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HomeMy WebLinkAboutPermit Septic Tank 1978-12-05. POST THIS PERMIT ON MAIN BUILDING AT SITE J6B ADDRESS: 2518 North 21st, spriogfield, ore8pn CONSTBUCTION PER[4|T +3825-78 TRS, TL: t7-on-24-4.3 * L07 Subdivision: This permit Ior the referenced property is hereby approved. Setbacks and other conditions of approval must be strictly observed. Violation can resuli in revocation of this permit, citation under provisions of [-ane County's lnfraction Ordinance, and/or other remedies allowed by law. Applicant/Address: Louise Peebl-er, 2518 North 21st Springfiel-d, Oregon 97477 Owner/Address: same Contractor/Address:/ Contractor's OS +r I Total Construction Value: Telephone: 747-BZLB Telephone: Telephone: Repair fail-ing system Structures now on property: house and garage. Water Supply:+r Bedroomsi na + Plumbing Fixtures:,.,,+ Empl oyeesna PLANNING DIVISION Zoning: na Partitioning + na Parcel + lVlinimum required structural setbacks, from: centerline of road, front: side exterior: n6 ; interior property lines: nairear property line: Speciallnstructions: NONE na na na Parcel Size ; centerline of road, na For information call 687-4394, Donna Lee Meigs WATER POLLUTION CONTROL DIVISION Site lnspection +t na lnstallation specif ications: 1000 156 lineal feet of drainfield required; max. depth of trenches: 36" Septic Tank gal. min. septic tank capacity; Setbacks nterior Prop erty lines 10' Special lnstructions: Insta1l an equal distribution system with 3-50 1ines. Lines are to run in an east-west direction on the south end of the back yard Drainfield area. Stay i-Ot from the house and property 1-ines with al-l parts of the*-lO- drainfield, I eage of road right-of-way Building foundation Wells, other water sources 10' 5', 50' 10' 10' 1 00'For information call 687-3962 between 8:00 - 9:00 a.m.,Greg Gray.R. S. CONSTRUCTION PE RIVIITS/INSPECTION DIVISION Type of Construction: ,r,lnstructionsr NONE For plans information call na For inspections (see back of this pe Group:na Fire Zone: na Use Classificatioqg, between 8:00 a.m. and 9:00 a.m., rmit) call 687-4065 between 8:00 a.m. and 5:00 p.m. lane county Directions to Site Date lssued: c55-1 3 Mohawk Exir from I-5 rurn left to lgth/folIow Yo1anda to 2l-st, By: Greg Gray, R,S.12-0s-78 BE,A1II[=|.j:I?5U=J[r3]S=#J1TMANAGEMENT 1 r' --- 125 EAST 8TH AVENUE, EUGENE, OREGON 97401 0!'.- Construction approved by this permit: ) DEPARTI1ENT OF ENVIRONI4ENTAL I'IANAGTI"]ENT PSB, I25 EAST BTH AVENUE EUGENE, OREGON 9740I Ci tv Recei pt # Job Address Township, Range, Section, Tax Lot a, Appl icatioti t Assigned Numbe^s X- 4- Subdivision LJ A.Lot Block e'f )App I ication for' , Structures now on the Property Proposed use of property: 17 Residential 17 Conrnercial Affidavit: I, p eaSe print If this app Lane County lication is for an a gri cul tural bu lding it wi1 Code Chapter l0 (zonln g) and for no other PurP /_/ Industrial /_/ Public hereby certify that this informat.ion is true and accurate 'l be used for purposes allowed by the State Building Code and ose. I have the following legal interest in the property: le ssee; holder of an exclusive option to purchase; bl e of thi s appl i cation.owner of record;----duly authorized contract purchaser; to act for the owner, who is knowTEEgea S i g na ture/Addres s Te1 ephone or Date When permit is ready notify: /] Applicant /-/ }wner /-/ Contractor !a: /-/ mail /_/ phone Owner Con trac tor z'l zip) Phonc Phone Contractor's 0SR# If Commercial: # of stories Residential: # of bedrooms SI test holes ready Fee Code Descri pti on # of employees -- # of units SDS: ry fxisting, AP # 17 Proposed, SI # Uni t Cos t Plumbing by Sq. Ft. or # of Sites Fee $ $ Total Valuation: $ Plumbing fixtures at $ Sewer/water conn. at $ 4% State surcharge Plans check fee Change of 0ccupancy $ each $ each $/:/ ta<h yl{/ Check * Received by Su btota I TOTAL $---- $ $ $ $ PERMIT PROCESSING Zone part. # Minimum setbacks t, front t, side Parcel #Parcel Si ze Da te int rea r Comments To be typed on permit By I,JATER POLLUTION CONTROL itooff,^^*'lnstal'l ation speci fications a( To /go ft dra i nfi td; By x of trenches c be typed on ' zAr.-P* permi t Te epho te Directions to site /-/ stFo Pl ans to i_/ ceq- /-/ vtPC /7 Planning /*/ Public Works , Elevation /-/ nla /7 Address /-/ f aci 1 i ty Permi t /- / Envi ronmental Hea l th CP& I I.JPC set set Da te Requ i red Hold Slip to PCC Da te Compl eted Da te to PCC o) Valuation c L f;tccipt # Job Address Tax Lot A Appl ication for Structures now on the property .llt,lorca ur of prop.rty: Affidavit: I If this appli L u-a Se Si gnature/Address DEPARTI{ENT OF ENVIRONI4ENTAL I4,ANAGEMENT L- PSB, ]25 EAST 8TH AVENUE EUGENE, OREGON 9740I e._ Clty tt cation is for an /--l 0rx$ercirl /l ln$ttrtrt t-t *atx hereby certify that this 'information is true and accurate. cul tura bu lding it wil'l be used for 'l lowed by the State Building Code andl0(zonl ng) and for no other purpose. I have ng legal interest pu rc 'lessee;holder of an exclusive to ac owngr,le of this application 4,5't 477 Te1 ephone a47-f etE or te €r !x (zip) /_/ rrall purposes a the fol lowi in the property: option to purchase; xR\ I'lhen permi t i s ready noti fy: l4tSpp l i cant ovner k.u. st- \kb\lj*omer l7 contractcr PJbe) Contractor Contractor 's 0SR#Plumbing by z'l Phone If Conrnercial: Residential: # of employees _I of unltr SOSI /-J Existing, BP # ! Proposed, SI #SI test holes ready fGt , gdr Sq. Ft. or UElt # of Sttcs Catt Va'luati on Fee Y $ $ Tota'l Valuation: $ Plrrstng flxturer at $- each Smr/rrter cqnn. at each $ Su btota I $ uff iFf ca*r t *\ Recei ved $ V,/ATER S UPPLY; P R C POSED YE EXISTING 4% State surcharge Plans check fee Change of 0ccupancy Parce'l # $ TOTAL PERMIT PROCESSING Minimum setbacks: o Zonetfron t Part. #Parcel Size ; t, side i nt.rear Conments To be typed on permit By Da te CP&I I To be typed on permit Group Fire Zone Use Classificati By Date PhoneFor p lans information call (area 'inspector) -. Directions to si Lt stro PIans to i-/ cP& ann i ng fl Public lJorks f7 Elevatton /-/ nla l7 Address /:/ Facility Permit l7 Environnrental Heal th CP&l set( s )i.lPC set(s) Da te Requi red \?--L3 1d Slip to PCC Compl eted CJ Date to 3,\6+ PCC c74-L7 I 4 SuMlvlsion Lot ll$tlr - ( ( 1.\.3 TRS, TL Subdivision Lot Plcrt Flan Job Location (Add Pernlt /l Permit Permit For ll Pernit /l Permlt For For For For For ) Block I I c74-L50 Vlclntty Map N \\ ) J W Te(lao stA -)4-/.3 4 /o Job Location (Street, mile post fio oTRS, T lock - Plot PIan FOR SANTTARIAN'S USE ONLY: ffi System Approved fJ System Disapproved tl Needs Correction COMIIVIENTS: i.il ULAdD A ul a 2 T q. frqrt>3t *qI E0 i,(E\8S'=tB{ S nature FOR INSTALLER'S USE: Trench Deptlt 3tl:t Filler Depth Below Tile Tank Capacity lOtO6au Manufacturer Mrc tl$E& IVleasured distance to well from tank NIA from drainfield pln Date: (t' ClRs Feros I sa Lrlt- o IIJtrff: Xo6,4.-+ ,NI,o )rtY.l [-,''l'h' ,N) J€l, t^d \^lr/l iL e -iF .obl o \ fr. t\0 rb $CJ +(L m { ,al --) ) rl st il Z DO \tl \ -r1l o -,7t 0 U) Scale: t/tb" XLrtr d) e(!Partc INSTALLATION RECORD AND CERTIFICATE OF SATISFACTORY COMPLETION When signed by the County Sanitarian, this certificate is evidence as per ORS 454.665 of sat- isfactory completion of a subsurface sewage disposal system at the above location. Beturn this form to: Permit Processing Section, Department of Environmental Management, Public Service Building, 125 East 8th Avenue, Eugene 974O1 11 A F$"i u N c55-1 1 ) j FT- & POST THIS PERMIT ON MAIN BUILDING AT SITEl, JOB AoDBESS: ..r.. ,j i.. CONSTBUCTION PERM lT # TRS, TL: l, .: , , : .r Subdivision: This permit for the referenced property is hereby ... -.. - Setbacks and other conditions pf approval must be strictly observed result in revocation of this permit, citation under provisiona oI Lane County's lnlraction Ordinance, and/or other remedies allowed by law. Violation can Applicant/Address: Lmt*r kfot*r" t51E xarth f,l*t tprd**fiald, or:fmOwner/Address: Conii."totlAddress: ]ffi Contractor's OS + 'l Total Construction Value: 9I47? h*a rnd Elr*rgr" Telephone: Telephone: Telephone: Construction aPProved bY this hfir *rl.Itag rrree&ffirrw lrfr oa F@p*!ttl Water v PLANNING DIVISION + Bedrooms:+* Plumbi Fixtures:+E Zoning: Partitioning + Parcel + IVlinimum required structural setbacks, from: centerline of road, front: side exterior: Special lnstructiontf ; interior property lines: sffi{u rear property line Parcel Size: -:t ; centerline of road,Ril |l* Is For information call 687-4394, WATER POLLUTION CONTROL DIVISION Site lnspection + lineal feet of drainf . lnstallation soecifications: HIS gal. min. septic tank capacity; Blt required; max. depth of trenches' 'L*special lnstructions: rfist*ll m *Erildl #,etr{br*ta w*t*u utth }-t{,} Il&ffi.IJms Setbacks I nleiior property lines Edge of road right-of-way Building foundation Septic Tank 10' 10' 5', 50' Drainfield--10- 10' 10' 100' rrsl & rr & m rlilt-ililt. dl,a*mi*r il t&* laeillh a* ef t-k brch tril.a... lttg IO' tb Eh tor. au{ prunq:t ltm ;tgf, rtt p.rE e} rUft-lrltrld! Well other water sources CONSTRUCTION PERMITS/INSPECTION DIVISION For information call Group between 8:00 - 9:00 a.m., Fire Zone Use Classification:Type of Construction &I {lt ESlnstructions For plans information call between B:00 a.m. and 9:00 a.m., For inspections (see back of this permit) call 687-4065 between 8:00 a.m. and 5:00 p.m. lane county Directions to Site Date lssued: ftea*. Gntt fm X*5 tnu: lrft to l?thrfiltlry Yalrnd. ta ll't.6l!' - Bv: DEPARTMENT OF ENVIRONMENTAL MANAGEMENT COURTHOUSE / PUBLIC SERVICE BUILDING 125 EAST 8TH AVENUE, EUGENE, OREGON 97401c55-'13 12*S5*r$ For c74- 150 Vlclnity Map I\r F ,l I t