HomeMy WebLinkAboutPermit Septic Tank 1988-6-17
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'I Lane Coun.t~ Authorization for:
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1'O""H1/7 I RANGCG I sn , I, J/ IT;;;; oOUT OF
S:.!SDIVISION/.PARTITION (if applicable) I LOT/~'i!. I BLOC!.,....
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LOCATION ADDRESS STREET ... CITY ZIP
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FOR OFFICE USE ONLY
Application/ /(JCi'L/... dO"
PerrnJ.t # / IJ Ii -/)11
I PROPOSED USE OF PROPERTY
~CSidential .0 Industrial
I 0 Commercial 0 Public.
C;~? R.Alf.AJ& A~_
STRUCTURES CURRENTLY ON PROPERTY
.~
P1REC~IONS TO SITE
:Sev-r1-l~~ ""N AlVDbPdW 77) ~w~" (hirfJ-./ <7f)
A n Ii- ~-: rt3<'.,j
uESCRIPTION OF PROPOSED WORK - BE SPECIFIC
-S'ePJI& .st-4jep/ TO '~ r~
= OF ~ROOMS I It OF,E.,TORIES. It OF. EMPLOYEES I WA.~ER SUPPLY h 'i\ _ _0 Proposed
~.c- ~t/ ',Iftr1:t2..urr ~xistin9
O;,"NER I 5 ~AME AND AD~SSL / _ , I TELEPHONE NUMBER
, / c'jf?f/!~ -" L8I(IPJI{ J #/7 /~4u/V''/..-;@, \ fhBlJ!fR6Cf) ~',- SWtf....
CONTRACTOR'S NAME AND OSR #I . L. ". NUMBER
...s;;;p(!?;;IAL.1'7 .Q'"'AVrr~l\I& 635;12- <;- / Z /' r<Fr~ ;~ -:,...._
P~RN1T 'IO BE MAILED TO lNAME @D ADDRESS) n J})~\:;~(\lj ~EPHONE.J BER
f'-J-.) &t Sbl'tf'i>{9 B..l.l.J' fi..d-. ,.. ~ . _^nl'7 \::-
I 1 , - '.LIM <) '/ I'"J- I
I HAVE CAREFULLY EXAMINED T CC<<PLETED APPLICATI l FOR PERMIT, and .]0 hereuy cettify t.hat all infol at on h~ h t,"ue and corscll
have the following legal interest in the property: Downer of record; Dcolltract purchascr;Oauthorize nt, lll1'\>..\. ,., ,.'\'f\
I f:.:.rther certify that any and all work performed shall be done in . Idth th~ Ordlnanc~ll of Lan ~ ty and ~J;\Q.,~WG'b~.tho of Orogon
pertaining to the work described herein, and that NO OCCUPANCY 1 be made of ., . st.ructure without the ion'tB',..'thc BUilding~ ion. I fur~
ther certify that registration with the Builder's Board is in ull force lInd e{fec as rcc;:uired by ORS 701 at if .exempt th b'i; for exemption
is noted hereon, and that only subcontractors and employees w 0 are in compliance w th ORS. ~Ol.O~ill be s pro' E READ AND
CHEC:"J;;;';:;ON ZR02~/a~J 'NiL / /(/fJ/-
NAME (pl.ease prin~J / SIGNATURE
q-n:-77
t,:3{l
DECLARED ~ VALUE
READ THIS SECTION CAREFULLY, YOUR AUTHORIZATION ~AS BEEN BASEO ON THE FOLLOWING CONDITIONS!
o PLANNING/ZONING: Zone
Minimum Setbacks: CL, front
Parti tion #
Parcel #
Parcel Size
CL, side
interior
rear
COM..'lENTS :
NO SPOCIAL PIANNING ACTICI'il RECurRED
Date :
7/1/88
F€l
o SANITATION:
S. 1. #I
Installation Record Issued? DYes 0 No
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u;//l k ~ Date ,_1 ..if
Group U Use
AJ J~O> ~
~
~
B. P. "
Installation / () Gallon
Specifications: , f}l9 Tank
COMHENTS: ~ ~ d Cl.rL4.
sf,::: ~dt:.:pe~'~ A&.*
COMo'!ENTS, lxy k ~ ~
~ Q.uJ"I!;
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Date:
n
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.
~-. _ ~~ /~t%
_ ~ PERtH - ROVED BY BUILDING OFFICIAL/DESIGNEE (oer ORS 456.805 (1)) ATE
n'ij~"/;v,.<z- E COUNTY DEPARTMENT OF PUBLIC WORKS LAND MANAGEMENT DIVISION, 68 -4061,
-<;" /)Q.t( 125 EAST 8TH AVENUE, EUGENE, OREGON 97401
T.;I..I~ /.l.S' SEE REVERSE FOR INSPECTION INFORMATION
C 14-25 RB4-
.
.
'f
SETBl,CKS A~D OTllER CO::01T10::5 Of APPRO'l,;L ~:UST BE STRICTLY OBSERVED. VIOLATIO:-: CA:-i RESULT IN REVQ-
CAT I O:-l or T!lIS PERm., cnAT10:: U:-:OER PROVISlmJS Of Lt\t;E COl.:::TY'5 INfRACTION ORDr:;ANCE, AND/OR OTHER
REMEDIES,ALLOWED BY LAW.
IoOIlEN READY fOR INSPCCTIOi'J, CALL 687-..065. A ~lINH:U:'\ or AT LEAST 24 !lOURS AOVA::CE NOTICE FOR INSPEC-
TIU)! Kt;Q(;ESTS :.a';ST UI:: (;IVsN:---'f,ave tne following informat.ion ready: rcrmit number, job address, type
ot inspe~tion. when it will be ready. your name and phor.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
reaterlillS tor the toundation are delivered on the job. Where concrete from a central mixing
plant (com:nonly termed -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
serv!~e equ!pment, condu1t, p1ping accessor1es, and other ancillary equ1pment items are in
pla~~ but before any concrete is poured or floor sheathing installed, including the subfloor.
~raminq , Insulation Inspections: To be made after the roof, all framing, fire blocking, and
raCing are 1n place and all plpes, fireplaces, chimneys, and vents are complete and all rough
electrical and plumbing are approved. All wall insulation and vapor barrier are in place.
3.
4.
Latht,and/or Gvpsum Board Inspection: To be made aiter all lathing and gypsum board, 'nterior
ann-eXECrIOr, 1S 1n place but before any plastering is applied and before gypsum board joints
and fasteners are taped and finished.
5. ~ Inspection: To be made after the building is complete and before occupancy.
APPROVAL RE.:>UIRED. :10 ',.ork 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.
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
rnspectIOn 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
cornplera:- 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,
skirti~g, and plumbing connoctions.
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. Swimmin9 Pool: Below grade when steel is in place and before concrete is poured. Above grade
wncn pool-rs-installed.
APPROVED PLA:JS :.\uST BE ON THE JOB SITE AT ALL TIMES DURIt:G WORKI:-lG HOURS. TillS PERMIT WILL EXPIRE
IF WORK DOES ~OT BEGIN WITHIN 180 DAYS, OR IF WORK IS S~SPENDED OR ABANDONED FOR MORE THAN 180 DAYS.
SUSPENSION OR REVOCATION ~ffiY OCCUR IF TillS PE~~IT WAS ISSUED ON THE BASIS OF INCOMPLETE OR ERRONEOUS
INFORHATION.
ANYONE PROCEEDING P,\ST THE POI1JT or REQUIRED INSPEcnmlS WILL DO SO AT TllEIR OWN RISK.
SUBSURFACE: AND ALTE:RNATIVE SEI.AGE DISPOSAL SYSTE}\S:
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 Department shall notify the permit
holder and shall require satisfactory completion before issuing the certific~tc: ~ailure_to
meet the requirements for satisfactory complet1on wlthln a reasonable time COnstltUteS a V10-
lation of -ORS 454.605 to 454.745 and this rule.
Setbacks ~ Subsurface S~waqe Disposal
SePtic~
Drillnfield
fro:t1: Interior property li:1es
Edge 0:- road rlqht-of-way
BU1loino focndation
~el~s. other ~ater sources
10'
10'
S'
SO'
10'
10'
10'
100'
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OWNER OF PROPERTY
.--WJt;
OWNERS ADDRESS
CITY
boxes, If possible.
G//7J.88
7~u{5.C;0f3
q(1477
ZIP
PHONE
ZIP
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MAP, PARCEL NUMBER
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SITE ADDRESS
Q-7477 ".
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MAIL PERMIT TO:
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Land Management Dlv. ata" can not
b. held "'8ponalbla for evaluation. or
recommendatlona b...d on fal..,
Inaccurate or Incomptete Information
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EXISTING BUILDINGS
ON PROPERTY
c:::J House
c:::J Barn
c:::J Garage
c:::J Mobile, Home
c:::J Shed "r/)fv.'~
Other tV, =
,
.
Dlrec(/ons (0 s/(e
from Courthouse
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CUL--DS'-,Q:y",.
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FOR MOBILE HOME
PLACEMENT ONLY
Model
Yea,
Size
No, of Tip.outs
No, of Bedrms
Ucense #
,
,