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Home My WebLink AboutPermit Septic Tank 1990-12-31 .' I REQUEST FOR: R~PA!~ SEPTIC SYSTEM , , TOWNSHIP 18 RANal 02 SECTION 05 . L ~~TlQr4 TAIl LOT 600 IWUIYIIIIOH 'PARTITION JA'i~ION "DUTh. I~O F!LJERT LANE., SPRINGFIELD. OREGON 97478 8TRUCTURia NOW ON PROPERTY EXISTING SINGLE FAMILY DWELLING. AG BUILDING 1iiiOiiOsm USE SEPTIC ~ITALLEO PR IVATE USE WA~ "STALLED NO. W STORlD NO. 01" DlPLOn:D CONaTftUCTJOll CQ8TIVALUI ODc:RlPTlON 01' ""Of'OSEDWOM: ......-- REPAIR OF EXISTING SEPTIC SYSTEM f.lIYCTlON8 TO IIlU PROIII l;OUATHOU.II JLND STREET TO JASPER ROAD, TO FILBERT LAfIE. GO TO THE END OF ROAD ~HICH TURNS TO THE RIGHT, FIRST HOUSE ON THE LEFT HAND SIDE OF ROAD APPUCANT N.....E .. "DDREaa SYLVIA S~1ITH. PHONI 746-7155 SAME AS THE JOE ADDRESS ABOVE OWHiRI HAMil .. ADORIBa SAME AS THE ABOVE CONTRACTOR NAME oaR UC:EMU , NA NA , · MAIL PERMIT TO: MAIL PERMIT TO THE OWNER AT THE JO~ ADDRESS ABOVE PHON. SM1E PHONE ~I A l , NAM! . I hava carefully read SYLVIA St1ITH \- PRM'N.WG "'bOI~Slt:f. II II BOTH aides of thla ap~~b~hat all Information Is true anj Rorrsct /2../ 1M '10 t DA'" ' .' ~ FEES DUE: $ I APPROVED BY: - OAT!" of CALL FOR INSPECTIONS (SEE BACK OF FORM FOR-1'NSTRUCTIONSj 687-4065 SEPTIC permits ere good for one yeer. ALL other permits expire efler 180 days unless Inspections are current. . . VIOLATIONS . '. SBTIlACKS AND OTHBR CONDmONS OF APPROVAL MUST DB STRICIL Y OBSERVED. VIOLATION CANRBStn.TtN RBVOCATlON OPnflS PBRMrr. CITATIONS MAY BB ISSUED UNDER nIB PROVISIONS OP LANB COUNrY'S INFRAC110N ORDINANCB ~R 0TIiER RBMEDIRS AlLOWED BY lAW. .. A MINIMUM OF AT LEAST 24 HOURS AnV ANCE NOTICE MUST BE GIVEN FOR INSPECTION REQUESTS Have the following information 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 OFFICIAL RIGIIT TO TRESPASS ON PRIVATE PROPERTY ORB D5.0SO pOWER. TO BN'11iR UPON LAND. nIB COMMJSSION, AND ANY OF ITS MEMBERS, OPPJCI!RS AND EMPLOYBS, IN nlBPERPORMANCE OP'nmIR PUNC110NS, MAY ENI'BR UPON ANY LAND AND MAKE RXAMINATIONS AND SURVBYS AND PLACE AND MAlNJ"AIN nIB NECESSARY MONUMENTS AND MARKERS ..'~." REQUIRED INSPECTIONS FOUNDA nON 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 after the all framing, fIre blocking, bracing and roof are in place and all pipes, chimneys and vents are complete and the rough elcctrical. plumbing. and mechanical inspections have been made and approved. INSULA nON INSPECTION: To be made after all insulation and vapor barrieI1l are in place, prior to covering. LATH AND/OR GYPSUM BOARD 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 fInished. ADDITIONAL INSPECITONS MAY BE 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 any equipment FINAL PLUMBING INSPECTION: To be made just prior to the building, structure or remodeled area being occupied. FINAL BUILDING INSPECTION: To be made after llnish grading and the building, structure or remodeled area is completed and ready for occupancy. MOBILE/MANUFACTURED 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 fOlmdation 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 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 WORKlNG HOURS. TIllS PERMIT WILL EXPIRE IF WORK DOES NOT BEGIN WITIIlN 180 DAYS, OR IF WORK IS S.vrrGu OR ABA,'uv"eu FOR MORE TIlAN 180 DAYS. SUSPENSION OR REVOCATION MAY OCCUR IF TIllS PERMIT WAS ISSUED ON THE BASIS OF INCOMPLETE OR ERRONEOUS INFORMATION. ANYONE PROCEEDING PAST THE POINT OF REQUIRED INSPEcnONS WILL DO SO AT THEIR OWN RISK. Your signature on the front of this form verilles the following: I HAVE CAREFULLY EXAMINED TIllS COMPLETED APPUCATION, and do hereby certify that all information hereon is true and correct, and that I have a legal interest in the J"'~"'J"'-n/ 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 property, my registration with the Builders Boan! 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 subcontractoI1l 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 alloned time constitutes a violation of ORS 454.605 to 454.745 and this rule. SUBSURFACE SEW AGE DISPOSAL SETBACKS SEPTIC TANK From: Interior property lines 10' Edge ofroad right-of-way 10' Building foundation 5' Wells or other water sources 50' DRAINFlELD 10' 10' 10' 100' ...~ / ." . , . . -- N j~ ~p RQ., / '''61) fl r:',)St1~ '':F) I: I , I. ." ._, DATI LV j-J-C(( pijt., I 255'76 f \..)? ~~'f7 J-..A- rV f- ~ {z- ( _8'-0:2.-05'..2.). TI... t,8o ~4.J e t II &() /. ~~O ., , ~ ~ "'" t;'\ , ~~W ,y"\ \ ...-'1 ._ '~z.\ ~ (:- _____ :;;1/ ." 'Z Ot-P. ::l !>~vt'~- :I! ~rCo<~r:'C- AI. . -~~..;:#-.t::. ISO'Tot1l-L tqr ':;Iha+ Lant - - -. -- - - - --- ."'.. tno ~~ ~~ -;m , I ~ ~O~~:'J ~I~ '~ tf~~-a-n,. ~ f) ~ [L.. . Y\..ui.) ~ (~C I k:k ~ /tf~-u ~../~ S- puh hi- 'f~ p~ ~ ,~~ fo- j]/~ ~~U4"'/~ ' (;Jrt9 owl on Tuvr. ";~'I:!!.!~ .,.~......:.;:...:,......;. ....~.,............ . . ",\,:,,\,;,::,-,;,;:,,::,::/:.}.:,:;,:,::::;.;"::: <:..::::::::.'?":::":', ' ;D 656:) . Please complete all lines inside white boxes, if possible. yoJlli.lv'-O < 5mrM .!J~iJ/Jv.ff 1/1n, crr1J/"i'Y1QntJd, oJ< OWNER OF PROPERTY (il nol same a. above) OWNERS ADDRESS (II not ..m. ." above) CUNIHAl;IOH . MAP, PARCEL NUMBER (Found on taz map. In the A.....m.nt . Taution o.pt.) To!n.t R~;; ~~ ,::::n ~.~o~ Township A;;;g;'" Section 1/4 S.ction TaJ: Lot lown.nlp ~ 1:ieCIU;ln ~/4 ~C:llon I.. Lal . SITE ADDRESS .(~~ , MAIL PERMIT TO: . 'i"'f/iku _ )m,+h ~AMt;. 71Jf hlli!'fl II1JV ....,".....cl;l1:i cll~pnrlf&ld Q.R . , TR~ Veri tied Allowed Use' . . Land Management Dlv. stall can not be held responsible for evaluations or recommendations based on fals9, Inaccurate or Incomplete Information 1~/~/q/) DA II . (m~6?aff' ) ~'1I"Z::; 'l7'-17R ZIP "'nUN!; ZIP Llcen.. . Vi:Jf3 ZIP n' ,.......... COMMENTS'? FOLLOW'UP.Yi n.. n... . ....... .. ......-....... ..... . .......-..-.-. ... ..... ... .. . '. . . . ..... .. . .. .. .............. -.' .". . ..Partitionl Subdivision, .. ... . '. ~ . Exlsllng Buildings or Improvements on Property 00 House qc Barn c:J Garage c:J Mobile. Homa c:J Shed SEPTIC INSTALLED c:J Yes c:J No Water District u)l,I I >, ., Directions to site Jf.~1JJ ~~rt.Muse ~ '.::Ja.,,y R'd fo Ei11lUf 1M/I - 30 In enL of l<{yJd I'1nd d .:f1&n:1'i -h1 rilL qjrt / ,;f I16VY un 1.J.fi;f , ~ . ZIP . " For Mobile Home Placement Only Brand Year Size No. of Tip-outs No. of Bedrmo License # . . l.h.(. ....".......,. /