HomeMy WebLinkAboutADMIN 7/3/2008 1:11:12 PM Permit Septic Tank 15692
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LANE C~"'TY
BUILDING\, )
BUILDING PERMIT OR
/y\~ OX);'
MAI({lJll ADDRESS
'75 'OUTH A
i(AILlNG ADDR'~~
fro C nENNIAL
.
MOBIL~ -,OME
/'/H .,
USE PERMIT
PERMIT NO, ~
.~ 7'
-",
P20PERTY OWNER
'" ," .II i,CW"~
CONTRACTOR
I<",,["T MILi, ':lUILDER
PROPERTY LOCATION - INCLUDE POST OffICE
SOUTH 2ND TO HARSOR DRlvr SPRINGr,PLD
PROPERTY lEGAL DESCRIPTION - Mm'l:, '-' "",
rILd[~T G~ovr 5TH AODITleN
SP.INQrt~ .
O"r."
PHONE
('. ,
PHONE
II. ..'
SPR I NQr I r p vRE~1
LOT 1
~~~ H~RBOR DRIVE
EJLOCK b
u.~ Len NO,
','roO
Twe
RANGE
SECTION
CODE
I'
;3
; ~/3~
EXISTING STRUCTURES ON PROPERTY
HARSO," L'II' VE
l{~Al ..(CCES~ TO PROPERTY
Ho~p
CENSUS TRACT
.1< ,
~
APPL.
NAME
&
WILBUR MARCUM
SIZE-I\.
MAILING
ADDRESS
FOR MOBILE HOME PERMITS ONLY
No. of Bedrooms
STRUCTUR~~ -I~ BE ~UILT THIS PERMIT
PERMIT TO INSTALL SEWAGE OlSPOIAL STITEM
W,\~[~
DEPTtj
AREA
Co,nnect to {Jijsting Sewage System 0 New System 0
f(qfft ~~~!:iTRu~-TrO~ SQ. FT. :: BDRMS VALUATION
~IT TO PARK ~BILE HO~E
PR 'Cil
SEWAGE DISPOSAL
PUBLIC 0 SEPTI~ TA~~ n
BUILDING $
WASTE DISPOSAL
PLUMBING
PLAN REVIEW
PARK TRA)LER
2' - SUlleNA !r\E
PLUMBING INSTALLED BY
Q)NNER 0 OTHER, NAME
WATER SUPPLY
r/'\j~ '
,lli).lP,
4.00
FEES
.!!{~fj~ n
o OTHER
TOTAl
- MIN, s(~~k TANK CAPAciTY
,WITH DISl. BOX, Vj\l,--
\-
]0.00
.08
I)4.oe
:9lfNTYBUILDING & SANITATION SPECIFICATlQ('l;
DRAIN FIELD REQUIRED
15(. 30[PT"
pt" FT ..2c~IJjrn "'I~~ fT,
900
pp/SQ, FT,
TYPE d~ STRUCTURE
..
OCCUPANd
I
zoNE
PUBLIC UTIL. EASEMENT
BLDG. SETBACKS FT. FROM CTR. OF ROAD RIGHT OF WAY
_...:;;;l~QAR
FR~_IUIN SIDE IN(,:AST1'PUE SIDE EXl.
AUTHORIZED SIGNATURE - O)dE
1/ J. c:. .....S~ IT HAR9AUl1H
REAR
USE ClASSlFlc'XI\\)N
10' flUE
DATE
SHOOK SANITARIAN
7/15/75
BLDG. PERMIT - WHITE
OFFICE COPY - WHITE
COUNTY TAX - PINK
PLUMBING - CANARY
BUILDING - GREEN
SANITATION - GOLDENROD
Call 687,4065 to schedule all requi,ed inspections. All construe,
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 certificate of occupancy before
being occupied.
(See Details on Reverse Side)
FORM = C55- \3
(POST THIS PERMIT ON MAIN BLDG. AT SITE)
LANE l-~_ _.". I, DEPT. OF ENVIRONMENTAL MANAGEMENT
COURTHOUSE ANNEX. 135 EAST 6th, EUGENE, OREGON 97401
BUILD.lNG sn~ EVALUATION
~~-/C#
NO .ejj! 5 R~ - ?S
. ,
, -"0.
() BUILDING PERMIT APPLICATION
() SITE INSPECTION
PLANNING DIVISION Not
App 1 i cab I e
1. Zonin9 Ordinance Campi iance: ZonerlH1_M H'( )
2. Subd i vis ion 0 rd i nance Comp I i ance ( )
3. Requ i red Access ( )
4. Building Site (Area, Width, Frontage) ()
5. Other (see comments) ( )
COMMENTS:
T t: R Oc2s / I TAX LOT
SUBDIVISION:
LOT: BLOCK:
{V/rA fUll I / R J-h'/!
APPL I CANT
DATE
No Yes
()
() )
( ) ( )
() )
() )
CK'D BY:
Setbacks fram c/l of road:.(,
Front :r"'..: ~~
S'd ., ~
I e Exterior -
Setbacks from interior lines:
Side ~'k.J 7/ E
Rear ,/ ~ ...
6.
PLANNING DIVISION ACTION PENDING: YES\ ) NO\ ) APPLICATION#
BUILDING INSPECTION DIVISION
Not
App 1 icab 1 e
, ( )
~)
( )
)
7. Plans Submitted
B. Soi I Stabi I ity (footings)
9. Flood Plain
10. Other (see comments)
COMMENTS:
WATER POLUTION CONTROL
Not
Appl icable
( )
( )
11. Meets Department of Environmental
Quality Standards.
12. Other (see comments)
COMMENTS:
~)TM!
( ) ( )
() () ~~A~
() () CK'D Byr;:l'h_'---pATr-li/'?,J
No
()
( )
~
CK'D
BY: ~t 7J6!~~
~ DATE
v
TO APPLICANT:
Your Building I Site Inspection:
L ..k-J......Can be approved.
,l:l~-( ') Cannot be approved at this time as indicated on item NO. above.
~Ii .;;~ Questions and further information on items 1 through 6 contact the LANE-
f ~ COUNTY PLANNING DIVISION. Questions 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.
( ) Is being returned.
( ) Your building Rermit ~~plication fee is ~einq ~eturn~p under separate cover
JI;PARTMEln OF tNV I RON MENTAL AANAt,;EMEN'1
135 Sixth Avenue East Eugene Oregon 97401
PHONE: 687-4065
LANE COUNTY PLANNING DIVISION PHONE: 687-4186
C55-28
. .
LANE CC" '''JTY
BUILDING
BUILDING PERMIT
MH '=:IV
MAILING ADDRESS
OR M0BILL
.OME
USE PERMIT
PERMIT NO,
e-----
PP.OPERY'''' l.!lWNER
,,"""ual
PHONE
..
';".~ I ..j
L
~
CONTRACTOR
L
F
MAllI~G ADDRESS
. ~ ,.
PHONE
.
.
.~, I' 0
PROPERTY LOCATION -INCLUDE POST OFFICE
\" I't)}. t R r..
i. I'"
).
PROPERTY LEGAL DESCRIPTION - METES, BOUNDS
.,j': ," ')... i~(. 1
~i...o
TWP
RANGE
SECTION
TAX LOT NO
. ~
CODE
CENSUS TRACT
-
APPL.
NAME
,
~1,' (,rot
EXISTING STRUCTURES ON PROPERTY
I. U; I v{
&
LEGAL ACCESS TO PROPERTY
f( r
MAILING
ADDRESS
FOR MOBILE HOME PERMITS ONLY
No. of Bedrooms
STRUCTURES TO BE BUILT THIS PERMIT
v ., c I T t .. I JAr J. \
PROPERTY SIZE - FT.
WIDTH
DEPTH
AREA
Connect to Existing Sewa~e System C New System q
TYPE CONSTRUCTION s'b, FT. = BDRMS VALUATION
,
A 1.~ I: f ~k.li.1~
SEWAGE DISPOSAL
PUBLIC 0 SEPTIC TANK n OTHERO
BUILDING .
,
WASTE DISPOSAL
'. . .
PLUMBING
PLAN REVIEW ,
PARK TRAILER
, "'i t
FEES
PLUMBING INSTALLED BY
OWNER 0 OTHER: NAME
WATER SUPPLY
PUBLIC 0
o OTHER
TOTAL
$_
MIN. SEPTIC TANK CAPACITY
WITH OIS1. BOX: GAL
,'J:
COUNTY BUILDING & SANITATION SPECIFICATIONS
DRAIN FIELD '~UIRED 11 "!"fc
L1N. FT TRENCH WIDTH FT. OR SQ. FT.
""
TYPE OF STRUCTURE
OCc;UPANCY
.
ZONE
PUBLIC UTIL. EASEMENT
BLDG. SETBACKS
-
.; ,.
FT. FROM CTR. OF ROAD RIGHT OF WAY
A(" 'PL.
SIDE INT. .. SIDE EX1.
AUTHORIZED SIGNATURE - DATE
,. JAI..l~
USE CLASSIFICATION
~,
"
FRONT
REAR
DATE
, .
I,Ch.~
A 4 111"-
I,
BLDG. PERMIT - WHITE
OFFICE COPY - WHITE
COUNTY TAX - PINK
PLUMBING - CANARY
BUILDING - GREEN
SANITATION - GOLDENROD
Call 6B7,4065 to schedule all required inspections, All construc,
tian shall comply with Uniform Building Code, D.E,Q. standards
IMPORTANT: for subsurface sewage disposal and county regulations covering
plumbing. All buildings require 0 certificate of occupancy before
being occupied,
(See Details on Reverse Side)
'-ORM :::: C~S-1)
(POST THIS PERMIT ON MAIN BLDG. AT SITE)
LANE COUNTY, DEPT. OF ENVIRONMENTAL MANAGEMENT
COURTHOUSE ANNEX, 135 EAST 6th, EUGENE, OREGON 97401
.... -...
. .
SITE INSPECTION
ApPROVED Cl
DISAPPROVED Cl DATE
INSPECTOR
REMARKS
FOUNDATION INSPECTION
ApPROVEO /
I DISAPPROVED r----J DATE
INSPECTOR
REMARKS
FRAMING INSPECTION
ApPROVED .cJ OISAPPROVEO Cl DATE
INSPECTOR
REMARKS
LATH OR SHEETROCK INSPECTION
ApPROVEO L::J DI SAPPROVED L-/ DATE
INSPECTOR
REMARKS
FINAL INSPECTION
ApPROVED Cl OISAPP)ROYEg P
REMARKs.-lj,I1,.Uf (jJ ~ ~,
DATE ~
J / - 7 {{fA /
INSPECTOR
CERTIFICATE OF OCCUPANCY
READY TO ISSUE Cl NOT READY TO ISSUE Cl DATE
INSPECTOR
REMARK 5
Hltlr;.?! 11~ JOtJS" ~~
:t> '1 V-J;, .;J;:;~
p. . ~?+t/<.
1
I
. .
LANE CC" ''IlTY
BUILDING _
BUILDING PERMIT OR MOBILl
MH D
MAILING ADDRESS
,OME
USE PERMIT
PERMIT NO.
PROPERTy" OWNER
PHONE
CONTRACTOR
MAIliNG ADDRESS
PHONE
PROPERTY LOCATION - INCLUDE POST OFFICE
PROPERTY LEGAL DESCRIPTION - METES, BOUNDS
TWP
RANGE
SECTION
TAX LOT NO.
CODE
CENSUS TRACT
APPL.
NAME
&
EXISTING STRUCTURES ON PROPERTY
LEGAL ACCESS TO PROPERTY
MAILING
PROPERTY SIZE - FT.
ADDRESS
FOR MOBILE HOME PERMITS ONLY
No. of Bedrooms
STRUCTURES TO BE BUILT THIS PERMIT
WIDTH
DEPTH
AREA
Connect to Existing SewQHe System 0 New System 0
TYPE CONSTRUCTION ~~. FT. ;::: aDRMS VALUATION
SEWAGE DISPOSAL
PUBLIC 0
BUILDING
WASTE DISPOSAL
PLUMBING
PLAN REVIEW
PARK TRAILER
,
FEES
PLUMBING INSTALLED BY
OWNER 0 OTHER; NAME
WATER SUPPLY
SEPTIC TANK 0
OTHERD
PUBLIC 0
o OTHER
TOTAL
I
MIN. SEPTIC TANK CAPACITY
COUNTY BUILDING & SANITATION SPECIFICATIONS
DRAIN fiELD REQUIRED
WITH DIST. BOX: GAl.
UN. fT
TRENCH WIDTH FT.
OR SQ. fT.
,.
TYPE Of STRUCTURE
OCCUPANCY
ZONE
PUBLIC UTll. EASEMENT
BLDG. SETBACKS FT. FROM CTR. OF ROAD RIGHT Of WAY
USE CLASSifiCATION
FRONT
SIDE INT. SIDE EXT.
AUTHORIZED SIGNATURE - DATE
REAR
DATE
BLDG. PERMIT - WHITE
OFfiCE COpy - WHITE
COUNTY TAX - PINK
PLUMBING - CANARY
BUILDING - GREEN
SANITATION - GOLDENROD
Call 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 certificate of occupancy before
being occupied.
(See Details on Reverse Side)
'-ORM == CSS-13
(POST THIS PERMIT ON MAIN BLDG. AT SITE)
LANE COUNTY, DEPT. OF ENVIRONMENTAL MANAGEMENT
COURTHOUSE ANNEX, 135 EAST 6th, EUGENE, OREGON 97401
SLAB FLOOR
PLUMBING GROUNDWORK
ApPROVED / / DISAPPROVED Cl DATE
REMARK 5
GAS PIPING GROUNDWORK
ApPROVED Cl DISAPPROVED r-7 DATE
REMARKS
ROUGH PLUMB I NG
ApPROVED Cl DISAPPROVED Cl DATE
REMARKS
ROUGH GAS PIPING
ApPROVED Cl DISAPPROVED Cl DATE
REMARKS
FINAL PLUMBING
ApPROVED
R
DISAPPROVED Cl
DAT{J-1 u .:J>
I
REMARK 5
FINAL GAS PIPING
ApPROVEO Cl DISAPPROVED / / DATE
REMARKS
CERTIFICATE OF OCCUPANCY
READY TO ISSUE Cl NOT READY TO ISSUE r-7 DATE
REMARKS
INSPECTOR
INSPECTOR
INSPECTOR
INSPECTOR
INSP[CT~
V
INSPECTOR
INSPECTOR
. .
,.
r--- md,(U (Jaa ~ -:l~7-.f71/ tpy}~/) A~~ fJt
NOTE: NO PERMI' ILL BE ISSUED UNTIL THIS APPLIL,,"ION HAS
/1;1-/ 3d'3- 7S-
phkIT if
BEEN APPROVED
~
, <
APPLICATION FOR:
CONSTRUCTION
[8J
MOBILE HOME
[X]
PLAN REVIEW c:::J C!W;GE OF OCCUPANCY c:::J
,.y,emp l>et!.?/... 97-/77 (;,,1.7- f?70
City,/ Zip Ph~
170 t&, 4",1/_'M/aL...::5./Jb/I' '7/". 9<i/6
City {{t/ -- Phone
~ER aJ/~H..e ~.eeLL-u. 5-1S' ~;'a:M ,q
Name / Address
c=J CONTRACTOR /J/UR.T /hu.-- ,1fJ~L/td?L
Name Address
O.S. REG. 1/
1Wp. / ( Range~. sect~/ / ~ Tax Lot f;:z.otJ
Subdivieion ;::;/"b/p./.#~ ~ /~ Block {;
ACCESS TO PROPERTY (Road Name) ~;j)~
Existing Structures on Property: ~,,~
~-5" af'/)
Code
Census Tract
l(j-/t:.<
I
Property Acreage
Width______Depth
Property Location - Address/Directions:
~A.d-,-Iz:, ,~, ,~~~~,t,-.d-
r-- ') /) /") ~ cA-(,oN c.-,h~--f) ",_ I
:Je10W or Office Use OnlvxxxxxxxxxxxxxxXXXXXXXXXXXXXXXXXXXJ\.XXXY:p::XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX1C)c~~
~ ~ IJ... 0 'Sq. Ft. flBedrooms Valuat!on.
'.t;l/tJ, ~../~
, J I -f}./.4 /H2;t-.. J.I ,'(2 E>
n. , L," -- 11 ~ ,. - -~ '
, '. .' ,/-- t/, "/_6 ~...,.; i~ D
r1 __
vVI"/_~.......J.-c'"j ::/~U(/
Spring _
~ Existing Sewage Disposal System c====J
Public c:::8J
Commun i ty [==:J
Other
./
or New System Required ~
of Community or Public System
FEES: PLUMBING:
Installed by Owner c:::J
Bldg.
Waste Disp. / f)(UrV PLUMBING FEES:
Plumbing , ~,(j-O 1/ of Fixtures
\
Plan Review
Mobile Home ~:?D. () ()
1% Surcharge ,nll C] CASH
61.$
TOTAL J~1.d/r ~
Sewage
Connection
:L
Water
Connection ~
PLANS FURNISHED
FACILITY PERMIT
r-7""'O ______ ' ~
LLd-u;S c====J NO ~'YES0. NO
Signature of Ap can / I ..
." .,.d.~ '?~~"_- -'1-7..5:
Min. Septic Tank Capacity
CWo
Drainfield Required - Lineal Feet IE\<:>
Maximum Depth '1
Type of Construction
M/1
Group
J
Fire Zone
Use Classification
Bldg S;~acks - f~om Center of Road tfJ.t of W~~
Front--4J ~, ~Side Int. 7 'll t;;Si:re Exte~~r
Rear IO'PCU;;Zone~-M J-/
CSS-1Z
LANE COUNTY
~~ION'1 ;I;~(l1 DA,TE: ~ I BU!::;;;l"e~ t:/i-1J
D~1MENT OF ENVIRONMENTAL MANAGEMENT I
PIA~
DATE:
?~ 3 .7~