HomeMy WebLinkAboutPermit Septic Tank 1978-7-11
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JOB LOCATION
lObO ilOildea St.
Oft 4Znc St. hy ~rede School
LANE COUNTY PERMIT
Acreage or Lot Si7" Partitioning # ) Completed Subdivision lhac!oB Green Estates
Contractor's O.S. # nnnmQQ?' Lot 8 Bloc~ 1
APPLICANT'S NAME AND ADDREC::C:: Jim Pray 85375 Jasp",r Park Road (lfl Qfl-<!.R~ /Ivuz. ~. Phon" 746-223:l
OWNER'S NAME AND ADDRES~ Craig ~loliter 1060 Dondea St. Phon"
CONTRACTOR'S NAME AND ADDRES~ sa= as Ilpplicant Phon"
Mail permit to ( Jl) Applicant ( ) Owner ) Contractor. ( ) Prefer to pick up. Call (owner. etc.) when ready.
eTRUCTURES NOW ON THE PROPERTY. Sinnle g..;e111nr< home .
THIS PERMIT IS FOR Add fmnilv room ..rifl h..t-h Rn,! "p~..nmn /
# BEDROOMS~# PLUMBING CONNECTION5-3.-
WATER SUPPLY
cluv
SEWAGE DISPOSAl
QQn~{~ ~an~ A~_~A
S.1. #
THIS PROPERTY IS WITHIN ONE MILE OF THE CITY OF !::n..-iMf'i"l~
, PLUMBING BY
.
I hereby certify that the above statements are true and accurate, and that I have the following legal interest in the property: _owner of record;
contract purchaser; _ potential buyer; _ realtor or agent. I further certify that (if not the owner) I am authorized to act for the owner of
record, and that said owner is aware and approves of this action. I hereby agree to comply with all apPlicable/odes relating to this permit.
Fee Paid ~ Q'tQIi f7?lln Signaturi" \jr..vJ?1P~ Q (~ ' Oat"
( ) NEW ADDRESS ( ) FACILITY PERMIT TO TRANSPORTATION DEPT. U (Xl SPECIAL PMT. AREA. MIN. ELEVATION: /7, elr
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SANITATION BUILDING.
,'/j-;;JJ;;p;'70 Minimum Septic Tank Capacity (Gallons) .s-::< J Type of Construction f- -:s Group
/ e'" t~'fI /1't4l Drainfield Required, Lineal Feet ~'.c. A n Use Classification
" ' '"1',,,", Maximum Depth . Comm;nt;: 'Z,-;;r ';e /J. -H-
" ~ . " .., ~ ,.1, d. rrf-<A-, ~--c--f~. r~
Comments: f.;I.,:,,,--,,- <>ff- -"t,<:- ~(;f $'"0 ,."'.......,.. ve.....t.€./ "
- ,....,("'.<t I";.fi... ;9"-v,.c../.d6 ;:{t<.- u&.J cd'-..di;tJ:""'-'~' ~ ~ ~ ~~
~ 2~:{; 'VrJ'...:F ^''t''>..dJ... .aRft~ c:c.d. leo' cr.(... iJ . , .
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" By: "" ~/-7../A.-.4r...._'. " Date: c.. -,,::2-0- 7/f' By: ~bo?-:'1 ~ '>)z."d Date: '7- j--7;(
PLANN[;'\iG REQUIREME-NTS SATISFIED. By: Susan Keller - Date: 6/13/78 Date Issued: 7////7 57
~'ZONE: ,TlA SETBACKS: FRONT 61' _ SIDE FACING STREET (FROM CILl INT. SIDE YARD 5' REAR l' (FROM Pill
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" LANE COUNTY DEPARTMENT OF ENVIRONMENTAL MANAGEMENT, 125 EAST 8TH AVE., EUGENE, OREGON 97401 PHO. NE: 687,\94
POST THIS PERMIT ON MAIN BUILDING AT SITE
C55.13 BLDG. PERMIT -WHITE; BUILDING - GREEN; PLUMBING - CANARY; SANITATION - GOLDENROD; OFFICE Eopy - WHITE
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orin,c.
Fire Zone
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MAP ,le-2~ (, -. T,L.
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TO:
LANE COUNTY PlANNING
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CONSTRUCTION PERMITS & INSPECTION
OTHER
FROM:
,
SURVEYORS OFFICE - FLOOD PLAIN ~1AilAGnlENT
DEPARTI1ENT OF PUBLIC LANDS
PHONE: 687-4195
SUBJECT:
PARTITION NUNBER
SUBDIVISION
BUILDING PEPJ~IT NUMBER
OTHER
1825"-78
RECOMMENDATION:
THE ABOVE SUBJECT ,IS IN A SPECIAL PERMIT AREA.
THE ABOVE SUBJECT IS INCLUDED IN THE H.U,D, U~~;L:lBERED "A" ZONES.
REMARKS MIU. t=LOCr? 2L~"A..,\<'lt--l \-.1,<::-\ 1'l,;:.r:''\(..l...U7 ;:''''-+---,SI'To;::,._
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DATE
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BY
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Distanc. from:
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Lat lin.: Front 0 Sid. 0 R.a, 0
Faundation_~.LI') f.,t. "
Depth of filt'er material beneath tilt ~-:;
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,
501
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TO BE COMPLETED BY INSTALLER:
PERMIT ISSUED TO: Installer's name' C . l-\ .
Noll'- D0ug Fe""~ II BaUding permit number
3941 Richla,d Strc~t. SolId. I06ry
Mailislll add..... ' Property addr.ss
lot d, btoc.k 1 'M~~,:jdO\'o'
Total namb.r: LiYinll units-L- S.drooms--3- Boths..L nasem.nt: Yes 0 No 0
Wale, sapply by: Public system--Y'" Individual system Community 5yst.",____
Septic hmlt: Distanc. from....1l Foet. Materi.rr'll-J L No. of compartm.nts.
TatalliqaidcapacityClCC\_lIal. In.;del.nll",g-;~" It.ln.id.width ':l,';11 _It.
n:_.:...:;?cJ1 .1,/,; It. Uq.id dept~ ~I .;" It.
Tile disposal fi:!1d: DistJibation box? Yes r.;(' No 0 Other
Laagtll oach line _ 30. .Q!2 :xL It,
TatGlleagih' . _, q; ,It.
Walth oft'ancb .:? _ It.
Totallqllllre footage -'/,.<:;'-CL- It.
DUtance botvl!lrln lines' , 1'1 ~ It.
TrJIO of fillet catarial: GnneI-CnI)'C 7.!tx:.J<. ()tb...
Depth of fille, ClOterial awe, til- /~ inches.
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DE SUIE TO IHDICATI HOlTHfllY DllECTlel1
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FOR USE OF SANITARIAtj..ONLY:
System apparently will c;r- will not 0
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function satisfactorily, and is therefore Ol)pro\'ed for occupancy ~-' Disapproved 0
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I... of F ... .1 Building (and I Ofl;,.), { '"' 'C_
t=ee- 'I~ /A .
Exio',ng Struc'ur.. on P .. ? UI If 00, d.wie.. h /~ '::'~~L ..2 - /:0. (- r (
Doe. . .. ho". legal acce,,? ,. If so, describe: - ... 1 It
Legal Description of Building Sit. - Met.s and Bound, A" /-::, ~ -,4 I
'-I" ....., - . "- - 1 ~~Z-'<'G~:<" - ~~ r' -" ';;- <-
T"p, II Range II Sec., Tax to. No. Code ~a7,lc - ,j -1/- {. >; c:: _
Size of F .. Wid,h Dep.h Area.. ....
I. to be bui't unde, Jllii IMrmil: SQuare;;-aa! Typo of
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, , " I Wo.er Supply, Public _
. . ,1 f ., O. '," .". ,"ublic
Plumbing to be in,tolled by Own., (
FEES,
Building S It.II
Waole DispolOl 7M
Plumbing t..
'orle T ra i Ie,
Plan Cheel<
; Spring
. . . . Tonk
Plumb" . )
; Well: Drilled
_ ; Pi' P't\l-)I
Nome of Plumber-
. Driven
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Stgnatur. of Applicant
I. .910':'65..__
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COUNTY BUILDING & SANITATION SPECIFICATIONS
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SANITAnON,
Septic Tonk Minimum liquid C. . . .
Sub,urface Di'posal Field Required:
with Oi,',ibu:ion Box
lin. Ft.
III
,. Gal..
Jft. Width of Trench, or
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s., .,
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5rlUCT1111,
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Zone ... Bldg. S.tbac!",; Front .. Fee. from C.nl., of Rood.
E.'erior'1'll cOrn.r lot) .. Feel f1dh, Center of Road. 7 ft.
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Side, Int.'lor 5
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Fee"
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A .. of tt'oc work CO\'t.'fl>d b\ This permi! shall be s1.mea Nithin 60 dayS fro'T) d..Jte dnd d I ...url.. ( rr;ll!:"t,
disposal rep.""" ......hich must bE>gi llmrnedl,W'ly. It not, the permit _... _' Invalid unless rtnE>\wJ b.... the ''-' l' t
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..I 8;.1IL('III'ou INS~fCTOllt S..",tT...RI....
WRlN 8G",It'fIii'\Hf s.f)rr...~ IB5\uWbI~ IN)ACTOI. THIS ft:>,_",e..rc!ltf~ 'VIlOIHe 'flM.T '01 THf
nus 'UMlt IN A rlOMINfNT LOCATtON nN 01 "DUCfNT TO THf MAIN IUllOINO 'fING CON$l'lJ:lfD
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Written Directions CJ~;C'
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Job Location /0 t:, 0 h""'AlJ ea.
st l3'ij Qf4J~ ~:X!^oo/
INFbRMATION SHEET
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) Completed
( ) Pending .
APPLICANT'S NAME AND ADDRESS J J h7 '/1.a.CI </'5:.'2,')5- Jus lkJ- PI< eJ
_NER'S NAME AND ADDRESS, if different frqm ~pplicant's"-C.L."''l' ~+~~. JO{.,.^
NTRACTOR'S NAME AND ADDRESS \ \ "" 'PJ.",-y -oc::J?'I'J" It: ....0.0. i?k P-!..
Mail permit or results of site feasibili.ty study to (L--)- Applicant I ( ) Owner (L--t Contractor.
( ) Prefer to pick up. Call (owner, etc.) when ready.
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PLUMBING BY v~.---??~~
( ) PROPERTY IS WITHIN ONE MILE OF CITY ( ~ I )
.::... ....................... ............. O:~I~ ~~E ONLY BELOW THIS LINE'" ...... ........ ................ ...........
~N~dp;SS Necessary !1lP=acility pern;t Necessary (l),~ecial Permi~;;.e~'i.L Minimum Elevation;
ZONE SETBACKS: Front ~/ Side Facing Street ( InteriorJ:S;~"rd 6/ Rear l' ... IT
(FROh".CE~L~NE OF ~AOI. (FROM PROPERTY L1NESI f/ /;,1;;'
~ .rv.;v'-r,,-vr~"'~ ~DJ. n/ ~I/ 1$
To: Planning/Building Inspector/Sanitarian/Surveyor. M O-~ tv. ~J / (,t.
This applicant appears to have a problem with
Your assistance will be appreciated,
~ BuildingPermit
Acreage or Lot Size
Partitioning # .
STRUCTURES NOW ON THE PROPERTY
PROPOSED USE (this permit)
WATER SUPPLY
SEWAGE DISPOSAl
ResponSP'
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C55.12 ;;
) Site Feasibility Study for Septic Tank. Number of sites__
Test ho!e~" be ready _ ..
Subdivision '-I /I/A~./J.-, ~ljAA.. ~--C'iA..-? LOLZS
Bloc~
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Phone 1J4t.,...-WQ
Phonp
Phone ?/c, ?:J<!O
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Contractors o. S. # ()()()tJ / 9CJ.2 7
horn -€'
"&)hXUY7 ..
..!- 75ati J-
lLJ3ec1rrYnl'i
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(existing or proposed well, etc. If public, name of system)
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Ipxisting or proposed septic tank, etc.) S.1. #
Address.
By
Permit Processing Section
By
DEPARTMENT OF ENVIRONMENTAL MANAGEMENT
Permit Processing Section
125 East 8th Avenue
687-4394
nivision
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. TAS, TL_
JOB LOCATION
LANE COUNTY PERMIT
Acreage or Lot Si7~
Contractor's O.S. #
Partitioning #
) Completed
Subdivision
Lot
I310c~
APPLICANT'S NAME AND ADDR<=""
OWNER'S NAME AND ADORES"
CONTRACTOR'S NAME AND ADORES"
Mail permit to ( ) Applicant ( ) Owner
eTRUCTURES NOW ON THE PROPERTY
THIS PERMIT IS FOR
) Contractor. ( ) Prefer to pick up. Call
Phone
Phon~
Phone
(owner, etc.) when ready.
# BEDROOMS _ # PLUMBING CONNECTIONS
WATER SUPPLY SEWAGE DISPOSAl S.1. #
THIS PROPERTY IS WITHIN ONE MILE OF THE CITY OF PLUMBING BY ~ .~
I hereby certify that the above statements are true and accurate, and that I have the following legal interest~he oroperty: owner of record;
contract purchaser; _ potential buyer; _ realtor or agent. I further certify that (if not the owner) I am authorized to act for the owner of
record, and that said owner is aware and approves of this action. I hereby agree to comply with all applicable Codes relating to this permit.
Fee Paid S
) NEW ADDRESS
SANITATION
Signature
) FACILITY PERMIT TO TRANSPORTATION DEPT.
Dat~
) SPECIAL PMT. AREA. MIN. ELEVATION:
.
Minimum Septic Tank Capacity (Gallons)
Drainfield Required - Lineal Feet
Maximum Depth
BUILDING
Type of Construction
Use Classification
Group
Fire Zone
Comments:
Comments:
By: Date:
-
PLANNING REQUIREMENTS SATISFIED. By:
ZONE: SETBACKS: FRONT
By: Date:
Date: Da te Issued:
SIDE FACING STREET (FROM CILl INT. SlOE YARD REAR
(F ROM Pill
LANE COUNTY DEPARTMENT OF ENVIRONMENTAL MANAGEMENT, 125 EAST 8TH AVE., EUGENE, OREGON 97401
POST THIS PERMIT ON MAIN BUILDING AT S'TE
PHONE: 687 4394
C55.'3
BLDG. PERMIT - WHITE; BUILDING - GREEN: PLUMBING CANARY: SANITATION GOLDENROD; OFFICE. COPY WHITE.
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~ fLOOR
PLUMBING GROUNDWORK
ApP'ROVED .eEl DISAPPROVED Cl DATE 7-/o-1~ INSPECTOR tf';J-.
REMARKS
GAS PIPING GROUNDWORK
ApPROVEO. Cl DISAPPROVED Cl DATE
INSPECTOR
REMARK S
ROUGH PLUMBING
I2f 01 SAPPROVED Cl ~'ATE 'i1 ~Jl; -7? 1 NSPECTOR ;p JI
~ ~ ~~~ ?-~-7~ t?;J.
ApPROVED
REMARKS
ROUGH GAS PIPING
ApPROVED Cl 01 SAPPROVED Cl DATE
INSPECTOR
REMARKS
fiNAL PLUMBING
ApPROVED LJ::J DISAPPROVED Cl DATE.2.:::.!...9'- 7'?-1 NSPECTOR
RJi-
REMARKS
I
fiNAL GAS PIPING
ApPROVED Cl DISAPPROVED Cl DATE
INSPECTOR
REMARK S
CERTifiCATE Of OCCUPANCY
READY TO ISSUE Cl NOT READY TO ISSUE /7. DATE
INSPECTOR
REMARK 5
TRS, i I
JOB lOCATION
lANE COUNTY PERMIT
Acreage or lot Si?Q
Contractor's O.S. #
Partitioning #
) Completed
Subdivision
lot
[Jloc~
APPLICANT'S NAME AND ADDRI=C:C:
OWNER'S NAME AND ADDRESC:
CONTRACTOR'S NAME AND ADDRESC:
Mail permit to I ) Applicant I ) Owner
eTRUCTURES NOW ON THE PROPERTY
THIS PERMIT IS FOR
) Contractor. I ) Prefer to pick up. Call_
PhonQ
PhonQ
Phone
(owner, etc.) when ready.
# BEDROOMS
# PLUMBING CONNECTIONS
WATER SUPPLY
SEWAGE DISPOSAl
S.1. #
THIS PROPERTY IS WITHIN ONE MI lE OF THE CITY OF
PLUMB IlliG BY
I hereby certify that the above statements are true and accurate, and that I have the following legal interest in the oroperty owne, of record,
contract purchaser; __ potential buyer; _ realtor or agent. I further certify that lif not the owner) I am authorized to act for the owner of
record, and that said owner is aware and approves of this action. I hereby agree to comply with all applicable Codes relating to th,s permit.
Fee Paid S
) NEW ADDRESS
SANITATION
Signature
) FACILITY PERMIT TO TRANSPORTATION DEPT.
DiJtp
) SPECIAL PMT. AREA. MIN. ELEVATION.
.
Minimum Septic Tank Capacity (Gallons)
Drainfield Required - lineal Feet
Maximum Depth
BUIL.DING
Type of Construction
I Jse Classi fica tion
Group
Fire Zone
Comments:
Comments:
By: Date:
PLANNING REQUIREMENTS SATISFIED. By:
ZONE: SETBACKS: FRONT
By:
Date:
Date:
Date Issued:
SIDE FACING STREET
(F ROM C/L) INT. SIDE YARD
REAR
IF ROM Pill
lANE COUNTY DEPARTMENT OF ENVIRONMENTAL MANAGEMENT, 125 EAST 8TH AVE., EUGENE, OREGON 97401
POST THIS PERMIT ON MAIN BUILDING AT SITE
PHONE: 6874394
C55.'3
BLDG. PERMIT WHITE, BUILDING GREEN; PLUMBING CANARY; SANITATION GOLDLNRQO; OF FICf: COPY WHlTl:.
ApPROVED
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FOUNDATION INSPECTION
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ApPROVEO ~ D'SAPPROVEC ~/
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REMARKS ~z._ t? k
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FRAMING INSPECTION
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LATH OR SHEETROCK INSPECTION '.' ." -
I ryROVE~ ~I S:PPROVEO E::?' ..DiTEz::'.j f.:, -tR I NSPECTOR~ --'
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FINAL I NSPECT ION '
APPROVEr "J DI SAPPROVEC 0' DATE ..cf-. / s= 70 NSPECTOR ~I' Jf?
RE((JJz;~~~(/-r-.~~;f4gGtS~~
INSPECTOR
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