HomeMy WebLinkAboutPermit Septic Tank 1987-6-16
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SECT27, 3, {}- I T..LO; 5' t;JOOT OF
J I.OT/PA'RCE~ I BLOCK
RANGE
03
S~BDIVISION/PARTITION tif applicable)
LOCATION ADDRESS STREET
1411 W Quinalt St., Springfield
CITY
~URAL ADDRESSI:,~ ';
CHECKED JUI~ 1 i
FOR OFFICE USE ONLY
~~~~~~a~ionl I r? 1';7
PRO?OSED USE OF PROPERTY
18I Residential D Industrial
o Cotrunercial 0 Public.
ZIP
STRUCTURES CURRENTLY ON PROPERTY
SFD
~lHLCTIONS TO ~lTE
Eastbound on Centennial Blvd., turn L at Aspen St. - turn R at Tamarack St. - L at W. Quinalt
~~SCRIPTION OF PROPOSED WORK - BE SPECIFIC
SEPTIC INSPECTION FOR LOAN REVIEW
I It OF EMPLOYEeS
= OF BEDROOMS I ~ OF STORIES
O;,'NER' 5 NAME AND ADDRESS
SCHAREN, Jeff & Alwien
WATER SUPPLY
site
CQNTRACTOR'S NAME AND OSR It
P:';RNIT TO BE MAILED TO (NAME AND ADDRESS)
DECLARED ~ VALUE
o pr~po~ed
ft<l. EXl.stl.ng
TELJP~gN13~~ER
TELEPHONE NUMBER
TELEPHONE NUMBER
I HAVE: CAREFULLY EXAMINED THE COMPLETED APPLICATION ~'OR PERMIT, <Il,d ,10 hcret>y c:or-t.i.fy t;hllt all infonnation hereon iB true and correct, and that I
have the following legal interest in the property, Downer of record; 0 contrdG~ plU:chaser; Dauthorized agent.
I f:;.rthor certify that any and all work performed shall be done in accotdanctl wi th thtol Ordlnnnct!ll of Lanl! County and tho Laws of the Stato of Orngon
pertaining to the work described herein, and that NO OCCUPANCY will bL' made of ar,y structure without the pcnnisoion of the Building Division. I fur-
ther certify that registration with the Builder's Board is in full force ..md effect dS required by ORS 701.055, that if exempt the ba9h for exemption
is noted hereon, and that only subcontractors and clIIployces who are in compliance with ORS 701.055 will be used on this project. 1 HAVE READ AND
CHECKED THIS APPLICATION THOROUGHLY.
Jeff Scharen
" () -f/-. '()\~"--
~& . /. SIGNATURE
NAME tplease print)
6-10-87
DATE
~ PLANNING/ZONING:
Zone
Partition It
Parcel If
READ THIS SECTION CAREFULLY. YOUR AUTHORIZATION ~AS BEEN BASED ON THE FOLLOWING CONDITIONS!
Parcel Si;tc
Minimum Setbacks:
C
L. front
CL. side
interior
PI ANNTNr.: ArTT(\"
Date:
6-10-87
CO,,"ENTS, SEPTIC INSPECTION FOR LO!llLRFVTFW--NO SPFr.IAI
rear
DcnllTocn
\
~2f
Gallon
Tank
/~
~_o" rr
Installation Record Issued? DYes 0 No
Lineal Feet Maximum Depth
of Dr"infield..- , __ ti!f:7tOf ~renches --,-~
h ~f2A1VI /Lb ~ .4.<VA.4I1
/ Oa ., 10 ~/(" ~7 I}..
o SANITATION:
S. 1. .,
B. P. II
Ins talla tion
Specifications:
CQM1-1ENTS: ~/
(1 rI- -:f1J~
o PLANS EXAMINATION:
, _~ D. ~
Type
Groun
Us.
eOl-mENTS :
Datc:
n
C><7 ~ 0 -/(, -?7
PERM~OVED BY BOILDING OFFlp1~/DESIGNEE (eer ORS 456.805(1)) DATE
LANE COUNTY DEPARTMOO OF PUBLIC WORKS LAND MANAGEMENT DIVISION, 687-4061,
125 EAST 8TH AVENUE, EUGENE, OREGON 97401
SEE REVERSE FOR LNSPECTLON LNFORMATLON Cl~_?~R~
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SETBACKS AND OTlIER CO~DITIO~S or APPROVAL ~lUST BE STRICTLY OBSERVED. VIOLATIO:-< CA~ RESULT IN REVO-
CA:'IOX or T!lIS PER~IIT, CITATIO~J UNDER PROVISIONS OF LAl'E COU~;TY''::; INfRACTION ORDr~;ANCE, AND/OR OTHER
REMEDIES ALLOWED BY LAW.
IoOHEN READY FOR INSPECTIOi'<, CALL 687-4065. A mNHIU:'1 OF AT LEAST 24 !lOURS ADV,\I:CE NOTICE FOR INSPEC-
TION K~Q~LSTS ~U~T BL GIVEN. Have tne lollowing information ready: rermit number, job address, type
of inspection, when it will be ready, your name and phor.c number, and any special circctions to site.
:i
BUILDING DIVISION:
REQUIRED INSPECTIONS:
1. Foundation Inspection: To be made after trenches are excavated and forms erected and when all
mater13ls lor the toundation are delivered on the job. Where concrete from a central mixing
plant (co~onlY termed "transit mixed") 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
serVl~e equIpment, condult, plplng accessories, and other ancillary equipment items are in
place but:;,beiore 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
nraclng are 1n place ana all plpes, fireplaces, chimneys, and vents are complete and all rough
electrica~ and plumbing are approved. All wall insulation and vapor barrier are in place.
4. Lath and/or Gvpsum Board Inspection: To be made arter all lathing and gypsum board, l.nterior
~e^terror, lS In-pIaCe but before any plastering is applied and beiore gypsum board joints
and fasteners are taped and finished.
5. Final Insoection: 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 buil~ing 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 Sto~e: To be mada after completion of masonry (if applicable) and when installation is
compl~ 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
scwer-orseptic 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. }wbilc 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.
O. SWlmmln9 Pool: Below grade when steel is in place and before concrete is poured. Above grade
wnen pool~lnstalled.
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 ~\ORE THAN 180 DAYS.
SUSPENSION OR REVOCATION ~~Y OCCUR IF THIS PE&~IT WAS ISSUED ON THE BASIS OF INCOMPLETE OR ERRONEOUS
INFORMATION.
ANYONE PROCEEDING PAST THE POIln or REQUIRED INSPECTIONS WILL DO SO AT THEIR OWN RISK.
SUBSURFACE ~ ALTERNATIVE ~ 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 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, ~older.
If the construction docs 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 completion within a reasonable time constitutes a vio-
lation of ORS 454.605 to 454.745 and this rule.
Setbacks - Subsurface
F:-o::l:
Interior property lines
Ed9c of ro~d rlqht-of-way
Bui.lding foundat.ion
Wells, other water sources
5r:lwaqc Oi sposa 1
SePtic ~
10'
10'
5'
SO'
Drainficld
10'
10'
10'
100'
,~
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ACTIVITY INFORMATION SHEET
EMD,.:
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-_a
ane ~
I ounty
-
Please complete all Items above dolled line
FILLING OUT * LINES WILL GET YOU INFORMATION ONLY
*DATE CO 1--1JL1 fr?
* ~~~~ -r-- (\{) l' } ~m;~~~TY "'\" f) () A I. s I
REQUEST ,,) G."t\- ~/...,Qrp~ OWNER -....J Q"i-\ c:j- W, (;>", <:"''''0../".,,,,
ADDRESS \ -4/1 Lt). Q ,..< ) ~,., (-J. ADoREss--H11 Cd. Q ",J..", ~ I-/.
CtTY ~ f' 1" ; ':J,g ; ~L.f STATe(')R l1P9?1 ?? CITY~:::J~ ,-eJ J STATE 0 R ltP CJ? 4 ??
TELEPHONE (BUS) (HOMEI '/-1- 10- (3 9B (,. TELEPHONE (BUSI (HOME) '?-4 (" - B 9 R C,
*PROPERTY ADDRESS 1-411 ttJ, ()IJ:"...I-i- ~f'''''~~'i't)",1J (JR
OR - -l ---J oJ
MAP & P,ARCEL NUMBER (Found on lax maps in the Assessment & Taxation Dept.)
STAFF WILL DETERMINE_
17
Township
n3
Renge
2..?
Section
~ 2.
Tax Lot
Zoned
Flood Plain
Township
Renge
Section
Tax Lot
Zoned
Flood Plain
Township
Range
Section
Tax Lot
Zoned
Flood Plein
TOTAL CONTIGUOUS PROPERTY IN SAME OWNERSHIP:
ACRES
*REQUEST(descrlbe what you want to do) '""[I......, '^~c-J:no: a -S,o.1;lJ..:r i.o..!,..k-
In.s?""rli"'Lk ~~:.~~,,-...so ..\.LCL-\.. I CCl.~ ..se.ll''':.J hC~~<9.
Directions to site (S>a..<:.!LO~M'J. l')h Cf>A-honn.'al ElveR.. .{ur" IQ-W a..{.
~~.c~ ~-J,.--, ~('..... .....:sLi- =-1- \'o.lnC\/'o..l'k .s-k oJ "l-~/'" lo.{2-j.. a{
CJt:u-4- ~u ,'....,., /-i -S1..
....................S~ff Use On~....................
Comments:
,
Land Management Division, Public Works Department 125 E. 8th Ave., Eugene, OR 97401 phone 687-4061
I ADDRSsS: H11 w. QUI.NAnl CITY: S?p.INGnEJ..\) I JEFf SCHAREN
, .
I SCALE: ~2.":1' I P 1.... 0 T \=)L AN
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