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HomeMy WebLinkAboutPermit Septic Tank 1986-6-30 '.ta t.RAL ADDRESSIl\:G. "'P.~M'Fi" JU[Il 1 9 ~/.., .hl\._lJ Lane County Author~zy.tion-for: , )c-P7.2- c ,)7:'r?C7T7 Jijz~/1 Jj: 6- /9 FOR OFFICE USE ONLY Application/ ,,~~~ ~~ Perm~t i /C 7' (7 b I (!J:t, ~ Z ) T~pOUT OF I T'oT/PARCEL I BLOCK 3!5'~/RES~/-7? ~~ ~(~~~~27 ~ STRUCTURES CURRENTLY ON PROPERTY~ . 1.........-: ..// ~ ~~~u=, ">77?Y'F,~~:::~':/0.~,/~/,~7/.~ ~ Od?-:-?"'7'"" /~h5 '/P77 \ //LJ/C?? /~ , ./ .4- A L / /? ......--" ~ <-1'~7 7Z? 6/?/7 /' ~ 6L,~ /9-;n ~~-;?7 rlP C::~ u~PTION OF PROPOS;o WORK ~c.-3PECIFIC / / /_ / J DECLARED:;; VALUE ...:J~/-,,/J (-, , ~ 7J ~ re~~...:;-q~ 1"4'';./'7 ~A?- L.67~ " OF //1 ~ [' OF ;;;74 I' O:;fk' I "ATER SUPPLV ~.6"vr.v' ~~~~~~~~~ O~'~E AND ADORE/..,.............( /. ~~.....__ ~, -r- /7 TE;;:~ONE NUMBER ,~~ ~h//-'Y/? ~/~ 77.,/ C;/~ 0V4"&/e- ~~W :"7~;;Y;; AN~/~?'"k./ ~/...5 ~\/ ~~~~~~~:?~ /y~~;;'","AN;Y-~~A;/ ~7~ ' ~ ~~~ - - r I HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION FOR PERMIT, dr,d do horQuy cett.ify t.hat all infol"'lllation hereon is true and correct, and that I have the following legal interest in the property: Downer of record; 0 contract,. Pllrchaser~uthorized agent. I f'..:rther certify that any and all work performed shall be done in accoI:dance ....i th the Ordllldnces of Lane County and the Laws of the State of Oregon pertaining to the ....ork described herein, and that NO OCCUPANCY ....ill be made of ar,y structure ....ithout the permission of the Building Division. I fur- ther certify that rcgistration with the Builder's Board is in full force feet as required by ORS 70t.055, that if "cxcmpt the basis for exemption is noted hereon, and that only contractors and employees who are in ampli cc with ORji70l' 5 will be used on this project. I HAVE READ AND CHECKED THIS APPLICATION TH ' ~ /r/P??NAMi c:t?/ !f&~ 0-~~ fit roW;~SHIP / tf' I RANGE S;JBDIVISION, a.,'\u......ON {if applicable} t:J~ PROPOSED USE OF PROPERTY ~eSidential 0 Industrial O~ommercial D Public. c:::.c7-./ - 1/ Minimum Setbacks: COM.HENTS: ~ / l' /~ YOUR AUTHORIZATION ~AS Zone ; / / ~ Partition It , -" C C 'd L~~/;?m;;;' e BEEN BASED ON THE FOLLOWING CONDITIONS! READ THIS SECTION CAREFULLY. , Parcel Size H'~ / ,~ ~/-/C//? /~.//~ , - -".- ./ -~~ Date: h--/f~v~ Parcel It [] PLANNING/ZONING: - interior rear rY'SANITATION: S. I. II B. P. It Installation Record Issued? 0 Yes 0 No 7' . Installation Gallon Lineal Feet MaXl.mum Depth Specifications: Tank of Drainf1e ld of Trenches C""IENTS, ..:J.J^SL/~~fl-~~~~~~- _J;;tJfu ~' b..__"t.~Mi>A..fL'.i-~:te' t ~Jo~A ~ ON: Type louo Use COMl-1ENTS : Dale: n .... LJIJ. ~ - rP. <:: I. ~"?O->>- ~RMIT APPROVED "BY BUJJ.:!f/NG otFICIAL/DESIGNEE (per ORS 456.805 (1)) - DATE LANE COUNTY e9PARTMENT OF PUBLIC WORKS LAND MANAGEMENT DIVISION, 687-4061, 125 EAST 8TH AVENUE. EUGENE, OREGON 97401 c:pp PPUPPC:P H'f1P Tl\TC:OP"''''Tf1M Tl\TPf1PMn."'Tr\T~J . . ~ . SETBACKS A~O OTHER CO~DITIO~S OF APPROVAL MUST BE STRICTLY OBSERVED. VIOLATION CA~ RESULT IN REVQ- C':",10:, OF ,illS PERmT, cnAno:. UNDER PROVISIONS OF LANE COL'::TY'S INFRACTION ORDI::ANCE, AND/OR OTHER RE~IEDIES ALLQiiEO BY LAW. I<>HEN READY FOR IN?PECTION, CALL 687-~065. A MINHlU~l OF AT LEAST 24 !lOURS ADVAl~CE NOTICE fOR INSPEC- l'lU:J K~Q(;t:::i1':; ;'IU:;.' U!:: (,.lvEN. Have tne tollowing information ready: permit number. job address, type of inspection, when it will be ready. your name and pho~e nu~ber, and any special directions to site. BUILDING DIVISION: REQUIRED INSPECTIONS: 1. Foundation Inspection: To be made after trenches are excavated and forms erected and when all materialS lor the toundation are delivered on the job. Where concrete from a central mixing plant (commonly termed Rtransit mixed") 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 serV1~e e~ment, conou1t, p1p1ng accessories, and other ancillary equipment items are in place but before any concrete is poured or floor sheathing installed, including the subfloor. 3. Framina' Insulation Inspections: To be made after the roof, all framing, fire blocking, and braclng are 1n place ana all p1pes, fireplaces, chimneys, and vents are complete and all rough electrical and plumbing are approved. All wall insulation and vapor barrier are in place. 4. Lath and/or Gvpsum Board Inspection: To be made after all lathing and gypsum board, -nterior ana-exterIOr, is 1n-pIaCe bUt cerore any plastering is applied and before gypsum board joints and fasteners are taped and finished. 5. Final Insoection: To be made after the building is co~plete and before occupancy. APPROVAL REQUIRED. ~o work shall be done on any part of the building or ~tructure 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 befo"e any grout is poured. This ~nspecrron 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 co~pletion of ~asonry (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-siptic 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. J. ~lobile 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. Swimmin9 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 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 180 DAYS. SUSPENSION OR REVOCATION :.lAY OCCUR IF THIS PERMIT WAS ISSUED O~ THE BASIS OF INCOMPLETE OR ERRONEOUS INFORMATION. ANYONE PROCEEDING PAST THE P011:T or REQUIRED INSPECTIOl:S WILL 00 SO AT THEIR OWN RISK. SUBSURFACE AND ALTERNATIVE ~ DISPOSAL SYSTEMS: 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 Co~~unity 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 Depar~ent 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 - Subsurface Sewaqe Disposal Septic ~ Drainfield From: Ulterior property lines 10' 10' Edge of rOild rlqht-of-way 10' 10' 8uildinq foundation 5' 10' \<;el1s. other ....ilter sources SO' 100' ACTI~Y INFORMATION ~EET ,(I .. CQMPLETE THIS SECTION. INCOMPLETE FORMS WILL BE REJECTED! ~ ~ ...T /FA N a 19- 01../ ~ ON PERSON MAKING REQUEST E)5 IV, ~le.otC+{) umLl MAILING ADDRESS I EW~t!~ ()12. 77d/),1 {CITY STATE ZIP CODE -.!!8 ;5-(", CJ:.()O .t/ ~-I J .7-t... '-/8' '-/ ~ tJ'I ) BUSINESS TELEPHONE # HOME TELEPHONE # BUSINESS TELEPHONE # HOME TELEPHONE # 2 PROPERTY ADDRESS, -:350 J ):j~I!'/JV a~. SY.JIZJ'nCj Fie'L/) ()F( (IF DIFFERENT FROM MAILING ADDRESS) . , 97$ Va-k .:;;/ MAILING ADDRESS E lX1e.Me... (() ~ CilTY STATE 97t/t;/ ZIP CODE 1 PaC/FI'C. Wtr.::.TeM "--B1?-NK PROPERTY OWNER 3 MAP & PARCEL NUMBER, (from tax maps in Department of Assessment and Taxation. (REQUIRED INFORMATION) or from tax statement) 1 8 O~ Db "i d. cQr? 6- Q / ~ f2 TOWNSHIP RANGE SECTION TAX LOT(SJ OR PARCEL # ZON NG TOWNSHIP RANGE SECTION TAX LOT(S) OR PARCEL # ZONING TAX LOT(S) OR PARCEL # lONING , C)." '1 ACRES TOWNSHIP RANGE SECTION TOTAL CONTIGUOUS PROPERTY IN SAME OWNERSHIP: 4 SUBDIVISION (if applicable) LOT BLOCK ~t:J-u.LJI.a'--~?(JV.d- ~.i F ).J A !) ;j 5 REQUEST (state exactly what you plan to do) "'~OA1IJJ'--'Aq ~ DIRECTIONS TO SITE: /) IV J. a..t..t..A~ Lj;; ce..:tiJ rf.{, aJ-/r aN (1/t~~/p R.d -k Le_PI I . ( II /I )1 ;tv ehd f) f ~: RujJ.it' ,m, 11~ au....T;; bAtt:. J ** FOR STAFF USE ONLY ** ZONE/LAND USE: 14:'33 LAND MANAGEMENT DIVISION / 125 E. 8th AVE., EUGENE, OR 97401 / 687-4061 ,-'llJ\lilI ~,,~ ~ c35ce _ ~~ ~:,c'~JIVI)-1ocR.~R~ c . ~d.>. L. I7YL '/Zcu.WJL · -,'~iIllPJJY~-.....Jl..)..' /<.. 07'-q~.~ ,)4 ~l"i..'>l ""p.~ (J.. J au Ill' w . " ;,-.,,,,::X~"" 10/,77' .5'.aoa-""e' .,........."":.:f"~.'" --'~ . /6'/,9a . 1\; , ,~ . <l> (J) . 0 ,lo' 0 -~I · ~7 ,;,- . ", - ' '~ . U1 o N I r ,1> t III ()-~ . l., 0 o r.ii' I, . ~ l, -.IN .... ' . '" 1.," (> ~il" .' U1 o UJ Co' 'I' f " y ~'" ,Q l' oQ /. ~ ~ ~ ~ . ,.. '" ' o r .--~- ." .-..._~ m"'JJ I ~ ~> <1><3: ~ <m <1>' . JJ o~m ~o> <1>0>, <co.... o~-< ~ 0>- <0'< - ... ~ " 0 ~ ' o JJ;; <1>0 I~~I; ::::. ~ ~ 8 \1'0.., .. .,,,,,- -. "t'S"" o t"'- ~ ~.P'f91 (>0 \J ~ Vi r- '-:1___ I - -- i r -l';1 t I' 1 l ,--1 I I ~. ~ \ A/. 00 0/ 'w _ ,!,o .3'/0, tn_ U1 o o ~ ~. j,. 2~ ". ....., '" ... ;;; m _ J> cr z ~> o~ 0 2.g )> ti}-. r .., e r- C1 (ll U; c~ 0 ao Z ~~w 3 .., C) g :u ... :- v '0 ~ I f ~ I~ ,\ .:...~~Dl' w. - /8.0 0' /~oo ' ----.3...-CjB---.~- o OJ o IV/.S.l' ~ ~. lVooon.'-lJ',,€. '" ' . ' ~ 'II 6' " 14877' .V.ooJo/,2'23"E I\) (J) o o r I I I I , . I I I , I ! i I \' r\ r~ \ 1" 1'- tn 1 ~, ' !\ ~(> .. l\~: I r'" I ,.,-1,' : I ~:5.' , . l-I. P\~.' i ~.. l?~ :..~t'lJ" r. " , t,; " I I'" .Q".. J \ ~ . . e e e 1\ I, . . . . ~ \ I (l . . W: '5 LANE CCHJNTY DU:'T ENV ~'IGT I'~ECEIF'T ,~, i B64B6 Dr;TE 061 BB.' APP~ICANT CALLISON. JEA ADDR 315 WEST BROADWAY, EUGENE. OREGON TL~ 1802064200501 SUBD-IV LOT BLK '!r .NE.J BL,DG TYPE USE 1"; BDR,'IS 0 UNITS 001 S':OIUES ':,BLDGS 001 PHONE: '1134 3.l\4~ e OWNER NME PACIFIC WESTERN BANK, ADDR 975 OAK ST., EUGENE, OREGON ,:CJDF APPL NO r;CnON Dr:::SCi,IPTIDN SQ FT UNIT COST VALUrHION 1"'1::[ DrW". ~:I BP .:<1'" , r: [W eBp . BP ~ .pL i:'FIX/!)ATH, iir:::CH SUf( epl~l( Lk LC 186486 SDSV SWR: FT~ WTF~: MECHANICr~L I~I:T SH1TE SUI\CHM~GE PLr;N CHECK FI::E: FT. RAUl: FT 60.00 . 1':1 . Ai; 2~:);';, . . r 1 I .:::rHG: SEQU: Tr;n:N BY r;PP 1 I'~L,H Htl 2 FP SDS S1 ~~ CO,'lF'LETION DATE: peK OTH' '1'......... .L0,~ 1- 60.00 CK EST" 4 TOT AL FEE: ,)Hi, e e 'II . .