11725 SW GREENBURG ROADIr11725 SW GREENBURC ROAD
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BUILDING PERMIT APPLICATION TIGARD DATE___— '_ ,ts___ 3940
THC UNDERSIGNED HEREB(APPLIES FOR A PERMIT FOR rHE WORK HEREIN INDICATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
LOT N0.
OWNER 1 i x,K'}.)� 1-i; ' : i, :1-G'dOBADDRESS l l r i:: :' 1'r�_'( It l:tlt/ 1;Ctt• __
ARCHITECT — —
ENGINEER
BUILDER ''O" ovdi t ton r.?r) ADDRESS 17nr DESIGNER _ 014M e
STRUCTURE ❑ NEW ❑ REMODEL ] ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE 11 DEMOLITION
❑ RESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
OCCUPANCY -2=1—LAND USE ZONE BLDG. TYPE r___FIREZONE__R'ANCHECK13Y rl"�+ HEAT_ gms
r"onstruct 2 story addition to : iru;lc* fwni.Sy dwelling.
!,).:r, COR tUr-TION rf11:Pr ATTACFH), Y Vedroo+:. - 1 tiat1.1
SEWER PERMIT# i'.e.slodal 2C.2
OCC.LOAD FLOOR LOAD HEIGHT '1 NO.STORIES AREA r NO.BEDROOMS .l VALUE1
BUILDING DEPARTMENT - SET BACKS FRONT 1c, REAR << _ LEFT SIDE "- RIGHT SIDE
Permit /G.O THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
I REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check • WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Sub-total 1.14•f)f) RESTPICTIVE COVENANTS. CONTRACTOR AND Suri CONTRACTORS TO HAVE CURRENT CITY BUSINESS
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax'
' ��'
- -- r
Total 1. 1 : .04 SDC
�— i 1 I
PDC# AP L"�CANTOR AGENT
By _
At,z Receipt No. ADDRE98 PHONE
pproved
1
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATC
Contractor
rarmitNo, 1.2-f-97
C9 Rough-In
Fixture
Final
HEATING
Contractor oun
Permit No.
Gab o. Ofl
Rough-in
Final
SEWER
Final
DRIVEWAY
Fmal
Storm Drainage
(Rain Drain)Final
Sidewalk
Curb&Street Final
Approach
BLDG.DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY Final
CERTIFICATE OCCUPANT Landscaping
7oning Final
CITY OP 74IV° 0063
BUILDING PERMIT APPLICATION TIGARD DATE-----. 19
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
,,X,:I,]tU" 11725 5.1.,1. GravInbur�L
OWNER — ADDRESS BUILDER PRUNE .r
Rr gym, P ENGINEER Ci
Rme'
BUILDLO ARCHITECT DESIGNER
STRUCTURE ❑NEW ❑REMODEL _ADDITION _ ❑REPAIR��yy— ❑HENEWAL ❑FIRE DAMAGE ❑DEMOLITION
❑ RESIDENCE [:]COMM ❑EDUCATIONAL_ ❑GOV'T ❑ O
RELIGIOUS❑PATIO CAR PORT ❑GARAGE ❑STORAGE❑SLAB ❑FENCE
❑BUND ❑MOVING ❑CONDITIONAL.USE ❑DESIGN REVIEW ❑COUNCIL_APPROVED ❑SIGNS - —
OCCUPANCY LAND USE ZONE___=BLDG.TYPE_. _FIRE ZONE=PLAN CHECK.BY __ HEAT__...---
OCC, LOAD _FLOOR LOAD —__ HEIGHT NO.STORIES AREA —_—VALUE
1500
BUILDING DEPARTM— ESITT SET BACKS FRONT 2n REAR -_ -- LEFT SIDE 11 - _RIGHT SIDE
Permit
-- — THIS PERMIT IS ISSI'ED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEnEBY AGREED THAT THE
WORK WILL BE DONE IN AC!-^ROANCF_WITH THE PLAP:.AND SPECIFi'CATIONS AND IN COMPLIANCE WITH
Recording ALL APPLICABLE CODES AND ORDINANCES. TFE Iz"�jANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
1%State 005 LICENSE. SEPARATE PERMITS REOUIRED FOR SEWER, PLUMBING AND HEATING.
Total 3" `
BY - --— -- - —- - ---
,APPLICANT OR AGENT
Approved Receipt No.
--- .-----.�----_...__ ADDRESS
DATE INSP TYPE INSPECTION REMARKS PLUMBING Dfkl
Contractor
Permit No.
Rough-in
Fixture
Final
HEATING
Contractor
Permit No.
Gas or Oil
Rough in
Final
SEWER
-DRIVEWAY
Final
Storm Drainage
(Rain Drein) Final
Sidewalk
Curb&Street Final
Approach
BLDG.DEPT, FINAI. TEMPORARY CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY Final
Landscaping
Zoning Final
..,,.� �. ......,.��q,�,,..,.�,yq•�...,�..p,.�...,•,-.,.w-r*�►��•«a.w.r..-x,...t..r..... ....v.-.,...-.-.-o�M+n-...+-w..�.....r..�...........n,rv,,.,..n,,...,r,�..,.��,..._P�,.... .,�......_ .�,tw,,Ygre�,y.
CITY OP 6•-22 74 N° 0044
BUILDING PERMIT APPLICATION TIGIARD DATE. 19
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE ---
OWN E
_—OWNER �wb Kyl A1*0tv1%x Ora"ttol'ADDRESS 11724. 39W* Greenburg BUILDER PHONE
owner ENGINEER
UIIQER ARCHITECT DESIGNER
STRUCTUHE ❑NEW ❑REMODEL CIADDITION ❑REPAIR ❑RENEWAL ❑FIRE DAMAGE ❑DEMOLITION
❑ PESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CAH PORT [:]GARAGE ❑STORAGE❑SLAB []FENCE
❑BOND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
_QC(UPANCY_—._LAND USE ZONE BLDG TYPE FIRE ZONE= PLAN CHECK BY. — HEAT--------
Construct
EAT_ ___--Construct 20 x 20 Frame attached Carport — ------
--- Chygkyd by dim Drian
CC LOAD FLOOR LOAD --_— HEIGHT _NO.STORIES —� AREA400 VALUE
BUILDING DEPARTMENT SET BACKS FRONT HEARLEFT SIDE RIGHT SIDE
Permit :,0 00 --- _— =___ e—- -------------- - —..�
THIS PERMIT IS lSSUFD SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT 1HE
WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS ANO SPFC�FICATIONS AND IN COMPLIANCE WITH
Recording ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
"---- RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
I%State ,CJ1 LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
Total
By
--- APPLICANT OR AGENT
Approved Receipt Nc
VONE --- ^--------
i
{
DATE INSP, TYPE INSPECTION REMARKS PLUMBING DATE
Al Contractor _
�7 Permit No.
Fixture
Final _
HEATING
— Contractor
Permit No.
Gas or Oil
Rou h in —
Final _
- – --- -- — _ r..—
SEWER
---- -------- Final
DRIVEWAY
Final
Storm Drair.ege _
— iRain Drain) Final
Sidewalk
Cu•b&Street Final
— A reach
—
BLDG-DEPT, FINAL TEMPORARY— CERTIFICATE OCCUPANCY Final
CERTIFICATE OCCUPANCY --
Landscaping
Zoning Final
Address�1 y (,I� Feimit No.
Name of Occupant Cai_. Peimit charge _
O'Z �
----- -- - :'aid by---- —
Date connected
Type of Building___ lJG! �✓'" Inspection fee
Service Rate____- rt Paid by _- Date___
Contractor Assessment Iat-'tx Paid
Size of connection
BUTLDINC) LOCATION SURVEY
I'OR
N, J, CRAMPTON
In the SW 1/4, Sr 1/4 of Sec. 35 T.1S, R1W, W.M.
Washington County, Oregon
Sept. 13, 1974_ Scale: 1"-20'
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NOTES:
1. Oround Iron Pipe 1104-00-3460
2, Basis of 13carinR: S 50'42' E. EYER
M
ROHFRT E.
3. Reference Surveys: 1043 ENGINEERS,RTMINC.
1.17.`.0 S W Al l W AViNUC
MAVIRTON,ORIGON 9/004
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