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Home My WebLink AboutBuilding Sewer Connection Record 1974-3-29 ,~ ., . tlNDIVIDUAL SEWAGE DISPOSAL SYS~CORD n\~ taller: Complet6t'.to,p part rm to If gnature and return both".copies 0 Lane County Building Sanitation Department. "-!. t - -. '~ P~RMIT Nn. ??~S:L"'1 InsA!lr~ s N~R t]:IJ NO. LiV1ig Un1ts IB~a;oomsl Bains Sept1c TanK: Ft. from well Steel 0 .lnS10e uJ.mens~ons: t"'C. Length Width Applicant Name Rob.>r~ 11111 'I Property Address l1ono;l~.'I. ~'r~~t J I 7 OD 01.\~..... I Basement I Water Supply Yes 0 No ~ Public ~ Other-List Shook Concrete It!- No. Compartments J Gal. Capacity. /t!-do . Tile Disposal Field: Depth Distribution Box:YeS~ No 0 Other Distr1but1on- Type Diameter Mailing 870 West Cente~-'~1 Feet from Well .--- Foundation )0 Lot Line Front .--- Side /() Rear (IJ ITotal sq~Ft.betweenl Filler (/ IF~ller deothlF1,uer C1eptn ft.1/1TJ llines /0 I Type / /2- ~i ~:e ~ in.. ~n~w c. iJI... Address Length of li-~e-,t~ F':" n., rl~rench l./fft>2./Pf)3. 4. 5. 6. Width ~ Sketch (See instructions): / .- - ~ c( ~ ~- ~ ~oi \ ---- .....-- , \ \ \ \ \ I ~'O- -.......... tL-() f} 'I 117' I , I..{L -- --- I pO' , ------- I I ~ 10 -....!....... r,~' Ib' I 1-- ,,/ ~ l' , ?;tJ' -- .- -'- ----- '~g--t - J'''' ''OJ il - .c, ' ., t; t " ran . . N r.~ 11 MAR 29 ~9i741 I - -/ 10' /7' / --....:. f -- / ':";'~".u'.;rl(:lllal .ManagemeAl Date .:? - "2~ - 7 II Signature \ ~ Conforms to Current Qandards to Current Standards nA~~ Date:J/Jo;/7f For S~tarian Use Only: ~Approved: System Installation o Disapproved, Does Not Conform Remarks: Lane County Building & Sanitation Dept. r~~ 1,,;.,",. 1"11.0;-11 v~/~;~ ~ , ' ;-{ ',',-, " ", -,' ----;s . ' v , LANE COU. BUIL:t/.,NG)t}ERMIT OR MOBI~ .E USE PERMIT BUilDING ~l MH 0 PERMIT NO, MAILING ADDRESS G70 ~cst Ccntcnn~u1 . SorlnQYicld. Orc~on MAILING ADDRESS ." . . I 2268- 7:; \ 'I PROPERTY OWNER PHONE 7l:6-9~IG PHONE r~":~ , I'-"hf'rto CONTRACTOR PROPERTY LOCATION - INCLUDE POST OFFICE 1'7n P....r.r'1"n PROPERTY LEGAL DESCRIPTION - METES, BOUNDS ~ r-1 TWP c""";.I,,1'I tn r-i~"rll'\t'l Grn,," I:st. lot 1'> Block I RANGE SECTION TAX L.OT NO, CODE ;f 9J</7 CENSUS TRACT 1f~ APPL. NAME & MAILING ADDRESS FOR MOBilE HOME PERMITS ONLY No. of Bedrooms 07 ~6.'.3 3::;-152.. EXISTING STRUCTURES ON PROPERTY ~onc LEGAL ACCESS TO PROPERTY 11111 Condos Street PROPERTY SIZE - FT. WIDTH DEPTH AREA STRUCTURES TO BE BUILT THIS PERMIT Connect to Existing Sewage System 0 TYPE CONSTRUCTION SQ. FT. :ot BDRMS New Syslem 0 VALUATION r,..nl1In[' Frer.1O 116~ Q 12 (3) 13.9[.0 r:. ..n,..,.., 462 (: 3 1.3GG 1:;.::lCG 1"~~~llf'~:~n nq ~ 0 ~ SEWAGE DISPOSAL . OTHERD t..? nn ?n nn ')1\ en FEES PLUMBING INSTALLED BY OWNER 0 OTHER, NAME Jacli: JCC!I~O:l WATER SUPPLY PUBLIC IllX 0 OTHER PUBLIC 0 BUILDING WASTE DISPOSAL PLUMBING PLAN REVIEW PARK TRAILER SEPTIC TANK D II TOTAL , 1n~ !:n MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GAL. "cn COUNTY BUilDING & SANITATION SPECIFICATIONS DRAIN FIELD REQUIRED L1N. FT 2.0.0 TRENCH WIDTH FT. 2 OR SQ. FT. 1.:::0 ~':nn!l (jrnlnq 1'^~Cl stroot. TYPE OF STRUCTURE OCCUPANCY ZONE PUBLIC UTIL. EASEMENT ~ tI I and J BLDG. SETBACKS __ fT. FROM CTR. OF ROAD RIGHT OF WAY , USE CLASSIFICATION cn REAR 7 FRONT SIDE INT..~ SIDE EXT. AUTHORIZED SIGNATURE - DATE h:1 _~ r: A....c:r. hv r:hnrloc; Hnrhl1l1nh DATE John Shook. A.S. 12-1 1.7] ~'l BLDG. PERMIT - WHITE OFFICE COpy - WHITE COUNTY TAX - PINK PLUMBING - CANARY BUILDING - GREEN SANITATION - GOLDENROD Construction to comply with uniform building code and county regulations covering plumbing and sewage disposal. All buildings require a certificate of occupancy before being occupied. (See Statement on Reverse Side) (POST THIS PERMIT ON MAIN BLDG. AT SITE) LANE COUNTY, BLDG. & SAN, DIY., COURT HOUSE, EUGENE, OREGON 97401 FORM:: CSS- 13 BUILDING SITE EVALUATIQN () Site Inspect ion () Pre-Permit Investigation ...::r ,c.. le.H T /tEJRtX) s /C(p TAX LQT (' CENSUS TRACT I .;. .3eo"'m~~:6Sr. L-/r'8-/ .,., ~"')/_O_7-:::'> AlWICANT: \. No.O<"c:>"l.GID f-J NAME ~ZLt- ADDRESS ,~ , '.. . ~BuVilding Permit Application PHONE DATE-L/-,;;)(~7 3 LANE CQUNTY PLANNING DEPARTMENT I. Zoning .ordinance Compl iance (Zone iR-A ) Subdivision .ordinance Compl iance NQT app I icable ("1 () ( ) ( ) ( ) ( ) NQ YES NAME DATE , - ' Required Access ( ) ( ) ( ) ( )' ( ) <y ( --r-- {~ ~..4 :e:-~~ ,. ...;-- , 2. 4. 8uilding Site (Area, Width, Fronta~e, Setback) .other (see comments) /~;>'~/;;>3 I \ 5. ( ) COMMENTS: - , BUILDING INSPECTIQN SECTIQN NQT NO YES NAME DATE aDDl icable ~ 6. Plans Subm i t ted ( ) ( ) 7. So i I Stab i I i ty (foot ings) ~ ( ) ( ) 8. Flood Plain ~ ( ) ( ) 9. Other (see COlM1ents) ( ) ( ) (f!:~16~ / ;2. / ()"7~ - t COMMENTS: , SAN !TATlON SECTI ON NQT NO YES ~h\fi; DATE app I icab I e 1'2/1/7 ?, 1.0. Sewage Disposal ( ) ( ) e) II. Us ab I e Area ( ) ( ) ( ) 12, ' Water Supply ( ) ( ) ( ) 13. .0 t he r (see Comments) ( ) ( ) ( ) - \. COMMENTS: TO APPL I CANT:" ( ) ( ) ( ) Building Permit / Site Inspection:{~ Can be app roved. J/ e..,...... ( ) Cannot be approved at ~),is time as i dicated on item NO. above. Quest ions and further informat ion on items. I through 5 contact the Lane- COUNTY PLANNING DEPARTMENT. Questions and further information on jtems 6 through 13 contact the Lane County Buildinq "ad Sanitation Division. Wi II be held in this office unti I you can re"olve the problems indicat<:d. Is being returned. Your bujldin~ pernlit applic.Jt.ion fee is being returned under separate c.lJ"er. , Your rf' ltlNt' COIIN'I Y I'I.iINN I NG Ofl'/IRTMENT 1).Ii' Si)<th Avenue E~st, Euyelle, O""'9ll0 97401 ,'lloNE: 3lj1.. 1,111 E) I.: 21' I.ANE COUNTY BlJlLlllNG & SI\NIT/ITION DIVISION 131) Sixth I'lv~lUe East. EII~lel"', 01'(.'9on 9740 I PllLllJI.: 31;2-131' fliT. 411 " . .._- . .~':: . ... ~_..~_..- .. -.------.-. '-M'5S=ZS--'-'-'- ~~ ,'-' ~..... 'r_ . ~ ._____~--_~ --..-____ -_._~___--'V". ~"-'--"v~----""-"-------'--V""""" ..r.--........._.,.....,.-r-. ,--.....-~~..~ ~-,,-_ .....-, ,j , LANE COla BUILDING 'PERMIT OR MOBILE ,.E USE PERMIT BUILDING Oi MH 0 PERMIT NO, MAILING ADDRESS {,,,,'., ('- ,~:JI;,; 'l PROPERTY OWNER PHONE ~ !; ~': - 'vv.:;> (',~,~ L':":1~ r:":lt_C:::-~lJ " C)?~r.-J~-;;c3c1& C7C~:::J MAILING ADDRESS ~,; ::_:';~~. ) ~ ~j CONTRACTOR PHONE PROPERTY LOCATION - INCLUDE POST OffiCE :1 '\ ',,':1 -,",""_,~~",,,\ PROPERTY LEGAL DESCRIPTION - METES, BOUNDS '~~<~i"'~'''~'l f'";-) 1":"'--"-""-1 0-71 ~':J ~':D~. RANGE SECTION TWP '.-l:t ~q D~~~.:: U TAX LOT NO. CODE CENSUS TRACT .' G5'! t'') ~00C~D l'': x - \ '\ EXISTING STRUCTURES ON PROPERTY r__~;~) . ~EGAL ACCESS TO PROPERTY~ ~;:=J G~L-'C-ja PROPERTY SIZE - FT. APPL. NAME & MAILING ADDRESS FOR MOBILE HOME PERMITS ONLY No. of Bedrooms L~ t ~ n WIDTH DEPTH AREA STRUCTURES TO BE BUILT THIS PERMIT Connect to Existing Sewage System 0 TYPE CONSTRUCTION SQ. FT. # BDRMS New System 0 VALUATION ,. -," r ~ r>~l VV'L:"'8 !eG:;; C ~ () ~ t.. ~;;;~ t.0 D~;~J ~l r,'."~ '--. '.' , , '" ',} \.4, '" , l..~;; C, ~ " ~,' / . _';_"1" \ fl.,....~....,.,,~~, \'1"'..... I J: _X\('':}d''\.-t-o...~. \.... : ~~..' D:j' t1:~~.,"') SEWAGE DISPOSAl PUBLIC 0 BUIlDING WASTE DISPOSAl PlUMBING PLAN REVIEW PARK TRAILER PlUMBING INSTALLED BY $ ~ OTHERD (<~ J'ft FEES ~~.r':) ~'U,:l '~~ .\s..'~ ~___~.f\ ~-'~.r_v.... OWNER 0 OTHER: NAME 1..',." '- '> 0",--,,- ......~. WATER SUPPLY PUBLIC Ib:r 0 OTHER SEPTIC TANK mn ~ TOTAL . ~(''''''\. c~ COUNTY BUILDING & SANITATION SPECIFICATIONS DRAIN FIELD REQUIRED MIN. SEPTIC TANK CAPACITY WITH DIST. BOX: GAL I,:]J tiN. FT rc:) TRENCH WIDTH FT. ;} OR SQ, FT, 1.::"'J .' '::1 C7,jr.l'G (0 (:::1 DCi'C2C, .. OCCUPANCY Dc::;) J ROAD RIGHT OF WAY TYPE OF STRUCTURE ZONE PUBLIC UTIL. EASEMENT BLDG. SETBACKS __ FT. FROM CTR. OF USE CLASSIFICATION j) REAR 7 FRONT SIDE INT. :,) SIDE EXT. AUTHORIZED SIGNATURE - DATE /', 'i t~..l:.:~::~)~) ~~\J f;~:2~U(:J [::.c-D;~:Jr::-~ DATE L"J'~:"J 5~:::::!1, (l.L. 1 L~~ lot.] {jrJ BLDG. PERMIT - WHITE OFFICE COPY - WHITE COUNTY TAX - PINK PlUMBING - CANARY BUILDING - GREEN SANITATION - GOLDENROD Construction to comply wit~. uniform building code and county regulations covering plumbing and sewa'ge disposal. All buildings require a certificate of occupancy 'before being. .occupied. .' ", / (See Statement on Reverse Side) .~\;~,~ ~ '\ \ \ ", '(,\~ " ~ (POST THIS PERMIT ON MAIN BLDG. AT SITE) LANE COUNTY, BLDG. & SAN. DIV" COURT HOUSE. EUGENE. OREGON 97-401 ~ FORM:= C55.13 { . , '. ': SITE I NSPECT I ON ApPROVED Cl DISAPPROVED Cl DATE REMARKS FOUNDATION INSPECTION ApPROVED ~ DISA~PROVED;----Y DATE~- ~ ~?? REMARKS. . INSPECTOR INSPECTOR A5 1.- ~ " , FRAMING INSPECTION ApPROVED / tor DISAPPROVED Cl DATE i-;l '1'-](,1' INSPECTOR' (-- , REMARKS,...-;-). / ~,A4t?~J-~-7'1 A-.J){,~').-I'?'( -d..AnU"l,"'i{"-7'-/, Y I LATH OR SHEETROCK INSPECTION APPROVEO.cJ?::1 DISAPPROVED L-.,/ DATE :2.-~/'- ~t/ REMARK 5 FINAL INSPECTION ApPROVED ~DISAPPROVEO C7 DATd/~/i- 7'{ REMARK 5 CERTIFICATE OF OCCUPANCY REAOY TO ISSUE ;---y NOT READY TO ISSUE Cl DATE REMARK 5 f) ~;A' /j./~J~ e f~.. . f ' ~).. ~S- '13lf~ / /7tJ D(>'"#.~~ ,;:\ INSPECT~R~ INSPECTOR_~ INSPECTOR ---.;:::::: - -- ~I III ,. u ...~. -.,"'--'--' .-' ..._. ,,_./ .v'v" . .J.:....\J.':' ..." 'V ' '----.,,~ ..' L. ~'""""""",r - 'r '~ . , . ..(' , ' ,.- t~. LANE CO. BUILOING ..pERMIT OR MOBILE BUilDING 01 MH 0 MAILING ADDRESS C'if) ~,~"'1~ :~;~~C:i::~~:I' .. C~;7~:~"~ 2COC'n rt:-:...~ '::) MAILING ADDRESS ~E USE PERMIT PERMIT NO, f'" . ,',(...~_., , ),", . ,If 'I 't' PROPERTY OWNER PHONE r'~;1' 'V () I 'I.:.~::'p ~~ ~:') CONTRACTOR PHONE PROPERTY tOeA liON - INCLUDE POST OFFICE ~ '~',;": '.~. ,~~......~, PROPERTY LEGAL DESCRIPTION - METES, BOUNDS , I TWP ,""'<~{i'PF--' t'" c"'.~...,~ (1;.:.",,:) ~~(J:::'. nfll! gl} ~....-:.~~; i RANGE SECTION ~ TAX LOT NO. }CODE c;) C~, · I Y . ( CENSUS TRACT r" 2y;:>~':;~~ '- EXISTING STRUCTURES ON PROPERTY C:'l~C LEGAL ACCESS TO PROPERTY ~~'~r:('~u G{l~'<::~~ PROPERTY SIZE - FT. APPl. NAME & MAILING ADDRESS FOR MOBilE HOME PERMITS ONLY No. of Bedrooms . STRUCTURES TO BE BUILT THIS PERMIT mal WIDTH DEPTH AREA Connect to Existing TYPE CONSTRUCTION I"-'~' t r. ; ~ ::--: V'!"Cj'J Sewage System 0 New System 0 SQ. FT. # BDRMS VALUATION i :Cj (' ;a O~ ~;;,~~,~j ('t r:--'V...., [;'22 ( :J i'I";; ~:"':"".~".~~(j~I'~" -.( " ,., ~ _ .1 . , ... 1 ~ ~._:'O~C~ SEWAGE DISPOSAL PUBLIC 0 BUILDING WASTE DISPOSAL PLUMBING PLAN REVIEW PARK TRAILER . OTHERO r;~.pn FEES PLUMBING INSTALLED BY OWNER 0 OTHER: NAME /- (,,'1 ':,:r~,' .:'~ WATER SUPPLY PUBLIC tJ:l 0 OTHER SEPTIC TANK mil: ~~;I (In ('.~\ :~n f: TOTAL s t;c"', -',f) COUNTY BUilDING & SANITATION SPECIFICATIONS DRAIN FiElD REQUIRED UN. FT [G~) TRENCH WIDTH FT. 2 OR SQ. FT. [", ~,' MIN. SEPTIC TANK CAPACITY WITH oIST. BOX: GAL e::;) :: ':~(J (ri\k~l f"()~'?:~' GW:i"(;~(t. TYPE OF STRUCTURE OCCUPANCY ZONE PUBLIC UTll, EASEMENT : :. ir;;J J BLDG. SETBACKS u FT. FROM CTR. OF ROAD RIGHT OF WAY USE CLASSIFICATION FRONT ';f) SIDE INT. r::l SIDE EXT. AUTHORIZED SIGNATURE - DATE REAR I DATE Inl .Lr~.r_:.YVl I'1U C.::J"ULO L',:r:,C:~:-::l ~-:~::;) G:~~o ~.G. ~2Q~UQ~':J c(J BLDG. PERMIT - WHITE OFFICE COPY - WHITE COUNTY TAX - PINK PLUMBING - CANARY BUILDING - GREEN SANITATION - GOLDENROD Construction to comply with uniform building code and county regulations covering plumbing and sewage disposal. All buildings require a certificate of occupancy before being occupied. (See Statement on Reverse Side) (POST THIS PERMIT ON MAIN BLDG. AT SITE) LANE COUNTY, BLDG. & SAN. DIV., COURT HOUSE, EUGENE, OREGON 97401 FORM -= C55-1] ( . .! . SLAB FLOOR PLUMBING GROUNDWORK ApPROVED ;---y DISAPPROVED / / DATE REMARKS GAS PIPING GROUNDWORK ApPROVED / / DISAPPROVED L / DATE REMARKS ROUGH PLUMBING ApPROVED UZJ DATE~ '/'U-Jt..... OISAPPROVED .Cl REMARKS ROUGH GAS PIPING ApPROVED .Cl DISAPPROVED .Cl DATE REMARK S FINAL PLUMB I NG ApPROVEO W DISAPPROVED .Cl DATE"" '1/-;;, REMARKS FINAL GAS PIPING ApPROVED .Cl DISAPPROVED / / DATE REMARKS CERTIFICATE OF OCCUPANCY READY TO ISSUE .Cl NOT READY TO ISSUE / / DATE REMARKS ""I . INSPECTOR INSPECTOR INSPECTOR~../. / . V ----( INSPECTOR INSPECTOR~iY' INSPECTOR INSPECTOR '/' ~ , LANE COUNTY ~.NG PERMIT OR MOBILE HOME. APPLICATION TYPE - BUILDING~.. MOBILE HOME Dose REG, # PERMIT :#: .2..::? ~.?- -?..:3 /J / MAILING ADDRESS .. /'" . /. PHONE ~A- ff70 ~ (lL-:>fj/d, c V ,0/"" /.:. . MAILING ADDRESS / , V PHONE 71/~- 99/~ , PERMIT PROPERTY OWNER J!.//;-"- / CONTRACTOR PROPERTY lOCATION - INCLUDE POST OFFICE AI. thLA' -L<<.- //?tl .,d/, )/'), ,_.J ) / A. 'P / Y /'CY R METES & BOUNDS DYES 1~-LA'j/ ~ ?,.a..r, 0'\- /,0- / ATTACHEO D NO TAX LOT if CODE CENSUS TRACT 1 3$ -(.5'? / DESCRIBE EXISTING STRUCTURES ON PROPERTY IF ANY ~c-- LEGAL ACCESS TO PROPERTY - ROAD NAME OR # 4t>-x-Ly ~. PROPERTY SIZE-WIDTH DEPTH PROPERTY LEGAL DESCRIPTION p. / . / I "LOT - BLOCK - SUBOIV, \. J>La ~. TWP RANGE SEC. /1" /J2 6C, APPLICANT ../ NAME ~~-p - ,.;Lj"~ A ~ ....J AND MAILING ADDRESS FOR MOBILE HOME PERMIT ONLY Number of Bedrooms STRUCTURES TO BE BUilT THIS PERMIT ~u-~/--IL-r? ~ {/ r.h .6 ;11'..- L~h1j~.Jd. ~=SEWAGE DISPOSAL AREA Connect to Existing Sewage System 0 or New System Req, 0 TYPE CONSTRUCTION SQ. FT. # BEDR9"MS )VALUATlON ~ //6.s:,tO/-z (..:1' /.39110 )' - f4b-jQ. J /3%C, ~ / S.~,{,?, . / -. .- PUBLIC 0 BLDG. WASTE DIS. PLUMBING PLAN REVIEW PARK TRLR. SEPTIC TANK tf $~~ ~ --20, 4l-..Q ~ L/..so OTHER D FEES WATER SUPPLY PUBLIC fY" OTHER PLU?Nt; ~EES F1XTURESt19..3 ,-, CASH D s...r.;; CHECK ~ONN'ECTION FEE PLUMBING INSTALLED BY OWNER D OTHER D NA.tl... (# a.-r'~ .J PLANS FURNISHEa UY;2) -'AC~ ERMIT / YES)c( ".HOlD __ YES NO P S{GN'A~~PP~C~. I DATE ~/.~ ~"";..""'/:#~ /0://7.3 ~ ..;J ..:. RECEIVED BY 'Z5 II / /.Z/~ /77' PERMIT # ;/- PUBLIC WATER ~ ..., /_ 0 CONNECTION FEE /. .5'b o-r ~ w t7 - COUNTY BUILDING & SANITATION SPECIFICATIONS ./ DRAIN FIELD REQUIRED _ I. UN, FT, '1.C)() TRENCH WIOTH FT, 9..... OR SQUARE FEET 4/0 0 / / TOTAL /~b, .50 MIN., SEPTIC TANK CAPACITY WITH DIST. BOX: GAL. 100 IX.D t,S I REAR yARD I \ ' BLDG. SETBACKS - FT. FROM CTR. OF ROAD RIGHT OF WAY , USE CLA'S1'CATION l~ml.t ,~~i1~J pc;;J;E EX::/~~/;~REA:LJ INSP, fP6 ~ R/i; ~ _/I)D ~ ~rectians to Find Property' V I TYPE OF STRUCTURE -.5!V OCCUPANCY 1~4 ZONE PUBLIC UTIL. EASEMENT COpy 1 - OFFICE COpy 2 - JOURNAL COPY 3 - AUDIT Form # CSS.IZ