HomeMy WebLinkAboutPermit Septic Tank 1973-2-1
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LANE couri
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BUILDING D(
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BUILDING PERMIT OR MOBILE H
MH 01
MAILING ADDRESS
1000 S. Cent!ral Blvd.;' Spfd.
MAILING ADDRESS
lr655 W. 11th: Eug,
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Central BI~d, - 1000 S. Central
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Install a peripheral drain above the dr<llnfield. It is to be 3' 'deep,' tlJ'ed on the bottom
and then filled with gravel. A slight JitCh on the depth of trenches should be allowed to
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OCCUPANCY
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G.,\1, Gray, R.S.T.
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PROPERTY OWNER
j t4,{ '~).;'3m, - ,Don
CONTRACTOR
Morgen & Gassman Real Estate
PROPERTY LOCATION - INCLUDE POST OFFICE
So. "A", right on S. 2nd.. on
PROPERTY LEGAL DESCRIPTION - METES, BOUNDS
Hillamette Height,s., Blk. 20,
Lot 5
TWp RANGE SECTION
18 3 2.12
APPl.
NAME Norgan & Gassman Real Estate
& 1655 \/. 11th,
MAILING
ADDRESS Eugene. 0 r .
FOR MOBILE HOME PERMITS ONLY
No. of Bedrooms
STRUCTURES TO BE BUILT THIS PERMIT
RepaIr drainfield
SEWAGE DISPOSAL
PU811C n SEPTIC TANK EJ
BUILDING t.
WASTE DISPOSAL
PLUMBING
PLAN REVIEW
PARK TRAILER
OTHERO
20.00
TOTAL
,
20.00
COUNTY
MIN. SEPTIC TANK CAPACITY
WITH D'ST. BOX, GAl. Ex i 5 ts
\
insure drainage.
TYPE OF. STRUCTURE
BLQG. SETBACKS _ FT. FROM CTR. OF ROAD RIGHT OF WAY
FRONT
SIDE INT. SIDE EXT.
AUTHORIZED SIGNATURE - DATE
Harbaugh
Ish BOS5 by
USE PERMIT
PERMIT NO.
116-].3
PHONE
PHONE
3l15-0541
I 3600
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TAX LOT NO.
CODE
CENSUS TRACT
19-02
35-400
EXISTING STRUCTURES ON PROPERTY
Dwelling
LEGAL ACCESS TO PROPERTY
Central Blvd.
PROPERTY SIZE - FT.
WIDTH
DEPTH
AREA
Connect' to Existing Sewage System 0
TYPE CONSTRUCTION SQ. FT. # BDRMS
New System 0
VALUATION
2
"
FEES
PLUMBING INSTALLED BY
OWNER D OTHER: NAME
WATER SUPPLY
PUBLIC D
D OTHER
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BUILDING & SANITATION SPECIFICATIONS
DRAIN FiElD REQUIRED
lIN. FT 1
TRENCH WIDTH FT.
OR SQ. FT.
ZONE
PUBLIC UTll. EASEMENT
USE CLASSIFICATION
DATE
2-1-73
Consttuction to comply with uniform building code and county regulations
covering plumbing and sewage disposal. All buildings require a certificate
of octupancy before being occupied. .
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I (See Statement on Reverse Side)
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(POST THIS PERMIT ON MAIN BLDG. AT SITE)
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LANE COUNTY, BLDG. & SAN. DIV., COURT HOUSE, EUGENE, OREGON 97401
BLDG. PERMIT - WHITE
OffiCE COPY - WHITE
COUNTY TAX - PINK
PLUMBING - CANARY
BUILDING - GREEN
SANITATION - GOLDENROD
FORM == (55-13
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d'//J.'.(...nda:e-. Vf..u.}~O f:j /<5
' T /,( R !J3 S 42, /2-TiIX LOT~
Cl js TRACT ~'l~J- -dC'--<J -
BIJ"ILDIN"t SITE EVALUATION
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APP LI CAIjJ>: / ji ,
N/\ME~ -4--~-'f~
ADORES:> "--"//0 )J1A'-vA ""~ A.-u_~
?~L:::2____L_?->'7dp ---.1/______
PHONE //
DATE / ~ .2.5 -7. "f
,.0 Building Permit Application No.
() Site Inspect ion
() Pre-Permit Investigation
//0'- 7J
LANE COUNTY PLANNING DEPARTMENT
NOT
aDD 1 icab 1 e
() ()U~
() () {( ) J
() f) () ,
(\) ,) vr I
(\~'~\() J
NO
YES
NAME
DATE
I.
Zoning Ordinance Compl lance
(Zone )
Subd i vis ion Ord I nance' Comp I i'ance
2.
3.
4.
Requ ired Acces s
Building, Site (Area, Width,
Frontage, Setback)
Other (see comments)
5.
COMM ENTS :
BUILDING INSPECTION SECTION NOT NO YES NAME DATE
aDD! i(Jable
6. Plans Submitted ( j , ( ) ( )
7, So i I Stab iI Ity (foot I ngs) ( .> ( ) ( )
8. Flood Plain r ( ) ( ) I~ 1:Jadfaud
9. Other (see Comments) ( ) ( ) ( ) / ./3 / .e/;O}
---- /
COMMENTS:
SANITATION SECTION NOT NO YES NAME DATE
appl icab!e
10. Sewage Disposal ( ) ( ) ~
II. Usable Area ( ) ( ) ( ) I~
( ) /1IJ. /</ 13
12. ' Water Supply ( ) ( )
13. Other (see Comments) ( , ( ) ( ) 7<1- I"')U-
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COMMENTS:
0VJf
/I~/#
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TO APPLI CANT:
Your )!-G'i'ld ing Permit / Site Inspect ion:
(~ Can be approved. l~dl-"t3 @
C) Cannot be approved at this time as indicated on item NO, above.
Questions and further information 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.
() Wi! I be held ,in thls:offlce until you can resolve the problems indicated.
() I s be I ng retu rned. '
() Your building permi~ appl ication fee is being returned under separate cover.
LANE COUNTY PLANNING DEPARTMENT
135 Sixth Avenue East, Eugene, Oregon 97401
PHONE: 342-1311 EXT. 23!
LANE COUNTY BUILDING & SANITATION DIVISION
135 Sixth Avenue East, Eugene, Oregon 97401
PHONE: 342-1311 EXT. 411
M55- 28
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LANE COUIII,
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BUILDING D
BUILDING PERMIT OR MOBILE
MH D
MAILING ADDRESS
Ie:,;; ~J. GC-l-H.I,~.i1 ~~ll~J.".. :';,J:::~';.
Hl..,rlE
USE PERMIT
PERMIT NO,
~ROP~~~TY OWNER
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PHONE
CONTRACTOR
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J',St}!. (:;~ 'J~:_~'~ ii~}~nco
MAILING ADDRESS
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't.""~J ... ,,' ":1.1 .....:Js.
PHONE
PROPERTY lOCATION - INClUDE ;PO$T OFFICE
...-:>.. 1'\:'0 '''~rkt "'.I:~ ~).. 5t.:-'.1jl OQ ::'::;tcrdf Gi\l.;t. 0 Uf..;cn L. f.i'Lrt;.\,,\~
PROPERTY LEGAL DESCRIPTION - METES, BOUNDS
~. i: ~:(:;~:Jt:t:.:. ~~r;1c~~C('. To> 'n!~.. ~J., y..)~ ~
TWP
18
RANGE
.')
SECTION
;;. r2
TAX LOT NO,
;:;61:0
CODE
it.;-JS
CENSUS TRACT
~:, ~"'~lG~ J
APPl.
"J:'J(.in (~ G~:';:~tn t;80' actctt~,
EXISTING STRUCTURES ON PROPERTY
:rk~.(1) VJ<'~.s
NAME
&
MAILING
j h,. ,.
...:.t~; ,".
D It';),
LEGAL ACCESS TO PROPERTY
:;,m~..d Ohl<.1.
PROPERTY SIZE - FT.
ADDRESS
':':(1~'::1~::l (Jr.
WIDTH
DEPTH
AREA
FOR MOBILE HOME PERMITS ONLY
No. of Bedrooms
~ ST~USTUf!ES TO BE BUILT THIS PERMIT
~:.~[;~ , (L.:";~~:t~cud
Connect to Existing Sewage System 0
TYPE CONSTRUCTION SQ, FT, :# BDRMS
New System D
VALUATION
.
FEES
PLUMBING INSTALLED BY
OWNER 0 OTHER: NAME
WATER SUFPLY
SEWAGE DISPOSAL
PUBLIC 0
BUILDING
WASTE DISPOSAL
PLUMBING
PLAN REVIEW
PARK TRAILER
t~
SEPTIC TANK 0
OTHERD
4:,~,,"'1\;::i
PUBLIC 0
o OTHER
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TOTAi..
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MIN. SEPTIC TANK CAPACITY.. I
,:~: I3tS
WITH DIST, BOX: GAL.
COUNTY BUILDING & SANITATION SPECIFICATIONS
DRAIN fiELD REQUIRED
lIN, FT WENCH WIDTH fT.
OR SQ, FT.
;,:;',,~ i __ p<.li!!;":1::,,~'1 ckdlJ :'~OVO tb':l <1,'"lilf!<oIOo
Ie 16 to ':'0 ::1' deep. t!hd n:l ,1','
;'7: ~:i.'f';:1 7I1h:.: 'J;~t.h gr'l.:veO. l~' s~~ght pitch cn (;hn ~ept?l Clf t.reof:li!U'1>> ghou~d ix- cl~:::'~',
:::::~,fi dl':;!tI..W).
TYPE Of STRUCTURE
OCCUPANCY
ZONE
PUBLIC UTIl. EASEMENT
BLDG. SETBACKS __ FT. FROM CTR. OF ROAD RIGHT OF WAY
USE CLASSIFICATION
FRONT
'\1(~ LeE'f,
-'p
SIDE INT.
~ '\ ,'.. ",AUTHORIZED
f"'~:' L'lj'~
SIDE EXT. REAR
SIGNATURE - DATE . tot
L..\--!, ~i!'"'n,l.
" (',
tot.\;. L,.
~fiJtl~/~
DATE
BLDG. PERMIT - WH rTE
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 Statement on Reverse Side)
(POST THIS PERMIT ON MAIN 'BLDG. AT SITE)
LANE COUNTY, BLDG. & SAN. DIV., COURT HOUSE, EUGENE, OREGON 97401
FORM::; C55-13
SITE INSPECTION
ApPROVED Cl
REMARKS
DISAPPROVED Cl DATE
FOUNDATION INSPECTION
REMARKS
ApPROVEO 1-/ ,DISAPPROVEO 1-/ DATE
FRAMING INSPECTION
ApPROVED / / DISAPPROVED / / DATE
REMARKS
LATH OR SHEETROCK INSPECTION
REMARKS
ApPROVED 1-/ ,D'SAPPROVED 1-/ DATE
FINAL I NSPECT I ON
ApPROVED / /
REMARK 5
DISAPPROVED Cl DATE
A)/fJ
If/ ,,f.f
/7 /'1"11 /'
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CERTIFICATE OF OCCUPANCY
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INSPECTOR
INSPECTOR
INSPECTOR
INSPECTOR
INSPECTOR
READY TO ISSUE / / NOT READY TO ISSUE ~ DATE
REMARKS
INSPECTOR
'~'1 LANE,COUNTY ILOING PERMIT 'O'R MQBiLE HOJli, JSE APpLIcATION
~ ' . PERMI~'TYPE ~ BUll~;~G M ' MOBILE HOME 0, ' '" :P,~RMIr':#' !I h - ?, '5
Jt(t47t;-Jll-l1J)d~;:-,i,:7;;NJ ;D:~ "~~~J .~" PH,ON'
JM~CTO.R ,'", .'f' d~,Gc;,d iW'2/EJ. /lfS"tJ,j/ij;;'Z:-1-: '.-?:;:rrl'
PR6,P'R~,. INC~,LU.,D,E~ PO')1ST, OFflC,', " - . .:. ~. h . ldJ/J" . /; ,,' /~,,;.;, ',', '. .. I..
/jY/J~ATI~<;~~, ,y/~~,,' .', v.., ~
i~~P~R~:~~~A~~~SB~~~T10N ;;V~'-~'--J/1iUJ .io': ~s>"
TWP RANGE SEe. ~ LOT # CODE . . ,CE~SUS TRACT
/0", c)3 "o~///:.i:- '3b{)() '//~b~ ': 3S--([OO "
AP;L1C~N,T dA".. ,,/~'<i'_--~;;,/ ___,".' ,', . ,I() -/J.-- ~SCRIBE ~XIS:,'~NG ~TRUC~~RES_O.N, 'PRpPE~TY IF_~NY.
'NAME ~ft-t:1r;:h--J f-rC7~~'/c~(~2a--I/i.Jl __ ' , .. '. ..
,AND 'C, I / _ ~,:. . '-". I. LEGAlASCESS TO-PROP~RT "-'-,ROAD ME"~R>#;
//J./1 /IlY ,"-, <0P.A'-t ~I
MAILING V. "_ , . ~ROPERTY "SliE-::-WII:lTIi " DEPTH
METES,& BOUNDS DYES
ATTACHED ' .Ja--NO
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\II
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AREA
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ADDRESS
FOR MOBILE HOME' PERMIT. 9NLY
Number of Bedrooms .' .. - "
I ' STRUCTURES TO BE BUILT TH'SPE~':',!, :"
'f~~::~:,C~{)(f2'
Connect ter-Existing .Sewage System 0
TYPE' CONSTRUCTIQN SQ.H.
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or ,New System ,Req, 0
# BEDROOMS VALUATION
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, J t PLUMBING ]NSTALL~D BY
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. OTHER' 0 " ""'l"':":'9W~E~ '0' OTHER o NAME '"!':"' ~
......... FEES. WATER SUPPLY t -..... .NPI:ANS FURNISHED fAClllTYrPERMIT
PUOll2 b-.- tOTHER 'YES ~ . NoK YES 0' ~; NO.k
PlUM~I~~:;::s ~ ~~I~~.X$;:T~...-J. /_]~E_ 73
CASH 0 ' r -", . ,..t " f-'~' ~'~v 0' BY ,,', DATE
. U.~ER '-.l.~J\ \.:\\.)-~~........--- / '
CHECK p---cONNECTlON fEE _','_1 ':~-- " . :, ,-,;z V - /3
;: . I ,..,."-- PERMIT #
PUBLIC WATER""....: / / ~ ? , .'
CONNECTION"FEE i..,........., ~'- .- .. ,... ......... -,.'/ / c:.. . - "'-' t :
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SEWAGE DISPOSAL
PUBLIC 0
BLDG. tl'.
WASTE D15.
PLU.MBING
PLAN REVIEW'.
PARK TRlR. '-, v
,.. ......
'SEPTIC TANK 'M '
TOTAL
@...o ,D 0
COUt:-ITY: BUILDING 8; 'SANITA]IOI::I SPECIFICATIONS
"ORA-IN' FIELD REQUIRED
-;iIN,F'l ' T~ENCH WIDTH~ FT:'~'
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. MIN. SEPTIC TANK ,C~PACITY .~,."...--:;
WITH DIST. .BOX: GAL. .fb1.iA.1~
jJ -I.tl/"f', /.<u
H~~ /.MA,~I d l1l'f~
.' v) I ; ~ ~ ~'t ),,;,,:
\ PUBLIC UTll. EAS~-;
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In>;Liv.i ,/L pg;,;~~Afl!-,i~~~~A J Aj~J, :#;'2 ,I
d-f:ed ,feP./): .;C/oG.~!J.~../~ a..i .-
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: j TYPE OF STRUCTURE ~/t. OCCUPANCY ZO~E
, FRONT
SANITARIAN
4&J xXw_
BLDG.' SETBACKS--=' FT. FROM CTR. Of ROAD .RIGHT Of WAY
SIDE EXT.
Da:te.' PLANNING
USE ctASS1FICATION
Date
REAR- .:i~
BLDG. INSP.'
Date
, /-.)007::3
'" , (J ". '.'~ ~"O" _ -JL./ fr- 11 ~ /.: ,', '{J/'I/.lVAfJ, :r- "~, ~,' ",
Pirections to Find Property: Y)V1.A ~-~ /f ___.......J:'" /?7 ~ ~". '" if/. "
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COpy 1 -OffiCE ' " / r:/O 0 ~ "~ tfc; .;i;t;;:~ ~
COPY 2 - JOURNAL
COPY 3- AL~DIT
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Form #' C55"-,12 i'
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