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Home My WebLink AboutPermit Septic Tank 1975-12-15 v ....' ,J LANE COUNTY PERMIT FOP PERMIT NO, I", 5~(:- r5 . ~...'''. CONSTRUCTION [ ] MOBILE HOME [;] PLAN REVIEW [ ] 575 SOUTH A STREET ADDRESS CITY CHANGE OF OCCUPANCY [ ] SP, INGflELOiG 'E. 71' '-I r I ZIP CODE PHONE o Owner _ROBERT LEW I S NAME o Contractor SAME NAME AODRESS CITY ZIP CODE PHONE O,S, Reg, '" NA Twp_18 Range SUb~n.f I LIlERT < Section..!! .2.2 Tax Lot 2600 _ Code_ Census Tract_ 1 - GROVE Lot_ 26 Block 6 Acreage _ Width Access to Property (Road Name): ....A~"OR J}R I VF Depth Existing Structures on Property: _ NON. Directions to Property, Address: ~29 HARBOR DRlvr 5PRINGrJELO OBEQ~N STRUCTURE (", BEDROOMSI P"RM I T Tn I fi..II\..TAlJ. -Srw,uu. OJ.~AL ~Y!;T"1ot P~R~IT Tn P~RK M~ HOM~ SQ, FT, VALUATION 1 BED: SEWAGE DISPOSAL: PUBLIC l ] SEPTIC TANK l BUILDING PLUMB I NG 3% SURCHARGE MOBILE HOME WASTE DISPOSAL PLAN REVIEW OTHER l PLUMBING INSTALLED BY: OWNER {] OTHER [] NAM!i. WATER SUPPLY: PROPOSEO I ] EXISTING [) I ] PUBLIC [ ] COMMUNITY, NAME: [ ) PRIVATE WELL I ] OTHER - SPECIFY: 4,00 .1? ':lO.no 1 n(L ()() TOTAL 1<4.12 CONSTRUCTION PERMITS & INSPECTIONS AND WATER POLLUTION CONTROL SPECIFICATIONS MIN, SEPTIC TANK CAPACITY: lcO ~6n GALS, QOO MIN,ORAINFIELD_ " L1N, FT, MAX, TRENCH DEPTH, ' IOC~T' MH ON LOT ~O THAT ORAlNLINr5 WILL BE LONGER WITH LESS NUMBER or L'NES INCHES Non C('IRf'r"T t.AAI":~ ON TIH" PlOT 131 ."J ~ TYPE OF CONSTRUCTION r..l GROUP FIRE ZONE STAY 100' FROM ALL WELLS ._ USE CLASSIF, SETBACKS - FT, FROM CTR, OF rM: FRONT l1l';' SIDE EXT, IJrn ?'P1IE FT, FROM PROP, LINE: SIDE INT, REAR 7' Pllt='. ZONF ~~- .'-1 AUTHORIZED SIGNATURES: Is/ .1 j:" ~n<:.c._qv ~AHF-tA.IIt:.., r..ru,V/UNJTt. JAN ISSUANCE DATE: I, 11'5..0') 7 01 . BLDG. PERMIT _ WHITE OFFICE COPY - WHITE COUNTY TAX _ PINK PLUMBING - CANARY BUILDING - GREEN SANIT A TlON - GOLDENROD IMPORTANT: Call 687-4065 to schedule all required construction inspections. Call 687-4061 to schedule all required septic system inspections. All construction shall comply with the State Buidling Code, D.E.a. standards lor ~ubsuflace sewage disposal and the Stale Plumbing Code. All buildings require a certificate of occupancy before being occupied. (See Details on Reverse Side) (POST THIS PERMIT ON MAIN BLDG, AT SITE) C55.J 3 LANE COUNTY, DEPT. OF ENVIRONMENTAL MANAGEMENT COUR1HOUSE ANNEX. 135 EAST 6th, EUGENE, OREGON 97401 lJ, _ (:!BUILDING- SITE"EVALUATlDN f< ) () SITE INSPECTION &&/G-5 NO,.I1fj S'12....?~ " BUILDING PERMIT APPLICATION PLANNING DIVISION Not Appl i cabl e 1, Zoning Ordinance Compliance: Zon~-~~( ) 2. Subdivision Ordinance Compliance ( ) 3, Requ i red Access ( ) 4, Building Site (Area, Width, Frontage) () 5. Other (see comments) ( ) COMMENTS: T--1"" _Ro3 SLI-2.Z-TAX LOT' SUBD. .SION: LOT: otC-( D BLOCK: (.,. APPLICANT DATE No Yes () H 6, () ~ ( )-t1 () ~ ( ) ( ) CKI~-_'_7~ Setbacks rom c 1 of road: Front .!1!;;; I C_\. .,,~_. :"t: Setbacks from interior lines: Side &V 7'PUE Rear '71 A..}~ 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 fWD r~ rrpv . ~ l ~ l CK I 0 BY&)g'~ / ~~ 1~7(J' frM No Yes ()lXJ ( ) ( ) CK'D By:A/l~. !cJ-4.?) ,-' ? DATE TO APPL I C~T .~ rf <1~ Yo Building I Site Inspection: ..... \ Can be approved, . JD ( ) Cannot be approved at this time as indicated on item NO, above. I~ ~rf\ Questions and further information on items 1 through 6 contact the ~- ~ 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 buildin,. permit al?e.!.!.E~.!.i2-,,_Jee is beinll~ucn~d....!!nd,r sel'ar"t,l\ c'lll'''' d~PARTMENT OF ENVIRONMENTAL HANAGcMtNI 135 Sixth Avenue East Eugene Oregon 97401 PHONE: 687-4065 LANE COUNTY PLANNING DIVISION PHONE: 687-4186 C55-28 r.-..- .', BUI(DINGo SITE"EVALUATlON () ( ) o 8\J'ILDING PERMIT APPLICATION No..Mh.!-"9 2-75: " ~ SITE INSPECTION PLANNING DIVISION Not Applicable 1, Zoning Ordinance Compliance: Zone~'I'If( ) 2. Subdivision Ordinance Compliance ( ) 3. Requ i red Access ( ) 4. Building Site (Area, Width, Frontage) () 5. Other (see comments) ( ) COMMENTS: ~ T 'A... R 0":' S //, 2 Go TAX LOT SUBD._ .S ION: LOT: ~ BLOCK: APPlI CANT DATE No Yes ()H 6. ( ) J...). ( ) ,("') ( ) (-"'r ( ) ( ) PLANNING"'DIVISION ACTION PENDING: YESl ) NOl ) APPlICATlON# , BUILDING INSPECTION DIVISION Not Appl icable ( ) ( /) ( ) ( ) 7. Plans Submitted 8. Soil Stabil ity (footings) 9. Flood Plain 10. Other (see comments) COMMENTS: No Yes:, / 'JI ()TI~ ( ) ( ) ( ) ( ) ( ) ( ) CK'D-BY: I~ :;..._ Setbiicks from ell of road: Front -Side Exterior Setbacks from interior lines: Side W I Rear -, "-- ~-- I/U CK'D BY: G.. h" ~ (DATE WATER POLUTION CONTROL - TO APPLICANT: <' Your Building I Site Inspection: \ ~ (v) Can be approved. ( ) Cannot be approved at this time as indicated on item NO, above. ,\~ Questions and further information on items I through 6 contact the LANE- , 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 buildinq Rermit a~plica!l~~_fe~~einq,~eturne~er sep~te cover. '.' \i!:::PARTMEtU Of' ENVIRONMENTAL AArlAGEMENf 135 Sixth Avenue East Eugene Oregon 97401 PHONE: 687-4065 LANE COUNTY PLANNING DIVISION PHONE: 687-4186 II, Meets Department of Environmental Quality Standards. 12, Other (see comments) Not Applicable ( ) ( ) COMMENTS: J'H <. ~ ~/i V C55-28 No Yes ()m- ( ) ( ) ~ CK'D BY:""~)& .. 'I DATE v I,. ... " ---- C,Q. ~ ! , . LANE COUNTY PERMIT Fa: PERMIT NO, CONSTRUCTION MOBILE HOME [] PLAN REVIEW [] CHANGE OF OCCUPANCY [ ] o Contractor NAME .. A,'4i NAME .~ Tt \F.IT.";: 'r..l n~.( I ADDRESS CITY "Ii P"-u..f r l \.,' DOwner v;.;~ r .... ZIP CODE PHONE ADDRESS CITY ZIP CODE PHONE O.S. Reg, # Twn I '~ Subdivision " Range Section Tax Lot 2& lC Code Census Tract ,. (0\0 Lot " Bloc~ Acreagp Width Access to Property (Road Name)' II< .FJ _ :VI' Depth Existing Structures on Property: Directions to Property. Address' >' ;. .ton L'~ r ;,Pl l'<:{t, I \ (~(OOh STRUCTURE (# BEDRDOMS) 'c HIT J() ,,'l.~'l"'t.\. ~11WA;1.f ,::;f1'. )....: .Y;;:'TY }[ RN 11' 10 tJAtiifr. Hr.,-:t H ~C>"6 SQ, FT, VALUATION SEWAGE DISPOSAL: PLUMBING INSTALLED BY: PUBLIC [ ] SEPTIC TANK [ OTHER [ OWNER [ J OTHER [ ] NAMF BUILDING WATER SUPPLY: PRDPOSED [ ] PLUMBINr: j' '"-, EXISTING [ ] 3% SURCHARGF , [ ] PUB lIC MOBILE HDM~ ,~(, 'lot'\ [ ] COMMUNITY. NAME: WASTE DISPDSAI fOt..:- ~ II [ ] PRIVATE WELL PLAN REVIEW [ J DTHER. SPECIFY: TOTAL 1 !4. ,. CONSTRUCTION PERMITS & INSPECTIONS AND WATER POLLUTION CONTROL SPECIFICATIONS MIN, SEPTIC TANK CAPACITY: GALS, 'j<XJ MIN, DRAINFIELD '5' lIN, FT, ...CCJff( ~.'i ON LOT '0 ttUl ",,_ ..,~.. HH-:5 WH.L Of l')~ol..r .......nt C>Ji Tri( "\.OT nl_" MAX, TRENCH DEPTH '" It -\ l..r E l,/t.;JltdiC'" tlJ' L' .'H. '1 6' INCH ES NOTf: ((If fn " TYPE OF CONSTRUCTION "i GROUP FIRE ZON~ STAY lOa' FROM ALL WELLS USE CLASSIF, SETBACKS - FT, FROM CTR, OF rfW: FRONT 't'J SIDE EXT, ~ 1 ';'''L FT. FROM PROP. LINE: SIDE INT, REAR i I ''VI ZONF ", AUTHORIZED SIGNATURES: /sl . !J(~,~. ... l' . ISSUANCE DATE: oJ A ~ ". I rAli' ! )1.J .11 t BLDG. PERMIT - WHITE OFFICE COPY - WHITE COUNTY TAX - PINK PLUMBING - CANARY BUilDING - GREEN SANITATION - GOLOENROD IMPORTANT: Call 687.4065 to schedule all required construction inspections. Call 687-4061 to schedule all requIred septic system inspections. All construction shall comply with the State Buidling Code, D.E.Q. standards for subsurface sewage disposal and the State Plumbing Code. All buildIngs require a certificate of occupancy before being occupied. (See Details on Reverse Side) (POST THIS PERMIT ON MAIN BLDG. AT SITE) C5:1.!3 LANE COUNTY, DEPT. OF ENVIRONMENTAL MANAGEMENT COURTHOUSE ANNEX, 135 EAST 6th, EUGENE, OREGON 97401 SITE I NSPECTI ON ApPROVED Cl REMARKS DISAPPROVED Cl DATE FOUNDATION INSPECTION ApPROVED / / DISAPPROVED / REMARKS / DATE FRAMING INSPECTION ApPROVED / / DI SAPPROVEO Cl DATE REMARKS LATH OR SHEETROCK INSPECTION ApPROVED;----Y DISAPPROVED ~/ DATE REMARKS FINAL INSPECTION ApPROVED Cl DISAPPROVED Cl DATE REMARKS CERTIFICATE OF OCCUPANCY READY TO ISSUE Cl NOT READY TO ISSUE ;---? DATE REMARKS . INSPECTOR INSPECTOR INSPECTOR INSPECTOR INSPECTOR INSPECTOR . (' u LANE COUNTY PERMIT FO'" \- PERMIT NO. 1 ~1:,Z'.n . . CONSTRUCTION [] MOBILE HOME [,) PLAN REVIEW [] CHANGE OF OCCUPANCY o Contractor ;;:01:\( RT Lrw III NAME SAMt NAME 575 SOUTH A SUHI ,0 Owner ADDRESS CITY ,;)0.. INCf'II'LD (~r.. ZIP CODE I PHONE ADDRESS CITY ZIP CODE PHONE 2600 t , Code Census Tract , b Acreagp Width Depth O.S. Reg. # NIl Twn Ie.. SUb~n Range 3 Section 11.2,(, Tax Lot r I L\!It n r GRO'IE Lot <,6 Block Access to Property (Road Name): HAJ'IO" D~lvt Existing Structures on Property: NoUl Directions to Property - Address: 2029 HAflllOJl OR1>[ S"R I.Gflnt> Opccoo", STRUCTURE (# BEDROOMSI PeRMIT TO IK3TALL SCWA.t OIS.-oSAL ~YSTtM PtRMIT TO PaRK Me.IL[ riOME SO, FT, VALUATION 'l ~CD: SEWAGE DISPOSAL: PUBLIC (I SEPTIC TANK ( BUILDING PLUMBINr. 3% SURCHARGF. MOB I LE HOM': WASTE DISPOSAl PLAN REVIEW OTHER ( PLUMBING INSTALLED BY: OWNER (I OTHER (I NAM~ WATER SUPPLY: PROPOSED ( I EXISTING [J [ I PUBLIC ( I COMMUNITY, NAME: ( I PRIVATE WELL [ I OTHER, SPECIFY: 4,00 .12 ~o.oo 100,00 TOTAL nil, I? CONSTRUCTION PERMITS & INSPECTIONS AND WATER POLLUTION CONTROL SPECIFICATIONS MIN, SEPTIC TANK CAPACITY: GALS. 900 MIN, DRAINFIELD 1'50 L1N, FT, MAX, TRENCH DEPTH Lot.An loti ON LOT .0 THAT DR.-lflLIN[S I/ILL II! 1.0N~tR WITH L[SS Ntl~tR M.AO[ ON THE PLOT PLAN: j~ O"llNtb INCHES Non Cr.,i,.r .. TYPE OF CONSTRUCTION Mol GROUP FIRE ZON" STAY 100' FROM ALL WELLS USE CLASSIF, SETBACKS, FT. FROM CTR, OF r!W: FRONT 4')' SIDE EXT, illEST "I'UE FT, FROM PROP. LINE: SIDE INT, REAR 7' ..... "..... ZDNF. {A.r ~ AUTHORIZED SIGNATURES: /sl J. E. ao9~ BY IIAPaAU..H G~A'f 1,...1 UR I A,. ISSUANCE DATE: 1<-!IIO'i C.j.~ BLDG. PERMIT - WHITE OFFICE COPY - WHITE COUNTY TAX - PINK PLUMBING - CANARY BUILDING - GREEN SANITATION - GOLDENROD IMPORTANT: Call 687-4065 to schedule all required construction inspections. Call 687-4061 to schedule all required septic system inspections. All construction shall comply with the State Buidling Code, D.E.a. standards lor subsurface sewage disposal and the State Plumbing Code. All buildings require a certificate 01 occupancy before being occupied. (See Details on Reverse Side) (POST THIS PERMIT ON MAIN BLDG. AT SITE) C~~.13 LANE COUNTY. DEPT. OF ENVIRONMENTAL MANAGEMENT COURTHOUSE ANNEX, 135 EAST 6th, EUGENE, OREGON 97401 I 1 SLAB FLOOR PLUMBING GROUNDWORK ApPROVED / / DISAPPROVED ~ DATE INSPECTOR REMARK 5 GAS PIPING GROUNDWORK ApPROVED ;---y DISAPPROVED / / DATE INSPECTOR REMARKS ROUGH PLUMB I NG ApPROVED ~ OISAPPROVED C1 DATE INSPECTOR REMARKS ROUGH GAS PI PI NG ApPROVED ~ DISAPPROVED ~ DATE INSPECTOR REMARKS FINAL PLUMBING ApPROVEO ;;zr D'SAPPROVEO ~ DATE ?'-/2~"~ INSPEC1~i ~A.\ REMARKS FINAL GAS PIPING ApPROVED ~ DISAPPROVEO ~ DATE INSPECTOR REMARKS CERTIFICATE OF OCCUPANCY READY TO ISSUE ~ NOT READY TO ISSUE / / DATE INSPECTOR REMARKS INSTALLER: Complete top PRopr 1 SEWAGE DISPOSAL SYSTEM RECORD ' part of t~.m to signature and submit both c~~ies with applicarlon. . PERMIT No./V\H s9'J-75 INSTALLER'S NAME Nrti!~ng ~nrt~ ~~~!f^:aths ~RU~tKTY AUUKt~~ .p~~ ~asement Yes No Water Supply Pub 1 i c V Other-L1 st Septic Tank: Ft. from well Concrete ffr No. Compartments Ga 1. Capacl ty / Tile Disposal Field: Distribution Box: Yes ~ No Other Distribution-Type kOAERTH I...El-v/S '-- Feet from HAILING .!)7S'SOI.JT/7 A STf?F-F,./ WEll Foundation ADDRESS y')' _ Lot Line U ' sr,,, I/'IGPIfl-tJ,oro; 97'177 Front '7 8 Side /0 Length of Lines-Ft. [TrenCh I Total Sq. I 't. Betwyen IFi ller,). IFI ller Depth 1.'f62.b53. 4. 5. 6. Width2. Ft.3 0 0 Lines / () Type /2. Above Ti Ie 2 'lot Plan (see InstructIons): Inside Le~S'th OWNER NAME Dimensions: Width Steel 0 Ft. Diameter 000 Depth Rear I 0 IFi ller .Below In.!Tile6 in. . t_ ~ ~ \ :~--------- ~ ~ ~'\ I, ~ ..... l~ ,t~ECEiVt:}l ~,,~. / ,-'l:.i,'O'", ;/,',,1 "', ',: l!:i/S Y c U \}~\1/~~~^E COUNTy lj\) f' >1f:NTAL MGMr Date /) Ef'. ::J.;)-7S Si'1flature 51'R,uH'~^" .,,-r"/r.hA~ CERTIFICATE OF SATISFACTORY COMPLETION , ---' For Sanitarian Use Only: , Date: /)...-")..'2--7-S 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: C55-11 SUs~~!'LI~ LANE COUNTY r:; STATE OF OREGON DEPARTMENT OF ENVIRONMENTAL QUALITY , NOTE: NO PERMI1 ,LL BE ISSUED UNTIL THIS APPLIG. n7H SQ:J--7S- ' 'PERMIT iF I .ON HAS BEEN APPROVED . APPLICATION FOR: TUCTION c=J L.1.6 OWNER AIIA!.r Name MOBILE HOME [X] ~'7~,5, /-1 PLAN REVIEW c=J CWU,GE OF OCCUPANCY c===J Address .;ff,e('~.;....;5;; ////(( -6},/ d 0'/7? City / Zip hone '7t/7-J'7~ r/, It't/),6 c===J CONTRACTOR Name Address City Zip Phone O.S, R!;G, n Twp. IE) Range:3. Section I I. '2 2.ax Lot 2- ~ 0'7J Code SUbdi~ h"1)Y,er (]/l..trPL- Lot ..:21.- ACCESS TO PROPERTY (Road Namet::i::i:.. n /\ ~ ^' NpNL. ...Block t:, l>roperty Acreage ~ Census Tract \ ~- \81.0 Width_____.Depth Existing Structures on Property: Property Location - Address/Directions: ~~~ ..I:h",Hu :;,j)~t~/ . ~,en/jj?1 d_ tl1, -- Below...for Office Use OnlvXXXXXXXXXXXXXL-.......'~..-~i.AXXXXXXXXXXXX{OOCXXXXXxxXXXXXXXXXXXX>aqXXXXXxxxxxxxxxx~ _~jO.A / ::i-/JS ~q. Ft. t"~ms) Valuation dr"f ~/3JA n,";:;;r / - / m SEWAGE DISPOSAL: p, Site Inspection n ./11.4/\,.- FEES: PLUMBING: Installed by Owner c=:J or New System Required c::zd- WATER SUPPLY: Well Spring ______ Other Name of Community or Public System Bldg. Waste Dlsp. Plumbing Plan Review Mobile Home 1% Surcharge / o? ,17'7) / 4,r?) PLUMBING FEES: II of Sewage -J____ Connectlon~ Water Connection 7 TOTAL - ~ (l.JLD ) , 1.?/c=:J CASH /.,,>Lj~~ I \ '14'1> : 4-d"-\ /JldA "h/M... /.u-. _ PLANS FURNISHED ZL~ ~CJ NO YE: ~.._ Signature of A~nt~=J -' ~l , _ Fee Received B~~"~ate: /::;-/-7, V R qulred - Lineal Feet IS-D Maximum Depth -S.I#~ .Af] . ~ -=fM";"" /L,,-&V' "7-0.//.1 ~ "f ~ .~, / ~ t"N1"dr?"'ZJ;,;) '?1A'A'/L. Hin. Septic Tank Capacity ""~d7H" ~ -:>_/7.-. I /'9"Y\. :-or ,/ _ I Type of Construction fIl f! Group I Fire Zone Use Classification Bldg Setbactu; - from Cen,t:1..L ~y<<Oa(d ~t of ._w~y: ... _ Front~ SideVYrit~ HLh...".,.._.._o: Rear / I Ptth,ne~ P:!A: C ''4i2.~/-1.S DATE: SANITATION: DATE: IL~U:U:Iff'U DATE: e(1.d~~. 1"J''f.7.J~~/~-</~7.5- DEPAR1MENT & ENVIRONMENTAL kNAGEMENT 05-12 LANE COUNTY