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Case File 1 0 Cn OD CTIm c z r D Z m 8585 SW BRACBURN LANE CITY OF TIGARD DEVELOPMENT SERVICES 2A 13125 SW Hall Blvd., Tigard,OR 97223(503)639-4 i71 f7E 1<T I F I CA rE OF OCCUPANCY PERMIT #. . . . . . . : M S T 9 8 02Cw: DATE ISSUED: 10120198 PARCEL c :.:51 1 LDA-03000 `SITE: ADDRESS. . , 08505 SW f3RAESURN LN 3LIBDIVISICIN. . . . : APPLEWOOL) NO. 2 ZONINGiR .7 PLI 8L.00K. . . . . . . . . . .. LOT. . . . . . . . . . . . . :025 .IURISAICTIONs 'CIG C:LAS15) or WORK. :NEW TYPE.' OF USE. . . e SF TYPE OF CONST'Ct:3N OCCUPANCY GRP. i R3 OCCUPANCY LOAD:;;: Rumarkss: path I new dttached single faril - dwelling, with attached gpragr. Owners MAI RI X DEVELOPMENT COPF,ORAT ION 6900 SW HOINE S STREET #200 T'1GARI) OR 9 223 Phone #: 5210--.13080 Contractors ___..._._.. .___..._._.___._._.._._..��...___.._... _. _ MATRIX DEVE'LOPMEN'T CORPORATION PLAZA 11, SUITE: #c'00 6 100 5W I til f.NF''3 GI REST TMARt) np 972c3 Phone #: 62..0--8080 Rep #. . : ft+QrOCA1 6 This ('e'nt i f'icarte grant a oc:cupanr_•y of the above ref#-renced building or portio thereof and r.onfir-ms that the building hAs berm inspected for compliance with the Stott of Oi-egor, Spr.c. ia) t y Codes for~ the group, occupancy, and use under- which the referenced permit was iGsmed. .w C+UI CDING I NSPEC TOR n114 " ►1r- nC w �L. !INSL'ECAJII 5UF'EkV1G(j1, P097 !N CONSPICUOUS PL.ACI_ CITY OF TIGARD BUILDING INSPECTION DIVISION MST !I� _ 24-Hour Inspectinn Line: 639-4175 Business Line: 639-4171 1 Bt1P �y _Date RC quested - ;4�M PM BLD Location il� r(�'?_ i Suite _ MEC Contact Person Ph p PLM Contractor Ph�,�,�-, _ Ph � d Q��.3 SWR — BUILDING T enant/Owner —?I— ELC Retaining Wall ELR Footing Access. Foundation FPS Ftg Drain --- SGN - -N-i Crawl Drain Inspection Notes: ------ Slab _ SIT Post& Beam �� ---- - Fxt Sheath/Shear Int�Sh I/Shear ------ ZnIaMbn Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof --------------— Misc - - --- -- -- 1 �"_ APART FAIL - PLUMBING Post& Beam Under Slab Top Out Water Service Sanitary Sewer -_---- ----------__-_-- Rain Drains Final PASS PART FAIT_ MECHANICAL Post_ eam ---- -- - ------------- --- -- ------__---___ _- ---__- ----------- -- ---- usclfr n ' Gas Line _--- Smoke Dampers in-ja • - ------- ---- -- ----.- � PART FAIL ELECTRICAL -- - -- Service Rough In ------------ -------- UG/Slab Low Voltage Fire Alarm Final --. _..---- -------- ----- ---- --- PASS PART FAIL —._- _ ---------- __ ___.____�_,_---------- --__---- SITE Backfill/Grading -- --... -_�.- -- ----- --------- -- _ Sanitary Sewer Storm Drain ( ) Reinspection fee of$ _required before next inspe•:tion. Pay at City Hall, 13125 SW Hall Blvd (Cstch Basin Fire Supply Line ( ) Please call for reinspr+rtinn iaF _ __ _ ( )Unable to inspect-no access ADA Approach/Sidewalk Date �©, �= Inspector_ Ext Other _ -- -_ Final PASS PART FAIL DO NOT REMOVE this Inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION X24 our Inspection Line: 639-4175 Business Line: 639-4171 MST �� L7E3UP ate Requested �- : AM PM — BLD _ I-ocation— � Suite _ MEC Contact Person _ Ph PLM -- -- - T — ContractorAV Ph S r " C,' SWR .------- -- - ----- - BUILDING— Tenant/Owner _ ELC Retaining Wall ELR -- - - -- - __ -- Fooling -- -- - -- Foundation Access: FPS Ftg Drain -- ---- ------ Crawl Drain Inspection Notes. SGN Slab —- --- SIT --- - Post 8 Beam - -- Ext Sheath/Shear l Int Sheath/Shear ---- -- Framing Insulation 7 -- Drywall Nailinq Firewall --------- --- Fire Sprinkler _ Fire Alarm '- ---- - Susp'd Ceiling Roof - Misc: Final - PA T FAIL Post 8 Beam • ��� t �-____.-_ Under Slab Top Out Water Service Sanitary Sewer — ---. Ra' rains rna — - SS PART FAIL _ MECHANICAL --- Post& Beam Rough In �— Gas Line Smoke Dampers Final ---- - ------- --- --- _ FAIL — Service Rough In -- UG/Slab Low Voltage -- - - - —- - F' larm ina PASS PART i FAIL SITE — — 9ackfill/Grading - Sanitary Sewer Storm Drain ( ]Reinspection fee of$ _required before next inspection Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fre Supply Line [ J Please call for reinspection RE:, ' -_ [ j Unable to inspect no access ADA Approach/Sidewalk ,� �A Other Date _�-/ R'" Inspector _ Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF 'TIGARD BUILDING INSPECTION DIVISION -- 24•-Hour Inspection Line: 639-4175 Business Line: 639-4171 BUP �Z'1161L Date Requested AM PM BLD — t.ocation Suite _ MEC Contact Person _ PhPLM Contractor — Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Access. — Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post& Beam --- - �- - Ext Sheath/Shear Int Sheath/Shear -- _ Framing _ ----- _ --------------...—._---- Insulation / - ----- -- Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling -- -- - - - ---- - � -�_.—�- --- --- - - Roof _r Misc -- -- --------,.- 1� - -� -- - Final 7 PASS PART FAIL PLUMBING --`_— Post 6 Beam - - - - -----__— ----- Under Slab Top Out Water Service Sanitary Sewer _- Rain Drains Final __--- --- PASS PART FAIL MECHANICAL _ - Post 3 Beam -----_---- - --- - ------ Rough In Gas Line Smoke Dampers Final _--- PASS PART FAIL_ raLECTRICAL - _ .. .. -- Service - - - -- -Rough In In ---- - - -- -- ------ UG/Slab Low Voltage F nal. i PAS PART FAIL Backfill/Grading -- - -- Sanitary Sewer Storm Drain [ ]Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin i ll f Please call reinspection RE: Fire Supply Line [ ] p -- -�_ [ ]Unable to inspect no access ADA Approach/Sidewalk Other Date /4//�­7f/ Inspectors Ext Final - PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD Mp4S"1"FR F'l'.RMTT DEVELOPMENT SERVICES PE RMTT #. . . . . . . : M93T9A-.0;' 13125 SW Nall Blvd., Tigard,OR 97223 (503)639.4171 DATF I SSLJFT): 016/17/9S aT"!'C DDDR SS. . . :11:85435 5W BRAE:B(JRN L.N I:;LJBD I V I1310N. , . . :APPLGWOOD PARK NO. Z, t ON I NLS: R---' I'I) BLOCK. . . . . . . . . . I._OT. . . . .. . . . . . . . . :V. ,� .71JRTSr,ICTTON: TIC Remarks: Path I - new detached single family dwelling, with attached garage. --------------------------------- BUILDING ------------------------------------------------------------- QFISSUE: STORIES.......: 2 FLOOR AREAS----------- BASEMENT...: 0 sf RE011RED SETBACKS---- REQUIRED------------ CLASS OF WORK.:NEI'I HEIGHT........1 24 FIRST.,...: 1017 sf GARAGE.....; 498 sf LEr-T..........: 7 SMOIfE DETECTRS, Y TYPE OF USE...:Sc FLOOR LOAD....: 40 SECOND...: 824 sf FRONT.........: 18 PARKING SPACEF TYPE OF CONSI.;SN DWELLING UNITS: 1 FINBSMENT: 0 sf RIGHT.........: 5 OCCUPANCY GRP.:R3 BDRM: 3 BATH: 3 TOTAL------: 1841 sf VALUE..is 131%8 REAR..........: 15 -------------------------- -------------------------------------- PLUMBING 5INK5.........: l WATER CLOSETS. : 3 WASHING MACH..: 1 LAUNDPV TRAYS.: 0 RAIN DRAIN ft: 100 TRAPS,,.,,,,,. : p LAVATORIES....: 5 DISHWASHERS,..: 1 FLOOR DRAINS.,: 0 SEWER LINE ft: 100 SF RAIN DRAINS: 1 CATCH BASINS..: P - 'B/SHOWERS... : GARBAGE D1SP..; 1 WATER HEATERS.: 1 WATER LINE ft: 108 BCKFLW PREVNTR: i GREASE TRAPS..: ? OTHER FIXTURES: ? --- ---- - ------ _...--..._- --- -.... - - MECHANICAL ---- -- - -- - -------------------------------—--------- 11 ---- --_ ----- --_------------------- "L TYPES----------- FURN ( 100K ..: I BOIL./CMP ( 3HP: 0 ')ENT FANS.....: 4 CLOTHES DRYERS: t FURN )=100K ., : 0 UNIT HEATERS..: 0 HOODS.........: 1 01HER UNITS,..: I r INP.: 0 BTU FLOOR FURNACES: 0 'BENTS.........: 0 WOODSTOVES....: 0 GAS OUTLETS...: 1 ._-__..-------------.___-__-_-_._ .-------...___..-----_-.___-._-- ELECTRICAL .._______._.-----..___.._._..__.--.---------.._-___ .. PESIDENTIAL UNIT-- ---SERVICE/FEEDER----- SRVC/FEEDERS-- ---BRANCH CIRCUITS--- MISCELLfN'IEOUS---- --ADD'L INSPECTIONS- ,'00 SF OR LESS: 1 0 - 200 amp..: 0 0 - 200 amp.,: 0 W/SVC OR FDR.,: 0 PUMP/IRRIGAT'ION: 0 PER INSPECTION; 0 EA ADD"L 500SF. : .3 201 400 asp..: 0 201 - 480 asp..: 0 1st W/O SVC/FDR: 0 SIGN/OUT LIN LT; 0 PER HOUR......: 0 ..IMITED ENERGY.; P 401 600 amp..; 0 401 6P0 alp..: 0 EA ADDL SR CIR: 0 SIGNALIDANEL.,.; 0 IN PLANT......: 0 ")F HM/SVC/FDR: ? 601 - 1000 alp.: 0 601+amps-1000 v: 0 M114OR LABEL -10: 0 1000+ amp/volt.: 0 ---__....------------------------------ PLAN REVIEW SECTION ------ __-_-----------------------. Reconnect only.: 0 )=4 RES UNITS..: SVC/FDR)=225 A.: ) 600 V NOMINAL: CLS AREA/SPC OCC: -----------_..____.._---••------__--.----"--.------.-.-_ ELECTA?CAL - RESTRICTED ENERGY -- ------- SFRESIDENTIAL------------------------- 8. COMMERCIAL-----—------------------------------------------•------------------------•--- DIO d STER:•O.: VACUUM SYSTEM..: AUDI 1 ' 'TERE'O.: FIRE Al ARM.....: INTERCOM/PAGING: OUTDOOR LNDSC L'; QQ.AR ALARM..: OTHs X BOI.E3,......... HVAC...........; I_ANDSM-IIRRIG: PROTECTIVE SI6.NL: ;'Al'r£ OPENER.. : CLOCK.......... : INSIRI)MENIATION: MEDICAL......... : OTHR: :: X............ DATA/TELE COMM.: NURSE CALLS.... : TOTAL 0 SYSTEMS: ? -------Contractors --- _._.....___ ..-----_ .._._____- TOTAL FEESO 4:.76.76 ,END HOMES LEGEND HOMES (SEE 60563) This permit is subject to the regulations contained in the �P0 SW HAINES STREET PLAZA 1I, 9U?TE Ir200 Tigard Municipal Code, State of Ore. Specialty Codes and a', ,ARD OR 972211 6900 SW HAINES STREET other applicable laws. All work will be done in accordance TIGARD OR 972"'c3 with approved plans. Th,� permit will? expire if work is one 0: 620-8080 Phone f: 62f-8880 not started within 180 days of issuance, or if the work is Reg R..: 000QrQ►6 suspended for more than !Be days. ATTENTION: Oregon law --..------------------..—__---_ requires you to follow rules adopted by the Oregon Utility -ificatioo Center. Those rules are set forth in OAR 952-001-0010 through OAR 952 fl01-0@i80. You ray obtain copies of these ect questions to OUNC by calling (503)246-1987. ------ ----------------------------------------- -- REOUIRED INSPEr.TIcNS ----------------- �w---------- - :sion 644-8444 Crawl Drairlhcw Elertriral Ro�rgn Insulation Insp Plumb Final :ting Insp PtM/Underfloor F"aming Insp Water Service In Building Final ,ndation Insp Mechanical Insp Shear Wall Insp Appr;Sdwlk Insp 3t/Beam Struct Plumb Top Out Low Voltage Electrical Final t/BP R Mec',ar Fctrical Soul Gas Line Insp Mechanical Final Y'nl l t:t:p p r 1 g P r"1 t:,-1 t'P r 1 y 1 ; � F �1l �. In. f'(, aii i tispc c-t i 4111 npc-�' 1 Plan Check M CITY OF TIGARD Residential Building Permit Application Recd By 13125 SW HALL BLVD. New Construction Additions or Alterations Date Recd TIGARD, OR 97223 Single Family Detached or Attached (Duplex) Date to F E. 9d' V 503-639-4171 Date to DST _ �A,g F 503-684-7297 Co. Permit#/`l Ea, Print or Type Called r.- Incomplete or illegible applications will not be accepted (� N e of Project ame e Address Site Address Architect Maili Addressn / � J � • ,�'� (JJ/7,v l,.- �/i!!•i �_ City/$tate Zip Phone r� Owner Maillr4 Address Nary) Engineer Mailin Address f r, Cliy�State Zip Phone , — City/StPhone 'General7 Contractor L Q /�p� Describe work mew Addition 0 AtteraWn O Repair O Mailin Address to be done: Prior to perrnit (��©© 6i.�7 _ c, `;, '. Additional Description of Work: t issuance,a copy City/State Zip Phone '. of all licenses t G 2 6 are required N O Const.Cont.Board Exp,DatePROJECT expired in COT Lic.# / " VALUATION database V -�� _ _�_ �� �� �► Mechanical Name NEW CONSTRUCTION ONLY: Sub- � Sq. Ft. House:/ / Sq. Ft. Gara IYContractor Mailing Add 1 Prior to permit (C)5Th _ Corner Lot YES �NO Flag L t YIR� issuance,a copy City/State Zip Phone (check one) (check one) of all licenses Po��I(Q�� qlZlk 25 - Restricted Audio/Stereo Burglar are required it Oregon Cons.Cont.Board Exp.Date f,, . Energy System _ Alarm expired in COT Lic N �d 'r database q $1 3�' -4 Installation , Garage Door HVAC Plumbing Name _ Opener Systems S U b- 1—� (I �� t (check all that Other: ----,--Systems Contractor Marling Address a E'er_—_. _ _ _ PbOk Will the electrical subcontractor wire for all YES NO restricted energy installations? Prior to permit City/State Zip one Has the Subdivision Plat recorded? N/A YES NO issuance, a copy 7r)30 ( _ X. of all licenses are Oregon Const Cont. and Exp.Date _.._ - required if Lic M Reissue of MST#: Solar Compliance expired in COT �3 d ��/ (O (9 -9 1 (Calculation Attached) database Plumbing Lic.* Exp. Date I hearby acknowledge that I have read this application that the a CA 20(f/q� I -6 •34 -9information given is correct, that 1 am the owner or authorized Name agent of the owner, and that plans submitted are in compliance ; with Oregon State laws. Electrical C,]C'krbAeC_.�}r t� Signature of Owner/Agent Date Sub- Marling Address i ,< Z ,,t Contractor Z 7�.�� (,,� TVt- t h t,,Ju Cont Penoh ansa Phone City/State Zip P e ,� Prior to permit FOR OF CE USE ONLY: issuance, a copy )rl lr-\Ck Uy' c1'l :-_q / -- Plat#: -- Map/TL#: of all licenses are Oregon Co st. Cont. Board Exp,Date ? !/5 — 4 required if Lic.# expired m COT e?. ,' Y : j *�- I cl - Setbacks: Zone: �l solar. ✓; +r database Electrical Lic.• T Exp Date l �- �! _ y _3a5 c Engineering Approval: Planning Approval: TIF: ld " 711 f :A I:SFREM.DOC (OSTjy 7 Box B. continued Box B: 2. Measure change in elevation from front property line to finished floor elevation. If the lot slopes up from the front lot line to the foundation, the figure is positive. If the lot slopes down from the front lot line to the foundation, the figure is negative. ---�-- it 3. Measure distance from finished floor elevation to the affected peak/eave. __ Z�7___ It -1. If the roof line runs North-South, deduct three feet. If the roof line runs East-West. '-4E?II ft deduct nothing. 5. Subtract one foot for each foot of difference in elevation from the front property line to the rear property line, if the lot slopes up from the front to the rear. If the lot has no slope or slopes up from the rear to the front, deduct nothing. jt 6. Total figure for box B: Box C. Distance to the shade reduction line. f3r,x 1. Measure the distance from the North property line to the foundation near the affected peak/eave. I 2. Measure the distance from the foundation to the affected peak or eave. + i Ir 3. Total figure for box C: a d. ft It is most useful to draw a vertical line to represent the appropriate figure found in box"r1"and a horizontal line to represent the appropriate figure found in box"C".The intersection of the vertical and horizontal lines determines the value found in box"D".The value in box "D"should be compared to the value in box"B"; if the value in box "B"is less than or equal to the value found In box "D", then the building is in compliance with the solar balance code. If you have any questions, please contact us at 639-4171,x304 or at the Community Development COUnter MAXIMUM PERMITTED SHADE POINT HEIGHT (In Feet) Distance to North-south lot dimension(in feet) shade 100+ 95 90 85 80 75 70 65 60 55 50 45 40 reduction line from northern lot line(in feet) _ 70 40 40 40 41 42 43 44 65 38 38 38 39 40 41 42 49 60 36 36 36 37 38 39 40 41 42 55 34 34 34 35 36 37 38 3 40 41 50 32 32 32 33 34 35 36 37 38 39 40 45 30 30 30 31 32 33 34 35 36 37 38 39 40 28 28 28 29 30 31 32 33 34 35 36 37 38 35 26 26 26 27 28 29 30 1 32 33 34 35 36 30 24 24 24 23 26 27 28 9 30 31 32 33 34 25 2 22 22 23 24 25 20 20 20 20 21 22 23 24 5 26 27 28 29 30 15 18 18 18 19 20 21 22 3 24 25 26 27 28 10 16 16 16 17 18 19 20 1 22 23 24 25 26 5 14 14 14 15 16 17 18 9 20 21 22 23 24 IBox D. Maximum allowed shade point height: Z 7 -1"4- feet h:Ndocs\nancy\ventura,sclar.chp Revised 2126i96 Soiar Balance Point Standard Worksheet Address S' c ;' Sv� P�4� � r�.✓ ci L.,s�?3�. ' `> l�%' .�,�,<,�� Qr / Box A calcul.;tions: North-South dimension for the lot. Box A: Phis dimension is determined by finding the midpoint of the North lot line and drawing ,in intersecting line perpendicular to that point. First, determine which property line is the North lot line. The North lot line is the line with the smallest angle from a line drawn east-west and intersecting the northern most point of the lot. 460 t t NORMfRN lOT UNE lOT UNf N Nortn-South Dimension for Loi Measure the distance from the midpoint of the North lot line to the South lot line along the described line. t6�0 S feet N \NCRTN-SOt171 C11NEt6ON'== � i Box B calculations: Shade point height for vour residence. Bax B: 1. Determine whether measurements will be based on the peak or eave of your 5tr,icture. The orientation of the ridge is also important. Which describes your residence? 1 a: If the roof line runs North-South, measurements will ;� ;circle one) i-e based on the peak of the roof. �� 1A 1B 1 c i 1 b: If the roof line runs East-West and the roof pitch is less than 5/12, measurements will be based on the eave. ,^ %OM PONT EMf 10, 1 c-: It the roof line runs East-West and the roof pitch is 12 or steeper, measurements will be based on the TQ peak. fi F L E WOOD F A FK Rl 251 11 D,4 8585 SI.0 5RAE5URN LANE B.E. 1/4 OF 5ECT ION 11, T.2, R.IUJ, UJ.1 I. :ITY OF TIG,4RD '.U,45+41NGTON COUNT?-, OREGON , LEGENDHOMES 8900 S.w HAINES SMF.FT TIGARD. OREGON PLAZA 2. SUITE 200 97223-2514 OFFICE (503) 820-8080 FAX (503) 590-0900 u WATER METER ----- - I&W eA T I E R RO WATER LINE �' - - -- SANITARY SEWER - - - - ;TCRM GRAIN o� ---- P9 CF STREET CURB • MANHOLE SIDEWALK. ® CATCN BASIN - — -`- - ao FROPOSE'- 5 6 -02 a STREET 'FESS EA;?E�E► ? -- - -- - �I-8= STREET - 191.5 - ------------ ----------- -------- FIR_= _ �_ , L�JrO� c-- SSSS _ � � --- _ _ _ _ - l.fe ..t BACK LIN9 1915' i LA / LOT 25 / / ,/ a L OT 2,- I /4,339 SQ. FT. i 0 © 9 � 11 EXE TER 11 J A FIN. FLR. . IW.0' / / �' Lu /GARAGE FLR . 19 .3' Itj � 191.1' 191.4' PRO�IGE EROSION -1965 - - 9----------- �9- --------- CONTROL PENCE 9' UTILITY �� ? PER COMMUNITY EASEMENT •, EROSION PLAN SICEWAI_K E ---�_-E•�_�-__.- --------SGS----�._.�_ -- SW 5R,4E5URN LAN- CITY CF TIGARD DEVELOPMENT SERVICES SFWCR CONNECTION PF'RMTT 13125 SW Half Blvd., Tigard,OR 97223 (503)639-4171 PERMIT #. . . . . . . : r1WRgA--O? G�;IL I'3131JE:'D: O(5 t'7 "�tl "'ARCE'L: 2S111DA-03000 i Tr-: ADDRFG0). „ . :O6 85 SW DRAE81JRN LN tJBD IV IF)T ON. . . . :AF'F'i..F'Wn0D PnRK NO. P 7CN T NG: R-7 r,D BLOCK. . . . . . . . . . LOT. . . . . . . . . . . . . :17129 .J'IJR I SI:r T CT T ON: T I G TENANT NAME. . . . . ..LC CND H011F9 ;A N0. . . . . . . . . . . F I YTURF I_INIT5. . . : 0 .Aces or WORK. . . :NEW DWELT TNG I.JN I TS. . : i ` PE OF IJSE. . . . . ..SF- NO. OF SU I L.D I NGri: i ',IGTrll..l_ TYPE. . . . a AIJSWR IhiPEPV f5 I RFACE: 0 f' .,m.arro*~ : Sower- c,nnnpr-tian fnr a nPw sinrlIP f;imily dNt-rac•hed dwPllir•rg. .-:.GENT) H01v(FS type Kam0rtrrt. t:ry elate r,ccpt 400 f;W HWTNEG EiTRr=E'T f-",RMT $ ? 120. 00 GEO O6,/ 17.198 98 -3Of `7`'17 'BARD OR 97223 T NSP 4 35. 00 GF O 06/ 17/98 913-306597 ,nne #: -r,FND 1-10W*9 Cr)RP "100 SWr1HAINES ST #POO ""W) OR r:17Gi'7 r e #: f:,,:'O-HO80r 4 ;''2355. 00 TO TAI. ---— RF UL1I RED I NSF'Fm-T nNS — -This Applicant agrees to comply with all the rules and regulations Sewer Tnspert:i.cin of the Unified Sewage Agency. The permit expires 180 days from the data ;iyued. The total amount paid will be forfeited if the $preit 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 "A distance given. If nut so located, the installer shall purchase "Tap and Side Sewer" Permit and the Agency will install a lateral. ENTIM: Oregon law requires you to follow rules adopted by the egon Utility Notification Center. 'hose rules are set forth in MR 0P1-♦�i0 through OAR W-WI-W®. You may obtain copies of ese rules or rri•-prl ogpStlont +r 1W t�� railing (503)246-1%7. >SU.ed I Pei mittne Slgnartrrr'e : a+++4+++++++ r-+++-,I- t !• 1..4-+++4.++4+4-+4-+4-+-i-+.{..i.{+++++++++++++++++4•++++++4-++++4-+-- Call ►•++++-F.+•Cal. I 639 -.14175 h�- 7:0.:0 p. m. Fur ian inspaerkinrr r) 71prir0 t:-? nr,xt hrrsiness cley +++++++++++++++++++++•++++++++++++++++++++++++++4+++++++++++++++++•+4,++++++++++