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Home My WebLink AboutPermit Septic Tank 1992-07-21u6 PERMIT #33ZZ SEPTIC SYSTEM VERIFICATIOI{REAUEST FOR: W 3L9O PARTRIDGE WAY, sPRINGFIELD, OREGoN PPI\/ATtr I'qtr DESCilmOX Of PiOPOSEO WOiX SEPTIC SYSTEM VERIFICATION JANA RILEY, SAI{E AS THE JOB ADDRESS ABOVE Ito. oF SroRlESPROPOSED USE SEPIC $IST LLED WATEN XSTALLED COTAINUCTIO{ COAT/YALUE PHOXE 7 47 -47 42 CONTBACTOR }IAME NANA NA PI{ON E FT TOTO PHEASANT, TURN LEFT (ORTH) TO MALLARD, TURN L 17 a5 690022. EXISTING SINGLE FAIJiILY DWELLING HAROLW ROAD 1461 oAK srREET, EUGEruE, oREGoN 97 401 NAME M I.JE I have carelully read BOTH sldes of thls JOtq V{EESE thar all lnlormatlon ls true and correcthereby OAIE READ CAREFULLYT Your Authorlzatlon ls Basad On The Fol Condltlons APPROVED BY:FEES DUE: S DATE FORCALL INSPECTIONS E BA OFCK(sE FORFOBM UCTION,7,68 '-4065s,TtcSEP ermlts are onetorp LA oLgood theryear.Iafter 80permltsexpire unless aredaysinspections current- , \ VIOLATIONS SBTBACKS AND OTHER CONDMONS OF APPR.OVAL MUST BE STRICILY OBSERVED. VIOLATION CAN REIIIJLT IN RBVOCATION OF THIS PERMIT. CITATIONS MAY BE ISSTJBD I.'NDEN. THE PROVISIONS OF LANB COTJNTY'S INPRACTION ORDINANCE ANDr'OR, OTTIER REMEDIES ALLOWED BY LAW. A MINIMT,'M OF AT LEAST 24 HOURS ADVAT.ICE NOTICE MUST BE GIVEN FOR INSPECTION REQI'ESTS Ilave the following information ready when you call: 6874065 Permit number - Job ad&ess - Type of inspection required - When it will be ready Your name and phone number - Any special directions to the site powERroBNrERU'.NLAND. ,*""m,:lt"!,TlB^i.#Sf[{ffiffiH'"H#Jiffi'#[BH,BIi,*H?"o-* r,*oFnIBtRFuNcrIoNs,MAy ENTER TJPON ANY LAND AND MATG EXAMINATIONS AND SURVEYS AND PI-ACB AND MAINTAIN THE NECBSSARY MONT'MENTS AND MARKERS THERI.oN' REQURED INSPECTIONS FOLJNDATION INSPECTION: To be made after excavarions for footings are complete and ury required reinforcing steel is in place. UNDERGROLIND pIpING INSPECTION: To be made after all underground piping has been installed, prior to any backfill. CoNCRETE SLAB OR LTNDER-FLOOR INSPECTION: To be made after all in-slab or under-floor building service equipment, 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 MECHANICAI- N-SpECTION: To be made afrer alt ducring 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 Ore all framing, fire blocking, bracing and roof are in place and all pipes, chimneys and ve'nts are complete and the rough electrical, plumbing, and mechanical inspections have been made and approved' INSULATIbN INSpECTION: To be made after all insulation and vapor barriers are in place, prior to covering. LATH AND/OR GY.PSUM BOARD INSPECTION: To be made after au lathinS and gypsum board, interior and exterior' is in place but before any plastering is applied or before gypsum boardjoints and fasteners are taped and finished' ADDITIbNAL INSPECTIONS MAY BE REQLIIRED, zuch as but not 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 approval until the plumbing and electrical inspectigns have been made and approved. FINAL MECHANICAL INSPECTION: To be made just prior to rhe strucn[e or remodeled area being occupied and prior to operating any equipmenr FINAL pLUVtsING INSPECTION: To be made jusrprior to the building, structr[e or remodeled aea being occupied' FINAL BLTILDING INSPECTION: To be made after'finish gading ano the uulaing, structute or lemodeled area is completed and ready for occupancy' MOBILEMANUFACTURED 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 ana pien to comply with State foundation requirements for mobile homes or as recoflrmended by the manufacturer' Minimum finished floor elevation shall be certified when required by Floodplain Management Tiedowrs, if required, shall be installed and ready for inspection wittrin:o days after occupancy. Tiedowns shall be installed per enclosure' APPROVAL REQTIIRED 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 ornciar. such approval shall be given orily after an inspection shall have been made of each successive step in the construction as indicated by each of the irspections required. APPROVED PI..ANS MUST BE ON THE JOB SITE AT ALL TIMES DURING WORICNG HOURS. THIS PERMIT WILL E)(PIRE IF WORK DOES NOT BEGIN WTI}IIN I8O DAYS, OR IF WORKIS STOPPED OR ABANDONED FOR MORE THAN I8O DAYS' SUSPENSION OR REVOCATION MAY OCCIJR IF THIS PERMIT WAS ISSUED ON THE BASIS OF INCOMPLETE OR ERRONEOUS INFORMATION' ANTYONE PROCEEDING PAST THE POINT OI'REQTIIRED INSPECTIONS \MILL DO SO AT THEIR OWN RISK' your signature on rhe front of this form verifies the following: I HAV_E CAREFULLY EXAMINED THIS CoMPLETED APPLICATIoN' and do hereby certify that all information 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 *J "ii o,ort p"rror*ed shall be done in accordance with tlre ordinances of Lane county 4 q" lIl -of the state of oregon per- ;"irrlil i; 6; *;rt aescriuJ trerein. t further certify that it t am nor rhe_owner of the property'. my regisuation with the Builders Board is in full force and effect as required by ORS 701.055, and that if elempt rhe basis for the exemption i" rrot"d hereon, and that only subcontractors and employees who are in compliance with ORS 701.005 will be used on the job' SUBSURFACE & ALTERNATIVE SEWAGE DISPOSAL SYSTEMS: When subsurface consrruction is complete, the permit holder shall notify the County Land Management Division by s'bmitting the installation record form. An irspection wi[ * made by a qualified sanitarian. If construction compliis with all rules a^certificate of completion will be issued to the permit holder. If construction does ,,ot "onipty ",ith rules, the permit holder will be notified, and all corrections shall be made before a certificate of completion will be issued. Failure to meet sarisfaciory completion trithin tt " allotted time constitutes a violation of ORS 454.605 to 454.745 and this rule. SUBSURFACE SEWAGE DISPOSAL SETBACKS SEPTIC TANK Froml Interior ProPertY lines l0' Edge of road right-of-waY 10' Building foundation 5' Wells or other water sources 50' DRAINFIELD 10' 10' 10' 100' Please comPlete atl lines inside white boxes, if Possible'Extstlng Bulldings or tmprovemenB on PropertY E Hor."E Barn E Garage EI Mobile. Home EI Shed SEPTIC INSTALLED El Yes El No Water District 3 tru € #{07r il ztP 3fllilA 't I W not a3 3 o "< not Samc a3 ficcn3c *Directions to site coN tHAc I uh ouse /e / MAP. PARCEL NUMBER'r'iiria'." t"i ."pi in th. A.'ca3mcn! & Trration DcP!";"7'*D? 22,/,3 ha"a T6ffi;FfF- maf SEEiiE,;- l-,{ffin- -r--;i- ffi;6-' F.gc- sc.ti{ 1/4 scclion Tar Lot "filffiE- EnE- f.Eim_- r7{Se?iiEi- -Tq-'iE'i- ztP strE ADDRESS < /e For Mobile Home Placement OnlY Brand - No. of Tip-outs - No. o{ Bedrms License #- Year SizeE MAIL PERMIT TO: Jrrm tlees e 4ar O0 Land Management Div. stalf can not be held responsible lor evaluatlons or recommendations based on false, lnaccurale or lncomplete lnformatlon Allowed Use s EVA TRS i oo c2l o l I ? ! 7 I I t... il...t Ioc Oc!.! O o 3 -,F ri t. t." .irJ fl 'l::' c' 3t E,.t ts t + * ul* udrng t k r {c[,en?'1-1fl tf-.---- fie ['d- \Ltvr^7 t? n^ Lo, ^ Df rut< rdA'1 I II ) 3 r?o ?0,4r,5 e u)o7 --e t--1 I i I II ir t4