InitiallyGood I
M
r
ADr)RESS-
_s
R
r
un
r
CJ
U'
W
J _
i:V(c cords'\inicrofIm\largelsV)ullding.doc
_�
DA"TE TSGUED: OY/16/92
SEWER CONNECTION
PERMIT
CITYOFTIGARD �-,ERMIT 4. . . . . . . . SWR92—OL41
CffyOFTMRD
COMMUNFTY DEVELOPMENT DEPARTMENT 011100" 1
13125SWHWI Blvd. P.O.Box 23397,TigW,Oregon VW(SW)630.4175
,31 TE ADDRES1,i. . . : 14650 SW 103RD AVE PARCEL: 2S111BC-0230
5UBDIVISION. . . . : TIGARDVILLE HEIGHTS ZONING- R-3. 5
BLOCK. . . . . . . . . , . LCT. . . . . . . . . . . . . :21
TENANT NAME. . . . . :
USA NO. . . . . . . . . . . FIXTURE UNITS. . . -
CLASS OF WORK. . . :NE:W DWELLING UNITS. . : I
VYPE OF USE. . . . . :SF NO. OF BUILDINGS:
INSTALL. TYPE. . . . :BUSWR IMPERV '31JR[4)CE. . - f
Gwiier: ----------------- FEES
JOHN NOKE5 4-y r3 e amo-mit by date i-ecpt
14650 SW 103RD PRm,r $ 300. 00 JH 07/16/92
INSX, $ 33. 0171 JH
TIGARD OR 97224
i:=Ihone #:
Cantt'actor":
--------------------------------
"ONTRACTOR NOI ON FILE
335. 00 TOTAL
qeCj
REOUIRED INSPECTIONS
This Applicant agrees to comply with all the rules and regulations Spwer Insp-,-ctibre
:f the Unified Sewage Agency. The peruit expi-Ps 180 days frog
the date issued, The total count card will be fe�,feited if the
oerbit expires. The Agency does not guarantee the accuricy 0 the
side sewer laterals, if the sewer is not located at thu seasurevent
given, the installer shall pros,,,=t 3 feet in all directions frog
the distance giver. If not so located, the installer shall pum4se
a "Tap and Side Sewer" Pertit and Agencv itYall a""*)t!
Call for inspection 639-417S
INSPECTION NOTICE
City of Tigard Building Department
13125 Sw Hall Blvd. Tigard, Oregon 9727.3
Inspection Line (Rea-0-Phone): 639-4175 Business Phone: 639-4171
Inspection•
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Pound. Plbg. Top Out Gas Line FINAL:
Poet/Beam Struct. -Ban. sewer Framing -Bldg.
Post/Ream Mach. Rain Drain Insulation -P1U110.
Plbg. Underfloor Water Line Gyp. Bct. -Mech.
Date Requested
: / Timet PM
Address: �-7 V_�,� 5 �� ✓—� Permit
Builder.: (ii�f' -t_�' --_
THE FOLLOWING CORRECTIONS ARE R.:UIREDs
F--
sn
G7
LLJ
Inspects/r: Dates
�[ APPROV%D DISAPPROVXD APPROVED $USJRCT TO AHOVR
fff///""`���� call For Reinep.
INSPECTION NOTICE_
i
City of Tigard Building Department
131_5 SW Ball Blvd_ Tigard, Oregon 97223
Inspection Line (Re,;-O-Phone): 639-4175 Business; Phone: A10 41ii
Inspections __—
Footing Plbg. Underalab Mech. Rouge-in Appr/Sdwlk
Found. Plby. Top Out Gas Line FINAL:
Poet/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Mech. Rain Drain Insulation -Plumb.
Plba. Underfloor Water Line Gyp. Bd. -Mach.
Date Requested: 1� Timet _AM Ll,_PM
Address: x"
Permit i: 7 �� —
Builder: / --
,,-HE FOLLOWING CORRECTIONS ARE REQUIRED:
oe
—�
i
so
op —_—
Inspector: al�z — bate:
APPROVED DISAPPROVED APPROVED SUDJECT TO ABOVE
Call For P^tri,,.
CITY OF TIGAPI's RECFlr",- OF POY'14ENT RC,,('E I PI NO. :92-229615
CHECK AMOUNT 33�j. 00
NAMt' t 11OKES, J. RICHARD CASill AMOUNT 0. 00
AUDRC.SS t 14tjO W 10 3R PAYMEN"r DATE 07/16/92
SUBDIVISION
TIGARD, OR 97224--
oURPOSE OF PAYMENT AMOUNT PAID PURPOSE OF PAYMENT AMOUNT GATT-)
Ln 300. lath '!EWER INSPECT 35. 00
C.D
LL)
9EWFR PERMIT
TOTAL AMOUNT PAID 335. 00