HomeMy WebLinkAboutPermit Septic Tank 1975-9-16
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'BUILDING PERMIT ,OR MOBh;HOME
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MAILING' ADDRESS.,
"20ljll H'ARBOR ,'-n,,"VI'
MAILING ADDRESS
~11"
USE PERMIT
PERMIT ,NO,
24'11-7<;
PHONE
'.
PROPERTY OWNER-
,
, ,
,CLARA HUBS
CONTRACTOR
SPRtNGrl~1 n OR~~nN
PAUL NABE:R'I' ":;'-:' 'P.O'. Box 6Q,
PROPERTY LOCATION - INCLUDE POST OFFICE
2044 HARBOR DR IV!:
PROfERTY LE<?Al DESCRIPTION - METES, BOUNDS
'iTH ADDITION TO FILBERT GROVE'
TWP RANGE SECTION
PHONE
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SPR.' NtH" r r::ot'.,iJ OtH".G()N
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tOT' 4, RloCK'
. TAX LOT NO.-.
COD,E
CENSUS TRACT'
18
,
11
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APPl.
NAME
,&
EXISTING STRUCTURES ON PROPERTY
t',
., ;\
PAUL <!B:" NADER'f
HARBOR DRIVE
LEGAL A~CESS "TO PROPERTY
. NONE
, PROPERTY SIZE - FT.
;'1',,-
..".~
SAME
MAILING
~!', '..,ADDRES?
FOR MOBILE, HOME PERMITS ONLY
~:~. No, of Bed..r..ooms
ST:!"UCT~~ES TO BE ~UILT THIS PERMIT,
WIDTH
DEPTH
AREA
Connect. to Existing Sewage System, 0
TYPE CONSTRUCTION' SQ. FT. ;; BDRMS
New, System D
VALUATION
'PERM l:r .TO INSTALL: SEWAGE o fifPOSALi SYSTEM ;,\
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SEWAGE DISPOSAL
PUBLIC 0
tBU.lLDING
,WASTE DISPOSAL
PLUMBING
PLAN... REVIEW
PARK TRAILER
,
FEES
PLUMBING INSTALLED BY
OVINER 0 OTHER: NAME
WATER SUPPLY.
>'
SEPTIC TANK 0
OTHERD.
'100.00
PUBLIC '.0'
o OTHER
L
TOTAL
L
100.00
COUNTY. BUILDING & SANITATION SPECIFICATIONS
DRAIN FiElD REQUIRED
UN, FT 1-50 TRENCH WIDTH' FT~DEP'tH
OR SQ. F~OO
.'
MIN. SEPTIC TANK CAPACITY
WITH DIST. BOX: GAl. 900
,
KEEP A~LPARTS OF SEWAGE DISP08AL SYSTEM l00,FEET,FROM ALL WELLS:
.,~
. TYPE OF STRUCTURE
OCCUPANCY
ZONE
PUBLIC UTll. EASEMENT
I BLDG. SETBACKS __,FT. .FROM CTR, OF ROAD RIGHT OF, WAY
FRONT. 50'- ""SIDE INT. ~ 'SIDEEXT.
AUTHORIZED SIGNATURE - DATE
/S/ J. E:BOSS BY HARBAUGH
USE ClASSIFICATION
REAR
DATE
SHOOK/SANITARIAN
9/16/7'1
DLM
BLDG. PERMIT - WHITE
OFFICE COpy - WHITE
COUNTY TAX - PINK
PLUMBING ~ CANARY
BUILDING - GREEN
SANhATION - GOLDENROD
Call 687,-4065 to schedule all required inspections. All construc-
tion sholl comply with Uniform Building Code, D,E,Q, standards
IMPORTANT: for subsurface sewage disposal and county regulations covering
plumbing. All buildings require q certificate of occupancy before
being occupied.
(See Details 'on Reverse Side)
(POST THIS. PERMIT ON MAIN BLDG;"~,i,)S;~~;:_.::;~~~r
LANE COUNTY, DEPT. OF ENVIRONMENTAL'MANAGEMENT ." .
, COURTH~U~E ANN~X, 1.35' E~ST 6th, EUGENE; C?REGON, 9749~1
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t. ,f,C:;.R_~,.=::,c.s5'..13 ,.,.r#,
BUILDING SITE EVALUATION
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() BUILDING PERMIT APPLICATION NO.,..;z,?/,$/-7~
() SITE INSPECTION
I.
2;
3.
4.
5.
Not
App] icable
Zoning Ordinance Compliance: ZoneA9~_LI/Y{ )
Subdivision Ordinance Compliance' ( )
Required Access ' ( )
Building Site (Area, Width, Frontage) ()
Other (see comments) ( )
PLANNING DIVISION
,
- "
COMMENTS: .
\
T / (; R O? S / / TAX I,OT .
SUBDIVISION: -,
LOT: BLOCK:
AlCAkPit /I-I-ut-f-
I '
APPLICANT
DATE
No Yes
() "'( h 6.
() (I)
( ) 'r)
() \)
( ) )
/, "J
1,/
CK'D BY: ~ Y-d%- /~
Setbacks>4~~'cl1of road:
Front c-S-cJ
Side Exterior --
Setbacks from interior lines:
Side 'C;-:-
Rear ~
~
BUILDING INSPECTION DIVISION
PLANNING DIVISION ACTION PENDING: YESt ) NOl ) APPLICATION#
7. Plans Submitted
8. Soil Stabil ity (footings)
9. Flood Plain
10. Other (see comments)
Not
App 1 icab 1 e
( )
(-I) ,
. 'r~
COMMENTS:
r)~
~ l ~ l CK'D By:d~4'r~1~'
7&~;E
WATER POLUTION CONTROL
Not
App I icab I e
( )
( )
11. Meets Department of Environmental
Quality Standards.
12. Other (see comments)
COMMENTS:
No ~e,
() I
I
.( ) (
CK'D BY:Y~"
q- '1~ 7rr
DATE
TO APPLICANT:
Y~'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 bu i I ding perm it ap'p I i c~.s.[9.!,__~,<:",l.~!?e i ng_~~t;,\",:ned under seoar"te cover:
DEPARTMENT OF ENVIRONMENTAL MAK~b~Mt~T
135 Sixth Avenue East Eugene Oregon 97401
PHONE: 687-4065
LANE COUNTY PLANNING DIVISION PHONE: 687-4186
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Comp lete top 'part of. form
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copi~~ with appl ic.ation. -".'
PERMIT NO.' 2451-7)
INSTALLER:
,-INSTALLER'S NAME'
,1;;-;) y/ ,. 1."'-1- ;1, TJ'7
No. Living Units Bedrooms'
, ' L 2
Sept i c Tank:
'Ft. from'w'ell
Steel
Inside
Lenqth
OWNER
NAME
:WAGE OISPOSAL, SYSTEM 'RECORD
to signature and submit both
'.
PROPERTY AUURt~~
,.j>
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SHOOK
Baths
-L
HARBOR ORIVE
Basement Water,Supply
Yes' No v- 'Public ~Other-List
o
Concrete r",
, L.:J
No ~' Campa r tmen t s
. ' )
'Ti Ie 'D,isposal' Field:
Distribution Box: Yes ~'No
Other Distributi<m-Type
/J"d CJ
Ga I. Capaci ty
Dimensions: ,Ft. ,
Widt~ Di~meter '
PAUL HUFF'
MAILING
ADDRESS'
P.O. Box 69'1
'Depth
SPRINGFiELD OREGON
Le~9th,of ~ines-Ft.~j~olJ.rench'l
l.io2.l^'3..1,4., 5. 6. Width2
'lot Plan (see instructionsJ:.~
Total ,Sq.
F't. ,1 oN]
Feet from
WEll
Lot Li ne
Front" ,':L,r{ Si de '/ / '
1Ft; Between IFi 11er, IFi Iler Depth
Lines ,.-/L) Type 14 Above Ti le.2
Rear,.{- r7
IFi Iler Below
inJrile4. in.
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,CERTIFICATE OF SATISFACTORY/COMPLETION.....c . /"
For Sanitarian Use,qnly:. __ ..' f/" ,.' , /Date:7-/;7'=.
In accordance with,.1973 Oregon Laws Chapter 835. Section,214 this certificate is issued
as evi dence of sat i sfactpry cOmp I et i on of, a subsurface sewage d i sposa I system at the' above
location. '
l2I: Approved : System I n'sta 11 at i ~n conforms 'to curr<;,ri~standards
C::J Disapproved: Does not conform to current standards
Rema rks : '
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C55-11
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'R fEtE ~VE D
By
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JJjN241976
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. LANE COUNTY
'ENVIRONMENTAL MGMT.
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STATE OF OREGON
Q1Yl~' .
S~taria~~ Signature
LANE COUN~
DEPARTMENT OF'ENVIRONMENTAL QUALITY
.oj,.
-'
d-i{,tS/~7S-
PERMIT IF
~TION HAS BEEN APPROVED
/-
NOTE:
NO PEl'
)..---"
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WILL 'BE ISSUED UNTIL THIS APP,
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APPLICATION FOR:,
'CONSTRU,CTION I=::J MOBILE HOME ~ PLAN REVIEW C::=J ' CHANGE OF OCCUPANCY c=J
C::=J O~E:d!1M~-'-{' J J __ ND4Lf J=:1~~ [}U\. I ()
~TRACTORJ!);;j <f:;Z:~ L Address , PO, Bt~ 0 ~ Phone
_ Name Address City Zip ~~r
,.
O,S, REG, II
Twp, ' t '2> Range
Subdivisi~n ~
Section.....
}
II
'Tax Lot
Code
Census Trac t
)FJ-'J rb
t 43.
,~
Block
3
Property Acreage
Width______Depth
~
iJA.,
ACCESS TO PROPERTY (Ro~d,Name)
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Existing Structures on Property:
Proper;y Location -
Address/Directions:.', . .
.;;JZJc.jcj
. /.JaA ~
t,b,
Below - fa r Of f ice- Us e OnlvXXXXXXXXVl(YYYY'Q(XXXXXXxxxxxxxxxxxxxxxxxx~rY~nr~nr~r~r~"v:xxxxxxxxxxxxxxxxxxxxxxxxXXXXXXXXXXXXXXXXXXXXXX
. II,'.~ ',.' ' Sq. Ft. !'Be~ms -"/~. Valuation
~/}A{)/.-f ,:::::5.-tfJc!' , (""') 1 "
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SEWAGE DISPOSAL:
Sit~ Inspecti~~;n
.f -,
TOTAL
( a 0 , (1)
Existing Sewage DisP.9sal System, c::=J
Public d
Other, Comimini'ty c=J
'..
Required ~
, .
WATER SUPPLY:
Well . Spring,
or Public System
FEES:
PLUMBING:
.~Installed by Owner I=::J
Other
Name
Bldg,
Waste Disp.
Plumbing
Plan Review
I a a.C57)
PLUMBING FEES:
II of
Sewage
Connection
Water
Connection
1% Surcharge.
PLANS FURNISHED '
p~.' ,
, [Q/YES, c:=J: NO
FACILITY PERMIT
Mobile Home
Signature, of _A:g' can~~:
Fee Received B '
. ' . -
5~
n.a~e: cr~,;? 7- '7)
Min. Septic Tank.Capacity
0/00
Drainfield Required -~Lineai Feet i~
Maximum.Depth
':-1
Type of, Constr-uction _
l~,"
Gro.up
~ Zone
'~
Use Classification
Bldg Setbacks
from Center of Road .~ight. of Way:
Fran t
s-o
Side Int,
:s-
Side Exterior
Rear
Zone
~ -ri - /IA-I/
~
C55.IZ
DATE: '~AJM..']~:(iON:
.-:?-."2;:?- '/,.{. I\\l~.
(, "
LANE COUNTY D P THENT OF
, -' ~
DATE: T"~" ~G: , ATE: ,
0/ ~ y~zr:J/J!J~~d ~ ?:?J.);-
ENVIRONMENTAL MA~~;N~ ;r
, PLANNJNG-;, / .
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