HomeMy WebLinkAboutPermit Septic Tank 1991-2-26
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REQUEST
FOR:
S~j:>T:rC VERIFICATION FOR LOAN REVIElv
I-TO~P
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v:ai:3 i9300 J<;t"ivj,lR';'k~"'VvMJ-FK:A::"oa' %t ~ BJC1c*L/
Sprinc,fiele 97477
LOC;AnOH ADCRua
3225 Raleighwood,
BYRUCYUI'lliB MOW ON p"opun
House; Garage
PROPOSED usa Borne ".TAUED
Resic.. Yes
.ATEII "ITALLiO
NO.t:lBTONIE3
NO.t:I'Elll"\DYUB
CONITRUCnolll COfiIYAWa
DEIlt:I'IIPllON 01' ""OfI'OIIED WOlIlK
Verification of existing septic system
OUllenONa TO IIlTI fRoM COURTKOUU
Beltline to Game Faro Rd. to Raleic,hwooa.
NO. Of" HPR~
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APPUCAHT NAMI .. AOClRi.S
Carol A. Wri~ht, 707 Main St., Sprinqfield
OWNERS NAM&: .. ADORllA
Thor.las Rose
....ON.
97477
746-3270
PHON.
726-7525/
COiiTflACTOA HAMil: C I l~ fe.;';fP!l!l'
, O,gr-l i<I) 610 tI-vt> ... r ';\ """ I
'M"M.f!..MJT~T;O:!f~~A L.h<LS..;;:Il'~1>_) 707 /o-f0-l"'.st-_
"" I .;.1 ,._",-.~. Sorl r.Gfl~l'd g7477
\ NAMI ,(~."i ",.,,-
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I hava carefully read BOTH sides of this sppllcatje1l ~ hereby ~liY ,tha.t "Unformetion Is true and _ '?lrrect
Carol Ivright ~~ '~a,,---r 4../~~ --f.., ..?-..;;r;..-7/
faj....... ' 'DAT&
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PHONI
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t PRHTNANE
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FEES DUE: $
APPROVED BY: ,~A'"\ f -*.I'J/~~ATE
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CALL FOR INSPECTIONS (SEE BA"CIC OF FORM FOR INSTRUCTIONS) 687-4065
SEPTIC parmlts are good for one year. ALL other permits expire after 180 days un/ass Inspections sre
currant.
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VIOLATIONS
SHTBACKS AND onmR. CONDmONS OP APPROV ALMUST BB STRICIL Y OBSBRVFD, VlounoN CAN RBSULT IN RBV0CA1lON OPrnIS PHRMlT.
CITATIONS MAY BB lSSUBD UNDER nIB PROVlSlONS OP LANE COUNTY'S INPRAC110N ORDINANCE AND/OR 01HER RBMEDIBS AlLOWED BY LAW.
A MINIMUM OF AT LEAST 24 HOURS ADVANCE NOTICE MUST BE GIVEN FOR INSPEcqON 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 omCIAL RIGIITTO TRESPASS ON PRlV,.\TE PROPERTY OKS 215.010
POWER TO BmER UPON LAND. mE COMMISSION, AND ANY OP ITS MEMBERS, OPPICERS AND EMPLOYRS, IN TIm PBRPORMANCB OF nmIRPUNC1lONS, MAY
P.NTER UPON ANY LAND AND MAXB HXAMINATIONS AND SURVBYS AND PLACB AND MAINTAIN 1HB NBrnSSARY MONUMllNTS AND MARKERS TIiERBON.
REQUIRED INSPECITONS
FOUNDATION INSPECITON: To be made after excavations for footings are complete and any required reinforcing steel is in place.
UNDERGROUND PIPING INSPECITON: To be made after all underground piping has been installed, prior to any backfill.
CONCRETE SLAB OR UNDER-FLOOR INSPECITON: To be made after all in-slab or under-lIoor 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 INSPECITON: To be made after all ducting and gas piping has been installed and prior to being covered.
ROUGH PLUMBING INSPECITON: To be made after all plumbing rough-in is in place, prior to being covered.
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FRAMING INSPECITON: To be made after the all framing, fll"e blocking, bracing and roof are in place and all pipes, chinmeys and vents are complete
and the rough electrical, plumbing, and mechanical inspections have been made and approved.
INSULATION INSPECITON: To be made after all insulation and vapor barriers are in place, prior to covering.
LATH AND/OR GYPSUM BOARD INSPECITON: 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 fmished. '
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 made and approved.
FINAL MECHANICAL INSPECITON: To be made just prior to the structure or remodeled area being occupied and prior to operating anyequipmenL
FINAL PLUMBING INSPECITON: 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 lIoor 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 THE JOB SITE AT AU. TIMES DURlNG WORKING HOURS.
THIS PERMIT WIU. EXPIRE IF WORK DOES NOT BEGIN WITlIIN 180 DAYS, OR IF WORk IS ;JUYY~V OR ABANDONED FOR MORE THAN 18{J DAYS.
SUSPENSION OR REVOCATION MAY OCCUR IF THIS PERMIT WAS ISSUED ON THE 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 HAVE 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 l"........-..i 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....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
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. thepe'rmit holder wilLbe notified. and all corrections shall be made before a certificate of completion
will be issued. Faihlre to meet satisfactory completion within the alloned time constitutes a violation of ORS 454.605 to 454.745 and this rule.
SUBSURFACE SEW AGE DISPOSAL SETBACKS SEPTIC TANK
From: Interior y.uyu", lines 10'
Edge of road right-of-way 10'
Building foundation 5'
Wells or other water sources SO'
DRAINFIELD
10'
10'
10'
100'
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.UM REAL PROP ACCOUNT SUMMARY 12/17/90 8:36:33
~CCT: 191278 1990 ASSESSMENT YEAR COUNTY: LANE
INDEX: F MAP EO 1703221319300 ACCT X YRA LE 90
ACCT STAT: VLCHG,SADJ,PAYOR,POST
PROP DESCR: 17 03 22 13-19300 NAME ADDR: ROSE THOMAS M
LEGAL: 3225 RALEIGHWOOD AVE
SPRINGFIELD OR 97477
PROP ADDR:
YRIA 82
PROP CLAS:;
LAST ACTIVITY
140
2 ZONE
ASSESSED
RES NEIGH 2000X COM NEIGH
04-14-90 CONTROL GROUP 20
LEVY CODE 4-52 TAX RATE
TAX CEfHIFIED:
AD '.;..iLOREM TAX:
SPECIAL ASSMTS:
1990 YEAR TAX:
TAX DUE 1990 YEAR:
TAX DUE PRIOR YEARS:
INTEREST AS OF 12-17-90
TOTAL BALANCE DUE:
OLDEST DELINQUENT YEAR
YRLA 82
121 STAT CLASS
ACRES CYCLE
TRUE CASH
LAND
IMPS
TIMBER
25,230
52,310
~:::5, ~~30
52,310
GROSS:
EXMPTS:
NET:
77, 5ltO
77, 5'+0
77, 5'i-O
77,540
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RIDTL REAL PROP IMPROVEMENT ASSESSMENT DETAIL
ACCT: 191278 1990 ASSESSMENT YEAR COUNTY:
INDEX: F ACCT EO 20100191278 YRA LT 91 LEV X
ACCT STAT: VLCHG,SADJ,PAYOR,POST
VOUCHER TYPE REASON
MAP 17 03 22 13-19300 APPRAISAL DIST
YEAR: 1990 OOPR 0 NON-OOPR
LEVY: 4-62 OOPR 0 NON-OOPR
ACRES: 0.00
YRIA PROP STAT OUA PER
CLAS CLAS ADJ COM
121 140 0 0
It
1;71./17/90
LANE
APPR
NO.
INT DATE
INSP INSP
Y 08-31-81
2 IMPIt 1
52,310 HOMESTEAD
52,310 NONHOMESTEAD
LAST ACTIVITY: 04-14-90
YEAR COND PRCT FOUN
BUILT GOOD DATN
62 84 CS
200
8.-,
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ROOF
TYPE
GA
ROOF
MAT
BU
BED
RMS
FUL
BTH
1
HLF
BTH
1
HET
ING
CC
FP
FIRST SECND
FLOOR, FLOOR
~O} 9' 0
ATTIC
FINSH
899
BSMT
FINSH
o
TOTAL
LIVAREA
( . \.
1918
~
00
3
GArl-SPACES PORTS TOT PARK S~lL LRG OUT- RE~l-
AT DT BS AT DT SPAC AREA IMPS IMPS LIER ARKS:
2 (I 0 (I () '::0 546 .:. 0 N
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1ST OF 1 I ~lPROVEMENTS
>
4E.2
26~9950
2,093~1'3
2,093. 1 r:J
2,093.19
1,395.46
1,395.46
1990
8:36:45
o
52,310
WALL
MAT
BE
BSMT
UNF
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Please complete all lines inside white
el1/t'L /1. t,),c/clr- Z;/4.&-oL..
boxes, if possible.
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'tUUH NAMt:
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"70 7 'M'#/;v~,
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'?7Y77
ZIP
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( r".cw./CF I aJ:> -:7
CITY '-'
'( 4mrt<; 1; 'J?o~
OWNER OF PROPERTY (II not ..me .. above)
OWNERS ADDRESS (II nol ..m. a. above)
ZIP
CUflIH....l.:IUH
uc.n.. _
MAP, PARCEL NUMBER
(Found on tax mapa In tha Asus.manl I TuaUol\ o.pL)
.L1p ~ ~~?- 1/(~~n 1~~6
Townahip "'ih';'" 8.ctlon 114 S.ctlon ra.. Lol
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lown.,up -rr.;;g;- b'KUon 114 ::oecuon
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SITE -1!}J!JESj[ ~ i.CJ._
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MAIL pYR}4IT TO: cLri C;.!,ifLLCS ~/~ ?~a,/
...../ (o/l1L.-J/ YI. LJ.ocll/"- ----;:::;J<1/-n:JJO
JAM!;
70 7>>111/"/ ,,~
,ll,UUHt:l>::i
Sr"t'ltJCTlt!:.t..J..)j ry.c. Q7?1'77
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Land Management Dlv. stall can
not be held responsible for
evaluations or recommendations
based on falso, Inaccurato or
Incomplete Information
Existing Buildings or
Improvements on
~roperty
pO House
c:J Barn .-
0Zl Garage
c:J Mobile. Home
c:J Shed
SEPTIC INSTALLED
c:J Yes
c:J No
Water District
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;7?Y77
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110':: ~
For Mobile Home
Placement Only
Brand
Year
Size
No. of lip.outs
No. of Bedrmo
License #