HomeMy WebLinkAboutPermit Plumbing 1996-6-4
REQUEST
FOR:
Septic System Installation
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LDTIPAAC8., B.DCK
LOCATICW ADDRESS
36197 Jasper Rd., Springfield 97477
STRUCT1.IRESNOWCIII PROPEFlTY
House; Shed; Shop; See City Permit # 960595
PRoPo5EcUSE SEPTCNSTALlED WATERNSTAUED M:l.OFSTORES NO.OFEMPlOVEES D:lNSTRl..IClX:WCOSTNAUJE
Res. No See SI 96-0030 Well
~OFPAl:>>'C6EDWOAK NO.OFBEDRCX:U3
Install standard sewage disposal system.
DIRECTIONSTOSITEFROUNV-~,.;..c:;.;c.:',1U'f
Approx one mile beyond intersection of Mt. Vernon Cemetary Road & Jasper
Road; site of Mt. June Lumber Co.; currently Nat's Firewood.
APPUCANT NAME' ADDRESS
John Pratt/Key Industries, Inc., P.O. Box 5486, Eugene
OWNERS NAME 6 ADORESS
Mill & Properties, 36197 Jasper Rd., Springfield
ea.crRACTQR IWST AU.EW BUIlDER NAME
Mill & Properties
'MAIL PERMIT TO: .
Kev Industr1es, Inc., P.O. Box ~p, Eugene 97405
l "7'have carefully read BOTH. sides of this ap~I~::;O~' r,/>y lIr1JlN1PC, y ~ rmatlon
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\ READ CA~EFULL VI ~r Authorization Is Based '
MINiMUM""
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SETBACKS" (R~ LOT UN,_
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97477
PHONE 688-4232
PHONE 345-2301
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Following Conditions
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FEES DUE: $
APPROVED BY:
DATE
CALL FOR INSPECTIONS (SEE BACK OF FORM FOR INSTRUCTIONS) 687-4065
SEPTIC permits are good for one year. ALL other permits expire after 180 days unless Inspections are current. ;
LMD 040 Rev. 6/92
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VIOLATIONS
SBTBACKS AND onmR. CQNDmONS OF APPROV ALMUST DB STIUC1L Y OBSERVED. VIOLATION CAN RESULT IN REVOCATION OFnas PERMrr.
CITATIONS MAYBE ISSUED UNDER nm PROVISIONS OF LANB COUNTY'S INPRACJ10N ORDINANCB AND/OR 01lfER RBMEDIES ALLOWED 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: 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 RIGHT 1'0 TRESPASS ON PRIVATE PROPERTY ORS ns.080
POWER TOBNTBR UPON LAND. nIB COMMISSION, AND ANY OP ITS MEMBERS,OPPICERS AND EMPLOYES, IN TImPERFORMANCB OFnmIR Pl..._,........ MAY
ENI'ER UPON ANY LAND AND MAKB BXAMINATIONS AND SURVEYS AND PLACE AND MAINTAIN TIm NECESSARY MONUMENTS AND MARKERS nmRBON,
REQUIRED INSPEctIONS
FOUNDATION INSPECI10N: To be made after excavations for footings are complete and any required reinforcing steel is in place,
UNDERGROUND PIPING INSPECI10N: To be made after all underground piping has been installed, prior to any backfill.
CONCRETE SLAB OR UNDER-FLOOR INSPECI10N: To be-made after all in-slab or under. floor building service equipmen~ condui~ piping
accessories and other ancillat)' equipment items are in place but before any conere!" is placed or floor sheathing ~taIled, including the suhfloor,
ROUGH MECHANICAL INSPECI10N: To be made after all ducting and gas piping hlls been installed and prior to being covered,
ROUGH PLUMBING INSPECI10N: To be made after all plumbing rough-in is in place, prior to being covered.
FRAMING INSPECI10N: 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 INSPECI10N: To be made after all insulation and vapor bamon; are in place, prior to covering.
LATH AND/OR GYPSUM BOARD INSPECI10N: 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 fastenon; are taped and finished.
ADDITIONAL INSPECTIONS MAYBE 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 INSPECI10N: To be made just prior to the struCture or remod~led area being occupied and prior to operating anyeq"ipmenL
FINAL PLUMBING INSPECI10N: To be made just prior to the building, structure o~ remodeled area being occupied.
FINAL BUILDING INSPECI10N: To be made after finish grading and the building, structure or remodeled area is completed and ready for o---r~'-r
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 requirements, blocking, tiedowns and plumbing connections.
Footings and piers to comply with State f01.mdation 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 !!fter occupancy. Tiedowns shall be installed per enclosure.
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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 DURlNG WORKING HOURS.
TIllS PERMIT WILL EXPIRE IF WORK DOES NOT BEGIN WITHJN 180 DAYS, ORIF WORK IS S, vrrcu OR ABA. ,"'v,,"u FOR MORE TIlAN 1811 DAYS,
SUSPENSION OR REVOCATION MAY OCCUR IF TIIIS PERMIT WAS ISS!-,ED ON TIlE BASIS OF INCOMPi,E'rn OR ERRONEOUS INFORMATION.
ANYONE.PROCEEDING PAS1 THE POINT OF REQUIRED INSPECTIONs\WILL DO SO AT THEIR OWN RISK,
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Your signatu,:" on ,the front of this form verifies the following: I HAVE CAREFULLY EXAMINED TIllS COMPLETED APPUCA TION, and "0
hereby certify that all information hereon is true and' correct, and that I have 8 legal interest in the property as owner of record or authorized agent. I
further certify that any and aU 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 ~ J:'''''n,;. 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 ofORS 454.605 to 454.745 and this rule.
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SUBSURFACE SEW AGE DISPOSAL SETBACKS SEPTIC TANK
From: Interior J:"~J:'-'j lines 10'
Edge of road right-of-way 10'
Building foundation 5'
Wells or other water sources 50'
DRAINFIELD
10'
10'
10'
100'
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REQUEST FORifSSISTANCE
LAND MANAGEMENT D1VISION.125 E.8THAVE;, E~GENE, OR 97401
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Owner 01 Parcel (II nOI same as abov"," Phone
.$. ,2UJ!cr1 Vff;j.r:J<. 8f2J ~ 174-77_
OwI1l1f Address (il not same as above) . a::; A Zip
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Installer I BUilder I t.;ontractor
Please complete all lines Inside white boxes, If possible
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Your Name '
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Your Addrt!SS ~
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(FCMnf on tu INptln" It I Tu.don D.pt)
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To..,. lIiniii""" &HUon 114 atetlon TU Lot
Site Address
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ExIstIng BuIldings 01' 1m-
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i House
_Barn
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_ Mobile Home
p-- Shed I S/-IoP
SEPTIC INSTALLED?
_Yes Ob-~)~::)
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Water District
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Directions to site from
nearest main Intersection
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. . .'Allowed U.........."V.. No '........ii...,'.'......../..'.'.'....:.'..".'..../....'......../'...,./'..'.,........'. ",","',',' Water sewer/septic
.Comm~j,ts 1.'Fojlow-'U~'.. ....... ."I... .......i.......;......;?/.....I!.!?.. ..../..................................../.........../.......iI....Ii/ . ....iL.,.\/.;
LMD staff can NOT be held
responsible for evaluations or
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false, Inaccurate or Incom-
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F'I...N
U\NE COUNTY DEPT ENY, r1Gl f(f,:CTIPl 'it' 179496 DATE 0604?/,~ 'I
PROPERTIES, ADDR PO BOX 5486. EUGENE. OREGON ' "C
SUBDIV 'LOT BL.:<.'
USE R BDRMS 0 U0ITS 001 STORIES IBL.DGS 001 PHONE 345 2301
.~, PFWPEF(TIES, ADDR.PO BOX 5486, EUGENE, OF,[GON ",
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