HomeMy WebLinkAboutPermit Septic Tank 1988-6-14 (2)
..
f~uf (j~D/~P ~
Lane County Authorization
SEPTIC INSPECTION FOR LOAN REVIEW
GtG
~r9
.
for:
FOR OFFICE USE ONLY
Application/
Permit t
/~tf-P.P-
.1\)Wl\SHIP
RANGE
17
03
SECTION
23.4.4
j TAX LOT
117
LOT/PAR.CE~ I
DOUT OF
PROPOSED USE OF PROPERTY
~ Residential D Industr ial
o Cc>uunercial D Public.
S~8DIVISION/PARTITION (if applicable)
BLOCK
LOCATION ADDRESS
STREET
CITY
ZIP
2482 Dumas Dr" Springfield 97477-1551
STRUCTURES CURRENTLY ON PROPERTY
SID
~C~IONS TO SITE
H~...l('\U' Rd, to Havdep 13:r.:i.dg,= - f!']!!! Qf Page Ele. School
~ESCRIPTION OF PROPOSED WORK - Be SPECIFIC
SEPTIC INSPECTION FOR LOAN REVIEW
IIf OF STORIES
O;~"NER . 5 NAME AND ADDRESS
DECLARED ~ VALUE
" OF BEDROOMS
I #I OF 1:;I-IPLQYECS
WATER SUPPLY
~ 0 Proposed
. .~ Existing
TELEPHONE NUMBER
741 1542
CffiLENTZ, Dale
CONTRACTOR' 5 NAME AND QSR #
2482 Dumas Dr., Sprinfield 97477-1551
TELEPHONE NUMBER
747 6719
P:=;RJoUT TO BE MAI[J:;D TO (NAME AND ADDRESS)
TELEPHONE NUMBER
I HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION POR PERMIT, dnd ,]0 here:J>' certify t.hat all infol"lnatioll hereon is true and correct, and that I
have the followin9 legal interest in the property, Downer of record; 0 C('II~rd,.t, purchaser; o authorized agent.
I f:.;.rther certify that any and all work performed shall be done in d<.:<.:O:U]i.lllCf': .....i th tl-:tJ nrdlilanct!~ of Lane County and the Laws of the State of Ore9on
pertainin9 to the work described herein, and that NO OCCUPANCY will be :llade of M.;. srrl/ctm:e without the permission of the Building Division. I fur-
ther certify that registration with the Builder's Board is in full force ,!nU effect as rec;.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.
1)q 1 P ['Db 1 p.ntz .
NAME (please print I
x()~~~
6-8-88
DATE
READ THIS SECTION CAREFULLY, YOUR AUTHORIZATION qAS BEEN BASED ON THE FOLLOWING CONDITIONS!
[] PLANNING/ZONING:
Zone
parti tien /I
Parcel /I
Parcel Size
Minimum Setbacks:
C
L, front
eL, side
interior
rear
COMHENTS:
SEPTIC INSPECTION FOR LOAN REVIEW--NO SPECIAL PLANNING ACTION
Date:
REQUIRED /)"
6-8-88 M-
Issued? 0 Yes ~
o SANITATION:
S. I. /I
B. P. #
Installation Record
Lineal Feet kaximum Depth
: ~~, S,D)UfI;'~:~. ;6/~::~r~,~~
.z..~Q.J I~~~ rv....., .In aJJ,ui~te: ~ -I-Id { .~
o PLANS EXAMINATION: Type Group Use
Installation
specifications:
COMHENTS: \11 II
o:f~
Gallon
COMHENTS:
Dale:
n
PE~{ftL.:bi~#SI;';; (oer ORS 456.805(1)) /, ~/{f/
LANE COUNTY DEPARTME~F PUBLIC WORKS LAND MANAGEMENT DIVISION, 687-4061, .
125 EAST 8TH AVENUE, EUGENE, OREGON 97401
SEE REVERSE FOR INSPECTION INFORMATION r.1l,_?~ QAt.
.
.
./
,..(
SETB"CKS ';~D 07!!::R CC::OIT!O::5 OF APPRO'iAL :.lUST BF: 5TRIC:-:',- OIl5ER'.':;D. VrOLATJO:-': (;oS RSSL'LT IN REVO-
C;,710:: OF ':':i!5 "SR:H:', Cl'!',;nO:: t:::O=;R I'ROVISro:~S OF r.,;~r. ':0;':;;7,.',-; I:lFR;'CTIO:J OPO,::.;::C::, ,.."O/OR OTllER
RE~~DIES ALLOWED BY LAW.
I'IlE~: RE.'\DY FOR i:;Sr!:C7IOC:. CA:":' 687-~06S. t, ~:r"va;:.: OF .,7 L;;;;\ST :!.. IlOt:RS ;IDV;'!:;:;:E :107ICE fOR n;SPEC-
'i'lU:i IU~C:U':S,";,:i ;.,STl.iSG!'i!:::::--TrIJ'.'c tl1C ~-ollowing in:o:-::l.1tion re.1dy: f'<:!rmit number, job ilddrcss, type
of in5p~Ctlon. when it will be ready, your n3rnC! il:1d ?::onc ~lum~er, ilnd .1:11' special directions to SIte.
BUILDI"G DIVISIO:l:
REOUIRS:l I::SPr:CTIO~S:
1.
Focnddtio:l InspectIon: 70 be made aftef trenches arc excavated and forms erected and when all
r.:.1ter1alS ~or the toundation arc delivered on the job. ',.:here concrete from il ce!1tral mixing
plant (com:nonly termed "transit mixed") is to be used, materials need not be on the job.
2.
Concrete Slab or Under-?loor Insncction: To be made after nIl in-slab or under-floor building
serV1~e equipme;t, conCU1t, p1p1ng accessories, and other ancillary equipment items arc in
place but before any concrete is poured or floor sheathing installed, including the subfloor.
3.
~raming & Insulation Inspections: To be made after the roof, all framing, fire blocking, and
rac1ng nre in ~l~ and all ~lpes, fireplaces, chimneys, and vents are complete and all rough
electrical and plumbing arc approved. All wall insulation and vapor barrier are in place.
4.
Lath and/or Gyosum Board Insoection: To be made aiter all lathing and gypsum board, ;nterior
ana-ex~crror, is 1n place out DetOre any plastering is applied and before gypsum board joints
and fasteners are taped and finished.
5. Final Insoection: To be made after the building is complete and before occupancy.
APPROVAL REQUIR~D. ~o work shall be done on any part of the building or structure beyond the point
indicated in each successive inspection without first obt~ining ~he 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, b~t before any grout is poured. This
inspectIOn is required for each bond beam pour. There ~ill be no approval until the pl~binQ
and electrical inspections have been made and approved.
B. Wood Stove: To be made after co~pletion of masonry (if applicable) and when installation is
complete. Installation shall be in accordance with an approved, nationally rccogni~ed testing
agency and the manufacturer's installation ins~ructions.
C. ~lobile Home: An inspection is required after the mobile home is connected to an ilpproved
sewer or septic system for setback requirements, blocking, footing connection, tiedowns,
skirting, and plumbing connections.
1.
Footings and piers t~ comply with State foundation requirements for mobile homes or as
recomdendQd tiy the manufacturer.
2. ~obile home minimum finish floor elevation shall be certified when required by a flood-
plain management letter.
3. ~Iobile home tiedowns, when required, and skirting shall be installed and ready for inspec-
tion within at least 30 days after occupancy. Tiedown~ and skirting shall be installed
per enclosure.
O. SwimminQ Pool: Below grade when steel is in place and before concrete is poured. Above grade
.men po.ol--rs-installed. .
,WPROVED PLANS :'IUST BE 0:>1 THE JOB SITE AT ALL TIXES DURH,G I-:QRKING HOURS. TIllS PERMIT WILL EXPIRE
IF WORK DOES NOT BEGIN WITHI!' 180 DAYS, OR IF WORK IS St:SPENL}ED OR ABANDONED FOR ~lORE THAN 180 DAYS.
SUSPENSION OR REVOCATION ;,IAY OCCUR IF TillS PE;RNIT WAS lSSUeD ON THE BASIS OF INCOMPLETE OR ERRONEOUS
INFORHATIOl<'.
ANYONE PROCEEDING PAST THE POII:T or REOUIRED INSPECTIO:lS WILL DO SO AT THEIR OWN RISK.
SUBSURFACE ~ ALTERNATIVE ~ DISPOSAL SYSTEMS:
1. Pcrmits sh~ll 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 Community Development by submitting the
1nstallation record form. ~he Department shall ins?ect the construction to determine if it
compliQs with the rules contained in this division. If the construction does comply with such
rules, the Department shall insue a certificate of satisfactory completion to the permit, ~older.
If the constructi.on does not Comply with su't!rrules, 'the Dcpa~rt.":lent Sh.ll! notiIy "(he 'permit
holder and shall reqUlre sat1sfactory completion before issuing the cert1fi.c~te. Failure to
~eet the requirements for satisfactory completion w1thin a reasonable time constitutes a '1.0-
lation of ORS'-15-1.(i05 to ';5...7';5 and t.his rule. - ~ .
Setbacks - Subsurface ~ DIsposal
From: Inter10r property li.nes
Ed<jc 0:' road rtqht-of-way
BU1lutnq (owndation
~clls, Other water sources
Septic Tank
10'
10'
;'
;0'
Drainf1eld
10'
10'
10'
100'
'" "'/
,~ ,.' 1
!
,- ',-1
'T "
. i
I
"",
.". "'~~~i;"'~~"l'\":"",.,,;,~ i
.,.~ ~.,"'f'.:.!.i\~~~':."~ . ~f"'.\-:"':/f""
... \.', ....,...... " . ~ . . , ,,'
.\;~. - . .~ ;..~..~, wI:. :,;~,,';"t" :; .-...,: - -..:-<,J'
"""',":""', ~ :,.i." ;;.. ....
-t:
"
'/~.\: ~'.~;~:'~.:~'~:'
,t,
.'
"
"
".
~:".~>
,
.'
~ .
l.ll-," #.'
. ~ '..
. ~'~.
\j: '.
-.!-
<)
<)
"
o.
-
,~,
,
o:-----~
. .
.',) '. . . .
~ r ~
. .
'.
. .a
@
I" I .~
.
I
w
. .~
..~
,..
w
. .~
fl
~
. .
n r
'" .~
.
.
S
. .!
.
,)
. .~
. ( .
! r r
. l,j' 5 LANE COUNTY DEPT [NV MGT F(ECEIPT ~ 1 <,6988 DATE 0608e.
APF:L.ICANT COBLENTZ, D,;t.E ,;DDR 2482 DUMAS DR., spFnNCFIELD
TLO 1703234400117 SUBDIV LOT BLK
NEW BLDG TYPE USE I~ BDF(MS 0 UNITS 001 STORIE:.S '~BLDGS ,)01 PHONE '199 99'19.
. OWNEF( NME COBLENTZ, DALE ADDF( 2482 DUMAS DR., SPRINGFIELD
CODE M:'F'L NO ',;CTION DESCRIPTION SQ FT UNIT COST VAL.UATION FEE
EIP
.DF'
BP
Hf:'
.HP
r r
r"L ':'FIX/BATH:
.MECH
SUP
pCI(
.SDS
D,y(,SJ"
.~~
iD
.~
LC 166988 SDSF(
35.00
, .
~
9
.~
w
"
;;
.~
..
1"lI!
..
.~
SWF': :
FT. WTR:
MECHAN I C,;L FEE
STATE SUF(CHr,F(GE
PLAN CHE:cI( FEE
FT.
F(AIN:
FT
~) ;::
2~5i~
.
.CATC:
SEQU:
., TAKEN
.
API"
1
BY CT
R,)
FF'
SDS'
2
SI
PCK
OTH
ISS
~~
DEPOS I T lH,
..
{ :
3'.. (.\,.,!'fJ ,
.)"\'CQ\. I!'
.~
EST. COMPLETION DATE
.
.
j
.,
.
--
YF1\tJD' ';':'::::"'<j
": ...:'." ~ , :;::
:1 ~.~.~:~.;:;~ ~ .:;~
.~ 0....._...__. ~,..'
:~.:::::;:\~;f;::;I~:~~!!t{;:~~!:}j~{~~~X:E:f.f.I
/
Please complete all lines inside white boxes, if possible.
,uu~2c: Ie r!7'>h hP,V1f'Z_ G/J/><<z
( -::'un fi..:J 'i?::;;( I J) 11 1fY7 4, s p/? I -fc;/~o,{6 4/2-
'<;;PVllf1 ~~p (j,,?Jf? Q~77
CITY n,,! )(0\ (OJ!.M}F> 11ft 7y{'1 ~ 7/c?
:::::so~:~Y)( L rtLn~~ s DR.; 9 ~f'7 --;'~(,
.
EXISTING BUILDINGS
ON PROPERTY
aHouse
c::t Barn
c::t Garage
c::t Mobile. Home
c::t Shed
Other
tUNIHA\,.;IUH
Ucen.. .
Directions to site
from Courthouse
/~~
4-/~
, '.~ .-,-Le_
.' ~~;-- .../ ra--tR
", ~(7,< r ~~ r
J
\ MAP, PARCEL NUMBER
lown.nlp Mang.
/7 I)?
,Township Rang.
(Found on tax msps In the A.....m.nt . TulrtJon Dept.)
tieCllon
~1-~
Section
114 seellon
Tn Lot
)/7
Tax Lot
114 Section
\J
lown.nip
Hang.
tieC1l0n
114 Section
IbLOt
sITe ADDRESS
<I"
, ,',,'.. ", "','" .,.'" ".t1
~I
.
MAIL PERMIT TO: ~
M {'/nr/J7 A~V0e~~~~~~,
~'v,/~~G6r~~A{~,o..~/CI --::
5Dr'/~i'~ 1\ ~ /' :
""';,;<' V ( ZIP ,
~ ~ .
FOR MOBILE HOME
PLACEMENT ONLY
Model
Year
Size
No, of Tip-outs
No, of Bemms
Ucense #
~
...........: :............:...........::..::.....::."....:0.:.
..........................:....::.:...:,....'".. ...,
. ............",...:,....,...:..,
.. ................,,:',:..:.:.,.<..,:,:.........
land Management Dlv. ataU can not
b. hald responalbl. tor haluatlons or
rwcommendaUon. ba.ed on fal..,
Inaccurat. or Incomplet. Information