HomeMy WebLinkAboutPermit Septic Tank 1992-12-3
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APPROVED BY:
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DATE
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CALL FOR INSPECTIONS (SEE BACK OF FORM FOR rNSTRUCTIONSj 687.4065
SEPTIC permits are good for one year. ALL other permits expIre after 180 days unless InspectIons ara current.
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VIOLATIONS
SBTBACKS AND 01HER CONDmONS OF APPROVAL MUST DB S11UCIL Y OBSERVED. VIOLATION CAN RESULT IN REVOCATION OPTInS PBRMrr.
CITATIONS MAYBE ISSUFD UNDER nIB PROVISIONS OF LANE COUNTY'S INFRAcnoN ORDINANCB AND/OR 01HER REMEDIES ALLOWBD BY LAW.
A MINIMUM OF AT LEAST 24 HOURS ADV ANCE NOTI~MUST BE GIVEN FOR INSPECflON REQUESTS
Have the following information ready when you call: 687-4065
Permit number - Job address - Type of inspection required Whet! it will be ready
Your name and phone number - Any special directions to the site
PUBLIC OFFICIAL RIGIIT TO TRESPASS ON PRIVATE PROPERTY OKS n5.OIO
POWER TOBNrER UPON LAND. nIB COMMISSION, AND ANY OF ITS MHMBPRS,OFPICERS AND BMA..OYRS,INTIiBPBRPORMANCl.OPTIlBlRFUNC'nONS,MA Y
ENTER UPON ANY LAND AND MAKE BXAMINAnONS AND SURVEYS AND PLACE AND MAINTAIN nIB NECESSARY MONUMENTS AND MARKERS . ,~...
REQUIRED INSPECflONS
FOUNDATION INSPECflON: To be made after excavations for footings are complete and any required reinforcing steel is in place.
UNDERGROUND PIPING INSPECflON: To be made after all ungerground piping has been installed, prior to any backf1ll.
CONCRETE SLAB OR UNDER-FLOOR INSPECflON: To be made after all in-slab or under-flooibuilding service 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 INSPECflON: To be made after all ducling and gas piping has been installed and prior to being covered.
ROUGH PLUMBING INSPECflON: To be made after all plumbing rough-in is in place, prior to being covered,
FRAMING INSPECfION: To be made after the all framing, frre blocking. bracing and roof are in place and all pipes. chimneys and vents are complete
and the rough electrical, plumbing, and mechaiUcal inspections have been made and approved. . .
INSULATION INSPECflON: To be made after all insulation and vapor barriet1l are in place. prior to covering,
LATH AND/OR GYPSUM BOARD INSPECflON: 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 fastenen; are taped and finished.
ADDITIONAL INSPECTIONS MAY BE REQUIRED, such as but not limited to;
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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 inspdtions have been made and approved,
FINAL MECHANICAL INSPECflON: To be made just prior to the structure or remodeled area being occupied and prior to operating any equipment
FINAL PLUMBING INSPECflON: To be made just prior to the building, structure or remodeled area being occupied.
FINAL BUILDING INSPECflON: 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 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. Tiedewns 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 flTst 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 PLANS MUST BE ON TIlE JOB SITE AT ALL TIMES DURING WORKING HOURS,
TIllS PERMIT WILL EXPIRE IF WORK DOES NOT BEGIN WI11llN 180 DAYS, OR IF WORK IS STOPPED 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 INSPECflONS WILL DO SO AT THEIR OWN RISK,
Your signature on the front of this form verifIes the following: I HAVE CAREFULLY EXAMINED TInS COMPLIITED APPLICATION, and do
hereby certify that all infonnation hereon is true and correct. and that I have a legal interest in the y....y.....J as owner of record or authorized agent. I
further certify tha: 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 r.-r....:,/' 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: t:e Cj~ \ "'(iI~~~~ ~~
When subsurface construction is complete. the permit holder shall notify the County Land Management Divisioitbr S11bmitli~_ <th~in.'lLalJ~ion~Jd
fonn. An inspection will be made by a qualified sanitarian. If construction complies with all rules a certificate of comRletfq _l~l be issued to the pennit
holder. If construction does not comply with rules, the pennit holder will be notified, and all corrections shall be mad~...tiefo~. &rtificate of completion
will be issued. Failure to meet satisfactory completion within the allotted time constitutes a violation of ORS 454.605 to 4'54:745 tmd this rule.
SUBSURFACE SEW AGE DISPOSAL SETBACKS SEPTIC TANK
From: Interior Y'-Y"'J lines 10'
Edge of road right-of-way 10'
Building foundation 5'
Wells or other water sources 50'
DRAINFIELD
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A permi~ is req i~d,. 1000 G.".L SEPTIC TAi~K ~l
pr;c r to S!D:mg:o~ ;!liOt IC o. ..c "" " -1'"
DATt _/2- "1 t~__ DO,,,,STIC Sc',E',~
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21' 20' CODE. USE -4 RE.
I7l(>PR ",", ON Y , , "FORCING OARS AT
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In Property: Other (Specify):
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Legal Access - Road Name
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Pub I i c e"- 0 i s t r i c t :
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Is Property \lithin One Hije of City1
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HARK TEST IlDLES \11TH OUR fLAGS
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Location of Test Holes.on Property:
/IAKE CIIECK PAYABLE TO: IIEALTII AtIO' SANITATION
flAIL TO: LANE COUIITY BUILDING AIID SANITATION DIVISION, 135 E. 6 th Ave.,
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