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Home My WebLink AboutPermit Septic Tank 1993-08-10uaa -SPR- zq3PERMIT #g6 SEPTIC SYSTEM VERIFICATIONBEOUEST FOR: 06.4.2 L@ATIG{ AOORESS AFPLrcAr.lr NerE r ADoREss TERRESA STALLINGS, O/{NERS NArrtE a A00RESS OWNER 3 NO,i.to. PHONE@( RESIDENTIAL U SE CITY SEPTIC SYSTEM \/ERIFICA TION KASPER EXIT, JA SPER ROAD, 3 9TH STREET 18 02 SECOND OR THIRD CUL-DE-SAC ONTO 39TH STREET, THE RIGHT. HAXBY, SAIVTE AS THE JOB ADDRESS ABOVEBUDY AND SHERRI CONTRACTOR /INSTALLER gUILDER PHoNE 6 89 -7 032 DWELLINGAI,lLL 136 '*sbNs crvEN SPRINGFIEI,D, OREGON DOLA STREET, EUGENE, OREGON 97402 wSTREET LLING, L529RRESA ST READ CAREFULLYI Your Authorlzetlon b Bmrd On Tho Followlng Condltlonr APPROVED BY:FEES DUE: $DATE f,-fo -17 OALL FOR INSPECTIONS (SEE BACK OF FORM FOB SEPTIC permlts are good tor one year. ALL other permlts explre alter 180 days unless lnspectlonc erc cuneni 'ucTtoNs) 687-4065 LMD 040 Rev. 6/92 2 application correct TERRESA STALLING BOTH ) VIOLATIONS SBTBACKSANDOTHER,CONDMONSOPAPFROVALMUSTBESTRICILYOBSERVED. VIOI"ATIONCANRESI,JLTINRBVOCATIONOFTIIISPtsRMIT. CTTATIONS MAY BB ISSLTED l.rNDER 1I{B PROVISiIONS OF LANB COLTNTY'S INFRACTION ORDINANCts AND/OR OTIIER RBMEDIFJ ALLOWBD BY LAW, AMIMMUM OFATLEAST24 HOURS ADVATICENOTTCE MUSTBEGTVENFOR TNSPECTTONREQUESTS Have the following information ready when you call: 687-4M5 Permit number - Job address - Typ" of inspection required - When it will be ready Your name and phone number - Any special directions to the site powERroBN'ER,,oNLAND. *"""ffi*l?.i1$*i#3Hl'lffifiBik:3$&1'1ffi'rffi[Blll;Iirff';gH*-r**oFrHBIRFUNcrIoNs.MAy ENTER UPON ANY LAND AND MAKB EXAMINATIONS AND SI,JRVBYS A}.ID PI.ACE AND MAINTAIN TIIE NF'BSSARY MONI,'MENTS AND MARKERS THEREON. REQT.IRED INSPECTIONS FOTINDATION INSPECTION: To be made after excavations for footings are complete and any required reinforcing steel is in place. LINDERGROLJND PIPING INSPECTION: To be made after all underground piping has been installed, prior to any backfill. CONCRETE SLAB OR UNDER-FLOOR INSPECTION: To be made after all in-slab or under-floor building service equipment 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, fte blocking, b,racing and roof are in place and aU 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 boardjoins and fasteners are taped and finished. ADDITIONAL INSPECTIONS MAY BE REQUIRED, such 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 and approved, FINAL MECHANICAL INSPECTION: To be made just prior to the srructure or remodeled area being occupied and prior to operating any equipme,nt. FINAL PLUMBING INSPECTION: To be made just prior to the building, struchre or remodeled area being occupied- FINAL BLJILDING INSPECTION: To be made after finish grading and the building, struch[e or rernodeled area is completed and ready for occupancy. MOBILEA,IANUFACTURED 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 require,ments, blocking, tiedowrs and plumbing connections. Footings and piers to comply wittr State formdation requirernents for mobile homes or as recorunended by the manufacturer. 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' APPROYAL REQIIIREI) 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 officiat. Such approval it .tt t" given only after an inspection shall have been made of each successive step in the construction as indicated by each of the irspections required. APPROVED PLANS MUST BE ON THE JOB SITE AT AII TIMES DIJRING WORKING HOURS' TIIIS PERMIT WILL E)(PIRE IF WORK DOES NOT BEGIN WTTTIIN I8O DAYS, OR IF WORK IS STOPPED OR ABANDONED FOR MORE THAN 180 DAYS' SUSPENSION OR REVOCATION MAY OCCUR IF THIS PERMIT WAS ISSUED ON THE BASIS OF INCOMPLETE OR ERRONEOUS INFORMATION' AIIYONE PROCEEDING PAST THE POINT OF REQI,IIRED INSPECTIONS WILL DO SO AT THEIR OWN RISK' your signature on the fronr of this form verifies the following: I HAvl CAREFULLY EXAMINED Tttrs CoMPLETED APPLICATIoN' and do hereby certify that all information hereon is true andcorrect,"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 ione in accordanc" t"itt it e ordinances of t*" county and the laws of the State of oregon per- taining to the work descriil h;;ir: in r*,o .*tify th;i if.I .* not the.ownei of trt" prop"rry, *y regisration with the Builders Board is in full force and effect as required by onsioi.oss, and that ir"i,"rnptG uasis for the exemprionL not"a trol"n, and that only subcontractors and employees who are in complianie with bRs 701.005 will be used on the job' SUBSURFACE&ALTERNATIVESEWAGEDISPoSALSYSTEMS: when subs,rface construction is complete, trr" p"r-iit ota* rnuu notry the county Land M-anagement Division by submitting the installation record form. An inspection will be made by a qualified sanitarian. If const u"t* "ornflies witlr all rul-es a.certificate of iompletion will be issued to the permit holder. If construction does nor comply with rules, ,il;;;h;lt"; *il u" rtotinJ, and all corrections shall be madJbefore a certificate of completion wi* be issued. Failure to meet sarisfactory completion i"itrri" trt" allotted time constirutes 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' 100' Please complete all lines inside white boxes, if possible. -Lqrfq5 q 5to-\\trr'+s YOUB NATIE U ztP Bi+s 3,?3 ghrllsd S{ srt"stuma tl fx (ll nol um. r! rbovr)ztP E11411 Exlstlng Bulldlngs or lmprovements on Propertyffi*"" E Bam E Garage EIf tvlobile. Home E Shed SEPTIC INSTALLED E{es t= No INSTALLER / BUILOER / CONTRACTOB Lic.nr. I uest for: Dlrectlons to slte from nearest maln lntersectlon Cr\ Q-x-a.t) 3't o ?rt- rd fs 3 nd s<-MAP, PABCEL NUMBER (Found on lu m.pr ln th. A.6tmanl & Turtion D.pt)+fr.#SP'ifu,!*i ffi E.-E- ffi rrs*-iiii'--ilffi 1ffi Ei Erciffi- rTIEii5n. -IaiEi- OOD PLAIN S'rE ADDFESS 3(,z & For Moblle Home Placement Only No. of Bedrms License #- Brand Year Size q- f MAIL PERMIT TO: Dlstance lrom Moblle Home to: Water Sewer/Septic Land Management Div. stafl can not be held responsible lor evaluations or recommendations based on lalse, inaccurate or LMo r4e- 2,r2 incomplele inlormati No EI TRS Verilied Allowed Use ElYes ElYss 3 Ml4-68 02/92 eCIIY U SqsPet- q.x i t STAFF EVALUATION Partltlon / Subdivision Lot & Btock COMMENTS / FOLLOW.UP I )il, I tTt ?zvo a O-- O)rr5e, ts'/- )))))I)))))))) td ) \ f IZ\\\ \ r-t-q fl"n I i(( 4a 0I t ( I \,/_) eLIIt 5q5\o" Ld rb 3tr* s k Cr\Le\sr\\ $qt t 't trtor^t. T&*r-V- 1 I 3s$F\3q I Isds5s\5 ( -s AIEt,lmI-- alE -I.o a ,!.. -t+ I 9 !ilotn2, 8a !tIf --o E3{f --* o T tIq trf : 5 3 LANE COUNTY DEF'T ENV HGT RECEIPT + ??63?3 DATE 0803?3 AFFLICANT HAXBy, BUDy ADDR l{36 S. S?TH ST., SPRINGFIELD, OREG0N TL* { 80?064200I 03 SUBDIV LOT BLK NEt.l BLD6 TYFE USE R BDRT'IS O UNITS OOI STORIES *BLDGS OOt F'HONE 609 ?03? CIt.INER NI.IE HAXBY, EUDY ADDR {136 S. 39TH ST., SF'RINGFIELD' OREGON CODE AFFL NO ACTION DESCRIFTION S8 FT UNIT COST VALUATION FEE D*/S FP trP BF ttP BF F.L l'tEcH SUR F.CK LR *F I X./BATH LC t?63?3 SDSV St^lR: FT. tlTR : MECHANICAL FEE STATE SURC}{ARGE FLAN CHECK FEE rssI FT. RAIN:FT 3?l nri..l 75.00 CAT6: PLN SEOU: TAKEN BY RLH SDS ELE FCK I E,ST. COMFLETION DATE / SI CITft DEF0SIT **75.00 cl RA ?