HomeMy WebLinkAboutPermit Building 1978-6-29 (2)
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JOB LOCATION : ~ Garden Ave... Sorinnfield. OR 97477
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:2lG 1.7- 78
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Acreage or LotSi;;;-
Contractor's O.S. '#
LANE COUNTY PERMIT
5
Partitioning #
) Completed
Subdivision
Lot
974d
/r
Block
-
APPLICANT'S N}\ME AND ADDRF""
OWNER'S NAME,AND ADDRF"C:
CONTRACTOR'SNAME AND ADDRESS
Mail permit to (Jr.)1 Applicant ( ) Owner
./ f'
>'
. STRUCTURES NOW ON THE PROPERTY.
. THIS PERMIT IS F.OR Mnbile Home Site -
\,:;
Jerrv B1nRham. 29620 Awbrev LaDe. Eurrcne. OR
same
) Contractor. l. ) Prefer to pick up. Call
'Phonr
Phonp
Phonp
(owner, etc,) when ready.
IiRR-M 77
doublffi,itl" .
inAt~l' A~nri~ Rvar~m
# BEDROOM" '"
.
# PLUMBING CONNECTION5--
-:' .::-,.
WATER SUPPLY,. Ex1st1mr "ell
" ~
THIS PROPERTY IS WFrHIN ONE MILE OF THE CITY OF Snr1nRf1eld . PLUMBING BY Jerrv Bin"h"",
P' ~
, I hereby certify that ili,e above statements are true and accurate, and that'l 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 ap~licable Codes relating to this permit. ' .
Fee Paid $: 77.901; ::." -"Signature -Yh~V\(&' /-kl! a.._, Datp \0 \ \?)\ \"\0
/ f I /f' .
I ( ) NEW ADDRESS~ ( .r) FACILITY PERMIT TO TRANSPORTATION DEPT. . (X) SPECIA:L PMT, AREA. MIN. ELEVATION:
,. -~ . -
SANITATION ' BUILDING LANE (Om~u') .SPt{HU P.ERMIT AREA
I ~ lI(1.iniJ\um Septic Tank Capacity (Gallons) ",....v. ,?Type of Construction X -.:5 r.roup ...) Fire Zone
.,,.,,.., Dniinfield Required - Lineal Feet 1f"b',,> Ilse Classification
. '-?~)'~!;i~um De~Pth '11 -1:-, Il -r Comm~\l-ts: #/;,11 F-'..60,<'( ~.I:~-/<4 rlON /'/I/'T
. Comments; Ii::;'" .~ ("0-.- ~........~~'--' -~
4-,,;z;:......:;.:.:.... : - ~:. __}(,.~.oY.."......co.- ct.:#v>..- 1)!i'Rk/.pI..:~/J - SI.'Ic /.S/Ver //1.1 frl1:>R/c:.J)
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~- f?- /V~ aNA. r ~ ~ v~~/ '
By: ,//:, ~? Date:' h:: /q-7r By; /~r-cj7//~-tL.ul - Date: ~-2-'7-'7A
PLANNING-RE'QUIREMENfsSATISFIED. By: D:mnaLee ::e1L;G Date: 6/13/78 Date Issued: 6/.:J.?/?rr-
ZONE: Agt. SETBACKS: FRONT 50' SIDE FACING ~TREET (FROM CILl INT. SIDE YARD 15' REAR'20' (FROM PILi
, LANE COUNTY DEPARTMENT OF ENVIRONMENTAL MANAGEMENT, 125 EAST 8TH AVE" EUGENE, OREGON 97401
SEWAGE DISPOSAl
P?nnnaaA Qon~~~ ~O"~
. , .
S.1. # 78-S8J
*"
.
C55,13
"
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POST THIS PERMIT ON MAIN BUILDING AT SITE
BLDG. PERMIT -WHITE; BUILDING - GREEN; PLUMBING - CANARY; SANITATION - GOLDENROD; OFFICE COPY - WHITE
PHONE: 6~
Job Location
3699 GARIlFN AVENUE
,
=lU1""" IEID ~>1
S.1. ~~)'6ef')
. ~..' , >' ..: ~8-0,2-06. 4.2
.. TRS;..;r(
J.ll1 ""~ ,.
Subdivision:
TL #502
-~.-
Written Directions 32nd TO JASPER I.CMELL RD
saJTH TO THE END OF Il\UREL "rLi\U,T:
NA
~-,~ <Jt ~ d~ '
l
Lot
Block
.'
SITE FEASIBILITY REPORT FOR SUBSURFACE AND ALTERNATIVE SEWAGE DISPOSAL
NANCY ~ 1125 SAVILLE J5Ul>I"'''''' u=uu>l
. Phone 688-1099
APPLlCANrS,NAME AND ADDRESS
~UUU~~
,/
0Jmer/
/
t'........I.CW WELL /', =lU.l""".u:.u)
WATER SUPPLY WITHI~ONE MILE OF THE CITY OF (NO) ~ .
I hereby certify that the above statements are true and accurate, and that I have the~1I0wing legal interest in the property: owner of record'
contract purchaser; potential buyer; realtor or agent. I fur:thf; certify that (if not the owner) I am authorized to act for the owner- 0;
record, and that sai~ owner ~s aware and approves of this action. /' _ /J
TEST HOLES READY ""'" . -~... ,""". / Signaturp "Y/ lfont:; fL,4 ~ Datef:-,\ l, l f\E\'
, ,I" (.".
* *... * * * * * * * * * * * * * * * * * * *, * * * * *OFFICE qSE ONLY BELOW THIS LINE * * * * * * * * * * * * * * * * * * * * * * * *... * *
I R
SITE: ~"MEETS STATE STANDARDS C? DOES NOT MEET STATE STANDARDS. L(ANDCl!S~<;:OMPLlANCE
~ aA.ed.. 1.Al'<..U .M ~~ ?~ ~ ;'Zoning .1 ~ '(
, /60 '..&.tI ri'. t-9J iJ.uI-APhZ / ItJtJ'~ rd ~C- .4r..uff!" Acreage or Lot Si7P ~\. e::,
. /"' 'r V? 1 - , Partitioning # ~o :
~ ~ dt:... ~_ ~ a-..... ~ ~ Parcel # .sC)~c'...,l)~
~ ~ b.d4.!tJd'.,<- au~ ~ bA-~ ~. ~U /'
C<- -v~~.~~ ~r ~ &~
OWNER'S NAME AND ADDRESS
'.JERRY. .B.u.....,.Jf'.
/ .~ ._--'\
29620 AWBREY IANE
Phone
Mail report to (X) Applica~t () Owner
:(X) Prefer to pick up. Call.
688-4477
(owner, etc.) when ready.
.RUCTURES NOW ON THE PROPERTY NCNE
PROPOSED USE OF PROPERTY MOBIIE HCME SITE
(TOTAL)
) Completed
) Pending
THIS IS A PRELIMINARY REPORT WHICH DOES NOT ENSURE THE ISSUANCE OF A FUTURE BUILDING_P-ERMIT. ANY PLANS OR"EXPENDI,
TURES MADE IN RELIANCE UPON THIS REPORT ARE AT YOUR OWN RISK. IF SITE IS APP~ED'~VERSE SIDE,
~~ ~l/ i-X-"J? C~'<'~___/ ~ " ,,~\~\\\V\
AUTHORIZED SIGNATURE DATE \.. AUTHORIZED SIGNATURE DATE'
(../ -----.J
Division of Water Pollution Control Permit Processing Section
LANE COUNTY DEPARTMENT OF ENVIRONMENTAL MANAGEMENT 125 EAST 8TH AVENUE..EUGENE, OREGON 97401 687.4061
C55-32
. _ __ .','~_~__ _....._.--"-~__~~_~.-r. ~~._...__.~~H.n'~
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OAR Chapter 340, Division 7, Section 72-020(6): This report shall remain in effect until issuance of a
permit to construct, unless in the meantime conditions on this or adjacent properties have been altered in
any manner which would prohibit issuance of a permit, in which case this evaluation report shall be con-
sidered null and void. Technical rule changes will not invalidate any evaluation report issued pursuant to
this section.
Before construction is started bring this form to the Department of Environmental Management and apply
for a building permit. Exact specifications for the sewage disposal system will appear on the permit.
If the property is only a portion of a tax lot, a partitioning or subdivision must be approved before the
permit will be issued.
Only persons having a valid license issued by the Department of Environmental Quality under ORS 454.695
to install subsurface sewage disposal systems or an owner or contract purchaser or his regular employees
may install subsurface sewage disposal systems. A certificate of satisfactory completion will not be issued
if persons other than the above perform the installation.
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C74-1S0
'ic1nity Map
Job Location
Permit It
Permit It
Permit It
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N
(Address) ? (; 9' 9'
For
For
For
J-t#''//.~ yr/'7A -f7e..d O~,
Permit It 0./ For
Permit n For
Permit n For
SI# 7 ~- SF!
SITE EVALUATION WORKSHEET
LOCATION:
/tf
TAX LOT #
...211.2-
ZONING:
PROPOSED USE:
td;?
.
S'Ff)
) SECTION
TWP.
RANGE
SIZE OF PROPERTY:
-
AMOUNT USABLE AREA:
WATER SUPPLY:
COMMUNITY D
PUBLIC 0
INDIVIDUAL ~
SUBDIVISION/PARTITION
LOT
BLOCK
PARCEL
IF SITE MEETS STANDARDS FILL OUT:
Type of structure and approximate sewage flow: Single Family
Multi-family gpd Industrial
Connnercial gpd Institutional
.#0
MINIMUM DESIGN REQUIREMENTS:
Length of disposal trench required
Distribution Method: Equal 00
Curtain drain required: Yes 0
Othe r:
/r~rl~
No 00
SPECIAL SITE CONSIDERATIONS OR VARIANCE OPTIONS OR OTHER ALTERNATIVES:
NAME: Y7 ~ DATE OF EVALUATION: ~~$"'7r
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*
C74-l26
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gpd
gpd
_ gpd
1150 gal.
SI#
# 1 T EST H 0 L E
PERCHED WATER PROFILE
Pre dic te d in. Inch
Observed in.
Date
# 2
T EST
H 0 L E
PROFILE
, PREDICTED WATER
Predicted
Observed
Date
in. Inch
in.
12- .(~
12 -
SATURATED ZONE
Predicted
Observed
Date
in,
in.
24-
SATURATED ZONE
Predicted
Observed
Date
in
in
24- ~/
36_
36 -
Restrictive Layer ~
Impervious Layer /' in,
Mottling I.1JJ:J.c./ ~n,
SLOPE
~~~
Restrictive Layer
48 _ Impervious Layer
.;I), , . Mottling
~'--
60," SLOPE
in
in
in
48 -
%
60 -
SITE DOES [tj- DOES NOT c=J MEET MINIMUM STANDARDS.
ADMINISTRATIVE RULES REOUIRE ~ MINIMUM DEPTH OF:
ON YOUR PROPERTY THE DEPTH
WAS:
o 36 inches to an impermeable layer
o 30 inches to a restrictive layer
o 60 inches to a permanent water table
o 24 inches to a temporarily perched water table
OTHER REASONS FOR DENIAL
inches
inches
inches
inches
Stream
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1--'-
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Drainage or
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Test Hole cI)
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written Directions 3,J-".,.J!l
7f '\Z).L:.. Job Location
.t.., ~-'"' &'d.#../U?4s'ulL L,
/ I INFOR~ATION SHEET
"15 - 2t) l
2, [. ? '7 ' ..Jlt.A.?L SO~_), ~ rf..~./ av..
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~f1 tfJ/ ..,{ ll'u_u>'Jl [; ?1>a..r:.G
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Number of s tes
) Building Permit "0site Feasibility Study for Septic Tank.
Acreage or Lot Sizp t.( is- ~ flA- 11J}. Test holes will be ready
Partitioning # TrI.('. () Completed ''''SuoriJvisiC!!:'.....---..
( ) Pending____r:7 ' .)
APPLlCANT'SNAME'ANDADDRE~ Mtfv1tj /Jvd.~.s ,,///,.<.S- SCi/:/!" ,E;u_(">9"o D-
OWNER'S NAME AND ADDRESS, ii'ctif.!erendron/a"pplicant"f W~7 "1; .4a....~ ;1fJ/.. ~(':) 4.3.J,Joo~1 A~
a;ONTRACTOR'S NAME AND ADDRESS
_ail permit or results of site fe)lsibility study to ( ) Applicant ( ) Owner ( ) Contractor.
'j/) Prefer to pick up. Call &.li - <fY7 "/ (owner, etc,) when ready,
STRUCTURES NOW ON THE PROPERTY /Y1;ryJ)
PROPOSED ~~E:"(tl)iS permit) <v1I ~Je. ~ -1Jt., S/~ k-
WATER SUPPLY . J? J-r>OoS-O,o-j7 I V-.RJJ..fJ
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Lot
Block
Phone.kzU-/O'j9
~ Phone~.f'-4~~:,?
Phonp
Contractors O. S. #
~rmnQ 3
(existing or proposed well, etc. If public, name of system)
SEWAGE DISPOSAl
--
(existing or proposed septic tank, etc,) S,I. 4=
PLUMBING BY
Address
) PROPERTY IS WITHIN ONE MILE OF CITY (
- Y2c.>,) f-7 e.!c/ )
...... ** ** **.* ** *.. ** ** ****** **.. ** ***** ** ***...... OFFICE USE ON L Y BE LOW TH IS LIN E ..... <<- it.............. it_. *........... ** **...."*.. **.............................
~ew Address Necessary ) Facility Permit Necessary
ZONF SETBACKS: Front Side Facing Street
IFROM CENTERLINE OF ROADI
~pecial Permit Area, Minimum Elevation'
Interior Side Yard Rear
(FROM PROPERTY LINES)
To: Planning/Building InspectorlSanitarian/Surveyor.
This applicant appears to have a problem with
Your assistance will be appreCiated.
By
Permit Processing Section
ResponSP'
1S/31r:-
By
DEPARTMENT OF ENVIRONMENTAL MANAGEMENT
Permit Processing Section
125 East 8th Avenue
687.4394
n ivision
C55.12
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C74-1S0
Job Location
Permit II
Permit II
Permit II
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Job Location 3699 Garden Avenue. Springfield.
Jasper-Lowell Road, South to the End of Laurel Street.
INFORMATION SHEET
Or. 97477
( x) Bui Iding Permit
Acreage or Lot ~~ , 5 acres +-
Partitioning # ,',-CA. ( ) Completed
( ) Pending
APPLlCANT'SNAMEANDADDRESS Jerry Bingham, 29629 Awbrey Lane, Eugene, Or.
~ER'S NAME AND ADDRESS, if different from applicant's ~ -
TRACTOR'S NAME AND ADDRESS ~ ~'--'<J '( \ '-..X....... _
Mail ermit or results of site feasibility study ~plicant ( ) Owner ( ) Contractor.
Prefer to pick up. Call (owner, etc.) when ready.
) Site Feasibility Study for Septic Tank. Number of sites__
Test holes will be ready_
Subdivision
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Lot
, Block
97402
688-4477
Phone
Phone
Phone
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Contractors o. S. #
WA TER SUPPLY
STRUCTURES NOW ON THE PROPERTY None - proposed Mobile Home Site
PROPOSED USE (this permit) Mobile Home Site - d.n-,~'o_ ~, ,\,.". .
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SePtic Tank -~,<c>~~e..C
Existing Well
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(existing or proposed well, etc. If public, name of systeml
i PA-irm11~~
SEWAGE DISPOSAl
(existing or proposed septic tank, etc,) S,I.;: 78-581
approved
PLUMBING BY
J..rry Bingh",m
Address 29620 A',lbrey l.ane. '?...
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. ) ~~NeCeSSary (/) Facilr(y Permi~Necess ry pecial Permit Are~aMinimu~vation: ) ~.
ZON _ -.- SETBA~S: .,(ont. ~ 'i Sid Facing Street. Interior Side rd \f--l d(.) /
'\'~M C ERLINE OF RO~J (FRO ROPERTY ES ---= '
To: Planning/Building InspectorlSanitarian/Surveyor. D
This applicant appears to have a problem with
Your assistance will be appreciated. BY' ~",-yy" '.'"_-----
~ Permit Processing Section
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Response:
Division
C55.12
DEPARTMENT OF ENVIRONMENTAL MANAGEMENT
Permit Processing Section
125 East 8th Avenue
687-4394
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TO:
LANE COUNTY PLANNING
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CONSTRUCTION PERMITS. & INSPECTION
OTHER
FROM:
SURVEYORS OFFICE - FLOOD PLAIN ~~NAGEMENT
DEPARTMENT OF PUBLIC LANDS
PHONE: 687-4195
SUBJECT:
PARTITION NUMBER
SUBDIVISION
BUILDING PERflIT NUMBER
OTHER '
IBl"l ~\8
RECOMMENDATION:
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THE ABOVE SUBJECT IS IN A SPECIAL PERMIT AREA.
THE ABOVE SUBJECT IS INCLUDED lH THE H.U.D. ux:nmllERED "A" ZONES.
REMARKS Mlkl. I=LOOcz. ~Ll:r-""'b..\\Dt--l W("')\ rl,;:' (:\, Il.r.n::.t""\
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