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Home My WebLink AboutPermit Septic Tank 1980-10-7 ~\~v ~ CONSTRtfTION/PLACEMENT · PERM IT COMPLETE THIS BLOCK. PLEASE USE BLACK INK AND PRINT. TO"N"HI; B J OG3. I SEOZ. z .I ;'1700 DOUT OF SUBA~~~~~(it~"a) ~ II~T;'jZ I B'IZ zicr ADDRESS l 'Dv" ~.:,~~~ . 5P . STRUCTURES CURRENlLY oii P'RUPERh . ~ DEJ2~~oh r(~d ~ 5he.cl . ~...oai>-L .Qa.ua.. <)e.. lOOOO a.L *' OF B1Er1ROOJlS I ~ OF S~S U I # & !~EES 0 Proposed ~ ~ ~xisting O"NER:' N~AOfR _ tor 2/0 1Xm-Li? ~. _ _ ci 74HO: fA~~ ~=R"S N~A"L~ n~ 37J~gr8 TELEP~UMBEH. 'I ~c1Ll.1 . Pxn.ru Jo.do LOYIDt-. I ."lhDIlI or-- Rd. 'P. H. ~ (: - e:=f:EA r3~c~r~(~ r i2~N~~O()t>(ih c,~ {r) ~;~ 3w4 lab ("}r) ~I'j'm--, . I IIAVE CAflEFULLY EXAMINED TilE COMPLETED APPLICATION FOR PERMIT, nnd do hcn'by <certify thilt all information h('[f'on iH trut:' ilnd correct <Illd I furthcI certify that any and all work pcrforll'\f!d shall be done in accordance with the Ordinances of Lane County and the Laws of the St':ltc of Orc<joll I,<"tlaillinq to the work dcscribf'd herein, and that NO OCCUPANCY will be mdde of any structurf'! without the PQrmission of the Building Divi!lion. I furthQr certify that rcgL:.tration with the Builder's Board is in full force and effect as required by ORS 701.055, that if exempt the basis for exemption is not('d 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 CIIECY.ED THIS APPLICATION THOROUGHLY. CITY ~ -~0;/1 dOl( D ~AME (plJasc print) ~i(}:;r/ B. P. .tJO~ I!)[)?l ;:~~on 30 0 d,.,,~ I, ~!f) ,-/, <1.1/ 'uP /I ~LANNING/ZONING: RA Partition *' CL, side Zone !>auimum Setbacks: CL, front comm~nts:..3r..l-'ll L~~ L)J ~" "'"'" o FLOODPLAIN: o RURAL ADDRESSING: IifSANITATION: o No DYes, In flood hazard area? GRID COORDINATE N #~ s. 1. Installation Specifications: Comment", .:z;:.~1..11 ':7""" :'io ,,'a I d",I,., L-Ln'", -A:..n -I -t,1fl,-,. ~. PLANS EXAMINATION: '.(..<<1. .<:,,L.,,J /AlJ o Type Group Comments: Parcel # interio!' see attached sheet. E FOR OFFICE USE ONLY APPlicatiL1, ?~ 8{) Perm~t # - o Two Copies of lans ~o Copies of Plot Plans []Mechanical Checklist [JPlumbing Checklist [JPlan Check Info Sheet ZIP PROPOSED USL OF PROPERTY ~esidential []Industrial o Conunercial OPublic I $ VALUE J. 0 Owner /0 -3 - g-() ~ractor DATE 0 Agent Parcel Siza\.~.;; rear Date: 10-3-(50 W n D Date: Installation Record Issued? 0 Yes 0 No Date: Usa CONSTRUCTION AUTHORIZED BY THIS PERMIT Lineal Feet of Drainfield ,;, qen ~ ~/ a /"I"a /" V P';"L-/>/M ~I ^.... Description ~IH . <" . "'\0 lIVl~. 1;}1~LJ ,'1A ~rMJ Fixed Fee/ unit Cost Sq, Ft. TOTAL VALUATION $ Maximum Depth of Trenches .).1 <)knl~.. ~".. /)~/- /k... Je.{}p/ ~/J &:.{ ,,/~ 76yfii) Date: 0' Date: D Floodplain Fee $ Subsurface Fees $ ?5 ,(Y) Building Fee $ Sewer/Storm Drain/Water $ Plumbing Fixtures $ Mechanical $ Plans Check Fee $ State Surcharge $ TOTAL FEE $ ~F{1) FEES PAID BY: ~ Check D Cash By: n, ITif , ?~~ BY BUILDING OFFICIAL/DESIGNEE (per ORS 456.805(1)) LANE COUm'y Date: IO-3-?i1 "7 4Y'- 8'""0 DATE MANAGEMENT / 125 EAST EIGHTH AVENUE, EUGENE, OREGON 97401 SEE REVERSE C74-194 . . . '. SETBACKS AND OTHER CONDITIONS Of APPROVAL MUST BE STRICTLY OBSERVED. VIOLATION CAN RESULT IN REVOCATION OF THIS PERMIT, CITATION UNDER PROVISIONS OF LANE COUNTY'S INFRACTION ORDINANCE, AND/OR OTHER REMEDIES ALLOWED BY LAW. WHEN READY FOR INSPECTION CALL 687-4065. A MINIMUM OF AT LEAST 24 HOUR ADVANCE NOTICE FOR INSPECTION REQUEST MUST BE GIVEN. Have the following information ready: Permit number, job address, type nf inspection, when it will be ready, your name and phone number, and any special directions to site. BUILDING DIVISION: REOUIRED I1ISPECTIONS 1) FOUNDATION INSPECTION: To be made after trenches are excavated and forms erected and when all materials for the foundation are delivered on the job. Where concrete from a central mixing plant (corrmonly termed Ittransit mixedll) 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 service equipment, conduit, piping accessories and other ancillary 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 after the roof, all framing; fire blocking and bracing are in place and all pipes, fireplaces and 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 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 fasteners are taped and finished. 5) FINAL INSPECTION: To be made after the building is complete and before occupancy. APPROVAL REQUIRED. No 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~uilding 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 inspection~ 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. WOOO STOVE: To be made after completion of masonrv (if applicable) and when installation is comnlete. Installation shall be in accordance with an approved nationally recognized testlng agency CllId the manu- facturer1s installation instructions. C. MOBILE HOME: An inspection is required after the mobile horne is connected to an approved sewer or septic system for: setback requirements. blocking. footing connection. tiedowns, skirting, and plumbing connecti ons. (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 floodplain management letter. (3) Mobile home tiedowns, when required, and skirting shall be installed and ready for inspection within at least 30 days after occupancy. Tiedowns and skirting shall be installed per enclosure. D. SWIMMING POOL: Below grade when steel is in place and before concrete is poured. Above grade when pool is installed. APPROVEO PLANS MUST BE ON THE JOB SITE AT ALL TIMES OURING 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 MAY OCCUR IF THIS PERMIT WAS ISSUED nN THE BASIS OF INCOrlPLETE OR ERRONEOUS INFORMATION. ANYONE PROCEEDING PAST THE POINT OF REQUIRED INSPECTIONS WILL 00 SO AT HIS OWN RISK SUBSURFACE AND ALTERNATIVE SEWAGE DISPOSAL SYSTEMS (I) Permits shall be effective for one year from the date of issuance. (2) Upon completing the construction for which a permit has been issued the permit holder shall notify.the Department by submitting the installation record form. The Department shall inspect ~he constructlon ~o determine if it complies with the rules contained in this division. If the constructlon does comply wlth 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 the permit holder and s~al1 require satisfactory completion before issuing the certificate. Failure to meet the requirements fo: satlsfactory completion within a reasonable time constitutes a violation of ORS 454.605 to 454.745 and thlS rule. Setbacks - Subsurface SewaQe Disposal From: Interior property lines Edge of road right-of-way Building foundation ~ells, other water sources Seotic Tank 10' 10' 5' 50' Drainfield 10' 10' 10' 100' .... .. 1[-O~-67.."L d-/7"O , s/' fiJ . 0 (' Permit n Permit n Permit n 7:>0 (' r I$, Job Location (Address) 2.10 Permit n For Permit n For Permit n For TRS. TL For For For . 'Plat Plan , SubdivisionAm...k1 P,;..f-loff\J,tt........tk . ~"i"1s Lot // <P J"L Block / z.. , t J/= 40' . .. ~ ~ - ~i ~ @ 'vJ1<J-fS" S aasg" o~d rn"J If . 1- VI ;;7 ( - 7 , :J n: ?~t>1 ~-r (AA JF; h <;; f10 r /.5~ 1 ~_:"fI. ~ N it.\~e ~ N / ~ 1091 ~ J0'{ -my o .., , 1_- N 'f-. wa.L- -"0 ",,-:-S1". . I . A==Dr2Q..\S ';;;) \ Q c:- ~ Vicinity Map -,---. ~ C74-150