HomeMy WebLinkAboutPermit Septic Tank 1986-3-3
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FOR OFFICE USE ONLY
APPlicationl//.7.7/ c:?/
Perm~ t # ~L/..-??:r ~
NW>;5HIP /7 I RANG~ OS I';?~ ~3 ) Tit;. ~O I
S~;r>>~;R:~;;N ~;; ~/U? (~LLDT/#~ B~ /v I
LOC~"ON AOORESS ~REET ~ _~ r"TY . ZI.P
&p(/J trT~?7?&-/.J, ~L c:-V' ,)p7A:.-r7?,<'P/~~
.S~RES CURREJITLY ON PROPER7J""::;7 ~ / ..,
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~~,~ 72' #t:::.7Z:r"~~/ ,~~./U
'P~z7?50.s;;:- ~.e:::r;r-?'77 S--;.L,?c- ~~
";P"::::':'O~OF PR';OSED lPI<J<. - BE SPEC>"IC // . .~ _ /' r DECLARED. VALUE
~n~, )y~o/; (/~/-::,~~/,cd~.?/.L?~
" OF /7/~ [' OF 5 RI ~ I'" $~T WATER SUPPLY #~ ~~~;~~~:
~ )lAME AND ADORES~ .....;T vr-.-/'7 --7"";;;:? /.::: /7 I TELEPHONE NUMBER
Y #f//~?/(?Y 0"?/1,if7 /#YCo?4 r:::-#6~~ /.//r'l ~5J592.-
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I HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION POR PERMIT, and do hcreL>y c(!I;t..ify tchat all information hereon is true and correct, and that I
have the following legal interest in the property: Downer of record; 0 crmtra,.t Pllrchaser~horized agent.
I f::-rther certify that any and all work performed shall be done in accoldanc;: wi th the Ordlnances 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 1;he Building Division. I fur-
ther certify that registration with the Builder's Board is in full force ...nu 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 campli nee with ORS 1.055 will be used on this project. I HAVE READ AND
~~:2?~~~ ..~~
NAME Ipleasa print) (f;> , SIGNAY'RE
PROpOSED USE OF PROPERTY
~esidential 0 Industrial
o Commercial 0 Public.
V~
DATE
READ THIS SECTION CAREFULLY. YOUR }~HORIZATION ~AS BEEN BASED ON THE FOLLOWING
o PLANNING/ZONING: Zone g /Y-- Parti ticn It Parcel It
/
eL, front eL, side
~~.4 .z;::>;:? e:::- ~.- ~--#/
CONDITIONS~
Parcel Size~~
Minimum Setbacks:
COMo\1ENTS: ~
~
interior
rear
,
~c:-~
, Oate, S--~7~~
~ANITATION: S. I. It
Installation
Specifications:
':'f"ENTS' ~ --RA~.-" S,',bS. ~ % k ~~
/pA AM 7/~.. rJ I 11 oate,---.f" -6Lec.
Gallon
Tank
Lineal Feet
of nrainf.ield
Installation Record Issued? 0 Yes 0 No
M.aximum Depth
of Trenches
B. P. #
o PLANS EXAMINATION: Type
Grouo
Use
Cor-U.lENTS :
Dat.e:
n
~). _ ItS. fo-J-{t,
~~~ROVED~Y eU1LDING FICIAL/DESIGNEE (oer ORS 456.805(1)) DA~E
LANE COUNTY DEPA MENT OF PUBLIC WORKS LAND MANAGEMENT DIVISION, 687-4061,
125 EAST 8TH AVENUE, EUGENE. OREGON 97401
SF:F: RF:VF:RSF: FOR TNSPF:f:'I'TON TNF'ORMA'I'ION
p, I. .,c DOA
.
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,
SETBf,CKS ^"O OTHER CO:;0ITIO:,5 OF APPROVAL MUST BE STRICTLY OBSERVED. VIOLATION CAN RESULT IN REVQ-
CA7ION OF THIS PERmT, CITATIO:J UNDER PROVISIONS OF LA~E COU~TY'5 INFRACTION ORDINANCE, AND/OR OTHER
REMEDIES ALLOWED BY LAW.
WHEN READY FOR I:.iSPECTION. CALL 687-01065. A MINHlU~l OF AT LEAST 24 HOURS AOVAI,CE NOTICE FOR INSPEC-
TIU;\I KEQI,.;t;~T;; ~a;;:iT liE GIVEN. Have tne lo11olofing in~ormation ready: permit number, job address, type
of inspectlOn, when it will be ready, your name and phone nu~ber, and any s?ccial directions to site.
BUILDING DIVISION;
~EOUIRED INSPECTIONS:
1. Foundation Inspection: To be made after trenches are excavated and forms erected and when all
materlalS lor the toundation are delivered on the job. Where concrete from a central mixing
plant (commonly terflled "transit mixed") is to be used, materials need not be on the job.
2. Concrete Slab ~ Under-Floor Inspection; To be made after all in-slab or under-floor building
serVlce equipment, conault, plping accessories, and other ancillary equipment items are in
place but before any concrete is poured or floor sheathing installed, including the subfloor.
3. Framl~9 & InsulatIon Inspectlons; To be made after the roof, all framing, fire blocking, and
uraclng are 1n piace ana aLL plpes, fireplaces, chimneys, and vents are complete and all rough
electrlcal and plumbing are approved. All wall insulation and vapor barrier are in place.
4. Lath and/or Gypsum Board Inspection; To be made after all lathing and gypsum board, interior
ana-exterTOr, 1S 1n place but before any plastering is applied and before gypsum board joints
and fasteners 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 a9 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
InSpect10n 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
compl~ 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 septic system for setback requirements, blocking, footing connection, tiedowns,
skirting, and plumbing 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. 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. Swimmina Pool: Below grade when steel is in place and before concrete is poured. Above grade
wnen pool-rs-installed.
APPROVED PLANS MUST BE ON THE JOB SITE AT ALL TIMES OURING WORKING HOURS. THIS PERMIT WILL EXPIRE
IF WORK DOES NOT BEGIN WITHIN 180 DAYS, OR IF WORK IS SUSPENDED OR ABANDONED FOR MORE THAN 180 DAYS.
SUSPENSION OR REVOCATION I1AY OCCUR IF THIS PERMIT WAS ISSUED ON THE BASIS OF INCOMPLETE OR ERRONEOUS
HlFORMATI ON.
ANYONE PROCEEOING PAST THE POWT or REQUIRED INSPECTIONS WILL DO SO AT THEIR OWN RISK.
SUBSURFACE ~ ALTERNATIVE SEWAGE DISPOSAL ~,
1. Permits shall 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
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, ~older.
If the construction does not comply with such rules, the Department shall notify the permit
holder and shall 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 - Subsurfnce
From:
Interior property lines
Edge of road rlqht-of-way
BuildinQ fOLlncation
wells. other water sources
Sewage Oisoosal
Septic ~
10'
W
5'
".
Orainfield
10'
10'
10'
100'
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APPLICANT DRAPER, GARY
TLO 1703221316900 SUBDIV
.NEW BLDG TYPE USE I~ BDF,NS
OWNER NME COX, DANIEL
CODE APPL NO ACTION DE~CRIPTION
.Bf"
BP
BP
eIW
BP
LANE tOUNTY DEPT ENV MGT RECEIPT
ADDR 1200 EXECUTIVE
:~ 162606 DATE ",)~>2S'8.
PARKWAY, EUGENE. ORE
LOT BLI<
o UNITS 001 STOIUES .H:LDGS 00'\ PHONI:: 4B~> 2223.
AD DR 2009 TAYLOR, EUGENE, OREGON
SQ FT UNIT COST VALUATION FEE
DA\'~'~ \
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.::~ . ~'FIX/I"ATH;
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SUI'(
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LR LC 162606 SDSV
SWR: FT. WTR:
MECH"NIC"I... FI::E
ST (~TE SURCHAI'(GE
PL(~N CHECI< FTEe
FT. I;;:AI'N:
FT
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4%
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60.00
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BY RLH
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SDS SI
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.4
TOTAL FTE;HI'
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11
60.00 CK
EST.
COMPLETION 1)(>,11'::
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~. . ACTI~TY INFORMATION.HEET
~QMPLETE THIS SECTION. INC~LETE FORMS WILL BE REJECTED!
-.
1 ah<.~' ~
- PERSON MAKING REQUEST
/,;l,oo &'K-6CLCrlOC ;J~K- W Y #3).0
MAILING ADDR~SS '
'f:u~
- CITY
4:%6-2- 2-'2)
BUSINESS TELEPHONE #
Q7<fO(
ZIP CODE
.o..e.G
STATE
.6 (,tf,t -)...7/5
HOME TELEPHONE #
i 2 PROPERTY ADDRESS ~/D FtAkrIJ8D
i (IF DIFFERENT FROM MAILING ADDRESS)
1
; 3 MAP & PARCEL NUMBER
I (REQUIRED INFORMATION)
.
])fl1(I1 &L Cox..
PROPERTY OWNER
~ %1"1 1/!'ft.t:X :s:r
MAILING ADDRESS
wGeJ.lb, .9.eG 97f4J/
CITY STATE ZIP CODE
..3~- .3~?}.-
BUSINESS TELEPHONE # HOME TELEPHONE #
~ .::5 (f=L.(), tJ.<..
(from tax maps in Department of Assessment and Taxation
or from tax statement)
_ (1 _ tJl .:<Z-"{,, 1~1oo
TOWNSHIP RANGE SECTION TAX LOT(S) OR PARCEL #
TOWNSHIP RANGE SECTION
~--(
ZONING
TAX LOT(S) OR PARCEL # ZONING
.. TOWNSHIP RANGE SECTION TAX LOT(S) OR PARCEL # ZONING
i
TOTAL CONTIGUOUS PROPERTY IN SAME OWNERSHIP: 6'J{~ Lo7- ACRES
~. II -. . V'~G
4 SUBDIVISION (if applicable) N rftlW H-&dm4J -t GI1u~ &r"J LOT -':<'1 BLOCK IIf
5 REQUEST (state exactly what you plan to do)
.
'! 6 DIRECTIONS TO SITE: ~-tJ
PLA-K/JJ&/J -7U.bJ
/lA to P/t'Yl:?A;V/ Noenr t;
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** FOR STAFF USE ONLY **
.h. .,.~
ZONE/LAND USE:
14:'33 . . ..., ;.J
LAND MANAGEMENT DIVISION / 125 E. Bth ^VE., EUGENE, OR 97401 / 687-4061
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