10265 SW GREENLEAF TERRACE 0
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10265 SW GREENLEAF TERRACE
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ADDRESS
PERMIT N0.
PER111T CHARGE non
CONNECT IOfv FEE
- PAID BY
IYPE Of' BUILOING _r _ D,1TE CONNECTED TT`
SEi,'JICE RATE _fit ,� I JSPECTION FEE
PAID 9 Y
DATE _
) [,'E Of CGi;"<ECTION A'iSFSSfiENT
PAID
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GIN OF TIGARD
OREGON
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Owner:— J -U-C 10,10
........ ................... ....... ............. .................Permit No.,
Building AddressJP.265 SW Greenleaf Terrace Lot. #Z.54.
.... . ..... ..... ....... .........I.... ...
Certificate is hereby given this..........ZQ......day of...MPY... ... .. .. ......
ei 7.7
that said building may be occupied and
j: that it complies with all requirements of
the Building Code for the City of Tigard,
as approved by the TigErd City Council,
... ....... ....... ......... .
•
Building Inspect f)r
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JOHN [ IIEIN I1�.RDf P(0`"BING, Illr,, BUILDING DI-YAR {MEN I , TIGAF��D NO
P. 0 BOX, P9 PLUMBING PERMIT
NEWBERG, OIIEGON 9102 _ _ _ holder of a valid I,,umbing contractors license is hereby
author Ized to cause plumbing work as herein note6 to be installed in accordance with the plumbinq code of
Tigard. Such installations require inspection by the City Inspector who shall be notifier: not less than four
(4) hours ')rior to the time the installations are ready for inspection. City of Tigard Business License required
for all contractors and sub 7ontrartors.
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C'�.__._.�__—. _ �_lddress�.�1�_�:f1_ :
NUMBER OF 7A1. PER NO.'S�
Ty't OF PERMIT ITLMS FEE ON EACH AMOUNT (Office Use Only)
—
Sinrie Famil 1 bath—Loch ✓ 25,00 ' ap
Uu tl lex_Eoch 1 bath uni; — 25.00
Additional bathrooms—each 10.00
Mobile Home 5 ace—each
INDIVIDUAL FIXTURE FEES _
_1 to 50 Fixtures in 1 I)YLI ing—each ___ _ 3.00
51 to 100 Fixtures in 1 building—each 2.50 _ _
101 to 200 Fixtures in 1 building—cach 2,00
1.01 or more Fixtures in 1 building each 1.50 _ -- --_
MISCELLANEOUS
Building Sewer-1st 50 ft. _10.00
Sewor—Tach additional 100 ft. 10,00
Nater Sarvice to building 5,00
PrivateWater Systems—each 100 ft. — _ 10.00 —_—
Other (Specify):
_PERMIT ,j'-`)' Cab' for Plumbing Inspection Phone 6394191 �
"6 State C> Plumbing Contractor By
TOTAL RECEIPT NO. Issued E;y
,.. .__. .. .. .._. ...arrar�^.rm�wwy�w*•. �..w...•..*^wp�'Rp�."�"'�..1►ws...�r��.�
BUILDING PERMIT APPLICATION SOF TIGARD DATE "14Is 679.3101A
THE UNDERSIGNED HI REBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUII-DERPHONF
OR AS SHOWN AND API ROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
LOT NO._
Owl,cR • T JOB ADDRESS ` ' 'r 144ME
" ADLRESS
Ii; ENGINEER
BUILDERADDRESS_ _ DESIGNER_
STRUCTURE NW ❑REMODEL ❑ADDITION — ❑REPA;R ❑RENEWAL – ❑FIRE DAMAGE ❑DEMOLITION
t RESIDENCE ❑COMM ❑EDUCATIONAL LJ,,o%, t ❑RELIGIOUS[]PATIO ❑CAP PORT ❑GARAGE ❑STORAGE❑SLAB ❑FENCE
❑BOND ❑MOVING ❑CONDITIONAL USE ❑DESIGN� `ICOUNCIL APPROVED USIGNS
CCUPANCY_—_LAND USE ZONE BLDG.TYPE FIRE ZONE_ PLAN CHECK BY HEAT _
'.nit 3 of a t, unit 1 rums townhouse con a n ng L200 cqefts on one Mai
w a : achod ga eg . 71 2rooms Anti sewm n�: --
1201711 dif 7 VIM
4.4S-., LOAQ .F_LQOR LOAD__ - ___H. ICQHLIS2B1�&. A8&VffiffS LU r- j,
� _ BUILDING DEPARTMENT
— SET BACKS FRONT REAR LEFT SIDE RIGHT s, )E
-- 00 `HIS PFr MIT IS ISSUED SUBJECT Tn THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check Permit
• REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT 'i HE
VORK WILL BE CONE IN ACCORDANCE WITH THE PLANE AND SPECIFICATIONS AND IN COMPLIANCE WI-H
sub-total ALL. APPI-ICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
-- 4;-- 7:1 s"– 3 RESTRICTIVE COVIcNANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax LI�.ENSE, SEPARAfl PtffIT3 REQUIRED FOR SEWER, PLUMBING AND HEATING.
Total
RY -
ICANT OR AGENT
Approved i� Receipt No
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