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HomeMy WebLinkAboutMiscellaneous Septic Tank 1989-6-1 ... Lane . County Authorization SEPTIC INSPECTION FOR LOAN REVIEW -.. for: FOR OFFICE USE ONLY . Application; /LJ A //_ (J? Perm.lt t / 7V,- If - . . roW;;SHIP 18 I RANGE 02 S~BDIVISION/PARTITION {if applicable) SECTION ) T9IC2' lw6T 06.1. 3 I LOT/PARCE!. I DOUT OF PROpoSED USE OF PROPERTY ~ Residential 0 Industr ia1 D Commercial D Public, BLOCK LOCATION ADDRESS STREET 1180 DONDEA ST.. SPRINGFIELD. OREGON CITY ZIP STRUCTURES CURRENTLY ON PROPERTY EXISTING SINGLE FAMILY DWELLING DIRLCTION~ TO ~lTE 42ND ST. TO MA I N ST., RIGHT ON JASPER ROAD, LEFT ON DONDEA ST., ACROSS FROM SCHOOL ~~SCRIPTION OF PROPOSED WORK - BE SPECIFIC DECLARED S VALUE SEPTIC .. OF BEDROOMS l # OF STORIES NA NA O;~"NER' S NAME AND ADDRESS INSPECTION FOR LOAN REVIEW IIf OF EI-1P:;EI:S I WATER SUPPLY PUBLIC D_proposed AExisting TELEPHONE NUMBER 741-0291 MIKE CORGAIN, SAME AS THE JOB ADDRESS ABOVE C0NTRACTOR'S NAME AND OSR #I SAME AS THE ABOVE TELEPHONE NUMBER SAME P:::;RNIT TO BE MAILED TO lNAME AND ADDRESS) SHERRY \'/OODS, 1142 WILLAGILLESPIE, EUGENE, ORE. 97401-2142 TELEPHONE NUMBER 484-9815 I HAVE CAREFULLY EXAMINED THE C<>>!PLETED APPLICATION FOR PERMIT, and tlo hereby certify that all infortDlStioJl hereon is true and correct, and that I have the following legal interest in the property; Downer of record; 0 contrclct purchaser;fiauthorized agent. I f:;rther certify that any and all work performed shaH be done in accordance with the Ordinances of Lane County and the Laws of tho Stato of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without the permission of the Building Oivision. I fur- ther certify that registration with the Builder's Board is in full force and effect as Iequirod by ORS 701.055, that if 'exempt the basis 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 THOROUGHLY. NAME (p~ease print) ~k^/ /A )~~.:LaJ DATE SHERRY WOODS READ THIS SECTION CAREFULLY. YOUR AUTHORIZATION ~AS BEEN BASED ON THE FOLLOWING CONDITIONS~ [] PLANNING/ZONING; Zone partitiory # CL. side Parcel # parcol Size Minimum Setbacks: C L, front interior rear COl't'lENTS : NO SPECIAL PLANNING ACTION REQUIRED. Date : n Installation Record Issued? 0 Yes 0 No Maximum Depth _;::::i~. ~t;;~~S(5). O~t:;;; $ 4L L2;;::" o:r ~~ c:;t7..q A ((i#-e ~".O~<=If n; oM f1J~~I!.iW.1J (, -("-If (I [] PLANS EXAMINATION, Type [] SANITATION, S. 1. # B. P. it Installation Gallon Lineal Feet ~- Grouo Use COMHEN'TS : Dale: n PE~I~~f:d~~;;;8c~~6'B05(l)) ~ ~~iJ LANE COUNTY DEPARTMENT OF. U IC WORKS LAND MANAGEMENT DIVISION, 687-4061, 125 EAST 8 ENUE, EUGENE, OREGON 97401 SEE REVERSE FOR INSPECTION INFORMATION C 14-25 R84- . . . ; SETB,-'CKS A~D OTHER CO::OITlO~:S OF APPROVAL ~lUST BE STRICTLY OeSERVED. VIOLATIO~ CA~ RESULT IN REVQ- CATI0:. Of ,HIS rERNI., CI1"TIO:1 UNDER PROVISIO:-lS Of LAl"E cow::n's INfRACTION ORDI~ANCE, AND/OR OTHER RE~IEDIES ALLOWED BY LAW. \o;HEN READY FOR INspeCTION, CALL 687-4065. A mNntWl Of' AT LEAST 24 HOURS AOVAl:CE NOTICE FOR INSPEC- rlUCl KI;;QI..:;;'l':; .'.u:;1 iil:: GIVEN. Hilve tne following informat.ion ready: permit number. job address, type of inspection, when it will be ready, your name and phor.~ number, and any special directions to site. BUILDING DIVISION: RECUIRED INSPECTIONS: 1. Foundation Inspection; To be made after trenches are excavated and forms erected and when all mater~alS lor the toundation arc delivered on the job. Where concrete from a central mixing plant {co~~only termed -transit mixedn) 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 serV1~e equipment, condUlt, plping accessories, and other ancillary equipment items are in place but before any concrete is poured or floor sheathing installed, including the subfloor. 3. Frami~9 ~ Insulation Insoections; To be made after the roof, all framing, fire blocking, and Draclng are ln place ~ all pipes, 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/or Gvpsum Board Inspectlon: To be made after all lathing and gypsum board, ~.nterior ~extCrTOr, 1S In-prace but before any plastering is applied and bel ore gypsum board joints and fasteners are taped and finished. 5. ,Final Insoection: To be made aftJr the building is complete and before occupancy. APPROVAL REQUIRED. ~o work shall be done on any part of the bUilding or $tructure 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 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 mad~ after reinforcing is in place, but before any grout is poured. This rnspectlon is required for each bond beam pour. There will be no approval until the plumbing and electrical inspections have becn made and approved. B. wood Stove: To bc made after completion of masonry (if applicable) and when installation is compl~ Installation shall be in accordancc 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-;eptic 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. 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. Swimmin9 Pool: Below grade when steel is in place and before concrete is poured. Above grade wnen poo~-rs-installed. APPROVED PLANS MUST BE ON THE JOB SITE AT ALL TIMES DURING WORKING HOURS. TillS 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 MAY OCCUR IF THIS PERMIT WAS ISSUED ON THE BASIS OF INCOMPLETE DR ERRONEOUS INFORMATION. ANYONE PROCEEDING PAST THE POINT or REQUIRED INSPECTIONS WILL DO SO AT THEIR OWN RISK. SUBSURFACE AND ALTERNATIVE ~ DISPOSAL ~: 1. Permits shall be effective for one year. froro. the date of issuance. 2. Upon completing the construction for which a permit has been issued, thc 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 does not comply with such rules, the Department shall notify thc permit holder and shall require satisfactory completion before issuing the certificate.. Failure to meet the requirements for satisfactory completion within a reasonable time constitutes a vio- lation of ORS 454.605 to 454.745 and this rule. Setbacks - Subsurfacc From: Interior property lines Edge of rond right-of-way Building foundation ~clls. other water sources Sewaqc Oisoosal SCPtic ~ 10' 10' " 5.0' Orilinfield 10' 10' 10' 100' , " Directions to site RI"'e:"~e~I"i'; J;~')..Jfti/~> 70~ ~"'/m'g92re~d9J>:"",' L~~fo~~o~",~ ,',~""",.", """"'M"" "'",, ''''"',, ,1;;"",,,,-,,,,, "".' _'~\(h+O(\:l(jSpell_ ~.-' " ,~ '" ' ";:'" ' " , , '" ' :-", ~ ' " , '" -"" ,~- ''', ",,,"~..' " ", ' .. c;:',. '.."-~;;J ~.f!!..iIitJ ... ." '"',,,.,, p . ,',""", " "",,);;,;);.:W; ,,:, ,', ::",,: :"" Rt-' \~-t+ur"\ 7.l:f~Jtff:gr%~,,~~:E~~:S::'1~~'.~~;7"'" '.. .,...... "-,";..- .",,",," ':-":'::;:.::':< ,. .-':" ~:;,~: i:!i~:;~::!i:;i:!i:i!:i;!:\l::!:Mhi;;;:t:r ..,' .;.:,:-~:.,' .>~:;. :~.;:< ';-::';::":)~<-'\-',~-~,', :<{k)<~ ,....-VE:M!~t*!}1!i:~~f1it .",.', ....:-:.:.:......;:..;-;::,..,:'::::..,;::':::':::'...,..,.......-;.'.,...:-.,;..,,'.;.---.....-....,......... I . .,i6........;.).::'.,.,:;:1ii;;.:!,;;li.:i~Wi'lil;l, ........,,-......-..:....,...,.. ';'-':;-,::>:.;:-..;:::::-."..;. , Please complete all lines inside white boxes, if possible. .fiIl'P'fl'j ! ~cJ1)d 5 j//.k). 1A), Iluc;lI//'t'so/~ f(J #-;:> lUUH AUUH,E:;.:;. u: I cln8.~1.f/A/J f' J ()/' f > ~o / {l1;!;~ ~I'r:.ti/~ OWNER;(P?o;;RT: ~;;~.) OWNERS ADDRESS (iio, ..m. .. .boY.) . ~:ct5D -% -9'&-/'5- "HON~ ZIP .7<f/..{2.Jf / ..HUNt:. '7'/Lj) > ZIP c,;UN'HALOIUH Licen" . Townanip R.ng. Section 114 Section T.. LOI lown.nlp "'1r.n'g;'"" beel/on ... LOt \/4 ::'ecllon , SITE ADDRESS //<;(() (/ ),/)/) .r/f"'1/ :5fo Y/{j/)-e-(d' , MAIL PERMIT TO: / <:-<iJftl'I'L/ !j )n;dc; ;: (;;Idweil c6Cu,/:-....ve... ..Qo/I~..;2 I IA)/ /Iac./ lie S P/-6 .u~~ p~ ;?J<;' / l.:11' V 9 .>rU(-.2/~ ZIP ..,.;....:..::.,.:."... >,~:c~::: :.~:.::;.(,.~~~,.:..,~:'~~:.. . . , ."..... " ~~. .. . T Existing Buildings or Improvements on Property ~ House c::J Barn .- c::J Garage c::J Mobile. Home c::J Shed SEPTIC INSTALLED c::J Ye. c::J No WatBr District .. " .- ... ZIP .' ,': For Mobile Home Placement Only Brand Vear Size No, of Tip.out. No. of Beam' Licenso II ~'. ~ STA ~F'" EVAL U 0 .... ,.... .,,,.,....COMMEN...S /......... . ...............,....,:.,..:...:....:....,.,'.'.....".:..:.............',.:..,...':.......:..:,....,.......:'.....,....,..:..:...,'...:.: ..,..,;...:.'.:,:....,,:..,....:.... "'.""^ ...... "........"..,..<,.... ,.._.... " '..,r',';.,!' N>? ' " .. ........ . .'... ", :;;f;i4:;iWNi';;;;iX.::T;i;;;'i;d~;;;. ~i;~~:~~J:, o"',"o:;!:~'~r;.~~'$;:!~~~0~:il~~~~4.~~_~~,,~~,o/,~ Allowed Use .~U/~VC9 No C:J :':.'{:':,; ';:':";:":"':"';","..:-::"'\:::::, .~".,; ''''':;'';:;'.:;':'-':.':; :,-/:::';::>::.~!:;,.< :{~.i~A:,:/:::; :::';:,:':':. '. : '::':f;;:{\.\~.~.{:.f i . land Management Dlv. .tall can not be held responsible lor 9valuallons or recommendations basod on falso, 'naccurato or Incomplete Inlormatlon ... , :....::: ..:':;.:....,..';-: "'... ,":':~:'<: ,. <; :': ':)~~~.P ,~- :-:,_~< "': :":: ~'..." '':'..~~.~. ">;~""~\' . ~--"~ ~(...~\'" . ~ rr'^-> -e.- II ~Q De.h'\C. \-e "-- - ~-('~-e..+ ;7~ . . . "' . . . \J. . .1 ~ ~ . . A . . PI I' . . . . '11'1 . . . . II I . -'v. - . , - . . , :.,l,r, . ;;- . > · W: 5 L.Ar.fE COUNTY DEPT ENV. rlG1' I'~ECEIF'T ~'1404B9 .DATE 0~)31B'l. ',1 I\PF'UCANT CoRGAIN, MII<E ADDR 11 EI0 DONDE'A ST., SPRINGFIELD, ORJ:;C;ON ~~~;. ~Cg~0$~~~921b B~~J)~\DF~MS 0 UNn:s ~01 STORIES .'~BLDGS 001 P~g~E 74/~~;'l1 · m~NEF, Nt1"E CCmGAIN, tHI<E ADJ)f~ i 180 DONDEA ST ;., SPRINGFJTl..D, CmEGON . CODE ,\PPL NO ACTION DESCf~IF'TION SQ FT UNI'~ COSTIJAL.LJATION FEE DAY5e BP .' BP .~F' E.<P BP ~"l.. .-'MilcH .':ur~. eCI< I...R . '. f,,'\ . FT . . 60.00 . ~ ~ . . 10 60.00 CI< . . .. J . . ,WIX/BAr-H: SlJf~ , FT. wn~ : MFCHANICAL FEE STATE SLJRCHAF,GE PL.AN CHECI< FEE FT. RAIN: 5%. 2~5% l..C i 4(~4B9 SDSV .'A"'. LI'Olll:r : SE\~lJ : ,-AI<EN APP 1. BY I~L.H . I:((.~ FP SDoS' SI PCI< OTI-I ISS 3 DEF'OS J T H 2 EST. COMPL.ETION D,HE ~ {l 11 , " . . . . · \oJ: 5 LANE COUNTY DEPT ENV MGT RECEIPT 0:> 140489 DATE 053189. ~~ .PPLICANT CORGAIN, MIKE ADDR 1180 DONDEA ST., SPRINGFIELD, OREGON. .TL~ 1802061309216 SUBDIV . LOT BLK. NEW BLDG TYPE USE R BDRMS 0 UNITS 001 STORIES IBLDGS 001 PHONE 741 0291 ' OWNER NME CORGAIN; MIKE ADDR 1180 DONDEA ST., SPRINGFiELD, OREGO~ \. CODE APPL NO ACTION DESCRIPTION SQ FT' UNI.T COST VALUATION FEE DAYS. BP I ,. BP iOO ,.~P . BP BP ~'L . O:>FIX/BATH: OOMG:CH .<;UR 'CK LR '. . I. . \\ .....~ . \. ',/ ". .. - - '- " - . . ,. Ot n . . . . Ot '. -, ..---....... .. .--. . . . , , .I I I '.1 \1 . LC 140489 SDSV ..." .CATG: SEQU; . .AKEN un D;' . APP 1 BY RLH " " . .. RA ./1 . ..... FP -~4t---.i FT. WTF( : MECHANICAL FEE STATE SURCHARGE eLAN ~HECK FEE. SWR: SDS SI 2 i EST. COMPLETION'DATE PCI( '. FT. RAIN: 5% 25/.: OTH ISS 3 DEPOSIT ** -"'-.,- - '-- '.., .: 800: :'.' '. . . . . ~8~ . . ,', . . D~O . . FT . .. 60.00 . tft~ . 10 60.00 CK .' ".. ..... '\.' I ., - :.