12300 SW BELL COURT-1 1
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12300 SW BELL COURT
BUILDING PERMIT APPLICATION BATF _�_ ; iy.�1' 4726
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATFi) BUILDER PHONE 643-9602
()R AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AIJD SPECIFICATIONS. OWNER PHONE
Dirk Smitt, LOT NO. 61 Bullwood
OWNER _ JOB ADDRESS 123x0 SW Bell. C't. 2S1-4AA
r. ARCHITECT
errood6 Cunet . ENGINEER
BUILDER ADDRESS DESIGNER builder
STRUCTURE 9"M ❑ REMODEL ❑}!ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ` ❑ DEI'4OLITION
11 RESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ "TORAGE ❑ SLAB FENCE
OCCUPANCY _B3_._LAND USE ZONE _gig BLDG TYPE 5 —FIRE ZONE--_—PLAN CHEr.K BY _HEAT
Coostruct sing1C family dwe11j.,ig q diti0n tG CX jy ww mi 1 _ UtII�-_lLt i 1 i tv rnr.m
din tnr__ rom-A bathroom and dock. Plumbinga trlk%chan i f-Pn
1l orm; is rnqu i r.��_
SEWER PERMIT _ a t:raps
OCC.LOAD FLOOR I.OAD HEIGHT 1 G NO.STORIES AREA 1� -
-- __ � AR
g)1; NO.BEDROOMS VALUE �41,_9n0
BUILDING DEPARTMENi
SET BACKS FRONT n/a REAR 0 LEFT SIDE E, _RIGHTSIDE n/<<
Permit 1 G4 .r,(1 1THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check 106.93 REGULATIONS BSEADONE IND ALL APPLICABLE CODES ACCORDANCE WITH ATHE OPLAINANCES, AND NS AND SPECIITCATIONS AND INS HEREBY ED THAT THE
COMPLIANCEWITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Subtotal RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax 6.58 LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
Total 278.01 SDC —
4
By �3.s3
PDC:k APPLICANT OR AGENT
_
Approved Receipt IJo
A __J
pp __ .__ 194.48 ADDRESS PHONE
DATE IN/P. TYPE INSPECTION REMARKS PLUMBINr3 �f DATE
.�/f-87 �� CContrectoi l/►9I P// /� .S• /._•�
Permit No, S�3
Rough-in
s `�• �G�11L1��yfLGCL+� /�� — Fixture -
-T Final
HEATING
Contractor
Permit No.
Gas or Oil
Rough-in --`
Final
SEWER
------- Final ---
DRIVEWAY
__.
Final
Storm D-alnege
(Rain Drain; Final y
Sidewalk
Curb&Street Final
W Approach — II
BLDG. DEPT. FINAL TEMPORARY CERTIFICATE OCCUPANCY — —
CERTIFICATL OCCUPANCY Final — _—,
Landscaping
Zoning Final
Address 12300 S.W. Beii Ct. Permit No. 1544
Permit charge_,____
Owner Connection fee 400.00
Paid by Dale Construction
Type of building Residence Date connected
Service rate 3,00 p r min h$ Inspection fee_ x_.00
Contractor DalePaid by d.„1e —Date______
Size of connection _ f' Assessment��- Paid
PERMIT TO CONNECT &Ajj";.72
Tigard Sanitary District ""s- I?
PERMIT N9 1544 DATE �c;% !.�'
"'ItPl17' IS GIVEN TO A
x
OF
TO CONNECT A J�
TO THE!SYSTEM OF TIGARD SANITARY DISTRICT
AT
THIS PERMIT MUST BE POSTED ON THE DESCRTR_ED PREMISES UNTIL CON-
NECTION t9 MADE AND INSPECTION OF CONNECTION HAS BEEN COM-
PLETED.
l
PERMIT FEE PAID $..................�................TIGARD SANITARY DISTRICT
CONNECTION INSP CTED AND APPROVED
-------Date �.—�_-------
Supedatendenr ,�