HomeMy WebLinkAboutPermit Septic Tank 1973-5-22
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LANE COUN
BUILDING 0
BUILDIN"G
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MH D
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MAILING ADDRESS
0'.,/,. . ~ .
PE~MIT OR ""MogrCi.7RC
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~ USE, PERMIT
PERMIT NO.
~., '1.
7' () .2r.~, 1~:1-
-,-~
90~-7]... .
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PROPE[(fY OWNER
Tri.i1/{~~ (;Q)rv
CONTRACTOR
2575 test IGOr... Spfd..
MAILING ADDRESS
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PI:lONE
746-h705
PHONE
PROPERTY LOCATION -'INCLUDE' POST OFFICE
2575 Calstie Dr.
PROPERTY LEGAL DESCRIPTION - METES, BOUNDS
C:1ct{evazie Malnar.. 3rdl Add.,."B]k.. 11" l0t 2
TWP RANGE SECTION
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17, 3 23~3, .3
APPL. '
NAME Gary Trlne<Cil
& 2575 Celstl e Dr.
TAX LOT NO,
. 11' S-~.
EXISTING STRUCTURES ON PROPERTY
CODE
CENSUS TRACT
MAILING
DIr-!ellinQ ... q~t'cll;~e
LEGAL ACCESS TO PROPERTY
Cc:iSt:le'Dr~
PROPERTY SIZE - FT.
ADDRESS Sl>rinClfteld..Or..
FOR MOBILE HoME PERMITS ONLY
No. of Bedroo'ms
STRUCTURES TO.BE BUILT THIS PERMIT
WIDTH
DEPTH
AREA
Conned to Existing Sewage System D
TYPE CONSTRUCTION SQ, FT, # BDRMS
New System D'
VALUATION
Adelli t ion of famil v' room
~ @12
5.2lao
SEWAGE DISPOSAL
PUBLIC 0
BUILDING
WASTE DISPOSAL
PLUMBING
PLAN REVIEW
PARK TRAILER
SEPTIC TANK 0 OTHERD
~ 32~OO
FEES
PLUMBING INSTALLED BY
OWNER o OTHER: NAME
WATER SUPPLY
PUBLIC 0
o OTHER
12.001
MIN. SEPTIC TANK CAPACITY
WITH DIST. BOX: GAL.
$ 44A ~O
COUNTY BUILDING & SANITATION SPECIFICATIONS
DRAIN FIELD REQUIRED
TOTAL
L1N. FT
TRENCH WIDTH FT.
OR SQ. FT.
Connect to ex i st'i ng sewage d i sPQ$aV s.ystem. Ap~.Ji cat Ion 'to be made for perm f t torepo i r
--s'el:lage dlsposc!)l s-ystem at Clny sign of' failure.' No part of'n~w construction to be ovor 2lny
F.)~rt of SGlI'JeJQe d Bspos@l svstem.
TYPE OF STRUCTURE OCCUPANCY
ZONE
PUBLIC UTIL. EASEMENT
5N
BLDG:SETBACKS u FT, FROM CTR, OF ROAD RIGHT OF W,AY
'AA
USE CLASSIFICATION
FRONT
~5
SIDE INT. "5 SIDE EXT.
AUTHORIZED SIGNATURE -'- DATE
REAR 5
DATE
151 Boss bv H~rbeuah
,J0hn Cruickshank. R.S.
15..22..73
BLDG. PERMIT - WHITE
OFFICE COPY -: WHITE
COUNTY TAX -: PINK
PLUMBING - CANARY
BUILDING";" GREEN
SANIJATION - GOLDENROD
Construction to cqmply, ,with u.nif~rm building code and county re'gulations
covering plumbing .and 'sewage disposal. All buildings require a certificate
of occupancy befor~ .being occupied. , .
, (See Statement on Reverse ~ide)
(POSTTH.lS PERMIT ON MAIN BLDG. AT SITE)
", i. "
~ .,.".
.' ,LANE ,C,OUNTY, .BLDG..& SAN. DIV., COURTHOUSE,' EUGENE, OREGON 97401
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') F~R~~,C55-13
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J.Q.
No.q()~:73
-
T fl.. R 3 S ~R "c TAX-,i..OT
CE~~US TRACT . .
BU1LDING SITE EVALUAT10N
(,/ BulldingPermit Appl ication
() Site Inspection
() Pre-Permi,t Investigation
APPL~; t '
NAME~ ltJ ~ ~Pr~\\
ADORES' .) .
PHONE
DATE
I ,
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~, .....- -....
"'_"_'" "-
LANE COUNTY PLANNING DEPARTMENT
NOT NO
app I icab Ie ~
YES
.NAME
DATE
I. .
Zoning Ordinance Compl i~~11
(Zone;Z-/T )
Subdiv~sion Ordinance tompl iance
( )
( )
( )
( )
( )
~) U
C-7~'-73
2.
3.
4.
Required Access
Building Site (Area,Width,
Frontage, Setback)
Other (see comments)
5.
. COMM ENTS :
BUILDtNG INSPECTION SECTION .. NOT NO YES NAME DATE
app I i cab I e fl.)
6. Plans Submitted ( ) ( )
7. So i 1 Stab i lit y (footings) (y) ( ) ( )
8. Flood Plain <f) ( ) ( ) &'
9. Ot he r (see Comments) (;1 ( ) ( ) e~~~ &'-:1./-7J
~
COMMENTS: ,
SANITATION SECTION NOT NO YES NAME DATE
app I icab I e J<f"
10., . Sewage Disposal ( ) ( )
II. Usable Area ( ) ( ) W ~~~J 2>1~h'~
~ - ,
12. Water Supply ( ) ( ) (~
13. o t he r (see Comments) ( , ( ) ( )
COMMENTS:
TO APPLICANT:
( )
( )
( )
Bu i I ding pe. rm i t / Site I nspec~~"J.~'. .
Can be app roved. 1< c...- t .:::>/). . .
Cannot be approveJ ~t this time as indicated. on item NO.. above.
Quest ions and further informat ion on items I through 5 contact the Lane-
COUNTY PLANNING DEPARTMENT. Questions and further information on items 6
through 13 contact the lane County Buildinq and Sanitation Division.
Wil I be held in this office until you can resolve the problems indicated.
Is being returned.
Your building permit appl ication fee is being returned under separate cover.
Your
~
U\NE COUNTY PLANN I NG DEPARTMENT
135 Sixth Aven~e East. Eugene, O~e9on 97401
t'/IONI :.1/1/.- .I'~ II r Xl. ./1 I
LANE COUNTY BUILDING & SANITATION DIVISION
135 Sixth Avenue East. Eugene. Oregon 97401
PHONE: 342-1311 EXT. 411
LANE C;:OUN
BUILDING D
, J
BtJllDIN~ PERlV\IT OR MQ~ILE H(
MH 0
MAILING ADDRESS
_ USE PERMIT
PERMIT NO.
PROPEIHY OWNER
PHONE
d
CONTRACTOR
MAILING ADDRESS
PHONE
PROPERTY LOCATION - INCLUDE POST OFFICE
PROPERTY lEGAL DESCRIPTION - METES, BOUNDS
TWP RANGE SECTION TAX LOT NO, CODE CENSUS TRACT
APPL. EXISTING STRUCTURES. ON PROPERTY
NAME '~
",\ \ ~"\ LEGAL ACCESS TO PROPERTY
& ~j , \\
MAILING PROPERTY SIZE - FT.
ADDRESS
FOR MOBILE HOME PERMITS ONLY
No. of Bedrooms
STRUCTURES TO BE BUILT THIS PERMIT
WIDTH
DEPTH
AREA
Connect to Existing Sewage System 0
TYPE CONSTRUCTION SQ. FT. # BDRMS
New System 0
VALUATION
\ '.
. ~
'\...... <,
<j i
"
SEWAGE DISPOSAL
:PUBLlC 0
BUILDING
0ASTE DISPOSAL
PLUMBING
PLAN REVIEW
PARK TRAILER
(ii
I
SEPTIC TANK 0
OTHERD
~ :\.
PLUMBING INSTALLED BY
OWNER 0 OTHER: NAME
WATER SUPPLY
\,
<I:
FEES
PUBLIC 0
o OTHER --:.
'- \,
.'- \
"
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......... .'"
/'-'
\
"
,j
TOTAL
<I:
MIN. SEPTIC TANK CAPACITY
COUNTY BUILDING & SANITATION SPECIFICATIONS
DRAIN FIELD REQUIRED
WITH DIST. BOX, GAL.
"- ~
~ ,"~,
\z, "
..., '" "-.J
L1N. FT
TRENCH WIDTH FT.
OR SQ. FT.
-,(\ ,
t ',- l \ ~.'V
\)
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.......
(" (, ,~ ,~,"\I ,\...\~\~~
\. ,~'"'\\ f'~'.
TYPE OF STRUCTURE
\, -
'-\I ; '.
OCCUPANCY
, ,
"\ ~,r.1\. '\. . J :".... \.!~
. - ZC>NE"'"\'~ ,:; \
\
USE CLASSIFICATION
PUBLIC UTIL. EASEMENT
BLDG, SETBACKS n FT, FROM CTR, OF ROAD RIGHT OF WAY
FRONT
SIDE INT. SIDE EXT.
AUTHORIZED SIGNATURE - DATE
REAR
DATE
BLDG, PERMIT - WHITE
OFFICE COpy - WHITE .
COUNTY TAX - PINK
PLUMBING - CANARY
BUILDING - GREEN
SANITATION - GOLDENROD
Construction to comply with uniform building code and county regulations
covering plumbing and sewage disposal. All buildings require a certificate
of occupancy before being occupied.
(See Stat'ement on Reverse Side)
(POST THIS PERMIT ON MAIN' BLDG. AT SITE)
LANE COUNTY, BLDG. & SAN. DIV" COURT HOUSE, EUGENE, OREGON 97401
"'- FO~M,# ~'~5 -13''',
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-) ~ .. (...
,. fo. ~
,"'
SITE INSPECTION
ApPROVED ~/ DISAPPROVED / / DATE
INSPECTOR
REMARKS
FOUNDATION INS~ECTION
/
ApPROVED / i/ / DISAPPROVED /
Dm~~~ ,'lJ '."mp~
I
REMARKS
FRAMING INSPECTION
/'"
ApPROVED / Vr DISAPPROVED /
/ DATE.Jp -'2.3" ~ 71 INSPECTOR
~
REMARKS
LATH OR SHEETROCK INSPECTION
ApPROVED /
/ DISAPPROVED /
/ DATE
INSPECTOR
REMARKS
,
FINAL INSPECT~
ApPROVED /.v I DII1PPROVED / /
REMA'RKS m4> frJU ~ '1--J. tJ-? J
DATE <r:jJvj'J
,.,,,OOR ~
, , ,
CERTIFICATE OF OCCUPANCY
READY TO ISSUE / / NOT READY TO ISSUE / / DATE
INSPECTOR
REMARKS
/lAAu~fJ~
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1pt--r;y- ~ c2$"7~('~
.'
LANE COUI\l..
BUILDING D
o.f~,
BUILDING' PERMIT OR MOBILE
MH D
MAILING ADDRESS
l/t1ydtz>M
Hlt,'ltE USE PERMIT
PERMIT NO.
I
t3rl ~ae.
1?4'
~
PROPERTY OWN"ER
PHONE
CONTRACTOR
"
MAILING ADDRESS
PHONE
PROPERTY LOCATION - INCLUDE POST OFFICE
PROPERTY LEGAL DESCRIPTION - METES, BOUNDS
TWP
RANGE
SECTION
TAX' LOT NO.,
CODE
:2/~ )6 D
CENSUS TRACT
APPL.
NAME
EXISTING STRUCTURES ON PROPE~TY
LEGAL ACCESS TO PROPERTY
&
MAILING
ADDRESS
....
PROPERTY SIZE - FT.
WIDTH
DEPTH
AREA
FOR MOBILE HOME PERMITS ONLY
No. of Bedrooms
STRUCTURES TO BE BUILT THIS PERMIT
Connect to Existing Sewage System D
TYPE CONSTRUCTION SQ. FT, it BDRMS
New System D
VALUATION
FEES
PLUMBING INSTALLED BY
OWNER D OTHER: NAME
WATER SUPPLY
SEWAGE DISPOSAL
PUBLIC D SEPTIC TANK D
BUILDING ;:
WASTE DISPOSAL,
PLUMBING
PLAN REVIEW
PARK TRAILER
OTHERD
PUBLIC D
D OTHER
TOTAL
;:
MIN. SEPTIC TANK CAPACITY
WITH DIST. BOX: GAL.
COUNTY BUILDING & SANITATION SPECIFICATIONS
DRAIN FiElD REQUIRED
LIN. FT
TRENCH WIDTH FT.
OR SQ. FT.
TYPE OF STRUCTURE
OCCUPANCY
ZONE
PUBLIC UTIL. EASEMENT
BLDG, SETBACKS n FT, FROM CTR, OF ROAD RIGHT OF WAY
USE CLASSIFICATION
FRONT
SIDE INT. SIDE EXT.
AUTHORIZED SIGNATURE - DATE
REAR
DATE
BLDG. PERMIT - WHITE
OFFICE COPY - WHITE
COUNTY TAX - PINK
PLUMBING - CANARY
BUILDING - GREEN
SANITATION - GOLDENROD
Construction to comply with uniform building code anpo"county regulations
covering plumbing and sewage disposal. All buildings require a certificate
of occupancy before being occupied.
(See Statement' 'on Reverse Side)
(POST THIS PERMIT ON MAIN BLDG. AT SITE)
LANE COUNTY, BLDG, & SAN~ DIY., COURT HOUSE, EUGENE, OREGON 97401
FORM it C55 -13
SLAB FLOOR
PLUMBING GROUNDWORK
ApPROVED
Iv/
DISAPPROVED
,
REMARKS
GAS PIPING GROUNDWORK
ApPR'OVED I
/ DISAPPROVED I
REMARKS~ ,
'-
'r
. '(!, ROUGH PLUMB I NG
ApPROVED I V I
DISAPPROVED /
REMARKS
ROUGH GAS PIPING
ApPROVED /
I DISAPPROVED I
REMARKS
FINAL PLUMBING
ApPROVED ~I DISAPPROVED
REMARKS /1/9 .t',,:'/'-Gllre,
FINAL:GAS PIPING
ApPROVED /
I DISAPPROVED /
REMARKS
CERTIFICATE OF OCCUPANCY
'1
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..
I
. ~1 ~1
DA TE ..t; ~ ~<! D' ./ "i'
/
I DATE
I
DATE?-l "/-7~'
I DATE'
I I DATE5-...J 0-'11
,
//- /~.,S
--d'4-4
V
I DATE
READY TO ISSUE /. / NOT READY TO ISSUE I
l
I DA TE
REMARKS
"
I NSPECTOR.,,~;,:q '-~
..- ll"
INSPECTOR
INSPECTOR d//
'V
INSPECTOR
IN'''~~.
INSPECTOR
INSPECTOR
LANE COUNTY RUILDING PERMIT OR MOBILE HOMF 'JSE APPLICATION
I ~ERMIT TYPE - BUILDING.M/" MOBILE HOME DOSC REG. # PERMIT # 9Cl?-:",,(-(
PRO~Y 0WNE~. ./ /7 f . MAILING ADDRESS /tJ ~ //' ./7', . P-HONE-
~Z/7--/~j ~ ~L-57S- ~~ ~ 7%-~7dS-
CONTRACTOR / c;r MAILING ADDRESS ~~/ . . PHONE
. ';.7/7 Y7~77
PROPERTY LOCATION - INCLUDE POST OFFICE h' /J . ./
..~~ ?'L~ (. ~ r~~ ~... /'." - ,
~ ~ '.. 1/.7..... V~.;2 ~ETES & BOUNDS DYES
//~ c;:" ....P.. //?~ . n ATIACHED D NO
TAX LOT # ' -, - -CODE CENSUS TRACT
PROPERTY LEGAL DESCRIPTION") /1 _ /'./
LOT - BLOCK - SUBDIV. ~~ ~ '
TWP RANGE SEC.
/7
3
..2..~
APPLICANT
NAME
AND
MAILING
ADDRESS
FOR MOBILE HOME PERMIT ONLY
Number of Bedrooms Connect to Existing
aRES Y BE ~~= L '~ d~~,NSTRUCTlON
-- ~</~ -~, /V _-7,~fY'"
~~~
DESCRIBE" E)JSJING STRUCT~RE~ P,ROPERTY IF. ANY
,a:!~~//~----- - ~~~
LE(fA[ A5f!J-S TO PR~ER~ R~ 'M~'r #- ... ,
I' ~~~
PROPERTY SIZE-WIDTH DEPTH AREA
Sewage ttem 0 or New System Req. 0
" / SQ. FT. @/&EDROOMS VALUATION
~y;O 2-- ...c,.-D ~RL1
V ~,
BLDG.
WASTE DIS.
PLUMBING
PLAN REVIEW
PARK TRLR.
$
./'7.-/~ /?h/L?~~
~ PLUMBING n'lsTALLEY'BV - /
SEPTIC TANK Jit:vr . OTHER D OWNER ~/ OTHER)(:NAME ,?
-:....:;>~/._~>' FEES WATER SUPPLY PLAN'S ~RNISHED' FACILITY PERMIT
PUBLIC ~ OTHER / YES V NO D y,;:: ;::::; ,'~ u '
PLU~~G l'-EES. X ;J9.I~ N); E OF APPlIC)~ DATE
-r FIXTURES ,~/~/ \ ~~~ ~......;.~ S:-/7-7,Q
CASH D SE~ FEE~~ (h _ j) DATE
CHECK ~~NECTION FEE ........";f If.#c- .~ / Ie;- -/7 - ~"=J
LA./ PUBLIC WATER PERMyr' # / / /
7.7 . t:2lL- c:ONNECTION FEE 9 cJR - "7..:9
COUNTY BUILDING & SANITATION SPECIFICATIONS /-
DRAIN FielD REQUIRED /
lIN. FT. TRENCH WIDTH FT. ~ SQUARE FEET
/;?/C}/)
SEWAGE DISPOSAL
PUBLIC D
TOTAL
MIN. SEPTIC TANK CAPACITY
WITH DIST. BOX: GAL
C01JJ')f~c.f; to eXJ~J Si/~I-U'fje. d/sp~ sy~ '
jar /~/'-1J1J.:'t 'ro ~/J- . "e?~?~ - c/1:rocaJ &j .
j/6 f!lZvT- of h~) COllstl1fcfJkn 'to .be. Ol,/f!r L~
TYPE clFSTRUCTURE 0-- /I/" OCCUPANC; ~A- /
BLDG. SETBACKS - FT. FROM CTR. OF ROAD RIGHT OF WAY (I\~ USE CLASSIFICATION
FRONT !J-':;;;-- SIDE INT. ~ SIDE EXT. ' REAR..::s--J" _
~AN.lITA\fIAN '- /,~ Date n~L NI G / Date BLDG. INt. /J Jtt..:; ~ //-)/ Date
'11l9l14 aj) ^ h~- Y~)I. . MA!4. S--IIJ,.?~ / Tr;) , (~..r;.,'ll- '1,;
~l '" ( , . "-/,-
Directions to Find Property:
_ ~-.?d ~-/~~ .
l,ca:C-f01'1 -bJ k. tfh4e
. .._ t2djJ 5'~ ~rf'e/-!x.~~
~ ~e-M4Vi"d >~.s1f;t(;, .
REAR YARD () ~IC ul>tL EASEMENT
COPY 1 - OFFICE
COpy 2 - JOURNAL
COpy 3 - AUDIT
Form # C55-12