HomeMy WebLinkAboutPermit Septic Tank 1993-3-19
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REQUEST
FOR:
SEPTIC SYSTEM VERIFICATION
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17 """03 "z7 :;':"7
TAX LOT 13 3Sl.IlDMSlCNIPARTm::lN
lDT/PARCa II..OCl(
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LOCATION ADDRESS
1567 W. FAIRVIEW STREET, SPRINGFIELD, OREGON
8TRUCT\JRES NOW' ~ PROPERTY
EXISTING SINGLE FAMILY DWELLING
PRClPCISCDUSE &a'1'CNSTALLED WAlalftiTAI.J.ED PnOFSTOAES NO.~ CXlNSl'RUCI1ONCOSTNAU.lE
PRIVATE USE RAINBOW
~OF~WOAK NO.OFilEDFltXNS
SEPTIC SYSTEM VERIFICATION
~ TOSffE FRa.l NEAAESTMAIN INTERSECTION
CENTENNIAL BLVD. EAST TO ASPEN, NORTH TO W. FAIRVIEW TO SITE ABOVE.
APPUCANTNAME" ADPRES8
-L~RRY H~YES, 701 RAYNER STREET, SPRINGFIELD, OREGON
OWNERS NAME. AOORESS
CHRIS & TIFFANY MAITLEN, SAME AS THE JOB ADDRESS ABOVE
OONTRACTOR/NSTALlEWBUILDER NAME CCB'
NA
l MAIL PERMIT TO:
LARRY HAYES, 1461 OAK STREET, EUGENE, OREGON 97401
~ NIWIE STREET 01Y
I have carefully read BOTH sides of this appllcatl9n J"..d hereby lrr~ifY, that all Information
,~.!:!.Y HAYES 1fQ;;.,~ ~-h
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747-6965
PHONE
741-7798
PHONE
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Is true and correct
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Following Conditions
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APPROVED BY:
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DATE s -1'7 - 9.1
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l CALL FOR INSPECTIONS (SEE BACK OF FORM FORl/NSTRUCTIONS) 687-4065' .....-....
SEPTIC permits ere good lor one yeer. ALL other permits expire alter 180 days unlass Inspections ere current.
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lMD 040 Rev. 6192
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VIOLATIONS
SBTBACKS AND onmR. ...~........~.... OF APPROV ALMOST BE STRICIL Y OBSERVED. VIOLATION CAN RBSUL TIN REVOCATION OPTIfiS PBRMrr.
CITATIONS MAYBE ISSUPD UNDER nm PROVISIONS OP LANB COUNTY'S 1NPRACI10N ORDINANCE AND/OR 011iER RIlMBDIBS ALLOWED BY LAW.
A MINIMUM OF AT LEAST 24 HOURS AnV ANCE NOTICE MUST BE GIVEN FOR INSPECl10N REQUESTS
Have the following information ready when you call: 687-4065
Permit nwnber - Job address - Type of inspection required When it will be ready
Your name and phone number - Any special directions to the site
PUBLIC OFFICIAL RIGIITTO TRESPASS ON PRIVATE PROPERTY ORS n5.OIO
POWER TO Bm1lR UPON LAND. TIm COMMISSION, AND ANY OP ITS MBMBBRS, OFFICERS AND HMPLOYBS, IN TIm PBRPORMANCE OPnmIRFUNCI10NS. MAY
ENI'ER UPON ANY LAND AND MAKE EXAMINATIONS M"D SURVEYS AND PLACB AND MAINTAIN TIm NBaLSSAR.Y MONUMENTS M'D MARKERS nmRBON.
REQUIRED INSPECflONS
FOUNDATION INSPECflON: To be made after excavations for footings are complete and any required reinforeing steel is in place.
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-lIoor building service equipmen~ condui~ 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 plwnbing rough,in is in place, prior to being covered.
FRAMING INSPECl10N: To be made after the all framing, fire blocking, bracing and roof are in place and all pipes, chimneys and vents sre complete
and the rough electrical, plwnbing, 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 after all lathing and gypsum board, interior and exterior, is in place but before any
plastering is applied or before gypswn bosrd joints and fasteners are taped and finished.
ADDITIONAL INSPECTIONS MAY BE REQUIRED, such as but not limiled to;
BLOCK WALL: To be made afterreinforeing 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 plwnbing and electrical inspections have been made and approved.
FINAL MECHANICAL INSPECflON: To be made just prior io the structure or remodeled area being occupied and prior to operating any equipment
FINAL PLUMBING INSPECflON: To be made just prior to the building, structure or remodeled srea being occupied.
FINAL BUILDING INSPECflON: To be made after fInish grading and the building, structure or remodeled srea is completed and ready for occupancy.
MOBILE/MANUFACTURED HOMES: An inspection is required after the mobile home is connecled 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.
Minimwn finished lIoor elevation shall be certified when required by Floodplain Management
Tiedowns, if required. 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 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 TIlE JOB SITE AT ALL TIMES DURING WORKING HOURS.
TIllS PERMIT WILL EXPIRE IF WORK DOES NOT BEGIN WTIHlN 180 DAYS, OR IF WORK IS STOPPED OR ABA, ,uv..eD FOR MORE TIlAN 180 DAYS.
SUSPENSION OR REVOCATION MAY OCCUR IF TIllS PERMIT WAS ISSUED ON TIlE BASIS OF INCOMPLETE OR ERRONEOUS INFORMATION.
ANYONE PROCEEDING PAST THE POINT OF REQUIRED INSPECTIONS WILL DO SO AT THEIR OWN RISK.
Your signature on the front of this form verifies the following: I HA VE CAREFULLY EXAMINED TmS COMPLETED APPUCA TION, and do
hereby certify that all information hereon is true and correct. and that I have a legal interest in the Y'-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 State of Oregon per-
taining to the work described herein. I further certify that ifl am not the owner of the y....Y....J. 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 cenificate 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 SEWAGE DISPOSAL SETBACKS SEPTIC TANK
From: Interior y,uyuujlines 10'
Edge of road right-of,way 10'
Building foundation 5'
Wells or other water sources 50'
DRAINFlELD
10'
10'
10'
100'
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. W: 5 3 LANE COUNTY DEPT ENV MGT RECEIPT ~ 92093 DATE 0317/1il>
APPLICANT MAITLEN, CHRIS ADDR 1567 W. FAIRVIEW ST., SPRINGFIELD, ~
TL~1703273200133 SUBDIV LOT BLK
. NEW BLDG TYPE USE R .BDRMS 0 UNITS 001 STORIES ~BLDGS 001 PHONE 741 779~
OWNER NME MAITLEN, CHRIS ADDR 1567 W. FAIRVIEW ST., SPRINGFIELD, ~
h\k~ CODE APPL NO ACTION DESCRIPTION SQ FT UNIT COST VALUATION FEE DAY~
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BP ·
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LR LC 92093 SDSV
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MECHANICAL FEE
STATE SURCHARGE
PLAN CHECK FEE
FT. RAIN:
5%
257.
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COMPLETION DATE
DEPOSIT **
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_. W: 5 3 LANE COUNTY DEPT ENY MGT RECEIPT ~ 92093 DATE 0317..,
APPLICANT'MAITLEN, CHRIS ADDR 1567 W. FAIRVIEW ST.. SPRINGFIELD. wri
TL~ 1703273200133 SUBDIY LOT BLK
. NEW BLDG TYPE USE R BDRMS 0 UNITS 001 STORIES ~BLDGS 001 PHONE' 741 779."
OWNER NME MAITLEN. CHRIS ADDR 1567 W. FAIRVIEW ST.. SPRINGFIELD; wri
~H~H CODE APPL NO ACTION DESCRIPTION SQ FT UNIT COST VALUATION e0FEE DAU~
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PLAN CHECK FEE
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