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11385 SW COTTONWOOD LANE-2 Ld OD Cr t� r,- C'1 1 rt r` O C. G C� Li_ r- n m 1� 11385 SW COM'Oi*MD LANE } '> �.� .su► 4:,_�i.w. ir. ..� l.1_... �..�._..► -.�..►� i9 .wu. G. r ci_ ',w- - _ �► - j _ ,, {•t c � '✓ UCC ;b CITY OF TlGARD s;: ( OREGON .......Permit No. ....127.5_ <'� \, • Building Address...1.1.3BS..S.W...Cot.tonwood...La.ne....... Lot _ 1.60 #!i Certificate is hereby given this.......5.t,h....day of.....3une .... ....... ... 1y..7T. that said building may he occupied and that it complies with all requirements of 1 . the Building Code for the City of Tigard, as approved by the Tigard City Council. ► .:: Building Impectur ap "I Y I :> It ;41 wad •.iw� Fa w� I i�wr f °.♦° �.•s'' +.i•=w!" o.i�� `..:..a ,��� n!� ,�w; j M* �► !• V' /4 T Cify of Tigard INSPECTION REQUEST for INSPECTION n ME : PERMIT NO. : DATE: .:!-._(1U 2 DATE ISS6ED:._._4 OWNERS NAME : TN ADDRl.SS . 4u,--& CONTRACTOR :—S-' ���L. - TEST: Air 0, Water ❑ , Visualf,(, Laboratory ❑ RESULT'. Approved_pQ Dhokipproved ❑ Pending ti i SKETCH'. / I INSPECTOR DATE r SHOTE : At?ocli supplemental toot Jo+a Aorelo� I City of Tigard INSPECTION REQUEST for INSPECTION TGME:: 3 ', 34)4) --K PERMIT NO. :--- DATE': O. :___DATE:: 3 //C DATLO ISSUED ;._1_,! OWNERS NAME :. _ ­ 4-� _ I AlDRE?SS: CON TRACTibR TEST : Air 0, Water[] , Vieuai 0 , Laboratory p r� RESULT.' Approved B' Disapproved C Pending Ej S KETI�H: I�l3PECTOA —� DATE I(-T'l. Attach sup)lementel test data beretp� �1 t� uj wl tril ri to of ev�epi ri +� N I r LLL - LLLL I *, U. ci II L ` EJ a; o µ`mlC' a0 v L° � Ir ��'. "- f"l ►n •f C J _ d ; 4JC Y C\ t7 C Zn N C O L 1 u cc t, b ` 2* - U- E E z } m qJ O N Al QQLU> > 3: ] C) O c W r S� r p 0 0 0 0 0 0 pp O O O `x V i ul f� O t'J O CJ O C1 O tri OLL C7 OL I `► a � � K ri a tri v v tti v .t r; c tr' Z ui ,� n rLLJ Pr W IDD W ` < 2 W z Lp W r U ► C C' Ir W C. O � C) U- LL > 1 e•' tn €' F- m > / 1- ,7 J #. a ulFi' UJ .Z CJ Lil __ ro u a( 0. 1 ` - :- N onar� U o X u U. Z Z LL � a cnn csIw W. r:r U a � i trr s..�la .rr�.rr i I r� I �o l_ •� , r� � ! i I u° .l, yO ro 1 •� V \ lu lu Q 4' ro V. ra O CO 0 CJ (l O O f1 r ,.: l,7 F' ro p eLff ni o rri ri ni f3 ! rj ci tri ca c W u A {1r E F•= � ij ,j all "U3. r'• � 41 F- o �•kjj u. 10 fu $ Q11 m c �\ C .- O FC. �. 43 y c c r lA Lr j r 1 V 4 u W muj 41Y 4N i cc X /: t: C to Q �0 l.� `•� ILL l q .� C: tq r In v r x x x w `• r , 1 A ? m it- i1. F lu f3 Cilti0 ti t f f: rr. i I t� I Irl _ 1 7 - —7) UNIFIED SEWERAGE AGENCY NO. WASHINGTON COUNTY DATE 2'2-77- - - LI 1-Y OF Tigard - ---- - — — APPLICATION FOR SEWER CONNECTION PERMIT OWNER: dub S,nith OWNER'S ADDRFSS: ------ STREET -"TATE BUILDING SITE: I-OT---. - - BLOCK . _ ---- ADDITION residence TAX LOT N0. - _.____-__-- _ _ _ TYPE OF OCCUPANCY — -------- ADDRESS --_ __113fl5_�,Ll-.�n}t�nrrand_l.aru. DWELLING UNITS ..-- 1-------- --- FIXTURE UNITS _.--- --- SURCHARGE IF APPLICABLE - ---------.—.--- PERMIT FEE 575'-- INSPECTION FEE -256 - TONAL DEPOSITED .- 600. _ _----. Fanno Creek (NEW) (EXISTING) BUILDING SEWER SYSTEM — The Applicant agrees to comply with all rules and rElgui s of the Unified Sewerage Agency. APPLICAN ----- ------ SEWER PERMIT THIS PERMIT .\IITHORIZES CONNECTION TO THE SEWER SYSTEM. LINE SIZE --- - -- ._. —- --- ----- ---- --_ INSTALL RECEIVED BY.. (AGENCY 0 COMMENTS' ---aidg.. #1275- This Application End permit expires in one hundred and twenty (120) Gays. The amount paid will be forfeited should expiration occur. i .......r...ylr7w�wm^n�lY�rl�:'U!1'\71Y1�'M"sr'"'.�rv'y'144^'^"7"a"r.o°�^'�"_•.,..... ,,...o,.... .........._ ..-_.-_... ,..�w.rwr�wreo� r:KMp+Y�: I l 0 BUILDING PERMIT APPLICATION Cor' TIGARD OA't :_ THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOH THE WORK HEREIN INDICATED BUILDER PHONE OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE _ LOT NO.-_ OWNER 40b Smith JO©ADDRESS ttQ91WE.100 HCNALi ADDRESS ---- _._.— ----- AR LH 1 TETT ENGINEER .1tI1R' BUILDER __ ADDRESS —_—___ _ __—•DESIGNER STRUCTURE ,,(''ANEW DREMODEL ❑ADDITIJN ❑REPAIR ❑RENEWAL ❑FIRE DAMAGE ❑DEMOLITION OR(SIDENCE _❑COMM_❑E-'JC_ATIONAL 000V'T ❑RELI`,_)US❑PA1IO ❑CARPORT 0GARAGE ❑STORAGEOSLA13 []FENCE ❑ ❑BOND —` ❑MOVING _—_ COND'TIONAL USE — ❑DESIGN REVIEW ❑COUNCIL APPROVr ED LJ SIGNS — JCCUPANCY_ �.—_LAND USE ZONE r. �9LUG.TYPE _ At�.FIRE 20NE� PLAN CHICK BY HI-AT.,�,a, —_ i"A'. lrlL caintjIle f nrt_i_;,y ducil 'Ang LJ/tatteclied yoxaga 4 t,6fj1 L 1_)f11 t: AO Berra i® 460 sq. Ct. 4U 2U 370196. ()CC, IE _L��,\SL------_Fl.(�S1I3-L4�1__--- -�-LEIQ _—�_-119.5TQHS_ _ _AREA ------- ------ BUILDING DEPARTMENT SLT BACKS FRONT REAR LEFT SIDE F iGHT SIDE /�/� PerfTl' 1fi1 IJV ------- —' 1H PFRMIT IS IoSUE7 SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING Plan Check 1(�� REGULATIONS AND ALL. APPLICABLE CODES AND ORDINANCES, AND IT IS HEI.EBY AGREED THAT THE -- — WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH Subtotal ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE -- -- — RESIRICTIVE COVENANTS CONTRACTOR ANO SUB CONIRACTORS TO HAVE CURRENT CIT`: BUSINESS State Tax 4,8,`, LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING. Toted JV _ ___ .-- _� -- ------ _ -- ---�_... APPi ICANT TA AGENT Approved N) Rece,ht No — Abl-�kf55Fb�l�__-- -- GATE INSP. TYPE INSPFC1 ION REMARKS PLUMBING 0,0 TE Contractor Permit No. -22-4 se z, Rough in - Fixture Final HEATING Contractor Permit Na, ("0' 1-,2 W- --7z Gas or 06 Rough in Final SEWER Final DRIVEWAY Final Storm Dramag (Rain Drain) Final Sidewalk Curb C &Stree, Final 'u r b&St A roach� 81 7-' DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY CERTIFICATE OCCUPANCY Find Landscaping Zoning Final Address 1� _ �-., n�t,z'c� .yii�_ Permit No. 3� Permit charge yjy Owner Connection fee e� Paid by Type of building Date connected Service rate Inspection fee Contractor Paid by _ _ Gate Size of connection Assessment paid i I