HomeMy WebLinkAboutPermit Septic Tank 1989-9-27
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SEPTIC INSPECTION FOR LOAN REVIEW
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I TOWNSHIP RANGE SECTION
17 03 23
LOCATION ADDRESS
455 Cambrid~e
STRUCTURES NOW ON PROPERTY
11. SECTION
34
TAX LOT
2700
Sprinqfield, OR 97477-1420
SUBDIVISION I PARTITION
LOT I PARCEL BLOCK
SFD
PROPOSED USE, RESIDENTIAL COMMERQAL INDUSTRIAL PUBUC
NO, Of' STORIES
NO, Of' BEDROOMS
NO, Of' EMPLOYEES, CONSTRUCTION COSTNALUE
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DESCRIPTION Of' PROPOSED WORK
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SEPTIC INSTALLED
WATER INSTALLED
SEPTIC INSPECTION FOR LOAN REVIEW
DIRECTIONS TO BITE FROM COURTHOUSE
Havden Bridae to 5th 'st.: left Cambridae; le{t middle of block on left.
APPUCANT NAIIE . ADDRESS
Dorothv Johnson
OWNERS NAME-a. ADDRESS
Thomas Zuvich
CONTRACTOR NAME
252 W. 7th, Euaene. OR
32274 Arne Lane, CottaqeGrove
.. ' OSR UCENSE , ,
PHONE
485-5951
PHON E
942-8707
PHONE
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CALL FOR INSPECTIONS (SEE BACK OF FORiIft _ OR INSTRUCTIONS) 687.4065
:.. SEPTIC permits are good for one year. ALL other permits expire after 180 days unless inspections are
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FEES DUE:
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252 W.
7th St. I
'C' Iii? Itt f:rlfOVs
tU~f: _F..ef-f ],;31....., OR
97401',
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current.
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C74-213
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, VIOLA TIONS,if,,~,
SBTBACKS AND OTHER _u"~" .ONS OF APPROVAL MUST DB STRICTI- Y ODSBRVBD. VIOLATION CAN'~ TIN RBVOCATlON OFnnS PBRMIT.
CITATIONS MAYBE ISSUBD UNDBR nIB PROVISIONS OF LANE COUNTY'S INFRAcnON ORDINANCB AND/OR OTHER RBMBDIBS AlLOWBD BY LAW.
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A MINIMUM OF AT LEAST 24 HOURS ADVANCE NOTICE MUST BE GIVEN FOR INSPECTION REQUESTS
. Have the following information ready when you call: 687-4065
Permit number - Job address '- Type of inspection required When it will be ready
Your name and phone number - Any special directions to the site
PUBLIC OFFICIAL RIGIIT TO TRESPASS ON PRIVATE PROPERTY ORS 215.080
POWBR TO IlN1llR UPON LAND. nIB COMMISSION, AND ANY OF ITS MBMBBRS, OPPlCBRS AND BMPLOYBS, IN nIB PBRPORMANCB OP nIBlR PUNcnONS, MAY
IlN1llR UPON ANY LAND AND MAKB BXAMINATIONS AND SURVBYS AND PLACB AND MAINTAIN nIB NBCBSSARY MONUMBNTS AND MARKBRS TIIBRIlON,
REQUIRED INSPECTIONS
FOUNDATION INSPECTION: To be made after excavations for footings are complete and any required reinforcing steel is in place.
UNDERGROUND t'll'll~G 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 building 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 INSPECTION: To be made after the all framing, fire blocking, bracing and roof are in place and all pipes, chimneys and vents are complete
and the rough electrical, plumbing, and mechanical inspections have been made and "'l'l'hIVed.
lNSULATION INSPECTION: To be made after all insulation and vapor barriers are in place, prior to covering.
LATH AND/OR GYPSUM BOARD lNSPECTION: To be made after all lathing and gypsum board, interior and exterior. is in place but before any
plastering is applied or before gypsum board joints and fasteners are taped and fInished.
ADDITIONAL INSPECTIONS MAY BE REQUIRED, such as but not limited to; , ,
BLOCK WALL: To be made after reinforcing is in place, but before ~y 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 approved.
FINAL MECHANICAL INSPECTION: To be made just prior to the structure or remodeled area being occupied and prior to operating any equipment
FlNAL PLUMBlNG lNSPECTION: To be made just prior to the building, structure or remodeled area being occupied. .
FINAL BUILDING INSPECTION: To be made after finish grading and the building, structure orremodeled area is completed and ready for occupancy.
MOBILE/MANUFACfURED HOMES: An inspection is required after the mobile home is connected to an ;"l'l'.uved 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 finished floor elevation shall be certified when required by Floodplain Management
Tiedowns, if required. shall be installed and ready for inspection within 30 days after occupancy. Tiedowns shall be installed per enclosure.
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 "'l'l'.uval 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.
APPROVED PLANS MUST BE ON TIlE JOB SITE AT ALL TIMES DURING WORKING HOURS.
THIS PERMIT WILL EXPIRE IF WORK DOES NOT BEGIN WITHIN 180 DAYS, OR IF,WORK IS STOPPED OR ABANDONED FOR MORE TIlAN 180 DAYS.
SUSPENSION OR REVOCA nON MAY OCCUR IF ,TIllS PERMIT WAS r,sSUED ON THE BASIS OF INCOMPLETE OR ERRONEOUS INFORMA nON,
ANYONE PROCEEDING P ASTTHE POINT OF REQUIRED INSPECTIONS WILL DO SO AT THEIR OWN RISK.
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Your signature on the front of this form verifies the followirlg: I HA VE CAREFULLY EXAMINED THIS COMPLETED APPUCATION, and 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 701.055, and that if exempt the basis for the exemption is noted hereon, and that only subcontractors and employees who
are in compliance with ORS 701.005 will be used on the job.
SUBSURFACE & ALTERNATIVE SEW AGE DISPOSAL SYSTEMS:
When subsurface construction is complete, the permit holder shall notify the County Land Management Division by submitting the installation record
form. An inspection will be made by a qualified sanitarian. If construction complies with all rules a certificate of completion will be issued to the pennit
holder. If construction does not comply with rules, the permit holder will be notified, and all corrections shall be made before a certificate of completion
will be issued. Failure to meet satisfactory completion within the allotted time constitutes a violation of ORS 454.605 to 454.745 and this rule.
SUBSURFACE SEWAGE DISPOSAL SETBACKS SEPTIC TANK
From: Interior property lines 10'
Edge of road right-of-way 10'
Building foundation 5'
Wells or other water sources 50'
DRAINFIELD
10'
10'
10'
100'
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OWNER OF PROPERTY (if not same as above)
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OWNERS ADDRESS (if not same as above) I
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PHONE
ExIsting BUl1dlngs or
Improvements on
Property
..e:::JHouse
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SEPTIC INSTALLED
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c:J No
Water District
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ZIP
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License ..
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MAP, PARCEL NUMBER
(Found on tax maps in the Assessment & Taxation DepL)
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xDirections to site
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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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DOF:CI'fHY
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DEPT E::NV MGTRE::CE::IPT ~ 271389
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