13620 SW CRESMER DRIVE w
rn
r�
0
cn
E
m
H
�D
N
N
H
U
H
13620 SW CRESMER DRIVE,
Yi
ADDRESS PERMIT
PERMIT CHARGE none
OWNER CONNECTION FEE pp
PAID BY
TYPE OF BUILDING DATE CONNECTED
SERVICE P,ATF. Jg . INSPECTION FEE `
CONTRACTOR � PAID BY
SIZE OF CUN';E CTION
ASSESSMENT PAID
.II-
SEWER PERMIT --`,
N" 1.5940
tifUnifSewerage Agency Tigard 6�-6-78
of Washington County CITY OF DATE
OWNER : n_i,i.o_ Contractor _ PHONE :
OWNER 'S ADDRESS:
TYPE OF INSTALLATION:
BUILDING SEWER ❑ BUILDING SEWER AND SIDE SEWER
TYPE OF OCCUPANCY:
[X2 NEW XQ SINGLE FAMILY ❑ COMMERCIAL
❑ EXIST. (PRIOR TO 7-1-70 ) ❑ FAULT. RES. ❑ I"ID USTf, IAL
FIXTURE UNITS _, DWELLING UNITS 1 _
ADDRESS OF STRUCTURE : 13520__a]�_Cresme.r Dr.
PERMIT CLJNDIi'IONS: THE APPLICANT AGREES Tn COMPI.Y WITH ALL RULES AND
REGULATIONS OF fHE UNIFIED SFWIRAGE AGENCY. WHEN CALLING FOR INSPECTION ,
PLEASE REFER TO THE PERMIT NUMBER. THIS APPLICATION EXPIRES IN ONE-
HUNDRED AND TWENTY ( 120 ) DAYS. THE AMOUNT PAID WILL BE FORFEITED SHOULD
EXPIRATION OC('UR .
FEES:
PERMIT FEE $ 25.
CONNFCTTON CHARGE 600,
SIDE SEWER INSTALLATION 8. Greene
ISSUED BY
OTHER
TOTAL
< QL_
APPLICANT DATE
o
SEWER PERMIT N • 15940
ADDRFSS OF STRUCTURE 13620 SW Cresmer Dr.
1AX MAP 1AX LOT _ SYSTEM fanno creek
LOT _ BLOCK _ OF
E . Weldon 6-6-78 7
APPROVED BY DATE ' ISSUED 8Yi DATE
D . U. ' S 1 REMARKS bldg. #2128
.. .....y.. .w�... _. .. _�...,..._...�......_.. _•wN rYV_w..._.._..ri(Sj_..r rr......+.-..r�..mr. .
BUILDING PERMIT APPLICATION 1oFY i IGARD MATE_
THE UNDERSIGNED HEREBY APPLIES FOR APERMJ FOR THE WORE: HEREIN INDICATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOM-ANYING PLANS AND SPECIFICATIONS OWNERPHONIE
LOT NO._—j3�_
136�0 Sw Creamer or.
OWNER AB ADDRESS HOME ADDRESS
ARCHITECT
ENGINEER
BUILDER ADDRESS _ t�----11 DESIGNER _
STRUCIURE "Olow ❑REMODEL ❑ADDITION ❑REPAIR ORENEWAL ❑FIRE DAMAGE []DEMOLITION
[]RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CAR PORT ❑GARAGE [:]STORAGE❑SL.AB ❑FENCE
❑BOND ❑ 1OVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCII.APPROVED (:]SIGNS
OCCUPANCY'—LAND USE ZONE BLDG,TYPE--------FIRE ZONE-.L— PLAN CHECK BY__ LA _ HEATS
I afnid j tits_ iliokj W/Gtt,ClC;ti ;(; ata I 3 i:I!>tt� iDdt ;' With
�.y�s•ra�� �l)E.
"J.LRF1Q�B�4A�_� .__HEL�L._ 1—N�SIS?Lilk: 1 APER 1594 MJE.I2_SJ4M5 _YALL4`J
BUILDING DEPARTMENT SET BACKS FRONT "�) REAR ' _ LEFT SIDE RIGHT SIDE '
Permit V? .VV
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Play Check 1Lor Q{j REGULATIONS AND ALL APPL ICAB1_E CODES AND ORDINANCES, AND IT IS HEREBY AGREED ThAT THE
-- WORK WILL BE DONF IN ACCORDANCE WITH THF PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Sub-total l+'�t,Q{� ALL APPLL.ABLF CODES AND ORDINANCES THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURREN"r CITY BUSINESS
State Tax 00 LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
Total ],92.Uo 0 0 L. .; iyj *,Luis.
By
APPt.ICANT OR AGFN1
App•oved Receipt No.
At `�s ��- S- 7 P
DATE INSP. TYPE INSPE-TION REMARKS PLUMBING DATE
Contractor
Permit No.
O ' — Rough-in
Fixture
Final
HEATING
_ Permit No. = 6 +-
- Gas in oil
Roughwin
Final
-- ------ — -- SEWER
--------------- Final --
' DRIVEWAY --
Final
Storm Drainage
(Rein Drain)Final
Sidewalk
Curb&Street Final
Approach
BLDG.DEPT.FINAL T11MVORARY CERTIFICATE OCCUPANCY Final
CERTIFICATE OCCUPANCY
Landscaping
Zoning Final