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HomeMy WebLinkAboutPermit Septic Tank 1973-10-26 r; ..1....... ....-. .-/v"~:"""""-'-'-'-..r-,'",_,,,,~,,,,,,--,,,, --. - . .~~-.t_" , ~. ~ LANE COUNTY~L1)IN6 PERMIT OR MOBILE BUilDING 01 MH 0 MAILING ADDRESS ....- ...., . -....'- 'JI(' /'1' HOM~SE PERMIT PERMIT NO. :0:::::-71 PHONE 71l7-'i161) PHONE PROPERTY OWNER .' Scott. loroon CONTRACTOR .' , 1044 DondeD Sorinafield. Oreaon MAILING ADDRESS J PROPERTY LOCATION - INCLUDE POST OFFICE , ~ight eff Main on ~2nd to JasDer - rlaht on Dondaa rlaht to end of CuldcsDc - 10~ Dondcn, PROPERTY LEGAL DESCRIPTION - METES, BOUNDS Meadcw Grecn Estates lot 6 TWP RANGE SECTION 1(1 02 06, I. 3 TAX LOT NO. CODE CENSUS TRACT pi:;- %1 dtl EXISTING STRUCTURES ON PROPERTY APPl. NAME & MAILING ADDRESS FOR MOBilE HOME PERMITS ONLY No. of Bedrooms STRUCTURES TO BE BUILT THIS PERMIT House LEGAL ACCESS TO PROPERTY DondeD PROPERTY SIZE - FT. WIDTH DEPTH AREA 129' X 142' Connect to Existing Sewage System 0 New System 0 TYPE CONSTRUCTION SQ. FT. # BDRMS VALUATION Reoalr S~icae dlsDDsel svst~ See Bulldina Permit 1067-68 SEWAGE DISPOSAL PLUMBING INSTALLED BY PUBLIC 0 BUILDING WASTE DISPOSAL PLUMBING PLAN REVIEW , PARK TRAILER SEPTIC TANK ;[]:x Is t SOTHERD . FEES OWNER 0 OTHER: NAME WATER SUPPLY \cJI II 8.'iletta 20.00 PUBLIC IlJ o OTH ER TOTAL s ,n nn COUNTY BUilDING & SANITATION SPECIFICATIONS DRAIN FiElD REQUIRED MIN. SEPTIC TANK CAPACITY WITH DIST. 60X, GAl. Ex Is ts Stey a mln~mum of 10 feet from Hold trenches to a 24" moximum UN. FT 150 the property depth. TRENCH WIDTH FT. 3 line and house ~Ith all OR SQ. FT. 450 parts of netJ dra I ilf i 0 j d;- TYPE OF STRUCTURE OCCUPANCY ZONE PUBLIC UTIl. EASEMENT BLDG. SETBACKS __ FT. FROM efR. OF ROAD RIGHT OF WAY USE CLASSIFICATION FRONT SIDE INT. SIDE EXT. AUTHORIZED SIGNATURE - DATE /5/ J.E. Boss by Harbaugh REAR ... G.\cJ. Gray, Sanitarian DATE 10-26-73 " 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 Reverse Side) (POST THIS PERMIT ON MAIN BLDG. AT SITE) LANE COUNTY, BLDG. & SAN. DIV., COURT HOUSE, EUGENE, OREGON 97401 FORM := C55 -13 f- BUILDING siTE EVALUATION '.. ~" c9/<99-73 T /0' R 6);)S 6)(.-, TAX LOT CENS~RACT ,,?7if1t:1t?~~ bsr L6>1'~<:;; APPLICANT: ~~ NI\ME ,~/ ADDRES~ 1 j... ,.~~X ( ) ( ) Building Permit Appl ication No. Site Inspection Pre-Permit Investigation PHONE DATE ./1'9 -.;;;>.3- 73 , , L/\NE COUNTY PLANN I NG DEPARTMENT I. Zoning Ordinance Compl iance (Zone ) Subdivision Ordinance Compl iance NOT app I i cab I e () () () () () ~,) () () P lJ ()~\\J () () .: NO YES NAME DinE , .J' Required Access ( ) ( ) ( ) ( ) 2. 4. Building Site (Area, Width, Frontage, Setback) Other (see comments) 5. COMMENTS: ~ BUILDING INSPECTION SECTION NOT NO YES NAME DATE aDD I jCab I e 6, Plans Subm i tted () ( ) ( ) 7. Soil Stability (foot ings) ( ) ( ) ( ) 8. Flood Plain ( ) ( ) ( ) r:~~, 9. o t he r (see Comments) ) ( ) ( ) /~J~S--1J COMMENTS: (j SANITATION SECTION NOT NO YES NAME DATE aDD I icable 10. Sewage o i spos a I ( ) ( ) (!I:l IL Usable Area ( ) ( ) ( ) ~'~J ) 2, Water Supply ( ) ( ) ( ) ___#1))- IO/;Jt, 13. at he r (see Comments) ( , ( ) ( ) COMMENTS: TO APPLICANT: ( ) ( ) ( ) Building Permit / Site~>ns~1ct;0~:J Can be approved. / C;,..2:5j13#v Cannot be app roved at t his time as i nd i cated on item NO. above. Quest ions and further informat ion on items) through 5 contact the Lane- COUNTY PLANN ING DEPARTMENT. Ques t ions ,md fu rt he r in format ion on items 6 through 13 contact the Lane County Buildinq i,,,d Sanitation Division. Wi) I be held in this office until you can re:;olve the problems indicated. Is being returned, Your building permit applic.Jtion fee is being returned under separate c.u.ter. ;r ltlNE COIIN'I Y I'LiINN ING DEI'/IRTMENT I],~ Si..th Avcnue [~sl. EU\jene, Orcgon 97401 ,'ltONt:: 341.. U II 0 I. 211 LANE COUNTY UUILDING & SANITATION DIVISION 13'J Sixth t'lYC'lue Edst. EI/~)ell". O"e(jon 97401 PIlLllJI.: JLJ2-IJII fXL 411 . .... ... ~.......,_. ..... _..-.-...-.,------ ._~._.__._--------_._-----_. . M55-28--"- --,-- ....... .. v,~ './.,., y .<...-' " .---..~ ". '" -" r Gc:~~Cn ~..,:-;~:;) CONTRACTOR LANE COUNTY'ILDI~ PERMIT OR MOBILE BUILDING []] MH 0 MAILING ADDRESS lC~ Dedea ()::wk:l~lonCl. Orc'~;J MAIliNG ADDRESS HOM~SE PERMIT PERMIT NO. nU~;';Od~ PHONE .r PROPERTY OWNER 17tJJo~)D~;:; PHONE PROPERTY LOCATION -INCLUDE POST OFFICE IlV1e alN C:ab C:1 ))8c;J 110 Jcn:1C~ PROPERTY LEGAL DESCRIPTION - METES, BOUNDS [::C:::t::l CIi'CC:1 G!)IW~CG tG'i: G TWP RANGE SECTION . <> ,,'r>:1~ CCJ C;:;.r:~:::~ rk~~ CO c::j c~ GuUC:::J(:~; Q DC'.;') Cc;::":::~. TAX LOT NO. CODE CENSUS TRACT iO 02 C3 APPl. NAME & MAIliNG ADDRESS FOR MOBILE HOME PERMITS ONLY No. of Bedrooms STRUCTURES TO BE BUILT THIS PERMIT EXISTING STRUCTURES ON PROPERTY t:'::::JO LEGAL ACCESS TO PROPERTY Dc:!::)::::) PROPERTY SIZE -,FT. WIDTH DEPTH AREA Uif)' ~ K'O Connect to Existing Sewage System D TYPE CONSTRUCTION SQ. FT. # BDRMS New System 0 VALUATION QC)G'1i' OC::::;;Cl dDo::::;:JoV G1,1O'i:CJ 0'~ O!:DDGIr.:l VC"-lle I(I::iicGJ SEWAGE. DISPOSAL PLUMBING INSTALLED BY PUBLIC D SEPTIC TANK :!illnDotooTHERD OWNER D OTHER: NAME BUILDING . FEES WATER SUPPLY VI U iC:::::C;(lO WASTE DISPOSAL 20.CJ PUBLIC 18 D OTHER PLUMBING PLAN REVIEW PARK TRAILER TOTAL , lllCl.ClO COUNTY BUILDING & SANITATION SPECIFICATIONS MIN. SEPTIC TANK CAPACITY GI1BollO DRAIN FIELD REQUIRED UN. FT 100 \liD prcj):::V-I>V C:C;)Ctl. II TRENCH WIDTH FT. OR SQ. FT. o 0 n~ C:;::J IP::JO l:Ji \lL< VI U {,AX"U IN l:DJ ~;~:J Cl(Ulll"lfIU9(J. WITH DIST. BOX: GAl. :;\:OJ 0 ml:t:~:::J C', UI!! VC::... ,Irq t::.lnC Crrc;;~~~ Co 0 lJ'fl C:;:lU:::o 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 101 J.[]. CC:JO bv C.t;i"tJC::;::l REAR to> O.U. Qrcv' nC~iC01icn DATE ~Ca2G<>)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 Reverse Side) (POST THIS PERMIT ON MAIN BLDG. AT SITE) LANE COUNTY, BLDG. & SAN. DIV., COURT HOUSE, EUGENE, OREGON 97401 M = C55-!] I / '-~":",., - . ..'-- ". SITE INSPECTION ApPROVED CI DISAPPROVED CI DATE INSPECTOR REMARKS FOUNDATION INSPECTION ApPROVED /7 DISAPPROVED /7 DATE INSPECTOR REMARKS FRAMING INSPECTION ApPROVED / / 01 SAPPROVED Cl DATE INSPECTOR REMARKS LATH OR SHEETROCK INSPECTION ApPROVED /7 DISAPPROVED ~/ DATE INSPECTOR REMARKS FINAL INSPECTION ApPROVED ~ REMARKS DISAP~~ / (~/ / I .K:.1 /' {../ -- DATE INSPECTOR CERTIFICATE OF OCCUPANCY READY TO ISSUE 17 NOT READY TO ISSUE Cl DATE INSPECTOR REMARKS 'I LANE COUNTY ButlNG PERMIT OR MOBILE HOME. APPLICATION PERMIT TYPE - BUILDING K MOBILE HOME Dose REG. # PERMIT :#: c91 B?-"Z3 PRO~ OWNER ~ MAILING ADDRESS ' PHONE C~NTRAC~ /~'fAD~/OFAI 5"pR"....a 7t/1-52,(ft?S- .' ' . . P~";CATlON - 'NCLUDE POST OFFICE ~ .-r:;. --1':: /1 _ Hr t;;r:,c /h~"g,J c3.;J - -/B..J~ =~e.,v PROPERTY LEGAL DESCRIPTlO~~/-~ A'T?'O ~O %Cf::~~'/- METES & BOUNDS 0 YES LOT - BLOCK - SUBDIV. /e~'r ~8NJO~-"??F.A~"'~"'" ~r ~ ~ ATIACHED 0 NO /TWrY" ORAN~ SEC. TAX lOT # CODE CENSUS TRACT 4 rJ. ~'" APPLICANT NAME AND MAILING ADDRESS FOR MOBILE HOME PERMIT ONLY Number of Bedrooms TRUCTURE$ TO BE BUILT THIS PERMIT :::::::'.'1:>.5.. ~1S'"..3 STRUCTURES ON PROPERTY IF ANY . ,,~O LEGAL ACCESS TO PROPERTY - ROAD NAME OR # ,~4'i..~ PROPERTY SIZE_WIDTH 1~'7r DEPTH r /~;;;.t AREA Connect to 'Existing Sewage System 0 TYPE CONSTRUCTION SQ. FT, or New System Req. 0 # BEDROOMS VALUATION ~u.. ~...~, le(07-/g91 SEWAGE DISPOSAL ~ PlUM~ING INSTAllED BY SEPTIC TANK lIt' OTHER 0 _ OWNER D.' OTHER 0 NAME t. FEES WATE~;W'J~ PLANS FURNISHED FACILITY PERMIT ~. t9€.5 PUBlIC~ -- OTHER YES 0 NO l!( YES 0 NO~ PLUMBING FEES ~TURE OF APPLlCfrT -./1 DATE - FIXTURES XC7)tJJ:/-f~. .Ae,q ~ 1e-~-7 :3 CASH 0 SEWER ~,_ C:.~ BY , )".. _ ""'._ D_:-==- CHECK n CONNECTION FEE ~_~ ~~I~ .,~ ERMIT # ..:?a. CJ4 PUBLIC WATER CONNECTION FEE PUBLIC 0 BLDG. WASTE DIS. PLUMBING . PLAN REVIEW PARK TRLR. TOTAL COUNTY BUILDING & SANITATION SPECIFICATIONS DRAIN FIELD REQUIRED MIN. .SEPTIC TANK CAPACITY WIT~'DIST. BOX: GAL. .RA.J'rJO lIN. FT. I r() TRENCH WIDTH FT..3 OR SQUARE FEET L/.r:v dlj D. ~_:'~__"'C rf /Ofl-fh{,-:(t'p)t'//f'7i''/.wf - r.--.J ..$~ ~ ,~~, at(,1J1Ar: ~ '!Ii4' --hA~J. j.LK/-f A:"(I",,-,,~ J -;er /L :J,t/" '11(kl,L.Ch:~ /~. 'r\'PE OF STRUCTURE' V OCCUPANCY .' ZONE REAR YARD FRONT SIDE INT. SANITARIAN Date 4I-~ ~- .'n.2.,.'7.... Directions -to and Property' SIDE EXT. PLANNING USE CLASSIFICA liON REAR . . . f ? /I~ Date BLDG. tNS(/){J ~~ V / I L/' BLDG. SETBACKS - FT. FROM eTR. OF ROAD RIGHT OF WAY Dato I~ -:zS;, '>'J COpy 1 - OFFICE COPY 2 - JOURNAL COPY 3 - AUDIT Form # C55-12