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Home My WebLink AboutPermit Sewer Connection Record 1974-10-16 "'. /L ~. ., '. . . . ,"" LANE COUNT.UILDING PERMIT OR MOBILE BUILDING l~{ MH D MAILING ADDRESS n;;3 ,,'nt,'loy MAILING ADDRESS HOtt USE PERMIT PERMIT NO. c+D:::,0 -7~ .. < , ;; . PROPERTY OWNER l:~: Ir:J,'C. J(;;:c~ Dolo CONTRACTOR Springfield, OreGOn 20::lC-i4 PHONE 747-11;:):: PHONE s::-o PROPERTY LOCATION -INCLUDE POST OFFICE 71 rut (\dd to Cardc:1\;:Dy Port; 430 n:;.tlCn PROPERTY LEGAL DESCRIPTION - METES, BOUNDS G,rcknt::JV PiJr~' !.oe 7 Dloe:, 5 TWP RANGE SECTION TAX LOT NO. CODE CENSUS TRACT i7 03 34.2.3 IIOC IS-03 320300 EXISTING STRUCTURES ON PROPERTY Clon~ LEGAL ACCESS TO PROPERTY flat Jon PROPERTY SIZE - FT. APPL. NAME & MAILING ADDRESS FOR MOBILE HOME PERMITS ONLY No. of Bedrooms Ol::ner WIDTH DEPTH AREA STRUCTURES TO BE BUILT THIS PERMIT Connect to Existing Sewage System D TYPE CONSTRUCTION SQ. FT. +:: BORMS New System D VALUATION [;:;;0: lln" 1290 G lei. 10 20.7u!},CO Gt~rC(f8 552 0 5.30 2,~25.60 Ins~nll ~~~aro Ois~osol Svstcm SEWAGE DISPOSAL PUBLIC 0 BUILDING WASTE DISPOSAL PLUMBING PLAN REVIEW PARK TRAILER SEPTIC TANK 1m OTHERD . 10n.00 'io.on 1Ll.oo FEES PLUMBING INSTALLED BY OWNER 0 OTHER: NAME WATER SUPPLY PUBLIC l{ilI 0 OTHER MIN. SEPTIC TANK CAPACITY 1.4' . 1()'L4? COUNTY BUILDING & SANITATION SPECIFICATIONS DRAIN FIELD REQUIRED TOTAL WITH D]ST, BOX: GAL. <;00 L1N. FT 150 TRENCH WIDTH FT. 2 to 3 OR SQ. FT. 300 TYPE OF STRUCTURE OCCUPANCY ZONE PUBLIC UTIL. EASEMENT Ij[.l BLDG. SETBACKS.. FT, FROM CTR. OF ROAD RIGHT OF WAY FRONT (; 1 SIDE INT. 1 SIDE EXT. AUTHORIZED SIGNATURE - DATE --1JJ.' J r. ry,~ r. f", r.. l-Je rbc"oh ll- J USE CLASSIFICATION REAR 7 John Sl-:oo!< DATE 1O-IG-7tl51; 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 buildings 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 MANAGEMENT COURTHOUSE ANNEX, 135 EAST 6th, EUGENE, OREGON 97401 ~, .. .f LANE COUN.UILDING PERMIT OR MOBILE BUILDING 0 MH 0 MAILING ADDRESS HOe USE PERMIT PERMIT NO. " PROPERTY OWNER PHONE , L ,/,.e: ,~. .... o CONTRACTOR MAILING ADDRESS PHONE PROPERTY LOCATION - INCLUDE POST OFFICE . : ~ .:..., ""-'> J.~, r ,~..../~... 1,._ .,.. ,,__ .' I ::.~, PROPERTY LEGAL DESCRIPTION - METES, BOUNDS . '., : '; ': .,'.. ~ '~:: TWP RANGE \.....,...,. .1 SECTION TAX LOT NO, CODE CENSUS TRACT ~ .., ' ~;~,;"j .:) ""._., ~ .' ,. APPL NAME & MAILING ADDRESS FOR MOBILE HOME PERMITS ONLY No. of Bedrooms EXISTING STRUCTURES ON PROPERTY ". ,^, ,A,q LEGAL ACCESS TO PROPERTY ~ ~:._:l: PROPERTY SIZE - FT. WIDTH DEPTH AREA STRUCTURES TO BE BUILT THIS PERMIT Connect to Existing Sewage System D TYPE CONSTRUCTION SQ. FT. ;: BDRMS New System 0 VALUATION ~ ('"V" wl..l..) ,. I~ 1'1 , ~ \.. " , ":r .......' ~;. ,," ..:r. ,C SEWAGE DISPOSAL ~ -.' OTHERO I' . FEES PLUMBING INSTALLED BY OWNER 0 OTHER: NAME WATER SUPPLY PUBLIC 0 BUILDING WASTE DISPOSAL PLUMBING PLAN REVIEW PARK TRAILER SEPTIC TANK '0 , PUBLIC i~ tJ o OTHER .', r', " n\. TOTAL t " '.. MIN. SEPTIC TANK CAPACITY COUNTY BUILDING & SANITATION SPECIFICATIONS DRAIN FielD REQUIRED WITH DIST. BOX: GAl. (' ~."~ n .., lIN. FT '" TRENCH WIDTH FT. :'i ~~) ~ OR SQ. FT. TYPE OF STRUCTURE OCCUPANCY ZONE PUBLIC UTIl. EASEMENT ,~ BLDG. SETBACKS._ FT, FROM CTR. OF ROAD RIGHT OF WAY USE ClAS~IFICATION FRONT C; SIDE INT. SIDE EXT. AUTHORIZED SIGNATURE - DATE REAR ') DATE lot ~d ". (' f _,., ,'. ~. . -- .! " .... ." 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 buildings require a certificate of occupancy before being occupied. (See Details on Reverse Side) FORM;:: C55-13 (POST THIS PERMIT ON MAIN BLDG. AT SITE) LANE COUNTY, DEPT. OF ENVIRONMENTAL MANAGEMENT COURTHOUSE ANNEX, 135 EAST 6th, EUGENE, OREGON 97401 SLAB FLOOR PLUMBING GROUNDWORK . ApPROVED / I DISAPPROVED C1 . DATE/O-"}o-l7' INSPECT~ " ., REMARK 5 GAS PIPING GROUNDWORK ApPROVED / / DISAPPROVED C1 DATE INSPECTOR REMARKS ROUGH PLUMBING ApPROVEO !JL1 DI SAPPROUEO C1 DATE/-..2 - /s REMARKS INSPECTO~j/ ROUGH GAS PIPING ApPROVED C1 DISAPPROVED C1 DATE INSPECTOR REMARK 5 FINAL PLUMBING DATE#- r-.?.T INSPECTO -c,L/ 1 ~ ApPROVED ~ DISAPPROVED C1 REMARKS FINAL GAS PIPING ApPROVED C1 DISAPPROVED C1 DATE INSPECTOR REMARKS CERTIFICATE OF OCCUPANCY READY TO ISSUE ;---y NOT READY TO ISSUE ;---y DATE INSPECTOR REMARKS ,. LANE COU.BUILDING PERMIT OR MOBILE HA BUILDING n MH D MAILING ADDRESS iN ~ . , USE PERMIT PERMIT NO. PROPERTY OWNER PHONE CONTRACTOR MAILING ADDRESS PHONE PROPERTY LOCATION - INCLUDE POST OFFICE ~OPERTY LEGAL DESCRIPTION - METES, BOUNDS )- 'rWP RANGE SECTION TAX LOT NO. CODE CENSUS TRACT APPL. EXISTING STRUCTURES ON PROPERTY NAME & LEGAL ACCESS TO PROPERTY ,~ MAILING , , PROPERTY SIZE - FT. ADDRESS " WIOTH DEPTH' AREA FOR MOBILE {lOME PERMITS ONLY _t:l~._of Bedro;"l.s STRUC~~~ BRBU1i-, 1'\-l1S;; PERMIT \ Connect tQ Existing TYPE CONSTRUCTION Sewage System C SQ. FT. :;; BDRMS New System D VALUATION ',J' ~ " \. 'I ". ,~ \ SEWAGE DISPOSAL . FEES PLUMBING INSTALLED BY OWNER 0 OTHER: NAME WATER SUPPLY , PUBLIC rJ BUilDING WASTE DISPOSAL PLUMBING PLAN REVIEW PARK TRAILER SEPTIC TANK 0 OTHERD PUBLIC rJ o OTHER TOTAL L MIN. SEPTIC TANK CAPACITY COUNTY BUILDING & SANITATION SPECIFICATIONS DRAIN FIELD REQUIRED WITH OISl. BOX: GAl. UN. FT TRENCH WIDTH FT. OR SQ. FT. , ' \ , ..\ " -" TYPE OF STRUCTURE QCClH'ANLT lONE PUBLIC UTll. EASEMENT BLDG. SETBACKS FT. FROM eTR. OF ROAD RIGHT OF WAY USE CLASSIFICATION FRONT SIDE INT. SIDE EXT. AUTHORIZED SIGNATURE - DATE REAR DATE 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 sholl 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 on Reverse Side) FOR~l =C55-13 (POST THIS PERMIT ON MAIN BLDG. AT SITE) LANE COUNTY. OEPT. OF ENVIRONMENTAL MANAGEMENT COURTHOUSE ANNEX. 135 EAST 6th. EUGENE. OREGON 97AOl r .. .. . . SITE I NSPECT I ON ApPROVED Cl DISAPPROVED Cl DATE INSPECTOR REMARKS d'-Ict1 ApPROVED ,;) I. .~~r , '/fDT1"/...h-(-N'<<I e, /, - (Ij/vrUtUM~, LATH OR SHEETROCK INSPECTION / APPROVEO~! DI SAPPROVEO L-! DAT.l- if'.. '7' 6~ ,/ I NSPECTORI'9Z/~ A:-/ (.-....//>-J REMARKS FINAL INSPECTION . ~ '..'0",0 ~.....om = o^,c{tj; -7~.c,,", {!;;t:. _ A REMARKS44/-p.1. -?f11".Jt~9T4' ~ ,r.. ~ . f1((~ (J.-/ CERTIFICATE OF OCCUPANCY READY TO ISSUE / / NOT READY TO ISSUE ;---y DATE INSPECTOR REMARK S - rf) ,. i 'l ?/ K/ ./{/f/Vt::t'l~ \!1~/ L/ :J tJ ~ JOJP--7p 'reo \DPc. /O-3-7Y "ro.' r 0 BUILDING SITE EVALUATION Tf:U'~ . UJ'P<.. lo-L/-7tj 4,'~U .' - 0~ ( ) ( ) ( ) No. 2()~~-7t/ -rh.o 1-0 ' Bu i I ding Pe rm i t App I i cat ion Site Inspection Pre-Permit Investigation T 17 R 03s -:R4.JSrAX LOT-.l./ ()'/, CENSUS TRACT APPlI CANT: 8 I NAME e/ l11or~ ADDRESS YES PHONE DATE I,') - "2 - 7$1' NAME DATE NOT appl icable IX< ( ) ( ) f') () () Plain 90 () () -- (see Convne~ts) ( ) (' ,) () (lj ;/~~ &.7- 'Lf.tf -2l1?Ul/!.' ~--U~ C~~ r.Yd..o~J----- / /\ 1/ r~/.'I ~/H{Y LANE COUNTY PLANNING DEPARTMENT NOT NO app 1 i cab I e I. Zoning Ordinance Compliance l ) ( ) (Zone ) 2. Subdivision Ordinance Compl iance ( ) ( ) 3. Required Access ( ) ( ) 4. Building Site (Area, Width, ( ) ( ) Front age. Setback) S. Other (see comments) ( ) ( ) COI1M ENTS : - BUILDING INSPECTION SECTION 6. Plans Subm i tted 7. 8. Soil Stabil ity (footings) N Flood 9. Other - COMMENTS: ( ) ( ) ( ) ( ) ( ) ~~ - NO YES NAME DATE - /) .' (J'f'5- '7'7 ft. SAN ITATI ON SECTI ON NOT NO '* ~ 'AAf app I i cab I e ! ~- &6 10. Sewage Disposal ( ) ( ) ( ) ~ II. Usable Area ( ) ( ) ( ) 12. Water Supply ( ) ( ) ( ) 13. Ot he r (see Comments) ( ) ( ) ( .) COMMENTS: T~ JMT I CANT: ~~' Building Permit / Site Inspection: Can be approved. ~ Cannot be approved at this time as indicated on item NO. -r- .above. Questions and further information on items I through 5 contact the Lane- COUNTY PLANNING DEPARTMENT. Questions and further infonnation 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. () Is being returned. () 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) 6B7-4186 C55-28 LANE COUNTY ENVIRONMENTAL MANAGEMENT 135 Sixth Avenue East, Eugene, Oregon 97401 Phone (503) 687-4065 INSTALLER: PR~ED SEWAGE DISPOSAL SYSTEM RE~ Complete top part o~rm to signature and submit b~oPies with applicatio~. PERMn NO;, . . " INSTALLER'S NAME g7/\J\ No. 'Living Units f{ 0,.- t l\p / 'Bedrooms . Baths PROPERTY ADDRESS .)Zf^/J..!.,..fU t./Jo~ Basement Water Supply Yes No Pub Ii c X Other-Li st ;...1. t"I '<'f\ -. 71.( v [., "'" J;.s. Septic Tank: , Ft. from well Steel 0 Concrete IRI Inside Dimensions: Ft. Len~th 1': Width s: Diameter Depth r; OWNER NAME -:\ A /'fI e...-.s n. (kLl hi.., r? e. No. Compartments Gal. Capacity . I " ",'1/1 Tile Disposal Field~' Distribution Box: Nes) No Other Distributlon-~ype HA J LI NG ADDRESS //).3 Jr~-i0 S"r~,~l 71'(77 Length 9f Lines-Ft: lTrench'l Total Sq. 1.)Tj'2J'>3. 4. 5. 6. Widthl Ft. "2.hl) 'lot Plan (see instructions): Feet from WEll Lot Li ne Front I '~. BetweFn LInes I n Foundation _, I Side Rear IFi ller "IFi ller Depth IFiller Below Tvpe f Above Tile" inJTile {" in. II ~ErcEHfED ~= , \!:I .- "l . ITI~ \ J'_/~i\ ~ ....~J:- "/,Ii eS . , 0- D - 1.:'( .x. . ~""TI3Iir,r",.p ;v NDVO.11974 1A~f. COUNTY ENVllWNMfhTAL MGMT. 't _",1 ~, , 1- ~~_' A-",I __. r~'~ .~ It -:-: R- /0 ----I"'ty I if' 1--.,\", r" .____ r - .. .-- ,.- ".--- . ......-:::: Date ().~, ~I ,p'" . /L-t '" - - , For Sanitarian Use Only: In accordance with 1973 Oregon Laws Chapter 835. Section 214 this certificate as evidence of satisfactory completion of a subsurface sewage disposal system location. ~ Approved: System Installation conforms to current standards c::J Disapproved: Does not conform to current standards Remarks: Si~nature l~~'J..J.. CERTIFICATE OF SATISFACTORY COMPLETfON rl ,'V\A.H.I ~ ~a; J/-1-7~ IS Is~ued at the above C55-11 ~~~~ Signature L COUNTY STATE OF OREGON DEPARTMENT OF ENVIRONMENTAL QUALITY ~ PERMITiF ,::;( 0 j" 0" - ') !I . lANE COONlY Building <. , ~ARTI1ENl' OF ENV:IRQ!IMENTAL Mobile !lone APPLICATION FOR IlUllDm:; PERMIT OR MOB~ HCME USE NaTE: No pennit will be issued until this application has been approved. ~~TION GIl...,^Jel\lL1M>~Rk -RQ-'JJl!l\1 AI1. "-DT- 'li;30(J?~) is L 0 (, k b""" (') Cl. f- C-e"N r-e..N' IV, 1f.L- - j-ze~/1l So v r4. ~ #t.J - IJ-S.P I;J - W~ ovv J(-€.,.L{.,o C. -/....e-f-tON P.AY/Ve..,f. ru Row,4.AJ-ta (.(d-4- 1WPJ 7 RAN:;E 0 .~ SEC.,':? C/. '),3TAX LCfl' if 110 ~ COOE' I?'-oj CENSUS TRACl'..J.2-~~' LCfl'NO.' r; BlDCK ,J; suBnIVISION Fi~~a.J~;c> Ga.h efo-lw"",y ~k -vJ- y=r SIZE ACCESS TO PRuy=f 6\ ~ WID'IH DEP'lH OR ACREi\GE DESCRIBE EXISTIN; STRUCItJRES ON 1HE PRuy=f ~ APPLICAl'iI.. MAhm:; J 1"- NAME-.JLLWlf'." ADDRESS 1I:l._~ (iN I"J }e~PHCNE 7L./J_Jl/l,$ UJN1MCl'OR MArLIN:; _/ - f ~, NAME ()w N I; R ADDRESS I morIfE - ( BEUM FOR OFFICE USE ONLY***"'. 'm................ ..:.:... :.:.......:. :.:.:.:. ..:.:... :.:. :.....:. .~...:.:.:.:...:.:.:. "kkk;'.:.:.:.:.:.:.:.:.:.:. :.:. :.:.:.:.:.:.:. Structures to be built/Mobile Hare sq. ft.@ / tl1i,tbedrOC1JJS valuation II'ItJ.e.-LL J,vh- J"]9'/-'1 II".. - ,!;la. 7C, 9",0 -J.' A . .....6.$ v /- ---::/-,,~.-.--.?J2 ~ .<7'""\".).....' I _ _ .:1.. <?.:JS"; '0 / _,"l:> /?""~ ~ -'-0- c <:LJ.S/ / "- ~.d" T - ~ewage Visposal: . Site Inspection if Water ~\:I{',Bly: Public ~District Name Existing sewage disposal system 0 or new,/y'stem required 0 , Well 0 Sp:r:;Lbg 0 Other I ' ;f Fees \ /" L J ~. /tfl J Plurrbing 'fnstalled by CMner Other Name: 'l/ ~ :.a..---' Plurrbing F;ees S,ewer cormection Water cotlhection /c::> iF o~ fixtures /inspection fee~. inspection fee.::J , ,L-JI.2-. ~ehck \ ~fans furnished Fac~' lity Pennit \ /YesJ8CN~ t€$ ({]l'9.IZJ Signature/pf Applican ,/l.. ~ I- ~.k~te /0-.;>- TOTAL / '73, t/ .:L-. Fee re~~~ived by-*: date /()-.:J -? 'I Min. Septic tank capacity Drainfield required with dist. box: Gallons CfbO Lineal Feet If\{) Trench Depth 2 f..J or Sq. Ft. J 6 D /0 1(-, t) P ~D ,,, 0 31/-. dO Bldg. Waste Dis. Plumbing Plan Review Trailer 1% surcharge - I Type ot Structure~Occupancy /~ Fire Zone Blgd. setbacks-ft. from center of road right of way Front ~ I Side Int. ((('""" Side Exterior Use Classitication Planning ~/ '/ /eJ-';;'-7,/ dat~~itati7 cj"l>-\.-..l7b '1 hi date Rear 7 Zone I? - / , . B~~~~~;'7pt (I' /<; . - C55-12