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Home My WebLink AboutPermit Septic Tank 1994-8-16 " . ... , REQUEST FOR: '~~b3 -7'Y REPAIR EXISTING SEPTIC SYSTEM \ ~ lUM'ISKP 17 RN<<>E02 SECTlCN 36 :.~ECrr;H '1101 SLllOMSlCNIP~ LOT/PARCEL llLOCK lOCATIUIIAuOt-lESS 490 S. 79TH ST., SPRINGFIELD, OREGON 97478 STRUCTURES NOW ON PROPERTY EXISTING SINGLE FAMILY DWELLING, GARAGE AND SHED ~USE SEPTICNSTAUS) WAlEHNSTAU.ED 00. OF STORES NO.OFQlPLOYEES CONSll'IUCTICNCOSTNALUE RES. CKTY ~OFPR:lPOSEDw:lfI'; REPAIR EXISTING SEPTIC SYSTEM 'FRCM'SPRINGFI"'ELOMOO'M'CKENZIE HWY.. TO S. 79TH ST.. TO SITE ABOVE ON THE RIGHT SSIDE OF NClOFBEDAOCMS ROAD. 1/4 MILE. APPUCNH NAME.. ADJ>RESS DALE E. HERVEY, SAME AS THE ABOVE """'746-6005 CM'NERS NAME& AOOR~S SAME AS THE ABOVE PHON~AME OONTRACTOHINSTALLERlBUILDER NAME rnNER I MAIL PERMIT TO: MAIL PERolIT 'ID THE rnNER AT THE JOB ADDRESS ABOVE ) NMll::. STREET arv I have carefully read BOTH sides of this application If'fd ~reby r:J/)<fy that all Information \ ,~le f:, /-J -e r VP II tZi2. C',!A r: 5W2 ~ :':'::(:::(.::3'::.h~:.:: ................ ...M..... ........,.. .... ..............._............_...................,.w ." ."." eel" PHONE t "" ( Is true and correct IlAlc .' CARE FULL VI Your Conditions I FEES DUE: $ APPROVED BY: DATE , j..1 "..~ :.~ ......._..;:.:. ..... .~~__.__..._. m___~ CALL FOR INSPECTIONS (SEE BACK OF FORM FOR INSTRUCTIONS) 687.4065 SEPTIC permits ara good for ona year, ALL other permits expire efter 180 days unless Inspections are current. LMD 040 Rev. 6/92 .----;<:".\1.-"-,"';.. . " ~..~.: 'r" .---.:.-0........ ~ "_':". ...... ....~.~- '~.7. ~~l."";"..r:.;.. -;L,.l="r-~~--';-;':'--'--:.-,..-. ~- .....-.~. .r.Jr' .......~~..... ~. VIOLATIONS SBTBACKS AND onmR ............ .....,3 OF APPROVALMUSTBB STRICIt. Y OBSBRVED. VlOl.A.TION CAN RBSUL T [N REVOCATION OFTInS PERMIT. CITATIONS MAY DB ISSUED UNDER nm '/J.~ ~.....l.. OPLAND COUNTY'S INPRACJ10N ORDINANCE! ANMR 011iER REMEDIES AlJ.OWED BY LAW. . . ,- A MINIMUM OF AT LEAST 24 HOURS ADVANCE NOTICE MUST BE GIVEN FOR INSPECI10N REQUESTS Have the following infonnation ready when you call: 6874065 Permit number - Iob address - Type of inspection required When it will be ready Your name and phone nwnber - Any special directions to the site PUBLIC OFFICIAL RtGJITTO TRESPASS ON PRIVATE PROPERTY OKS n5.01O POWER TO BNTER UPON LAND. TIm COMMISSION. AND ANY OF ITS MEMBERS. OFFICERS AND EMPLOYES. [N 11-18 PHRPORMANCE OF nmtR PUNCOONS. MAY ENTER UPON ANY LAND Ar.n MAKE eXAMINATIONS AND SURVEYS AND PLACE AND MAINl"AIN TIm NECESSARY MONUMENTS AND MARKERS THEREON. REQUIRED INSPECIlONS FOUNDATION INSPECfION: To be made after excavations for footings are complete and any required reinforcing steel is in place. UNDERGROUND PlPING INSPECIlON: To be made after all underground piping has been installed, prior to any backfill, CONCRETE SLAB OR UNDER-FLOOR INSPECIlON: 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 INSPECIlON: To be made after all ducting and gas piping has been installed and prior to being covered, ROUGH PLUMBING INSPECIlON: To be made after all plumbing rough.in is in place, prior to being covered, FRAMING INSPECfION: 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 approved. INSULA nON INSPECIlON: To be made after all insulation and vapor barrie", are in place, prior to covering, LATH AND/OR GYPSUM BOARD INSPECIlON: 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 INSPECfIONS 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 approved. FINAL MECHANICAL INSPECIlON: To be,made just prior to the structure or remodeled area being occupied and prio.r to operating any equipment ... . . '\ ' ~ ~ - . I '.....' ~ .', . _ _ . FINAL PLUMBING INSPECIlON: To be made jUst prior to the building, structure or remodeled area being occupied, " . , FINAL BUILDING INSPECIlON: To be mad" luter finish grading and the building. structure or remodeled area is completed and ready for occupancy, MOBILE/MANUFACfURED HOMES: An inspection is required after the mobile home is connected to an approved 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 f01mdation 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 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. ,,\ ' ,'\ APPROVED PLANS MUST BE ON TIlE JOB SITE AT ALL TIMES DURING WORKING HOURS, TIllS PERMIT WILL EXPIRE IF WORK DOES NOT BEGIN WTI1IIN ISO DAYS, OR IF WORK IS STOPPED OR ABANDONED FOR MORE TIlAN 180 DAYS, SUSPENSION OR REVOCA nON MAY OCCUR IF TIllS FERMI'\ W ~S,IS~UED ~N 11!E, BAS:~ OF INCOM~LE~E OR ERRO,NE~US m:O~A nON, ANYONE PROCEEDING P~ST ~HE~OINT OF REQ~RED INSPECTIONS, WILL rio SO AT THEIR OWN RISK. : Your signature on the front of this form verifies the following: ,i HA VE CAREFULLY EXAMINED THIS COMPLETED APPLICA nON, and do hereby certify that all information hereon is trUe and correct,. and iliat I have a legal interest in the proPerty as owner of record ~r authoriZed ag-ent. 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 y....r~~j' 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 permit 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 r'-r~"J lines lO' Edge of road right-of-way 10' Building foundation 5' Wells or other water sources 50' DRAINFIELD 10' lO' 10' 100' / J ./'-" 'J,()]:t1tj I..' J -' C', GJ 'J /l '/' r Ii . ./ -- / ,/ . ^'- ~ :2 . . \- _ ~ f:: Q ~ SEW ~GE DISfOS,'\L ?LlY' .,\ ".C'. ~f~ROVED " per"," \s feC\IJ\1'ed . , . ~~O \0'0. pri01' to ~ \,(0 o~1~ ~" '''''T'''''\.. to'E.A\,.1'H 5E.RV\Cf,& .1'4~\R~~t>l ~. ""'" o1'~ A."E.MUs. \"~ ~..... _ Oll"GOI"l .,40\ t( "<liP ~j-q