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Permit
CITY OFTIGARD ^ .� � 1 � DEVELOPMENT SER SEWER FC O N ' IE CTION 97223 (503) 639-4171 PERMIT #.......: SWR9 8- 121 1 2 8 DATE ISSUED: 06/08/98 PARCEL: 18135DC -02000 SITE ADDRESS...:11895 SW 91ST AVE #BLD SUBDIVISION....: ZONING: R -7 BLOCK LOT...... ..... ..: JURISDICTION: TIG TENANT NAME -VILLA LA PAZ APARTMENTS USA NO FIXTURE UNITS...: 4 CLASS OF WORK...:NEW DWELLING UNITS..: 0 TYPE OF USE -MF NO. OF BUILDINGS: 0 INSTALL TYPE °LTPSWR IMPERV SURFACE: 0 sf' Remarks: Plumbing for Community Center Owner: FEES VILLA LA PAZ APARTMENTS type amount by date recpt 11875 SW 91ST AVE PRMT $ 0.00 T I GARD OR 97223 Phone #: Contractor: OWNER , Phone #: $ 0. 0O TOTAL Reg #... REQUIRED INSPECTIONS --- • - ---- This Applicant agrees to comply with all the rules and regulations Sewer Inspection of the Unified Sewage Agency. The permit expires 180 days 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. ATTENTION: Oregon law requires you to follow rules adopted by the . . Oregon Utility Notification Center. Those rules are set forth in OAR ° 952- 001- wi10 through DAR 952 -� -0080. You may obtain copies of these rules or dir• . ' estions to OUNC by calling (503)246 -1987. ____ --__ _� Issued b .. C1 - Permittee Signature: .0 . __ -- 1 +++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++ Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day +++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++ L -....- - - - i• -.-.';',';' - . . . ' . ' , . ', , `..' , ; . •TVAI. 44- , ' , Z. - - - Afd.4 , 464: - - : ,''' pe .1 - .-- ••••= :,, '' , g , .: ;."--,. , , f . .; • .• - .I ,4 • ---- ' - '••- - - 4 A , itT ., % ,1 ••• - •1.1 , : , -`-Y,I;LA.-•• - - ..- -•':.. ...-1 ' ..,-;-4,41 -,... •••••=l':&•,\ . . - . : --.:4=---q,,,1---v-r-vw•r;..7,41Aklinte.74,f.,'.-;.',-!..,-,,,:,--.,,V.---..:,,,, Tenant Name: 11/L-1-4 LA / ( 'LT ' z- -!- -- . , (V '4......_,,,.. ,...: -: t„ " Address // T95 64 9/-*I • ' ; 4 " ''.- '' ' '''' ' ': PLiviik Z-H 9fr - Fixture . Value Previous Previous Credits Capped f Fixtures Fixtures New total . New . # Value ' Capped. 1 off value ; added # !, added #s, -' .,,, total Count off/is 1 count ' s . 0• - value ' ,,- • values :. Baptistry/Font 4 - ,. Bath - Tub/Shower 4 " : ; . ' ''' ' . Jacuzzi/Whirlpool 4 - ,,, ; - - , _,...., -.' .,-,•:,.••• . . , . Car Wash - Each Stall - 6 , : „, •A ,.- • . - ,, ;:•-• , . -,, - Drive through 16 . • •,..., ,,i,. , , f. ,, s,.... , - , Cuspidor/Water Aspirator 1 . :. Dishwasher - Commercial 4 ,"-• - Domestic 2 • Drinking Fountain 1 „A ..„. .1.)_.. . ., Eye Wash 1 Floor Drain/sink -2 inch 2 • - l• -,:,,•:-'-',.: - - 3 inch 5 - 4 inch 6 . . 0 - •_____- -.Car Wash Dm 6 . ::: , :- -*.,- --,,, Garbage Disposal 16 - Domestic (to 3/4 HP) - t _ • Commercial (to 5 HP) 32 . . ... . . - Industrial (over 5 HP) 48 . . , .. , Ice Machine/Refrigerator Drains 1 00 - ....—...... Oil Sep (Gas Station) 6 Rec. Vehicle Dump Station 16 s Shower - Gan • (Per Head) 1 • - 7 - Stall 2 Sink - Bar/Lavatory 2. -Bradley 5 •;.,. - Commercial 3 - Service 3 . Swimmin • Pool Filter 1 . . , Washer - Clothes 6 - . . Water Extractor 6 . Water Closet - Toilet 6 • Urinal 6 . . . . . -. , .• . 9 - , • :,.. 2 - /544f TOTALS : /3 i '' ,s szi Total fixture values: / ,5 L ig divided by 16 = EDU, ::--- - D HISTORY P.,,, arn,,,,a, - - 9 , , 4/ a 0 1- 5 i/L e_0,4,-/kt_ .- PLM# EDU# SWR • PLM# EDU# - SWR# PLM# EDU# SWR# PLM# EDU# SWR# - PLM# EDU# SWR# PLM#: EDU# . SWR# PLM# EDU# SWR# PLM# EDU# SWR# hdsts1swrtaly.doc tzt -7::-.---:-,--.- ----.-,7'--i 7..--- 44 , ...- . ' - ± , 10;titiki . ,4.'..W..*471, , *k.4*.t. - z...: '',1' =7.'="..g . __.....