9982 SW JOHNSON STREET-1 9982 SW JOHNSON STREET
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CITY OF TIGARD Plumbing Permit
Building Department No. 33 0 3
Pesidential Commercial ❑
Nqw Installati-)n U Replace Lj Addition [J Alteration 1:1 Data
1-ic3nsed
Rumber Owner Iny"ni i'll -"-Ad4
Add;ess C))L
Job Address
Phone 3 312(1 Applicant — :k--9, El ti,
CITY BUSINESS LICENSE REQUIRED FOR ALL CONTRACTOU AND SUB-CONTRACTORS
ITF%*A NO. FEE TOTAL ITEM NO. FEE TOTAL
Fixtures-Traps 7.50 Sewer.First 100 it, 30.00
Dishwasher 7.50 Each Addit.100 ft. 15.90
Garbage Disposal 7.50 Ejector Pump
later Heater 7 50 llo� Water First 100 ft.
bi,ckf low Prov entrr 7,50 Each Addit.200ft.—. 15,00
Storm&Rain Drain:First 100 ft. 30.00
Each Addlt,200 ft. 15.00
Mobile Homp Space 25.00
Ott.gr(SPECIfy)- Rain Drain-Single Fam.Dwelling 15.00
PERMIT FEE Comments
Issued By:
STATE f- %
Receipt No. Applicent
TOTAL
For Plumbing Inspe(lio-Phone 639-4171
Address 1 r Permit No. //C S fJ
Ll,
r Permit charge
Owner ` -_, Connection fee '� �
Paid by
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Type of building _ ��o� hate connected
Serv: ce rate �� Insp ctir_� e5 �-
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Contractor Paid by date
Size of connection _ Assessment _ Peicq _
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UNIFIED SEWERAGE AGENCY NO. _._. ].160_5______----_--
WASHINGTON COUNTY DATE
CITY OF-
APPLICATION
F=_APPI_.ICATION FOH SEWER CONNECTION PERMIT
OWNER: _ Jim Aitken
OVbNcR'o ADDRESS: .
STREFT
CITY STA TE ZIP
BUILDING SITE: LOT_ _ __ -__ BLOCK ADDI i iON - - -
TAX LOT NO. -- _ TYPE OF OCCUPANCY rr,sidence
ADDRESS 9982 Sid _-ohnson iCt. ----_----.--- --
DWELLING UNITS L- _ FIXTURE UNITS _____
SURCHAR j'E IF APPLICABLE
PERMIT FEE 575' _ INSPECTION ":EE 25. _- TOTAL DEPOSITED 600.
(NEW) (EX I;3 CIrJ(-,) BUILDING SEWER SYSTEM F'anno Crook - -
The Applicant agrees !o cor,ply with all rules and regulations of the Unified Sewerage Agency.
/ r
APPLICANT
SEWER PERMIT
THIS PERMIT AUTHORIZE=S CONNECTION TO THE SEW�-R SYSTEM.
LINE SIZE /.__- INSTALLER
RECEIVED BY, _.__ __ ✓"�_L--�__ _ __ _______
(AGENCY OR ITS AGENT)
COMMENTS: Bldg. #1248
This Application and permit expires in one hundred and twenty (120) days.
The amount paid will be forfeited should expiration occur.
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BUILDING PERMIT APK(CATION c1TYoy TIGARD DATE ����- � 19 1748
THE UNDE (SIGNED HEREBY APPLIES FOR APEWMIT I.OR THE WORK HEREIN INnICATFD BL)ILDERPHONE ---
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNERPHONE
Lor NO.
OWNER JOB ADDRESS HOME ADDRESS _
ARCHITECT
ENGINEER
BUILDER ADDRESS _ DESIGNER _
STRUCTURE ❑NEW . 0REMODEL ❑ADDITION ❑REPAIR ❑RENEWAL ❑FIRE DAMAGE ODEMOLITION
C1 „Z:JOENCE ❑COMM ❑EDUCATIONAL ❑GOV-1 ❑FIE,i-'!nUS[-]PATIO ❑CARPORT ❑GARAGE ❑STORAGE❑SLAB ❑FENCE
L_1BONG OMOVING ❑CONUITIONA USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS �—
QCC:UPA%LY LANG USE ZONE BLDG.TYPE -- _.FIRE ZC-AE-___ PLAN CHECK BY—,-__ HEAT
l'-'anst. t junuistA on for h(JUSS mL v to :.ot w/nuw attach gasugk'
--- — m 1, hr.,th All work to be prvi- U.B.C. Alumblf% .II. perm.>t required
4 J�Q812_.______—_f1.QQB_1.�J�1?�-------HELC�1lI _ ...-- L4► �xQR► �_�i.3REANO,BEWOOMS—._._VAL�1,I t"Yoo•
BUILDING DEPARTMENT � SET BACKS FRONT REAR _ - LEFT SIDE RIGHT SIDE t D
Permit
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUII-DING CODE, ZONING
Plan Check REGULATIONS AND ALL APPLICABLE CODES AND O&VINANCES, AND IT IS HEREBY AGr.EED THAT THE
-' WORK WIL L BE DONE IN ACCORDANCE WITH THE PIANS AND SPECIFICATIONS AND IN CJMPLIANCE WITH
Slab total ALL APPLICABLE CODES AND ORDINANCES. THF ISSUANCE. OF THIS PERMIT GOES NOT WAIVE
RESTRICIIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRFOT CITY BUSINESS
State Tax LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING, AND HEATING.
Total J7,pt
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AM' 'CANT OR-AGENT-
Approved Rvrript No
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ADDRESS m --- -- ..- --- PHONE --
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DATE IINSP, TYPE 04SPECTiON REMARKS— _ PLUMBING DATE
Contractor
18"7 •) V Cry _�� 'o-ts--�w�-., Permit No.
Rough in
— —
�� Fixture
Final
HEATING
_ Contractor _
Permit No.
Gas or Oil
Final _
SEWER 4 _
Final
DRIVEWAY
— -- - _--tF_* lmDrainagen Drain) Final
walk
&Street Final
roach _e _
BLDG DEPT, FINAL TEMPORARY CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY Final
r Landscaping
c ( Zoning Final
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