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Home My WebLink AboutPermit Septic Tank 1994-12-2 ]AI:!DH~SSIN~' , . .. ',', ~. " '. . . ';.Q~.Tfi.:....~ :.' ". :..' . . . ....,...,.>....,...w,' , REQUEST FOR: s;... p -t Ie!....:.z: NSr .4L..LA- T/ 0 fJ ~ TOo\fIlSHJ' ~ ~ ".SCCTION J7 ,.,,2 '9 do -lOCATiau,DOHdoS .,- 3t!b5'i ~i'ht) k/~--.-= ~ 6TAUCTURESNC7N~ ~ <::''''nll'. _ _u./y r;{w~.,j/I~ ~ SWTlCNSTAL..LJ, W...TERNiT.....u:D i N:lOFSl"OAIOS /i;;~ ~~Q{) 5"1 C'+- hll M.e.... CFPIU'QiCIlWOAll; 1 C?~~ci..T~~""N~~tl tJ.f:r .MMCl) I u., eel +0 ~/d /0"" Ie, d.L/'~DH'f ~a6r f!,.1=' /.lJidrr::.-f,~ TMWf Sl.IlOMSlCN / PAATm:W 1Of1PND:L B..OCK 0/" J ~n NO OF EMPLOYEES OONSTRUCTON OOSTNAI.1.E .5 NO-"''''''''''''' 'CfJ?~O /-JtLydvYn &, t2-L- :s"""~;~.d /t1 lUCK. OWNE~ADOREsS- ~ ,<, ~/) CTOR~~~ 1~J#!Jl 1<:)( dd1LflPN I MAIL' PERMIT TO: ~ph-{A'"> A1" Iu- I I have carefully raad BOTH .~~ '.' { READ CAREFULLYI "',. .~? Ok4.~ 'N,,"' 7<<- -3/tS PH~ - ,",,",7,47 - 15i3f M191l/1./7- ~R5o ~ Rr tl.-.P. STREET sides of this appllcat ~f~W- ()r. q7"t77 '" ) _ and hereby certify that .u///(~.4~L-- all Information Is true and correct 1,9. -::J. -9-/ 11... . ,j FEES DUE: $ ~ DATE - . ... CALL FOR INSPECTIONS (SEE BACK OF FORM FOR INSTRUCTIONS) 687.4065 SEPTfC parmits ara good for ana year. ALL a/her permits expire after 180 days unless InspecUons are current. -' LMD 040 Rev. 6/92 ~ -'-"'. " - ~''I71;'''-4If"'I''"" ---;..... --,~""".- '-'''fT-'~-'~''' ,",''- .""~'_------'-- ._-...... -'- . -.....-'. _,- ~ -......,.--e- . " ":, \",,\~1,:4ll ~ . ~', .' ~ VIOLATIONS .' , " ;:'.', , , , SBTIlACItS M'D onmR ..._,_",~~,,, OF AJIIlROVALWSTBBI1'IlJCIt. Y OBSERVED. VIOL4.TION CANRBSULT IN RBVOCATlON OFnn5 PBRMrr. CrrATlONS MAY DB lSSUBD UNDER nm ,'.',. ~"'''' '., CFLAJiB aJUJn'\"1 INJlRACI10lf ORDINANCB AND.OR onmR RBMBDIBS AlLOWBD BY LAW. . .... '. ,\ ~ ,\" A MINIMUM OF AT LEAST 24 HOURS ADVANCE NOTICE MUST BE GIVEN FOR INSPEcrION REQUESTS \i":\" 1\_" \:_:' . ~\. , ~ ..:.. Have the following infonnation ready when you call: 687-4065 Pennitnumber ',- 10b~s - Typeofinspectionrequirod Whenitwillbere,ady Your narne and phone number - Any special directions to Ibe site , , , ' PUBLIC omClAL RIGHT TO TRESPASS ON PRIVATE PROPERTY oas D5.OIO POWER TO BNI'ER UPON LAND. nm COMMISSION, AND ANY OF ITS MEMBERS, OPPICERS AND EMPLOYES, IN 1lIB PBRFORMANCl. OFnmIR.PUNcnONS. MAY BNrnR UPON ANY LAND AND MAKE EXAMINATIONS AND SURVEYS AND PLACE AND MAINTAIN nm NBCBSSARY MONUMBNTS AND MARKERS nmRHON. REQUIRED INSPECTIONS FOUNDATION INSPECTION: To be,made after exc~vations f?r footings are complete and any requirod reinforcing steel is in place" UNDERGROUND PIPING INSPECTION: To be made after all underground piping has been installod, 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 ducting and gas piping has been installod and prior to being coverod. 'ROUGH,PI;UMIiING INSPECTION: To be made after all plumbing rough-in is in place, prior to being'~ve,red: " ':-:, ' FRAMING INSPECTION: To be made after Ibe all framing, fire blocking, bracing and roof are in place and all pipe'.;chimneys arid vents are complete ,and'the rou'gh eleCtrical, plumbing, and mechanical inspections have been made and approved. 0/ " , " \. _ . INSULATION INSPECTION: To be made after all insulation and vapor barrien; are in place, prior to covering. LATH AND/OR GYPSUM BOARD INSPECTION:" To be inade after all lathing and gypsum board, interior and exterior, is in place but before any plastering is applied or before gypsum board joints and fasteners are taped ond flnishod. ADDITIONAL INSPECfIONS MAY BE REQUIRED, such as but not limited to; BWCK WALL: To be made after reinforcing is in place, but before any grout is Po';"ed. The inspection is requirod fo; each bond beam pour. There will be no approval until the plumbing and electrical inspections have been made and approved. FINAL MECHANICAL INSPECTION: To be made just prior to Ibe structure or remodeled area being occupied and prior to operating onyequipmenL FINAL PLUMBING INSPECTION: To be made just prior to Ibe building, structure or remodelod area being occupied. FINAL BUILDING INSPECTION: To be made after finish grading and Ibe building, structure or remodeled area is completed and ready for occupancy, MOBILE/MANUFACTURED HOMES: An inspection is required after Ibe mobile home is connected to on approvod 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 fOWldation requirements for mobile homes or as reconunended by the manufacturer. Minimum fmishod 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 installod 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 ftrst 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 I as indicated by each of the inspections required. ., . . APPROVED PLANS MUST BE ON TIlE 1OB'SITE AT All. TIMES DURING WORKING HOURS. TIllS PERMIT WIll. EXPIRE IF WORK DOES NOT BEGIN WITH1N t80 DAYS, OR IF WORK IS. wrrcO OR ABANDONED FOR MORE TIlAN 180 DAYS, SUSPENSION OR REVOCATION MAY OCCUR IF TIllS PERMIT WAS ISSUED ON TIlE BASIS OF INCOMPLETE OR ERRONEOUS INFORMATION. '" . , ,. . . ~ . " ANYONE PROCEI'DING PAST THE POINT O~ REQUIRED INSPE~ONS wILL DO 'SO AT THEIR OWN RISK,. - \ . - - .... '\ . Yoursignarure on Ibe front of this fonn verifies Ibe following: I HA VB CAREFULLY EXAMINED THIS COMPLETED APPLICATION, and do hereby certify t1litt ill infonnation hereon is true and correc~- and that I have a legal interest in the property as owner of recoTd' or 'authoriZed agent. I further cenify that illy and all work performed shall be done in accordance with the Ordinances of Lane County and the Jaws of the State of Oregon per- taining to Ibe work described herein, I Cunhar certify that ifl am not Ibe owner oflbe property, my registration wilb Ibe 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 cOrnpliance with ORS 701.005 will be used on the job. " . ....._ ..... ,. 't -i ""_' ..,A:. ~ , '" ~ ,..!..... '...~ J'.,,"""r,~ SUBSURFACE & ALTERNATIVE SEWAGE DISPOSAL SYS;rEMS:".. . "..~'~ ?>,t-, ," I,' ~'::~'; When subsurface construction is complete. the permit holder shall not~'th~'Gounty:Land Management E>ivisiofray'sUbmittirltll1e'installation record fonn. An inspection will be made by a qualified sanitarian. If cons~ctilJ!l compiies~ih'~ ~es a certificate of completion 'wiiI 6e issued to the pennil holder. If construction does not comply with rules. the permit holder wilLbe notified, and altcOriections shall be made before a certificate of completion will be issued, Failure to meet satisfactory completion within Ibe allotted tiin'\'constirutes a violation of ORS 454:605.to;454';745 and Ibis rule, '.. 'to .-.,'1:,', , , SUBSURFACE SEW AGE DISPOSAL SETBACKS SEPTIC TANK From: Interior yo~y_ OJ lines 10' Edge of road right-of-way 10' Building foundation 5' Wells or other water sources 50' DRAINFIELD 10' 10' 10' 100'