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13403 SW ESSEX DRIVE i i W 06 O W Enn V. C+J En in y � f C7 0 ~ C CrJ 1 f „f M� W I —. 13403 SW ESSEX DRIVE ._. CITYOF TIGi4,RD CERTIFICATE OF OCCUPANCY PERMIT #: MST97-00262 DEVELOPMENT SERVICES DATE ISSUED: 08/12/1997 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 2S104CA-00400 ZONING: R-7 JURISDICTION: TIG SITE ,ADDRESS: 13403 SW ESSEX DR SUBDIVISION: HILLSHIRE BLOCK: LOT:004 CLASS OF WORK: NEW TYPE OF USE: SF TYPE . F CONSTR: 5N OCCUPANCY GRP: R3 TENANT NAME: REMARKS: Path 1 Owner: WERNER, JON + BETH 7212 SW 176TH AVE BEAVERTON. OR 97007 Phone: 591 3228 Contractor: DC WELCH 6825 N GREENWICH PORTLAND, OR 97217 Phone: 289-7039 Reg 11: This Certificate issued 06/2 112000 grants occupancy of the above referenced building or portion thereof u^-+ confirms that the building has been inspected for complian- +ith the State of Oregon S ecialty Codes for the group, occupancy, and use under which the references! per. wasrmued. BUILDING INSPEC OR T BUI DL�TNG dFIFICIAL POST IN CONSPICUOUS PLACE CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Lir 639-4175Business Line: 639-4111 r'r`T BUP �_— Date Requested AM �PM BLD Location— 13L'I (7 !L � SQ_A/ Suite – —_ _. MEG Contact Person _ Ph PLM Contractor PhS9 — SWR UILDING) Tenant/Owner CLC Retarning Wall ELR - - Footing Acces _ --- --- 1'cundatfon FPS Ftg Drain Crawl Drain Inspection Notes: SIGN Slab —----- --- - - -- Post 8 BeamSIT Ext Sheath/Shear Int Sheath/Shear - --- - - - --- Framing _ Insulation --------------- - --- Drywall Nailing _ G� �_ � �jj eye) Firewall - -- -- Fire Sprinkler Fire Alarm - - - Susp'd Ceiling I - -- --- `---- ___-- Roof ------ Mis real S � ART 1-AIL ------—- IA !NG Post& Beam -- Under Slab Top Out -------- _ _ Water Service Sanitary Sewer - Rain Drains Final - --- — PASS PART FAIL MECHANICAL_ —�-- Post& Beam Rough in Gas Line - -- Smoke Dampers Final - ---- —_- PASS PART FAIL ELECTRICAL— S ervice LECTRICALService Rough n UG/Slab --- --- ----- --- - - -- ow Voltage Fire Alarm Final ------- - - - - ----._--- PASS PART FML -_-- SITE - ------ - - Backfill/Grading - Sanitary Sewer Storm Drain [ J Reinspection fee of$ required before next inspection Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line f ]Please call for reinspection RE:__ — -_ [ ]Unable to inspect-no access ADA Approach/Sidewalk fJ ate f / Other InspectorExt Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. s CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 639-4175 Business Pho e: 0394171 Date Requested: _ ��. �_ MST: 1 to Location:,—L� l {,(� �,l,C1 , - _ BUR 1'enaat: Suite: /Bldg: NEC: Contractor:-9 —Phone: �./Z 5 V 1C� PLM; fwner" Phone: ELC: ELR: _ SIT: $UILpING A1 ` 191tim n4 t) PLUMBING CHANIC > ELECTRICAL SITE Site �Bcanl 'L Post/Beam os eam Cover/Service Sewer/Storm Footing UndFI/Slab Rough-in Ceiling Water Line Sldb Framing Top Out Gas Line Rough-In U0 Sprinkler Foundation Insulation Sewer Hood/Duct Reconnect Vault 138mt DampJJL►rywa11 Storm Furnace -temp Service MISC. Masonry 4k iling Rain Thain A/C UG Slab `1 I Fire Spkir/Alm Crawl/Found'.h I Icat Pump Low Volt _ �.e Approved rove Approved Approved ^_— Appr/tidwlk ;A:L ov Not Approved5'(J��� Not Approved Not.Approved / Not Approved FINAL KIN INA FINAL Ott-7/2*,YFINAL s A M t _l tie�-+-�_* Z ©n C4 C0&n AOL S1�2� 1 1� I�fJ�Cl.J4 ol Co=OAA r . ---- 4B'— --- -- - - - lec aves 9LC811 for minspectio O Reinspection fee of S_ required before next inspection Cl Unable to inspect Inspector: _ _ Date: - Page of �3b CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 6394175 Business Phone: 639-4171 Date Requested: 5_—✓ —% A.M. P.M'. MST: 7 Location: 3 �� �� Q�' BUR Tit. Suite: Bldg: NEC: Contractor: W,��1 -ih D.� "bone: PLM: Owner: Phone: ELC: ELR: SIT: BUILDING BLDG(can't) LUMBING MECHANICAL ELECTRICAL SITE Site Post/Beam Post/Beam Cover/Service Sewer/Storm Footing Roof UndFI/Slab Rough-In Ceiling Water Line Slab Framing Top Out Gas Line Rough-In UG Sprinkler Foundation Insulation Sewer Hood/Duct Reconnect Vault Bsmt Damp Drywall Storm Furnace Temp Service MISC. Masonry Ceiling Rain Drain A/C UG Slab Shear/Sheath Fire Spklr/Alm Crawl/Found Dr I feat Pump Low Volt Approved v Approved Approved Approved Appr/Sdwlk Not Approved No lAwroved Not Approved Not Approved Not Approved FINAL IN FINAL FINAL FINAL oc A 2 ,r D 2 O Call for reins tion D Reinspection fee of S fore next inspection C3 U, .de to inspect hispector. _ Date: Page _of L07- CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 639-4175 Business Phone: 639-4171 Date Requested: nm. P.M. MST: c7 `l — .26 2 Location: 1340 _5 �� _ BUP: Tenant: Suite: Bldg: _ MEC: Contractor: (_J&_r\_ 1_A nXA.Phone: ,5.X �(C�.2�_ PLM: _ Owner: Phone: ELC: ELR: _ SIT• BUILDINC BLDG(con't) PLUMBING MECHANICAL X_ ELECTIRU=A10 SITE S•- Post'Beam Post/Beant Post/Beam ..o�ISmice Sewer/Storm FOL,a..� Roof UndFI/Slab Rough-In Ceiling Water Line Slab Framing Top Out Gas Line Rough-In UG Sprinkler Foundation Insulation Sewer 1-loodMuct Reconnect Vault Bsmt Damp Drywall Storm Furnace Temp Service MISC. Masonry Ceiling Rain Drain A/C UG Slab Shear/Sheath Fire Spklr/Alm Crawl/Found Dr FFcat Pump Volt Approved Approved Approved pro Approved Appr/Sdwlk Not Approved Not Approved Not Approved ���; roved Not Approved FINAL FINAL FINA L SAL FINAL L2r7—� -- _ Q l -t• S�` C1 Call for reinspection Reinspection fee of S--�required before next inspection 0 Unable to inspect Inspector: Date: �� � Pege of__ CITY OF TIGARD DEVELOPMENT SERVICES 13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 F:!_Ittii�r '.'�' '';Tt`1N.. . „ . ;d11L1_'_,11I��k.: 7r7n1.Tr•,aC�: r 004 tIP T F'Cl , Remarks: Path 1 ----------------------------_._.---_..__..__--_.---___.._..__._.._.____.._ BUIL.DiNC REISSUE: 71"PIES....... 2 FLOOR AREAS.__..-.----- BASEMENT... : 364 sf REOUIRED 3ETDACVS---- RE CLASS OF WORK MEIGHT........; 35 FIRST....: E338 sf GARAGE..... : 470 sf LEFT,.........: 5 MF T)rT- TYPE OF USE... FLOOR LOAD....: 40 SECOND...: 840 sf IRONT......... 20 PF TYPE OF CONST.:SN DWELLING UNITS: 1 FINBSMENT: 0 sf R1947.........: 5 OCCUPANCY GRP.0513 BDRM: 4 BATH: 3 TOTAL----- 3178 s` VALUE-$: 229866 REAP,..........: 65 ------------ --------- --- --- -_- -- --- ...�__ ____ _ PLUMIIING --------------'---------------------------------- -- SINYS.......... l WATER CLOriETS.: WA91ING MACH.,: 1 LAU0RY 7RPY5, : RAIN DRAIN ft: 100 TRAPS,. ...... d „'ATORIEI'.,.,t 4 DISHWASHERS...: I FLOOR DRAINS..: 0 SEWER LINE ft: 180 SF RAIN DRAINS: l CATCH BASINS..: 0 !SHOWER,,., : GARBAGE ()!SV_: 1 WATER HEATERS.: I WATER LINE ft: ;a8 [kr 4FLW PREVNTR: 1 GREASE TRAG1,5,. 0 MR FiyT10F "' _ -- -_. ._.._... .__..._._..._..__ tELI"ICAt. -_......._. _ FUEL TYPES•---.•--..--.-- FURN i 108li .. : 8 BOIL/CMP ( 3HP, 0 VENT FANS.,...: 4 CLOTkES DRYERS: i GAS FJrrh, )-108Y i _NIT 'EATERS.., 0 HOODS........... 1 OTHER UNITS.,.. 1 MAY INF'.: 0 BTU FLOOR FURNACES: 0 VENT'.........: P WOODSTOVES....: 0 GAS OUTLETS—. 1 ELECTRICAL -'RESIDENTIAL UNIT--- ---5ERV1:E/rcEDER- -- -TEMP SRW;/FEEDERS-- ----BRANCH CIRCUITS--- ----MISCELLANEOUS---- --ADD,i_ :000 SF OR LESSs 1 0 20amp..: P 0 20P amp..: a N/SVC OR ISR..: A PLS/IRRIGATION: 0 PER INSPEf.' EA ADD'L 5005F.: 7 201 400 amp..: 0 201 - 400 amp..: 0 1st W/O SVC/FDA: 0 SIGN/OUT LIN LT: 0 PER HOUR....., : ' �IMiTED FWRGY.: E 600 amp,,; P 481 50ri aep..: 0 EA ADDL BR CIA: 0 SIGNAL/PANEL,... 0 IN PIAS' ' HM/SVC/FDR: P 601 .. 1000 amp.: P 601+amps-1000 v; 0 MINOR LABEL -10: 0 1000+ amp/,cl',..: 0 _. ..._ _. . vLHN nE:IEW SECTION Reconnect only.: 0 1=4 RES 'UNI'5..: SVC/FDR)=(`,`5 A. ► 680 V NOMINAL: CLC ELIC-"'.AL RE5''RI;CTED ENERGY 1. SF RESIDENTIAL----------------------------- B. COMMERCIAL------------------------------------------------------------------- ___ AUO10 I STEREO.: VACUUM SYSTEM..: AUDIO & STEREO.: FIRE ALARM.,.•.: INTERCOM/PAGING: OUTDDOR L%Sr 3URGLAR ALARM,.: OT4. Y BOILER......... HVAC...,. ..... . L(INDSCAPF/IRRIG: PROTFCTIVF I 30433E OPENER.,. �t., ""S ,1 t * , H .,.'1C .. ...., , L..,TR._MEN A�I3t1: MEDIAL......... OT' R; .. «VAC............ DA'A/TFLF '"CIM. : NURSE CALLS.-..: TOTAL 4 FV",TE"r_; Owner. --- .._......__..-__---.___.___.._. .__..-__C0rtract1r: -- ._ r r. _ - _..____..___._.__-- '.'AL EES,! 47N.36 WERNER, JON & BETH DC WELCH This perimit is subject to the regulations co^tai 1212 SW 176TH AVE 6825 N GREENWICH Tigard Municipal Code, State of Ore, Special' "''^'aERTON OR 97007 PORTLAND OR 97217 other applicable lawq. All work will be done with approved plans. Ti)is permit will ex �Ie ttc 591-3228 Phone 4: 289-7035 not sta,•ted within ISO days cf issuance, Peg A..; 55743 suspended `c• more than 180 days, ATTPr:'-.. =.:a_ _ __ _._. __........_._ ._. . .__ _ -._ _.. requi�-es ion.; to fo'.low rules adopted by the " +otrr;rar:cr, Center, Those rules are set `orth in OAR 95E-001-0018 t`?reug' OAR 952.801-0PA0. Yov may obtain copies of t' p0tion- t: OLRr1C try calling '583)246-1987. ---- -•-- --------------------- - REOUIRFD iNSTCTIONca Post/Beam 14ec?-en Electrical Servi Gas Line Insp Water Lint Insp Build ;ravel Drain Electrical Bough Gas Fireplace Appr/Sdwi4 Insp nLM' ndeiftrcr 'arcing Insp ir;s::lation Insp Electrical Final Shear bail Insp Gyp Board Insp mechanical Final otow Voltage Rain drain Tr:sp ^'.;e'+ JI ' � V ___ a 1�RI 1 t t e?P 1� �1 t 1 r ��`���L.•�..._��,�y 1 4 1 .1 1. 1 t t I 1 1 f i I.r I q 4? 7I 1_?)' f' G�V111. M. ff7►'' 'I Tl i1,r:l nt"E. 1 t11'I rlE'f°f1F'!I i,l;t.. r T„i ;. F CITY OF TIGARD DEVELOPMENT SERVICES 13125 SW Hall Blvd.,Tigard,OR 97223 (503)639.4171 L 3L.1BD I V T SI ON. . . . :HTLLE-iHIRE LOT. . . . . . . . . .004 TF NnNT Hn.MF.. j-3A.' '.JOA mi r "jF NO. . . . . . FIXTURE UNITS. . . . 0 ; , W7,Rl— . NEI DWEI LTNri 'UNM7,. I TYPE* (IF USE. . . . .9F NO. OF BUT!FDINGS: I IN!"TALI ""YPF. . ., :B U IMPERV SUPFOCE: IZI R e I"a-.(,;, . L t) I f3wllet,�- .--- FEES iwrF try d4i 1,P r ec:Pi, PO BOX 11-71 PRMT $ 2200. 00 JMH 10/25/96 96 Ea,,J7 1-AV1- F)")WE'09 0R '970 "1" IN13P $ 35. 00 Tlyl'! 1.0/2 5/96 W—.. OUL $ 210. 00 11 08/12/97 9, -71981t0 -7 GUN t 310. V10 0 fA 9 P) 27 EROS $ 88. 00 B 08/12/97 97 C 0711 1 4(.-1,0t- .- F R P 1-1 C16, GO P. 0B/ 1P?7 7'7 OWNED E R!7,C $ 1211. GO B 08/ 1,`/97 97 219181 $ 'SF30.0. '121 TOTAL RE-9.L) 9.L)I RED I NSPECT T UTNE; Tf,is Applicant agars to coeplV Nith all the rules and regulations ,if the Unified Spwagr Agency, n,,e persit expirpi 180 days frov f"ast., the date issued. The total asount paid will he forfeited if the peroit expires, The Agency does no' guaraitee the accuracy of the ...... side sewer laterals. If the sewer is rot lacatFd at the aeaiures�r' given, the installer shall prospect 3 feet in .all c;rections frr,m the distan-v given. if rot sr, located, the installer shall purchase A "Tap and Side Sewer' Persit and the Agency will install a lateral, 17TENTIM: Oregon lah veq,Ares you tro, follow rules rxvopted by the --—---- Iregor. Utility Nctification Center. Those rues are set forth i� OAR 7&I-011-WO through OPR 952--Wl-OW. You Ilay obtain copies of 1,hese rates or tii NC by calling 103)246 1%7. 4 Plan Check r �/ Y OF MARD Residential Building Permit Application Recd By -� 25 SVV HALL BLVD. New Construction Additions or Alterations Date Read 11- ARD, OR 97223 Single Family Detached or Attached (Duplex) Date to P E. 13-639-4171 Date to OST . 3-684-7297 �� - Print or Type called incomplat. or illegible applications will not be accepted Name of Protea Name Architect Mailing Address Address Site Address )kV ,��,��, �d'c �r` " :W X C ryrState Zip Name _J ¢ 6Z--rH WE('NEr i "yi^7 Owner Mailing Address Name Q F ( �r^ lr"' lacy �� �r � t"W 1, �' :� Engineer ;� Nil'"Pf( f! C�rylState Zip Ph a ai6np gdj " , t%r4tTRTGN 17001 151 l9E city/ale Zip Phone Name General D- f Describe work New Addition O Alteration O Repair O ontractor Mailing Address to be done: 6t,;,-5 N 6 REEAI A,';('N Additional Description of Work: �� �'pl i i�� CirylSlate ZPhone Oregon Const.Cont. Board Lic 0 Exp,pate r each copy of ,y3 Cz 2u ? J Current COT Business Tax or Metro>MI Exp. Date i�ROJECT _icenses VALUATION $ 8; Name NEW CONSTRUCTION ONLY: Mechanical �.- -- Sq. FL House: Sq. Ft. Garage ",i: Sub- Mailing Adorers {iiv untractor / Comer Lot YES NC� Flag L.ot YES NQ' City/State Zip Phone (check one) ► (check one) i/ - Oregon Const.Cont, Board Lic N Exp. Date Restricted Audio/Stereo Burglar itch copy or Energy _ System_ Alarm Current COT Business Tax or Metro a Exp Date Installation Garage Door HVAC u ' "icenso-s �� Opener ' Systems Name (i;tiecJc all that Other: 'lambing apply) Sub- Mailing Address Will the electrical subcontractor wire for all YES NO 'ontractor / restricted energy installations? c.ty,state z.p Phone _ Has the Subdivision Plat recorded N/A YES NO Oregen Const Cont. Board Lac It Exp Dare Reissue of PAST#: Solar Compliance tach Copy of Attached) Current Plumbing Lice Exp Date I hearby acknowledge that I have read this application, that the Licenses _ information given is correct, that I am the nwner or authnrized COT Business Tax or Metro 0I Exo Date agent of the owner, and th t plans submitted are in compliance Name with Cregon S laws Signature w Age Date Electrical r �;" i• _ �1/ti- Sub- Mailing Address Contact Pers n ame�CN E Phone# ontractor _ _ Cty Smey Zip Prione FOR OFFICE USE gNLY: Plat *_.,._ — LX: r ' Oregon Const. Cant- Board Lic 0 Exp Date t ttach Copy of _ Setbacks: Zone. ! Solar Current E!ectncal L:c. 0 — J Exp Date t Licenses Engineering Aoprbval: Planning Approval: TIF: CCT 9isiness Tax or Metro M Exp Cate i:`st p.doc tdsq 1/97 Permi # Account DQscriotion AmQ= Amt" Pd• Pal. Due L—�— MST. Permit (BUILD) Plumb. Per.-iit (PLUMB) 21 Mech. Permit (MECH) ELC/ELR Permit (ELPRMT) ~ s3 State Tax (TAX) _ Bldg: 3 Plumb: z; t� Mech: 2 �" ELC/ELR: Plan Check j MST: (BUPPLN) Plumb: (PLMPLN) Mech: (MECPLN) _Z C PC •1 CDC Review PI,N (LANDUS) _2Q,o�_✓ __ ewer Connection (SWUSA) _ Reimbursement District Sewer Inspection (SWINSP) Parks Dev Charge (PKSDC) Residential TIF (TIF-R) 1,570 Mass Transit TIF (TIF-MT) 2-el Water Quality (WQUAL) Water Quantity (WQUANT) Erosion Control Permit (ERPRMT) Erosion Planck/USA (ERPLAN) Erosion Planck/CGT (EROSN) Fire Life Safety (FLS) TOTALS: '73l�v. �7 rltih0p-d0t (dSq 119 q-11711 - - - 5 w ST CITY OF TIGARD ��OREGON INTENT TO HAUL EXCAVATION I, _T0N WFt?NF(? (print name), hereby certify that all excavation material on the subject property will be removed from the site and not be placed as fill, except for that amount necessary to back-fill the foundation ONLY. I understand that failure to remove the excavation material will result in the requirement to remove the materal or obtain a grading permit by submitting grading plans prepared by a licensed engineer accompanied by a geo-technical report regarding the placement of the excavation material as fill. 6 e ,'/ 91 Sign ure Oats .Job Address: 0o3 '141 Subdivision: �� 'S'��'r� Lot: y 13125i9WWdtS7M9Tigard, OR 97223 (503)639-4171 TDD (503)684-2772 Box B. continued Box 8: '_. ,Measure change In e!evaticn from front property line to finished floor elevation. If the lot slopes up from the front !cit line to the 'ourdation, the figure Is positive. If ft the lot slopes down from the front lot line to the foundation, the figure is negative. ---_� + Ft 3. Measure distance from finished floor elevation to the affected peak/eave. �`� 4. If the roof lire runs North-South, deduct three feet. If the roof line runs East-West; It deduct n- ping. Z 1 S. Sub�ract 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. 1 - ft 6. Tou figure for box B: - k Box C. Distance to the shade reduction line. Box C. 1. Measure the distance from the North property line to the foundation near the ' ft affected peak/eave. 2. Measure the distance from the foundation to the affected peak or eave. + if ft 3. Total figure for box C: _ 7 ft It is most usefW to draw ocal fine to represent dw appropriate ripm Torrid in box'A'and a hoiixontal line ro represent the appropriate rju a found in o ax'C'.The intersection of the vertical and horizontal lines determines the value found in box'0 .The value in box 'D'should be awnpired to the value in box'8'; if the value in box'8'is lea dun or equal to the value found in boot 'D', then the building is in c ompriance vvith the solar balance code. If you have any questions, please cont mi us at 639-4171,x304 or at the Community Gereloprsent Counter. MAXIMUM PERMITTED SHADE POINT HEIGHT (In Feet) Distance to r brth-south bt dimension an feet) shade 1100+ 95 50 85 80 75 70 65 60 55 50 4S 40 reduction fine I! (Harm northers Inc inellnfeel) -_- 70 40 40 40 41 42 43 44 65 38 '8 :8 39 40 41 42 43 60 36 36 A6 37 38 39 40 41 42 33 11341 '4 34 35 36 37 38 39 40 41 30 32 3_ 32 33 34 35 36 37 33 39 4n s5 30 30 30 31 32 33 34 35 36 37 38 39 .0 23 23 23 =9 30 31 32 33 34 35 36 37 38 35 26 26 26 27 23 29 30 31 32 33 34 35 36 70 24 24 24 25 26 27 23 ;9 30 31 32 33 34 15 22 '? 22 23 24 25 26 ,7 23 29 30 31 32 20 _0 ;0 20 21 22 23 Z4 25 Z6 27 23 29 30 13 18 18 18 19 _0 21 2-1 2.3 .4 25 26 27 23 10 16 16 16 17 18 19 20 21 _2 23 24 25 26 5 14 14 14 15 16 17 18 19 -_l7 21 22) 23 24 Box D. Maximum allowed shade point height: _ J'�� _ feet h�`cicz�nancv`vertna a wtar.�a Relsed ^_5?b Solar Balance Point Standard Worksheet Address Bax A calculations: North-South dimension for the lot. Box A. This dimension is determined by finding the midpoint of the Notth lot line and drawing an intersecting line perpendict,,ar to that point. rir5t- determinewhich 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: WI W e f iM N North-South Dimension for Lot: Measum. the distance from the midpoint of the North lot line to the South lot line along the descibed line. �',' feet I t �. N Box B calculations: Shade point height for your residence. Box B: 11. Determine whether measurements will be based on the peak or ea,,e of your Which describes structure. The orientation of the ridge is also imprttant. your residence? Ia., If the roof line runs North-South, measurements will � (circle one) L7ffbe based on the peak of the roof. JIM o a a 4 1A 18 IC 15: If tt e roof line runs cast-West and the coi pitch is less ;;,an 3/'!2, measurements will 'e ';aced en rI•e 1 , Pays' L. , J I 2--CX E^A 1c: If the -c&lire ni is East-.vest and the rocf pitch is 5i12 cr steeper, measurements will be based on the n_ _t: peak. .�„ CITY OF TSEWER CONNECTION DEVELOPMENT SERVICES BERM I T F'E:RMIT #. . . . . . . : 5WR96--04 50 13125 SW Hall Blvd., Tigard,OR 97223 (503)639-4171 DATE ISSUED: J-0/r-15/96 PARCEL : 2SI04CA--00400 SITE ADDRESS. . . : 13403) SW ESSEX DR SUBDIVISION. . . . : HILLSHIRE ZONING: R- 7 FID BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . .004 TENANT NAME. . . . . :BASE ENTERPRISES USA NO. . . . . . . . . . : FIXTURE UNITS. . . : 0 CI-ASS OF WORK. . . :NEW DWELLING UNITS. . : 1. TYPE OF USE. . . . . :5F NO. OF BUILDINGS: 1 INSTALL TYPE. . . . :BIJSWR aMPERV SURFACE_: 0 sf Remarks: Path 1 Owner. FEES BASE ENTERPRISES type amol.tnt by date r•Wcpt PO BOX 1 1 71 PRMT $ 2200. 00 TMH 10/25/96 96-285-744 T.NSP $ 3 J. 0171 ..JMH 10/25/96 96-.285744 LAKE OSWEGO OR 97035 Phone #: 636--351 ' Cont Tact or.: —_..__.--•----•---.•---- -.----•-----__________ CONTRACTOR NOT ON FILE ["hone #: $ 2235. 00 TOTAL R #. . . REQUIRED INSPFCTIONG This Applicant agrees to comply with all the rules and regulations Sewer~ InspLction of the Unified Sewage Agency. The permit expires 1818 days from __ _• __ __ 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 direct-,ons from the dLstance given. If not ro located, the installer shall purchase a "Tap and Side Sewer" Permit and ire AQe c wi 1 nst 11 a lateral. r 1 P:-r•mitte- Signator-e : /Issl_(ed By : �d Cal l for• i aspect ion - 639--4175