11380 SW COTTONWOOD LANE-1 11380 SW COYfONWCOD LANE
�'i}c�i�KKakta....... -ni:/.M •'••:.a 1.INM-_.YUY.�YLb�1.�\ v_�...M� L� - --1r��Y�I�YI.w. _ —� -. .. ..�R'�' W..... ..... �'�'a+alr..u..,..n..
OF
CITY OF TIGARD C. ;
OREGON
Ownt�r:.... ob Smith_...._................................... .........Permit No_161.4... ......
y Building Address..._.1.1390 5W Cnt'.anWoaci Lana_........
Certificate is hereby given this....27 y ofJanuar I9
r
that said building may be occupied and
that it complies with all requirements of
- the Building Code fo the City of Tigard,
as approved by. the- Tigard City Council.
"ildinst Inspector
1'
a 14ti
ParrAt chargo ._.., 2 .
!1w►i r - -� lL �__._.. Connection f rlu
Paid, by
Dn
e. connr:c I,-.nd
�S a
nrvir_,s tc3tn TnnPc,ntion
Paid by _._ _.... _. —...�..—. ._ raise
;t7a of connor-.tion _ M A .s� intPaid.
f
I
I
a
f
t
r
cu -
n o i
a�
' LTA-
CA
N U H ' cr
C Q
N ,C a V I CL
a �_ rJ
L � L~ C [
H ~ I r
O (
L U t
cJ cn
o � °cb
\.
Q �J
Q .3V
Q o
Q h C
Ll L C J G O
Z7 O ,0 p ui to o Irl M CIO ri i ci ui L? y C 47
F > N r4 v A
E
V i b
�
-
o f,2.
a
UJ WU.
O U 4! a o
Q, G] t9 b
tJ w 'J
V C,'
•O c -
O c 14) .2 - -
C v~i V I 7 r
11
G I
a J-
Of
C N ) r- .0 b .J )
i i. �u n i c n
3I I r. c c Ha
N O L I.J L L ~ I x
C "' Q b O u
C V L1 .A O n J
x w
O ro j H x x x % Z71 ° c^
Z.) ci F J m
131
BUILDING PERMIT APPLICATION CITY TIG ARD DATE— ___--� 19___-- R'� 14
�L 0 F
THE UNDERSIGNED HEREBY APPLIES FOR APE RMITFOR THE WORK HEREIN INDICATED b�—"! R PHONE .—
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNERPHONE_
LOT NO. — _
OWNER �lllZ L�� JOB ADDRESS HOME ADDRESS
— - —� ---� ARCHITECT" - --
ENGINEER
BUILDER ADDRESS _ DESIGNER
STRUCTURE ❑_NEW ❑REMODEL _ ❑ADDITION ❑REPAIR [-]RENEWAL ❑FIRE DAMAGE ❑DEMOLITION
O RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ]CAR PORT ❑GARAGE ❑STORAGE❑SLAB [:]FENCE
❑BOND ❑MOVIAG ❑CONDITIONAL USE ❑DESIGN REVIEW OCOUNCIL APPROVED ❑SIGNS
OCCUPANCY— LAND USE ZONE _ -BLDG.TYPE FIRE ZONE_ PLAN CHECK BY— HEAT-_-,_.
c7F'iAF,Etfl�tt G �a9�A�w � ,
H)`IGHT NO.STORK^____- - AREA-` NV -
BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permit :,�UTHIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZIINING
Plan Check RFGUI_r.TIONS AND ALL AF.^LICABLE CODES AND ORDINANCES, AND IT IS HERBY AGREED THAT TI4E
-- WOrtK WILL b� NONE 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 LICENSE. SEPARATE PFRMITS REGUIRE.D FOR SEWER, PLUMBING AND HEATING.
Total
pv
---� -- - APljw'rANT OA A!]FN1
Approved
Receipt No
4
ADDRESS
II,NF
...wvr:. .iya,u�d....uw�.�,J....-.... ._. ,.. .y.Y. ....._,..Y.+uu...w.u.�r.:w.w..
DATE INSP. ,YFE INSPECTION REMARKS PLUMBI' G DATE
�z �7 JD
Contractor
Permit No.
IT 13 i �' , .f IlRough-in____
Fixture
Final
HEATING
t C I&cLki / Contractor
-.,un 2 X Permit No
- --- *— a-..-�.+ zt: Gas or Oi'
_E!ju2h in
I -
/ Final — -----
SEWER
Final
DRIVEWAY
---- _ F nal
- — —�— Stol.r C,Linage
(Rain Drain( Final
— --- _ Sidewalk
Curb&Street Final
r�pproach
M
BLDG DEPT. FINAL, TEMPORARY CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY Final
�- Landscaping
Zoning Final
r
t'`f SEWER PERMIT N° 13481
Unified Sewerage Agency _ DATE
of Washington County CITY OF _ T :_ _
OWNER : 6`jb Smith PHONE :
OWNER ' S ADDRESS:
TYPE OF INSTALLATION:
;❑BUILDING SEWER ❑BUILDING SEWER ,"JD SIDE SEWER
TYPE OF OCCUPANCY:
'ON 4W '`"SINGLE FAMILY ❑ COMMERCIAL
❑EXIST . (PRIOR TO 7-1-70 ) ❑ MULT . RES. ❑ INDUSTRIAL.
FIXTURE UNITS DWELLING UNITS 1
PERMIT CONDITIONS: THE APPLICANT AGREES -10 COMPLY WITH ALL RULES
AND REGULATIONS OF THE UNIFIED SEWERAGE AGENCY . WHEN CALLING FOR
INSPECTION, PLEASE RE7ER 10 THE PERMIT NUMBER. THIS APPLICATION
EXPIRES IN ONE—HUNDRE{. AND TWENTY ( 120 ) DAYS . THE AMOUNT PAID WILL
BE FORFEITED SHOULD EXPIRATION OCCUR.
FEES:
PERMIT FEF_ E ��-
CONNECTION CHt,RGE r;in
SIDE SEWER INSTALLATION
ISSUED BY
OTHER
- TOTAL s 62S•
PPLICANT DATE
I
SEWER PERMIT M 13481
I
ADDRESS OF STRUCTURE 11 ':60 SLJ Cottonwood LanE
TAX MAP TAX LOT SYSTEMfanno crEek
LOT 233 BLOCK OF
APPROVED BY DATE ISS4D BY DATE
REMARKS__ bldg. 71614 _
"Oo�