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Home My WebLink AboutPermit Septic Tank 1990-5-3 ~~~~EST SEPTIC INSEPCTION FOR LOAN REVIEW I TOWHSHIP ..... aECnQN 25 1I48ECntIN 12 TAX LOT 1800 .uaav~/"ARnnoN LOT I p""en aLOCK -1.7 03 LOCATION "OOAI8I11 :;>0 n.? I ,("lI1Qll.r1 <: ~ STRUCTURES NOW OH IltIiOPliRTY Snl"'i nrrfi p1 rl. (YR q7477 <:1"])0 r.~~'iiP ",ollO'@ US. . c .fALLED WATEIl ...TAlLUJ NO.CI'8TORliJI NO. w DIl'LOflDI CONaTWUCT1Oll ~lYlU.II. _"I DUClQmON Of" PROI'OQW WONl; SEPTIC INSPECTION FOR LOAN REVIEW DUU!CTlON8 TO BlTIl '''011 COURTNOU81 Off N. 19th 2 blocks past 19th & Q; 1st st. to riqht; 2nd culdesac to left APPLICANT NAMI . ApORU8 . ,Tames J. Kubik OWHIRI NAMI . AODRIIUI NO. 01' 8KDROOMlI PHONI (site addrl 746-1245 P"l."'. Same CONTRACTOR HAllIE 08JI UCDI.. . PHONI lMAIL PERMIT TO: 'TD Oeull/r.- WMlll{.qf' 1%1 ~ .~-:: ,T~mpc:: ,T. R"hi)< U "- 1 S 1 te addr) \ I\"U' ADDRIE.. ,11118 ~ I haya carefully read BOTH sides of this appllc,~~~~~ .h.araby fe"lf~ t!1a'lall . !T:~'1!PC:: ,T. R"bi lc ~'vrr~g I~ ~ t :f....;'~'I'; r I ~~ 01_, Q7'(fJ I <: Information Is true and corract ~!l'ay -4 FIfO '., ]:I <,.;,.l;i ',," ,:>, .: l FEES DUE: $ APPROVED BY: 0 ~ DATE 7l1!U:f1 3./ftjO l' , CAL~ FOR INSPECTIONS (SEE BACK ~F FORM Fdf1lliSTR~CTIONS) 687-4065 ,f' , SEPTIC permlls are good for one year. ALL other permlls expire after 180 days unless Inspections are current. VIOLATIONS SETlIACKS AND 01lIER .................... OF APPROVAL MUST DB S11UCt1.. Y OBSERVED. VIOLATION CAN RESULT IN RBV!JCATION OP1HIS PERMrr. CITATIONS MAY DB ISSUBD UNDER nm PROVISIONS OP LANB COUNTY'S INPRACI10N QRDINANCB AND/OR. onmR. RBMBDIBS AlLOWED BY LAW. . . . '-'. A MINIMUM OF AT LEAST 24 HOURS ADVANCE NOTICE MUST BE GIVEN FOR INSPECTION REQUESTS Have the following information 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 OFFICIAL RIGHT TO TRESPASS ON PRIVATE PROPERTY ORS ns.cao POWER ro BNI'ER UPON LAND. nIB COMMISSION, AND ANY OP ITS MEMBERS, OFPICERS AND BMPLOYRS, INum PBRPORMANCB OP1HBIR.PUNcnONS, MAY ENTER UPON ANY LAND AND MAKE EXAMINATIONS AND SURVEYS AND PLACl. AND MAINTAIN nm NECBSSARY MONUMENTS AND MARKERS 1lIBRBON. REQUIRED INSPEcnONS FOUNDATION INSPEcnON: To be made after excavations for footings are complete and any required reinforeing steel is in place. UNDERGROUND PIPING INSPEcnON: To be made after all underground piping has been installed, prior to any backfill. CONCRETE SLAB OR UNDER-FLOOR INSPEcnON: To be made after all in-slab or under-floor 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 subfloor. ROUGH MECHANICAL INSPEcnON: To be made after all ducting and gas piping has been installed and prior to being covered. ROUGH PLUMBING INSPEcnON: To be made after all plumbing rough-in is in place, prior to being covered. FRAMING INSPEcnON: To be made after the all framing, llre blocking, bracing and roof are in place and all pipes, chinmeys and vents are complete and the rough electrical, plumbing, and mechanical inspections have been made and approved. INSULATION INSPEcnON: To be made after all insulation and vapor barriers are in place, prior to covering. LATH AND/OR GYPSUM BOARD INSPEcnON: To be made after all lathing ",!d gypsum board, interior and exterior, is in place but before any plastering is applied or before gypsum board joints and fasteners are taped and fmished. ADDITIONAL'INSPECfIONS MAY BE REQUIRED, such as but not limited to; BLOCK WALL: To be made after reinforeing 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 electri~ inspecti~ns have been made and approved. FINAL MECHANrCALINSPEcnON: To be mOde just prior to the strUcture or remodeled area being occupied and prior to operating any equipment FINAL PLUMBING INSPEcnON: To be made just prior to the biulding, structure or remodeled area being occupied. FINAL BUILDING INSPEcnON: To be made after fmish 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 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. APPROVED PLANS MUST BE ON TIlE JOB SITE AT ALL TIMES DURING WORKING HOURS, TIllS PERMIT WILL EXPIRE IF WORK DOES NOT BEGINWTI1IIN 180 DAYS, OR IF WORK IS STOPPEti'OR AB~u.M.nu'FOR MORE TIlAN 180 DAYS, SUSPENSION OR REVOCA nON MAY QCCUR IF THIS PERMIT WAS ISSuED,ON TIlE B-ASIS OF INCOMPLETE OR ERRONEOUS INFORMATION, , ANYONE PR.oCEEDING PAST THE POINT OF REQUIRED INSPEcTI.oNS WILL D.o S.o AT THEiR .oWN RISK. . . . . , - . ... - Your signature on the front of this form verilles the following: I HAVE CAREFULLY EXAMINED TillS COMPLETED APPUCA TION, and do hereby certify that all information hereon is true and correct. and that I have a legal interest in the property as owner of record or authorized agent. I further certify that any and all work perfonned 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 r'''r'''':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 suheontractors and employees who arc in compliance with ORS 701.005 will be used on the job. , SUBSURFACE & AL TERNA TIVE SEW AGE DISP.oSAL 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 pennit holder will be notified, and all corrections shall be made before a certificate of completion will be issued. Failure If? meet satisfactory completion withiJ.1 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 property lines 10' Edge of road right-of-way 10' Building foundation 5' Wells or other water sources 50' DRAINFIELD 10' 10' 10' 100' . '" . ---- \ JIt eX YI1-~ D, 5ePT~ \ 1"lfrJ~ . 'f3 - J louse.- ITGI' J n .-; I pnTJO J' y ~ ~ ~ ~ ~ ~ foo\ I , ;r (Sl: \ / ~ L .....~ 0 . .~ , :.~ty ...~.' ..'...... ..... . ..... .' .. .. . ...... .. -. . . ....... .. .. . ... " , ..... .. "",.'. . ...... ..:....:...,.,::... . ~::aJ< Z;:;t: all IijS I inSi~1 r~s, if P;~b;4V d-O(P~ l..nMOtJ'D 7r~k-J2YS :::d"z!'PQ I ~j~I'~JJ ) 0 R.E- ZIp971./77 OWNeR OF PROpeRTY (~frr/l-~ --- rnun. OWNERS ADDRESS (If not ..me .. aOo") ZIP tUNIIHA,,"IUH ucen.. _ ~ , ,_, Directions to site . , , n~~,tF~~ .................................W....h........ : .:. :::. ::;:::~:::~;:~::<~::::: ;~::~:::::;;:.:; ~ {K1tt~@jt.:::;;:.:. . MAP, PARCEL NUMBER (F7 on tax ...ap. In dM A__mant . Tulltlon ~) ,.wnZ et ~u:r.-'{t:.n ~J?O r...,thlp ~ ~ 1/4Sectktn Tu Lo1 lown..nlp ~ bacbOn ... LOI .1/4 :MellOn , ,,:-.. ~ SITE ADDRESS ...;2.0 ((; ;;L ;::;t:'~L /- .J~/- , . ~ ~".. .................,.. ......~-:.J MAIL .r PEFfMIT TO: J K I I V ,\AM'I!'~ . I)a,r- ~fll~ how.,o/,)'V :~,:n... S?e.I~j .J:.ltel~ I Q ~..L. "AMI: 'f7'177 ZIP , -'f9M/1Pjr~/ :iiffll-LPOW';'lJP, land Management Dlv. staff can not be held responsible for evaluations or recommendations based on falso, Inaccurate or Incomplete Information . M14-53 FEBRUARY '90 . ..... .... .. ... . . ::>,:~""':,..":"'.':.. ......~ ..... ." :r:::::::::~;;; ~ ~""'...." 7:' .r\. .. . :':"lJ.HO WANACENEHT OIV1sIOlf: .;:. .' .;..- ".. '..:.::';.{.' '.."" :,~ Existing Buildings or Improvements on Property !House Barn Garage c:J Mobile. Home c:J Shed ~SEPTIC INSTALLED ~Yes c:J No R~.bDW ",( ZIP ; , For Mobile Home Placement Only Brand Year Size No. ollip-outs No. of Bedrmc Ucense # ;' " .:..:'..............;.:.:::.>:. . 0 . .. . . --' . . HH ,,1,1' 'I., " . . . ,. . ..f ( . .! . , i . . . .~ ~ HI I :(:I~ . .~ . " . . . .f r . i .: . I" \' ~ :1 ~ l~ ' f . ~ ,. .: . . .F'L ME:CH .,UF( eCK I'Hi'~ . · IAi: ~:; LANE CDUNTY DEPT UN MGT I~ECEIF'T ~'1 347'10 DATE 050390. APPLICANT KUBIK. JAMES J. ADDR 2062 LOMOND'ST., SPRINGFIELD. OR .TU' 1703251.201800 SUBDIV LOT BL.I< , . NEW BLDG TYPE ' USE R BDRMS 0 UNITS 001 STORIES OBLDGS 001 ~~ONE 746 1245, \iffOWNER NME KUBIK, J~MES J. ADDR 2062 LaMOND ST., SPRINGFIELD, OR ,jj~ '. CODE r~PPL NO ACTION DESCf([PTION SQ FT UNIT COST VALUATION FEE DAY,.' BP ~ BP ~ BP . I, .HF' ~ BP . .r w '! . ~'FIX/BATH : SWH: FT. WTR: MECHAN I CAL FEE: STAi'[ SUH:H(.d'(GE PL.AN CHECK FEE FT. RAIN :' FT LC 1347'10 SDSV 6(1.00 .~ )n'~ . ~:)% 25% .~~ATG : SEQU: .TI~KEN APP 1 BY BB f(A FP SDS S1 PCK OTH ISS ' 3 DEPOS I T 'l(,'I' .< - ! 1 v ' CI( .. r '-1 ~ EST. COMPLETION DATE 60.00 . . j .i