HomeMy WebLinkAboutPermit Plumbing 1987-8-14
__. Lane County
SEPTIC INSPECTION FOR LOAN REVIEW
UC ~I?~
Authorization for:
.1:JJj ~7
-, . .
FOR OFFICE USE ONLY
l.'1 I.~..
Appl~cation/ ~~~ ~7
Perm~t # ~~"--or
</
-fuWNSHIP' /7
SJBDIVISIO~/PARTITION (if applicable)
RANGE
(93
',"SECT:t2J, 3 3-~'y;iJ'cP6UT OF
LOT/PARCEL BLOCK
. "
PROPOSED USE OF PROPERTY
~Sidential 0 Industrial
o Commercial 0 Public,
LOCATION ADDRESS
STREET
CITY
ZIP
232 Allen Ave., Springfield 97477
STRUCTURES CU~~NTLY ON PROPERTY
SFD
DIRECTIONS TO SITE
Havden Bridqe W to Manor - turn N - Allen is 1st st. on R
; u~SCRIPTION OF PROPOSED WORK - BE SPECIFIC
DECLARED S VALUE
SEPTIC INSPECTION FOR LOAN REVIEW
# OF STORIES I # OF E~lPLOYEES
I O;,NER' S NAME AND ADDRESS
BOWMAN, Vernon L. and Mary K
c.:1NlI:'~:I:mH-\~ INAME AND OSR # '
: AMERICAN HO~1E SAVINGS, P.O. Box 10639, Eugeee 97440-.2"'9
OF BEDROOMS
\'1ATER SUPPLY
:J ~<;>po~ed
~x~st~ng
.. ._ __........__ ......._u. _."
TELEPHONE NUMBER
4,84 66fOTELEPHONE'N1JI1BER---
TEJ.:..",..nu"" NUMBER
. P::;Rl-IIT TO BE MAILED TO (NAME AND ADDRESS)
I HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION FOR PERMIT, and do hereby certify that all infonnation hereon is true and correct, and that I
~have the following legal interest in the property: Downer of record; 0 cont.ract. purchaser; Dauthorized agent.
j I f:.:.rther certify that any and all work performed shall be done in accordancE: ""Ii th the Ordinances 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 st.ructure ~:ithout the permission of the Building Division. I fur-
.ther certify that registration with the Builder's Board is in full force and effect as re~uired by ORS 701.055, that if 'exempt the basis for exemption
;is noted hereon, and that only subcontractors and employees who are in compliance with ORS 701.055 will be used on this project. I HAVE READ AND
!CHECKED THIS APPLICATION THOROUGHLY.
MAIL IN
NAME (please print)
8-14-87
SIGNATURE
DATE
\"..':..01 ..01 .1 II. _ ;1. ..::
READ THIS SECTION CAREFULLY. YOUR AUTHORIZATION ~AS BEEN BASED ON THE FOLLOWING CONDITIONS~
. ,,~, I
o PLANNING/ZONING: Zone
Partition #
Parcel #
Parcel Size
Minimum Setbacks: CL, front
CL, side
interior
rear
co~mENTS :
SEPTIC INSPECTION FOR LOAN REVIEW
N (V-S-P E C I A L
PLANNI~a:'~CTIO~_~:~~;RED ~
Installation Record Issued? 0 Yes ~o
o SANITATION:
S. 1. #
B, P. #
Installation Gallon Lineal Feet Maximum Depth
Specifications: Tank of Drainfield of Trenches
COMNENTS: ~J1J- _~-1r~(;;;/;;;;1../,rl)s: ~,~ ~~~;_
0:1 r~~/!~9) !rJ~~ht /JO~:?~!?r~7 ,$:
o PLANS EXAMINATION: Type Group Use ' .
COMNENTS:
Date:
D
e><74) ~ RrJ: rr/rr/7
~ ~RM1T APPROVED BY BUfLDIN~ICIAL/6ESIGNEE (per ORS 456,805(1)) DATE
LANE COUNTY DEPA ENT OF PUBLIC WORKS LAND MANAGEMENT DIVISION, 687-4061,
1 EAST 8TH AVENUE, EUGENE, OREGON 97401
SEE REVERSE FOR INSPECTION INFORMATION,
r.ll.._?'\R~
,.
SETBACKS A~D OT!lER CO~DITIO~S OF APPROVAL MUST BE STRIC~LY OBSERVED. VIOLATIO~ CA~ RESULT IN REVO-
C;"7IO:-J OF THIS PERt-lIT I CIT;"TIO~J UNDSR PROVISIO~S OF LA~E COC:\TY' J INFRACTION ORDI~.':;NCE I A:-JD/OR OTHER
REMEDIES ALLOWED BY LAW,
WHEN RE,~DY FOR I~SPECTIO~, CALC. 687-4065, A ~lINI~lU~l OF AT LEAST 24 HOURS ADVA:~CE ~OTICE FOR INSPEC-
TIO:--J REQCES7S :-iCST BE GIVE~. :-lave the following information ready: permi t number I job address, type
of inspection, when it will be ready, your name and phone number, and any special directions to site.
BUILDING DIVISION:
REQUIRED I~SPECTIONS:
1. Foundation Inspection: To be made after trenches are excavated and forms erected and when all
materials tor the foundation are delivered on the job. ~lhere concrete from a central mixing
plant (commonly termed "transit mixedtl) is to be used, materials need not be on the job.
2. Concrete Slab or Under-?loor Inspection: ~o be made after all in-slab or under-floor building
service e~uipment, condu~t, piping accessories, and other ancillary equipment items are in
place but before any concrete is poured or floor sheathing installed, including the subfloor.
3. Framinq & Insulation Inspections: To be made after the roof, all framing, fire blocking, and
bracing are in ?lace and all pipes, 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, i.nterior
and exterior, ~s in place but before any plastering is applied and beiore 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 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
inspection 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
complete. Installation shall be in accordance with an approved, nationally recognized testing
agency and the manufacturer1s 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. ~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. Swimrninq Pool: Below grade when steel is in place and before concrete is poured. Above grade
when pool-rs-installed.
APPROVED PLANS ~UST BE ON THE JOB SITE AT ALL TI~ES DURING WORKING HOURS, THIS PE~IIT WILL EXPIRE
IF WORK DOES NOT BEGIN WITHIN 180 DAYS, OR IF WORK IS SUSPENDED OR ABANDONED FOR ~ORE THAN 180 DAYS.
SUSPENSION OR REVOCATION ~~Y OCCUR IF THIS PERMIT WAS ISSUED ON THE BASIS OF INCOMPLETE OR ERRONEOUS
INFO~lATION .
ANYONE PROCEEDING PAST THE POIl'T or REQUIRED INSPECTIONS WILL DO SO AT THEIR OWN RISK.
SUBSURFACE AND ALTERNATIVE SEWAGE 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 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; 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 certificate. Failure to
meet the requirements for satisfactory complctlon within a reasonable time constitutes a vio-
lation of ORS 454.605 to 454,745 and this rule.
Setbacks - Subsurface Sewaqc Disposal
From: Interior property lines
Edge of road rlqilt-of-way
Bu~ldinq foundation
wells, other ~ater sources
Septic Tank
10'
10'
5'
50'
Drainfield
10 '
10'
10'
100'
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ACT" 'ITY \\NFORMATIOI"
"--
COMPLETE THIS SECTION. INCOMPLETE FORMS WILL BE REJECTED!
SHEET
· 1
, ,
.. "
1 American Home Savings
PERSONMAKING REQUEST
BOWMAN, Vernon L. & Mary K.
PROPERTY OWNER
P.O. Box 10639
MAILING ADDRESS
232 Allen Avenue
MAILING ADDRESS
Euoene, OR 97440
- C!TV
STATE
ZI P CODE
Springfield, OR 97477
CITY STATE
ZI P CODE
484-6640
BUSINESS TELEPHbNE #
n/a
HOME TELEPHONE #
n/a
BUSINESS TELEPHONE #
747-6809 J
HOME TELEPHONE N I
2 PROPERTY ADDRESS 232 Allen Avenue, Springfield, OR 97477
(IF DIFFERENT FROM MAILING ADDRESS) .
3 MAP & PARCEL NUMaER
(REQU ~~~ ION)
~~ _'"'''''''' 1/ <(r\'
, t~~ :;;'; ,~~" '\ \\J
9 ("CllfP G [1,' !ii1p~ '( TOWNSHIP RANGE SECTION
rtf, Iii' pO', ~ ,-
"l4~ ~j&.,~ \_
AUG 14 1981 ..l~
LAi~,'" 'G ' 1-. TOWNSHIP RANGE SEC1ToN
Di'.jij'iCjl~/LAi~~;-'d 12-
COUNTY ""-
T01iNSHTp RA-NGE SEctION
Gj/llr-,f\\/
TOTAL CONTIGUOUS PROPERTY IN SAME OWNERSHIP:
(from tax maps in Department of Assessment and Taxation
or from tax statement) ,
17 03 23 33~03700
TAX LOT(S) OR PARCEL #
ZONING
\
TAX lOT(S) OR PARCEL #
ZONING
TAX lOT(S) OR PARCEL N
ZONING,
4 SUBDIVISION (if appl icable) Third Addition to McKenzie ManorLOT 13
ACRES
BLOCK 12
5 REQUEST (state exactly what you plan to do)
Please make nonnal septic inspection for
the ,purpose of approving property for FHA mortgage loan
.
6 0 I RECTI ONS TO SITE: Hayden Bridge, westlxmnd, to Manor, turn north, Allen is first
,
I street on right.
** FOR STAFF USE ONLY **
, ,.
ZONE/lAND USE~
14~33
..' .. ,
LANO MANAr,FMF'NT nTlJJ,ro/J I 1'JC; [' o+~, ^"r Lllf'rllr nn n'At" , rn.. A"r.