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9449 SW IVANA COURT a ca D Z D n O C X i I 5 9449 SW IVANA COURT CITYOF TIGARD CERTIFICATE OF OCCUPANCY PERMIT#: 'MST98-002.28 DEVELOPMENT SERVICES DATE ISSUED: 10/9/98 13125 SW Hall Blvd.,Tigard, OR 97123 (503) 639-4171 PARCEL: 1S126DC-07100 ZONING: R•12 JURISDICTION: TIG SITE ADDRESS: 09449 SW IVANA CT SUBDIVISION: LEHMANN SQUARE BLOCK: LOT:001 CLASS OF WORK: NEW TYPE OF USE: SFA TYPE OF CONSTR: 5N OCCUPANCY GRP: R3 TENANT NAME: REMARKS: PATH I: New attached single family dwelling. Final Building Inspection and Certificate of Occupancy Approved 8/6/99 by George Steele, Building Inspector Owner: WINDWOOD HOMES 12655 SW NORTH DAKOTA TIGARD, OR 97223 Phone: Contractor: WINDWOOD HOMES 12655 SW NORTH DAKOTA (FAX # 590-7606) TIGARD, OR 97223 Phone: 590-4700 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 -V;Ias issued. n BUILDING IN§PECTC R BUILDING OFFICIAL — POST IN CONSPICUOUS PLACE CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 �Z( r BUP __--- Date Requested �' �f 4� AM x� PM BLD Location 1 �!�_ (lC� Gam,. _ Suite MECeven Contact Person Ph ?S PLM — Contractor _ Ph _ SWR _ 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 ---------____ ------- -- Misc - - --- - --- - AS PART FAIL -- -- ------ --- ---- - -__ .__.___ MBING Post 8 Beam - --------- --- Under Slab Top Out ----------— --- Water Service Sanitary Sewer _-- - ----_ ---__-- Rain Drains PASS PART FAIL_, M I AL Post& Ream � . _... -._.. -- Rough In Gas Line _�__— ____-_..__--• Smoke Dampers AS PART FAIL ELECTRICAL ___. ---- ---- --- - Service Rough In — UG/Slab Low Voltage Fire Alarm Final PASS PART FAIL SITE ^_ Backfill/Grading - - - - -� Sanitary Sewer Storm Drain ! t Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ (Please call for reinspection RE:_ ( ] Unable to inspect-no access ADA Approach/Sidewalk Other _—_ Date -- _�� _ C.. '�� Inspector_ --� Ext Final PASS PART FAIL DO NOT REMOVE this Inspection record from the job site. 33 Windwood Construction, Inc. ISO M. Dale Richards, President 1265.5 SW North Dakota Tigard, OR 97223 To: Washington County Recorder I authorize Pacific Northwest Title to buyback the Maintenance Agreement recorded on August 4, 1999 as Fee No. Thank you, WINDWOOD CONSTRUCTION, MC. 13 y. -- �[. Dale Richards, President STATE OF OREGON County of Washington SS I, ,Jerry R. Hanson, Director of Assess- ment and Taxation and Ex-Offide County Clerk for said county,do hereby certify that the within instrument of writing was received and recorded in book of records of said county._, !I Jerry R. Hanson Director of Assessment and lraxatlon,Ex- Officlo County Clerk Doc ; 99092233. 1 Rect: 237257 31.00 08/05/1999 02: 20:08hm i 1 .-...-..,-.rr - -_ - - ._Y 4111..• � My ?4 AFTER RECORDING RETURN TO: 99173 �' -' HO CHANGE IN TAX STATEMENTS (Name) - (Address) 000 p COVENANT AND AGREEMENT REGARDING MAINTENANCE OF BUILDING UThe undersigned herety certify that wa are the owners of the hereinafter N legally desc,ibed real. property located in Washington County, State of Oregon. Wit/. lll�tall__�-�-LL�� - U_ (Legal Deecription) 98056494 o. Jo-- as recorded under Recorder's Fee No. , Official Records, of Washington County, which property is located and known as: _� �/yy iL; _,( RN/'� G V (street address) Sy r And in consideration of the City of Tigard allowing: (see attached item 4) on said property, we do hereby covenant and agree to and with said City that: (see attached item 8) This covenant and agreement shall run with all of the above described land and shall be binding upon ourselves, and future owners, encumbrancers, their successors, heirs or assignees and shall continue in effect until released by the authority of the Building Official of the City of Tigard upon submittal of request, applicable fees and evidence that thin covenant and agreement is no longer required by law. This covenant and agreement shall not waive, or be deemed to waive, any rights, remedies or recourses that may otherwise be available to the City of Tigard or to any other entity with respect to the item(s) being allowed by the City of Tigard as set forth above. Owner's Name_ (Please type or print) SIGNATURES MUST BE Signature of owner NOTARIZED / Name of Corporation �� Dated thisda of 19.a Y (NOTARIZATION FOR INDIVIDUAL) (NOTARIZATION FOR CORPOIIATION) STATE OF OREGON ) STATE OF OREGON ) ) 58. ) 9e. County of Washington 1 County of Washington ) This instrument was ackropiledged This instrumen was ckn wledged before me on _ before me—on- by'44, ( U� _ --' 19— by -- ----- �� 6lGL Ltd as - ----- �CA L of i Notary Public for Oregon Notary Pub is for cc. _ My Commission Expires: _-_ My Commies n Expire OFFICIAL SEAL AMY K SCHNELL NOTARY PUBLIC-OREGON legally described real property located in Washington county, �3LJ—+ _.�..��__"/--+„a� �— r i � � (Legal Description) ^a 98056494 zg o N as recorded under Recorder'n Fee No. , Official Record�a of Washington County, ir'n' which property is located and known as: _�� c� .�?1,j^4 (street address) W C, r r U And in consideration of the City of Tigard allowing: (see attached item/ ) on said property, we do hereby covenant and agree to and with said City that: (see attached item 8) This covenant and agreemenL shall rt... .pith all of the above described land and shall be binding upon ourselves, and future owners, encumbrancers, their successors, heirs or assignees and shall continue in effect until released by the authority of the Building Official of the City of. Tigard upon submittal of request, applicable fees and evidence that this covenant and agreement is no longer required by law. This covenant and agreement shall not waive, or be deemed to waive, any rights, remedies or recourses that may otherwise be available tr, the City of Tigard or to any ether entity with respect to the item(s) being allowed by the City of Tigardas set forth above. Owner's Name_ (Please type or print) SIGNATURES / MUST BE Signatui.e of owner - -- ----- NOTARIZED Name of Corporation /rL�wl�¢_--(�'--� Dated this .1day of l91 (NOTARIZATION FOR INDIVIDUAL) ^(NOTARIZATION FOR CORPORATION) SATE OF OREGON ) STATE OF OREGON ) ) ss. ) as. County of Washington 1 County of Washington ) This instrument was ackropledged This instrument was �ckncgwledged before me on ___ before me on / ( UTA //// ., t�� ` 7 19 by by--_ _ ;C l ltt ae -- c. of Y�j boy Pub is for e _ Notary Public for Oregon II C� My CUmm.ignion l,xpires:________.____ My commine n Exp ireee,. —✓ OFFICIAL.SEAL AMY K SCHNEL►_ NOTARY PUBLIC-OREGON COMMISSION NO 322345 MY COMMISSION rXPIRES APR 7,2003 A'T'TACHMENTS TO MAINTENANCE OF BUILDING AGREEMENT Legal description: Lots 1-7 Lehman S-lucre Property Addresses: Lot 1: 9449 SW Ivana Crt. Lot 2: 9453 SW Ivana Crt. Lot 3: 9467 SW Ivana Crt. Lot 4: 9475 SW Ivana Crt. Lot 5: 9468 SW Ivana Crt. Lot 6: 9452 SW Ivana Crt. Lot 7: 9446 SW Ivana Crt. ITEM A (continued from agreement): There is a common sprinkler system that serves Lots 1-7 on Lehman Square. The pipes cross the respective property lines between the said dwellings in lieu of'requiring that each dwelling have a separate sprinkler system. ITEM B (continued from agreement): The common sprinkler meter and electric bill shall be paid by the owner of Lot 1. Lots t-7 will pay annual fees of$100.00/unit payable to the owner of'Lot 1 on January 10 ol'each year, starting January 10,2000. All repairs to tie system shall be divided equally between Lots 1-7. �1 uv T) bdTL- �J��rLo,NL,Or3KiAt_ At r1JV(, State of Oregon County of W�tdon On personally appeared before me, i-�who is personally known to me whose identity I proved on the basis of whose identity I proved on the oath/affirmation of a credible witness. This Notary Certificate is prepared on a separate page and is attached to the document entitled 474' .�dZ VQq a rl'V �' �'�� . cdntaining _-2_pages ai.i is attached to that document by means of,�t4WV. OrFIGAL SEAL CATHERINE M CHURCH NOTARY PUBLIC QREpptJ MY COMMISSION E)(PIRE9 FE,B. 11,2003 !/ Y Notary Public My commission expires CITY OF TMASTER PERMIT DEVELOPMENT SERVICES PERMIT #. . . . . . . MST'3H—�z�,-, 13125 SW Hall Blvd., Tigard,OR 97223(503)639-4171 DATE ISSUED: t0/0'3i'30 PARCEL: 1 S 1.1 6DC—L...EH01 I TF ADDRESS. . . :i1194Lf`3 SW l:VArJfa C;T SUBDIVISION. . . . :L E'HMANN SLILIARE i Ohl I N(): R. 1 RI) EtLOCK. . . . . . . . . . LOT. . . . . . . . . . . . . :001 JU@IrDICTION: TIG Remarks: PATH I: New attached single family dwelling. ------------------------------------------------------------------ BUILDING ---- -------- --- REISSUE; STORIES.......: 2 FLOOR AREAS--- ------- BASEMENT...; 0 sf REQUIRcD SETBACKS---- REQUIRED------------ CLASS OF WORK.:NEW HEIGHT..,.....: 25 FIRST....: 60 sr uHNAGE.....: 268 sf LEFT..........: 0 SMOKE DETECTRS: Y TYPE OF USE...:SFA FLOOR LOAD..... 40 SECOND...: 860 sf FRONT.......... B PARKING SPACES: 1 TYPE OF CONST.:5N DWELLING UNITS: 1 FINBSMENT: 0 sf RIGHT.........: 8 OCCUPANCY GRP.:R3 BDRM: 3 BATH: 3 TOTAL------: 1500 s` VALUE—$: 104947 REAR..........: 16 --------------------------------------------------------------- PLUMBING ------------------------------------ SINKS.........: 1 WATER CLOSETS.: 3 WASHING MACH..: 1 LAUNDRY TRAYS.: 0 RAIN DRAIN ft: 100 TRAPS.........: 0 LAVATORIES....: 3 DISHWASHERS...: i FLOOR DRAINS..: 0 SEWER LINE ft: 100 3F RAIN DRAINS: 1 CATCH BASINS.. : 0 TUB/SHOWERS...: 2 GARBAGE DISP..: 1 WATER HEATERS.: 1 WATER LINE ft: 100 BCKFLW PREVNTR: I GREASE TRAPS..: OTHER FIXTURES: 0 --------------------------------------------------------------- MECHANICAL --------•------------ FUEL TYPES----------- FURN ( 100K ..: 1 BOIL/CMP ( 3HP: 0 VENT FANS.....: 4 CLOTHES DRYERS: 1 GAS TURN 1=IOOK ..: 0 UNIT HEATERS..: 0 HOODS.........: 1 OTHER UNITS...: 1 MAX INP.: 0 BTU FLOOR FURNACES: 0 DENTS.........: 0 WOODSTOVES...... 0 GAS OUTLETS...: i -------------- ------------------------ -- --------------- ELECTRICAL ---------------------------- UNIT--- ----------------- - UNIT--- ---SERVICE/FEEDER----- --TEMP SRVC/FEEDERS-- ---BRANCH CIRCUITS--- -----MISCELLANEOUS---- --ADD'L INSPECTIONS-- 1000 SF OR LESS: 1 0 - 200 amp..: 0 0 0100 amp..: 0 W/SVC OR FDR..: 0 PUMP/IRRIGATION: 0 PER INSPECTION: 0 EA ADD'L 5006F.: 2 ?01 - 400 amp..: 0 201 - 400 amp..: 0 1st W/O SVC/FDR: 0 SIGN/OUT LIN LT: 0 PER H0UR......: 0 LIMITED ENERGY.: 0 401 - 600 amp..: 0 401 - 600 amp..: 0 EA ADDL BR CIP: 0 SIGNAL/PANEL...: 0 1N r. ......: 0 MANF HM/SVC/FDR: 0 601 - 1000 amp.: 0 601+amps-1000 v: 0 MINOR LABEL -t0: 0 1000+ amp/volt.: 0 -------------------------------------- PLAN REVIEW SECTION -----------------------------.---- Reconnect orly.: 0 )-4 RES UNITS..: SVC/FDA)=225 A.: ) 600 V NOMINAL: CLS AREA/SPC OCC: --------------------------------------------------- ELECTRICAL - RESTRICTED ENERGY ------------—--------------------------------- A. SF RESIDENTIAL---- ------------------ B. COMMERC:AL------------------------------------------------------------_-----_---------- PUDIO I STEREO.: VACUUM SYSTEM..: AUDIO 6 STEREO.: FIRE ALARM.....: INTERCOM/PAGING: OUTDOOR LNDSC LT: BURGLAR ALARM..: OTH: it X BOILER.........: HVAC...........: LANDSCAPE/IRRIG: PROTECTIVE SIGNL: GARAGE OPENER... CLOCK........... INSTRUMENTATION: MEDICAL......... OTHR: HVAC...........: DATA/TELE COMM.: NURSE CALLS.... : TOTAL A SYSTEMS: 0 Owner: ------------------------------------Contractor: ---- - --- ----------------- TOTAL FEES:$ 1615.76 ASIA PACIFIC, LLC WINDWOOD RKS This permit is subject to the regulations contained in the 19305 ROBIN COURT 12655 SW NORTH DAKOTA Tigard Municipal Cede, State of OrE. Specialty Codes and all A55 (FAX A 590-7606) other applicable laws. All work will be done in accordance WEST LINN OR 91068 TIGARD OR 97223 with approved plans. This permit will expire if work is Phone N: 699-0958 Phone N: 590-4700 not started within 180 days of issuance, or if "he work is Reg M..: 080501 suspended "or more than 1A0 days, ATTENTION: Oregon law --------------------- requires you to fellow rules adopted by the Oregon Utility Notification Center. Those riles are set forth in OAR 952-001-0010 through OAR 95L-A01 0080. You may obtain copies of these rules or direct questions to OUNC by calling (503)246-1937. ---------------------------------------------------------- REQUIRED INSPECTIONS ---------------------------- --------------------------- Erotion Control P1miUndprfloor Low Voltage Insulation Insp Appr/Sdwlk Insp Building Final Footing Insp Crawl Drain/Back Plumbing Top Out Shear Wall Insp Smoke Detector Foundation Insp Electrical Servi Framing Insp Firewall Insp Electrical Final Post/Beam Struct Electrical Rough Gas Line Insp Rain Drain Insp Plumb Final Post/Beam Merhan Mechanic l Insp Gas Fir-place Water Line Insp Mechanica Issi!.ed By : l� ""� `'� _ F' rmi.ttee 5i nate _ ._ 9 _ ++4 4..-Wi-..4+•1-++-++1 ++1-++-++++++1.1-+++-++4-.+..+F..p.,4...4-4.+ 4 4-+.+.}4.+.++.+.+{.. I I. I.-1 ++4-4. f..1-+4-4-+++++++.{ Cal.1 639-4175 by 7:0.0 p. m. for an inspection needed the next bi-isiness diy Plan ChpCk# CITY OF TIGARD Residential Building Permit Application Rec'd E� 13125 SW HALL BLVD. New Construction Additions or Alterations Date Recd 1 TIGARD, OR 97223 Single Family Detached or Attached (Duplex) Date to P.E._� V 503-619-4171 Date DST__ F 503-684.7297 Permitt# /h$� -ate 4111" Print or Type I Called�� Incomplete or illegible applications will not be accepted 24` T —_— Name of Project _ Name Job r k L. l S '® e15- Architect Mailing Address Address S to Add ess J30� S•Jdl l S'W -TVA fir CGUr Ci /state Zip rPhine 03) Name t7 2z3, _ - 21 Name Owner Marling Address `$ Engineer Mailing Address Cetyl tate Zip Phone�T-03) SS337City/State Zip Phone Name �f i General X4,4 ,�/,:�/? (,4KVf 1/r Describe work New V Addition O Alteration O Repair O Contractor Mailing Address to be done: Additional Deschption of Work: CityiState Zip Phone rj - — -- - - - Oregon Const Cont. Board Lic# Exp. L7ate Attach Copy of 12 331 _ _d,l� Current COT Business Tax or Metro# Exp Datd PROJECT Licenses VALUATION $ - - Name — // NEW CONSTRUCTION ONLY: Mechanical / ��-q�..� f� Sq. Ft. House: Sq. Ft. Garage Sub- Mailing Address _ /A019 LP 04 Contractor Corner Lot YES NO Flag Lot YES NO City/State Zip Phone _ (check one_) _ �% check one) V" O 3S -62! - O egon Const�ont Board Lic# Exp Date Restricted —t —� Audio/Stereo Burglar Attach Copy oflyc/ Energy _— System __ — Alarm_ Current COT Business Tax or Metro# Exp Da[e Installation Garage Door HVAC Licenses Opener �� Systems Name Q (check all that Other. Plumbing \�yN�� - —_ apply) - $Ub- Mail ny Address Will the electrical subcontractor wire for all YE$ NO Contractor P, 0 /,/ Z restricted energy installations' /i0i�� " CitylState zip Phone / Has the Subdivision Plat recorded? NIA YFS NO regon Const.Cont Board I_ic.# E? ate Reissue of MST# Solar Compliance Attach Copy of -7/bFQ 1 -----] (Calculation Attached) V Current Plumbing Lic.# Exp Dat I hearby acknowledge that I have read this application,that the Licenses 3(/- �b��l� information given is correct, that I am We owner or authorized COT Business Tax or Metro# Exp ate agent of the owner, and that plans submitted are in compliance Name with Oregon State laws. / Signature Of ner/Agent D� Electrical j }�� ___ w Sub- Mailing Address COntart P rson Name Phot•e# 3) Cc iltractor )i,, City/ tate Zpin Phone FOR OFFICE USE ONLY: i iz �Y G l;.;5 e"''q 3 Platy#: Map/TL#: I Oreg n Const.Cont. Board Lic.# Errp. at l i Attach Copy of "31/ `/�f / Setbac(s: Zone: Solar: Current Electrical Lic # Exp Date I h/ " l(i r ( /7 Licenses !/ 3�:y/ _f3 -nginj�in Approval: Planning Approval: 11F. COT Business Tax or Metro# Exp Date �� /`NIfG_ !T —_ ----- - ------ 6-0 qtr I SFAPP DOC (DST) 4/97 Plan Ch # r 4 CITY OF TIGARD Residential Building Permit Application Recd 13125 SW HALL BLVD. New Construction Additions or Alterations Date Recd 6 -� TIGARD, OR 97223 Single Family Detached or Attached (Duplex) Date to P.E. GT _. V 503-639-4171 Date to DST— F 503-684-7297 i Permit# /h 5� fs8a2 Print or Type ' Called . Incomplete or illegible applications will not be accepted 5wAft--0/3`� Name of Project Name �. L.M. Bru;n 1'e r . AsSe�rafes Job ,S Mailing Address Address Site Address � Architect � � _ Q4� 9`0 S'6t/ lc%4NA c.'Durf. T C, /St to Zip Phone -03) Name V 2 23, ff eg ' /A PA- 6181C /A GGC ...... Name Owner Mailing Address #s Engineer Mailing Address Cityl tate Zip Phon :' r)p end 3� citylstate Zip Phone Name A 7 n ,I crib General �r9>✓ f�0� / Dese work New)gr Addition O Alteration O Repair O MaiAddress to be doge ai _ Contractor .SOS , �r ,t#� _ Additional Uescnption of Work: (,ity%state p� Zip Phone (, �Q 0 – 6-tin k I 1lt.ti Oregon C—onst. Cont. Board Lic# Exp Date ^' Attach Copy of �2 332'x— Al Current COT Business Tax or Metro# Exp o ttf PROJECT Licenses VALUATION Name / /// VI/NECONSTRUCTION ONLY:__ Mechanical / ✓4/Y _ Sq. Ft. House. Sq. Ft. Garage Sub- Madrng Address IA06? 47 07 Contractor �� SG= �� — Corner Lot YES NO Flag Lot YES NO City/Stat e Zip Phone (check on _ (check one) `/ ,��35–.. � -- -- -- — O egos Const Cont Board Lic# Exp. Date Restricted Audio/Stereo Burglar Attach Copy of z,�S—_� _ j�/� _ Energy _— Sysiem _ _ Alarm Current COT Business Tax or Metro# Exp Da e I li-itailatlon Garage Door HVAC Licenses _ I Opener— _ ✓ Systems Name �1I (check all that Other. Plumbing _, tA - — — — apply) Sub- Marling Address Will the electrical subcontractor wire for all YES NO restricted energy installations'? T v Contractor IDS U City/State zip Phone Has the Subdivision Plat recorded? N/A YFS NO regon Const.Cont Board Lir,.# Er, ate Reissue of MST#: — Salar Gornphance Attach Copy of /5 (Calculation Attached) V Current Plumbing Lic.# Ex.p Dat I hearby acknowledge that I have read this application,that the Licenses 3`/ /b� information given is correct, that I am the owner or authorized COT Business Tax or Metro# Exp ate agent of the owner, and!hat plans submitted are in compliance -- with 0Me on State laws. �— Name Sign�rure of Vner/Agent LYZ4— Sub- Electrical �h% �,�jc%� _ /��Mailing Address ContaintPr5on Name Phone CPU's.) Contractor � U 'u d Cityl tate Zpi Phone FOR OFFICE USE ONLY: i c ' GAY p11J', Gay ' Plat : / Mn�' ap(rL#: c Oreg n Const.Cont. Board t_ic# Exp. at Ll Lt _ Attach Copv of 3`/"�/1 t �_ u r Setbacks: Zone: Solar. Current Electrical Lic # —� Exp Date Licenses // 3 `r 3 1 �. Engtn ring Approval: Planning Approval: TIF: COT Business Tax or Metro# Exp Dale �1 I SFAPP DOC iDST) 4197 CITY OF TIGARD SEWER CONNECTION DEVELOPMENT SERVICES PERMIT A6 13125 SW Hall Blvd., Tigard,OR 97223(503)639-4171 r,E.RM I T #. . . . . . . : SWR98--01 DATE ISSUED: 10/09/98 PARCEL: 1.S 126DC--L.EHO 1 r;I TE ADDRESS. . . :09449 SW I VAIVA CT SUBDIVISION. . . . :LEHMANN SQUARE ZONING: R-1::' PD BLOCK,. . . . . . . . . . LOT. . . . . . . . . . . . . :OO1 JURISDICTION: Tli, TENANT NAME. . . . . :AS I A PACIFIC 21, LLC USA NO. . . . . . . . . . : FIXTURE UNITS. . . : 0 CLASS OF WORK. . . :NEW DWELLING UNITS. . : 1 TYPE OF USE. . . . . :SFA NO. OF BU I L.D T NGS: 1 INSTALL TYPE. . . . :BI_ISWR T MPERV SURFACE: 0 s f Remarks : Sewer connection for, a r.ew attar_hed single family dwelling. Owner.: -___..--___._.._._..._....________.__.___......... .....__._._---...___.._.________.___..__.._.._ __._._ FEE, ASIA PACIFIC 21, LLC type amol.tnt by date recpt 19305 ROBIN COURT INSP $ :35. 00 B 10/09/98 98-.3O9871. #55 WEST L- INN OR 97068 Phone ##: Cont ral.:.t or: ___----_.--___-__-_.__---_-__-___._ ASTA PACIFIC 2.1, LLC 19305 ROBIN COURT ##55 WEST 1.-TNN OR 97O6L3 Phony #: 669 . 0950 $ 35. 00 TOTAL Rey #. . : 001233 REOU T RED T NSPECT T nNS -- This Applicant agrees to comply with all the rules and regulations Sewer Insper_tion of the Unified Sewage Agency. The permit expires 180 days from the date issued. The total amount paid will be forfeited if the permit expires. The Agency does not quarantee the accuracy of the side sewer laterals. If the sewer :s 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 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 OAR 952-00I-0010 through OAR 952-00P1-0080. You may obtain copies of _• _____ _ ___. _ __.._. _.._ ___ ____ th?se rules or direct questions to OUNC by calling 150711246-1987. Iss1_1ed I y : � . l�lr,Pi-mi.ttee 9ignat1.mre • ++++++f +++++++++-+++++--F++++++•++-+4+•f-++++++•++++++++++-N•++ h+++++++•+++++++++++++•f+++++ Call 639-4175 by 7:00 p,. m- fnr- an insper..tion needed the next b1_Isiness day +-4-•+++++++•+++++++++++++.1 ++4-+4-+++•++++++•+-' i-++ '.,1-++-•+++++++•++.+++++++...++•+++++++++4-+•i-f I