HomeMy WebLinkAboutPermit Septic Tank 1994-7-26
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FOR:
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SEPTIC REPAIR
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1I.SECTON
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SlB)I'JlSI(J<llPARTITO\I
LOTIPAACEL B..CX:l(
lOCATIOO ADDRESS
4982 JASPER RD.. SPRINGFIELD
&TAIJCTURES NOW 00 PROPERTY
HOOSE; GARAGE/SHOP
'PAOPOSEOuse-sarrICNSTAUEO WAftAMTAl.1.E.O
RES. YES CITY
N:l.OF8TORES
NO OFBlPlDVEES
CXlNSlRl.ICTl:> COSTNALLE.
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DESCHPOCNCF PAOPC6ED WCFlK
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REPAIR OF EXISTING SEWAGE DISPCSAL SYSTEM
DIRECTIONS TO SITe FROM NEAREST lUJN NTERSECTION
TAKE JASPER ROAD OFF 42ND S11<=1; GI9 APPROX 1/2 MILE; HOOSE IS Cl'l LEFT Cl'l THE "S"
TURNS .
N'PUCANT NAME a AOOAESB
DARRELL E. KNIGHT. 4982 JASPER RD.. SPRINGFIELD
OWNERS NAME' ADDRESS
DARRELL E. KNIGHT, 4982 JASPER RD.. SPRINGFIELD
CONTRACTORINSTALLERlBUILOER NAME
97478-7704
97478-7704
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726-9324
PHONE
726-9324
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PHONE
~ MAtL PERMIT TO:
DARRELL KNIGHT, 4982 JASPER RD., SPRINGf\ELD 97478-7704
) NN..c STRE.~ I CTY
I have carefully read BOTH sides of this ap~1 IlJin and)~ ~fy)~ Information
DARRELL KNIGHT (')wLDL /~
PRINT NAME .s.g".lu,. ""
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/EES DUE: $ APPROVED BY: P<"7 ~,&... _, DA TE -?' ~2-7 -'1'Y .
[~EPTI:~erm7,~L;r:~~o~N::};:~O:!a}SE:L~~~:"r O;r~~t~Me:"~r~ ~f!e~iil~~i~~~f)~~:~:O;:spe~t/o~~ are currant.?
lMD 040 Rev. 6/92
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.SETBACKS AND onmR __........_.... OP APPROV ALMUST BB STIUC'IL Y ODSBRVBD. VIiOlATlON CAN RBSULT IN RBVOCAnON opnm PERMrr.
CITATIONS MAY 1m ISSUBD UNDER niB.1 J.. ....J~__l'" Of' LAND COUl'fTY'.1MJIRA.CI'1Ol( ORDlNANCI AND,lOR anmR RBMPDIBS AlLOWED BY LAW.
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A MINIMUM OF AT LEAST 24 HOURS ADVANCE NOTICE MUST BE GIVEN FOR INSPECTION REQUESTS
Have the following infonnation ready when you call: 687-4065
Permit number - Job address - Type of inspection required When it will be ready
Your name and phone nlUllber - Any special directions to the site
PUBLIC OWIClAL RIGHT TO TRESPASS ON PRIVATE PROPERTY OKS ns.olO
POWER TO BNI'ER UPON LAND. nIB COMMISSION, AND ANY OP rrs MBMBERS, OPPlCERS AND EMPLOYES, IN nm PBRPORMANCB OP nmIRPUNCTIONS, MAY
ENI'ER UPON ANY LAND AND MAKB EXAMINATIONS AND SURVBYS AND PLACE AND MAINTAIN nIB NECESSARY MONUMENTS AND MARKERS TIIERRON.
REQUIRED INSPECITONS
FOUNDATION INSPECITON: To be made after excavations for footings are complete and any required reinforcing steel is in place.
UNDERGROUND PIPING INSPECITON: To be made after all underground piping has been installed, prior to any backfill.
CONCRETE SLAB OR UNDER,FLOOR INSPECITON: 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 INSPECITON: To be made after all ducting and gas piping has been installed and prior to being covered.
ROUGH PLUMBING INSPECITON: To be made after all plumbing rough,in is in place. prior to being covered.
FRAMING INSPECITON: To be made after the all framing, file 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 INSPECITON: To be made after all insulation and vapor barrier.; are in place, prior to covering.
LATH AND/OR GYPSUM BOARD INSPECITON: 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 futished.
ADDITIONAL INSPECTIONS 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 inspectiolls'have,been made and approved.
FINAL'ME~H~CAL INSPECITON: To be niiide~ust.pri"'ito, thes!"",P-'fe ,orreri.odeled area being occupied and prior to operating any equipment
FINAL PLUMBING INSPECITON: To be made just plior to the buildiitg, slIUcture 'or remodeled area being occupied.
FINAL BUILDING INSPECITON: To be mad" after fInish'grading and the building, slIUcture 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 fO\D1dation requirements for mobile homes or as recommended by the manufacturer.
Minimum futished 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.
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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 WTIllIN 180 DAYS, OR IF WORK IS .wrnD OR AB^,wu..~u FOR MORE TIlAN 180 DAYS,
SUSPENSION OR REVOCATION MAY OCCUR IF TIllS PERMIT WAS ISSUED ON TIlE BASIS OF INCOMPLETE OR ERRONEOUS INFORMATION.
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ANYONE PROCEEDING PAST THE POINT OF REQUIRED INSPECflONS WILL DO SO AT THEIR OWN RISK.
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Your signature on the front of this fonn.verifies the following: I HAVE CAREFULLY EXAMINED TillS COMPLETED APPLICATION, and do
hereby certify that all information hereon is true and correct. and that I have a legal interest in the l"....Y-..J 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! am not the owner of the ,........Y-...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 subeontractor.; 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 pcnnit
holder. If construction does not comply with rules, the permit holder will be notified, and aU corrections shall be made before a certificate of completion
will be is~ed. Failure to meet satisfactory completion within the allotted time constitutes a violation of ORS 454.605 to 454.745 and this rule.
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SUBSURFACE SEW AGE DISPOSAL SETBACKS SEPTIC TANK
From: Interior .........-.J lines 10'
Edge of road right-of,way 10'
Building foundation 5'
Wells or other water sources 50'
DRAINFlELD
10'
10'
10'
100'
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APPROVED,
DATE 7-;1...7-'1'</ \
BY ~~.J.
, LANE COUN~'--
ENVIRONMENTAL
1215 EASf 8~~ALTH RVIC~.
EUGENE 0 AVENUE
. REGON ~7"'O'
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LANE COUNTY DEF"T ENV r1GT RECEIPT ~ 241694 DATE 072tt4
APPLICANT KNIGHT, DARRELL ADDR 4982 JASPER RD., SPRINGFIELD
. TU' 1802050000201 SUBDIV LOT. BLI< .
jtl' I N~:W ~~LDG ~YPE..... USE ~ BDRMS 0 UNITS 001 STORIES ~BLDGS 001 PHONE 726 932.,
, iIr' llWNLF< NMI::. I<NIC,H r, DAF<F<LLL ADDF< 4982 JASPEF< F<D., SPI:n:NGFU::L,D ~ ~:
. CODE APF'L NO ACTION DESCF<IF'TION SQ FT UNIT COST. VALUATION FEE Dr.,
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LC 24; 694 SDSF<
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Plesse complete sllllnes Inside white boxes, If possible
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MAP, PARCEL NUMBER
(F0WId on tax ""PI In tht AeMMmenI. TautIon Dept)
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Range s.cuon 114 SectIon
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TO""" ~ 8KUon 114 BKUon 10 Lot
IOwnanp ~ uecuon 1145Kt1on IULO(
Site Address
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LMD staff can NOT be held
responsible for evaluations or
recommendations based on
false, Inaccurate or Incom-
plete Information.
LCPW 148 - &m
I ' ExIstIng Buildings or'"
pratIf! ,,_ .1' on file Pr'opetV
~ouse
_Barn
~ Garage /d..(I
_ Mobile Home
_ Shed
SEPTIC INSTALLED?
XVes
No
Water District
Y~I"5fl'll'bI C.1y
Directions fo site from
nearest main Intersection
M.t:<" :rJrSf)clL ~ 611-
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P M: )~j.,dVS" ;,
em (.,.# 0"10'\, -i-L.,r
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_ r For Mobile Home
'" :l!!:cement Only
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No, of
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APPROVED
DATE '7 -)..7 -9Y . \
8Y ~~;.--
ENV~~;A~H~~:~CE.
12~ EAST 8TH AVE NUB
EUGENE. OREGON 87401
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