HomeMy WebLinkAboutPermit Plumbing 1980-10-16
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VICINITY MAP
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Installp,
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License No.
[Title as shown 0f1 DEQ license)
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Bonding Company
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Applica {'s Name & Address
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. . . MUST BE IN BLACK INK
Permit No.iL!~~ -'lio Twnshp. /? Range ..fl :<
Standard System;8!: Alternative.system.l"i=ISpecify-Ty.pel ." S.,
Job Location (Street Address)' ~~'2 4h?.A ,I ,<:-.;,
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Subdivision/Partition # ~ -~ :jj>- '7'7 Parcel
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form c55-11
Tax Lot /.:l..O~
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/' Lot
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DETAIL SYSTEM PLOT PLAN AS CONS..aUCTED
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USE BLACK INK ONLY
FOR INSTALLER'S USE:, Trench Depth 30 ,~~'S Gravel Depth Below Tilp E?-- rz. ;." ~~'!i
Tank Capacity InOD r,,,, I Manufacturp" fVOOM 5".,.0 <i... C..2M' (
Measured Distance from Well to Tank~ OrL-t. From Drainfiel" . rotal Length of Line' 300 lr. t-
COMPLETE THE FOLL~G IF A PUMP WAS USED ON THIS INSTALLATION:
I (installer's namel/' , certify. that;liMfg! (Model No.)~ Pump
and Mercurv ~~witCh~fJl. e(1 NO..I / '/ . have been installed with this sewage installation.
Signatur#. !Jl.::lCf6~ t !-;d._A f Datp' /0- i b- ~U
FOR ~ITARIAN'gUSE O!;l~Y~I. ~System Appmved jJ System Disapproved 0 Needs Correction
COMMENTS: _I ~1{~'~ 1JJp~ lMJVlcI-diJ,().}fA~r'/-
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. . I] Syste~ <;Qrrected
gal./day Signature-K~A, 111, IAJWd1J?I'1l\rt!
System Capacity
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INSTALLATION RECORD & CERTIFICATE OF SATISFACTORY COMPLETION When signed by the County Sanitarian, this certificate)s
evidence as,per GAS 454.665 'of satisfactory completion of a subsurface sewage disposal system at the above location,_ ~-'"
Return this form to: Water Pollution Control Div., Dept. of Enivronmental Management, located [n the basement of the
Public Service Building, 125 E. 8th Avenue, Eugene 97401.
JOB ADDRESS: 271)2 !'1.']~::at s..fd. Ozoogou
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POST THIS PERMIT ON MAIN BUILDING AT SITE
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CONSTRUCTION PERMIT #
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TRS, TL:
17-03-23 !J 1:>.02
Subdivision:
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This permit for the referenced property is hereby 1i1.....~....!. Setbacks and other co.ndi.tions of approval must be strictly observed. Violation can.
result in revocation of this permit, citation under provisions of Lane. County's Infraction Ordinance, and/or other remedies allowed by law.
1630 lloutl:l "A" Spfd. erC;:"-:r3 ,. [1(C
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Total Construction Value:~ j.19~(jJ
Applicant/ Address: Jat".n ,~cah:r%1:.
Owner/Address: =e
Contractor/ Address:=e
Contractor's OS # In6
Telephone: 746-<':-42')
Telephone: 0=
Telephone: D!JU.a
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Construction approved by this permit:
Install/. :;00 rot" fut13reJ ",...ir,~_) ~. <:J ,-n<! r<>....H"'TltJal garn~ ~ Us:? fJt;! :::'!:l
lll:rW::tu~Cfl now 00 vro;::crt,: w:i:.3
Type of Construction::i-tl Group: .- :;'1 Fire Zone: --3' U;e Classification: Gllrtl3C
Instructions: flf..t_ fCM:ldact~n e1eV'41:~t')""f-t.1!?~~'Tcqti1red. See aC:tac1U!lt-fiood v:tm.n
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For plans information call 687-3767 betweeh 8:00 a.m. and 9:00{m., Jia l.arah
For inspections (see back of this permit) call.687.4065 between 8:00 a,m. af.1d 5:00 p.m.
-/ .. ... , . .
Directions to Site: .~ayden Br1.d:?;c to N. Ml:h. to arav~ drive. he;o-'; 212:< ;':alroellt.: (14l:B) oa lul&.
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Water Supply:
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PLANNING DIVISION
WATER POLLUTION
CONTROL DIVISION
Setbacks
Interior property lin.es
edge of road right.of.way
Building foundation.
Wells, other water sources
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CONSTRUCTION
PE RMITS/I NSPECTION
DIVISION
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Date Issued:
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# Bedrooms: L11
# Plumbing Fixtures:
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# Employees: n.a
Zoning: Aet Partitioning' # "..:.:,2/.;...7; Parcel #
Minimum required structural setbacks, from: centerline.of road, front:
side exterior: fl;3 ; interio.r property lines: ~p ;rear. property line:
Special Instructions: Pt;\rt1t:iou ~C~:>-" = c2 7'<;.. .
1 Parcel Size: 3/4 acre
4:;'centerline of road,
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For information call 687-439~,
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Site Inspection # 730-137. Installation specifications10,}J gal. min. septic tank capacity;
Jill) lineal feet of drainfield' required; max. depth of trenches: ;1~30 im:hw
Special Instructions: ~..G;,ill W ~ d1Dttit:ll~t1O!l loop llySte:3 as &t'.l~ 02.t;;nchcd ?lot
\ S.i'~'fi-;.l oU",,",.cd Gl:'A .mted t!arch S. 1980. Tho I1w!e draf..nf1oltl
; ~::;:: U:l c~:I.m;.cl17 lave!. Roaazvc rel'ln=<mt aJ:an aG G~..
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Septic T.ank_ Drainfield
10' . 10'
10' 10'
'5'----10'
50' 100'
For informatic>n call
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G:'''".:!!}:i'.between 8:00 . 9:00 a.fT1.,_ --ltaI::M.. Ulodm.-l>o1.d.
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By:
DEPARTMENT OF ENVIRONMENTAL MANAGEMENT
COURTHOUSE I PUBLIC SERViCE BUILDING
. 125 .~~~! ,~1l1A'L~Y~SU~ENE~OBEGON.97A0;1iia, _U__"~ ,,' .",_ ... ...,.
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FLOOD PLAIN MANAGEMENT
Department of Environmental Management
, I 125 East 8th Avenue
Eugene, Oregon
687-4357
TO:
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PERM]T PROCESSING
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PLANNING :
PERMIT NUMBER
PARTITION NUMBER
4 ()"5 -(,go
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PUBLIC WORKS
SUBDIVISION
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OTHER
APPLICANT'S NAME . ) A- C k iy;'. p ).!;t;""R Tt-
SITE ADDRESS Z. 7 4 /_ J).A R 1/ E C; T A V {'
PERl'1IT VALUE IS SUBSTANTIAL IMPROVEMENT. YES y"NO
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SITE IN FLOOD HAZARD AREA YES V NO C:c\,\ .
SITE ~OCATION\IS WITHIN A FLOOD HAZARD APPROXlMATE~~tl~Y AREA, EXTRA
PRECAUTIONS MAY BE APPROPRIATE TO ASSURE THAT THE BUILDING SITE WILL
BE REASONABLY:SAFE FROM FLOODING. MOBILE HOME TIE DOWNS REQUIRED.
J~SITE LOCATION IS WITHIN A FLOOD HAZARD DETAIL STUDY AREA.
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. 1. MINIMUM FIRST FLOOR ELEVATION OF 447, 4'7 (M. S. L.) REQUIRED.
2. . t1INIMUM fOUNDATION ELEVATION OF 4--47. .1491 (M.S.L.) REQUIRED.
:3. 'MOBILE,H0ME TIE DOWNS REQUIRED IF GROUND ELEVATION THAT MOBILE
HOME WILL BE PLACED ON IS BELOW THE REQUIRED MINIMUM FIRST
FLOOR ELEVATION.
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SITE LOCATEDIWITHIN A DESIGNATED
PROHIBITED.
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RECOMMENDATIONS:
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FLOOD WAY CHANNEL, BUILDING
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DATE -'-
C74-189
2-zb-80
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