7470 SW CHERRY DRIVE-1 0
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7470 SW CHERRY DRIVE
SEWER PERMIT N
Uf nfied Sewerage Agency CITY OF DAT[
of Washington County — '''�` I^ / a
OWNER - jaJC,r>n� �:. �- f�Y CI i1�'� 1 OWNER' S ADDRESS:_ JIrra
i_
TYPE OF INSTALLATION: ( 1 9elt i
0 BUILDING SEWER ❑ LINE TAP AND BUILDING SEWER ❑ LINF TAP
TYPE OF OCCLPANCY :
❑ NEW EXISTING Z SINGLE FAMILY ❑-- COMMERCIAL.
El MULT. RES . LJ INDUSTRIAL
FIXTURE: UNITS DWELLING UZNIOS
ADDRESS OF STRUCTURE : __
Permit Conditions: The applicant agrees to comply with all rules and regulations d the Unified
Sewerage Agency. When calling for an inspection, please refer to the Permi: Number. The Permit
expires one hundred twenty (120) days from the date of issuance. The total amount paid (r,"mit
fee, connection charge, line tar fee and/or other charge) will be forfeited if the p,:rnit expires.
The Agency does nrL guarant2e the accuracy of the location of side sewer laterals. If the sewer
is not locates .t the measurement given, the installer shall prospect three feet in all directions
from the distance given. If no: so located, the installer shall purchase r "Tap and Side Sewer"
Permit at the current charge and the Agency will install a lateral.
FEES:
PERMI',." FEE
CONNECTION CHARGE
LINE TAP INSTALLATION _
ISSUED BY
OTHER
TOTAL
APPLICANT DATE
SEWER PERMIT N -' 28467
/A z ,
ADDRESS OF STRUCTURE _ d � Gfi ' (.. .#
A R T E R
TAX MAP TAX LO S E C T I U N
LOT BLOCK OF
`f-)
PROVED B" DATE ISSUED BY DATE 0 ISSUANCi
D. U . ' S _ REMARI.? >Y" _� �' .CJ' �%
INSPECTION NOTICE I
City of Tigard Building DP,,artment
12420 S.W. Mai,, St.
Tigard,Oregon 97223
�hpne: 639.4171
i
Type cf In s
0CTiert"_ ^(
Date Requested �
Tlrne A.M. ''P.M..
Address -,L
Permit #
Owner _-
--- -- Lot #
Builder --------
The following Building Code deficiencies aro required t� he corrected:—
Presonted try _
Approved
Inspector _ _
Disapproved
Date
CALL FOR REINSPECTION
❑ YES 0 NO
BUILDING PERMIT APPLICATION 11T TIGARD DATEOF
THE UNDERSIGNED HEREBY APPLIES FOR APE RMIT FOR THE WORK. HEREIN INDICATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNERPHONE--- --
LOT NO.
OWNER Irla "r'i11u1Y1111 JOty ADDRESS 747.0 �',U (,;.ILErT y HOME ADDRESS
ARCHITECT
ENGINEER
BUILDEFf Lt' ;{l, lir tl ?. :A4TDRCSST ..--_._._J I..sl^ LTE1.E I DESIGNER
STRUCTURE ONEW C]RumnDEL ❑ADDITION ❑--11 REPAIR ❑RENEWAL ❑FIRE DAMAGE ODI.'AOLITION
[]COMM❑ RESIDENCE [ ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUSIJPATIO ❑CAR PORT ❑GARAGE ❑STORAGE❑SLAB ❑FENCE
❑BOND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
OCCUPANCY---LAND USE ZONE----.----BLDG. TYPE FIRE ZONE PLAN CHECK BY HEAT
i *..'.:� t !•11T:' r:, ?
41' t 7C,fur FJ*itl.l ACaditj.til'k
QQC.LOAD P1 QQ$JLOAD, HFIC�FI"f--_--- NQC�"RJ. S AREA_--
BUILDING DEPACITMENT SE 1 BACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permiti - -- -----=._— ----- ------ -------
- THIS PERMIT IS ISSUED SUBJECT TO 'HE REGULATIONS CONTAINED IN THE AUILDING CODE, ZONING
Plan Check REGULATIONS AND ALL APPLICABLL• CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
—"— — WORK WILL BE DONE. IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIAI'CE WITH
Subtotal AL1. 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 PERMITS REQUIRED FOR SEWER, PLUMBING AND HFAT"ING.
lotal 10,4O
1 _
BY
- + --- - APPLICANT OR AGENT
App+wed Rort+ily No i
— ._ ADU�95—� —.._------ -- HON_ ..----_.
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