Permit • A CITY OF T SEWER CONNECTION
DEVELOPMENT SERVICES PERMIT
PERMIT T # • SW R96 -0536
- - - .. 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639.4171 DATE ISSUED: 12/26/96
PARCEL: 1S136CC —CH001
SITE ADDRESS...: 08410 SW F'FAFFLE ST
SUBDIVISION CARRIAGE HOUSE APARTMENTS ZONING: R -12
BLOCK • LOT
TENANT NAME •CARRIAGE HOUSE APTS
USA NO . FIXTURE UNITS...: 0
CLASS OF WORN....: NEW DWELLING UNITS..: 12
TYPE OF USE °MF NO. OF BUILDINGS: 0
INSTALL TYPE °LTPSWR IMPERV SURFACE: 0 sf
Remarks: Multi— family 12 unit apartment complex with attached' garage
Owner: - - -- FEES
ANDREWS MANAGEMENT LTD type amount by date recpt
4000 SW KRUSE WAY #270 PRMT $ 26400.00 B 12/23/96 96- 288068
LAKE OSWEGO OR 97035
Phone #: 639 -3645
Contractor: —•
CONTRACTOR NOT ON FILE
Phone #: $ 26400.00 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 •1430 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, . insta'ler shall purchase
a "Tap and Side Sewer Permit and tr- Ag *ncy wi install . lat•ral.
t
Permittee Sign -°
Issued �
Call for inspection 7.639 -4175
Page No. 1 CASE HISTORY FOR CASE NO.: SWR96 -0536
ANDREWS MANAGEMENT LTD
08410 SW PFAFFLE ST
04/27/98
Action Description Reg/ Schd/ End/ Action Notes Disp 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 / / / / 12/26/96 PASS JSD 12/26/96 CPR
SWRA705 Sewer inspection / / / / 03/27/97 PASS MS 09/24/97 J*H
SWRD720 Case Finaled / / / / 03/27/97 PASS MS 09/24/97 J*H