The URL can be used to link to this page

Home My WebLink AboutPermit Septic Tank 1976-6-16 ~ - .' . '^~ - ~" ' ~ I \_J LANE COUNTY PERMIT F PERMIT NO MH251-!E CONSTRUCTION [x;l MOBILE HOME [] PLAN REVIEW [] CHANGE OF OCCUPANCY [ jor DOwner , Mat-'orir> NAME Kino 444 '[ t Street ADDRESS . SDrinofield. OreQon 9i47~ CITY ZIP CODE 746-' ll~~ PHONE ,,, o Contractor ~ '" NAME ADDRESS CITY ZIP CODE " PHONE f '\ OS Reg # -~.:.- Twn lA Range 0, Section ?A Tax Lot '1"0 , Code Census Tract , '''1_183 ,.,..~- SubdiVISion Fi 1 h"'r+ f.:"""A ~~~ 'itl Block. "I Acreage ' ." " Width I Access to Property (Road 'Namel I-l"rhnr Ori "A Depth EXisting Structures on Property ?014 I-l"..hnr OriUA " Directions to Property. Address , STRUCTURE [# BEDROOMS) P~rmit t" Tnct,,11 ~n, P~~nit tn n~rk M~ SO FT VALUATION ! (':!\ SEWAGE DISPOSAL prior "PUBLlC [] SEPTIC TANK [] OTHER r, \ - - -- - 'i \ l , PLUMBING INSTALLED BY , OWNER I] OTHFR I I ~I!loMF PROPOSED [ ] EXISTING [] BUILDINr. PLUMBING 3% SURCHARG F MOBILE HOMF WASTE DISPOSAL PLAN REVIEW II nn 19 ":In nn 1nn no WATER SUPPLY f I [ ] !I ] ? I ] / I] ,1 PUBLIC COMMUNITY NAME PRIVATE WELL OTHER SPECIFY TOTAL 1 'Ill 19 CONSTRUCTION PERMITS & INSPECTIONS'AND WATER POLLUTION CONTROL SPECIFICATIONS , MIN SEPTIC TANK CAPACITY I I GALS QOO MIN DRAINFIELD 1<;0 'L1N FT MAX TRENCH DEPTH ,n INCHES nr..inf'i..1li mllct h~ 100 f~..f. f''I''nm ,Pi"~r A,.,."r"inn ton i-h", cllhmi+i-..tf n1nt n1"", th~ mnhil,p hnmA nAntfc:: tn h~ 11\....:tf'~rI ,..1nc/t!lV' +l1 t-ho ,...1J...h m~nQ nn +h~~ n12n 1 r TYPE OF CONSTRUCTION GROUP ,I FIRE ZONE ~'I"I':""!Io +ho. I"'n","'o.",+; nn STA Y 100' FROM ALL WELLS USE CLASSIF SETBACKS FT FROM CTR OF rlW FRONT 40 SIDE EXT FT FROM PROP LINE SIDE INT 5 REAR 150 ZONF RA-NH AUTHORIZED SIGNATURES Isl Gre<:J Gray/sanitarian ISSUANCE DATE J.E. Boss bv Louis Fuller 6-16-76 bv 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 6874061 to schedule all reqUIred septic system Inspections All construction shall comply With the State BUldling Code 0 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) C5513 LANE COUNTY DEPT OF ENVIRONMENTAL MANAGEMENT COURTHOUSE ANNEX 135 EAST 6th EUGENE OREGON 97401 ~/ ~s/ f),SL_T-l/ ~R tJ3s:;;f' TAX LOT Y'~ J'lA IL .,...../ / SUBDIVISION. Nt,.. ~ -7~ LOT: BLOCK: BUILDING SITE EVALUATION ~ BU;LDING PERMIT APPLICATION NO. () SITE INSPECTION APPLI CANT DATE Not Appl icable Zoning Ordinance Compliance: Zone /11'" ( ) Subdivision Ordinance Compliance ~/~ ( ) Requ i red Access ' ( ) Building Site (Area, Width, Frontage) () Other (see comments) ( ) !:h~~ c - U.p ~ A'l, --t A ~ ./.1 I"bf- j/)..J!t...e..r ,~J V ,_ I ~A/ /}1/'J.f,~ <{~f H r PLANNING DIVISION ACTION PENDING: YES NO) PLANNING DIVISION 1. 2. 3. 4. 5. COMMENTS: ~ BUILDING INSPECTION DIVISION Not App I icab 1 e l ) (v1' ~~ 7. Plans Submitted 8. Soil Stabil ity (footings) 9. Flood PlaIn 10. Other (see comments) COMMENTS: WATER POLUTION CONTROL Not Applicable , l ) ( ) 11. Meets Department of Environmental Qual ity Standards. 12. Other (see comments) COMMENTS: CK'D BY: ~, 6 -3-7G 6. Setbacks from c/l of road: Front 'Is'" Slde-E,,~~, : 0r Setbacks from interior lines' Side , ,,- Re!"r /7 /..,-/J /? ~ , 1--r. ~/ /37) f -'r7~ /~ .-r/ /J Vi ~ /,~ APPLI CAT 10N# No Yes T)TI ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) No Yes T)~ ( ) ( ) ( ) ( ) ( ) ( ) CK'D BY:~~.... G.-II-I)/ L-;:;/ .::- DATE No Yes T)~ ( ) ( ) CK'D BY~~ ~ /IJ.-/tj. '1(. DATE TO APPLICANT: Your Building I Site Inspection' ~ ~an be approved. \\.(~l ( ) Cannot be approved at thiS tIme as indicated on item NO. above. { _ Questions and further information on items 1 through 6 contact the LANE- \0' 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 application fee isb.ein.q__~~tur:!),~d under 5eoarate cover. DEPARTMENT OF I::NVIRONMENTAL MAMliEMl::tll 135 Sixth Avenue East Eugene Oregon 97401 PHONE: 687-4065 LANE COUNTY PLANNING DIVISION PHONE: 687-4186 C55-28 ':.5:tJuuJr4~ J~ ~ I - ~ - <:--.1 ~ Ltd- 1-- J ~ - :3 ~//.r .rkon ~ d ~.$J_cd~.~ud-_ RECEIVEJ - ~. . ~L--- .----- '"",, " lA7~ -- ,-,,-,1"(V..r~ e- " "" E~VI\t6~~,~~~t:.iGMT. '~fl - ,., L!q,. . ---- ~ - --- 11 l/~cZ5L7{'__. +Ji ""'r,L~ ~- --~ - ~~.~;;IYIv!. ---- - ---'.(- ;~.- . j. . .--.J ~yhJ------- J~ --.- -------=-^'~ .- -. --~--~-.-__f~~ ~~'! HID) -_ nn~n. ~~Ln- .ff'~=-~~?' ;l .--- ._JIlf!. - ;:-;!-ij;<-=~. " u_ ';:,,:.;---.. -- - -iJ~ ///~C; -rtfl--..J- 1'- 1- -I ,1-1\-0----. -- r .- I --- i_,. AlJ~~-~: "'Ir',"~~",;4--/~--~(!.~ _~)- _ ~ :'I'lt,f'/' ;l fI- P~C1~ L.n'~~ ~'J ~ I Z ~ 'O/u~1I >: . LANE COUNTY PERMIT F< , PERMIT NO r" U'.o1 ) CONSTRUCTION [j\i! MOBILE HOME [] PLAN REVIEW [] CHANGE OF OCCUPANCY [ ] ,0 Owner r~J~{lOIr~C B,. ::',CD NAME , o Contractor NAME OS Reg # Twn 'rt: Range ('1 Section (00 oCJ 8~~~.;:'~ ADDRESS l))",~.~r.y1Q.l'D CITY C:'C~,-r; J';('.i'l' ZtP CODE 71S"nJ./: ~ PHONE ADDRESS CITY ZIP CODE PHONE ?.\ Tax Lot &;'J Code Census Tract 1 ur l' :-: SubdiVISion [J~1:)""'i-;' r&~~;;) '3l;fJ Lot 6'~ Block ZJ Acreagp Width Access to Property (Road Namel t~~If:,~.' n7Q\J- Depth EXisting Structures on Property ;"'-:20 l~ lJ:;'-:.....j' D?~t1~ Directions to Property. Address STRUCTURE (# BEDROOMS) [>" -~\~ b R.':J'l:Q~. r l() .. ... :-, ~0. \~') [' "r?~t [-') I SO FT VALUATION " '~~ SEWAGE DISPOSAL ~:':'~";,, PUBLIC [] SEPTIC TANK [J OTHER [ ] BUILDING PLUMBIN(; 3% SURCHARGE MOBILE HOM" WASTE DISPOSAl PLAN REVIEW !\.,f:~ '!J ",t {'-;,.'"') 1 ')--"1) PLUMBING INSTALLED BY OWNER [] OTHER [] NAMF WATER SUPPLY PROPOSED [ ] EXISTING [] [ ] PUBLIC [ ] COMMUNITY NAME [ ] PRIVATE WELL [ ] OTHER SPECIFY TOTAL ~2r\^ 1f") CONSTRUCTION PERMITS & INSPECTIONS AND WATER POLLUTION CONTROL SPECIFICATIONS MIN SEPTIC TANK CAPACITY GALS '. ": MIN DRAINFIELD E'l I j;-~~.''7~c~J ~:-;n~ (:8 ~~~f) L"'~l ~"'~L.. r .J~~ JO f:::::l-: i:~T. J ~:l r___l ~-~l (; 'l'.'~11 1)1('-;... TYPE OF CONSTRUCTION GROUP " .,- L1N FT MAX TRENCH DEPTH . INCHES ... A: (}~v ;').. ::-"";'-'ri~()- f~) ('-:~ ,.. ~~- .~~~-:.:. J r?~;)~ r~, 1" 1~('I.8.:1''''''''..1 !'~L'" "'7 ~/1 to, -'1 rt ,/).. I i\'~ \:"1 ~f'li\?;v")~)~r"1 STAY 100' FROM ALL WELLS FIRE ZONE USE CLASSIF SETBACKS FT FROM CTR OF rlW FRONT SIDE EXT FT FROM PROP LINE SIDE INT ) REAR ~C't) ~" . ZON" AUTHORIZED SIGNATURES ..~" r-.., ,.,/p_",^ "np^ _ , /s/ lr",-- ''''...)'fJ~.J~\./.J 1J.JJ ISSUANCE DATE C/"o ; ] :,"2 !L::;sin r,.~'~l, '? rCl~: ~:1 SLOG 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 6874061 to schedule all required septic system inspections All construction Shall comply With the State BUldllng Code D E Q standards for subsurface sewage disposal and the State Plumbing Code All bl.llldlngs requIre a certificate of occupancy before being OCCUpied (See Details on Reverse Side) (POST THIS PERMIT ON MAIN BLDG AT SITE) C5513 LANE COUNTY DEPT OF ENVIRONMENTAL MANAGEMENT COURTHOUSE ANNEX 135 EAST 6th EUGENE OREGON 97401 SLAB FLOOR PLUMBING GROUNDWORK ApPROVED / / DISAPPROVED /7 DATE REMARKS GAS PIPING GROUNDWORK ApPROVED / / DISAPPROVED /7 DATE REMARKS ROUGH PLUMB I NG ApPROVED / / DISAPPROVED .Cl DATE REMARKS ROUGH GAS PIPING ApPROVED .Cl 015APPROVED .Cl DATE REMARK 5 FINAL PLUMBING ApPROVEO / V'1~ D'SAPPROVEO / / DATEfl:g.-"J(A REMARKS FINAL GAS PIPING ApPROVED .Cl DISAPPROVED /7 DATE REMARKS CERTIFICATE OF OCCUPANCY READY TO ISSUE /7 NOT READY TO ISSUE / / DATE REMARKS . INSPECTOR INSPECTOR INSPECTOR INSPECTOR I NSP~ .z;;h.,.J INSPECTOR INSPECTOR PROPOSl ~EWAGE DISPOSAL SYSTEM RECORD . INSTALLER' Complete top part of form to signature and submit both copies with application.' PERMIT NO. MH251-76 INSTALLER'S NAME PROPEKIY AOUK~~~ TI3IJ S ()P-rI5/..~A-JV No. LIving Units Bedrooms Baths ?lliA He"hn" [lrJ"i' 'I'''''ln-f",l.-1 n"pgnn q7A77 Basement Water Supply Yes No Public /./" Other-List Septic Tank: Ft. from well Ins ide Lenqth OWNER NAME DImensions: Width Steel 0 Ft. Diameter Concrete UJ' No. Compartments TIle Disposal Field. Olstrlbution Box: Yes ~ Other Distribution-Type ..- Gal. Capacl ty /000 Depth No MarJOrle L. Klnq SDrlnofle'd. Oreoon Len~th of LI nes-Ft. Trench 1 '1523833Z4. 5. 6. Wldthl 'lot Plan (see Instructions): 97477 Total SqD Ft. 30 Feet from WEll Foundat I on Lot LIne Front /0 Side 10 Rear I Ft. Between IFlllerl IFI Jier Depth IFlller Below LInes / 0 Tvpe 1"2.. Above T lIe 2 I n.IT lIe bin. MAILING ADDRESS 444 'B' St. 1 ./!6 I . Md. \ ,y. ~ jc~ ~! ~~ ~ , -.( )..., ~ ?-, i~ fJ!) J' ~ ~ <:l ~~ '\.~, k :;.CJ 1(" 1# ~~ J}' "1 -1J ()P-~ " - -- -- \v' 2'-11'/./'1 1/ ~ tR{EClE~VE[D ~ -y k~l' , II' -\. ~ I~ s: ...... ~ J ~ l~ SIgnature ?l Lt7A-d.yv J,.+;:tQ~AAN CERTIFICATE OF SATISFACTORY COMPLETION I For Sanitarian Use Only: Dat,:n~J"l.L, In accordance With 1973 Oregon Laws Chapter 835. Section 214 this certIficate IS Is$ued as evidence of satisfactory completion of a subsurface sewage disposal system at the above locat ion. ~ Approved: System Installation conforms to current standards c==J Disapproved: Does not conform to current standards Remarks: J I_II,:? _ 197b LANE COUNTY ENVIRONMENTAL MGMT. I I f?j) ~ /, ~<::l \_'" 't J/~ Off I V€, Date,loNe Hltl<p~1< ;1J-I_ .., {:, STATE OF OREGON DEPARTMENT OF Qyw) ~ S,*"I tarl art 1 Signature LA\4E COUNfDI' ENVIRONMENTAL QUALITY C55-11 r~ ,.-.,.. 1 . , LANE COUNTY PERMIT ~ f PERMIT NO. ..:tl,'~l' -:rr;- CONSTRUCTION Ld MOBILE HOME [] PLAN REVIEW [] CHANGE OF OCCUPANCY [ ] DOwner .IJf"'ir ri~ NAME l:1:1<: .. I! t S1.r,,!~""'t ADDRESS Sprfn;;fic,ld. "'r'~~on .7 /1 CITY ZIP CODE 7 .~ PHONE D Contractor NAME ADD R ESS CITY ZIP CODE PHONE 0.5. Reg, # Tw:, , Range ";:} Section 1.:1 Lot -.(".1., . .....J Tax Codp HH1.?rt ':irov{! :~th ~l Subdivision Lot Block Acreagp Census Tract 11-1 , Width Access to Property (Road Name)' ll~r"'or 1'1'1'1' Depth Existing Structures on Property: 203-', i~;t.rt'l;l" L:ri \t~ Directions to Property. Address: STRUCTURE (# BEDROOMS) P':;Y7'H t. in 'i.roll ~(JS hI" H ", !)~ rk 11h SQ, FT, VALUATION (3J SEWAGE DISPOSAL: f,ri,' PUBLIC [] SEPTIC TANK [ OTHER [ BUILDINr, PLUMBING 3% SURCHARG~ MOBILE HOMF WASTE DISPOSAL PLAN REVIEW \: ~ PLUMBING INSTALLED BY: OWNER [J OTHER [J NAM~ WATER SUPPLY: PROPOSED [ ] EXISTING [J [ ] PUBLIC [ J COMMUNITY, NAME: ( ] PRIVATE WELL [ ] OTHER, SPECIFY: .: TOTAL , '.'-- CONSTRUCTION PERMITS & INSPECTIONS AND WATER POLLUTION CONTROL SPECIFICATIONS MIN, SEPTIC TANK CAPACITY: GALS, ' ,j MIN, DRAINFIELD 1 SC L1N, FT, MAX, TRENCH DEPTH ,r_'~'1rlt1c:t 'J5': be 1')'] tt!'i.rt from til/~r'. :1 (or...11l"~~ to tr Uii ';"1 I i~ ;n.)t'lt;- rl~~ds t':> (..~ IOCfrL, ;..1 JS"-j' U: tlH~ Cl.4rt.. j';~l:-~ on tin\- l,J ii.tt,,!,... H INCHES ;i l'~\~ ( ~ ;:.n ~ '1~"'l f)'....(. 1. -~,. ~...-rrr:ct I or TYPE OF CONSTRUCTION GROUP FIRE ZONE STAY 100' FROM ALL WELLS USE CLASSIF, SETBACKS, FT, FROM CTR, OF rrw: FRONT ',' SIDE EXT, FT, FROM PROP, LINE: " SIDE INT, REAR :rr) ':)f .. ZONF AUTHORIZED SIGNATURES: /s/ (. "'JI!~ll'it~d~;' ISSUANCE DATE: " ;,I)S~ 1';1 LC'i1h F~lliElr f.-H-!" 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 Buidllng 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) C55.\3 LANE COUNTY. DEPT, OF ENVIRONMENTAL MANAGEMENT COURTHOUSE ANNEX, 135 EAST 6th, EUGENE, OREGON 97401 " . '. SITE I NSPECT I ON ApPROVED Cl DISAPPROVED Cl DATE INSPECTOR REMARKS FOUNDATION INSPECTION ApPROVED / / DISAPPROVED / / DATE INSPECTOR REMARKS FRAMING INSPECTION ApPROVED / / DISAPPROVED Cl DATE INSPECTOR REMARK 5 LATH OR SHEETROCK INSPECTION ApPROVED L-I DISAPPROVED L-/ DATE INSPECTOR REMARKS FINAL I NSPECT ION ApPROVED Cl DISAPPROVED Cl DATE INSPECTOR REMARKS L,L, /i V 9--4 n:::.. r/ c/-t:,,-/'7 CERTIFICATE OF OCCUPANCY READY TO ISSUE Cl NOT READY TO ISSUE Cl DATE INSPECTOR REMARK 5 11./1. .~\;-1-7b /~ .2{J'J~ '}-t?p~ I. PERMIT ff/J/i-;)~-/-7b LL BE ISSUED UNTIL THIS APPLICh_~ON HAS BEEN APPROVED APPLICATION FOR MOBILE HOME I;XJ PLAN REVIEW c::-J CIIAl'lGr; OF OCCUPANCY c=::::::J Lj.'f-'-f .t3 -.5TLE~T ..sP,eU1qP,eLD 97'-1'7'7 City I Z1p C1tYj Tax Lot 4/ tJ () D Code '~" ^",.'" ~o.3+ NrlK:6cR D'fE: / ........ Below for Office Use OnlYXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX~XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX r:JA--d- 4 4,,;&__ f)I;~ Sq Ft I IfBe:;oms Valuation ~ I I I -~ OWNER .A1 ~ R.fLl /f', ""- Name L r,,.,G-- Address c::-J CONTRACTOR Name Address o S ReG II Twp / $(' Range /;.3 Sec tion :;) y-- SubdivisionS-rAt - Hu3E.er bi!.,)ue. Lot 4/ Block ...3 ACCESS TO PROPERTY (Road Name) rL/ ",,e 80 R. D/CI 0 Eo Exist1ng Structures on Property /1J tJ IrJE Property Location - Address/Directions / SEWAGE DISPOSAL <- Site Inspection Iltl~f"'4,.J Existing S wage Disposal Public WATER S UPPL Y Well Spn.ng - Other FEES PLUMBING Installed by Own .r Bldg U.Jt.J PLUMBING FEES Plumhl.ng .----u c t F1 /.:1- ures 3 % Surcharge Waste Disp /Od.tJD \' Plan Revl.ew Mobile Home 3~ "D c:::] CASH TOTAL / 3 l/, /..L.- ~K .. c:J or New System Requlred c:J 7'f-h --+..;.r., (. Phone lip Phone Census Tract \ (-1 'E"') W1dth ~" Depth Name of Communl.ty or Public System ~. / I Other c::-J Name Sewage Connection - &, Water ConnectJ.on -c-) -< . PLANS FURNISHED FACILITY PERMIT tP?or ~ES c:J NO ~ YES c:J NO SJ.gnature of ApplJ.cant/ "7?; d.A.t-.~/ ~_t7 Fee ReceJ.ved By (7 ~A___ __ VI Date -t!. /7f'y?~ ~. I' / MJ.n Septic Tank capacity~~ DraJ.ufield R~uJ.red - LJ.neal Feet I ro Maximum Depth 7{1\ {M&........rII!t?IJ~ ::..t'1~..t..L- Ifr,-.' /~ ))~...4.L:' ~~*-.-;;t-1.(', ./'....J~ M,Jf'- I~A""-t ':1'E..~ V.M~ ,1.M..~ "',I 'ail<>\._ C!* .LiL .L.~;r~ ~ J10dl ~J'-'" S ~J ('--uA .h-; ",:<<'L. ::d..1i-J l3"l-VrJlJ~ '\~.......ILL" "'" _ ~^- f' IJ---'... Type of Construction Group Fire Zone Use Classification Bldg Setbacks - from Center of Road RJ.ght of Way Front U e:.- I .,,- SJ.de~ Rear J s-CJ Zone /( A -1/1 /1- Si~ DATE SANITA}JON ~~....€"~J COUN;Y -;;EP~R;lEQ~F DATE BUI-r.DING "' /f/ (.. -'1-7(,.( -'~:"'__&A"vGl - . -/ r .. - - ENVIRONMENTAL MANAGEMENT DATE rc-//- ?C PLANNING -----t 1.~ . ~/ C5512 G -3-;(. ..----- LANE