8301 SW LANGTREE STREET .� .. 471 w .■ .a. .. ,.S ..
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8301 SW LANG`I.'REE STREET
CITYOFTIGARD CERT I F I CATF OF
rCFrIAYOFTK, RD OCCUPANCY
COMMUNITY DEYELOPMEN"f DEPARTIOgNT �\ + PERMIT N. . . . . . . : MST9 i --004(
13126 SW Fall Blvd. P.O.Box 23397,Tigard,fmpon 9=, ,.S60Q)94176
--- DATE: ISSUKDs 06/ 1/91 - --
SITE ADDRL:i% . . : 8301 SW L.ANGT REE ST PARCEL.s 25 1 12CC-10000
bUHv1VISION. . . . s LANGTREE E"ST"ATES ZONINGS R- 1a
CLASS OF sWORK. :NEW
TYPE OF U. E. . . a SF
OCCUPW, 'Y GnP. a R3
OCCUPANCY L OAD s 20 4
TENANT IVAMF'. . , s
Owner:
TITAN PROPERTIES
PO BOX 68:�5
ALOHA OR 974107
Phone ##. 6456477
Contractors
TITAN PROPERTIES
PO BOX 683
(41__01-4A Ut1 97001
' 'hut)e #i: 64 ,: 477
30, 58
Ireupancy o1 the above referenced building 1s3 hereby yivnn, and certifiers
I,he c:ompliAnce with the Stiate Of Oregon Specialty Codes for the group,
•t,r,upancv, and use unrier, which +he reeferenc;Fd permit was issued. i
FIRE: DEPARTMENT -8 IL_DIN ANSSP .,TOR
win-6G
'�A FT F,20 W.
POST IN CONSPICUOUS PLA(:!-
1NIREMON NCYPICE T�vdz—�
A
City i Ti.ga.d Building Department
13125 BM -all Blvd. Tigard, Oregon 97223
Inspectien Line (Rec-o-Phone)o 639-4175 Business rnone: 639-4171
Inspections
Footing Plbg. Underaleb Mech. Rough-in Appr/Gdw1Y
Found. Plbg. Top out Cas Line FINAT.s
Post/Beam Struct. San. Sewer Framing Bldg. �\
Poet/Beam Mech. Rain Drain Insulation Plumb
Plbg. Under[loor Nater Line Gyp. Bd. i -Mach
Date Regue rt Ai: L,,g� — — Time:)(��M
Address: ��� ` Permit
Builders-1;:7.. �— -- ------... _ --_--
THP FOLLOWING CM"MONS ARE RP.QU, ?ED:
------
Inspect
nspector: -- ----- --- _ ____ Dates_ ! /�
APPROVED DISAPPROVED APPROVED BUBJErT To ABOVE
Call For Reinep.
.. eiw a. .e . war 4. 01pm MOM aw
4L NOT191
Cit77 of Tigard Building Oepartsr3nt ✓
13125 ON Balt Blvd. Tigard, Or**gjn 97223
Inspection Line (Rac-0 +hone): 639-4175 Business Phore: 639-4171
Inapection:
Footing Plbg. Underslab Mech. Rough-in -,ppr/Bdwl
Found. Plbg. T- t Out Gas Line FINAL:
Post/Ream Struct. San. Sewer Framing -Bldg.
Pont/B4. i Mech. Rain Drain Insulation -Plumb.
Plbq. floor Water Line Gyp. Bd. -Mech.
Date Requested: lO D'� ( -Time: 'f-'--0(/AM _PM
Addreas: 4-7 ( / 4,4V Permit I:6"i i C �
Builders 77-S� ^ S(aZ?.—
TRS FOLLOWING CORK MONS ARM REQUIRED-
Inspect or:
EQUIRED:Inspector:
.. ............ -------------------------- Date:
APPROVTI) DISAPPROVED APPROVMC SUBJMCT To ABOVE
__Call For Retnap.
at#t v esti awt �a
jjl$PECTEON 01'ICE
City of Tigard Building Dopartment
13Y25 BN Hall Blvd. Tigard, Oregon 97223
lnepoctien . is (Rec-O•-Phone): 639-4175 Business Phone: 639-4171
i°K. ng Plbg. Underelab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out one Line FINAL:
Poet/Beam Strurt. 'tan. Sewer Franing -Bldg.
Poet/Beam Mecr.. Rain Drain Insulation -•Plumb.
Plbg. Underfloor Water Line Gyp. nd. " -Hoch.
Deter I:9guoated:- P -/� �11�V Time r A14
Permit
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIREDt
Inspector: )stetyC-'
-, PPROVED _— DISAPPROVED APPROVED 9%;KTZCT TO ABOVE
-Call For Reinsp.
� taw � �. ter wt twr Till �
INSPECTION MYNCEE
City of Tigard Bnil�Lng Depactaent
13125 9A Hall 9181. Tf.q ard, Oregon 97223
Inspection Line ((RRec-O-Phone): 639-4175 Business Phone. 639-4171
Inspecti.on:M_-- ` --— -_--+..
Rooting Und relab Mech. Rough-in App;/SL'wlk
Pound. Plbg. Top Out Gas Line FINAL:
Poet/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Mech. Rain Drain Tneulation -Plumb.
Plbg. Underfloor. Water Line i Cyp. Bd. -Mach.
Date Requestedt _ AMI _.��._Am PH
Address: �✓ � �i_ Permit 0:��_
L
Builder:
THE FOLLOWING CORRECTIORa AM REQUIP20i
Cec
77-7
v
Inspec#ar: Datet-6 .- —f
f
APPROVED OI AP APPROVED SUBJECT TO ABOVE
___Ca11 for Rair-n,
BPYs'TION NOTICE
City of Tigard Building Departeent
13125 ow Ball Blvd. Tigard, Oregon 97223
Ina•,+nction Line (Rec--o-Phone)s 639-4175 Business Phone:r39•- 171
Footl-ng Plbq. Undersiab Mach. Rough-in Appr/Sdwlk
Pound. Plbg, Top Out Cas Line FINALS
Post/Beam Strut. San. Sewer Framing -Bldg,
Poet/Beam Mach. Rain Drain Insulation -Plumb.
Plbq. Underfloor Water Line yp. 8d. -Hoch.
Date Requanted _T11001-C l _Tes AH PN
Address: permit :ez/ ]Gl1LL5L—
Builders _
TAE p0LL4 jWG Cop"CTIONS AAA RRQWREDs
Inspectors —_ ___ Date:���r .�
- Jv�_APPAMD Dr9APPROVRD APPROVFD SUBJNCT TO .'BOVE
Call For Reinsp.
as nwr � aw err tew esu wa
j�l$pECTIon rricE
ci v of �igard rulldimq Depart-Awnt 7'�
131.25 Sil Hall Bl�. Tigard, CW*Wn 97223
I tion Line (Rec-O-Phone): 1 19-4175 Ruainenn Phone 9-4171
Ina •tion:_
Footin Underala6 Hoch. Rough-.in Alor/Sdwlk
Found. Plbg. Top Out �:an Line FINAL: '
Po,it/Ream Struct. San. Sewer Framing -Bldg.
�. 11�
Pont/Bea.a Hach. Rain Drain Insulation -Plumb.
Plbq. Underfloor Water Line ,y] Gyp. Rd. -
Me h.
Date Requvatedt (`' / ,Timet PM
Af,rHaa: _ �'.3d/ Sy✓� tf: Permit
Builders ✓ / � CD1� GC, ��J
TM FOL&OWIRG ODRRECTIONS ARE REQUIRED:
AYMAZ 00,
�Qd
004
Inepxtor= __.__._..._ _---___-- Date- 11,1,111016?, '
PPROVED DISAPPROVED APPROVED SUBJECT TO AgLVE
------Call For Reinep.
i
INSPECTION NOTICE
City of Tigard Building Department
13125 BM Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec.-O-Phone): 639-4175 Rusiness Phones 634-4171
Inspections_ —_ _ r _ _ — —-----
Footing Pibg. Underelab ech. Rough-in Appr,/Sdwlk
Found. Plbg. Top Out Gas L'.ne FINALS
Post/Beam Struct. San. Sewer t�raming -Bldg.
Poet/Beam Mech. Rein Drain Insulation -Plumb.
Plbg. Underfloor Nater Line Gyp. Bd. -Mach.
-e- -1
Date aequeatadsJ -TimesJ AM PH
Address: Permit Is`I l 2�
Builders y
THE FOLLOR+INO CORRECTIONS /,AE RVQUIREDI
i"
Inspectors Dates—
__APPROVED DISAPPROVED APPROVED SUBJECT TO AROVL
A--o'Call For Reinsp.
� � sar sse et wr w �
INSPECTION NOTICE
City of "Tigard Building Department
P.O. Boy 23397
Tigard, Oregon 97223
Phona: 639-4175
Type of Insp,!ction Q✓9/�i -- —_
Date Requested 11me—------ A.M. M.
Address f"J G' Permit
Owner wc
� --� LotIZ
#_�
BiiilderThe following Building Code deficiencies are required to be corrected:
Presented to _-- _..-----__-- -- Approved
Inspector _ _ — L) Disapproved
Date
CALL FOR REINSPECTION
DYES ❑ NO
a� a� a W ae w
Jill
w
INS zTIOffi-A- CLE
City of Tigard Building Department �^...../
13125 SM Ball Blvd. Tigard, Oregon 97223
Irapection Line (Rea-o-Phone): 639-4175 Buaireas Phoner 639-4171
Inspections
Tooting Plbg. Underelab Qm h. Rough-in Anpr/Sdwlk
Found. Plbg. Top Out Oa■ LLtH FINAL:
Post/Beam struat. San. Sewer Framing -Bldg.
Post/Beam much. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line Gyp. Bd.
Data Recpies�edt _ __Ti-me: _ AN Pm
Acddreant i Permit is-�,' _
Builder:
THE FOLLMING CORRECTIONS ARL REQUIRED:
i
- F
i
i
IlIRi,Retor�-� D9te: L � � I
-L/--APPROVED DIBAPPnovrD APPROVED SUBJECT 110 AROVE/
Call Yur Reinap.
eQMLMaaeJaiw ww'AswKwxmeM
/nom
IL�aL !NOTICE
City of Tigard Building Departmant
13125 B11 Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:— —— -- ---------------- ——
Foot ir� Plbg. Underdlab Mech. Rough--in Appr/Sdwlk
Found. Plbq. Top Out Gas Line FIKAL:
Poet/Beam Struct. San. Sewer- Framing -Bldg.
Poet/Baam Mech. Rain Drain Insulation -Plumb.
P.bg. Underfloor Nater Llne Gyp. Bd. -Mech.
Date Requested:
Adc ressx__- .�.����)� r_ Permit I: L1�
Buil-ler: L
THE FOLLOWING CORRECTIONS iAS RRQUIHFD:
Inap.tctoc: _---- Dater
\PPROVSD DISAPPROVED APPROVED SrIB.7SCT TO ABOVE
--Call For Rainsp.
NELME
�"99CTION NOTICE
cltl of Tigard Building Gopartment
13125 SN Nall Blvd. Tigard, O: 'vgon 97223
!_ '�inspection Line (Rec-O• 'hone): 639-4175 Rusinees Phone: 639-.4171
Inspection — —__— ------ -- --
Footing Plbg. Underslab Mach. Rough-in Appr/Sdwlk
Bund. Plbg. Top out Gas Line FINAL:
Post/exam ecru San. Sower Framing ldg.
Post/Beam Mech. Rain Drain, Insulation -Plumb.
Plbq. Underfloor water Line Gyp. Rd. -Mach.
Date Requested: Timm A�pn, // pM
Address: '� L_�f Perm Lt is q/Z/p c!
i
Bu .lder:
THE FOLLOWING CORRECTIOIIa I11EDe
f14
G t
Inspector: Date: `'w2z
V APPROVED —v DI3APPROVED APPRoVrD SUBJECT TO AW)VE
__—Call For Reinep.
>N6pRCTION NOTICE �;' •;•%-
City of Tigard Building Department
13125 SN hall Blvd. Tigard, Oregon 97223
Inspection line (RGo-O-Phone): 639-4175 Bunineva Phone: 639-4171
Inspect Lone_
Footing Plbq. Underslb Mech. Rough-in Appr/3dwlk
Found. Pllbg..-Top Out Gas Line FINALt
Poet/Deem Struct. ./Pall. Bawer Framing -Bldg.
Post./Beam Mech. R&Ln Drain"l Insulation -Plumb.
�s
Plbq. Underfloor -r Nater Line Gyp. Bd. -Mach.
_7 r /
Date Raequeated:__. _ � I _Timet �� AM PM
Aadceee:___-���� r � 2 Permit 1:_��
THE FCLLOWING coRRBCTIONB ARE REQUIRED:
,t'__
�� Dates
Inspsctort. _ -
0
,�_APPROV19D DIBAPPROVED APPROVED SUBJECT TO ABOVE
__Call For Reinsp.
r
f �
j�pj{,T�ON NOTICE
City of Tigard Building nepartment 6 �)
13125 8W Ball Blvd. Tigard, Oregon 97223
Inspection Line (R*c-O-Phons)s 639-4175 Business Phon 171
Inspections_ A— _
EootinQ 1 Plbg. underslab Hoch. Rough-in Appr/Sdwlk
found. 1 Plbg. Top Out Gas Line FINAL: i
Post/Beam Struct. San. Bawer Framing -Bldg. �
Post/Beam Hach. Rain Drain Insulation -Plumb.
Plbg. Underfloor. Rater Line Gyp. Bd. -Mach.
Data Requested:_-_Y- !, Times M AN PN
Address c /�1.5 T
43 7' �Lu��! Permit 1:
Builders
THE FOLLOWING CORRECTIONP ARE REQUIRED:
Inspectors — Date r
ROVED _ DISAPPROVED APPRO.'ED SUBJECT TO ABOVE
___Call For Reinep.
CI YOF TIGARD M0 MASTER PERMIT
COMMUNITY DEVELOPMENT DEPARTMENT y Men f'E'R M-T #. • • . . • •
13125 SW Fhdl Blvd. P.O.Box 23307,TIpM,Oregon 07223.(500)639-4176
, DiZITP, TC_'C.JIVD.
cal I-E ADDRI`_75S. . . : 8301 !• W LANGTREE Gl' PARCEL: 2S11;_-"CC--I0800
SUBDIVISION. . . . : LANGTREE ESTATES ZONING: R-12
LALOCK. . . . : L.0).. . . . . . . . . . . . :40
BUILDING -------------------------------------------
RE I SSUE:MST900229 DWELLING UNITS: 1 I?AS1*-ME',JT. , .. . . . . . -0 s f
CLASS OF WORR. :NEW BEDRMS:3 BATHS:.-5 GARAGE. . . . . . . .. . . :418 Sf
TYPE OF USE. . . rSF FLOOR AREAS- rRE(.-.!(JIRELY
TYPE OF CONs-r. :5N F I FIST. . . . :646 S f LEFT. . - IO ft RIGHT . :b ft
OCCUPANCY 9RP. :R3 5ECOND. . 168 S f FRONT. f:t REAP.. 27 ft
S-IORIES. . . . . . . :2 TH I RD. . . . :0 sf REQUI
HE I G;H T. . . . . . . . :20 Ft 1614 s SMOKE' DETEM'OPG. -Y
r-i. 00R LOAD. . . . :40 pSf VALUE. $o 141768 PARKING SPACES. . .-O
Refoal-ks -
------------------------------------- PLUMBING
SINKS. . . . . . . . . . il FLOOD DRAINS., . . . :0 BACKFLOW PREVNTRS. . :0
L_HVf410R1LS. . . . . s3 WATER HEPTERS. . . : 1 TRAPS. . . . . . . . . . . . . . ..0
TUB/SHOWERS. . . . :2 I.-PUNDRY TRAYS. . . :0 CATCH BASINS. . . . . . . !0
WATER CLOSET s. . ..3 SEWER LINE (ft ) . :O GREASE TRAPS. . . . . . . :0
D19HWAGHER5. . . . - 1 WATER I.. INE ( ft ) . - 1.00 OTHER F I XTURES. :0
GARSAGE DISP. . . . l RAIN DRAIN (ft ) . :0
WAS1.1,1 h,ir MACH. . . 1. 4I DRAINS. . : 1
MECHANICAL ------------- FEES
FJJEL TYPES------------ UNIT HTRS. . :0 type amal-int by date reccit
S, VENTS . . . . . .0 PAYM $ 40. 00 JLH 03/12/91 210b82
Mr4X INPUT -0 BTU VENT FANS. . :3 BPPT $ 379. 00
F"URN ( 100K . . : I HOODS. . . . . . : 1 BPLC 40. 00
1-URN ) =100K . ., :0 WOODSTOVES. :0 B91--lc 18. 95
FLOOR TURN. . . :0 CLO DRYERS. I BPLC $ 30. 00
DOIL/CMP ( 3HP:0 OTHER UNITG:0 ssr)c t
GAS OUTLETS: 1 PARK $ 500. 00
Ownert MPRI $ 1.. 011.1
TITAN PROPER-TIES MPLC $ �1. 00
P0 BOX 6835 M75PIC $ 1. 80
PPRT $ 132. 50
ALOHA OR 97007 P 5,P C $ 6. 63
Phone #: 6456477 'SIF $ 1350. 00
Cont t-act or : -- -------------------------- PAYM $ 2_150. vim 31-14 06/28/9P)
flION PROPERTIES PAYM $ 2463. 88 PLL 04/02/91
PO BOX 6835
ALOHA OR 97007
Phone #: 6456477
Reg #. 3055S -----------------------------------------
$ 2753. 88 TOTAL
Trjs permit is issued subject to the regulations contained in the REOUIRED INSPECTIONS
Tioard Municipal Lode, State of Ore. Specialty Codes and all r.1ner Foot/f'o!.tnd Insp Fireplace! Insp
applicable Inos. All work will be done in accordance with approved Post/Ream StrLict Gas Line Insp
plans. This preit will expire if kork is not started within 181 Post/Peam Nerhan Insi.ilation Insp
days of issuance, or if "ark isqNu's' nde f 180 Jays. Plm/unasiab inSp byp Board Insp
PLM/Underfloor- Rain drain Inst,
Permittee SiunatLi re Mechanical Insp Water Line Ins[
Pl !.imb Top Out Appr/ScJwIk Insp
Issued Sv - Framinq t1jrp MPL.'h,-*ni(.-al Fins?
Clall for- inspection 639-41715
PLUMBING PERMIT
Cr10 IGA16CITYOF T , ry PERMIT #. . . . . . . 1 MST91 - 1046
COMMUNITY DEVELOPMENT DEPARTMENT J, M Mai ID uATE ISSUED: 04/02/91
13128 LBW Hdj Blvd P.O.BoK=W,14wd.Oregmi 9720(503)630-4175
rE ADVP1 "'I B301 S14 LANGTREL ST
iLjbD I V I S I ON. LAN6t REE ESTAI ES' TONINGS R--12
BLOCK. . . . . . . . . . I LOT. . . o . . . . . . . . . 140
CLASS OF WIRK. . t NEW GARBAGE DISPOSALS- I BACKFL-OW PREVNTRS. . 10
TYPE OF USE, . . - '.GF' WASHINO MACH. . . . . . . 3 1 TRAPS"). . . . . . . . . . . . . . 10
OCCUGIrANCY GRP. . R3 FLOOR DRAINS. . . . . . . :0
STORIFES. . . . . . . . s 2 WATER HEATERS. . . . . . : 1 CATCH BASINS. . . . . . . 10
LAUNDRY TRAYS. . . . . . %0 ';F RAIN DRAINS. . . . . I I
GREASE TRAPS. . . . . . . %0
LAVATORIES. — OTHER FIXTURES. . . . . s 17►
TUB/SHOWERS. . . . s S)LWER LINE (ft ) . . . . :0
WATER CI-OriETS. . s3 WATER LINE (ft) . . . . : 100
DISHWASHERS. . . . al RAIN DRAIN (ft) . . .^10
Remarkst
OWNLRI
TITAN PROPERTIES PAYM $ 40. 00 JLH 03/12/91 210582
F-0 VAOY 6EI35 BPR'r' s 379. 00
BPLC $ 40. 00
AI-OHA OR 97007 135PC $ 18. 95
r,))tme #2 64564*77 BPLC $ 30. 00
SEDC $ 250- 00
Plumbing ----------- PARK $ 500. 00
MPRT $ 36. 00
Name MPLC $ 13. 00
Addres-is M5PC $
C i t y t PPRT $ 1 3 0
p5r,c 41 6. 63
Reg #I — Additional fees iiat %hown hev^e.
------- RUOUIPFI) INSPECTIONS --------
This permit is issi.jed .,ijbject to the t,eg--
tiotit contained in they TigAVd !4'Unl-cipal ror)t /founu' Insp Rain dt,min Ins[.)
("ode, State of Or-p. specialty Codes and all Post.ql0 0
patj Stt-uct Water, Line lnAp
otliev- applicable laws. All work will bo doiip Flos v
a a,,� i4*, Appr/gdwlk Insp
in accordance with approved plans. Thi.,! P3 ds d Insp mechanical Final
permit will expire if work is not %T*iv-ted PL.M/Under-f I aot-, Plumb Final
within ISO nays of iqsuan(---e, or if work is Mechanical Insp Building Final
-3,� Erosion Contra!
. -o!tpeiided for more th*n IAO days. Plumb Top out
Framing Insp
Fireplaco Insp
Gas Liffie In-4p
lnsulation Inc
Gyp FIomiv,d Insp
flk.i hor'�2 d Plumbing contractor Signatur'-v
Call foritispection 639-4175
contra 'tor
CITY (IF TIGARD RECEIPT i-IF PAYMENI RECEIPT NO. 191-211549
CWC9 AMOUNT 1 246:1. 88
NAME r TITAN PROPERTIES CASH AMOUNT a 0. 00
-4)DRE-8f,.', a P. 0. BOX 6535 PAYMENT DATE c 0,4/02/91
SIJBDIVtSION
1.1301 SW LANGTREE
PLOHA, OR 97007-0835
PURPOSE OF PAYMENT AMOUNT PAID PURPOSE OF PAYMENT AMOUNT PAID
ILLI I ii I NC3 FSE RM h1E T9 I—004r —V79. 00 PLUMPING PERM 132. 150
MECHANICAL PE 36. 00 C—T. BUILD PER 27. 38
PLAN CHECK i-'E 39. Oki Rr--'SYDENT IAL TPPF FIC FEES t2r�0. 00
MASS TRANSIT TIF FEES 100. 00 PORKS 9DC 500. ON
fI
If
TOTAL AMOUNT f-,AID 2463. 86
h
�F
�2 i
! CITY nF" T I GARD — RECE=I f,T OF PAYMENT RECEIPT NO. a 9 1--2 1 058
i
Cl 11—CK AMOUNT t 40. 00
1�lEahllr
TITAN PROPERTIES CASH AMOUNT 0. 00
FaDDREGG f PO BOX 6835 PAYMENT DATE a 03/1x'/91
SUBDIVISION a
ALOHA, OR 9 7007 -
PURPOSE OF P'AYMEN'T AMOUNT VIA I D PURPOSE OF PAYMENT AMOUNT rPA II D
PLAN CHECK FE 3/15P 4P1. P10
I
1
I
I rnTAI_ AMOUNT 1PA I D — — — - > 40. 011
�_...Y .......4_-_a.w._--
SEWER CONNECTION
C17YOFTIGARD Pl*-'�RPII'r
MY RD P L.'R V1 17' #. . . . . . . ... SWR90 0264
COMMUNITY DEVELOPMENT DEPARTMENT PR 111. P E R 111:1* W. : S W R 9 0 026,4
13126 SW Hmil Blvd. P.O.Box 23397,TOW,OWon 9?�5,q,fo 1 ' DATE:DA-rf':. T.SS(J[-.-D: 06/28/90
5171 ADDREI':;U .11. 1. ;. 830J. SW LfING,rRa* s I
L(.)NBTF<EL-'* ESTAUS ZONING: R-12
1-07*. . . . . . . . . . . . . ..40
.............. ........
NAME. . . . .
IJ13A N ''. . . . . . . . . . 14169;:3 F. I X'T'(J R E L)N I I'E').
C'LASS IF WORK. . . i NEW D W L L L.1 N(3 U N
'T'YPE OF UGL—. ,- . . sSF* NO. OF PL)ILDING6.-
INSTALL TYP1:: ,— .. . PUSWR 1l1P(.-RV 13(JRF01*J:.—.
Remarks:
()wrier..
orqR1'1E(3 type a In(3 u n t by (J '.k t e -re(:.,pt
F,0 B 0 X 683".':i PAYM $ 1.285. 00 JLH 06/28/90
$ 1250. 00
(-)L.OHP OR 1.37007 1 N S P it, 35. 00
Phane ##-. 64rJ(-',477
Contractor..
TJ T()11 P R 0 1:1 F:RIJES
PIj DOX 6835
(11-01-Ap OR 97007
I::,h a n e # (.*,4 5 6 47 7 1.R85. 00 'TOT*()I-
Req it.. . 3@558
........ REQUIRED INSPEC71UNS
This Applicant )qrees to comply with all the rules and requiations Sewer 7, 1 ns Peet i all ...............................
of the Unified Sewage Agency. The permit eypirps 1,10 days from ......
the date issued. The total amount paid will be rfeited if the
permit expires. Tne Agency does not guarantee the aCCUTKY Of the ........................................
side sewer laterals. If the ,ewer is not located At the measurement
given, the installer shad prospect 3 feet in All �'ireci-ions from
the distance given. If not ,o located, the installer sh, il purchase
a "Tap and Side Sewer" Permit and th A will Stall A lateral.
........... _»_._......__.. ......._.................._.................
P e r in i.t t e e j.14 11 A t,U r e Vc,
................... ........
1 r.i soed fly: ..........................
Call for inspection 639-4175