10230 SW GREENLEAF TERRACE-2 0
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10230 5W GREENLEAF TERRACE
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ADDRES5, e- `� PERMIT NO
PERMIT CHARGE _ none
OWNER �,z C� � CONNECTION FEE
(SAID BY
TYPE OF BUILDING . DATE CONVECTED
INSFIELTIUN FEE
Sf RVICE RATE � _._
CONTRACTOR PAID BY � DATE
SIZE OF CONNECTION ASSESSMENT PAID _
A0.-)RESS /D,2 `3 is � cC��c. �,� lc jc y1. PERMI f N0.__
PERM'.T CHARGE' norm
OWNER — CONNECTION FEE --
__ PAID BY
TYPE OF BUILDING ; � �� DATE CONNECTED
SERVICE RATE y,1 ..! INSPECTION FEE
CONTRACTOR PAID BY DATE
SIZE OF CONNECTION ASSESSMENT PARD
!GNN E. REINIIAROt PIUMNING, INC. BUILDING; DLPAK WENT, TIGAHD NO I (/</
P. 0. BOX 129 PLUMBING PEBMIT I `� ' 1
�EN�BEnC, OREGON 97132 holder holder of a valid plumbing contractors license is hereby
authorized to rause plumbing work as herein noted to be installed in accordance with the plumbing code of
'Tigard. Such installations require inspection by the City Inspector who shall be notified not less than four
(4) hours prior to the time the installations are ready for inspection. City of Tigard Business License required
for all contractors and
.. sractors. ,,a - 1 6_
/D4D eOwner_��a Addressy
—I--NUMBER OF 7(YT AL. PERMIT NO.'S
TYPE OF PERMIT _C ITEMS FEE ON EACH y AMOUNT (office uw Only)
Single Family—t bath—each -� 25.00 Uy
Duplex_—Each 1 bath unit _ 25.00 _
Additional bethroorns—each _ « 10.00Mobile Horne SEaceEeach _ _ _„_ __ 15.00 _
INDIVIDUAL FIXTURE FEES
1 to CO Fixtures in�1_building—each 3.00
51 to 100 Fixtures :—'I buildinfl_"coch _ _ 2.50
101 to 200 Fixtures in 1 building—each _ 2.00 _
201 or more Fixtures in 1 building—each 1.50
MISCELLANEOUS
Building Sewer-1rt 50 ft._ _ 10.00
Sewer—each addit onal 1110 ft. _ 10.00
Water Service to build;na 5.00_i
Private Water S stents—each 100 ft. 10.00 _
("1ner (Specify): e
PERMIT 690 For Plumbing inspection Phone 639.4191
3% State 1 Plumbing Contractor By
0 iAL 0 RECEIPT NO. Issued By _ �__
CITY OP �j
BUILDING PERMIT APPLICATION TIGARD DATE T tr - 19fNP 0958
THI.. UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK IiEREIN INDICATED fi39- I11
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING ?LAWS AND SPECIFICATIONS. OWNER PHONE—
2y
Ql_! ER I oUe,,s — —..__ADDRESS ll:s:.}!; —: _)ILDER PHONE
ENGINEER Bonin,
;BUILDER ARCHITECT _ --1DESIGNER Or, _
��STI1RUU
CTRE ONEW ❑REMODEL ❑ADDITION ❑REPAIR RENEWAL L_JFIRE DAMAGE -1 DEMOLITION
t_JRESIDENCE ❑COMM OEDUCATIONAL ❑GOV'T ❑RELIGIOUSQPATIO ❑CARPORT ❑GARAGE ❑STORAGECJSLAB ❑FENCE
OBJND 0MOVINO ❑CONDITIONAL USE ODE•"_IGN REVIEW ❑COUNCIL.APPROVED ❑CIGNS
OCCUPANCY LAND USE ZONE_ BLDG.TYPE FIRE ZONE— PLAN CHECK BY -_ HEAT_— __
rL,iC1*tr ones t«1wr+ ijtj3* cjjjrjg job e(A Mantnrsy w/at.te, —
;31Qg. ?�! �K6,ve garage 484 sq. ft. 2 R f,
OCC�LOAD FLOOR LOAD ^-_ _ HEIGHT — _v NO.STORIES AREA VALUE
BUILDING DEPARTMENT _] SET BACKS FRONT_ REAR _ LEFT SIDE - - —RIGHT SIDI-
Permit f!
THIS Pk;WNT �S ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check REGU, '•."i IONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAI THE
�— `------"�� WORK W;' I.OF DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Recording ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
-- "—�- RESTRICTIVF COVENANTS. CONTRACTOR AND SUN CONTRACTORS TO HAVE CURr1EN'r CITY BUSINESS
196 State. LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
--- - :t s4,4�i 1111��t• 4 ::.•ULE
Total
By
—• -------- ICINNI UR AGE NI
Approved Receipt No.
— %►OD eEss --.---- - --- -- ---
DATE INSP. TYPE INSPECTION REMARKS �PLUMBING DATE
Contractor
i_ Permit No.O 8-•76
C- Fixture
� / Final —
/ HEATING •—
Contractor
Permit No. 25
— Gas or Oil
-
-- Final _
-- - — -- SEWERS/ ?G ,
— - Final
DRIVEWAY
Final
Y Storm Drainage _
_ (Rain Drain) Final
-- Sidewalk
-- -- Curb&Street Final
Approach
BLDI;i DEFT,FINAL TEMPORARY— CERTIFICATE OCCUPANr;Y --
CERTIFICAT-t OCCUPANCY Final
I aidscaping—
_` t Zoning Final