HomeMy WebLinkAboutPermit Septic Tank 1989-8-1
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Lane County Authorization for:
FOR OFFICE USE ONLY
SEPTIC INSPECTION FOR LOAN REVTEW
Appl~ca tion~A ...., J J 179
Perm1t # ~~~-~ .
r -'
TOWNSHIP
17
03
23
3.4
. TAX LOT. OOUT OF
7800
RANGE
SECTION
SJBDIVISION/PARTITION (if ~pplicable)
LOT/PARCEL
BLOCK
PROPOSED USE OF PROPERTY
~ Residential D Industrial
o Conunercial D Public.
LOCATION ADDRESS
STREET
CITY
ZIP
378 Blackstone St.
STRUCTURES CURRENTLY ON PROPERTY
Sprinafield, QR
97477-1456
SFD
."DlRECT-ICfNS TO SITE
Hriynpn Rrinrrp WriY~ lpf~ on ~~n ~o Rl~r~s~onp
uESCRIPTION OF PROPOSED WORK - BE SPECIFIC
Septic Inspection.for Loan Review
;; OF BEDROOMS it OF STORIES # OF E~lPLo.YF.ES
DECLARED $ VALUE
\vATER SUPPLY
o Proposed
n Existing
TELEPHONE NUMBER
o;mER'S NAME AND ADDRESS
Richard & Kathie COPSey
CONTRACTOR'S NAME AND OSR #
(site addr)
746-1907, n_"
TELEPHONE NUMBER
PERl-lIT TO BE MAILED TO (NAME AND ADDRESS)
~0~!iori7"
), J..4..? wtll i1<!j. 1.. J ~~1)i p t.7
]31HlPne. <{R 97401":2142
" ',-' TELEPHONE NUMBER.
.. 484-9815
I HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION !"'OR PERMIT, and do hereby ce ttify that all information hereon is true and correct, and that I
have the following legal interest- in th'e pr~perty: Dow~er of record; 0 contract., purcha"ser; 5{lauthorized ag~nt.
I f~rther 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
pertaining to the work described herein, and that NO OCCUPANCY..will be made of any structure wi thout the permission of the ,Building Division. I fur-
ther certify that registration with the Builder's Board is"in full force and effect as required 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.
Rosalind R.
Hora
:R~~ ~~.
1- d:f -f'q
NAME (please print)
SIGNATURE
DATE
READ THIS SECTION.CAREFULLY. YOUR AUTHORIZATION ,~AS BEEN BASED .ON THE FOLLOWING CONDITIONS!
0 PLANNING/ZONING: Zone Partition #
C C' side
Minimum Setbacks: L, front L,
COMHENTS: NO SPECIAL PLANNING ACTION
0 SANITATION: S. 1. #' B. P. #
Parcel #
Parcel Size
interior
rear
REQUIRED
'7 );75/'X/ ~
, / /
Installation Record IS~ued? D 'lei 0 No
Maximum Depth
. of Trenches
~~~~~: .'
IJ, .- L
. Date: 9'-I-Pf ~ ~ ~ '
Date:
COMl-IENTS:
o.f~u
o PLANS EXAMINATION:
Installation
Specifications:
,;1.1. 0/ p~) . X~.~ -S-,{?S
~.J " (J .-
Gallon
Tank
Lineal Feet
of Drainfield
~~~
Type
Group
Use
COMl>1ENTS:
Date:
D
'\
~It) #~~____. ~/-f?
~~-1~APPROVED BY BU~;~G~~. IAL/DESIGNEE (per ORS 456.~05(l)) ~ -DATE
LANE COUNTY DEPA . NT OF PUBLIC WORKS LAND MANAGEMENT DIVISION, 687-4061,
1 5 EAST 8TH AVENUE, EUGENE, OREGON 97401
SEE REVERSE FOR INSPECTION INFORMATION
C 14-25 RB4-
..
SETBr,CKS A~D OTHER CO::DITIO::S OF APPRO'/AL ~lUST BE STRICTLY OBSERVED. VIOLATIO~ CA~ RESULT IN REVO-
CATION OF THIS PER~IIT, CITATIO:: V~::JER PROVISIONS OF LA~E C:OV~TY' 5 INFRACTIO~ ORDI~A~CE, A~D/OR OTHER
REelEDIES ALLOWED BY LAW.
WHEN RE.;OY FOR I~SPECTION, CALL 687-4065. A m~nlU~l OF AT LEAST 24 HOVRS ADVA::CE ~OTICE FOR INSPEC-
TIO:-J HEQL:ESTS :-iL:ST BE GIVE~. Ha'/e the following inform3.tion ready: rermi t number, job address, type
of inspection, when it w111 be ready, your name and phone number, and any s?ccial directions to site.
BUILDING DIVISION:
REQUIRED I~SPECTIONS:
1. Foundation Inspection: 70 be maue after trenches are excavated and forms erected and when all
materials tor the foundation are delivered on the job. Where 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-?Icor Inspection: To be made after all in-slab or under-floor building
service equipment, condu~t, pIPlng 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 ~n ~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, interior
and eXECrior, ~s ~n place but betore 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. ~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 mad~ 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. ~obile 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. SWlmm~nq 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 TIMES DURING WORKING HOURS. THIS PE~~IT WILL EXPIRE
IF WORK DOES ~OT BEGIN WITHIN 180 DAYS, OR IF WORK IS SUSPENDED OR ABANDONED FOR MORE THAN 180 DAYS.
SUSPENSION OR REVOCATION :1AY OCCUR IF THIS PERMIT WAS ISSUED DN THE BASIS OF INCOMPLETE OR ERRONEOUS
INFORMATION.
ANYONE PROCEEDING PAST THE POI:lT or REQUIRED INSPECTIONS WILL DO SO AT THEIR OWN RISK.
SUBSURFACE AND ALTER~ATIVE 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 ~hall issue a certificate of satisfactory completion to the permit, holder.
If the construction docs not comply with such rules, the Department shall notify the permit
holder and shall requlre satisfactory completion before issuing the certificate. Foilure to
meet the requirements for satisfactory completion w~thin a reasonable time constitutes a vio-
lation of ORS 454.605 to 454.745 and this rule.
Setbacks - Subsurface Sewage D~sposal
From: Interior property lines
Edge of road rlqht-o[-way
BUlldinq foundation
wells. other water sources
Septic Tank
10 .
10'
5'
50'
Drainfield
10'
10 .
10'
100'
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OWNER Of PROPERTY (if ~e as above) - \. 1/
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OWNERS" AOORESS (if not ..me as above)
if possible.
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ZIP
Existing Buildings or
Improvements on
Property
~ House
c::J Barn -
c::J Garage
c::J Mobile. Home
c::J Shed-
SEPTIC INSTALLED
...Il!!S..IYes
c::J No
Water District
7C//t')-/9D7
l-Ho~k
97 '17 /
ZIP
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Township Range Section 1/4 Section Tax Lot
Township Hange ~ecllon 1/4 secllOn lax Lot
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SITE ADDRESS r::J
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land Management Div. staff can
not be held responsible for
evaluations or recommendations
based on false. Inaccurate or
Incomplete Information
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W: 5 LANE COUNTY DEPT ENV MGT RECEIPT ~ 202489 DATE 072589
APPLICANT HORA, ROZ ADDR t142 WILLA~ILLESPIE ~7 , EUGENE
n..:ll: 17032:.33407800 -SUBD I V ' '! LOT I'H..K
NEW BLDG TYPE USE R BDRMS 0 UNITS 00t STORIES ~BLDGS 001 PHONE 484 981$::
OWNER NME COPSEY, RICHARD & ~ATHIE ADDR :.378 BLACKSTONE.ST., SPRINGFIELD :
CODE APPL NO ACTION DESCRIPTION SQ FT UNIT COST VALUATION FEE DAY3
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