HomeMy WebLinkAboutPermit Septic Tank 1980-03-07POST THIS PERMIT ON MAIN BUILDING AT SITE
JOB ADDRESS: 2581 VterDlt Ave., Spfd, Oregotr CONSTRUCTTON pERMtT# LC-502-EO
TRS, TL: 17-03-24.4.1 t 1I9 Subdivision: Rayr.! P.rL, Lot 1, Dlock 2
This permit for the relerenced property is hereby aPProved. Setbacks and other conditions of approvat must be rtrictly observed. Violation can
result in revocation of this permit, citation under provisions ol Lane County's lnfraction Ordinance, and/or other remedies allowed by law.
Applicant/Address: Larry D. Ekberg, same as appllcant
Owner/Address: I
Contractor/Address: /
Contractor's OS +r I total Construction Value: I
^.nstruction approved by this permit: Repalr septlc Bystem.
Structures now on property:
Water Supply: Ralnbow water +t Bedrooms 3 +Plumbing Fixtures na
Teleohone: 746-4l50rcrc
Teleohone: I
Telephone: I
* Employees na
PLANNING DIVISION Zoning: Agt Partitioning + na Parcel*
Minimum required structural setbacks, from: centerline of road, front:na
side exterior: na ; interior property Iines: na ;rear property line:na
Special lnstructions: none
For information call 687-4394 Carol
Parcel Size: 80x112x83r130
; centerline of road,
AnY alteratic;r , ':
natural conail.l'.;:t
lioareaapproved ior ti:: ci,'arn-
feld or replacement arca will
WATER POLLUTION
CONTROL DIVISION
Site lnspection + 1798-70 lnstallation specifications:
150 lineal feet of drainfield required; max, depth of trenches:
exlsting gal. min. septic tank capacity;
24 lnches(or whatever fits)Special lnstructions: Add two l-ines rr.rnning EW para1Le1 to the existing lines. Squeeze
on center to about 8r but rnaintain a 10r setback from al-L property
llnes. Connecf new lines lnto the box ln such a way that the
efflumt is dlverted lst lnto the nen lines, then Lnto o1d lines
after new Lines are fuI1.
Setbacks SepticTank
-rrior
property lines =-lO-
u.rge of road right-of-way 10'
Building foundation 5'
Wells, other water sources 50'
Drainfield--T0---
10'
10'
100'For information call 687-3960between 8:00 - 9:00 a.m.Kathi Wiederhold
CONSTRUCTION
PERMITS/INSPECTION
DIVISION
Type of Construction:
lnStructionS. none
na Group na Fire Zone: na Use Classification na
between 8:00 a.m. and 9:00 a.m., naFor plans information call na
For inspections (see back of this permit) call 687-4065 between 8:00 a.m. and 5:00 p.m
North on 23rd, rlght on Vlewmont Ave, off llayden Brldge.
03-07-80
bne countyDirections to Site:
Date lssued:
css13
6l!'
-
DEPARTMENT OF ENVIRONMENTAL MANAGEMENT
COURTHOUSE / PUBLIC SERVICE BUILDING
125 EAST 8TH AVENUE, EUGENE, OREGON 97401
By:Kathl M. Wiederhold/11y
DEPARTI1ENT OF ENVIRONI4ENTAL MANAGEI'4ENT
PSB, I25 EAST BTH AVENUE
EUGENE, OREGON 9740I
Affidavi t: I ,
Job Address
Appl ication for
Structures now on the property
,,*n$ffi fi ti$,::l:tlt$li i:uf r;,r'pift,petrt*l+:,YL
i*E,$id*H#fitllii /:/,,Q .,,i;rj,
Arrq D. EKbe-rq
i[o-ti.,:et:Euki 2-
,ri,tt$iisj**':*',tjrl /_-/ iffii$fiifi*if
, hereby certify that this information is true and accurate
ses allowed by the State Building Code and
llowing legal interest in the
ho Ider of an exclusive option
z1
phone
Phone
Phone
]F.jlE-H,r,-l--ffii=
.J
If this application is for an agricultural building it will be used for purpo
Lane County Code Chapter l0 (zoning) and for no other prrr,Jose. I have the fo
X owner of record;contrac t pu rc ha ser ;I essee;
EffiilieZgeable o f-TEls;pp 'l i cati on .
property:
to purchase;
duly authori dto r the owner , who is
S i gnature/Address
When permit is ready notify
Gvner
1 ephone or Da texApplicant /-/ }wner /_7 Contractor !y: /-/ nail
(zio)Con trac tor
Contractor's 0SR#
If Commercial
Residential:
SI test holes ready
riEFui,tffi ,SG$EfrI:ll.**CIn,:
r*i.l.,sfriltfi+tt:ri
.$ss,i,., / ;r.*n, BP +
/_/ Proposed, SI #
P1 umbing by
# of employees
sg.,,..1P.dii.r i iu[+ljtt:#.'ndfi,it,l:,tt*,, .,ffi .Va l uati on
Tota'l Va,l uati on : $$
,:filiffi t,tt$i]:i:f il:tl$ffi
i:
Se*E f lre.tErtri iuo$$:rir:
each $_
each $
at $
at$/_t
/:/i,.r$r!i,.:...,...'...,,
.:.ghec*i...:#Subtotal t
$Rece i ved 4% State surcharge
Plans check fee
Change of 0ccupancy
lrJater Supply
Proposed _
Year I ns ta I 'l ed
Existing
TOTAL $
$
PERMIT PROCESSING Zone sur Part. #
Minimum setbacks , front
Comments
To be typed on permit
Parcel #--
q.cL , s'ide 'int rear
By Da te
CP&I Type_ Group Fire Zone Use Classification
To be typed on permit
By Da te
PhoneFor plans information call (area inspector)r MDirections to site
a5r,
t_t
/_/
/_/
/_t
/_/
/_/
SIFO Plans to: CP&l
I,IPC
CP& I
l.lPc
Pl ann i ng
Publ ic t,Jorks
, Elevation /-/ n/a
/_ / Address
l-/ Facil i ty Permi t
Environmental Health
set(s)
set( s )
Date
Requ i red
Hold Slip
to PCC
Date to
PCC
Da te
Compl eted
FOR INF0R['|ATI0N about progress of your appiication call
c74-L7L
permit Control Center 687_HELP (687-4357)
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Fee
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32
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36 i*rtrNH t0LiNTY nEFT ENV HGT F:rLlH:[F''i ,[' sfi?S'] $r:r'tL 03$5BO
AF F'LICAI.IT E:KfJE:fifi, LAr";RY Alilli :15S1 ti Iili^lHilill', SF'FrfJ " nEI: " V'747?
!q Tl-*, j703;:44{00000 ,lr.iFL}MtAY i"tfth: PAAPi L-0'f 1 ELH :
HHkt I{LI]G'IYF'E: LJSE l;l tit] BDftMI: $3 Nil LJNI'rS 0SI t{r:} ii'I0t;:l:ES NU $L$[.S t]{,,!40 {:I.}DE AFF'L Ni] Af,T I NN DH,SCR I I}T I OT.I ST] F'1' UN T'T IL'}T:]' VALL'ATJ:NN F'EE I},tYS'
ur t,
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11 tlF'
tsP
16 f{F'
:
at
50
52
2L
56
F L..
t'tEcH
SUF
F'CK
E"n (
N0. FIXTI.IRHS: Nfi. C0NNECTUft$ :
I'IHCHANICAL FEE
STATE SURIHARGE
riLAH CHECK F'EEL{: 5O?SO ,Y}SF: REF'AIE SYSTEI'I
HLEV A$DR FF.
IIUHF L-8.1'ED [rY
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I)EPARTIlENT OF ENV I RON14ENTAL IlANAGEI'lENT
PSB, I25 EAST BTH AVENUE.---./ EUGENE, OREGON 9740I \-,
/t
App I ication #
0c
-tJob Address
Township, Range, Section, Tax Lot
Subdiv ision
Appl ication
Structures
Proposed us
now on the property
e of property
Affidavit; I,
(./ ,t.t City Assigned Numb ers
a
/v1 uot I Block _
idential 17 Commercial l7 Industrial ! Ruutic
hereby certify that this information is true and accurate
for purposes allowed by the State Building Code and
r purpose. I have the following Iegal interest in the property:
lessee; holder of an exclusive option to purchase;
for
p.
ea se nt
If this app lication is for an agricultural bu it wiil be usedding
, othe
p
Lane County Code Chapter I0 (zoning) and for no
f record;contract purchaser;
thori zed to act the owner, who is lnowTed-geabl e
owner o
duly au I i cati on
;Sg, r!,.-,.^1r^*,^.1.1tvtTSi gnature/Address
T
When permit is ready notify
1 0r
I icant /_/ Owner /7 Contractor !y: /-/ mail /-/'.phone
Phone
Phone
Da te
0wner _ (ziP)
contractor (ziP)
Contractor's 0SR#
If Cornmercial: # of stories
Residential: # of bedrooms
SI test holes ready
Code
# of employees
-.
# of
SDS:
Sq. Ft. or
# of Sites
P1 umbing by
units
sting, BP #
17 Proposed, SI #
70
Fee Unit
Cos t Va l uati on Fee
-)0.r
$
/-/ Casn
/_/Check #
Received by_
l^later Supply
Proposed _
Year Instal led
Existing
TotaI Valuation: $
Plumbing fixtures at $
Sewer/water conn. at $
4% State surcharge
Plans check fee
Change of Occupancy
s
Subtotal
TOTAL
c
$-
each
each
$
$
$
$
$
PERMIT PR0CESSING Zone
l,linimum setbacks t Part. #Parcel #Parcel Si ze xl
rearfron t t, side int
Commen ts
To be typed on permit
Da te
u-M@z-gal. tank;,.r,5Oo'ft. of drainfield; max. depth of trenches:
By
By
WATER POLLUTION CONTROL
Installation specifications:
// To be on pe
Te1 ephone
i.Di necti ons to s i te + ur lt
/_ t srco Pl a ns to:
1-/ CP&I
/-/ i'Pc
/-/ Planning
/-/ Public l.Jorks
/J Elevation /-/ n/a
I / Address
/-/ Facil i ty Permi t
/-/ Enuironmental Health
CP& I
t,lPc
set(s)
-
set(s)
Da te
Requ i red
Hold SI ip
to PCC
Da te
Compl eted
Date to
PCC
ll(rlt ,
FOR INF0Ri1ATI0N about progress of your application calt: Permit Control Center 687-HELP G87-4357)
Descri pti on
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JOB ADDRESS
POST THIS PERMIT ON MAIN BUILDING AT SITE
CONSTRUCTION PERMIT +
Subdivision:TRS, TL
This permit for the referenced property is hereby Setbacks and oth er con ditions of approval must be strictly observed. Violation can
result in revocation of this permit, citation under provisions of Lane County's lnfraction Ordinance, andlor other remedies allowed by law.
Applicant/Address:
Owner/Address:
Contractor/Address
Contractor's OS +
^onstruction approved by this permit:
Water Supply
Total Construction Value
r E!tl$Telephone
Telephone
Telephone
bT
+ Bedrooms + Plumbing Fixtures
PLANNING DIVISION Zoning: Partitioning +r Parcel +r
lVlinimum required structural setbacks, from: centerline of road, front:
side exterior: ; interior property lines: ;rear property line:
Special lnstructions:
Parcel Size:
; centerline of road,
For information call 687-4394,
WATER POLLUTION Site lnspection + \7tb7* lnstallation specifications:
CONTROL DIVISION f 50 lineal feet of drainfield required; max. depth of trenches
Special lnstructions:
sa r. m i n. seffi ffi3Rtfd$ffitlt'j1l;
alteration ol the
L voidthisaPProval'
Frillfd *n tft. dlttl[8 t
I ri;Ert* n tOr .dtbd, lr
r tata ?fua bor ln rs$ r nrl*tp thn ar llms. Chrn l,
r.ir:r f{tn)
Setbacks
teilor property lines
cdge of road right-of-way
Building foundation
Wells, other water sources
Septic Tank
10'
10'
5',
50'
Drainf ield--lT-
10'
10'
100'
I
tp uat I
f 6rB
For information call between 8:00 - 9:00 a.m.,
CONSTRUCTION
PERMITS/INSPECTION
DIVISION
Type of Construction:
lnStructiOns; ;lsE{t
Fire Zone
between 8:00 a.m. and 9:00 a.m., Bir
Group:Use Classification
For plans information call
For inspections (see back of this permit) call 687-4065 between 8:00 a.m. and 5:00 p.m.
d ti hne countyDirections to Site
Date lssued:
c55-1 3
Ir
DEPARTMENT OF ENVIHONMENTAL MANAGEMENT
COURTHOUSE / PUBLIC SERVICE BUILDING
125 EAST 8TH AVENUE, EUGENE, OREGON 9740.I
By:
+ Employees:
l I\,5 r LL \.bu r g
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