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HomeMy WebLinkAboutPermit Septic Tank 1973-2-1 ". ,:.: <' f~ '-:,.' ,- fJ,-- - .tI~~;/(.r;.... - ~ . -,;.-- , LANE couri , BUILDING D( l ",', BUILDING PERMIT OR MOBILE H MH 01 MAILING ADDRESS 1000 S. Cent!ral Blvd.;' Spfd. MAILING ADDRESS lr655 W. 11th: Eug, I I Central BI~d, - 1000 S. Central I, I , i 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 I I OCCUPANCY I I I REAR I ' G.,\1, Gray, R.S.T. "'I 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 I I I I I I I I I I 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 I I 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. . I I (See Statement on Reverse Side) I I ' (POST THIS PERMIT ON MAIN BLDG. AT SITE) , 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 / , , 11 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 , 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- , - COMMENTS: 0VJf /I~/# ::- 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 / ., LANE COUIII, " 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 , PHONE CONTRACTOR -.'" ,. ." " J',St}!. (:;~ 'J~:_~'~ ii~}~nco MAILING ADDRESS I"" U "" '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 ')'" l." ""_.V"<" TOTAi.. ~ 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 /' ~ .J/ CERTIFICATE OF OCCUPANCY " l'iA ... 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 ,..'~ ,.. , \, \II , , , AREA ~. ; . ~ 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. " . or ,New System ,Req, 0 # BEDROOMS VALUATION ( U.!); '. . p ~) ,". . t" r9rLoo , ~, f ~ , \ 'I- , J t PLUMBING ]NSTALL~D BY I' ...... .-. . 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 : '- ", ,~ ..;~ ~ .' .,./:.: .~ 1- ,'" 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:'~' I . 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~-; . .,.'. - ~~ ~ I" In>;Liv.i ,/L pg;,;~~Afl!-,i~~~~A J Aj~J, :#;'2 ,I d-f:ed ,feP./): .;C/oG.~!J.~../~ a..i .- ;, '~' It ' ;lJd:;LJ ))u...fi~ ..-Iv n#'I.dJ'AtAjj k- a/IM.JiJf :;;'):, A : 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/. " oP- :', ~, ;i'* ~vJ () (!'YL/ (ft?A~.MJ2 ~. ~ :J--o ~ " COpy 1 -OffiCE ' " / r:/O 0 ~ "~ tfc; .;i;t;;:~ ~ COPY 2 - JOURNAL COPY 3- AL~DIT ,;"" '. " , Form #' C55"-,12 i' ., .:} \. ," '\"" ,.jj},.,..~. r .' v-,,' # J N 1\ '-.J' . ~ ...., " r " .~ . ,~ 1..,,_ -) . '.' ,', i " o " '. , , , ~;' ;. , I , i \ !~ II , ~"'-' I I z., \ 'I -1 ' r " ~' I, ' \'_' ,\ \ \ .\: ..,..----. -----. I 1 ...: ~,' '. HOuS6" '.:"' , I" I' ". " \ , \ l~;' ~~ ' [ [fJ.L --- -:'...- '":., -, '- '-"-r .. ,~-. -~.. - , ,...! \ \ I \ \ \ ' _j~_'J,._ . '- ..".." t "v', I , " ,',- --,..~,,~'--:jl" ' ,,() "\ 'L \, " . .' ,. "1,, I, .' '.' ~...::'L~:~_~;">;~' -, "'~!~,',"NC'~~~~;-".V\:",:~~<, ~~.~~", ~ ~f).'~ '1. \",1 ":".. '.. ~.~. r-'I' -...; ~.. ~j,..... I,,~"':.\,., ....'_'-..'._ .~- _____.- '~-Ti;. )~..,.. . ._~ ~. . .:.\....',; '. ~~:~~~-;--:-T,..-::.-~;;?,.:,cC"--~-::-~~J--=;:,.J, ~,_' ';'~'_:n~'~ ~::S~,!-,..;3 -.-< :~,< r/_ :J,~ f " -- ''-4..)~~ ,.\..:0.__ .. '..,:-. 4 ,,..).....',~ .... . ' . ,.,.... rt~.~t..-~\..~) .~. .." '_" .~._4._,... '" +1.- '.1.\ ., , " '... ,r'. '-