DashNumberEnd ��'r•+�W��InAW�g11MM�►eMYI��pW�t1'YIWM144iWNNi pypgiy's�. .,.
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'588 SW Ashford Strce+
j"jfi.C, ION NOTICK
City of Tigaird Building Depertment
13125 BN Ball Blvd. Tig , iregon 97723
Inspection Line (Rec-O-Phone)t 639- 75 Bueineaa Phone: 639-4171
Inspections_ _
Footing Plbg. rnderalab Mach. Rwigh-ln ppr/8dwlk
Fos-nd. Pl.bg. Top out Gas Line FIID1Lt
Post/Beam Struct. Sen. Sewar Framing -Bldg.
Post/Ream Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Lith Gyp. Bd. -Mach.
Date Requeated:_ Times
AddreaR:_— — —1 permit #1 Ll�/NL
Builder:___
THE FOLL(31iING WRRECTIONS ARE REQUIRE1t
InspertoL�t_LZL L( it _ Date:1z- -rid
APPROVRD __ DISAP D APPROVED SUBJECT TO ABOVE
Call For Reinap.
INSPECTION M-0- Ick
city of Tigard building DePartatettt
13125 811 Hall Blvd. Tigard, Oregon 97223
inepecticn Line (Rec-O-Phones 639-4175 Business phones 639-4171
Inspection:—___-- _ ----.—.-- -..r
Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Can Line FINAL:
Poet./Beam Struct. San. Sewer Framing -Bldg.
Poet/Berth Mech. Rain Drain lnsula'.lon Plumb.
Plbg. Underfloor Water Lino Gyp. Rd. -Mech.
Date Requestedt_ �"�� � _/ / Tues A�My / PM
Addree s•__ _25-
_ Permit
THE FOLLOWING CORRECTIONS ARE REQUIRED: E
—
1
i
Date:.-Z���L_
APPROVED DISAPPROVED APPROVED SUBJECT TO A'IOVE
_call For Reinsp.
1NSPECTZON NOTICT �
City of Tigard Building Departzwent
13125 811 Ball Blvd. Tigard, Oregon 97223
Inspection LL (Rec-0-Phone): 639-4175 Business Phofie: 639-4171
Inspection:_ �—
Footing Plbg
t4eTalab Mecj. Rough-in Appr/Sdwlk
Pound. Plbq. Toh Out
Gas Line FINAL:
Framing -Bldg.
post/Ream Struct, San. Sewer g
Poet/Beam Mech. Rain Drain
Insulation -Plumb•
plbg. Underfloor Water Line Gyp. Bd.
-Hoch.
Date Aequeetod: —
---Time: _ AM PM
Permit t:�__y�
Addrea9c � -
THE FOLIATING cORRECTIONS ARE REQUIRED:
/�I� ---- - Dater
�—APPROVED J DISAPPPOVED APPROVED SUBJECP TO ABOVE
call. For Reinsp.
CITY OF T I GA RD
rJ D
COMMUNrTY DEVELOPMENT DEPARTMENT
13126 SW HWI Blvd. P.O.BW 21397,TkPM,Or"m 97223 (5W)839"4 t 75
PLUMBING F'ERMI'T
PERMIT #. . . . . . . : F-ILM92-161".1,36
DATE ISSUED: 04/17/92
' ITE ADDRE1,3G. . . - @7588 SW ASHFORD ST PARCEL:
n
SUBDIVISION. . . . : RENAISSANCE WOODS ZONINGs R-4. 5
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . 38
---------------------.------ ----------------------
CLASS OF WOP:<. . .-PDD GARBAGE DISPOSALS. . : MOBILE HOME SPACES. 1
TYPE OF USE. . . . :SF WASHING MACH. . . . . . . : SACKFLOW PREVNTRS. . : 1
OCCUPANCY GRP,. . :R3 FLOOR DRAINS. . . . . . . . TRAPS. . . . . . . . . . . . . . I
STUHIE S. . . . . . . . :2 WATER HEATERS. . . . . . . CATCH BASINS. . . . . . . C
I-AUNDRY TRAYS. . . . . . : f31- RAIN DRAINS. . . . . :
SIN K S. . . . . . . . . . LJR I NALS. . . . . . . . .. . . . : GREASE TRAPS. . . . . . . i
LAVATORIES. . . . . . OTHER FIXTURES. . . . . :
TUB/SHOWERS....: SEWER LINE (ft). . . . -
WATER CLOSETS..: WATER LINE (ft) . . . . "
DISHWASHERS. . . . RAIN DRAIN (ft) . . . . I
RemArks : SPRINKLER SYSTEM
Owner. FEES
140BERT AMERINE type IIAMOI.Ant by (JAt e recpt
71388 SW ASHFORD ST PRMT $ 15. 00 JLH 04/17/92
5PCT $ 0. 75 JIJA 04/17/92
1IGARD OP 972.24
111h10np #:
L,ontracto
0 W N E"R
Phone # 17J. 75 TOTAL
REQUIRED INSPECTIONS
—
This pertit is issued subject to the regulations contained in the Too—o�.lt Insp
Tigard Municipal Code. State of Ore. Specialty Codes ani all other Final Inspection
applicable laws. PlI work will be oone in accordance with
aoproyed plaps. This oerlit will expire if work is not started
within IN days of issuan.,e, at, if work is suspended for sort
than IN dans.
IDPr-mit'Cee Si(VI
Call for inspection 639--4175
~ |
r .
^ |
�
CITY OF 1163ARD — RECEIPT OF PAYMENT RECE I PT
' CH6.CK ALINT
NAME v AMERINE" ROBERT E. CASH AMOUNTz �4/�0^ 00
AUQRESS n 7588 SW A8HFOAD STREET PnYMENT DATE x 7/9P
Go
T1{�WRD, OR SUBDIVISION
47?24— !�
|
PURPUSE OF PAYMENT AMOUNT PAID PI �HR��� OF PAYMENT AMOUNT PA 11) '
| '----------�'--------~ -------'----- --| Wit-D PER 1 ^ ��
25 �m s}.^ — ' — - |
\
[
i�
CERTIFICATE OF
OCCUPANCY
OF
TWARW CmorTWARD) IT. 0. . . . . . . MGT91-4014i?CITY (I ORIGON t R M
COMMUNITY DEVELOPMENT DEPARTMENT
TOW,oraWn 9w ow)&ie.4i 76
13i268WHWlBlvd.F-0'8'23W
PARCEI., :
0 1
7() .1
7,
GI-TE ADDRESS. ljW ASHFORD ST ZONINOt P--4* 5
RE.NAISSANCE" W001)S
6UBDIVji5,lON. . . . A LOT. . . . . . . . . . . . .
EALOCK. . . . . . . . . .
CLASS OF WORK. 3NEW
l"yv,F4 OF USE:. . . r.SF'
OCCUPANCY GRP. ,R3
j_)CCjjppNCy j_OAl)%22@ 4
TENANT NAME. . .
Owner",
RENAISSANCE DCVELOPMEl',lT
,pogs SW 8TH ST
WEST- LINN OR 17068
Pit-tone #r 657-57390
coW , actal-". "*- - ---,-,-",-,-,--,-,,---*-- ,, -- -,, -,- --**-
Rr-.N0lSSANCF- DE'VELOPMEW
,.loge SW STH ST
WEST LINN OR 97068
phr
.,1111, #% 657-5739
499055 anti
is hev'f�bY
'Ancy of the above j�efvrqnced buildin .j Codes for the gTIOUP9
Occup e�tate of FireiJon SPOcialty
the with the pe,,fRit kq*js�
which the,-,(,uLjp^nuy, SAI'd
E:F A ,
U NG INS
_&EPARTMEN
C
BUILDING OF A
pOsT IN CONSPICUOIJS PLACE
Emd
INSPECTION NOTICE I/
City o:f Tigard Building Department 'C•�
1.3125 BM Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-a--Phone): 639-4175 Business Phone: 639-4171
Inspections
---_—_.--- --
Footing Plbg. Underelab Mech. Rough-iu Appr/Sdwlk
Found. Plbg. 'fop Out Cas Line FINALt
Post/Ream Struct. San. Sewer Framing �H, ldq•
Poet/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Neoh.
Date Requested: ` _—Times
Addreses -,v Permit #t
Bui-lders
THE Fouowixo CORRECTrows Aim REQUIRED:
t`
Inspector —_ Date:��_�`�_
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
INSPECTI 1N_v_0-TIcK f ,�
City of Tigard Building Depart
13125 99 Hall Blvd. Tigard, orogon 97223
InavecS:ion Line (Rec-o-Phonw): 639-4175 Business Phone: C.39-4171
Inspection:.___.^_ — -- -`— -----�
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found.
Plbg. Top Out Gas Line FINAL:
Framing Posf./Beam struct. Ban. sewer' g -Blt1g.
Poet/Beam Mech. Rain Drain
Ineulation -plumb.
Plby. Underfloor Nate[ LineGyp. Bd. -Mech.�j ��jJ
PH
nates Requested:_ /� L� Timas`"`�
Permit —
Ai1cl
TF?R PYILLOWINr: cORREC.TIONS MM REQUIRED:
i
-- i
C-7��.�1�` Dates
r.
InepectoLL11� _ ( ��J�—
_APPROVED DISAP VED \� #PSD SUBJECT TO RW"
Call For Reinep.
PLS PECTlON MOTIGE
city of Tigard Building Department
1312S SW Hall Blvd. Tigard, Oregon 972231
Inspection Line (Rec-O-Phone): 639-4175 Busineas Phone: 639-4171
Footing Plbg. Underslab Koch. Rough-in L� Appr/Sdwlk
Found. Plbg. Top Out Can Line FINAL:
Poet/Beam Strut. San. bewes:• FramLng -Bldg.
Post/Beam Mech. Rain Drain
Insulation -Plumb.
Plbg. Underfloor water Linne. Gyp. Bd. -.Hoch.
PM
Date Requesteds, �V C1� Tis
Address:
' Permit
c � _
Builder:
THE FOLLOWING ODRRICTIONS ARE REQUIREDs
lid
r
1
AtInspector: . Dates
_APPROVED DISAPP APPROVED 6USJECT TO ABOVE
611 For Reinap.
I" Tip N K07'IC
City of Tigard Huildiny Derpartaw9 223
13125 SW Hal!
Blvd. Tigard. frego
Inspection Line (Per--O-�phonP)= 6;9-41'`' A".eineas Phone: 3 -4 71
InspectLonS _-- -- ------�.-
p;bg. Undere]eb
Mech. Rough-in Appr/Sdwlk
Footing
Found. Plbg. Top Out
Cas Line FINALS
Poet/Beam Struct. San. Sewer
F�aminq -Bldg.
�,,,Jatj.on \ 'Plumb'post/Beam Hoch- Rain Drain l -�
plbg. Underfloor Water Line
Gyp. Bd. -Mech.
9 r—. _Time: AM -----PH
Date Requasteds_
permit
Address:.
Builder:,--.�L"'
THE FOLLOWING CORRECTIONS ARE REQUIRED: - -_.--
----- Date:
Inspector: TTT "
_ �t
PRO`-ED
DISAPPROVED APPROVED SUBJEfr TO ABOVE
Call For Relnep.
-
I C75 PS4'�1_ON_NO'T T CE
city of Tigard Buildiegt-97223
131.25 SW Ball Blvd. Tigard,Inspectfou Line (Ret-o-Phone)t 639-4175 Business phone-: 639-4171
inspection: --------._ --------_ �_-------
g A r/Sdwlk
plbg. Underslab Hoch• Rough-to
Footing pp
plbg. Top Out
Oas Line FINAL:
round. -�
/Framing -Bldg.
post/Beam Struet. San. Sewer
i
Rain Drain
Insulation -Plumb.
poet/Beam Mach.
PH
pjbg. Underfloor water Lire
Gyp. ad -Meth.
c=I /, � Timm _.�.._
Date Requested: -- 2,
5- permit #1
Addreas:
Builder: t
THF FOIJI.ONIl/0 CORRECTIONS ARE REQUIRED:
0
Date:
Inspectors --- -
DISAFPROVED APPROVED SUBJECT TO ABOVE
._APPROVED _
Call vol- neinsp.
■
city of Tic,ri Bullde,-3 Dapar4pehs!
13125 8W Ball NIVd. T i o d, Jr—VtM 1.323
Inapetion Line (Roc-O-P" b3 a,t.5 B•.i +.ell Phonee 63:-4.171
--
It:ating Plbg. Orelere.'•xn �.r..''tt. Rua;h in Ae `r/frii.i:
Found. , lbg. Top ?.Ml,. kv Line T'Llli_•e
Post/Beam St.vct. Ban. Boor Fui o Bldg.
Post/Beam Hoch. Rain Drain I:dva..tion ,Ilumb.
Plbq. Underfloor Nater/Line Gyp. Bd. Rech.
Date Requestedtr/!T �T _ �:t.met ,_AM _ PM
Address: l_ ) L Permit
THE FOLLOWING CORRECT F Ifs ARZ RBQUIRSDt
I
i
1
i
Inspector:_^✓�'_ — Cat:.
� APPROVED ,— DISAPPROVRD APPROVED SUBJRCT TO ABOVE
Call For Rei.nap.
N
•
Ui
/ jmfiPECTION NtYPFCE
(
City OL Tigard IBcilding Dep611ttaeot
Lam' 13129 M Hall Blvd. Tigard. 'Oregon 97223
Inspection Line (Roo-o-Phons)t 639-4175 Bu
siness Phone: 639-4171
inspection:
Footing
Ylbg. Underalab Mach. Rough-in Appr/Sdwlk
Found.
pl.bg. Top Out Gas Line FIItALt
-Bldg.
Yost/Beam Struct. San. Sewer Framing
PoatjRaam Mech. Pain Drain
Insulation -Plumb.
Plbq. Underfloor Water Line
Gyp 9d. -Mach. 1
7— ✓ 1 _Time: AM —�—PM
Drilla Reque^atedtrr,,y( �� ( ------�
Permit
/
Address:
THF. FOI.I.OWING CORRECTIONS ARE REQUIRED:
SSf%. P7
_�__.-__ --• _ s!L --
Inspeatu.r Dote t -
wppRpytp D. IAPPR.OVRD APPROVED SUB.TECT TO
Call For Reinep.
is
[f u
INSPECTION. NOTICE
City of Tigard Building Depart�t
13125 BR Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O--Phonal: 639-4175 Business Phone: 639-4171
1 napect ion:__—
Footing Plbg. Urderalab Mech. Rough--in Appr/Sdwik
Found. Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Hoch. Rain Drain Insulation -Plumb.
P1bq. Underfloo Nater Line Gyp. Bd. -Mech.
Date Requeeted: 7 Time:
Addreas: � D�� Permit 1:
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIREDe
- - ry —___—_._.
lnepector: � � — Dete:���Y C�
_-APPROVED --_ DISAPPROVED APPROVED SUBJECT TO ABOVE
--- Call For Reinsp.
INSPECTION NOTICE —6-6 C�
City of Tigard Building Departaffint
1312.4 811 Ball Blvd_ Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
I nspact ion:_ -- --
Footing Plbg. Underslab Meci:. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Can Line FINAL:
Post/Beam SL^:Jt. a Framing -Bldg.
Post/Beam Mech. ain Drain Insulation -Plumij.
Plhq. Underfloor Nater Line Gyp. Bd. .-Koch.
Date Requested: _Tient _ _ AM ---PM
Address: U�n
� sC--! Permit !:
Bu i 1 der: -----
Till FOLLOWING CORRECTIONS ARE REQUIRED:
Oor
r.
Inspector: �yL ..__ _ —a. Date:
�L
i
PROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Rei.nep.
i
CITY OF T I GARD RCCE I P T OF PAYME"NT RECEIPT NO. a 91--215i5SO
CHECK AMOUN'r 60171. 00
f4AME z RE::NA I SSANCEr CUSTOM CASH AMOUN 1 0. 00
tIDDRESS a ;"09P SW 8TH PAYME NT DA'T'E 07/22/91
i"USD I U I r3l ON
WEST L-INN, OR 97068--
cETURPOSE OF PAYMENT AMOUNT r-"A ID PURPOSE OF PAYMENT PMOUNT PAID
ITRE.FT SAC., hG1Q1. 00
MST91-01 42
w,FAE._ AMOUNT PAID — — — —> 600. 00
mAs"rER PERMIT'
C`TYOFTIFAPERMIT #. . . . . . . : MST91-014,2)
RD A��
COMMUNITY DEVELOPMENT DEPARTMENT C17YOFTMRD) DATE 1c3S1JF - 0 /16/91
13126 SNP HWI Blvd. P.O.Box 23307,TOM,O"ogon 07223(603)6304175 11117-111 D7
SUL-DIVISION. . . . I RENAISSANCE WOODS ZONING: R-4. 5
V.-i..OLK. . . . . . . . . . .. LOT. . . . . . . . . . . . . :8
BUILDING
REISSUE: I)WELLTNG UNITS,., 1 BASEMENT. . . .. . . . . :0 f.
1- 3 SEDRMS24 BATHS j3 GARAGE. . . . . . . . . . 9594 s
1-1-ASS OF' WORK. :NEW
IYPIE OF USE'. . . :SF F=LOOR i-)REPS------ REQUIRED SETBACKS--
-j
EYPE OF CONS-f. :5N FIRST. . . . .- 1107 Sf LEF`T. . :0 ft RICHT. :O ft
GRP. - R3 SECOND. . . .- 1225 s FRONT. tO ft REAR. . 10 ft
ORILb. . . . . . . 12 'THIRD. . . . sf REOUI RED_____
HE'l GHT.. . . . . . . . .20 ft 'TOTAL_ _. .2 S f SMOKE DETECIOPS. :Y
r,--i.00R LOAD. . . . :40 psf VALUE. . . . . 1: : 117964 PARKING SPACES. . :O
Remarks :
PLUMBING
S I NKS. . . . . . . . . . ;! I FLOOR DRA INS. . . . -0 BACKIrLOW PRF VN'TRS. . :O
LAVATORIES. . . . . i4 WATER HEATERS. . . : 1 TRAPS. . . . . . . . . . . . . . .0
TIJD/SHOWER5. . . . :3 LAUNDRY TRAY'3. . . : I CATrH BASINS. . . . .. . . !0
WATEH CLOSETS. . t3 SEWER LINE (ft ) . :0 GREASE TRAPS. . . . . . . 1121
ra SHWASHf-.RS,. . . - il WnTEP E_ INE (ft ) ,, 3100 OTHER FIXTURES. . . . . :0
GORBAGE DISP. . . .- I RAIN DRAIN (ft) . :121
WAST-IING MACH. . . - 1 SF RAIN DRAINS— I
MECHANICAL ------------------- FEES ___-_--_____...
FULL UNI I 1A I H,. lei type amm-mt by date recpt
/b$4 IS VEN'rs . . . . so BPRI $ 478. 00 QLL 07/16/91
MOX INPUT-0 9T U VENT 1-AN5. . :4 DPLC t 710. *7 Qj JLH 07/]., /91
FURN < 100K . . :0 HOODS. . . . . . .. I B5PC $ 23. 90 PLL 07/16/91
FURN ) -100K . . : I WOODSI,OVEG. -0 7:1 S D C 41 375. 00 P1J_ 07/16/91
FLOOR FURN. . . . :0 CLO DRYERS. : 1 PARK $ 500. 00 PLL 07/16/91
POIL/CMP < 31417-0 01-HER UNITS: I 11PR T $ 415. 00 PLL 07/ IG/9I
GAS OUTLE7S: 1 MPLC $ 11 . cb PLL 07/ 16/91
lrr'.'W(_ $ 7-,. -1 t) PI-L 0// 1(,/1) 1
RENAISSANCE DEVELOPMEN'r PPRT $ 15b. 00 PL.L 07/ 16/91
2098 t;W 8TH !:;T f-,5PC $ 7. *7Fj PLL 07/1 6/9 1.
WiF'ST LINN OR 97068 S'1-5 Oc- 6TD
Phone *: S557-5739
Contractor:
RLNAI1.':.SA1%1(_E DEVELOPMENT
2098 SW KITH ST
WEST LINN OR 97068
Phone #.1 657-5739
49955
t 1'30(3. 85 TOTAL
This pe)-vit is issued sub)ct to the rnrtainfd it the REDUIRED INSPECTION;
Tioare Municipal Code, State of Ore. ides and all other Poot_/fol.tnd Insp Fireplace Insp
apclicable laws. Ali work will be ' ire# with appr"14 btri-ocr oat; Line InSp
riars. This avoit will expire !I Dost/seam Meehan lnsLilntion Insp
days tf issuance, or if work r Plm/itndslab Insp Gyp Board Insp
PLM/Underfloor Rain drain Ins!
Mechanical Insp Water Line Ins
Plumb top UL%t kpprtbowlH i!-,sp
r * AM I Tiq 111SP
CA11 f,,-Y- inspection &::9-4175
'
,
CITY OF TIQAMU - RECEIPT OF PAYMENT RECEIPT NO. :91-215438
CHECK AMOUNT x 1867. 56 |
N' � x RENA��8ANC� D�VELOPMENT CASH AMOUNT : 0. @N /
� '� PAYMENT DATE x �7/16 /91 �
(41)DRESSx 2�98 SW EIGHTH
|
SUBDIVISION ,
WK�ST i %NN OREGON ���68' 7588 Gu ASHPORD ST |
- ' �
PURPOSE OF PAYMENT AMOUN'r PAID PURPOSE QF PAYMENT AMOUNT PA 11) |
—/--� ------------9�-�14- 06 PL.UMBlN0 PERM 155. Qlet |
45 �� ST BUILD PER 3� 90 J
| MECH�NIC�L �E ~ ^ - ^
| PLA� CHECK FE 2 —. 66-- -' 5-SD[ 00 | �
STORM DRAIN SDC 00
|
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INSPECTION�IOTICi .�,/�.�
C'.ty of Tigard Building D-Part--nU- V �'
131'iS 811 Ball Bird. Tigard, Oregon 97123
Inspection Line (Rec-O-Phone): 639--4175 Rusineee Phones 63{4 7
Inspection: _
Footing ) Fll-q. Underslab Hoch. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINALS
Post/Beam Strurt. Ban. Sewer Framing _Bldg,
Post/Beam Hoch. Rain Drain ineu)ation -Plumb.
Plbg. Underfloor �Water Line / Gyp. Bd.
Date Regrsesteds / / � / lime:
/ -
}
Addreaes 5k? --- Permit fe-----_—`----
Builder:
THE FOLLOWING CORRECTIONS ARE RRQUIRCD:
i
Inspector ___� —�.— - _ Date- / 2
APPROVED DISAPPROVED APPROVED SURJE(-T To ABOVE
—_Call For Reinsp.
9 1-L,
-1- OF PAYMFNT RF
,E-IPT 190.
(-,I-ry OF TIGARD CHLCK AMULJN,r 250. 00
cpsvi AMOUNT fb. 00
NAME : RENAir:,SANCE CUSTOM HOMEt; pAYMENT DATE. 07/i2/qt
ADDRESS % poge Sw FIGHTH SUBDIVISION
WF4T LINN, OR 97068- SW ASHFGiRD/LOT 8
AMOUNT PAID PURPOSE, [IF J".,AYMENT AMOLINI PA I D
pLjppoSE OF F,AYMENT
.2-50. 00
PLAN CHECK FE 7-23A
TOTAL nMOUNT PA I D 00
SEWER CONNECTION
CITYOFTIGrARD PERMI r
COMMUNrry DEVtLOPMENT DEPARTMENT CrFYOFTM PERMIT #. . . . . . . ..
13125 SW Hmil Blvd. p.0.ft 23W.TIORM.OWM 972
13(ON), One"
TE ISSUED:
i'J86 SW ASHFORD ST
UBDJVISION. . . . : RENAISSANCE WOODS PARCEL: 2S,3112Go - 0Q,-0Q,
BLOCK. . . . :__._..._._.____LOT. . . . . . . . . . . . . ZONItNl(:): R-4. !!
IU
j
LM�OFTMM
IDI
TENANT NAME. . . . . .
USA NO. . . . . . . . . . :
CI—ASS OF WORK. . . i NEW FIX"(URE UNITS. . . .-
TYPE OF USE. . . . . !SF DWELLING UNITS— : 1
TTNSTALL TYPE. . . . -BUSWR NO. OF BUILDINGS: 1
TMPERV SURFACE'. . Is f
Remarks :
Own
RENAISSANCE DEVELOPMENT tPEES
2043 type WALDEN s*r Famount by date recpt
PRMT $ 1500. 00 jLH 07/011c)1
WEST LIMN OR 97068 1 MGP $ 35- 00 JLH 07/0j./9I
[-'hone 1#: 51A36575739
Lontractor :
CONTRACTOR NOT ON FILE
Phone -------------------------------------
leg f 1535. 00 TOTAL.
—
In's An licani agrees to c*11V'.v so!V, all the rules and regulations -- -- REQUIRED INSPECTIONSNS
of the Unified Sewage Agency. The W-mit expires 129 days' frow Sewer Insoection
the date Issued. The total alcunt Pall still be forfeited if the
aersit Mires. The Agency does not guarantee the accuracy of the
side sewer laterals. if the sewer is not located at the gpps,jr#$#nt
qivtn- the installer shall prospect 3 °e.,t in all directions frne
the di%tarce given. If not so located, the installer shall ourchaie
a "Tap and Side Setter" Pereit and the Acemcy will install a lateral,
i)ermj.ttv,e
Issued By:
inspection 639-4175