HomeMy WebLinkAboutPermit Plumbing 1980-2-26
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POST THIS PERMIT ON MAIN BUILDING AT SITE
JOB ADDRESS 1140 Kintz1ey, Spfd, Oregon
LC-380-80
CONSTRUCTION PERMIT #
TRS, TL
18-02-06.2.4 # 3501
SubdiVISion
na
This permit for the referenced property IS hereby approved. Setbacks and other condltlQnS of approval must be stnctly observed Violation can
result m revocation .of this permit, cltatlQn under provIsions of Lane County's Infraction Ordmance, and/or other remedies allowed by law
Applicant/Address Bradley D. Mowreader, same as above****
Owner/Address same
CQntractor/ Address same
Contractor's OS # 18683 Total Construction Value
/
Telephone
Telephone
Telephone
747-9481
same
same
:QnstructlOn approved by this permit
WATER POLLUTION Site Inspection # no recordlnstallatlon speclflcatlQnS 1000 gal mm
CONTROL DIVISION 190 Imeal feet of dramfleld required, max depth .of trenches 24-30 inches
Special Instructions Properly abandon the old tank " by^pump in'g ~and-fi11ing it in.
Install a serial distribution system with lines running EW in
the back yard. This repair is sized according to current standards
for a four bedro.om home.
Water Supply
well
PLANNING DIVISION
.
Setbacks
I ntenor property I mes
Edge of road nght-of-way
BUilding foundation
Wells, other water sources
CONSTRUCTION
PERMITS/INSPECTION
DIVISION
Repair existing SDS..
Structures now on property: mobile home and garage.
# Bedrooms
3-1# Plumbing Fixtures
na # EmplQyees
na
Zonmg na Partltlonmg # na Parcel #
Mmlmum required structural setbacks, from centerlme .of road, front
side extenor na , mtenor prQperty Imes na ,rear property Ime
Special Instructions none
na Parcel Size
n~centerll ne of road,
123 x 177
na ., ~_\....." ~.. ... ~ ........ ~
...
FQr mfQrmatlQn call 687-4394,
Any alteration ()f t11&
natural conOltlons In
__t"eare~:!pprove':l forth? o:l'::~~
fIeld or replacement area will
septj'(p'tW'l~ ~ty,
Carol
Septic Tank
10'
10'
5'
50'
Dramfleld
10'
10'
10'
100'
FQr Information call
687-3960 between 8 00 - 9 00 am,
Kathi M. Wiederhold
Type of Construction
I nstructlons none
GrQup
Fire ZQne
naJse Classification
na
na
na
FQr plans mfQrmatlon call na between 8 00 a m and 9 00 am, na
FQr mspectlons (see back .of thiS permit) call 687-4065 between 8 00 a m and 5 00 p m
Main to 32nd-32nd south to Jasper Rd., 1st street on right off Jasper Road.
Directions to Site
Date Issued
02-26-80
C55-13
DEPARTMENT OF ENVIRONMENTAL MANAGEMENT
COURTHOUSE I PUBLIC SERVICE BUILDING
125 EAST 8TH AVENUE, EUGENE, OREGON 97401
By
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Kathi M. Wiederho1d/1ky
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DEPARTrIENT OF ENVJRONr~ENTAL t1ANAGEiV\ENT 0
_ PSB, 125 E~ST 8TH AVENUE
EUGENE, OREGON 97401
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Townshlp, Range, SectlOn, Tax Lot ' 1'7\- O~_-CXb ~ 'c;,.4' '~~Ol
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SubdlVlslon ~"Lot Block
App 11 ca t 1 on for lb:Xt o..:'l..L- '-'t ~.=l:U..JL)..(2J}U "'5tt n ~ a. B. 25 .
Structures now on the' property Wiol., ( H~ tr~~e.-- U
Proposed use of property clf Res1dentlal /-//i\O~gWll () Industnal C/ PubllC
Affl)davlt I, Tj((ADky D tJ7~:;2.pa Cf-r~ft:. , hereby certlfy that thlS lnformatlOn 1S true and accurate
'(please pnnt)
If th1S appllcat10n lS for an agr1cultural bU1ldlng lGW1ll be used for purposes allowed by the State BU1ld1ng Code and
Lane County Code Chapter 10 (zon1ng) and for no other'pur?ose I have the followlng legal 1nterest 1n the property
)( owner of record, contract purchaser, lessee, holder of an excluslve optlon to purchase,
duly authorlzed to act (or the owner, who~s knowle~~eable of th1S appllcat10n ~ J,f/1J
Slgnature/Address ~~/?~ //90 ~...~...:Iz:t~1' Av<--7IHfPf(fZ1P) 17'177
Telephon'~' 747 ,.tq4,~" or' 8ate;'(I
ready notlfy /~Appllcant' /~/ Owner /~/ Contra~~o~. ~ Qy /-/ mall /~/ phone
WI L"...dt~..py<:.. 'f l{ 0 F kAfzJ-e.y Au<. ~("z 1 p) ''-7'177 Phone ,,~' 7 "/7 9' '/ t? I
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Job Address
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Owner ~;-O,
Contractor
....J Contractor I s OSR#
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Plumblng by
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# of stones
: of bedrooms ~
SI test holes ready
DO NOT WRITE BELOW THIS LINE /
~ of employees # of Unl ts
404 SDS /..J'/8mtlng, BP #
/~/ Proposed, SI #
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If Commerc1al
Res1dentlal
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Fee
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D//Check #
Rece1ved by
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Total Valuat10n $
Plumb1ng flxtures at ~
Sewer/water conn at $
EX1st1ng
4% State surcharge
Plans check fee
Change of Occupancy
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Water Supply
Proposed
Year Installed
,
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TOTAL
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M1n1mum setbacks
Zone tJ I A...
It, front
Part #
Parcel' #
Parcel Slze
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Comments
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To be typed on permlt
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WATER POLLUTION CONTROL --.. .........
InstallatlOn ;;peclf1catlOns 1A(<)n gal tank, lq~ ft of dra"lnf,.:teld, max depth of trenches _I . '~j\f.!
^ 1J1.. ?1() I To be typed on perm t ~a;MA cW.t0.!lfi&, ~ ~d'~.Jc. ' ;, ':it" " _ ;~~ ",
d,/!1M7/ {}f~ > J- (\(,drilx 0- ~PMrl~ (l' ~:_[!c.:..{~~ir,^~ S,,(;\:'(1Jilit... ~ V ~V\ ') J)MJVlM'AA~ ~U h,'1",- ~
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; ~ \j TelePhon~ In r--J' ;,,<J,~((Jn By }<:1*~4 rfl/h {ll1)Jd6/1J~driDate ?:/i r>l')f"V
k'~D1rectlOns to s,lte ,MAI'I\J..J.o 32 _cr-_ 32_'" ~-(11 f.o J};,~.Red: f.<.D - rVZ-S'i 51:. bvU Kt1~
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set(s)
Date
Requlred
Hold Sl1p
to PCC
Date
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Date to -)
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687-HELP
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C/ Address
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FOR INFORt~TION about progress of your appllcatlon call
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Perml t Control Clnter
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DEPARTtlENT OF ENVIRONr~ENTAL r1ANAGEI~ENT
PSB, 125 EAST 8TH AVENUE
EUGENE, OREGON 97401
,
Apph:::at.itll'l # 97'\
LC--~UJ
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At$l~l'led Numbers
Job Address I JcJO /<;vv1-!C/{..e-y Clty(i'dd
towl'lt~ip~ flange~ $~tl(}n~ Tax l.ot. / 10- ()?~ -rxb.-. ?: ~ I-:f:l:-~OJ
$~b4tviSitln ... Lot tH(lek
Appllcatlon for -D.pdn..::t1 ) L.t f<.p ~ tt ) .O~1Yhn~ a. D. (5.
Structures now on the property ww4, ( ~ /~e.,. (J
P~pO$e(l U$~ of P1"OP~t'ty ~ /If R~s 1 dent 1 a 1 {} CtllMle;c ia 1 C/ lnuustrf al C/ P~M it'
?Jflj~D J.e II () JIJ1 i'I7---" (2 -ea-tf -e PE.
I (ple~se: pr-tnt)
If thlS appllcatlon lS for an agrlcultural bUlldlng It wlll be used for purposes allowed by the State BUlldlng Code and
Lane County Code Chapter 10 (zonlng) and for no other purpose I have the followlng legal lnterest ln the property
)( owner of record, contract purchaser, lessee, holder of an excluslve optlon to purchase,
/ duly authorlzed to act for the own.er, who lS knowle~geable of thlS appllca~lOn_ ,}
Slgnature/Address r--'~.....&~..~'z'~~ tj$l) IL-v-kt-.e,p ~ <;,//It/(zlP)J7'17 7
- Teleph~ ~ ~81 or' Ioate lIf-~' ,
When permlt lS ready notlfy ~ Appllcant' I~/ Owner C/ Contract~ ~ Qy C/ mall /~/ phone
Owner~, .VJj,cn~_:tt~J..pIVC_ Jjlfo /t-"ftj.<4~ 4.Y sJ~(ZlP) 1'7'177 Phone 7~ 7 e'f </s::-/
Contractor ,I / fl-' (ZlP) Phone
Affldav1t
I,
, hereby cert1fy that th1S lnformat1on lS true and accurate
Contractor's OSR#
/ri/'y3
Plumb1ng by
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If Commerc1al
Resldentlal
DO NOT WRITE BELOW THIS LINE /'
I of $wri~$ I # of employees fJ of units
H M be-d(O(ltUS ~ -kJ...!... SDS: /.I:YExlstlng,
SI test holes ready /~/ Proposed,
BP #
SI #
kbro~
Fee
tod~
t)&$cl"iptitm
Sq. tt. or
ff of Sitts-
Unit
~st
ValuatlOn
Fee
C/ ~tI ~
d'cn~~~ * ...
Recelved by ~
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Total Valuat10n $
P'l_ing- tbtlolres. at $
Sewer/water conn. at $
each
each
$
$
$
$
$
$
$
$
$
$
$
$ ~~'(fD
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Subtota 1
Water Supply
Proposed
Year Installed
EXlst1ng
4% State surcharge
Plans check fee
Change of Occupancy
TOTAL
PERMIT PROCESSING
M1nlmum setbacks
Zone rJ I ~
ct., front
Part #
Parcel #
, ct., slde
, 1nt
Parcel SlZe \Z 3~ if-{
, rear l
Comments ~LL11 .V"\ Y
To be typed on perm1t t-)
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- By (till e0
- -
Date
e-lOl -?<I()
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CP&I Type Group
To be typed on perm1t
F1re Zone
Use Class1f1cat1on
By
Date
For plans 1nformat1on call (area 1nspector)
--t 01 reC~l ns to s 1 te iVl.4flAJ -1-0 ~2 ~I -
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I-I S FO Vlans to CP&I set(s)
- WPC set(s)
(/)2&1
I,V WPC
C/ Plann1ng
CI Publ1C Works
~I Elevat10n ~/ n/a
CI Address
I~/ Fac1l1ty Perm1t
/~/ Env1ronmental Health
Phone
)'2...,1)e{ ~ k f}'M?T:I:"~ l<i'I - FI/Z"7--f 5'1-- eN R..14M-
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Date
Requ1red
Hold Sllp
to PCC
Date
Completed
Da te to
PCC
FOR INFORr~TION about progress of your appl1catlon call
C74-171
Permlt Control Center
687-HELP (687-4357)
-
ane COUrlty
Water Pollutlon Control Dlvlslon
Envlronmental Manaqement Department
125 East 8th Avenue
Eugene, Oreqon 97401
LOCATION: Twp Ranqe Sectlon Tax Lot #
(Complete the follow~ng~ ~f apolicable)
Subdlvlslon Name Lot # Block #
~ I have no lnformatlon that the eXlstlng subsurface sewage dlsposal
system located on thlS property has ever falled by dlScharqlng sewage upon
the ground surface or lnto publlC waters. by clogglng or backlng up, or In
any other manner.
I have lnformatlon that the eXlstlng subsurface sewage dlsposal sys-
tem located on thlS property has falled In the past by discharglng sewage
upon the ground surface or lnto publlC waters, by clogglng or backlng up, or
In some other manner, and that
~ The system has not been repalred.
The system has been repalred and has operated contlnuously
Slnce the repalr wlthout other fallures
Date(s) repalred
I have had personal knowledge of the performance of the eXlstlng
subsurface sewage dlsposal system located on thlS property for :J
years and--" months.
The eXlstlng sewage dlsposal system conslsts of.
a)
b)
c)
d)
Septlc tank has a -500 gallon capaclty
Number of dralnllnes IJ.NILlVfl)W4J
Length of dralnllnes ~
Dlstrlbutlon box? Yes
,
No~
The eXlstlng septlc system was lnstalled
under Lane County BUlldlng Permlt #
ThlS system last served a dwelllng havlng ~ bedrooms (lnclude all
rooms WhlCh could be used as a bedroom, though actually used for other
purposes such as for a den or a sewlng room) OR, lf for commerclal use, thlS
system last served an establlshment havlng employees, and gallons/
day sewage flow. ThlS system was last used on (Date).
(Date) ~
In case of an addltlon, the new portlon wlll be
eXlstlng dralnfleld.
APPLICANT. ~~~~ ~
PROPERTY OWNER. /. ~y7[' ~ I -l)fc> v
DATE. z/I4/~
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feet away from the
BJVt1}(ey () lr!~te~-e1C.
C74-156
WATER POLLUTION CONTROL DIVISION /
125 EAST 8TH AVENUE PUBLIC SERVICE BUILDING
ENVIRONMENTAL MANAGEMENT DEPART,MENT ' ~....,
EUGENE, OREGON 97401 / "f) ~;I.. 1503) '68'Z.;.-;i061
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