Permit CITY OF T SEWER CONNECTION
.•/,, DEVELOPMENT SERVICES PERMIT
Mtiait'i�I( SW
� 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PERMIT #
DATE ISSUED: 11 / 2 / 96 96 -0539
PARCEL: 1S136CC —CH001
SITE ADDRESS...: 08286 SW PFAFFLE ST
SUBDIVISION • CARRIAGE HOUSE APARTMENTS ZONING: R -12
BLOCK LOT •
TENANT NAME •CARRIAGE HOUSE APTS
USA NO • FIXTURE UNITS...: 0
CLASS OF WORK... : NEW DWELLING UNITS..: 8
TYPE OF USE •ME NO. OF BUILDINGS: 0
INSTALL TYPE •LTPSWR IMPERV SURFACE: 0 sf
Remarks: Multi— family 8 unit apartment complex with attached garage
Owner: - --- - FEES
ANDREWS MANAGEMENT L.TD. type amount by date recpt
4000 SW KRUSE WAY #270 PRMT $ 17600.00 B 11/27/96 96- 287038
LAKE OSWEGO OR 97035
Phone #: 699 -8645
Contractor:
CONTRACTOR NOT ON FILE
Phone #: $ 17600.00 TOTAL
Reg #..
- REQUIRED INSPECTIONS
This Applicant agrees to coeply with all the rules and regulations Sewer Inspect ion
of the Unified Sewage Agency. The permit expires 180 days from
the date issued. The total amount paid will be forfeited if the
permit expires. The Agency does not guarantee the accuracy of the
side sewer laterals. If the sewer is not located at the measurement
given, the installer shall prospect 3 feet in all directions from
the distance given. If not so located, s ler shall purchase
a "Tap. and Side Sewer" Permit and th. Agency wil install a later.i�.
C r
Permittee Si nature: Ile Ii
Issued By:
�-_--
Call for inspection — 639 -4175
Page No. 1 CASE HISTORY FOR CASE NO.: SWR96 -0539
ANDREWS MANAGEMENT LTD
08286 SW PFAFFLE ST
04/27/98
Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd
Code Sent Done Done Date By
---- --- --- ----- - --
SWRA007 Application received / / / / 07/22/96 RECD JH 11/22/96 BON
SWRA010 Plan check by / / / / 07/22/96 11/22/96 BON
SWRA020 Check for prcl. restrict. 11/22/96 / / / / 11/22/96 BON
SWRA080 (F) Issue permit / / / / 11/27/96 PASS B 11/27/96 BON
SWRA705 Sewer Inspection / / / / 09/05/97 PASS RAB 09/11/97 J *H
SWRD720 Case Finaled / / / / 09/05/97 PASS RAB 09/11/97 J *H