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11080 SW COTTONWOOD LANE-1 1 H H 00 7 7 1 h h 11080 SW CC TONWOOD LANE rw c• p 0 f r.V Address /Od6 C �'' _-/�`- xw ,�ti Permit No. % /� 0-' Permit charge 077 Owner 1� J�-� Connection fee Paid by A� A1cr,,, _ c _ ype of building bate connected Service rate _ Inspection fees; IlContractor Paid by _ date `02'o of connection _ � Assessment _ Paid i City 0f Tigard I INSPECTION REQUEST f0� IINSPECTION TIME ' r;:RMIT NO. .)ATE 1:_L. DATE ISSUED OWNERS NAM►r AD DR E S S : --- —----- _---— _ __ COiNTRACTOR TE"3T: Air Ll Water �i';�ual ( }- Lot orotory RESULT. Approved �A' , 0isq proved e SKETCH: a i i SPECTOR DATE I COTE Attach sup jamentcI teat data hest] I 1 ', � • 2102 rr Unified Sewerage Agency of Washington County CITY OF_.— Tigdrd __i_— DATE , _3•-25-77 OWNER : _Trademark Homes - _- PHONE 643-8491 _ OWNER ' S ADDRESS t — — _ ---- TYPE OF INSTALLAIIONs 1XIBUILDING SEWER ❑BUILDING SEWER AND SIDE SEWER TYPE. OF OCCUPANCYr M NEW ❑ SINGLE FAMILY ❑ COMMERCIAL ❑EXIST . (PRIOR TO 7- 1-7b ) ❑ MULT. RES. ❑ INCUSTRIAL FIXTURE UNITS DWELLING UNITS __.__], PERMIT CONDITIONS: THE APPLICANT AGREES TO COMPLY WITH ALL RULES AND REGULATIONS OF THE UNIFIED SEWERAGE AGENCY . WHEN CALLING FOR INSPECTION, PLEASE REFEP TO THE PERMIT NUMBER. THIS APPLICATION EXPIRES IN ONE-HUNDRED AND TWENTY ( 17.0 ) DAYS . THE AMOUNT PAID WILL BE FORFF_ITED SHOULD EXPIRATION OCCUR . FEES: PERMIT FEE $ CONNECTION CHARGE 575• SIDE SEWER INSTALLATION ISSUED BY OTHER Inspection fee 25. _ TOTAL. E 600. / APPLICANT — DATE SEWER PERMIT NT 12112 ADDRESS OF STRUCTURE 11080 SW Cottonwood Lane TAX MAP .._— TAX LOT_-_ SYSTEM Fenno Creek LOT BLOCK O F- - --- -- --— -- APPROVED BY DATE ISSUED BY DATE RLMARKS eldg•#1359 ___�, BUILDING PERMIT APPLICATION 1oF TIGARD DATE— "fy , THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDER PI-40N OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS, OWNER PHONE LOT NO. OWNER l raderoe i k Mamas JOB ADDRESS .11000 aid Lattt7C1WoC>d WOMIa ADDRESS ARCHITECT —� 98171f, �� ENGINEER BUILDER _ fn-1 ADDRESS DESIGNER STRUCTURE Xit`.1NEW ❑REMODEL. ❑ADDITION ❑REPAIR ❑RENEWAL ❑FIRE DAMAGE ❑DEMOLITION ©RESIDENCE ❑COMM []EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO OCAR PORT ❑GARAGE ❑STORAGE❑SLAB ❑FENCE ❑BOND ❑MOVING ❑CONDIIIONAL USI: ❑DESIGN REJIEW ❑COUNCIL APPROVED []SIGNS OCCUPANCY I LAND USE ZONE ~7 BLDG. TYPE 5N _,,.FIRE ZONE—'7 PLAN CHECK BY_ �t_ —HEAT_. const. single family dwellknp a/attachad garage "' ,r t ot,t: Q� ..LL29Y---FJaSZ4P_-1 oAp_--41) ----HEIGHT 20 NQ,_5RIE 1 AREALU 66 BUILDING DEPARTMENT SET BACKS FRONT" 22 REAR— 1�� LEFt SIDE 1{1,RIGHT SIDE �� PermitTHIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING Plan Check 80.no REGULATIONS AND ALL APP'_ICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE ""'""T— —' WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH Sub-total ALL APPLICABLE CODES AND onDINANCES. THI' I&SU",NCF. OI' THIS PERMIT DOES NOT WAIVE -- - RESTRICTIVE COVENANTS. CONTRACTOR AND SIJF CONT1;ACTCNS i" HAVE CURRENT CITY BUSINESS State Tax 7.20 LICENSE. SEPARATE PERMITS REQUIRED FOR SEIYr_l', PLUMBING AND IEATING. Total 247,20 BY — --- ----- -- —...... APPLICANTOR AGCNT Approved It 'L' Rv(vipl No DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE f - Contractor Permit No. / Rough in 4 Fixture ----- — _tf11 b _.7,7 XJ �i1f�1~iV�2' /� �' .Ss-c �»l 1,�P��.✓ Final ----- --- — L� HEATING - - Contractor Permit No. Gas or Oil C1i( AJ • / Rough-in SEWER Final DRIVEWAY - --- -_�—_ Final - - - G Storm Drainage _ 7-<S-'n �� L Ot/E,- UK tL- ct-cr+t ac.E'.PcatA.a ct go.;f (Rain Drain) Final .,t .vl��- c a. ) Sidewalk �— q-ly-11 J� Curb a Street Final e -t,-t, A roach BLDG DEPT, FINAL TEMPORARY CERTIFICATE OCCUPANCY CERTIFICATE OCCUPANCY Final Landscaping Zoniny Final 1 V uj C) C.) 0 Cl CJ C) C CD tL Lr; C') Lr; C7 C4 Ci C7 vi U. C-A 0 J LL 14 > 0 V) ci. U, C) CE: 0. U C) 0 C) C C9 .at CU ci 0 C: V 'u V ,- rl 4-6 o Y > 0UJ OC 1 C) C C m V t n NCD dh. o c C-1 b- 0 w cr tu LLI A > > r) CL V) o E-1 ti C) CD -j 0 C, C) C', rc uj C) 0 CJ U. Cl L) Lrj C� C t3 Ci C LLJ q: U� %i v C,4 v LL ui 0 C) ;e C) U C) < cc ui Lu ul ILU T cr. I LIJ P! LL en ) Lli 0 a m u g L)C� =1 8 I V) Ln 0) Ln V) LI, >-m O0 CL: W ri > cr U) c 0 D > U- 0 > cn C) w cr UJ 0 co 0 0 Ck. U-0 car cc U, z cr m C13