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HomeMy WebLinkAboutPermit Septic Tank 1975-11-17 , , ~ -t., a' LANE COUNTY PERMIT FO PERMIT NO, 3081-75 '-'.i' ':: ) . "1~_~. "'" .....;44 -. ," ,. " ...... ,.'~ <CONSTRUCTION [xl ,.. MOBILE HOME [ ] PLAN REVIEW [ ] DOwner _I^U~I F NAME c;,oo^nll~ ~a14 PI~~n~ ~TR"T ADDRESS SPR' Nap' I ELD CiTY CHANGE OF OCCUPANCY [ ] 747-'~246 PHONE q7477 ZIP CODE o Contractor N.I\ME ADDRESS CITY ZIP CODE PHONE \" O,S, Reg, # Tw~, ,Il Range ~ ,~11" ,,, Tax Lot WIn Cod~ Census Tract Subdivision r I LAF'AT GROV' Lot ')1 Block 2 Acreage Width 112' Access to Property (Road Name): I'NLAND ,WA Y Depth 121' Existing Structures on Property' NON' , I I 20'), INLAND WAY I SPRINGFIELD, OREGON Directions tD Property - Address: STRUCTURE (# BEDROOMS) / IMc;TAl1 ~t:l'!!IJl'R OISPOSAL SYSTEM , , SQ, FT, VALUATION I?\ SEWAGE DISPOSAL: PR lOR PUBLIC [I SEPTIC TANK [I OTHER [ J , '/'BUILDIN'" " PLUMBIN(', 3% SURCHARGF MOBILE HOMF WASTE DISPOSAL 100.00 PLAN REVIEW PLUMBING INSTALLED BY: OWNER [] OTHER [I NAMF WATER SUPPLY: PROPOSED [ I EXISTING [XI TOTAL 100.00 [ ] PUBLIC [xl COMMUNITY,NAME: r" RVRT r.ROVV [ I PRIVATE WELL NOTE: No Person Shall Erne! or Construc! [ I OTHER ,SPECIFY: A Buildinq er ,3'r c ,,'1. or D~c1, Jl lV,lODUe l1ome, .:.. J ( fjr-3~ Obtaining Th3 No_e s..~J.{7 Lqr~~ County Pennits. CONSTRUCTION PERMITS & INSPECTIONS AND WATER POLLUTiON CONTROL SPECIFICATIONS MIN, SEPTIC TANK CAPACITY: GALS, ..,:", MIN, DRAINFIELD l<;n L1N, FT, MAX, TRENCH DEPTH ,6 INCHES ,~ I..,,......... .~,.nonl...l~ Tn blnT OIAN. ~T^Y 10 ~I:'J:'T E:'ROM PROPr:RTY lIN~S AND MOBilE HOfillE WITH ..... "un~C' .n,.. ....~A '-'1COII:"I ru: tU:'r:!I!'D"C' ^Io' APt'A conI=) ProPI .('rlJI:'NT OJ:' nRAINF"tF"Ll')S~ ~ ~ STAY 100' FROM ALL WELLS TYPE OF CONSTRUCTION GROUP FIRE ZONE USE CLASSIF, SETBACKS, FT, FROM CTR, OF r/W: FRONT 61 SIDE EXT, FT, FROM PROP, LINE: SIDE INT, '1 REAR 7' PUE ZONF RA-MH AUTHORIZED SIGNATURES: Isl GRAvlSANlttATION ISSUANCE DATE: 11/17/75 CLA BLDG. PERMIT - WHITE OFFICE COPY - WHITE COUNTY TAX - PINK PLUMBING - CANARY BUILDING - GREEN SANITATION - GOlDENROD IMPORTANT.: Calf 687-4065 to schedule all required construction inspections. Call 687-4061 to schedule all required septic system inspections. All construction shall comply with the Stale Buidling Code, D.E.a, standards for subsurface sewage disposal and the Slate Plumbing Code. All buildings require a certificate of occupancy before being occupied. (See Details on Reverse Side) c..lA: (POST THIS PERMIT ON MAIN BLDG, AT SITE) C55.]3 LANE COUNTY, DEPT. OF ENVIRONMENTAL MANAGEMENT COURTHOUSE ANNEX, 135 EAST 6th, EUGENE, OREGON 97401 LN;IE COUNTY ENV1RONML ,^1. M^NN:i~fll';N'I' I'I,()'I' l'l.M1 '.' . I j r r' " ?(: ", J) . 01 Nillll" :III<J ^~\Irc';s of (~llcr(I()I.1ILC.0IJYa'9lJ.,C__..'JZL5IL:L.!lYt.';i,':.J '- _ ,;:y.rX./.ILj:.=IE..!J/,(!;j:Cj 6iL...,.._____..__ _..n,'_..~__, 'l'el "phone :,,_727. - L:;:;>Y'?', Thc--:-:,,,.~:L_:::'''h be:ing.constructt~d Ullut.:r tilJ~ j1crm:l:t will be' u:-;ed for , ,Sfl;]~~..j'd,lL. k Date this prOpcl-ty \"'<1S plll"(:h;:i~.;ed_____u_____..____.___n.______:".__.~ Do you now, ,or did you ever own property :1UjilCf'llt to this tax lot? 1.[ so, please list those tax 1.ot \lumbers or drnw those propel.t.i.l~S on the. plot' plan helow. /},,?ti Indicate on your drawing the location of all homes (-including mob"ile homes) now on the ,propert:-r. as 'well as the location of: the ne\.J building. , . ----~! , / I, l' .. ,.., I') "~ , , . I ' ---------nn~S-----n-_-------..n----------I..----~-- , -:.--.. -...,-~... -,..--~~r ", , / ,',' ' -- / J3'-.. ~ I Lei ~ -/ ' .----.----.-r-~~:-'--t-.-----~~.~5~--~~--.-.---.- .-----. - .. I I .t-:- / '- J .. __ n _ __ n ____ f \ I: ' '//' \,,!: ,_ _ _ _-- ,.. !,,~ .... \ 01-'--' - n/~ {'-, - -- L ~ ~ :',0. ;:'~~,;~~- " , ,- n" \\) , P"l ,,'" .. F I( /l1f))';" ,-,",-' , I' "') ',"I ~ / '\' ~:t _h'\ ,'" e,l',' J; ,{ ...' , VI['" I ~' I 1(- ,,' Q ~~, 1WVh.-f'i" r }, './ \.}I, :~it J I ) '.,0:'( 'I.':' ( n --\,~~~W--~! i~l/ ~;'-- ...'fHTl'fr Um- ~ ~ il"\') .. J},' I I:y _..___(...~_J '- i) 5 1 ) , " .(l(~Lf cJ:Jt::..tL1' , , / , :::; . t ()' ... - .. -. .. ---.-......- ..-.-.- .' .-.__._---,.~_._------~ - --~-..~..... ---- - _. t \ " 8')' , ; . -! _ GJiJ)-t tC)L,! ;/ ~ ~ ~ :::: ~ V/<~' -/~:!;' ~ ~::" '. "L~,~I.' ~t,~ (,l.~ ~~ r f'U .~ (., \.' , , ' , I I . . . Ill..'. " ' ,"Ft, ., ," I Name of: Applicant (if different from' owner): Address ' Telephune Applicant's Interest' Buyer 1>(1 M74-99 Seller 0 Agent 0 " Map Tax ,Lot Pe rmit, II BUILDING SITE iX~'BUIi.DING . ~~;? PERMIT APPLICATION NO. ,::Jb Vt-7::> EVALUATION () SITE INSPECTION 1. 2. 3. 4. 5. Not App 1 icab I e Zoning Ordinance Compliance: Zone,~,A_-~~ ) Subdivision Ordinance Compliance ~(-..r Requ i red Access ( ) Bui ldlng Site (Area. Width, Frontage) () , Other (see comments) ( ) PLANNING DIVISION COMMENTS: 19 ,,/7--/2--- '/ T ./;,~~'" R {)3 S II; TAX LOT (f2.~ SUBD''V'I S I ON: LOT: BLOCK: APPLICANT DATE No Yes () T\:Y 6. () q/ ( ) ('-?./ ( ) (c..Y' ( ) ( ) j,A/J.P ' .- CK'D BY: Wf~';>' /3J;tn/_7'> Setbacks from cfl of ~d: I_I Front ~. /19 4-' Si.dA-"Ht:._~ #/':'" ~ ~ Setbacks from interior nnes: Side ,~ Rear 1f.7~ I BUILDING INSPECTION DIViSioN PLANNING DIVISION ACTION PENDING: YESl } NDl ) APPLICATION# 7. Plans Submitted 8. Soil Stability (footings) 9. Flood Plain 10. Other (see cOl11lrients) Not Appl icable ( ) ( ) ( ) ( ) COMMENTS: . WATER POLUTION CONTROL Not Appl icable ( ) ( ) 11. Meets Department of Environmentai Quality Standards. 12. Other (see comments) COMMENTS: No Yes () TI ( ) ( ) ( ) ( ) ( ) ( ) cj(i[j BY:' DATE No ,Yes (j"{11- ( ) ( j CK'D BYJ4IJ~. .J{'I'('?5 poATE TO APPLI CANT: Your Building f Site inspection: M Can be approved. _ 1...7L '\) Cannot be approved at this time as indicated on item NO. above. /1--' ':.-J Questions and further information on items 1 through 6 contact the LANE- '00 COUNTY PLANNING DIVISION. Quest,i,o,ns 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 buildin'g permit appl iC!!!.\.2.!1-fe~~~ein,9Jeturned under seoarilte cover DEPARTMENT Of' ENVIRONMEN'iAL MIINAGEMENT 135 Sixth Avenue East Eugene Oregon 97401 PHONE: 687-4065 LANE COUNTY PLANNING DIVISION PHONE: 687-4186 C55-28 IILLER: PROPO SEWAGE DISPOSAL SYSTEM RECORD , ' , Complete top' part of fo,m to signature and submit bo'thcopies with applicaJ;lon'.- , ' ' PERMIT NO. 30I:il-l5. PROP,ERTY ADDRESS 6.(0, ~., . ' 391'4, PIN.YON STREET SPR'NGFlELO Baths Basement Water Supply __ Yes ,No Public ~Other-List '. INSTALLER'S NAME TED SO?TELEAN No. Living,Units Bedrooms ,;, .? Septic Tank: Ft. frcxn well Inside Length OWNER NAME Dimensions: Width Ft. " Diameter D' Concrete ~o.: Compartments Tile,Oisposal Field: Distribution Box: Yes V No Other Distribution-Type' , , ,V. Feet frcxn WEll Lot Li ne Front 1Ft. Between Li nes I 0 Ga 1. Capacl ty i /0'0 0 Steel Depth JOHN 'F. SPRAG'" MAILING <Q)4' P'NvnN <:TO':CT ADDRESS ," . c::.pp I f"~~ I n i)..-o- ()J;lr:-~lM . . Length of Li nes-F.t. IT:ench Tota I Sq. 1.65'2KS'3. 4. 5.6.Wldth.2 Ft. ~OO 'lot Plan (see', instructions):. Foundation Side /0 Rear I D 'IF i 11 e! L IFf il er Depth IF ill er Below Tvper~ Above'Tile;2..inJrileb in. 'll ""l -:i- LOI '5'1 s.x r~ \)P()S~p tAO!J I Lor, rpJ>ll~P. S 'Y \\ \Y', I' N ,I ()' ,~ RECE\\1EO ~, , J~ ,t ~ . 1'\ .. I \ '-d ~ Date /'I\PrIC /.'j- 7 f S i !!!'ature -/f I'/'-,dl/n/ ..A...imJllYt.....A<\ . . CERTIFICATE OF SATISFACTORY COMPLETION Y "J' 1/ 1 (' For Sanitar'ianU,se Only:' " ',Date: .(tJ- In accordance with 1973 Oregon Laws, Chapter 835. Section 214 this certificate is issued as evidence of satisfactory ccxnpletion of a subsurface sewage disposal .system at the above ,location. , , ~ Approved: System ,Installation conforms to current standards, , C!:J Disapproved: Does not conform to current standards Remarks: " ~'-"" \V\I\R 12 197G I II.!ltE COUN1'l "" E!ill!'.\.. MGM1. tNV\RO!ilM , ..... ...... --..g C55,-1l , A ' /-1.,.LL<-. San it'arTan' s-S (g},1;~re/ LANE COUNTY . P' STATE OF OREGON DEPARTMENT OF ENVIRONMENTAL QUALITY , . . NOTE: NO PERMIT _LL BE ISSUED UNTIL THIS APPLIG , . ~ PERMIT ~8' I. -7 s- IN HAS BEEN APPROVED " APPLICATION FOR: ~ CONSTRUCTION ~ :MOBILE !lOME ~ PLAN REVIEW C=:J OWNER OdAd' [) ~ ,b/lJiI ~" _? 9 /9 ~/--r'., ~f' ~ )- u/rI , t/- Name t1 tJ - Address ~ L. J - ciif- I I CONTRACTOR CHANGE OF OCCUPANCY CJ t?7t'77 Z'ip Phone 7 ~ 7;;- ::w/ - Name Address City Zip, Phone O,S. REG, II Twp. 18 Range 3 Section 11.2,2, Fi I bvtk 6'rDVf'_ Lot ~. ' -/1.1/014 j Tax La t l;.;,OD Block J. Code Census Tract Subdivision ~I !t),1.r ./l")'~A"-"'.P_ P:rop'erty Acreage . ' / / Width1J.J....Depth 1.:11 ,~' ACCESS TO PROPERTY (Road Name) L' Existing Structures on P~operty: ,b.//l.n d 11)f),! -~/)"""f,6~_~fl7^" // Below for Of f ice Us e OnI vXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXxxxxxxxxxxxyvY'nr'nrv.xxxxxxxxxxy'n',"v'~r'r'K Sq. Ft. nBedrooms~ Valuation ~ f). ~ r. ')J\ y- / / ..;) () 5:~ Property Location - Address/Directions: SEWAGE DISPOSAL: Site Inspection # Existing Sewage Disposal System Public [==:J Community ~ or New System Required C=:J WATER SUPPLY: Well Spring Other Community or Public System FEES: , PLUMBINC: Installed by Owner [==:J Name Bldg. . Waste Disp. Plumbing Plan Review lDO, no PLUMBING FEES: / II of I oCJ. CASH V "'", , L0 CHECK Sewage Connection Water Connection Mobile Home 1% Surcharge PLANS FURNISHED FACILITY PERMIT .... L.':::J" YES c=J NO C=:J YES c=J NO Applicant X /J?Vl'tZl !ttf:1l!' "-:-- By: CJIU..J s;c;;;.. Date -, - '1:1. TOTAL lOo,oCJ Signature of .Fe~'Received Min. Septic Tank Capacity. ? .) a - Drainfield Required - Lineal Feet_IS-l? . Maximum Depth_ -7' (, J"'t~ aL.~ ~-~r~'fb~'( ~,-,> /()P":*~e~ ~ ~~JI ~~.~ ~, .' _T1)~ C /l/~~~dC - ;;:'AP-.~ ~~ /1~ ~_ -A.~~'. f,f ~ft/~', '.' " ,{ Type of Construction . Gr~up Fire Zone Use Classification Rear 71 pue Zone R/J-M.tr' SANITATI~ . e!i!). A:rI44, DEPAR1MENT If; ENVIRONMENTAL MANAGEMENT DATE: /1- J'f.7,J BUILDING: DATE: COUN,TY