HomeMy WebLinkAboutMiscellaneous Septic Tank 1989-6-1
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Lane
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County Authorization
SEPTIC INSPECTION FOR LOAN REVIEW
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for:
FOR OFFICE USE ONLY .
Application; /LJ A //_ (J?
Perm.lt t / 7V,- If
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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-
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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
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Please complete all lines inside white boxes, if possible.
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OWNER;(P?o;;RT: ~;;~.)
OWNERS ADDRESS (iio, ..m. .. .boY.)
. ~:ct5D
-% -9'&-/'5-
"HON~
ZIP
.7<f/..{2.Jf /
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ZIP
c,;UN'HALOIUH
Licen" .
Townanip
R.ng. Section
114 Section
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lown.nlp
"'1r.n'g;'"" beel/on
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SITE ADDRESS //<;(()
(/ ),/)/) .r/f"'1/
:5fo Y/{j/)-e-(d'
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MAIL PERMIT TO: /
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..Qo/I~..;2 I IA)/ /Iac./ lie S P/-6
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ZIP
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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
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ZIP
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For Mobile Home
Placement Only
Brand
Vear
Size
No, of Tip.out.
No. of Beam'
Licenso II
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STA ~F'" EVAL U 0 .... ,.... .,,,.,....COMMEN...S /......... . ...............,....,:.,..:...:....:....,.,'.'.....".:..:.............',.:..,...':.......:..:,....,.......:'.....,....,..:..:...,'...:.:
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~i;~~:~~J:, o"',"o:;!:~'~r;.~~'$;:!~~~0~:il~~~~4.~~_~~,,~~,o/,~
Allowed Use .~U/~VC9 No C:J :':.'{:':,; ';:':";:":"':"';","..:-::"'\:::::, .~".,; ''''':;'';:;'.:;':'-':.':; :,-/:::';::>::.~!:;,.< :{~.i~A:,:/:::; :::';:,:':':. '. : '::':f;;:{\.\~.~.{:.f
i
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land Management Dlv. .tall can
not be held responsible lor
9valuallons or recommendations
basod on falso, 'naccurato or
Incomplete Inlormatlon
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· 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
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PL.AN CHECI< FEE
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RAIN:
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· \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.
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