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Home My WebLink AboutPermit Septic Tank 1990-09-28u1 7aPERMIT # SEPTIC SYSTEI'i V:RIFiCATIOiTBEAUEST FOR: EYf'$T"r-lt'e*dTifULE FAll ILy DtvELL I NG AND GARAGE oraEcflonS ro ElrE FloI couRTtaouaEi'OI.U.-iG-HbA5-iO-iiARLO.!I ROAD, EAsT ON i.IARLO\.J ROAD TO MANOR, NORTH OI,I MAI.:OR TO ALLE)i iHEN TO VILLA I/AY, I\lORTH OIi VILLA tJJAY TO SITE ABOVE APPLICANI TIAi'E T ADOiESSV,lILjiUR i-i0!iERT0l,l r SAlviE AS THE J0B ADDRESS AB0VE CqET;ITIH CWryALUE tao. of, lEDRoora SYSTEM VERIFICATIOI{ Itroxr r 46-5525 SAMEow[EBa NArrE t AooREsaSAIlE AS THE ABOVE liAoai ucEaBE , NANA 706 PROFOSED UsE IEPNC ilgTAU9PRIVATE USE DESnmOilS SEPTIC 17 a5 PHOXE V I LLA VJAY, a7 SPRINGFIELDI OREGOI.I 971177 I have carefully read BOTH ',J I LL I AM HOl{ERTON , tf --sJ-=-, j- DAfE certllysldes ol thls appllcatlon lnlormatlon ls true and correct READ CAREFULLYI Your Authorlzatlon h Baged On The Fo Condltlons FEES DUE: ' APPBOVED BY:DATE cALL FOB iNSPECTiONS (SEE BACK OF FORM FOB SEPTIC permlts are good lor one year. ALL other permlts explre atter 180 days unless lnspectlons are current. ucTloNs) 6874065 PHO" E VIOLATIONS SETBACKS AND OTIIER, CONDITIONS OF APPROVAL MUST BE STRICILY OBSERVBD. VIOI"ATION CAN RESULT IN RBV@ATION OF THIS PBRMIT. CITATIONS MAY B8 ISSIJBD I,'NDER. TIIE PROVISIONS OP LAT.IE COI'NTY'S INFR,ACTION ORDINANCB ANDr'OR O'IHER REMBDTES ALLOWBD BY LAW. A MIMMTIM OF AT LEAST 24 HOURS ADVANCE NOTICE MUST BE GIVEN FOR INSPECTION REQUESTS Ilave the following information ready when you call: 6874M5 Permit number - Job address - Typ" of inspection required - When it will be ready Your name and phone number - Any special directioru to the site powBRroBNTERr.,poNLAND. r*""ffi*1?"3,:1f^ii'3Fl{l;ffif:H&!'iffi[ffi[3HIBH*H---r^r*oFrHBrRp,NcrroNs.MAy BNTBR,I'PON ANYLAND AND MAKEBXAMINATIONS AND SURVEYS ANDPI.A@ ANDMAINTAINTHBNBCBSSARYMONIJMEXiITS ANDMANXERSTHRBC'N. REQI.IIRED INSPECTIONS FOUNDATION INSPECTION: To be made after excavations for footings are complete and any required reinforcing steel is inplace. TINDERGROLIND PIPING INSPECTION: To be made after dl underground piping has been irstalled, pnor to any backfill. CONCRETE SLAB OR LINDER-FLOOR INSPECTION: To be made after all in-slab or under-floor building service equipmeng conduig 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 all pipes, chimneys and vents are complete and the rough electrical, plumbing, and mechanical inspections have been made and approved. INSULATION INSPECTION: To be made after all insulation and vapor barriers ale 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 brut before any plastering is applied or before gypsum board joints and faste,ners are taped and finished. ADDITIONAL INSPECTIONS MAY BE REQIIIRED, such as but not limited to; BLOCK WALL: To be made after reinforcing ii in pttrce, but before ur) grout is poured. The inspection is required for each bond beam pour. There will be no approval until.tre plumbing and electrical inspections have been made and approved. FINAL MECHANICAL INSPECTION: To be made just prim to the stnrcture or rernodeled area being occupied and pior to operating ury equipmenr FINAL PLUIIBING INSPECTION: To be made just prior to the building, stmc[re or remodeled uea being occupied FINAL BLJILDING INSPECTION: To be made after finish gading and the building, strucure or remodeled area is completed md ready for occupanry MOBILEA,IANUFACTURED HOMES: An inspection is required after the mobile home is connected to an ap,proved sewer or septic system, prior to covering sewer or water lines, fc setback requirernents, blocking, tiedowns and plumbing connections. Footings and piers to comply with State foundation requiremens for mobile homes or as recommended by the manufachrer. 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 REQUTRED 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 orily after an irupection shall have been made of each successive step in the corutruction as indicated by each of the irspections required. APPROVED PI.ANS MUST BE ON THE JOB SITE AT ALL TMES DIJRING WORKING HOURS. THIS PERMIT WIII E)(PIRE IF WORK DOES NOT BEGIN WTN{IN I8O DAYS, OR IF WORK IS STOPPED OR ABANDONED FOR MORE THAN I8O DAYS. SUSPENSION OR REVOCATION MAY.OCCUR IF THIS PERMIT WAS ISSUED ON THE BASIS OF INCOMPLETE OR ERRONEOUS INFORMATION. ANYO}E PROCEEDING PAST THE POINT OF'REQTIIRED INSPECTIONS WTLL 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 tnre and correct, and that I have a legal interest in the property as owner of record or authorized agent. I fu1ther certfy 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 ftrther certify that if I am not the owner of the propery, my registration with the Builders Board is in full force and effect as required by ORS 701.055, and thar 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 irutallation record form. A1 irupection 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 doe,s not comply with rules, the permit holder will be notified, and all corrections shall be made before a certificate of completion will be iszued. Failure to meet satisfacto'ry completion within the allotted time constitutes a violation of ORS 454.605 to 454.745 and this rule. SUBSURF'ACE SEWAGE DISPOSAL SETBACKS SEPTIC TANK DRAINF'IELD From: Interior property lines 10' 10' Edge of road right-of-way l0' 10' Building foundation 5' 10' Wells or other water sources 50' 100' Exlstlng Bulldlngs or lmprovements on Propgrty rFflouse E Barn dc^rag"l-r Mobile. HomeEl Shed SEPTTC TNSTALLED@yes l-l No Water District all lines inside white boxes, if possible. (- \ 4 LL4 (a' OWNEB OF PBOPEATY (if not sm. s ibov.) ilq2? PHONE OWNEBS ADDBESS (it nol 3amc at above) CONIAACTOB IiacitqF Please 2 ztP zt? MAP, PARCEL NUMBER (Fou!!q_on tax mspt ln lhc A.sca3mcnt & Tsxation DepL)RH#.*,k/ Township Bangc Scclion t/4 Scclion Tsx Lot Iownshrp Hangc Section l/4 Scction Tsx Lot Dlrections to site from Courthouse 4, *- 'l'|'fono' V 'lr(. SITE ADDHESS MAIL ztP d tte For Mobile Home Placement Only No. of Tip-outs - No. of Bedrms License #-- Brand Year Size Land Management Div. staff can not be held responsible for evaluallons or recommendations based on false, lnaccurate or lncomplete lnformatlon ? Rf, .d "l,>4 2A.i7 '/- t* rctrr- t,/YOUR'AODRESS //,/ /, )^,/.- c;vt t); l l.- L \.L tL-*t)ilff /,t V- f 7,r) ) 4 t tt/, J 7 6'( La ,lk invf-h'n c0L,e f 2 .-+ /,;R.- d ^/ 6""ff € r/./,dW L orr< F,,(r.:Doo r -< ll"V;V , .L r