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HomeMy WebLinkAboutPermit Septic Tank 1993-9-29 , cCCfnict-- . .- ('-PERMIT # . ..3OC> ~-93 , , REQUEST FOR: SEPTIC VERIFICATION FOR LOAN REVIEW YADDRESSING A"U6 ............................. .. .................... . ....... ... ..... .... . . ........ ...... ................................... ............... ....... .... ......... ............ ...... .............. ... .. ..... ... ... . . . . .. .. .. ...... ..... ..................... ....:::;:.UiV:r:<:QDIi....:.:... . 3 Lot: 2..J $/"ck:z. '- IWGE ..""'" 1./fSECTOIl .3.2 136 SPRINGFIELD T""" SLIlOMSlCNIPAR1'TI'I:N "::J;AW""'~I1~~ 17 03 27 TOCATlOO ADDRESS 1523 FAIRVIEW, STRUCTURES NOW ON PROPERTY HOUSE """"""'USE RES. S9'T1;NSTAUm YES WAffii'NSf'.w.ED NO. OF STORES NO.OFEMPlOYEES CONSnu.lCtr.H<XlSTNALlE I;lE5aW7OCNa::PAOPOSEDWCRK NO."'''''''''''''' VERIFICATION OF EXISTING SEPTIC SYSTEM FOR LOAN REVIEW. DIRECTIONS TO SITE FAa.I NEAREST MAIN NTERSECTION CENTENNIAL EAST OVER 1-5: LEFT ON PRESCOTT: LEFT ON FAIRVIEW. 3> ""'Pl..lCIWTNN.lE..AD~S MICK HOOVER, 1142 WILLAGILLESPIE RD.#7, EUGENE 97401 OWNERS NNotE. ADDRESS DOROTHY DEGGA, 1523 FAIRVIEW, SPRINGFIELD 97477 PHONE 484-9815 PHONE 747-9142 CONTRACTORfNSTAU..El'lIBUI~ NAMf ccs. PHONE ) MAIL PERMIT TO: MICK HOOVER. 1142 WILLAGILLESPIE RD.. #7. EUGENE i' 97401 ,-- . I have cerefully read .M'Lrj( ~f"l("'l"H'R PRM' NAME STREET mv '" Is true and correct t ~,,_~ ZO,I'f9.3 . BOTH sides of this application and hereby cer~fythat all Information ~ /YJ1.~ -{.. . /r=-~ ~ , " ~FEES DUE: $ APPROVED BY: DATE (CALL FOR INSPECTIONS (SEE BACK OF FORM FOR INSTRUCTIONS) 687-4065 SEPTIC permits are good lor one year. ALL other permits expire aller 180 days un/ass Inspecl/ons LMD 040 Rev. 6192 CARE FULL VI Your Authorization Ie Based On The Following Conditione )J qJ2-qJq~ I Sf. curr"nt. ~ . - ...J;" ,) : , ...... . -, '. VIOLATIONS '- ,-'" , Sln'BACXS AND onmR. _"_..._.'~ OF APPROVAl. MUST BB S11UCIL Y OBSERVED. VIOLATION CANRBSULT IN REVOCATION OFTInS PERMIT. ... . .0- CrrATIONS MAY BB ISSUBD UNDER TIm PROVISIONS OF LANE COtJNrY's 1NPRAC110N ORDINANCE AmlJOll 011iBR RBMEDIBS AlLOWED BYLAW. ,-.., . . -...... A MiNIMuM OF AT LEAST 24 HOURS ADVANCE NOTICE MUST BE GIVEN FOR INSPECTION REQUESTS . Have the following infornation ready when you call: 687-4065 Permit number '- Job address - Type of inspection required When it will be ready Your name and phone number - Any special directions to the site PUBLIC OFFICIAL RIGIITTO TRESPASS ON PRIVA'I'X PROPERTY oas ns.olO POWER TO BNTER UPON LAND. nIB COMMISSION, AND ANY OF ITS MEMBERS, OPPlCBRS AND BMPLOYBS, IN nm PBRPORMANCB OF nmIRPUNCllONS, MAY ENTER UPON ANY LAND AND MAKE EXAMINATIONS AND SURVEYS AND FLACH AND MAINTAIN nm NBCBSSARY MONUMHNTS AND MARKERS nmREON. REQUIRED INSPECTIONS FOUNDATION INSPECTION: To be made after excavations for footings are complete and any required reinforcing steel is in place, UNDERGROUND PIPING INSPECTION: To be made after all underground piping has been installed, prior to any backfill. CONCRETE SLAB OR UNDER.FLOOR INSPECTION: To be made after all in.slab or under.floor building service equipmen~ condui~ piping accessories and other ancillary equipment items are in place but before any concrete is placed or floor sheathing installed. including the subfloor. ROUGH MECHANICAL INSPECTION: To be made after all ducting and gas piping has been installed and prior to being covered. ROUGH PLUMBING INSPECTION: To be made after all plumbing rough-in is in place, prior to being covered. FRAMING INSPECTION: To.be made after the all framing, fire blocking, bracing and roof are in place and all pipes, chinmeys and vents are complete and the rough electrical, plumbing, and mechanical inspections have been made and approved. INSULATION INSPECTION: To be made after all insulation and vapor barriers are in place, prior to covering. 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 fmished. ADDITIONAL INSPECTIONS MAYBE REQUIRED, such as but not limited to; BLOCK WALL: To be made after reinforcing is in place. but before any grout is poured. The inspection is required for each bond beam pour, There will be no approval until the plumbing and electrical mspections have been made. and approved. FINAL MECHANICAL INSPECTION: To be made jusf~or to the s~e Or.iemodeled area being occupied and prior to operating any equipment FINAL PLUMBiNG INSPECTION: To be made just prior to the building, struc~ dr remodeled area being occupied. FINAL BUILDING INSPECTION: To be mad<, after fmish grading and the building, structure or remodeled area is completed and ready for occupancy, MOBILE/MANUFAcruRED HOMES: An inspection is required after the mobile home is connected to an approved sewer or septic system, prior to covering sewer or water lines, for setback requirements, blocking, tiedowns and plumbing connections. Footings and piers to comply with State fO\U1dation requirements for mobile homes or as recommended by the manufacturer. Minimum fmished floor elevation shall be certified when required by floodplain Management Tiedowns, if required, shall be installed and ready for inspectinn within 30 days after occupancy. Tiedowns shall be installed per enclosure. APPROVAL REQUIRED No work shall be done on any part of the building or structure beyond the point indicated in each successive inspection without flIst 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. j APPROVED PLANS>MUST BE ON TIlE JOB SITE AT ALL TIMES DURING WORKlNG HOURS, TIllS PERMIT WIll EXPIRE IF WORK DOES NOT BEGIN WTIlIIN 180 DAYS, OR IF WORK IS ~,vnci) OR ABANDONED FOR MORE TIlAN 180 DAYS. SUSPENSION OR REVOCATION MAY OCCUR IF TIllS PERMIT WAS ISSUED ON THE BASIS OF INCOMPLETE OR ERRONEOUS INFORM A TION. ANYONE PROCEEDING PAST THE POINT OF REQUIRED INSPECTIONS WILL DO SO AT THEIR OWN RISK. Your signature on the front of this form verifies the following: I HA VB CAREFULLY EXAMINED TillS COMPLETED APPLICATION, and do hereby certify that all infonnation hereon is true and correct, and that I have a legal interest in the t,....t""".~; as owner of record or authorized agent. I further certify that any and all work performed shall be done in accordance with the Ordinances of Lane County and the laws of the State of Oregon per. taining to the work described herein. I further certify that if I am not the owner of the property. my registration with the Builders Board is in full force and effect as required by ORS 701.055, and that if exempt the basis for the exemption is noted hereon, and that only subcontractors and employees who are in compliance with ORS 701.005 will be used on the job, SUBSURFACE & ALTERNATIVE SEWAGE DISPOSAL SYSTEMS: When subsurface construction is complete. the permit holder shall notify the County Land Management Division by submitting the installation record fonn. An inspection will be made by a qualified sanitarian. If construction complies with all rules a certificate of completion will be issued to the pennit holder. If construction does not comply with rules, the permit holder will be notified, and all corrections shall be made before a certificate of completion will be issued. Failure to meet satisfactory completion within the allotted time Constitutes a violation of ORS 454.605 to 454.745 and this rule. , ~.' , \ \ SUBSURFACE SEW AGE DISPOSAL SETBACKS SEPTIC TANK From: Interior property lines I rr Edge of road right-of.way Irr Building foundation 5' Wells or other water sources 50' DRAlNFlELD 10' 10' 10' 100' ~ .' . -p~\R \JlC:UP . ( ~ r . .j IS 2-3 , , t= po, lA-\! lew 1\f1 1 '*?~o " 9 ~ /7tAckJ ce,flftJn~ MKbrs /At u hId z.. . I 1- ~/ ( I II (:)~~cR.,' \)o~e+"'~ ~{ 'ltJ: C5qc:;.fllI . Partition I Subdivision Lot & Block Water COMMENTS / .~/_ ~ .. ....... ......... I j7f+' /9t:.)r.). ......... ~~mclfi:YTLBYlV1~ ~~I-/~9i'=o/- '. LLJ-1, 2J g/oCJ.::.. LU~' '__'.',','.'._,",',",._.,."..........._...n .......~.:.................................. ','"",',', __.._n...., ""''''..'." :':":" ;.c.:.;-:-:-,.;-,.:.:.,.;.;.;.;.,-:.,.,., :::,:e...... .... -':',"-,.,.:.:.:-:.;.:.:.::-:.:-:.:.:.:.:.:.: ..... .~.anE> .~ -, .. ','.' ",'. . ",-.-,-,',-, ., - -,. "',", ,-' ',-,-.',-.'., .~~ -- .".". ...... . ,-,",,'. . ,- ...., -.. :::,::::::;::::::,,::~:::/C:"::)'::::>:-::::::-:::":;:-':::": ~ ... .... .............R.... 'E' .... .. 'U. 'E" ..s.......T...'bO..<R...............A.......s....s. "'J's>. +JiN'. ...C.....E.............. ....,.;.,. :':: :, ':,' ,:.:, ::::::::.;.::E.::I ,': .': ;:;"'/ ".- . ' /1)"..... -' ...... Please complete all lines inside white /J1 r~1:. dOlle'E... 'rUUH NAII~ f //'-IJ. w'//It~, I~;e ~ I v." "UORE55 .L!'cJ'le.?Jc boxes, if possible. 1':1. ;:.0, (98 '7'J'~-'ill~.s- tlH(mE 911"(J/ #7 CITY ZIP i/Cl~ 0 ,4s' <of ,{)c'(9~ OWNER OF PROPERTY (If not ume .. sbon) /$"01.3 ,4r'~cJ;e--W .::$'~Q.;-'>9 t/e-Ic/ OWNERS ADDRESS (II nol ..1M .. ..0.,.) 7'f7- 'If'l'Z. "HUNt: 919'77 ZIP II'Il>iIALLI:H 1 tlUILUI:H f l,;UNIHAI,;IUH L,cenu . , Requestfo,.; . . ....'..:"--.. '-",':";'-":..' . '4(:.'-1Ji4Ztl~il,f,cAi.;,J . -Fb.e ,0oI9N ~""vrc..,J MAP, PARCEL NUMBER (Found on tax maps In the ......,.,.nl I Ta.Uon Dept) /7 0.3 a 7 ~Cl /.9Ct> low".n,p -n;;;;- ~ 1/4 tJtoC(lon I.. L01 FLOOD PLAIN Tow".h!p "'A;;- Section 1/4 Seellon Tax Lot IOwns",P ~ 5eclion 114 l:IlClIon IU LOl . , , SITE ADDRESS 1.5'01.3 Mrte cJr~-r-V <:5p.Q.I""Th~lcI MAIL PERMIT TO: ;r?,;..,t;. ~tI~~ NAill: II y-z. W, ilR'7;II6::5/:>~o Rd "UU"I:~~ . "G" ..HJ <:nAJe; do€. ' #7 97foe/ ZIP I,;IIl STAFF EVALUATION Information. Request "Only. CI TRS VeriliedClYes NoD . Allowed Use "=Yes ..No'= '.' Land Management Dlv. stall can not be held responsible for evaluations or recommendations based on false, inaccurate or LM0149.2192 incomplete information , . 1'114-68 02/92 "::'::;:':':;:':':;',:,::::';':::'::';:,,::,:,:,:,:,;:,:':>,::,:"::,:,:,:,,,::., :.::::,:::,:,:::",::::::,,::,::::::,::::;::,;.::.:,.:-:,:,,::,:::::,':'::::':::':': I~......}........ ";:':::: -- .':'.;-;. ":'/: . - . .;::::;.:: ;. ,.. ...........;.,."!'~I.~~~...........(............. ...:::.-. ExIsting Buildings or Improvaments on Property J!S. House c:::J Bam c:::J Garage c:::J Mobile, Home c:::J Shed SEPTIC INSTALLED !2SYes c:::J No Water District . Directions to s/le trom nearest main In/arsectlon c:...7IJk7.tJv,;Q ( €"Il:.f ",-,..1e. ::z:: -S oN A.e."3Cbff ~ ,c'~Ldie-bJ ,(,..-11 L-cf -I" , ... '?1'Y?? Z'P . For Mobile Home Placemen/ Only Brand Year Size No. of Bedrms License f' , .-;'-'\. Distance from Home to: -,-] Mobile ;;:O..lIm..... , . . .' . 1m . . . . Hi ~ . . . . 'Hi . . . . ~ 1" ~j I . . . . m~ . . PLN CATG: SEQU: TAKEN BY MLC . . RA . SWR: FT. WTF, : MECHANICAL FEE ST ATE SUF,CHARGE PLAN CHECK FEE ELE PCK ISS SDS 1 EST. COMPLETION DATE . 'l "- / FT. RAIN: SI OTR DEPOSIT If* .< /. l" , II" .i . .. .' . ~I ~'i . .i I . .1 ) k.' . . FT . ' I , , . ,. , , '.' ~',.J \~, . WK~3 . . . . G~\l@ . . . . -. Wi\' .... " . Q ',.' ., ,..' "')"" '( /' J)d....r . . \ '.1' t , ; . '~! I .." ,~ . .A ., . ,~ e /I,i\f:l .. ,.j . ,) .- !l! ~ . f .~ ~ ' I .f .rr ~ijt. . " .$ , ,> o , ..... -"'\ ,,\ ' ..----------------~)0if'j~----------~ _..-./ ',- ' LANE COUNTY DEPT ENV MGT RECEIPT ;,:. 300893 ',DATE, 08209~ AD DR 1142 WILLAGILLESPIE RD. ~7. EUGENE~, LOT 'BLI( UNITS 001 STORIES OBLDGS 001 PHONE 484 9815 ADDR1523 FAIRVIEW, SPRINGFIELD . SQ FT UNIT COST VALUATION FEE '~~l'S "~ ,. f'-. eQ tl . APPLICANT HOOVER. M~CK TLO 1703273200136 SUBDIV NEW BLDG TYPE USE R BDRMS 0 OWNER NME DEGGA, DOROTHY CODE APPL NO ACTION DESCRIPTION ElP' AI1- lit -JJIl,'r.} 6--.,d,/; ElP BP I,'{ ':/ f;)(ld:. ,..; BP .,,-1 . BF' , 4,'; . . Ijll '\H . J \ '. ., ,-: '.. , 1 Jo. ~ ,.. . 'J ./ . ~FIX/BATH: SWR: FT. WTR: , MECHANICAL FEE STATE SURCHARGE PLAN CHECJ<-PEE--::'--- (flft.' !1~;1: FT. RAIN: FT , ~Q e ~ , I!: 75.00 .g ill /A~~ .~ . ~ c'f .f I!: .f " " PL MECH SUR PCK LR CATG: . SEQU: ,'~ TAKEN 'I.'-,I;'~/, . . >i/ F'LN BY MLC RA s~sF/~g4Jte;~~rJI}G{tcIH~ iftfP'- ,&y : EST. C,OMPLETION.lmltk~ f5.loc)~ ?>E:F'OSIT ** ' 75.00 . ""un t Iou . LC 300893 SDSV .