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HomeMy WebLinkAboutPermit Plumbing 1975-11-5 ~~~0"~3~~~;~~.h:,t~:-a~~iif)~~,~~rr~_W~_~~~~~m@~~~:.w"" -'~~\ ""J't;\',:(.,. ' "'.,0 . " . ._,;~.;,._\ . .. ?:fi" -, . LANE C NTY !JUIWING PfR/,\lf OR MOBIL. .1OME USE PEllMlT' ':);','~:, i"';:. ,,'" BUILDII~C. n MH.fl ..______...._..__...._p[~Mll_N()~_.._-MJ:I.2u,8'7~,.1,?t-. . \.t'~,PROPE.RjY-.OWNl:R _______.m__ MAILING ADDRESS PHONE,-,.:., :~:', )'," '4 . " , '':I' I G-.r2^~~~:' .____92\'I[s.-r._BR.9_AD\.,,,~. __EU~~.".U25E:G2.'". ~_._----32~?S7;'::" '::{~.,CONTRACTOR MAILING ADDRESS PHONE '.':" TED SOPTELEAN 5000 PRAIRIE ROAD JUI<CTION CITY OR.EGON 688-97')0: I. .-..__..~-- .-.....-..... . :/,:,:PROPERTY LOCATION - INCLUDE POST O~fICE ".J';,"" INLAND Dp I VE ,<ZQ65'~:J~'L!-~ '_~::>PROPER-TY LEGAL oE:scRlPiio"N-'=ME-TES" BOUNDS :.<"". FILBERT CROVE LOT .56 [kOCK 2 "~,~TWP RANGE SECTION 'ii\) 18 03 28 },}i;;~l APPl, ];,:r~l--~I: NAME, . " i'~,/\::" ':,::;'~,~;!_-':";' & ",:fh MAILING ,>:"~~ ".,': ., ADDRESS ',:.' ..7A.' ...., .s ap ,;TAX LOT NO, 56 . .' CODE, . ".:Ct,~SUS TRACT 1'1-183 EXfS,Tf!'iG STRUCTURES .ON PROPERTY" . TEO SOPTELEAN " .,'. !\!O~!F LEGAL ACCESS TO' pROPERTY SAME I f~LAND v./AY' PROPERTY SIZE - FT, WIDTH' DEPTH AREA ,;"....FOR MOBILE HOME PERMITS ONLY.. .':~:~? No. of Bedrooms ,::,:".,;!:'.:;,. STRUCTURES TO BE BUILT THIS PERMIT" ;t'!""'.'(PERf<l T FOR HOB 1 LE I-IOME ,'.' Connect to Existing Sewage System 0 '"TYPE CONSTRUCTION' ;,' SQ. FT. -1: BORMS New System [ VALUATION 2 ':;'iJY:l~':':'\; ;'::,rPE RM 1 T :~:t~;?':~:l'Y: TO INSTALL SEV/AGE Dis~OSAL SYSTEM ..-.,' .:\~,~\:f'.<' ~, , : .;:,',:;:: SEW AGE DISPOSAL ''-I .,--,.. PUBLIC 0 SEPTIC TANK ...., " PLUMBING INSTAllED, BY OWNER n OTHER: NAME WATER SUPPLY, I. BUILDING , o .$ OTHERD ".1" FEES ,~:.".WASTE DISPOSAL ';',:}} PLUMBING ).:,PlAN REVIEW' '.\~',?;; PARK TRAilER ,'/~V.,~',;;',' SURCHARGE <t"TOTAl, : .~~~.~: j'." " .~'.. MIN. SEPTIC TANK CAPACITY '<'y" WITH DIST, BOX, GAl. 'l5C; ~.:f.~r\.:,': '\:)3':;';.' ~~.;~};}{ ~:.' , " ': ;:\;/~Y P Co F'-STRU (TU RE :'>::~.~'~'1"1:"1 lnn.nn l1.on .PUBlIC n o OTHER ""', ,\., ""..' .,.,:.,: ,,,, . ~n,[\O .12 L13tL.JL_ COUNTY BUILDING ;;'." ":<' "I;",:,' & SANIT /, TlON SPECIFICATIONS DRA1N FIELD REQUIRED tiN. FT 150 TRENCH WIDTH FT, l DE;" TG)R SQ: FT. :\00 ';'.:. OCCUPANCY' 'ZONE . PUBLIC UTIt'. EASEMENT ". ,',," ,;;,;,~-. BlDG~S-ETP.ACKS ~.t 11 c:' ..::.:,,~ FRONT .) )::\/s/ J.. E, Boss . FT, FROM CTR. OF ROAD RIGHT 'OF WAY , SIDE INT. .~) SlUE EXT..' )~O ---.-- ----------.,-..-.. AUTHORIZED SIGNATURE - DATE BY HA~8AUGH '. . REAR .'(' USE CLASSIFICATION !)l!r= .::i DATE to'; 5Hci~~/~;~I~A~I~N'. 11/5/75 DlM IMPORTANT: Call 687-4065 to schedule 011 required inspections. All canstrul lion shall comply with Uniform Building Code, D.E.Q, standan for subsurfClce' sewage disposal and county regulations coverin plumbing. All buildings require a certificate of occupancy befa! being occupied. ,.,;.;r.. . (See Details on Reverse Side) )~~f~!' . (POST THIS PERMIT ON MAIN BLDG. AT SITE) lAHE_ COUNTY, DE.PT. or ENVIRONMENTAL MANAGEMENT COUIW\OU5~ ANNEX, 1:!~ EAST 6111. EuGENe O!lfGO~1 9/-401 " I "---- I "-..... ~ 'r-- )> ? ;, , ....... /" 1>1 --. V ~ -;; '.si' .2.g 1\-- ----- ..... -::) - - I 1..1'\ '" . ,-' - -- -, '',< / c- \0) -- \- \'\ o. '0 /0' ~'- I "/ ~ --. ")-- "\~ ()> N :t: o 3 \" ~ ::::::: 0, \." Ij - - ..2y \~ I I I /01 ~ '1/Ooo~ --. -. :-tl ,,' < --. \.<:> "/f' (" -'" ,- 7~_r lj7-- - " ~ - ,/~_- ,- - - - U""l ...-- --;:1 (.11 'i -.I ~ ~\ t1 > t''' '.. 1 1I \ \ 1 ,~ \' ~'c-' 0 J ,. ' . - - - ~- ,C----------- 1;'1 ---- -' - - \ \ ~I j ..) I, ' / \ \'f\"I' C()\J\\ i'( " .. ' ',I \. IIIGN\\' t\-.\il,{Oi.,i.,-I, ' /' m f}. 5L-!B/I':J L-, <:: ,- -!::' ->- ---- 0- '<, J. L--, '" \" l-.j <x;> ~ \" ?:- ~ ';s:: VJ \\, I' , -~ :t -- "'--. -( --. ~ -.G /0 ~ n --- l- V, In ),:- --\ Cf) A c '" \1\ v ~ ;h 1:>- '=' v -\ -- CD % . ~0 /~ 5 No.II/1f ~8.7!S' BYIL~ING SITE EVALUATION , ~BUrLDING PERMIT APPLICATION () SITE INSPECTION PLANNING DIVISION Not API? 11 cab 1 e 1. Zoning Ordinance Compliance: Zone.l2l1d~~) 2. Subdivision Ordinance Compl iance ( ) 3. Requ I red Access ( ) 4. BUilding Site (Area, Width, Frontage) () 5. Other (see comments) ( ) COMMENTS. 28 TAX LOT T_ ")_R O.3s SUBD,.ISION' LOT: APPLI CANT DATE No Yes T)~. 6. ( ) ~ ( ) f'"'- ( ).f'1"" ( ) ( ) PLANNING DIVISION ACTION PENDING: YESl ) NDl ) APPLICATION# BUILDING INSPECTION DIVISION Not Appl icable ( ) ( ) ( ) ( ) 7. Plans Submitted 8. Soil Stability (footings) 9. Flood Plain 10. Other (see comments) COMMENTS: WATER POLUTION CONTROL Not Appll cable ( ) ( ) 11. Meets Department of Environmental Quality Standards. 12. Other (see comments) COMMENTS, BLOCK: CK'D BY~ 1t:>-7-2-~ Setbacks from cll of road: Front ~' Side Exterior 4-0' Setbacks from Interior lines: Side ~, Rear 7'AltE:. f:rrP ( ) ( ) ( ) ( ) CK'D No Yes T)TI ( ) ( ) Byn~'J-7{ ~ATE ,"" '\~M Ih- ZCj-7~- DATE TO APPLICANT: ~o~ BUIlding I Site InspectIon L ~ Can be approved. ~:1~ ( ) Cannot be approved at this time as indicated on item NO. above. \\.....:/ ~ Questions and further .nformation on items 1 through 6 contact the LANE- COUNTY PLANNING DIVISION. Questions and further .nformation on Items 7 through 12 contact the LANE COUNTY BUILDING AND SANITATION DIVISION. ( ) Will be held in this off.ce until you can resolve the problems Indicated. ( ) Is being returned. ( ) Your build,nq permit appllc!"!.l.9!'.Je<:;. is bein9 returned under seoarete cove.r>-- --DEPARTMENT OF ENVIRONMENTAL MANAGEMENT 135 Sixth Avenue East Eugene Oregon 97401 PHONE: 687.4065 LANE COUNTY PLANNING DIVISION PHONE: 687-4186 C55-28 i."'~~j! ~St~rlJJ~~~~Y!tk'w~:~k~}'';;'#~'#.~~~~i~;:~7;~;;;-~MUJ~I$.w.y~M,A'~~'; , , 'tr-j ," 1:J~ . LANE ( ,NTY BUILDING PERI,II r OR MOBIL, rlOME USE PfllMIT MH fl MAIliNG ADDRESS 492 VIEs_",:_13Ro_AO\l".~____ EUGEN_E_S2!.<EG9_~_ MAlllNG ADDRESS PERMIT NO ~ ,l,' ) .-, 111\ I __M!:I_S:!18- 7:i~, ' _ PHONE, r, __ __3~j1-2.?57 '" PHONE 688-97'50 eUllIJlrJG xx ',', PROPERTY. OWNeR ------ . , \" tG I~AYNARD ,---- \'11 ;ONTRACTOR \ TED SOPTELEAN I ---- - --- -- ---- I PROPERTY LOCATION - INCLUDE POST OFFICE INLAtJD DRIVE 20~-:l5 11'lLMJO ~-------~--- - '1 PROPERTY LEGAL DESCRIPTION -METES aOUND$ , FILBEfn GROVE LOT 56 HLOCK 2 :\ 'TWP RANGE Sf CTION ,;t~ 18 03 28 , d, 1J 'l APPL " , 'l{..1o I NAM.E ~~4t\ ~i'../ & 5000 PRAIRIE ~OAO JUNCTION CITY OREGON TED SOPTELCAN rAx. LOT NO CODE CENSUS TRACT 56 11-183 " EXISTI~G STRUCTURES ON PROPERTY " . ~IONf LEGAL ACCESS TO PROPERTY ,t I h!LAND VIAY PROPERTY SIZE - FT WIDTH DEPTH ARE:A SAME ':1 MAILING ,i ,.' , ADDRESS ,',FOR MOelLE HOME PERMITS ONLY I No of Bedrooms > STRUCTURES TO BE BUILT THIS PERMIT Connect to EXistmg Sewage System n TYPE CONSTRUCTIOI>J 50 FT -1: SDRMS New System l VALUATION "'1/' ",', 'PER1;IT fOR HOBILE IIOME 2 : f', l PERMIT TO INSTALL SE\/AGF DISPOSAL SYSTEM ~I" "11\' ~ , . " \ ;\ " , " FEES PLUMBING INSTALLED BY OWt-lER n OTHER NAME WATER SUPPLY, '1 SEWAGE DISPOSAL , PUBLIC 0 SEPTIC TANK 0 , BUILDING $ , WASTE DISPOSAL I,:PLUMBING PLAN REVIEW ,\/ PARK TRAILER OTHERO lnn nn h,nn PUBLIC 0 o O1HER , ,< " ,n,no .12 LJ3~_.JL__ COUNTY BUILDING ','I "~~ SURCHARGE " j TOTAL , , & SANITATION SPECIFICA TIOI~S MIN SEPTIC TANK CAPACITY WITH DJST BOX GAL /j() DRAIN FiElD REQUIRED lIN FT 1::;0 TRENOl WIDTH FT )[)[Ol<DRSQ FT ~()O I' ". ,(, (, , " 1'\'1, ., ' ,< ,.....JJ' {~/; ~ , " l'---~- ~ TYPE OF STRUCTURE { hlH'1 " , OCCUPANCY I ZONE PUBLIC UTll EA~EMENT ,</s/ J. [, FT FROM CTR or ROAD RIGHT OF WAY ~ 'to SIDE 11'11 ~~ SlOE EXT ~------ - AUTHORIZED SIGNATURE - DATE Boss BY rlARBAUGH REAR USE CLASSIFICATION /1 rll~ ,,', BLOG SET~ACKS I ~ 1.1'- 1 ,FRONT .J DATE SHOOK/SAN!TARIAN 11/5/75 OLM 1 BLOG PERMlT - WHITE 'OFfiCE COPY - WHITE COUNTY TAX - PINK PLUMBING - CANARY"""'" BUILDING - GREEN SANITATION - GOLDENROD H"'j"" L ' rJI~L I Ii ' " " I i\t '),V'-1 ' ' '.' '~ ' "hp,;,l ,Ii' ? ~ ~ \ \r r' t " \'~; 'I! ,I, , , j I 'fr.;\j,I' p"'<I. t' \l ~ ,I ~ 'I'" f" I I Jq)f'r;."J.l ,Ir' I, '" ~ ..,.':'l:'~~!"'.' ~\ir', ,,/,' IMPORTANT Call 687-4065 to schedule all required InspectIons All constl u( hon sholl comply with Uniform Budding Code, DE Q stender(! for subsurface sewage disposal and county regulations covenn plumbing All buildings require 0 certificate of occupancy befol being occupied (See Details on Reverse Side) -, I,' ('" It' '." , ~ J I ~ I I I~ {I ') ~ :rJ I . "ltl~{~I"/ i. ,'I, l ,~ t, (POST THIS PERMIT ON MAIN BLDG AT SITE) LANE COUNTY. D(PT or ENVIRONMENTAL MANAGEMENT COURTHOUSE ANNEX lJr EAST 61h EUGENE OREGot~ 97.cOl "I ,.. . -- ---.---..-.-- 1 , . , SLAB f'LOOR PLUMBING GROUNDWORK ApPROVED / / DISAPPROVED / / DATE INSPECTOR REMARKS ----- ..., -,,-."- G~S PIPING GROUN~/ORK APPROVED / / DISAPPROVEO / / DATE INSPECTOR REMARKS ROUGH PLUMBING ApPROVED / / DISAPPROVED / / DATE INSPECTOR REMARKS ROUGH GAS PIPING ApPROVED / / DISAPPROVED / / DATE INSPECTOR REMARKS FINAL PLUMBING ApPROVED [I..---7~-DISAPPROVED C1 DATE.<:./_/:;1_ll)/{ INSPEC~~_n~o ~ / REMARKS FINAL GAS PIPING ApPROVED / / DISAPPROVED / / DATE INSPECTOR REMARKS CFRTIFICATE OF OCCUP~NCY RfAOY Tn ISSlJf / / NOT RrAOY TO ISSUE / I DATE INSPECTOR REMARK"; v- """'~ .. --- ~ , 1t~~, '" r I. U ~ ... I I t NOTE -""'r. _ NO PERMIT -.L BE ISSUED UNTIL THIS APPLICP /l7 t/;;iffF 75" lN HAS BEEN APPROVED , APPLICATION FOR t=J CONSTRUCTION c:::::::::J MOBILE HOME DZr PLAN REVUW c:::::::::J CHAl;Gr: OF OCCUPANCY c=J .A /'^AYNA~P ,-/or).. Wp.JT (JP,oftD WAy _ OWNER (; eN I; "IF;."'/!. /VIA YNA~ ~ ~lf(YeN do "7'1 Q J .3 Lf 32),;) 7 Name Address City 'np Phone S cJpTI!I-E.Af\/ .!:JU 00 PI<lt-1 ~/~ p.J) J(//'I(J-I.t.'!fI?7 1/1(1 ~ r !-r7S"O Address City' lip Phone I~IJ Name ~TRACTOR Existing Structures on Property /' cen7Tract "," :7 'ro,,,,, ~~" / """~""" _ _/her~h/lA/ / 0-..-1 ,- / Below fo r Of f ice Use On! yX:XXXXXXYYVVVYYVY,:VYVYYV~. vV'n~XXXXXXXXXXXXXXXX1Xxxxx.xx.'O{XXXXX:XXXXXXXXXXXXXXX}Q(XXXXXXAXXXXXXXXX:XXXX m 4 Sq Ft /1 jBedrooms Valuation- . ( ~ ) ~/7n /J j;/J' /tJ ~ .5 II' ,/ / Existing Sewage D1sposal System ~ Publec c::::::J / Community ~ / PLUMBING I Ins talled by Owner c::::::J Other c:::::::::J Name PLUMBING FEES # of Fixtrs Sewage Connection { Twp I J? Range 6.::5 Sec tion -.2 J Tax Lot c ~ 6 ,- ST/1 / Subd'V1s1On_rIt.. 13f-ftl. TC;~O/l/! Lot--"sO Code / I-I'll o S R1G II ACCESS TO PROPERTY (Road Name) Property Location - Address/Directions ;<;oJII~ J AI /.. A/l/JJ /J~/v? SEWAGE DISPOSAL S1te Inspection # or New System Required c::z:J WATER SUPPLY Well Spring Other Name of Community or Pub11c System - FEES Bldg Waste Disp Plumbing j07J-072 L/.., I'J n '1 Wa ter ....J.--- Connect1on , :; Plan Review TOTAL ,3./? (') () , / :::L- CJ CASH / ~ L/ / d... o::;:j-arECB tJr,s}:)pJ,SHED Iftp/YES c:::::::::J NO c::::::J YES ~ Signature of APp~nt ~~intf!Jh"~ Fee Received By a "JtG-1- DateLA ....7-': -7 s-- 3 FACILITY PERMIT Mobile Home 1% Surc'barge Min Septic Tank Capacity 7 STJ Dra1nfield Required - L1neal Feet JSf) Maximum Depth Type of Constructl.on M H Group I Fire Zone Use Class1ficat1on Bldg Setbacks - from Center of Road R1ght of Way Front 4~ Side Int ---.S' S1de Exterwr 40' Rear:J_~_.P() r;- Zone RA -hid P~l!'ING cJ.!;(,T /n-2..Z-?c::' DATE }!TION () DATE,r- /J ~LDING. / /J/ DATE . } -20-7n /ff.:f~M.//<J-7.7 ( . , '-' I D P THENT OF ENVIRONHENTAL ~NAGEHENT ' C55 12 LANE COUNTY INSTALLER PROPO Complete top part of fo,m SEWAGE DISPOSAL SYSTEM RECORD to signature and submIt both c~~,es with applica.ion, PERM IT NO. MH '548~ 7'5 \1 \ INSTALLER'S NAME PROPERTY ADDRE~~ 205l1:i ~5i- 'l'NLANO WAY Baths Basement Water Supply Yes No Publ'cVOther-L,st SHOOK 'lED SOJOIIiI-Et:rJ-...r No. LIvIng Units Bedrooms Septic Tank: Ft. from well Steel D Concrete ~r No. Compartments Inside DImensIons: Ft. Tile Disposal Field' Lenqth WIdth Diameter Depth Distribution Box: Yes ~ No OWNER GMAYN. Other Distribution-Type NAME l'E-O-&Of>-T-EI:E-AN- 1/' '~ 'Aft< D J.{q'-.. weST 8JQ, Of.f) W(\Y Feet from HAILING _,?OOO...J:lRA'IR I E-RoAO WEll Foundation ADDRESS /;../J rrl1- N r; Lot Line () / 0 tJUNC-NON_C I.T.Y_OREGON Front / Side 0 Rear I Length of LInes-Ft. I Trench I Total S9'0 I Ft. Between_IFlller..kIFiller Depth IFiller Below :1l2.7f13. 4. 5. 6, Width2.. Ft. 3 U Lines t7 Tvpe I 2. Above Tde::2-,nJrde h In. 'lot Plan (see instructions): .. I u~~/ ~/ u, Gal. Capacity /000 Jlo..[~ ,......... .i7::2 .' \l II ~___ 1'1 , - {~tJ--I- \ ft'\OB/Lf3- H () fI\ ~ fr ~ f3-- Pr ~ " " "f ~ :; ~ 1~ ~ fE (c IE ~ V f [) -::::--- :!nVl ~/I'071, ~"-..... v oJ -t 1.../ ... -1\ ,1 (0 IIANE COUNTY $1ill\l~NM[NTAL MGMT. "/6 ,I /- <:> \- <( NO~TH 1/\( /,..;+/'( pST " A Oat e /\I (j V f(' - 7 l; S I H!' a t u re J-fLM....0.Iv .A ..n-n::t2f t7.Ah'" CERTIFICATE OF SATISFACTORY COMPLETION , For Sanitarian Use Only: Date' 1/-/0-7.;- In accordance with 1973 Oregon Laws Chapter 835. Section 214 this certIficate IS Issued as eVidence of satIsfactory completion of a subsurface sewage disposal system at the above location. ~Approved: System Installation conforms to current standards c==J Disapproved: Does not conform to current standards Remarks' "" ~/-r JrlctV.-" Sanl~ian s Slgnatur LANE COUNTY STATE OF OREGON DEPARTMENT OF ENVIRONMENTAL QUALITY C55-11