HomeMy WebLinkAboutPermit Septic Tank 1996-02-15PERM'T #
SEPTIC SYSTEM AUTHORIZATIONBEOUEST
FOR:
correctqb
OATE
all information ls true,-/s:ly read
PROC
sldes ol s app
PR|NT NAlvlE
KEVIN E.
I have
IW
DATEAPPROVED BY,FEES DUE: $
68 '-40657,cU TtoNs),ArsrBFOBFOBMOFBACK(sEEINSPECTIONSLCAFOBL current,areunless1after80dayserLLAthexplreopermltsneforodoyearerego
LMD 040 Rev. 6/92
-gl -%
#e!8 00
rc.ssToRrs NO. OF EA4PLOYSWAERNTAUD
CITY
PHONEG'
OWNER
STBSUHSNWqTMEHIYEXISTING S INGLE FAMILY DWELLING
CCI.ITRACTOfi /INSTALLEW BUIUEE
DESCnPIO{ OF PrcPCSED wcK
KEVIN E.PROCIW
SAME AS THE ABOVE
LEAI IE AUUHS!847 S.47TH ST., SPRINGFIELD,
SAME AS THE JOB ADDRESS ABOVE
oREGON 97 478
PROPOoEOIJSE SEPTENSI&@
AUTHORIZATIONSEPTIC SYSTEM
ROAD. LAST HOUSE ON THE RIGHTFROM JASPERST. ,END OF SOUTH
7 46-4L54
SA}iIE
AT THE JOB ADDRESS ABOVETO THE OWNER
and
READ CAREFULLYI Authorlzatlon ls Based On The CondltlonsYour
lnspectlons
SEPTIC permlts
Ilave the following information ready when you call: 6874M5
Permit number - Job address - Typ" of inspection required - When it will be ready
Your name and phone number - Any special directions to the site
PowrRroENrERUP.NLAr{D. ,*""i#,:l!"R:181\*'3FllffiffirH'"H#'"iffi[ffiH.ffIiHt*?-***oFrrBrRFuNcrroNs,MAy
ENTER.I']PON ANY LA!{D AND MAIG EXAI\,IINATIONS AND SURVBYS AND PLACE AND MAINTAIN lHE NECBSSARY MONI'MBNTS AND MARTGRS THERBON.
FoLJNDATIoN INSPECTIoN: To be made arter excavationsll?H*f,?#":E.ff:X any required reinforcing steer is in place.LINDERGRoUND PIPING INSPECTION: To be made after all underglund piping has been'instalted, prior to any backfill.coNcRETE SLAB oR UNDER-FLooR INSPECTIoN: To be made lrter au in-slab or under-floor building service equipment, conduit, pipingaccessories and other ancillary equipment items are in place but before any concrete is placed or floor sheathing fu,stalled, including the subfloor,RoUGH MECHANICAL INSPECTIoN: To be madoafts all du"tirrg *a g* piping has been installed and prior to being covered.RoUGH PLUMBING INSPECTION: To be made-after all plumbingiougt iin i, in place, prior to being coveredFRAMING INSPECTIoN: To be made after the all framing, rire tro"cun!, tracing and roof are in place and all pipes, chimneys and vents are completeand the rough electrical, plumbing, and mechanical inspections have bee,n-made and approved.INSULATIoN INSPECTIoN: To be made arter !l insulation "a rupo, trr.i"o are in place, prior ro covering.LATH AND/oR GYPSUM BoARD INSPECTIoN: To be made after all lathing and gypru- uo"ra, interior and exterior, is in place bur before anyplastering is applied or before gypsum board joints and fasteners ,r" t"pJ *a n rirn a.ADDITIONAL INSPECTIONS MAY BE iEQUIRED, SUCh AS bUiNOt IiMitCd tO;BLocK WALL: To be made after reinforcing ist-place, but before u,y g-ut is poured. The inspection is required for each bond beam pour. Therewill be no approval until the plumbing and electricdinspections ha.,e beeimade and approved.FINAL MECHANICAL INSPECTIoN: To be made just prior to ae smcture or ,"rnod"l"d arca being occupied and prior to operating any equipmeot.FINAL PLUMBING lN[Llgp-ft:{o be made iusitryl . trr" u"ilaing, itn "!'e or remodered area being occupied.FINAL BLIILDING INSPECTToN: To be made: artel irnith grrdi"g ;; ;ilbuilding, suuchue * r".oa"u area is compreted and ready for occupancy.MoBILEMANUFACTURED HoMES: An inspection is requirea-ater the mobile home is connected to an approved sewer or septicsystem, prior to covering sewer or water lines, for setback rquiron"rrt , blocking, tiedowns and plumbing connections.Footings and piers to comply with state found *t, rL, mouit" homes or as recommended by the manufacrurer.Minimum finished floor elevation shall be certified when required by Floodplain ManagementTiedowns' if required' shall be installed and ready for inspe"iior, *ririn so iay, ur." oJ"upancy. Tiedowns shall be installed per enclosure.
APPROVAL REQT.IIREDNo work shall be done o" 3{ qtt of the building o|;trucnue beyond the point indicated in each successive inspection without first obtaining theapproval of the building official' such approval tnat ue giten only after an inspection shall have been made of each successive step in the constructionas indicated by each of the irspections ."quir"a.
rllls PERMIT wI* *r*' " *#5%H',o1?S"K'i^I+il?T#iTfj:il'"$i-?#-tr#HS,ryf lr"^ffi$Ji"ffi M'RE TrrAN rEo DAys.susPENsIoN oR RrvocATroN MAY occIJR IF Trlls PERNITT wAs tss]uro oN rHs BAsIs oF NCoMpLETE oR ERRoNEous INF'RMATT.N.
ANYONE PROCEEDING PAsr rHE PorNT oF REeLITRED INspECTroNs wILL Do so AT THErR owN RrsK.
Your signature on the front of this form verifies the following: I HAYE CAREFULLY EXAMINED THIS coMpLETED AppLICATIoN and dohereby certify that all information hereon is tru" *a correct, and that I have a regal inter;i r" * *;; as owner of record or authorized agent. Iturther certifv that anv and all work performea shai ue done in """orJ*""Grrr-trr orain*; ;fi;;6"Tty and tlr; i;;;;th; State of oregon per_taining to the work described herein' I further certify that if L," il tlr";;"i or me property, my registration with the Builders Board is in full forceri;'31frr[:fffl"53$ir'ihTl;,fl*t3i'""iffi:'.r:ili;il;il"#,"pd""il ';# il;;:*a
'n"'
o'ilv ;b"';;;;;; ana e*prov"es *rro
SUBSURFACE & ALTERNATIVE SEWAGE DISPOSAL SYSTEMS:when subsurface construction is-complete, the permit hold"r
"rr"u "otfy rrr" co.rrray Land Management Division by submitting the installation recordform' An irspection will be made by a qualified r*it ri*. If *;tr,r;[;."-o* with all d;;;;tft"ate of completio. iuill b" issued to ttre permitholder' If construction does not comply with rules, tire permit rrra* *iliL *un"a, *a"u "".""ir*, ,rr"u ue maae'ueiore
"
*iin""t" of completionwill be issued' Failure to:meet satisfaciory
"o-pl"iiorr wi*rin tt " arottJ ti.e
"onsrirures a riotation of oRs 454.605 to 454.745and this rule.
SUBSURT'ACE SEWAGEbISBOSAL SETBACKS SEPTIC TANKFrom: Interior property lines l0'
Edge of road right-of_way lO,
Building foundation 5,'lVells or other water sources 50,
VIOLATIONS
SBTBACXS AND OTHBR CONDMONS OF APPROVAL MUST BB STRTCTLY OBSBRVBD. VIOLA-TIO.N CAI{ RESI'LT IN RBVOCATION OF THIS PERMIT'
crrArroNs MAy Ba rssusD lrNo;i'iid-r,iiovilois opLAllscouiffi'i nwtlcnoN ononmr'tce INp/onoTHERREMEDIFS ALLoWED BYLAw'
A MIMMUM OF AT LEAST 24 HOURS ADVA}ICE NOTICE MUST BE GTVEN FOR INSPECTION REQTJESTS
DRAINFIELI)
10'
10'
10'
100'
PERMIT #
IC SYSTEM AUTHORIZATIONSEPfREAUEST
FOR:
FROM JASPER ROAD. LAST HOUSE ON THE RIGHT
L@ATIo.{ ADORESS
NO.C BEDMISMTBIOFPffiEDffi
OiAIEFS NAME E ADORESS
@..rRACTOfi II{STAITP SUII'DER NAATE
OWNER
PHOT'IE
PHONEcca
ATION
0 #e05!8
SPRTNGFIELD, oPEGON 97 47847TH ST.,847 S
SEPTIC SYSTEI,I AUTHORIZ
otnecrtofls ro sng rrcM NEAREST rAlN
END OF SOUTH 47TH ST.,
SAME AS THE JOB ADDRESS ABOVEKEVIN E. PROCTW,
SAivIE AS THE ABOVE
7 46-4L54
SAI{E
CITYRES.
tI
SINGLE FAMILY DWELLINGATRUCIURES NOW q{ PNOPEF
EXISTING I
OWNER AT THE JOB ADDRESS ABOVEMAIL wOTY
TO THE
all lnlormatlon ls true and correct3.1;*-I have carefullY read BO
KEVIN E. PROCIW
y certi
PRS NEE
andoTH sides of thls aPPl
READ CAREFULLYT Your Authorlzation ls Based On The Followlng Condltlons
DATEAPPROVED BY:FEES DUE: $
)ALL FOR TNSPECTTONS (SEE BACK OF FOBM FOR INSTBUCTIONS)
SEPTTC permlts are good for one year. ALL other permlts explre after 180 days
687-4065
unless lnspectlons ate cunent'
LMD 040 Bev.6r'92
rc.GSIqE NO.OFsrePNOPGEDIJSE 8EIPEIA.IE
frr1rf16
looo 5115t{,. T*k
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R.16 X"L
hr.{tF-}
865 So..$ tl*( S1...+6rd; ti trd
; I zoNE
i I u*,te
I srr,a:r:lHINIHUH SETBACKS - INTERIOR LOTS,llt eeasureoents are froo proDerty LiGes
-Ftont yard to House 10 feet-Frot)t yard to Garage lg feet.srde yard to House or Garage 5 feet-Rear yard to House or Garage l0 feet
P.U.E. HAY CIIANGE SETBACKS
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- CITY OF SPRIT.IGFIELD' ONEGON
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Drive
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APPROVED ONTY FOR RESIDENTIAI. USE
IN ACCOR!,I.NCE WITH ARTICI.E 16
OF THE SPITINGfIEID DEVETOP.\1EI{T CODE
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scALE @. I = 2o'- Or
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