The URL can be used to link to this page

Home My WebLink AboutPermit Septic Tank 1973-12-27 - .-,:";' y S'w-e <'. LANE WUNTY BUILDING::~ BUILDING PERMIT OR MH 0 MAILING ADDRESS 3133 Dw;{tYlo vJ MoMME USE PERMIT (J) /It.. / PERMIT NO. ;:>1:; .... T PHONE PROPERTY OWNER ~...~?....." _ .I.~:.tn ;,_ fit. 1~ .,r.~ ?I;O E. :':'l('f:T:::"l_Ci'C{;:--::l MAILING ADDRESS nG.'iC: I CONTRACTOR PHONE PROPERTY LOCATION - INCLUDE POST OFFICE PROPERTY LEGAL DESCRIPTION - METES. BOUNDS TWP RANGE SECTION TAX LOT NO CODE CENSUS TRACT I, APPl. NAME & MAILING ADDRESS FOR MOBILE HOME PERMITS ONLY No. of Bedrooms n-:t It! Mnn r.nL',.~h :H. ,') Ii; 1 EXISTING STRUCTURES ON PROPERTY C:t-':"'\?l"'\I P'W10. nncl r.:t,rnnrt LEGAL ACCESS TO PROPERTY IlpN'mnn<l Fr."" Rnl'd PROPERTY SIZE - FT. WIDTH DEPTH AREA STRUCTURES TO BE BUILT THIS PERMIT Connect to Existing Sewage System 0 TYPE CONSTRUCTION SQ. FT. # BDRMS New System 0 VALUATION ::c;J~~r or rcpl,,:,=c sctJ"S'(~Js::>>os,,1 system ( c;dstind SEWAGE DISPOSAL PUBLIC 0 BUilDING WASTE DISPOSAL PLUMBING PLAN REVIEW PARK TRAILER fEES PLUMBING INSTALLED BY OWNER 0 OTHER: NAME WATER SUPPLY SEPTIC TANK 1El ~ OTHERD ?~ no PUBLIC 0 o OTHER TOTAL . .,1\ nn MIN. SEPTIC TANK CAPACITY COUNTY BUILDING & SANITATION SPECIFICATIONS DRAIN FIELD REQUIRED WITH OlST. BOX: GAL. nl{J~t r. UN. FT ISll TRENCH WIDTH FT. 2 OR SQ. FT. 360 f!rnn ~{"'~.!;""nn rtlr,..n,"v;;ll r'.vr.trn 100 (-t~ Yr'nn {")nv ~:~11. TYPE OF STRUCTURE OCCUPANCY ZONE PUBLIC UTll. EASEMENT BLDG. SETBACKS __ FT. FROM eTR. OF ROAD RIGHT OF WAY USE CLASSIFICATION FRONT SIDE INT. SIDE EXT. AUTHORIZED SIGNATURE - DATE REAR DATE leI I J:' rl^CC h" " t;nr,..l.....,..', In:'il !;;hnnlt :l..A5~ 17-:n.7; BLDG. PERMIT - WHITE 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 Re,:,erse Side) (POST THIS PERMIT ON MAIN BLDG, AT SITE) LANE COUNTY, BLDG. & SAN. DIV., COURT HOUSE, EUGENE, OREGON 97401 FORM:!: C55-13 BUilDING S ITE EVALU~ ~,~ '~ ~~/c,X/ ~ /? R ~ S /-5 TAX LOT 4L..~'_" CENSUS TRACT Building Permit Application No. c:?~~'/-7J. APPLICANT~ / N/\ME ~.......... ADDRESS / .,L~ ~ , c;7 t:^ ~ ( ) ( ) Site Inspect ion Pre-Permit Investigation PHONE DATE /8. - /9- /_ ~ L/\NE COUNTY PLANNING DEPARTMENT NOT , NO YES NAME DIHE app I i cab I e I. Zoning Ordinance Compl iance ( ) ( ) ( ) (Zone ) 2. Subdivision Ordinance Compl iance ( ) ( ) , Requ ired Access ( ) ( ) -,. 4, Bui Iding Site (Area, Width, ( ) ( ) ( ) Frontage, Setback) 5. Other (see comments) ( ) ( ) ( ) - COMMENTS: .- - ~ - .- . ----"-_..- BUILDING INSPECTION SECTION NOT NO YES NAME DATE ~pp I icab Ie 6. Plans Subm i tted ( ) ( ) ( ) 7. So i I Stab i I i ty (foot ings) ( ) ~~ ( ) 8. Flood Plain ( ) ( ) Ot he r (see Comments) ( ) ( ) 9. ( ) COMMENTS: - SANITATION SECTION NOT NO YES ~~ DATE appl icab I e / '2;0/ /7J 10, Sewage Disposal ( ) ( ) ( ) II. Usable Area ( ) ( ) ( ) 12. Water Supply ( ) ( ) ( ) 13. Ot he r (see Comments) ( , ( ) ( ) - COMMENTS: TO APPLICANT: ( ) ( ) ( ) Building Permit / Site Inspection: Can be approved, 1.;1-,;;z.?~ 7.,3 C~~ Cannot be approved at this time as indicated on item NO. above. Quest ions and further informat ion on items I through 5 contact the Lane- COUNTY PLANNING DEPARTMENT. Queslions and further information on items 6 through 13 contact the Lane CoulllV Buildinq dnd Sanitation Division, Will be held in this office unl'il you can resolve Ihe problems indicated, Is being returned, ' Your buildin~ permit appl iC.Jtion Fee is ueing returned under separate c.ul/er. Your M LIINf COUNTY I'I.I\NN I NG DEI'IIRTMENT 13,') Si)<th Avenue [~sl. Euyene, (l'''9011 97401 I'IION!:: ~1jl"UII nl. HI lANE COUNTY BUILDING & SANITIITION DIVISION 135" Six t/i 1'l'~Il'" fas t. f'''len,'. 0 I"e'lon 9740 I )'IIONI.: jlJ2-IJU f)IT. 411 M55-2B ,:,,,, LANE ~y BUILDING PERMIT OR MOB "ME BUILDING 0 MH 0 MAILING ADDRESS ,r! , I.. . USE PERMIT PERMIT NO. PROPERTY OWNER PHONE CONTRACTOR MAILING ADDRESS PHONE PROPERTY LOCATION - INCLUDE POST OFFICE PROPERTY LEGAL DESCRIPTION - METES. BOUNDS TWP RANGE SECTION TAX LOT NO. CODE CENSUS TRACT APPL. NAME & MAILING ADDRESS FOR MOBILE HOME PERMITS ONLY No, of Bedrooms STRUCTURES TO BE BUILT THIS PERMIT EXISTING STRUCTURES ON PROPERTY LEGAL ACCESS TO PROPERTY PROPERTY SIZE - FT. WIDTH DEPTH AREA Connect to Existing Sewage System D TYPE CONSTRUCTION SQ. FT. ::t BDRMS New System 0 VALUATION SEWAGE DISPOSAL PLUMBING INSTALLED BY PUBLIC 0 BUILDING WASTE DISPOSAL PLUMBING PLAN REVIEW PARK TRAILER SEPTIC TANK 0 OTHERO . FEES OWNER 0 OTHER, NAME WATER SUPPLY PUBLIC 0 o OTHER TOTAL , MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GAl. COUNTY BUILDING & SANITATION SPECIFICATIONS DRAIN FIELD REQUIRED L1N. FT TRENCH WIDTH FT. OR SQ. FT. " ,,, '"., , TYPE OF STRUCTURE OCCUPANCY ZONE PUBLIC UTIL. EASEMENT BLDG. SETBACKS __ FT. FROM CTR. OF ROAD RIGHT OF WAY USE CLASSIFICATION FRONT SIDE INT. SIDE EXT. AUTHORIZED SIGNATURE - DATE REAR DATE ') .'. BLDG. PERMIT - WH ITE 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 ~ css.1J .. SITE INSPECTION ApPROVED Cl DISAPPROVED Cl DATE REMARKS FOUNDATION INSPECTION ApPROVED L-/ DISAPPROVED ~ DATE REMARKS FRAMING INSPECTION ApPROVED .c; DISAPPROVED Cl DATE REMARKS LATH OR SHEETROCK INSPECTION ApPROVED L-I DISAPPROVED L-/ DATE REMARKS /) ./ }// // //./ / (. / /./ / ./1 ' L/ r l./' FINAL INSPECTION ApPROVED Cl DISAPPROVED Cl DATE REMARKS CERTIFICATE OF OCCUPANCY READY TO ISSUE Cl NOT READY TO ISSUE Cl DATE REMARK 5 .. .u INSPECTOR INSPECTOR INSPECTOR INSPECTOR INSPECTOR INSPECTOR G~.I~ ~t ~ J.. Installers Name' I Property Address .. Dp..<I11JO.Dd F!"rrv Road No.LJ.vingUnJ.ts IBedroomslBatns I Basement [water Supply Yes 0 No 0 Public 0 Other-List ;:~t~~O~a:~1 Steel iJ If ~rAg4!a<tB- 4Ja61mp(~-f.J.. Gal. Capacity InsJ.de lJ:unenSJ.ons: ,'to f I Tile Disposal Field: Length Width Diameter Depth Distribution Box: Yes 0 Applicant Other Distribution- Type Name .Inhn A Swe2P-v I_UAL SEWAGE DISPOSAL SYSTEM A-, ~^O 1&/ I, er: Complete top part of f~ ~' rub signature and return both copies to Lane County Building Sanitation Department. .# .... P~RMIT No_ 2404-73 Shook No 0 Mailing =t. 1~ Bax 2;n ~ Feet from WF>n /~nFoundation Lot Line Front Side Rear ITotal SqjFt.betweenlFiller IFiller deothlFiller depth f :JL /J ' , //1 /.?-' above? below;, t~?Ovll.nes/(../ I Type/rL. t5__]_~-< 5_~ t~__l_~r: ;'1.. Address Length ~ Lin~s::': ;,,?-~ - I Trench ltt2r03. 4, 5. 6. Width), Sketch (See instructions): 1 , I ~~- f ---.:::L @ rip-. \. ~~ !'7 -- .' :>\ I ~ -- ----- U-U- -~ --- Date o .h1~./ .L I ,,-;9?oy () signatur~ ~/?A1~_ /7 I~~,~~b I' Date: /-3/1 r . J.tarian Use Only: Approved: System Installation o Disapproved: Does Not Conform Remarks: Conforms to Current Standards to Current Standards Lane County Building & Sanitation Dept. o~~,~ ' c;t~ltarian's Signature