The URL can be used to link to this page

Home My WebLink AboutPermit Septic Tank 1989-11-21 r/ , Please complete all lines Inside white boxes, if possible. ~kW'-~ ~~, 1/-d/-r7' ::Zi~>~ #/GN Jr. U-~~ /?f#~.) ~~~-//o/ ~~-", ul:. _ /'JA.J2 ~ 9') V 0/ ciTY i/ '. , ZIP F~k. C#f:LS"~d 7l(C,. /5' IV OWN;;;:RTY;;;t;",.j:":'!) ~a,/J (;"P/J) "9N~Y77 OWNERS ADDRESS (It nol ~.m. a. .bow) ZIP t:UNIHA.'-"UH ucen... . ::> ..' :'~'::':~:{:& ..,:......."., ::::.N::::~~::':~:':: ..::..::::~. :::::::.:;;~;;::.);::;:ti%Jt.;:::; :~ ................. :.:.:::::-::~::8~F:t: MAP, PARCEL NUMBER (FoU,~n tax maps In the A......m.nt . Taxation DepL) /'/ t?? P!"7 d,':;> .# 35 t:? ~ lown..up Han;. b!KUo'n 114 _UGn .n LOl Township n:;g;- Section 114 Gullon Tax Lot lownan.p' Rangor :;jecllon \/4 beClIOn IU: LOI , SITE ADDRESSj':J26 ~?1 ~JD u,.en::;:> . MAIL r::.RMIT TO: NAM. '-1. ~l~ "UUtll:1;i~ "'II' ZIP Existing Buildings or Improvements on Property 06 House c:J Barn " c:J Garage c:J Mobile. Home c:J Shed SEPTIC INSTAllED c:J Yes c:J No Water District ::,~ ~ ~: Directions to site from Courthouse Cur~AJ.t)J".1-c- T2J M-,Ilc-J " L <;" f J J7) /J1 E..J c.., Lc=~' ~d.'g (T' ~ dJ~ ~-J :i2/G#V , ZIP For Mobile Home Placement Only Brand Year Size No. of T1p-outs No. of Bedrms Ucense # land Management Div. staff can not be held rosponslble for evaluations or recommendations based on falso, Inaccurate or Incomplete Information '" ,....... . "',. .........;.......:..,.:;.....:.... .. ......:..:..::-... VIOLATIONS SBTBACKS AND anmR CONDmONS OF APPIlOV AI. MUST BB snucn. Y OBSERVED. VIOLATION CAN RBSUL TIN REVOCATION OPnn5 PERMrr. crrATIONS MAY DB ISSUPD UNDER nIB PROVISIONS OF LANB COUNTY'S INPRACIlON QRDINANCB AND,()R. anmR. RBMBDIRS ALLOWED BY LAW. . ." .. " A MINIMUM OF AT LEAST 24 HOURS ADY ANCE NOTICE MUST BE GIVEN FOR INSPECITON REQUESTS Have the following information ready when you call: 687-4065 Permit number - lob address - Type of inspection required When it will be ready Your name and phone nmnber - Any special directions to the site PUBLIC OFFICIAL RIGtrrTO TRESPASS ON PRIVATE PROPERTY OKS n5.0s0 POWER TO BNTER UPON LAND. TIm COMMISSION, AND ANY OF ITS MBMBERS, QFPKEtS AND BMPLOYBS, IN TIm PBRPORMANCl OP1HBIR PUNcnONS, M.A y I!NI'ER. UPON ANY LAND AND MAKB BXAMlNATIONS AND SURVRYS AND PLACB AND MAINTAIN nIB NECESSARY MONUMENTS AND MARKERS nmRBON. REQUIRED INSPECflONS FOUNDATION INSPECflON: To be made after excavations for footings are complete and any required reinforcing steel is in pl""e. UNDERGROUND PIPING INSPECflON: To be made after all underground piping has been installed, prior to any backfill. CONCRETE SLAB OR UNDER-FLOOR INSPECflON: 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 INSPECflON: To be made after all ducting and gas piping has been installed and prior to being covered, ROUGH PLUMBING INSPECflON: To be made after all plumbing rough-in is in place, prior to being covered, FRAMING INSPECflON: To be made after the all framing, fire blocking, bracing and roof are in pl""e and all pipes, chimneys and vents are complete and the rough electrical, plumbing. and mechanical inspections have been made and approved. INSULATION INSPECflON: To be made after all insulation and vapor barriers are in place, prior to covering. LATH AND/OR GYPSUM BOARD INSPECflON: To be made afler alllatlting and gypsum board, interior and exterior, is in pl""e 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 limi~ to; BLOCK WALL: To be made after reinforcing is in pl""e" buLbefore any grout is PO,\lled The inspection is required fo~ e!.Ch bond beam pour. There will be no approval until the plumbing and electrical inspectiqns have been made and approved. . FINAL MECHANICAL INSPECflON: To be made just prior to the structUre or r~odeled area being occupied and prior to operating any equipmenL FINAL PLUMBING INSPECflON: To be made just prior to the building, structure or remodeled area being occupied FINAL BUILDING INSPECflON: To be made after finish grading and the building, structure or remodeled area is completed and ready for occupancy. MOBILE/MANUFAcrURED HOMES: An inspection is required afler 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 fOl.mdation requirements for mobile homes or as recommended by the manufacturer. Minimum fmished floor elevation shall be certified when required by Floodplain Management - Tiedowns, if required, shall be installed ~,re~y .for inspectio'!. within}Odays after occupancy. Tiedowns shall be installed per enclosure, _0" 4 ~ _............. ~~.. . APPROVAL REQUIRED No work shall be done on any part of the building or structure "beyOnd ~ point indicated in each successive inspection without ftrst obtaining the approv~ Q.f ~e buil<ljng 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 inspections required. APPROVED PLANS MUST BE ON THE JOB SITE AT ALL TIMES DURING WORKlNG HOURS. TIllS PERMIT WILL EXPIRE IF WORK DOES NOT BEGIN WTI1IIN 180 DAYS, OR IF WORK IS STOPPED OR ABANDONED FOR MORE THAN 180 DAYS. SUSPENSION OR REVOCA nON MAY OCCUR IF TIIIS P,ERMIT WAS ISSUED ON THE BASIS OF INCOMPLirrE OR ERRONEOUS INFORMATION. \. , . ,ANYONE PROCEEDING PAST THE POINT OF REQUIRED INSPECnONS WILL DO SO AT THEIR OWN RISK. Your signatur;on the front of this fonn;erifies.the follow;;,g: I HA VE CAREFULLY EXAMINED TIllS COMPLETED APPLICATION, and do hereby certify that all information hereon is true and correct, and that I have a legal interest in the ,u...y-..J 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 y'~y.ool, 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 construction 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 certificate of completion will be issued to the permit holder. If construction does not 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 allotted time constitutes a violation of ORS 454.605 to 454.745 and this rule. SUBSURFACE SEW AGE DISPOSAL SETBACKS SEPTIC TANK From: Interior Y"Y'OO' lines 10' Edge ofroad right-<lf-way 10' Building foundation 5' Wells or other water sources 50' DRAlNFIELD 10' 10' 10' 100' , SEPTIC SYSTEM VERIFICATION , . ADDRESSING.. ..,. , ~ TOWNSHIP RANQE SECTION V.. 8ECTlON 17 03 27,3.3 Loci5~ODD'MENLO LOOP, SPR I NGF I ELD, TAX LOT .uaDlVIBlON/.......llTMlft 3300 LOT / PAIlCliL R.OCK _\ .~.t." STRUCTURES HOW ON ~O"I[RTY EXISTING SINGLE FAMILY DWELLING PROP08E1J WI SEPTIC .STALLED W"TEIl .unALL.iD IiKt f1# stoRIES RESIDENTIAL USE NO. OF illPLDflEB CONaTllUCnotll C08TIYALUI ... j~ ~~~\ 'if-- OREGON DUCRlIl'11DH 01' PROP08EO WORIl SEPTIC SYSTEM VERIFICATION FOR LOAN NO. Of' NOROOIIII IillRECTlON8 TO Bin ,.ROM COURTHOU.. CENTENNIAL BLVD, TO ASPEN, LEFT TO MENLO LOOP, FIRST HOUSE ON THE RIGHT HAND SIDE OF ROAD APPUCANT NAMi . "DORU. GAYLEN BATEMAN PHON. 587-1101 745-7534 OWNli". NAMI! . ADDIIEn FRANK CARLSON, I'MONI SAME AS THE JOB ADDRESS ABOVE COHTRACTOR NAMI OUI UCEXU , NA ~ MAIL PERMIT TO: )N"'M~^Yle~J R^T':~^"~ !~/~2 I=fI"~ :T~;~;nll.;~I:~~~:. ~:~~ 97-4.01 I h99 carafully)re!JlJ-:jlOTH sides 01 this appllc~ and he~~hat all Information j{,.cr,/f4<-rN .cs~AN ~~ ~~ III PRINTNMl& . ,.. SfgnAq' " 'HONE SAME .Q Is true and correct ..>7//- ~/-tf7 DA'" - ~ " " ".< <:.:>> ~~~. v.... . !., . ~ -:'. Authorlzetlon III Based On The Following Condltlonll ~ ' /7 ./ "l -J""r; FEES DUE: $ APPROVED BY:~././, ./ ~ DATE If ~z- 7 I ~ , , , , "" ,,' CAL~F~~' ~NSP~CT/~~S '~;EE~~CK OF F;RM ;O~STR~CTI~NS) ~87.4065 '. SEPTIC permits are good for one yesr, ALL other permits expire sfter 180 dsys unless Inspections sre currsnt, -' ""'IlIII , /'iJ\. 7'"~-.':'''~''' ..,. " A~'~nlTIl,ga~, Younfr. 'PWlTIl ", \~\:.. ~-1 ..\~"'.. \' .~ ~...... \ , INFORMATION NOTICE TO' PROPERTY OWNERS ABOUT CONSTRUCTION RESPONSIBILITIES . . GtelTIlteIr31ll t(()llTIltIr31d(()lIr? . ., " . ,-..., \.... , , . NOTE: This Information Notice to Property Owners about Construction Responsibilities was developed by the Construction Contractors Board in accordance wfth ORS 701.055(5), passed by the 1989 Oregon Legislature. If you are acting as your own contractor to' construct a new home or make a substantial improvement to an existing structure, you can prevent many problems by being aware of the following responsibilities and concerns. , Employer' Responsibilities You will, in most instances, be ruled to be an "employer" and the contractors you contract with .will be "employees" if you use contractors not licensed with the Construction Contractors Board to do labor in constructing or to assis~ in the construction or improvement ofa residential structure. As the employer, you must comply with the following: Oregon's Withholding Tax Law: As an employer, ,you must withhold income taxes from employee wages at the time employees are paid. You will be liable for the tax payments even if you don't actually withhold the tax from your employees. For a State Business ill number, call the Business Information Center at 503-986-2200. '':( Unemployment Insurance Tax: As an employer, you are required to pay a tax for unemployment insurance purposes. I on the wages of all employees. For more information, call the Oregon Employment Department at 503-947-1488,- " Workers' Compensation Insurance: As an employer, you are subject to the Oregon Workers' Compensation Law, and must obtain workers' compensation insurance for your employees, If you failto'obtain workers' compensation insurance, you could be subject to penalties and be liable, for all claim costs if one of your employees is injured on the job. For more information, call the Workers' Compensation Division at the Department of Consumer and Business Services at 503.947-7815, U.S, Internal Revenue Service: As an employer, you must withhold federal income tax from employees' wages, You will be liable for the tax payment even if you didn't actually withhold the tax, For a Federal EIN number, call the IRS at 866-816-2065 or fax them at 801-620-7115. '",' / " Other Responsi~~lities and Areas of Concern,s, Code Compliance: As the permit holder for this project: you are responsible for resolving any failure to meet code " , requirements that may be brought to your attention through inspections~ Liability and Property Damage Insurance: Contact your insurance agent to see if you have adequate insurance coverage for accidents and omissions such as falling tools, paint over spray, water damage from pipe punctures, fire or work that must be redone. Time:. Make sure)'ou have sufficient time to super:ise ~our employees. Expertise: Make sure you haye the skills to act as your own general contractor, to coordinate the work of rough-in and finish trades, and to notifY building officials as the'appropriate times so they can perform tile required inspections, If you have additional questions call the Construction Contractors Board (503-378-4621) or write the agency at PO Box 14140, Salem, OR 97309-5052. Property_owner.doc 03/11/03