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HomeMy WebLinkAboutPermit Septic Tank 1990-10-26 tpl/t. · ~ ~' tk REQUEST FOR: e-P/Ld"~_ V('~ 1-~2/"./?v'/../N , j TOWN8HIi'? RAHQt:(>3&fCn:';?~3Z T~ /~7;'~IlllOtt/"Mn1lClN LOT/PARCEL a&.OCK ~ LOC"'ON .00.... ~ /: /7 _ . ;} /..rS-/ '/::2"P'~,J )~.-erJ _ (AR:W7:fH~4& //"~A'Y ~';;(-;m2::,,,a-~~~ b.~E. _J~' - . PR~~~ '[pm "'TALLE~ WATER "STALLED / I'f(). Cll' StORliJI NO. OP' ~LD1'EE:8 (;OfaITllUCTlON C08TIY.u.u1 ~.,((a:,':i.i. ~_r~ // ............... ~'2?' L? sr.-:?~~-Lfi'A9/ L-V'W ~2'#;'~OU"~J'27?~L /5,U//2 ~.er/ P7/ Aa--/~ ~#r' ",4/ ~ fl"}.:/.-..~_:/ ~r, ~~AL." ~,./7 ~ hZ-U/~/ APPUCANTNAllIi".ODfI"a ;e' ~M7Z.?r,~" . ~;;;;-~1I'C;:""'~ EO '/$';-777 \~.e:'" ~ OM' ~~ ~#E ;;~-t1tf56'/ r;.OHTR"N~ . ~'''HOHI ~ I ~/I. PERMIT TO: ///, r- 'h.l AP / V r-, A' a~@/ j (//?fi/?rF/9I'? //ce.?d7i?if# ,.3'/.s- U?'. a~3,~, c:u-'~0 /.Ae. ./ ,,'-'; V/ .' IN..... . ADDREIIS , ., I hava carafully read J19!.H sides of this s~P lion snd ere~~rt'.y 1'at_'11 Information Is trua and corract '- 7l7l/7.cC'P7t'!! r&7~rz?.JR . ~ .lL.~ , PANTN.U.I'- ~ - . DAle ,...."..',. J~~ .._--~~'-_.~ --~~~- ~~'- ' .., CAREFULL V't Your A'&thorlzatlon Ballsd On The Following Condltlonll ~ FEES DUE: $ APPROVED BY: /7 ---- DATE Itl"'?,L ~ ~ ., '. '''; "-""-=:::j/'-" ~ . .... . . '---'-=.:.-~ ...:..:..... CALL FOR INSPECTIONS (SEE BACK OF FORM FOR {fflSTRUCTIONSj 687-4065 SEPTIC perml/9 Bre good for onB yeBr, AU other permIts expire Bfter 180 dBYS unless InspectIons Bre current. . ... ..0 .. --- . . .. VIOLATIONS " SHTBACKS AND OTHER CONDmONS OF APPROV ALMUST BB S1RJCIL Y OBSERVBD. VIOLATION CANRESULTIN REVOCATION OFnIIS PBRMrr. CrrATIONS MAYBE ISSUPD UNDER nIB PROVISIONS OP LANE COUNTY'S INPRAC110N ORDINANCE AND/OR onmR RBMBDIBS AlLOWBD BY LAW. A MINIMUM OF AT LEAST 24 HOURS ADVANCE NOTICE MUST BE GIVEN FOR INSPECI'ION REQUESTS Have the following information 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 RIGlITTO TRESPASS ON PRIVATE PROPERTY OKS 215.010 POWER TO BNTER UPON I..AND. nIB COMMISSION, AND ANY OP ITS MEMBERS, OPPICBRS AND EMPLOYBS, IN TIiBPERPORMANCB OP1lIBIRPUNcnONS, MAY PNI'ER UPON ANY LAND AND MAKBBXAMlNATlONS AND SURVEYS AND PLAal AND MAlNl'AIN nm NECESSARY MONUMENTS AND MARKBRS nmRBON. REQUIRED INSPECTIONS FOUNDATION INSPECTION: To be made after excavations for footings aiecomplete 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~ conduit. 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 fr'!'11ing, fire blocking, bracing and roof are in place and all pipes, chimneys and venture complete and the rough electrical, plumbing, and mechanical inspections have been made and approved. INSULATION INSPECTION: To be made after all insula:ion 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 finished. ADDITIONAL INSPECTIONS MAY BE 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 just prior to the structure or remodeled area being occupied and prior to operating any equipment FINAL PLUMBING INSPECTION: To be made just prior to the building, s~cture or remodeled area being occupied, FINAL BUILDING INSPECTION: To be made after finish grading and the building, structure or remodeled area is completed and ready for occupancy. MOBILE/MANUFACfURED 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\mdation requirements for mobile homes or as recommended by the manufacturer. Minimum fInished floor elevation shall be certified when required by Aoodplain Management Tiedowns, if required, shall be installed and ready for inspection within 30 day"after occupancy. Tiedowns slta11 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 rust 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. APPROVED PLANS MUST BE ON TIlE JOB SITE AT ALL TIMES DURlNG WORKING HOURS. TIllS PERMIT WILL EXPIRE IF WORK DOES NOT BEGIN WfTIIIN 180'DA YS, OR IF WORK IS S ovrrnu OR ABANDONED FOR MORE TIlAN 180 DAYS. SUSPENSION OR REVOCATION MAY OCCUR IF TIllS PERMIT WAS ISSUED ON TIlE BASIS OF INCOMPLETE OR ERRONEOUS INFORMATION. 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 VE CAREFULLY EXAMINED THIS COMPLETED APPUCA TION. and do hereby cenify that all information hereon is true and correct, and that I have a legal interest in the y.vy...ni as owner ofrecord 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 r.-......;....J' 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 SEW AGE DISPOSAL SYSTEMS: When subsurface construction is complete. the permit holder shall notify the County Land Management Division by submitting the installation record form. An inspection will be made by a qualified sanitarian. If construction complies with all rules a certificate of completion will be issued to the permit 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 JO' Edge of road right-of-way JO' Building foundation 5' Wells or other water sources 50' DRAINFIELD 10' 10' 10' 100' -#' Directions to site . from Courthouse.J) vr~~~ ~~ ,IV~~ , (t r)0t,;> /) Pi!-- i<;,t::~ !!. tiJ:.i6.. fr Sr.&:er ~ -sda( l dYl- ~~&~ , : ::,:. =>: ;:::;:::::::~:h:\.~.":: . Please, complete.JD lines i~e white boxes, if possible. ~ J..etJllJl-N;v/nCJ-J....xJ('.JsL /cJ-24-90 ~UU" ~AM~ UAI~ YUU" AUUH~~~ P"UN~ CITY cY.Yj // C0--' t-:t?J.,fJ ~.If =;~57 (U not ~a;;~f-:J OWNERS ADDRESS (II not am. .. above) ZIP ~~ :~7C/7 7 CUNI HAI,;l UH ucen.. . TownshIp n;;- SKtlon 114 Section T.x Lot lown.nlp H.n~ ~lICuon lt4 ;;'Cllon ~'i.;-- ".:,:':':',::,::::~: 0"" ~. .;. ;:.}::m~.:::::~:::?:::::..'" .. .........:...::'.::::::::,':::::'::;:':';:.:...:. . SITE ADDRESS/"5~/ ~. '7-aA/?AI7~) . MAIL PER~/T TO: - In C T: ____ I (!/ LJ IJ ~ #dl nLJ/ ~ ~:S^ 70 !LYJlJ1Sta.& ' W,~~/ . (),.... LI .AM" 'PIS AUU.<..Wq~,,}e- \;11' I 9?4t:J / ZIP Existing Buildings or Improvements on Property txi' House c::J Barn .- t!!9- Garage c::J Mobile. Home !Xl Shed SEPTIC INSTALLED .2l:;!Ves c::J No Water District :~ C?7C(/,) ZIP ", ,. For Mobile Home Placement Only Brand Year Size No. of Tip-outs No. of Bedrm" Ucense # ... Land Management Dlv, staff can - not be held responsible for evaluations or recommendations based on falsol Inaccurate or Incomplete Information 6 \ ,..e!~",""""~' CJ U ji.... ....~-~---:'\- \.~~ " ., \ \"'4 '\ ~,.., "\' '-, . ~~ ". ..,..." (I.L' ~~ \ i~~ J ~J J ~~1"'O" ~;::."'~ \;;"""2~. \~6 \\:_ rJ ~\: -r~~ \ \\,-\\A./ ,Lv "",00' ('9.,v'"'-!i;~ i ~ ~ ~. I I l.- 1 ~ ~~ \ \...- ~::,J ~ &l1.oQ ",c>' ~":""' ",00 e. ~.~~ Z,"'.!:l. ,;,' ".~- "'1~' 00\ I~~co' i64 ,165 0210 a:>' ,.... 'Z'" ~' 6\~~' 16 'r.' "-\ C .4,';'59 . 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If "," , "'''-i1 140 14\ ; . ~,oO' J'sc' 700 1'>"" ' #0' <:,00 0' " 1'\ H' .7 04 6-!."o , ... ... . '- 2. 1'\ \ 7$0 8 1S0' -~ ~ . ,*,~"-r"".r...., . ' 4 ,;. sS'-'3 7,D' 2' ---,;]:r ~~'o 3 """)i '800 ,'900 , 2000 ..', ;;~~ .!:; ";";';'-2 ..~'OO 2400 ~: 3 ~~, ~a:: ,I. ~ s~ ~ Q~ww~\ .;1 \. \. . \ ~~ ~ Ioi~a.. Z,' \~ :->-:;, ",', ~ ~ ~Z <f ~ ~ ~ ~ G.... " t~. . .......... ... /'so. ~ ~ ,-. d" ~;, . ~ ,\ '\ R _ . '. '\'. ., dSo' \ -' -.oJ '\ .. '\. r\ oO,HT ---- ,,',1, JoI_. ... \.. ~;.. ...." 7~'o" .. ~ - ~ ... ...r~ .s-"'''r.,,'''~ "JJ",>~ ....__'f~.... ~.; "'\ 'j ~~ ~f:.W'~ "~C!Z-$;'''''''' "",,' ~",~"...... ""'.W" ,....". """,'.;."~"'n' SHMnn 17 0:>' ?7 -:r. ... /, .~ LINDEN o 't8'JO'''' ,,-- 600 4 2!100 \ , ~ , .[ .~9.,? . 8~-~o W 5 LANE COUNTY DEPT ENV MGT RECEIPT I 3t3!7~- DATE 182490 &. AF'PLICANT PORTH, ED ADDR 1551 FAIRVIEW ST., SFKlNGFIELD., REGO. ~LI 1703273200134 SUBDIV LOT BLK t'l,lcN.EW B.LDG TYPE. ..uSE F, BDF~MS 0 UNITS 001 STORIES '~BLDGS 001 PHONE 746 0661 I j' n, i~OWNf:.F, NME P()f(fH, 1;:1) (.,DI)F~ l:i51 FAIRVIEW ST., SPI'\INGFIELI), OREGOji' . CODE APPL NO ACTION DES'CFdPTION SQ FT UNIT COST VAL.UATION FEE DAYS. BP .f<P i3P BP fliP PL ...MECH ~;UF~ I.' ff'( '.-'" . , . . \iU . . . . ~~\ . . . . ':'F I XIl3A TH : LC 363590 SDSV . CATC;: PLN ,EQU: .~r~I(EN BY RL.H F,A . H \! ' . . SWF~ : FT. WTF, : MECHANICAL FEE STATE SLH~CHAI'\C;E PLAN CHECK FEE SDS ELE PCK I EST. COMPLETION DATE IS.'> '1 ...... . FT. :>% 25% / .'>1 F~AIN : ()TF~ DEPOSIT H . . . I,l ~ . L' 1 . '.1' ij .' , , .: , , e: ill : . . .' . . .' .1 . FT . 75.00 ~ ':' : . . 75. ~)(:) CK 9.: . 'J' \ . . . \ ' f . . '., r"-' -~. . \. . . . ~m m'll . . '. . . . '. . m~ ~m . . . . . . . . . , - -.-._'_ __ _._ ___'_ _-_ - _;_-_'_ _':_._ __-._._'_._,_.._'_.__,_'_.'------.1"_ . . . 3tZ(, -'j() ~J: ~) , , LI1NE COUNTY I)EPT ENV MGT flECEIPT '" ](,,:.\57(r DAn: i ()~:4<;.'0 APpLIc(.,NT POIHH, ED AD DR i 551 FAIHVIEW ST., SPRIN,GFIELD, m(EGC. .ru, 1 70~\2732001 34 SUElDIV . L.OT ElL.K. ~vt~w BLDG TYPE USE R BDRMS 0 UNITS 001 STORIES IBLDGS 001 PHONE 746 0661!,UHU U..~WNER NMEPORTH, ED ADDR 1551 FAIRVIEW ST., SPRING~IELD, OREG~~: . CODE APPI_ NO ACTION DESCflIPTION S~1 FT UNIT COST VAL.UATION FEE DAYS- BP HI" .w, I<P .'1" I::'L. MECH .;UR . . .:t-FIX/BATH: SWfl: FT. WTR: MECHANICAL FEE STATE SUF:CHARGE PLAN CHECK FEE F,T . . F,:AIN: FT ~)% . JW,~\CI( ,,- lj.1.-T~ 2~5% LC ~~b35<;.'O SDSV 7:5.00 "unl G6UlO . . t:ATG: PL.N 'i'EQLJ: .,'AKEN BY RL.H . RA SDS , , ELE PCI( IS,~; 2 / SI OH: EST. COMPLETION DATE DEPOSIT ~.x- p '. 75.00 CK . ~HW~ . . I I b'1lH~ .