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Home My WebLink AboutPermit Septic Tank 1992-07-17a l"t 6eD 12o)Y3 ERMIT #2 6fror/REAUEST FOR: I have carefully read BOTH sldes of thls appllcatlon and hereby certlfy that all lnformatlon ls true and correct READ CAREFULLYT Your Authorlzatlon ls Based On The Fo!Condltlons FEES DUE: $APPROVED BY;DATE CALL FOR rNSPECTIONS (SEE BACK OF FOBM SEPTIC permlts are good tor one year. ALL other permits expire after l8O days unless inspectlons are current, 687-4065 DA1E &l ,\t1e . VIOLATIONS sETBAcKs AND oIrHBR coNDTfloNs oF APPRoVAL MUST BE s'IRIcItY oBSERVED. VIOLATION CAI\I RFSI.JLT IN RBVOCATION OF THIS PERMIT. ctrATroNs MAy BE rssueD-rfrBR'inBrnovsro$iiilAxa corrNry's iNmlc'nox oRDINANcB ANDToR.oTHRRBMEDIFs ALLowED BYLAw. A MINIMUM OF AT LEAST 24 HOURS ADVANCE NOTICE MUST BE GTVEN FOR INSPECTION REQUESTS Ilave the following information ready when you call: 6874M5 Permitnumber - Job address - Type of i*p""tior,roiui.i - - lVt"t'it*iu&rdaav'i . . Yirurname.an{phone numtei - A4y qpgct.I dit"itions qodre slte powERroENrERrr?oNLAND. ,*""i#,.'l?.iTffii#3}IiffifiB'"lt'.H&1'."ffi'#[BHl?I&il'*?--r *oFrHBrRpuNcrroNs.MAy ENTER UPON ANy LAND AND MAKB EXA.I,INATTONS AND ST RVEYS AND P!-ACE AND MATNTAIN Ir{E NECESSARY MONIJMENTS AND MARKERS THE{EON, ] REQI.NRED INSPECTIONS FOLINDATION INSPECTION: To be made after excavations for footings are complete and any required reinforcing steel is in place. .dINDERGROLIND PIPING INSPECTION:. To be made after all u.nderground piping has bpen irstalled, plrQr to any.backfill." C9NCRETE SLAB OR ITNDER-FLooR'INSPECTIoN: To be made after all in'-slab oi under-floor buildlng service equipineng coniuit, piping accessories and other ancillary equipment items are in place but before any concrete is placed or floor sheathing hstalted, including the subfloor. l 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 afte.r the att tamrng, firC,bl.ocking, lracing and roof are in place and all pips, chirnneys and vents are complete and the rough elecrical, plumbing, and mechanical inspections have been made and approved INSULATION INSPECUON: 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 irpplied o6beforr. gypsum.board joi4ts and fasteners are taped and finished. ADDITIONAL INSPECTIONS MAY BE REQLIIRED, such 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 inspections have been made and approved. FINAL MECHANICAL INSPECTION: To be made just prior to the structure or remodeled area being occupied and prior to operating any equipment. FINAL PLUMBING INSPECTION: To be made just prior to the building, strucure or remodeled area being occupied. FINAL BLIILDING INSPECTION: To be made after flrnish grading and the building, structlre or remodeled 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 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 Management Tiedowns, if required, shall be installed and ready for inspection within 30 days after occupancy. Tiedowns shall be installed per enclosure. APPROVAL REQTIIRED No work shall be done on any part of the building or struchre beyond the point indicated in each successive inspection without first obtaining the approval of the building official. Such ap,proval 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 TIIE JOB SITE AT ALL TIMES DI.JRING WORKING HOURS. T}IIS PERMIT WILL E)(PIRE IF WORK DOES NOT BEGIN WTITIIN I8O DAYS, OR IF WORK IS STOPPED OR ABANDONED FOR MORE TIIAN 180 DAYS. SUSPENSION OR REVOCATION MAY OCCUR IF THIS PERMIT WAS ISSUED ON THE BASIS OF INCOMPLETE OR ERRONEOUS INFORMATION. ANYONE PROCEEDING PAST THE POINT OF REQTTIRED TNSPECTTONS WILL DO SO AT THEIR OWN RISK. Your signature on the front of this form verifies the following: I HAVE CAREFULLY EXAMINED THIS COMPLETED APPLICATION, and do hereby certify that all information hereon is true and correct, and rhat I have a legal interest in the property 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 if I am not the owner of the property, my regisration 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 orily subcontractors and employees who are in compliance with ORS 701.005 will be used on the job. SUBSURFACE & ALTERNATIVE SEWAGE DISPOSAL SYSTEMS: When subswface construction is complete, the permit holder shall notfi the County Land Management Division by slbmitting the installation record form. An inspection will be made by a qualified sanitarian. If construction 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 allotted time constitutes a violation of ORS 454.605 to 454.745 and this rule. SUBSURT'ACE SEWAGE DISPOSAL SETBACKS SEPTIC TANK DRAINF'IELD From: Interior property lines l0' 10' Edge ofroadright-of-way 10' 10' Building foundation 5' 10' Wells or other water sources 50' 100' - A 3oo oVT :., - _3 :ii; i! i' .l itl" l::(.i IiAl t.t i..rliiIIi.i, ,til{;:[:hi ;iLift$ I \. [;iir.Jii'j'Y' I]l:lF i:i Ii [;i,lv i.ii; ti:;i;l::, l..r f. i:: S ,ii :::"r.i.:i#,;i:;: iiii I..l} l:i I' i.j r;F l. f::i...]j, [:. fi .UiiEi..i,:J rJ l.It,i:t i:i$fiL.ri Iifi,I#ftl:,:,1':tLli\ lilri r-iIt,lt :1;l:5,tii I:t . r.. {.J I${;tr {:iglq t-,HnNI ,,:iFtt L Nt;F'i: t;.t..11 v i\ t... t.t frr 1' L u i\i i:l'T |:l il [:. $:;i] S 1. 'l iifil... .lI fr fl t. Li( il:' [: J', tJ'i'li : ii[::ti:i.iti'J.i. t.;irit... I- [:[:i;f i\ I [i ;i:t.l[:r:;l..i,.ir(i;I lii-.i:ii".l i:Hi::illt !:;'L:.[:. ..i t/,, tt ,,,t: I lt r- \ [i:fi ;;n,'-i 1 H,:-1 . i.1 I..:i'i-:F; i:tITil : SI:iJU : 1'rtrt{.Hi.l FL.hI r..tt: t.:r:.!i'iPl...L-'i' I i']i',l'iif'{ .I+T r ,__. I 8 E!,a ot i I ZL*^7L Twnshp. N BLACK IUK Range & Section 2- L-,126, 1-ot form c55-1127{ff\ Parcel Lot Block --- PLAN AS CONSTRUCTED Scale- " = - MUST BE I E 9_ 6'q, f U; zN6as6s eog o-do-e oo(t, € V ) i sS * & B l. c I = a 0) oo-(, o{f,o I r.oofaoz 9 doE)ofo l.$ b l,N Ls 5a er 6- Permit No. VICINITY MAP Alternative Address) # -F d USE FOR INSTALLER'S USE: Trench Depth tl k COMPLETE THE FOLLOWING IF A PU WAS certity that and Merc Signature ury Float Switch (Mfg. and No.) FOR SANITARIAN'S USE ONLY: COMMEN System Capacity Yib gal./day Signatu \\\ r HAVE pERsoNA*L lysprcTrb THE SysrEM sHowN}IEREON AI\iO Ci?TIiY TfIAT ri]S EbHTSTRUCTED INFi;'tL ci]l/irit/\N,:E WrTr{ Tt{E enbvrsiilus oF oAR340 Di.lts;ct{ ll. "\v\e'\ ,cENsE tr a6sza DATED 6*ttt Standard System { Job Location (Street a x J &. FI 6 l)( \ n\I P F .,J { I o o DT l{ < o D) o 0!) o I e s \ T N r (> o '*r(s DT INK ONLY Below Tile Qt' of Lines Watru .k- have been installed with this sewage installation Date s Pump I Correctiontr Corrected Date Date INSTALLATION RECORD & CERTIFICATE OF SATISFACTORY COMPLETION When by the Counly Sanitarian, this certilicate is evi-dence as per OBS 454.665 of satisfactory completion oi a subsurface sewage d isposal system at the above localion lo request inspection, return all three (3) copies of this form to: Lane County Environmental Health Services, located in the basement ol thePublic Service Building, 125 E. 8th Avenue, Eugene, OR 97401. u|9"l-t -( DETAIL r8 l' , l*. ls, r- t uG EI F !$t FI 1 Tank Capacity Measured Distance I (installer's name)