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HomeMy WebLinkAboutPermit Septic Tank 1990-1-8 " REQUEST FOR: SEPTIC SYSTEM VERIFICATION ""'" ~ ~ TOWNSHIP RANGE SECTlON 114 au:TlON TAlI LOT au.Ol\/18IOH I PARTITION 17 03 22.4.1 200 LOCATION ADDRua 35 KATHLEEN COURT, SPRINGFIELD, OREGON 97477 8TRUC;:TURE8 NOW ON PROPIiAn EXISTING SINGLE FAMILY DWELLING PROPOlSlW us. aEP'nC ..nAUED W"TEIl ..aTAUSJ NO. ~ NO.. DI' EIII"LOftEa RESIDENTIAL USE DUCRlP110N 0lI' PROPOIED WORK SEPTIC SYSTEM VERIFICATION FOR LOAN LOT I PARCEL aLacK CClfClTlluc:TJl)If COBTIYAW8 NO. Of NDROOMS DIRECTIONS TO alTI ""0lIl COURTHQU8. COBURG ROAD TO HARLOW ROAD, TO WAYSDE DR., NROTH ON WAYSIDE DR TO WAYSIDE LOOP, TO KATHL~EN COURT, GREY HOUSE WITH CARPORT ""flue""NT N...... .. ADDRUS BOB DITEFSEY, PHONI 746-6320 726-7176 OWNI'" N...... .. ADD"i" PHO". C. HALL, SAME AS THE ABOVE C:OfHRACTOFl HAIlE OSR UCEltBII: . 1''''0''1 NA NA l MAIL PERMIT TO: BOB DITLEFSEY, SAME AS THE JOB ADDRESS ABOVE ~ NAMI AODlllaa I have carefully read BOTH sides of this a~Pllcatl 'J J~rjIerptiy ~Ify that all BOB D ITL E F S EY ~I "dtf .<.,J;;:(?//../ PAINTNAMIi - . . , NA ~ Information Is true end correct t DATE I FEES DUE: $ , Your Authorlzotlon 10 Baoad On' Tha Following Condltlono .~= APPROVED BY: DATE 1-f"...-9n -----. ' > CALL FOR INSPECTIONS (SEE BACK, OF FORM FrtPlINSTRUCTIONS) 687-4065 SEPTIC permits are good for one year. ALL other permits expIre aftar 180 days unless Inspections are current. -' ,- , . VIOZATIONS' . ' SImIACKS AND onmR CONDmONS OF APPROVAL MUSTBB STRIClLY OBSERVED. VIOlATION CANRBS~ RBVOCAll0N OPllDS PERMrr. CrrATIONS MAY BB ISSUED UNDBR nm PROVISIONS OPLANB COUNI'Y'S INPRACIlON ORDINANCE AND,OR 011iBR RBMBDIRS AlLOWHD BY LAW. ...... 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 number - Any special directions to the site PUBLIC omClAL RIGIn' TO TRESPASS ON PRIVATE PROPERTY OR! ns.oso POWER TO BNmR UPON LAND. nm COMMISSION, AND ANY OF ITS MRMBERS, OPPICElS AND BMPLOYBS,IN nIB P8RA)RMANCE OPnmIRPUNcnONS,MA Y BNmR UPON ANY LAND AND MAKE EXAMINATIONS AND SURVBYS AND PLACE! AND MAINrAIN TIm NBCBSSARY MONUMENTS AND M~ nmREON. REQUIRED INSPECJ10NS FOUNDATION INSPECJ10N: To be made after excavations for footings are complete and any required reinforcing steel is in place. UNDERGROUND PIPING INSPECJ10N: To be made after all underground piping has been installed, prior to any backfill. CONCRETE SLAB OR UNDER,FLOOR INSPECJ10N: To be made after all in,slab or under,lloor building 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 subfloar. ROUGH MECHANICAL INSPECJ10N: To be made after all ducting and gas piping has been installed and prior to being covered. ROUGH PLUMBING INSPECJ10N: To be made after all plumbing rough,in is in place, prior to being covered. FRAMING INSPECJ10N: To be made after the all framing, fife 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 INSPECJ10N: To be made after all insulation and vapor barriers are in place, prior to covering, LATH AND/OR GYPSUM BOARD INSPECJ10N: 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 llnished. ADDITIONAL INSPECTIONS MAY BE REQUIRED, such as but not limited to; BLOCK WALL: To be made after reinforcing is in place, b~t before any groU\ 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 INSPECJ10N: To be made just prior to the structure or remOdeled area being occupied and prior to operating any equipment FINAL PLUMBING INSPECJ10N: To be made just prior to the building, structure or remodeled area being occupied FINAL BUILDING INSPECJ10N: 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 fO\D1dation requirements for mobile homes or as recommended by the manufacturer. Minimum finished lloor 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 fllst 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 JOB SITE AT All.. TIMES DURING WORKING HOURS, TIllS PERMIT Will.. EXPIRE IF WORK DOES NOT BEGIN WTI1IJN 180 DAYS, OR IF WORK IS STOPPED OR ABANOONJlD FOR MORE TIlAN 180 DAYS, SUSPENSION OR REVOCA nON MAY OCCUR IF TIllS PERMIT WAS ISSUED ON TIlE BASIS OF INCOMPLETE OR ERRONEOUS INFORMA nON, ANYONE PROCEEDING PA'ST THE POINT OF REQUnlED' INSPECfIONS WILL DO SO AT TliEIR OWN RISK, ... - . ~ Your signature on the front of this form verifies the following: I HA VE CAREFULLY EXAMINED TIllS COMPLETED APPUCATION, 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 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 ifl am not the owner of the y-..y_..}, 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 & AL TERNA TIVE SEW AGE DISPOSAL SYSTEMS: When subsurface construction is complete, the pennit holder shall notify the County Land Management Division by submitting the installation record fonn. An inspection will be made by a qualified sanitarian. If construction ~omplies 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 withiQ the allotted time constitutes 0 violation of ORS 454,605 to 454,745 and this rule, SUBSURFACE SEW AGE DISPOSAL SETBACKS SEPTIC TANK From: Interior r'-r- 'J lines 10' Edge of road righ.-of,way 10' Building foundation 5' Wells or other water sources 50' DRAINFIELD 10' 10' 10' 100' , ;..' Please complete all lines inside ,~&~ O/72PSh ~ ( K 1f1 II L,lj.,y c /. 1UU" ""'un~.. c;Pr~IJ, tP/f. ct..4!7f /14(.. <- OWNER OF PROPERTY (H not _. .. aboftJ aTY OWNERS AOORESS (et :,ot ..... .. abo..) t;UHIKA(;IU4i lownahcp H&n~ ti<<;UOQ 1/4 tioICUOft' .u.... ~w>:.;..,,>:.:.,.'.,-., ....._"".>:~:.:.-..*"">-,,>>>"'. - SITE ADDRESS 5.5" ):',.,.l/1Uh" cr. YI"~C/..J. c/? )">>>.>:....:.>>:.;.>>>>:.>....:.-...".-..:v >"'.""'.'>:->>>>>:">>.'''';';''''>>-''>>:'X-:->_;v>'';''>:'>;' MA}!2JL E' IT TO: C-,4c.( To "A " ,/I 'UUHC" c0 /11?1- e., white boxes, if possible. :JA-<5~ - 70 """1:; 7fr:-(; 3.2(j t'nUfU: 77'177 ZIP .v c~ /c 72( -7/76 t'nUfU: ZIP ....-n.. . existing BuildIngs or Improvements on Property ~HOUS8 to Barn " I=:J Garage I=:J Mob<le, Home I=:J Shed SEPTIC INSTAU.EO .120 Yes I=:J No Water Oistrid ~ .~ '..,1 DIrections to site from' Courlhouse {i'/&../lt tZ/? fb 'd#?tv~ J 17 LJ ;,.; l....J,4 >6t'/.U-&.n- MnT/7 "A/l...J AV<:/O..l -f1~ Ii Yf/41...l. L ,-u;,p 'T u r 4-7 #c."U..... c/: /Yo ~/JP..E55 drv Muu jlZl V 16<< J-e <,,)1(// CAJ2,tJoltr ._.'~'W",>;-- , .< " \ 'T7V?7 ZIP , ._._~,;J i/~ J. 4s /(Ti7?L- :.:.>>>..:."':.>>>_.>:.":.,:...>_.....,,.,,>>""."'..>>'''''''.,-.>:.;~~o.:.:.,...-.o.:,,,,:,:,,,>>:,>,'_,.-.;.o.o:..>>,,,,-.;o.;'_':.h. 'i For Mobile Home Placement Only Brand Year Size No, 01 Tip-outs No. of Sedrms license :" 1,,;11' ZIP , , :.__::___:,-:',----','-::----:-- _, :_--- __;:--:. ,":::_------- _: _____',',- _,___n_ :_"_---------_.-' '_',', '''', '_" _:' _,_ ________ _:___:----::= ___--:'::::,_--.: land Management Oiv. staff can not be held responsible tor evaluations or recommendations based on falso, Inaccurato or 'ncompleto Informatfon ~; ...;v;.:._.,.,....:.... ,:;,.,.:.:.;.,.,.:.:,,,.;.:.;...,.;.,.;.:.:_,.,.:.:,.,_:.,_,.:,:;'::,=::"',.._'_..w.....,. fMttrMlM@ni~';:;:;;~;:4;:;;'" ., ::,ii;dn~;~~iV; ::;::';:::~~:'::;::"': .......":,::,:.<:;.; .m........... . ......--.--... .........,...... m_........._... .......----...--. ..... .......... ._.m.......... .....-.w.,:_:'...y....... ':~~::::::~ ":"':';';'X';""';';';';:~#(;.{:' ;::,:;,,: "......-T,.;_:., ;"-.-::':'.-., :;:;:'::;:;:~ .:.;.:-,-;-:.>;-:-,.:-: :....-.{.,.;.:,:.,_....-.-.-.-,. .;.:.:.:.,.;.:.;.,.;-,.:-,.,-:,-:.:,:-,-,.'-;. -------................ ........_._._..._._w_w...-.-...:.-...-. ..._.........................~'._...A.. . ~ v '.. . ... I ~""-.-- ;/ / ,j ~---j5'~.~:'';J~~,~v P04. . e / / I / I / \ /(J / ~ dJu>>ewtU.;. , , 1 , , ' i/ < ~---j5':zb.w~~.J~~~v ~04 " . .... .... " , <.........- . I / f ;/ / I / I \ / I~ / , , , I ~ dJu.>>e wru.;. , 1 e' W: 5 'LANE COUNtV DEPT ENV MGT RECEIPT I' 4190 DATE 010890 _ APPLICANT HALL. C. AD DR ,35 KATHLEEN CT.. SPRINGFIELD. OREGON . TLI 17032241002,00 SUBD I V LOT BLK. NEW BLDG TYPE USE R BDRMS 0 UNITS 001 STORIES IBLDGS 001 'PHONE 746 6320,," OWNER NME HALL, C. ADDR 35 KATHLEEN CT., SPRINGFIELD" OREGON'.' . CODE APPL NO ACTION DESCRIPTION SQ FT UNIT COST VALUATION FEE DAV. BP BP .BP :I' BP " BP :. PL MECH .SUF( PCK LF( . " . . I~' i\i . . '. . rf' ~ , . . . . n ~ . e - '.' " r,ATG: SEQU: , .TAKEN . . IFIX/BATH: LC 4190 SDSV APP 1 BV RLH RA . " SW'R: FT. WTF( : MECHANICAL FEE STATE SURCHARGE ' PLAN,CHECK FEE FP SDS, SI 2 EST. COMPLETION DATE PCK . , , '. FT. RAIN: .' 5,% 25% OTH ISS 3 DEPOS IT' H' . . . I'll . A . . . "I' . . . 0 .' r ~ -! l '''. . FT . 60.00 'j ~ 1'1 . . 10 60.00 CK . . g , .\' , . '1" .~ ,~ , .~ 5'