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HomeMy WebLinkAboutPermit Septic Tank 1975-2-18 V ,-0< .'"," , .: " / - f ,; ( \, -i;~ . !:> ,\:r:, . ", . . l ;;RO;~'R-::'Y':OWNER GEOllGE OAKE~ .' '~'F" ".f~ ''', -"'-'_' ,,_ ,'" .~.,-., ~> ~'__ T'o;;. -.... -'<C'("'1" ~ 'I//';,~ f LANE COJl"JTY BUILDING L , ','.-,.,- . ' l,~' .-:, ,.,', .,_.',~, .- ".:~-'\-<'.'-"'~"',"."r' ..~.. . CONTRACTOR TED SOPTELEAN PROPERTY LOCATION -INCLUDE POST OFfiCE I NLAND idA Y PROPERTY LEGAL DESCRIPTION - METES, BOUNDS BUILDING PERMIT OR MOBILE,r"OME USE PERMIT ... ,~... MH I~ PERMIT NO, MAILING ADDRESS 2578 t-:ORTH 35TH MAILING ADDRESS 5000PRAIRIE ROAD SPRINGF'IELD OREGON I'll H Ss- ?3 I IIH 55-75 PHONE 746-2354 ' PHONE 688-9750 ' EUGEtJ!:, OREGON .,_... TWP 18 RANGE SECTION 03 11.2.2 TAX LOT NO. 1 &x> CODE CENSUS TRACT 17-186 APPL. NAME G!:ORGE OAKES/SOPTELEAN "J-.. . EXISTING STRUCTURES ON PROPERTY NONE LEGAL ACCESS TO PROPERTY I NLaAND ~/A Y & MAILING ADDRESS EUGENE, OREGON FOR MOBILE HOME PERMITS ONLY No. of Bedrooms 5000 PRAIRIE ROAD PROPERTY SIZE - FT. WIDTH . DEPTH AREA STRUCTURES TO BE BUILT THIS PERMIT Connect to Existing Sewage System' 0 TYPE CONSTRUCTION' SQ. FT. :;.; BDRMS New System 0 VALUATION PERMIT TO INS~ SEWAGE DISPOSAL SYSTEM MoBILE HOME PERMIT ~ ---- SEWAGE. DISPOSAL ), -~')UBlIC"...fO SEPTIC TANK 0 PLUMBI.NG INSTALLED BY OTHERD NEW REQUIRED FEES OWNE'R' 0 OTHER: NAME WATER, SUPPLY '. SPRINGF'lELD BUI~DING WASTE DISPOSAL f PLUMBING ,. <, PLAN REVIEW I PARK TRAilER ll!lSURCHARGE , 50.00 ..,'1.00, PUBLIC:, 0 o OTHER TOTAL 30.00 .0'1 0'1.0'1' COUNTY BUILDING & SANITATION SPECIFICATIONS . WITH DIST. BOX: GAl. MIN. SEPTIC TANK CAPACITY 900 DRAJN FJELD REQUIRED 150 lIN. FT ... TRENCH WIDTH FT. OR SQ. FT. DRAINrlELD TO BE A MINIMUM'OF TEN F'EET F'RDM ~ PROPOSED,BUILDING LINES '-. ~. " TYPE OF STRUCTURE ,!>:H ,., BLt5t;~SETBACKS FRONT 45' ' OCCUPANCY ZONE PUBLIC UTft. EASEMENT /s/ J. E. FT. FROM CTR. OF ROAD RIGHT OF WAY SIDE INT. 5' S'IDE EXT. AUTHORIZED SIGNATURE - DATE Bos5 BY C. HARABUGH USE CLASSIFICATION REAR 5' JOHN CRU I CKSH,ANlt/SAN I TAR tAN . DATE. 2/18/75 DL~1 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- tion shall comply with Uniform Building Code, D.E.Q. standards IMPORTANT: for subsurface sewage disposal and county regulations covering plumbing. All buildjngs require a certificate of occupancy before being occupied. (See Details an Reverse Side) FORM = C55 -13 (POST THIS PERMIT ON MAIN BLDG. AT SITE) LANE COUNTY, DEPT. OF ENVIRONMENTAL MAN~GEMENT COURTHOUSE ANNEX, 135 EAST 6th, EUGENE, OREGON 97401 _.r '10 ~C- ',' / /' 'c, H !lUILDING SITE EVALUATION" -12--73 )'V{~\ (), RUILDING PERMIT APPLICATION NO....11I+.c;s--16 () SITE INSPECTION . 1.. 2. Not Applicable Zon i ng Ord i nance Comp 1 i ance: Zone l?A~M \-\ ( ) Subdivision Ordinance Compliance ( ) Requ i red Access ( ) Building Site (Area, Width, Frontage), () Other (see comments) ( ) PLANNING DIVISION '3. 4. 5. , , COMMENTS: '\ APPLICANT DATE No Yes ()~6. (,) (r- ( ) rr=- () n" ( ) ( ) Sirlp ~yte~:~~ . ~ Setbacks from interior lines: Side ~"'\' Rear ' .::-' " PLANNING DIVISION ACTION PENDING: YESl ) NOl ) APPLlCATION# BUILDING INSPECTION DIVISION Not Appl icable ( ') ( ') ( ) ( ) 7~ Plans Submitted 8. Soil Stability (footings) 9. Flood Plain 10. Other (see comments) I " COMMENTS: WATER POLUTION CONTROL Not App 1 i cab,l e Env i ronmenta 1 - , ( ) ,11. Meets Department of Quality Standards. 12. Other (see comments) ( ) COMMENTS: r) ~Ji! ( ) ( ) () ( ) , ( ) ( ), . ',' CK1D.' By(J.'})~f-lq.?1 , DATE No ~ () , ( ) ( ) 'CK'D B I k/;.v]r' DAT{ , TO' APPL I CANT: . " ~'-:" Builaing I S'it, e Inspection: ' :I)---k'1J. Can be approved... , l, &' -' () Cannot be approved at this time as indicated on item NO. above. n~l-v ~ ,Questions and further information on items 1 through 6 contact the LANE- ,cf- 'y' 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 application fee is'bein!'j ~~tur::.(l.!td under seDara,te cover_ DEPARTMENT 01' foNV I RONMENTAL r1ANI\(;EM~N I , 135 Sixth Avenue East Eugene Oregon 97401 PHONE: 687-4065 LANE COUNTY PLANNING DIVISION PHONE: 687-4186 C55-28 Dal<' MARCH 11, 197) Pe'rmit No, MH- 55-75 CURB ,CUT -' PERMIT IN THE BOARD OF COUNTY COMMISSIONERS OF LANE COUNTY. WHEREAS, the attached application 'has been fully considered by the Board of County Com- missioners of Lane County, and it is the opinion a nd judgment of the Board that the said application should be gronted, and that ,a permit should be issued, now, therefore, it is hereby. ORDERED, that a permit be and is P.O. Box 10881 EUGENE OREGON hereby issued to -KLN.icT~ IJ 97401 1.4.PK or constructing the following facility: for pla,cing, building SHADOW HOMES LOT <2 BL OCK 6 ')TH ADDITION FI'LBERT SROVE SUB, 2040 INLAND WAY u'pon ihe right-of,-way of County Road No. , Mile Post in strict conformity to the' exhibits attached hereto, and subjei::l to all terms, conditions, agreements, stipulations and pro'visions contained in the application and permit, the Rules and Regulations Gov- erning Facilities to be Permitted upon County Roa~( Rights-of-Way, as set forth by the Lane Man- ~,al 50:190(2) any amendments thereto, and any other applicqble regulations, law or, ordinance. Specia I Provisions: '1, Driveway will be constructed in accordance with the attached driveway approach specifica- tions (Drawing M98-50). 2. Permittee will be responsible for the immediate removal of all mud, dirt and debris from the roadway and ,right of way caused by his operation, lea,:,ing the roadway and area in a neat, acceptable condition. ' 3. " SIDEWALKS WILL BE CONSTRUCTED IN ACCORDANCE WITH THE ATTACHED SIDEWALK SPEC I F I CAT IONS AND DRAW I NG 1'498-49. '~THE STANDARD CURB TYPE SHALL BE CONSTRUCTED UNLESS OTHERWISE SPECIFIED: , > . .-. This permit is revocable at any time, a,{d will be'strictly,a'dhered to and no work other than that specif.ically' mentioned above is hereby authorized. This permit'shall be void unless the work herein contemplated shall have been completed be- ,for~ MARCH ,11. 1976 ,19_. Expires ,19_. Inspected and Approved Approved by Board of County, Commissioners BYfUd~ ,~. Director .of Public Works Date By WHITE - OFFICE FILE GREEN -RESIC?ENT ENGINEER PINK - PERMITTEE BLUE - ROAD SUPERVISOR ORANGE.- BUILDING & SANITATION DEPT. YEllOW"":' REAL ESTATE C98-79 " /..i1 .. ~.! /~.'" . ;~ Dote~' t,~j/:~:;;. ~ i? i:'I;J ~ ) Permit No, [.'11.". ~.~::~t) CURB CUT PERMIT IN THE BOARD OF COUNTY COMMISSIONERS OF LANE COUNTY WHEREAS, the attached application has been fully considered by the Board of County Com- missioners of Lane County, and it is the opinion and judgment of the Board that the said application should be granted, and that a permit should be issued, now, therefore, it is hereby, ORDERED, that a permit be and is hereby issued to 1"..__'.. :,.,!,';t '!;':"-:.1t. :"fJ-.i.k~ C :t;c:r;.. )r~U~ ;~I~iHH"'i; 1 ~"'. \"":t- A~:1~ for placing, building or constructing the following facility: ~fHJt.D~)\:' ~\UMV~ tGt '4~< ,!.~]:"f: i.: l'.il';'i "::;:OlThi:' r.tf.Jt~;r Ir.-1wt: SUtl. ,'~14u t~tl~i'i ' !~'. upon the right-of-way of County Road No. , Mile Post in strict conformity to the exhibits attached hereto, and subject to all terms, conditions, agreements, stipulations and provisions contained in the application and permit, the Rules and Regulations Gov- erning Facilities to be Permitted upon County Road Rights-of-Way, as set forth by the Lane Man- ual 50.190(2) any amendments thereto, and any other applicable regulations, law or ordinance. Sp,ecial Provisions: 1. Driveway will be constructed in accordance with the attached driveway approach specifica- tions (Drawing M98-50). Permittee will be responsible for the immediate removal of all mud, dirt and debris from the roadway and right of way caused by his operation, leaving the roadway and area in a neat, acceptable condition. 2, ~lt<[l..,;~!.tt~:. ~;$;"\. .,': :,:~.':';;.t\\t.;..,; -..~" }I~ ~~.C:~::'G,~z:~a.. ~!l';'I-I 'f'i-..r- ^j?':j~t:tlt~ $lCf\t.il;U' :u~t;ttf t'~I'r,...,~l;.. tl';:':,.; ;)f;P,t,;t::.r ~1-"rj.t~:~r;... t~l.7 ~rf\J.;A~'il" CGI-!t~ TV';:Jf. fiM~Lt. i1f tU;''''e;;;J';;J;;;;;'' ';11.':,'11';;: ~~ ft7 ~'--~ 11-1: ()~ ~~ at 7;Vft ~ ~ -.J-/i/-1'j~ ;j. This permit is revocable at any time, and will be strictly adhered to and no work other than that specifically mentioned above is hereby authorized. This permit shall be void unless the work herein contemplated shall have been completed be- fore t"~laL..;l t; l ~';" I'!) ,19_. Expires ,19_, Inspected and Approved Approved by Board of County Commissioners By Date '*~ By Director of Public Works WHITE - OFFICE FILE GREEN - RESIDENT ENGINEER PINK - PERMITTEE BLUE - ROAD SUPERVISOR ORANGE - BUilDING & SANITATION DEPT. YEllOW - REAL ESTATE C98.79 ::"-'";;:':'"=1 ,,. ~ . . -;, "'~_;'.':---=-~_.-~..c-::::.':.~"";:::--::'_:::-~ - 74'~ -~: ';'; "i:' -. :~11" " :/" ~:I .,,{-,: r.. f'; i I ';~'; ",t:/ -' --(. ff:J~-'l ,: I i -; r---------------- I , . ~- .~-. ".- .-.-..-.. . l',' .,,) .,., ~. .' I '- " 1 , t -[; '" 1 'J. ~..''':'''':::'---_._---_.- ./, '1- I, , '", ". I ! ! .,C, !:. I I ( , ,I:~, , " ':...;; '-~:., II'";,, , 1.I~h"':;' (-'i.:{J: ". , I' :ii,;: : 1.,':<..' " , '/ " I i " ! I ;, I .~, .I " I , I .,: .?-~~ .. 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I 1'1, .\ B~r (j,~.JE. ~u,O.OtuISIC"J. TOFIL "j''':",,::. , . ~.~1~ ,':: "C!J,..S,.~ _ 'II)' "II" ,}'iP, ~:(y i' D I4t7 A.J .11 (p f'" 0 I.'f$~ 71 ,,1./ ,- , I /J1L /)/Uh 1\J ~\;~ ',~ . ~'~ . "l"\"' "I"" .'1 ~.; ':~ I ~ '. ... , , , .~; ',"!'_t . ..~.'ltt.:,...,~ ~,t'~' :i~'f.\, ,c.:.t ..t ...01" ~:~\',.;::: ~I; .1." '.~:l ,:,::,..~.t:;':'l;"'" .~.:; .,,; t,.!il~l/:}~....:_ " .....;~ I"" ~ ; " ~1 c~ " , , '.<' " , < , .." ,) " < .;.>'. ,,- . ,; , "~ H {~ ':. ~ .;:-:.i} ~-,. ~ . -o-'i .....,l , >'~' , :>,i .:t.,.... ',,:_,~ -' ~-~ I,;..;. . . ~ }.; ,:-..j ";:,1 . ~ .. "'-, "1' :) " , "~ ; .~ ....:. ',' ,/ " ". , sf;JLc cl ;', , .; /f12.E' I " ., \ " ~ \....:' ." :lJ;'\j'" ,I " ~ f'-\ ......, u.- \.:J v? /) .....' rv ..... ;l .,;-- 6~ <;;0 -:P.:.; ~e.. ?? s= L.9 '-1':2 7~ o ~ ;i c <fl J v I ~ &; t.J. (;,.') , ...J I (\1~" I = (}' C ,/-,y c; V/'7 VoV (.)~ \? ",...../ ,. " . \ , ~' ,..) .1:' . 'J '<,-""~'r----""~~~-----~-~'"--~-'~''''''' ,-._...'._......~,_- ..~_...,.---'_,..~_..r..~ '-~"".- LANE CO' n 'TY BUILDING L BUILDING PERMIT OR MOBILE ~w MH'EJ MAILING ADDRESS ~8 *1IT1I ~'tlj )ME USE PERMIT PERMIT NO, /" , ~ '-'i-I~ , ~ PR07ERTY OWNER GleMCOMd SPit t IlIGn C'l.l!l OttfGCtI PHONE 7~!~- PHONE 688-9750 ' . < ,.CONTRACTOR MAILING ADDRESS . r Tn IO"TCUAN :,oooPItA11l1f ~D t"7. (\lUliE, 0Il1l_ ;:::~::~~:E~::R:~T~::~~::;:~::DS , ~f) :~ y~~ ~ /7 #' r- /L ~ , , ,72. <<71,q- ..5~...~ r.-dh-"~ ~ TWP RANGE - SECTION TAX LOT NO. CODE - CENSUS TRACT If' oj'. ", II.!.! Illoo 11-186 APPL. NAME & I MAILING , ADDRESS ll#4lCNI, OlIlIUtOIl FOR MOBILE HOME PERMITS ONLY No. of Bedroo'ms GCeMI OAKU/SotoTC\'f.MI 5OCO ,..,It,t NDA. EXISTING STRUCTURES ON PROPERTY ~'I lEGAL ACCESS TO PROPERTY IIll.UIIO WAl' PROPERTY SIZE - FT. WIDTH .DEPTH AREA , , , ! I ! "11.1 ,.... hl!ljl 1'1' , STRUCTURES TO BE BUILT THIS PERMIT Connect to Existing Sewage System 0 TYPE CONSTRUCTION SQ, FT, :::: BDRMS NewSy,~t~m VALU,ATION QI' 'I 1 I j, !" hMl''I' ,.. 1__ ~IWHC OI....M. IVtTGlt j.' , I J. ! " 'ti": ;{~. ~~~'~~,':{~ .~, '~ :r J I. I ,SEWAGE DISPOSAL ,~ !PUBlIC 0 't, ~;U!t.o~.~,~,:.:.., . WA~STE'DISP,oSA.l-:' , l' 1~.1 ~- -.".'. ~.~" ..~PLUMBING iV' ...~..'" It. :,.;". "."" . PLAN REVIEW"." ',' I, _ '.' fAR~~~~~~_.J ' . ',",.. .'; ",.'~~,~,~~.'~'~:. ,. t.MI~. ~EPT!C{'~~t-J~"C"A"P~Cll.;, ' I WITH DtST;~rBO~':'~ GAL ." .' PLUMBING INSTAllED BY ...'i":.:~--- ',". t, .. \(.. .1,_-'.1" OTHER:.NAME" ";;:-;i~;'~ ~,.,.....<,:t,t. o OT;;E'~"...~.~":~.'\L~~~,:~r ....',.. '. .~~" .,' .::...,'- :.py,(<.~ '.<ti;~;~ ,~.'.~:.;:; .tt- .,' '.......-<' , "'.,~., f"' ~.'!f -~~~~~~-;,ji:'~ ~t!;.'" ~,~ .v-r) ,.~,:,:~~;,~, .:~t.".:{,;::.' ;t !'l.'_ _.l. t....' '. :fi. : . i.,"t'~~lj: .' . '~, 't. u..V't~ "~ ~~\. ):.'~~:~:'s!1;(l~'.~. :;": COUNTY BUILDING' & S:t>.NITATl0N SPECIFICATIONS', ,.S'i.i"....~,.;!V";J&~;il'i." . DRAIN F.IELD:'I'REQUt~'~.D " " ~~'!\<.t:':A1'" ~~ i~ ! ...!It... "r .it'{rr- ~~. ;...' lIN. FT '.' .~TRENCH WIDTH FT. .oR~SQ ,Fj.T~':'t<:':;~ ~,,,_~......l.o., ~ ',I 'i>>4tlWll'.'.... all " JillfrMUN ., TIll nu ".... ....,....10 .,m..lofI' d,..,', ",,' .,~"3~~.,.",:y,~~"i:;j~A,.:~,,.!'l',!~'.l,].!I'~, . :~~--'" . " ...~,,:.;J,. .,~~ . _ .. ....'1:<--\. ~ _,J. IF , ._',,'~< :"}.jC1;Ai~~ ,l!' ,: .~ s-<~("; ';'P.u-' :~". '~.J;":iOl:<.L.'''','j{,;_;-." ,t ~i'l ~~~~~. ;~.~.:;~:\.. '. .1Ifi''''r~I''1.'''~+..,:~-~ ..~-':')?.;~~;-~, :ji'::"';~ PUBLIC UT!L'.~;EASE~}NT/'::-~i1:J ~~ ..; .' ";~'ci? ,~~~}, '-~' "j'~:~~.'.<:~'~:~;f' _' ,';l/Hij'''DA~i';;/ . " ,,,JZf:'""', ,--"...._, .;' -. ,!~,~" ~" '. -' ~all.687,4065 to sc~edule. all require? inspecti~,r'~".~II:~ol',s~lV,c- lIOn shqll ,comply With pmform BuddIng C9d;;:p~E,9,:ust~,').~.w,as IMPORTANT: for subsurface' sewage d..posal and cD~nJy<regul>,I'onstc~er,~pg pl~m,' ~in9...~II,building,S r,e, q, uire: a, certi~ka, t~""~f.::O,/.1~,P, ~~~1>g,J~~~ bemg,occup,ed, , ". ,", \""~ ,~~!f". ...: \~ (;(?~e Deta.i1~'\,?n',"~,R~verse'Side) -.. i\-.~'..' ',,-:~ .'. . , .'~ .~ ~ SEPTIC TANK D OTHERD ",w ,11$....., FEES OWNER 0 WATER SUPPLY 1,'1 .<,:' , ~,,;w' , . ..~ PUBLIC D TOTAL .. .'~ .' '~,;l . .I I I I t' ~,\P~_' 9F;. STRUC~li~~'.,.\':~:_ . < . i..' W, '" ;':'1'" .SLDG:' SETB'ACKS<.<--.FT. FROM '(TR. , ,-;-. 'FRONj "-.,, .~:.~, .~~: . ~:~;'.~t OCCUPANCY I " ,"~ ,,>;ZOtoJE ~~\.':. . , REAR '(. USE ClASSIFICATION ," ., '" ,.....~..;:. ~~iC88KANK/.~HIT..I.. lBLDG, P'ERMIT-,-WH'lTE OFFICE COPY - WHITE COUNTY TAX - PINK ; PLUMBING - CANARY . BUILDING....: GREEN . SANJTATIO.N- GOLDENROD .I,.',:", \,~..;) \. r I ,I ".':. .'~. ._i~':\ " ':.... \:....., ., (POST TI;I!S,PERMll ON MAIN~B(!?G. ~TSI!~) lANE COUNTY, DEPT. OF ENVIRONMENTAL MANAGEMENl"'~ .. COURTHOUSE ANNEX, 135 .EAST 6th, EUGENE, OREGON 9740.1_ " i j , ~ . J , '. ,. FORM :::= C55-13 ~ : '.:' ',' ;,,:~ "-'~ '-''':'- ,~ .. SITE INSPECTION ApPROVED ~ DISAPPROVED ~ DATE INSPECTOR REMARI{S FOUNDATION INSPE~TION ApPROVED / 1 DISAPPROVED ~I DATE INSPECTOR REMARKS FRAMING INSPECTION ApPROVED / / DISAPPROVED / / DATE INSPECTOR REMARKS LATH OR SHEETROCK INSPECTION ApPROVED / / DISAPPROVED L-I DATE INSPECTOR REMARKS FINAL INSPECTION ApPROVED ~ DISAPPROVED /I DATE INSPECTOR REMARKS CERTIFICATE OF OCCUPANCY READY TO ISSUE /I NOT READY TO ISSUE ~ DATE INSPECTOR REMARKS I1H ~.j'7-r f)~ d'olfo 11tkf), ,tJ2 VJi; - I;d~cf&/$-Hi'L r ',t,"" ;'.'.'-,...''l--'"",'''''''''''''~'~.' ,-,~J'~4 >---"._' .__........~. .__.. ..~_ ,.......,,~.=~-_. ~_. --- . .' LANE COI"-TY BUILDING ~..J '-:'<"(.. BUILDING PERMIT OR MH@ MAILING ADDRESS 2578 tlll~TH 35vM MAILING ADDRESS 5OQOPnAIRIE RoAD MOBILE /'....ME USE PERMIT "-.j PERMIT NO, I ,j : [ ~ 55--1 PHONE 746023'54 PHONE 688-975l? '. PROPERTY OWNER ~OKC:t OAtlES CONTRACTOR IUD GCPTl:LEAN PROPERTY LOCATION - INCLUDE' POST OFFICE Ir:LAl'ID I1AY r<. 6 ~ D PROPERTY LEGAL DESCRIPTION - METES, BOUNDS -, Spnl~OFltLO OnaGON !::WlIflt. ,.Q.lf~<'!j);J. TWP 18 RANGE SECTION 11.2.2 TAX LOT NO. IBoo CODE CENSUS TRACT 03 17-IU APPl. GEORGE O~IIGIsOPTELEAN EXISTING STRUCTURES ON PROPERTY l1/0Nlt LEGAL ACCESS TO PROPERTY l'I!/UAfll) \-JAY NAME" & MAILING ADDRESS CU3iIf.:lt, O:JEGOtl FOR MOBilE HOME PERMITS ONLY No. of Bedrooms .~ 5000 PRAIRIE RoAO PROPERTY SIZE - FT. WIDTH DEPTH AREA STRUCTURES TO BE BUILT THIS PERMIT Connect to Existing Sewage -System 0 TYPE CONSTRUCTION SQ. FT. == BDRMS New System 0 VALUATION PltRtlI'1 TO I ~~ SI!t1AOE OHlPCDAL SYllTl!:M ~~DILe HOME ~R~IT SEWAGE DISPOSAL PUBLIC 0 BUILDING WASTE DISPOSAL ~PLUMBING PLAN REVIEW PARK TRAILER 1~\J:1CHARGe: SEPTIC TANK 0 OTHERD fI2\'J REQU IIU:O FEES PLUMBING INSTALLED BY OWNER 0 OTHER: NAME WATER SUPPLY . 50.00 4.00' PUBLIC D D OTHER 5(>n Iflen ELD TOTAL 30.00 .01.1 OIl .OCI COUNTY BUILDING & SANITATION SPECIFICATIONS . WITH DIS1. BOX: GAL. MIN. SEPTIC TANK CAPACITY ~OO DRAIN FIELD REQUIRED 150 ,__" TRENCH WIDTH FT, UN. FT OR SQ. FT. "'""'. DRAIN~IELO TO DE A ~IMI~U~ O~ TEtI VEET ~nQM ~ PROPOS EO 6UILOltl5 LI~EO TYPE OF STRUCTURE tv.>> OCCUPANCY ZONE PUBLIC UTlL. EASEMENT ,,'-' BLDG~ SETBACKS h FT. ~"". FRONT ,; /r;/ J. E. Ql)$f.l FROM CTR. OF ROAD RIGHT OF WAY SIDE INT. 5' SIDE EXT. AUTHORIZED SIGNATURE - DATE DV C. HARAell-t'ltl USE CLASSIFICATION . REAR DATE 2/18/fJ Cj.t::l BLDG. PERMIT - WHITE OFFICE COPY - WHITE COUNTY TAX - PINK PLUMBING - CANARY BUILDING - GREEN SANITATION - GOLDENROD Call 687-4065 to schedule all required inspections. All ccinsiruc-, tian shall comply with UnifDrm 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 Dn Reverse Side) (POST THIS PERMIT ON MAIN BLDG. AT SITE) LANE COUNTY, DEPT, OF ENVIRONMENTAL MANAGEMENT COURTHOUSE ANNEX, 135 EAST 6th, EUGENE, OREGON 97401 \ '\ !'ORM=C5S.t3,. ? ,. 5 SLAB FLOOR PLUMB I NG'GROUNDWORK ApPROVED ;---y DISAPPROVED ;---y DATE REMARKS I GAS PIPING GROUNDWORK ApPROVED ;---y DISAPPROVED ;---y DATE REMARKS ROUGH PLUMB I NG ApPROVED .Cl 0 I SAPPROVED ;---y DATE REMARKS ROUGH GAS PIPING ApPROVED .Cl DISAPPRQVED ;---y DATE REMARKS FINAL PLUMBING ApPROVED .fX:J DISAPPROVED .Cl DATE9- /,/.75 , REMARKS FINAL GAS PIPING ApPROVED .Cl DISAPPROVED / / DATE REMARKS CERT'IF I CA TE OF OCCUPANCY READY TO Issy~ ;---y No~ READY TO ISSUE .Cl DATE REMARK 5 $f~ ~ INSPECTOR INSPECTOR INSPECTOR INSPECTOR INSPECT --Y~ ~/ INSPECTOR INSPECTOR l,~"",,~ ,~! ". ~"}'" INSTAllER'S NAME' '-rEf/SiJ P if eL ~kN" , No. Living Units, Bedrooms "I .- . '" '-" -. - ." . 'Septi,c Tank: .Ft. from, well S,te,el ',0' Tris i de D i mens lons:' 'Ft. , len9th 'Width Di'ameter ' 'OWNER NAME' . :--" " " /." . .' .-'\ ...., . PROPO'-'" SEWAGE~DISPOSAl SYSTEM RECORD;/' , of f"" to s'ignatlJre a,nd'submit both ccr,es,wHtl:appl ic~tio",~~ , " , PERMIT NO. MH 55- 7'5" PROPERTY,AIJORESS' ,20'10 ;" ' ' INLAND WAY .- ""Baths ,Basement .y es ~', No .......,.... ' , SP-;;;'fT'F/~ J-p , ,Wal!!r SUPP,ly , ,Pubtic J/ Other-List " Depth .".." - ,,' Gal ..CapaCl ti :'1 0 0 0 '.', .", Tile'Disposal Field: ' ' Dislrib'ulion Box: Yes V No, Other' D is t r i but ion-Type, Concrete' 1M' No. COI!'partn;e~ts:, ' SOPTELEAN/OAKE'S MAILING ',ADDRESS, .. . ~- ~~~~~.L~~~:~1~ ~~::l!~~i~~ Plot pian '(see' instructions):' 1,0< ...r '~. \ ' '--,", ", . ,,' ',' " '" ," \(::C:L~, , , ' ' (;1.: 'Ii> "1- "," ,'~Q.:.- 1\. " ....., 0 ~ I ',' 'i~/(jf ",~~, P)I"'~\ \)D..f'," ' ,,'\ " ' " ':, wa~K , "'" S/:lof' ~ono P9AI91C ,ROAn Feet from " WEH:::.'-:': lO,t ,li ne'"",,.., . . _~. - or - Front .~, ,S I de ' Rear Total,sq"~"1 F~;,B.-etween 'IFill4;!r.k 'Ifiller ~epth .' ,1F!ller ,B~l'ow, Ft.~O'O" LrneslO+, Tvpel-;)..Above r.Hle.2.,nlroleb.1,n. ,', Foimdat i'on .' ~',(' , ',~l\' ," -.,~/ . ""1 ' ,'\'," ;.,- .'- .-'"' . - ,::<,. \ ~'- (, <, , .' ri)~-r I ", '~,l iJ8 \' " ,-" :.' ~' / '; 0'_;'" A " ,,':+ ' ' , O\:'T '-.u .. :;..JI I J/MO ~JLF-. ,{-+ 0 tI\ !? , " , 'U.., , ,- "" ", " , " ,'" NO" T HI) , ----'-~.., /'. " P/<6P6R,rf , '~"t-INf ,-1 \ .. '.l.. '~, '~ " ~-;t ~. ,'. ~~,>" ~. ,RECE~VIQ: '!llr ~,' F [8,2 41~i7 5 ' , , , , ..' " IPfJr-rfi.R. ' ,LANE COUNTY '. ' . , cll~B: ENVIRO~l-A~~M1vA-Y (<0,6,;6 ,,' ,13M 0, ,,' " " ,S i <Jriature ' ", , ~ l1o-(..4"..kP.,lul-'lJD:/'p;"...) - CERTIFICATE OF SATISFACTORY,COMPLETION ' ,,' I "'. For Sariitari,~n'Use Onfy:, ' ,'.,' ::", Date:'2"~"75.,' ,I n ac'cordance':wi thO I 973,Oregon, Laws' 'Chapter '835, Sect i on 214 th is certi'f i cate i,S, issued' , as ,evidence of,satisfactory cOmpletion o~ a subsurface sewage disposal system at the above . . -. . "" . . . I ocat i on. ,: -', ' " . :'" ' , - ". ;, ' ,.... ~Appr,oved: System InstalllltiOn,i:onforms to ,current standards', ' o 'Disapproved: Does no't conform'to current,'stariaar,ds ' ',,' Remarks: '",", " i Date, '~ - ;1.;L;o. '7.'), , 'r: , , , .. s'~0\\~" ~-:,~ i 'gn~ture LA~CDU,NTY " . .. ENV I RONMENTAL QUALITY:' -..._-- ,- .....',- .r:. . " G55-11 .- -". ,-." , ;, . '- . - ~,- .- (,"*. .... -,".. '~TATE'OFL:OREG'Oif DEPARTMENT OF \\ 'V. / I , I ( ,.,) <", I '.... "I' ,~ " \,~\.-. .I t <<\ ~, ;' "( ,Ii " , >~ \' .' ; ,-..' .I , ~~ , , , ;:l > ::1 \.1,_) , . ./ ; i -''0 ) -\:. , icJ I '---- ~.. , ,i ,/ , I , i ,j , ! I Q I;,) 111,!' . .'---1 ! i i i , I rJ,.1 . i ,I 1 -'-'-"-- .--. ! XL')/ . . 'i , \11 t' f~' :', .")1 \.1 (I' ,', I::', I .- ---, --,--, "y, -------Q :\ d '\, I' , I I I c' " 'r. ", ( I~' ,I, , , '" i j, ! .___L.__~_' , 1 i " "';) -:1 G\ "0; . i; ,~~ ~ '.: I" I' i , ':J l_ I i , I I , , J , I; . i ~ I , .. I ii , , - " i I 0 > I I ,,- , , , . . , . . " " . , . . , ~ ~~, f,' PI r.," r" BY" i'., ~ ~ "'- ~, ~ ,~~ U FE: 11 1975 LANE! COUNTY ENVIRON~i.ENTAL MGMT. 1'1 ;/5:;,/'5 , , , , . 1___.,..._...--.1 I ' i i j ! .......... ,. ""t.:. (,.' \ -....: ! . ! lle ;)<\ '''. "/ I " J ~~I </ '7 ..J.~;:, (. G '---~~-'- , I I' J Ie/ ..) /'..( ,. r'," . 1- u j lrrl ,,- ....:;, --~- I , ! \ () I \ i --"-+..~~-" .' !/ i , ."'" k ! I' I, I, '" : ,oj \- .--~ . i~O I " '-,' //\ [, -t~f ~ ! I..J I '-'_1 1\, I 1 f"- Ii ), '1--- \.' "lI'] --'--n--t ____I I ' l. ' -,,- 'Cy,) i~-:' , I I i i I I I , , ! i i , I i I' I i 1 I ! I i I I I ,,' .\ \ , .' " !"', , ! " I I i " . : (' . ,: \; : ~" .. ' . 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