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Home My WebLink AboutPermit Septic Tank 1991-2-20 .,. REQUEST FOR: SEPTIC SYSTEM VERIFICATION ~D~~~:t~h:.:~JPt~:W/t.:~~".\..~~ ~.:. . .>~~ . , 'ow..... 18 RANa, 02 "",nON 06:i :'4""" 'AX "" 9100 ...m"._ ....n""" ~913'pi~;YON STREET. SPRINGFIELD. OREGON LOT' ~AAcu. aLOQIi .. STRUCTURES NOW ON P"OPERTY EXISTING SINGLE FAMILY DWELLI~G. SHEO PROPOSED USI 8lP11C "STALLED ....TER ...TALLiD NO. a< lTONa NO. or DIPUIftg ~nu,lcTJOJl ~IYAUI' PRIVATE USE ODClamON Of' I'IIDPOCIG WOM SEPTIC SYSTEM VERIFICATION ~"ACSPErR'OAD""T"OOu~'oTH PLACE TO PINYON NO. or HDROOID APPUCANT N.....E . ADDRnl BECKY JOHNSTON, TE'i\'R"Y"raCHinSTINE KRAMER. SAME AS THE JOB ADDRESS ABOVE 'Hon 485-1400 ""0"'1 NONE GIVEN -C;QftT"ACTQA "'....E NA ) MAIl. PERMIT TO: BECKY JOHNSTON, ) NAMI I hava carafully read BECKY JOHNSTON op; uc:p.. , PHONI NA r . 115 OAKWAY CE~TER, EUGENE, OREGON 97401 AODIItE.a PRHTNAt.U:: d h reb~t~ormatlon i // t Is true and correc7t ~~-dd -9 ,. READ CAREFULL VI Your Authorization 10 Baaed On Tho Following Condltlono :r- <:,. 1 l FEES DUE: $ . APPROVED BY: t>8~_ DATE Z- -z.. 2.. -7'/ 'j CAI.L FOR INSPECTIONS (SEE BACK OF FORM FdfI INSTRUCTIONS) 687-4065 SEPTIC permlls sre good for ons yesr. AI.I. other permlls expire attsr 180 dsys unlsss Inspections Dre curront. ~ ~ . . .. ~ VIOLATIONS SBTBACKS AND 0TIiBR CONDmONS OP AF'PROV AI. MUST BB SllUCIL Y OBSERVED. VIOLATION CAN RESULT IN RBVOCATlON OPUIIS PERMIT. CrrATIONS MAY BE ISSUED UNDER nIB PROVISIONS OF LANE COUNTY'S INPRAcnON ORDINANCE ANDJQR 01HBR RBMEDIBS AlLOWED BY LAW. A MINIMUM OF AT LEAST 24 HOURS ADVANCE NOTICE MUST BE GIVEN FOR INSPECTION REQUESTS Have the following infonDation ready when you call: 687-4065 Permit number - Job address - Type of inspection required When it will be ready Your name and phone number - Any special directions to the site PUBLIC omClAL RIGHT TO TRESPASS ON PRIVATE PROPERTVORS 215.010 POWER TO BmBR UPON LAND. run COMMISSION, AND ANY OP ITS MEMBERS, OPPJCBRS AND BMPLOYES, IN rnRPBRPORMANCB OP nmlRPUNCI10NS, MAY Bm'ER UPON ANY LAND AND MAKE BXAMINATIONS AND SURVEYS AND PLACE AND MAINTAIN nm NOCBSSARY MONUMENTS AND MARKERS lliBREON. , REQUIRED 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 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 afler the all framing, frre 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 INSPECTIQN: To be made after all insulation and vapor barriers are in place, prior to covering. LATH AND/OR GYPSUMBOARD 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 board joints and fasteners are taped and fmished. ADDITIONAL INSPECTIONS MAYBE 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 structure or remodeled area being occupied and prior to operating anyequipmenL FINAL PLUMBING INSPECTION: To be made just prior to the building, slrUcture or remodeled area being occupied. FINAL BUILDING INSPECTION: To be made after finish grading and the building, slrUcture or remodeled area is completed and ready for occupancy. MOBILE/MANUFACfURED 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 requirements, blocking, tiedowns and plumbing connections. Footings and piers to comply with State foundation requirements for mobile homes or as recommended by the manufacturer. Minimum fmished floor elevation shall be certified when required by Floodplain Management Tiedowns. if requ~ shall be installed and ready for inspection within 30 days after occupancy. Tiedowns shall be installed per enclosure. 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 offlCial. 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 iIJspections required. APPROVED PLANS MUST BE ON TIlE JOB SITE AT ALL TIMES DURING WORKING HOURS. TIllS PERMIT WILL EXPIRE IF WORK DOES NOT BEGIN WlTIIIN 180 DAYS. OR-IF WORK IS . .vrr"" OR ABANDONED FOR MORE TIlAN 180 DAYS. SUSPENSION OR REVQCA TION MAY OCCUR IF TIllS PERMIT WAS ISSUED ON THE BASIS OF INCOMPLETE OR ERRONEOUS INFORM A TION. ANYONE PROCEEDING PAST_THE POINT OF REQUIRED INSPECI'lONS WILL DO SO AT THEIR OWN RISK. Yoursignature on the front of this form verifies the following: I HAVE CAREFULLY EXAMINED TillS COMPLETED APPLICATION. and do hereby certify that all information hereon is true and co~ 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 Stale of Oregon per- taining to the work described herein. I further certify 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 only subcontractors and employees who are in compliance with ORS 701.005 will be used on the job. SUBSURFACE & ALTERNATIVE SEW AGE DISPOSAL SYSTEMS: When subsurface conslrUctio;' is complete, the permit holder shall. notify the County Land Management Division by submitting the installation record form. An inspection will be made by a qualified sanitarian. If construction complies with all rules a cenifIcate of completion will be issued to the permit holder. If construction does riot comply with rules, the permit holder will be notified, and all corrections shall be made before a certificate of completion will be issued. Failure to meet satisfactory completion within the a1loned time cOnstitutes a violation of ORS 454.605 to 454.745 and this rule. SUBSURFACE SEW AGE DISPOSAL SETBACKS SEPTIC T ANI< From: Interior property lines 10' Edge of road right-of-way 10' Building foundation 5' Wells or other water sources SO' DRAINFIELD 10' 10' 10' 100' / Please complete all lines inside white boxes, If possible. ,~un.f(~ ,JOhns/rr.J 1.8~/_i.f!fJ lib. om Z"ld-1j 'Vun .uu1!.)' (!)tLkN~ ~ A1h. V- f"tS"' ~/ 1/(/'"0 CITY ~""A-1.l2- r'9-e zf'7i/o I -,;; y r~ ~ (J):I, 1"'1 Sft YI 'L ..Jt&.tt Wl -e y- . OWNER OF ;;qR;~~ ~l um+1'~") () vV <-h"rl nA,{;eir..'f7<1-7~ OWNERS ADORESS (II ~;, um. .s .....) d -/ d ZIP t;~IHA""IU" uc:.n.. _ ~ " I MAP. PARCEL NUMBER (Found on to maps In the A......m.nt . Tautlon DepL) .J3.. 12-; /?u~ 1,/1.,..,. f),.1L~ 0 Townahlp ~ SectIon 1'4 Section Tall Lot IOW""',p Range ~ec:llO" 1/4 ~CllO" .ax LOt ; SITE ADDRESS..5CJ 13 ?t J<.. t'--dYL Sp".t:e.d..--- 9 7~7;r ~ L~ MAIL t;gRMIT TO9/:;: / . Lf1 J / {f,l'k . ~ ~kD.e.t:. ..mu--IIS- ~ tt ..h #~(1IJ...J Li:v ,uuo/.u i5 .C (J2f{J "77 t/O ) I,;lIr ZIP STAFF ; < land Management Dlv. staff can not be held responsible for evaluations or recommendations based on fals8, Inaccurate or Incomplete Information ., ExIsting BuildIngs or Improvements on Property r:;o House c::J Barn .- c::J Garage c::J Mobile. Home 00 Shed SEPTIC INSTALLED lZJ Yes c::J No Water District 'I DIrections to site -Iro_-~..." "~ ~~~~CA_ --tJ (/'~ i1 ,. '. ZIP ;- ... For Mobile Home Placement Only Brand Year Size No. of lip.outs No. of Bedrm- Ucense f ': ~ . u.,. ..,..' I ",j :,1 /'''';-''1 . . ",. ,~l.:"":~.':~. ) ," . .' ). , ,/ it'J~('.O I . .. ~ '90--\'\0 f I 1 .. 601'- ~~~\~~.o"U % ~ ~ ~ ~ 37/'5 PIJ1LjO 1,,)