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Home My WebLink AboutPermit Septic Tank 1975-9-18 . " - So 1'1" .eoJ.. e'hf /V .) . O. LANE COUNTY BUILDING PERMIT OR BUILDING [J MH 0 SOS MAILING ADDRESS 46956 MADRONE " () MOBILE HOME USE PERMIT PERMIT NO 0{6597~ .,;;).s~-7.s-' ~75 -,n PHONE 896-3690 PHONE 688-9750 -r1L.-t,...,.....JH~ PROPERTY OWNER , , R06ERT TILLMAN SPRINGfiELD OREGON , CONTRACTOR TEO SOPTELEAN PROPERTY LOCATION - INCLUDE POST OFFICE 2081 INLAND WAY I PROPERTY LEGAL DESCRIPTION - METES BOUNDS MAILING ADDRESS 5000 PRAIRIE ROAO JUNCTION CITY OREGON ~TH ADDITION FtLBERT GROVE LOT ~~ BLOCK 2 TWP RANGE SECTION TAX LOT NO CODE CENSUS TRACT 18 < 11.2.2 1000 17-186 EXISTING STRUCTURES ON PROPERTY APPl NAME TED SOPTElEAN NONE LEGAL ACCESS TO PROPERTY INLAND WAY PROPERTY SIZE - FT & MAILING ADDRESS FOR MOBILE HOME PERMITS ONLY No of Bedrooms SAM, WIDTH DEPTH AREA STRUCTURES TO BE BUILT THIS PERMIT Connect to EXIsting Sewage System 0 TYPE CONSTRUCTION SQ FT :!::t BDRMS New System D VALUATION PERMIT TO INSTALL SEWAGE DISPOSAL SYSTEM fOR FUTURE 3 BEDROOM MOBILE HOME FEES PLUMBING INSTALLED BY OWNER 0 OTHER NAME WATER SUPPLY SEWAGE DISPOSAL PUBLIC n PR IOrSEPTlC TANK 0 BUILDING 'WASTE DISPOSAL PLUMBING PLAN REVIEW PARK TRAILER OTHERD 100.00 PUBLIC 0 o OTHER TOTAL . 100.00 COUNTY BUILDING & SANITATION SPECIFICATIONS DRAIN FiElD REQUIRED UN FT 150 TRENCH WIDTH FT OR SQ FT 300 MIN SEPTIC TANK CAPACITY WITH DIST BOX GAL 900 \ TYPE OF STRUCTURE OCCUPANCY ZONE PUBLIC UTIL EASEMENT BLDG SETBACKS FT FROM CTR OF ROAD RIGHT OF WAY USE CLASSIFICATION ! FRONT NA SIDE 'NT SIDE EXT AUTHORIZED SIGNATURE - DATE REAR JOHN CRUICKSHAN K/SAmTTARIAN DATE 9/18/75 DLM BLDG PERMIT - WHITE OFFICE COPY - WHITE COUNTY TAX - PINK PLUMBING - CANARY BUILDING - GREEN SANITATION - GOLDENROD Call 687-4065 to schedule all required inspections All construc~ tlon shall comply With Umform Budding Code, D E Q standards IMPORTANT for subsurface sewage disposal and county regulations covermg plumbmg All bulldmgs requIre a certificate of occupancy before bemg occupIed (See Details on Reverse SIde) (POST THIS PERMIT ON MAIN BLDG AT SITE) LANE COUNTY, OEPT OF ENVIRONMENTAL MANAGEMENT COURTHOUSE ANNEX, 135 EAST 6th EUGENE, OREGON 97401 FORM = C55-13 , ::!~t , BUILOING SITE EVALUATION (vY"BUILDING PERMIT APPLICATION NO.. () SITE INSPECTION PLANNING DIVISION Not Appl i cabl e I. Zoning Ordinance Compliance: Zone A}4~1H ( ) 2. Subdivision Ordinance Compliance ( ) 3. Requ i red Access ( ) 4. Building Site (Area, Width, Frontage) () 5. Other (see comments) ( ) COMMENTS: T ,,) RO~ SUBDivISION: LOT: SI./-Z.2. TAX LOT /OQi> APPLI CANT DATE No Yes () N 6. ( ) ( ) ( ) (\) ( ) ( ( ) ( J PLANNING DIVISION ACTION PENDING: YESl J NDl J APPLICATION# BUILDING INSPECTION DIVISION Not Appl icable ( ) ( ) ( ) ( ) 7. Plans Submitted 8. Soil Stability (footings) 9. Flood Plain 10. Other (see comments) COMMENTS: WATER POLUTION CONTROL Not App I i cab Ie ( ) ( ) II. Meets Department of Environmental Quality Standards. 12. Other (see comments) COMMENTS: No Yes () TI ( ) ( ) ( ) ( ) ( ) ( ) No ~ () ( ) ( ) BLOCK: CK' 0 BY '-'..1fi::r9~11'1..J" Setback; ~om cil of ropd: Front JUV~ Side Exterior Setbacks from interiof lines' Side I Rear -J CK'D BY: DATE CK'D Byn/?.H~~)9);t.J ," DATE TO APPLICANT: ~oJ' BUilding I SIte Inspection: )/J Can be approved. ( ) Cannot be approved at thiS time as indicated on item NO. above. Questions and further Information on items I through 6 contact the LANE- COUNTY PLANNING DIVISION. Questions 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 building permit a~~!J2~_fe~~ein9.~ned under seoarate cover_ .crARTMENr OF ENVIRONMENTAL MANAGEMENT 135 Sixth Avenue East Eugene Oregon 97401 PHONE: 687-4065 LANE COUNTY PLANNING DIVISION PHONE: 687-4186 /1] q/I~~ C55-28 ".. \ -y-- I ~~p '~ \ ~\ ~\ -\ rI:: r: ~ !l; qB :s ~ b;'\I, ~ g; ~ M \~ ~ L9 3y:'" S L I 1 1 1975 , LANE COUNTY l::NVIRONMENTAL MGMT. ,I () 9'f!/ ~f-- , .. - - __ L....... ---- ( u fL{ .e e-.- ~ fI QMP~ ......------ bY I 1 000 ")4L. 1....:;c..4,(.....-rI)'I~ 10 C::J 0 ~ 1!iir I,. J- .\ "" ~ :::::: E; , /01 I ,t; ~ I ,IIJ \ ~~1 \~ ~ m I , , \ \ , - - '\------- - -.- --~ J/J/.1 .J. " ..... )00 0_ J,I': c2S-s7- ?<.Y ~ ~- ~.- P.. ~ \) ~ . PROPl ) INSTAllER: Complete top part of form SEWAGE DISPOSAL SYSTEM RECORD . to sIgnature and submIt both copIes with application. PERM IT NO. , 2')')9- 7') ,i JC PROPERTY AUURESS INSTAllER'S NAME No. lIving UnIts Bed rooms Baths -;{O!? I INLANO WAY Basement Water Sup~y Yes No PublIC ~ Other-lIst 1:..'}...:;. TED SOPTELEAN J Septic Tank: Ft. f rom we 11 () Inside len9.th OWNER NAME DimensIons: WIdth Stee~ Ft. DIameter Concrete ~NO. Compartments Gal. CapacIty TIle Disposal Field: . ~ Depth DIstrIbution Box: Yes ~ No Other DIstribution-Type /00 (] ROBERT TILLMAN MAILING ADDRESS 46956 MADRONE Feet from WEll Foundation lot LIne 0 0 "- Front / Side / Rear Lf I Ft. Between IFille,*, IFiller Depth (Filler Below Li nes I r; Type I -:J- Above Ti Ie ;2.. I n.IT II e 6 In. SPRINGFIELO OREGON 97477( Le~~th of LInes-Ft. I Trench I Total SCk I";X2~3~~4. 5. 6. Width2. Ft.\?O U 'lot Plan (see InstructIons): 7.... o ~ "'75-;(.... f' -0 1 'i:. "'~ ~ f'JOt<'T H "Y, ..... ,,8 Lf_2.._- -- ....... ., / /IO{ .... \ ( $~\~- 3 CJ -~ 0_ , / /,- o - ~( Date n C-'t" X - '7. r;- SIQnature CERTIFICATE OF SATISFACTORY /J p~rri.,rV ~r?l7~-if2A/1A.' COMPL{iiON I Date: 10 - cr-O is issued at the above For Sanitarian Use Only: In accordance with 1973 Oregon Laws Chapter 835. Section 214 this certIficate as eVidence of satIsfactory completion of a subsurface sewage dIsposal system location. ~Approved: System Installation conforms to current standards t==1 DIsapproved' Does not conform to current standards Remarks C55-11 ~, '1 ~T Yhch~ S tar ran -s S i gnat,& LJI E COUNTY STATE OF OREGON DEPARTMENT OF ENVIRONMENTAL QUALITY } .:pS-rJ?-7.j- PERMIT IE. 1- :.. :. " ~1<Q- NO PERMI~ ILL BE ISSUED UNTIL THIS APPLIL _ION HAS BEEN APPROVED NOTE JjJ.S- APPLICATION FOR CONSTRUCTION ~ - MOBILE HOME:,'.v-I PLAN REVIEW ~8AR8rAA ybQJ6 OWNER ROBefJ. / TI/...L..MAU /^P-O P.o 1'/6- Name Address CJ CIIAl;GC OF OCCUPANCY CJ CJ .5P/?//'Ir.-F/fE.Ln '17'177 0''16-3670 City C Irr1P Phone CONTRACTOR-Lt:YJ SOP7~t.~AI'-I S(J(JofJP.AII1.I~RtJ ,!VA/CoT/O).! 97'1'tJf 68'f-'17.jQ Name Address CHy lip Phone ~ OS R1C II Twp ,g' Range c' Sect1Dn / I" 2 }... Tax Lot 100 l> p' . F",-fjf."Ar -L- SUbd,v,s,on0 PJ)O/T'o ~I- /.:.R"y~Lot -7...J Block;J.. ACCESS TO PROPERTY (Road Name) ;2 D !? I / AI t-A N (J I.J if Y Code Cens us Tract_/7 - /r:h Property Acreage Width______Depth Property Locat1on - Address/Direct1ons NONE ;z. oJ-I / IV L.. A /'f .f) IJ If; EX1st1ng Structures on Property -' Below fo r Of f ice Us e On! yvvvv~r'r'{XXXXXXXXXXXXXXXX}J{XXX:XXXXXXXXXXXXXXXXXXXXXXXX'OQC{XXXXXXXXXXXXXXxxxxxy,r"'"r'r,r'"LXY'''''''''r",,'{XX},. 5L.:;r~ 21)-2 y?/ D~t ~ ~;::ms<<4~,~o; " SEWAGE DISPOSAL /.J . , Site Inspection #/~ v Min Septic Tank Capacity 9r'YO J Sewage ./ Water connecti~ Connection ~I F:~~~ FACILITY PERMIT t-O.r k -- ES CJ NO ~ YES ~ NO Signature of APPIicant~~~~~~~ Fee Received By ~ Date tJI-// - ;0- ~~ S(;_# Dra1nf1eId Required - Lineal Feet ~~ Maximum Depth Other CJ Name or New System Required ~ Commun1ty or Public System ~'''---- tJ ___ /-~ /~ ~~ Existing Sewage D1sposal System c====J WATER SUPPLY Well Publ1c CJ Spring _ Other Commuu1ty ~ Name of FEES PLUMBING Installed by Owner CJ BIdg Waste Disp /C)f). rJ 0 PLUMBING FEES Plumbing - II of jxtures Plan Review Mobile Home 1% Surcharge C] CASH TOTAL /OtJ.olJ ~- Type of Construction Group Fire Zone Use Class1f1cat1on Bldg Setback~ - from Center of Front~/~ S,de :_,_ Road R1ght of Way ,)-~,;. -..-.-......--- , Rear -7 fl/L.. Zone /.?4-/)1-/.1 PIAJ!!!,ING df/J'"-C;-//-7<:: ,. DATE ?!!ift;:;l DAFJ ~J:..) q/;) 71," I // - COUN DEPARTMENT OF ENVIRONMENTAL MANAGEMENT BUILDING DATE C55 12 LANE ~ .. /"=-IS' f< f'~ '"2.',,, / /1 ,/ ..- BU.,{E~- Ne:vJ OuJ~"iA. - \((/2.1.1 B~,{SON 2:)~l r:N<ANl) \N1l'/ . LOT =5 \31.-0('< ;;;.. TIl.Y L-oT :3IIL? "'.000 r.1I...eEt'-T G.oOvE' vYl H Sue'D',,'~ ,ON D'",.'Nr\<!,-T:: E SUDrt<.. Tl'o.lV'l "'~E E>'ISrrN~ PE..... ! ". \-- t= J.5~"" - s- T\>.'r' '6 1.'.r'IJGC::! ::C(~lor,' 11'~"'1 T.L. IM6 7' , UTILI'f"" '::...:;{. Mr>'''' . ------..;....... NO q ~,.. 'X ^"~< I \. '(-V <.' / y..o-Y ~'P 1--00: 'I- I I I I ,0 ~ 7 ,.;. ~,>,y //.......~S \ .....- ./~/ \ \ . ./' .../ '" /" \ ..............- , ",It- / \ ,/ v.;:'~t:.....~ \ / f\.- / \. ..- ,(,Q.l'-.I // (\ \ ~~D ,/ ,0 ,/ ..- / , o '" / r r:~ /.. ~,. I ~ I:; 53' 2.08 , INLA!{C WAV ~I ~_0 DRAIN FI E"LD t SEP\I( 3'1' If G- o /::-;0 ~ iANI< A 'Kf. EX ISTINq 3D' 58' t 10' J ~~" .~ -~ ""':~ - \- - ....=----- L " , ... " NOTE PERMIT II NO PERMIT WILL BE ISSUED UNTIL THIS APPLICATION HAS BEEN APPROVED APPLICATION FOR OWNER CONSTRUCTION c====] MOBILE HOME ~ Ie (/dtC~j elL, "I /I L -< (J /) 91411- e.(!,JON t. RLl~f\ ~ .515"3 w ILnTtnrlJd-l. -=IOR/AIt ndd uu.... Name --1 Address , Cny' J . Z1p C- , 00. -Q v' C\. \ J. '------\ " Q , ~ '" " S cJ)",-s: Address CJ.ty PLAN REVIEW c:=J CHANGe OF OCCUPANCY i:=:J c:=J 7th-10M Phone c:::=J CONTRACTOR Name l1p Phone o S ReG II 1'wp J e Range 3 Sect10n II ~ 1 ~ 1- Tax Lot /t>oD Subd1vis1on htbt'.f.r tfi2d'1J(.. ::).t.&b Lot S:r Block;;r ACCESS TO PROPERTY (Roaf/Name) In/OAt! /VIU/ / Code Census Tract Property Acreage W1dth______Depth &\1;ill.!6< .sL1.>T'\L 0-uJ.h Co- .R x./:;hnu d-ruJ-l... ~:tl- In hi ibl./ r 7fuVI< , bi1(f"ftJrl&b ~ P8RlM\1':n. ::J.5'ii'1-,5"" j)t>Ju. .-- Exist1ng Structures on Property Property Locat1on - Address/Directions - J.Mr Tj\Jl..".'Il:> WI\l-f Bel0~O r Of f ic e Us e On! yXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX ( '\.. \ Sq Ft IlBedrooms Valuation \ c,"->- ~~ ~. 2-", ~ SEWAGE OISPOSAL Site Inspection # Existing Sewage D1sposal System c:=J or New System Requ1red c:=J WATER SUPPLY Well Public c:=J Spr1ng Other Communi ty c:=J Name of Communlty or Public System FEES PLUMBING Ins tall ed by Owner c=J Other c:=J Name Bldg Plumbing 3% Surcharge Was te Disp Plan Review Mobile Home \ (..y:.:oO '<.,0 PLUMBING FEES If of Flxtures Sewage Connectlon Water Connectlon PLANS FURNISHED FACILITY PERMIT TOTAL ,-\\.0",-, o CASH ~ \. ,y'?:CJ c=J CHECK c=J YES c:=J NO c:=J YES [:=J NO Slgnature of Applicant Fee Recelved By Date Min Septic Tank Capaclty Dralnfield Requlred - Llneal Feet Maximum Depth Type of Construction Group Fire Zone Use ClasSlficatlon Bldg Setbacks - from Center of Road Rlght af Way Fran t Slde In t Slde Exterlor Rear Zone PIANNING DATE SANITATION DATE BUILDING DATE C55 12 LANE COUNTY DEPARTMENT OF ENVIRONMENTAL MANAGEMENT