HomeMy WebLinkAboutPermit Septic Tank 1974-8-13
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LANE COUNTY
BUILDING 0
BUILDING
MH 0
MAILING ADDRESS
3270 OREGON
MAILING ADDRESS
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PERMIT OR MOBILE HOME
USE PERMIT
PERMIT NO.
1461~- 74
/'16 r.; . 7Y
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.... . ~.,......, .
PROPERTY OWNER
CASKADE
CONTRACTOR ....
SAME
SWI M~lIIlG POOLS
STREET
SPRING,IELD, OREGON
PHONE
747-7245
PHONE
PROPERTY lOC~~ION - INCLUDE POST OFFICE
102Q DIAMOND STREET
SPRINGFIELD, OREGON
PROPERTY LEGAL DE~~RIPTlON - METES. BOUNDS
LOT 0 BLOCK 1
DIAMOND ACRES SUBDIVISION
TWP
17
RANGE
03
S~CTIO~
311.2.Q
TAX LOT NO.
20,.1..
CODE
19-03
CENSUS TRACT
3270 IOREGON STREET
EXISTING STRUCTURES ON PROPERTY
HOUSE
LEGAL ACCESS TO PROPERTY
DIAMOND STREET SPRING,IELD
.
APPL.
NAME
&
MAILING
ADDRESS
FOR MOBILE HOME PERMITS
No. of Bedrooms
STRUCTURES TO BE BUILT THIS PERMIT
CASKADE SWIMMING POOLS
SPRING,IELD, OREGON
ONLY
PROPERTY SIZE - FT.
WIDTH 80 DEPTH 1 20
AREA
Connect to Existing Sewage System 0
TYPE CONSTRUCTION SQ. FT. :/: BDRMS
New System 0
VALUATION
SWIMMING POOL
-',
SEWAGE DISPOSAL
PUBLIC 0
BUILDING
WASTE DISPOSAL
PLUMBING
PLAN REVIEW
PARK TRAILER
I%sURHCARGE
SEPTIC TANK 0 OTHERD
$_?~ no
RAINBOIi
FEES
PLUMBING INSTALLED BY
OWNER 0 OTHER: NAME
WATER SUPPLY
PUBLIC 0
o OTHER
9.9
TOTAL
.
MIN. SEPTIC TANK CAPACITY
WITH DIST. BOX: GAl.
COUNTY BUILDING & SANITATION SPECIFICATIONS
DRAIN FIELD REQUIRED
UN. FT
TRENCH WIDTH FT.
OR SQ. FT.
SEE BUILDING PER~IT No 1459-74 ,OR SEWAGE DISPOSAL
TYPE OF STRUCTURE
OCCUPANCY
ZONE
AGT
USE CLASSIFICATION
PUBLIC UTll. EASEMENT
BLDG. SETBACKS.. FT. FROM CTR. OF ROAD RIGHT OF WAY
FRONT SIDE INT. 5 SIDE EXT.
AUTHORIZED SIGNATURE - DATE
/s/ J. E. Boss BY C. HARBAUGH
REAR
7'PUE
J. CRU I CI(SHANK/SAN I TAR IAN
DATE
8/13/74 OM
BLDG. PERMIT - WH ITE
OFFICE COpy - WHITE
COUNTY TAX - PINK
PLUMBING - CANARY
BUILDING - GREEN
SANITATION - GOLDENROD
Call 687-4065 to schedule all required inspections. All construc-
tion sholl 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 on 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.
J~
/L/~C; - 7r
~? R () 3 Sl -:rfl. )// TAX LOT 'dl') j
CENSUS TRACT
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() Building Permit Application No.
() Site Inspection
() Pre-Permit Investigation
APPLI CANT:
NAME fin , f:lu:1 0
ADDRESS - .
S t.u i/il'ItY,,' /f q &ols.
v
PHONE
DATE
''li'-j-7V
LANE COUNTY PLANNING DEPARTMENT NOT NO YES
appl icable
I. Zoning Ordinance Compliance ( ) ( ) ( )
(Zone ) ( O( 1f1~O-
2. Subdivision Ordinance Compliance ( )
3. Required Access ( ) () l->
4. Building Site (Area, Width, ( ) ( ) ( )
Frontage, Setback)
5. Ot he r (see comments) ( ) ( ) ( )
NAME
DATE
COMMENTS:
-....
BUILDING INSPECTION SECTION NOT NO YES NAME DATE
app~i~able(~ ~
6. Plans Subm i tted
7. Soil Stabil ity (footings) d () ()
8. Flood Plain ( ) ( ) ( )
g. Other (see Convnents) (/> ( ) ( ) (~ ~tu/AbId.L 9"9-71./
- 1 ,
COMMENTS: I f/ ,
I
I
SANITATION SECTION NOT NO YES NAME OATE
app I i cab I e
10. Sewage Oisposal ( ) ( ) <4
II. Us ab I e Area ( ) ( ) ~ ~<2~uF~ 4:</y
12. Water Supply ( ) ( ) (ft .
13. Other (see Comments) ( ) ( ) ( )
-
COMMENTS:
TO APP LI CANT:
y)#\ /11Your
'b/ \y ~~
( )
( )
( )
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 OEPARTMENT. Questions and further infonnation on items 6
through 13 contact the Lane County 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
PhDne (503) 6B7-4186
LANE COUNTY ENVIRONMENTAL MANAGEMENT
135 Sixth Avenue East, Eugene, Dregon 9740('"
Phone (503) 6B7-4065
C55-28
.
.
l
LANE COUNTY
BUILDING
BUILDING PERMIT OR MOBILE HOME USE PERMIT
MH PERMIT NO
MAILING ADDRESS
PHONE
"
Pk )PEPTY OWNER
:ONTRACTQR
MAILING ADDRESS
PHONE
)ROPERTY LOCATION INClUDE POST 6'FlCE
LEGAL DESCRIPTION - METES, BOl{NOS
"
ION
4. L0T t::IO
'E
"
APPl
NAME:
EXISTING STRUCTURES ON PROPERTY
lEGA~ ACCESS TO "...
&
MAILING
PROPERTY SIZE - FT
ADDRESS
~OR MO~lLE HOME PERMITS ONLY
No. of Bedrooms
WIDTH
DEPTH
AREA
lRE TO IE L IL THIS PERMI
Connect to Existing , ,
TY:lE CQNSTRlIC1QN
,e System New System
'" FT jl.f~.l!' VA.l IATION
SEWAGE OISPO~Al
PLUMBING INSTAllED gl,-
PU~~',
SEPTIC TANK
OTHER:-
BUILDING
WASH DISPOSAL
PLUMBING
PLAN REVIEW
PARK TRAILER
$
fEES
O\yNE~ ()T",,~; l'I.""
WATE~ ~UPPlY
PUBLIC
OTHER
.!2!AL
I
MIN. SEPTIC TAtJl< CA~ACITY
WITH 0151. BOX GAL
_ tOU/,!''r' a.\II~P)NG 1I ~Af'liTATION s~kl~lcAtIClNS
Dl'i,N fIIlb ~rb(II./b
'IN. FT
, c WIOTt1 FT
Q~ ~p FT
TYPE OF ST.udu~~
d~tUPANCY
zoflt
pUMIL Ut)\ tASEMENT
~LDG ~~i'~ACKS fT FROM (.lR. e)- R(.(
T OF WAY
USE ClASSIFICAllbN
FRONT
~IPE ''11 SIDE E~T,
AUYI-lORIZEO ~)GNATURE - DATE
~f.IIR
DATE
BLOG PfRMIT - WHITE
OFFICE COPY - WHITE
COUNTY TAX - PINK
PLUMBING - CANARY
BUilDING - GREEN
SANITATION GOLDENROD
Call 687-4065 to schedule 011 required inspections. All construe
tion shall with Uniform Building Code, D.E.Q. standards
IMPORTANT: for subsurface sewage disposal and county regulations covering
plumbing. All buildings require a certificate of ac.... y before
being occupied.
(See Details on Reverse Side)
(POST THIS PERMIT ON MAIN BLDG. AT SITE)
LANE COUNTY, DEPT. OF ENVIRONMENTAL MANAGEMENT
COURTHOUSE ANNEX, 135 EAST 6th, EUGENE, OREGON 97401
~M (.5 1
.
.
SITE I NSPECTI ON
ApPROVED Cl DISAPPRDVED Cl DATE
INSPECTOR
REMARKS
FOUNDATION INSPECTIDN
ApPROVED L-/ DISAPPROVED L-/ DATE
INSPECTOR
REMARKS
FRAMING INSPECTION
ApPROVED / / DISAPPROVED Cl DATE
INSPECTOR
REMARK 5
LATH OR SHEETROCK INSPECTION
ApPROVED L-/ DI SAPPROVED c=7 DATE
INSPECTOR
REMARKS
FINAL INSPECTION
ApPROVED ~ISAPPROVED
4-/f/-7J/ INd-
Cl
DATE
REMARKS
CERTIFICATE OF OCCUPANCY
READY TO ISSUE Cl NOT READY TO .ISSUE Cl DATE INSPECTOR
REMARKS /?
1/ . \}CJ r}
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11/''I-7lf ~ rHb IO:J.y D.d.__4~
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PLEASE PRINT . I I
PROPERTY LOCATION \ OF U 0 IA Mo tlJ () S"'1 R t; E,: . ~~
,~ PERMITif 1</6 y(
lANE CXXJNl'Y Building
DEPAR'lMENl' OF ENVIRON>1ENTAL Mobile Hare
APPLICATION FOR BUIlDllG PERMIT OR MOBIIE HCME USE
No pennit will be issued mtil this application has been approved.
NCJI'E :
SEC. 31./.),~TPJ{LOrif t!201 COOE 19-()J.,CENSUSTRACr
I SUBDrvISION D~AYY\ond A.-l-I' c::
I PROPERlY SIZE .
ACCESS ro PROPERTY _0 I A MCltlL() <;-rREe, <;0 WIDTH "tD DEPIH --..l.20 OR ACREtCE
I I
DESCRIBE EXISTllG STRIJCIURES ON TIlE PRuruui 110 lr<. E'
APPLICANT I I MAILllG ,
NAME~<kA12F C;Wlmm,I.~t~ (:b{) k Auu=S~')(') (j\"e~O~ .".-~5p!.'nj,fi~~ l]4?-~rl14~_
Cl)NTRACIQP , _,. ,.', ......, MAlLIN:; , , '" ., , ~
NAME CASKAtJE <c'",t,'t\o1\'\1l;n.q rboL<; AuU=S.'H~;:;O\"r'go.. _5I:;~l"lnsFi~ld PHONE~~-'7dLj.5
BEf..ao1 FOR OFFICE USE ONLY'i.:.:.:. :.:. :..........:.:.:. :.:.:.:. :.:.:.:.:.:. :.:.:... :.:.:.:.:.:..;.'.:.:. :...:.:.:.:.:.:. :.:. :..;:.:. ~;. ;.:.:.:. :.:..;:. :.:. ~;.I. ~ ~~,~
~truc~s to be ~uilt/Mobile Hqne sq. ft. 4ft;.~c:...vu,u" valuation
~i.A'\i~,^^1 ""1 [-:CO \ < ~
~ l \ j//
/;/
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1WP tz....PJr;E 0 '?,
LOr NO. <1: BLOCK
~ewage IJisposal:
Site Inspection if
Water ~~ply:
Public LJ District Name
Existing sewage disposal system 0 or new system required 0
'-b;", b)
Well 0 Spring 0 Other
Bldg.
Waste Dis.
Plumbing
Plan Review
r) Trailer
1% surcharge
.!/h. -
Fees
Plwbing Installed by CMner Other Narre:
Plumbing Fees Sewer connection water connection
4f of fixtures inspection fee inspection fee
, Qt:;
nCa~
~eck
Plans
Yes
Signature of Applican
Fee received by R
Drainfield required
Lineal Feet
TOTAL
05.:25
Min. Septic tank capacity
with dist. box: Gallons
Trench Depth
or Sq. Ft.
,.So.o EoJ jj~ p,.y",-"r iJIl, l'Kl'/--N ,:Gr ~f' djP:7pt<./.
Type ot Structure
Occupancy
Fire Zone
Use Classification
J:\1ga. setbackS-rt. trem center ot road right ot way
Front - Side Int. S- Side Exterior
PI .
~
date~itation date
%-/-7V ." 'If.,&~~ gJ7L^I
/
Rear 7 ( PoE Zone ri.?'/ ~
'1 . /J ~ date
7~e"'r~'ll
C55 -12