9795 SW VENTURA COURT i-
1
i
9795 sw VENTURA CT _
C17YOF TIGARD CEPTIFICATF-w.' OF
0 TMRD OCCUPANCY
COMMUNITY DEVELOPMENT DEPARTMENT opmem PERMIT #. . . . . . . : MST90-01A5
13125 SW HWI Blvd. P.O.am 2339 7,T4p�j,Or"m j#pA(SM11 a%,41'5
t7
SITE ADDRESCS— s :.)W VENIUkO Ll' PARCEL: 1Sl05DD----04r30(A
--UBDIVIS1()N. . . . a WASHINGTON E1,11LIAR17 ES*rATE-'c, NO. 1 L ON T.NG a R--4. 5
131-ocv. . . . . . . . . . a LOT. . . . . . . . . . . . . »`i3
(..'.LASS or. WORK. INEW
TYPE OF USE. . . 011F
OCCUPANCY GRP. :R3
CJCCUPnNr,Y LOAD oc-.---10 4
TENANT NAME.
Remarks :
owl-lorl
NORTHWEST HOMES
7160 SW HAZELFURN RD
I OR 9'72E4
phone #-
Corktractorl
NORTHWE5T HOMES
'7160 5W HP7ELVERN RV
I IGARD OR 97i,P4
phorle #:
Peg #. . 1 56696
Uccuponcy of the above rsferencpd buildivill is hereby given, and certifies
the romplianre voith the Stott, Of Oregon Specialty Ccies Fcir the qt-oup,
ocuupancy, and Ufie kinder wt,,ch the referenced V)PV-Mi ( WAS ig%Lled.
L V.1 NU,
FIRE DVPnPTMF*NT .C�� R
.-INAPECT R
BUIL OPF I C I AL
POST IN CONSPICUOU5 PLACE
lNS.'ECTION NOTICE
City of Tigard Buildinq Departisr_nt
13125 OR Ball Blvd. Tigard, Oregon 97223
Tnapect.ion Line (Rec-O-Phone): 639-4175 Runinena Phone: 639-4171
Inspect fon:,_—���
Footing Plug. Underal4b Mach. Rough-in Appr/sdwlk
Found. Plbg. Top Out Gas Line .�r?I11AW.
r--
Poet/Beam struct. San. sewer Framing
Poet/Ream Mach. Rain Drain Innulation -Plumb.
Plbg. Undscfloor Water Line Gyp. Dd.
Date Requested: _,__Time: _ AM _pM
Address: 'V,5--rVX4, Permit r: CIO-
Builder:— k/_ lu. -,-!5L-
THE
c.TRE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector: Data• _ - L/
e---
"PROVED
APPROVED DT3APPROVRD APPROVED RUBJFCT To ABOVE
Call For Reinap.
.wr
i
CITY OF TIGARD
March 25, 1991 OREGON
OCCUPANTS --�/
9795 SW VENTURA
TIGARD, OR. 97223
Re: 9795 SW Ventura Permit i MST90-0145
Dear Occupants,
The last inspection conducted on the above project was a final on Sept.cmber 28,
1990. The next required inspection will be a reinspection / final for a
certificate of occupancy.
Please advise the Building Division of the statue of this project as soon as
possible so the file may be kept current.
Please note that any permit without activity for over 180 days becomes void. If
you need additional time to complete the project, please contact this department
so that an extension care be discussed.
Sincerely, ///J
il
8chreindl
Building Inspector
Wot ice.A
13125 SW Hull Blvd.,P.O.Box 23397,Tigard,Oregon 97223 (503)639-4171 ----- --�
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone. 639-4175
Type of Inspection -- ��
Date Requested_ - `G nMSId`0 0 A.M.- 2'— P.M.
l �� 'Permit y�
Address _
i �.,
Owner _1 _ Lot #E
Builder
The following Building Code deficiencies are required to be corrected:
-Nda-r- u ^::moo o tt /2kk,<S AATr C3ti�wtyt.rz'C�
roc+a ri i 277 A ,A.1L'.
S: -
�aw .t ✓ t, C'o. =(Lu lrZ
AS
Presented to Approved
Inspector Disapproved
Date
CALL FOR REINSPECTION
❑ YE• ❑ NO
MW
W11_,S,EY&jj/kM Creative Solutions. Superior Ser%ic,e
ENCIFIC,
M'*^IIIA •� I,_ n.r...I� !'1' 1'f,.l N ! W _ J
1099 S.W. Columbia Street (50:1)227-0455 ' Planning .• Surveying I
Portland,Oregon 97201 Fax(503)274.4607 Engineering Landscape Architecture
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•
HAROLD a. KEEPER
t
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W*or
pale;q r"ti/ 9V Sheet No.
Job No: (7 Prepared bN
_ -— - —
FJUW
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HAROLD G. KEEVER
L OREGON 44
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I., INSPECTION NOTICE
tel
� City Y of Ti and Building Department
9
[/ P.O. Box 23397
Tigard, Oregon 97223
Phone: 639--44175
Type of Inspection -- -
Date Requested �Q Tinfe — A.M. P.M.
Address 9 � �' Ll >!1 1 LY Permit #
Owner Lot #------
Builder / ( 1 �tG�:•� —._ _The following Building Code d as are required to be corrected:
T-6
Presented to — _._._`--___ VApproved
7
Inspector /` _—_ -- I--� Disapproved
Date -S --
CALL FOR REINSPECTION
❑ YES ❑ NO
FORM No.926--GENERAL EASEMENT. COPYRIGHT H090 /T[VRNS•NISS LAW PUBLISHING CO.,PORTLAND,OR 17404
ON[iE
AGREEMENT FOR EASEMENT
THIS AGREEMENT, Made and entered into this 24"th. .. .. day of September... ......... , 19 90
by and between Northwest Homes
.... ..... ..... .. ...
......... ............................
.._..........
hereinafter called the first party, and Sheran R. Jones
hereinafter called the second party;
WiTNESSF,TH:
WHEREAS: The first party is the record owner of the following described real estate in Washington..,._„
� County,State of Oregon, to-wit:
Lot 53 Washington Square
Estates; - 9795 S.W. Ventura Ct.
Tigard, Oregon 97223
I�
i
and has the unrestricted right to grant the easement hereinafter described relative to said real estate;
NOW, THEREFORE, in view of the premises and in consideration of One Dollar ($1) by the second
party to the first party paid and other valuable considerations, the receipt of all of which hereby is acknowl-
edged by the first party, they agree as follows:
The first party does hereby grant, assign and set over to the second party A revocable
drainage easement for the sole purpose of the connection cf 2nd party's
rain drain into the 1st party's rain drain at the northwest corner of
the 1st party's house.
I
(Insert here a full description of the rature and type of the easement granted to the second party.)
The second party shall have all rights of ingress and egress to and from said real estate (including the
right from time to time, except as hereinafter provided, to cert;-Mrn+-etnd xntore-trete-IsrciebrovethrNr►g+rfig
brnrtrn.h svmd Mftrr1D6atr(7c1i0II ) necessary for the second party'strst, Trjeymeret;-v"r tiorl-atv&maintenance 4-
the easement hereby granted and all rights and privileges incident thereto.
Except as to the rights herein granted, the first party shall have the full use and control of the above de-
scribed real estate.
The second party hereby agrees to hold and save the first party harmless from any and all claims of
third parties arising from second partv's use of the rights herein granted.
The easement described above shall continue for a period of Perpetuity____..._ _ . , always subject,
however, to the following specific conditions, restrictions and considerations:
1. First party reserves the right to revoke said easement at anytime.
2. Second party agrees to maintain and be responsible for any damage and repair
cost caused by water passing through said rain drain.
3. Second party shall hold harmless First party due to failure of drainage
system and all costs associated with failure.
E ! E E E E !• E E
If this easement is for a right of way over or across first party's said real estate, the center line of said
easement is described as follows:
See exhibit 'A'
and second party's right of way shall be parallel with said center line and not more than ................................ feet
distant from either side thereof.
During the existence of this easement, its maintenance and the cost of said maintenance shall be the
responsibility of (check one): ❑ the first party; ® the second party; ❑ both panics, share and share alike;
❑ buth parties, with the first party being responsible for ....0........77, and the second party being responsible for
1,00.....-- (If the last alternative is selected, the percentages allocated to each party should total 100.)
This agreement shall bind and inure to the benefit of, as the circumstances may require, not only the
immediate parties hereto but also their respective heirs, executors, administrators and succesors in interest as
well.
In construing this agreement, where the context so requires, the singular includes the plural and all gram-
matical changes shall be made so that this agreement shall apply equally to individuals and to corporations. 11
the undersigned is a corporation, it has caused its name to be signed and its seal affixed by an officer or other
person duly authorized to do so by its board of directors.
IN ,WITNESS WHEREOF, the parties hereto have executed this easement in duplicate.
Dated—-C: o.t C 2 S......................19..fU
.. . ..�1../ ,.. .......................... ......................
...................................... ... ....................................................... ................... ....... .......................................................................
r IRS7 PARTY SECOND PARTY
STATE GF OREGON, County of......�U.� �h..�� .(''&: . ..... )88.
This instrument w s acknow/edged befor a on.......... a �. ...............
by.....'.�1..��A.�i.�....�/11. .... e.� hC Y Cr �l .................
......... d....... ......... ............... ..s
T is instrument wa acknowledged before me on........................."1..'.�.�............ 19..9.0,
by.. .......�:. :�1V.....VA!.:.. .e` ..........................................................................................................
as...... .11J..l '�1.. ...................................
of. .... . . ..::� ` .... ................:::...................:::::::::...................................... . .........
ti
c for Oregon
My commissir` expires NOTARY,PI..._..
.. ..................... .........
My Commission Expires
AGREEMENT
STATE OF OREGON,
ss.
FOR EASEMENT County of.........................................
11F.1'N'1':P:N I certify that the within instru-
ment was received for record on the
..............day of..............................,19.........
at..................o'clock.. ..M.,and recorded
AND in book/reel/volume No....................... on
SPACE RESERVED page ........................ or as fee/file/instru-
FOR ment/microfilm/reception No. .................
RECORDERS uSE Record of..............
— of said County.
AFTER RECORDING RETURN To Witness my hand and seal of
County affixed.
..................................................................
NAMR TITLIK
By................ ........ ......... Deput
! � 111► � �I( � � !�'
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NOOIf I rITCNlN ��
FAMILY7ro M.
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OWING
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LIVING RM.
GARAG[ uu. uib
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■
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397 f
�W y Tigard, Oregon 7223
� V / Phone: 639-41175
J /
Typef Inspection —
Date Requested - ��/ ALL- Time _ A.M._, , P.M.
Address 7�'2 16— Permit #
Owner _ ,�_— Lot #
Builder �'�� — f
The following Building Code deficiencies are required to be corrected:
Presented to Approved
Inspector C<� �j Aimpproved
Date --
CALL FOS REINSPECTION
YES O NO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date Requested `1 44Time A.M. P.M.
Address �e� �� �/ �� — Permit
Owner Lot #
Builder 2" L
The following Building Code deficiencies are required to be corrected:
C� x✓rz�.�}c / ./rr- .yvT C�,v;yc;fi cry ->'///S
'..�""/Lt�,�- ! �'c::0y/II�''s•- _'T/lit: 3- �lc�r.�.l' r!� �Gl=t�r7Z1_)
./.I/76✓-t T
-�/ !/✓Sc��.yTL _T�'c.Tc./T��i /atm "icy— -
Presented to 7��� I _ [�*pproved
Inspector '' / — ❑ Disapproved
Date
CALL FOR REINSPECTION
❑ YES ❑ NO
i
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 84175
Type of Inspection -LOA-- i ev'K-L-zLq 19l'
Date Requested -� ��'�2, 1`—_ Time A.M. -V
P.M.
Address --.-_C ' Permit # q U—o)`f'S
Owner Lot #
Builder —
The following Building Code deficiencies are required to be corrected:
i
Presented to 2 \ pprcved
Inspector _ _ u Disapproved
Date —
CALL FOR REINSPECTION
Arl-
M YES 0 NO
i
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone. 639-4115
l
Type of Inspection ---
i
Date Requested –�1�J Ti e. A.M. _ P.M.
AddressL_��� — �� /� . ��J Permit
Owner- Lot #_
Builder
The following Building Code deficiencies are required to be corrected:
Presented to __.-____ — � Approved
Inspector __._._—_._ Disapproved
Date —
CALL FOR REINSPECTION
EJ YES I NO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard. Oregon 97223 tiI
Phone: 639-4175
Type of Inspection
Date Requ•sted —_ __ �� rims,__ A.M. P.M.
Addi ess `` // —
--.��----G!---- -. � _.. Permit
Owner _ _ Lot
Builder
The fo!lowing Building Code deficiencies are required to be corrected:
����'c rG✓10✓4 /nlSCJl.r"T1 O hi a r�. C'On1TA C�_.y��C'.Lli—_ -----
Ile
AT
i
i
Presented to —
— Apprnved
Inspector + i
C] Disapproved
Date or
CALL FOR REINSPECTION
❑ YES ❑ NO
INSPECTIONNOTICE
_ i
City of Tigard Building Department
P.O Box 23357
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection .��'ti'%lC _
Date Regaested Tia A.M. P.M.
Addres!' �75 ��x -�GZ Permit # �
Owner (3 9 7/9/It> Lot
BuilderThe following Building Code deficiencies are required to be corrected:
ebyt IA.:: T y (Z"4,g Cw
I
Presented to _-_ — Approved
Inspector T _ ❑ Disapproved
Date ---- --
CALL FOR REINSPECTION
0 vss ❑ No
W W
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
1 igard, Oregon 97223
Phone. 639-4175
Type of Insnection ---
Date Requested Time_! A.M. P.M.
Address ��_�� Permit Vd •�
Owner-- --- -- --,- — __�-- Lot #——
Builder —
The following Building Code deficiencies are required to be corrected:
i
Presented to __. Approved
Inspector Disapproved
Date
CALL FOR REINSPECTION
EJ YES C] NO
I I I I I L I I
INSPECTION NOTICE J '
City of Tigard Building Department v�tJ
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date Requested ����1L— Time .__— A.M. P.M.
Address Permit
Owner Lot #
BuilderThe following Building Code deficiencies are required to be corrected:
Al dd2 /A
d
IL
Presented to n Approved
y/
Inspector I Disapproved
Date
CALL FO,�,XINSPECTION
[ YES 0 NO
aXMFWBXW_A W1 MUM
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
G i Tigard, Oregon 97223
/ACI Phone: 639-4175
Type of Inspection %_-,,Z_-c%.&— Z,
Date Requested �G ''-�7 ` D _ Time__c/ A.M. P.M.
Address — !__[_sl '� {G_�{ �! Permit #912--i
Owner
--- ---- -------- - Lot #
Builder ----------- -- ----- .._—_---The following Building Code deficiencies are required to he rorrected:
�-� �;�,raw�zT c✓�rc.=.'�' C� Th�r s ti��G a -ri7 b c. -r ^i
I
I
17,5
Presented to -_- �l Approved
Inspector Disapproved
Date
CALL FOR REINSPECTION
YES L-] NO
INSPECTION NOTICE
City of Tigard Building Department •!' G ��
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection ---
Date Requested__1�__~ 40–/ �Q Time-----
Address
ime__--_Address cf.L ( L��IJ � _-_ ___ Permit
Owner _D_ �____ Lot
Builder
The following Building Code deficiencies are required to be corrected:
-114
Presented to 4q Approved
Inspector � � Disapproved
Date r —
CALL FOR REINSPECTION
❑
YES ❑ NO
INSPECTION NOTICE
City of Tigard Building Department
P O. Box 23397
Tigard, Oregon 97223 !
Phone: 639-4175
Type of Inspection _
Date Requested — Time _ A.M. P.M.
Address ,`fii Permit #-
Owner _ _ Lot
Builder �.� ---- —�.— ---- — --
The following Building Code deficiencies are required to he corrected:
/G , moo,,v, ✓
"`'Zra
l _QPM L'a�1� 7� ��OJi4l�.•! Uflr �Z l d.4Li
-
_' - �o.ef X7:tis,v, u..-)'?-e C _
Presented to roved
Inspector
r Disapproved
Date
CALL FOR REINSPECTION
❑ YE• ❑ NO
� p �
INSPECTION NOTICE
City of Tigard Building Department
G 3 ZG 2 Le P.O. Box 23397
y�� G 3s'3 d -Tigan d, Oregon 97223
Phc ne: 639-4175
Type of Inspection /l-� -- —
�C' - �C� Time X A.M. P.M.
Date Requested ",S._ ---
�. ��— Permit
Address _l' -�- - �
Owner Lot #
Builder --- — --__The fallowing Building
-Code deficiencies are required to be corrected:
L�J4
Presented to _ — ❑ Approved
Inspector disapproved
Date _ -
CALL FOR REINSPECTION
[] YES ❑ NO
CITYOFTIOARDMraS'rEr, P'ERIhI'r
(CanTAO�FiARD I:'L RN1 T' It. . . . . . . . MST90---014;°i
COMMUNITY DEVELOPMENT DEPARTMENT MOW V'RIM. P"ERMI'T' #» » MST90--014
13126 SW FWI Blvd. P.O.Box 23397,Tip rd,Oregon 97 031839 4176
t.,.. .. �✓ DATE: ISSUED* 0:5/21/90
SI'T'E ADDRESS. . . : 09795 SW VENTURA CT PARCEL: 1S125DI)--04 ;00
SUDDI:VI:SION. . . . : WASHINGTON SQUARE' E:ST'.0TES I40. 2 ZONING: R-4. 5
i.�._OC:IC. . . . . . . . . . : LC)T.. .. .. . . . . . . . . . . :53
_.... _........._.... _._._.__.._._...._.._.___...,__ ____. _.__ BUILDING __._.____._...._._.._..__..__.._.._..._._.__._._..._. _..____..._._�_ ._.._._....
RE."ISSUI-': DWELLING UNITS: 1 BASEMENT. . . . .. . . . :0 sf
CLASS OF WORK. :NE.W BEDRMS:3 BATHS:3 GARAGE;. . . . . » » » » » :440 sf
T'YP'E OF USF . . . :S1= FLUOR AREAS- - - - RFOU IRE D --
T'YP'E: OF CONST, C5N FIRST. . . . c 1.1.84 t>f LI F'T. » : 14 ft RIGHT» c i i. •F't
OCCUPANCY GRP'. :R3 SECOND. . . :918 sf FRON'r. :30 f•t REAR— 05 f-L
4,TC.)RIE G. „ . „ ., „ „ 0 'rF•II:RD. . . . :0 f R1=Cil.)IRL:D_._._._._....___.w... .......___.. ......
Hr-.:I:GH•T'. .. . „ ., . „ ., :2P) ft TOTAL.--_...._.._:E"10E? s f SMOKE. DE'rEC'rORS. c Y
F I_OOR L.00D.. ., .. . :40 I:)!.;f VA1-UE. . . . . 4: 96204 P'ARK.ING SP'ACES. . :0
Rema•rF.m:
. .._.....__.... ....__�_.. .... ._..._.__.___._.. . _..__ PLUMBING -.__w._._.._.._...._____._._.___ _.._.. _..___.__...._._...__.._..__........__.....
SINKS., . . . . . . . . .. ci. FLOOR DRAINS. . . . :0 BACKFLOW PRE:VNTRS,. . -0
I_.AVAT•OR 1 E:S. . . . . s4 WATER HE**ATERS. . . : 1 TRAPS. . . . . . . . . .. .. ., . ,. :01'Uk+/SF1C)WF::RE>. . . . .. LAUNDIF2Y 'T•RAYS. . . : 1 CATCH BOSINS. . ,. ,. . .. „ .0
Wn'rER CLOSETS. . -.3 SEWER LINE (ft) . c0 GREASE TRAP'S. . .. . „ ., „ :0
DI.SHWA1911EriS. . . . .. 1 WfUE:R LINE: (ft) . : 1.00 0I'HF-":R FIXTURES. „ ,. ,. „ :til
GnRD0(3E. D3.Sr:,. . . : I RAIN DRAIN (-Ft) . :0
WASHING MACH. . . : 1. 19F RAIN DRAI:NS. . : 1.
................_....._.._.. ....__.._.._.... MLC.;FIANICAL ._..........._._......_._._.._._......_. __...-......._...._.......__.. . _._..._ F'E:E:S ....................--__....._..._........
IFFI)E::!_. TYPE S............ - UNIT H'rRS. . :0 tylae amOUi7t by date •roc•:pt
VENTS . . . . .. :H P'nYll 'b 100. 00 R-A-1 05/07/90 20059/
PIAX I:NP.,II'T:0 14'T'U VEN'T' FANS. . :3 DP,RI $ 424. 00
1::'L)R N ( :100K . . c 0 HOODS. . . . . . : J. Pr-'L..0 $ 275.E,0
FURIN ):=1.001: . . :: I WC.)C.)DS"T'OVEri. :0 P51=1(: $ 21. 20
FF'l OGR F URN. » . . :0 CL(:) DRYERS. SPDC Ili (000. 00
BOIL/(.,1'1 P' ( 131••11-':0 C1'1'FIE:R UNITS.-. SS1)(11 1; 2"-.0. 00
CTAS OU T'LE:.'T f:;: 1 !:'ARK $ C?50» 00
Owner: _ ._......................__........................ _............................._ .__..............._......_.... MI='RT 1• 37. ;";0
C:US'rOM HOM NORTHWEST MP'L.0 1> 9. 38 /
NORTHWEST' l::1.)S'T0M 1•1011ES 1"ISF'C 9s 1. 88
.:)25 C()1.)N'TRY CLI.)B RD F.,P'R'r t> 147. 50
LAK V, (: SWEGO OR 970,34-0000 I:'il='C 1s 7. :38 /
P11•10ne If: 503-635-7055 P'AYM 'K .1.924. 44 JLH 05/R2/90
C(jnt:ra(:torc .._..............._....._............................
._..... . _.,...._.._......_...._........__..
(:;US'TOM HOPI NOR'THWE:*S'r
N(:)R'T'HWES'r '(1S 1'OI*I HOME:s;
25 COUIy'r i%'. CLUB RD
LAKE. OSWEGO OR 9'/0:34 0000
P117one #: 503---C,:i5---•'7051,
Re!3 #. . n 49466 _..........._...._.._.._.._..._........_....__.._....___...____......._....._____........ _._.
1 2024. 44 1'0 101-,
This permit is issued subject to the regulations contained in the - RUlUIRED I:NSF'"F.C.:T I()NS
Tigard Municipal Code, State of Ore. Specialty Codes and all other FF'oot/foccnd Insp Mechanical Insp
applicable laws. All Mork will be done in accordanc,., with approved Wt-(, F:'rauf'ing Bsm P'lUmb 'Top OUt
plans. This permit will eipire if work is not stated within 189 Post/Beam Insp Framing :Insp
days of issuance, or if work is suspended for @ore than 189 days. Crawl Drain Fireplace Insp
Bsm' t Slab Gas Line Insp
I c; rmi.t t:et? 1.3i.4nrltctr�>:•-�' s, / _. P 1.m/Unders 1.ab in Insulation Insp
PLM/Underfloor Gyp Board Insp
T.!;!:>t t c.(i f.+y: —
_.._._.._.............. _ I t;rl y D•v a i.n B s m' t Rain drain Ins p
Cali for inspection 6:39 41 /`i
l
y
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SEWER CONNE'CT'IONCITYOFTIGARD PIE R III IT
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COMMUNITY DEVELOPMENT DEPARTMENT 02100K FIRIM. PERMIT #. ,-. 11ST90-01.45
13126 SIN Hyl 8W. P.O.Box 23397.Tigard,Oregon 97223(503)GW4 76 71
DATE'. ISSUEDv 05/21/90
A D
-IORCEL: IS125DD-04500
S I T 1::* 1)R 1:.: 09 7 9 5 1: W V E:1,-I*I'(.)Rf) C ! F
SURD T VI S 1'.()N., WASH I N6TON SOUARL ESTATES NO.2 ZONING: R-4. 5
BL 0 1,.:1/,.. . . . . . . . . . . . .. . . . . . ...5 3
..........
TENANT NAME:. . . . .
USA NO. . . . . . . . . .. :40683 FIXTURE UNITS.— I
CLASS OF' WORK— . . -14EW DWELLING UNITS. . : 1
'TYPE OF' USE:. . NO. OF* BUILDINGS.al
1.N S T A L I... T Y P I.:'. D U':">W R 1111---'ERV SURF"0CI:,-.
Renla-rks:
Owiie-r.- F'EES -
CUSTOM HOM NORTHWEST type anial.tilt t)y date -r v 1:)
NORTHWEST CUSTOM HOMES FIRMT $ 1250. 00
525 COUNTRY CLUB RD INSr' 1, :3'.i.00
LAKE OSWEOO OR 97034-0000 FIAYM $ 123r.;. 00 JLH 05/22/90
1711-ic)rie #N 503-63 .5-7055
C I
otit-raeturt
CUSTOM HOM NORTHWEST
NORTHWLST CUSTOM HOMLS
525 COUNTRY CI UB RD
LAKE OSWEGO OR 97034-0000
Is"harie 0". 503 63r-.j----705',5 $ 1.285.00 TOTAL,
1eq 0— c 49466
REOUIRED INSPECTIONS
This Applicant agrees to comply with all the rules and regulations Irispectiovi
of the Unified Sewage Agency. The permit expires 12," JAYS 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 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.
..........................
1.1r'sk.ked Pyl .......I............................................. ...... ...............
(.;all fc)-r :i.risipec,tiori 6 3'.)..4 1.*7 5
c)F-- 'ruji`.PL) l",t-(RIFT L117 F'A Y M E P I T PECEN"'T 170-200840
► CHECI; ('4MIJUN1' 44
NORTHWEST HOMES CASH AMOUNT L7. UfJ
ODDREGS ;'160 SW HAIZELFERN PC, F'AMEN-r DATI.F. 05 1;'q0
► SUTTE 7100 SUIRD I V 19 1 ON
T f C WARY). OR 9 7 122A :.�795 S41 VEN-rUpA C7
PURPOSF. OF PH- MEN'l AMOUNT PAI 0 PUPPOS'EF OF' PAYMENT AMOUNT PA D
T 90--Cl I All.-, 424. CICI PLLMSS ING F'E*f-.PI 14",. . 50
71). 4.6
Mf---("fqAt-dC'AL PE 7. t5i a sr. BUTI-C) F'i ,
PLAN CHECK FF I D4. 98 SEWER 90--o I
"CHWEP, INSPECT 600Oo STFF-T-1 '51)G 00
250. 00 STOF"Im DRAIN Gric- 00
►
FT.KMfT #MST" O-0145
CALL 67,9-417!7.- FOR' INSPEUIION�Z
l(-,TAL a)MIIJNT PATI) ".2"Clq., 44
iI
CITY OF TIGAR.ti, J)F F:'AYMENT FF(-,[---'IFT NO. i9Q--2()Ll'.5?7
CHFC,-: AMOUNT : 1('10.CIO
NORTHWEST Hor,IE13 CAt:�H AMOLII'-f T t 0.00
AE-DPESS 1 7160 c-,W HAMLYERN RD PAYMENT I)i4TC--* 1 0 07 r)
OP 9 7 2"W` LCYT 57s, 001-31-1 11 EST
FIIIF4�POSF (IF PAYMENT (4MOI.JN 7 FA I D F.:,,JRPOSE OF Fs4YMENT AMOUNT FAID
f AN CHECK FE 7.;--1 R, 1.00.00
TCiTAt. AMOUNT Pf'111) 1.00.00