8650 SW GREENSWARD LANE-1 I
I
i
4�
r
I,
1
8650 SW GREENSWARD LANG
PE�r.
Permit c.;f,c r. y q
i�t r i�� ,. ....__..__..��6t_..!�.�__�,..�z. .c.,c►�_._._._..___.__...._.... r r,n r,c-r.F, f e3 r ,_„�Q_ °�.._fl.__.� ....__.._._.__
inn
or building (late r
Paid by _ ___...._._._.�__ .._. .. daLF4
f r n n n r r.{,:inn /t , r.,�;,m c:n
C, BUILDING PERMIT APPLICATION cOF TIGARD DATE_ 7��—?
THE UNDERSIGNED HEPEBY APPLIES FOR APE RM IT FOR THE WORK HEREIN INDICATED BUIV7ER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING; PIANS AND SPECIFICATIONS. OWNEN PHONE
LOT NO.
OWNER _ JZL 1i JOB ADDRESS L,".JV SW i;ZGeFIt?JWardI01AE ADDRESS _
ARCHITECT —
ENGINEER
BUILDER QAM� ADDRESS DESIGNER
STRUCTURE KI-,�EIN ❑REMODEL ❑ADDITION _ ❑REPAIR ❑RENEWAL ❑FIRE DAMAGE ❑DEMOLITION
EIAESIDENCE CICOMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CARPORT ❑GARAGE ❑STORAGE❑SLAB [:]FENCE
❑BOND ❑MOVING [:]CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
QCCUPANCY,j—LAND USE ZONE'--__BLDG.TYPE_!' _FIRE TONE_' PLAN CHECK By OtW NEAT__ _
re—fessue of permit ,e151':,9 (SaMe' plans) c urlst. singlu dwelling ►.t/sattachad ge ripup
OCC.LQA-D—. -FLwPua9P._9..._-- ----HSS►:�L___��___1 12..;3T48IES �GAREA_1-Q9G_N9cja-EvF3QQ 's--4—VALQ 35,P 400.
BUILDING DEPARTMENT SET BACKS FRONT 22 REAR _3AL__ LEFT SIDE 1,7 RIGHT SIDE-
Permit 145,00 — -
"'— `—'- THIS PERMIT IS ISSUED SUBJFCT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plat, check A.110 REGULATIONS AND ALL APPLICABI E CODES AND GHOINANCES, AND IT IS HEREBY AGREED THAT THE
WORK WILL RE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Subtotal ALL APPLICABLF_ CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTI IF COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINES:;
State Tax 6*20 LICENSE. SEPARATE PERMITS REOUIRED FOR SEWER, PLUMBING AND HEATING.
Total 161020
Ivmtem iteveloppant Charge 53000th
By i
--— -- -
---- --- APP ,ANT OP AGENT
Approved Receipt No ~'
.;.r.,..,... _.._.,,„., _ _.wv...rr.. .-..�....m..c•...uc. .. m..._n+..,........, ,...r_....n.._.. ...... aibYIMYlkr.or:�r.auww..u1.,1....�. —- ----
w.�4wu;,w�raawwGir+.e�ru:tadixRrlbw.I��rw,wti,tuwlW++ii.w
DATE INSP. TYPE INSPECTION REMARKS PLUMBING OATF
7- 7-11 jD f .a 4h Contractor
q-(2--V a) � � Permit No.
-'j ,T 64�- _ Rough-in
Fixture
te, HEATING
R et _,; ,.. ���40004 Contractor
ID
_Permit No��� _
Gas or Oil
_ L
ID-2s--7i _ Nr—� L4R�1{� -� ---- Rou Win ----
/�_r�_71 Final
1 •�'7 F - _�'+' 4 SEWER—� -��--
_ Final
.2 � DRIVEWAY ~-
Final
—__ _------ --- ---- - Storm Drainage
(Rain Drain) Final ---
Sidewalk
Curb&Street Final
A _roach
BLDG DEPT. FINAL TEMPORARY CERTIFICATE OCCUPANCY —
CERTIFICATE OCCUPANCY Final
Landscaping
C.. Zoning Final
SEWER PETMIT
i ° 13466
r ..
Unifiej Sewerage Agency
of Washington County CITY OF ._-� Tim .d T— - D4 I L -_---7-6-7? --
OWNER _— Dale-Const. P H 0 N L
OWNER 'S ADDRESS:
TYPE OF INSTALLATION,
T2bUILDING SEWER L__JBUILDING E WER I,ND SIDE SEWER
TYPE= OF OCCUPANCYi
❑+yv nXSINGLE FAMILY ❑ COMMF_RCIAL
❑EXIST . (PRIOR T,1 7- 1-70 ) ❑ MULT . RES. ❑ INDUSTRIAL
FIXTURE UNITS DWELLING UNITS 1
PERMIT CONDITIONS: THE APPLICANT AGREES TO COMPLY WITH ALL RULES
AND REGULATIONS OF THE UNIFIED SEWERAGE AGENI,Y . WHEN CALLING FOR
INSPECTION, PLEASE REFER TO THE PERMIT NUMBER . THIS APPLICATION
EXPIRES IN ONE- 'UNDRED AND TWENTY ( 320 ) DAYS . THE AMOUNT PAID WILL
BE FORFEITED SHOULD EXPIRATION OCCUR .
FEES:
PERMIT FEE $ 25•
CONNECTION CHARGE 600._
l
STOE SEWER INSTALLATION - - - / � �►^�
ISSUED BY
OTHER —
TQTAL $ 625.
/ r
APPLICANT DATE_
SEWER PERMIT M 13466
ADDRESS OF STRUCTURE 8650 SW Greensward Lane_ --
TAX MAP _ TAX LUT SYSTEM fenno creek
L.OT BLOCK _ OF _
APPROVED BY DATE ISSUED BY DATE
REMARKS bldg. X1587
w
cityof 1 igard Mechanical Permit N? Permit-_$3.00 .-
' ' Fee---._
New Instal!:- Pl Replace ❑ Relocation ❑ Addition ❑ Alteration i.J 30A" State---
Q TOTAL_
CONT. RACTOR _...__ � � �__ _�i_- OWNER �-
ADnRESS_ .�O/�� --'�° -. -�•L'4 WORK ADDRESS__ _•�• -
�J r
PHONE �.�i� ._/7 9 _ �..` APP LICAN T�__Lt�LT_rl-� 10_
Heat Input Rating (BTU Per Hour) - Vent Size _ Flue Size .__
FUEL OIL CJ GAS ❑ ELECT OTHER
ITEM NO. FEE ITEM NO. FEE
3.00 _ Air Condition Compressor 15 to 30 HP _
10.00
For Issuance of Permit _ �. - 3.00
New Under 100,000 BTU 4.00 Air Handling 10,000 CFM
5.00 Air Handling Over 10,000 CFM 6.00
New• 100,000 BTU&over - - 3.00
FI_oor Furnace -^_ 4.00 Evaporatiive Cooler —
4.00 Range Vent Fan 2.00
Wall Floor • Suspended — 3.00
----�-' - 2.00 Fent System
Install Vents Only _ -
4.00 _Hood Commercial :.00
Repair Heat& Cooling - 10.00
' 4.00 Commercial Duct System
qr, _ Air Condition Compressor Under 3 HP
Air Condition �, npressoi 3 to 15 HP _7.50 _.
�"• INSPECTOR'S COMMENTS -----
CITY BUSINESS LICENSE REOUIRED FOR ALL CONTRACTORS OR SUB CON'1 RACI'ORS
r. ." DATE ISSUED BY--,___-_ DATE _
APPROVED BY-__-.
j ..r
RECEIPT NO. - - -_--
Signature of Applicant
774vilpm
MOM
T ., 1