HomeMy WebLinkAboutPermit Septic Tank 1995-3-29
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STRUCTURES HOYt CN PFU'l:ATY
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WATER NSTAU.ED
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NO Of BdPlOVEES
CONSTAl.ICfONC06TNALLE
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I have carefully read BOTH sides of this application and hareby cartify that all Information Is true and correct
~ PANTNAUE
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FEES DUE:
On The Following Conditions
BY:
DATE
CALL FOR INSPECTIONS (SEE BACK OF FORM FOR INSTRUCTIONS) 687-4065
SEPTIC permits are good for one year. ALL olhar permits axplre after 180 days unless Inspections are current
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LMD 040 Rev. 6192
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, VIOLATIONS vrt
SBTBACXS AND 011IER CONDmONS OF A.AJROV ALMUST BB nRJt1Ly OBIBRVBD. YlOLATION CAN RBSULTIN RBVOCAnON OFnn5 PERMIT.
CITATIONS MAY DB ISSUBD UNDI!R niB PROVlSI01O CPlANBClJUlIIT1"IIlQIRACI'XU( ORDINANCB ~ 011IER RBMEDIBS AlLOWBD BY LAW.
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A MINIMUM OF AT LEAST 24 HOURS ADVANCE NOTICE MUST BE GIVEN FOR INSPECTION REQUESTS
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Have the following information ready when you calI: 6874065
Permit number - Job address - Type of inspection required When'it will be ready
Yournameandphonenumber - . Any specialdireetions to the site "
PUBLIC OFFICIAL RIGHT TO TRESPASS ON PRIVATE PROPERTY ORS DS.OSO
POWFR TO BNi1!R UPON LAND. nm COMMISSION, AND ANY OF ITS MBMBBRS. OPFJCERS AND EMPLOYRS, IN nm PHRPORMANCB OPnmIR FUNCTIONS, ~ Y
ENTER UPON ANY LAND AND MAKB EXAMINATIONS AND SURVEYS AND PLACE AND MAINTAIN nm NBCBSSARY MONUMENTS AND MARKERS nmRBON.
REQUIRED INSPECTIONS
FOUNDATION INSPECTION: To be made after excavations for footings are complete and any required reinforcing steel is in place. J
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 all in-slab or, under-floor building 'service eqUipment..condui~ piping
access~ries and otper ancillary equipinent ite~ are ~ pla,ce b~t l?efore any concre~ is placed or flopr ~he,athing installed. including ~e sUbrioor.
ROUGH.MECHANICAL INSPECTION: T.o be made after all ducting and gas piping has be~n installed and prior to being covered.
ROUGH PLUMBING INSPECTION: To be made after all plumbing rough-in is ip'place, prior tb beil)g covered. " '
FRAMING INSPECTION: To be mad.after theall framing, rde blocking, braCing and roof are'in place and' all pipes, ~himneys and vents are complete
and the rough electrical. plumbing, and mechanical inspections have been made and approved. ' J ( ,
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 fasteners are taped and rutished.
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. t\DDITION.AL INSPECfIONS MAYBE REQUIRED. such as but rtollimited,to;, ." I . /, ;, : ' . /, . ,; I
BLOCK WALL: To be made after reinforcing is in place; but beforeany 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 anyequipmenL
FINAL PLUMBING INSPECTION: 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 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 Stale fOlmdalion requirements for mobile homes or as recommended by the manufacturer.
Minimum rutished floor elevation shall be cenified 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 pan of the building or structure beyond the point indicated in each successive inspection without ftrst 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.
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APPROVED PU\NS MUST BE ON TIlE lOB SITE AT All TIMES DURING WORKING HOURS.
TIllS PERMIT WIll EXPIRE IF WORK DOES NOT BEGIN ..' u''''' 180 DAYS, OR IF WORK IS . wrr"D OR ABANDONED FOR MORE TIlAN 180 DAYS.
SUSPENSION OR REVOCATION MAY OCCUR IF nus PERMIT WAS ISSUED ON THE BASIS OF INCOMPLETE OR ERRONEOUS INFORMATION,
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ANYONE PROCEEDING PAST THE POINT OF REQUIRED INSPECfIONS WILL DO SO AT THEIR OWN RISK.
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Your signature on the front of this form verifies the following: I HA VE CAREFULLY EXAMINED TIITS COMPLETED APPUCA TION, and do
hereby certify that all infonnation hereon is true and correct. and that I have a legal interest in the propeny as owner of record or auIhorized ageni. I
further certify Ibat any and all work y_.I~u..ed shall be done in accordance wiIh the Ordinances of Lane County and the laws of the State of Oregon per-
taining to the work described herein. I further certify that ifl am not the owner of the r"......nj. my registration with Ihe Builders Board is ~ full force
and effect as required by ORS 701.055, and that if exempt the basis for the exemption is noted hereon, and l.I!aton1y.subcon,tracto~1I)l!,~mPIOyees who
are in compliance with ORS 701.005 will be used on Ihe job. : J> -: A ..~~ (IJJ;:,
SUBSURFACE & ALTERNATIVE SEWAGE DISPOSAL SYSTEMS: . JI,,8 ~~~ ~~~
When subsurface construction is complete. Ihe permit holder shall notify Ihe County Land Management Division by subitiitting the instaIlalion record
fonn, An inspection will be made by a qualified sanitarian. If construction complies wiIh all rules a certificate of completion will be issued to Ihe pennit
holder. If construction does not comply wiIh rules, Ihe permit holder will be notified, and all corrections .~~ l?e made before a certificate of completion
will be issued. Failure to meet satisfactory completion within the alloned time constitutes a violation of ORS'454'.60~ 4Sil.745 and this rule.
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SUBSURFACE SEW AGE DISPOSAL SETBACKS SEPTIC TANK DRAlNFIELD
From: Interior r--r---J lines 10' 10'
Edge of road rigJu-of-way 10' 10'
Building foundation 5' 10'
Wells or other waier sources 50' 100'
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All measurements are from Property Lines
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-~ront ';2~a to ~alage .0 ~_ l
-S~reEt' Side yard to Hse!Gaf 10 feet
-~€ar ::ard to' HOllse or Garage 10 feet
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ADDR 1742 DELROSE ST.. SPRINGFIELD. OREGON
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ADDR 1742 DELROSE ST., SPRINGFIELD, OREGO~"
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