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Home My WebLink AboutPermit Septic Tank 1974-3-29 ,~ ., . tlNDIVIDUAL SEWAGE DISPOSAL SYS~CORD n\~ taller: Complet6t' .to,p part rm to If gnature and return both".copies 0 Lane County Building Sanitation Department. "-!. t - -. '~ P~RMIT Nn. ??~S:L"'1 InsA!lr~ s N~R t]:IJ NO. LiV1ig Un1ts IB~a;oomsl Bains Sept1c TanK: Ft. from well Steel 0 .lnS10e uJ.mens~ons: t"'C. Length Width Applicant Name Rob.>r~ 11111 'j Property Address 11on.j~.'I. ~'r~~t J I 7 OD 01.\~__ I Basement I Water Supply Yes 0 No ~ Public ~ Other-List Shook Concrete It!- No. Compartments J Gal. Capacity, /t!-do . Tile Disposal Field: Depth Distribution Box:YeS~ No 0 Other Distr1but1on- Type Diameter Mailing 870 West Cente~-'~1 Feet from Well .--- Foundation )0 Lot Line Front .-- Side /() Rear (IJ ITotal sq~Ft.betweenl Filler (/ IF~ller deothlF1.uer C1eptn ft.1/1TJ llines /0 I Type / /2- ~i ~:e ~ in, ~n~w c. iJI... Address Length of li-~e-i~~ F':" n.. rl~rench l./fft>2./Pf)3. 4. 5. 6. Width ~ Sketch (See instructions): / .- - ~ c( ~ ~- ~ ~oi \ ---- ---- , \ \ \ \ \ I ~'O- ----- tL-() f} "I 117' I , l{L -- -- I pO' , ------ I I ~ 10 -....!...... r,~' Ib' I 1-" ,,/ ~ l' , ?;tJ' -- .- -'- ----- '~g--t - J'''' ''OJ il - .c. ' ., t; t ,f ran . . N r.~ 11 MAR 29 ~9i741 I - -/ 10' /7' / ----:. f -- / ':";'~".u'.;rl(:lllal .ManagemeAl Date .$ - "2~ - 7 II Signature \ ~ Conforms to Current Qandards to Current Standards nA~~ Date=3/Jo;/7f For S~tarian Use Only: ~Approved: System Installation o Disapproved: Does Not Conform Remarks: Lane County Building & Sanitation Dept. r~~ 1,,;.,",. 1"11.0;-11 r , r.' , LANE COU. BUILDING [J BUIL~ '!>tRMIT OR MOBILE .E MH 0 MAILING ADDRESS USE PERMIT PERMIT NO. . PROPERTY OWNER PHONE CONTRACTOR MAILI,~"" ;"l1C~E:.J;;' PHONE PROPERTY LOCATION -INCLUDE POST OFFICE PRo~l~t~ lbAl 6!kRIPTION - METES, BOUNDS TV/t> WAlidl \~enON ,1.,3 T AX LOT NO CODE ;f 9;?/7 CENSUS TRACT APPl. NAME EXISTING StRUCTURES ON PROPERTY LEGAL ACCESS TO PROPERTY . MAILING PROPERTY SIZE - FT. ADDRESS FOR MOBILE HOME PERMITS ONLY No. of Bedrooms STRUCTURES TO BE BUILT THIS PERMIT WIDTH DEPTH AREA Connect to Existing SewoHe System n TYPE CONSTRUCTION ~b FT :: BDRMS New System 0 VALUATION SEWAGE DISPOSAL PLUMBING INSTAllED BY PUBLIC n BUILDING WASTE DISPOSAL PlUMBING PLAN REVIEW PARK TRAILER SEPTIC TANK 0 OTHERn , fEES OWNER n OTHERl NAME WATER SUPPLY PUBLIC [J o OTHER TOTAL s MIN. SEPTIC TANK CAPACITY WITH CIST. BOX: GAl. COUNTY ~UlbPJNG & SANITATION SPECIFICATIONS ORA r.r '(EtD REQUIRED L1N. fT TRENCH WIDTH FT. OR SQ. FT. TYPE OF STRUCTURE OCCUPANCY ZONE PUBLIC UTll. 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 - 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) LA.NE COUNTY, BLDG. & SAN. DIV., COURT HOUSE, EUGENE, OREGON 97"01 fOAM ~ C!l!l-ll BUILDING SITE EVALUATION () Site Inspect ion () Pre-Permit Investigation --.:r .c.. le.H T /tEJRtX) S /C(p TAX LOT /' CENSUS TRACT I .;. .3eo"'m~~:6Sr. L-/r'8-/ .,-, ~'J/_O_7-:::'> AlWICANT: l' No.O<'c:::>'WD f-J NAME ~ZLt- ADDRESS ,~ , '. . ~BuVilding Permit Application PHONE DATE-L/-,;;)(~7 3 LANE COUNTY PLANNING DEPARTMENT I. Zoning Ordinance Compl iance (Zone iR-A ) Subdivision Ordinance Compl iance NOT app I icable ('/ () ( ) ( ) ( ) ( ) NO YES NAME DATE , - ' Required Access ( ) ( ) ( ) ( )' ( ) <y (-r-- {~ ~..4 :e:-~~ ,. ...;-- , 2, 4. Building Site (Area, Width, Fronta~e, Setback) Other (see comments) /~;>'~/;;>3 I \ 5. ( ) COMMENTS: - , BUILDING INSPECTION SECTION NOT NO YES NAME DATE aDDl icable ~ 6. Plans Subm i t ted ( ) ( ) 7. So i I Stab i I i ty (foot ings) ~ ( ) ( ) 8, Flood Plain ~ ( ) ( ) 9. Other (see COlM1ents) ( ) ( ) (f!:~16~ / ;2. / ()"7~ - t COMMENTS: , SAN ITATlON SECTI ON NOT NO YES ~h\fi; DATE app I icab I e 1'2/1/7 ?, 10. Sewage Disposal ( ) ( ) e) II. Us ab I e Area ( ) ( ) ( ) 12. ' Water Supply ( ) ( ) ( ) 13. o t he r (see Comments) ( ) ( ) ( ) - \. COMMENTS: TO APPL I CANT:.' ( ) ( ) ( ) Building Permit / Site Inspection:{~ Can be app roved. J/ e......-- ( ) Cannot be approved at ~),is time as i dicated on item NO, above. Quest ions and further informat ion on items,l through 5 contact the Lane- COUNTY PLANNING DEPARTMENT. Questions and further information on items 6 through 13 contact the Lane County Buildinq i.ad Sanitation Division. Wi II be held in this office unti I you can re"olve the problems indicat<:d, Is being returned. Your bujldin~ pernlit applic.Jt.ion fee is being returned under separate c.lJ"er. , Your rf' ltlNI' COIIN.I Y I'UINN I NG Ofl'/IRTMENT 1).Ii" Si)<th Avenue E~st, Euyelle, (lr"9on 97401 ,'lloNE: 3lj1., 1,111 E) I.: 21' LANE COUNTY BlJlLlllNG & SI\NIT/ITION DIVISION 131) Sixth I'lv~lUe East, E"~lel"', 01"(.'9on 9740 I PllLllJL: 31;2-131' fliT. 411 " . .._- . .~':: . ... ~_..~_..- - -.------.-. '-M"5S=ZS--'---'- ~ LANE CO. BUILDING BUILOING '1'ERMIT OR MOBILE .E MH ::J MAILING ADDRESS USE PERMIT PERMIT NO, PROPERTY OWNER PHONE CONTRACTOR ~\lIN;: ~~lJj(t::'::' PHONE PROPERTY lOCATION - INCLUDE POST OFFICE PROPERTY LEGAL DEkRIPTlON - METES, BOUNDS Twe RANGE ,tetlOI-< TAX LOT NO CODE (.ENSUS TRACT APPl. NAME EXISTING STRUCTURES ON PROPERTY LEGAL ACCESS TO PROPERTY & MAILING PROPERTY SIZE - FT. ADDRESS FOR MOBILE HOME PERMITS ONLY No. of Bedrooms STRlJCTURES TO BE BUILT THIS PERMIT WIDTH DEPTH AREA Connect to Existing Sewoqe System New System [l TYPE CONSTRUCTION ~~ FT :: BDRMS VALUATION SEWAGE DISPOSAL < fEES PLUMBING INSTALLED BY OWNER n OTHER: NAME WATER SU~PLY PUBLIC n BUILDING WASTE DISPOSAL PLUMBING PLAN REVIEW PARK TRAILER SEPTIC TANK 1 OTHERn PUBLIC [l n OTHER TOTAL s coLJNh '~UILDING & SANITATION SPECIFICATIONS DRAIN FIELD REQUIRED MIN. SEPTIC TANK CAPACITY WITH OIST. BOX: GAL UN. FT TRENCH WIDTH FT. OR SQ. FT. TYPE OF STRUCTURE OCCUPANCY ZONE PUBLIC UTll. 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 - 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 970401 fOR'" := C55. 'J "" ( . , '. ': SITE I NSPECT I ON ApPROVED Cl DISAPPROVED Cl DATE REMARKS FOUNDATION INSPECTION ApPROVEO ~ DISA~PROVED;----Y DATE~- ~ ~?? REMARKS. . INSPECTOR INSPECTOR A5 1.- ~ " , FRAMING INSPECTION ApPROVED / t-) D'SAPPROVEO Cl OATE i-;l fi-]t,i INSPECTOR' (-- , REMARKS,'-;) / ~,A4t?~J-~-7'1 A<1Id)l~,)-I'?'( -d..AnU'l..'ii",'7<.(, Y I LATH OR SHEETROCK INSPECTION APPROVEO.cJ?::1 DISAPPROVEO L-../ DATE ;),-;,;-- ~t/ REMARK 5 FINAL INSPECTION ApPROVEO ~DISAPPROVEO C7 DATd/~/i- 7'{ REMARK 5 CERTIFICATE OF OCCUPANCY REAOY TO ISSUE ;---y NOT READY TO ISSUE Cl DATE REMARK 5 f) ~;A' /j./~J~ e f~.. . f ' ~).. ~S- '13lf~ / /7tJ D(>'"#.~~ ,;:\ INSPECT~R~ INSPECTOR_~ INSPECTOR ---.;:::::: - -- ~I III " ~ DtdB 225 FIFTH STREET SPRINGFIELD, .oREG.oN 97477 Authorized SIgnature INSPECTION REQUEST: 726-3769 .oFFICE: 726-3759 1. l.ort1~ ~~ \~'tffl~~l Jt~fl\t~IO~~ ~~ Permits are non-transferable and expire if work is not started within 18.0 days of issuance or if work is suspended for 18.0 days. Phone 7%- 4-0<r6' Supervisor License Number "?J3l1f.S 10-'-) -ct5 Expiration Date Constr Contl.. Number. ?-C)- ;:t5Cic.. Expira tion Da te fl:J- / - q 5 Si~a~u e of Supervising Electrician ,/ /7~ t? A~J A~~/ Owners Nam~ Cn.\qt l .~ Address \\\D~ City_ ~\l'1...-- Phonett\.~ OVNER INSTALLATI.oN The installation is being made on property I own which is not intended for sale, lease or rent. .owners Signature: DATE~==----------~-~~~~------ RECEIn iI: dL, l/~~ RECEIVED BY: \J'\~ \ S.NGFIEL~ _.. -L2A? , ELECTRICAL PERMIT ~PLICATI.oN City Job Number 11~\1~ 3. C.oMPLETE FEE SCHEDuLE BEL.oII A. New Residential-Single or Multi-Family per dwelling unit. Service Included: I terns Cos t Sum 1.0.0.0 sq.ft. or less $ 85..0.0 Each additional 5.0.0 sq. ft or portion thereof $ 15..00 Each Manuf'd Home, or Modular 'Dwelling Service or Feeder $ 4.0..0.0 2.0.0 amps or less 2.01 amps to 4.0.0 amps 4.01 amps to, 6.0.0 amps 6.01 amps tO,lDDD amps Over 1.0.0.0 amps/volts Reconnect Only C. 1 $ 5.0..00 ;:;[) $ 6.0..0.0 $10.0.00 $13.0..0.0 $3.0.0..0.0 $ 4.0..0.0 2. C.oNTRACT.oR INSTALLATI.oN .oNLY ,B. Services or' Feeders \.- 0 . Installation, Alterations Elec trical Con trac tor;/l\Cl~n"i\'C.. Di\L>>r f\ect~'c...or Reloca tion: Address ?O \!JO'f-. \ \ \ Ci ty\NcS\e\'\)\\\e Temporary Services or Feeders Installation, Alteration or Relocation 2.0.0 amps' 'or less 2.01 amps to 4.0.0 amps Over 4.01 to 6.0.0 amps Over 6.0.0 amps or 1.0.0.0 D. Branch Circuits New, Alteration or Extension Per Panel $ 35..0.0 Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/.outline Lighting Limited Energy/Res Limited Energy/Comm One Circuit Each Additional Circuit or with Servic~ or Feeder Permit ,~ E. 5. SUBTOTAL .oF AB.oVE 57. State Surcharge 37. Administrative Fee T.oTAL $ 4.0..0.0 $ 55..0.0 $ 8.0..00 volts see IIDI1 above " $ 2..0.0 5 " no t included) ,. $ 4.0..0.0 $ 4.0..00 $ 2.0..0.0 $ 36..0.0 ~~f:? N.,l) - ,-to foi:b-L