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HomeMy WebLinkAboutPermit Septic Tank 1973-5-22 .,' '. d.... ~, LANE COUN BUILDING 0 BUILDIN"G #. MH D ---- -- MAILING ADDRESS 0'.,/,. . ~ . PE~MIT OR ""MogrCi.7RC ,/ ~ ~ USE, PERMIT PERMIT NO. ~., '1. 7' () .2r.~, 1~:1- -,-~ 90~-7]... . ~ PROPE[(fY OWNER Tri.i1/{~~ (;Q)rv CONTRACTOR 2575 test IGOr... Spfd.. MAILING ADDRESS f! [; ... 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 . , ,"''.:' .',. + '1 , y 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 . . '", _tl-.. ~ .". f ....,. . ..~'.. .. ..... '. .:,. ~. ' :.' ') F~R~~,C55-13 :~~.'. , 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 , ,( / J7/'~ I . ( ~, .....- -.... "'_"_'" "- 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 --:. '- \, .'- \ " " ' ......... .'" /'-' \ " ,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 \) " ....... (" (, ,~ ,~,"\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''', l J " .'~' -) ~ .. (... ,. 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~ (f r //~~-- .. - A 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 .' .. 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