HomeMy WebLinkAboutPermit Septic Tank 1974-7-24
V~'\'N;~t~).'0j,GI' '~~vI~;"~
.:~, '10 .. i -t ~.~
LANE COL..{Y
, \,' BUILDING liD: ,
, PROPERTY OWNER'
.
BUILDING PERMIT
MH D
MAILING ADDRESS
OR MOBILE ',...JME USE PERMIT
PERMIT NO,
I) f/q.- 7(
120Q-74
PHONE
:,
Alv.in fiartwlQ
CONTRACTOR
MAILING ADDRESS
747_1<!RR
PHONE
PROPERTY LOCATION - INCLUDE POST OFFICE
Go l!lut, south 2nd St. In Sprln'lfJeld until' you meet Harbor drive, tUl'n left, en Inland Wav_
PROPERTY LE9AL DESCRIPTION - METES, BOUNDS
, Fl'lbert Grove L-43.B-2
03
SECTION c:;J\:3t3
. . ..
- -
TAX LOT NO. CODE
,IF 7rfo 0
CENSUS TRACT
. TWP
RANGE
18
3<;-400
APPl.
:NAME
EXISTING STRUCTURES ON PROPERTY
&
MAILING
. ADDRESS
:f2.0~;1
,
nonn ._
LEGAL ACCESS TO PROPERT,Y
in lanN, way, , '
PROPE~TY ~SIZE:':" FT.""
. WIDTH.
116
DEPTH
66
'. \,
Sewage System D
SQ. FT. :t; BDRMS
AREA
FOR MOBILE HOME PERMITS ONLY
No., of Bedrooms. Connect to Existing
_ STRUCTUREST_O ~E~U_ILT_~';.~S_PERMIT . TYPE SON5TRU~CT,ION
. TOI nSfaJ.!,'-SePt-1 c ' .0 i sDosa "S;;!ltem'~, for, Futute':Mob"1 e :H~e -~I
,. .'
~---".- -----'.-----.>.-------- -~~_. ~- '--'
New System D
VALUATION
"
.
FEES
PLUM~I.NG INSTALLED BY
OWNER 0 OTHER: NAME
WATER' SUPPLY ./
I
SEWAGE'DISPOSAL
PUBLIC 0
BUILDING
WASTE DISPOSAL
_ PLUMBING
,PLAN REVIEW
PARK TRAILER
SEPTIC TANK ill
OTHERO
SO on
PUBLIC, D
o OTHER
-TOTAL
$
'c;nn~
COUNTY, BUILDING & SANITATION SPECIFICATIONS
DRAIN FIELD REQUIRED,
MIN, SEPTIC TANK CAPACITY
WITH DIST, BOX, GAl.
900
'L1N, FT
150
TRENCH WIDTH FT. .2
OR SQ, FT.
300
No sev,Jca connectJons"to be'made:until water system approved.. See attach~ sheet.
.////
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TYPE OF STRUCTURE
OCCUPANCY
PUBLIC UTIl. EASEMENT
BLDG,"PERMIT - WHITE
OFFICE COPY - WHITE
, I COU.NTY TAX _ PINK
PLUMBING - CANARY
'BUILDING,- GREEN
SANITATION...,. GOLDENROD
,
BLDG. SETBACKSu'FT, FROM CTR,'OF ROAD RIGHT OF WAY
, I
FRONT.. SIDE INT. . SIDE E.XT.
AUTHORIZEDSIGNATURE!- DATE
~_ Sheok ' I
/
REAR
h-i
DATE
1~~j:;24':'74 "bp
Call 6B7-4065 to' schedule all required inspectians, 'All canstruc-
tian shall ,camply with Unifarm Building Cade, D.E.Q. standards
for subsurface sey..,age disposal and county regulations covering
plumbin'g. All, buildings require a certificate of occupancy before
being occupied.
Side)
FORM~ C55-.13
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lANE COl..~TY
BUILDING ~:
BUILDING PERMIT
,MH 0
MAILING ADDRESS
OR MOBilE nOME USE PERMIT
PERMIT NO,
1289-74
PHONE
"
PROPERTY OWNER
A'vln Hartwig
. CONTRACTOR
MAILING ADDRESS
747-3988
PHONE
. I
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Twe
18
, j' APPl.
, I NAME
. &
I'
RANGE
SECTION
TAX LOT NO,
CODE
CENSUS TRACT
03
2 &. II
35-400
EXISTING STRUCTURES ON PROPERTY
MAILING
1 ADDRESS
FOR MOBILE HOME PERMITS ONLY
; No. of Bedrooms
none
LEGAL ~CCESS TO PROPERTY
In 1 ariM W4lY
PROPERTY SIZE - fT.
WIDTH
\l6 DEPTH
66
AREA
, ,
STRUCTURES TO BE BUILT THIS PERMIT
Connect to Existing Sewage System D
TYPE CONSTRUCTION SQ. FT_ # BDRMS
New System 0'
VALUATlo.N
To Instell Septic OlspO&al '$ystOllTl for Future Hoblle HGIIl8
)
.
FEES
PLUMBING .INSTALLED BY
OWNER D' OTHER; NAME
WATER SUPPLY
j
, SEWAGE DISPOSAL
\o-PUBUC 0
BUILDING
WASTE DISPOSAL
I
I ~lUMBING
-I. PLAN REVIEW
. '
PARK TRAILER
,
SEPTIC TANK ffJ
OTHERD
50.00
PUBLIC 0
o OTH ER
f j
,
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J,'v
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...
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,-
TOTAL
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.
COUNTY BUILDING & SANITATION SPECIFICATIONS
DRAIN flELI? REQUIRED--'; .......~
UN, H I SO TRENCH WIDTH FT, 2
-'
! ,
/ /~.4
-;IV.
300
.
,
!
MIN. SEPTIC TANK CAPACITY
: WITH DIST. BOX: GAL
900
"
OR'SQ. FT:
N~ sey'" eonnectrollS to be Madill ulltll w"tor syst<IIJI apprClyed.. See attached, s_t.
-\ !
,
" TYPE OF STRUCTURE
OCCUPANCY
ZONE
AA-KH
PUBll<; UTll. EASEMENT
j
j
BLDG. SETBACKS._ FT. FROM CTR. OF ROAD RIGHT Of WAY
t'
USE CLASSIFICATION
1,1
SIDE INT. SIDE EXT.
AUTHORIZED SIGNATURE - DATE
J. $l'took
REAR
.I .
FRONT
DATE
7-24-74 bp
BlOG, PERMIT - WHlH:
OFfICE COPY - WHITE
'COUNTY TAX - PINK
PLUMBING - CANARY
'BUILDING - GREEN
SANITATION .,....GOLDENROO
Call 687-4065 to schedule all required inspections, All construe,'
tian shall comply with Uniform Building Code, D,E,Q, standards
IMPORTANT: for subsurface sewage disposal and county regulations covering.
plumbing. All buildings require a certificate of occupancy before(
being occupied.. ,
(See Details an Reverse Side)'
FORM =.(55-13
..:0 '
(POST THIS PERMIT ON MAIN BLDG. AT SITE)
LANE COUNTY, DEPT. OF ENVIRONMENTAL MANAGEMENT
COURTHO'USE ANNEX, 135 EAST 6th, EUGENE, OREGON 97401
\ .
.'
() Building Permit Application No.
() Site Inspect ion
() Pre-Permit Investigation
J " T.'~R ()~ s2+11 TAX LOT
, ~ 0'-tt5 CI:...~~~ ;TRACT
F; ! !;If,.-T 67lwe.- L - 1../'5
/2 '79 ~ ?V~:~'CANT: 1hr'-kJ70
'ADDRESS _ }
PHONE
DATE
g- 2...
B~hLD I~G SITE EVALUAT ION
7-//-7 j/
/
LANE COUNTY PLANNING DEPARTMENT
NOT NO YES
appl icable
NAME
DATE
l. Zoning Ordinance Compliance { ) ( )
(Zone'RA-H I...) ( ) ( ( )
2. Subdivision Ordinance Compl iance
3. Required Access ( ) () )
4. Bui Iding Site (Area, Width, ( ) ( ) )
Frontage, Setback) ( )
5. Other (see comments) ( ) ( )
COMMENTS:
/71/1 fl----, ,
7- 11- 7L/
)
)
I )
,
( )
( \)
SANITATION SECTION
10. Sewage Disposal
II. Usable Area
12. Water Supply
13. Other (see Comments)
-
COMMENTS:
NOT
aDDl icab I e
() ()
( ) ()
() ()
() ()
NO YES
. :It)~~_
DATE
7 fi2/7f
~
TO APP LI CANT:
~?J- -1 YYour
1,0- In
( )
( )
( )
Building Permft / S~te Inspection:
Can be app roved.
Cannot be 'approved at this time as indicated on item NO. above.
Questions and further information on items 1 through 5 contact the Lane-
COUNTY PLANNING DEPARTMENT. Questions and further information on items 6
through 13 contact the Lane County Buildinq and Sanitation Division.
Will,be held in ,this office until you can resolve the problems indicated.
1s being ~eturn~d. '
Your building permit appl ication fee is being returned under separate cover.
LANE COUNTY PLANNING DIVISION
135 Sixth Avenue East, Eugene, Oregon 97401
Phone (503) 687-4186
LANE COUNTY ENVIRONMENTAL MANAGEMENT
,135 Sixth Avenue East, Eugene, Oregon 97401
Phone (503) 687-4065
C55-28
J .-,,-.~--
.. ."
f' " " LANE COU~ BUILDING PERMIT OR MOBILEH
" PERMIT TY.P'E - BUILDING, of: , MOBilE HOME 'fi!{osc REG,'#
PROPERTY OWNER . .7-\ "MAllING ADDRESS
'/II ''') ,I ..iJ;,\/)' <::/(7 /'> .t.
'I'1"/-'ItJ IIV y..j-/J.R I /AJ J ~ I ~ '-" "'_ o/;'Jr~;-ff-
CONTRACTOR - 'M-AllING ADDRESS
"\~ USE APPLiC, ATION.
PERMIT :#:
\) , ,
'. (~
I ). g,q --ZY "\
PHONE
'7(j.V-~ y?P
PHONE
PROPERTY LOCATION - INCLUDE POST OFFICE
PROPERTY LEGAL DESCRIPTION
LOT L BLOCK - SUBDIV.
TWP RANGE
/4., 3, 2jftJ
APPLICANT ~ I 1 J .
NAME -iZt-I-lJ i ~ 1'1 A. RT W ~ r1
jQho ..JA1lam,.,J /ij)AY
MAILING . '. .'
ADDRESS SP-fS\ 1\1 ,<;-;f) FU4-() RE(.;(\,,\
FOR MOBilE HOME~T ONLY - .
F; IRFr:<I
SEe. -
GLR 0 (/G
Li- ~3
rs/k .2-.
METES & BOUNDS 0 'YES
ATTACHED 0 NO
TAX LOT #
CODE' . CENSUS TRACT.
. ," t/tr, /7 'Ss--Y""r'l
DESCRIBE EXISTING STRUCTURE ON PROPERTY 'IF ANY
NQ't.IF
LEGAL ACCESS;NP~k~~OO NAWAY
. PROPERTY" SIZE-WIDTH lDEPTH
q7477 IYf/X '(;A "
AREA
AND
Number of Bedrooms
STRUCTURES TO BE ,BUILT THIS PERMIT
Connect to Existing Sewage System '0
TYPE 'CONSTRUCTION SQ. FT.
or New System R~.
# BEDROOMS V ALUA TIO~
7;)
""dA/J ,<)~~rJ
0/)0
,
Im- r~f
, j41#-'
/
SEWAGE DISPOSAL
PLUMBINGIINSTALLED BY
BLDG.
WASTE DIS.
,
SEPTIC T~N" tI( OTHER 0 OWNER' 0 OTHER'D NAME
FEES WATER SUPPLY' . P.LANS FURNISHED .
PUBLIC" 0 OTHER AES .fM-"' NO 0
..' PLU~BI~ FEES /....-~N~f~~;f/'~,PPL~ .
_'XTURES 1I\A-- /~,0.-<;~/..d:<.--.4'
C'ASH 0 SE ER W .. 1"-":-. FEe R.Ecti ED BY /'
CHECK IS' ,%NECT ON FEE tI-J't:?,., , : ~.d/.?..-n
PUBLIC w, ,TER h( PERMI1 #
CONNECT!)N FEE J u.J-
COUNT,Y BuILDING 'i1 SAI'.iiTATlON SPECIFICATIONS
MIN. SEPTIC TANK, CAPACITY. _ . DRA\N FIELD !EQUIR, ED
WITH DIST: BOX, GAL '90() , lIN, IT, t5l;"O ,TRENCH WIDTH FT,
N() S~l'-'J;C:e., ~Ylecll;'r-..V io b{>_ m~de
C::fj~fe;?"\ Cf,~'-'I;"~'cI/ S'c;:,e. aTfC/j)I2J.~~('(>j-
.
PUBLIC 0
OU.Ov
FACILITY PERMIT
YES 0 NO~
DATE
7-/(- 7Y
DATE
7-1'/-7r/
PLUMBING
PLAN REVIEW
PARK 'TRLR.
TOTAL
---'<..c;o ~
!Z
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~oo
ivc... Je r
OR SQUARE : FEET
TYPE OF STRUCTURE
.OCCUPAI';KY.
ZONE
~A-H'I+
REAR YARD
PUBLIC UTll. EASEMENT
M lJZt'-f:
BLDG. SETBACKS - FT. FROM CTR. OF ROAD RIGHT Of- WAY USE ClASSIFICATION
JFRONT - U A. S LJt:' IJH. . - ~ILlE E~T. REAR
sm;,Q 7 h.i17~/ Pl'1l1tSZ, ,7 _ / 7 ~o; cjBLDGINSP" Dol.
ireclions to Find'propertyfJ ~'_d,;, :;;~~ ,LJ. ~c ~/...I.' ,~...d:,&~
,/JtLt"L rif~./dh../;;U~A:4U _/{/~ ~f.J V--J!-"_,,,"/.ob=r
COpy 1,- OFFICE .
COPY 2 - JOURNAL
COpy 3 - AUDIT
.Form.#. C55-12