HomeMy WebLinkAboutPermit Septic Tank 1974-3-27
:,:-'Ijp6~~;6;~r~"\{~~ Cj~a-':
. .";i~~;~\. .,
~^ ;\. 1" :.~
.r/ ',.'- ~ ......, ....
',." ~ -~. ~
. ~:.. t> 0"..." .
\: '
\\ ......
'." LANE COU~
,..BUILDING rnlX,
BUilDING PERMIT OR' MOBILE
. ;. ~. .
MH D.'
MAILING ADDRESS
H~;.~c USE PERMIT
" PERMIT NO,
31.J -74 .
S/I-7-ri
\-,\
/\
'~'PROP,ER!l'-;PWNER
,Br.o\rm. Richard
CONTRACTOR
ca,l CC)I"lstruction ~:995 West HiJ"liard
PROPERTY LOCATION - INCLUpE. POST OFFICE'
'. ,26 .H~vde.n8ridoe \-Jsv. Sorf Mf ield.?()reqon
. i PROPERTY" lEGAL DESCRIPTION - METES; BOUNDS " .
'i 'I' .
, "
Eu~ene" Oregon ""..;'4,,':""'"
PHONE
7Li>..,fJ7 i
" PHONE
6elS-1981
,26. He,yden B r t dqe \~ay
MAILING ADDRESS
Spr,ingfleld, Oregon'
'TWP
RANGE.
SECTIO.N
'TAX LOT NO,.
CODE
CENSUS TRACT
~.
17
O~
22./-i4,
4601
. 1.9-03
EXISTING STRUCTURES ON .PROPERTY
House
LEGAL ACCESS.TO PROPERTY,
H.my'clcn :Bridge Hay
PROPERTY. SIZE '- FT,
APPl., '
NAME'
&' .
MAILING
ADDRESS
R i c:hmrcl N. 81'Q,,,"
'*'t
, WIDTH
DEPTH
AREA
FOR MOBILE .H'OME PERMITS ONLY
, No, of Bedr.ooms'
~TRUCTUR'ES TO BE BUILT THIS PERMIT
'.lnr;;;ti:HI ,new"Seh1tJc Tank (to reDJaceold'one)
Con'nect' to Existing Sewage System 0
TYPE CONSTRUCTION' SQ, FT.', # BDRMS
N~w System 0
" VALUATION
. : ~"
I
I
\ '
, \
i
\
\
\
\
FEES
YPLUMBING INSTAllED BY .
OwNER 0 'OTHER, NAME
WATER SUPPLY
. <'!;J
, PUBLIC" 0 '.' ~X 'OTHER
\
I
I
SEWAGE DISPOSAL,
,'PUBLIC '0
BUILDING
-V'(ASTE DISPOSAL
, PLUMBING
PLAN REVIEW
'PARK .TRAILER
SEPTIC TANK' 0:,
;:
OT,HERD
It:,nn
Well
\
\
,I
. ~ -
, TOTAL ;: 1 &;: nn.
COUNTY BUILDING & SANITATION SPECIFICATIONS
I MIN. 'SEPTIC TANK CAPACITY DRAIN FiElD REQUIRED
~ WI!f1 DIST. 'BOX; GAL 900 lIN, FT En i sts TRENCH WIDTH Ft, OR SQ, FT:
,
I
\
\
'\
.\
, I'
';, TYPE OF'STRUCTURE
OCCUPANCY
,ZONE'
PUBLIC UTll. EASEMENT
.' I'
, BLDG, SEtBACK,S ,_ ~T. FROM,'CTR, OF ROAD RIGHT OF WAY
FRONT. ~IDE INT, SIDE EXT..'
AL!.THORIZED, SIGNATURE - DATE
'j<;.;/ ,I FA(.'}~>!:.~hv' C,had'tGl.s 'Harbaush
"BLOG, PERMIT-WHITE
.' ; OFF'ICE COpy - WHITE
" l'COUNTY TAX''-: PINK
'; PLUMBING - CANARY
, . BUILDING - GREEN ,.
" SANITATION ~ GOLDENROD
. USE CLASSIFICATION
REAR
" John, Slwok .
, DATE
'3~;17-74s1f
IMPORTANT:
Call 68?:~4065 -to schedule till' r~quired inspections. All construc-
tion shall comply with Uniform Building Code, D,E.Q, standards
for subsurface sewage disposal and county regulations covering
plumbing. All buildings require a certificate of occupancy before
being occupied.' ., ., '.
o' -(See- Detdils' ; on' 'Re;;/~rse \Sid~r '
._-1: "'-1
, -
~~~:;;<;~',.~~~.\t;;_;..~~"<~~~;,~ ~.~ -' p~~;~~:~~'~~~~IX;',"4' :. :~~. ,"~'-
~ -'. .
. '.,,-,..!-~..-, "~I
,--~ ;'';:; ~ ~~"\fl:.' - ..-Jl\"'~. . -~ -,-
<- 1.1
, ,(POST'THIS PE.RMIT ON: MAIN BLDG. AT SITE)
" ',LANECOUNTY, DEBT. OF ENVIRONMENTAL MANAGEMENT '
. ' . . . . t .. . . . "
'C::OURTH(),USE' ANNEX, 135 EAST~th,EUGENE, OREGON 97j9J" "'C~''''''-'':--;~''<'o-;':
."f ,.
,.FOR'2 # C5';,.r:3.
. "',, I''; ,;- t.. ., ~
BUILDING SITE EVALUAT10N.
'?\
. N.(To..... c S7 'i.1 }..., _ C7....l( lJ
App I i cation . /;/; 'j
T 1'7 R3 so?;;l tj,.t;rAX LOTt!i'ol
CENSUS TRACT. .
X ~u'i'1ding'pe'rmit
() Site Inspection
() Pre-Permit Invest igation
/
APPLICANT:' . I
NN1E. '. R'rAord R1TJuJh
ADDRESS
. P HO N E
DATE
S~7:"'7 V
U\NE COUNTY PLANNI NG DEPARTMENT
I.
Zoning Ordinance Camp 1 iaric'e
(Zone .
Subdivision Ordin~n~e ~6mpl I
NOT NO' YES\'
app) i cab Ie. /
() ( )/(( )
() ( ) .
( ) (7)
(~)
(-) ()
NAME
DilTE
")
J.
Required Access
/
2.
", ~
4.
Bui !ding' Site (Area. Wi
Frontage:,
Other (see comments)
5.
COMMENTS:
.-...~ . - - ,..
.- "".-'" --'.-
BUILDING INSPECTION SECTJO'N NOT NO YES
app I i'cab 1 e
6. Plans Subm i t ted ( ). ' ( ) .( )
7. Soil Stab i 1 it y (foot) n95) . t; , ( ) ( )
8. Flood Plain ( ) ( )
9. o t he r (see Comments) ( ) ( ) ( )
\
COMMENTS: "
NAME DATE
(?'$~/. -0-;2.0-7,/
fI
SANITATION SECTION
NOT
app I i cab) e
() ()
() ()
() ()
( j ()
/
NO ~-~ ~~
( I; ,
(~
'v;;~{ ..
>".
'10. . Sewage D i !;po~al
11. Usable Area
12.' Water Supply
13. o the r (see Comments)
COMMENTS:
"...
( )
TO APPL ICANT:
~Q:l
O. Your.Bu"ilding perm. it /.5ite Inspection:
~\ M Can be app roved.
.() . Cannot be approved at,this time as iniccHedon it~m NO: above.
Questipns and further information on tems I. through 5 contact the Lane-
COUNTY PLANN I NG bEPARTMENT 0 Ques t: ions and fu rthe r .i n format i on on j terns' 6
through"3 contact the Lane County Building and Sanit~tibn Division."
() Wi II be helc:J in' this office .untilyou can ,-esolve the probl~'ms indicated.
() Is ,being returned..
() Your buildiri'1 penllit arlplication,,fee i~being.returned under separate culler.
, ..--.-.--
LI'NE COUNTY PL/\NN ING DEP/\RTMENT
/3.'j:;ij){th .iI\"(~nue E"'~t. Eugene, Or~9lln
r~ljlJN t: 341-- IJ 1 I EX I. 23.'
~74ol
L^NECOUNTY BUILDING & SANITATION DIVISION
13~ 5 i x th fjV~IUC East, EII'1cnc, Olegon 97401
PMaJL: Jl:/2-IJIS fXT. 4.'
_,n. _. ~.. _,.~._.,_.~...__,_ _.
. '..". '-"'-"'-'--"-' .__.."--._._--~-- --.-"------..-.----
.. -
----~~_..-._-- --.--.---
M55-28
- '~"-~"".;;-r:"^~"'<"'.-1""';{""- '""".,..~ n-'.~.4""~~,"",:""-"'~""''''-'- ~~'
- """..~"":","...,, -r:"_._"l""'"'~~."':--;""- -"-;"."'l'-' ~":c."'-"-- .-7.'",...~""~...."'.....,...:.......,- i~~.n-... --'-'.
;"'.'" ,j,-
",
LANE COUN
~BUILDING 11)1(.-
BUILDING PERMIT OR MOBILE
MH 0
MAILING ADDRESS
H0.t',t USE PERMIT
PERMIT NO.
) 11... j4
. I'
, PROPERTy"'OWNER
~l//-
S~D Orego.,
PHONE
7~S871
'..PHONE
6f$I....,glt
&tc'.iWn.. R f~J48td
, CONTRACTOR
" t " 1..' to..'il"1rlctleft 'J'c".',"."'.
, PROPERTY LOCATION~ INCLUDE POST OFFicE'
, I' HaV'U Irld"aWov.. $Llrfn~fi\lfid. 8re:cJeA
; PROPERTY LEGAL DESCRIPTION - METES, BOUNDS
.2:6tillvdertit' t 4_ Way
MAILING .ADDRESS
99.$ We.t"IIJI~td
SIlr f I'lf' 19 ht. Ore.goit
, TWP
RANGE
SECTION
TAX LOT NO.
CODE
CENSUS TRACT
n'
01
12. !s14
l.'en
1943
EXISTING STRUCTURES ON PROPERTY
""vme
LEGAL ACCESS TO PROPERTY
My4tl:_1, a._ Wly
PROPERTY SIZE - FT.
APPL.
NAME
&
MAILING
ADDRESS
FOR MOBILE HOME PERMITS. ONLY
No, of Bedrooms
Alehar4 M. I~
WIDTH
.DEPTH
AREA
STRUCTURES TO BE BUILT THIS PERMIT
Connect to Existing Sewage System 0
TYPE CONSTRUCTION SQ. FT. # BDRMS
New System 0
VALUATION
ilfo'tall n. '.tit: Titnlt. he r.1_.oht ....)
;L .
: SEWAGE. DISPOSAL
PUBLICO SEPTIC TANK rn OTHERO
, BUILDING .<1:
. WASTE DISPOSAL Ii. CO
PLUMBING
I ~~AN REVIEW
, PARK TRAILER
,
FEES
;PLUMBING INSTALLED BY
OWNER 0 OTHER: NAME.
WATER SUPPLY
PUBLIC O.
~'l OTHER \toll
TOTAL
~. .
<I: ii..oo
COUNTY BUILDING & SANITATION SPECIFICATIONS
DRAIN FIELD REQUIRED
lIN, FTkJ.IU" TRENCH WIDTH FT.
OR SQ, FT,
, .c cMIN, SEPTIC TANK CAPACITY
! '
'WITH DIST, BOX: GAL. _
, '
1,
. j
I TYPE OF STRUCTURE
OCCUPANCY
,~Z0NE
-'.
PUBLIC UTIL. EASEMENT
BLDG. SETBACKS u FT, FROM. CTR. OF ROAD RIGHT OF WAY
J.
USE CLASSIFICATION
i . FRONT
SIDE INT: SIDE. EXT,
AUTHORIZED SIGNATURE -' DATE .
1,,1 .t .1. hU 'y Chlr'., .f'....~iJh
REAR
-'oM ifwx'lk
DATE
3...17-14, Ii I f
. BLDG, PERMIT - WHITE
. OFFICE COPY - WHITE.
. COUNTY TAX - PINK
. PLUMBING - CANARY
'f . BUILDING - GREEN
; SANITATION - GOLDENROD
tall 687-4065 to schedule all required inspections, All construc-.
tion shall comply with Uniform Building Code, D.E.Q. standards.
IMPORTANT: for subsurface sewage disposal and county regulations covering
plumbing. All. buildings require a certifica'te of occupancy before
being occupied. .
(See Details on Reverse Side)
~,'k't~
f-.-+), *.
I,:....~_ORM "'+ C 55- 13 .
~'.._,_"" >_, -.'. ".~.!l:.>i-;::,.i;~,i:;;";J~~~~~;.,.;...".i.J,-,,,,", ",",,'"
(POST THIS PERMIT ON MAIN B~DG. AT SITE)
LANE COUNTY, DEPT. OF ENVIRONMENTAL'MANAGEMENT
COURTHOUSE ANNEX, 135 EAST 6th, EUGENE, OREGON 97401
,.,:~_~~"';;',t-i~';;w":';';;"~.'___;::,.~_~,:".., ' '_ .. ",._:i,,--.:-~: -
'~!..
SITE I NSPECT I ON
ApPROVED I I ,DISAPPROVED, J 'j' DATE
. ~ "
REMARKS
FOUNDATION INSPECTION
~PPROVED / . j DISAPPROVED I
/ DATE
REMARKS
FRAMING INSPE0TION
ApPROVED /
/ cDISAPPROVED /
/ DATE.
REMARKS
LATH OR SHEETROCKI.NSPECTlON
ApPROVED /
'/ DISAPPROVED /
/ DATE'
REMARKS
FINAL INSPECTION
ApPROVED /
DISAPPROVED / / DATt
.... ,/)
/;,"'}./ .
(*-/
/
REMARKS
CERTIFiCATE OF 'OCCUPANCY
READY ~O ISSUE /
/ NOT R'EADY TO ISSUE / / DATE
REMARKS
~ JQ:"-'.
I NS,PECTOR
..--
INSPECTOR
INSPECTOR. .
<I NSPECTOR
INSPECTOR
INSPECTOR
, :~
.'
~.
"
-..!.'
"
: "
, ',-' ~
~:. .