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13578 SW CLEARVIEW PLACE-1 Ln li OD 13578 SW ('I,PARV►W PJACK C drY OF TIFF �CWV4CERTIFICATF-* OF' COMMUNITY DEVELOPMENT DEPARTMENT Mew OCCUPANLY 13121,SM HWI BW. P.O.Bm-Mp97,T� M,orwjon 97Ztp,JW I PERMIT #, . . . . . . c MSTSO-0322 40 75 nATE ISSUED: 10!J7,'()l SITE ADDRESS. . . a 13578 SW CLEARVIEW PL PARCELs eS104DC-04300 VISION. . . . BENCHVIEW ESTATES ZONING: P--4. 5 FALOCK. . . . . . . . . . x LOT. . . . . . . . . . . . . :41.5 ........... CLASS OF WORK. cNEW TYPE OF USE. . . aSF OCCUPANCY GRP. iR3 OCCUPANCY LOAD i33e 4 TENANT NAME. . . : Owners I.A'RRITZ (AJGTOM HOOF S INC 19923 DERBY ST WEST LINN OR 97068 Phone #t 655--505! Contractors GFRRITZ CUSTOM Hr)mFs 19923 DERBY ST WEST LINN OR 47068-0000 Phone #: 303-655-5051 Reg #. . t 434-94 ()CVUpSncV of the above refprenced building is hereby jioen, and cet-tifiv— ;he compliam:e with the State Of Oreg -on SPectalty CodRs for the gromp, occupancy, and t.,ge linder which the referenced permit vims itstjp-d. FIRE DFPARTPIFNT ILDl*4G 1044idIrr TOP Liu I LyiNC-75?i POST IN CONSPICUOUS F ,ACE j jg=-fig NMIQZ i City of T1gard RGUMeg Departaeot 13325 M Ball Blvd. Tigard, Oregon 97223 Inspeccion Line (Roc-o-Phone): 639-4175 Busines. Phone: 63�)-4171 Inspection:—_ — Tooting Plbg. Underolab Hoch. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL: Poet/Roam Struct. San. Sewer Framing -Bldg. /Ac,K,// _/ Post/Beam Hrsh. RAin Drain Insulation/ -Plumb. Plbg. Underfloor Nater Line Gyp. ad. -Mach. Date Requested:—_�� �l AM PH Addreu:__(��3 '2 [ �1��4/i✓�Pormit # 90 � Q�'?� Builder:_ THE FOLLONLNO CORRECTIONS ARR REQUIRED: Inspect rr _-- Dates no-0-o/ APPROVED DI%RPPROVED _ APPROVED SUBJECT TO ROM Call res. Rainey. City of Tigard Building Pepartaent. 13125 SR Balt atrd. Tigard, Oregon 97223 Inspection Line (Rec-o-Ph)nyls 639-41.75 Business Phone: 639-4171 Inspection:` — ` Footin 9 Plbq. derelab M?ch. Rough-in �'Eppr/Bdwlk Pound. Mg. Top Out Gao Line FIN4Lt Post/Boom 8truct. Ban. Sewer. Priming -Bldg. Poet/Beam Mech. Rain Drain Insulation -Plumb. P!bg. Underfloor /dilater Line Gyp. Bd. -Mech. Date Requostedt PH y� J+dd. 9se t is 944�:= Purmit t t�]L_SG 3 li` a- Buildert THE POIJAWING COPACTICNO M L't RZD: i IueTactort,--- i—=— __APPROVED — DI&PPROVED APPROVED a!tn;jCM 7Yr AWVp; _-_—Call For Reinsp. INSPHCTION NOTICH �- Cic7 of Tigard Building Departar.nt 1312L M Ball Blvd. Tigard, Oregon 97223 Inspection Line (Roc-3-Phones 639-4175 Businr"es Phones 639-4171 Inspections — Foe)ting Plbg. UnderslaL Koch. Rough-in Appr/Sdwlk Fou'd. Plbg. Top Out Can Line FIN"Ls Poet/Beam Struct. Sam. Sewer Framing -Bldg. Post/Beam Mach Rain G:..0 Insulation -Py Pltq. Underfloor Water Line Gyp. Bd. Date Requesteds ;2 _ e;-, imca �/ 11N PN Addrasss ' _� ,F� at Permit is E10 Builders_ _ THE FOLLOWING Ed�RXCTION84 IRM RBQD Inspector. Dates .75:0)7 ----.-APPROVED —_ DISAPPRDVBD -jW- APPROVBD allWgCT To ABOVH __.—Call For Asia". �8P3CTI08 ROTICR City of -igard Building Department 13125 811 Ball Blvd. Tigard, Oregon 97223 inspection Line (Ree-O-Phones 639-4175 Duaineas Phones 639-4171 Inspections Fr3oting Mg. Underslab Mach. Rough-in .Appr/ sdwlk Found. Plbg. Top out Gas Line PIMALt Poet/Beam Struct. San. Sewer Framing -Bldg. PosLi3eam Mach. Rain Drain Insulation -Plumb. Plbg. Underlloo,• Water Line Gyp. Bd. -Mach. Date Requested: � 7 ! Time i6;K'-,_ p14 Address: '� Permit 1s U oZ Builders THE FOLLOWING 0 0 p�&CTION8 ■ RBQDI!liCt 92) Z.FLL6� Inspectors ( '/ c Dates "PROM _,___ DISAPP ZPPROVSD SUBJBCt' TO ABOVR Call For Reinsp. t IL INBPECTION NOTICE City of Tigard Building DeparbMnt 1313S M Ball Blvd. Tigard, Oregon 97223 Inspection Line (Roc-O-Phoneys 639-4175 Business Phones 639-4171 ` Inspect:ion,. -- Footing Plbg. Underslab Mech. Rough-in Appy/3dwlh Pound. Plbg. Top Out Gas Line FINAL. Post/Beam Struct. San. Sewer Framing -Bldg. Post/Beam Mech. Rain Drain I/ns'u�l'attiion'� -Plumb. Plbg. Underfloor Nater Line f Oyp. Bd. -Hoch. Date Requested).-4__. ,]F�_- — _Time) PM 7,,,F- Addieos)_ C ,•, �c.�r�?�.�eLL"— Permit ii Builder; /2 TBE FOLLOMINO CORRRCTIO[1B'ARE RapUIRED: pr J�c�z.z.�1a� �<.�•���r �oA,e,� r,e t inspectors _- Datet.*— Z/ APPROVED DISAPPROVED AFPROVED SUBJECT TO ABOVE Call For Reinsp. INfPZCT;j0M..rt4TIC3 City of Tigard Iluildinq Department �. 13125 an Ball Plvd., Tigard, Oregon 97223 Inspection Line (Rec-O-^None)+ 639•-4175 Business Phones 639-4171 Inspeu' ionr Footing Plbg. Underslab Hoch. Rougli-i n Appr/sdwlk Foune. Plbg. Top Out r.a Line FINAL: 'lost/Beam Struct. San. sewer Bram -Bldg Post./Beam Hoch. Rair Drain Insulation) -Plumb. Plbs. Underfloor / Nater=Line Gyp. M. -Ne-h. Date Requestedt —7y1p-�'�`1L I --Time �j PH Addre►st /._3 /O L����,��G.[l Permit it! KO 32'� Bu i.lder s THE FOLLOWING CORRACTION -" RBQUIRM �zJis f-'�7�Lam►iT f0& ttJtj1,J 7? Inspector:_ Dates't APPROVRD DIBAPPROM APPROVED NUBJRCT TO ARM __,call For Minep. D INSPBCPION NOTICE City of Tigard Building Department 13125 M Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phar.e)t 639-4175 Business Phones 639- Inspections ,i_- Lnq Plbg. Underslab (`H hec . Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINALS Post/Beam Struct. San. Sewer %Framing -Bldg. Post/Beam Hoch. Rain Drain Insulation -Plumb. Plbg. Underfloor Nater Lina Gyp. Bd. -Mach. Date Requested _Times , - AM PM addresseZ21 Permit fs © Builders v' TM FOLLOWING FOLLOWING CORRECTIONS MR ROVIREDt f^� _j igz >nv.?c.� - �i7 IL4��A CL7- L4.LJ�►T' �' Cf,Li7- 7C' '�G' '✓�� .�f4in[ �1���.' ✓`"2 S1?1,1.� C��L ,�_ Inmpectori _ Dates Ai /?/ _ APPAOVBD VISAPPROVBD APPRVIND ff"wvCT TO ABOVE call Minap. INbPSCTInN NOTICE City of Tigard BUildin.,7 Department 23125 w Ball Blvd. Tigard, Dragon 97223 Inspection Line (Roc-O-Phones 639-4175 B iness Phones 639-4171 Inspections Tooting ;1bg. Underelab h. Rough-in Appr/Sdwlk Found. Pltg. Top Out Gas 'ine FINALS Post/Beam Struct. Scan. 5mmr > -Bldg. Post/Beam Hoch. Rain Drain I,,sulation -Plumb. Plbg. Underfloor Nater Line Gyp. Bd. -Hoch' Date Request-ode _�; - - / Times AM _,PH Addrosas ��(f- a Permit Builders Q(.4 TBS FOLLOWING CTIONS INSDs �" f �/� � •� �Z<.l!'���Tem j 'CviO� t!T rad d'T—"' Inspector: DISAPPNOVSD APPRcs'6D SUBJSGT TO ABOVE Call Por Neinov. INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223x Phone: 639-4175 Type of Inspdction Date Requested , -2 Time A.M. e P.M. Addrr isa / 3 ��7 C'�c U i��e✓ Permit # !O 3 Z�- Ownvr_ _. Lot #, Builder . The following Building Code deficiencies are required to be corrected: Presented to J-�-#tifprovad Inspector ___ _ _ ❑ Disapproved CRL1, FOR RF,INSPF.CTION ❑ YES [-1 NU INSPECTIOY N01'ICE City of Tl.yard Building Department A' 13125 SW Ball Blvd_ Tigard, Oregon 97223 Inspection Line (Rec-o-Phone): 639-41.75 Bunineas Phone: 639-417 Inapection:_ _ �� -�� —_ ---- `1 rooting Pl.bg. Underalab Mech. Rough-in Appr/Sdw1K Y Pounr• Plbg. Top Out Gas Line FINAL: (_V�et/seam Struct. San. Sewer Framing -Blcqg• Prat/seam Mect�f. Rain Drain Insulation -i iu�• Plbg. Underfloor Water Line Gyp. Rd. --Mach. 114ta Requesteds Cog - —�Tlmet _ AM PN t �_ —_ Permit f I � L 11A,1reaa: Builder: THE FOLI.AWINO OORRsCTION ARE RsQOIRED: All L C_e_-,-r TO _ 1 i in9pec tor•_!J� M_ Date:_,/i��,1�/ �l - APPROVED DISAPPROVED _PROVED SUBJECT TO ABOVE -_Call For Reinsp. { Lf�YL � INSPECTION NOTICE City of Tigard Building Dapartaant 13125 80 Ball Blvd. Tigard# Oregon 97273 Inspection Line (Rae-O-Phone): 639-4175 Business Phone: 639-4171 Inspections _ _ Footing Plbg. Underslab Mach. Rough-in Appr/Sdwlk Found. Plbg. Top Out Oas Line FINAL: Post/seam struct. San. Sewer Framing -Bldg. Post/Beam Mach. Rain Drain Insulation -Plumb. �bq. Onda�-_riloor Nater Line Gyp. Rd. -Mach. Date Requested: /172� —Tima: AM PM Address:/ '•- � o�� / ���" Permit #v.5_;1j auiIdori za TAP FoLIA)WINO CORRE OMs ARE REQUIRED: Instar:_ —�. Date/` Inst DISAPPROVED APPROVED sUBJNCT TO AEONS Call For FAUMV. INSPECTION t�OT_ k- City of Tigard Building Department 13122 SM Hall Blvd. Tigard, Oregon 97223 Inspection Line (Re^.-O-Fhone): 639-4175 Business Phone: 639-4171 Inspection:__ Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Lire PINML: Post/Beam Strur_t. CJRan. S Framing -Bldg. `— Post/Beam Mech. Rain Drlin) Insulation -Plumb. Plhg. Onder7loor or Line J Gyp. Bd. -Nech. Date Requested:_ Time: AM Ph M Address - ! ., G Permit 1tG : THF FOLLOWING CORRECTIONS ARE REQUIRED: i Inspectors— no.01 4MPROVED DISAPPP.OVRD APPROVT.S SUBJRCT TO ABOVE _ Cell For { IRBP6CTIQa�OTICs � / City of Tigard Building Department 13125 9W Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 " Inspection: Footing Plbg. Underalab Hoch. Rough-In Appr/Srwlk ound. Plbg. Top out Gan Line FIh.'L: Post/Beam Struct. San. Sewer Framing -Bldg. Dust/Beam Hoch. Rain Drain Insulation Plumb. Plbg. Underfloor Watery Line Gyp. Rd. -Mach. .J L 'X1_ AM Requeeteds _Times AM PM Address: Permit i:� Builder: THE FOLLOWING CORRECR'I' ARE REQU?RED: 1 COy�/J�:- /-�,� /' Gat- %7cJ/,T•S � ��"t' ~ /G'�' /G=-O��/���/�-- tw.4L-�-.� 1 Inspectors __ _ Date: APPROVDD DISAPPROVED _C_-'APPROVED SUBJECT TO ABOVE -----,Call For R�,inap. WEAK �A!lPECTlOd pOTICE city of Tigard Building Dwpsrtss:nt 13125 SW Ball Blvd. Tigard, Oregon 97223 Inspecti Line (Rec-O-Phone): 639-4175 Business Phone: 639ti- 41'J Inspection: _ -- — Foot /1Plbg. Underslab Mach. Rough-in Appr/Sdwlk Found. Plbg. Top Out ciao Line FINAL: Poet/Beam Stru-L. San. Sewer Framing -Bldg. Post/Beam Hoch. Rain Drain Insulation -Pl'+"h• Plbg. Underfloor Water Line Gyp. Bd. -Hoch. Date Requested:__ 1 ) _—�T AM _Ph Address: 'Z L�1��y_ I °ermit isT O�L z Builder:,,=�_�_� r��� V1J�f�+ ----�..-- Z 00 C) TBE FOLLOWING CORRECTIONS ARS REQUIRED: �::�_Li.L.=. �� r�LAK :C��.�,!�u�9 vAf�_L✓�c- c,c.�,✓y�,+ F-72 u•✓ _._�_ Y Lie' 1 ti/ rift; Inspectors —__.---- , ��,�.� ^APPROYT� DISAPPROVED l� APROVED SUBJECT TO ABOVR Call For Roinsp. R.T. Miiier Engi wwIng, Int. go F 3 )G l- Ott- l CONSULTING STRUCTURAL ENGINEERS 0 503.248-1955 41 9393 LC7� L� f � ��Fti< <� !/�s�✓ t I?���I r 04 MrmoN h JyO`'�y 22, s'/�/V WAIL C J" all d. 2 7 /' f�fl1 (� Z Lei Cis/ d''" • � r z • ;.—to /`74 A^, r/"'rV• fs �! ' /'L1 _ G-L/ r.l o,�� L w ? .c cr 6o� //2-K✓ ' i�0 C J� /' �/ P l 1 �/ G l i b 0"o �Itr� R.T. Miner Engineering, Int. 3X` 2 - a! i CONSULTING STRUCTURAL ENGINEERS 503-248-1955 Date: /Wip o _ �O X1"I nvcr xs r es 7.1 ti t e at /ca�/,C IA 1Y rc. e y /Lvt f;�!ci�.,�. f.�; .y �rJt �1/ SJ/� ��p ��w�'t/'= loeq ,. low OY for o0 lot �i•6 I 10 c I I I `�•�l '� -r /� G " or t-44, .QED PROFF 7a 7Asr -,�• �'�GINt4t 9393 tea w" OR[SON �`'Y 22, �°�• �oMgS , �o���� MASTLR CIFRIT111' C'TYOFTIIFARD (Cla YJ 60�FT LA R D PERNIT MST90-013i-?c` COMMUNITY DEVELOPMENT DEPARTMENT ORIGION 7 13125 WHO Blvd. P.O.Box 23397.Tigard,Oregon 9722 (603)6WAI 75 �)OTI=: ISSUET-. 10/30/90 SW I'L.1'.0 R V I I:-W I ZONING: R-4. 5 43 .............. 1HLJ11 DING ................ ;UF :: 1)14 U*1..L T.H U lJP 1*P:5:: .I. W)SEMENT . -.0 01' WORK. N E.W TIE ORMS:4 WTHS:4 6 A R(10 E. . . . . . . . . . :504 f U54.7'. . . «13 F: 1.1...00P ()Rl.: R E Q U 1 R E.D G E:''T*El f.)C K S- 1 01: U)NST. s5N VIRGT. - .1809 si f I P FT. . «'7 f-1b R IGH 1'. s 7 f1; U I H y G R 17'. R «C,18 S f F'R 0 H T. n 2 P) fl- RE':OFZ. 1.6 1 THIRD. '5 9 5 S ft. 101 W.. « .30c'2 sr,f 5 H 0 K h.. DF T E L'F 0 R F). «Y 1 «4W P > f VOI LIF-.., 1.48084 V'0 R K I N G 13 P A C,EG 0 P L.L)M P T N(:i ..................----- :1. 11J.(.I0P DR()114S. . . . ..R) PRFVN'FR!S. :0 -.5 WIWER . . . «c' I R P P E). . . . . . . . . . . . . . .0 JKIIWI:RG. 4 1 'T'ROYS. . . « 1. I I P()9 1 N S'. 0 CA OSE"N3. » s 4 SEWER L I N F:, (f t) -0 7�,i 'Y'k 1':;. 0 I I W 0 1-1 E.R S. )'T'I W FI 114E (f 0 100 I. 1tFtC;E 1).T. I : .I RAIN DRPIN (ft) :0 .1 11G 11(.1(.,H.. 1. G F* R 0 1 N J)R()TN 1 11 F C;11 A N I Cl P L F-E L ....... I ij I I P E C) UH I 'I I-AT R S -0 {,>'1ae A 1110 Lk 11 1:) VEN1 E; . . . . .. .0 p(*I y 11 q, 100" 00 il-H 1.0/10/90 0 14 FU YI*:.-H,F FWA5. FII 1 5511-i. 5 0 1-001 » » «r? .1. F(P I C, $ 36,1 . 08 .1.1-!0K. 0 WO(:1W;I CWFS. -0 1-45 P C I- R/. 78 11.)R14. . . . -s o CLU DRYERS. s .1 5,1,1)[", $ 600. OR 0 T 1-1 EFi U N I T S)-,0 C*1 c:i r C i 7'-5. W 0 OW:i (JUT L.F. TS- 1 P('I R K $ is 00 . ............... MI-111 1 11 48.. 00 I.'- C1 k.). Ill Mr.,l_(. q� .1.2 00 jCAC,%-J-3 PPR T 4; 11.15. 0 0 5)0 3_f:,'515- 1-,-)0 1 P()Y M P.3 2 6. 01. JLH 1-1, J 17 (115TOM HOMLI� T 11NN OR 97068-0000 ti 43434 ................... ......... pPrNit is issued subject to the regulations contained in the REOUIRED TNSPE(I-ITONG) Ticard Municipal Code, State of Om Specialty Codes and all other F:c)(-)t/fi:)t.md Disp mecJlarliVial 11-1!-io (icicable laws. All ark will be done in accordance with approved W-H, P-roc)ffiiq Psni PIt,mb Top Ot.t-t This persit will @spire if work is not started within 184 Pcmt/BeAni L)t-1'U(-'t Frimi.iiq :111 all CO:' Cf issump, or if work is suspended for more than 189 days. r1cmt/PF -.im Mec,tiaii F: i-replAc�P 'r.1-1 s C,-r a w 1 1)-r i.4 j.w-i 111sp r."Im/tivicii-iI.Ab TI)SP lyj�r F-ILM/Wide r f I a(-)(, Gyp ric),-i-rd I1151•)1-,tl.)q D-rAj-ll pl;mlt R'al.1-1 CA11 fo-v ii-ispectiori ... 6,39 4175 CITY OF TI A RD PLUMBING PERMIT (CrIYOF TWARD PERMIT N. . . . . . . 1 MST90-0322 COMMUNFTY DEVELOPMENT DEPARTMENT 13125 SW Hall Blvd. P.O.Box 23397,Tiqwd,Ore(pn 97223(603)039.4176DATE ISSLIEDs 10/30/90 PDDRESS— c 13578 SW CLEARVIEW PL PARCELP 2SI04DC--04300 951-H-4DIVISTON. . . . I BENCHVIEW ESTATES STATES ZONINGs R-4. 5 V 1-0 CK. . . . . . . . . . LOT. . . . . . . . . . . . . 343 ............ CLASS OF WORK. . INEW GARBAGE DISPOSALS— ol, I YPE OF USE. . . . sSF WASHING MACH. . . . . . . 11 BACKFLOW PREVNTRS. . :0 OCCUPANCY GRP. . 1R3 FLOOR DRAINS. . . . . . . sO TRAPS. . . . . . . . . . . . . , e0 . . . . . . . . 13 WATER HEATERS. . . . . . v2 CATCH BASINS. . . . . . . 40 LAUNDRY TRAYS. . . . . . ol SF RAIN DRAINS. . . . . 31 IN K :;. . . . . . . . . . st GREASE TRAPS. . . . . . . 10 LAVATORIE=S. . I . . cri OTHER FIXTURES. . . . . :0 ]UP/SHOWEPS. . . . g SEWER LINE (ft) . . . . 10 WATI:'R CL .:TS. . 14 WATER LINE (ft) . . . . 1180 D1 !:;HWASHL..0. . . . 1i RAIN DRAIN (ft) . . . . m@ I<(:.-r ma r k,s OWNERC 1 ()MES INC GERRITZ CUSTOM PAYM $ 100.00 JLH 10/10/90 GERR17Z CUSTOM HOMES INC. HART $ 615. 50 19130 HUNTER WAY BrA.-C $ 400.90 Iff'..GT LINN OR 970168-0000 B5PC $ 30. 78 P1,01-le #- 50.3-655 5051 STDC $ 600.00 SSDC $ 375.00 PARK $ e50.90 MP $ 48.00 M. $ 12.00 M5PC, $ e. 40 dl-, State$ PPRT 185.08 -P h o n a#1 P5PC 4 9. 25 PAYM dr 23e6.01 JLH 10/30/90 REQUIRED INSPECTIONS lhi% Permit is issued subject to thou req- ulations contained in the 'Tigard Municipal Foot/found Insp Fireplace Insp Codd, State of Ore. Specialty Codes and all Foot/found Insp Gas Line Insp other applicable laws. All work will be done Wtr Proofing Psm Insulation Insp iii accordance with approved plans. This past/Beam Struct Gyp Board Tnsp permit will expire if work is not started Post/Prom Meehan Rain drain Insp within 1.80 days of issuance, or if work is Crawl Drain Water Line Insp quspended for more than 180 days. Plm/(Andslab Insp Appr/Sdwlk. Insp PL.M/Underfloor Mechanica:i Final Ftng Drain Psmlt Plumb Final Mechanical Insp Building Filial PlUmb Top Out Framing Insp -------------- rii*&-Plumbing Lo ractor Signature Call for in%pection - 639-4175 ('(,nt(,a(--tor Notesc ............ ........ ....................... ........... SEWCR COHNEC,1ION 1-JERMIT 0. . . ... . : SWJ-i90-0380 C17YOFT11FARD �c 00MRD COMMUNITY DEVELOPMENT DEPARTMENT 13126 SW Hall Blvd. P.O.Box 23397,Tigard,Cmgm 9720(603)83"175 10/30/90 1 1-* 1 (7 135,78 �'W C WH)1VIGION. . . . t bt-NC.HVIEW ESTA11-5 ZONING.- 1'L 0 C,K. . . . . . . . . . a L(YT. . . . . . . . . . . . . TENANT NAML*. (J(30 NO. . . . . . . . . . c*** L)riclef iriecl va-riable, FIXTURE (JN]'TS. . . s L f i x *** CLOE;S OF WORK. . . :NEW DWELLING UNITS. . rY[',r:' OF L)SE F NO. OF' RUILDING93: 1. I N S TA L.L T Y V,E B W3 W R' I 11F.1E:RV SIJRFACE. -sf Rema-rks s Owl-le-re FEF-G HOMEES INC GERRYTZ CUSTOM -t a n)(1)k.t 1.1 t by (I j t -r P L- f-IR111 1; 1500. 00 TI-1:117- 41, 35. 00 WEST LINN OR 97068-0000 A Y 11 1535. 00 JLH .10130190 Ph'avip 14: ;::0'3--655_5051. Coiit-rActo-i : j CONTRACTOR OOT ON FILL I-Ihoiie 0: 9 1535. 00 'TOTAL kEQUIREJ) TMSPECTIONS This Applicant agrees to comply with all the rules and regulations E)ewe-r D-i-.:oectic)ii ............- of the Unified Sewage Agency. The permit expires 1210 days from ..................... ........... the date issued. The total a, int paid will be forfeited if the ............................- vermit expires. The Aqznc i y does not guarantee the accuracy of the ............................ .......... .... side sewer laterals. If the sever is not located At the measurement ................ given, the installer shall prospect 3 feet in all directions from .................................. . ......... the distance given. If not so located, the installer shall purchase .......... a "Tap and Side Sever" Permit and the Agency will install a lateral. j7-rj-(,nj9.ttee SignAtU're d B Lni 4: -4------- ................ ............... ........ Call f*o-r irisper--tiori 639-4.17r.*, - --ITY 0 - TIGoRD RECEIPT Or" PAYME'll-f REGLIPT NO. 390-InO6347 CHECK AMOUNT ¢ -3861 .Cl I OERRITZ CUSTOM HOMES CASH AMOUNT ¢ O. ol.,DRESS 19927� DERBY ST PAYMENT DATE 10/3( 90 SUBDIVISION WEST I-INN, OR 97060- !3578 CLEARVIEW 1-1. UPPOSE OF PAYMENT AMOUNT rAID PURPOSE OF PAYMENT' AMOUNT PAID +41.11L.DINP PERM MST90-0322 5 iF.--EC6. i�C-IJMBI NO 'FIC7rM V 185.0 4'.) M.- CHANICAL. PE 4B. 0 ST. BUILD PER 39-41 i' ("'1-()N CHECK FE 2 7�!,. )a SEWER USA 00 i'-WE:r� INSPECT 3n.00 STREET GDC 00 )Fl.lf; S GDC 12130. 00 STORM DRAIN SDC A66 J . C I , 1i,rF41 otlOUNT PAIL)