HomeMy WebLinkAboutPermit Building 1986-8-14
SEPTIC DISPOSAL SYSTEM INSPECTION FOR LN REVI~
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Lane COU1(n~.AJu.'1fuGJSil21 a tion
l\JWNSHIP RANGE /'J ?, SECTIO~t? / / T~ ~U' PROPOSED USE OF PROPERTY
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SJBDIVISION/ RTITION (if applicable) I LOT/PARCEL I BLOCK ~ ' ,
I ".' . ___.' ' 0 Conunercial 0 Public
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;~,RES, CURRENTLY/ON, PROP,EE7R " , ~~) ,/" , '
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If.:SCRIPTION OF PROPOSED WORK -S~~;~EtFI~;PECTION FOR LN. r -, ~ - I DECLARED S VALUE
; OF BEDROOMS -:;;?' # OF 5J!Jl-W./1 # OF })J]P::;y.s# \-IATER SUPPLY./~/~, / ;? 0 pr<;>po7ed
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I HAVE CAREFULLY EXAMINED THE COMPLETED APPLIC T FOR PERMIT, and ,10 hereby cettlfy that all infonnation hereon is true and correct, and that I
3.ve the following legal interest in the property. er of record; ,0 contract. purchaser;'Oauthorized agent.
Lcrther certify that any and ali work performed shall be ne in accordance wi th the Ordinance~ of Lane County and the Laws of the State of Oregon
=rtaining to the work described herein, and ~ha~ NO OCCUPANCY will be made of arlj' st.ructure without the permission of the Building Division. I fur-
~er certify that registration with the Builder's Board'" is in"Jull for;;e and effect. as ;-~qu.A.;r.ed by ORS,701.055, that if "exempt the basis for exemption
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Parcel #
CONDITIONS!. ~ J~~
Parcel s~ev ./~
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READ THIS SECTION ,CAREFULLY. _~O~ ~THOR,IZATION
o PLANNING/ZONING: Zone /V / R:f1 Partition #
,C /
Minimum Setbacks: L, front
,;JAS BEEN BASED ,ON, THE FOLLOWING
C~, side
interior
rear
COMHENTS:
FOR LN. REVIEW PURPOSES ONLY.
NO SPECIAL PLANNING ACTION 'iEOLJTRFn
, . Date:, C- C -;:re:
E-,
Al:ANITATION: Sol. #
~stallation Gallon'
Specifications: Tank
COMt-IENTS: ~ ~ S\~S',
cd-~~I {I-
B, Po' #
Instali~tion Record Issued:? DYes D No
,Lineal Feet Maximum Depth "
~Of;;:- M- ~:f~:O"~_
j I . . ~ate:' pPrCf-1t # q~:l
. ........
o PLANS EXAMINATION: Type
Group
Use
COMt-1ENTS:
Date:
n
AiJ, ~ Rs~ y-{{~~
~ ~IT APPROVED BY BUI~OFFICIAL/DESIGNEE (oer ORS 456,805(1)) DATE
, LANE COUNTY DU~r:lTMENT OF PUBLIC WORKS LAND MANAGEMENT DIVISION, 687-4061,
125 EAST 8TH AVENUE, EUGENE, OREGON 97401
SF.F. RF.VERSE FOR INSPECTION INFORMATION
r. , l.o.., ? c; R~
SETBACKS A~D OTHER CO~DITIO~S OF APPROVAL MUST BE STRICTLY OBSERVED, VIOLATIO~ CA~ RESULT IN REVO,
CA:'IO;J OF THIS PEm"tIT, CITATIO~J UNDER PROVISIO;-.JS OF LANE COU:\TY '.s INFRACTION ORDI~.;;~CE I AND/OR OTHER
RENEDIES ALLOWED BY LAW,
I>HEN READY FOR I~SPECTION, CALL 687,4065. A ~lINU1U~1 OF AT LEAST 24 HOURS ADVAr~CE NOTICE FOR INSPEC,
flO~ RtQCESTS ~lUST BE GIVEN. Have the following information ready: permit number, 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 for the foundation are delivered on the job. Ivhere concrete from a central mixing
plant (commonly termed "transit mixedll) 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
servi=e equipment, condult, piping accessories, and other ancillary equipment items are in
place but before any concrete is poured or floor sheathing installed, including the subfloor.
3. Framing & Insulation Inspections: To be made after the roof, all framing, fire blocking, and
bracing are in place 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. La th and/or Gypsum Board Inspection: To be made af ter all la thing and gypsum board, ;.nterior
and exterior, is in place but before any plastering is applied and before 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. 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.
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 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,
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. Mobile home tiedowns, when required, and skirting shall be installed and ready for insoec-
tion within at least 30 days after occupancy. Tiedowns and skirting shall be installed
per enclosure.
D. Swimming Pool: Below grade when steel is in place and before concrete is poured. Above grade
when 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 HORE THAN 180 DAYS.
SUSPENSION OR REVOCATION ;1AY OCCUR IF THIS PERMIT WAS ISSUED ON THE BASIS OF INCOMPLETE OR ERRONEOUS
INFORMATION.
ANYONE PROCEEDING PAST THE POINT or REQUIRED INSPECTIONS WILL DO SO AT THEIR OWN RISK.
SUBSURFACE AND ALTERNATIVE SE\;AGE DISPOSAL SYSTEHS:
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 permitj 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~te. Fuilure to
meet the requirements for satisfactory completion WIthin a reasonable time constitutes a vio-
lation of ORS 454.605 to 454,745 anu this rule.
Setbacks - Subsurface Sewaqe Disposal
From: Interior prope~ty lines
Edge of road rl~ht-of-way
Building foundation
~ells, other water sources
Septic Tank
10 '
10'
5'
50'
Drainfield
10'
10'
10 '
100'
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APF:=t...:[(:;AN'Y' W!'~El~I._I~1 BE:I:~'T'I:~AM ' ADI)R 1220 ANDE!:~S(:}N I._NA: Sf~f~IN(;f:':[E~t..X)J (:l!~E~(;f'~
1'L.~: 17032~:~4002f~03 Sl.JBDIV. - f... ()'[ Bl_r<
NEW Bt..D(; 'T'YI:)t~~ 'l.JSE~ I~ PDRMS 0 lJNI'Y'S. 001 s'r()j~]:ES :~:Bt..I)(;S 001 F:I.1(JNE: 4E~4 84A0~~1
OWNER NME WHEELR, BERTRAM ADDR 1220 ANDERSON,LN., SPRINGFIELD, OREGn~
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COMPLETE THIS SECTION. INCOMPLETE FORMS WILL BE REJECTED! , I ~
.. ...On" _.. '" ...
rl-.'Ii~,-~~.~. ;~~~~;;;~LE~ BERTRltM TA M&S W#'EGa~
~ """'-. PERSON MAKING REQUEST . PROPERTY OWNER
, /220 AIVQE I2S0N LA/. 17....;2.0 AAI:PE~o/ll J.-.#,
MAILING ADDRESS MAILING ADDRESS
OIL q 7 </77 5 p", J\Jq He L d 0 fL 9747 "7
STATE ZIP CODE CITY , STATE ZIP CODE
ACT.. ~'ITY INFORMATIO~'<SHEET
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sp",; Ytq.{="'~Ld
CITY
.l/84-g(/ L/ 0
,BUSINESS TELEPHONE #
7L.f7-1l..J ,L/ z... .
HOME TELEPHONE .#
1/84-'64<10 7~7-1'-/1.}Z-
BUSINESS TELEPHONE # HOME TELEPHONE # I
;
l 2 PROPERTY ADDRESS
, (IF DIFFERENT FROM MAILING ADDRESS)
3 MAP & PARCEL NUMBER
(REQUIRED INFORMATION)
(from tax maps in Department of Assessment and Taxation
or from tax statement) .
. ~
--.lJ 0 3 :l. ~ '10 ;;t 8' 0 ~
TOWNSHIP RANGE SECTION TAX LOT(S)OR PARCEL #
ZONING
TOWNSHIP RANGE SECTION
TAX LOT(S) OR PARCEL #
ZONING
TOWNSHIP RANGE SECTION
TAX LOT(S) OR PARCEL #
ZONING
TOTAL CONTIGUOUS PROPERTY IN SAME OWNERSHIP:
i 4 SUBDIVISION (if applicable)
LOT
ACRES
BLOCK
,
: 5 REQUEST (state exactly what you plan to do)Cke..e-1(, ~'St>~TI c.. TA>J K Fa R.. )...00...'-'"\
ee. ~I '-v, Q""Y\ C ("';
j 6 DI RECTIONS TO SITE: fAST
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** FOR STAFF USE ONLY **
.,
ZONE/LAND USE:
14-33
LAND MANAGEMENT DIVISION / 125 E. 8th AVE.. EUGENE, OR 97401 / 687-4061'
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