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Home My WebLink AboutPermit Septic Tank 1992-5-11 , PERMIT 1# /567- ~ 2- : REQUEST FOR: 'I SEPTIC SYSTEM VERIFICATION \ I TOWNSHIP -t1--!WtGLp..,-~8[CTlON_3_1~E91OH TAX LOT 19 0 0 .UIIDlY~ M..-1ON ~ _ (r LOl:I)"AACEL ~OCK -..J- __ /'"1. -( , "-1-"-/~ 'r',.' ")" ,~'" 31'1:1- \JCi.I1Ie.Srn:vV/f ktJ(l. . Le,- 2.5 ~ LO~'Ij AF'L'i>.sIHNGO AVEIWE,SPR"IiJGFIELD, OREGON 97477 ;- .. f3 /<>cl../ 'I- ~AE. NOW ON PROPERTY EXISTING SINGLE FAMILY DWELLING PAOPOSEU USE ..5tllC I'IISTALLED WAiiifiii'ii:LLED NO. 01' srORIES PRIVATE USE NO. 01' EMPLOYEEB COHBTJlUCllON COSTNALUI t1ESCRlPllON OF PROf'OBED WcmK SEPTIC SYSTEM VERIFICATION NO. Of' HDROOMS ~ Diiii'"CTlON8 TO liTE 'ROM COURTNOUSIi HARLOW ROAD TO PHEASANT, TO FLAMINGO, LEFT TO SITE ABOVE, APPUCANT NAME .. ADDRESS PAUL IL GREENE, , · MArL PERMIT TO.; PAUL N, GRdNE, 821 CALVIN STREET, EUGENE, OREGON PHONI 344-9733 PHONI S Afo1 E 'HOHIi NA 97~Ol J all Information Is trua and correct )f-fJiI /<;1- DA'" OWNERS NAUE .. ADDRESS SAME AS THE ABOVE CONTRAC1Qll NAME IJA 08R uCiiiii, NA ~ NAME "'DOAES. . I hava carafully read BOTH sides of this appl!c~n a~d here9Y certify that P A U L N, G R E ENE XJ. {y.1L; n !il1JlP.rJ.l IilI PANTNAUE ~ r READ "":."-::.:, ",',-, , . FEES DUE: \ ..:......:.... ........:............~...:....r...........::'"'..........\.:.:.....:.::.:........:............:...:..,.::.....:...,..'.' ow APPROVED By:,<~j~~D~TE '" CALL FOR INSPECTIONS (SEE BACK OF FORM FOR INSTRUCTIONS) 687-4065 SEPTIC permits ere good for one year. ALL other permits expIre altar 180 days unless Inspections are currant. $ f, !-.-L1.l-92.- , . 7 . VIOLA nONS . . SETBACKS AND 0'l1iER CONDmONS OF APPROVAL MUSTBB STR.Icn. Y OBSPRVPD. VIOLATION CAN RBSULT IN RBVOCAll0N OFTInS PHRMrr. CrrATlONS MAYBE ISSUBD UNDER nIB PROVISIONS OF LANE COUNTY'S INPRAcnON ORDINANCE AND/OR 0'l1iER REMEDIES AlLOWED BY LAW. A MlNIMUM OF AT LEAST 24 HOURS ADVANCE NOTICE MUST BE GIVEN FOR INSPECTION REQUESTS Have the following infonnation 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 OWlCIAL RIGIIT TO TRESPASS ON PRIVATE PROPERTY OKS DS.Oao POWER ro BNmR UPON LAND. nm COMMISSION. AND ANY OF rrs MEMBERS, OPFICElS AND EMPLOYES. rNnm PBRPORMANal OFnmIR PUNC'nONS. MAY ENTER UPON ANY LAND AND MAXBEXAMINATlONS AND SURVEYS AND PLACE AND MAINTAIN nm NBCBSSARY MONUMENTS AND MARKERS THEREON. 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 INSPECI10N: To be made after the all framing, fIre blocking, bracing and roof are in place and all pipes, chimneys 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 futished. ADDITIONAL INSPECfIONS 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 inspections have been m~ and approved. FINAL MECHANICAL INSPECTION: To be made just prior to the sb'UCture or remodeled area being occupied and prior to operating anyequipmenL FINAL PLUMBING INSPECTION: To be made just prior to the building, structure or remodeled area being occupied. FINAL BUILDING INSPECTION: To be made after fmish 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 fmmdation 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 inspection 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 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. " APPROVED PLANS MUST BE ON TIlE JOB SITE AT ALL TIMES DURING WORKING HOURS. TIllS PERMIT WILL EXPIRE IF WORK DOES NOT BEGIN wmnN 180 DAYS, OR IF WORK IS STOPPED 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 INSPECl'IONS 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 APPUCATION, and do hereby certify that all information hereon is true and correct. and that I have a legal interest in the property 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 r"......i'"""~: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 SEWAGE DISPOSAL SYSTEMS: When subsurface construction is complete, the permit holder shall notify the County Land Management Division by s11bmitting 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 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 y._y_..) lines 10' Edge of road right-of-way 10' Building fOlmdation 5' Wells or other water sources 50' DRAINFIELD 10' 10' 10' 100' . . ........................ ...... .......... ...... ........ .,...................::.,.:.,::.:.,.:.. , Please complete all lines InsIde white boxes, If possIble. -J-i",1- n f.hH IU \v..~W ~ 2/ ('.al(/ ~ &; l'UU" AUUHfU 5Jltf9z. ""'1&10 344- 973..3 "HUNk F ilA.R.. I/Z.( !J.h, C'Tv j '17'-177 ZIP .$f!.ff1?-t:. OWNER OF PROPERTY (II not um. .. eboWl) "'HUNk $(Yr7. f ~ OWNERS ADDRESS (It nol ..,.. .. above) ZIP 1l'1l:I1'"-1.11:." I UUILUkH I LOUIII.......IUN uc.ftH . . (ownsnlp .......... tleCuon ~14!HeltOn ... LOI . SrrE ADDRESS l",~tJ lL(tn">Un~ av~_ SAhUl1~~#c1 @t"l. v 1, Jr- , , '?7<; 7 7 , MAIL PERMIT TO: N~n.1huru .,'Sj' f C; l,./iM.. .1.Ir:~{;. ",,' f:,-'j,nv 1M. 97'101 ZIP ... ... . . . . ...~............... ... . ,. .. . . ... .. . .. ... . .. . . .. .. . . .... . .,. . .. .. ..-.......... .... "," ...... ... :::\.:.:.:.:~::::~~:~..~...MU~r~>:r\ > . Existing Buildings or Improvements on Property C:I House CJ Barn CJ Garage CJ Mobile. Home [7J Shed _ SEPTIC INSTALLED """",Yes CJNe ~ ,. ",--. X Directions to site from . nesrest msln IntBrsectlon .. /-la/LJ-..,"?d trPh~ 1Jh~M1ZNIi:fi, 7.iMdnjc ~:r~tLJ /"5CJ '. ZIP - .... ... . J / ~:(+ ./ Size" ./ No. of B~ms ./ Ucense' ,( ., . ......... . /\ : Dlsts'!c!t'rom MO~ v. Hom/o: ~ ). /f'Imer Sewer/Sepllc r ~ Lt.C)14'- 2.92 "14-68 02/92 I ~ -..j .::) "- ~ r(l..f1I<~ "~ ~ Q t; , "0 , ~ ~+fii;;) . J~/ r ) II /PSo --PLot 'PL<Vl-- '" >6 7LrAm mG-o Paul /1. bw.rz<-- {!)Wl~ 3J./'i-1?33 tI ::j:u/,!Vl /n Ca D ?nPAcf/~~'"e $:nC v;{~ ~-C ~ .$J(jc}:;)Cf'" HCllrLCJ/V 1?.1Jr <\ j'" . -\.J ~ >:i V"> <S \l ....s: ~ . . . . "In" . - --- ---------- . \ I \ . ~ .' III i . .. . . " I' !' ~ e . .._' - . -----j '.- . "I-!""- . .~ a .~ i , " .~ " I'I'I-'~ " 'c.; '. .1 " . , .f . ~ ~ e' ~ c C "P e~ / . . :~I'I'Clt(.INT GREENE, PAUL LANE COUNTY D~E~lt~~oM~~Ar~~;Sb5PAvE ~, 1 ~:rj,~T~GF~Ell'B, Or.\~11.2 TLI 1703314301900 SUBDIV LOT BLK NEW BLDG TYPE USE R BDRMS 0 UNITS 001 STORIES OBLDGS 001 PHONE 344 9733 . OWNEI;: NME Gm::E:NE, PPIUL ADDR 650 FL.AMINGO IWE., SPRINGFIELD, OI~F. 'I" CODE APF'L NO ACTION DESCRIPTION SQ FT UNIT COST V(1LU{1TION FEE Dr;,,, . ";.' ~ B F' 'I ~j ,A . BP BP F.<F' . DF' f"L' .~'FIX/BATH: . MECH SlW F'CK e L..F:: L.C i ~)~}792 SDSV I I ~ I . SWR: FT. WTR: MECHANICAL FEE STATE SUI~CHARGE 1:'Lro,N CHECI< FI~E ISS C("TG: PLN . SEQU: TAKEN t,Y I::L.H I:({-) S0S EL.E PCK 1 ESt. COMPL.ETION DATE . . 1"1-. F(AIN:_ :>% 25% / SI 2 OTI( DEPOSIT .)He ,lIe, . FT . 75..00 . , . '.. j~ '. 7~:} '" 0(') 9 ,-I,e;: J.... ~ . I!' .~ if U .~ . , \ . ~1:'P~i.'~ANT Gr~EENE, F'AUL. L.ANE COUNTY DXb6RE~~0t1~i~A~1:~Ec{~VE~, 1 ~~~Y~GFY.~~H, 0aU~ TL.I 1J03314301900 SUBDIV' LOT BL.K NEW BLDG;TYPE USE R DDRMS 0 UNITS G01 STORIES IBL.DGS 001 PHONE 344 9733 . OWNER NME GREENE, P(~,UL. ADDr~ 650 FLAMINGO AVE., SPRINGFIEL.D, ORE. 11Un"_CODE APPL. NO AGXION DESCRIPTION SQ FT UNIT COST VAL.UATION FEE DA.S III I )--:f-' C. 1)I\JIt _ _ "U",(; . BP ....... BP lip . BF' ..1 \ . . . \ .' uq~ u U. Il . . . ''. J . . . ~""U Bll11 " . . . . ----~ ~-<:::' . ..-......-------...--- 1\ IIU ~ ~ t\ {] ~ . ~ . .... . c -" PL ~'FIX/I"ATH : ~1ECH SUF( PCI( I...f( . .M~?.!l. . . LC 15::;792 SDSV t 'f' CATG: . SEQU: TAKEN PLN RA BY f(l.H . . ..... . . " ; '<-_./ SDS 1 EST, '-"- - ~ S ~jf( : , -." , ... '- " FT ^ wrr~ : 11E:CHI~N I Ct.1L FEE STATE SUf(CHAf"(GE F'l.,;N CHECl< FEE ,j, J . . # ~ . COMI::'L.ETHlN lil,TE ELE PCK ISS .2 FT. 2:=)% t" : / SI RAIN: 5% OTR DEPOS I T .)fl(. . . . FT . . 7~S ~ (')0 . ~U','I ..ll . ,.9 7~5. 00 CI< . .