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Home My WebLink AboutADMIN 7/3/2008 1:11:06 PM Permit SUB Sanitary Sewer 15688 r' 'I ,I . . ~ " () LANE COUNTY BUILDING D -., ) OR MOBILE HOME USE PERMIT PERMIT NO BUILDING PERMIT MH D SOS MAILING ADDRESS " PROPERTY OWNER PAUL NOBERT CONTRACTOR SA~lE PROPERTY LOCATION ~ INCLUDE POST OFFICE 2002 HARBOR DRIVE PROPERTY LEGAL DESCRIPTION - METES BOUNDS SPRINGFIELD OREGON MAILING ADDRESS FILBERT GROVE 35 EloCI~ 3 0:/.5.'3 . H F360 LOT CODE CENSUS TRACT TWP RANGE SECTION TAX LOT NO - - 18 3 APPL NAME & EXISTING STRUCTURES ON PROPERTY PAUL NOBERT NONE LEGAL ACCESS TO PROPERTY HARBOR DRIVE PROPERTY SIZE - fT :-SAt1E \ MAILING / ~ADDRESS FOR MOBILE HOME PERMITS ONLY No of Bedrooms STRUCTURES TO BE BUILT THIS PERMIT WIDTH DEPTH ;;;;JL/ !::; ;;) - 7 S- 2~52-75 PHONE 71~7-9365 PHONE AREA PERMIT TO INSTALL SEWAGE DISPOSAL SYSTEM Connect to EXIsting Sewage System D TYPE CONS\RUCTION SQ FT j:: 9DRM5 2 ~ 1\ SEWAGE DISPOSAL PUBLIC Ol(X BUILDING WASTE DISPOSAL PLUMBING PLAN REVIEW PARK TRAilER PLUMBING INSTALLED BY OwNER 0 OTHER NAME WATER SUPPLY OTHERD SEPTIC TANK o $ FEES 100.00 PUBLIC 0 o OTHER IOIA\. $_100.00 COUNTY BUILDING & SANITATION SPECIFICATIONS DRAIN FIELD REQUIRED MIN SEPTIC TANK CAPACITY WITH DIST BOX GAL GOO l'iO TRENCH WIDTH fT 1DEPTH OR SQ FT llN FT TYPE OF STRUCTURE OCCUPANCY lONE PUBLIC Ulll EASEMENT BlDG SETBACKS FRONT 4'1 FT FROM eTR OF ROAD RIGHT OF WAY SIDE INT I) SIDE EXT AUTHORIZED SIGNATURE - DATE /11/0''\ REAR USE CLASSIFICATION C~NTER 14'PUE SijOOK!SANITARIAN 9!~O!75 I New System 0 VALUATION 100 DATE Dtl BlDG PERMIT - WHITE OFFICE COPY - WHITE COUNTY TAX - PINK PLUMBING - CANARY BUILDING - GREEN SANITATION - GOLDENROD Call 687,4065 to schedule all reqUired rnspectlons All construc, lion shall comply WIth Uniform Buddrng Code, DE Q standards for subsurface sewage disposal and county regulations (overing plumbing All buildings require a certificate of occupancy before being occupIed (See Details on Reverse IMPORTANT (POST THIS PERMIT ON MAIN BLDG. AT SITE) LANE COUNTY, DEPT OF ENVIRONMENTAL MANAGEMENT COURTHOUSE ANNEX 135 EAST 6th, EUGENE, OREGON 97401 SIde) - _ - .... .(,- ''''?'''-7~'''' ~ .... ~ ~ FORM ~ (55 13 ~ ::' ---- r F.+- e- x~ -, c: '0 " I'll ^ J . , I 1'1 v_ .' -, t ' ! 00'06 -< , 4S1 I ''; ~ ~-i '6l ~v::: <- o~, i OJ v~ ~ ~~' ~ '5:l~ ~\ . . -- / I ( ~ ~ ~ ~~ ,', J r 7'1 I 'C- , '/ <.J , ( A, I I u,f-, , r-- ~ 5T I I -..\;J~ 1'" Il-I I c= I" 7' (" -l..J I Gr\~ 1! L. ;, I I -; " 10' I <", j -- ~ '--.- J ,~ ,11 ; . ~E:L 7d -'< ~ -1 -1' I J - ,.. . ~2 NO. ~ '/ .5;;;? - 7S-- BUILDING ~lE EVALUATION () BUILDING PERMIT APPLICATION () SITE INSPECTION PLANNING DIVISION Not ~plicable 1. Zoning Ordinance Compliance' Zone~_~( ) 2. Subdivision Ordinance Compl iance' ( ) 3. ReqUired Access ( ) 4. Building Site (Area. Width, Frontage) () 5. Other (see comments) ( ) COMMENTS: T I <b R Q~s /1 SUBDiviSION: LOT: BLOCK: ^ )0 be,---r TAX LOT APPL I CANT DATE r~ m:e; 6. ( ) ( ) ( ) ( ) CK'D BY~ .ff",;<,,!?-?S- Setbacks from ell of road: Front ?" ~ Side Exterior Setbacks from Interior lines: Side .s-- Rear S- PLANNING DIVISION ACTION PENDING: YES( ) NOl } 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 Applicable ( ) ( ) 11. Meets Department of EnVironmental Quality Standards. 12. Other (see comments) COMMENTS: No Yes \) TT ( ) ( ) ( ) ( ) ( ) ( ) CK'D BY: DATE No \) ( ) ~ C<'D '0~ ( -{l ~ 70 DATE TO APPLI CANT: Your BUilding I Site In5pection: ( ) Can be approved. ( ) Cannot be approved at thl5 time as indicated on Item NO. above. Questions and further Information on items 1 through 6 contact the LANE- COUNTY PLANNING DIVISION. Questlon5 and further Information on items 7 through 12 contact the LANE COUNTY BUILDING AND SANITATION DIVISION. ( ) Will be held in this office until you can resolve the problems indicated. ( ) 15 being returned. ( ) Your building permit ap'plica.!.i~."_Je",--,_~bein.q ~~tur:ned under se\,arate cover, DEPARTMENT OF ENVIRONMENTAL MANAG~MtNI 135 Sixth Avenue East Eugene Oregon 97401 PHONE: 687-4065 LANE COUNTY PLANNING DIVISION PHONE: 687-4186 C55-28 y - INSTALLER: . Camp I ete top PROPOS SEWAGE DISPOSAL SYSTEM RECORD part of form to signature and submit both copIes with application. PERM IT NO. INSTALLER'S NAME PROPERTY AOURE~~ 24')2-15 I~.() So toT&1- tAN No~ LIVing UnIts Bedrooms Baths HARBOR DR I VE Basement Water Supply Yes No PublIc ~ Other-List ... :~rSHOOK ~ Septic Tank: Ft. from well Inside Len9th OWNER NAME DimenSions: Width Steel 0 Ft. DIameter Concrete ~ No. Compartment5 Ga I. Capac i ty Tile Disposal Field: ,~ Depth Distribution Box: Yes Y' No Other Distribution-Type /000 MA I LI NG ADDRESS PAUL NOBERT p. o. ~r1 u y.:S SPRINGfiELD OREGON '771/77 Feet from WEll Lot Line 0 Front / Total S.\l. I Ft. Between Ft. .3 u i) Lines I 0 Foundation Length, oj L I nes-Ft. l Trench I 1.~S'2.653. 4. 5. 6. Wldth2. 'lot Pian [see instructions): Side 10 Rear IFllle~ IFi Iler Depth IF" ler Below Typel ~Above Tile ;2-.inJrlle 6 In. HoR1rt > , }~ -\, -'\ lq~ $ ~~ j'l\otJlt-/J. HIJ ('/\ IJ.-" puw,&'(l.,,( IT ().. fj- p.- ~!> ~ t1 t-I'~~ \ ~J ~<:I '''ID'' ,<> . :, i .I...l.. 'lhi J!<J ~~ ~ v\ . ~EtEn8\ED ~~ .~ , , . ( ~y. :::-,Er2 'l'i975 I)\i\l~ COUNTY C\"lVIR9tlMt;.NTAL MGMT. ~~ ,ll~ , ,0 Date H A 1<'5 Q {-l.. SIDOr 2.:';r-'7{" 1~):ler. v \A.}v (J P l- 1 " /) If< I V F.. ~,~ SI,Qnature ?-LP~hrtR CERTIFICATE OF SATISFACTORY COMPLETION 'i..I ~ - )~ ~ \ '7 l 20 - /~ ~ " \1 For Sanitarian Use Only: In accordance with 1973 Oregon Laws Chapter 835. Section 214 thiS certificate as eVIdence of satisfactory completion of a subsurface sewage disposal system location. ~ Approved; System Installation conforms to current standards c==J Disapproved: Does not conform to current standards Remarks: ,. .A'/ JV7;r/'yP""...... , , Date: 1-.),4-7J IS issued at the above C55-11 ~ {YI q' /UA"-- Sa~arlanls Slgnat~ LANE COUNTY (/ , STATE OF OREGON OEPARTMENT OF ENVIRONMENTAL QUALITY IJ !fOTE NO PERMIT LL BE ISSUED UNTIL THIS APPLIc. ;:2,tJ 5), -7 S '" PERMIT ~ IN HAS BEEN APPROVED APPLICATION FOR CONSTRUCTION c====J MOBILE HOME ~ P~ ;/~n.W TI 3 CHANGe OF OCCUPANCY c:::=J /,- )V[)b~/? ri !:;j1,~#d~ "7?77')/1(7t?3t:.<;- Address tI ttlty Zip. 'Phone ~PAuL Name c====J CONTRACTOR Name Address City Zip Phone o S ReG 1/ Code~censu6 Tract 17-/ ~ Twp Range Section Tax Lot >?"( /J 15 SubdiViS1On:;r~.!.Le-J ~J)~ Lot '3 .; Block '3 ACCESS TO PROPERTY (Road Name) ;).{t!!/Ih.. vi ~ Ex~st1ng Structures on Property 11/0/1/1 J..:: Property Acreage Wid thM..Depth 2;2 ( Property LocatlOn - Address/Directions :J r) ("") ":2 )f ~//-rh ~--<. ~- -'-- (' . Bela:, jo r Of f ic e Us e Onl yXXXXXXXXXXXXXXXXXXXX,rvv" YYYXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXAXXXXXXXXXXXXXXXXx:xxxxxxxx:xn ~AJda-.t/ .::s-.n_ 'S Sq Ft ~ ir..rys Valuation I ./ Spring .AJ~ , Existing Sewage Disposal System Public c=J Other Commun1ty ~ c:=J or New System Required ~ SEWAGE DISPOSAL Site Inspection # WATER SUPPLY Well O/}/LI'/:;'-v FEES Name of COl"lIllunity or Public System ~ -~--- -7f' i Bldg Waste Disp Plumbing Plan Rev1ew PLUMBING Installed by Owner c=J Other c====J Name I (M6D PLUMBING FEES II of Fixtures Sewage Connection Water Connection Mobile Home 1% Surcharge C] CASH / 00-00 ~ ~HED FACILITY PERMIT L..k::t 'YeS c:=J NO ~~ ~ Signature of AP~;,,!?,AA"~? ~~ Fee Received By ~IAA. r Date.t -";;) 7-1.s- TOTAL Min Septic Tank Capacity q l)\) Drainfield Required - Lineal Feet 1<..\'"0 Maximum Depth _ 1 Type of Construction GrOll) Fire Zone Use Class1fication Bldg Setbacks - Front Y? from Center of Road R1ght of Way ~ ,</' P cu;- Side Int ~ S1de Exterior ______ Rear Zone QA-A&-- C55 12 x_ -:;-7.r '"'~~ 1"., t:/:TE,//) BUILDING , LANE COUNTY DE~jl'MENT OF ENVIRONMENTAL MANAGEMENT DATE PIANN~