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HomeMy WebLinkAboutPermit Septic Tank 1975-9-23 ,.,../ .. /. "',' J " '.' , "'., ,'~ "h//iZ''J:8'D (!~\(!.~..,. ", 1 Il\'. ('l." ' r , ,,~~;~: ~"~ &ANE COUNTY' .. BUILDING Q:X ',",".:J'~:'-~'" '. '~";'''i.;'''''','''~~''.,~.rp'' ,,""-r~""-:r'-!-',"o;';'1"'~~~.-l'_J~"".'-"'~""_ ._'''1''"'-," ,..-_'rtl'r'~'-"'>;"'-""~=.,...,c"">?"_ ~. ',h.-...... _ ....-~-~." ... '"..~. .." '....' ,',' , ,'" .'...',. '" "'''' ';?5I." WOO ..".."7...5;;:>1;.;'." . . ',o " .:,'. ,\ ", - "\; ~ , .: ' .. PROPERTY'OWNER BUILDING PERMIT OR MH D .....~ MAILING ADDRESS MOBILE HOME USE PERMIT PERMIT NO, 2504-75 PHONE ~tk"._ ~!?I'.......~ dp1/', . MR AND MRS CHARLES CONT~ACTOR T HATTON .. 6Q16'SOUTH EAST MATINS MAILING ADDRESS PORTLAND ORE'GON PHONE SAME ')f, PROPERTY LOCATlON,,-.INCLUDEPOST OFFICE . , SOUTH OF' $PR I NGF I EL 0 OREGON I N LANE COUNTY ON THE WI LLAMETn RI VER PROPERTY lEGALT-DESCRIP.TJON - METES, BOUNDS f 1 LBERT GROVE' TWP RANGE LOT' 1 BLOCK SECTION TAX LOT NO. CODE CENSUS TRACT 18 'I 2.1.'1 100 APPL NAME & MAILING HATTON EXISTING STRUCTURES ON PROPERTY NONE SAME LEGAL ACCESS TO PROPERTY It.J.lPf3 .c'ffARflOR'OR I V~. PROPERTY SIZE ..!.-'FT. ADDRESS .wIDTH . DEPTH AREA .FOR MOBILE HOME PERMITS ONLY No. of Bedrooms STRUCTURES TO BE BUILT THIS PERMIT Connect to'" Existing Sewage System 0 TYPE CONSTRUCTION SQ. FT. ::= BDRMS New System D VALUATION ,,'" PERM I T FOR SEWAGE 01 SPOSAl SYSTEM q .. " FEES PLUMBING INSTALLED BY OWNER 0' OTHER: NAME WATER SUPPLY SEWAGE DISPOSAL NE\~ PUBLIC hEx 1ST SEPTic TANK 0 BUILDING <l: WASTE DISPOSAL PLUMBING. IPlAN REVIEW PARK TRAILER OTHERD 100,00 PUBLIC D' o OTHER . .TOTAl $ 100 00 COUNTY BUILDING & 1tGTE: No Person Shall Erec! or Conolrucl A BlIilding, or Struciure, or Park A MClbUe Home, Without Fi.st ' Ohtatning The Necessary L~. . O:.w:tlir 'Pezmils. . SAN ITA nON '.SPECIFICA TIONS ,.- MIN. SEPTIC TANK <;:APACITY WITH DIST. BOX, GAl. 900 DRAIN FIELD REQUIRED. UN, FT 1'i0 TRENCH WIDTH FT. 1DEP'TH OR SQ. FT. 1.00 '. , J ,- .' ...~ TYPE OF STRUCTURE OCCUPANCY ZONE PUBLIC UTIl. EASEMENT BLDG. SETBACKS __ FT. FROM CTR. OF ROAD RIGHT OF WAY FRONT l(SMA I N SIDE INT, r N SIDE EXl. ,0 GARAGE AUTHORIZED SIGNATURE - DATE /s/ J. Eo Boss USE CLASSIFICATION REAR 7' " . DATE JOHN SHOOK/SANl TAR I At/' .' 9/2?.h'iF OLM BLDG. PERMIT - WHITE OFFICE COpy - WHITE COUNTY TAX - PINK . PLUMBING.7 CANARY BUll6iNG - GREEN SANiTATION - GOLDENROD Call 687..4065 to schedule all requireclinspections, 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) \ (POST THIS PERMIT ON M~JNBLDG. AT SITE) " LANE COUNT)', DEPT, OF. ENVIRONMENTAL'MANAGEMENT "CQ.lJRTHOUSE .~,N~EX, P~,EAST 6th, _EUG~NE, OREGON.97401- '::.... ,'~.'~' ..:,.~.... ,.- ,.;..:;'."~..,..". .;~;'~-'..~",..- . .;. ...- "~' ',. - :.'....;...:' j. .~..... .' <1 : ,~"FOR.M' ':;='C55.\;~13'..._.,,, _ .7.-::1;"."" ~'_ {',~ ..~~-.....'~ -, " -- ~ 'vor- ' .'f"\,). .---~------'...............- ....---.- . - _.~. , , -, ......--",.. " '\ _po ~-__-...~.......... J ,- "Jl'S. ....;-.. , . " . '. 't. , ~> BUILDIN~ ~ITE EVALUATION ( ) ( ) 'BUI LD (NG PERMIT APPLICATION NO. ..-?-.s""~ V' -"7 ~ SITE INSPECTION T -R SUBDIVISION: LOT: APPLI CANT DATE PLANNING DIVISION Not Appl icable I. Zoning Ordinance Compl iance: Zone~-.AlII( ) 6. 2. Subd i vis ion Ord i nance Comp I i ance ( ) 3. Required Access ( ) 4. Building Site (Area, Width, Frontage) () () 5. Other (see comments) () (k) ) , IfJ/?? COMMENTS: ~,v'.vrr- BUILDING INSPECTION DIVISION PLANNING DIVISION ACTION PENDING: YESt } NOt } APPLICATION# 7. Plans Submitted 8. Soil Stability (footings) 9. Flood Plain 10. Other (see comments) Not Appl icable ( ) ( ) ( ) ( ) COMMENTS: WATER POLUTION CONTROL Not Applicable ( ) ( ) II. Meets Department of Environmental Quality Standards. 12. Other (see comments) COMMENTS: No Yes "\)TI ( ) ( ) ( ) ( ) ( ) ( ) No TS "\) ( ) ( ) S TAX LOT BLOCK: fI71~ CK'D BY:~ :7- ?-;:>r Setbacks 'from cll of road: Front Side Exterior Setbacks from interior lines: Side Rear CK'D BY: DATE r '_ -"" CK'D BY: ,~, q-~z~~ l DATE TO APPL I CANT: Your/Building I Site Inspection: (/) 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 building permit af'plication fee iSl:>ein.q return~d-!ill.9J!r seoa'rate cover. DEPARTMENT OF ENV I RONMt:NT AL MANAGEMt:NI 135 Sixth Avenue East Eugene Oregon 97401 PHONE: 687-4065 LANE COUNTY PLANNING DIVISION PHONE: 687-4186 ~6 cYV1/ ~ C55-28 . , '.~\.' , , -, ~ ~ OJ . ...... , .! .. " : ): ,- .,"1,.. ..' ....j h I \ , ,. 1'(' . . ../". .,-1 ... ~. , . .....,. .."':...... :, " " \ ",~. '\., l."~, .... ~-.> . '" ". , ., " , '. :'.~, ~':~,.. - ~. \ " -".. .; i. ].J'-J_ "',1- : '~~ '"". .. -'~.. ",.'j ! '. , I -.;d.. \.. JI '. : j , .i .;.....:..:). '., , " -.:..- i , .' {, ,I ,\ " ". r :I ): ,\: /' " . .'" ;' ".', 1..' , ~. '.~' 'j I' :".' --.' .,,1 -' " .' '. " " ',". . " .~if .I . ~ \ ,;'..\ . ~ '. ~.... '\ ,". _1 : ~ t' . . \2~ .' 1'.... I' '":..'i- ., , ....,- ,~., '\. ;.~ 1.:. I , ,. -', .......1... .' , .' ....... . " ", v , " , , I. -.:, :.. .. :, '" , , ~ ~\ '. ~ , " x ,- ." ~t '. .," (: , , ,. , \.'. '. 'X ~~7>~: '~'l"'. .." . I NSTAL~ER: ;',:,Compl.ete top '.',,:PRtt~D'SEWAGE DISPOSAL SYSTEMREC~ ,;1 .':~",:'..'. part 'ofform"to ,s j'gnature,:and sub;"i t .bo'i:h. copi eswith app U:'cat ion: .' :: , PERMIT NO. ." . 250li-'i'5 INSTALLER'S' NA~E. . \. "PROP.ERTY .ADY~ESS. .... ,',~r.r:;' "j7,., C /J-;''''L) ,~"" , .',HARBOR' DR] VE -.J f:/r l:A./ 'CJ J N . CJ"'-./ C- :' ,,' "C '. No.L[vi.ng'Units., .Bedrooms' B~ths.: Bas,em~ . . '.' ~ '.' 2-, l "' Yes C No} SepHc~Tank" ":<, " , , :Ft:; hom we\l" :,,'. S,teel'D . '. Inside D i mens i Oris : ,Ft. . lenSthQ6" 'Width~D" Diameter OWNER , ." , ' .' NAME., CHARLES HATTON ,c'.' ,i'. " ."SHOOK Water Supply .: ",pLibl ic '.'Other-List ,j . . . . ~ c~~cr.:t:,~ No: Comp",rtmen~s" Ga 1; , Capaci ty ." 'Tile'Disposal'Field: 'DePth~1 'Distribution Box:' Yes ,. "" Other D.i~tribution-Type -.... . I aoO c;rd No.,. · '. HAiliNG ADDRESS 6916 SOUTH'EAST';MAT ]'~S Feet.' from'" , WEll AJi..::W,U'p lot Li rie' " :: Front ,.'. I F~. Betweo/'. . 1I nes /1)... ". FOUlidat i 0;; '. . ..'-. .,. - . -:"~ . . '- . -' - ~ <'". '.' POR,TLAND"OREGO'N ,... .le'!llJth~f Lires-Ft. 'lTren~h'~ Total'Sq. 1.50'2;'JU3~4::5. '6~ Widt~1 Ft.~ 'I otPfan (see i I1structi ons,I,: . . ~ 'STde ". Rear IFi lle~""IFi ller Depth '.IFil.ler .' TVDelhJ . Above' Ti Ie 'inJri Ie /MuA/f) Below _' in. .- . '- -::.~- .J:' ';;". ". ~ ",-, . --"'. ~. .. " ';. . ., j/ ~"-~;~:: , I~r'/ J~' :~ -"~7p1. " , '-,' "." .' ..'~ ..;"-c~( ,.9/ :...' ';"';'1 'r~' ~~]~j":~,; '. ,,' ',' , 'n~ . , :. ':--' ,". ,AILS.~~.{,' " '. S evr 1<"- I ',' ':r. , " :" , " .'- - , ,- .'.. "~ .,- . . , ,. . '. +. . ....'.J. 'I, , ri' Q' t/J>r';' '1 'O~' Date' /-I:',}?-7(o' .'.'u"" ' Si9!lature...L(l(l"!1/."a ~ I eYl.MtPQ,~'?A' , ' . "" ," CERTIFIC~ATEOF SATISF~QRY>CO.M.PlETI01'(' . .:.'.;.,.., " .~'. ,~~ ",3' 7'/ For Sanitarian l!se Only: o. ': ...... ,.,'c., . . " ,: '0, ,e: 7,.-/.:"'" In acco'rdancewith '973 Oregon laws Chapter ,835. tt i'on 214 th is'; ce.r.t.i f i.cate ',s issued ' as evidence of s,atis,fac'tory<;:ompl eti on of .a subs face: sewa,ge di spo~a I.syst!"m at the: abov.e' , . location. ".' . CSO A~proved:System 'Installati?n ,conforms to cu'rrentstandards d DIsapproved:' Does, not..,tonform to.,current standards ~emarks: . ...., " . ^.:,. " ,'". i... "" ',STATE'DF O'REGON DEPARTMENT' OF 4* 'sa.nJt~r ia'n s~n~ure lANE'COUNT~ VI.: u . ENVI~ONMENTAC'QUAiITY.' '. . . ~ J- - . C55-1l f , '. :;Js;?J'Cf-7.5J, I;",", is . . II 1_- , , . PERMIT "u;>C I I ./~ APPLIcATION HAS BEEN APPROVED . . NOTE: NO PERMIT WILL BE ISSUED UNTIL THIS '/. APPLICATION FOR: CONSTRUCTIO~ - ~ MOBILE l-iOME I XX " I PLAN REVIEW i.". CJ C}~~GE'OF OCCUPANCY .c:J '~WNERMr. f1 " Mrs. Charles ~ame T. Hatton. % Mr. f1 ~ddr(!s_s Mrs. 'Hatton. 6916 SE City ZiP. ,Matins. Portland. .- PhoriOregon 97206 c===J CONTRACTOR Name . Address :' City, , Zip Phone O.S. REG. II 4311 Twp. 1 R Range .1 Section ?, , ~ '~ Tax Lot 1 00 Lot l' Block 1 Code Census Tract 55- Lid) . Subdivision F il bert GY'ov.e Prop~rty Acreage Widt~300 Dep~h 150. ACCESS TO PROPERTY (Road Name) -J.4.::loY"ho.Y' n.;...;"p , Existi~gStru7ttires ~n Property: Property Lqcation - Address/Di~ections: / 0/ South of Sorinqfield. Oreoon. in Lane County/on the '/. .. /' fo r 0 f f ic e Us e On! YXXXXXXXXY'lr~rvvvvXXXXXXXXXXXXXXYYV~TVVVVvxxxxxxxxxxxxxxxxxxYY'n(YYvYxxxxxxxxxxxxx...'OQ{XXXXXXXXXXXXXXXX"' C;;; 'D S Sq. Ft. . , ,"Bi~ms \ Valuation- /\. Y / / Nnn.o Wll1Flrnp}h~ RiVAl'" Below SEWAGE DISPOSAL: Site Inspection # Existing sewag;'Disp~sal' System vV ,..0'" New System Required .-"Public ~7 > , Comm':lnity of- 'Community or 'Public System ./ o WATER SUPPLY: Well Spring . Other Bldg, Waste Disp. Plumbing Plan Review -fjrrS -- PLUMBING: ;:::::::dF::~~;fr Ill, ,j V c::::J Name FEES: Se\;'lage Connection 'W~ter . Connection TO~Al: " '1" " C~C~ m}~ Cz0HECK , PLAN~ FURtrsHED _~> FACILITY PERMIT . , ' \' .' . c::::J YES b ~6 ,DYES [=::J NO " . Signature of AP~licant: '1Y)rur\~~~ Fee Recei~ed By: . /. n} , ~te: ,-;,,"_ -; v-:.r . . ',f I-'IJ .... . ~-.3'-~ - Required - Li~eal Feet / ,1'lC Maximum Depth '---3 Mobile Home 1% ,Surcharge . Min. Septic Tank Capacity' q:OC>\'.7nf~el~ '. Type ot". Co'nstruction Group Fire Zone Use Classification Bldg Setbacks ~ from 'cent.er of ROad;;oght r.r~ - '71 . Front Sn' &J~ Side Int. ,(7 c/ ~IA.~ NN~X.:_DATE: , ----C/~/ 9 - -s - '7 r- o~ Way: Sid'e Exterior l' . - . Rear 7/ ., 'Zone/R~-' /If.# 'LANE COUNTY '. ~~j{~N: DE~)Ji~~NT-OF DATE: C'j-7J2..---zr BUILDING': DATE: CS5-12 ENVIRONMENTAL MANAGEMENT -,~..:~: '.' \.' '--- -'--'" '. .~.~ . " ~.." .' .' .' . (, '. '~'i .\:;'''l '; , , . .' -~'... ,"' ;t;,I'. .,."........ - "of.-. :t; .. :,.... " " , '. \"~- '. " '->./.. , ,~- ( I.' ", '- i ~ < . t~ ':- ~i .:\ <. '- ~ ,. ;,',' 1'.,. .' \" . " " " " .' \ ''r'< , ~'~ , ;:., '. " \ '. " , , :~1 \ ., \ \. ~<o \ .~ ". \ " " \ " '. , t' .' ,: :,' ..., .''t, q )". ;.iI, '. .. .' " " ,. '\l< .,~ ~(): ~; , ~ ._,"'0,' ii ' . ~, ....: \, '< .,1. i '" ,. ~ ;(- i! , , " , jo , .. < , .,' ,- 0) .. " '. , " " ~'... \ \1 .~, "\ '..: (" " \" '.. " , "