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8660 SW GREENSW4RD LANE
A d d r ,s'3 ... �.�..���rt �s�fcfl�G!� Per!ni 1. No. - � 3/V
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5iz-e of r. lnrw(_tini, Assasommit Pard
-R PF EMIT N° 13465
_ .
Ljoil. nified Sewerage Agency CITY OF Tigard DATE 7-6-77
of Washington County ---
OWNER : _ Dale Const. — PHONE
OWNER ' S ADDRESS: -------------
OF
DDRESS: --_,_--_ - `_OF INSTALLATION:
�16UILDING SEWER L]BUILDING SEWER AND SIDE SEWER
TYPE OF OCCUPANCY:
Xn?�EW EX6INGLE FAMILY ❑ COMMERCIAL_
E]EXIST . (PRIOR TO 7- 1--70 ) ❑ MULT . RES . ❑ INDUSTRIAL
FIXTURE UNITS_ DWELLING UNITS _ l —
PERMIT CONDITIONS: THE APPLICANT AGREES TO COMPLY WITH ALL RULES
AND REGULATIONS OF THE UNIFIED SL_WERAGE AGENCY . WHEN CALLING FOR
It,'SPEI-TION , PLEASE REFER TO THE PERMIT NUMBER . THIS APPLICATION
_XPIRES IN ONE-HUNDRED AND TWENTY ( 120 ) DAYS . THE AMOUNT PAID WILL
BE ;=ORFF_ITED SHOULD EXPIRATION OCCUR .
FEES:
PERMIT FEE 25.
C014NECT T ON CHARGE FlOO.
SID
SEWER INSTALLATION
ISSUED BY
OTHER
TOTAL 625.
Xef
APPLICANT DATE
SEWER PERMIT N° 13465
ADDRESS OF STRUCTURE _ 0560 5W Graens�t� -- --
TAX MAP TAX L 0 T SYSTEM -19 nno c. i
LUT BLOCK OF
APPROVED BY DATE ISSUED BY DATE
REMARKS bld9.• X1584
.+s
BUILDING PERMIT APPLICATION 11T TIG ARD DATE .1-6-77 -. 19—
OF
THE UNDEF,"IGNE ) HEREBY APPLIES FOR APE RMIT FOR THE WORK HEREIN INDICATED BJILDERPHONE_
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. Ow.'EaPHONF .__
LOT NO._
OWN_E_R Ulil6 L.011lf?ft. JOB ADDRESS 6Q,Cr ,lJ iF 7Q 8r� q%DDRESS
ARCHITECT
ENGINEER
BUILDER S'It.IC ADDRESS _ DESIGNER
S19UCTURE "0 fitEIN ❑RFMODEL ❑ADDITION ❑REPAIR ❑RENEWAL ❑FIRE DAMAGE [-]DEMOLITION
"O* SIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CARPORT ❑GARAGE ❑STORAGE❑SLAB ❑FENCE
❑BOND ❑MOV ING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
OCCUPANCY,_ rZ�.LAND USE TONE_ BLDG. TYPE "I _FIRE ZONE •4 PLAN CHECK BAtU — HEAT_
const. sirglo loads, dwelling 41/rAt�iched garlregs 4 bedroom 3 broth
OCC,4QAQFJ S?9B LOAfJ _-_ NE1QitLL YO.STOFltE �----AP:.A�,Z.T
BUILDING DEPARTMENT _ SEI BACKS FRONT REAR LEFT SIDE RICHT SIDE
Permit 07 ===----- -------__---- ------------_—.—.
THIS PERMIT IS ISSUED SUBa9CT TO 1 HE REGULATIONS CONTAINED IN THE BUILDING CODk, ZONING
Plan Check 75*50 REGULATIONS AND ALL APPLICABLE CODES ANE ORDINANCES, AND IT IS HEREBY AGREED THAT THE
—� --" - WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCL• WITH
Sub-total AL1, APPLICABLE CODES AIJD ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES N01 WAIVE.
RCSTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS ''O HAVE CURRENT CITIL BUSINESS
Ltate Tax 9*06 _ LICENSE SEPARATE PERMITS REQUIR D FOR SEW%q pLUM91NG AND HF.ATi11G.
�• t59.Satit ;,}r�l/I:i�; h1e"dn ,, l�li' F, ,� 11�U.�lJJ�IJJ
Total 235.56
-�
APP�WANT OR AG • - -
Approved Receipt No.
DD ss i-�H2>ra�
� , -.---..._ rr....y,r...�.��,.. ._......�.�...•�..��-...v--..._ ....._..._....._.._._.........-..».....s�.»»••--.._...._._.-........�.-..�.........,.....+err.."..�_....-...� ._w.oy+yr, y��— -_
UATE IMSP. TYPE INSPECTION REMARKS PLUP•RING DATE
�l) Ztl-11<144-'n Contractor
Cl
IZ 7" p
Permit No.
Rough-in
-
1=" "� _ Fixture
_ Final
I - - 13 L4 fly _ HEATING - --
till- Contractor
�— Contractor _
Permit No. 9 D
Gas or Oil
fFinal
SEWER
- ------- ------- _- ----- ------ Final
--- ---- --------- ----— _ ---- -- DRIVEWAY -- ---
Final
— Storm Drainage_�--
-------- - - ------ -- (Rain Drain) Final
Sidewalk
Curb&Street Final
Annroach —_.-
BLDG DEPT FINAL — TEMPORARY CERTIFICATE OCCUPANCY —---�- -
CERTIFICATE OCCUPANCY Final
Landscaping
Zoning Final
ity ofi I ioar Ic Mechanical Permit N�'
Permit—
Fee !!V00 Installation 113- Replace El Relocation LJ Addition 1.1 Alteration 1:1 3%.State
TOTAL
CONTRACTOR .94 de )e Wle OWNER
e0
ADDRESS ,0" WORK ADDRESS ,'GCS,CA
PHONE 6'S% APPLICANT evenj
teat Input Rating (BTU Per Hour)__ Vent Size Flue Size-----.
FUEL OIL ❑ GAS ED ELECT Y2'/OTHER
ITEM NO. FEE ITEM NO. FEE
For Issuance of Permit 3.00 Air Condition Compressor 15 to 30 HP O.OD
New-Under 100,000 BTU 4.00 Air Handling 10,000 CFM 3.00
New- 100,000 BTU & over 5.00 Air Handling Over 10,000 CFM 5.00
Floor Furnere 4.00 Evaporative Cooler 00
Wall - Floor -Suspended -4.00— Range Vent Fen 2.00
Install Vents Only
2.00 Vent System —00*� Repair —
Heat Cooling 4.00 Hood Commercial 3.00
Air Condition Compressor Under 3 HP
4.00 Commercial bu ystem =1 0.00
Air Condition Compressor 3 to 15 HP 7.50
INSPECTOR'S COMMENTS
CITY BUSINESS LICENSE REOUIRED FOR ALL CONTRACTORS OR SUB-CONTRACTORS
APPROVED DATE ISSUED BY-- DATE
RECEIPT NO.
774 Signature of Applicant