HomeMy WebLinkAboutPermit Septic Tank 1990-02-22-u&8 5PR
ge-7aPERMIT #
stemRepair Septic Sy
REAUEST
FOR
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Eurrs
e
PERRC
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over freewaY to Yolanda;tiwk E:<it; NorthHwv 105
,/sT'oRRS CO.
a1r
689-7 57 4
7 47 -8200olan
to Sxrr inc, f ield Moira
ene 974O2
field 97 477
Box 236
15 Yoland-a Ave., S field 97417
NAME
Perrc g, Eugene 97402P"O. Box 236/ sf.orr s Comoan
that all lnformatlon ls truand oA
and correctI have carefullY read BOTH sldes ol thls a
REAO CAREFULLYI Your Authorlzatlon ls Based On The Followl Condltlons
DATE L ^LZ'faAPPROVED BY:FEES DUE:
'
year.
68 7-4065TRUCTIFORoNs)c,BA FOBMKOFTIONSESEFOBINSPEC current.arounless180itsinspectionsatterLAoLtherdaysPefmexpiredforoneareermitscSEPTIpgoo
House; Shed ..= ,,==clf,LoYISa oillllErncilt/Ylllrt
CALL
VIOLATIONS _.
SETBACKS AND OTHBR CPNDMONS OF APPROVAL MUST BB STRJCTLY OESBRVBD. VPI,ATION CAI{ R,BST'LT IN NBVOCATION OP THIS IARMT.
CITATIoNS MAY BE ESLTED l.rNDER THB PROVISIONS OF I/A.ItlE CDITNTY'S NFRACIION ORDINAN@ AND,OR, OTllBR. RBMEDIBS ALlrUrED BY LAW,
A MINIMUM OF AT LEAST 24 HOURS ADVANCE NOTICE MUST BE GIVEN FOR INSPECTION REQT'ESTS
Have the following information ready when you call: 6874M5
Perrnit number - Job address - Type of inspection required - When it will be ready
Your name and phone number - Any special directions to the site
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ENTER T'FON ANY LAND AND MAXB BXAMINATTONS AND SURVBYS AI{D PtACts AND MAINTAIN THB NBGSSARY MONT'MEtrVTSI AND MARreRS THBRA'N.
REQr./IRED INSPECTIONS
FOT NDATION INSPECTION: To be made after excavations for footings are complete and ury required reinforcing steel is in place.
UNDERGROTIND PIPING INSPECTION: To be made after all underground piping has been installed, prior to any tacttitt. -
CONCRETE SLAB OR I.INDER-FLOOR INSPECfiON: To be made after all in-slab or under-floor building service e+ripmemt, conduit, piping
accessories and other ancillary equipment items are in place but before any concrete is placed or floor sheathing insta[d, i*fuain, the subfloor.ROUGH MECHANICAL INSPECTION: To be made after all ducting and gas piping has been installed and prior to being "o,'oi.ROUGH PLUMBINC INSPECTION: To be made after all plumbing rough-in is in piace, prior to being covered.
FRAMING INSPECTIoN: To be made after the all framing, fire blocking, bracing and roof are in plac-e and all pipes, chimneys and vents ue completeand the rough electrical, plumbing, and mechanical inspections have been made and qproved.
INSULATION INSPECTION: To be made after all inzulation and vapor barriers are in place, prior to covering.
LATH AND/oR GYPSL,M BoARD INSPECTION: To be made after all lathing and glpeum-board, interiorLd exterior, is in place but beforc anyplastering is applied or before gypsum board joints and fasteners are tryed and finished.
ADDTTTONAL rNsPEcrroNs MAy BE REeTIIRED, zuch as buinot Iimited to;
BLoCK WALL: To be made afterreinforcing is in placg'b.q before rry grout is potned. The inspection is required for each bond beam pour. Therewill 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 * te-od"t"d area being occupied and prior to operating any eqgipnent.FINAL PLLJMBING INSPECTION: To be made just prior to the building, stnrcure or remodelea aea ueing occupied"FINAL BL'JILDING INSPECTToN: To be made aftel finish grading ana ttre uulaing, stnrcture or renrodeta o"" i completed 6d ready for occupancy.MoBILEA'IANUFACTURED HoMES: An inspection is required-after the mobile home is connected to an approved sewer or septicsyslem, prior to covering sewer or water lines, for setback requiremens, blocking, tiedowns and phrmbing connections.
Footings and piers to cornply with Statc formdation requirenrents for mobile homes or as recommended by the manufacturer.Minimum finished floor elevation strall be certified when required by Floodplain Management
Tiedowru, if requted, sh4ll be mstalled and ready for inspection withi" lo &ys after oJcupancy. Tiedowns shall be installed per enclosure.
APPROVAL REQTIIRED
No work shall be done on any part of the building olstruchrc byond the point indicated in each successive inspection without first obtaining theapproval of the building official' such approval shall be given only after an inspection shall have been made of each successive stqr in the constnrctionas indicated by each of the irspections required.
rI{IsPERMITwI"or*""*#5%H'*lHl%XYilf,ffiT#f.'9iH}T#tffir'#TfI"1HfiJi"ffiMoRErrrAN,80DAys.
susPENsIoN oR REvocATroN MAY occlrR IF THIS PERrrm'wAs ISSLJED oN rns sASIi or mcoupr.mE oR ERRoNEous INFoRMATIoN.
ANYONE PROCEED'ING PAST THE POINT oF REQUIRED INSPECTToNs wILL bo so AT THEIR dwN nrsx.
Your signanue on the front of this form verifies the following: I HAVE CAREFULLY EXAMINEDTHIS COMPLETED APPLICATION, and dohereby certify that all information hereon is true and correct, and that I have a legal inter_est;n G [@-*-."#"i"'rrl""fr*?uiorir"a agent. Ifurther certify that any and all work performed shall be done in accoraarrce wittr *re orainmco of l*" iorrrrty *a ur" i"'r, or ,rr" st"t" of Oregon per_taining to the work described herein. I further certiff that if I am not the o*ner or o" fofirqa -y-r"girt "tion
with the Builders Board is in full forceand effect as required by oRs 701.055' and 0rat if eiemp the basis for the exemption i" not"i ii.""orr]*a o"t orrty zubcontractors and employees whoare in compliance with ORS 701.005 will be used on thejob.
SUBSURFACE & ALTERNATIVE SEWAGE DISPOSAL SYSTEMS:
when subsurface construction is-complete, rhe permit holder shau notiry tt e county Land Management Division by submitting the installation recordform' An irupection will be made by a qualified sanitarian. Ir **tn "ii* ""-priir with all nr[s
"
ortin""tu of completion wiu ue issuea m the permitholder' If construction does not comply with rules, rhe permit holder *nil" i.tin"a, *d ,x ;;;;ons-sr,uu te maae urore
" ""rtin."t or completionwill be issued. Failrne to meet satisfactory completion within the allotted time constitutes a violation of oRs 454.605 to 454.745 and this rule.
SUBSURI'ACE SEWAGE DISPOSAL SETBACKS SEPTIC TANKFrom: Interior prcperty lines 10,
Edge of road right_of-way l0'
Building foundation 5'
Wells or other water sources 50,
DRAIN['IELD
10'
10'
10'
100,
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Exlstlng Buildtngs orlmprovements on
Property
tFJ HouseI-r Barnl-r Garaget-r Mobfle. l-lome
EfI-Shed
SEPTIC INSTALLED
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Water District
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white boxes, if possibte.
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MAP, PARCEL NUMBER
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Directions to site
trom Courthouse
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For Mohile Home
Placement Only
No. oflip-outs-
No. ol Bedrms
License #-
Brand
Year
btze
MAIL PERMIT TO:
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Land Management Div. staff can
not be held responsible for
evaluatlons or recommendations
based on fatse, inaccurate or
lncomplete lnformatlon
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