~Q1El5
CiJNTAAf::I/JfV lIT AND OSI(j I TELEPHONE NUMBER
.0 ~ TOt:~_FE:SI 116- () olu I~ ~I c;: _ t") 1 WEL~o/~"';,:;
, HAVE CAREFULLY WU"'NED THE C<lMPJ.)ED APPL'CATWN '-DR PERM,., ...d "O~"""Y ,,,<tfy thac all ,nfomatio.. he'eon 'r.''t;ue~ 't;g.c;: ~/tt.'P.
have the following legal interest in the property: Downer of record: o contract- purchaser; o authori zed agent.
I f:.:.rther cartify that any and all work performed shall be done in accol:dane,= wi th th\l Ordinance~ of Lane County and the Laws of tho Stato of Orogon
pertaining to the work described herein, and that NO OCCUPANCY will ~ made of .!mr structure without the permiSSion of the Building Division. I fur-
thor certify that rogistration with the Builder's Board is in full force and effect 1'15 required by ORS 701.055, that if'oxempt the ballia for exemption
is noted hereon, and that only subcontractors and employees who are in c~pliance with ORS 701.055 will be used on this project. I HAVE READ AND
CHE::;~AP~ONTHO:;Y~~~ \) fJt1/7N/A ~a
NAME (please print) ~ ~~S{GN~~
:0 OF BEDROOMS
b-J2-?.!l-
DATE
READ THIS SECTION CAREFULLY.
o PLANNING/ZONING: Zone
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YOUR AUTHORIZ~ION HAS BEEN BASED
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fuVTHE
FOLLOWING CONDITIONS~
Parti tion #
Parcel It
Parcel Size
Minimum Setbacks: CL, front
CL, side
interior
rear
o SANITATION,
S. 1. It
B. P. #
ND SPECIAL PLANNING ACTION REQUIRED
oate,6-/2-.P'7 ~
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Installation Record Issued? 0 Yes tJ No
Maximum Depth
of Trenches
COM..'1ENTS:
SEPTIC INSPECTION FOR LOAN REVIEW
Installation
Specifications:
COMHENTS: ~c.I--;'",
Gallon
Tank
Lineal Feet
of Drainfield
:'\ ,/ s+~"'"
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iJ1- if, ~ (jYO P..rIr
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Date:
o ~ EXAMINATION:
Type
Group
Use
COMI-lENTS:
Date:
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PERMIT AP~OVED BY BuiLDING OFFICIAL/DESIGNEE (cer ORS 456.8Q5(1)) DATE
LANE COUNTY DEPARTMENT OF PUBLIC WORKS LAND MANAGEMENT DIVISION, 687-4061,
125 EAST 8TH AVENUE, EUGENE, OREGON 97401
SEE REVERSE FOR INSPECTION INFORMATION
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SETBACKS A~D OTHER CO::OITIO~S OF APPROV;\L ~:UST BE STRICTLY OBSERVED. VIOLATIO~ CA;': RESULT IN REVQ-
C;"':"IO~ OF'THIS PERNIT, CIT.'>TIO:l UND~R PROVISIO~S Of LA~E COU~;TY':; INFRACTION ORDr:-;ANCE, MID/OR OTHER
REMEDIES ALLOWED BY LAW,
.....HEN READY FOR I::SPCCTION, CALL 687-4065. A ~HNHlU~' OF AT LEAST 24 !lOURS ADVA::CE NOTICE FOR INSPEC-
rroCl Kt;Ql,;t:~T:; ~;U5T UJ:: G(VE~l. Have the {allowing info~::tation ready: t"erl:lit number, job address, type
of inspection, when it will be ready. your name and phone number, and any special directions to site.
BUILDING OIVISION:
REQUIREO INSPECTIONS:
I. Foundation Insp~ction: To be made after trenches are excavated and forms erected and when all
~aterlalS tor the toundation are delivered on the job. Where concrete from a central 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
serVl~e equIpment, condult, plplng accessories, and other ancillary equipment items are in
place but belore any concrete is poured or floor sheathing installed, including the subfloor.
3. Framlng & Insulatlon Insoect1ons: To be made after the roof, all framing, fire blocking, and
oraC1ng are 1n place a;a all p1pes, fireplaces, chimneys, and vents are complete and all rough
electrical and plumbing arc approved. All wall insulation and vapor barrier are in place.
4. Lath <'Iond/or Gvpsum Board Inspection: To be made after all lathing and gypsum board, ;.nterior
ana-eXtCrTOr, 1S In-prace but before any plastering is applied and before gypsum board joints
and fasteners are taped and finished.
5. Final 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 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
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 wnen installation is
compl~ Installation snaIl be in accordance with an approved, nationally recognized testing
agenc~ and the manufacturer's installation instructions.
C. Mobile Home: An inspection is required after the mobile home is connected to an approved
~or septic s~stem for setback requirements. blocking, footing connection, tiedowns,
skirting, and plumbing connections.
1. Footings and piers to comply with State foundation requirements for mobile nomes or as
recommended by the manufacturer.
2. ~obilQ 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 occupanc~. Tiedowns and skirting shall be installed
per enclosure.
O. SW1mmlng Pool: Below grade when steel is in place and before concrete is poured. Above grade
wnen pool-rs-1nstalled.
APPROVED PLANS MUST BE ON THE JOB SITE AT ALL TIMES DURING WORKING HOURS. THIS 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 .-fAY OCCUR IF TIllS PERMIT WAS ISSUED ON THE BASIS OF INCOMPLETE OR ERRONEOUS
INFORMATION.
ANYONE PROCEEDING PAST THE PDIl,T or REQUIRED INSPECTIONS WILL DO SO AT THEIR OWN RISK.
SUBSURFACE ~ ALTERNATIVE SEWAGE DISPOSAL SYSTEMS:
1. Permits shall be effective for one ~ear from the cate of issuance.
2. Upon completing the construction for which a permit has been issued, the permit holder shall
notify the Lane Count~ 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, ~older.
If the construction does not comply with such rules, the Department shall notify the permit
holder and shall require satisfactory completion before issuing the certific~te. failure to
meet the requirements for satisfactory completion within a reasonable time constitutes a vio-
lation of ORS 454.605 to 454.745 anu this rule.
Setbacks - Subsurface
from:
S~waqe Disoosal
SePtic ~
10'
10'
S'
SO'
10'
10'
10'
100'
Orainfield
Interior property lines
Edge of road riGht-oC-way
Buildinq foundation
~ells. other ~atcr sources
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ACTIVITY INFORMATION SHEET
PNID;~ .. .
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Please complete all Items above dotted line
FILLING OUT * LINES WILL GET YOU INFORMATION ONLY
*DATE ~ 1/2 1 f'1)
* PERSON ~ ACTUAL l.
MAKING T / I PROPERTY, h",,,, ~
REOUEST I /1"{ I'f)l"".'\ Lf{, '" OWNER ~
AOORESS ;/{~ (2/7./) <<u.~ 7 ~ ADORESS..s..1..(~ , "
CITY C/.<..<'~~ VSTATE (jf' z1P91)YtJ/ CITY~~~ STAT~ZIP 9.j91?
TELEPHONE (Bg)"ff<,\-:/ifIlO 'HOME).3Y'..2-~ /00. TELEP!oNE (BUJrf - . (HOME) 1)'7"6-0<7/,(-
*PROPERTYO~DDRESS_/P (l..,? CL,c /."< 6?::u1 ///-111 /J(};l~c.';:'
MAP & P,ARCEL NUMBER (Found on tax maps in the Assessment & Taxation Depl.) --<'1~~
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/P O~ t'J6 /30902/1) R ft- A
Town,shlp Range Section Tax Lot Zoned Flo d Plain
TownshIp
Range
Section
Tax Lot
Zoned
Flood PlaIn
Township
Range
Section
Tax Lot
Zoned
, Flood Plain
TOTAL CONTIGUOUS PROPERTY IN SAME OWNERSHIP:
ACRES
* R E QUE 5 T (describe what you want to, do)
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Directions to site ~~j ,~d C;; 9a~L/,1 /YY, _/',~;'~/
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Comments:
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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 MGT RECEIPT 0 189787 DATE 061287
., APPLICANT YONKER. LYNNE ADDR 115 OAK WAY MALL, EUGENE .
TLO 1,802061309217 S,UBDIV ' LOT" BLK '"
NEW BLDG TYPE USE R BDRMS 0 UNITS 001 STORIESOBLDGS 001 PHONE 746 091~~
e OWNEf; NME YONKER. LYNNE ADDR 115 OAI<WAY MALL. EUGENE .
CODE APP( NO ACTION DESCRIPTION SQ FT UNIT COST VALUATION FEE DAIS
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LC 189787 SDSV
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W: 5 LANE COUNTY DEPT ENV MGT RECEIPT . 189787 DATE 06128~,1
. APPLICANT YONI(ER, LYNNE ADDR I I ~5 OAI(WAY ,MALL, EUGENE . t
. TL~' 1802061309217 SUElDIV LOT BLI(,'
NEW BLDG TYPE USE R BDRMS 0 UNITS 001 STORIES tElLDGS 001 PHONE 7~6 091~an
. OWNEF~ NME YONI(EF~, LYNNE, ADDF< I 1~; OAK WAY MAL.L. EUGENE .'
"CODE APFi_ NO ACTION DESCRIPTION SQ FT UNIT COST VALUATION FEE DAYS
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MECHANIC,~L FEE'
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'PLAN CHECK FEE
FT. RAIN:
FT
60.00
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