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Home My WebLink AboutPermit Septic Tank 1993-01-05ue8/sPR_. ou?-q3 PERMIT # SEPTIC SYSTEM VERIFICATIONREOUEST FOR: all lnlormation ls true and correct-hereby PRINTNA}/lE I have car ly read BOTH sides of this application L I SA !'/ELTY READ CAREFULLY! Your Authorization ls Based On The Followlng Conditions DATE /-.7DAPPROVED BYFEES DUE: $ CALL FOR TNSPECTTONS (SEE BACK OF FOBM SEPTIC permits are good for one year. ALL other permits expire after 180 days unless inspections are current TRUCTTONS) 687-4065 LMD 040 Rev. 6/92 3L5 BRTDGE AVENUE, ASHLAND, oREGoN 97520 VIOLATIONS SB1EACXS AND OTIIBR CONDMONS OF APPROVAL MUST EB STR.ICTLY OBSBVBD. VTOIATPN CAI{ RBSI'L? tN BBVOCATTON OP THIS PERMIT. . CITAfiONS MAY EA ESUBD I'NDBR THB PROVTIIONS OP LANE COT'NTY'S ININACTION ORDINANCts A}IDr'OR. OTHER RBMBDIES ALI.oWtsD BY L,AW. A MINIMUM OF AT LEAST 24 HOURS ADVANCE NOTICE MUST BE GIVEN FOR INSPECTION REQUESTS Ilave the following information ready when you call: 6874M5 Perrnit number - Job address - Type of inspection required - When it will be ready Your name and phone number - Any special directions to the site powBRroBN,ERLpoNLAND. ,r,r"oiH*lY.iTlBol#3$HHfiBf"f'.H.i11"ffi',I3[SIIIBIiS',I13--*^r,*oFrHErRF,NcrroNs.MAy ENTER UPON ANY LAND AND MAIG EXAMINATIONS AND SURVEYS AND PI-ACE AND MAINTAIN TIIB NECESSARY MONI,'MENTS AND MARKBRS TTIERTON. REQI.IIRED INSPECTIONS FOTINDATION INSPECTION: To be made after excavations for footings are complete and any required reinforcing steel is in place. LINDERGROLIND PIPING INSPECTION: To be made after all underground piping has been installed, prior to any backfitl. CONCRETE SLAB OR LTNDER-FLOOR INSPECTION: To be made after all in-slab or under-floor building service equipmen! conduit, piping accessories and other ancillary equipment items are in place but before any concrete is placed or floor sheathing installd, 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 all plumbing rough-in is in place, prior to being covered. FRAMING INSPECTION: To be made after the all framing, fire blocking, bracing and roof are in place and aU pipes, chimneys and ve,nts are complete and the rough electrical, plumbing, and mechanical inspections have been made and approved, INSULATION INSPECTION: To be made after aU 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 applied or before gypsum boardjoints and fasteners are taped and finished. ADDITIONAL 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 inspections have been made arrd 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, structure or remodeled area being occupied. FINAL BLJILDING INSPECTION: To be made after finish gading and the building, struchre or remodeled area is completed ard ready for occupancy. MOBILEMANUFACIURED HOMES: An inspection is required after the mobile home is connected to an approved sewer or septic systemt prior to covering sewer or water lines, for setback requir€,ments, blocking, tiedowns and plumbing corurections. Footings and piers to comply with State foundation requiremens for mobile homes or as recommended by the manufacnyer, Minimum finished floor elevation shall be certified when required by Floodplain Management Tiedowns, if required, shall be installed and ready for inspection wirhin 30 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 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 irupections required. APPROVED PI..ANS MUST BE ON THE JOB SITE AT ALL TMES DURING WORKING HOURS. THIS PERIUIT WIII EXPIRE IF WORK DOES NOT BEGIN WTII{IN I8O DAYS, OR IF WORK IS STOPPED OR ABANDONED FOR MORE THAN I8O DAYS. SUSPENSION OR REVOCATION MAY OCCIJR IF TIIIS PERMIT WAS ISSUED ON THE BASIS OF INCOMPLETE OR ERRONEOUS INFORMAfiON. ANYONE PROCEEDING PAST THE POINT OF'REQI.]IRED INSPECTIONS WILL DO SO AT THEIR OWN RISK. Your signature on the front of this form verifies the following: I HAVE CAREFULLY EXAMINED TmS COMPLETED APPLICATION, and do hereby certify that all information hereon is true and conect, and that I have a legal interest in the property as owner of record or authorized agent. I fiuther 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 registration with the Builders Board is in fuIl force and effect as required by ORS 701 .055, and that if exempt the basis for the exemption is noted 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 construction is complete, the permit holder shall notify the County Land Management Division by submitting the installation record form. An irspection will be made by a qualified sanitarian. If construction complies with all rules a certificate of completion will be issued to the pennit 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. SIJBSURF'ACE SEWAGE DISPOSAL SETBACKS SEPTIC TANK DRAINNELD Frorr"- Interior property lines l0' 10' Edge of road right-of-way 10' 10' Building foundation 5' 10' Wells or other water sources 50' 100' + + Exlstlng Bulldlngs or lmprovements on Propertyr F Horr" El Barn tI3 Garage El tvbbile. Home ry Shed SEPTIC INSTALLED $E vesETb r-) Please complete all llnes lnslde whlte boxes, il posslble. MAP, PARCEL NUMBER (Found on tu naDt ln th. 4.6!manf t Tuttlon D.p!)/7 03 e-7 .3,2 ,{7Itffiffi' Ef Silm-- rTltErc-ili6' -lFti- Tow[hlp R.ng. S.ctlon t/a Sactlon Tu Lof Tffi3-[16- ffi.- 6iifi'- rTiFEii5l- -fiil6i- qrsao nol ma t3 ffi*50g3 zlP PT{ONE ztP \*-g Dlrectlons to slte lrom X nearest maln lntersectlon Cevt"-rriaQ nfi d-F-hrf.n a S'7E ADDFESS {-i ( For Moblle Home No. of ,MATL PERMIT 7lO: L'5a- l, l- \t* t{AME _f ztP lrom to: Water nro Sarer/Septic TRS Land Management Div. rtall can not be held responsible ,or evaluations or rscommondationg based on false, inaccurate or 1le- zaz lncomplete informati il'r4-68 02/92 'r:-i 3a:,rn-O-- OWNEBS AODAE3a (f not ..m. r. rbov.) rErrLLtH / l,url.uttt / goJ{t}ttcI(,F .IIffiT- Only \-!o.,,-k- \i A u6 \\t--(r-* h,lu-,e*--. >cr*.-| t\ (-.\ ad*!+ a=( - 't"-."- 5a rr$,"-a.-;\ - eNrv.a:rnpr$v f-* ,k"A ( -E\' "lK; 4 utt-^ + __-r * J.lw _{ L,d e +a^* bPoc \r*t- F>S Ta-^.c-{-o.cK D,rdg U)- Ll,-4""-- ,..)ur^: .,!\(r'-drr" .- ioo E:, ol i l-r L' l-. Ar:T:t Iii t 'i i. i i'l fr. tIoat) I o l r I ,1Tt:fiL:.It1' r.lH I:i:I DC ii 1r tl l. I {lTri lt r._, t-l P{ff