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Home My WebLink AboutPermit Septic Tank 1975-12-24 v .-.- .' ... . LANE COUNTY PERMIT FOR:_ PERMIT NO. 3272-75 '" -\,. , .,0 , CONSTRUCTION bod MOBILE HOME [] PLAN REVIEW [] CHANGE OF OCCUPANCY [ ] DOwner .IAf"lt J:\ _4111 RII~ NAME RR!!10 Rn~ :;>h\l r:lJ(,H~'NI='. O~r:'(;orJ 747-C)Q7'1 ADDREoSS CITY ZIP CODE PHONE rlJ.(.':f'~,'r . O.lU'~nH ffip,-.(;1. ADDRESS CITY- ZIP COOE PHONE o Contractor 7 I Qn .M~'? NAME ~C\t:\ RIICU,UJc:'1 I O.S. Reg. # Twn 17 Range flJ Sect ion III Tax Lot llu-tn Code Census Tract Subd ivision Lot Block Acreage 0 Width Access to Property (Road Name): r~ nl!'...,....~.......... t"t"~ov OI'\An Depth Existing Structures on Property: u........... ....,... ...... r.lUI. t<l.1...,,,,,,rr Directions to Property, Address: ~:.'\-GM()"'':'':' ~~......... ~,:,.._ ~ ....~... c....... . ..'~ 't"IIDU "^O"Pt..4 \-:::: 7: ::S;;:: S:l :"::-7 ::r.:IE:: EE ~:r.: './: 7:: ::::: ::!.:-l: 7~:: _............ ....A....... STRUCTURE (# BEDROOMS) sa. FT, VALUATION €;:;--;:: EYET::-! :-:::r:..!;: SEWAGE DISPOSAL: PUBLIC [J SEPTIC TANK i BUILDING PLUMBING 3% SURCHARGC MOBILE HOMc WASTE DISPOSAl PLAN REVIEW OTHER [ ] PLUMBING INSTALLEO BY: OWNER I 1 OTHER I 1 NAMF 2').00 WATER SUPPLY: PROPOSED [ J EXISTING [] [ J PUBLIC [ J COMMUNITY. NAME: [ J PRIVATE WELL [ ] OTHER. SPECIFY: TOTAL 25.00 CONSTRUCTION PERMITS & INSPECTIONS AND WATER POLLUTION CONTROL SPECIFICATIONS MIN. SEPTIC TANK CAPACITY: GALS.~fV'I MIN. DRAINFIELD ~ ;::~ /,:'l.. ... _00- ...nrlo'"'........... .,..... ':>7" 'iV' L1N. FT. MAX. TRENCH DEPTH ._.~.. AU....?t'; ~P.""'''' f:OOn.. ?h INCH ES P."or''l'''''' .....,..... ~nI'\O('" OTV t 11-.It=' ~~~:~~~ ~ ~~?~~~:~~:...~ ""1:"4 TYPE OF CONSTRUCTION GROUP FIRE ZONC STAY 100' FROM ALL WELLS USE CLASSIF. SETBACKS. FT. FROM CTR. OF rlW: FRONT SIDE EXT. FT. FROM PROP. LINE: SIDE INT. REAR ZONC AUTHORIZED SIGNATURES: /,1 GREG G:1AY/SAtll TAR I AN \SLDG. PERMIT - WHITE OFFICE COPY - WHITE IMPORTANT'. COUNTY TAX - PINK PLUMBING - CANARY o;WllDING - GREEN '\ATION - GOLDENROD \ /' ISSUANCE DATE: 12-24- 7') BP -= 9 Call 687-4065 to schedule all required construction inspections. Call 687-4061 to schedule all ~~' septic system inspections. All construction shall comply with the State Buidling Code, D.E.Q. standards for subsurface sewage disposal and the State Plumbing Code. All buildings require a certificate of occupancy 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 6lh, EUGENE, OREGON 97401 ,.. &{/ 3d7;2-7S- T J....R ()3 S 1'/ TAX LOT /~&c) S~N: LOT: BLOCK: !U I LD ~NG SITE EVALUAT ION . ~ILOING PERMIT APPLICATION NO. () SITE INSPECTION APPLI CANT OATE 1. 2. 3. 4. 5. Not ADD I icab I e--- No Yes Zoning Ordinance Compl iance: Zone 14f'1ud.w . () TI 6. Subdivision Ordinance Compliance (~ ( ) ( ) Requi red Access () ( ) (--r;::::: Building Site (Area, Width, Frontage) () () ('1 Other (see comnents) () () ( ) PLANNING DIVISION COMMENTS: PLANNING OIVISION ACTION PENOING: YES\ } NOl } APPLICATIONH BUILOING INSPECTION OIVISION Not Aoolicable l ) ( ) ( ) ( ) No Yes () TI ( ) ( ) ( ) ( ) ( ) ( ) 7. Plans Submitted 8. Soi I Stab ill ty (foot i ngs) 9. Flood Plain 10. Other (see comnents) COMMENTS: WATER POLUTION CONTROL Not Aoolicable ( ) ( ) No Yes ()~ ( ) ( ) II. Meets Oepartment of Environmental Quality Standards. 12. Other (see comments) COMMENTS: CK'D BY: /./!//!t. ,;U(.$~ /~- Setbacks from c/I of roa~ Front ~I ~'~ Side Exterior I I - Setbacks from interior in s: Side Rear CK'D BY: OATE CK'D BY:#,l ~_ I~ () DATE TO APPLICANT: Wou Building / Site Inspection: Can be approved. $( Cannot be approved at this time as indicated on item NO. above. J('1 Questions and further information on items I through 6 contact the LANE- ~ /: COUNTY PLANNING DIVISION. Questions and further Information on items 7 \~ through 12 contact the LANE COUNTY BUILDING ANO SANITATION DIVISION. \ ( ) Will be held in this office until you can resolve the problems Indicated. ( ) Is being returned. ( ) Your building permit ap'plication fee is beln9 retu~n~d un~ seoarate cover. DEPARTMENT OF ENVIRONMENTAL MANAGEMENI 135 Sixth Avenue East Eugene Oregon 97401 PHONE: 687-4065 LANE COUNTY PLANNING DIVISION PHONE: 687-4186 C55-28 ... J ErO'ILDING SITE EVALUATION , '-: '--- . ~ . . .J ---: A. t.Y.-BUILDING . PERMIT APPLICATION NO. 3~7;1' -;5" () SITE INSPECTION PLANNING OIVISION T JiA.R t>:';; S IIJ. TAX LOT /~" .. SUBDI~N: LOT: BLOCK: APPLICANT DATE Not Applicable' No Yes Zoning Ordinance Compliance: Zone -11;""",.;,(\,00) T) TI 6. Subdivision Ordinance Compl iance I' L..)-- ( ) ( ) Required Access () () (-);;; Building Site (Area, Width, Frontage) () () (~) Otner (see comments) () ( ) ( ) I I. 2. 3. 4. 5. COMMENTS: I,ru BUILDING INSPECTION DIVISION PLANNING DIVISION ACTION PENOING: YE5l } NOl } APPLICATION# , 7. Plans Submitted 8. Soil Stability (footings) 9. Flood Plain 10. Other (see comments) Not Appl icable ( ) ( ) ( ) ( ) , COMMENTS: WATER PDLUTION CONTROL Not Appl icable ( ) ( ) II. Meets Department of Environmental Quality Standards. 12. Other (see comments) , COMMENTS: .-.\ No Yes T)TI ( ) ( ) ( ) ( ) ( ) ( ) / ; No Yes T)~ ( ) ( ) CK'D BY: t~'~4~, Yf" . Setbacks from c/I of road: Front III ,. . Side Exterior 1/\/1 /' Setbacks from interl!lr,lines: Side Rear CK'O BY: DATE CK'D BY: /-/..(,) /L._ I)..:J"'/J ... - {iDATE ~ 1".' ,-.- . . J ....../ / TO APPLI CANT: Your Building / 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 6 contact the LANE- COUNTY PLANNING DIVISION. Questions and further information on items 7 '. /.\ through 12 contact the LANE COUNTY BUILDING AND SANITATION DIVISION. ( ) Will be held in this office until you can resolve the problems indicated. ( ) Is being returned. ( ) Your building permit ap'plication fee is bein.9..~~t\,.[I)~d under seoarate cover. ~EPARTMENT O~ ENVIRONMENTAL ~~Au~~cNI 135 ,S i x,~h Ayen~!'l. East/Jugc:ne _ ()regon 97401 PHONE: "687-4065' ,. " j LANE COUNTY PLANNING DIVISION PHONE: 687-4186 :' . ; ,.-, . , I .\l ,. , '... C55-28 r PiAlriEO INSTAllER: Complete ~ part ~rm ;(~'Sli1/~ No. Livir Units' fft?oms Septic Tank: t/ Ft. from well Steel c=l Inside Dime~ions: ft. lenjlth 7^' Width ~ .<Diameter OWNER ~. NAME Z IRa ,.,F G. SEWAGE DISPOSAL SYSTEM REC. .' ~. to signature and submit bo pies with application. · PERMIT NO. <272-7~ GG PROPERTY AUURESS DEADI~ONDS FEBRY ROAD Baths Basement ~ Water ~upply / Yes No Public \( Other-List , Concrete IlJ No. Compartments / Gal. Capacl ty ,J '.lile Disposal Field: r). DePth~.( Distribution Box: Yes /) No , Other Distribution-Type /0 (PO EUGENE, OREGON L~&t~Of j..jnes-Ft. [TrencQ..1 'I' 2 1::13.~t4. 5. 6. Width Pf :'lot Ian (see instructions): /' Tota.!-Ss(. FtA "rtJ Feet from .J' WEll - Foundation 7-() I Lot L i n(.lbt ~ I Front r; Side. Rear ?-.r I Ft. Between IFiW#;giller Depth IFille~ Below Li nes /1) TvJ{lJ.u.-..A1\bove Ti I e "Vi n .IT i I e ~ In. - J' .-c;z;u '\ HAiliNG ADDRESS 355 BUSHNELL N "" , OJo!'~V _ I ~...q i I '0 / '9p / 190 ,/1' I '''' I /,-:; I~ i~ I S1,"~'"" /2 OJ Irf?~ I . CERTIFICATE OF SATISFACTOI\YjCOMPlETIONA V a For Sanitarian Use Only: {/ Oat, 1-S;-7~ In accordance with 1973 Oregon Laws Chapter 835. Section 214 this certificate is ued as evidence of satisfactory completion of a subsurface sewage disposal system at the above location. ~ Approved: System Installation conforms to current standards c::J Oisapproved: Does not conform to current standards Remarks: C55-11 .4-~ff- Sanitarian signature lANE COUNTY STATE OF OREGON DEPARTMENT OF ENVIRONMENTAL QUALITY