HomeMy WebLinkAboutPermit Septic Tank 1992-05-08PERMIT #
BEAUE
FOR:
read BOTH sldes of thls onhave carefully hereby at all ls true and
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READ CAREFULLYI Your Authorlzatlon lg Based On The Fottowtn Condltlons
APPROVED BY:FEES DUE: $oere */-ZL
687-4year.
LCA L FOB sINSPECTION.BACK(sEE FORMOF FOR UC 065TtoNs)P.SE Ttc are forpermlts one A LgoodL other ,9 atterpermlt 180expire unlessdays current.areinspections
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VIOLATIONS
SETBACKS AND OTHER CONDMONS OF APPR,OVAL MUST BE STR.ICTLY OBSERVED. VIOLATION CAN REST'LT IN RBVOCATION OF THIS PERMIT.
CITATIONS MAY BB ISSUBD I.'NDER THB PR,OVISIONS OF LANB COTJNTY'S INPR,A,CTION ORDINANCB ANDr'OR, OTIIER REMEDIFS AIIOWED BY LAW.
A MINIMUM OF AT LEAST 24 HOURS ADVANCE NOTICE MUST BE GIVEN FOR INSPECTION REQUESTS
Ilave the following information ready when you call: 687406.5
Permit number - Job address - Type of inspection required - When'it will bd ready
., , YournalneiandphonenLrnbei '- iAnyspecialdirectionstothesite .:
powBRroENrERUpoNLAND. ,*""iH*lr'"?,518*rk#3FI{HffiHBSeTffit"ffi?HIR}i,S'*?** ;*ornunnrxcr'oxs,u,.v ' :
ENTER LrpoN ANy LAND AND MAKE EXAMINATIoNS AND sIJRvBys AND pr.A@ AND MATNTATN THE NtcessA.Rv MoNUrrBNrs lxo vmrcndrr*nrox. i
. REQLIIRED INSPECTIONS
FOLINDATION INSPECTION: To be made after excavations fol footings "* ""-i"Iflrl""a.hny'
requ:red reinforcing*teel is in place. '' -.- l'
UNDERGROLJND PIPBIG I{SPECTION: To be qra& after all underground piping has been installed, p?or to arry backfillr ,
CONCRETE SLAB OR UNDER-FLOOR INSPECTION: To be made after'all in-slab or under-floor building sqrvige equipmen! conduit, piping
accessories and other ancillary equipment iteins.are in place butbefore any Qorlcrete is placedior floot shtathlrg i*t lt"O, in"tudine,the subflgor, '
ROUGH MECHANICAL INSPECTION: To be made after all ducting and gas piping has been installed and prior to being covered' i
ROUGH PLUMBING I{SPECTION: To be made after all plumbhg rough-in ir io plu"., prior to being covered.
FRAMING INSPECTION: To be made after the all framingrfire blockinq, bracurg and roof ale 1n plpe lmtl all pipes, chimneys and vents are complete
and the rough elecrical, plqnbing, and mechanicallnspections have been made and appr6ved.
INSULATION INSPECTIONT Ti be made qft€,r ai insulatiim anA "ppoi barriers are in placei pri6r tolcoveririg.
LATH AND/OR GYPSUM BOARD INSPECTION To be mdde after all lathing and glpsum board,'interior and exterior, is in place but before any
plastering ii applied or before gyppum board joints and fasteneis arc ttped and finished. , I
ADDITI0NAL INsPECiioils'trllv sE irBqUrRBp, zuch as but not rimitea to;
BLOCK WALL: To be made after reinforcing is in place, but before my glout is poured. The inspection is required for each bond beam pour. There
will be no apprwal until the plumbing and electrical inspections have been.made and app,roved. . . _r . t
FINAL MECHANICAL INSPECTION: To be made just prior to the structure or remodeled arca being occufied and prior to operating any equipment.
FINAL PLUIIBING INSPECTION: To be made just prior to the building, strucure or remodeled area being occupied.
FINAL BIIILDING INSPECTION: To be made after finish grading and the building, struchre 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
systemt prior to covering sewer or water lines, for setback requtements, blocking, tiedowru and plumbing cormections.
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 rcquired by Floodplain Management
Tiedowru, if required, shall be installed and ready for inspection within 30 days after occupancy. Tiedowns shall be installed per enclosure.
APPROVAL REQIJIRED
No work shall be done on any part of the building or strucnrre beyond tlre point indicated in each successive inspection without first obtaining the
approval of the building omiciaf. Such approval rnAt be given only after an inspection shall have been made of each successive step in the construction
as indicated by each of the irupectiors required.
APPROVED PI..ANS MUST BE ON TIIE JOB SITE AT AII TIMES DURING WORKING HOTJRS.
THIS PERMIT WILL H(PIRE IF WORK DOES NOT BEGIN WTTTIIN I8O DAYS, OR IF WORK Is STOPPED OR ABANDONED FOR MORE TIIAN I8O DAYS'
SUSPENSION OR REVOCATION MAY OCCUR IF T}IIS PERMIT WAS ISSUED ON THE BASIS OF INCOMPLETE OR ERRONEOUS INFORMATION'
AI\TYONE PROCEEDING PAST THE POINT OF REQIIIRED INSPECTIONS 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
il;ty;;tfy that all information hereon is true and correct,-and that I have a legal interest in the property as owner of record o-r authorized agent' I
further certify that any and ati wort performed shall be done in accordance with ore ordinances of Lane county *9 +" l|{: -.f dp State of Oregon per-
;.irrd ; ,h.; *ort aescriuea tro"in] t further certify that if I am rlolthe_owner of the property, my regisuation with the Builders Board is in full force
and effect as required by ons zol.oss, and that if exempt the basis for the exemption i" not"d ho*n, and that only subcontractors and employees who
are in complianie with ORS 701.005 will be used on the job'
SUBSURFACE & ALTERNATIVE SEWAGE DISPOSAL SYSTEMS:
when subswface constnrction is complete, ttre permiiholder shall notify the County Land Management Division by slbmitting the installation record
form. An irspection will be made by a qualified sanitarian. If constnrction complies with 1l rulis a.certificate of completion will be issued to the permit
holder. If construction does "oi "onipfv
*ith rules, the permit holder will be notified, and all corrections shall be made before a certificate of completion
will be issued. Failure to m""t sutirfa"Lry completion t itt in tt " allotted time constitutes a violation of ORs 454.605 to 454.745 and this rule.
SUBSURFACE SEWAGE DISPOSAL SETBACKS SEPTIC TANK
From: Interior ProPertY lines 10'
Edge of road right-of-waY 10'
Building foundation 5'
Wells or other water sources 50'
DRAINFIELD
10'
10'
10'
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FIOCK PF DUCTS, inc.
PO. Bo4 69f. Springfielcl , OR97477
Phone 747-tzt3 B7?q3
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SEPT]C INSTALLEDIJyes
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Water Districl
Please complete all llnes lnslde whlte boxes, if posslble.
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For Moblle Home
Placement Only
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