HomeMy WebLinkAboutPermit Septic Tank 1979-7-2
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POST THIS PERMIT ON MAIN BUILDING AT SITE
JOB ADDRESS: 879. Anderson Lane" Spfd, Oregon
CONSTRUCTION PERMIT #
LC-1837-79 .
TRS, TL: 17-03-27.3.3 II 13400
Subdivision: na
This permit for the referenced property is hereby approved. Setbacks and other conditions of approval must be strictly observed. Violation can
result in revocation of this permit, citation under provisions of Lane County's I nfraction Ordinance, andlor other remedies allowed by law.
Appl icantl Add ress:
Ownerl Address:
Contractorl Address:
Contractor's OS #
Stan Harper, 4190 East 19th Glenwood, Oregon 97403'
John Anderson,
same as applicant
17430' i Total Construction Value: 1
747-7718/689-7479:
689-1597
1
Telephone:
Telephone:
. Telephone:
Construction approved by this permit:
Water Supply: na
PLANNING DIVISION
WATER POLLUTION
CONTROL DIVISION
Setbacks
Interior property Iin'es
- ~,ge of-road right-of-way
.Ailding foundation
Wells, other water sources
CONSTRUCTION
PE RMITS/I NSPECTION
DIVISION
Directions to Site:
Date Issued:
07-02-79
C55-13
Repair failing system.
Structures now on property: house.
# Bedrooms:
2
na
# Employees: na
# Plumbing Fixtures:
Zoning: n Partitioning # na Parcel #
Minimum required structural setbacks, from: centerline of road, front:
side exterior: na ; int~rior property lines: na ;rear property line:
Special Instructions: na
na
na
na
Parcel Size:
; centerline of road,
3+ acres
For information call 687-4394, Donnalee Meigs
Site Inspection # na Installation specifications: exiting ~~9min. septic tank capacity;
150 linealfeet of drainfield required; max. depth of trenches: 24" if possible given exiting depth of tank outlet
Special Instructions: Install an equal distribution of a minimum of two lines. Hold
trench depth to 24" if. possible given already existing depth of the,
Drainfield tank outlet.' MaiUt~in 100'. setback from' any well. Okay to put .
10". new drainfield in location of applicant's prefernce as long as well setbacks
t)ebperty line and foundation setbacks are maintained. The existing tank was recently pumped:.
10' , and it is in good shppe including baffles.
100' " For information ~~J%O between 8:00 -,9:00 a.m., Kathi Widerhold
Septic Tank -,'
10'
10'
5'
50'
Type of Construction: na
Instructions:
Group:
na
Fire Zone:
na
Use Classification:
na
For plans inforMtion call na between 8:00 a.m. and 9:00 a.m., na
For inspections (see back of this permit) call 687-4065 between 8:00 a.m. and 5:00 p.m.
Gentenn1a~ B~Vd, east ot 1-5 over overpass ~st street on ~ett
DEPARTMENT OF ENVIRONMENTAL MANAGEMENT
COURTHOUSE I PUBLIC SERVICE BUILDING
125 EAST 8TH AVENUE EUGFNF ORFGON !:l7d01
By:
6ne county
Kathi Widerhold/ly . , ~--
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. . LANE COUNTY DEPT ENV MGr. RECEIPT I 183779 DATE 062079
::;:=APPLICANT HARPER BACKHOE SERVICE ADDR 4190 EAST 19TH GLENWODD OREGON ,. .
:.: ~.Jn_::l: i 70~12730i 3400 SUBDIV LOT BLK'''':_:,::'::'
:~..:: NEW BLDG TYPE: USE X NO. BJ)I:;:~1S 00 NO UNITS 001 NO STORIES NO BLDCS 0(H~::}i!"':
4 '. . ,\'"1;-
<<<CODE APF'L NO ACTION DF~SCfnPTION SfJ FT UNIT COST VALUATION FEE l)A'f:;~'.':
:':: :Elj:. Rl;:PA:U~ Ft~IL ING . .
:'" ':1:<1=:' $'F~WAGE SYSTErl
: .' ',: Eli:' .
.>'.BF'
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:., ;PL NO 4 FIXTURES:
',: . J1ECH
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'. '~~'CK
. : ,BF'
H~ .1*
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NOA CONNECTORS:
NECHANrCAL FEE
s'r A TE SURCHARGE
PLAN CHECK FEE:
4~00
EACH :m
4%
0,.;
{~ -:'
LC 'i B:r'?79 SDSR
25~00
-" ~): . :
'0:: :'
(" - - ~ :
'.>. S1FO cpr
rHf ~rAKEN BY DLM
WF'C
PLAN ELEV AD DR . FP
COt'lPLETEl) BY
EN'v'H
TOT~lL FEE.pH~
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DEPARTMENT OF ENVIRONMENTAL t1ANAGEMENT
PSB, 125 EAST 8TH AVENUE
)'tec~ipt If EUGENE, OREGON 97401
Job Address 1) 7 CJ H t/) d./JA/ S-riY\ ~hJ'oCitv. Sptd \
=::::::~:. 4~~~~2.:2~;zt_~~~.~~)
Structures now on 'tll€" property - /Y' -" - 7 -- .
~ t~el:~ ~~t ~;:;;::,nt) 0 __<<lot . ~::::::::::~ th';~h::~:nMti," " t"e ,,' ",,,,Ie.
If this application is for an agricultural building it will be used for purposes allowed by the State Building Code and
Lane County Code Chapter 10 (zoning) and for no other purpose. I have the following legal interest in the property:
. owner of record; contract purchaser; lessee; holder of an exclusive option to purchase;
_X duly authorize~1Lact~h, e, o,wner. who is knowledg:,able of thi: appl iC~~ion.
Signature/Address~~. 'r-~'- , f/ y[J .~, / 7 .v!:il/~.~--A (zip) q' 71:/(lJ
Telephone 7LJ? 77/,-{ or (JXY-J~79 Date (.#--;2-,1-79
When pe~ i~ ready notify: CI; Appl icant CI Owner ~ Contractor )?y: C/ mail /B!phone _ ,
Owner' J 00. 1/1 J41/1 d1.p>~ SfD-\ (zip) Phone lori - /) 97
Contractor 7-I1/h~ /.1J1-c/f1",j... ...\\ _ / (zi p) f17 tj() :J Phone '/7'1 - 7 7 I .1-
Contractor's OSR# ? II <f~1 o' -
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..
\ F\~~, t~,~, 2'\,"1', ct
~__ ...... . t
AU19_ ~rs,
Plumbing by
If Commercial: # of storfes .
Residential: d ofbedro
SI test holes re
DO NOT WRITE BELOW THIS LINE
.... ~~.,~ # Of, employees' O,f Ibi!ts
~ c$DS{ /_1 Existing. BP #
'---""'"' -
/ /_1 Proposed. SI #
--
'-----' ~ -.
,-
Sq. Ft. or )w.;~.
I of Sites iOott Valuation
.D~"" ~ ~ ~ \..~.L, _'P_
- )
Fee
'(U~ :
~~ Descriotion
C~
/~./ r...... '\
"" '_'''''-'C-~ . ....,
.~
$
$
$
5
.
..
$
each $
each $
$
$
$
$
&~
1~~r~1)
- .
Total Valuation: $
Plumbing fixtures at $
Sewer/water conn. at $
_.ta~~;~: ~
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;ceived bV--('\ ') '\ '"\ ~
P'" . - v. F'>; '-- D
~""~\''<.~y ~~~:.r'
SUPPLY;
EXIST! NG
~tate surcharge
Plans check fee
Change of Occupancy
Subtotal
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YCi\R INSTALLED;
\.. -, d __
PERMIT PROCESSING Zone---- \\ ~ Part.
Minimum setbacks: 1.. front ..
TOTAL
#
; 1.. side
Parcel #
Parcel Size
into
rear
Comments
To be typed on permit
CP&I Typ~
To be typed on permit
Group
Fire Zone
By ~)\'(--'<\. Date \.~'f~O
Use Classification ~
By
Date
For plans inform~ call, (are<( inspector) r-..
~ions to Si~\c:3"""""""_~ a~ _\)
~'- 11 "c::e..Q- r 0, ce .~, C"O.oD
-- - "-
( rl SIFO Plans to: CP&I set(s)
- WPC set(s)
I;} C~
,Q'WPC
C/ Planning
CI Publ ic Works
C/ Elevation CI n/a
C/ Address
C/ Facility Permit
/~/ Environmental Health
~~\ v~.
--~
__ Phone
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Or '-::'~6
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'-... .... ~"te to
PCC
Date
Requi red
Ho 1 d S 1 i p
to PCC
Date
Completed
~/c2X
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C74-171
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DEPARH1ENT OF ENVIRONr~ENTAL t1ANAGEMEf'~
PSB, 125 EAST 8TH AVENUE
EUGENE, OREGON 97401
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"C'\A ~ -:. ~ "'\1
~ign~d N~mb;rs \
Job Address Jf 7 q Hill d./JA'" ') ~\"'v\ \......\ "'~ City '::--""'.n4{ \
Township,Range~ Section, TaxfLot -~ ~i..:\-.... \~U:C'\C") \
Subdivision ---' ( /7- I") 'r - ::iL", ..--? 7 _L~t_.J Block)
: /' . '-J -P-" - /~ ~ /. .-::.;;:o-~ =-- #" ....-; -: ". /
Appl ication for /J,,::7ff~/./~/?/.//___:,.-;; .,:.,.--,.-_, /;p~' /f",,-#..<' A;...",.,.
Structures now on 'tll'{'pr;;e;ty . ~- - ,~.,/ - '/ ~.--' .
Proposed use of property: k~/ Residential ~/ Commercial /-/ Industrial/_I Public
Affidavit: I, ./;~ '--ii-....H1 ~ ' , ~erebY certify that this information is true and accurate.
--'" v . ICplease print)
If this application is for an agricultural building it will be used for purposes allowed by the State Building Code and
Lane County Code Chapter 10 (zoning) and for no other purpose. I have the following legal interest in the property:
_ owner of record; contract purchaser; lessee; . holder of an exclusive option to purchase;
)t duly authorized, to.ac;,;~o/'the owne.r, who is knowledgeable of this applicati.on.
Signature/Address A.../A~_.. N.n.,.~...:7._ 4'/9tJ.if. I q JJJL_ /. A """",0 (zip)'!' -;'tJJ
-', . Telephone07-Y '7 '77 /-R ~r //JX'f; ~7Z ;I~~.t1~', Dat~H r; -~ iilJ - '7 (/
When pec!!!,Lt i,s ready notify:t'=-(APPlicant' '()Qwner ../f Co~tractor Qy: ~/ mail ~. ph~ne " '=,'
Owner II ()~ 1/1 J<11A 1..&1.u... \tTv\ (zip) Phone 1r..t1'1~.I j "l
Contractor 'U~~"",1"~"; iJ~(i/j,_~- -'.\'\' (.zip)Q741t)'j Phone -.JO/I),. '11l.~
.. . . f ... I ...... -,
Contractor's OSR# /14"10 Plumbing by
.. .. ~ .
G#
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DO NOT WRITE BELOW THIS LINE
If Commercial: # of stories. \ ~ ............ # of 'em'ployees
Residential: # of bedrooms~~~
r___ \ .~
SI test holes ready .~ \
"- ----
v'
i I
# of units
S'DS: C/ Existing, BP #
/~/ Proposed, SI #
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Sq. Ft. or
# of SHes :'
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......'0 ""'"
1/' . r I Unit
,Cos t
Valuation
Fee
Fee
Code
(~
.",---,~,,,, /-.....
Description
Subtotal
$
$
-~. --
$
$
$
each $
each $
$
$
$
$
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/ / Check # ~____
~ceived 'b \). \.V ~ \ I~ ,.,
y..:.'\. ,\.\\ - '~4% State surcharge
Plans check fee
Change of Occupancy
Total Valuation: $
Plumbing fixtures at $
Sewer/water conn. at $
TOTAL
PERMIT PROCESSING" Zo~ ~ Part. #
Minimum setbacks: <t, front ..- ., <t, side
Parcel #
P arc e 1 S i ;;- -:.!..... -\:-- (- II . .(\ it' Ii
---- ~
into ; rear
Comments
To be typed on permit
,.-.....
By '\ '\ \ \ '< " Da te \ r"\ . :::::.\ r \
WATER POLLUTION CONTROL "--__ '-" ~------
Installat:on;~:ci.fic~tion,s:, I (~~!(~Il~ 7S't~~~1a't) ft. of dra.infield;.-max. depth' of trenches: .....
2"a'f~rO~'bJtJbm'~ '. '~~CJ:-.:""\ ~~. 'h~rM~fc ~d'8~l~..
-eJ--(L w\;tl1:IIMWM , I, M,-l, WW ~ ~ di ~A .J.n "I . p&.!:. tRo. ...... aJAoOldt,.
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~ 'lTec,tlOns t\ sllte . .'~_. ~_ ~ _. .0_......... A"-'-_......' _~~.In__:\ _~.:}., ,/ r~ ___ _ _ J~_::-: = .1. c".. _ ,-..lL ,.c...,
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---- ...........- -......-----., ..~-~' -' -- - ." - .- "="-."
/ 1-/ SIFO Plans to: CP&I set(s) Date Hold Slip ,. Date ~~--8ate to
! - WPC set (s) Requi red to PCC Comp 1 eted PCC
r/ CPM
, F---- - -,---:-+ -.-
.i ;/,"'WPC
I ~
-/ Planning'
LI Publ ic Works
C/ Elevation () n/a
I-I Address
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I-I Environmental Health
. ~~~€;t1.?~~ 14 OAL~~~-tJ\'~~~v~,<-~~M- fIO/IIJ^^~i
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