HomeMy WebLinkAboutPermit Septic Tank 1995-9-6
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PROPOSEDLJSe 6EPTlCNSTALlED WATERMTAU.ED IloO OFSTORES NO.OfEMPlDYEE.S
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DIRECTIONS TO SITe fROM NEAREST MAIN NTERSECTlON
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CONTRACTOR INST Al..LEW BUILDER NAUE ,
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application and hareby certify that all Information Is true and correct
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FEES DUE: ~
APPROVED BY:
DATE
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CALL FOR INSPECTIONS (SEE BACK OF FORM FOR INSTRUCTIONS) 687.4065
permits are good for one year. ALL other permits expire alter 180 days unless Inspect/ons
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BrB current.
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lMD 040 Rev. 6/92
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VIOLA nONS
- _, r...... ." SIITBACKS AND onmR CONDmONS OP APPROVAL MUST DB STRlCIL Y OBSERVED. VIOLATION CANRBSULT IN REVOCATION OFnns PERMIT.
J ....,-_' '.. ....crrATIONS MAY. DB ISSUED UNDBR. nIB PROVISIONS OPLANBCOUNTY'S OOlRAcnoN ORDINANCBANDJQR onmRRBMEDIBS AlLOWBD BY LAW.
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A MINIMUM OF AT LEAST 24 HOURS ADVANCE NOTICE MUST BE GIVEN FOR INSPECTION REQUESTS
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Have the following infonnation ready when you call: 687-4065
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Permitnumber - rJo!>-~~ - Typeof.inSpectiori'require(t.....\~~ .:%.enit:wiUbere~y~
Your name and phone number - ,Any special directions to the site, -.. L '
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PUBLIC omClAL RIGRTTO TRESPASS ON PRIVATE PROPERTYoas U5.OIO ~..." ,J
POWBR. TO BNmR UPON LAND. nm COMMISSION, AND ANY OF ITS MBMBBRS, OFPJCBRS AND EMPLOYES, IN nm PBRPORMANCl. OF nmIR.PUNcnONS, MAY \
BNJ'BR UPON ANY LAND AND MAKB BXAMINATIONS AND SUltVBYS AND PLACB AND MAINTAIN nm NBCBSSAR,Y MONUMENTS AND MARKERS TlIERBON.,~ {, ':;.,
REQUIRED INSPECfIONS . -. '.. "
FOUNDATION INSPECfION: To be made after excavations for footings ore complete and any required reiiuorcing'steel is inpl",:e. ' , . "
UNDERGROUND PIPING INSPECfION: To be made after all underground piping has been installed, prior to any backfill.
CONCRETE SLAB OR UNDER-FLOOR INSPECfION: 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 subfloal,
ROUGH MECHANICAL INSPECfION: To be made after all ducting and gas piping has been installed and prior to being covered.
~OU.9li'PLUMBINg,INSPECfION: To be made after all plumbing rough-in is in place, prior to ,,!,ing ~.ye~: ,,: .. ..;,.~; " '. H' {':,\
FRAMING INSPECfION: To be made after the all framing. rite blocking. bracing and roof ore in place and all pipes. chinmeys and vents are complete
and.~th~=rough ~lci:'irlcal. plumbing, and mechanical inspections have been made aJl(l~~:_- :J:-~" { \.~'\ \' '... \i9i\1 ~ \- '-"\ ,') 9"'"
INSULATION INSPECfION: To be made after all insulation and vapor barri... ore in place. prior to' covering.
LATH AND/OR GYPSUM BOARD INSPECfION: 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 fasten... ore tapid and rmished._",:. -. v.~',;~
ADDifION1'LINSPECflONS lI;fA Y.BE ~EQUIR~D. such as.b~t.l)ot'lin;;ted 10;'/'0 ~ 1,_ " ~,\r~\-\.: ,,-, ' " . ':' ':.\ \:.
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 inspections have been made and approved.
FINAL MECHANICAL INSPECfION: To be made just prior to the s1rUCture or remodeled orea being occupied and prior to operating any equipment
FINAL PLUMBING INSPECfION: To be made just prior to the building. structure or remodeled area being occupied.
FINAL BUILDING INSPECfION: To be mack, 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 fOlD1dation requirements for mobile homes or as ............_..ended 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 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 Puts MUST B~ ON 'mE JdB~iTE ATAU51iMES DURING WORKING HOURS. .1"' \ l~> c~~;;,
TIllS PERMIT WILL EXPIRE IF WORK DOES NOT BEGIN WITHIN 180 DAYS. OR IF WORK IS S, vrrnu OR ABANDONED FOR MORE 'mAN'180 DAYS.
SUSPENSION OR REVOCATION MAY OCCUR IF 'mIS PERMIT WAS ISSUED ON,TlIE'BASIS OF.INCOMPLETE OR ERRONEOUS INFORMATION.
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, ANYONE PROCEEDING PAST THE POINT OF REQUIRED INS~Ii(C;n<?.!"~ ~~,:.p,O .~O 1'J',.Tl!EIR O,WN RISK: -. 1\
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Your signatiue ~n:t!1e front oflhis fonn verifies the following:JHAVE CAREFULLY EXAMINED TIllS COMPLETED APPUCATION. and do
hereby certify that all information hereon is true and correct. and that I have a legal interest in the .t"'.~.t"'-..) 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 I am not the owner of the 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. ~t only subcontractors and employees who
are in compliance with ORS 701.005 will be used on the job. ~Ell? ~ ~_n.SI>
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SUBSURFACE & ALTERNATIVE SEW AGE DISPOSAL SYSTEMS: <<1 ,d
When subsurface construction is complete. the pennit holder shall notify the County Land Management DivislOqBy hffilning~lation record
fonn. 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 ~ befO, re~~certificate of completion
will be issued. Failure to meet satisfactory completion within the allotted time constitutes a violation of ORS 454~6()3't~!(45 and this rule.
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SUBSURFACE SEW AGE DISPOSAL SETBACKS SEPTIC TANK
From: Interior '''.Y.'''' lines 10'
Edge of road right-of-way 10'
Building foundation 5'
Wells or other water sources 50'
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ASSOCIA Tl
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1100 JACOBS DF
ElJ6ENE, DREG
"1/402-1"11
PHONE,
(503) 4b1-2C
FAX: (503)461-1
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REVISIONS.
REVISION OF.
1Ii....IUJ"""'..J.Ioi.,_.oL.~r.U..I;j.I:~
PRO.JECT.
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021-00;