Permit CITY OF T SEWER CONNECTION
,, ai :4 ;11 DEVELOPMENT SERVICES PERMIT �
� ��� PERMIT # • SWR96 -0533
:2 °:_.. 13125 SW Hall Blvd., Tigard, OR 97223 (503) 6394171 DATE ISSUED: 11/27/96
PARCEL: 1S136CC —CH0O1
SITE ADDRESS. ••: 08294 SW PFAFFLE ST
SUBDIVISION . ° CARRIAGE HOUSE APARTMENTS . ZONING: ,R -12
BLOCK • LOT •
TENANT NAME °CARRIAGE HOUSE APTS
USA NO • F I XTURE., UNITS...: 0
CLASS OF WORK... :NEW DWELLING UNITS. .: 16
TYPE OF USE '•MF . NO. OF BUILDINGS: 0
INSTALL TYPE •LTPSWR IMPERV SURFACE: 0 sf
Remarks Two story, 16 unit, apartment building
Owner: FEES
ANDREWS MANAGEMENT LTD type amount by date recpt
4000 SW KRUSE WAY #270 PRMT $ 35200.00 B 11/27/96 96- 287035
INSP $ 45.00 B 11/27/96 96- 287035
LAKE OSWEGO OR 97035
Phone #: 699 -8645
Contractor:
CONTRACTOR NOT ON FILE
Phone #: $ 35245.00 TOTAL
Reg #.. :
REQUIRED INSPECTIONS
This Applicant agrees to comply with all the rules and regulations , Sewer Inspect ion
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 : stabler shall purchase
a °Tap and Side Sewer °•Permit. and 'iency wi 1 install a later.l.
c
Permittee S .,nature: , Nol `I ! �� , ..
Issued By: 10"' A ♦ 0 ` l! t 1 --�.
Call for inspection — 639 -4175
Page No. 1 CASE HISTORY FOR CASE NO.: SWR96 -0533
ANDREWS MANAGEMENT LTD
08294 SW PFAFFLE ST
04/27/98
Action Description Req/ Schd/ End/ Action Notes Diep By Update Upd
Code Sent Done Done Date By
SWRA007 Application received / / / / 07/22/96 RECD B 11/22/96 BON
SWRA010 Plan check by / / / / 07/22/96 11/22/96 BON
SWRA020 Check for prcl. restrict. 11/22/96 / / / / 11/22/96 BON
SWRA080 (F) issue permit / / / / 11/27/96 PASS B 11/27/96 BON
SWRA705 Sewer Inspection / / / / 12/20/96 PASS MS 01/28/98 RB
SWRA720 Case Finaled / / / / 01/29/98 01/29/98 JT