16365 SW GREENLAND DRIVE 163E5 SW GREENLAND DRIVE
i
w
H
0
z
J
z
W
W
3
v]
Ln
kD
M
kD
� I
-R. tp 17:
Z4
A ; ol
ikot
10 Job
Ay
-,I r
co
Cd
,Of cz
5 E
bL
k1h.l,
rmn 0
"rj Az
IT 0 c
(:, M
c n m
c
�zq E-4 -4 C13
4
Ar
_1 bo
4-1 V. Cd
D
c
In
_4 Ln W W
(D
-u rn
tn (2)
bo
)51 fir
cz
.R/A
VM
.............
if'sAvy
BUILDING DEPARTMENT, TIGARD
//
PLUMBING PERMIT N0. i
•�••— "•�' Wiz. _ holder o. a valid plumbing contractors license is hereby
authorized to cause plumbing w' rk as herein noted to be installed in accordance wito the plumbing code of
Tigard. Such installations require inspection by the City Inspector wh,-) shall be notified not less than four
(4) hours prior to the time the installations are ready for inspection. City of T'Mrd,Business License required
for all co tractors and sub-conte ctors. c'�- /3.3
0ne �t.�c:.F? 4+. Address
NUMBER OF TOTAL PERMIT NO.'S
TYPE OF PE.0AIT ITEMS FEE ON EACH AMOUNT (Office Use Only)
pI-NTIAL _
Single Femll rL-1 beth—each _ w� 25.00
Du lax—Each 1 bath unit 25.00
AddiConal bathrooms—each 10.00 _
Mabile Home Space—each_ _ _ 16.00
INDIVIDUAL FIXTURE FEES T� i
1 to 50 Fixtures in 4 buildin9_esch 3.00
51 to 100 Fixtures in 1 building-•each 2.50
101 to 200 Fixtures in 1 buildin —each 2.00
201 or more Fixtures in 1 building—each 1.50
MISCELLANEOUS
Building Sewer-1st 50 ft.
Sewer"ach additional 100 ft. 10.00
Water Service to bullding ��— _ 6,00 i ..
Private Wath Syetem►—each 100}t. r_ 10.00 M _
Other 3 _
PERMIT For Plumbklr Ins-,ecda} Phoria 6394191 /
Plumbing Cont7 By 77C.Elt/1-� �/l7
TOTAL RECEIPT NO. Itnued By
BUILDING PERMIT APPLICATION TIGARD DATE -__ '�_. __,te_-�� 3416
car 153 226-76tiB
THE UNDERSIGNED 1IFREBY APPLIES FOR A PERMIT FORTH E WORK HEREIN INDICATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE__ . 258
1_01-wo.41,Picks Land,in9
OWNL_R Lineie�nwood (.um "ADDRESS 1636:1 SW ureenl6ind Oriye�
-.T — ARCHITECT
ENGINEER
BUILDER dame � ADDRESS316 NE 19th Lt llab�x'u DESIGNER Piercy Barclay
STRUCTURE LSI NEW _ 11 REMODEL El ADDITION El REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
[I RESIDENCE ❑ COMM n EDUCATIONAL ❑ GOVT El RELIGIOUS ❑ PATIO ❑ CARPORT C1 GARAGE ❑ STORAGE ❑ SLABEI FENCE
(OCCUPANCY LAND USE ZONE 817RUL BLDG.TYPE FIRE ZONE PLAN CHECK BY-. dWh HEAT 9911
Construct single family dwlalling W�ettached gear qe. 3 Bedrooms 3 Baths.
- —��- 59 Fie- Issue of Permit ,Y3415 (10330 Sial SerFime Way _
SEWERPERMITB 22053 - $7;,0.00 _ _ _—_UE x%ra. 47L, Sq.f t. _
OCC.LOAD FLOOR LOAD 40 HEIGHT 20 NO.STORIES AREA 1969 NO.BEDROOMS VALUF ._64 f 900.
BUILDING DEPARTMENT SETBACKS FRONT 1` REAR LEFT SIDE b RIGHT SIDE i -
Permit $217.00 THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
REGULA1IONS Al ID ALL, APPLICABLE CODES AND ORDINANCES. AND IT IS HEREBY AGREED THAT THE
Plan Check %Q•OQ WORK WILL. BE DONE IN ACCORDANCE WITH THE PIANS AND SPECIFICATIONS AND IN COMPLIANCE.
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Subtotal 247.00 RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax
SDC- $400.06
Total S235.60
ql PDCN T I %1CJ0.00 CRAG-ENT
By
By
Receipt No. ------ -
Approved I ADDRF88---------_ _____.��_ PHONE
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
s� e�_ Contractor
510 t 1 Permit No.
��rp.y L_ �Gl _
Rough-in
/�✓y'G0 �` Fixture
Final IF
n1.}/ LL HEATING — -
Contractor
Permit No. .2ORE
Gas or Oil
Rougn•m
Final —� —---_
SEWER
Fir.al �n..�'�S,O V N
DRIVEWAY
Final
Storm Drainage
(Rain Drain)Final
Sidewalk
i_ Curb&Street Final
Approach
BLDG. DEPT.FINAL TEMPORARY CERTIFICATE OCCUP CY
CERTIFICATE OCCUPANCY Final
Landscaping
Zoning Final
Mcchamc(d Permit
Frn• �o ao
11+ ,I,r r Ilrinr llunl I\rbltluut i It i,ili,ni i 41,.stain ...., . ..�+'
Nrw im lnll,tl , n 1 I 1UTAL
lC)NTFtACI(1R _.._W�.AQR$I.lr(s°1!".1WIr4— dr HE/1TNG CO. 01,011 11 �� �%._.. .S.l_•..__.._ 'q�
AMM S., Amth AVENUE J�3 ,.• —.,5 a1/j;t?Cd'1f1�CC'o —
u)IQ9p14Fji��Cj.OREGON 97123 WORK AI,)[171 1 0,, _ ( /
PHONE G42-5636 APPLICANI' _ /,/C/� 4l1G -.--
/�Q���' Vri,l ii., Fluc
I1r,it Input f�trttq (HTU f'+.• (lour►_ _ _ __, .._........__. -
FUEL ON. rltl GAS ELECT OTHL11
:KITCM NO. FEE
ITL-M NO. I (.L
1llr) iaI n. � rn - -.I.,II w. ,3.1.1..N.I'_ .._. _
—_ _ 100
0
of Permit I 9.00
NMV • Un,l, 1((,000 ill) 5.00
Nrw• 106 b)a 11TO i1 ovur UI 300
.I llll ?.0011,111110 VI ,
Flom Suspvnrrr400 900
(O Wilt Sy•tt'ni
Install Vents Only
_ 4 W I� Howl Cumm,i er,,I 3.00
Hepeir .• Neat& Cooling _.__.. ,--•-
------ — 4 Of) Crnitnu t r,il I1ur 1 y Al-lit 10.00_
d A,r Con11ilwo Compivir r Unr1"r 3 HP I -•— - --
�) An Cundttum l^,tminutsor 3 to lb H(' 00 r
INSPLCTOW9 COMMI N 1''
C11 V 11USINF:,; I I(,FN:)I 111 0111111 I t I 1 tlI \I I I.l IN I I1�\I'I1'll', 1111 1,1111 t 1 tN I HN 1 t)Il;l
APPI OVE.I) by I)Al1 Y ATL
HFC:FIPT NO _ Li�� �.— —.-•..__
uli ,itnr+t of Alrltlirm,