HomeMy WebLinkAboutPermit Septic Tank 1988-10-24 (2)
J':
uf;tf-SrA: .
Lane County Authorization for:
SEPTIC INSPECTION FOR LOAN REVIEW
..
roW::SHIP
RANGE
SECTION
I TA.X LOT DOUT OF
109
I LOT/PARCE~ I BLOCK
17 03
S~BDIVISION/PARTITION (if applicable)
23
44
LOCATIO~; ADDRESS
STREET
CITY ZIP
Springfield, OR 97477-1551
X~K 2411 Dumas Drive
STRUCTURES CURRENTLY ON PROPERTY
8Cr
/ tl - .!JP
FOR OFFICE USE ONLY
Applica tion/,-:::>.11 /? t1'_l/ 0'
Perm~ t i <- -'/./ 7,1f -11 /J
PROpOSED USE OF PROPERTY
o Residential 0 Industrial
o Commercial D Public.
SFD
DIRLCTIQNS TO SIT~
Coburq Rd to Harlow to Hayden Bridge Rd; Dumas is directly across from
Page Elementary; qreen house on corner of Dumas & Hayden
uESCRIPTION OF PROPOSED WORK - BE SPECIFIC
::J OF BEDRQOO.S
3
SEPTIC
1_ If OF STOfIES
ADDRESS
INSPECTION FOR
I It OF EOPLOYECS
LOAN REVIEW
1 WATER SUPPLY
O;~"NER' S NAME AND
Bridge Rd.
I DECLARED ~ VALUE
public
o proposed
n Existing
TELEPHONE NUMBER
747-6965
Larrv R. Haves
CONTRACTOR'S NAME AND OS-R #
546 Brookdale Ave.
Springfield, OR 97477-7503
TELEPHONE NUMBER
P':;RNIT TO BE l'lAILED TO (NAME AND ADDRESS)
Larry R. Hayes
546 Brookdale Ave., Springfield, OR 97477-7503
TELEPHONE NUMB~R
I HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION }o'OR PERMIT. arId ,10 hareuy certify that all information hereon is true and correct, and that I
have the following legal interest in the property: OOlo'ner of record; 0 cc.n1:r'-H.!; purchaser; Oiiuthorized agent,
I f:.::rther certify that' any and all work. performed shall be done in accoldiil1CB ....i th the Ordlllanc~~ of Lane County and the Laws of the State of Oregon
pertaining to the work. described herein, and that NO OCCUPANCY will bl.: manc of ar'J structure without the pcnnission of the Building Division. I fur-
ther certify that registration with the Builder's Board is in full force ilnd effect as rcc:;uired 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.
I-arrv R. Haves
NAME (piease print)
Dropped Off
SIGNATURE
10/20/88
DATE
READ THIS SECTION CAREFULLY. ,~~RIZATION qAS BEEN BASED ON THE FOLLOWING
o PLANNING/ZONING: Zone Partl. tl.on It Parcel #
Ml.nl.mum Setbacks: eL, front CL, 5l.de l.ntcrl.or
CONDIp::~:: ~iuJ /4
/
REQUIRED. ,
Inst::::tiO: ~(.~:~ Yes 0 NO*
COM.o'1ENTS:
NO SPECIAL PLANNING ACTION
o SANITATION:
S. 1. It
B. p. It
Installation
Specifications:
CCIM?>IENTS: q.lrA..."
..-atb A ~ R
Gallon
Tank
Lineal Feet
of Drainfield
.r7t,,,,,,,, HI
.~ 4<.,1:;:' f - ..S,D.s
L (J
10111
o ~ EXAMINATION: Type
Groun
Use
co~mENTS :
rear
~~
e.te:
Maximum Depth
of Trenches
11/ t::f/lh J
o !(h~) ~J7~
Date:
n
-<7~) ../9___ b~ /t1-~y-P/
4E~~RcivED BY ~~I IDESIGNEE leer ORS 456.805 (1)) -{r-I - DATE
LANE COUNTY DEPART OF PUBLIC WORKS LAND MANAGEMENT DIVISION, 687-4061,
125 AST 8TH AVENUE, EUGENE, OREGON 97401
SEE REVERSE FOR INSPECTION INFORMATION
"..,-
t')t"a~
~
.
,~
.
r
SETBACKS A:-lD OTHER CO~DITIO% OF APPROV,'L MUST BE STRICTLY OBSERVED. VIOLATIQ:>J CA~ ReSULT IN REVQ-
CATIO;.l OF TillS PERMIT, CtTATIO:: UNDER PROVISIO;.lS OF LAl'E COU:-:TY'S INFRACTION ORDr:->ANCE, AND/OR OTHER
REMEDIES ALLOWED BY LAW.
WHEN READY FOR INSPECTION. CALL 687-~065. A mNHllI~1 OF AT LEAST 24 HOURS ADVA:~CE NOTICe FOR INSPEC-
TIO:-l REQ1.;t:ST::; ~;UST BE GIVEN. Have tl1e 1011owing information ready: permit number, job address, type
of inspection, when it will be ready. your name and phone nu~ber. and any special directions to site.
BUILDING DIVISION:
REQUIRED INSPECTIONS:
1.
Foundation Inspection: To be made after trenches are excavated and forms erected and when ~ll
materIalS lor tnc toundation are delivered on the job. ~here concrete from a central mixing
plant (commonly termed -transit mixed-) is to be used, ~aterials need not be on the job.
Concrete Slab or Under-Floor Inspection: To be made after all in-slab or under-floor building
serVlce equIpment, coneult, ~lplng accessories, and other ancillary equipment items are in
place but before any concrete is poured or floor sheathing installed, including the subfloor,
2.
3.
~raminq & Insulation Inspections: To be made after the roof, all framing, fire blocking, and
raclng are ln plaCe a;a all plpes, fireplaces, chimneys, and vents are complete and all rough
electrical and plumbing are approved. All wall insulation and vapor barrier are in place.
'-
Lath and/or Gypsum Board Inspection: To be made after all lathing and gypsum board, ;nterior
ana-exterIOr, 1S 1n place Dut Detore any plastering is applied and before gypsum board joints
and fasteners are taped and finished,
S. 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 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 made after reinforcing is in place, but before any grout is poured. This
rnspectron 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 when installation is
~l~ Installation shall be in accordance 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-5eptic 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, SW1mm1~q~: Below grade when steel is in place and before concrete is poured. Above grade
wnen pool 1S lnstalled.
APPROVED PLANS MUST BE ON THE JOB SITE AT ALL TIMES DURING WORKING HOURS. THIS PERMIT WILL EXPIRE
IF WORK DOES NOT BEGIN WITHIN laO DAYS, OR IF WORK IS SUSPENDED OR ABANDONED FOR MORE THAN 180 DAYS.
SUSPENSION OR REVOCATION l1AY OCCUR IF THIS PEfU.lIT WAS ISSUED ON THE BASIS OF INCOMPLETE OR ERRONEOUS
INFORMATION.
ANYONE PROCEEDING PAST THE POINT or REQUIRED INSPECTIONS WILL DO SO AT THEIR OWN RISK.
SUBSURFACE ~ ALTERNATIVE ~ DISPOSAL SYSTEMS:
1. 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 Lane County Department of Planning and Co~~unity 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 permitihOlder.
If the construction docs not comply with such rules, the Department shall notify the 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 - Subsurface
from:
Interior property lines
Edge of road right-of-way
Building foundation
Wells. other water sources
Sewage Disposal
Septic ~
10'
lO'
5'
SO'
Drainfield
10'
lO'
10'
100'
" " ll9cl4lloiJ 06 jrlfzc
f} cjl ( Ot11v11! )
5pOlit/Jbfefr!/ o(1&~
/V14f IS lJor /J S{l ~-
~'[ln -v-. !tJ/2o/N
I~ t' 41\
(S'\ 'rt
~,o{;.c(
00
J
I
/ ~I/.m(
QI'Ift. -
I (
!
.
Please complete all lines Inside
L-Afl-fl:11 rz. tI~ fS
'yUU" "AMI::.
54&' oroof:.doJe
YUUH AUUHESS
5Wfrlf-h-e!/ I Drt''lOYl .
CITY
white boxes, if possible.
10-:<0-88
OAT' J'I'r'-/P78~
7'-/1-(Pf~)
PHONt:
111('11.
ZIP
/l ~.-Z (1
OWNER OF~JI'''~
OWNER~DRESS (If not ..m. a. above)
..110NE
ZIP
CUNI HA\,;IUH
uean... _
.
.
MAP, PARCEL NUMBER
(/7" to mapa In ~A3..m.~. TuaUon /t' 9
lown.rup k!n~ tliocaJOn 11ft deCtfot" .0 LOt
Township ""iiing;- Section "4 s.ctlon 'all Lot
I own~lp -.rang;- ::Iectlon 1/4 _cuon ,ax LOI
.
.
_1111
SITE ADDRESS d- 'III 0 t( Iv( A) IJrille _
5P0/196efc(/ Oreyo/?
.
.
MAIL PERMIT TO:
L--l4-fl-IZ.'j /-IA-y C-5
5't//,,' f5f2.00~ P,:/t..C
AUU"t:.::o~
S/Jt2fVq.hCL/? Ot2CfirON
I\IIAMI::.
c?7t(77
ZIP
1.,;1,.
.
.
Land Management Dlv, staff can
not be held responsible for
evaluations or recommendations
based on fals8, Inaccurate or
Incomplete Information
Existing Buildings or
Improvements on
Property ./ " ..tl
Iii!l3 House '3' /V'--"=-"'-C....
c::J Barn /~
c::J Garaga
c::J Mobile. Home
c::J Shed
SEPTIC INSTALLED
c::J Yes
c::J No
wa~:,,~~_
"
:1
..
Directions to site
from Courthouse
Co&rf trl ~ Ik,/a,;
-1-0 IJu'~4, /5r;!ft:
-/rJ f/Ilfe E1~e.cfq7 '>rkI
f)IIN#! IS Sf f),t'~cl1
~S5 Jrol1 f/l'le
Z'/II f~ 7rf'OI fzcl{/( 0."
forllir ,f (hHftJ r l~rk!(14 :e
..
tJrc(71'
ZIP
~. =;
For Mobile Home
Placement Only
Brand
Year
Size
No. of Tip-outs
No. of Bedrm-
License #
,
.
~ I I .
'.
.
.
.
.
III
.
.
.
.
rll
.
.
.
~
.
.
.
.
III
~~~
iC
..~
.
.
0
e!
~
?
.~
..
lit
~
.~
. ..
0
l
r
.!
.
j
.'
.
W: ~)
. APPLICANT HAYES, LARRY
fL. 1703234400109 SUBDIV
NEW BLDG TYPE . USE R BDRMS
. OWNER NME HAYES, LAF(F(Y
CODE APPL NO ACTION DESCRIPTION
BP
_IP
rW
'[IFl
tiP
PL
.ECH
"UR
PCK
.1',
.FIX/BATH:
.-1
LANE COUNTY DEPT ENV MGT RECEIPT I 309888 DATE 102088
ADDR 241 \ DUMAS DF(., SPFnNGFIELD, OREGON .
LOT BLI( .
o UNITS 00\ STORIES IBLDGS 001 PHONE 747 6965111
ADD!', 2411 DUMAS DR., SPIUNGFIELD, OI'(EGON .
SQ FT UNIT COST VALUATION FEE DAYS
^
.8
3
.
.~
o
~
SWR:
FT. WTF(:
MECHANICAL FEE
STATE SURCHARGE
PLAN CHECI< FEE
FT .
RAIN:
FT
LC 309888 SDSV
60.00
w
.~
...
lie
.~
~
5%
25%
.
~'lcMG:
~'EQLJ :
~AI([N
.
APP
1
BY RL.H
F(A
FP
SDS
s:I
PCK
OTH
.ISS
3
DI~POSIT H
60.00
\ 0 .
CK -!
~
.~
, j
.:
2
[ST. COMPL.[!ION DATE
.
.
. '., ..~
~u 0 ..... . ..
,
. .
. .
eon
., .
. / .
D~ ~
. "\...... .
I
,
. .
ora
. .
. .
D~ 0
. .
. /' .
"- - - -'- - - - -'- - -'- -,-'- -+- - - - -'- ---'- - -'--~- -'- -.-.;-,:",,-..
.
.
W: 5 LANE COUNTY DEPT ENV MGT RECEIPT 0 309888 DATE 102088
. APPLICANT HAYES, LARRY ADDR 2411 DUMAS DR., SPRINGFIELD, OREGON .
fL. 1703234400109 SUBDIV LOT BLK .
NEW BLDG TYPE USE R BDRMS 0 UNITS 001 STORIES OBL~GS 001 PHONE 747 696510.
.OWNEf( NME HAYES, L.ARRY ADDF~ 2411 DUMAS DR.., SPF\INGFIELD, OREGON .
CODE APPL NO ACTION DESCRIPTION SQ FT UNIT COST VAL.UATION FEE DAYS
BP
!<F'
~;P
OltHll
.'p
PL.
fiECH
..>UR
PCI<
..f(
.
.
~:F)X/BATH :
SWR:
FT. WTf( :
MECHANICAL. FEE
STATE SURCHARGE
PLAN CHECK FEE
FT.
I~AIN :
FT
\
LC 309888 SDSV
60.00
.
f~n
.>
5%
2~5/.
.
tt::,!TG:
.SEQU:
,'AKEN
,., .~
APP
1
BY RL.H
, RA
FP
SDS
2
SI
PCK
OTH
ISS
3
DEPOSIT H
10
60.00 CK .
EST. COMPLETION DATE
.
.
III
.
.