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Home My WebLink AboutPermit Septic Tank 1990-01-08PERMIT #3f- SEPTIC SYSTEM VER I FICATION FOR LOANREAUEST FOB: l-501 NoRTH 18rH srREEr,SUITE #100, SPRINGFIELD, OREGREAL ESTATE T I have carefully read BOTH sldes ol thls RANDY RUDOLPH certlly that all lnformatlon b true and correct DAIE READ OAREFULLYI Your Authorlzatlon ls Ba3ed On The Fol Condltlons DATEAPPROVED BY:FEES DUE: S Y N1 ?2 DEECEmOil Of DIOACED WOiX 434 N. 55rH srREET, spRINGFIELD, oREGoN STAUCTURES XOW q PROPEBTYEXISTING SINGLE FAMILY DWELLING ECTBTiIETPil C6IAUE;AIB iITATD rc. a JIgnlE I'O. OF flPIPYEES RESIDENTIAL USE xo.of lEDiil NORTH ON PARTRIDGE WWEST ON MULLARD, TO SITE ABOVE APPLIgANT NAUE I AqgiElU JURGON GUNTHER, cqriagtg! naME NA NA 3EPT|G f,AIALTD @n NA a SEPTIC SYSTEM VERIFICATION FOR OAN DEBBIE A9Df,ESSMITHI SAME AS THE JOB ADDRESS ABOVE NONE G IVEN !7 'Hor'E 741-0G58 HARLOW ROAD, NORTH ON GAME FARM ROADT PARTRIDGE WAY, SPRINGFIELDI OREGON currcnt.areinspectlonsunless180daysafter FOBMOFBACK(sEEINSPECTIONSFORCALL otherALL prmitsoneforareyear.goodSEPTICpermlts 687-4065 VIOLATIONS sETBAcKs AND oTHEIl coNDmoNs Ffu?ROVAL MUST BB STRICTLY oBSRvP, VIoIATION CAt{ RBSUH RBVoCATtoN oPTHltt PERMIT. CITATIONS MAY 88 ISSTJED IjNDBR. THB PROVTSIONS OF LA!.IB @T,NTY'S TNFRACTION ONDINANCB AI{D,OR, OTTIER, REMDIES AII.OWBD BY LAW, A MINIMUM OF AT LEAST 24 HOURS ADVANCE NOTICE MUST BE GIVEN FOR INSPECTION REQUESTS Ilave the following information ready when you call: 6874Cf5 Permit number - Job address - Typ" of inspection required - When it will be ready Your name and phone number - Any special directiors to the site PTJBLIC OFFTCIAL RIGIIT TO TBESPASS ON PRIVATE PB,OPERTY ORS 215.0A''mffi ffi :ffi :i,#ff.H#ffi?lffi ffi ffiTHffi rffi ff ffi HTffi " REQT.nRED INSPECTIONS FOUNDATION INSPECTION: To be made after excavations for footings are complete and any required reinforcing steel is in place. I'INDERGROLIND PIPING INSPECTION: To be made after all underground piping has been insralled, prior to any backfill. - CONCRETE SLAB OR T NDER-FLOOR INSPECTION: To be made after all in-slab or under-floor building sewice equipment, conduit, piping accessories and other ancillary equipment items are in place but before any concrete is placed or floor sheathing instaUed, 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 alt plumbing rough-in is in place, prior ro 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 completeand the rough elecrical, 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, interiorld exterior, is in place but beforc anyplastering is applied or before gypsum board joints and fasteners are taped and finished. ADDITIONAL INSPECTIONS MAy BE REeLIIRED, such as buLnor limited to;BLocK wALL: To be made after reinforcing is in place, but before any grout is poure.d. The inspection is required for each bond beam pour. Therewill be no approval until the plumbing and electrical inspections have beeimade and approved.FINAL MECHANICAL INSPECTIoN: To be made just prior to the structure or iernodeled area being occupied and prior ro operating ary equipmenrFINAL PLUMBING INSPECTIoN: To be made iusrprioi to the building, srruc&ure or remodeled area being occupied"FINAL BI-TILDING INSPECTIoN: To be made arter iinirtr grading *a ir" urlairg, structure or remodeled area is completed 'd ready for occupancy.MoBILEA4ANUFACTURED HoMES: An inspection is required-after the mobile home is connected ro an approved sewer or septicsystem, 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 finished floor elevation shall be certified when required by Floodplain ManagementTiedowns' if required, shall be installed and ready for inspe"iior, *itii, go ;"r*;;;;"y. Tiedowns shall be installed per e,nclosure. APPROVAL REQTIIREDNo work shall be done onany part-of the building o::F"tu " beyond the point indicated in each successive inspection witlout fust obtaining the:Hli.ll ff :Il*'":tlX*:H.;T#:f ir'ar u' gi'en onlv ut"' i, inspe"tion shall have been made or each succesri,. ,tup in the constnrction rI{IS PER.r'rIr *,LL rl.pIRE " *#,:tH:'ot:?tls#.:}i,il?T#f'^?ri f&$#"'H.T#iSTf l""rffi$#ffiMoRE rHAN r80 DAyssusPENsIoN oR REvocATIoN MAY occuR IF Trlls peruwr-was iiiirp oN rHr nesii or nri:oMpLETE oR ERRoNEous INFoRMAfioN. ANYONE PROCEEDING PAST THE POINT OF REQUIRED INSPECTIONS WTLL DO SO AT THEIR OWN RISK. Your signahrre on the front of this form verifies the-following: I HAVE CAREFULLY EXAMINED THIS coMpLETED A,.LICATI.N, and dohereby certify that all information hereon it t-" ona"oo"",La ,rr"i r r,"r" "pq..r r"r*;;i, ;; pr.p"rry * or*", of record or authorized agent. Ifurthercertifythatanvandallworkpetrot-"Jrr,uiruaon"ir,"".oiol*i"*itt tr,"ordinancesofl-ul,"iour,ryil,ili;;,.f,i"so,"oforegonper_taining to the work described herei"' t t"ttt"t "".tiry tr,"t ir r ",n ".it'"t li "r ,r,; tG"y, ;;;;tradon wirh the Builders Board is in tull force#,:'l:[fr;::T,tt63$r'l;6f*,ffi*:j{"iffii:*ffit i""""*-o,ro,, i, not'i'r,oloni-a ,r,", ",ily,;L-.;;;;;i and emproyees who SUBSURFACE & ALTERNATIVE SEWAGE DISPOSAL SYSTEMS:when subsurface consrrucrion ir.*-pr*, ;;;;;, horder shalino-tiry ,i. c*r.y Land Managemenr Division by submitting rhe instailation record form' An inspection will be made uv I q'irini *q'J*. -lr-*'*"i#]"Lo-uo *r*, ,u -r31.]iin"ur" of "o,npt"tior,'i,,iL ir.r"a to the permitI:iiil*TffffiTtflT::ilfft'**,*iliflr;i:ffi,#T#*,,hy#l#*##tr1.#d1111".26!i.Xg;i;.#,trSrmpie,ion SUBSURFACE SEWAGE DISPOSAL SETBACKS SEPTIC TANK DRAINFTELDFrom: hterior properry lines - - iO, 10,Edgeofroadright_of_way 10, i;Building foundation 5, i;Wells or other warcr sources 50, iOO, {-I /4 TrrrhpL tld Please complete all lines inside white boxes, if possible. MAP. PARCEL NUMBER (fccod-ca t r [rp. [n ttE A.5f6.rtt & fu.rtoe-gcet,/7 O1 z.z,/,1 TsoG TffiC'p T;iF ECi- riffi- ......ffi- r*.r.rp Tilfffi.r;iffi......ffi 1ffi Efi SE6o- r7ffi ---tE .t6iT 0tL 1*/-v OWN€fl oF PROP€RrY 1il not ror qru77 zte ,Md{abava, zrP Z 'lL l(r OWiIERS AOOR€SS (il lot x(G .. L;frrt mlJdsL0ztzd Exlstlng Buildtngs or lmprovemeats on Property €iHouso l--r Barn l-r Garago r----l fvlotile. l-lcmel-I Sh€d SEPTIC INSTAILED 'EllYesI-I tlo Water District Directions to site -,from SITE AD 47y 7 ztP For Mobite Home Placement OnlY I No- of l-ip-outs - No- of Bedrms License # - Brand Year Size ftZ -flruMAIL PERMIT TO: ment Oiv- sta(f can d responsible for or recommendations on false, lnaccurate or mplete lnformatlon at Land M 'lVl (an /'twl- fPreln:,>/77 Ps,/ 1icq-;T-Lq a HAql96 ,rf,'iil,1 Yl Y^ok"[6" l4t a"e t*-- \ * Sl N \+--+ \ \ I