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HomeMy WebLinkAboutPermit Septic Tank 1978-7-28 'TRS~TI 18-03-;2.-33 /f 4300 JOB LOCATION I YO'71 j;J/-..IT.AIC'f: /J 11- '/ I :; :23t/-"} J ( , , LANE COUNTY PERMIT Acreage or Lot Si7~ Contractor's O.S. # Less 1 Partitioning it ) Completed Subdivision Lot Filbert Groves 3rd addition ,jtJ Block L APPLICANT'S NAME AND ADDRE"" OWNER'S NAME AND ADDRES" CONTRACTOR'S NAME AND ADDRES" Mail permit to I ) Applicant ( ) Owner Jean Adel1'Vantuge, 1875 Mohawk Ii 79, Spritlgfield, Oregon 97/'.77 74~/-8Q~O 'Phonp, - ~~ Phon~^' Phonp (owner, etc.) when ready. .- " ) Contractor. ) Prefer to pick up. Call. STRUCTURES NOW ON THE PROPERTY ~ '" THIS PERMIT IS FOR Carport) 5 ~e- d'/.2'",?-7J'" . WATER SUPPLY none Install SDS, Mobile Home Singlewide # BEDROOMS~# PLUMBING CONNECTION~ 01:-" public SEWAGE DISPOSAL proposed. S.I. # 78-714 THIS PROPERTY IS WITHIN ONE MILE OF THE CITY OF PLUMBING BY ., I hereby certify that the above statements are true and accurate, and that I have the following legal interest in the property: _owner of record; contract purchaser; _ potential buyer; _ realtor or agent. I further certify that (if not the owner) I am authorized to act for the owner of record and that said owner is aware and approves of this action. I hereby agree to comply with all applicable Codes relating to this permit. , ~ Fee Paid 50. 99.06 Signature /s/ Jean Adell Vantugeq Date 7/12/78 )NEWADDRESS ( )FACILlTy'PERMITTOTRANSPORTATIONDEPT. (){)SPECIALPMT.AREA. MIN. ELEVATION: fl//f "' l' . "f: , ~. .. SANt:8'. :[;:.0',1)0. N BUJLDjlNG . -17 ;? "7 /~ Minimum Septic Tank Capacity (Gallons) o/k f . Type of Construction !::--7 Group . C':) u. Drainfield Required - Lineal Feet . M-H -::::r-D, Ilse Classification ""... MaXimum~DePth 1:>:'" ".8 ~_ Comments:7!t'tJq-~; 'i'H~ ~-M.1T -p--~ I-A.c:.tZ:it_ ~ Co~ments: ~ . ~'~ e::::;l\.Ll~'~;e;t..\..~IlOV p-. '-">Z..i2:<ef!:der .:' V-- (..I../M.(J.. '1-. Qv.,A ~ I'Vcn--::U. 6.r-otJ ~ ~, ~~ ~"jl:.II:;' ~~.c'itbr..J, ,:. - ' o 1d, I" \) I. 6 .. - . n _ _ -4- 1'",-we:v,,~ "fC=z:'1''-'-1s "l 'Pl.SIl'> 'P,;;;e.... .cn-r;.>GH<..-..?.'.::;l+.- EO~l' a.. A'S p ,1<7,,--1" ~- Vr(.1L dlt..- '1Y-f'..C.D.<J'-"......,'-/\ / ea:""k.....SJJQlO:o -e-r ~ (~~/.l:=1'UL!i'!iZ-.." .' .,:r..112t~.h,;e. -;>/::.I.qr'~ fJ;;L.A-rr~f;:;;.p :5I-1-E:.';;' Date: 7/2 7/7( B~L.vty~.~ULLJ..~ ~ate: 7~.z8-18 Date: 7/12/78 Date Issued: 7/..:2-!?7'7Y (FROM CILI INT. SIDE YARD 5' REAR ,,'{"(FROM P.I.LI Fire Zone, ',"",. .;. .' '~', { " '" , //I~- ~y: j/f/ , PLANNING REQUIREMENTS SATISFIED. By: Roger HoUis ZONE: SETBACKS: FRONT 45' SIDE FACING STREET LANE COUNTY DEPARTMENT OF ENVIRONMENTAL MANAGEMENT, 125 EAST 8TH AVE., EUGENE, OREGON 97401 PHONE: 687-4394 ~C~5-13 --- ~ .~" POST THIS PERMIT ON MAIN BUILDING AT SITE BLDG. PERrvlI"T": WHITE; BUILDI~G - GREEN; PLUMBING - CANARY; SANITATION --= GO'LOENROD: OFFICE COPY - WHITE t5~,,,.,. _~".~:",j,.; 'M~",_.,," "c._., ,.i: ',._.. ~ .,. :~..' ,,_ _,';" _~'_ :L_,.., . ..~ .__"~f;. .'",_,_, ~.'~ \..;_~ , ';. _.~.: . '" "1.,... -....>... .-- :~,.,<.? ..... -- '-..,-,..~-<. ""-'. '"',- ,'!_..""., '.-' ~LANNINC DIVISION. PaFtltlonlng. , Parcel No. LANE COUNTY -<;PARTMENT OF ENVIRONMEI':-JTAL MANAGEMENT 125 EAc.. dTH AVENUE, EUGENE. OFiEG~N L ,1 Current Zoning []pendf~q []C~mpleted fEr AVERAGE PROCESSING TIHE PartitionlnQ. Reoulred Other I $ .' $ ~. WATER POLLUTION CONTROL New Site, In8pect1~sl 'SD~ ConstructIon ~ New Number otBedroomsi of Sites O,~lr $ $ O?S-, !:E- '" " i;; c " '" '" .., o. r< H H " " n H r< ,. '" " H H 0 0 " " - ~ .~ ~ "- I ~ Commercial/Industrial - . o~ fmployees Other '7/f- 7/ Y- $ ~. 'CONSTn.UCTION PEiUUTS AND INSPECTION l....6.J ... (See above tor t of bedrooms!' ot employees) ,n :~Obi~ H~roe'. .. . . $ ~ Permanent o Temporary '0 Renewal Structure FEE 3/, SO Sq. Ft. valuation. ( 'nA../UJ-< rr-.. I ~ /.J)"t d ;2</0 $ $ __"J~, $ $ $ Eac.h $ r.ach $ ,v ~otal V,lu~tion S Plumbing fixtures at S Sewer,IWilter Conn. Ilt ,') / /J !2- '" ,. Cl '" 4\ State Surcharge Plans Check Fee Change of Occupancy $ $. /, .~ (.; $ 7..20 $ TOTAL BUILDING P~RHIT fEE $ 99 () ~. o .., Suntotal HlnimWll 8tructural setbacks: From centerline ot street:- Front Exterior Side 4S-1 .~/ Roar S-' Address ~ I From interior lot lin~s: o C04t!'! plans sheet' to side applicant o Curb cut t~ applicant ~ PUBLIC U_NDS 0 Address J4 MiniThum Elcv,),tion 0 PUBLIC WORXS 0 r^'C i 1 i'ty Perr:1it 0 E1JV I RO:,~''.f:::IT,'L IlEALTII $ Cal!lh Check: I d5'.3- flcc'd hy ~. TOT^!, $ '790(, JMini~um Elevation '" r< J AFf'IDA'JIT: If this permit is"for an"agricultural buildin'J, I hereby declare ~hat this buildinq will be used for agriculturaL pu,rposes ;JS allo.....ed by zoning and/or the State Building Code, and for no other purpose. I further certify t:h,l.t the statements and other .in,form:ition submitted on thi~ Bpplication are true and accurate, and that I have lh~ follo.....ing legal interest in the propert.y: o.....ner of record; contr,'lct purchasen l(~ssee;' hol[lL~r, of an exclu~ive option to purchasc;-__duly auth(1ri~ea--:[o ,let (Ot' a person .....h~ohas the IOIlowinq ,leqal int(!rcst~ : Or that the UWTl€'r of record is knowlr!d'le<lble of this not tlH~ o....ner, .1, furthC?Z.., to comply with all 'PPlk~tinq A~Plicant'S. S"ln"ture_~~~~~ d ~_ .V" appllCation, if 1 '-lffi to this permit. Dote 7-/,;(- 7 X ~n~ county. ~ THIS I~ YOUR RECEIPT, P.ND DOES ~OT GIVE YOU PERMISSION TO BUILD. FOR INFOR"1ATION ABOUT THE PROGRESS Of YOl)R APPLIC^TtrJ~l. CALL P)';RMIT COt~TROL. 667-4)':17 (6S7-HELP) ,. [), ., " Plea.!'e Pririt - Return Arplicatioo 1.- Recf>ptionjsl \,'hf'n Cr-mrleu.d Appolnrnltflt Dlllt'. '. Office Use Only , ,-- APIPLICATIO N APPLICANT-X-PCl~ J1r1 o. J \..,Vt:Wd,t,L ADDRESS -l ) 1;7\~/~ .AA , ../ OWNER (IF DIFFERE~T) PHONE " "(t. , ZIP -X9"hL{ PHONE City 2. DESCRIBE STRUCTURES NOW.ON 111.E PROPERTY. NOTE ANY STH\lCTURES TO BE DEHOLlSHED. 3(v\~Oh;:r~ F~R APPLICATION) ARE l/)n2:.+nli '2LD. ~ - (2" ~) ~lnZ1O' o)trrO-.:.), '-- 4. \. FUTURE PLANS: ,. PLOT PLAN. Sketch (a) 311 ronds (b) boundAries of property (e) eXisting/proposed buildings (d) existingl proposed sewage disposal areas (e) pxisting/proposed wells (f) existing/proposed driveways (g) easements (h) drainageways, streams, creeks, any other pertinent .features. If commercial _ or ind~"'.~_~~.~., 5ho,,; free~t.an~ing' sigr;s,_ p~~k:~e- ~':~_~~_'._.._E'mIC~'!_'.~!!.~IONS. ~_=. '-:::'T>=':':r~': "::1: : (:'~':':": :r':':T-::r-::r:'T::~ i. i !:. i 1: : . . ; ; . .-::_:T ~~~~~:, . ,.. .-::--I-:':i -_:_j-~~ -f +::_- 1>1 >_: : i : : .' , . I' .. : . . . . : ii' 1 I ' , , , I .: i ':. j I . : I I' I : j: . j .., ", l' . , : i ;;' :. :: ~ ' " :~L~ }llnT~i-irrT '" ~ ': : i ~..: I :.~ :-1,: ~_~. ~~._ .J.:_.___.!' _ '.__. ..L 'ii, _:;1[... : 1:- I [' ! , I..: ..: . :"il I. ii, ! i._:!:i-;J , I :1 ::.'1. I' 1.1 .,:i ; . I' ) .[ I: . : j : .. I' ., I . . : , . I. ': ~ . I _ :..: iIL'_-I: '__I !':~:__", 6. ITOTAL LOT SJZE-OHJ~REAG'E'-~5S! I 'SlTE :INSP~~~J~;;'E;;:-;;E~s7~-L..(L;;)'~k:J~I~. 3. METHOD OF SEI.'AGE DISPOSAL Oh"t'Y)t=)Ori \ g. PROPOSED WATER SUPPLY WELL_. Sl'~;NG_ STREA" LAKE PUBLIc,~r-l- (;::;@ tP.;.((~1'lL la. ELECTRICIT1' FUR:HSllED BY , , .L: '''. ,;:.1 -'------_.._1 ...,j "'1 .",j' " ; ...; . . . . . I :.1 ...i .1 . :1 .", ,.,., -:.::-~ !';'::l ....1 . . . ~ "", ..1 :i:',\ __,_ ..__ __nO .':: I "I :;"r'j [ 1::..1 .1 ., ,:j .1 1 1..::1 .i"" '1'1 ',,1 .., "I: ~ ~ ':'.' _I. : !: .i: 11. l;ATURAL [',\5 BY II. ~rRE DTSTRICr 13. SCHOOL DISTRICT ]4. PLWlBING BY ******************************** DO NOT \,'RITE BELow TillS LINE *******~***'******************** BEfORE YOUR APPLIC\TIOi-l CAi-l BE PROCF.SSEll YOU MUST FURNISH: 8'p:ll PLOT 'PLANS LEGAL DESCRIPTION (DlMENSIO::;W) BY D;\TE LANE COUNTY DEPARTMENT OF ENVIRONMENTAL MANAGEMENT 125 EAST 8TH AVENUE, EUGENE, OREGON 97401 ~ ~ ~ ~ H ~ i'; ~ ~ <;l ~ H o Z Z " 'I 'I .. ~ I OJ o t~i ~r~ RW \)6 ~ g ~ ~ Ii " ;; '" n ~ H o Z ~ ~ o ~ H ~ '" ~ o ~ ~ H o Z '"""--.--.. bne county (8 , , ,. --'~' l'lAP I ~ - ~'.t..:t. 3 T.L. 4300 TO: PLAlm IiIG PERMIT PROCESSING OTHER FROI1: FLOOD PLAIIJ tWlAGEt1EIH DEPARTMENT OF PUBLIC WORKS PHONE - 687-4195 ", SUBJECT : BUILDING PER~lIT NUI-1BER 27..34-78 SUBDIVISION OTHER SITE IN FLOOD HAZARD AREA. YES DETAILED STUDY NOT A SUBSTANTIAL IMPROVEMENT MINIMUM FLOOR ELEVATION REQUIRED SITE IN DESIGNATED FLOOD HAZARD AREA EXTRA PRECAUTIONS MAY BE APPROPRIATE, RECOMMENDATIONS: PARTITION NUMBER NO )< APPROX II1AT-E STUDY DATE / /11 BY (jf3 ) Site Feasibility Study for Septic Tank. Number of sites ~ M- ar..ltP.- \ Test~les :viii be ready ) Completed Subdivisi;::::' LK?E?KI ~,(?O(/-e-. ( ) Pending APPLICANT'S NAME AND ADDRESS J~ Ad-e..iI /)AIV7t-6t/~ . OWNER'S NAME AND ADDRESS, if diffe t from al) licant'c /X=-7_~ J1Z6'd'At.UH ~ 79 'NTRACTOR'S NAME AND ADDRES I' }ill" /'lL}- ( J..p . .iil permit or results of site feasibility study to ( Applicant ( ) Owner ( ) Contractor. ) Prefer to pick up. Call (owner, etc.) when ready. STRUCTUR"ESNOWONTHEPROPERTY ~~ .. . _': PROPOSED USE (this permit) ~~cLl.L 5,0.";2,. (Z 61:0.) N..o'&I.LZ- )1o~~uJ~,..r'''r''''i.2. ~ WATER SUPPLY Ih\::..@vfjU ~OV'C.... C-oAAAJ... ." ~xisting or proposed well, etc. If public, name of system) . ,() SEWAGE D'SPOSAL~~d 'd-, D, 'S , (existing or proposed septic tank, etc.) s.(I;;-- PLUMBING BY_ ~~y Address ( ) PROPERTY IS WITHIN ONE MILE OF CITY ( '1"f6- TRS, Ti i I ,~i<~. /?- 0 3 -';;,,33' <(3.. 00 Job Location /~( Written Directions ( ~ing Permit Acreage or Lot Size t a Sg Partitioning # . INFORMATION SHEET 5C+J /-IA-4JD l WA--V) ~~~ ) /- Lot iUo Jllocl< 4 Phonp 7<17-R'?sq. , Phonp Phonp S;P/i'lIY9~1 e..lci Contractors O. s. # -If '*.. ** -If * **** 'If-lf ** -IHHf--/l-***** *** '* ** "'" '* ~HHt ** ** ***... OFFICE USE ON L Y BE LOW TH IS LIN E ** -If * **.."*...... *.* ** '* '* **"*.. '*"* ** '* '* ** *.,....., '* *.... 't * '* '*...... ) Special Permit Area. ) New Address Necessary ZON" ) Facility Permit Necessary SETBACKS: Front Side 'Facing Street (FROM CENTERLINE OF ROAD) I nterior Side Yard Rear . (FROM PROPERT'( LINES) To: Planning/Building Inspector/Sanitarian/Surveyor. This applicant appears to have a problem with. Your assistance will be appreciated. By. ResponsP' C55,12 By DEPARTMENT OF ENVIRONMENTAL MANAGEMENT Permit Processing Section 125 East 8th Avenue 687-4394 Minimum Elevation: Permit Processing Section nivision ~~ TRS. TI JOB LOCATION -;Nhl'1#d ~~~ ~Ilf? 0/1'1 .. If. rJj- 0 2.? J, /7'.30 () '" :'.'-~ '''::'-:_4:)::; I ~ '.' . 0. \. /:_1,~_ / ?i/ /i1!f ,~ LANE COUNTY PERMIT Acreage or Lot Sizo Contractor's O.S. # ::n=-:J 1 Partitioning # (. ) Completed ~.,::U}~~;~:: "..,.........,.,. ~ ,-.....\.-.......;,.> 21..........:.;;.: - Su Bloc~ L. --- APPLICANT'S NAME AND ADD RF<:<: OWNER'S NAME AND ADDRES<: CONTRACTOR'S NAME AND ADDRE<:<: Mail permit to ( ) Applicant ( ) Owner ::"::~':':' .:"'-;:';.:12.: ryC.:f:~~~-;-; ~ ,.. ..- ....!j ~::;i.:~3.: . l'r 7;; r~jZ"~~ic1ct' C.::1:)=~-' ~ 'r1j"b~p Phone Phono .' (owner, etc.) when ready. 1(~ ,'.:';:';:; ) Contractor. ( ) Prefer to pick up. Call w $TRUCTURES NOW ON THE PROPERTY ?~ J--- T 0 (..- -;.....-~ ..,. <"'f~ -""'J. T~IS PERMIT IS FnR~:~" ~,._t:.... f> .:tt ~ ee.- ,)tt2 7-;' '7,f! <"TCll::.c WATER SUlh y. .. ::'.:'":Z'..J ,. S':'d., :=~:'f..-.c "'"'-~~ ~,--..: r:'1'~C1:::):l.{'~ DAlc..y # BEDROOMS~# PLUMBING CONNECTIONS-..- SEWAGE DISPOSAl P=YO;:;CG S.1. # i r:;-- 7 ~J., THIS PROPERTY IS WITHIN ONE MI LE OF THE' CITY OF. . PLUMBING BY I hereby certify that the above statements are tr\le and accurate, and that I haveth~. following legal interest in the property: _owner of record; contract purchaser; _ potential buyer; _ realtor or agent. I further certify that (if not the owner) I am authorized to act for the owner of record, and that said owner is aware and approves of this action. I hereby agree to comply with all applicable Codes relating to this permit. Fee Paid $ ,;;).::-:~' Signature' lei ,;2.':"':; t.t!:\a 'JGc~~',::,jS(:; Dato 'i1:i.2/;'J , . ) NEW ADDRESS ) FACILITY PERMIT TO TRANSPORTATION DEPT. (X) SPECIAL PMT. AREA. MIN. ELEVATION: .'/', BUI.LD,ING .' ,. ~~, ~ - Minimum Septic Tank Capacity (Gallons) . / .\! , Ty'pe of Construction ~--,. Group . Drainfield Required, Lineal Feet '. iv\ ~ <<-'T'i.:-'. Use Classification Ma'm D th . - o:-!'_"'T,..j:'7.~1-'7. ..~..-~~.".J. ..-....,...~, r. ,"",'_d t". ,.- xl""um ep rl,. 1'1 Ii. Comments:"'t}. 'J~'<'~:-, P' ~~ - ~L_.r..tt, 'I..:..L.:..... " ...." '.'. ~ ' I {) ('. J .. lI');"': 1/ - . (... . A <" he , -- . 'Comments: it~~-,~ Q....l~~,~:).b.-.- (LL~:J"f.,...ti~~ '~'V::~(~}.~' ~'s.....:-1!:\;'!.;.;~";.i-"r_t'''';'-L::t . " -L":"'" . r:~..;..~, ~;:.~- I, ..' I;) " ,/, j / /t A.-."....,-~ ~"" '-J">,-- ".-., ,,r . - , . 1'.4_&'1 .J ~ (J ..l. I... iv"l,r.,A ,,/,\.-:f/' . _'" - r~_.i. "'~.1 .'/,,'" r~{'l-'(;, "~j;z.. J .........-.' "l ,p-'>j.- ...... ~'.:.~ \.: 1....1, .,,- \o.,J.;/r-..,.. "'h \ ,..?"\ .__....\.:~ ~ ,"V\ - ~~;~ ~"7-' __---'---------J. ~. . . '"".." -', - - ,_' ,~.,-, - ..:::... T -..- ,".-:"'.- r.,- . ~ 1 '..' I ".. f-........;;\::: l-,[-~P' ......'1'-;.. ~ I t~.1 .7 ijL'~ ~ ">),......... J .~,. Jr.' ,~".J ~.~ '''\r.:.L.ll l' j ,'I r._I-~<.t-1.--r--.o<":::\ / t...',~,_. .,~ . --' r.:',-\ .-' . ,,1 ~-- .~' . i- ,~,~ ;1" t;.. ,_"'- ..... ',"" '-. ....,t. ;;;. ..- f ,'", . '--' i .~ .\.... I _ I} v' ~ ,....tt \lJ !2 ._-;} Jt' jl" t:{ f~":L: p.;'-l"~~ ~tl_r' .'1..; ...... , [ /i I'" .1 . B.. ; ,.- I --I J i J "- y: "," . " . '-- ~~-- SANI;r:,(I,T,ION 1(..4../ , {,.;: (.J --" ""~ /) "-;. "ire Zone f...,,; . t,~.__.~,,-' I' 'J II "J\,. ~( Date: ~-I&..'-'-. /0 PLANNING REQUIREMENTS SATISFIED. Bv: '.~::'~" ~':>}.;!.~.O ZONE: SETBACKS: FRONT (l~' SIDE FACING STREET Date: 7.28-175 ., Date: 1I...1./1t Date Issued: (FROM CIL) INT. SIDE YARD :.if REAR :3' (FROM PILI LANE COUNTY DEPARTMENT OF ENVIRONMENTAL MANAGEMENT, 125 EAST 8TH AVE., EUGENE, OREGON 97401 ~~ 'I PHONE: 687-4394 POST THIS PERMIT ON MAIN BUILDING AT SITE BLDG. PERMIT - WHITE; BUILDING - GREEN; PLUMBING - CANARY; SANITATION - GOLDENROD; OFFICE'COPY - WHITE ........ .. . PtJat; Plsn SubdiVi8ion_~IL&ll..~ ~v~ Lot ..3G:. Block::z.- . , , . ., ; Vicinity Map ~~ r- _ N ~ f'" I ~... OJ ~~ "'tl o '~ ~~ ~'" '~I , . G/9 .. ~1~v->1 , lI\ v-... ,~, (' I { ( {~ I ( ~ l , ~ , ~ \ ( \ ~ \ ! \ l - ~~ I ~ ~ - 1 ~ .AI. ""-", ''744'~r ~1L - , ( 1 ( ( ('t( ( ( l~ J ( G' {\ ( - I