HomeMy WebLinkAboutPermit Septic Tank 1990-5-9
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PERMIT #
/333-90
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REQUEST
FOR:
SEPTIC SYSTEM VERIFICATION
alJIIlXVISIONI II'UlnTlC>>l LOT/...ucn lLoat ..
, TOWNSHIP 17 """GO 0 3 SECnON V41lECTlON TULUY
25,2.1 900
~'tn oGRE E NBR I AR STREET, SPRINGFIELD, OREGO~J
STRUCTURES HOW ON PROPUTT
EXISTING SINGLE FAMILY D~IELL I NG.
'POPOSEO W8 ...,.,..C ..STAlLED ....l'EJlINSTA1.LiD NO. (l'STOfUD IiIO.ClFElll'UJfliB COIGTl'lUCllQfll C08TIVALUB
RIVATE USE
D&.llCRlPTION 01' PIIOP018Ut WQII;"
SEPTIC SYSTEM VERIFICATION
NO. Ol" aiDROOMI
"'KellONS TO IllTE ,.11011 CQUIIITHOU..
.~TH STREET IN SPRINGFIELD TO RAMBLING. ONE BLOCK, RIGHT ON GREENBRIAR TO
SITE ABOVE
APPUCANT~ ADORES.
MYRNA BUSS,
PHONI
746-3498
OWNERS NAIll . ADDREIB
ROSE GINTER, SAME AS THE JOB ADDRESS ABOVE
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NONE GIVEN
PHONI
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r"AIN STREET,
SPRINGFIELD, OREGON
97478
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I have carefully read
~lYR~IA BUSS
ADDRESS
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BOTH sides of this application and herebYlr1lfY /1hat all Information Is true j;d Jorrect
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Authorization III Based On The Following Conditions
FEES DUE: $
APPROVED BY:
DATE
,)-r-911
CALL FOR INSPECTIONS (SEE BACK OF FORM FOd/tNSTRUCTIONS) 687-4065
SEPTIC permits are good lor one year. ALL other permits expire alter 180 days unless Inspections are current.
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SETBACKS AND OTHBR _................~ OF APPROV ALMUST BE S11UCIL Y OBSERVED. VIOLATION CANRBSULT IN RBVOCAnON OFrnIS PBRMlT.
CITATIONS MAY DB ISSUED UNDER nm PROVISIONS OF LANE COUNrY'S INFRACI'ION ORDINANCE AND/OR onmR. RBMBDIBS AlLOWED BY LAW.
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VIOLATIONS
A MINIMUM OF AT LEAST 24 HOURS AnY ANCE NOTICE MUST BE GIVEN FOR INSPECflON REQUESTS
Have the following information ready when you call: 687-4065
Pennit number - Job address - Type of inspection required When it will be ready
Your name and phone number - Any special directions to the site
PUBLIC omCl.4.L RIGHT TO TRESPASS ON PRIVA'I1t PROPERTY oas ns.oso
POWER TO BN'I'BR UPON LAND. nIB COMMISSION, AND ANY OF ITS MEMBERS, OFFICERS AND BMPLOYBS,IN nm PBRPORMANCB OP nmIR PUNCllONS,MA Y
ENTER UPON ANY LAND AND MAXBBXAMlNATIONS AND SURVEYS AND PLACE AND MAINTAIN TIm NECESSARY MONUMHNTS AND MARKERS nIEREON.
REQUIRED INSPECTIONS
FOUNDATION INSPECTION: To be made after excavations for footings are complete and any required reinforcing steel is in place.
UNDERGRDUND PIPING INSPECTION: To be made after all underground piping has been installed, prior to any backfill.
CONCRETE SLAB OR UNDER-FLOOR INSPECTION: 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 INSPECTION: To be made after all ducling and gas piping has been installed and prior to being covered.
ROUGH PLUMBING INSPECTION: To be made after all plumbing rough-in is in place, prior to being covered,
FRAMING INSPECTIDN: To be made after the all framing, ftre 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 INSPECTION: To be made after all insulation and vapor barriers are in place, prior to covering.
LATH AND/OR GYPSUM BOARD INSPECTION: To be made after all lathing and gypsum board, interior and exterior, is in place but before any
plaslering is applied or before gypsum board joints and fasteners are taped and fmished.
ADDITIONAL INSPECTIONS MAYBE REQUIRED, such as but not limited to;
BLOCK WALL: To be made after reinforcing is in pl,ace, 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 INSPECTION: 'T6be m~'jUst prior'tO the s1IU<!n\re ~r'ren1odeled area being occupied and prior to operating anyequipmenL
FINAL PLUMBING INSPECTION: To be made just prior to the building, ~tructure or remodeled area being occupied.
FINAL BUILDING INSPECTION: 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 f01D1dation requirements for mobile homes or as recommended by the manufacturer.
Minimum fmished floor elevation shall be certified when required by Floodplain Management
TicdowllS, 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.
APPROVED PLANS MUST BE ON TIlE JOB SITE AT All. TIMES DURING WORKlNG HOURS.
TIllS PERMIT WIll. EXPIRE IF WORK DOES NOT BEGIN WITHIN t80 DAYS, OR IF WORK IS STOPPED OR ABANDONED FOR MORE TIlAN 180 DAYS,
SUSPENSION OR REVOCATION MAY OCCUR IF.TIIIS P~ vi ASISSUED ONTIIE,BASIS OF INCOMPLETE OR ERRONEOUS INFORMATION,
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ANYONE PROCEEDING PAST THE poiNT OFREQUIIfED INSPECTIONS wiLL DO so AT THEIR OWN RISK.
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Your signature on the front of this fonft,verifies the followitig: I HA VE CAREFULLY EXAMINED TillS COMPLETED APPUCATION, and do
hereby certify that all infonnation hereOl]. 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 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 property, 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 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 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 to meet satisfactory completion'within the a1loned time co~titutes a violation of ORS 454.605 to 454.745 and this rule.
SUBSURFACE SEW AGE DISPOSAL SETBACKS SEPTIC TANK
From: Interior y,vy...j lines 10'
Edge of road right-of-way 10'
Building foundation 5'
Wells or other water sources 50'
DRAINFlELD
10'
10'
10'
100'
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Please complete all lines inside white boxes, if possible.
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OWNER OF PROPERTY r.. not ...ft\. .. Obo7. .
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OWNERS ADDRESS (It not ..me .. abo..)
ZIP
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MAP, PARCEL NUMBER
(Found on 1u ... In 1M ~.nt . T.Jllltloft DepL)
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To Lot
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SITE ADDRESS
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MAIL PERMIT TO:
H.J1/1 y J/l a '8 I ) .s '3
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1147/
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Land Management Div. staff can
not be held responsible for
ovaluatlons or recommendations
based on falso, Inaccurato or
Incomplete Information
M14-53 FEBRUARY '90
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Existing Buildings or
Improvements on
Property
~ House
c=l Barn
c=l Garag.
c=l Mobil.. Home
c=l Shed
_ 'pEPTIC INSTALlED
~Yes
c=l No
Water District
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Directions to site
from ~ourthouse
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Fo oblle Home
Place ent Only
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Year
Size
No. Ip-<>lll.
o. of Bedrm~ ........
License # "
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rr 'w: 5 LANE-COUNTY DEF'T ENV MGT RECEIPT ~ 133390 DATE 050290
. APPLICANT GINTER, ROSE ADDI', nT? C;F,EENBIUAI~ ST", SPI~I",N",',GFIELD" OI~I'.--
fLI 1703252100900 SUBDIV LUI BLK
NEW BLDG TYPE USE R BDRMS 0 UNITS 001 STORIES IBLDGS 001 PHONE 746 3498
. OWNU, N~iE GINTEY, I'WSE ADllf:: ':":'77 r;I"lTNf,rnAl', ST" ST'r:n,jGI"TFI n, emF.'
CODE APPL NO ACTION DESCRIPTION SQ ~~, U~iT-cios~-VACU~TI6N ' F~~-- DAYS
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