Case File i
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--- 7436 SW ASHFORD ST_lFbIT _
CITYO' TIGARDCERTIFICATE OF
cayOr-YWA IV OCCUPANCY
COMMUNITY DEVELOPMENT DEPARTMENT 01MOADN
13126 SW 14WI BW. P.O.am 23M,TigaM,Or"on 97T(603)0"175 RM J I' #
ADDRESS. . A 7436 SW ASHFORD ST PORCEL c 291 L i?CA 09800
SUBDIVISION. . . . v RENAISSANCE WOODS ZONING: R--4. 3
BLOCK. . . .. . . . . . . 9 LOT'. . . . . . . . . . . . . ae4
.............
CI-AG OF' WORK. 2NEW
TYPE OF USE. . . iSF
0(:CUI:IAN(.,'Y GRP. :R3
OCCUPANCY LOAD s22,5 4
TENANT NAME. . . a
Vew.4rks .
Owners
PCNAV3GANCE DEVELOPMC:.NT'
sE'0 4,.:ti W A L D r--'N s r
WEST LINN OR 97068
PhEITIP *1!: 503,65757.3'.)
contracto-t
PFNAISSANCE DEVELOPMENT
iV903 �',W 8TH ST
WE S"r 1. 114N OR 97068
Phon@ #: 657--5739
Peg #- . 2 49955
Occupancy of the above buildiny is hcarvby qjven, and cart ifies
th@ ;-�ompliance with the State .-)f 13r'"gor, Specialty Codeti for the group,
Occupancy, nand 1AVe Under which the reference r4, permit W Rk V L As Ll CDC].
FIRE DEPARTMENT
F. GILDING INSPEi,T
BLI I L.D I N"FF;�.
r-,O':.',T 114 CONSPICUOUS P1--Fj(.1,E
INSPECTION NOTI(:a �_�f�'�--' /
Cis.y -3t Tiga..rd Building DOP°rt�n7223 `
13125 SW Ball Blvd. Tigard. 171
Inepection Line (Fisc-O••Fhone):
639_4175 Busineas Fhon 6 �-
Inspection:.-------
Footing
nspection:.—_-----Pont,inq
plbo. Underalah Mech. Rough-in APpr/`dwIk
Plbq. Top Out
Gas Line FINAL:
Found.
Post/Beam Struct. San. Sewer
Framing -Bldg.
Post/Ream Heck. Rain Drain Insulacion
Plbg. Underfloor dater Line
Gyp. Bd. -ilech.�
/ y2j� Timet -AM
Date R.equesteds____._�1_ - - }
permit f:
AddreaA: `� r
Builders_
THE FOLLOWING CORRMCTIONA ARE REQUIREDs
i
Inspector:
APPROVED
DISAPPRC1VWD APPROVED SUBJRC'T TO ABOVE
_ -
call For MinsP.
INSPE.'TION NOTICE
(D
city of Tigard Building Depa;rAent
13125 SR Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-�Phon s 639-4175 Bueinfee Phone: 639-A171
Inspectiont '—
rooting Plbg. eralab Mech. Rough-in Appr/8dwik�
9
Found.
Plbg. Top Out Cao i.i.re FINALt
Post/Beam St ntct. San. Sewer
Framing -Bldg.
Pont/Beam Mach. Rain Drain
InFulati.Mn -Plumb.
Line Gyp. Bd. -Meeh.
Nater Lin
Plbg. Underfloor r
U z T i.tne t AM PM
Date Requeetedt ) —" n
Addrenat
�7.3� — Permit It
Builders
TRE FOLI.OWINO pORRRcTIONS ARE REQUIREDt f
IneptRc/t(o-ryes
1,�. 8�(lr Datet1=, __
1 `_ APPROVED DISAPPRO D APPROVED SUBJECT TO ABOVE
Cal For Reinap.
INSPBCTION OTICB �C
City of Tigard Building DePart�s'9t223
13125 BW Hall Blvd. Tigard, orego
Inspection Line (Rec-o-Phone): 639-4175 Business Phone: 639-4171
inspection:- g. --------- -- --
PlbUnderelab Mech. Rough-in Appr/SdMlk
Footing -
Found. Plbq. Top Out
Gas Line FINALS
Post/Beam Struct. Sen. Sewer
Framing -Bldg.
Insulation -plumb.
Poet/Beam Mach. Rain Drain
-Koch.
Plbq. Underfloor Water Line Gyp. Bd. y
_ T '=� F41
Pate Requeateds
L _ Permit
Addreess
i
Rullderl 7
THE FOLLOWING CORRF,CTIOBB AR1 RX VIREDs
UNI-
' 1
1
Inspectors_
/ Dates_'
APPROVED DISAPP D APPROVED SUBJECT TO ABOVE
Cill For Reinsp.
INSPECTION NOTICE
city of Tigard Building Department
13125 BR' nail. Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspections - _ --- -
Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
post/Beam Mech. Rain Drain Insulation --Plumb.
Plbq. Underfloor Water Line Gyp. Ed. % -Mech.
Date Reyueat-edt /� -J l Timet _AM PN
Address:_ 740 4, Permit � � ��✓� �`
Builder:
Tnz FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector: Date: /
APPROVED DISAPPROVED APPROVED SMURCT TO ABOVE
Call For Reinap.
Pub ERITIO_"I N9 1_CE
City of Tiqaid 1wilding Departm"nt
13125 Sw Ball Bled. Tigard, Oregon 97223
inspection Line (Rec-O-Phone): 639-4175 Business Phone 9 4171
Inspection: ----- -- —
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Poet/Beam Struct. San. Sewer Framing -B:Ldg.
Poet/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Mater Line Gyp. Bd. -Koch.
Date Requested: ` Tunas AN/,' yPK
Addrenes �� lv Permit is _-f�/�_�—
Builders
THE FOLLOWING CURARCTIONS NRE REQUIRED:
Inspector: _—_— --- Dote: // f �
PPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
INSPECTION NOTICP_
City of Tigard Building Depar _nt
13125 sw Hall Bled_ T1_gard, Oregon 97223
Inspection Line (Rao-O-Phone): 639-4175 Business Phones 639-4171
Inspection —
Footing Plbg. Underelab Rech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Lint FINAL,
Post/Beam Struct, San. Sewer Frami -Bldg.
Post/Ream Me.:!.. Rain Drain Insulation -Plumb.
Plbg. Underfloor /Nater Line Gyp. Bd. -Rech.
Date Requested, ! �� �� _ Time: AN -_ PH
� Permit f s
Builder:_ .
T1.413 TOIJAIWING CORRECTIONS ARE REQUIRED,
7�7
Inspertnt . _ Dates /21
/
APPROVED DISAPPROVED APPROVED SUBJECT To ABOVE
^_all For Reinsp.
INSPECTION NOTIC$
City of Ti4;&d Buildiuq DepartAent
13125 SW Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phonaa): 639-4175 Business Phone: 639-4171
lnsrvaction• ,_
Footing Plbg. Underelab Mach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL-
Post/Beam Struct. San. Sewer Framing -Bldg.
//��Po�s�t/Beaam Mach. Rain Drain Insulation -Plumb.
C 1? bq. Undtsfloo Water Line Gyp. Bd. -Mach.
Date Requesteds `J �T/ / Times AM / PM
addresses ,/-/-k � - Permit t:e"'l
Builders {a Z c a
THS FOLLOWING CORRECTIONS ARS RSQUIRSD:
Inspee : / ___ __ Date: f` _Cji
APPROVItD �_ DISAPPROVED APPROVED SUB.TECT To ABOVE
Call For Reinsp.
City of Tigard Building peparle"t ✓
13125 811 Ball Blvd- Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 nusineae Phone+ 639-4171
Inspectlons
Underelab Mech. Rough-in Appr/Sdwlk
Footing
Plbq g
y. Top Out
Gas Line FINAL:
Found. My.
Post/Beam Struct. Ban. Sewer
Framing -Bldg.
Poet/Ream Mech. in Drain
-Neth.
Insulation --Plumb.
Plbg. Und-3rfloor Nater Line Gyp. Rd.
_Time. AM PM
Date Requested%
Permit
Address:
r
Builder:
THE FOLL3WINO CORRECTIONS ARE REQUIRED:
04
Y
Inspector: - -
/...-.—JkPPROVED
DISAPPROVED APPROVED SUBJECT' To ABOVE
- Call For Reinsp.
INSPECTION NOTLCIE
City of Tigard Building Department
13125 SW Ball. Blvd. Tigard, orogon 97223
Inspection Line (Rqc-O-Phone): 639-4175 BusineeR Phone: 639-4171
Inspection:
Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out ran Line FINAL:
Poet/Beam Btruat. an. SMMC Framing -Bldg.
Poet/Beast Mesh. -Rain Drain Insulation -plumb.
Plbg. UndeslYoorNater Line EYP-
Bd. -Mach.
Date Rwpeatedi -_Time- AM --—PM
Address:
_L_ [i.�� 17.i ..- Permit is 5�i/O/4�3
/
Bui.lderc o !' r`"� 7 2,W
ED:
THE FOLLOWING CORRECTIONS ARE REQUIR
I
l _
Inspectors_ ! Dates / -/--—
A^PROVED _ DISAPPROVED _ AoPROVED SUBJECT TO ABOVE
_Call For Reinsp.
INSPECTION NOTICE
City of Tigard Building Department
:13125 BW Ball Blvd. Tigard, Oregon 97223
Inspectton Line (Rec-O-Fhona): 639-4175 Suninesn Phone: 639•-4171
Inspection:-_-- _-_-_-• r__ ---
Footing Plbg. Underalab Mech. Rough-in Appr/Sdw)k
Found. Plbg. Top Out Gas Line FINAL:
Poet/Ream Scruct. San. Sower Framing -Bldg.
Post/Beam Hoch. Rain Drain Insulation -Plumb.
Plbq. OndeUnderfloor Water Line Gyp. Bd. -Meeh.
Date Requeateds � _/ t r Time. �,AM -PM
/' // ��
Addreen:� �� l.f�.� Permit
THE FOLLOWING CORRECTIONS ARE REQUIRED:
L�
Inspector: 1,2r✓ _ _-�..----. -- Dates
APPROVED _,- DISAPPROVED _ APPROVED SUBJECT TO ABOVE
call For Reinsp.
i
INSPEL`Tjo NOTICE D JI��L�
City of Tigard Building
13125 SW Hall Blvd. Tigard, Oregon 97223
Inspection Line ;Rec-O-Phone): 634-4175 9usine�s Phones '/:3••k1
Inspections ----- -
9 '-'
Footin Plbg. Under.slab Mech. Rough i- .r' 9dwlk
Found. Plbg. Top Out Gas Line
ost/Beam 8truct• ? San. Sewer Framing�0.t/Beam Mach.�i Rain Drain Insulation -Plum,
Plbg. Underfloor Water Line Gyp. Bd- -Mach. /�� '
Date Reques"ted: iL�_11--- ---T = :'!-+�-�A
Address:_—` Permit f �
Builder: --
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector Dates /(.�= ! __i/
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinap.
INSPECTION NOTICE
City of Tigard Buildi_ug Departuent
13125 SK Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-o--Phone): 639-4175 Dueineas Phone: 639-4171
Inepec:tton:
Footing Plbg. Underalab Mach. Rough-in Appr/Sdwlk
fI Found. Plbg. Top Out Gas Line FINAL:
Post/Beam Strurt. San. Sewer Framing -Bldg.
Poet/Ream Me--h. Rain Drain Insulation -Plumb.
Plbg. Underfloor) water Line Gyp. Bd. -Mach.
Date Aequeeted:. / l / Time: AM --.PM
14
Addreee:---L-v -�� _- Permit #:
Bul.lder: --------------------THIC FOLLDWING FOLLOWING CORRECTIONS ARE REQUIRED:
1 —
J
/�/�
Ir,dpector:_-� - — Date.,-
APPROVED
Dete:APPROVED DISAPPROVED / APPROVED SUBJECT TO ABOVE
For Reinap.
I
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CITY OF TlGARD - RECEIPT OF PAYMENT RECEIP7 NO. :91-218666 | ,
CHECK AMOUNT : 3024. 32 ^
NAME : RENAISSANCE DEVELOPMENT CASH AMOUNT : 0. 00
ADDRESS : �098 SW 8TH PAYMENT DATE : 1O/15/91 }�
SUBDIVISION
:
- --- | `
WEST LINN, OR 97068- 7}36 SW ASHFORD ST i
, -
PURPOSE OF PAYMENT AMOUNT PAID PURP09E OF PAYMENT AMOUNT PAII)
� -------��9� 016—��-5 �UMBIN8 PERM
162. FPO
BUILDING PERM �e, � o^m �u w
3MECHANICAL PE 40. SO BtJII-.D PF.--R 5. 69PLAN CHECK FE 13 RESIDENTIAL TRAFFIC FEFS � ^
1280. 00100. 00 | �
\ r
50N. 00MASS TRANSIT T IF" F E F.S PARKS SOC
.
s'roppi DRAIN SIX 375. 00
�
PFNAISSANCF- WOODS, LOT #214
3024. 32'
I 'll"AL AMOUNT PAID
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j�cspecr_ Nom
city of. Tigard Ruilding Department
13125 BN Ball B1vr1. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-6175 Business 3 71.
Inspection: -------
/ootiny 1� Plbg. Underelat, Neth. Rough--in Appr/Sdwlk
Found. Plbg. Top Out Gas Line PINAL:
Post/Beam £trust. San. Sewer Framing -Bldg.
Poet/Beam Mech. Pain Drain Insulation -Plumb.
Plbg. Underfloor Fater Line / Gyp. Bd. --Hoch.
AM
Date Requested: �� �J �T = �lL_—A PM
Addreas: !` l Permit is
Buildars. sf_. --
TAE FOLLONING CORRECTIONS ARE REQUIRED:
Inspector: _____ Date:
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinep.
C'7Y OF TIFA RD MASTER P.,ERMIT
WYOFTWARD
N
COMMUNITY DEVELOPMENT DEPARTMENT CRIGO #. . . . . . . :
13125.SW HWI Blvd. P.O.Bak 23397,Tigaml,Oregon 97 223(603)639-4175 L�7
------—. I i, I --
SITE ADDRESS. . . : "74.36 SW ASHFORD ST PIAPCEL: 2S 12CA-01)A00
SUBDIVISION. . . . : RENAISSANCE WOODS ZONING: R-4. 5
BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . :24
-------- BUILDING
REISSUE:MST90-0368 DWEL.LING I-INITS. 1 BASEMENT. . . . . . . . :0 s
CLASS OF WORK. -NEW BEDRMS:3 BATHS:3 GARAGE. . . . . . . . . . .528 s f
TYPIE OF USE. . . :SF FLOOR AREAS-------- ---- REQUIRED
IYF-,E OF CONf-)T. -5N F I RST. . . . - 1244 s LEF T. . :5 ft RIGHT. : ft
OCCUP,ANCY GRP,. :R3 SECOND. . . : 1381 sf F RONT. :29 ft REAR. . :1217 ft:
STORIES. . . . . . . :2' THIRD. . . . -.O S f
HEIGHT. . . . . . . .. .'25 ft TOTAI--------------:26-25 s f SMOKE DETECTORS. :Y
FLOOR LOAD. . . . :40 psf VALUE.. . . . . 130254 P)ARKING SP,ACES. . -O
Remarks :
-------------------------------------- PILUMBING
5 1 NKc
S. . . . . . . . . . : 1 FLOOR DRAINS. . . . :O DACKFLOW PREVNTR5. . :0
LOVATORIES. . . . . :5 WATER HEATFRS. . . : 1 TRAPS. . . . . . . . . . . . . . .VI
TUB/S)HOWERS. . . . :3 LAUNDRY TRAY 7. . . : 1 CATCH BASINS. . . . . . . :0
WATER CLOSETS. . :3 SEWER LINE (ft ) . :0 GREASE TRAP'S. . . . . . . :0
DISHWASHERS. . . . : 1 WATER LINE (ft ) . : 100 OTHER FIXTURES. .0
GARBAGE DISV-,. . . : l RAIN DRPIN (ft ) . :O
WASHING MACH. . . : 1 SF RAIN DRAIMr;. . : i
--------------- MECHANICAL- -------- FEES
FUEL TYPES------------ UNIT HTRS. . :0 type AMC--knt by date r-eept
/GAS/ VENTS . . . . . :0 TIF, $ 1380. 00 JLH 10/11/91
MAX INF-11-IT-.0 DTU VENT FANS. . -4 B F'R T $ 3110. 50 JLH 10/I I/91
FURN ( I00K . . :0 HOODS. . . . . . : 1 BP,LC $ 50. 00 JLH 10/11/91
FURN ) =100K — : 1 WOODSTOVES. :0 B5PC $ 25. 53 JLH 10/ 11/91
FLOOR FURN. . . . :0 CL.O DRYERS. : I SSDC $ -57500 JLH 10/11 /91
n:OIL/CMP' ( 3HP:0 OTHER UNITS:0 PIAPK $ 500. 00 JLIA 10/11/91
GAS OUTLETS: 1 MP,RT $ 40. 50 JLH 10/11/91
Ownev-. MP,LC $ 10. 13 JI-1-4 10/ 11/91
RENAISSANCE DEVE(.-OF-,MENT M5P,C $ L. 03 JLH 10/11/91
-043 WALDEN ST P'P'RT $ 1.6 50 JLH 10/ 11/131 -
V05jPC d 8. 13 JLH 10/1 .1/91 -
WEST LINN OR 9*7068
Phone #: 5036575739
RENAISSANCE DEVELOV,MENT
'-'098 SW 8TH F)T
WEST LINN OP 97068
Phone #: 657-5731)
Reg #. . : 49955
$ 3064. 32 TOTAL
This permit it issued subject to the regulAtioos contained in the REQUIRED INSPECTIONS
Tigard Municipal Code, State of I)re. bpecialtyCoda%and all other Fcot/fctt.tnd Insp Gas Line Insp
applicable laws. All work will be done in a -A anc with approved Plost/Bpam Stt-itc-t lns�_tlation Insp
clans. This permit will expire if work i t started within 188 Flost/Peam Mpc.-han Gyp Hoard Insp
dave of issuance, or if work is suspen r mot, han 180 days. PILM/Unciev,,-.:oot- Rain drain Insp
Mechanical Insp Water- Line Insp
arm i t t e e Signat, P,11-tmb ToT.01-It Appt /Sdwlk Insp
Framing sp Mechanic-al Final
1ssl-ted By - F0-opla(--p Insp P'll-imb Final
Call for inspection 639-4175
PLUMBING PERMIT
CITYOFTIFARD
PERMIT il. . . . . . . c 11ST91--0163,
WID
COMMUNITY DEVELOPMENT DEPARTMENT oCrIYwn ON DATE: I SLUED a 10/11/91
19125 SIN HO Blvd.,P.O.Box 23M.Tigod,Oregon 67>im9(509)6344175
c. - nnc-�t; '[�.r ��i !];4.45'f1I{li• 51 �
�5UND I V I S I ON. . . . I RENA I GOANCE WOODS Z ON J NG: R-4. 5
ETLOCI-1�. . . . . . . . . . . LOT. . . . . . . . . . . . . :24
0-ASS OF WORK. . :NEW GARBAGE D I SPOSAL.S. . : 1
TYKE or USE. . . . :,F WASHING MACH. . . . . . . : 1 BACKFLOW P1RFvi4TRS, . Iu:
OCCUPANCY (3RP. . :R 3 FLOOR DRAINS. . . . . . . 10 TRAPS. . . . . . . . . . . . . . ..kI
GTOR I ES. . . . . . . . 12 WATER HEAI E:RS. . . . . . : 1 CATCH BASINS. . . . . . . :0
LAUNDRY TRAYS. . . . . . : 1 SF RAIN DRAINS. . . . . ; i.
SINKS. . . . . . . . . . : 1 GREASE TRAPS. . . . . . . 10
LAVATORIES. . . . . :5 OTHER F I XTI.IRES. . . . , :0
T-QB/SHOWERS. . . . I 'SEWER LINE (ft ) . . . . ;@
WATER CLOSET5. . :3 WATER LINE (ft ) . . . . : 100
DISHWASHERS. . . . : 1 RAIN DRAIN (ft ) . . . . :0
Remarkat
OWNS A:
RENAISSANCE DEVFLOPi4F_,hIT TIF" 1. 1380. 00 JLH 10/11/91 -
:043 WALDEN r1' BPR T $ 510. 50 JLH 1(TI/1 1 l 91
SPI-C: 50. 00 JLH 10/11/91 -
WEST LINN OR 97068 .4 85PC: 16'10,` 25. `53 JI_Ei 10/11/91
-
Phone 14: 59136575739 SSDC $ 375. 00 JE..H 10/11/91.
- _ PARK $ 500. (a0 JE..I_E -
F''lumbiny MFRT ! 40. ' 0 JLH10/il/91 -
MPLC $ 10. 1-2, JLH 10/11/91
Name s.._ TAGLE PLUMBING C0:L___'__ _:_____ M`3Pc $ '. 03 JLH 10/ 11/,91
Addre tFSE K•I $ 1E,r. S0 JLH 10/ .11/91 -
i t y : 1D326 S.E. HOLGATE BLVD.�t a �,`_ik'C: 118. 13 J!...H 10/1 1 r 91
Z i p: PORTLAND, 0RECpQN,97
__.__.-._ _... REOUIRED INSPECTIONS - -
! !,is permit is is-ued s1_Ib,ject to the r-erg-
. t:Itions contalinpci in the Tigard Municipal Fodt/found Ih5p Watpr- Line 1;itFp
Cradp, State of Ore. 5)pPcia) ty Codes and all Post/Seam 5truct Anpr/Sdwlk Insp
other applicable laws. All work W01 be done Post/bepm Meehan miI;c. .Inspect
an accor-dance with approved pl his PL.M/Under^floor Mechanical r- in.-, 1
1_-ermit will expire if murk is not started Mechanical. Ensp Plumb Final
within 160 nays of issuance, or- if work is Plumb Top Out Building Find
SLISperlded for more than 180 day%. Framinta 111bp
F ir•eplar-.e Ingp
Gac Line Jnsp
Inqulat ion Irt.V _.__....____..
_ _(2 � 1.(�_L.. Z. r4/ Gyp B o a l li 1 n S s
_ Pain dr�al�n I n s p
C)t.thorizecl Plumbing Contr,a,c:rtor- Signmtur-e
Call for Inspection F,3r3--4t75
Contractor No1.e
_ t`
,1
1
CITY OF T I GARD RECEIPT OF PAYMENT RECEIPT NO. t 91--P 17770
CHECK AMOUNT 41A.O0
NAME RENAISSANCE DEVELOPMENT CAST! AMOUNT : 0.00
ADDRESS PAYMENT DATE : 09/23/91 1
SUBDIVISION .
PURPOSE OF PAYMENT AMOUNT PAID PURPOSE OF PAYMENT AMOUNT PAID
Pt AN CNECK FE �- _.------ 40.00
17
I'
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I.
i
1436 SW ASHFORD
I Ik
�l
II TOTAL AMOUNT PAID - - > 40.00
I I
CITYOFTIGrARD SEWER CONNECTION
CR
AD PERMIT
.* ,
COMMUNrrY DEVELOPMENT DEPARTMENT 011141hoN
13126 SW HWl BOvd. P-0.Bm MW7,Tlptd,Onogon 97M(603)639-4176 PERMIT #. . . . . . . SWR91015c
41 DATE ISSUED- 016/28/91
I-
-41TE ADDRESS. . . : 7436 SW Abrif:'ORD ST PARCEL: 2SI12CA-09800
SUBDIVISION. . . . ; PENAZISSANCE WOODS ZONING: R -4. 5
LALULK. . . . . . . . . . LOT. . . . . . . . . . . . . :24
TENANT NAME. . . . . :
USA NO. . . . . . . . . . . FIXTURE UNITS. . .
CLASS OF WORK. . . :NEW DWELL.I NG LIN I TS), . -. I
TYPE OF USE. . . . . :SF NO. OF BUILDINGS.- i
!NIS I ALL 'r Busw P. IMPERV SURFACE. . : f
Remarks:
O�.)Per,: FEES
PENAISSANCE DEVELOPMENT type AMC.-Int by sJA t e recd.
,.,17198 SW STH ST PRMT $ 1500- 00 JLH 07/02/91 —
I NSP $ 33. 00 JLH 07/02/91 —
WEST LINN OR 9706B
Phone #: 657--5739
Contr-mActor-
RENAISSPINCE DEVELOPMENT
2098 SW 8TH ST
d�rST LINN OR 97068
,-,hone #t 657—'3739 S 1!5,35. 00 TOTAL.
Req 49955
REQUIRED I NS3171ECT IONS
This Applicant agrees to comply with all the rules and regulations Sewer Inspection
of the Unified Sewage Acency, The pet-sit exvires 121 days from
the date issued. The tots: asoupt paid will be forfeited if the
aervit expires, Tee Agency does not guarantee the accuracy of the
side sewer laterals. If the sewer is not located at the measurement
given, the installer shall oroipect 3 feet in all directiors from
the distance given. If not so located, the installer stiall ourchast
PT20 and Side Sewer' Permit and the Agency wI!I i-ista.11 a lateral,
0 d B V
Lall fL)Y-, inspPetion 67,94175