HomeMy WebLinkAboutPermit Septic Tank 1993-3-31
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'REQUEST
FOR:
SEPTIC SYSTEM VERIFICATION
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LIl''1 GAMEFARM ROAD,
SPRINGFIELD, OREGON
8TRUCJ'lIRES NOWQ\l ~ERTY
EXISTING SINGLE FAMILY DWELLING
~us.E SEPfCNS1~ wAJitlNSTAW.l.l 1'V.000SI~ NO OF EMPLOYEES ~ucrlCl\lCOSTNAWE
PRIVATE USE WELL
DESCRf'ft:HOFPRCPalEDwc:RK NO.u-~
SEPTiC SYSTEM VERIFICATION
DIRECT10NS TO SITE FROM NEAREST lUJN NTERSi:CIlON
GAME FARM ROAD AND HARLOW INTERSECTION, NORTH, SITE IS ON THE WEST SiDE OF
ROAD.
OI'/NER
· MAIL PERMIT TO: 2045
LARENE BEST, GRE I NER, EUGENE, OREGON
97405
"'ON' 344-5922
PHONE
SAME
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Is true anil correct
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APPUCANTtuME' AOORES&
LARENE BEST,
~ NAME' ADDREss
SAME AS THE ABOVE
CCNTAACTOAINSTAU..ERtBUILDEA NAME
cc..
t NolNE STREET O'TY
f I have carefully reail BOTH siiles of this ap~t10'D"nil hereby certIfy that all Information
LARENE BEST :;;rn^ 0_. n ~9-,.:,---l9--
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CAREFULL VI
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FEES DUE:
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APPROVED BY:
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DATE
'? ~:11 ~93
(CALL FOR INSPECTIONS (SEE BACK OF FORM FOR I~RUCTIONS) 687-4065 ' ,
SEPTIC permits are good for one year. ALL other permits expire after 180 days unless Inspactlons are current.
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LMD 040 Rev. 6192
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VIOLATIONS
SBTBACKS AND onmR. CONDmONS OF APPROV ALMUST BE SlRlCIL Y OBSERVED. VIOLATION CAN RBSULTIN RBVOCATION OFnn5 PBRMIT. ./
CITATIONS MAYBE ISSUED UNDER nm PROVISIONS OF LANB COUNTY'S lNFRAcnoN ORDINANCE AND/OR. onmR. RBMBDIBS AlLOWBD BYLAW.
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 OmClAL RIGKI'TO TRESPASS ON PRIVATE PROPERTYORS n5.01O
POWER TO RNTBR UPON LAND. nIB COMMISSION, AND ANY OF ITS MEMBERS, OPPlCElS AND BMPLOYBS, IN nm PBRFORMANCB OF 'IHEJR PUNCl10NS, MAY
ENTE.R UPON ANY LAND AND MAKE BXAMINATIONS AND SURVEYS AND PLACB AND MAINTAIN TIlE NBCBSSARY MONUMBNTS AND MARKERS 11IEREON.
REQUIRED INSPECl10NS
FOUNDATION INSPECTION: To be made after excavations for footings are complete and any required reinforcing steel is in place.
UNDERGROUND PIPING 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 aJJ in-slab or under.floor building selVice equipmen~ condui~ 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 approved.
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. interior and exterior, is in place but before any
plastering is applied or before gypsum board joints and fastener.; are taped and fmished.
ADDITIONAL INSPECTIONS MAY BE REQUIRED, such as but not limited to:
BWCK 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 INSPECTION: To be made just prior to the strucUlre or remodeled area being occupied and prior to operating any equipment
FINAL PLUMBING INSPECTION: To be made just prior to the building, StruCUlre or remodeled area being occupied.
FINAL BUILDING INSPECTION: To be made after fmish grading and the building, structure or remodeled area is completed and ready for occupancy.
MOBILE/MANUFACTURED 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 requiremen~. blocking, tiedowns and plumbing connections.
Footings and piers to comply with State fOlmdation requirements for mobile homes or as recommended by the manufacnrrer.
Minimum fmished floor elevation shall be certified when required by Floodplain Management
Tiedowns, if required, shaJJ 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 lOB SITE AT ALL TIMES DURING WORKING HOURS.
TIllS PERMIT WILL EXPIRE IF WORK DOES NOT BEGIN wrrnIN 180 DAYS, OR IF WORK IS . wu&D OR ABANDONED FOR MORE TIlAN 180 DAYS.
SUSPENSION OR REVOCATION MAY OCCUR IF TIllS PERMIT WAS ISSUED ON TIlE BASIS OF INCOMPLETE OR ERRONEOUS INFORMATION.
ANYONE PROCEEDING PAST THE POINT OF REQUIRED INSPECTIONS WILL DO SO AT THEIR OWN RISK.
Your signature on the front of this form verifies the following: I HAVE 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 aU work perfonned 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 wil\ 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 pennit 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 SEW AGE DISPOSAL SETBACKS SEPTIC TANK
From: Interior ~.v~-.i lines 10'
Edge ofroad right-of-way 10'
Building foundation 5'
Wells or other water sources 50'
DRAINFIELD
10'
10'
10'
100'
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. W: 5 3 LANE COUNTY DEPT ENV MGT RECEIPT ~ '106793 DATE 0329~
APPLICANT BEST. LARENE ADDR 2045 GREINER ST.. EUGENE, OREGON ~.
TL~ 1703224201700 SUBDIV LOT BLK
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OWNER NME BEST. LARENE ADDR 2045 GREINER ST., EUGENE, OREGON
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