10735 SW BLACK DIAMOND WAY I
ti
C)
w
I
ui
Ln
E
Lo
H
w
n
O_
d
N�
w
0
Z)
Q
U
.10735 SW BLACK DIAMOND WAY
i.
,address 107,3!:T Permit No. �C 3
Permit charge 27D77 �
L i.C�[ �
Own Qr ,, ��) ._ Connection fee
Paid by lo�op�_
Typ-i of building pate connected
�D
Service rite Inspection fee �.
Contractor Paid by date
Size of connection Assessment Paid
SEINER PERMIT N(. 13937
Uf %4
Unified Sewerage Agency Tigard
of Washington County CITY OF — DATE `'-1-70
OWNER= Allan Drew PHONE :
OWNER ' S ADDRESS:
TYPE OF INSTALLATION:
,BUILDING SEWER ❑BUILDING SEWER AND SIDE SEWER
TYPE OF OCCUPANCY,
'M-W SINGLE FAMILY ❑ COMMERCIAL
❑EXIST . (PRIOR TO 7-1-70 ) ❑ M UL.T . RES. ❑ INDUSTRIAL.
FIXTURE UNITS DWELLING UNITS 1
PERMIT CONDITIONS: THE APPLTCANT AGREES TO COMPLY WITH !'LL RULES
AND REGULATIONS OF THE UNIFIED SEWERAGE AGENCY. WHEN CALLING FOR
INSPECTION. PLEASE REFER TO THE PERMIT NUMBER. THIS APPLICATION
EXPIRES IN CINE--HUNDRED AND TWENTY ( 12.01 DAYS. THE AMOUNT PAID WILL
BE FORFEITED SHOULD EXPIRATION OCCUR .
FEES:
PERMIT FEE $ 2;)
CONNECTION CHARGE 600•
SIDE SEWER INSTAI1_ATION _
ISSUED BY
OTHER
/f TOTAL-
APPLICANT
OTALAPPLICANT DATE
SE
,s .. WER .RMIT M' 1.3937
ADDRESS OF STRUCTURE 1013` SU Dl ,ck Diano td ;Jay
TAX MAP TAX LOTSYSTEM fanno cruek
LUT BLOCK OFF
APPR'JVED BY DATE � I' SUED BY DATE
REMARKS b , 191Ei
BUILDING PERMIT APPLICATION co Y TIGARD OATS _ 3-1-7
THE UNDERSIGN_D HEREBY APPLIES FOR APE RM IT FOR THE WORK HEREIN INDICATED BUILDE?PHONE
OR AS SHOWN AND APPROVED :N THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNEF PHONE
i
_Ure
+llaLOT NC,
tl ��>a a+ 1C1i':iJ �W F�11iC+� L�1alnctr, . .
OWNEr. JOB ADDRESS HOME ADDRESS
ARCHITECT
981716 ENGINEER
BUILDERmiftx ADDRES ir—ty— _ DESIGNER
STRUCTURE ❑NEW 0REMCDEL OADDITION []REPAIR ❑RE-NEWAI_ ❑FIRE DAMAGE ❑DEMOLITION
l_.J RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV-1 ❑RELIGIOUS OPATIO []CAR PORT ❑GARAGE ElSTOHAGE[]SLAB ❑FENCE
L.IBOND OMOVING []CONDII IONAL USF []DESIGN REVIEW ❑COUNCIL APPROVED []SIGNS
1w '
OCCUPANCY _LAND USE ZONE BLDG.TYPE FIRE ZONE_ PLAN CHECK BY HEAT
cons!. -Ingle family ti/attached garege 3 bedroom " beth
— grrwp
aswer permit #13937 Gewer conn. $600. sawac insp. »25.
40 HEIGHT _20,., NO.STOaIE;, 1 AREA 135 NO.BEDROOMS 3 VALUE 38g570.
8g570.
BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT 31DE
a
Permit 1.
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THS: BUILDING CGDE, ZONING
Plan Check — —� REGULATIONS AND ALL APPLICABLE CODES NND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
-` UUI WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS ANO SPECIFICATi;NS AND IN COMPLIANCE WITH
ISub-total ALL APPLICABLE CODES AND OriCINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
J RESTRICTIVE COVENANTS. CONTR/CIOR AND SUB CONTRACTO14; TO HAVE CURRENT CITY BUSINESS
State Tax LIr,.E N
E. EPARA ERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
TotalBy
W CANT OR AGENT
Approved _ Receipt No.
....,,..w_„y....._..a.Jwr......,.i.n.' ... ...wrarx. .+.r..v';yyygygwyyylMds.:.u�:1r.rM..rY4_... ....u.u.N' ,. _ Jd�rd'N.IuY�1YFIW1'+w�.1WikNiurBIeMUMkh..wILuwvWY�w. .4..l1YWYV'w.�.i+Ik•arN.:
i
I
I
DATEEr INSP TYPE INSPECTION REMARKS PLUMBING DATE
- "/� ��•� -__ _ Contractor — --
�p e \ Permit No. 3 S No S�g�7a
Rough in
Fixture
j J Final
HEATING
Contractor
Permit No.
—� Gas or Oil
— ` Rou h in
Final
__—___.__ .— -- —_---.__-_�---------- SEWER
---- ---- — _.___ Final
DRIVEWAY
Final
Storm C rainage
(Rain Dram) Final
Sidewalk
Curb &Street Final
Approach �
BLDG DEPT FINAL TEMPORARY �CERTIFICATE OCCUPANCY
CF4TIFICATE OCCUPANCY Final
1_andscaping
Zoning Firial
EL