HomeMy WebLinkAboutPermit Septic Tank 1975-11-17
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LANE COUNTY PERMIT FO
PERMIT NO, 3081-75
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"'" .....;44 -. ,"
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<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.
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, , ' , 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
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\Y',
I'
N
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()'
,~
RECE\\1EO
~,
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~
. 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