HomeMy WebLinkAboutPermit Septic Tank 1992-06-17PERMIT #/723 -72
REOUEST
FOR:SEPTIC SYSTEIi VERI FICATIOI.,i
N ME
atlon Is eI have carefully read BOTH sldes of thls appll
MICHAEL P. MILLER
READ CAREFULLYI Your Authorlzatlon ls Based On The Fo
FEES DUE: $APPBOVED BY:DATE
CALL FOB INSPECTIONS (SEE BACK OF FORM FOR 687-4065
SEPTIC permlts are good tor one year. ALL other permlts explre after 180 days unless inspectlons are current.
LERI LII+? WILLAGILLESPIE ROAD ' #7, EUGENE, OREGON 97401
Condltlons
VIOLATIONS
SETBACKS AND OTHER CON'DMONS OF APPR.OVAL MUST BB STRICILY OBSBRVED. VIOLATION CAN RASULT IN RAVOCATION OF THIS PtsRMIT.CITATIONS MAY BE ISSUED I,'NDER THB PROVISTONS OP LANE CICUNTY'S TNFR,ACTION ORDINANCB ANDy'OR, OTI{BR. REMEDIES AIIOWED BY LAW.
A MINIMUM OF AT LEAST 24 HOURS ADVANCE NOTTCE MUST BE GrVEN FOR TNSPECTION REQUESTS
Ilave the following information ready when you call: 6874M5
Permit number - Job address - Type of inspection required - When it will be ready
Your name and phone nurnber - Any special directions to the site
powBRroEMERrpoNLAND. ,*""mo,f"!,T1#it#3FliHffif*:3#e11'iffi'rffi[BHIRf#t*11""-r *oprHErRp,NcrroNs,MAy
ENTERUPON ANYLAND AND MAIGEXAMINATIONS AND SURVEYS ANDPLACA ANDMAINTAINTHENE'ESSARY MONI,'MBNTS AND MARKERS THEREON.
REQT.TTRED INSPECTIONS
FOTINDATION INSPECTION: To be made after excavations for footings are complete and any required reinforcing steel is in place.
LTNDERGROUND PIPING INSPECTION: To be made after all underground piping has been installed" prior to any backfill.
CONCRETE SLAB OR IINDER-FLOOR INSPECTION: To be made after all in-slab orunder-floorbuilding service equipmen! conduit, piping
accessories and other ancillary equipment items are in place but before any concrete is placed or floor sheathing installed, 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 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 ard finished.
ADDITIONAL INSPECTIONS MAY BE REQLIIRED, zuch as but not limited to;
BLOCK WALL: To be made after reinforcing is in place, but before ury 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 and 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, structrre or remodeled area being occupied.
FINAL BI-IILDING INSPECTION: To be made after finish grading and the building, structure or remodeled area is completed md ready for occupancy.
MOBILEMANUFACTURED HOMES: An inspection is required after the mobile home is connected to an approved sewer or septic
system, prior to covering sewer or water lines, for setback requirements, blocking, tiedowrs and plumbing connections.
Footings and piers to comply with State fotmdation requirements for mobile homes or as recommended by the mmufacturer.
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 REQUIRED
No work shall be done on any part of 0re building or structure beyond tlre point indicated in each successive inspection without first obtaining the
approval of the building official. Such apprcval shall be given only after an inspection shall have been made of each successive step in tlre consrruction
as indicated by each of the irspections required.
APPROVED PLANS MUST BE ON THE JOB SITE AT ALL TMES DTJRING WORKING HOURS.
THIS PERVtrT WILL EXPIRE IF WORK DOES NOT BEGIN WTTIIIN I8O DAYS, OR IF WORK IS STOPPED OR ABANDONED FOR MORE THAN 180 DAYS.
SUSPENSION OR REVOCATION MAY OCCUR IF TTIIS PERMIT WAS ISSUED ON THE BASIS OF INCOMPLETE OR ERRONEOUS INFORMATION.
ANYONE PROCEEDTNG PAST THE POINT OF REQLJIRED TNSPECTIONS WILL DO SO AT THEIR OWN RISK.
Your signature on the front of this form verifies the following: I HAVE CAREFULLY EXAMINED TI{IS COMPLETED APPLICATION, and do
hereby certify that all information hereon is tnle and corect, and that I have a legal interest in the property as owner of record or authorized agent, I
further 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 desctibed herein. I further certiff that if I am not the owner of the poperty, my registration with the Builders Board is in full force
and effect as required by ORS 701.055, and ttrat if exempt the basis for the exemption is noted hereon, and that orily 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 slbmitting the installation record
form. An irupection will be made by a qualified sanitarian. If constnrction 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. Faih:re to meet satisfactory completion within the alloued time constitutes a violation of ORS 454.605 to 454.745 and this rule.
SUBSURF'ACE SEWAGE DISPOSAL SETBACKS SEPTIC TANK DRAINFIELD
From: Interior property lines 10' l0'
Edge of road right-of-way l0' 10'
Building foundation 5' 10'
Wells or other water sources 50' 100'
Exlstlng Bulldlngs or
lmprovemenls on
Properly
E Sh€d
SEPTIC INSTALLED
Water District
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House
Bam
Garage
Itlobile. Horne
E.EIEIt-i
Please complete all llnes lnslde Vhlte boxes, tf posstble.
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For Moblle Home
Placement Only
No. ol Bedrms
License #-
Brand
Year
Size
PERMIT 7O:
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