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Home My WebLink AboutPermit Septic Tank 1986-5-1 r .. (?U51--e ---~~~ Lane County Authorization for: SEPTIC DISPOSAL SYSTEM INPSECTION FOR LN. RV, r;!..rt i-fl,! 1 FOR OFFICE USE ONLY Application/ Permit i J/ 'l?-r~ roW;.;SHIP SECTION I TAX 1L03T6 UOUT OF 27.3.2 I LOT/21m I BLOCi PROpOSED USE OF PROPERTY Q Residential D Industrial o Corrunercial D Public. I RANGE 03 S~iDSfQddlO~~le6ardhl7J LOCATION ADDRESS ST~ET 1523 Fairview fl.lf,.~ Springfield 97477 STRUCTURES CURRENTLY ON PROPERT~ 17 CITY ZIP SFD ~C~IONS TO SITE E. on Cent. to Aspen - L on Aspen to Tamarak - R on Tamarack to Fairview - L on Fairview ~~SCRIPTION OF PROPOSED WORK - BE SPECIFIC SEPTIC SYSTEM INSPECTION DECLARED ~ VALUE 726 o Proposed n Existing TELEPHONE NUMBER 747 9142 " OF BEDROOMS t # OF O~~'NER I 5 NAME AND ADDRESS DE GAA, Dorothy CONTRACTOR'S NAME AND OSR # STORIES I It OF EMPLOYEeS WATER SUPPL'{ same 830~ I I TELEPHONE NUMBER P~RNIT TO BE ~LED TO l7f1E AND ADD~SS) ~'" (J -"\ _ I HAVE CAREFULLY EXAMINED THE COMPLET APPLICATION }o'OR PERMIT, and ,10 hcrcLy cert,~fy that all Info:L-matl.on hereon is true and correct, and that I have the following legal interest in the property: gJowner of record; 0 contral:t. purchaser; Oauthorized agent. I f__rther certify that any and all work performed shall be done in accotdullce wi th the .Ordinanc~s of Lane County and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will Ix< made of arlj" strllcture without the pcnmission of the Building Division. I fur- t.her certify that registration with the Builder's Board is in full force <lmI 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 ORE 701.055 will be used on this project. I HAVE READ AND CHECKED THIS APPLICATION THOROUGHLY. TELEPHONE NUMBER DIlRnThv p Dr=; G:I'}~ NAME (please print) ~~ Q,'04fUL (\ ~c;~lfE 4-23-86 DATE READ THIS SECTION CAREFULLY. YOUR AUTHORIZATION qAS BEEN BASED ON THE FOLLOWING CONDITIONS! o PLANNING/ZONING: Zone Partition # Parcel 1* Parcel Size Minimum Setbacks: CL. front CL, side interior rear NO SPECIAL UiR IN PLANNING RI'V) I'W PlIRPn~l": ()NI V ACTION REQUIRED. Date : 4-23-Rfi I- Record Issued? 0 Yes 0 No COM;\\ENTS: o SANITATION: S. L # Installation Gallon Specifications: Tank rlENTS: ~')l..g :1P'~ ~ -Ah-, Z~ B. P. # Installation ~.b,~ Lineal Feet Maximum Depth of Drainfield of TrenChes~ Q.<1.MA~ZiJ~ ~~ ~,~ r, V fi Oate, ~ 17-Pt;;. . ~ o PLANS EXAMINATION: Type Group Use COMHENTS: Date: n ~w ,~- R s: -~-/-P'_ ~RMIT APPROV~~FFICIAL/DESIGNEE (per ORS 456.805(1)) ~ DATE LANE COUNTY DU'AR_TMENT OF PUBLIC WORKS LAND MANAGEMENT DIVISION, 687-4061, 125 EAST 8TH AVENUE, EUGENE, OREGON 97401 "1"1" 1<1""1"1<,,1" 1"()1< T1\l"P1"r'1'T()1\l TN~'()I<Mr.'1'T()N ..... ,.,......, , . . SETBi,CKS 1\:>10 OTHER CO:mlTIO~S OF APPROVAL MUST BE STRICTLY OBSERVED. VIOLATION C1\:-1 RESULT IN REVO- CAlIOeJ OF TillS PER}lIT, C!TAT!O:. U:.JDER PROVISIONS OF LANE (01;:-;1'Y'5 INFRACTION ORDINANCE, AND/OR OTHER REMEDIES ALLOWED BY LAW. \o:HEN READY FOR INspeCTION, CALL 687::-4065. A MININU~1 OF AT LEAST 24 1l0URStAOVJ;.:~CE'NOTICE FORI INSQEC"-I nOel KcQLESTS ~lUST DE GIVEN. tlUve tne 10110wing int"ormation ready: permit "number.;jbb add'ress. type of inspection, when it will be ready, your name and phone nu~ber. and any special directions to site. BUILDING DIVISION: REQUIRED I~SPECTIONS: 1. Foundation Inspection: To be made after trenches are excavated and forms erected and when all mater13LS ~or tne toundation are delivered on the job. Where concrete from a central mixing plant {commonly termed -transit mixed~l is to be used, materials need not be on the job. 2, Concrete Slab or Under-Floor Inspection: To be made after all in-slab or under-floor building serv~ce equipment, conau~t, ~~p~ng accessories, and other ancillary equipment items are in place but before any concrete is poured or floor sheathing installed, including the subfloor. 3. ~raminq & Insulation Inspections: To be made after the roof, all framing, fire blocking, and raClng are ~n place ~ 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-eitCrIOr. ~s ~n-prace but betore any plastering is applied and before gyps~~ board joints and fasteners are taped and finished. 5. ~ Insoection; 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 b& 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 rnspictIOn 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 Scove: To be made after co~pletion 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-siptic system for setbaCk requirements, blocking, footing connection, tiedowns, skirting, and plumbing conneccions. 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. Sw~mmln~ Pool. Below grade when steel is in place and before concrete is poured. Above grade wnen pool-rs-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 180 DAYS. OR IF WORK IS SUSPENDED OR ABANDONED FOR MORE THAN ISO DAYS. SUSPENSION OR REVOCATION :4AY OCCUR IF THIS PERMIT WAS ISSUED ON THE BASIS OF INCOMPLETE OR ERRONEOUS INFORMATION. ANYONE PROCEEDING PAST THE POIllT or REQUIRED INSPECTlQilS WILL 00 SO AT THEIR OWN RISK. SUBSURFACE ~ ALTERNATIVE SEWAGE DISPOSAL ~: 1. Permits shall be 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 a 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 shall require satisfactory completion before issui~g the certificate. Failure to meet the requirements for satisfactory completion within a, rea;onQble time co~titutes a vio- lation of ORS 454.605 to 454.745 and this rule. Setbacks - Subsurface S~wage Oisposal Septic Tank From: Interior property lines la' Edge of road riGht-of-way 10' Building foundation 5' Wells, other ~atcr sources 50' Drainficld 10' 10' 10' 100' ~' ,~ ,. . ~ e , . . . . . ,,' . .. . .I~ iD ~ II . ~ ~ . .< a . ~ u . ef il ~I 'I 'l~ ;.. . ~ .~ ~ . . t' " ~ . e~ ~ , 3 . .~ 3 . "1'" . ?: .~ . . "' I . I,): ~) LANE COUNTY DEPT ENV MGT HECEIF'T fo' 1196E!6 DATE 0423E!,. APPLICANT DE GAA, DOROTHY ADDR 1523 FAIRVIEW DR., SPRINGFIELD .Tl:!J' 1 '?~~27~~;~O j 36 SUBD I V LOT HLI( Nf,W HLIiL TII-[, qSE I:, BDW-!S 0 UNITS 001 STORIES H<LDGS 001 PHONE 726 830;,. OWNER NME DE GAA, DOROTHY ADDH 1523 FAIRVIEW DR., SPRINGFIELD . CODE (IPPL NO ACTION DESCF<IPTHlN S{~ FT UNIT COST, VAUJATHlN FEE: HF' BP HI" .BP " PI" .F'L ME:CH .SUE, ?CI( U, D"'.'I,I 1 "'1 TJ ~ .I~ iD ~ .~ < LC 1196E!6 SDSV 60.00 ~ o .! ~ ~ ;., o .~ ~ ~ '\-.~ ,~ ~ foTIX/E<ATH: SWI:, : Fl. 'AITE;:: ME:CHANICAL FEE STIHE SUE,CHAF(GE PLAN CHE:CI( I~[~E: FT. F(AIN: Fl 4;(, 2~5% . . ."^'I'(" , I.... f"l .~. 1 SEQU: '~lAI(EN API" 1 BY GT F~A FF' SDS SI 3 COMF'LETIDN DATE PCI( ,DTH ISS 4 TOTAL FEE')Hf 60.00 .~ 11 ~ r;K [ - .~ o -~ e.i" < ') ~ [ST. e -- " AC1'-llTY INFORMATIOte SHEET idne county . I, COMPLETE THIS SECTION. INCOMPLETE FORMS WILL BE REJECTED! , - 1 llif..p -r~ \/ '/), D f'- G.I') IT , PERSON MAKING REQUEST SAME PROPERTY OWNER )S:L'1 P-Ft/~ \/! E:W MA III NG ADORE SS <;Am~ MAl LI NG ADDRESS SPRING ~/f1/..D CITY n.p STATE ((7</.77 ZIP CODE SAme CITY STATE ZIP CODE ,?,.1 (, - f?3 0 ~ BUSINESS TELEPHONE # ,'7.1./7-'1 /4 ~ HOME TELEPHONE # BUSINESS TELEPHONE # HOME TELEPHONE # 2 PROPERTY ADDRESS ' (IF DIFFERENT FROM MAILING ADDRESS) 3 MAP & PARCEL NUMBER (REQUIRED INFORMATION) 11, TOWNSHIP (from tax maps in Department of Assessment and Taxation or from tax statement) ') ?1. 7;. ~ (3~ RANGE SECTION TAX LOT(S) OR PARCEL # ZONING TOWNSHIP RANGE SECTION TAX LOT(S) OR PARCEL # ZONING TOWNSHIP RANGE SECTION TAX LOT(S) OR PARCEL # ZONING TOTAL CONTIGUOUS PROPERTY IN SAME OWNERSHIP: 4 SUBDIVISION (if applicable) , LOT ACRES BLOCK 5 REQUEST (~tate exactly what you plan to do) ~QD~l ~.J\ 1 ~:...~~~ lv'A..H16 fI ~ .L ,~~ 6 DIRECTIONS TO SITE: F 1M. (lO~~.MLJ -b ~, L I'M.. ~-h j~~. ~NL i&wt aAo../4.9, f.? .:tniJlA" i"LJ. L 1M. 1.~ ~ 16-~~ ** FOR STAFF USE ONLY ** NUMBER -I '" V> ZONE/LAND USE: BY: DATE: DATE . -I r-: TIME IN: OUT: LAND MANAGEMENT DIVISION / 125 E. Bth ^VE., EUGENE, OR 97401 / 687-4061