HomeMy WebLinkAboutPermit Septic Tank 1994-1-5
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REQUEST
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f;c{p(jsEiful{ ..sEPTIC tlIa"i.~ WATER tlISTALLED
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-DI"ECTION~ 8l~0II~~81 C~ ~
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~R"'CTO" NAME . I ~~.s:;>~ 17~ ~4!>Yo.- OSR UClNSII, PHONE
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'MAIL PEEMIT TO: &/"'~~ ~"::'~~ :225'" p!e ? '~;f("''''''''''''''
0(YGP~~.C::/~ ~ ~;P~- ~P73-/hV-PA _ ~_ '51?<,;""?"?
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I hava carafully read BOTH sides of this application and hereby certify that all Information Is true end correct
LAi:t-e~IY
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FEES DUE: $ ~_~ APPROVED BY:
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CALL FOR INSPECTIONS (SEE BACK OF FORM FOR INSTRUCTIONS) 687-4065
SEPTIC perm1ts ere good for one yesr. ALL other perm1ts expIre sfter 180 days unless Inspections sre current. )
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VIOLATIONS
SB11IACKS A!\'D OTHER __.._m....'j OF APPROVAL MUST SB snuCI'L Y OBSERVED. VIOLATION CAN RBStn. TIN RBVOCATlON OF1HJS PERMIT.
CITATIONS MAY DB ISSUED UNDER nIB PROVISIONS OF LANE COUNrY'S INFRAcnoN ORDINANCE AND/OR OTHER RBMEDIES AlLOWED BY LAW.
... A MINIMUM OF AT LEAST 24 HOURS ADVANCE NOTICE MUST BE GIVEN FOR INSPECflON REQUESTS
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Have the following information ready when you call: 687-4065
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Permit number - Iob address - Type of inspection required -- Whim it will be ready
Your name and phone nwnber - Any special directions to the site
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PUBLIC OFFIClAL RIGlIT TO TRESPASS ON PRIVATE PROPERTY ORS n5.0SO ... "'.:' ...
POWER TO liNTER UPON LAND. nm COW11SSION. AND ANY OF ITS MEMBERS, OFFICERS AND EMPLOYBS, IN TIm PBRPORMANCB OPnmIR PUNC'nONS, MAY
ENTER UPON ANYLAND ANn MAim ~ATlONS AND SURVEYS AND PLACB AND MAilcTAIN TIm NBCBSSARY MONUMBNTS AND MARKERS. ............;.,...
, REQUIRED INSPECI10NS , ,
FOUNDATION INSPECI10N: To be made aft";' excavations foffootiitgs are'com),lere'iind any required reinforcing steel is in place:'
UND_ER!]ROUND PIPIl~G IN~PECI10N: To be made .after all underground piping ~.~ install"!i, prim: to any backfill. , ' '. _
CONCRETE SLAB OR uNDER-Fl:ooR iNSPECI10N:To be madeiifter all in-slab' or Under-floor building serVice eqUipmen~ 'condui~ piping
accessories and other ancillary equipment items are in place but Q;efore.any concrete is pl~ or floor sheathing installed. iricluding the "subfloor:
ROUGH MECHANICALINSPECI10N: To be made after all dU,cting and.gas piping has been installed and prior to being covered.
ROUGH PLUMBING INSPECI10N: To be m8deafter'aU'p1uinhing rough-in is'in pIa';;, prlbt in being covered. .; ~,' . ,"
FRAMING INSPECITON: To be made after the all framing, fITe blocking, bracing and roof are in place and all pipes, chimneys and vents are complete
and the rough elccttical. plumbing, and mec~ani~a1 inspections have been n;tade and approved. "~ _.~ ,,:" .:: ... . ~.- .
INSULA TION'INSPECI10N: To be made after all insulation tITllfvapar barri.r.; are.in place, prior to:coi,,~ring:: .', .,'. .;,
LATH AND/OR GYPSUM BOARD INSPECI10N: To be made after all lathing and gypswn board, interi~r and eXierior,.is in place but before any
plastcringisapp1iedorbeforegyps~boardjohItsandfasten~aretapedandrmiShed. . ~- ~..'. . . . ........ . '.'~. ._:.
ADDITIONAL INSPECTIONS MAY BE REQUIRED, such as but not linlited to; -
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 plwnbing and electrical inspections have been made and approved.
FINAL MECHANICAL INSPECI10N: To be made just prior to the structure or remodeled area being occupied and prior to operating any equipmenl
FINAL PLUMBING INSPECI10N: To be made just prior to the building, structure or remodeled area being occupied.
FINAL BUILDING INSPECI10N: 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 fOlD1dation 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.
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APPROVAL REQUIRED
No work shall be done on any part of the building or structure beyond the JX>int 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. ., '~ . ~ I l ,! . ...
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APPROVED PLANS MUST BE ON TIlE JOB SITE AT ALL TIMES DURING WORKING HOURS. .
TInS PERMIT WILL EXPIRE IF WORK DOES NOT BEGIN WITIIIN 180 DAYS"OR IF'WORKIS STOPPED OR ABANDONED FOR M'ORE TIlAN,1 80 DAYS.
SUSPENSION OR REVOCA nON MAY OCCUR IF TIllS PERMIT Vi AS ISSUED ON THE BASIS OF INCOMPLETE OR ERRONEOUS INFORMA nON.
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, ANYONE PRO.......vmG PAST THE POINT.OF'REQUlREDINSPECTIONS WILL DO SOAT THEIA OWN RISK. '
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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 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 lite work described herein. I further certify lItat if I am not the owner of the property, my registrati"{l,.,wi.th lite Builders Board is in full force
and effect as required by ORS 701.055, and lItat if exempt the basis for the exemption is noted hereon, and ~a~y subcontractors and employees who
are in compliance with ORS 701.005 will be used on the job. . ~~~ mCi>~ ~~ ~~,€}~
SUBSURFACE & ALTERNATIVE SEW AGE DISPOSAL SYSTEMS: .@' ~~ ~ /lca(J 6.\~
When subsurface construction is complete, the permit holder shall notify the County Land Management Division bt'sllbmitung the instii'l~...it\.ecord
fonn. An inspection will be made by a qualified sanitarian. If construction complies with all rules a certifIcate of COIJ1JAA... .' be issued to the permit
holder, If construction does not comply with rules, the permit holder will be notified, and all corrections shall be maa~fi .~. ."ficate of completion
will be issued. Failure to meet satisfactory completion within the allotted time constitutes a violation of ORS 454.605 to . an this rule.
..SUBSURFACE SEW AGE DISPOSAL SETBACKS SEPTIC TANK
From: Interior Y'_Y_'/ lines 10'
Edge of road right-<Jf-way 10'
Building foundation 5'
Wells or other water sources 50'
DRAINFIELD
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~PRINGFIELD PARTITION # 93-09-148
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. APPLICANT MCCABE, BILL
TLO 1703220662700 SUBDIV
NEW BLDG TYPE USE R BDRMS0
I . OWNEr, NME MCCABE, BILL
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LANE COUNTY DEPT ENV MGT RECEIPT
ADDR 456 HARLOW RD.,
o 5394 ~ATE 010694
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