HomeMy WebLinkAboutPermit Septic Tank 1990-09-18SEPTiC SYSTEi''i VERIFICATI0iIREQUEST
FOR:
STREET, SPiiii(GFIELDT 0i?EGOI'; 97478IqYRi'lA EUSS,5337 t4A I r,i
I have carefullv read BOTH sldes ol thls a
MYRI,IA SUSS.
and h that a!! lnformatlon ls
READ CAREFULLYI Your Authorlzatlon ls Based On The Fo Condltlons
APPBOVED BY:FEES DUE: S g ? r-tDATE
OALL FOR TNSPECTIONS (SEE BACK OF FORM
SEPTIC permlts are good for one year. ALL other permlts expire atter 180 days unless lnspectlons are current.
INSTRUCTIONS) 687-4065
PERMIT #9236-a ^
VIOLATIONS
SBTBACKS AND OITI{BR, CONDITIONS OP APPR,OVAL MUST BB STRICTLY OBSBRVBD. VTOLATTON CAN RASULT IN RBVOCATTON OF TTIIS PBRMIT.
CITATIONS MAY BE ISSLJED t NDEn TI{B PRovIsIoNs oP I"AI{B CIUNTY'S INFRACTION ORDINA}ICB AI{DiOR OIHER RBI,TBDES AITOWBD BY LAw'
A MINIMITM OF AT LEAST 24 HOITRS ADVAIYCE NOTTCE MUST BE GwEN FOR TNSPECTTON REQUESTS
Have the following information ready when you call: 6874Ms
Permit number - Job address - TWe of inspection required - When it will be ready
Your name and phone number - Any special directions to the site
PI,ELIC OTT'ICIAL BIGITT 1\O TNESPASS ON PRryATE PROPEN,TY ONS 2I5.O!O*ffi ffiffi:i,#ff H#,ffiH,ffi ffi ffiTffi ffi ffi mTffi "
REQI./IRED INSPECTIONS
FOUNDATION INSPECTION: To be made after excavations for footings are complete and any required reinforcing steel is in place.
UNDERGROUND PIPING INSPECTION: To be made after dl underground piping has been installed, prior to any baclfill.
CONCRETE SLAB OR LINDER-FLOOR INSPECTION: To be made after all in-slab or under-floor building service equipmeng conduit, piping
accessories and other ancillary equipment items are in place but before any concrete is placed or floor sheathhg instdled, 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 srd vents ue complete
and the rough elecrical, 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 aU lathing and gypzum board, interior and exterior, is in place but before any
plastering is applied or before gypsum bord joints and fasteners are t4ed ard finished.
ADDITIONAL INSPECTIONS MAY BE REQIJIRED, 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 pric to the stnrcure or remodeled arrea being occupied and pior to operating rry equipnenr
EINAL PLUMBING INSPECTION: To be made just prior to the building, strucure or remodeled rea being occupied"
FINAL BLJILDING INSPECTION: To be made after finish gading and the building, strucure or rernodeled rea is cunpleted and ready for occupancy.
MOBILEA,IANUFACTURED HOMES: An inspection is required after the mobile home is connected to an ryp,roved sewer or septic
system, prior to covering sewer or water lines, for setback requiremens, blocking, tiedowns and plumbing connections,
Footings and piers to comply witlr State formdation requirements for mobile homes or as recommended by the manufacuer.
Minimum finished floor elevation shall be certilied when rcquired by Floodplain Manageme,nt
Tiedowru, if required, shall be installed and ready for inspection within 30 days after occupancy. Tiedowns shall be installed per enclosure.
APPROVAL REQI.IIRED
No work shall be done on any part of the building or structure beyond the point indicated in each successive inspection wittrout first obtaining the
approval of the building official. Such approval shall be given only after an inspection shall have been made of each successive step in the construction
as indicated by each of the irspections required.
APPR,OVED PI,ANS MUST BE ON THE JOB SITE AT ALL TMES DI]RING WORKING HOIJRS.
TI{IS PERMIT WILL E)(PIRE IF WORK DOES NOT BEGIN WIITIIN I8O DAYS, OR IF WORK IS STOPPEMR ABANDONED FOR MORE THAN I8O DAYS.
SUSPENSION OR REVOCATION MAY OCCUR IF THIS PERMIT WAS ISSUED ON TTIE BASIS OF INCOMPLETE OR ERRONEOUS INFORMATION.
AryYONE PROCEEDING PAST THE POINT OF REQTITRED INSPECTIONS WTLL DO SO AT THEIR OWN RISK.
Your signature on the front of this fbrm verifies the following: I HAYE CAREFULLY EXAMINED TI{IS COMPLETED APPUCATION, ard 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
further certify that any and all work performed shall be done in accordance with the Ordinance.s of Lane County and the laws of the State of Oregon per-
taining to the work desctibed herein. I further certi$ that if I am not the owner of the property, my registration with the Builders Board is in full force
and effect as required by ORS 701.055, and that 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 subsruface constnrction is complete, the permit holder shall notify the County Lmd Management Division by submining the installation record
form. An irspection 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 corutruction does not comply with rules, the permit holder will be notifie4 and all corrections shall be made before a certificate of completion
will be issued. Failwe !o meet satisfactory completion within the alloued time constitutes a violation of ORS 454.605 to 4il.745 and this rule.
SUBSURT'ACESEWAGEDISPOSALSETBACKS SEPTIC TANK DRAINFIELD
From: Interior property lines l0' 10'
Edge ofroadright-of-way 10' 10'
Building foundation 5' 10'
Wells or otlrer water sources 50' 100'
ExlstlnE Bulldlngs or
lmprovemenls on
Property '
tt*l xouse
F Barn
E3 Garage
E3 tvloUle.llornel-l Shed
SEPTIC INSTALLEO
Yes
tlo
Water Dislrict
Ft-l
Please complete all lines lnside white boxes, lf possible.
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MAP, PARCEL NUMBER
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lrom Courthouse
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sl .l-a I Ai"-L-
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SITE cd
For Moblle Home
Placement Only
No. ol Tip-outs-
No. ol Be*ms
License #-
Brand
Year
Size
MAIL PERMIT TO:
Land Managemont Dlv. stalf can
not be held responslble for
evaluallons or rscommendatlons
based on false, lnaceurate or
lncomplete lnlormatlon
Lot & Block
STAFF EVALUATION
lnformatlon Request Onty I-I
TRS Verllled EIYes
Allowed Use ' EYes No t-r
No t-t
COMMENTS /
FOLLOW.UP .", Partltlon / Subdlvlslon
t
Dlv. 125 E. 8th Avs. Eugsne, OR 97401