11320 SW COTTONWOOD LANE 1
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11320 SW COTTONWOOD LANE
ADDRESS �' c� r� � r»��,ec�!, � PERMIT NO.
PERMIT CHARGE � none
OWNER ���.� ��4,� CONNECTION FEE
PAID BY
TYPE OF BUILDING DATE CONNECTED
3ERUICE RATE �'" c INSPECTION FEE
CONTRACTOR PAID BY DATE
SIZE OF CONNECTION ASSESSMENT PAID
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0 CITY OF T'IGARD C�
r� [� OREGON �s
........... ....................Permit No... 15......2U
Building Address......1a:a2�..S.W...Cct_tonWood... :ene.........................................
Certificate is hereby given this.....lAth.._da of..November............. lg. 7
that said building may be occupied and ;!
that it romplies with all requirements of
' the Building Code for the City of 'iigard,
as approved by the Tigard City Council. #
..... ...........
!! Building Inspector �V•., t.'+
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SEWER PERMIT o' ~ s
� N. 13412
Unified Sewerage Agency
of Washington County CITY OF Tigard DATE 6-15-77
OWNER : Bob Smith PHONE : 644-8955
OWNER 'S ADDRESS:
TYPE OF INSTALLATION
❑BUILDING SEWER ❑BUILDING SEWER AND SIDE SEWER
TYPE OF OCCUPANCY:
M NEW Q SINGLE FAMILY ❑ COMMERCIAL
❑EXIST . (PRIOR TO 7- 1--70 ) ❑ MULT. RES. ❑ INDUSTRIAL
FIXTURE UNITS DWELLING UNITS 1
PERMIT CONDITIONS: THE APPLICANT AGREES TO COMPLY WITH ALL RULES
AND REGULATIONS OF THE UN T IED SEWERAGE AGENCY' . WHEN CALLING FOR
INSPECTION, PLEASE REFER I _j THE PERMIT NUMBER. THIS APPLICATION
EXPIRES IN ONE-HUNDRED AND TWENTY ( 120 ) DAYS. THE AMOUNT FAID WILL
BE FORFEITED SHOULD EXPIRATION OCCUR.
FEES:
PERMIT FEE $ 25.
CONNECTION CHARGE 575.
SIDE SEWER INSTALLATION
OTHER
I SSUED AY
TOT $ 600.
APPLICANT DATE
SEWER PERMIT M 13412
ADDRESS OF STRUCTUkE 11326 SW CottonWaod Lane
TAX MAP TAX LOT SYSTEM fanno creek
LOT __ 222 BLOCK OF
APPROVED BY DATE r IS ED BY DATE
REMARKS_ bldg. #1520 G
TY
BUILDING PERMIT APPLICATION �' F TIGARD DATE_ -1 )-T7 ,��_�
Q F .t ..
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILUERPHONE. `114-895 n_
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLFkNS AND SPECIE ICATIONS. OWNER PHONE
LOT NO.
OWNER LiOkJ :JM. rI' JOB ADDRESS _ '; .1 r1aftft •y+.HOME 'RDRESs
ARCHITECT
BUILDER L'1amnENGINEER
ADDRESS �y DE.31GNER _
STRUCTURE XrT-F��s�NEW� D REMODEL _ _DADDITION -� ❑REPAIR ` ❑R_E_NEWAL AFIRE DAMAGE ❑DEMOLITION
D RSIDENCE IJCOMM ❑EDUCATIONAL DGOV'T ❑RELIGIOUS❑PATIO ❑CAH PORT ❑GARAGE 0 STORAGE❑SLAB ❑FENCE
DBOND _-�0MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW` ❑_COU_NCIL APPROVED ❑_SIGNS
OCCUPANCY_.. -_ LAND USE ZONE ff-7 BLDG.TYPE " FIRE ZONE_. PLAN CHECK BYetW HEAT
cur18t• sin-gla family dwelling W/actschhd garage Lot '222 according -to
?3 Y3Lr ul tt ;. hadrn®i 2 hath -__�jiu -� .--- -
OCC. LOAD ___---FLQQEL,OAD 40 HELL.__ 20 NO C�ORIES 11 665 3 VALUE36 i 7009
BUILDING DEPARTMENT SET BACKS FRONT 20 REAR 10 LEFT SIDE B RIGHT SIDE 1
Permit 146.00 -
-- THIS P:ZMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check 10REGULATIUNS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Sub total ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax 4,74 LICENSE. :PARATE PERMITS REQUIRED FOR SEWER PLUMBING AND HFATIN G.
--- - _ly.'� ..cm t+ks�rt,lu��rnwr►L C'hw�cg+a l t)U•tlU
rotal 162, 74
By
APPLICANT ORA ENT
Approved �_ I RNcelp; No.
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DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
ntractor
7_2 s Q
No R 60VCIL
fRough.in
mit Nc. 36-' g'�/-
—
_ t Fixture
r-11 v `, =in,tl
HEATING
151- — Contractor
Permit No.
P�9 Ga-or Oil
Rou h•m
G t
-Qe.. Final
SEWER
Final Final _
— DRIVEWAY
Final
Storm D ainage _
(Rain Drain) Final
Sidewalk
Curb&Street Final
BLDG DEPT, FINAL TEMPORARY — A roach
CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY Final
Landscaping
Zoning Final 1.
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