HomeMy WebLinkAboutPermit Septic Tank 1992-04-10V,o 4, _,L./
q-qAPERMIT #
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herebv certllv that all4-;t*s true and correct*,ty'"/qzdes ol thls applI have carefully read BOTH a lnformatlon I
READ CAREFULLYI Your Authorlzatlon ls Based On The Followl Condltlons
DATEFEES DUE: $APPROVED BY:
oALL FOR TNSPECTIONS rSEE
SEPTIC permlts are good for one year. AL
RACK OF FOBM FOR INSTRUCTTONS) 687-4065
L other permits explre atter 180 days unless inspections are current.
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VIOLATIONS
SBTBACKSANDOTHERCONDMONSOFAPPR.OVALMUSTBBSTRICILYOBSERVED. VIOIATIONCAI{RISI'LTINRBV@ATIONOFTHNPBRMIT.
CITATIONS MAY BB ISSUED LJNDER THE PRoVBIONS OP LANE CDUNTY'S INFRACTIoN ORDINANCE ANDrIOR OTHER REMEDIES AlLOwBD BY LAur.
A MINIMUM OF AT LEAST 24 HOURS ADVANCE NOTTCE MUST BE GrVEN FOR TNSPECTTON REQUESTS
Ilave the following information ready when you call: 687-4Ms
Permit number - Job address - Type of inspection required - When it will be ready
Your name and phone number - Any special directioru to the site
powER ro EN,ER UpoN LAND. "* "oiH,!l?oiTffio1*'3Fl{l#ffiH'"S&f iffi E#ISHI Blfrf i[Hr""" * op rr{ErR..F,NcnoNs, MAy
ENTER UPON ANY LAND AND MAXE EXAMINATIONS AND ST'RVEYS AND PI-ACE AND MAINTAIN THE NECESSARY MONI,'MEhITS AND MARTERS THERBON.
REQI,'IRED INSPECTIONS
FOLTNDATION INSPECTION: To be made after excavations for footings arc complete and any requied reinforcing steel is in place.
UNDERGROI-IND PIPING INSPECTION: To be made after all underground piping has been fulstaled, prior to any backfill.
CONCRETE SLAB OR LINDER-FLOOR INSPECTION: To be made after all in-slab or under-floor building service equipme,nq conduit, 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, b,racing and roof are in place and all pipes, chimneys srd vents ue complete
and the rough electrical, plumbing, and mechanical inspections have beelr made and approved.
INSULATION INSPECTION: To be made after all insulation and vapor barriers are in place, prior to covering.
LATH AND/OR GYPSLJM BOARD INSPECTION: To be'made after all lathing and gypzum board, interior and exterior, is in place but before any
plastering is applied or before gypsum board joints and fasteners are taped and finished.
ADDITIONAL INSPECTIONS MAY BE REQUIRED, zuch as bur nor limited 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,gpproval qnril the plumbing and electrical inspectiqns have been made andplryroved.
FINAL MECHAT'UCAL IVSPECTION: To be made just prior to the structuie o. r#oa-bta area being occupied and prior to operating any eq'ipmenr
FINAL PLUMBING INSPECTTON: To be made just prior to the building, strucure or remodeled rea being occupied.
FINAL BI'IILDING INSPECTION: To be made after finish grading and the building, structure or rernodeled area L completed aord ready for occupancy,
MOBILEA'IANUFACTURED 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, tiedowru and plumbing connections.
Footings and piers to comply with State formdation requirements for mobile homes or as recommended by the manufacturer.
Minimum finished floor elevation shall be certified when required by Floodplain Management
Tiedowns, if required, shall be installed and ready for inipection within 30 days after occupancy. Tiedowns shall be installed pe1 enclosure.
APPROYAL REQUTRED
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 ste.p in the construction
as indicated by each of the inspectiors required.
rHIs PERMr wrLL ExpIRE " *#11%H'"lHL'"WiffiT#11'f': 3ff"$"4-?ffi#HS-ryf l""rffifiJf"ffi M'RE rHAN r80 DAys.SUSPENSION OR REVOCAfiON MAY OCCIJR IF TI{IS PERMIT WAS ISSUED ON THE BASIS OF INCOMPLETE OR ERRONEOUS INFORMATION.
AT\TYONE PROCEEDING PAST THE POINT OF REQTIIRED INSPECTIONS WTLL DO SO AT THEIR OWN RISK.
Your signature on the front of this form verifies the following: I HAYE CAREFULLY EXAMINED THIS coMpLETED AppLIcATIoN and dohereby certify that all information hereon is true and corect, and that I have a legal interest in the property as owner of record or authorized agent. Ifurther certify thal any and all work performed shall be done in accordance with the Ordinances of Lane iourrty and the laws of the State of degon per-taimng 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 forceand.effect as.required by ORS 701 .055, and *rat if exempt the basis for the exemption ir not"a t o"on]and that only zubcontractors and employees who
are in compliance with ORS 701.005 will be used on the job.
SUBSURFACE & ALTERNATIYE SEWAGE DISPOSAL SYSTEMS:
When subsurface construction is completg the permit holder shall notify the County Land Management Division by slbmining the installation record
fo11. .11- inspection will be made by a qualified sanitarian. If construction compliis with all rulis a certificate of completion iriti u" irru"a to the permitholder. If construction does not comply with rules, the permit holder will be notified, and all corrections shall be made before a certific"t" of compietionwill be issued. Failure to meet satisfactory completion within the alloned time corutimrcs a violation of ORS 454.605 b 44.745 and this nrle.
SUBSURF'ACE SEWAGE DISPOSAL SETBACKS SEPTIC TANK DRAINFIELDFrom: Interior property lines l0' 10
Edge ofroad right-of-way 10, l0'
Building foundation 5, 10'
Wells or other water sources 50' 100,
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SEPTIC INSTALLED($ vesElnb
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IS'7E ADDBESSir'c
HomeFor
Only
License #
No. of
Year
Size
47,
MAI,L PERM'T TO:
Dlstance
Home
Sewer/SePlh
Land Managemsnt Div. ttaff can
not be held re3ponsible lor
evatuetions or recommendatlont
based on falle, inaccurate or
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