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Permit e CITY OF T SEWER CONNECTION K.- PERMIT % DEVELOPMENT SERVI DATE ISSUED: 12/2EW�E -066 PARCEL: 1S136CC-CH001 SITE ADDRESS...: 08376 SW PFAFFLE ST SUBDIVISION ° CARRIAGE HOUSE APARTMENTS ZONING: R -12 BLOCK • LOT • TENANT NAME •CARRIAGE HOUSE APTS USA NO FIXTURE UNITS...: 37 CLASS OF WORK. °.:NEW DWELLING UNITS..: 2 TYPE OF USE •MF NO. OF BUILDINGS: 1 INSTALL TYPE •LTP IMPERV SURFACE: 0 sf Remarks: Recreation room for Carriage House apartments and swimming pool Owner : - - -- -- FEES - -- ANDREWS MANAGEMENT, LTD type amount by date recpt 4000 SW KRUSE WAY #270 PRMT $ 4400.00 B 12/23/96 96- 288066 INSP $ 45.00 B 12/23/96 96- 288066 LAKE OSWEGO OR 97035 Phone #: 699 -8645 Contractor: - CONTRACTOR NOT ON FILE Phone #: $ 4445.00 TOTAL Reg #.. . REQUIRED INSPECT IONS This Applicant agrees to comply with all the rules and regulations Sewer Inspect ion of the Unified Sewage Agency. The permit expires 180 days frau 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, • -11er shall purchase - a °Tap and Side Sewer° Permit and t • Agency wi 1 install a lateral. I c r— rmittee Si..- AU _ Issued By: dir Call for inspection - 639 -4175 f n tt���� €-,e- Accumulative Sewer Tally Tenant Name:l- & ■ Iry7 , - RA Accumulative C Nwty. This SWR# 5t0 g- `1 - D Address:ji ; SLv e_ This -RUM M6T IIP gg Fixture Value Previous Previous Credits Capped Fixtures Fixtures New total New # Value Capped , off value added # added #s total Count off #s count value values Baptistry/Font 4 Bath - Tub /Shower _ 4 . - Jacuzzi/Whirlpool 4 Car Wash - Each Stall 6 - Drive Through _ 16 Cuspidor/Water Aspirator 1 Dishwasher - Commercial 4 _ - Domestic 2 Drinking Fountain 1 Eye Wash 1 Floor Drain/sink - 2 inch 2 r P. - 3 inch 5 _ _ - 4 inch 6 - Car Wash Dm 6 Garbage Disposal . 16 � ( it' ( � r � - Domestic (to 3/4 HP) - Commercial (to 5 HP) 32 - Industrial (over 5 HP) 48 Ice Machine /Refrigerator Drains 1 Oil Sep (Gas Station) 6 Rec. Vehicle Dump Station 16 Shower - Gang (Per Head) 1 - Stall 2 Sink - Bar /Lavatory! 2 _ _ U 11 if - Bradley 5 1 - Commercial 3 I 3 5 3 - Service 3 Swimming Pool Filter 1 Washer - Clothes 6 Water Extractor 6 Water Closet - Toilet 6 1,'Z IA /9- . ' Urinal 6 TOTALS 3 r1 I 3r/ Total fixture values: Yi divided by 16 = <2 , 615 EDU ..,... o/ f �1 HISTORY PLM# EDU# SWR# PLM# EDU# SWR# PLM# EDU# SWR# PLM# EDU# SWR# PLM# EDU# SWR# PLM# EDU# SWR# PLM# EDU# SWR# PLM# EDU# SWR# i:\dsts\jimthswnaty.doc • .. Z loo ryj LO AO- Pa f - "1-5 <N...s.s...± 1_7/14cL. z SEe_ AL ' FCLok.2 ca, Amp ATP N u m - ; -5,,,ka. C - 5 v 11 t F-Ltae 7 Zax> AI r e,..ktlL- . o.' o . 46o4ip: lo oc,,,a . ulna App AL ti Tr- �� �oo�Q a " P fCA L I • C5� ,� 'v C.Ifzki A-6E t • 8Au �� APPROVED BY: DRAWN BY . 1 V ` E F DATEt - REVISED DRAWING NUMBER ,_ _ 0 2-t /L EL.LTiZ'L J is Page No. 1 CASE HISTORY FOR CASE NO.: SWR96 -0366 ANDREWS MANAGEMENT, LTD 08376 SW PFAFFLE ST 04/25/98 Action Description Reg/ Schd/ End/ Action Notes Disp By Update Upd Code Sent Done Done Date By SWRA007 Application received / / / / 07/22/96 RECD JH 07/30/96 BON SWRA010 Plan check by / / / / 07/22/96 07/30/96 BON SWRA070 Ready to issue / / / / 08/30/96 HOLD for release of Building permits PASS JDA 08/30/96 JDA SWRA080 (F) Issue permit / / / / 12/26/96 PASS JSD 12/26/96 CTR SWRA705 Sewer Inspection / / / / 01/30/98 no sewer inspection required, DU count PASS JT 01/30/98 JT only SWRA720 Case Finaled / / / / 01/30/98 01/30/98 JT • • •