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Home My WebLink AboutPermit Septic Tank 1973-3-8 v' -, - . . ,,<~ " 'l . J..z~~ :/~ . ':'.. - . ~/' ' ~. . " , I ., US_ERM'IT · \ ,_, . ~.~_....OI' .' r' .,~ LANE COUNTY BUILDING' PERMIT OR 'MOBILE HOME " ., .. MH 0 +411L 287-13' I BUilDING I2\! PERMIT NO_ PROPERTY OWNER MAILING ADDRESS PHONE BRUCE FIX 1001 DIXIE BRIVE 746-3072 CONTRACTOR MAILING ADDRESS PHONE SPEC HOME PROPERTY LOCATION - INCLUDE POST OFFICE D 1027 ,XIE DRIVE PARAMOUNT P.O. SPRINGFIELD, PROPERTY LEGAL DESCRIPTION - METES, BOUNDS OREGON --ACROSS STREET FROM 1018 DIXIE URIVE. 2NO ADD. MoUNT VERNON ESTATES. BLK. 1 TWP RANGE SECTION 02 05,':?.'/ LOT 7 TAX L.OT NO. .#- R/t?l1 CODE CENSUS TRACT 18 35-152 A 1001 DIXIE DRIVE EXISTING STRUCTURES ON PROPERTY NVNE LEGAL ACCESS TO PROPERTY DIXIE DRIVE PROPERTY SIZE - FT. WIDTH 85' DEPTH 124.82AREA 10,609.7 OQ.FT. APPL. NAME & MAIliNG ADDRESS SPR I NGF I ELD, OREGON FOR MOBilE HOME PERMITS ONLY No. of Bedrooms BRUCE FIX STRUCTURES TO BE BUILT THIS PERMIT Connect to Existing Sewage System 0 New System 0 TYPE CONSTRUCTION SQ. FT. +: BDRMS VALUATION DWELLING - MAIN WOOD FRAME 1346 Q 12 (3) 48403 16,152 ,I ,~~~ . (,vv't DOUBLE GARAGE ATTACHED UNCEILED INSTALL SEWAOK DISPOSAL SYSTEN. SEWAGE DISPOSAL < OTHERO 0tl.00 20.00 qo.~ FEES PLUMBING INSTALLED BY OWNER 0 OTHER: NAME WATER SUPPLY WALLEYS PUBLIC 0 BUILDING WASTE DISPOSAL PLUMBING PLAN REVIEW PARK TRAILER SEPTIC TANK Q: PUBLIC ~ o OTHER TOTAL s 118.~ COUNTY BUilDING & SANITATION SPECIFICATIONS DRAIN FIELD REQUIRED I&:> UN. FT TRENCH WIDTH FT. 3 OR SQ. FT. 540 MIN. SEPTIC TANK CAPACITY WITH 0151. BOX: GAl. 1000 H HOLO TRENCH DEPTH TO 24" MAX I MUN. STAY AT LEAST 10 FT. FROM THE HOUSE AND PROPERTY LINE, H WITH ALL PARTS OF THE DRAINFIELO. DIVERT ROOF DRAINS TO THE STREET. TYPE OF STRUCTURE OCCUPANCY I & J fROM erR, OF ROAD RIGHT OF WAY ZONE RA USE CLASSIFICATION PUBLIC UTIl. EASEMENT 'i N BLDG. SETBACKS.. FT. FRONT 4'5 SIDE INT. 5 SIDE EXT. AUTHORIZED SIGNATURE - DATE REAR 5 /S/ J. Boss BY CHARLIE HARBAUGH G. W. GRAY R.S.T. DATE 3/8/73 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 97.401 FORM ti"CSS-13 ."~ · ~c diAd /Ldd.7lbiZ". ;;?/-a.er.X./qt-ktr.d 8;- / T /f Il~S O.p TilX UlT_"<' -?.__ CENSUS ~ 'i'~.-i~~ .'BUIt'D'ING SITE EVALUATION ~ Building Permit Application No,-237-73 () Site Inspection () Pre-Permit Investigation APPLlC~: N/\/1E 'LI/..P ADORE S , ~..vL- " PHONE DATE ..2-...:;;:, - 73 LANE COUNTY PLANNING DEPARTMENT NOT NO YES NAME DATE app I icab 1 e ~ JId- 2./'2,6 h<. I. Zoning Ordinance compl~ - ( ) ( ) (Zone ) I I 2. Subdivision .Ordinance omp iance ( ) ( ) I 3. Required Access ( ) ( ) ( ) 4. Building Site (Area, Width, ( ) ( ) ( ) Frontage, Setback) 5. Ot he r (see comments) ( ) ( ) q COMMENTS: 8UILDING INSPECTION SECTION NOT NO YES NAME DATE app I i cab I e ik> 6. Plans Subm i tted ( ) ( ) 7. Soil Stabil ity (footings) >f) ( ) ( ) 8, Flood Plain (l) ( ) ( ) 9. Other (see Comments) ~) ( ) ( ) (ef 7t~ 3- 8''''T} " . - _. V COMMENTS: , SAN ITATI ON SECTION NOT NO YES NAME DATE ~pp I icab I e ( ) 10. Sewage Disposal ( ) (~ II. Usab I e Area ( ) ( ) ( ) /II) j~1' 12. Water Supply ( ) ( ) ( ) 13. Other (see Comments) ( , ( ) ( ) ~- ~-,$/ I COMMENTS: " TO APP LI CANT: YorBuilding Permit /~::f:-serc~ (//) Can be approved. '3~ () Cannot be approved at this time as indicated on item NO. above. Questions and further information on items I through 5 contact the Lane- COUNTY PLANNING DEPARTMENT. Questions and further information on items 6 through 13 contact the Lane C6untv 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 DEPARTMENT 135__Sixth Avenue East, Eugene, Oregon 97401 PHONE: 342-1311 EXT. 231 LANE COUNTY BUILDING & SANITATION DIVISION 135 Sixth Avenue East, Eugene, Oregon 97401 PHONE: 342-131 I EXT. 411 M55-28 -,,,-.......-...-... - "_..,~_~-',..rv-~.~-. -.'Y"'o,-r "-.--'".,j - ,.~ . '~ .-=:,;;" '"'--to ~ --- ' , OatP ;", ..:l~~ ~ ' 10::7:1 '\.'".",; ~ ob.. (. ~).. ..... No. 1tl(~.,,"r!..,. . PERMIT IN THE BOARD OF COUNTY COMMISSIONERS OF LANE COUNTY WHEREAS. the attached application has been fully considered by the Board of County Commissioners 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>,"1","," 171.,.., and constructing of the following facility: for the pla,cing. building DY"i~~f"1"-n.1 n!:"'~"'n:'t....h o~~h l"':~;t" I"T'C" 0./..:10 il..lv,~ tl.P. O.ii9 ltc1?t, aUln upon the right-of-way of County Road No. lP~!l . in strict conformity to the exhibits attached thereto. and subject to all terms, conditions, agreements, stipulations and pro- visions contained in the application and permit. the Rules and Regulations Governing Facilities to be Permitted upon County Road Rights-of-Way, dated March 31, 1960 and any amendments thereto, and any other applicable regulation. law or ordinance. Special Provisions: D:-il1C'JC)1 01.11 Jl' co:.ot..-uctcrl 1~ aecozdcc:lo u~i:h ci,o C1ttcchGd 13.:1"c~y D9J..c.::C" opcolftc.:Jt'o:oo (D:auf..l[, t19S-:iIl). 1?('"-Lllt~c(' 1:1111 ..JL' ~co~o:'oi!>lo fo= tho ic:.;~A-.Jta .c~.=! 0& oU:~, J.:... (1 .: dc' . to .::0:1 tl;c c'O:l.;x.J)' c~ =1cbt 01< "'0)' eauoa:l t>y hie op~':oticn. lcm:!p':; t':0 .c::;~" ~~y ~D~ O~C3 i~ 0 ~c~t, aec~~:~blc cc~~ltion. 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 before r:::L dl 1.i 7::' ,19_, Expires 19 Inspected and Approved Approved by Board of Commissioners By Date "r., By I' .- ;;1 <,.-..- Director of Public Works WHITE - OFFICE FILE PINK. PERMITTEE ORANGE. BUILDING & SANITATION DEPT. GREEN - RESIDENT ENGINEER BLUE. ROAD SUPERvISOR YELLOW. SURVEYOR e\1a-52 .,~ Date . . , APPLICATION FOR FACILITY PERMIT IN THE BOARD OF COUNTY COMMISSIONERS OF LANE COUNTY Your applicant hereby makes application under Rules and Regulations Governing Facilities to be Per- mitted Upon County Road Rights-of-Way, to construct the following facility: Upon the right-of-way of County Road No. , at the following location: as shown on the exhibits which are attached hereto, in strict conformity to the state- ments of the exact nature and amount of work to be done, and to the description of the facilities contained in said exhibits. Your applicant will be the beneficial owner of the facility as constructed, or otherwise primarily liable and responsible to members of the public for its proper maintenance, repair, operation and use. Your applicant accepts all terms, conditions, agreements, stipulations and provisions, in Rules and Regulations Governing Facilities to be Permitted Upon County Road Rights-of-Way, dated March 31, 1960, and any amendments thereto, and any other applicable regulation, law or ordinance. Signature Address WHITE. OFFICE FilE GREEN. RESIDENT ENGINEER PINK - PERMITTEE BLUE. ROAD SUPERVISOR ORANGE. BUILDING AND SANITATION DEPT. YellOW. SURVEYOR Phone No. . US_ER~IT' PERMIT NO. ~ ~ .- LANE COUNTY BUilDING BUILDING PERMIT OR MOBILE HOME MH -::; MAILING ADDRESS ~HONE PROPERTY OWNER CONTRACTOI MAILING ADDRfSS PHONE PROP"~ty [OCATlON - INCLUDE po~t bFFlCE LEGAL b!U~ipTlof" - /.Ill!!. ~6IJNDS 11),e RANGE SECTION TAlt LOT NO CODE CENSUS TRACT APPl. EXISTING STRUCTURES ON PROPERTY NAME LEGAL ACCESS TO PROPERTY & MAILING SIZE - FT. ADDRESS FOR MOBilE HOME PERMl1b oNLY No. of Bedrooms hl~\.ilflJRES TO BE BUILT THIS PERMIT WIDTH DEPTH AUA Connect to Existing Sewoge System New System [1 TY~l:. CONSTRUCTION ~Q FT :"' Qt.lftMS VALL ATION SEWAGE DISPOSAL PUBLIC [J BUILDING WASTE DISPOSAL PLUMBING PLAN REVIEW PARK TRAILER PLUMBING INSTAllED BY SEPTIC TANK OTHERfl I FEES erfii\QPlY OTHER NAME PUBLIC q OTHER MIN SEPTIC TANK CAPACITY WITH OISl. BOX: GAl. $ - -- -----COVNtY BUilDING & SANITATION SPECIFICATIONS DRAIN FIELD REQUIRED TOTAL UN. FT TRENCH WIDTH FT. OR SQ. FT. TYPE OF STRUCTURE OCCUPANCY ZONE PUBLIC UTll. EASEMENT AlDG SETBACKS FT fROM CTR OF ROAD RIGHT OF WAY USE CLASSifiCATION fRONT SIDE I\"lJ. SIDE EXT. AUTHORIZED SIGNATURE - DATE REAR DATE 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 0 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 -OR'" = CSS !) v '... , . '. . ......- . .~ SITE INSPECTION ApPROVED ~ D'SAPPROVEO ~ DATE REMARKS G--wJ..Jr.-.n "!,.. ~ q ;";1<, INSPECTOR FOUNDATION INSPECTION ApPROVED / \..... / DISAPPROVED / / , '" ""3 DATE -..~) :-.J.i -, INSPECTOR '1 " ~" '-', REMARKS FRAMING INSPECTION ApPROVED /~D'SAPPROVED / / 1-/ - "t! '7~ DATE 7' ..A .' .1 / I NSPECTO,!;: REMARKS LATH OR SHEETROCK INSPECTION ApPROVED 1---/ D'SAPPROVEO 1---/ DATE INSPECTOR REMARKS FINAL INSPECTION __ /'/ ApPROVED ~DISAPPROVED L::J DATE t-/.7' '73 INSPECTOR ~ REMARKS~ ~ tIJ-'-/'7-'tJ CERTIFICATE OF OCCUPANCY READY TO ISSUE L::::l NOT READY TO ISSUE L::::l DATE INSPECTOR REMARK S ,;<} /d~, p{/-~~l, ,2 '6'1,73- 'fIq I P ~'7 ZJ~:e- 3~--/.r,2..4 J LANE COUNTY BUILDING "' . BUILDING PERMIT OR MOBILE HOME MH 0 MAILING ADDRESS Ut' PER~I~ PERMIT NO. , PROPERTY OWNER PHONE CONH!ACTOA: MAILING ADDRESS PHONE PROPERTY LOCATION - INCLUDE POST OFFICE PRbPERTY (EGAL DESCRIPTION - METES. BOUNDS TWP RANGE SECTION TAX LOT NO CODE CENSUS TRACT APPL. NAME & MAILING ADDRESS FOR MOBILE HOME PERMITS ONt Y No. of Bedrooms STRUCTURES TO BE BUILT THIS PERMIT EXISTING STRUCTURES ON PROPERTY LEGAL ACCESS TO PROPERTY PROPERTY SIZE - FT. WIDTH DEPTH AREA Connect to Existing SewoRe System [J TYPE CONSTRUCTION ~~ f"T ::: BDRMS New System 0 VALUATION SEWAGE DISPOSAL PUBLIC 0 BUILDING WASTE DISPOSAL PLUMBING PLAN REVIEW PARK TRAtlER < FEES PLUMBING INSTALLED BY OWNER n. OTHER: NAME WATER SU~PLY SEPTIC TANK 0 OTHE~n PUBLIC 0 o OTHER TOTAL s MIN. SEPTIC TANK CAPACITY WITH olSl. BOX: GAl. COUNTY BUILDING & SANITATION SPECIFICATIONS DRAIN fIELD REQUIRED lIN. FT TRENCH WIDTH FT. OR SQ. fT. TYPE OF STRUCTURE OCCUPANCY ZONE PUBLIC UTIL. EASEMENT B1OG. SETBACKS FT. FROM CTR. 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 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 97.401 fCO~~ = CSS-1J ~J ,.'. . SLAB FLOOR PLUMBING GROUNDWORK ApPROVED L::::7 DISAPPROVED L::::7 DATE REMARKS GAS PIPING GROUNDWORK ApPROVED / / DISAPPROVED L::::7 DATE REMARKS INSPECTOR INSPECTOR ROUGH PLUMB I NG APPROVED.PI DISAPPROVED L::::7 DATE 11-19-7) INSPECTOR ~ REMARKS -n-T , ROUGH GAS PIPING ApPROVED. L::::7 01 $APPROVED L::::7 DATE REMARKS FINAL PLUMB I NG ApPROVED /Xl DISAPPROVED L::::7 DATE')'- Y-. 7,> / REMARKS FINAL GAS PIPING ApPROVED Cl DISAPPROVED Cl DATE REMARKS CERTIFICATE OF OCCUPANCY READY TO ISSUE Cl NOT READY TO ISSUE / / DATE REMARKS I NSP,ECTOR I NSPECTORd~/' . (/ INSPECTOR INSPECTOR .:.-.,) ..:", r v .... INDIVIDUAL SEWAGE DISPOS~YSTEM RECORD Installer: Complete top part of form to signature and return both copies to Lane County Building Sanitation Department, ... . '., Pr'RMIT Nn. 287-7a GRAY Installer'~ame~ --r I \J'" ):2f,~ . _.~ No. Livini Units IBedr~olnsl Bat~ SeptJ.c TaM: Ft. from well Steel 0 InSJ.ae DunenSJ.ons: Irt;!/, Length & Width If/Yv Applicant Name BRUCE FIX I Property Aaaress DIXIE ORIVE I Basement J..Water Supply Yes 0 No ~I Public Il:V" Other-List Diameter Depth :r I Gal. Capacity. / Olnl 'Tile Disposal Field: Distribution Box:Yes ~ No 0 Other DistributJ.on- Type Concrete [];j../ No. Compartments Mailing Address 1001 DIXIE DRIVE Feet from w'i!..l Foundation I 0 Lot Line , Front Side I () Rear ITotal Sq~Ft.betw,eenIFiller I~~ler deothlFJ.ller depth ft. V6'o llines b Typelf1--~n:e..L in ~~~~w C, in SPRINGrlELO, OREGON Length of Lines - Ft. I Trench l.b02-bo3. (;G4. 5. 6. Width :3 Sketch (See instructions) : - - ) -. ...-/ - r 1--~-3>- - or _. -60- ~ - - - -'0- .+,_ I & IO~ ~S , tfftj /ft1/'r!J /If It!/)} (1/11/( 18?,'1 III CJt;'/.j, (/,.. . .'1 ..1.'-1 , ". ,}j~ ., I - E- I 0 --::> ~ ., 0 -7' ~ ~ Zo ~ Date t/- 3 0 ,. J 3 Si'.Jnature -dyJ:~~_6 Date: .s: '/-7.3 );J -Lllp) ALL.._ " sani tarian' s Sigure For S~arian Use Only: ~ ~pproved: System Installation o Disapproved: Does Not Conform Remarks: Conforms to Current Standards to Current Standards Lane County Building & Sanitation Dept. I"'''i.~. Il ..,/' LANE COUNTY BUILDIN:-:ERMIT OR MOBILE HOME USE A_CATION ~ PERMIT TYPE - BUilDING ~ MOBilE HOME Dose REG. # (/1.-2- PERMIT # ~i' 7-;z.;> PROPERTY OWNER MAILING ADDRESS PHONE ~~ot:;~g-or' r,' x 13'''4.r_ (7. J:::,' ~ PROPERTY lOCATION - INCLUDE POST OFFICE / fJ <<7 D! X.'a: 121-., 1/)1')/ QL'X.'.? IJI- MAILING ADDRESS 74-/. -~t172... PHONE 1/110/ [h- 74-,",-~?? S,or/nfrh'rz-IJ u J';/ ---./,:, , ~. - ~ ~~ "7 METES & BOUNDS i:J Y~ /-:::~ ~ Z--r!':"'" ~ ~~ / ATTACHED 0 NO TAX lOT # CODE CENSUS TRACT A 2 t{' .,. 15" tL DESCRIBE EXISTING STRUCTURES ON PROPERTY IF ANY /J/ 1'.' cl. p""r-u,ni>unT P. (J, PROPERTY LEGAL DES T LOT - BLOCK - SUBDIV. TWP RANGE /K'" .P-. SEC. - ...:; APPLICANT NAME AND MAILING ADDRESS FOR MOBILE HOME PERMIT ONLY Number of Bedrooms STR~URES TO JJ ~LT THIS PERMIT ~ ~./~ ~~ "1~~LA- (/ ~K.- ~/~ . A(!1 / ~a6 // /RJ A 1~/"'r.fZ. r-l )( ---yz~ LEGAL AcCess TO PROPERTY - ROAD NAME OR # 1)/ ! ':"~. D ,- PROPERTY SIZE-WIDTH R.'j" DEPTH 1"-.4-. $;2. I a' I') Loq. 7 AREA 1t!J1?1 O,'XIrz. 01-. c::/"_.I,.,_..tJ,,i:..l .....,__?/)~ ( / - / / Connect to Existing TYPE CONSTRUCTION \J~,,/ Fro"",,, Sewage System D or New System Req. D SQ. FT. <;S)A BEDROOMS VALUATION 1?'4-/' >-(3) /~.~.;;>.- ..y.p./d ,;;;.. /J ~S;).-.~ /7/ bOY SEWAGE DISPOSAL PLUMBING INSTALLED BY OWNER fJ OTHER ~ NAME \.r"'II~,Y.s P/"I'" t.'/7Y PLANS FURNISHED FAa1 TY PERMIT YE~r;I' NO D YES .V N'" ~ATURE OF APPLICANT , ,. DATE o/7,~ M.~. ~-vv ~I 2.{,/7'3 . FEE RECEIVED BY ''/ o'ATE c?/OO ~__ /' PE~MIT #/ /' PUBLIC WATER CONNECTION FEE /. ,7) -.:> R '7 - 7,:;> COUNTY BUILDING & SANITATION SPECIFICATIONS .7 MIN. SEPTIC TANK CAPACITY DRAIN FIELD REQUIRED /' WITH DIST. BOX, GAl. / (') O'f) UN. FT. I r!O TRENCH WIDTH FT. :]./ OR SQUARE FEET S- c.f '0 ~ -hWA'l../ JqJ1i/,;Z; d-tll'~LA--..J, ,Add ~r /rJff ~ z(v -'hUM/ ~J ,~~. h;'O 7~ 4 ;vv.~~#.v ;/hAMfi1/~. f}~~.L ~ ~~~~ ;6' A.v dvA. TYPE OF S1'RUCTUStV . occu7;;,,~ 2>>- REAR YARD BLDG. SETBACKS - FT. FROM eJR. OF ROAD RIGHT OF WAY ",--- USE CLASSIFICATION FRONT l/ .:;- SIDE INT. S- SIDE EXT. - REAR.5 /l S~}~.iN Dale rt'1JNIN'h ~'IIJ" _I D"J" BlDG.INS;/J:(fl " ~ i;. /1 p ~ ~ 4iJ 3'S-?3tT~irl./'A~O. '!2.I./J7.. r y NJ-''l,', 4/>7'<'4i' .JI, f/' I'J;S Directions 10 Find Property: .11e-1-"'''''' <; ff'tI_a.f PI-t91n (Cliff /:)),(,'a. DI..... ./ /J.J..-7 /tf/_~ /I PUBLIC D BLDG. WASTE 015. PLUMBING SEPTIC TANK ~ $ h,j'dJO ~ /7 ,1'}0 -< /9 r_ czl OTHER D FEES WATER SUPPLY PLAN REVIEW PUBLIC I(] PLUMBING FEES -9FIXTURES CASH D ~R CHECK ~CONNECTlON FEE OTHER PARK TRLR. TOTAL //q, .2- PUBLIC UTIl. EASEMENT Dato COPY 1 - OFFICE COPY 2 - JOURNAL COPY 3 - AUDIT Form # C55-1Z