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Home My WebLink AboutPermit Septic Tank 1991-8-2 'D!vlslon ,125 ~~~~EST h-Q ~t-.\ l\ ~ \le At'\\. {-\- '~l... ,...."....:...a....."..n.~,) If[U\lilI''''''''''Y'''J (')1..1\,('1 Jl J /0/-( ,-Ho !r\!!'I):l\ ',r Qr-a.1\ -\:/~ A::('~-':;'c . '.' ,* NO."'STOfUEa NO. 01' . ..7~UCTJDIIfc;:osTlY/.~/~ Xl/ ./ / ..........""""""'" ~ j // V ~~':O~OM.r\rtOU"~nrt, ~ -="c\ ~~O.P --'~_<< ~ J9'() ~(\ j":)t\ OX ~f'0ll1 +- r'I Sl 0" ' ~N~L}n::r~J~~ ~()(\ \\LS\71~(\ (\\eo..nL'fdQ~ n1I~-4.\'04 OWN"~~.Q ~ ~~ os.uc..... l ~~ rE!lMtJ:..~\~v\'f'l)JJLl\r\) )N'~:~V" ,~ I hava carefully read BOTH sldea of V .6. Q..1f" \('1. \:)'{{'){ 1 \.J..) ~, ..rNoWI< . , " .'.., ,. "... :~:' ,. ;..,.)'.~:, :> ;:;.: ',PLA~~i~GIZONING' >,{ READ CAREFULL VI Your Authorization 19 Baged On , .~. ...~.: .<" ,<.:.::<,\~/"\:,~,)(~,;~::~!,,;'>)'\'~ MINiMUM~" -', ,.,' >"::~~ '.:,~~;r.<~~~ ~ ':.X :~,'s~, ~~<>' ~ > ',', '.. . ,,'.F,'. t .::-~:.Lro"'l; LOT? .....SETBACks ;FIliOltTL01UlI:: ':-:' ....,.... .,... "," . , ffi M ffi v'i<C~ '"4;('0_\\0 ,--\~S~~.R ~J~; ~ "0"'" o' USI!: SEPTIC; "STALLED WATER ...TAIJ.i:D OUCIllPTION or PIlbP08lD WOAK . P'HQHIi ':?.g6 ~':fI-h ,J.,\-". ~ q-rtLl- j Is true and correct l-.:liO-ql thla application and hereby certify that '!,II Information ~('vJp lo.- ~ J\ f\( I Ll ") ........ DATE .' BY:DATE~ f'1 CALL FOR INSPECTIONS (SEE BACK OF FORM FOR INSTRUCTIONS) 687-4065 SEPTIC 'permits are good lor one year. ALL other permits expire efter 180 deys unless Inspections are current. . VIOLATIONS . ~9~ ':;\ A r' ~: SBTBACKS AND 01lIER ............ ........ OF APPROVAL MUSTBB SllUCIt. Y OBSP.R.VBD. VIOLATION CAN RBStn.T IN RBVOCATION opnns PBRMrr. CITATIONS MAY BB ISSUED UNDER nIB PROVISIONS OF LANB COUNTY'S INPRACTlON ORDINANCB AND/OR OTHER RBMBDIRS AIJ.OWBD BYLAW. A MINIMUM OF AT LEAST.24 HOURS ADY ANCE NOTICE MUST BE 'lIVEN FOR INSPECTION RE9UESTS . ....., f,' J : - J' ! j." './ ~ I . .' I ,0' _ '__I . ,< h . . Have the following information rea4Y >yhen you call: 687;4065 , . . Permit num~ - Iob address - Type of inspection required, - ,When it)Vill be,feady Your name and phone number - Any ~al directions to the site' . .. PUBLIC omClAL RIGI1I'TO TIlESPASS ON PRIVATE PROPERTYORS 115.010 POWER TO BNl'BR UPON LAND. nul COMMISSION, AND ANY OF rrs MBMBERS. OPPJCElS AND EMPLOYBS,IN nm FBRPORMANCB OF 1HBIR PUNcnONS, MAY BNTER. UPO.'f ANYLANO AND MAXB BXAMINATIONS AND SURVBYS AND PLACl. AND MAINTAIN TIm NBalSSARY MONUMHN'TS AND MAlUCERS nmRBON. REQUIRED INSPECOONS FOUNDATION INSPECOON: To be made after excavations for footings are complete and any,required reinforcing steel is in pIece. UNDERGROUND'PIPINGINSPECOON: To bem,,&; sfter all undergroWld'piping has been ~talled, prior to any. backfill.' , . .'.. ,,, CONCRETE SLAB OR UNDER-FLOOR INSPECOON: To be made' after all \n-slab or Wld'i"-floor lJ.uilding service equipmen~ c6ndui~ piping accessories and other ancillary f9uipment items are in place but before aity;concrete is placed or floor sheathiri'g installed.mcluding the subfloor. '. ROUGH MECHANICAL INSPECOON: To be mad!: sfte; all du~ting Bnd gas piping has been installed'and prior to bem'g covere<\. , '. . . __... . - . - I _ - ...0 . _. . . . ROUGH PLUMBING INSPECOON: To be made sfter all plumbing rough-in is in place, prior to being covered. , FRAMING INSPECTION: To be made sfter 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. . , J - INSULATION INSPECOON: To be made sfter all insulation and vapor barriers are in pIece, prior to covering. ' , ," LATH AND/OR,GYPSUM BOA,!-D INSPECTION: .'f.obe made 8fte~'all lsthing and gypsum ~ard, in~or and exterior, is in place Jmt before any/, plastering'i, applied or before gypsum board'joints and fasteners are taped and fmished.' ' .', . . ' ' ADDITIONAL INSPECTIONS MAY BE REQUIRED, such as but not limited to: BLOCK WALL: :fa b~ made sfter reinforcing is in place, but before any grout is poured. The inspection is required for each bond beam pour, There will be no approval witil the plumbing and electrical inspections have been made and approved. ' FINAL MECHANICAL INSPECOON: To be made ju,t prior to the structure or remodeled area being occupied and prior to operating any equipment' FINAL PLUMBING INSPECOON: To be made just prior to the building, structure or remodeled area being oecupied. FINAL BUILDING INSPECOON: To be made sfter fInish grading and the building, structure or remodeled area is completed and ready for occ:upancy. MOBILElMANUFACfURED 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 SIBte foundation requirements for mobile homes or as recommended by the manufacturer. Minimum fmished 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 rust 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. . I ' , ,/'. > .,. " I :' APPROVED PLANS MUST BE ON TIlE JOB SITE AT ALL TIMES DURING WORKING HOURS. 11IIS PERMIT WILL EXPIRE IF WORK DOES NOT BEGIN WTI1IIN 180 DA YS;OR IF WORK IS ~ ,un"" OR ABANDONED FOR MORE TIlAN 180 DAYS, SUSPENSION OR REVOCATION MAY OCCUR IF TIllS PERMIT WAS ISSUED ON THE BASIS OF INCOMPLETE OR ERRONEOUS INFORMATION. ANY9NE PROCEEDING PAST THE POINT OF REQUIRED INSPECTIONS WILL DO SO AT THEIR OWN RISK. Your signature on the front of this form verifIes liIe following: I HAVE CAREFULLY EXAMINED THIS COMPLETED APPUCATION, and do hereby certify that all information hereon is true and correct, and that I have a legal interest in the y....y...n/ as owner of record or authorized agent. I further certify liIat any and all work performed shall be done in accordance wiliI the Ordinances of Lane County and liIelsws of liIe SIBle of Oregon per- taining to the work described herein. I further certify that if I am not the owoerof the property. my registration with liIe Builders Board is in full force and effect as required by ORS 701.055, and liIat if exempt the basis for liIe exemption is noted hereon. and that only subcontractors and employ... who are in compliance with ORS 701.005 will be used on liIe job, ~ SUBSURFACE & ALTERNATIVE SEWAGE DISPOSAL SYSTEMS: ~~fJ \ ~~ 3t~~ When subsurface construction is complete. the permit holder shall notify the County Land Management Division hi submitting the~hdl\ftiorp-~ form. An inspection wi~l be made by a qualified sanitarian. If Construction complies with all rules a certificate ofcg~le~\1tip befissued to the permit holder, If construction does not comply with rules, liIe permit holder will be notifIed, and all corrections shall be madelJcjfoje~. ~tifIcate of completion will be issued. Failure to meet satisfactory completion within the allotted time constitutes a violation of ORS 454.605 to 454.745 and this rule. SUBSURFACE SEW AGE DISPOSAL SETBACKS SEPTIC TANK From: Interior ,w,_./ lines 10' Edge of road right-of-way 10' Building foundation 5' Wells or other water sources 50' 1>' DRAlNFIELD 10' 10' 10' 100'