HomeMy WebLinkAboutPermit Septic Tank 1974-7-25
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USE PERMIT I"S / L( - -; V
PERMIT NO]14-74
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LANE COUNTY
BUILDING fi
BUILDING PERMIT OR MOBILE HOME
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MAILING ADDRESS
1008 DIAMOND ST, EUGENE, OREGON
MAILING ADDRESS
PHONE
746-0221
PHONE
PROPERTy'OWNER __
!:II)J T I nON
CONTRACTOR
PROPERTY lOCATION - INCLUDE POST OFFICE
Jooa IhAlIll~.P ST t
PROPERTY LEGAL DESCRIPTION - METES, BOUNDS
OI.6......0WO ACRfS
TWP RANGE
1--8, 8-1
SECTION
TAX LOT NO.
CODE
CENSUS TRACT
17
O~
~4.2,4
201&218 12-~0
\ EXISTING STRUCTURES ON PROPERTY
HOI4E
LEGAL ACCESS TO PROPERTY
DIAMOND ST,
PROPERTY SIZE - FT.
APPl.
NAME
&
MAILING
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
R~PAIR S~PTIC DISPOSAL SYSTEM
SEW AGE DISPOSAL
PUBLIC D SEPTIC TANK fi
BUILDING ,
WASTE DISPOSAL
PLUMBING
PLAN REVIEW
PARK TRAILER
TOTAL .
MIN. SEPTIC TANK CAPACITY
, WITH DIST. BOX: GAL. qoo
PLUMBING INSTALLED BY
OTHERD
FEES
OWNER D OTHER, NAME
WATER SUPPLY
1I:;QQ...
PUBLIC rn
o OTHER
'''M\
COUNTY BUILDING & SANITATION SPECIFICATIONS
DRAIN FIELD REQUIRED
UN. FT
1~
TRENCH WIDTH FT.
2
OR SQ. FT.
3X>
TYPE OF STRUCTURE
OCCUPANCY
lONE
PUBLIC UTlL. EASEMENT
BLDG. SETBACKS __ FT. FROM CTR. OF ROAD RIGHT OF WAY
USE CLASSIFICATION
FRONT
SIDE INT. SIDE EXT.
AUTHORIZED SIGNATURE - DATE
REAR
.1. SHOOK
I:
DATE
7-2'5-14 BP
BLDG. PERMIT - WHITE
OFFICE COPY - WHITE
COUNTY TAX - PINK
PLUMBING - CANARY
BUILDING - GREEN
SANITATION - GOLDENROD
Call 687-4065 to schedule all required inspections. All construc-
tion shall comply with Uniform Building Code, D.E.Q. standards
'IMPORTANT: for subsurface sewage disposal and county regulations covering
plumbing, All buildings require a certificate of occupancy before
being occupied.
(See Details an Reverse Side)
FORM ::= C55-13
(POST THIS PERMIT ON MAIN BLDG. AT, SITE)
LANE COUNTY, DEPT. OF ENVIRONMENTAL MANAGEMENT
COURTHOUSE ANNEX, 135 EAST 6th, EUGENE, OREGON 97401
BUILDING SITE EVALUATION
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T_ R03 s6,4.2, ~AX LOT:?O/n/tt
CENSUS TRACT -
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~:~ ICANT: !Iv II,'
ADDRESS
() Building Permit Application No. IStL!-7V
() Site Inspection
() Pre-Permit Investigation
PHONE
DATE 7-1.~-7Y
LANE COUNTY PLANNING DEPARTMENT NOT NO YES
aDDl icab I e
1. Zoning Ordinance Compl iance ( ) ( ) ( )
(Zone )
2. Subdivision Ordinance Compl iance ( ) ( ) ( )
3. Required Access ()'M~l
4. Building Site (Area, Width, (t ) (I
Frontage, Setback) ( ) (') ()
5. Other (see comments)
NAME
DATE
COI1M ENTS :
BUILDING INSPECTION SECTION
6. Plans Submitted
NOT NO YES
appl icable
() ',I,
NAME
DATE
7. Soil Stabil ity (footings)
8. Flood Plain
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9. Other (see Comments)
COMMENTS:
SANITATION SECTION NOT NO YES 1,1Ctn DATE
appl icable (1) 7.J'Rl7~L
10. Sewage Disposal ( ) ( )
(} - - t'
11. Us ab I e Area ( ) ( ) ( )
12. Water Supply ( ) ( ) ( )
13. Other (see Comments) ( ) ( ) ( )
COMMENTS:
TO APP LI CANT:
~/ 1~ur
1/;' /rf
( )
( )
( )
Building permit / Site Inspection:
Can be approved.
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 infonnation on items 6
through 13 contact the Lane Countv Buildinq and Sanitation Division.
Will 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.
LANE COUNTY PLANNING DIVISION
135 Sixth Avenue East, Eugene, Oregon 97401
Phone (503) 687-4186
LANE COUNTY ENVIRONMENTAL MANAGEMENT
135 Sixth Avenue East, Eugene, Oregon 97401
Phone (503) 687-4065
C55-28
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LANE COUNT~. IlDING PERMIT OR MOBILE HO&" APA~:N' / ., / I I
TYPE - BUllDIN MOBilE HOME Dose REG. # P~T:# /3/ '-f- 7 7
" MAILING A:;Jl.SS PHONE
,;.Ob-n /al3~ ~cf-d/ _~/M/.-.#O) /V~-Ol2/
MAILING ADDRESS ~'-- PHONE
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PERMII
PROPERTY O'llNER
40.1 1;'
CO NT CTOR I
APPLICANT
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ROPERTY lOCATION - 1,~lUDE POST OFFICE (,...L
/ /J.fi).p. IV.-//2/7?"'Vrn d' or ,
PR~PERTY lEGAL DESCRIPTION 01). .. /J. /J ) L n J?
LOT - BLOCK - SUBDIV. ~a f Jfl/J/.-,a. ,..,p- (v-- /
TWP RANGE SEC. - TAX lOT # CODE
\.3 ~ .;), -/ ,.e/J / qI ;)/ f
DESCRIBE E~G STRUCTURES ON PROPERTY IF ANY
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lEGAl ACCESS TO PROPERTY - ROAD NAME,-O} #
~(}/("l/YY14-;(~ ~,
PROPERTY SIZE-WIDTH DEPTH
7
;/
C ,fE" S S D
onnect kto xlstlng ewage ystem
TYPE CONSTRUCTION SQ. FT.
/
mn/
I
/
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METES & BOUNDS 0 YES
ATTACHED n NO
NAME
1):'3
,~~
CENSUS TRACT
...5.2 -"3&0
/7
AND
MAIliNG
AREA
ADDRESS
FOR MOBilE HOME PERMIT ONLY
Number of Bedrooms
STRUCTURES TO BE BUIlT THIS PERMIT
R..t ~cUA ~ ...\.~ ('
or New System Req. D
# BEDROOMS VAlUATION
SEWAGE DISPOSAl
BlDG.
WASTE 0[5.
PlUMBING
PlAN REVIEW
PARK TRlR.
.
SEPTIC TANK V
,/
/0.0 i)
PlUMBING INSTAllED BY
PUBLIC 0
FEES
OWNER 0 OTHER 0 NAME
y:~Yiir~E~~~/7 Y:SA~lITY PE::':VDAT~ f
-J, /U/ - dliIb-P 7--/5 - 7y
FE~ 1-{ S~7V
PERMIT # J' /
I~J <..(- /'1'
'COUNTY BUILDING & SANITATION SPECIFICATIONS
OTHER 0
WATER S~UPP.(Y
PUBLIC
PLUMBI~ ~EES
-----All'TURES
OTHER
TOTAl
;'5.00
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CASH 0
I
CHE,
S I>lR
OJ'lNECTION FEE
~tBlIC WATER
,CONNECTION FEE
MIN. SEPTIC TANK CAPACITY
WITH DIST. BOX, GAL q/) 0
DRAIN FielD REQUIRED
lIN. FT. 1f::lJ TRENCH WIDTH FT. .?-- OR SQUARE FEET .~ D (')
TYPE OF STRUCTURE
OCCUPANCY
ZONE
REAR YARD
PUBLIC UTll. EASEMENT
BlDG. SETBACKS - FT. FROM CTR. OF ROAD RIGHT OF WAY
FRONT SIDE INT. SIDE EXT.
cl~~~:~~!7if''^"""O
USE ClASSIFICATION
REAR
Dote BlDG. INSP.
Date
COpy 1 - OFFICE
COPY 2 - JOURNAl
COpy 3 - AUDIT
~ Foem # C55.12 .
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