Loading...
12442 SW SCHOLLS FERRY ROAD STE 101 0051. eT +` OQI M•': � `J t "��P rt v'1'�c�•��i�I,.SuiR�,M-.r -d � r{ i'�rrX{'�t it ,i i`�_` � � «� Y _ .,a:.a !:� ''k ;i' r�f���14�� al?� �� •�''f{. rB wY. � 'r;lr+'�'(^+:[.,y r< v r. � r r i }f v4 1 � I; r } Pj ra F J t ✓r } •e + .:. , . .1?�1l�IMYWI.✓I..YWMViYMw ..... . '.-' T'n!!.w�.�.^fT +'A-�.MMrp'Nq'\'M'Tnw. ..-. .:':: �:I,: �IA•71'}L'Slt.�Jf.: r OF TIFAIW RPcr;MIJ COMMUNITY DEVELOPMENT DEPARTMENT O n�� �`t::r�I*tl'r 13126 BW Hall Blvd P.O.Boa 23377,TIWM,Or%W Wm``6C3)e3A 4176 SITE ADDRESS. . . .1.r244e.. SW SiCHOLI-S I-ERRY RD #5. 101. PARCELS 1S134BC-00401 SUBDIVISION. . _ . ., ZONING: (:-•G BLOCK.. . . . .. . . . . . . LO'T. . . . . .. .. ,. . . . . . . CLASS OF WORK. . :ALT FLOOR TURN. . . . : EVAP COOI_E'RS: TYPE Of' USE. . . . :C:OM UN1: r Li E:A'TF..:r;5. . . Vf"NT F'()HS. . . : 3 ':- OCCUPANCY GRP. . -P2 VENTS W/O PPPL: VENT SYSTEMS: A STORIES. . . . . . . . ..2 BOILERS/COMPRf:ssORSS HOODS. . . . . . . ., FUEL TYF'E:S••-•-•---.•----_.__..,.._._ 0_3 LOi'IES. INC;IN: :/GOS/ / / 3--•1'.i H MAX INPUT., fcTU 15-•30 HP. . . . : REPAIR UNITS: FIFE DAMPE:RS'). . :N 30--7i0 hIF-'. . . . : WCJODST'OVES. . : GAS PRESSURE. . . :M CLO DRYERS. . . NO. OF' IJMI T'S.____________..- AIR HANDI..ING UNI IS OTHER UNTA'S. f *ti FURN < 100K BTU: <- 100043 c.f m:4 GAS OUTLETS. e FURN )-100K BTU: > 10000 (�fm- R +m�trka: TeIIAnt Mr)d : F :irs•C tc-�r►a1.1t b1.0.1(J--0Ut,, iriter•:i.r)•r I7a•r•tit:ians, t:ailet rm. ff FEES l I ST. V1NC.'ENT HOSP. I< MED., C;NrR. _. typF� aAm0t1lit by a4te recrll `120:5 G. W. BARNES ROOD PR'111 $ 37.00 PI.-C:K $ 9. 25 P0RII...AND OR 97225 5P(",T 1; 1. 85 ! / Phc)rlp If: 291-2098 PAYM `F 6. 10 TI..N 0:1./04/:3:1 1 C;CJN'TRACTOR NOT ON FILE Phorle W: ' 48. 10 TOT AL. Reg 1 .-.-. ...._.--•-. -...-----... This permit is issued subject to the regulatio►as contained in the REQUIRED INSPECTIONS Mech ani c a l l ns p �� � _ Tigard Municipal Code, Strte of Ore. Specialty Codes and all other 1-10ati.nn Urrt Tr1tip appiicible laws. All wr,rk will be done in accordance with 1)c.cct I1-lsPerAi.0n approved plans. This mrsit will expire if work is not started Final Inrshecti0n Within 188 days of issaanre. or if work is suspended for tore ----- —•----_---____ �... than 188 days. P a•r m i t t e e+ ........... ...... Call for inr>pec t i 1-1 C',39-x+:175 k f i i` ® R Receipt #,�_�_ JTY OF TIGARD MECHANICAL PERMIT Permit A 12 5 SW IIALL BLVD. 0. BOX 23397 Description - 'I GARD, OR 97223 1 . Table 7A Mechanical Crde uTr PRICE AMT '503)639--4175 1) Permit Fee -0- -0- 10.00 N"'TM 2) Supplemental Permit 3.00 Furnace to 100,000 BTU 6.00 jobAd6eN� , �Vy y ��� 11 incl.ducts&vents TJ- Li-- Furnace 100,000 BTU + •�� Ta.La Map� 2) � Lai t� Subdivision Floor ducts d.vents Nwne(or nwas M bit wwm) 3) Floor Furnace 600 incl.vent _ Me"AddreN Phone 4) Suspended heel.r,wall heater 800 O„rte - or floor mounted heater cov/94 s — zip 5) Vent not incl.in 300 appliance perrnit Nan a n.me of b ) 6) Repair of heating,refr ig., 600 cooling,absorption unit Melling Ad&"s —F,n1e 7 Boiler or comp to 3 HP 800 f Occupant /p ) absorp.unit to 100,000 BTU ii ZIP 8) Boiler or coma to 3 HP-15 HP 11.00 !-absorp.unit to 500,000 BTU — Nanl1s Boiler rrr comp 15-30 HP 15.0J absorp.unit'/z 1 million M.ww Adiftu f 0) Boiler or comp to 30-50 HP 22.50 RO pox �Z�2 S e7o�Ca absorp.unit 1-1.75 million ContractorCitylstat e - ZIP �/ 11) Boiler comp to HP- 31.50 absorp. unit 1,750,,000 BTU Sues RegistrationNo. City 84w Tax No. 12) Air handling unit to 50 4, i C)236-5- IO�Z7�9U 10,000 CFM � I hereby ecknowladga that I have read this application that the informabor given r. ) Air handling unit c mki,haul I am toowner or authonzed agent of the ovmer,that plans sutx*itted are in 13 10,000 CFM + 7.50 compliance with Slate News."I I am registered with the State RuMem'Ro ird,that the 14) Non portable 4.50 r rxxr*) givrm is corned.(M exempt from State registration pin::,o give re,."below). ev aporate Cooler Vent fan connected 15 00 to a single duct '00 ------ --- — -- --- -- ---- --- - Vontilation system not -- 16) 4' included in appliance permit _ 7) Hood served by 4.50 j mechanical exhaust sgnadwa(owrw or agent) Date113) Domestic type 7.50 Describe work ❑ addition U alteration_ r pair Fl to to be doneresidential ❑ non-residential 19) Commercial or industrial 30.00 Existing use of type incinerator building or properly— `_-- - I 20) Other i.e.,w oodstove.water 4.50 Proposed use of I! heater,solar,clothes dryers,etc. building nr property _ — 21) Gas piping one to four outlets 2.00 j Type of fuel- oil ❑ natural gas P( LPG ❑ electric ❑ - 22) More than 4-per outlet SUB-TOTAL7,VG THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON- C�TRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 5%SURCHARGE _ ,85' DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR PLAN REVIEW 2S%OF SUB-TOTAL S' ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER - — a WORK IS COMMENCED. TOTAL Special Conditions_� -- -- _--_-- Date issued by i. , IS .. ,r i 07 ., .. ... .. .. .. ., _. ,�................ i.,.y,,..... -.. .^n..434 Yt rrti,.., ` ------------__ _ CITY(A"N" TKAM IM // PERMIT #. . . .OCCUPANCY. . .. I?Uf��30,.._�a ddi�n CASS HISTORY FOR CASS NO.: 11UP90-0285 7w�"'8� COMMUNITY' DEVELOPMENT DIMMI'UIENT M 8T. VINCS'IT HOSP4 1�D. ('NTR.tzaaa aH scxaLLs FSRRY RD [mit s.11® 1p� 13469WHaRBMi P.O.BOX 23397,T%PM,Orepon9=(SM)6304176DATE I GUEDt 12/26/90 oe/yrs/s� 9ITE ADDRESS. . . 1 12442 SW GC',} OL; ` f`ERRY RD IFS. 101 PgflrCLa 1 9134ETG-0f1►401 R Schd/ Sna/ Act.ian Notvs Disp By twat* UP& � `,vURD I V I I ON. . . . f IT,/ Acorn, Devctipr ron / BLOC.K. . . . • • • , ZONING): C•--d Code DatO By .....` ' �I.nT .._ _._._... .. . . . . . . . . . . . . « .• Sent Done Dcne ------- ------------------------------ -------- -------- - ------ --------------------------------------- ---. ..- ---- -- --- CLASS 01 WORK. (ALT A TY;'E OF USE. . . i COM d' OCCUPANCY OF'a. a 82 d � OCCUPANCY t_UAll a 16 BUPC007 Application received / / / / 09/14/90 RECD JHJ 09/27/90 JHJ SUPco10 Plan check deposit paid / / / / 69/14/90 PAID JLH 09/27/90 JHJ FASB JHJ o9/z7/90 JHJ T).-hIAN•T NgMF::. • . a DR. SftiELE't! RUPCO20 Plan check by / / / / 09/26/90 PASS SNB 09/27/90 JHJ IJUPC030 Piro District review / / / / 09/20/90 )emarkiil Tvrimnt Mods First tenant build---piit, interior partitions, toilet r-no. ft RUPC040 Check for prcl. restrict. / / / / 09/17/90 PASS VRG 09/27/40 JHJ BOPCo90 (P) Ready to issue / / / / 09/27/90 PASS JHJ 09/27/90 JHJ f BUPC100 (P) Issue permit / / / / 10/08/90 PASS JHJ 10/08/90 JHJ VINCENT HOSP. & MED. CNTR. RUPC740 Framing Insp / / / / 11/02/90 D39 G9 11/07/90 GHS -.`'� "�-2 5 S. W. BARNES ROAD BUPC760 Qyp Board Inep / / / / 11/13/90 PART GS 11/14/90 GHS - '�' BIJPC760 Gyp Boated Insp / / / / 11/29/90 APP GS 11/29/90 GHS � PORTLAND OR 97225 1 BUPC762 Suop ceiing Insp / / / / 12/05/90 DI8 GS 12/07/90 RS BUPC762 Susp Ceiing Innp / / / / 12/12/90 APP GS 12/13/90 GES ADP G9 03/14/91 JLH SUPC799 Final Inspection / / / / 12/26/90 I,ur,t t-iii L 0rl '-•---•«--".«�- .«.�•--._-.--- -.-..___._..._..._.,-....__.._. BI1PC'799 Final Inepectien / / / / 12/26/90 APP GS 03/14/91 71H OWNER/CON T RNC:TOR 811PC950 (F) Issue Cert. of Occupancy / / / / 12/26/90 PASS JIJ1 03/14/91 JLH BIlPC950 (F) Issue Cert of Occupancy / / / / 12/26/90 PASS JLH 03/14/91 JIJ1 I 1?hune !!r F ClcctiNar►cy of the Above referenepl-I bl_iiidiny ig hel-Ptly git,en, and certifies 4;^ the complimn(c a with the State Of Oregon per,ialty Co4es t`or the ntrc: nc.y, Arid use undev which the referent rd Permit WAS issued. F IRE DEPART MEPJT 11 I Lt I NC INSPECTOR ri POST IN UONSP I CUOUS PLACE= MIR ( r!J, y I e- � ..•n '''�M1`a,.. . I , Y►..__. �..�._ .uu�_��.__� _ W , ..., y ,,yr,...� .g_ ter. rs....-;,...nC_s. +•s► lwWk' e_�_.a_: _ i- ,_� �_ _ _ _�. —�• -. �_u _._ __�- _. ._,.. .. s`t•se,��_—__ _.rr: ,_ _ _. _ _. _.. _r-fir w I��yr.: ♦ 4•� ti. .y,.ryr 4.1 mow- �.��,yT. r � ..` Y PS IN Vq TUALATIN VALLEY FIRE & RESCUE AND BEAVERTON FIRE DEPARTMENT FIRE MARSHALS OFFICE (503) 526-2469 POSTED: OCCUPANT _ .S'f (/6K CONTRACTOR BLDG, PERMIT O/q 4'©2 ) ` i PROJECT NAME J PLAN REVIEW LOCATION _1'%yam ,W JURISDICTION: 1= Be. 2= Du. 3= It.C.,`4= T 5= Tu. 6= Sh. 7= Wi. 8= CC 9= WC 0= MC COVER FINAL SPECIAL FOLLOW-UP/REINSPECTION ATTEMPTED FINAL i Framing ❑ Separation Walls ❑ Sprinkler System ❑ Shaft ❑ Firi Dampers (Gverhead/Underground) I I i Alarm System ❑ iIood' Extng Systems ❑ Conference ❑ Spray Booth ❑ Ceiling Cover CJ Other __ _ 1 i�S.�i L+-?o✓�- LG•�N.l.{ (��'at.�- }��.� _�a' /-,�jy�,� '.�� 5�,t.^C�-,/L$ 71 A 1.Z- i>C�/ ��r✓�- i. '�"(� ,/�J/�.' �t/L�y.�.Lil�n`..�'�-, •-..tom, Date:l f 2--G1 i� Inspector: I V ANAL _. IT t BUILDING F'EkMIT CITYOFTIFARD 0FTmm1DTIERI111 tt. . . . . . . BUF90 •0285 RMIT N. : F+UP90-0285COMMUNrY DEVELOPMENT DEPARTMENT 0a00n FIR IIh» PIE I 13126 SWI F W l Blvd P.G.Bac 7.W,Ttpad,Q'qpn¢7223(03)091144n , I DATE: ISSUED., 1H/0(i/90 � ::i:1 T'E ADDRESS. . . : 1r'•i4i' SW SiCHOI_LS VERRY RD "S. 10:1 PARCEL..: 15:3/ 00401. 42UHDI:VISION. . . . : ZONING: C••-(3 BL.00K. . . . . . . . . . a L_0'r. . . . . . . . . . . . . . s REISSUE: FLOOR AFlE.Aa_.__.__.___... ._ E;XTE'RIOR WALL CONSTRUCTION- CLASS OF- WORK. :F.LT F'IRSir. . . . c1600 sf IJ: ;3« E: W: rvr)F_ OF' USE:. . . 3COM SECOND. . . a s P'RO•T'ECT OF CONS T. :2F R THIRD. . . . a S f 11: S.. E W« 1 (.)1..( 11'ASICY GRP'. :142 TOTAL•-._.-._._.__; 1600 Sf ROOF CONST: FIRE: RET•?: OCCUIJAN(,Y LOAD« 16 D0GE:MF'NT» : <af AREA SiE:F'. RATED: STOR. :2 HT. :24 ft uARAGE:.. . . : sf OCCU SEI:'. RATED: DS1MT?:N IIEZZ?«IJ REVD SETBACKS-­­­­ REQUIRED _ _.........._._.._._ ____._. L..00R LOAD. . . . :50 pS f L.E:F T: f t RGHT: ft. F'I R SF'F'.L:Y SMOK DET. . :Y DWELL.IIq(.3 UNIT'S: F`RNT; ft REAR: ft F`IR ()I _RM:: HNDI(:F' A(:(:;« 'r NE:DRMS:: BATHS: IMF' SURFACE: F'RO CORK: Y PARKING: Re"IA'r!'.Si: lena1.lt Mod : Fi.rst tencAnt build-oUt;, interior partitiorls, toilet rm. y S / f 51 . VINCENT HOSF'. ti MED. CNTR. type amount by d<:1te reept )20 y S.W. DORNKS ROAD F'AYM 1; ;31 6. 05 JLH 149/1 ':,'90 2047�6 F'RM'r 110RT LAND UR 9722::1 I•11._CK 'b 1.9115 C.-5 f hong N: 291•-2098 FIRE 1x_'0. 40 PC T �> 15. 05 ` I Contractor: _.___.....-._......_._.._..___.._.._____._._._....._._. ___ Oym $ 31.6.05 JIAJ 1010t.1/'30 CONTRACTOR NOr ON FILE i I-Molle H: $ E,32. 10 TOTAL_ _......_ RE(.4UJRED INSF'E:CT'IONS; This perch is issued subject to the regulations contained in the Framing Insp Tigard Municipal Code, State of Ore. Specialty Codes and all other I n S U l a t i o T1 Inst) _ _.__.._._r....__...... .. applicable laws. A)1 work will be done in accordance with Gyp Board Inst) approved plans. This persit will expire if work is not started SUsp Cei ing Insp within 189 days of issuance, or if work is suspended for rare F inal Inspection than ibB days. Pl e r m i t t e r Issi.lpd P� t,a.11 for inspection - E,3393 41715 I � 2 , 1 `Y ®F T IS u�sW�. . Pte.�. CF PIlCK/� 9-.3��/ 20W7? COMMUNITY DEVELOPMENT DEPARTMENT DATE ISStiF.D PE*T 'W ED '0285' Scr{yc[.f k.-.y "e./r'cpc /Ga rA JOB . .r. i +s c i .ADDRESS :774- _ Im me/Im SU13: �r �e_/ A LAM USE: VAI,LE7ITI �'�'.o a a G1M SPECIAL N OfrES PU1ME: 5r•G c.s ,r/o:.�f..P . Cfr• REr. , OF: GI zor-�c.�.+ rico. �ea4•F, IAST REIS,5W: - 27 FLOOD PWN/ STNSrI'IVE Ili: dOEJTRACTOR APPF4ZMI RB U_ NAME: PIANNm: . ADDRESS: �Zof" sc�, rScr..�.�Xpr�.0 FIRE DEPT k'E1�IE: X17. �.a rr' I'(Z2�l,S RI17QII'�D BUILDERS PCS 1: .N iC_ DW DAZE: IT/SaBOD[T ACTIORs: EER BUS TAC: � E_-/- 1 (MLCE fATIONS: NAW. . -- TRUSS DFMUiS: ADII%'_"-�: 13 76 - N 9r. 0TRER: - I 'I moi: - 1 PERM I ACCT DE9CRUYTIQd jvM Ui AMXINT PD. BDUE 10-432 00 Building Permit Fees _. � 9a Z2 10-431 00 Phanbing P.,.it Fe,, ,41CT�!11.�L11 10-431 01 M�ed�attical. permit Fees - � �1.S- 10-230 Ol State Building Tax �}) c3 _ / .6 & Building /-5, ( --/__7.r_�r.. Pl unbing _ ? — Mec _ 10-433 00 Plans Qiedc Fee Ofd" /y5.6 S Building / '/ • L 5 Plumbing SWC_D37.2 30-202 00 Sewer 03mvx#.ian 30,444 00 Sewer Inspectiax 51448 00 Street SY--bMn Dev (hat ge (SDC) a 52-449 00 Parks System Dev Qottge (PDC) 31-450 00 Storm Drainage Syst Dev oxt9 (SSDC) — 10-230 06 Fire 2G'4U 12-01,70 --- �L APMcRW sI -- Aeoeived By: .ef/3587P WPF Date Received: c : OMINOUS CITY OF TIGA RD► COMMUNITY DEVELOPMENT DLPARTMENT PLUMBING ;-:,ERMIJ 13125 SW HWI BW. P.O.Box 23397,Tlpd,O"Pgon 97223(603)6304176 P 1:1.R 11 TT 0. . . . . . . ... r'l-w- --WJ.76 4. F1ERMf*f 0. w t4tif-m4" DATE ISSUED: 10/013/90 >311E. ADDRE .1.2442 SW SCHOLLS FERRY RD "S. 101 PARCEL: IS134BC-00401 SUIRDIVISION. — ;; ZONING: C-13 BLOCK. . . . . . . . . . . LOT'. . . . . . . . . . . . CLASS OF' WORK. . :ALT GARBAGE DISPOSALS. MOBILE HOME SPACES. : TYPE OF USE. . . . ..C 0 11 WOSHING MACH. . . . . . . : B A CK F L 0 W V'R E V NT R5. . - (JC;CUPANCY GRP. . :E12 FLOOR DRAINS. . . . . . . . 'TRAP'S. . . . . . . . . . . . . . STORIES. . . . . . . . :2 WO 1`ER HEATERS. . . . „ , ,. CATCH BASINS. . . ., .. . . F'IX*TURES----------------------- LAUNDRY TRAYS. . . SF' ROIN DRAING. . . . . SINKS. . . . . . . . . . ..4 URINAL5. GREASE TRAPS. . ., I AVATOPIES. . . . . : 1 OTHE'R F IXTURES. TUTI/SHOWERS. . . . : I SEWER LINE (ft) . . .. . r . WPTER CLOSETS. 1 WATER LINE (ft) . .. . . DISHWASHERS. ROIN DRAIN ( ft) . .. . . Tenant 11c:d ; Fi-rst tenant t)UilC1-0Ut-, inte-rior p,-A-rt it ions, toilet rn). t FEES 3T. VINCENT' HOSP. & MED., CNTR. type amount by (10te reept 920'5 G. W. BARNES ROOD PRMT $ 52.50 P L C K $ 1.3. 1.3 POR T1 AND OR 97P25 5PCT $ 2. 63 291-2098 PAYM $ 68. 26 JLH 10/08/90 Corlt-raeto.rg CONTRACTOR NOT ON FILE ............. $ 68. 2.6 TOTAL ...... RE'QUIRF.:-'D INSPECT TONS This permit is issued subject to the regulations contained in the R0Uqf1--1n Tnsp Tigard Municipal Code. State of Ore. Specialty y Codes and all other PL M/Uncle-r f lour ................... Applicable laws. Ai: qork will be done in accordance with Top-ot.it Insp approved plans. This remit will expire if work is not started Final Inspection within 180 days of issuance, or if work is suspended for acre than 188 days. ........ ................. I SSLIed y Call fo-r inspertion 639-41.75 MITI" ....... .... P PLUMBING PERMIT 13125 SW HALL BLVD. r P. O. BOX 23317 Applicants must hold Oregon Registration to conduct a plumbing T I GARD, OR 97223 business or mem be property Owner/operator not hiring outside help. -- Not (503)639-4175 AA Plumbing Permit No. Address Job ()RS 81411 .21 10 DUAN. PRICF. AMT. Tax lot Map.W. r Address FIXTURES _ int Block Subdivision Sin) 7.50 f - Tama or name ofusrness lavatory _ - / 7.50 7.j _ Tub•m Tub/Shower Comb. 7.50 ess i Shower Only 7.50 7.f0 Owner (Ily/ M ---- Zip - WaterCk" 7.50 7.fo mQhw13her 7.50 ------ Phonj --- Garbage Disposal _ -7.1-0 - - Name WashkV Machine - 7.50 Do"- Floor Drain_- �- 7.50LW�-Address - Phone Water Nem..,. 7.50 Occupant CM 1-s to - -- laundry(4oan Tray _7-50 - Urinal 7.50 Phone Other Fixhxes(Specify) -- 7.50 7.50 ess Phone '7.50 Contracfar CMy/State - ZIP - -- 7.50 _ _ _ MISCELLANEOUS City bus Tax No Sem 151 100' 30.00 -- tat - eie Serer-ea.Addit-100' 15.00 _ (�) Water Service 1 st 100' 20.00 1 hereby acknow1ocips that 1 haus red 1Na application,Mut the Informatics Water Set%ioo ea.Addd2D' 15.00 given is ourrod.that I am regWiersd with the Ste%Brri 9 Board,and also Slorm 6 Rain Drain 1 st.1 tl0' 30.00 haw a State Fkenbkg fomm that he nurvA rs given ars correM Mut all - OwnbwV waft will be done in s000rdance with appfc"provtsian of Ors- Slorm i P-in Drain Addit.100' _ 15.00 gon Revised Statutes Chapters 447 and W3 and appAcable codes and Mut Molle hlar.e Spsoe 25.00 s _ no help will be ernployed unless licensed under ORS On(M exempt horn State-9W-*X%plesss give reason be". Back Flow Prevention _ 140MFO VW-RS-I hereby owtiy lira/I am the owner of the property ds- Devioe or Anti-Pollution Device 7.50 as bad above,it which to ation 1 prapoes to make a pkv Installation for Any Trap or Waste Not ny own use anti this properly Is not bskrp awntn"W br sale.lease or rent- Connected to a FbAure 7.50 Catch Basin 7.50 -- - kW.ol Exist.Pkmrt*V 40.00 Per M. ----- -- - SpewKy Requested Inspections 40.5_ Rain Drain, -- 1500 Single tam. Dwig. AUITNOAtZF:,�'r(WATLWT- Date Desatm work new Q edditim❑ aMeroUon(] re),ak U be do M__ reJq ial�(� moll res(drrltia![-I Existing use of MINIMUM PERMIT FEE 255.00 SUIT-TOTAL32 f --- - Pftpo dU"of - 5% SURCHARGE 63 or property "07XIf ----- - 25• PLAN REVIEW . L TWs Pa►r+ bsoonus nue and void*work a r conatruado autty died Is not corn TOT AA L jj- rluwad wAMJIn 1!0 dayamr N oau*uc hon or work te etmp>'rdad a abirrtoned for A Pet"d 100 days M any Ams 411104 wak is oanrwinoad. th111C4AL 00#*XT)OKS Date issued --___--- _ by I 1,10 SEWER C:ONNL.(:T•ION �� r C17YOFTIFARD F'.. 1111' 1, 0TYOF RD C'RI:1*1« F'E.RI•II'T b. : HiJF'7k)_Plc.'.A `i i COMMUNITY DEVELOPMENT DEPARTMENT one*" DATE: ISSUED: 10/08/9. 1 ' 13126 SW HUI Blvd.P.O.Baa 23;107,TigW,OreW 07223(6031 094175 5 1 TE AUDHESS. . . : c7i i t s Q 5 u I 10 1 1 5 ::. i ;1 . . -- I.AR1E.L..: :I.a1.34DC---- ,40J S:iUFtDTVI'"IC1N. . . . : ZONING: C;-Ci BLOCK. . . . . . .. . . . I...CI'T ., . . . . „ . „ „ , . . . . 'TEN(IN'T NA11E.. ., . „ . I)R. 'SEE:1._E'Y UGA NO. . . . . . . . . . ..4;3100 F•IXT'URE UNITS. . . : 18 (.:LASS OF WORK. . „ -ALT DWELI...1.NG) UN)''I'S. . : I T'YFIE OF USE. . . . . ..COM NO. Of BUILDINGS . 1 1.14STALL TYI`!E. . . . :DLJSWR 111F+--RV SURFACE:.. . , :S f f-:pma•rks: Tenant Mod: First tenarlt bt.tild-aUt, :111ter:ior pa-rtitions, toilet -rn1.. Si'i. VCNi;ENT HUSF•'. R MED. CNI'R. type amot.tlnf, by date recpt :)205 S. W. UORNE.Si ROAD P,R11 $ 11,500. 00 F'AYI*I 1500. (4p jt_14 Lk)108/^0 F'OR TI_AND OR ':3?22'.i I::rhor,e a: 291•-2098 r1 Colitrrac-to-r r _,__.._._......__.._._..........._..._......_.....____.........._..._..__......... CONTRAC'VOR NOT ON FILE I'Ii!:a11ea 11 e $ 1`.'°i00. 00 1'0TO L i I _.....__.__._ RE_OUIRED INSF'!ECT:IONS _ ----- ` This Applicant agrees to comply with all the rules and regulations Sewer, Inspect ol7 of the Unified Sewage Agency. The perp,' pires 120 days from the date issued. The total amount paid • i:, .,e forfeiter; if the permit expires. The Agency does not guarantee the accuracy of the side sewer laterals. If the sever is not located at the measurement ._------ given, the installer shall prospect 3 feet in all directions from the distance given. If not so locate the installer shall purchase a "Tap and Side Sewer” Permit and gena wi a lateral l w r n1 i t t e p .._......_........__...................... F Signatt.tr J ISSUed I+y: Call fo-r inspectiori - 637••-4:1.75 ill 1 ,W14 I c