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8835 SW RELLFLCWER f5WW .Si"
CERTIFICATE OF OCCUPANCY
CITY OF TIGARD
PERMIT#: MST98-00458
DEVELOPMENT SERVICES DATE ISSUED: 11/10/1998
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-9171 PARCEL: 2S111DA-05800
ZONING: R-7
JURISDICTION: TIG
SITE ADDRESS: 08835 SW BEL LFLOWER'�K FILE COPY
SUBDIVISION: APPLEWOOD PARK NO. 2
BLOCK: LOT:053
CLASS OF WORK: NEW
TYPE OF USE: SF
TYPE OF CONSTR: 5N
OCCUPANCY GRP: R3
TENANT NAME:
REMARKS: Single family deta-tied, Path 1.
Final Building Inst..:ction and Certificate of Occupancy Approved
9/28/99 by Ken Schriendl, Building Inspector
Owner:
MATRIX DEVELOPA'.[:NT
6900 SW HAINES ST#200
TIGARD, OR 97223
Phone:
Contractor:
LEGEND HOMES CORP
6900 SW HAINES ST#200
TIGARD, OR 97223
Phone 620-808f1
Reg #:
This Certificate grants occupancy of the above referenced building or portion thereof and
confirms that the building has been inspected for compliance with the State of Oregon
Specialty Codes for the group, occupancy, and use under which the referenced permit was
issued.
_ _
BUILDING INSPECTO BUILDM, OFFICIAL
POST IN CONSPICUOUS PLACE
I
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST
24-Hour Inspection Line: 639-4175 Business Line: 6394171 -- —
r�
G� BUP _
-- c?Date Requested. AM PM`,' -�" C�r BLD
p _ _ — ---
Location ,,b 3� 6.0 ! (�(,( /� Suite MEG
Contact Person �P Ph f !`L CJ PLM — --
Contractor Ph SWR
c
BUIL 114aTenant/Owner _ ELC
Retaining Wall - FSR —
Footing Access: —�
Fodndation FPS
Fig Drain
Crawl Drain Inspection Notes: , SGN
Slab _ — C� �r v
Post&Beam p SIT _
Ext Sheath/Shear c cc I
Int Sheath/Shear - -
Framing
InsulationDrywall
---
Drywall Nailing "S.P. C 3 -11-2,4 2,4 ��r`•. _
Firewall -
Fire Sprinkler
Fire Alarm -
Susp'd Ceiling — -- —
Roof —
Misc:
PART FAIL_
MBING —_-- --
Post&Beam --- +- ---
Under Slab
Top Out -- ---- --- --- - ------
Water Service
Sanitary Sewer ------ - -
Rain Drains
Final --- -- — -- -- -- --
PASS PART FAIL
gCHAMM
Post& Beam - -
Rough In
Gas Line - - -- ----- - -
Smoke Dampers(
n — - ---
i
S PART FAIL
!- EttTTRICAL ----- _ --
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 inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin f
l
Please cal nr reinspection RE
dire Supply Line Pl
[ � p _ [ ] Unable to inspect-no access
ADA
Approach/Sidewalk pet@ �,C
Other _ _ 1�- Inspector Ext
Final
PASS PART FAIL 00 NOT REMOVE this inspection rshcord from the job site.
CITYOF T I oG A R D ELECTRICAL_ PERMIT
PERMIT#: ELC1999-00366
DEVELOPMENT SERVICES DATE ISSUED: 6/21/99
13125 SW Ha] Blvd., Tiqard. OR 97223 (503) 639-4171 PARCEL: 2S111DA-05800
SITE :DURESS: 08835 SW BELLFLOWER L411�
SUBDIVISION: APPLEWOOD PERK NO. 2 ZONING: R-7
BLOCK: LOT : 053 JURISDICTION: TIG
Proiect Description: Acid a first branch circuit to an existing dwelling.
RESIDENTIAL UNIT _ TEMP SRVC/FEEDERS — _ _ MISCELLANEOUS 1
1000 SF OR LESS: 0 200 amp: PUMP/IRRIGATION:
EACH ADD'L 500SF: 201 400 amp: SIGN/OUT LINE LTG:
LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL:
MANF HM/ SVC/ FDR: 601+amps - 1000 volts: MINOR LABEL_ (10):
SERVICE/FEEDER BRANCH CIRCUITS
_ ADD'I_ INSPECTIONS _
0 200 amp: ."'/RFRVICE OR FEEDER: PER INSPECTION:
201 430 amp: 1st W/O SRVC OR FDR: 1 PER HOUR:
401 600 amp: EA ADD'L BRNCH CIRC- IN PLANT:
601 - 1000 amp: _ _ PLAN REVIEW SECTION_ _
1000+ amp/volt: >=4 RES UNITS: > 600 VOLT NOMINAL:
Reconnect only: SVC/FDR >=225 AMPS: CLASS ARe..A/SPEC OCC:
Owner: Contractor:
MARY GOMRINGER GRF ELECTRIC
8835 SW BELL.F LOWEP. LN 15460 SE PARADISE LN
TIGARD, OR 97224 MULINO, OR 97042
Phone: Phone: 503-82.9-4146
Reg #: LIC C01015
SUP 3003S
ELE 26-878C
FEES i _ Required Inspections
Type By Date Amount Receipt Wall Cover
PRMT GEO 6/21/99 $37.50 99-316292 Elect'I Final
SPCT GEO 6/21/99 $1.88 99-316292
Total $39.38 ORIGNAL
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR Specialty Codes and all other applicable laws
All work will be done in accordance with approved plans This permit will expire if work is not started within 180 days of issuance,or if work is
suspended for more than 180 days ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center Those
rules are set forth in OAR 952.001-0010 through OAR 952-001.0080 You.nay obtain copies of these rules or direct questions to OUNC at(503)
246-1987
Permit Signature: tics Issued By:
OWNER INSTALLATION ONLY
The installation is being made on proper'y I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: _ DATE:
CONTRACTOR INSTALLATION ONLY C
SIGNATURE OF SUPR. ELEC'N: �" Li c~�� _ — DATE: (,� ^l < <I
LICENSE NO. —
Call 639-4175 by 7:00pm for an inspection the next business day
06/21/1999 10:51 5038295747 'PF ELECT?1PAGE 01
,�ITY OF TWIARD
Electrical Permit A cation Pw Chid.4
13'."S SW HALL BLVD. Asc'd
T1aA RD OR 97223 OWN
PhMv,(503)M-4171, Mt 1'4i Deis aD 01
M&POC110-n (503)W00-4175 Print or Type 04ft ID DW
&
peffmi It t 3(e 4,
rFIA (503) 694 -7297 or 111991bip w111 not be sompted
C400d
1. Job A ddm a: 4. Compl*& F� Schodulegelow:
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bUP*Qd0M p®r PWVM MDQW&d
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Fach GWOU"Frou N ft rx
ww*'M ftwed $2500
L*And WAwqv yne
9"00
rlS
soh"ahro Hmw or MackAs' --
nr 19*sdow on 2
2s. Contractor inoWtation on/y:
0 (Aramat"m not"0� 4b swvkpm w reecw*
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Xtj Wnpa of W" ---- W L'X1 2
SSr itum of Supt. bec'n_, 2C1 ampo�4A74 wT4)o ITA 00 2
K), urim tr 900 wnpq SIM 00 2
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lnlwd�for sale, Wage 01 rent !«. Mllwadlerewucara
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NOTC
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/ CITY OF T MPSTER PERMIT
DEVELOPMENT SERVICES PERMIT #. . . . . . . : MST98-0458
13125 SW Hall Blvd., Tigard,OR 97223(503)639-4171 DATE ISSUED: 11/10/98
PARCEL: 2Sl11DA-05800
;ITE ADDRESS. . . :08i335 SW BEL LFLOWER 1 14
SUBDIVISION. . . . :P1PPLEWOOD PARK NO. 2 ZONING: R-.7 PD
BLOCK. . . . . . . . . LOT. . . . . . . . . . . . . :05,3 JURISDICTION: T I G
Remarks: Single family detached, Path 1.
------------------------ --------------------------------- BUILDING ------------------------------------------------ -
REISSUE: STORIES.......: 2 FLOOR AREAS ------- - BASF_MENT...: 0 sf REQUIRED SETBACKS---- REQUIRED------------
CLASS OF WORK.-NEW HEIGHT........: 23 FIRST....: 1014 sf GARAGE.....: 495 sf LEFT..........: 3 SMOKE DETECTRS: Y
TYPE OF USF...:5F FLOOR LOAD....: 40 SECOND...: 1286 sf FRONT.....,..... 22 PARKING SPACES: 2
TYPE OF 7ONST.:5N DWELLING UNITS, 1 FINBSMENT: 0 sf RIGHT.........: 4
OCCUPANCY GRP.:R3 BDRM: 3 BATH: 3 TOTAL------: 2320 sf VALUE..{: 110648 REAR..........: 18
------------------------------------------_____--------- PLUMBING ------------------------------------—---------
SINKS........... 1 WATER CLOSETS.: 3 WASHING MACH..: 1 LAUNDRY TRAYS.: 1 RAIN DRAIN ft: 100 TRAPS.........: :0
LAVATORIES....: 4 DISHWASHERS...: 1 FLOOR DRAINS—: 0 SEWER LINE ft: 100 SF RAIN DRAINS: 1 CATCH BPSINS..: 0
TUB/SHOWERS...: 3 GARBAGE DISP..: 1 WATER HEATERS. : 1 WATER .INE ft: 100 BCKFLW PREVNTR: 1 GREASE TRAPS—: 0
OTHER FIXTURES: 0
---____��.-------...---- - ------ ------------------ MECHANICAL
FLIEL TYPES ----- FURN t 100K ..: 0 BOIL'CMP ( 3HP 0 VENT FANS.....: 4 CLOTHES DRYERS: 1
GAS FURN )=100K ..: 1 LN]T HI-I)TFRS .. 0 HOODS.........: I OTHER UNITS...: l
MAX INP.: 0 BTU FLOOR FURNACES: 0 VENT;,,......... 0 WOODSTOVES....: 0 GAS OUTLETS..,: 1
ELECTRICAL - ----------------------------------------------
--RESIDENTIAL UNIT--- ---SERVICE/FEEDER---- --TEMP SRVC/FEEDERS-- ---BRA" CIRCUITS--- ---MISCELLANEOUS---- --ADD'L INSPECTIONS--
1000 SF OR LESS: 1 0 - 200 amp..: 0 0 - AM amp,.: 0 W/SVC OR FDR.,: 0 PUMP/IRRIGATION: 0 PER INSPECTION: 0
EA ADD'L 590SF.: 5 201 - 400 amp..: 0 ?01 - 400 aep..: 0 1st W/O SVC/FDR: 0 SIGN/OUT LIN LT: 0 PER HOUR......: 0
LIMITED ENERGY.: 0 401 - 600 amp..: 0 401 - 600 amp..: 0 EA ADDL BR CIR: 0 SIGNAL/PANEL...: 0 IN PLANT......: 0
MANF HM/SVC/FDR: 0 601 - 1000 amp.: 0 601+amps-1000 v: 0 MINOR LABEL -10: 0
1000+ alp/volt.: 0 ------------------------------------ PLAN REVIEW SECTION
Reconnect only.: 0 )=4 RES UNITS..: SVC/FDR)=225 A.: ) 600 V NOMINAL: CLS AREA/SPC OCC:
----------------------------------------------- ELECTRICAL - RESTRICTED ENERGY ----------- ---
A. SF RESIDENTIAL—--- B. CDKRCIAL--------------------------------------------------------------------------------
AUDIO I STEREO.: VACUIM SYSTEM..: AUDIO 6 STEREO.: FIRE ALARM.....: INTERCOM/PAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM..: 0TH: :s BO- rR.........: HVAC...........: LANDSCAPEiIRRIG: PROTECTIVE SIGN-:
GARAGE OPENER,.: CLOCK..........: INSTRUMENTATION: MEDICAL........: OTHR:
HVAC...........; DATA/TELE COMM.: NURSE CALLS....: TOTAL N SYSTEMS: 0
Owner: ------------------------------Contractor: ---------- -- - --- TOTAL FEESO 5011.21
LEGEND HOMES LEGEND HOMES CORP This permit is subject to the regulations contained in the
6900 SW HAINES S1 690th SW HAINES ST A'00 Tigard Municipal Code, State of Ore. Specialty Codes and all
TIGARD OR 97223 TIGARD OR 97223 other applicable laws, All work will be done in accordance
with approved plans. This permit will expire if work is
Phone A: 620-8080 Phone N: 620-8080 not started within 180 days of issuance, or if the work is
Reg C.: 000605 suspended for more thdr 180 days. ATTENTION: Oregon law
-------------------- ------- ---------—----------------- requires you to follow rules ;0 ipted by the Oregon Utility
Notification Center, Those rules are set forth in OAR 952-001-NIO through OAR 952-901-0090. You may obtain copies of these rules or
direct questions to OLNrC by calling 1503)246-1987.
------------ -------- REQUIRFD INSPECTIONS -•---------------------------------------- -
Erosion 844-8444 Crawl Drain/Back Electrical Rough Insulation Insp Mechanical Final
Footing Insp PLM/Underfloor Framing Insp Rain drain Insp Plumb Final
Fnundation Insp Mechanical Insp Shear Wall Insp Water Service In Building Final
Post/Beam Struc+ Plumb Top Out Low Voltage Appr/Sdwlk Insp
Post/Beam Mecham Electrical Servi Gas Line Insp Electrical F.nal
Issr-s Pd 13 /' Permittee Signature:
+++•++t ++++ +++ +++++ +++++++++++++ t +++++++++++++++ ++ f++ ++ ++++++++
Call 639-41.75 y 7: p. m. f.r an inspection needed the next br.:siness day
Plan Check A
Iry OF TIGARD Residential Building Permit Application Recd By / x
;125 SW HALL BLVD. New Construction Additions or Alterations Date Recd
CARD, OR 97223 Single Family Detached or Attached (Duplex) oats to P E /1 4 Sg
503-639-11171 Date to DST 't'
503-684-7297 1Permit p N'5y- '.
Print or Type �l�` caned s
Incomplete or illegible applications will not be accepted
cog 9k- O�e
- _- -- TZ)
roject Name l`p
Job Si dress J Architect Madi Address >
Address _
� �• y� ,C�._ Cityl$tate Zip Phone -•_�r/",��
--- Na a CEl' � -
P1Nar
OwnerMaill Address -
c
Engineer Mailing Address-ifj
i State Zip Phone !_ 1 f05
G V" City/State Zip Phone
General Nam A, � 7
'! t Describe work few Additi n O Alteration O Repair O .
Contractor L� �D _ fix•
Mallin Address to tk+done:
n_q Q Additional Description of Work:
Prior to permit '
.ssuance, a copy City/State zip Phone "
of all licenses W11
are required if OConst.Conl. Board Exp.Date" :«,, . PROJECT
expired in COT Lic.# c / 7 VALUATION x,
database
Mechanical Nama i'I
_ NEW CONSTRUC ON ONLY:
Sub- Sq. FL House: :- Sq. Ft Garage F
Contractor Mailing Add
Prior to permit
2� 5 L
(� Fh Corner Lot YE5 NO Flag L.o� YES NO
ssuance a copy City/State Zip Phone (check one) (check one) `
of all lice.ses IPO(��- 17-1fo ?".53 1 Restricted Audio/Stereo Burglar , ..'.
are requin!d if Oregon Cons.Cont. Board Exp. Date Energy System Alarm `
expired in COT Lic l! 4
database 'Door oar HVAC
g I Installation � ,
--- Opener LSystems
Plumbing Name ---
Sub- I t t'-\a (check all that Other
apply)
Contractor Mailing Addressy`
Will the electrical subcontractor wire for all YES NO
PCS tc��J�c �r1t� restricted energy installations?
Prior'.o permit City/State Zip Phone Has the Subdivision Plat recorded' N/A YES NO
ssuance, a copy L - -
of all licenses are Oregon Const.Cont. Board Exp. Date -- --L--
required if Lic a Reissue of MST# Sular Compliarce
expired m COT 3 b� �� _ 10 `(� -9 (Calculation Attached)
database Plumbing Lic.# r-�'
Date I hearby acknowledge that I have read this application, that the
a a74 �� information given is cc -Pct. that I am the owner or authorized
agent of the owner, and that plans submitted are in compliance
Name with Oregon State laws.
Electrical C-kFh&Y- c- r I C_� S/ia re #Owner/Agent Date
Sub- Mailing Address
0 nta Pers6n me Phone#
Contractor Z- 5 W TV tt gty` _ �0 ,#C'
C,yiState Zir Ph e
Prior to pemidFOR PFFICE USE ONLY:
ssuance. a':spy �c��—Y_�7 Chi �� j ('�2 Plat#
If all iicerses are Oregon Cc st.Cont Board Exp Date
requires! f L!c 0 Se ac Zone: Solar:
_ I YI qq
�. ,
expired.n rr]? .13.11 ' � I d _ �� l _l
database Electrical Lit Exp Date Engineenng Approval planning Approval. TIF.
J •-'`+���
I SFREM DOC (D rsT� r
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 J
the lot slopes clown from the front lot line to the foundation, the figure is negative. ft
3. Measure distar ce from finished floor elevation to the affected peak/eave. + �_. ft
4. If the roof line runs North-South, deduct three feet. If the roof line runs East-West, - `�I ft
deduct nothing.
5. Subtract one foot for each foot of difference in elevation from the front property
line to the rear property line, i;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. ft
6. Total figure for box 13: ft
Box C. Distance to the shade reduction line. Box C:
1. pleasure the distance from the North property line to the foundation near the ft
affected peak/eave. e_
2. Measure the distance from the foundation to the affected peak or eave. + ✓ ft
3. Tail figure for box C: ;� 7' ft.
;t is most useful to draw a vertical line to represent the appropriate figure found in box'A'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 d.e 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 toe 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 (1n Feet)
Distance to North south lot dimension(in feet)
shade 100f 95 90 85 80 75 70 65 60 55 50 43 ai
reduction line
from northern
lot line(in feet) _
70 40 40 40 41 42 43 4.1
65 38 38 38 39 40 41 42 11I13
60 36 36 36 37 38 39 40 1 42
55 34 34 34 35 36 37 38 9 40 41
50 32 32 32 33 34 35 36 �7 38 39 40
45 30 30 30 31 32 33 34 �15 36 37 38 39
40 28 28 28 29 30 31 32 �31 34 35 36 37 38
35 26 26 26 27 28 29 30 1 32 33 �'4 35 3b
30 24 24 24 25 26 27 28 9 30 31 32 33 34
25 22 22 22 23 24 25 26 7 28 29 30 31 32
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: feet
h:\docs%nancylvenwra�s lavchp
Revised 2126"96
Solar Balance Point Standard Worksheet
Address---
Box
ddress -Box A calculations: North-South dimension for the lot. Bax A:
Ehis dimension is determined by finding the midpoint of the North lot line and drawing
an intersecting line perpendicular to that point.
First, determine which property line is the North lot line. The North lot line is the line
vith the smallest angle from a line drawn east-wesr and intersecting the northern most
point of the lot.
450--,,
nor uE " "
�- N North-South
Dimension for Lot:
Measure the distance trom the midpoint of the North lot line to the South lot line along
the described line.
- ' feet
— N \
— �r+car.scVmi MAFrmoEa�'j
Box B calculations: Shade point height for your residence.
Box B:
1. Determine whether measurements will be based on the peak or eave of your
structure. The orientation er the ridge is also important. Which describes
your residence?
1 a: If the roof line runs North-South, measurements will (circle one)
be based on the peak of the roof.
16 1C
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. ,•; '�•
%IA"PCmi EA�E
1 c: It the roof line runs East-West and the roof pitch is
;,12 or steeper, measurements will be based on the
peak.
FLOT FLAN
LOT #53, AFFLEWOOD FAR<
R-1 251 ii DA
TAX LOT 05800
&835 5W BELLFLOLIER LANE
S.E. 1/4 OF SECTION 11, T.2, R W, W-1.
CIT'71- OF TIGARD
LJ45141NGTON COUNTI ORE�:aON
LEGENDHOMES
6900 S.A. HAINES STREPT TIGARD, OREGON
PIAZA 2, SUM 200 97229-2514
OFFICE (509) 620-BOAI) FAX (509) 598-8900
L
LOT 51 OT 41
N 89'5475" E
62.2`0'
202.2'
PROVIDE EROSION ®Ig
CONTROL FENCE LOT 52
PER COMMUNITY"
ER05ION PLAN
201 B'
0 WATER METER ,LOr 53
"� d1 4,016 SQ FT.
U1— — --- WATER LINE r
J1
_- AGENT A,
SS— � SANITA Y R � �
R SEWER FIN FLR = 22`2.0' O
5D- -- - — � GARAGE FLR • 201.4' 0
STORM GRAIN � ~
Q 9
�--------- Q `-.F STREET
MANHOLE
® CA1CN BASIN
PROPOSED N 4.5'
STREET TREES —
181 STREET LIG �T ----- - ----- ---I—- -- B -----
8' UTILITY ----- 1--- - 200-t
FIRE NY DRANt EASEMENT 2�1PZ 200.1'
SIDEWALK N 89'5475" E
101_ -
1 CURB
5W BELLFLOWER� STREET
joc
CITY
OF
T SEWER CONNECTION
DEVELOPMENT SERVICES PERMIT
13125 SW Hall Blvd., Tigard,OR 97223(503)639.4171 PERMIT #. . . . . . . : SWR98-030/+
DATE ISSUED: 11 /10/9-8
PARCEL.: 29'111DA-05800
S i TE ADDRESS. . . :08835 SW BELI_F I_OWE R I._N
SUBDIVISION. . . . :APPLEWOOD PARK NO. 2 ZONING: R-7 PD
BLOCK. . . . , . . . . . LOT. . . . . . . . . . . . . :05 3 JURISDICTIG TIG
-------------------------------------------------------
TENANT" NAME. . . . . :LEGEND I-#nMES
USA NO. . . . . . . . . . . FIXTURE UNITS. . . . 0
CLASS OF WGRK. . . :NEW DWELI._I NG UNITS. . : 1
TYPE OF USE. . . . . .SF NO. OF BUILDINGS: 1
INSTALL TYPE. . . . :I._TPSWR IMPERV SURFACE: 0 sf
Remarks : Single family detaC_heci, Fath 1.
Owner~: —___._.__......_.__.__.__..___.._.__..____.._____._._.-...____...._______...._...----- FEES --_-----------.
LEGEND HOMES type amol-int by date recpt
F,900 SW HAINES ST PRMT $ 2300. 00 00 GEO It/10/98 98-310705
TIGARD OR 97223 INSP $ 35. 00 GEO 1t/10/98 98-310705
Phone #:
Contractor: ---------------._-------__—__---
nWNER
$ 2335. 00 TOTAL
rl #(. .
------- REQUIRFD INSPF_.CTIONS - -- ----
This Applicant agrees to comply with all the rules and regulations Sewer Inspection
of the Unified Sewage Agency. The permit expires 188 days from
the date issued. The total amount paid will be forfeited if the
pewit 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 stall prospect 3 feet in all directions from
the distance given. If not so located, the installer shall purchase
a "Tap and Side Sewer" Permit and the Agency will install a lateral.
ATTENTION: Oregon law requires you to follow rules adopted by the
Oregon Utility Notification Center, Those rules are set forth in DAR
952-001-0010 through OAR 952-0001-0080. You may obtain copies of
these rules or direct questions to On byHing (583)246-1987.
I s s l_i e d b y : ��`�;Z.--- _ F'e r m i t t e e S i g n a t i_u,e :- ��� < <�
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Call 639-4175 by 7:00 p. m. for an inspection needed the next bl_isiness day
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