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HomeMy WebLinkAboutPermit Septic Tank 1989-3-27 (2) .. :Sf~ for: "tr i3~' Lane County Authorization Seotie Jenai r Pfo!rmi t . 'roW4\SHIP RANGE SECTION j TAX LOT oOUT OF 44 124 I LOT/PARCEL I BLOCK CITY ZIP 17 03 23 S~8DIVISION, rht'.~u........~ (if applicable) LOCATION ADDRESS STREET 2580 D.unas fri ve STRUCTURES CURRENTLY ON PROPERTY Sorine:fie1d. 0 F. 97477-1553 If% !JJ FOR OFFICE USE ONLY Applica tion/ '7./17- Q. q Perm~t # /u If / PROPOSED USE OF PROPERTY [] Residential 0 Industrial o Commercial 0 Public. 1:FD ~CTIONS TO SITE rril:'ll"'~' 11"'1 t..o....lW7'lnw m to H:1yrlpn Rl";n~ 1Oa(l." ~""+;nn h::::.t~n ~Th !:mn lQ+h crl-"l"OO+COO 1)11'11 left on DImas in frnnt nLEa<i" Rl"'Iell.t~"M7 Sr>hnn) v~SCRIPTION OF PROPOSED WORK - BE SPECIFIC Jenair &>pt:ir ,'1V(ltRn . OF BEDROOMS J i OF STORIES O;~"NER' 5 NAME AND ADDRESS IIf OF EMPLOYEES WA.TER SUPPLY Larrv Kine: CONTRACTOR'S NAME AND OSR ~ (Rit" "nnr) P:';RNIT TO BE MAILED TO (NAME AND ADDRESS) Larry Kine: (site addr) DECLARED ~ VALUE o Proposed n Existing TELEPHONE NUMBER 747-6828 TELEPHONE NUMBER TELEPHONE NUMBER I HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION ~'OR PERMIT, and ,]0 hereby certify t.hat all information hereon is true and correct, and that I havo tho following logal into rest in the property, KJowner of record; 0 CQlltrdt;t- pun:haser; Oauthorized agent. I f:.:.rther certify that any and all work performed shall be done in aecor-dancE: with the Ordinances of Lane County and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of ar.y structure without the permission of the Building Division. I fur- ther cc.rtify that registration 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 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 CKECKED THIS APPLICATION THOROUGHLY. Larry King NAME (please print) ..,(. /Yl /7_ -, p ..-"'/\ r::7.Ar<---I ....... . Si:GNAT~~ V i<.~ A ,3 - .:21 -II '1 ~ DATE , I o PLANNING/ZONING: Zone Parti tion # Parcel # READ THIS SECTION CAREFULLY. YOUR AUTHORIZATION ~AS BEEN BASED ON THE FOLLOWING CONDITIONS! Parcel Size Minimum Setbacks: CL, front CL, sidE.> interior COMHENTS: No snecj.al nl~nninrr ::l(,>T.inn n::>nl1in::on rear Date: ?-;;;J-P'9 ~ Installation Record Issued? 0 Yes 0 No 1. I I Jt Maximum Depth . /~ :,).~Tre~:~. Z--6lJ' k~~/Dat~' - ;P7-?-Fl _~ o SANITATION: S. 1. # B. P. # Installation ~ Gallon :::::::j,::M7;-:@' Tan~~ A>4 ~ ...;,;, 41J l;::r~ o ~ EXAMINATION: Type Group Use CQMHENTS: Date' n ~~/;d. ~-_ --- .. \7~27f') .... PE~PRQVED BY ~~~IAL/DESIGNEE (Der ORS 456.805 (1)) . DATE . LANE COUNTY DEPART NT OF PUBLIC WORKS LAND MANAGEMENT DIVISION, 687-4061, 12 EAST 8TH AVENUE, EUGENE. OREGON 97401 SEE REVERSE FOR INSPECTION INFORMATION C 14-25 RR4. l . ~ \-,' "\: , .\ . . SETB,\CKS A~m OTHER CO::OITIO:1S OF APPRO'IAL ~lUST BE STRICTLY OBSERVED. VIOLATION CA~ RESULT IN REVO- C;'7IO:~ Of 'nIIS rER~lIT, CITATI0:: U::D~R PROVISI0:-JS Of LA:':E COL'::T\",5 l:-JfRACTIO:-J ORDI::;"NCE, AND/OR OTHER REMEDIES ALLOWED BY LAW. WllEN READY fOR H:SPCCTION, CALL 687-a65. A mNHIU:.l Of AT LEAST 24 HOURS ADVAt:CE NOTICE fOR INSPEC- TIOCl Kt:Ql.ESTS :.lUST BE GIVE:l. Have tne tollowing information ready: permit number, job address, type of inspection, when it w1ll be ready, your name and phone n~~ber, and any special directions to site, BUILDING DIVISION: REQUIRED I::SPECTIO:JS: 1. Foundation Inspect10n: To be made after trenches are excavated and forms erected and when all materlals for the toundation are delivered on the Job. Where concrete from a central mixing plant (commonly termed -transit mixed6) is to be used, materials need not be on the job. 2. Concrete Slab or Under-Floor Inspection: TO be made after nIl in-slab or under-floor building service equipment, conauit, p1p1ng accessories, and other ancillary equipment items are in place but beiore any concrete is poured or floor sheathing installed, including the subfloor. 3. Framln9 & Insulation Inspectlons: To be made after the roof, all framing, fire blocking, and nraclng are 1n pldce ana all p1pes, fireplaces, chimneys, and vents are complete and all rough electrical and plumbing are approved. All wall insulation and vapor barrier are in place, <I. Lath and/or Gypsum Board Inspection: To be made after all lathing and gypsum board, ;.nterior diiCleittCrIOr, LS 1n place but betore any plastering is applied and before gypsum board joints and fastenern are taped and finished. 5. Final Inspection: TO be made after the building is complete and before occupancy. APPROVAL REQUIRED. ~o 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 mace after reinforcing is in place, but before any grout is poured. This lnspe~t1on 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 co;pl~ Installation shall be in accordance with an approved, nationally recognized testing agency and the manufacturer's installation 1nstructions. C. Mobile HO~e: ~n inspection is required after the mobile home is connected to an approved ~or-septic system for setback requirements, blocking, footing connection, tiedowns, skirting, and pl~bing 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. ~Iobile 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 onclosuro. 0, swimmin9 Pool: Below grade when st~el is in place and before concrete is poured. Above grade when pool-rs-installed. APPROVED PLANS MUST BE ON THE JOB SITE AT ALL TIMES DURING WORKING HOURS. THIS PERMIT WILL EXPIRE IF WOR~ DOES NOT BEGIN WITHIN 180 DAYS, OR IF WORK IS SUSPENDED OR ABANDONED FOR MORE THAN 180 DAYS. SUSPENSION OR REVOCATION HAY OCCUR IF THIS PERMIT 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. ~UBSURrACE AND ALTERNATIVE ~ DISPOSAL SYSTEMS: 1. Permits shall bo effective for one year from the cate 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 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 n 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 ~hall 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: Interlor property lines Edge of road rlqht-of-way BU11d1nq fo~ndation Wells. other water sources Sewage Disposal Scptic ~ 10' 10' S' SO' Drainficld 10' 10' 10' 100' . /..Vor- l<iY-!'~~lsepT1<.j . .~V:~.:~'~ -ro.nJ<1 -q \ \\\ FY"OhT 0 f- C AlA. J de .5 a..c:...- . Bt 707-tl , , -- .,) J i : . I , ~ - ,- t'"' --:---(i ~ ~ I ("~ \ PI ':.J "'Gb.. ~ \- : VI i II &?! \:i . '1 -, ~ ~ ! jJ tF~. ~ ! -lU ,~ ; P i .) J i i \ ~ H~S~fr 1\)0) .1 . r ...... . ..... .... ........ .... ..... ... .................:.:.:........:.:,.,: .... ............ ........ . Please complete all lines inside white boxes, if possible. v:!:AfirrZn~~1 72v-. 'Uu~ "fl;P Suri~-f/ e./ ..I CITY I Sq... <;'. OWNER OFMERTY (il nol ..m. .. above) "wYr!(J/ OWNERS A RESS (it not um. a. above) .J -02/-%" LlAI~ ?'it;:'- ("" ..9 ,z~ H N r,/r 7 ? "HONE ZIP (.;U~IHAl,;IU" Lu:en.. . . MAP, PARCEL NUMBER (Found on tall map. In the A.....m.nt . T.ntlon Dept.) .tnZ Q- ~ 11~~t ~::f Township ~ Beetlon 1/4 &.c:lion Tn Lot lown.nlp -n;ng;- ~'CI";Jn 1/4 :section laJI 1.01 .,.:: '.'.,". S/TE ADDRESS c9~l50 .DLt.ItI~ 7J,e', SPRL/ , . MAIL PERMIT TO: Lt?o. rry K'-n9 "~S~ rDtA. nP:;.... ''Dr. AULlHt'.b~ &Dr i YlJ-f:ie./J CITY, Q ,/7<-/77 'ZIP' . ....:;.:... ::"'''. ... .:.. ..:..,.:............ "jFiSV"rJfled ' Ailowed Use . , Land Management Dlv. staff can no' ba held responsible for evaluat/ons or recommendat/ons based on false, Inaccurate or Incomplete Informat/on ., :. Existing Buildings or Improvements on Property t:l3::(House c::J Barn " c::J Garaga c::J Mobile. Homa c::J Shed . ~PTIC INSTALLED ~es c::J No ypjar ~istricJ 1J;a..1 r7 b f) LoJ ~ . , . q 7'7 7? , ZIIi' #. . \,":.. For Mobile Home Placement Only Brand Year Size No. of Tip.outs No. of Bedrmo Ucense # . . . . . . . ".,. '- . . " . . II , ~ . . . . "."1 . . . . . - . . . "'''r . . . . '[ '. LANE COUNTY DEPT ENV MGT RECEIPT 0 70789 DATE 032189 , . APF'U CANT KING, LARRY ADDR 2580 DUMAS DR., SPf(( NGF I ELD . TLO 1703234400124 SUBDIV LOT BLK NEW BLDG TYPE USE. R BDRMS 0 UNITS 001 STOR):ES *BLDGS 001 P~~ONE 747 6828 . OWNEI:~ NME I<INe;, LARF(y ADDR 2580 DUi'1!\S DR., SPRINGFIELD .. CODE APPL NO ACTION DESCRIPTION SQ FT UNIT COST VAL.lJATION FEE DAYS BP .IF' HI" HI" .'1" ., - , ' '. .~ .,., . Pi... .IECH SUf~ PCK ."'D'" , ,;1- SDEQ ~'FIX/HATH : SWf~ : FT. !"ITF, : MECHr..tHCM_ FEE STATE Sl.If~CHAF,GE PI.J,N CHECI( FlOE:' FT. f~AIN : FT . 5/,; 2~:)% L.C 70789 SDSR FE:E: 7,'). 00 ~5. 00 . ';"11 '. . ClHe;: .;E(~U: "TflKEN API" f~A FP SDS SI PCI( OTH ISS 2 BY BE< EST. COMPL.E:TION DATE DEPOS I T .~..~ B0 . 00 CI( ;. 3 . . . . r \ . ,'^'. ,. '~.......... -,..,... . . '. I . . .. -- , W ./ . . . . uu ~ . . . . ;~iiO, . . . . ~ ~ .~ . ; . . . m . . ---------.-.---.------------.-----.-.---.----'-.--.----,------- . Uo 0 LANE COUNTY DEF'T ENV MGT HECEIF'T ~ 70789 DATE 032189. .APPLICANT I<ING, LARRY ADDR 2580 DUMAS DR., SPRINGFIELD ' TL~ 1703234400124 SLJF.lDIV LOT/ BLK NEW BLDG TYPE USE R BDRMS 0 UNITS 001 STORIES OBLDGS 001 F'HO~E 747 6828 . OWNER NME KING, UlRf<Y ADDR 2580 DUMAS DR., SPR I NGF I EL.D . CODE APPL. NO ACTION DESCHIPTION SQ'FT UNIT COST VALUATION FEE DAYS BP 000 .1" . BP . BF' .:P O!pD. .iECH SLm PCK .:DS LC 70789 SDSR SDEQ FEE " . 75.'00 5.'00 . j . . OO~ . ~'FIX/BATH : SWR: FT. WH<: MECHANICAL FEE STATE SURCHARGE PLAN CHECK FEE FT.....RAIN: FT ,"- 51. 257. . CATG: .'EQU: ..T~1<EN 8. .' . API" 1 BY BB f<A FP SDS SI PCK OTH ISS. 3 DEPOSIT ** 80.00 CI< '. 2 EST. COMPLETION DATE ,. . ." . ~ !.