13660 SW CRESMER DRIVE A i Iii 11r �i i1 ■1 M Iw
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13660 SW CRESMER DRIVE
ADDRESS_ PERMIT N0. a-
PERMIT CHARGE none ,
OW"!ER CONNECTION FEF_
PAID BY
TYPE OF BUILDING DATE CONNEC'rD
SERVICE RATE
(- ) INSPEC?ION FEE
_ �� `�►—_... i
CONTRACTOR PAID BY _
DATE
SIZE OF CONNECTION ASSESSMENT PAID
i
�;17 t
UIL
SEWER PERMIT � 12
Uf
w<� 1589
Unified Sewerage Agency
of Washington County CITY OF Ti yarn DATE 5_8.78
OWNER: _ U'.11) _ PHONE :
OWNER 'S ADDRESS :
TYPE OF INSTALLA71ON:
xfl'3UILDJNG SEWER ❑ BUIL.DING SEWER AND SIDE SEWER
TYPE OF OCCUPANCY:
x>❑XVEW > MNGLE FAMILY ❑ COMMERCIAL
❑ EXIST. (PRIOR TO 7- 1 -70 ) ❑ MUl_T, RES. ❑ INDUSTRIAL
FIXTURE UNITS DWELLING UNITS 1
ADnRES:, OF STRUCTURE : 13660 SW Cresmer nr.
PERMIT C9NUITIONS: THE !'PPLICANT AGREES TO COMPLY WITH ALL RULES AND
REGULATIONS OF THE UNIFIED SEWERAGE 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 SHOLILJ
EXPIRATION OCCUR .
FEES:
PERMIT- FEE y 25
CONNECTION CHARGE
SIDE SEWER INSTALLATIDN B. Greene
OTHER
ISSUED BY
TOTAL s 62�
APPLICANT DATE
SEWER PERMIT N`•' 15892
ADDRESS OF STRUCTURE: 13660 SW Craemer Dr.
TAX, MAP TAX LOl r SYSTEM Fanne creek
LUT _ 16 BLOCK OF (SU
BxmxA E. Walden �JS
�APPROVED BY DALE �� EED Y DATE
D . U. ' S 1 REMARKS _ bldg.# 2078
NNW 2 078
BUILDING PERMIT APPLICATION C Fy TIGARD OATS
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDERPHONF �a �9^f}tjC1J
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNERr'HONE
LOT NO.
OWNER —� JOB ADDRESS 1 Sb60 W c fie8imo r I HOME ADDRESS
ARCHITECT `--
BUILDER d 8MIA ADDRESS ENGINEER
DESIGNER
{{S..��T((RUCTURE 43MEW 0 R MODEL ❑ADDITION ❑REPAIR ❑RENEWAL_ ❑FIRE DAMAGE ❑DEMOLITION
lJ RESID_NCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CAR PORT ❑GARAGE ❑STORAGE❑SLAB ❑FENCE
❑BOND ❑MOV ING []CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNStw
_
CCUPANCY _.LAND USE ZONE—_-- — BLDG.TYPE----FIRE ZONE— PLAN CHECK BY— HEAT
':kwat sir,91w family dwelling w/attactuid warags 3 bedruum 2 bitt,
yerage ti
newer. permit ,y15892 -----
an -- 1 96 ----
tiLGS.LOAD �FJR9SZP_lQPsIZ _—A9EA-::-- -B1,.DROOMS VALUE �tf ZC1J•
BUILDING• DEPARTMENT SET BACKS FRONT 20 REAR 3C' LEFT SIDE RICHT-,IDE 6
Permit 17 • —-- -- — — — — — _
�� THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
(� •I) 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 BUSINFSS
State Tax LICENSE. SEPARAii PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
Total
I
By
API'LICAN r OR AGENT
f pproved �tla Receipt No.
{
DATE INSPP, TYPE INSPECTION REMARKS PLUMBING DATE
Contractor
Permit No. /yU
Roughan 4
Fixture
Final
Jf
HEATING
Contractor (� �y
L ./!� y y_ : .l —j^'. GAS r� Permit No. �I 1� 7. .�J`W2 r9
��_ �_ Gas or Oil
Roughin
Final
�—
SEWER
Final
DRIVEWAY
Final
Storlin Drainage
(Rain Drain)Final
Sidewalk
Curb R Street Final
Approach
BLDG.DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY Final
Landscaping
Final
Final
e_
I
loaf'( i��t��►i ar�ic�af f'tr;!))t NY
o f rr---•�� Fee_______._____.___.
Nev. Instiltalion He:rlacc ❑ fiClpCetiOe El %,ii3i!i0e '--If•.lii'rBtlOn 'J TC�atn _—
CQ:•TF:Af,TOR _ -l-�-a.a ' -- - I - - - ---
L�� ' pWORK AUDEtESS
Ap )RESS��
_ APPLICANT
PHONE "� b 3 - _
Flue Size
Heat Input Rating (BTU Per Hour)-yi�c50n Vent Size �_{
FUEL OIL ❑ GAS T, ELECT ❑ OTHER.- - -
NO. FEE ITEM NO. FEE
ITEM --_ I
-FI -3.0�Air Condition Corepressor 15 to 30 HP 10.0
- For Issuance of hermit r- 3.0
�;_ IUew• Under 100,000 BTU 4.00 __Air Handling 10,00D CFM -•-�--
5.00- Air Handling Over 10,OOD CFM L�__ 5.0'
�'- r .�__ _- -
=�- New• 100,000 BTU &over ---- - 3.0
4.00 Evaporative Cooler
_Floor Furnace - 4.00 Range Vent Fan - 2.0'
1Vall - Floor SvsPended
2.00 Vent System - ----- __- 3.01
Install Vents 01111 _ 3.0'
`— •Neat F� Cooling x4.00 - Hood Commercial
Repair_ - pp -Cc,mmercirtl Duct System - 1Q0�
Air Condition Cpmprtissar Under 3 HP- _ - --_--- --
rressor 3 to 15 HP 2.50 - _ --
- Air Conditiun Come -_�-
c—gam r—
INSPECTOR'S COMMENTS
CITY GUSINESS LICENSE REOUIRED FOR ALL CONTRACTORS OR SUB B
i*n LATE ISSU ED BY ,_-_ DATE
: APPROVED ___.
RECEIPT NO. ----- -�
Signature of Applicant
-Mi.:•
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