11077 SW VERDE TERRACE ADDRESS:
i:\records\microfim\targets\buiiding.doc
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l 1p 117 7 Yw Vain-
5 & P PROPERTIES
6743 5. W. BANCROFT WAY
PORTLAND, OREGON 97225-1904
JU.:c 19. 1997
City of Tigard
8777 S.W. Burnham Street
Tigard.OR 97251-1999
To Whorn it May Concern:
Matt Janes and S&P Properties hereby wcuv nt that the :hear wall.and common wAs built in the
townhouscs in the Dakota Village Subdiv.,tun are in compliance with all current building,codes.
Mau J s
/ n
S&P Pmpenies L
Carl W. Spitmag!el �,
CARL W. SPITZNAGEL AND ALFRED PEASE
S & P PROPERTIES
6743 S. W. BANCROFT WAY
PORTLAND, ORtGON 972.25.1904
June 19, 1997
City o Tigard
9777 S. W. Burnttap,
Tigard.oregun 97281-1()9(,)
RE: Dakota village Undergmwtd Services
To Whom it May Concern:
S&P Propertcs hereby w,urartt that all underground services: waterlines,sewtK lines and stunt sewer lines
were constructed in accordance ith all applicable building ctxies.
J
S&P Properties
Carl W. Spttrnacei
CARL W. SPIIZNAGEL AND ALFRED PENSE
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639-4175 Business Phone: 639-4171
Footing Rain Drain Cover/Service AL:. `-
Foundation Water Line Ceiling Pluml%--
Post/Beam Mach. Shear/Sheath Framing
Plbg.Und/Flr/Slab Pibg.Top Out Insulation Ele .
PoF.t/Beam Struct. Mach. Rough-!n Gyp. Bd.
i San. Sewer Gas Line Appr/Sdwlk
Other: / _ ------ -
Date: If�lS,r 5 L A.M. ____.P.M. . Entry: -_-
Address: //0 —
Tenant: _ _._ —_—__� Ste:_ MST: -9(0--Ql
BLIP..
Con/Own:v —._— _ MEC-
PLM:
ELC: —.
THE FOLLOWING CORRECTIONS ARE REOU!RED: ELR: _
I pector: Date: _ (�
__ OV —DISAPPROVED/CALL FOR REINSP. CF CO-�
CITY OF TIGARD
DEVELOPMENT SERVIDU
13125 SW Hall Blvd., Tigard,OR 97223 (503;G a,9-4171 t-E RT I F I COTE OF
OCCUPANCY
PERMIT M. . . . . . . a M77')6.-Q)
DATE ISSUEDe 11/113/1,6
PARGE'I_a
.1 T4- ADDRESS. . . : 11077 SW VERDE TE PR
.(-mDIVIsrQN. . . . a DAKLTTA V1L.LA(3E ONING:R-10
LOCK. . . . . . . . . . . L.O'T. . . . . . . . . . . . . :ooq
!-ASS OF WORK. a NEW
4"E OF' USE. . . a DUV,
VGf OF CONSTR a 5N
GCUPANCY GRP. a R3
I::CUvAr4NCY LOAD e 2
mar-koa 1:1PTH 8 OUI'rLEX WTlFi [..ROPE TY LINE THROUGH THF MIDDLE
fie unit of two with firr.. wm.11 bp
tween Un ifs
I_)wnerc
"Ap PROPERTIES
163995 SW SELL. RI)
'.,&1[:RW0OD OR 97140
Cnntractorp __._.__.._._... .__._._....__..._..__..._..__.__._.__.._.._
FOMTRA TOR NOT ON r tl._F:'
Phone IFt
Rory %. . :
This C.�r•tttic•at•e grants oc:rupancy of the Above r-ofei--enced touildinu (ir, portion
ther,eur enc) confit-mm that the building has been inspected for complA ance with
the Sta' a Of O�eyarn Spur.^ia.tt y Cortes f,-.r the g ^sup, nr..ct.parri,qy, arid 1410 under-
which the ,r"efet-enc:eci pei-mit was isst.jek+.
91J 11-DINl3 I4SPEC'TOR 3UILDING OF'FICIAL_
PnS T IN C ONSP I CUO J y PLACE
Page No. 1 CASE HISTORY FIA' "A:aL (:u. : MST96-0153
S&P PROPERTIES
11077 SW VERDE TERR
11/25/98
9/
Action Description Re Schd/ End/ Action Notes Disp By Update Upd
Date By
Cude Sent Done Done
PASS J}{ 10/02/96 TLP
MSTA005 Application received 04/05/96 / / 03/14/96 PASS RT 10/05/96 BT2
MSTAPOB Permit Created 04/05/96 / / 04/05/96
PASS JH 09/05/96 0'J'2
MST/,010 Check for prcl. restrict. 04/05/96 / / 04/01/96 PASS JH 04/05/96 BT2.
MSTA012 Plans routed to Plans Examiner 04/05/96 / / 04/01/96
PASS RT 04/05/96 AT2
MSTA026 Plans approved by Plans Exmr 04/05/96 / / 04/05/96 PASS RT 04/05/96 BT2
MS',A030 Reviewed plane routed to DSTS 04/05/96 / / 04/05/96 PASS CJS 04/15/96 CJS
MSTA080 (F) Ready to issue / / / / U4/15/95
MSTA092 (F) issue combination permit / / / / 04/1'7/96
PASS B 04/17/;6 BON
PASS B C4/17/96 BON
MSTA097 Issue plumbing signature form / / / / 04/17/96 PASS CJS 05/06/96 CJS
MSTA097 79sue plumbing signature form / / / / 05/06/96
.7K )T 12/11/9f, KAS
MSTA097 Issue electric signature form / / / / 12/11/96
MSTA098 Issue electric signature form PASS n 04/1BON
1/96/ / / / 04/17/96 DIS KS 04/19/96 BON
MSTA705 Footing Insp / / / / 04/18/96 #-1- not ready
KBS
MSTA705 Footing Insp
04/19/96 / / 04/19/96 APP KS 04/19/96 KBS
MSTA706 Foundation Insp / / / / 04/23/96 PENDING SEISMIC RESTRAINT; VENTILATION PASS RB 04/24/96 RB
MSTA710 Post/Beam Structural / / / / 05/13/96
PASS 09/09/96 RB
PASS 09/09/96 Rd
MSTA711 Post/Beam Mechanical / / / / 05/13/96 PASS MS 05/01/96 MRS
MSTA713 Crawl Drain / / / / 05/01/96
05/1.3/96 PASS 09/09/96 RB
MS1'A717 PLUM/Underfloor / / / / PASS MS 01/21/96 MRS
MSTA'720 Mechanical Insp / / / / 08/21/96 PASS MS 08/12/96 MRS
MSTA722 Plumb Top Out / / / / 08/12/96 PASS MSR 09/03/96 MJR
MSTA723 Electrical Service / / / / 08/30/96 PASS MJR 09/03/96 MJR
MSTA724 Electrical Rough In / / / / 08/30/96 plus low volt
'CLP 09/09/95 RB
MSTA725 Framing Insp
/ / / / 09/05/96 PASS
PASS MS 08/21/96 MRS
MSTA735 Gas Line Insp
/ / / / 08/21/96
MSTA740 Insulation Insp / / / / 09/09/96 f.irest p thru penetrations; vent baffle PEND RB 09/09/96 RB
missed; stud(s) missed; insulat-
underneath 1.1atform for furnace.
MSTA745 Gyp Board Insp / / 09/18/96 pending change out white board to green PASS RB 10/14/96 TLP
bd. at bathrooms
PASS MS 05/01/96 MRS
MSTA755 Rain drain Insp / / / 05/01/96 App OS 05/08/96 GES
MSTA761 Water Service Insp / / / / 05/08/96 plmer to test
MSTA765 Appr/Sdwlk Insp
10/07/96 / / 10/07/96 Private Street. N/A PI 10/14/96 C•H
MSTA790 Electrical Final / / / % 11/04/96 no AC disconnect
pIS MJR 11/05/96 MJR
low volt needs plates
complete fixture ir.scallation
complete smoke alarm installation
PASS MJR 11/11/96 MJR
MSTA790 Electrical Final / / / / li/12/96 App KS 11/11/96 KBS
MP'CA795 Mechanical Finai / / / / 11/15/96
Page No. 2 CASE HISTORY FOR CASE NO- MST96-0153
S&P PROPERTIES
11077 SW VERDE TERR
11/25/98
Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd
Codi Sent Done Done Date By
MSTA797 Plumb Final / / / / 11/04/96 PASS MS 'i/04/96 MRS
MSTA799 Building Final / / / / 11/14/96 #-1- corrections not completed DIS KS 11/15/96 KBS
MSTA799 Building Final / / / / 11/15/96 AFP KS 11/18/96 KBS
MSTA960 (F) Issue Cert. of Occupancy / / / / 11/15/96 11/10/96 JT
MSTA970 Case Finaled / / / / 11/15/96 APP KS 11/18/96 KBS
MASTER F'E:RMIT
CITY OF TIGARD DATEIISSSUE:D: • 04/1,/yE,6-0l53
COMMUNITY DE ELOPMENT DEPARTMENT
13126 SW Hail Blvd.Tigard,Oregon 9722399199 (403)639.4171 f'A RCCI_; 1 a 1 LSCA- 5"ildl�i
11'E A1)D13ESS. . .. . 1 1.0// SW VIS f Til_:. 1 L:1.1
SUBL)M S I ON. . . . : DAKOTA V I LLASE. ZONING: Fi--1 c:
131-.0GI';. . . . . . . . . , 1_.01.. . . . . . . . . . . . . ..V101)
Remarks: PATH 8 DUPLEX WITH PRCPERTY LINE (HRW THE MIDDLE
one unit of two with fire wall between units
- --------------------------------------------------------------- BUILDING ------------------ ---------------------------------------------
kE1SSUE:MST95-0331 STORIES.......: 2 FLOOR AREAS---------- BASEMENT...: 0 sf REQUIRED SETBACKS---- REQUIRED-------------
CLASS OF WORK. :NE.W HEIGHT........: 24 FIRST....: 696 sf GARAGE.....: 228 sf LEFT..........: 5 SMOKE DETECTRS: Y
TYPE OF USE...:DUP FLOOR LOAD....: 40 SECOND...: 760 sf FRONT.........: 20 PARKING SPACES: I
TYPE OF CONST.:SN DWELLING UNITS: l FINBSMENT: 0 sf RIGHT.........: 0
OCCUPANCY GRP.:R3 BDRM: 3 BATH: , TOTAL------: 1456 sf VALUE—$: 38044 REAR..........: 15
---------------------------------•-------------------------------- PLUMBING ---------------------------------------------------------------
SINKS.........s 1 WA7'.R CLOSETS.: 3 WASHING MACH..: I LAUNDRY TRAMS.: 0 R41N DRAIN ft: 0 TRAPS. .......: 0
LAVA10RIES....s 3 DISHWASHERS...: I FLOOR DRAINS..: 0 SEWER LINE ft: 0 SF RAIN DRAINS: 1 CATCH BASINS..: N
TUB/SHOWERS... 2 GARBAGE DISP..: I WATER HEATERS.: 1 WATER LINE ft: 100 BCKFLW PREVNTR: 1 GRCASE TRAPS..: 0
OTHER FIXTURES: 0
MECHANNAL --------------------------------------- ----
F1EL TYPES----------- FURN f INK ..: 1 BOIL/CMG 0 VENT FANS.....: 4 CLOTHES DRYERS: 1
iGAS/ 1 I FURN i=10`dK ,.: 0 MIT HEATEmb.. . 0 HOODS.........: 1 OTHER UNITS...: 1
MAX INP.: 0 BTU FLUOR FURiWCES: 0 VENTS.........; 0 WOODSTOVES....: 6 GAS OUTLETS...: 1
------------------------------------------------------------- ELECTRICAL --------------------------------------------------------------
--RESIDENTIAL UNIT---- ---SE7VICE/FEEDER---- --TEMP SRVC/FEEDERS-- ---BRANCH CIRCUITS--- ----MISCELLANEOUS- -- ..-ADD'L INSPECTIONS-
1000 SF OR LESS: I 0 - 200 asp..: 0 0 - 200 amp..: 0 W/SVC OR Fun..: 0 PUMP/IRRIGATION: 0 PER INSPECTION: 0
EA ADD'L 500SF.: 2 201 - 400 amp..: 0 201 - 400 amp. . ; 0 1st W/O SVC/FDR: A SIGN/OUT LIN LT: 0 PER HOUR...... : 0
LIMITED ENERGY.: 0 401 - 600 amp..: 0 401 - 600 amp..: 0 EA ADDL BR LIR: 0 SIGNAL/PANEL...: 0 IN PLANT......: 0
MANE HMISVC/FDR; 0 601 1000 amp.: 0 601+amps-1000 v: 0 MINOR LABEL -10: 0
1000+ amp/volt.: 0 ---•--------------------------------- PLAN REVIEW SECTION -------------------------------
Reconnect only.: 0 )=4 RES UNITS..: SVC/FDR)=225 A.: ) 600 V NOMINAU CLS AREA/SPC OCC:
-------------------.-------------------------------- r"ECTRICAL - RESTRICTED ENERGY ----------------------------------------------------
A. SF RESIDENTIAL--------------------------- B. COmmi:RCIAL------------------------------------------------------------------------------
AUDIO & STEREO.: VACUUM SYSTEM..: AUDIO & STEREO.: FIRE ALARM.....: INTERCOM/PAGING: OUTDOOR LNDSC Lb
BUCGL0 ALARM..: X OTHs :: X BOILER.........: HVAC....,.,....: LANDSCAPE/IRRIG: PROTECTNE SIGNLs
GARAGE OPENER„s CLOCK..........: INSTRUMENTATION: MEDICAL........: OTHR: s:
HVAC...........s DATAi TELE COW.s NURSE CALLS....: TOTAL. I CYSTEMS: 0
Owner: -----------------------------------Contractor; ----------------------------- TOTAL FEES:$ 3440.31
S&P PROPERTIES CONTRACTOR NOT ON FILE
16395 SW BELL RD
SHERWOOD OR 97140
Phone I: 250-2385 Phone I:
Reg C. .
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. 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 issu2nce, or if work is suspended for more than 180 days.
------------------------------------------------------------ REQUIRED INSPECTIOti3 --------------------------------------------------------
Erosion
--------------------- -------------- ---------------------
Erosion Centel Underfloor insul Electrical Servs Insulation Insp Appr/Sdwlk Insp .._
Footing Insp Crawl Drain Electrical Rorrgh Gyp Board Insp Electrical Final
Foundation Insp PLM/Underfloor Framing Insp Rain drain Insp Mechanical Final
Post/Beam Strurt Mechanical Invp Low Voltage Water Line Insp Plumb Final
Frost/Beam Mechan Plumb Top Out Gas Line Insp Water Service in Bu lding Final _
F'ei m.�+;tap ;�sran��tr_(ve I ,,s�_t9d 13y :
Call for inspectidn -- 1.393 4175
Residential Building Permit Application
c:ify of Tigard
13125 SW Nall Bived.
Tigard, OR 97223
(503) 6394171 3 -5-
,
c- 1- 5=
Jobsite Addresa�'J��•� l.c>
Subdivision:PX APIA L/i�L a6cL t# ` OfTlce Use Only
�, Contact gate / I initials _
Valuation: _ d -- Result
New Construction Only: (Square Footage)
// PlancWReG #
House: L` `� Cv Garage. -^ Permit#.pn G-
Reissue of M Si 11 Q3`Ik. .,,
Map & TL# J�,�`A
Corner Lot? Y N Flag Lot? Y N Zone
// 1
Owner: 7"20 Plat#�c R �/L�� �l
Address: ��✓�J� � ){ G(/ , �, ��'� Approvals Required
L, ll Planning Set��acks '�'�44 alar/'L
� /2. YiO Engineering
Phone: . - -Other
-
Contractor: �� _�_f�iCIJ f�GJ►l`7 LAS Itemzp Req`ulred
Subcontractors
Address cZJ Jam - Truss Details
Other
Phone: L�v��-•,Z Z Z.S- tl Z S j 23 Notes
Contractor's license
2ch of current Oregon license)
Contact Name: tL /t- c=
Contact Phone: G ) G' C- l Z ZS--_/'r - S� Z-3
Subcontractors: S,fl Architect/Engineer:IJA 1ZVC- ( a�_� �^ ►t.. I �(z •-S'
-1r 5--v
Plumbing: � /( o,6 Address:11 3 2
Mechanical ,d; _1't= L T .K_- T
(attach copy of current OR Contractor's Ucen�se) +,
^ / I Phone:
JOB DESCRIPTION: /V E t-L.� �,�E3C-J �kd() S L:
Applicant Signat� Applicant Phone number
Received by _ Date Received
N•w�ur++v...00
Permit x Account DescripUon Amount Amt Pd. Bal. Due
�t�f><G-v15.3 Bldg. Permit (BUILI9)
Plumb. Permit (PLUMB)
Mech. Permit (MECN) a,)� c/J, ro
�4R GU
tate Tax (TAX) �� 0
Bldg:
Plumb:
Mech: ,1
r1c 9,vim --
C117 --
Plan Check (PLANCK)
Bldg: 0 _
Plumb:
Mech: /0 -br oy
Sewer Connection (SWUSA)
Sewei Inspection (SWINSP)
Parks Dev Charge (PKSDC) U U
Residential TIF (TIF-R)
Mass ",ansit TIF (TIF.MT)
Commercial TIF (TIF-C)
Industrial TIF (TIF-r)
Institutional TIF (TIF-IS)
Office TIF !TIF-O)
Water Quality (WQUAL)
Water Quantit•i (WQUANT) _ 00
Fire Life Safety (FLS)
Erosion Cntrl Permit (ERPRMT)
Erosion PlancklUSA IERPLAN)
Erosion Planck/COT (EROSN)
TOTALS: yL �+ -�- Cj
UIRKIMM
Solar Balance Point Standard Worksheet
Address__
Box A calculations: North-South dimension for the lot, Box A:
This 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
with the smallest angle from a line drawn east-west and intersecting the northern most
point of the lot.
450-1,
t
%NM
�P\
lOi UNE \
LOTUNE
N North-South
Dimension for Lot:
Measure the distance from the midpoint of the North lot line to the South lot line along
the described line. �1
—� 1 -
far t
N �
i
NOWSOUB(DIMENSION'
L 1
Box B calculations: Shade point height for your residence.
Box B:
1. Determine whetner measurements will be based on the peak or eave of your
structure. The orientation of the ridge is also important. Which gen b?
your residence?
1a: If the roof line runs North-South, measurements will (circle one)
be based on the peak of the roof. L,d 11 t
1 A> 1 B l c
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.
SHRX POINT EASE
1 c: If the roof lite runs East-West and the roof pitch is
5/12 or steeper, measurements will be based on they ,
peak.
SHAN P'041 PCW
VA - 1 - - -E
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 it
the lot slopes down from the front lot line to the foundation, the figure is negative.
i. Measure distance from finished floor elevation to the affected peak/eave.
ft
-1. If the roof line runs North-South, deduct three feet. If the roof line runs East-West,
- �
deduct nothing.
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 ft
lot has no slope or slopes up from the rear to the front, deduct nothing.
l
0 Total figure for box B: ft
Box C. Distance to the shade reduction tine. [lox t
). Measure the distance from the North property line to the foundation near the it
affected peak/eave. f
Measure the distance from the foundation to the affected peak or eave.
3. Total figure for box C: -
It 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 the value in box"B"; if the value in box"B"is less than or contacteqlto at value
al e found in box or foundat Din
the building is in compliance with the solar balance code. If you have any questions, please
Community Development Counter
MAXIMUM PERMITTED SHADE PQI1114T HEIGHT (In Feet) —�
Distance to North-south lot dim nsion(in feet)
shade 100+ 95 90 85 8075 7,0 65 60 55 ;u t; 40
reduction line L `{/
from northern T
l�,[line(in f
i0 40 40 40 41 42 43 44
65 38 38 38 39 40 41 42 43
60 36 36 36 37 38 39 40 41 12
55 34 34 34 35 36 37 38 39 40 41
56 32 32 32 33 34 35 36 37 38 39 4U
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 Z7 28 29 30 31 32 33 34 35 36
30 24 24 24 25 26 271 28 29 30 31 32 33 34
( --- _ 2� 23 2
2S 4 25 26 27 28 29 30 31 32
� _.22.
20 20 20 20 21 22 23 24 25 26 27 28 29 30
15 18 18 18 19 2021 22 23 24 25 26 27 28
10 16 16 16 17 18 19 20 21 22 23 24 25 26
5 14 14 14 15 16 17 18 19 20 21 22 23 24
Box D. Maximum allowed shade point height: feet
m m
r r
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DRAWN BY` GLDpATE:-
REVIEWED BYRJS DATE_
PROJECT N0.:_344 - m`-'O-- ALPHA ENGLNEERr 11INC.
SCALE`.— I' = 2m_
ENGINEERING ,& DEVEI OPIIENT 9ER .CES A,SURVEYING
P-PLAN.DWG OFFICE. 503-452-8003 A FAX 503-452--En43
-- --- - PLAZA WESP -SUITE 230 ,& 9800 SW OAK &PORTI,AND,OR A7223 �
e��
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£ZZL6 2I0'QNVgM0d- M'0 AS 0096 - 0£Z .lMs, dSaX YZt'ld
£b09-24b-£04 )CM- £009-?9b--£09 DlaAo
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Pa.je No. 1 CASE HISTW'Y FOR CASE NO.: SWR96-0140
S&P PROPERTIES
11077 SW VERDE TERR
11/25/98
Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd
Code Sent Done Done Date By
SWRA007 At, llcation received / / / / / / 04/05/96 BT2
04/05/96 BT2
SWRA010 Plan by / / / / 03/14/96
SWRA020 Check prcl. restrict. 03/14/96 / / C4/01/96 PASS JH 04/05/96 STS
SWRA070 Ready to issue / / / / 04/15/96 PASS CJS 04/15/96 CJS
SWRA080 (F) Issue permit / / / / 04/17/96 PASS B 04/17/96 BON
G
SwRA705 Sewer Inspection / / / / 05/08/96 APP OS 05/08/96
SWRA720 Case Finaled / / / / 05/08/96 APP OS 05/08/96 GES
.i
i
P-ERMIT
W V--LRMIT #. . . . . . . SWR96--0140
CITY OF TIGARD DATE ISSUED: 04/ 17/96
COMMUNITY DEVELOPMENT DEPARTMENT PIARCEL: IS135CA-05500
I3126 BIN Hall Blvd.Tigard,Oregon 97223*099 (503)839-4171
11077 SW VERDE 'I EfRk ZONING: R-12'
,.3UBD I V I S I ON. . . . : DAKOTA VILLAGE
BK,LOC . . . . . . . . . . : LOT. . . . . . . . . . . . . .'DO9
TL -)Nl' NAME. . . . . : FIXTURE UNITS. . . 0
USA NO. . . . . . . . . . DWELLING UNITS— : 1
CLASS OF WORK. . . :NEW NO. OF BUILDINGS: I
TYPE OF' USE. . . . .
SF 0 Sf
J 3MpERV SURFACE:
I NSTALI— TYPE. BUSW"i
pemav-1<5 : pATH t3 DUPLEX WITH P,ROF,ER'TY LINE THROUGH THE MIDDLE
one 1.Anit Ot two with -Fire wall between 1-inits
FEES
01-qTiet-: type -Amoltrit by date vecpt
E')&-P, PIROPERTIES FIRMI 2200. 00 B 04/17/96 96-2782-71
16395 SW BELL RD INSF., 35. 00 6 04/17/96 96-2782,71
L
,3HERWOOD OR 97140
F-1horie #: 250-2385
Contv-actor-: ----------------------------- ---
CONTRACTOR NOT ON FILE
$ cEyJG,. 00 TOTAL
Re ca REUUIRED INSpECTIONS,
This Applicant agrees to comply with all the rules and regulations hewer- InsPectiun
of the Unified Sewage Agency. The permit expires 20 days from
the date issued. The total amount paid will be forfeited if the guarantee the accuracy of the
perexpires, The Agency does not 5 not located at the measurement
side sewer laterals. If the sewer 1 from
giver, the installer shall prospect
3 feet in 311 directions
if not so located, the installer shall purchase
the distance given. he Agency will install a lateral.
a "Tap aid Side Sewer" Permit and t a—
i1el.-Mitt e Q
C;ajI for, inspection 639-4175