HomeMy WebLinkAboutPermit Plumbing 1996-10-8
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~ REQUEST
FOR:
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Septic System Installation
r((-I-(c7 500f?{;?? '. pc ~712'C furta{}
I TC1M'lSHJP RANGE seciiCN ". SECTION TP,X'LOT SUBOMSlCN I PARTITION ' LOT I PARGa aLOCK
17 03. 27 .3.3 13,400
LOCATION ADDRESSI Y./7
:H-27 1/2 Anderson Ln., Springfield 97477
STRUCTURES NOW ON PROPERTY
House:
PROPOSED USE SEPTIC NSTALLED
WATER INSTALLED
NO, OF STORIES
NO. OF EMPLOYEES CONSTRUCTION COSTNALUE
Ren- Yes City
OESCRlPTlCN OF PROI'OSEO WORK
Install sewage disposal system.
DIRECTIONS P."srrE FROM NEAREST MAIN MERSECTION
Centennial & Anderson.
NO. OF BEDRC:lCt.1S
APPLICANT NAME & AODRESS
John c. Anderson,
OWNERS NAME & AODRESS
John C. Anderson,
CONTRACTOR IINST ALLEf\I BUILDER NAME
1425 1/2 Andersen Ln., Springfield 97477
1425 1/2 Anderson Ln., Springfield 97477
PHONE..
/26-1592
PHON726_l592
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PHONE
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FEES DUE:
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> MAIL PERMIT TO:
John C. Anderson,
NAME
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I have carefully read BOTH
John C. Anderson
~, P~~NAME
1427 1/2 Anderson Ln., Springfield
97477
sides of this
is true and correct
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LMD 040 Rev. 6/92
CALL FOR INSPECTIONS (SEE BACK OF FORM FOR
SEPTIC permits are good for one year. ALL other permits expire
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VIOLA nONS ..
~, " \___.. '" SETBACKS.AND QTHER CONDmONS OP APPROV AI.. MUST BE SlRICIL Y OBSERVED. VIOLATION CAN RESULT IN REVOCA nON OP nns PERMIT.
~-~:..l-', . . . CITj:IO~S ~~.~ IS~ UNDER 1lffi PROVISIONS OP LANE COUNTY'S INFRACI10N ORDINANCE AND/OR OTHER REMEDIES AlLOWED BY LAW.
Have the followihgiriforrriati~n'i'eady when you call: 687-406S";' .\
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A MINIMUM OF AT LEAST 24 HOURS ADVANCE NOTICE MUST BE GIVEN FOR INSPECTION REQUESTS
Permit number - Job address - Type of inspection required -' Whenit will be ready
Your name and phone number - Any special directions to the site \\ ':: \
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PUBLIC OFFICIAL RIGIITTO TRESPASS ON PRIVATE PROPERTY ORS 215.080 .
POWER TO ENTER UPON LAND. 1lffi COMMISSION, AND ANY OP ITS MEMBERS, OPPlCERS AND EMPLOYES,IN 1lffi ~RMANCE OP 1lffiIRPUNCI10NS,MA Y
ENTER UPON ANY LAND AND MAKE EXAMINATIONS AND SURVEYS AND PLACE AND MAINTAIN 1lffi NECESSARY MONUMENTS AND MARKERS THEREON.
REQUIRED INSPEctIONS
FOUNDATION INSPECTION: To be made after excavations for footings are complete and any required reinforcing steel is in place.:
UNDERGROUND 1'll'lNG INSPECTION: To be made after all underground piping has been installed, prior to any backfill. ,
CONCRETE SLAB OR UNDER-FLOOR INSPECTION: To be made after all in-slab or under-floor bUilaing service equipment, conduit, 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 INSPECTION: To be made after all ducting and gas piping has been installed and prior to being covered.
ROUGH PLUMBING INSPECTION: To be made after all plumbing,rough-in is in place, prior to being covered:, '
FRAMING IN~PECTION: To be made after the all framing, fire blocking, bracing and rocif are in place and all pipes, chimneys and vents are complete
and the rough electrical, plumbing; and mechanical inspections have'l>een made and ..yy.vved. , .
, INSULATION INSPECTION: To be made after all insulation and vapor barriers are in place, prior to covering. ;'
LATH AND/OR GYPSUM BOARD INSPECTION: To be made after all lathing and gypsum board, in~rior and exterior, is in place but before any"
plastering is applied or before gypsum board joints and fasteners are taped and f~hed.
ADDITIONAL INSPECTIONS 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 app.~ o/ed. .
FINAL "MECHANICAL INSPECFION: Toqe made just:prior. ~_ the sirucnu:e or. remOdele-~ area being occupied and prior: to operating any equipment
FINAL PLUMBING INSPECTION: To be made just prior to the building, structure or 'remodeled area being occupied.
FINAL BUILDING INSPECTION: To be madf: after finish grading md the building, structure or remod~led area is completed and ready for occupancy.
MOBILE/MANUFACfURED HOMES: An inspection is required after the mobil~h,omeis conilected to an "yy.,:,./ed 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 foundation requirements for mobile homes or as recommended by the manufacturer.
Minimum fmished floor elevation shall be certified when required by Floodplain Management ,
Tiedowns, if required, shall be installed and ready for inspection within 30 days aft!T occupancy. T~edowns shall. ~e installed P.CI' enclosure.
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APPR'OV AL REQUIRED
No work shall be done on any part of the building or structure ~yondthe point indicated in each successive inspection without first obtaining the
approval.~f<0e.:ouildjng official. Such ..yy.,....al shall be given o~y_aitir:~inspection shall have been made of each successive step in the construction
as mdicatoo DY each of the inspections required. ' '. '-. -
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APPROVED PLANS MUST im ON TIlE JOB SITE AT All' TIMES DURING WORKING HOURS. "
TIllS PERMIT WILL EXPIRE IF WORK DOES NOT BEGIN WlTHIN 180 DAYS. OR IF WORK IS STOPPED OR ABANDONED FOR MORE TIlAN 180 DAYS.
SUSPENSION OR REVOCATION MAY OCCUR IF TIllS PERMIT W A.S ISSUED'ON)'HE BASIS oF. lNCOMPLiITE ORl~RRONEbus INF,ORMA TION.
"',"~NYON,E ,P~O~EE~~~:~AST'TH~'POIN~ OF REQlJIR,ED INSPEc;TIONS ~1I:;!--~0S~),A,T TI;IEI~,O~N RIS~.., \,
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Your sign,atureonthe front of this form verifies the follo'Ying:, I HAVE CAREFULLY EXAMINED\nqscoMPLETED APPLICATI0N, arid.do ,
hereby certify,that all information hereon is true and correct, and'that I have a legal interest in the property 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 property, my registration with the Builders Board is in full force
and effect as required by ORS ~01.0?5,and,that if exempt th~basis for'$e exemption'~ I1o~d),hereon,and thatonly, subcontractors and employees who
are in compliance with ORS 701.005 'will be'used 'oil. the job. ~ " ,... .... ': '; . . , " \ '" '. . " \
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SUBSURFAcE & ALTERNATIVE SEWAGE DISPOSAL SYSTEMS: .' '. , , .. \
When subsurface constru~tion is cof11plete, the permit holder shall n.otifythe County Larid Miinag~m,<<<nt Division by submitting the installation record
form. An il)Spection will be made by a qualified sanitarian. If construction complies ~i~ all rules, a certificate of completiq~,will. be issued,to, the permit
holder. If c~ns~ction does not comply with rules, the permit holder will m; notified, ahdall correctdns shall b~'made before a Certificate of completion
will be i,sS~ed-::~~I~~ to me~t satisfactory completion within,the ~}o~ed ti!ne constitutes a violation of ORS 454.605 to 454.745 and this rule.
--SUBSURFACE-SEWAGE-DISFOSALSETBACKS ' SEPTIC TANK DRAINFIELD I
From: Interior property lines - --ro'~- ---'-;- --10~-
Edge ofroad right-of-way 10' 10'
Building foundation 5' 10'
Wells or other water sources 50' 100'
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Legal Start Date
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ESTIMATE SHEET
SERVICE & PLUMBING CO. PROPOSAL NUMBER
455% River Avenue, Eugene. Oregon 97404
(503) 689-1711
Time
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Nearest .
Cross Street C171\.\-l""Af\...\CA.. \ ./
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/() - 7-90
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Phone ,
7:Jfn - /09 ,?-
Job Name
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Job Address
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,6yr'\ f\qGe (J or 97477
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Drawing (footage and angles)
SEW AGE DISPOSAL
P~~it~PROVEPf'&
DATE 8/, /,
BY .~ ~
ENVIRONME~ L TH SERVICES
125 EAST 8TH AVENUE
EUGENE, OR 97401
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Owner agrees that the X's shown are the hook-up points and that any others that are discovered after
proposal acceptance will be hooked up with additional charges to the owner, This document is
considered part of the signed proposal.
Owners will notify Roto-RooterService & Plumbing CD, of any private utilities priorto digging and take
liability fDr any private utilities that are nDt disclosed prior to digging if damage occurs,
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Make legend
Hook-up Point X
Sprinkler
"Fence - - - - - - .
Proposed
Sewer
Electric ~
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SEWAGE DISPOSAL SITE EVALUATION
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The area described on~.t ched~lot plan dated I 0 ! S/ti> is ~t?(fOt:;:; ~ for a
./;:{:/J)'~ ~.':f~~715K.L. syste.....~ ..1./ .
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ADDITIONAL C~MENTS: !J II ~~'f" ~,~ ??S- ((:Ii-'" P/24rI(jH~
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NOTE:
,f this report approves use of a sand filter or pressurized distribution system, detailed construction design plans
will be required with the installation permit application.
THIS IS A PRELIMINARY REPORT WHICH DOES NOT
ENSURE THE ISSUANCE OF A FUTURE BUILDING
PERMIT. ANY PLANS OR EXPENDITURES MADE IN
RELIANCE UPON THis REPORT ARE AT YOUR OWN
RISK. IF SITE I7tPP~9VED, SEE REVERSE SIDE.
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~ DEQ AUTHORIZED AGENT
Ju/sb~.
" DAT~
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
* *
* WARNING: *
* *
* This Site Evaluation is a technical report to determine if a on-site *
* system will function properly. It does not approve the proposed use of *
* the parcel. This Site Evaluation may be converted to a construction *
: permit only if the parcel and use meet land use regulations in effect at :
* the time of application. YOU ARE URGED TO CONTACT YOUR LOCAL *
* PLANNING OFFICE FOR LAND USE REVIEW. *
* *
* * * * * * * * * * * * * * * * * * * * * * * * * * ~ * * * * * * * * * * * *
LANE COUNTY ENVIRONMENTAL HEALTI4 125 EAST BTH AVENUE, EUGENE, OREGON 97401 (687-4051)
C55-32
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Applicant Prvv6dl5av Date ltf/jLf;/9C: ~:~v./
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SITE EVALUATION FIELD WORKSHEET
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Use
Parcel Size
Water SUpply: Well COllll1llli ty Public
Soil Macrix Color and Mottling (Notation), \Coarse Fragments, Roots,
Depth Texture Structure, Layer Limiting Ef~ective Soil Depth, etc.
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1150 g~ 'Max. Depth Absorption Facility (in)
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In1t1al . /J <U4::- ,,::;'t.5~te!I S1z1llg
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APPLICANT ANDERSON, JOHN
TL# 1703273313400 SUBDIV
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CODE APPL NO ACTION DESCRIPTION
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DEPT ENV MCT RECEIPT "# 328296 DAfE 091296
ADDR 1427 ANDERSON LN., SPRINGFIELD, ORE
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W: 3 LANE COUNTY DEPT ENV MGT RECEIPT . 328296 DATE 09129~-
APPLICANT ANDERSON. JOHN AD DR 1427 ANDERSON LN.. SPRINGFIELD. ORE
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OWNER NME ANDERSON. JOHN AD DR 1427 ANDERSON LN., SPRINGFIELD, ORE
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NAME
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The Lane County Building and Sanitation Division cannot proceed with processing your application because:
1. 0 Incomplete application (items deficient).
o Address and/or directions to application site.
o Proposed number of bedrooms in dwelling.
o Approvable plot.plan (see attachment).
o Notification of date test holes will be ready.
2. 0 Verification of existing system required (see attachment).
3. 0 Two test holes (2'x4'x5' deep) required for expansion or repair of existing sewage disposal
system in the area of the proposed drainfields.
4. ~ Other: ~ /.1. t r-->A /?,Irc,\pj . ~8 7-3 ?-5-/
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OFFICE HOURS ~' PHONE
If no response has been received in rega to this matter by q /30 ~ "
the application will be denied. '/ / '
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LANE COUNTY ENVIRONMENTAL HEALTH SERVICES
Courthouse-Public Service Bldg. /125 E. 8th Ave. / Eugene, OR 97401 / 687-4051
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Pump Selection for Pressurized System
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Prill 'age 5. turn 1Ic5a V9-,
Orifice Sizej o.f2sciltChes
Residuel Held at ust OrificJ 5.l1G Feet
La.....r Length 1!aJ feet
TDt.' Numher of Latel'l!. per Cell j
Orifice Spicing 4 fait
Dil1riblllIlg Valve Model r' of Zanesll
lifno Manif.fd 5, ,Feet
Discharge Assembly Size 1.2S,'inches
Transport Line Siu I~ inches
Pipe Clasa/Schedule 41
Transport lBllflh 2i.oo,leet
Mlnifllld Sire 1.25 inchal
Pipe crlls/Schedule 41
Manifold Length 2U~feet
La1eral Sial 1 inches
Pi pe Clall/SchecMe
Flowmetlr ,inches
Calculatian:
Minimum Row Rllte per Orifice
Number rsf Orifices per lone
Total Actual Flow Rate
Number D' lines per Zona
Totar Dynamic Head:
Lift tD Manifallf
Residual Head at last Orilice
Frictional He. LouIS:
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Head LoSI through Discharge Assembly
Head Loss III Manifold
Head Lass i D iatnk
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Head Loss IbrDugh Flowmet.r None Used
PIIDJECT:Mill.@ RotD Router MI-46146i2ll
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APPLICATION ..~ "3 Z 0 Z - ?' (;;
LOCATION ! L(? 7/L Awv (- te AJ J( /
IC-
HOLD SLIP
NAME
ADDRESS
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The Lane County Building and Sanitation Division cannot proceed with processing your application because:
1. 0 Incomplete application (items deficient).
- '"". ...'., "', . _.// 0 Address and/or directions to application site.
-"(~;:;:;:.'~~ 0 Proposed number of bedrooms in dwelling.
R Approvable plot plan (see attaclllllOIl~ HZc<-(/
o Notification of date test holes will be ready.
2. 0 Verification of existing system required (see attachment).
3. 0 Two test holes (2'x4'x5' deep) required for expansion or repair of existing sewage disposal
system in the area of the proposed drainfields.
4. ~ Other:
C/o6r? ::; /7r-;2c; c:; 6/72f3_A Prf?t-~S();?(7EP
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SIGNATURE
t/14tZ 7(<</
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DATE I I
!f~/- 3?J'7from
PHONE
to
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OFFICE HOURS
If no response has been received in regards to this matter by
the application will be denied.
/2/3'u/Clh
LANE COUNTY ENVIRONMENTAL HEALTH SERVICES
Courthouse-Public Service Bldg. /125 E. 8th Ave. / Eugene, OR 97401 / 687-4051
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REQUEST FOR. JlSSISTANCE
LAND MANAGEMENTDlVISION125..E8TH~1'E:.~EU.C;ENE,OR. 97401
~~""'.'~..'
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-
Your Name I
/~:<. 7i
Your Address
C:'II). .
City - ?: /
Please complete aI/lines Inside white boxes, if possible
JOh)/) r? A J/lJer.soVJ q- /;1. - 9' h
Date
(91/) 726 -/5'1L
.......Pholie
97~V
,4'7d erSf7.n L n
Owner of Parcel (if not same as above)
PhDne
Exlsflng Bulldlngs 01' 1m-
prove~ on the Propel'fy
House
Barn
Garage
Mobile Home
Shed
SEPTIC INSTALLED?
KVes
No
Water District
(?re
Zip
Owner Address (if not same as above)
Zip
Installer I Builder I Contractor
CCB Ucense #
(lzr'7'
Phone
Request for:
Directions to site from
nearest main Intersection
~ej// /en ; tl. J
cf- AJl/d~~o VI
MAP, PARCEL NUMBER
(Found on tax mapa In tIw Aueeament. TuatJon Dept)
.-3J . ~~.
Townahlp Range Section 1/4 Section
/ 7-tJ .5 - Z7,.5>..3
'fownaNp Range SeclIon 1/4 _on
.- in" ro
, ii! j
Tn lot
/..s; Vt? d
Ta. lot
Townahlp Range . sec:uon 1/4 SlIc1Ion ---Yn Lot
Site Address /
/-?L~ 7 /'2/
Anderson
f.n
SW/),. uJ(
/ I /
97 '177
ZlD
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AllowedU.. Ye. ::J No D'.. .
For Mobile
Placement
Brand
Vear
Size
9 7 .J/ 71 No. of Bedrms /
................................................................................Li..........r........;r................\........./..)....)?.... ~~se# ~N~aYS~
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. Parfltlo"../.'sulJdhfISIOH .......................~......IJ,!~c:!................
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in
Mail Permit 7b:
J;;h 11 C I An/..e rSt)Y1 y
Name /4-2-7 /./"2- L1nrlpr_~n
AddI1lS-I> r I '" {]fL> / ~ /J
CIty I l
StaffE"aluafic:in.
Comments'/Follow-Up
LMD staff can NOT be held
responsible for evaluations or
recommendations based on
false, Inaccurate or Incom-
plete Information.
...
LCPW 149
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. DATE