12035 SW ROSE VISTA DRIVE-1 12035 SW ROSE VIS'T'A UR
CITY OF TICa�,Rt�
OREGON
April 2., 1991
First Union Mortgage �-- -- -`�
c/o Dana Barker
Sam Gotter Realtors
12995 SW Pac is Hwy
Tigard, Ore 9e223
Re: 12035 SW Rose Vista Dr.
Dear sir(s) or Madam(s) ,
This Letter is to confirm, that on this date the above referenced
property owned by .!fir. Lewis Bacon, has been legal!-y connected to
the public san.itaz-1, sewer system.
if you have any questions, please call me at 639-4171
Sincerer
Brad Roa -�
Building Official
13125 SW Nall Blvd„P.O.Box 23397,Tigard,Oregon 97223 (503)639-4171 - ------
INSPBCTIOrd HOT_jCS
City of Tigard Building DeparAment
13125 SM Bali Blvd. TigArd, Oregon 97223
Inspection Line (Rec-O-,Phone:: 01-9175 Bun'ness Phone: 639-4171
Inspection:—
rooting
nspection:_Footing Plbq'
Dnderelab Mech. Rough-in Appr/Sdwlk
Plbq. Top Out
Gas Line FINAL:
Found.
er Framing -Bldg.
Pont/Beam Strict. Ban. Bewe
Post/Beam Mech. Rain Uzain
Insulation -Plumb.
Plbg. Underfloor. Nater Line
Gyp. Bd. --Mech.
AN —PM
Date Requested s
Address:.��.5��_t _
permit f s
Builder: r S
TBW; FOY.L.(MIVIa :ofkRECTIONS ARE REQUIRED:
Dates
A.PPRCYEU -- DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For ReinsP.
CCITY OF TIGARD
OREGONApril 1, 1991
Mr. Lewis Bacon -
12035 SW Rose Vista Dr.
Tigard, Ore 97223
Re: Sanitary sewer connection permit SWR91-0060
Dear Mr. Bacon.
This letter is to confirm that on this date, you have been issued i
all the necessary permits for the connection of your residence to I
the public sanitary sewer system. I
if you have any questions, please call vie at 639-1471 .
Sincerely
Brad Roast
Building Official
i
13125 SW Hall Blvd.,P.O.Box 23397,Tigard,Oregon 97223 (503)639-4171 --— — —
CITYOFTIOARDrCff
:aE WE RC EC•O1N1IJTr.T z Onl �•/
COMMiJNITY DEVEI.OPMENt DEPARTMENT OFiIb`'4RE9 ERMI T #. . . . . . . .. SWR91—•0060
ORESOeI
13126 SW W1 8W. P.Q.Box 23397.TpaN,Qrpon 97223(603)639-4176 \
>iA1E: ISSUED: 0:31E,3191
w i HliUt% SW ROSE VISTA DH PARCEL: 2S 103C(,-01+i 00
3USD I V I S I ON. . . . : COLON I t1L VIEW ZONING. R--(..,
BLOCK. . . . . . . . . . s LOT. , . . . . . . . . . . ..
TENANT NAME.. . . . ,
USA NO. . . . . . . . . . :4,361.8 F"I XTURE UNITS. . .
OF WORK. . . -ADD
lli:CI..L_I 1\16 UNI
1'yr`I--- UF- USE. . . . . .SF NO. OF' BU I LD I NGS s 1
IN�37ALL. TYPE. . . , :BUISWR IMPFRV SURFACC. „ : :s f
Remev,ks: Connect existinu hot.tse to sewer•. Septic tank mktst he p,.tmped .and 1-illed
An Insper_tion of ttie filled tank is r-egoir-ed,
_._ FEEF-
LEWIS BACOIW type amourt by date— —Y—recpt--
1ct115"r SW ROSE_. V 1.57'A DR FIRMT $ 15f40. 00 ! /
I NSP d; 3 5. 00 / !
TIGARD C)!2 '�7 '4 MISC $ 3001 . @qI / !
Phone F'AYM $ 4535. 00 BCR 03/29/91
Contrzacto,•: ......._._.
E-IOF"F'MANS PLUMBING
54.0 HERMASON
WOf.DBURN OP 97071
Fah on e #. $ 4535. 00 TOTAL.Y___._____..
Req #. . : 04800
- — RE OUIRED INSPECTIONS
This Applicant agrees to comely with all the rules and regulations Sewer Inspection _
Of the Unified Sewage Agency. The permit expires I?@ ds frna SES pt, i c -rank Fill
the date issued. The total amount paid will be forfeitea if,syt�.e
Rertllk pNfirt`5. The Agency does not puaral,tee the accuracy o; the
side sewer laterals. if the sewer is not located at the mea:s+rement
given, the installer shall prospect 3 feet in all directions °rag —'—�—
the distance given, if not so located, the installer shall ourchase
a "Tap and Side Sewer" perait and the Ag will install a late'-fl.
P a r•m.f t t e y n a t I.W n -
� , _
C;al l fnr� inspr+ct ian — 639-4175
CITY FIF' TIGARD — RECEIPV OF P.,oymuu\rr REXEIPT NO. :91 1 1357
CHECK AMOUNT 4743. 00
NOME BACON, LEWIS CASH AMOUNT 0. 00
ADDRESS! 12035 SW ROSE. VISTA DR. PAYMENT DATE x 03/P9/91
SUBD I V 113 ION
TMARD, OR 972fir-'4--
VIURPO'c3E 01::' PAYMENT AMOUNT PAID VVRPOSOF PAYMENT PMOLINT PA i D
M
�;wWF.,R LlSn 1500 1 00 SEWER INSPECT IM35. 00
G
R CI-K-4—LIEU OF ASSESS 3000. 00 PUBLIC PROV 8. 00
CUSTOMER DEPO F-100. 00
TOT AI... AMOUNT PAID 4 14,3. 00
•�,•.m.•_r..�-+.�•..•..............._.T.•.;�r.� ., .,...,..•,F..r*•...•...-.—•�.•.�-.--r•.+ww+.s*rwer--•ne..._..•..r -r�s�`yw^^.m^•w"'�'FesTd*..K�'r`"' 'T"^�'"-r�.•.....-.-_...._.-.--
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APPLICATION STREET IMPROVEMENT/EXCAVATION COPY TO:
(WHITE)-FILE
ORDINANCE NO. 74-14 (YELLOW)-INSP.
NGY—blIdg
(INSTRUCTIONS ON SEPARATE SHEET) (BLUE) APPLICANT
452
1 APPROVED x APPLICATION NO.:
NOT APPROVED —
CITY 1 0 11G IRI), OREGON FEE P,MT. 3 F3.00
PENDING FEE, PMT. Lj CITY l HALL RECEIPT NO.: 91-211387 —
PENDING SECURIYY [i PUBLIC WORKS DEPARTMENT BY — — = DATE —
;-ENDING AGENCY ''OK- ❑ .Application and Progress Record
MAINTENANCE BONR*._ —^
PENDING INFORMATION rl FOR STREET IMPROVEMENT/EXCAVATION ns RFCJUIRE.D h
AN•JUAL
PEND NG VARIANCE C.] EXPIRATION DATE
P MIT NO. f9l DATE ISSUED 1__ . -- dBY
(1) A,F'I'LICATION IS HEREBY MADE TO EXCAVATE FOR AND INSTALL _- �� _--1--- - ---
I
sewer cor"Ction_ AS DESCRIBED HEREIN, IN FULL, ACCORDANCE WITH CITY REQUIREMENTS.
APPLICANT .--_GE3Wi8 �7. Bacon �2CY 5 SW Ste@ 8t$ DC. ____� ids ' IT �� - --�J___7.90 NE
NAME AOO [ •
CONTRACTOR ..Hof fmaLn Plixibing - Woodburn, OR
NAME AD —PIN -- .. _ —C_i
fy
PLANS BY tamers R. NiColi ,12750 SW Pacific_ Ilwy. _ Tigard, OR 97223 620-2086
-' NAME ANDD E$J_ C11 V -- —PHONE
ESTIMATED IMPROVEMENT TOTAL VALUATION ( COST): $ 2W.W _
DOLLARS
FOR OFFICE USE' MIN.
(2) EXCAVATION DATA. 0.04 x s —= x A.OL] ..__=—•
STREET _ DESCRIPTION PROGRESS & INSPECTION STATUS _
NAME SURFACE CUT CUT CUT MATERIAL INSTALLED ITEM DATE REMARKS/TYPE BY
TYPE LENGTH WIDTH DEPTH ITEM & QUANTITY
— _ STREET
_ PENED
—� INSPEC-
�� TION
Q
ulE
ESTIMATED STREF'T OPEN114G DATE: T
ESTIMATED STREET CLOSING DATE. ED _
STREET
(3) SECURITY NO, SECURITY AMT: $ _200.00 i,LOSED _
SURETY CO.: FINAL
INSPEC.
Rf/��ydf.119h
HE C.H F c.ASH I BOND '- "—
(4) PLOT PLAN: INDICATE SITE PERTINENT PHYSICAL SPECIAL PROVISIONS /CONDITIONS.
FEATURES; EXCAVATION LOCATION AND EXTENT. 1. Work shell Conform to the
j attached drawing or tic) a
_City appcoved variation thereof.
SITE: 12035 SW 1
Rose Vista Dr. 1. 9otify City Inspection #639•-4171
I 1 -
prier to starting work.
3. Notify City Inspector, again,
-_44 DR .- - prior to coveciny work.
�p� - / r _ _ _ _ -- -• _ _ _ _ _ _ _ _ 4. This is a tenWEary r Comec:t-
,, I ion and is not to be construes'
1 1 I otherwise. _
1 I -
(5) NOTE THE CIT f OF TIGARD DOES NOT, HEREBY, GRANT PERMISSION TO APPLICANTS "-0 CONDUCT WORK WHERE.
RIGHT-Of WAY JURISDICTION IS THAT' OF WA/INTON COUNTY OR THE STATE OF OREGON,
THE APPLIZANT AGREES TO DEPOSIT THE RO SECURITIES, TO COMPLY WITH ALL PERTINENT LAWS AND
CONSTRUCTION SPECIFICA ONS PERTINEN'SN6UCT OF THE WORK, AND TO SAVE HARMLESS THE CITY AND
EMPLOYEES AGAINST ANY INJURY OR D�AtyirG (H MAY RESOLE FROM APPLICANTS , C71C�NS.
APPLICANTS SIGNATURE `' r �� Ct / DATE
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