HomeMy WebLinkAboutPermit Septic Tank 1979-12-12
POST THIS PERMIT ON MAIN BUILDING AT SITE
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LC-Xl!Cf. 79
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JOB ~~DDRESS: 36676 Brand liS" Rd., Spfd, Oregon
CONSTRUCTION PERMIT #
18-02-10 II 1101
Subdivision:
This permit for the referenced property is hereby approved. Setbacks and other conditions of approval must be strictly observed. Violation can
result in revocation of this permit, citation under provisions of Lane County's Infraction Ordinance, and/or other remedies allowed by law.
Applicant/Address: Elizabeth Pctilsfoot, same as above
g:'~~~~~r~~~~ress~r~on ~ri:p ~f/ ~I ,~. <1 '!~~/
Contractor's OS # / Total Construction Value:
Telephone: 746-5024
Telephone:
Telephone: 747-8697
Construction approved by this permit: Schrader King, lCBO II 3257
Structures now on property: dwelling, pool, (covered) pumphouse and barn
Water Supply:
well
PLANNING DIVISION
WATER POLLUTION
CONTROL DIVISION
Setbacks
l.,terior property lines
jge of road right-of-way
-8uilding foundation
Wells, other water sources
CONSTRUCTION
PERMITS/INSPECTION
DIVISION
# Bedrooms: na
# Plumbing Fixtures: na
# Employees:
na
Zoning: na Partitioning # na Parcel #na
Minimum required structural setbacks, from: centerline of road, front: na
side exterior: na ; interior property lines: na ;rear property line: na
Special I nstructions: none
Parcel Size:na
; centerline of road,
For information call 687-4394, Carol
Site Inspection # na Installation specifications: na
na lineal feet of drainfield required; max. depth of trenches: na
Special Instructions: none
gal. min. septic tank capacity;
Septic Tank
10'
10'
5'
50'
Drainfield
10'
10'
10'
100'
For information call na
between 8:00 - 9:00 a.m.,
Type of Construction: 5-N Group: R-3 Fire Zone: 3 Use Classification: SFD/Stove
Instructions: Woodstove installation shall be installed exactly in accordance with lCBO and the mfg's
installation instructions which are enclosed. NOTE: Read the installation instructions carefully
before installing the stove. Call for an inspection after the unit has been installed.
For plans information call 687-3767 between 8:00 a.m. and 9:00 a.mI;Lm Lamb
For inspections (see back of this permit) call 687-4065 between 8:00 a.m. and 5:00 p.m.
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bne county
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Date Issued:
12-12-79
Directions to Site: Jasper Rd. turn into Brand "S" Corp Plywood Corp Top of hill
C55-13
DEPARTMENT OF ENVIRONMENTAL MANAGEMENT
COURTHOUSE I PUBLIC SERVICE BUILDING
125 EAST 8TH AVENUE, EUGENE, OREGON 97401
By: Hans Ettlin/lky
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LANE COUNTY DEPT ENV MGT RECEIPT 0 359179
APPLICANT POLSFOOT, ELIZABETH ADDR 36676 BRAND -g RD.
.L:~: 1802100(;)01101 SUBDIV
NEW BLDG TYPE USE R NO BDRMS
CODE APPL NO ACTION DESCRIPTION
Dt'lTE 120479
SPRD. '"77477
LOT BLK
00 NO UNITS 001 NO STORIES NO BLDGS'001
SQ FT UNIT COST VALUATION FEE DAYS
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~p LC 359179 WS
PL NO. FIXTURES:
MECH
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PCK
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SCHF~(.lDEJ~ J( I HG
NO. CONNECTOF~S:
MECHANICAL FEE
STATE SURCH(.~f{'GE
PLAN CHECK FEE
15.00
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0%
0..60
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WPC
PLAN
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COMPLETED BY
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Name PDLS 1=o~-r"
Application 1f ~~ "-(.1 - 751 for WS
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I Plume
WORK SHEET
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,r2? Group
~ /~ )Fire Zone
~ Use Classification
Construction Permits & Inspection
Type of Construction
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Ap11~R_ 1"ftt::. l)l\)\'l lXA~ 13~12(\J l~)~Au./~D. .
74-164
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.' 'I Signature
Date 1~//pI1t
DEPARH1ENT OF ENV I RONr~ENTAL t1ANAGEMENT
PSB, 125 EAST 8TH AVENUE
EUGENE, OREGON 97401
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Job Address . Jd 1010 7 I:> B '(' 0 ""' ~ "< II R dC/lfYr! h ri ~. p LL
iijll~II~I~i~I~~'I~::::!I~~I~~iii*~g~' , 3 - O~ - 10 JI II O~ijt;H 'ijj&S~: .
H~~~l;~;'~'i'~~ for I..J~ D J So).. rJ V ~_ /.
i:I~~ij~~j;'~~~:;'t1;~;ijt~i~pe~:il.~l4~,~il:; I)') tl:g~~:;( ~.=-7~~~~ijr'1' mlitiif?l- J barunJ
Affidavit: I, E/::l':. c\.b@J:r~",Jl~~~ ' hereby certify that this information is true and accurate.
If this application is for an a9;':~~~~~;~Y'H~:~;lding/it will be used for purposes allowed by the State Building Code and
Lane County Code Chapter 10 (zoning) and for no other purpose. I have the following legal interest in the property:
owner of record; contract purchaser; lessee; holder of an exclusive option to purchase;
:x duly authori,e tQ~t owner, who is knowledgeable of this appl ication.
Signature/Address t: ~. ...:?" J.. '7 L R v 0 .... d lIb" R d S j:).....; h (I L: P. LJ (z~~) 97"'177
Teleph e ~ - SOd. if or l:kte 0J /;;1.-4-7'1
When permit is ready n~otif : ,Vtr'APPl icant C/ Owner C/ contractor, "'-, 0 m," if,"'", ,I
Owner ~ lILupp ~~ eL...JL,~.(~i0?'7'iO_1 Phone _
Contractor .IJ~~O~~'V~~~ .J..~ro-Phone ?~7-$?'5 9'7
Contractor's OSR# ~ Plumbing by ,
If Commercial :~~~,~lr~~J
Residential :~~f!iir~:
SI test holes ready
DO NOT WRITE BELOW THIS LINE
# of employees~:~~#.n~i.Mi
,$.~$I! C/ Existing, BP #
/.=-/ Proposed, SI #
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Ni$c~ip.1H;n
lil~II~~11
:Jf'j~
,yl'l,3<,
it6it
Valuation
Fee
I~'~'
a~lj~
Received by ~~)
~ - l
Water Supply --.W.o I L
Proposed Existing ~
Year Installed
Total Valuation: $
1.'111~~~~~~!~! : ~ :
Subtota 1
each
each
$
$~'~
$ ,
$
$
$
$
$
$
$
$
$\3'~
. . -
~~"{)cio1U ~nox- f(',(oe) #: ~d.~t
4% State surcharge
Plans check fee
Change of Occupancy
TOTAL
PERMIT PROCESSING
Minimum setbacks:
r--
Zone ~-A-
1., front ..
Part. #
Parcel #
Parcel Size
1., side
into
rear
Comments
To be typed on permit
J
CP&I Type?J.I
To be typed on permit
By Gc1rOL
Group
%r
Ie..? Fire Zone
WO J'2-/C-
?
Use Classification
Date L~-L.""'-:lv)
~ ~-z/ 1.--
?
For plans information call (area inspector)
D~ctions to s~,~. r -ed +r)fllV\
l~6t-r4 /1('; .1~J '
/-/ SIFO ~ Pla s to: \: &I set(s)
- \.WP set( s )
C/ CP&I
C/ WPC
C/ Planning
C/ Public Works
/~/ Elevation C/ n/a
C/ Address
~/ Facility Permit
/.=-/ Environmental Health
(JY\+(\
,/ 4-/7 ,/
By ~ ~ Date /'l-//~/7'7
, ~.;()~ _ Phone ?,t:l::J -<..."'31Co 1
t~amd -?J ~Orp.: \-1.n' w--l(l
Date
Required
Hold Slip
to pcc
Date
Com~ ~ted
l.z/~
Da te to
PCC
FOR INFOR~~TION about progress of your application call:
C74-171
Permit Control Center
687-HELP (687-4357)
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