9045 SW BURNHAM STREET-2 n
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�)045 SW
BURNHAM STREET
A LREAD Y SE-1 NJ6 BILLED
tip �4De tTto�Kws.__ �. PL.Aiu�uEO •
PERMIT NO.
PERMIT CHARGE none
EONNECTICIN FEE 9 . 0-6
PATO By
!' OA rE CONNECTED
J� t �`1/'Y P E OF 8 U I L D I r.G C�>tii�,�[�.,_.��__..
� P�S P E C T I O N FEE
"I 5 E R,BI C E R A T E /�/_Q-r!Gryl �!N�� ti'4 -
CONTRELCTOR
PAID 8Y _ -- DATE .�
� rASSESS(1FEN T -" PAID
5IZF Of CO .,._.CTIO � � /- -
BUILDING PERMIT APPLICATION c1FY TIC ARD DATE_
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS HOME ADDRESS OWNER PHONE _
T'a'sLOTNO. ~V
OWNE14 :U:IHII'il pluslbliT� JOB ADDRESS '�' 111 :"u :"t Max `TN (
ARCHITECT
BUILDER ADDRESS ENGINEER
f� r, nn__ DESIGNER
S_fRUCTURE `t-UNEW_ 0 Fit m 1DEL — QADDITION _ ❑_REPAIR h,..)RENEWAL OFIRE DAMAGE ❑DEMOLITION
❑ tR-EISIDENCE LCJCOMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS C]PATIO C�C/.,� PORT -GARAGE C1 STORAGE CjSLAB OFFNCE
BOND ❑MOV ING OCONDITIONAL USE ❑DESIGN_Ri VIEW _❑COUNCIL APPROVED_ ❑SIGNS
GCUPANCY LAND USE ZONE, " _BLDG.TYPE -FIRE ZONE. PLAN CFIECK BY E_rE _ _HEAT nci _
----
Lonstruc:t 30 10 a+ i. ft. warohouse all PJ r ,splproved onria,
c.A WOK `Irltit,.tet /446
dF►cratR ���
SG�Cit11
0..��, 'SZ9R—�r FA,9QP..�OA�------_-.-_HE1SzL__-...__._�_.�._SI RI � ARE�� _ NO•@.�1�Q4M.;i___._JLBI.Sd�
BUILDING DEPARTMENT SET BACKS FRONT 0 REAR xp LEFT SIDE 91) RIGHT SIDE `
Permit t,j4'.�.U0 _.---
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check 72, `Al REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
WORK WILL BE DONE IN ACCORDANCE WITH THE FLANS AND SPECIFICATIONS AND IN COMPS IANCE WITH
Subtotal ��« ALL APPIACABLE CODES AND ORDINANCES THF.
ISSUANCE Of THIS ERMIt DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONIRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Taa, a.ty0 LICENSE. Si' T� P RMITt AEQUIRFk)3 FOR SEWER PLu�ut81NG AND HEATING.
Total 223.30 lr'�; �`t�'!9• Jtr L illy
By
Approved • .st'"0"1 Receipt No I _ APPI ICANT OR AGENT - - ----
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
ccs-Cj . _ ��j� Contractor �—
-/�29 [ O0 - �O P`Qy/J - - - - Permit No.
ENY Rough4n
n =` L i ( �.•' �-/ 1; Fixture
Final
HEATING
Contractor
------- - - Permit No. Z
Gas or Oil
R ough i n
Final
SEWER
Final
DRIVEWAY
--- Final
Stonh Drainage
(Rain Drain)Final
Sidewalk
Curb&Street Final
Approach
BLDG. DEPT.FINAL TEMPORARY CER r:MCATE OCCUPANCY Final
CERTIFICATE OCCUPANCY
Landscaping
Zoning Final
Address 9045 S.W. Burnham Permit No. 1407
Permit charge
Owner Modern Plumbing Connection fee ?70_ �
Paid by
Type of building irid . Date connected
Service rate Inspection fee 50.00
Contractor ,e,,,n Paid by Dare_
Size of connection 6" Assessment Paid
PERMIT TO CONNECT
Tigard Sanitary ,District
HERMIT N9 1467 DATE
PERNIIT IS GIVEN TO
OF
TO CONNECT A
TO TIRE STSTEM OF TIGARD SANITART DISTRICT _
AT
-1118 PERMIT MUST BE POSTED ON THE DESCRIBED PREMISES UNTIL L�ON-
NECTION IS MADE AND INSPECTION OF CONNECTION HAS .BEEN COM.
PI.0 MD,
PERMIT FEE PAID a.... .+...........................TIGARD SANITART DISTRICT
.w�..wrw+ear,w..nr�w
CONNECTION INSPECTED AND APPROVED
1
uIerintendeat�
Addres� � �l[�L�L�YL1'f'L Permit No. — - /�
Name of Occupant _ Permit charge
10 0
- _ Paid by.
Date connected_I;k
Type of Building 111dec�.t�/._' is Inspection fee----
Service Rate_ (,j��_ ' ` Paid by _Date_ _
Contractor Assessment�,�7,_I�_Pafd—�Z�
Size of connection. __ �Y}-
it
i
APP.LICATI-ON FOR SEWER SERVICE
The undersigned agrees, in consideration of the sewer service connec:4.on by the
Tigard Sanitary D strict, to abide by and -.omply with the ordinances, regulations and rules of the Dist-
rict presently in effect or hereinafter enacted and to pay sewer service charges as the same may be im-
posed from time to time when due and before such charges become delinquent.
I fully understand that all unpaid sewer service charges become a lien upon the
property served as stipulated in O. R. S. 224.220.
Ccanections to the District's system must be made by bonded contractors and/or
bonded and licensee plumbers.
Owner
APPROVED 13`.
n.�
Superintendent
TIGA uD SANITARY DISTRICT
8841 S. W. Commercial St.
i
Tigard, Oregon