HomeMy WebLinkAboutPermit Septic Tank 1974-8-28
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. ,,-, "\., LANE CO TY BUILDING PERMIT OR MOBILE
- -
:\....; ," BUILDING 0 MH 0
f J PROPERTY OWNER".. MAILING ADDRESS
.' .lc tNTOSH 12l:lO LINCOLN
IME USE PERMIT
PERMIT NO,
EUGENi,' OREGON
, 1645- 74
1/.P4S-74
PHONE 6N:1
3115-,3 'JV
.~
,. .
. .... CONTRACTOR
SPRAGUE, WALTER A
. PROPERTY LOCATION - ,JNCLUDE,PO?T.,OfFICE
2050 HARBOR ORI,VE
PROPERTY LEGAL DESCRIPTION - METES, BOUNDS.
LOT 44 BLOCK 3
MAILING ADDRESS
ROUTE 8 Box 576
PLEASANT HILL
OREGON
PHONE
747-9607
SPRINGrIELD, OREGON
fiLBERT GROVE
5TH.ADOIT,ION
TWP RANGE SECTION
18 03 11.2.2
APPL.
WALTER A, SPRAGUE'
NAME
& ROUTE 8 Box, 576'
TAX LOT NO
CODE
3700
CENSUS TRACT
17-187
EXISTING STRUCTURE? ON PROPERTY
NONE
,
MAILING
ADDRESS PLEASANT HILL OREGON
FOR MOBILE HOME PERMITS ONLY
No. of Bedrooms
:.,GUEST Re1.~,~.c;1.45E~J\~'~E,~UILT Tt:'lS ~ERMIT
LEGAL ACCESS TO PROPERTY
HARBOR'ORIVE
. PROPERTY SIZE - FT.
WIDTH
DEPTH
AREA
"-.. ,'~
Connect to Existing Sewage System D
TYPE CONSTRUCTION SQ. FT, +; BDRMS
. 480 €l16.1O
480 @ a.80
New System, 0
VALUATION
7,728.00
1,344.00
9,072.00
\
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'\
,
SEW AGE ,'DISPOSAL
-.... ~,~
PUBLIC 0'\ SEPTIC TANK 0
BUILDING ~ <t
.WASTE DISPOSAL ~\
.PLUMBING '\' '.
>-
..-^' PLAN REVIEW \"
PARK TRAILER ~~
'1 %SURC~IARGE '\
TOTAL ' \ t
, ..,
MIN. SEPTIC TANK CAPACITY'; .
\\ '
WITH 0151. BOX: GAL '\ .
OTHERD
<;:>AlO
FEES
PLUMBING INST~LLED BY
OWNER 0 OTHER: NAME
WATER SUPPLY
PUBLIC d D OTHER
14'M
"
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~~~7
COUNTY BUILDING & SANITATION SPECIFICATIONS
DRAIN FiElD REQUIRED
,UN. FT
"
TRENCH WIDTH FT.
OR SQ. FT.
"
..
\ .' -
CO~S:rRUC.T ION. OVER' SEWAGE D"'SPOSA'L 'SY-STEM
\
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'.
PUT NO ,PART or NEW
,
,
'\"
TYfE OF STRUCTURE
'iN,
'\
, '\
OCCUPANCY
ZONE,
PUBLIC UTIL. EASEMENT
J
BLOG, SETBA(KS n FT. FROM eTR. OF ROAD RIGHT O~ WAY
FRONT 41) SIDE
USE ClASSIfICATION
Is/ J. Eo Boss
...,
INT." SIDE EXT,
AUTHORIZED SIGNATURE - DATE
~'~
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IMP'ORTANT:
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(POST THIS, PERMIT ON MAIN BLDG, AT SITE)
LANE COUNTY, DEPT. OF ENVIRONMENTAL MANAGEMENT .
C<?URTHOUSE ANNEX, 135 EAST'i6th, EUGENE,..OREGON9740T
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REAR
'i
BY C HARBAUGH,
J SHOOK/SANITARIAN
DATE
8/28/74' DM
(-SLOG: PERMIT - WHITE
, 'OFFICE COPY - WHITE
COUNTY TAX - PINK
I PLUMBING - CANARY
BUILDING - GREEN
S'ANITATION - Go'LDENROD
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Call 687-4065 to schedule all required inspections. All construc-
,tion sholl comply with ,Uniform Building Code, D,E.Q. standards
lor subsurface sewage disposal and county regulations covering I
'plumbing. All buildings require a certificate of occupancy, before !
bei!l9 occupied. I
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... ", (See Det~ils on ,Reverse Side)
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tluildlng Permit Application No. JIoL/S--7Q
T /9) R 3 S 1/'2 ,lTAX LOT 3 7rY1 C ~
, ,JSUS TRACT ' ' ~
BUILDI~G SITE EVALUATION
( )
( )
( )
APPLICAN\~/1 I I
NAME Y/I(I .,- YO Tf') c;' h
ADDRESS
Site' Inspect,ion
PHONE
DATE
'X - --:2" -/'Y"
Pre-Permit Investigatio.n
----"
1.
Zoning Ordinance Compliance
(Zone )
Subdivision'Drdinance Compl iance
NOT
app I icab Ie
( ) ( )
NO
YES
NAME
'DATE
LANE COUNTY PLANNING DEPARTMENT
3.
Required Access
( )
( )
( )
( )
( )."
( ), ( )
d',G:-;~
2.
4. Building Site (Area,,'Width,
Frontage, Setback)
'5. 'Other (see comments)
()( )
COMMENTS:
-
BUILDING INSPECTION SECTION NOT NO YES NAME DATE
app I icab I e ;If
6. ,P I ans Subm i t ted ( ) ( )
7, So i 1 Stab i lit Y (foot i ngs) It) ( ) ( )
8. Flood Plain ' (I~ ( ) ( ) ~'J1~L
9, Other (see Comments)' {{ ( ) ( ) f?' ~ 3. '1'1
iI >
~._- ,
COMMENTS: 1
13. Other (see Comments)
:J:
! )
)
(\ NAME
~~U~M
'U' - ,-
, ,
DATE
g;/2Z/7C-/
12. Water Supply
NOT NO
app i i cab I e --:--
() ()
( ) ( )
() ()
() ()
YES
SANITATION SECTION
io, Sewage Disposal
II, Usable Area,
COMMENTS:
TO APPLI CANT:
( )
()
( )
Building 'Permit I Site Inspection:
Can be app roved. ,
Cannot 'be approved at this time as indicated on item NO. above.
Questions and further information on items I through 5 contact the Lane-
COUNTY PLANN ING DEPARTMENT. Quest ions and further informat ion on items 6
through 13 contact the Lane Countv Buildinq and Sanitation Division.
Wil I be held in this office until you can resolve the problems indicated.
Is being'returned.
Your building per~it ,appl ication fee is being returned under separate cover.
.VJ#
d/).Cf
, 'Your
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LANE COUNTY PLANNING DIVISION
135 Sixth Avenue East, Eugene, Oregon 97401,
Phone (503) 687-4186
LANE COUNTY ENVIRONMENTAL MANAGEMENT
135 Sixth Avenue East, Eugene, Oregon 97401
Phone (503) 687-4065
(;55-28
~.
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LANE COUNTY
BUilDING [J
BUILDING PERMIT OR
MH n
MA1lZ&ADDRESS
l' LINCOLN
MOBILE HOME USE PERMIT
PERMIT NO,
(\illtNE, ORttlO:l
1645 -14
.-
.
PROPERTY OWNER
McINTOlll\
. "tCONTRACTOR
I . SPIl4UUr, WAL'lf:jt.,,.,
PROPERTY lOCATION - INCLUDE POST OFFICE
ao,o WAeeoft DRive
PROPERTY LEGAL DESCRIPTION - METES, BOUNDS
lOT" 8LO<:K 3
MAILING ,ADDRESS
ROUTE 8 Box 516
PLllA$A~T HILL ~rQON
PHONE
147-9607
SPIUW"If:l.D. OIu:o\'lfl
r lI.fllRT GIlGVs.:
5TIi flDOlTlOII
TWP
18
RANGE
SECTION
TAX LOT NO.
CODE
CENSUS TRACT
17-1S'{
03
11.2.2
3700
APPl.
NAME
WAUr.R A. S,.UGlJt
EXISTING STRUCTURES ON PROPERTY
NoNe
LEGAL ACCESS TO PROPERTY
& Roun::'S, SOll s16, ..-.' ,""- '."" "'. _~RltllI l)t....!..I!.f..
MAILING '.J:o..~_~~::-"\ J~~ ~~~'\'l 's ,~~;~~RT~~
,ADDRESS PU:ASAjlt ~J.U - Oii_f&'ON' . ~'" WIDTH. "~ -DEPTH~ - AREA
FOR MOBilE HOME P.ERMLT:S~Y}..':>\.~~ ~ ~'I-. >)-).:'J ~.t~' ~ ~~,~j~S YL). "
No. of Bedrooms " .... ,\ Connect to EXisting Sewage System D
q~!w.:T R~S1jRUOLfiUR(SiirOI8E BUILT THIS PERMIT .. , TYPE CONSTRUCTION SQ, FT,. L#,80RMS
, .. ~. ~~.....~ -" , '. CIO:l 1 e. 0
~ 4Bo II ..eo
~~\'\....~:'S'~,..:~~~"\...~ ';;- \~".'---~"':. :-->., ......~~.
\ -, ... ,- ," - ," '~, ".
"'..~~~...~~\.,,~,~~\
f'SEWAGE DISPOSAL PLUMBING INst~LLED BY \'-
New System 0,
VALUAT-ION
7,y.w.OO
1,~.OO
',0'(2.00 ' ·
.\ ,PUBLIC 0
~UILDING
WASTE DISPOSAL
, '
~LUMBING
PLAN REVIEW.
.'
PARK TRAILER
i IJlsURCIfA"lI;
,
TOTAL
,
OTHERD
'i2.00
fEES
OWNER 0 OTHER: NAME
WATER SUPPLY
Ie
PUBLIC D.
"
SEPTIC TANK 0
o OTHER
~ ;,
14.00
i
I MIN, SEPTIC TANK CAPACITY
, .
. WITH DIST. BOX: 'GAL. '-. UN, fT TRENCH WIDTH FT,
p;JT :10 fOUT Qf" "":~~r~V(;Tl~N ~\ s'(~~ \I$tOOlI~'. tUUM
$-
COUNTY BUilDING & SANITATION SPECIFICATIONS
.of
66.67
l'
DRAIN FIELD 'REQUIRED
OR SQ'. FT.
'-\
j TYPE OF STRUCTURE
5M
,BLDG. SETBACKS __ FT. FROM GR. OF ROAD RIGHT Of WAY
FRONT 45 SIDE INT. 5 SIDE EXT.
AUTHORIZED SIGNATURE - DATE
: /~I J, r. 5oS$ IV C H.\ltlUouG"
OCCUPANCY
ZONE
PUBLIC UTlL, EASEMENT
J
USE CLASSIFICATION
!'
REAR 5
J 5MOOK/.A"IT~R'~H
DATE
6128/14 ON
: BLDG. PERMIT-WHITE
OFFICE COpy - WHITE
COUNTY TAX - PINK
PLUMBING - CANARY
BUILDING - GREEN
~SANITATJON - GOLDENROD
IMPORTANT:
Call 687-4065 ta schedule all required inspections, All construe.'
tion shall comply with Uniform Building Code, D.E.Q, standards, ,
for subsurface sewage disposal arid county regulations covering
plumbing. All buildings require a certificate of occupancy before I
being occupied.
(See Details on Reverse Side)
.
FORM :;:;'C55 -13
:"t. "\, _.~~."z~=,
(POST THIS PERMIT ON MAIN BLDG. AT SITE)
LANE COUNTY, DEPT. Of 'ENVIRONMENTAL MANAGEMENT.
" COURTHOUSE ANNEX, 135 EAST 6th, EUG!:NE, OREGON 97401
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SITE INSPECTION
ApPROVED C! OISAPPROVEOC! DATE
INSPECTOR
REMARKS
FOUNDATION INSPECTION
ApPROVEO / / DI SAPPROVED L-/ DATE ~ .1 NSPECTOR >>
""..,~ t;~~ ,EAt~. ,
,'I _ l~) ~~.J'~,h~
if
FRAMING INSPECTION
1."
ApPR'OVED /--y DISAPPROVED / /j)TE . _ // I,NSPECTOR 4
REMARKS ~# ~ J it --' .fJ~y- ~ ftO.-dlA
A/1 / rA''-
(,~,r .J,p-i(/,(J~.P~_ I
d '
LATH OR SHEETROCK INSPECTION
ApPROVE!? L-/ DISAPPROVED ~ DATE
INSPECTOR
REMARKS
FINAL INSPECTION ~~
ApPROVED r0' DISAPPROVED /' / DATE_I ()- ?:.Ifi NSPECTO~ ~ '
REMARKS
CERTIFICATE OF OCCUPANCY
READY TO ISSUE C! NOT READY TO ISSUE C! DATE
INSPECTOR
/;] , +-'" ( /c..~1
/ ('l~ 'f/ \tV ~' ,
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/6 t(J'J7'171t(j ~ ~ q~~o ~f)~
REMARKS
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BUILDING PERMIT OR MOBILE
MH D
MAILING ADDRESS
1M LINCOLN
)ME USE PERMIT
PERMIT NO,
EIlOI:NIt. O:i tGON
1645=-711 .
IIpt{,~ - /t
PHONE""I!t:~,;.n-
345-~
--
/--''f
LANE eOl JV
BUILDING D
, .
./
PROPERTY OWNER.
;..J; ~tJ i::;JH
CONTRACTOR
SG'~AClUC. \'./A\. T,lt~..t\~ "
PROPERTY LOCATION -.INCLUDE POST OFFICE
2050 ttAlm~ OIH\1lt
PROPERTY LEGAL DESCRIPTION - METES, BOUNDS
, LOT 41l BLOCK 3 , '
MAILING ADDRESS
ROUTt 8 Box 576
f'LtAS4t.rr WJ"'J", Q;l~GO/l
PHONE
1~1.9Gg7
SP~I~G'ltLO. ~ECON
fILOl!:R'i' GROVlt
5'tli ApOITIOIl
TWP RANGE SECTION
18 03 n. 2. 2
APPl. SPRI\l!\Un:
NAME IIIAL TltR A.
& ~oun 8 SOJI 576
31W
CENSUS TRACT
17~ 187
EXISTING STRUCTURES ON PROPERTY
NgNe:
TAX LOT NO.
CODE
MAILING
LEGAL ACCESS TO PROPERTY
HtlReo.'l 0.., I VE
. PROPERTY SIZE - FT.
ADDRESS PLEASAtlT HILL Or:(!;Q.orl
FOR MOBILE HOME PERMITS ONLY
No, of Bedrooms
GutsT R(..S.J~.U~\'U...fE3aS't!3E BUILT THIS PERMlT
WIDTH
DEPTH
AREA
Connect to Existing
TYPE CONSTRUCTION
Sewage System D
~TG16."10DRMS
tU30 €I e.8o
New System D
VALUAT,ION
7.1@.CO
1.344.00
9,072.00
SEW AGE DISPOSAL
PLUMBING INSTALLED BY
...........
PUBLIC 0 SEPTIC TANK 0
BUILDING It,
WASTE DISPOSAL
PLUMBING
PLAN REVIEW
PARK TRAILER
'~Uflc;lMIlG&
TOTAL
OTHERD
,"2lllO
FEES
OWNER D OTHER: NAME
WATER SUPPLY
PUBLIC J
D OTHER
,1&.00
.
,b(
61;. t;7
COUNTY BUILDING & SANITATION SPECIFICATIONS
DRAIN FIELD REQUIRED
MIN. SEPTIC TANK CAPACITY
WITH DIST, BOX: GAL
lIN. FT
TRENCH WIDTH FT.
OR SQ. FT,
PUT NO PART OF nEW c;ONUTRuctlON OVER eE~el!: DlSPOSAL SYSTEM
TYPE OF STRUCTURE
OCCUPANCY
ZONE
PUBLIC UTIl. ,EASEMENT
"if\!
J
BLDG. SETBACKS _ FT, FROM CTR. OF ROAD RIGHT OF WAY
USE CLASSIFICATION
FRONT 4')
SIDE INT. f) SIDE EXT.
AUTHORIZED SIGNATURE - DATE
REAR 5-
/s/ J. E. Boss BY C'HARDAUGH
J SHoo~/$ANITAR'AN
DATE
8/28/74 OM
SLOG, 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)
FORM =- C55-13
(POST THIS PERMIT ON MAIN BLDG, AT SITE)
LANE COUNTY, DEPT. OF ENVIRONMENTAL MANAGEMENT
COURTHOUSE ANNEX, pS EAST 6th, EUGENE, OREGON 97401
I
r
SLAB FLOOR
PLUMB lNG' GRoUNOtIORK
ApPROVED /Zl DIS'APPROVED /7
REMARKS "1/,,, /:.i~..f 6'
, I
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OATE~;'" 6,;JJ~' 'I NSPECT_,'- ~,...".
9- ~-79t(_v~./
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GAS PIPING GROUNOtIORK
ApPROVED l- 1:. DISAPPROVED :C/ DATE
INSPECTOR
REMARK'S
ROUGH PLUMBING
ApPROVED' 1>( /
DISAPPROVED :C/
omit:? ./1;-9'1
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"
I,
INSPECTO~~
;/
REMARKS
ROUGH GAS PIPING
ApPROVED :C/' OISAPPROVED :C/ DATE
INSPECTOR
REMARKS
FINAL PLUMBING
ApPROVED
/.r/
DISAPPROVED
:C/
omU~"' /4'
, , '
I NSPECTO~ ~/ .
-/
REMARKS
FINAL GAS PIPING
ApPROVED :C/ DISAPPROVED /7 DATE
INSPECTOR
REMARK 5
CERTI F I (ATE OF 'OCCUPANCY
READY TO ISSUE I /' N()'r READY TO ISSUE ;- / 'OATE
INSPECTOR
REMARKS
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~ PERMIT# / (, tj,!>,-- ? </
Building
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APPLICATION FOR BUIIDJN; PERMIT OR MOBIlE H<l1E USE
No pennitwill be issued 1IDtil this application has been approved. '
"
NOI'E : '
- PLEASE PRINT "
PROPERlY LOCATION .:J(),s-l> Jf~D...; vI" _ 8f",:",~.{:?,',.I"
\
CENSUS TRACT 17-1 Y7
l)~c2d2J), .
OR ACRElGE
--
Bldg.
Wa~te Dis.
Plumbing
Plan Review
Trailer
1% surcharge
g,oO
l",OU
Fees
Phnpbing Installed by CMnerX Other Narre:
, Plumbing Fees Sewer connection water connection
4 ff of fixtures inspection fee inspection fee ::l .
o ~h Plans ,furnished Facility Pennit .
u;xheck Ye~o 0 Yes 0 N~ ' ,
/ /'. / 7 ' Signature of Applicant,p Ci4t., te ,?b.,/:>f
TOTAL It' "', '" Fee received by f2.... A'_~--J date x--- > - ir: i
Min. Septic tank capacity Drainfield required If' -
with dist. box: Gallons Lineal Feet Trench Depth
P,j- 'Y\,_ J"'h +- ".-9 Y\ c"" ",,"" < -{ bv&r 5' J),
\ Type ot StructureL!j -tV OccupancY'...,..':I"--Fire Zone Use Classification
, tL1
or Sq, Ft.
~.l
A
Blgd. setbacks-ft. trom center of road right ot way
Front 1../ S- Side Int, S- Side Exterior
I .
iPlanning
\ ~/ % -;ia-7Y
/
date
S\~j)
o
Rear .s;-
date ~ ///1' date .
'i\/z~/r,~. / ._MA~fI<L, 'N,N't/
ZonefR.,4 - M J-J
~5 5 -12
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