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13570 SW FERN STREET ADDRESS: rN i:'records\microfilm\targets\building doc 8 �S 888 • o Q 1C M ; _ -� K W J >,i, W § I F- p Q V CU m w k U) > ) U O © • `Y `O m H W Z Z 2W CD -� H UJ 13 (n U) 7 En H IL 2 ku w c r° w p - \ a O Ul LL Q 8 O �? c, g O to�c� . aW `qw a u c.i p \ W W • • > O UO ~ Q Z r, Z a O (SrUj N �+ O • LL . rwrm 1 LAa (((�jy '� � h ? z d z O 0.. - - O IL —-- U p _. • - I- a: ~ O - O °i H m � K O V U'1 o' a M W m I • 1 � L S O O ° . , 54 w w aQ w CITYOF TIGARD CEWER CONNE�C71ON C11YOF11G�ilD PERMIT COMMUNITY DEVELOPMENT DEPARTMENT «nooM 7 F ERMIT #. . . . . . . : SWR92-0150 131268W 1 WI Bhrd P.O.Bw 23M.nip M,Onpon 9223(6Q1)6X 4176 tqtv .. .. 17MOrM11172-1/917. 611-E ADDRESS. . . : 13570 SW f-`E Rr 3T PARCEL: 26104BD-02500 SUBDIVISION. . . . : VISTA LAKE 7nM',.^I!,: rt-6 BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . s2 TENANT NAME:. . . . . . USN NO. . . . . . . . . . . FIXTURE UNITS. . . . 'LASS OF WORK. . . :ADD DWELLING UNITS. . : 1 VYPE; OF USE. . . . . :SF NO. OF HUILDINGS: 1 INSTALL TYPE. . . . :BUGWR IMPERV SURs"ACE. . : : 5f Remarks : Connect existing SFD to sewer. House constrr.Icted p—ior to 7-1-70. �7,eptic tank to be primped and filled with sand or gravel. Owner : --- ---- _.._._______.._____ .__.______-- ------------------ BEES KERRY VIE STENZ type amount by date recpt J.3510 SW FERN ST PRMT f 300. 00 HCR 05/21,/92 - INl.FP $ 33). 011a BCR 05/21./9c'-, TIGARD 03 Phone #: 684-.2520 Contractor. OWNLR ------------------------- Phone #: f 335. 00 TOTAL Rei. #!. . : a'10000 REQUIRED INSPECTIONS -- This Applicant agrees to conoly with all the rules and reguiations Sewer Inspection of the Unified Sewage Agency. The pet-sit expires 180 days from Septic 'Tank Fill the date issued. The total asount 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 measuresent given, the installer shall prospect 3 feet in all directions from ��_ the distance given. If not so located, the installer shall ourchase a "Tap and Side Sewer" Permit and the Anency will install a lateral. r Permittee SignAture: 1 sso.red By: Call for inspection - 639-.4175 C:I,EY or' T I CARD - Rr:C'E=I PT (IF PAYMENT REU I PT NO. CHECK AMOUNT t 3:.5' fi. 00 NAME V I I:_STENZ, K.E RRY CASH AMOUNT 00 riDDRE SS n 1.3570 'SW rE RN ST PAYMENT DATE 05/21192 SUBD M S I ON TIC•3ARD, OR PURPOSE OF AAYMEN"f AMOUNT PAID PURPOSE. OF PAYMENT AMOUNT F'A I 1J SLWI~R_LISA 300. 00 S WE.R INSPECT 35. 00 13570 SW FERN SWR9r.'•-0150 TOY At. OMOIJNT PAID — - -> 33`5. 00 INSVE"rION NOTICE y City of Tigard Building Department 1312S SM Ball Blvd. Tigard, Oregon 97223 Inspection Lina (Rec-O-Phone): 639-4175 Business Phones 639-4171 Inspec+ Lon:__ —-- Footing Plbg. Underslab Mach. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL: Post/Beam Struct.� San. Sewer Framing --Bldg. i Post/Beam Mech. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Line Gyp. Bd. -Mach. C -1 Date Regn:eeted• Times AM ---PM Address: v > ` PIN Builder: .. THE FOLLOWING CORRECTIONS ARE REQUIRED: Inspector: _. �_—��___ - - nate• ---- 1 - APPROVED - __. DISAPPROVED APPROVED SUBJECT TO ABOVE. Call Fir einsp. Firm Name Cc f3llling Address n`r% `" Phone Number Job Name J K\y"6 Job Address P.O. # Job# Date of Order Date Wanted Person Making Order_ ^Taken by _ -------T— Damage TO Waiver Yes 17 No SEPTIC TANKS Rates Problem? Deliver Last pumped? y p/u repair exchange move --- Tank size? ew, TYPE & QUANTITY Lid located?- -V-Length hose?_— _ toilet '/z unit trailer sink handl. Grade level?_ SERVICE .7Ll � D wkly 2x wkly 2x mthly I mthly daily Rate? ¢ min. Jobsite or Special Event C .f Remarks: _� � —._J�/ z,C_ .ISS C14 re-__ T I I I7S DATE COMPLETED SEIYU 5EIYU INTERNATIONAL TEL: (503) 245-4090•(503)245-4435 FAX (503) 245-4351 r t e To, whom it may concern; ter of has contributed to our satisfaction on the public sewer line that we have installed on 135th Avenue , Tigard . Project # 89340 Summit at Bull Mountain, Phase I This letter is to serve as a "Letter of Participation" concerning the above public sewer line project . Sincerely , �L' - VC'—V--'4 Kurt VanVolkenburgh General Manager I Lincoln Center 10220 S.W. Greenburg • Suite 450 • Portland, Oregon 97223 Record C.,',-jo o R fm F r r)p P ry Property TD - F491 1.60 4 R n C (�� T,nT ?, PT TACIT 3 . 5RAC VTSTA T.AKF Owner M ICI7457 P r n ri c 1c-i1.^ VTF'STFM7 , frW.RRY PFAN AND HP-ic.Thborhood: HNT)V Year BTiilt 8 -T A N T(7 F T..P�*F, 135,70 SW FFHN STFFFT Livina Arexi 2496 TTGARD. OR 97223 ;=Ile Date 0?/0t /85 SNJf- Price 00 570 SW FERN ST nr-pd Type Tnst Nmnbpr 85,007180 Cnti;- Are=, 091 .04. Fy,fn.rnpt i c-ir)F- , 1 990 Prnperty WiDips Mnrt Lender: CTY .- CTTY 7AVTN(-,,S RANK, F Tmj-rn-..,em;-nf.-, s 64, 960 Land 5 20,980 t990 Ts-,,. Stattis Total. As-,es-IRd 5 93 ,940 CurrPnt T-Pvif-,I TR,,RF 0 ?6o. 85 F.,,,,.empt i onc- Spfui7i.Rl Asspz;sments Ta,-able 93, 940 *** Mr, T;:--e- Depress i-Fir? RFT(JP.H I:e v.