HomeMy WebLinkAboutPermit Septic Tank 1989-06-27Cu66- -{/z-zara-o1
PERMIT #
REQUEST
FOR:SEPTIC SYSTEM VERIFICATION FOR LOAN
ON CENTENNIAL BLVD., TO ASPEN STREET, TURN LEFT TO OUINALT TO SITE
*'--Aiir$--tn[L-ojvnv, 252 t,/EST 7Tn, EUGENE, 0REGoN 97401
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LOU I SE PAYNE, SAME AS THE JOB ADDRESS ABOVE
aTiucTuREa xow oa{ PBoPEiTY
SEPTIC SYSTEM VERIFICATION
qiEgttgna ts
EAST
TXOiE
485-5951
NANA
Gi UCilSE t
OUINALT STREET, SPRINGFIELD, OREGON
EXISTING SINGLE FAMILY DWE
NONE GIVEN
COIITiASTOi XAIE
NA
AY, 252 WEST SEVENTH I EUGE GONL
and that atl lnlormatlon 13 true and correct
DA1E
READ GAREFULLYI YOU r Authorlzetlon b Baeed On Thc Followl Condltlon.
DATEAPPROVED BY:FEES DUE: $
687-4065TtoNs)OF FORFOBNBACKINSPECTIONSFOnLCAL(sEE current,are180unlesslnspectlonsatteroALLtherdayserplrconepermltsareod'PTICSE year,gopermlts
c74-213
I have carefullY read BOTH sldes
AN N CALLOIIIAY
ol thlr
tor
VIOLATIONS
sETBAcxs AND oTHER coNDmoNs oF AFPRoVAL MUST BB STRTCTLY OBSERVBD. Yr,tAflON CAI{ RBtrLT tN RBVOCATION OP TIITS EXT,ttT.
cITATtoNs MAY BB ISSI,ED IjNDER,TT|E I,nOVL'IONS OPIINECOUI{TY.S NMACTTONEDINANCAAND,ON,C,r1IEN,NBMDIBS ALI,OSBDBYIAW.
A MIMMUM OF AT LEAST 24 HOURS ADVANCE NOTICE MUST BE GIVEN FOR INSPECTION REQT.'ESTS
Ilave the following information ready when you call: 6874065
Permitnumber - Job address - Typeof inspectionrequired - Whe,nitwillbeready
Your name and phone number - Any special directions to the site
REQI.'IRED INSPECTIONS
FULTNDATION INSPECTION: To be made after excavations for footings are complete and any required reinforcing steel is in place.
LTNDERGROLJND PIPING INSPECTION: To be made after all undergound piping has been installe4 priot o rry backfill.
CONCRETE SLAB OR UNDER-FLOOR INSPECTION: To be made after aU in-slab or urder-flmr building service equipncnt, cqrduil pipilry
accessories and other ancillary equipment items are in place but before any conc,rete is placed or floor sheathing installed, including tlre subfloor.
ROUGH MECHANICAL INSPECTION: To be made after all ducting and gas piping has been installd and prior to being coverod.
ROUGH PLUMBING INSPECTION: To be made after all plumbing rough-in is in place, pnior to being covered.
FRAMING INSPECTION: To be made after the all frrning, fire blocking, bracing and roof are in place and all pipes, chimneys srd vents re oonrpleto
and the rough electrical, plumbing, and mechanical inspections have been made and approved.
INSULATION INSPECIION: To be made after dl insulation and vapor barriers are in place, prior to oovering.
LATH AND/OR GYPSLIM BOARD INSPECTION: To be made sfter all lathing and gypsum board, interior and exterior, is in place but befue any
plastering is applied or before glpsum board joints md fasleners are taped srd finished.
ADDflONAL INSPECTIONS MAY BE R.EQIiIRED, such as but not limited to;
BIOCK WALL: To be made after reinforcing is in placg but before any gout is poured. The inspection is required for each bond beam pogr. There
will be,no approval unril ttre phunbing and electrical inspections have been made and apprroved.
FINAL MECHAMCAL INSPECTION: To be made just p,rior to the stnrcurre u reeirodeled area being occtpied and pior o operating my eqgipncor
EINAL PLUI\TBING INSPECTION: To be made just prior to the building, stnrcture or remodeled uea bein! o""upiud.
EINAL BT ILDING INSPECTION: To be made after frnish grading and the buildirlg, stnrcture c remodeled area is conrpleted ard ready for occgprrcy.
MOBILEA'IANITFACTURED HOMES: An inspeltion is required-ater the mobile home is connected to an ryproved sewer or scptic
syste[t" prior to covering sewetr or water lines, for setback rcquirements, blocking, tiedowns and phunbing connections.
Footings md piers to comply with State formdation requirernents for mobile homes or as recommended by the manufactgrer.
Minimum ftrished floor elevation shatl be certified when required by Flo@lain Management
Tiedowru' if required' shall be installed urd ready for inspeclon witirin fO days after Jcuparcy. Tiedowns shall be installed per encloarra
, APPROVAL REQIJIRED
No work shall be done on any part of the building o1 stnacnui beyona *rc$iirt iniicrited in elch successive inspectiur wihout 1iret obtaining thc
"ry.
o:.1 o{ P building_official. Such approval shall be given only after an inspection shall have been madc of each succesive step in the construcrion
as indicued by each of the inspections required
rIIIs PERMIT *ILL *r*, " "d:S:H"lHH"WiIf,h?T#f^'fiff"$A?#ffJrSTf L"^HfiS"ffi'aonx ur,c.{ ,Eo DAys.SUSPENSION OR REVOCATION MAY OCCUR IF TTIIS PERMIT WAS ISSUED ON THB BASIS OF INCOMPLEIE OR ENRONEOUS INFORMATION.
ANYONE PROCEEDING PAST THE POINT OF REQLIIRED TNSPECTIONS WILL DO SO AT THEIR OWN RISK.
Your signan[c on the fmnt of this form verifies the following: I HAVE CAREFULLY E)(AMINED THIS coMpLElSD AppucATION, ad do
here@ certify 0rat all informatiqr lrereon is tnre and c6rrect, and that I have a legel interest in the property as owner of record or agthmizcd rgenl Ifi[ther certify that ury urd all work performed shall be done in accordarpe wi0r the Ordh*ro oi Lr* Cour,ty srd the lrws of thc State of degon per-
taining to the work desctibed herein. I further certiff tlnt if I am not the owner of the property, my registration with the Buil&re Boad is in full forpe
and effect as requircd by ORS 701'055' ard ftat if exemp the basis for the exemption is noed frerbn, urd that only subconaactors ard employees who
are in compliarrce with ORS 701.005 will be used on the job.
SUBSURE'ACE & ALTERNATIVE SEWAGE DISPOSAL SYSTEMS:
When subsurface constnrction is completg ttre permit trolder strall notify the County Lmd Management Division by eubmining the installation reorrdform. An inspection will be made by a qualihed sanitarian. If constructim complies wi0r all rulis a certificate of completiur iitt Ue issuea to the pennit
holdcr. If construction doee not comply with rules, the permit holder witt be notifie4 md all correctims shsll be made.before a certificate of cornpLthnwill be issued. Failure to meet satisfactory completion within the allotted time constitutes a violation of ORS 454.605 to 4il,745 and this rule.
SUBSTJRFACE SEWAGE DISPOSAL SETBACKS SEPTIC TANK DRAINNELI)From: Interior p,roperty lines l0' 10,
Edge of road right-of-way l0' l0'
Building foundation 5' l0'
Wells or other water sources 50' 100'
Exlstlng Bulldtngs or
lmprovements on
Property
$gouseEl Barnflc*^s.EII Mobile. Home
El Shed
SEPTIC INSTALLEDEI Yes
EI No
Water District
te all lines inside white boxes, if
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MAP, PARCEL NUMBER
(Found on l8r map! ln tha A3raiamcnl & Trratlon D.ELI&### /#
Townrhip Bangr Srction 1/4 S.ction Tai [ot
lowninrp rangc scclton L/4 Section T5r Lot
Dlrections to site
from Courthouse
SITE ADDPESS
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MA|L PER##r+O.
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AODFESS
CIIY
For Moblle Home
Placement Onty
No. of Tip-outs
-
No. ol Bedrms
License #-
Brand
Year
Size
Land Management Dlv. staff can
not bs held responsible lor
evaluatlons or recommendations
based on false, lnaccurate or
lncomplete lnformatton
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