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12900 SW 132ND AVENUE a R. a r- r . b 1.� ■ I I I I INIff igWoNOTICE City of Tiga.:d Building Department 13125 BE Ball Blvd. Tigard, Oregon 97223 Inspection Lipw (Rec-O-P//hone): 639-4175 Business Phone: 639-4171 Inspection: Footing P\bg. Undern?ab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL- Post/Beam Struct. San. Sewer Framing -Bldg. Post/Beam Hoch. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Lino Gyp. ©d. _K \ Date Requestedt _ Timet --8�.---.� Address: PH Permit 1+ Builder: 'LUZ FOLIZ-MING OORAECfIONS ARE REQUIP.><Dt / _aY t Inoptectort Date: �L 7 _�APPROVlD DISAPPROVED -i APrROVRn SUBJECT TO ABOVE -_Call Por Relnsp.. N - - M I MECHANICAT, PERMIT PERMIT #. . . . . . . : MEC91-0287 639-4171 DATE ISSUED: 12/03/91 SITE ADDRESS. . . : 12900 SW 132ND AVE PARCEL: 2S14AC1-100 SUBDIVISION. . . . : ZONING: BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . ------------------------------------------------------------------•-------------- CLASS OF WORK. . :ALT FLOOR FURN. . . . : EVAP COOLERS: TYPE OF USE. . . . :SF UNIT HEATERS. . : VENT FANS. . . : OCCUPANCY GRP. . :R3 VENTS W/O APPL: VENT SYSTEMS: 3TORILS. . . . . . . . : BOILERS/COMPRESSORS HOODS. . . . . . . : V'jEI. TYPES------------ 0-3 HP. . . . : DOMES. INCIN: :/GAS/ / / 3-15 HP. . . . : COMML. INCIN: MAX INPUT: BTU 15-30 HP. . . . : REPAIR UNITS: FIRE DAMPERS?. . : 30-50 HP. . . . : WOODSTOVF.S. . : GAS PRESSURE. . . : 50+ HP. . . . : CLO DRYERS. . : NO. OF UNITS---------- AIR HANDLING UNITS OTHER UNITS. : FURN < 100K BTU:1 <= 3.0000 cfm: GAS OUTLETS. : 1 FURN >-100K BTU: > 10000 cfm: Remarks: ELECTRIC TO GAS CONVERSION Owner: --•-------------------------------- FEES TIM COURSON type amount by date recpt 12900 SW 132ND AVE PRMT $ 25.00 JLH 12/03/91 - 5PCT $ 1.25 JLH 12/03/91 - TIGARD OR 97223-0000 Phone #: 598-8754 Contractor: ----------------------------- PIONEER I'URNACE 3615 NE BORADWAY PORTLAND OR ---------•-----------•---------------- Phone #: 2.49-5000 $ 26.25 TOTAL Reg M. . : 36102. ------- REQUIRED INSPECTIONS ------- This permit ..s issued subject to the regulations contained in the Final Inspection _ Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. All work will be done in accordance with approved 1•Iins. This permit will expire if work is not started - ~A within 180 days of issuance, or if work is suspended for more than 180 days. - ----- --- Permittee Signature: �— Issued By: Call fer inspection - 639-4175 CITY OF' TIGARD RECEiPT OF' PAYlyi,:N,r RECEIPT NO. :91-2-*_?W-*.'82 CHECK AMOUNT % 2(). 25 NAME V.,10NEER r.LJRNA(—,F-- CASH AMOUNT 0. 00 ADDREScS PAYMENT DATE a 12/03/91 SUBDIVISION PURPOSE OF PAYMENT AMOUNT PAID PURPOSE. OF PAY ME4T AMC)UNT 1.:'ATD '60ILD PER m—E—CT Ff4 t i—CA L PE Ic"100 113W 1 32N AVF it TQ.)AL V-011) P15 0 YE oLDE HONEY Po r PORTLAND 2283770, BEAVERTON 848.4645 EAST PORTLAND 77&6900 SEWER,DI CAIN&SEPTIC SERVICES GRESHAM s67-1626 WEST PORTLAND 245-1333 P.O.BOX 19302 OREGCNCITY 655.3262 TIGARD 638.9103 PORTLAND,OR 97219 CANBY-AURORA 878.2118 N J / DATE i A J "J PH APT SERVICEMAN (i CASH t'.HECK:I CARD—CHARGE TIME ON JOB TIME IN: TIME OUT.- DESCRIPTION UT.D IPTION OF WORK: 1 - ,1 l f 1 -�— TOTAL $ I or We hereby acknowledge the satisfactor/completion of the abovP described work and hereby grant an express mechanics lien on above named property to guarante- payment of stated sum of bill Further,I agree to pay R ten dollar service charge on all returned checks INVOICE 70289 l CUSTOMFR'S AI ITI-InRl7Ch AI:kAK'c--tori r.r " v-- TY OF T'��RD 5EWI;:'P PF:RMI'T 11' N CITY&TWARD PEPM 0 SES9111.1. COMMUNITY DEVELOPMENT DEPARTMENT 13125 S.W.Hall Blvd..P.O.Box 23397.Tigard.Oregon 97223.(503)C39A175 DA(E ISSUED: 5/2-11/89 ---- QIRIM. Pllill,V-448 . 891,141 JOB ADOPESS : 1.2900 SW 13i?ND ()Vl-.. USA NUMBS-:141 ; 0-1Z.1t?5ZZ- MAS'ILDT PG1,41AC,11,00 S1,111: LT: BK : LAND USE : 1-01' S:I:ZF:: 5I::-T','TION: q TWP. ca RNG: WOPK (.'-ASS : -MM.- tqL-T- UJ)CICV-4'C� USEK TYPE - 'SINGvUE- F'AMII-Y The i-kPPIJ-0-flILI-IT- akgl-(4+eith to C'.clinply with illi.13. 1-t.i1e1i; at.nd rc*qt.ilntiviin% of r.he Unified sewer-al,gli? 0'19011c.Y . 'Tht.-:% per-mit expj.i•pm 120 11OLY!u fi-clin the clatt( iiimme(l . Th" '-otiql. i!LII101AI*It Pilticl will be fc)r-feiteci If the rer,mit exoii,ets . 1*he Agenc�y (1130-M 110t M.ntee the of the 11)(NILti13I-1 cIf 1--ho lsidv�! l6ewell If the riewel, its not Inc.�Ilktecl in,t the givell , the inmtetllei, %hall provipect 3 feet :i.n all dil-ocztionia from the di!atatn(»e given . If not so locatted , the inistallei- v-0-IMI.A. pur-r-hiacie is 1-Tap w.nd !:Iide -el-init iancl the -1germy wili instal.l. a latcar•iml . INSTAL-1— 'TYPIE. . I'M PEK.F4 VIC)US AREA: F"IXTURE.' UNITS : 'TEWANT TMPrWJVl;::MEN'T : NO DWEI I ING UNrrs : J. NO. OF* 0 W KI.J.n tj el v Detvi d r)r-.:PM3, T* N E 1 2900 sw 132nd Ave CONNIECTG�- ION GHAA . 1111300 . 00 R Ti U all.r,d 0 1� 197 P P.3 L-INE 'TAP TWiTAIJ... . PHONE" 692-501.d C 0 N T R A C r 0 i R I TOTAL.. : $3.:3:5 . 00 Thi3 permit is 1951.u'4 qublect to the regulations contained in Title 14 r,&:CEIIST NO. of the TMC. State of Oregon Specialty Codes, zoning regulations ........ and all other applicable codes and urdinances. and It is hereby PE ).laic:).) INS PE.ICTI(INS agreed that the work will be done in accordance with the plans and S 11 W A specifications and In compliance with all applicable codes and ordinances The issuance of this permit does not waive restrictive covenants Contractor and subcontractors shall have current city business tax permits This permit will expire and become null and voiU If work Is not started within 180 days.otifwork Issuspended or abandoned for a period of 180 days any time after work has commenced It shall be the responsibility of the permittee to assure all required i:ispections are requester)rind approved 2 ?�f Fermit 6ee ignatu 11-- Issued By SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE BENCHVIEW ESTATES JOINT VENTURE 8875 S.W. Beaverton-Hillsdale Hwy., Portland, OR 97225 (503) 297-4881 August 15, 1988 Unified Sewerage Agency 150 N. First Hillsboro, OR 97124 RE: Sanitary Sewer Cost Participation Gentlemen: David and Carol Klingele, 12900 SW 132nd Avenue, Tigard, Oregon, Are participating in the cost of installation of the sanitary sewer line in SW 132nd Avenue, a part of the off-site improvements of Benchview Estates subdivision. It is understood Mr. and Mrs. Kling�,le will be assessed a connection fee when their property is connected to the line, but will. not be required to pay any other fees, charges or assessments. BENCHVI W ESTATES JOINT VENTURE by: Louis Fasano LJF/cjg Ulr ® f1 SEWER PERMIT No UW � //// Unifi ed Sewerage►Agency of was!,ington County CITY OF _ _ DATE OW:JER: -1��� ,I- ��c E� h`_ PHONE : OWNER' S ADDRESS: TYPE OF INST•ALL_ATION: ❑ BU'LDING SEWER ❑ LINE TAP AND BUILDING SEWER LINE TAP �- FYPE OF OCCUPANCY t i�✓^g �l c p r t/ p ❑ NEW ❑ EXISTING � � SINGLE FAMILY ❑ COMMERCIAL ❑ MULT. RES. ❑ INDUSTRIAL FIXTURE UNITS DWFLLING UNITS — ADDRESS OF STRUCTURE : Permit Conditions: The applicant agrees to comply with all rules and regulations of the Unified Sewerage Agency. When calling fur an inspection, please refer to the Permit Number. The Permit expires one hundred twenty (120) days from the date of issuance. The total amount paid (permit fee, connection charge, line tap fee and/or other charge) will be forfeited if the permit expires. The Agency :foes not guaran!-,e the accuracy of the location of side sewer laterals. If the sewer is not located at the measurement given, the installer shall prospect three feet in all directions from the distance given. If not to located, the installer shall purchase a "Tap and Side Sewer" Permit at the current charge and the Agency will install a lateral. FEES: PERMIT FEE . � CONNECTION CHARGE LINE TAP INSTALLATION ISSUED BY OTHER TOTAL s � --- � �' - DATE OF ISSUANCE APPLICANT DATE OF EXPIRATION SEWER PERMIT ADDRESS IF STRUCTURE TAX MAP ;Z' S / ' K�i� '`' TAX LOT QUARTER — - --- --— - - -- SECT ION LOT BLOCK OF APPROVED BY DATE ISSUED BY DATE OF ISSUANCE D . U. ' S REMARKS