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Home My WebLink AboutPermit Septic Tank 1993-11-18/6€*Sp/2fl) G--*-fft-"D s7?e^?sPEHMIT # IC SYSTEM VERIFICATIONSEPTREOUEST FOR: NORTH APPROX. SEWARD r A0oRE,sS HAYES,I,ARRY oivr.rEns neue a rooness OWNER ccs l AFFIoAI.ITNAME BEDMi,iS ErREciioNsrosnE COBURG NAT'EMTBACTOR /INSTALLEP EX S 03 ? STRUCTURES NO$' O'{ i't l:iGLE FAMILY DWEI,LfNGI S'I.iNG r:ll4 'i ITIFICATIONEPTIC SYS1I LlA MrL TO B5-5811 26-L369THE JOB ADDRESS ABOVEANKE;N$ ]]P, SAME ASJOANNE BL 23. i.\RD REl].DEN STREET ' 1 '-? SPRINGFIELD, OREGON ROAD, TO MANOR DRIVE, STREET, ,?IGHT TO S.ITE ABOVE. 1r':4, nF-1iu '1:, des of this aPPli PRINTNA,llE I have car ly read BOTH LARRY HAYI$ DATEFEES DUE: $APPROVED BY: aALL FOn INSPECTIONS (SEE oF FOBM FOB INSTRUCTTONS) 687-406s SE?TIC permlts are good tor one year. ALL other permits expire atter 180 days unless inspectlons are current LMD 040 Rev. 6/92 oREGON 97401 l- 5 i'l 9 WILLAYIETTE STREET, CondltlonsCAREFULLYITheOnBasedlsAuthorizationYourREAD VIOLATIONS SBTBACKS AND OT}IER' CONDITIONS OFAPFROVAL MUST BB STRICILY OBSERVED. VTOLATION CAN REST'LT IN RBVOCAfiON OF THIS PERMT.cIrATroNs MAy BB rssuED r.rNDBR rHB pnovlsioirs iii,-iinir-,ilinrrv.s nwnel,'rox <ini'riiiiii"'.lroi,on orr{BR REMEDTES ALL.*ED By LAur_ A MIMMUM oF AT LEAST z HouRs ADvANcE NoTrcE MUsr BE GrvENFon nmgrcuo\rdeuEsTs Ilave the folrowing information ready when you ca[: 6g74M5 Pennitnumber - JobddJe:r - Tp"ofinspectionrequired _ WhenitJiUberray Your name and phone nurnber _ a"y ,p*ia directions to the site P.*BRToENTERUP.NLAND. ,*""m*f"?,T1f^i#3FllHffi"HSH&11ffi-#&THIBHfit*H*-r *oprrBrRF,NcroNs.MAyENTER T'FON ANY LAND AND MAKE EXAMINAIIONS AND SI'RVEYS AND PLACts AND MAINTAIN IIIB.NECESSARY MONUIGNTS AND MARXERS THERBON.REQUIRED INSPECTIONSFoLINDATIoN INSPECTIoN: To be made after excavations for iootings are complete and 'y required reinforcing steel is in place.L'jNDERGRoUND PIPING INSPECTIoN: To be made after all underglund piping has been installed pnor to any backfill.CoNCRETE SLAB oR UNDER-FLooR INSPECTIoN: To be made iter au in*lau orrmder-flooruuitoing service equipmeng conduit, pipingaccessories and other ancillary equipment items are in place but before any concrete is placed or floor rie"tlring installed, including the subfloor.ROUGH MECHANICAL INSPECTIoN: To be made' after all ducting *a g* piping has been installed and prior to being covered. rROUGH PLUMBING INSPECTION: To be made a.fter all plumbing io"rrrli,' ;" in p-iace, prior ro being covered. lFRAMING INSPECTIoN: To be made after the all framing, rte uroi*in!, bracing ana roof are in placl and all pipes, chimneys and vents are completeg! ft: rough electrical, plumbing, and mechanical inspections have been-made and approved.INSULATIoN INSPECTIoN: To be made after all ins{lation and vapor barriers are h place, prior !o covering.LATH AND/oR GYPSUM BoARD INSPECTIoN: To be made after all lathing il;;;';; ilterior and exterior, is in prace but before anyplastering is applied or before gypsum board joints and fastene* are taped *J rirrirn"a.ADDTTIONAL TNSPECTIONS MAy BE REeTITRED, such as buinot limited to;BLocK WALL: To be made after reinforcing is in place, but before my grout is powed. The inspection is required for each bond beam pour. Therewill be no approval until the plumbing and elecuical inspections hare beeimade and approved. ' FINAL MECHANICAL INSPECTIoN: To be made juit prior to the structure o, ,"-J"t"a *"a being occupied and prior to operating any equipment.FINAL PLUMBING INSPECTI_ON:{o be made justprior to the building, strucure or remodeled area being occupied.EINAL BUILDING INSPECTToN: To be made: after finish gading and lhe building, structure or remodeled area is completed and 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 requirernents, blocking, tiedowns and plumbing connections. Footings and piers to comply with State foundation requirernents for mobile hom", o, * r"**irended by tlre minufacnrer. Minimum finished floor elevation shall be certified when required by Floodplain Management Tiedowru, if required, shall be installed and ready for inspection wi*rin lO aays after occupancy. Tiedowns shall be installed per enclosure. APPROYAL REQTIIREI) No work shall be done on any part of the building or structure beyond the point indicated in each successive inspection without first obtaining theapproval of the building official' Such approval shall be given only after an inspection shall have been made of each successive step in the construction as indicated by each of the irspections required. rlrls PERvIrr wrLL ExpIRE " *#11%;"',n1?TF.Wi,lf,ffiT#,tTfi 3';'"$i.?HrTr?:BTf Xr',ffifiJf"ffi M.RE rrrAN ,80 DAys.SUSPENSION OR REVOCATION MAY OCCI,JR IF TIIIS PERMIT WAS ISSUED ON THE BASIS OF INCOMPLETE OR ERRONEOUS INFORMAfiON. ANYONE PROCEEDING PAST THE POINT OF REQUIRED INSPECTIONS WILL DO SO AT THEIR OWN RISK. Your signahrre on the front of this form verifies the following: I HAVE CAREFULLY EXAMINED THIS coMpLETED APPLICATION and dohereby certify that all information hereon is true and correct, and that I have a legal intercst in the property as owner of record or authorized agent. Ifurther certify ttral any and all work pe_rformed shall be done in accordance with the Ordinances of t*" Courrty and the laws of the State of degonper-taining to the work desctibed,herein._ I further certiff that if I am not *re owner of the property, my regisradon 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 only subcontracrors and employees who are in compliance with ORS 701.005 will be used on the job. SUBSURFACE & ALTERNATIVE SEWAGE DISPOSAL SYSTEMS: When subsurface construction is complete, the permit holder shall notify the County Land Management Division by submitting 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. SUBSURFACE SEWAGE DISPOSAL SETBACKS SEPTIC TANK DRAINFIELD From: Interior property lines 10' 10' Edge of road right-of-waY 10' 10' Building foundation 5' 10' Wells or other water sources 50' 100' f Please complete all lines lnside white boxes, if possible /50 7n{o/ lnstallsr / Buildor / Conlracts @f,tEmet LA Namo Fhm 6 ap Phm6 .L A- a.ffit arcl finord@ny (n nd ranr Fo 7.q)6,d ore ?1{77 L- / 307 h/t//a /./re//e /0-q- ( 3 Oat. Vsr- ta I I Cp4ly E hac-atLt i4 cr<- O. /*rues tu&tlrg B,trrdhtgl q h* prcYements on Up PtoWfr A Horr. - Bam - Garage - Mobile Home - Shed SEPTIC INSTALLED? Y v". -NoWater Distsict :utu tt €Peguest; 2&o .... fon, MAP, PARCEL NUMBER (Fol.r|d on trr m.pa la th. ^r....flilr f Turtlon D.pf) I 1 O3 ?3 3L o(Lo o ilffip Rtne. s.dton t/a s.cdon Tomihlp ffi -GIm- ti-Glo.r- T;ffip Elg.- -Gion- -raffioo-- fiifot- Eta-- Trr Lol Dlrcctlons to sfte lrom nearest maln lntercectlon 0)k4 tL,t +p l4z,,rlo^l - oqr?-r t" Spa.A h Mq*or 2rtue - lVt"l-/^ ntr l/r/ ^, /, {" Scr^ltd ET ,tn h ?o o sc^,tar( site Address 7Bo seutarcl - S [eU Prat/L rc Mail l{rm 4o /0 t^C 4/N 19 / 1,{o( (s For Moblle Home Plaement Only Ucense# (No. ahrays strarts with X) x- No. of Bedrms Brand Year Size Dlstance frcm Moblle Home tot Water LilD staft can ilOT be hetdresponslble Ior evaluaUons orrecommendailons based onlalse, lnaccurate or lncom-plete Informailon. LCPW r.e - 8/cl ) T',.t( 260 &,,"t*(LC l[u"st 0ecL \ lo T >r4 x'*cl' IWK*n u' ,lrto,nor /A*lt Bto"btS ,/oL 5ua/t( ADD: 28O SEWARD S:A #6-3 LF:RES MLS#: 84349 PROP TYPE:R CITY:SPFLD ZIPI97477 STYLE:1 SCH DIST:19 }IATRIX: OWNER :JOANNE LA.!ll{, tLO SIGNSY BKR NM:PRUD PREB PROP PH:485-5811 SAIE AGT:LARRY HAYES PHz747-5965 SHOW :V LOCK BOX:Y POSSESSION:COE AR:S TENANT: PHONE: MNTITLY RNT: PRICE$:88r5OO BDRMS:3 BATIIS:2.0 LR:13X2O GAR :2c,RV 1ST LNDR:ODVA **l,tAIN FLOOR** FP:LR VfEW: WIRFNT: LOAN ESC *: BRS;11XL2 10X10 DR:lOXLL HEAT:EC 1ST BAL$:20,O00 G: 11X12 TYPE: CTY BUS:Y BLKS:S PAYI.IENTS: BTH: SH:OT K:10X11: AGE:35 SQ FT: L279 2ND LNDR: **2ND. FLOOR** FA: FM: SCH: GR:GUY LEE 2ND BAL$: BRS: BSIIT: JR:IIAIILN HI: SPFLD TAX LoT #:15O32332O42OO UTrL:SP LoT:OXO TX ACCT#z 194397 BTH: SH3 CNST:FR ACRES: ZONE: TAX$: 1215 EQ$:58r50O INCL:RO,D!{TWCTFYTWE PVD STR/WLKS:PVST TERMS: CASH,VA, CONV,ARM WATER: CTY REMARKS:WONDERFIIL HAYDEN BRIDGE LOC.XL LOT.LRG SEWER:SEP OPEN KIT.I{DWD FLRS.NEVg VTNYL TN BATH.LOW COUNTY TAXES.ALL WORK TO BE COMPLETED. EMF*:S100 BKR ID :145 AcT IDl:3951 AGT ID2: ITEUS EXCLUDED: REASON SELLING:POP TOtR DATE:27-Oct-93 PAGE:VOL: Enter listing number(B) or 'ESC' key a rtrlrt Y6u,ve esqaped frgm the funCtiOn.Let's start over. *** FUNCTION ? FUNCTION ? FUNCTION ? FUNCTION ? FUNCIION ? FUNCTION ?