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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 . .