HomeMy WebLinkAboutPermit Septic Tank 1990-1-25
"\
f REQUEST
FOR:
SEPTIC INSPECTION FOR LOAN REVIEW
f TOWNSHIP RANal
17 03
LOCATION "'DDflES.
1259 Island
8ECTl0f4
34
Ct
1148Ec:lIClH
22
YAXLOT
217
Springfield, OR
.uaaVIlUOM/PAII1I1IQll
LOT I """CEL aLClICK
97477
ITftUCTURli8 NOW ON PROPERTY
SFD
PftOPOSED WI
BEPnc ".TAu.a:O
.ATEJI...TAu.i:D
NO. ClI' 8TOfUg
NO. ClI' iMPLOftD
CONITllUCTlOM COlITIYAUlI
R
DUlCRlPlION OF PROfJOIIED WORK
NO. 01' BIPROOIIa
SEPTIC INSPECTION FOR LOAN REVIEW
DIRECTIONS TO IIlTI ""011 COUIHHOU..
N. on Coburq Rd: East on Centennial over 1-5
A'PUCANT NAlli .. AOgRE.S
Doualas H. Shaw
OWNERS "A.i . AODRI18
706 Oakdale
Springfield, OR
Dallas, OR 97338
oji""UCPl.. ,
!'NON I
747-2431
....ON.
Iona Baller
COHT"ACTOA NAMI!:
985 E. Ellendale
""01011
t MAIL PERMIT TO:
Douqlas H. Shaw
t HA..I
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I hava carefully read BOTH
Doualas H. Shaw
'.
706 Oakdale
Springfield, OR
AODR188
97477
sldas of
erebx ,certlfV that all Information
Jf/ JYUJJJ.r
la true and correct
1/25/90
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PAM" .....
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FEES DUE: $
APPROVED BY: /l ~~
DATE
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, CALL FOR INSPECTIONS (SEE BACK OF FORM FfjR INSTRUCTIONS) 687-4065
SEPTIC permits ere good for one year. ALL other permits expIre after 180 days unless InspectIons are
,
~
current.
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VIOLATIONS
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SBTBACKS'AND 01lIER ...................... OF APPRQV ALMUST DB S1RIcn. Y OBSERVED. VIOLATION CAN RBSULT IN RBV.OCATION OFnDS PERMIT.
. CITATIONS MAY DB ISSUED UNDER nm PROVISIONS OF LANE COUNTY'S INPRAcnON ORDINANCB AND/OR OTIIER REMEDIRS 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 omClAL RIGJITTO TRESPASS ON PRIVATE PROPERTY oas ns.OIO
POWER TO BNTER UPON LAND. nm COMMISSION, AND ANY OF ITS MHMBBRS, OFFICERS AND EMPLOYRS, IN nm PHRPORMANCB OF nmIRPUNcnONS, MAY
ENmR UPON ANY LAND AND MAKB BXAMINATlONS AND SURVBYS AND PLACE AND MAINTAIN nIB NBa.sSARY MONUMBNTS AND MARKERS nmRBON.
REQUIRED INSPECTIONS
FOUNDATION INSPECTION: To be made after excavations for footings are complete and any required reinforcing steel is in place.
UNDERGROUND 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 ducting 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 INSPECTION: To be made after the all framing, fIre 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
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 reinforcing is in place, but before any. grout is P9ured. The inspection is required for each bond beam pour. There
will be no approval unlil the plumbing and electrical inspections h~ve been made and approved.
FINAL MECHANICAL INSPECTION: To be made just prior to the stnicture or remodeled area being occupied and prior to operating anyequipmenL
FINAL PLUMBING INSPECTION: To be made just prior to the building, structure 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 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 sbUcture 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 WORKING HOURS.
TIllS PERMIT WILL EXPIRE IF WORK DOES NOT BEGIN WITIIIN .180 DAYS. OR IF WORK ~ STOPPED OR AB~NEQ FOR, MORE TIlAN I~O DAYS.
SUSPENSION OR REVOCATION MAY OCCUR IF TIllS PERMIT WAS ISSUED ON THE BASIS OF INCOMPLETE OR ERRONEOUS INFORMATION.
~'~-f).',. - ~:. :t_' .,..._, y
ANYONE PROCEEDING PAST THE POINT OF REQUIRED INSPECTIONS WILL DO SO AT THEIR OWN RlSK.
. r-' \ ~. .,' .
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 information hereon is true and correct, and that I have a legal interest in the propeny 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 ifl am not the owner of the Y''''y'''''''/, 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 permit holder shall notify the County Land Management Division by submitting the installation record
fonn. An inspection will be made by a qualified sanitarian. If cons1n!ction 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 made before a certifIcate of completion
will be issued. Failure to meet satisfactory completion within,the' alloned'time'constltutes a violation ofORS 454.605 to 454.745 and this rule.
SUBSURFACE SEW AGE DISPOSAL SETBACKS . SEPTIC TANK
From: Interior y,uy...j lines 10'
Edge of road righl-<lf-way 10'
Building foundation 5'
Wells or other water sources 50'
DRAlNFIELD
to'
10'
10'
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land Management Dlv. staff can
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Exlsllng BuildIngs or
Improvements on
Property
r;;D House
c::J Barn ."
c::J Garage
c::J Mobile. Home
c::J Shed
SEPTIC INSTALLED
!XI Ves
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Water District
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from Courthouse
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W: 5 LANE COUNTY DEPT ENV MGT RECEIPT I' 22090 DATE 012590
APPLICANT SHAW, DOUGLAS H. ADDR 706 OAKDALE, SPRINGFIELD, OR
~LO 1703342200217 SUBDIV' . LOT BLK
.NEt.J BL.DG TYI:'E . USE H BDHMS 0 UNITS ()01 STOFnES '~BL.DGS ()01 PHONE 747 2431. .
OWNER NME ~AL.LER, ION~ ADDR 985 E. EL.L.ENDALE, DAL.L.AS, OR r~!
. CODE APPL NO ACTION DESCF([PTION SQ FT UNIT COST VAI_UATION 'FEE DAY,l;.
BP ·
. BP A ,
BP
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SWR: FT. WTR:
MECHAN feAl: FEE
ST"TE .SLJF<CHAF(GE
PLAN CHECK FEE
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FT
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L.e 22090 SDSV
60.00
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60.0() CK .1
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EST. COMPL.ETION DATE
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