HomeMy WebLinkAboutPermit Septic Tank 1991-03-15//1-"Ykg-?/
SEPTIC TNSPECTION FOR LOAN REVIEI^IREOUEST
FOH:
74L-L365S1
I
Ferrv St. Br Parkw-ay to Q St; tal<e rigltt toto Centennial to Pioneer
FOR I,OAN
I have carefully read BOTH sldes ol thll
V. L. Carlile
lc true and corroct3*<5q\and
OAIE
certlfy that all Informatlon
READ CAREFULLYI Your Authorlzatlon !s Based On The Fol Condltlons
FEES DUE: $APPBOVED BY:3 -/ J--7,/DATE
CALL FOB TNSPECTTONS (SEE BACK OF FOBM FOR
SEPTIC permlts are good for one year. ALL other permlts expire after 180 days unless lnspectlons are cuffent.
ucTloNs) 687-4065
J
*#B*- -u*o--u *oo--,-u -o--- -o ,or-- u--o*-uu-t,o--,
2555 N.oR 97477
VIOLATIONS
SBTBACKS AND OTHBR. CONDMONS OF ATPROVAL MUST BB STRICTLY OBSBVED. VIOI.ATTON CAN RASULT IN RBVOCATION OF THIS PERMTT.CITATIONS MAY BE ISSI'BD IJNDBR, THB PROVETONS OP LANE COT'NTY'S TNFRACTION ORDINANCB ANDr'OR, OTHBR, RBMEDIBS AITOWBD BY I.AW,
A MINIMLTM OF AT LEAST 24 HOURS ADVANCE NOTTCE MUST BE GTVEN FOR INSPECTION REQUESTS
Ilave the following information ready when you call: 6874065
Perrnit number - Job address - Type of inspection required - when it will be ready
Your name and phone number - Any special directions to the site
powERroENrERUpoNLAI{D. "**ffi,!1?"1,11ffi*'3ffi'llffi#:3#&:"iffiffiffi?f#*$"-r *oFrHBrRpr,,NcrroNs,MAy
BT{TB, I'PON ANY LAND AND MAKE E(AMINATIONS AND SI]RVBYS AND PINCB A}ID MAINTAIN TIIB NBGSSARY MONT'MBT{TTT AITID MARIGRI! TIIE.BON.
REQIIIRED INSPECTIONS
FOUNDATION INSPECTION: To be made after excavations for footings are complete and any requted reinforcing steel is in place.
UNDERGROUND PIPING INSPECTION: To be made after dl underground piping has been installd, pnor to any backfill.
CONCRETE SLAB OR UNDER-FLOOR INSPECTION: To be made after all in-slab or under-floor building service equipme,ng conduit, piping
accessories and other ancillary equipment items are in place but before any concrcte 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 INSPECTTON: 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 dl insuluion and vapor barriers are in place, prior to covering.
LATH AND/OR GYPSUM BOARD INSPECTION: To be made after aU lathing and gypsum board, interior and exterior, is in place but beforc any
plastering is applied or before gypsum board joints and fasteners are tqed and finished.
ADDITIONAL INSPECTIONS MAY BE REQITIRED, such as but nor limit€d ro;
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. Therc
will be no approval until the plumbing and electrical inspections have been made and a14noved.
FINAL MECHAMCAL INSPECTION: To be made just prior to the stnrcure or rernodeled area being occupied and prior to operating any equipnenr
FINAL PLUMBING INSPECTION: To be made just prior to the building, stntchre or remodeled area being occupied.
FINAL BLTILDING INSPECTION: To be made after finish gradhg and the building, struchre or rernodeled rea is completed and ready for occupurry.
MOBILEA,IANUFACTURED HOMES: An inspection is required after the mobile home is connected to ur ryp,roved sewer or septic
system, prior to covering sewer or water lines, for setback requirements, blocking, tiedowns and plumbing connections.
Footings and piers to comply with Sate formdation requirenrens for mobile homes or as recommended by the murufacturer.
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 enclosrue.
APPROVAL REQUIRED
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 ma& of each successive step in the construction
as indicated by each of the inspections requted.
APPR,OVED PI.ANS MUST BE ON TIIE JOB SME AT ALL TMES DIJRING WORKING HOIJRS.
THIS PERMIT WILL E)(PIRE IF YTORK DOES NOT BEGIN WTTI{IN IEO DAYS, OR IF WORK IS STOPPED OR ABANDONED FOR MORE THAN I8O DAYS.
SUSPENSION OR REVOCATION MAY OCCUR IF TTIIS PERMIT WAS NSUED ON THE BASIS OF INCOMPLETE OR ERRONEOUS INFORMATION.
ANYONE PROCEEDTNG PAST THE POINT OF REQTTIRED 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
hereby certify that all information hereon is true and correct, 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 described herein. I further certify that if I am not the owner of the poperty, my regisration with the Builders Board is in full for;e
and effect as required by ORS 701.055, and that if exempt the basis for the exemption is noted hereon, md 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 subsruface constnrction is complete, the permit holder shall notify the County Land Managemenr Division by submining the installation record
form. ,11 inspection 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 corutruction does not comply with rules, the permit holder will be notified, and all corrections shall be made before a certificate of completion
willbeissued. FailtretomeetsatisfactorrycompletionwithinthedlottedtimeconstitutesaviolationofORS454.SO5to4il.T45andthisrule.
SUBSURFACE SEWAGE DISPOSAL SETBACKS SEPTIC TANK DRAINF'IELDFrom: Interior property lines 10' 10'
Edge ofroadright-of-way l0' l0'
Building foundation 5' 10'
Wells or other water sources 50' 100'
N
w
E
4
5
lsT
'rt
hepif
Co /?7 orJ I
,&,
Ii-
t
C trRft68D ecK
I
t
l-\6oa ,r_lRt
f*oLe
0ut-L uf
&oq.!s aryr
-Fe'rC fe lrl,,f,'
catqeyt fLry
a
Snoir* ft.LJ n/cs r;Le.[oJ **J
o Kt4
/ {* {t*? CI
I
\
4n. &",(trt,c- -
N -
-
.{-
---\,, F-
JS,- €E .ia
B
b=
u(
H t--'1-+ -..FIs
c0--t
,.il'\'
p
B{e
t
(
I
sl
a<- |SI
\LI
ICo"
olo U
I
t
{
i
I
t
A\/vi
ff,r-'J s
-Q:- a
.'r
Syr,L; F,*'d , dr^egt*a
7'?+27
7
t
I Exlsilng Buildtngs orI lmprovements on
1 Property
lZtlnouse IEBarn '
IEl Garagel-I Mobile. Homel-t Shed
SEPTIC INSTALLEDEI Yesl-l No
Water District
te all lines inside white boxes, if possible.
ztP
Ti@i-al--CON OH
Please comple
fr;a-qr#et5
MAP, PARCEL NIJMBERRZ?^W
r.--ffi &-;F 5ffi rffii-
-ffi--TITi!FIF- Fn-e.- fcffi;- rTf5diilii- -I;i-f;t-
Directions to site
from Courthouse
e
SITE
ztP
MAIL PERMIT TO
7+
For Mobile Home
Only
Brand
Year
Size
No. of
Land Management Div. staff cannot be held responsible forevaluatlons or recommendations
based on false, inaccurate orlncomplete Informatlon
owlenTtrdtr_-
^-r-
t- Cl"* \C.\-c.
?
No.
-13ln
;E
o
3-a
!o
9oitoo
!,
I-io
IL/
,ac
a
C:
o
3
t
l
-
L.]
Ll: 5AF.FLICANT f,ARLILE,TL* I ?0tt ?310080::
NEt,I BI.-DG TYPE
OI,INER NHE CAIIL.ILII,
CODE AFFI- NO ACT
BF,
EIP
BF..BP
Bl-'
i
LANE COUNl'Y DE[ll' HNV MGT REGE.IT'I- * -?S5?1-.-POII Q3O8?1
RoBEfrT"[ ffNNA' -6bpn--r5ss-N^ 31ST sr", .tFRINGFIEt-D, 0R
SUBDIV I..OT HLK
tJ.sE R ErDRr'l,S 0 UNITS 00t ,ST0RIHS +BLDGS 001 FHONE 741 {365
ft0rJHRT & IltlNNA AIIDR ;1555 N. 3l 51' 31'. , Sr:'RIN6Fl:[iL.D, tlft
ION DESf,RIF.TION "TQ FT I.JNII' fiOST VAL.UATICIN FEH
1
ShlR : l'I' . tdTR :
MECHANICAL FEE
STATE SURCHARGE:
FLAN CHECK FHH
r:T. RAIN:FI'
75.00
F.L
HECH
suft
FCK
LR
CATG: FL-N
SESU:
TAKEN EY BTt
*FIX,/trA't[{:
LC 755?t SDSV
I
5-.r
sDs
1
EST.
ELE F,CK
COHPLETIT}N DA E
q.t
rlq rl
/ SI OTR
DEPfiSIT T+tt 75.00 cK
rss
3 :v
Ifl I
RA
C
,tF r
Tl &
ilt
Ftl
I{ l.'
L, f1 11.
J'I L'1:'
I r't:
L. f.i Ii
1't'1
?5S
sF l(I
.Ni
?1
i',1t]iF I
.{ r-} I'l [:
,tf'F 1... N
{H*H
;'t lt;.
I
H
T. ftAIN
tt I Lr,J
nHI){ls I :5 " #fJ i: