15780 SW OAK MEADOW LANE 15780 SW OAK MEADOW LANE
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A D D R E S 5 `.�;' '� lX __1�N - PERMIT N 0.
PERMIT CHARGE none
OWNER - — 3 CONNECTION FEE (21)6`'' _.
P A 10 0 Y � �
TYPE OF BUILDING DATE COW:ECTED _
SERVICE RATE 4--L--- ____ INSPECTION FEE
CONTRACTOR _ _ PAID BY DATE
SIZE OF CONNECTION ASSESSMENT PAID
PRIM
a
O q A
BUILDING PERMIT APPLICATION Co Y T�GARD OA`E--_- ._-_
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED OWNERPHONE BU I RPHONE� —
OT NO..—
---
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS L — —
L07 N
JOB ADDRESS157(30 :4d ±l`� t Allit-109 r'T " HOME ADDRESS
OWNER ARCHITECT
ENGINEER
BUILDER + •' ° r^-� �_ p JDRE55
DESIGNER _—.
STRUCTURE _❑NEW t IRFM)DEI _ ❑ADDIITIION OREPAIR ORENEWAL _ [ FIRE DAMAGE ODEMOLITION
❑ RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T LURELIGIOUSOPAT10 ❑CAR PORT�OGAFIAGE CI STORAGE_'_Cr���SLAB FENCE
❑BOND ❑MOVING ❑CONDITIONAL USE. ODESIGN REVIEW []COUNCIL APPROVED LJSIGNS
— — FIRE ZONE. PLAN CHECK BY__---- — HEAT_____,_
" BLDG.TYPE --`
QCCUPgNCY "-r LAND U'E zONE
N_QA_L4f31
FLO.QR LOAD "'—
C?CC `• E
11" 1 REAR 1 ti! LEFTS
IDE RIGHT SID _ —
BUILDING DEPARTMENT _ 1 SET BACKS, FRONT = — —" `—
Permit THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING I:ODE, ZONING
----_--rl
Plan Check REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGS �u TV THE
''
WORK WILL BE DONE IN ACCORDANCE WI FH THE PLANS AND SPECIFICATIONS AND IN CUoAPLI/..VCE WITH
5Ub total jQF•600Ty ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICYIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax 'j+44 LICENSE. SEPARATE PERMITS HEOUIRED FOR SEWER, PLUMBING AND HEATING.
Total 1 ' 1 ,44 :1311: �3b.?td�Cli7
1 v p,ppr_ic.Ajq To R AGENT
APPfOVed Receipt No
.6
DATK INSP. TYP K INSPKCTICII RKMARK1111 PLUMBING DATZ
Contractor
J
Permit No.
Hough-in
Fixture
Final
HFATING
S?r7sclor
Permit No..
-3Z
Gas or Oil
'44 Rough-4n
Final
SEWER
DRIVEWAY
Final
Stcayn Drainage
(Rain Main)Final
Sidewalk
Curb&Swat Final
Approach
BLDG.DIEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY
CEwrinc m)rr coccupAm"Y Final -_—
Tmm�y Final
T
SEWER PERMIT NY
�59�4
Uf
Urplied Sewerage Agency
of Washington County CITY OF Tigard DATE June 20, 1978
OWNER: T.D.C. PHONE : 639-37101
OWNER 'S ADDRESS : _ 15300 S14 116th Avenue, Tigard, Oregon
TYPE OF INSTALLATION: Y
® BUILDING SEWER ❑ BUILDING SEWER AND SIDE SEWER
TYPE OF OCCUPANCY:
NEW C-A SINGLE FAMILY ❑ COMMERCIAL.
❑ EXIST. (PRIOR TO 7- 1--70 ) ❑ MOLT. RES. ❑ INDUSTRIAL
FIXTURE UNITE DWELLING UNITSr�,
ADDRESS OF STRUCTURE : , 1•nt LQk - 15780 S14 Onk-Meadow D ive;_
PERMIT CONDITIONS: THE APPLICANT AGREES TO COMPLY WITH ALL RULES AND
REGULATIONS OF THE UNIFIED SEWERAGE AGENCY. WHEN CALLING FOR INSPECTION ,
PLEASE REFER TO THE PERMIT NUMBER. THIS APPLICATION EXPIRES IN ONE-
HUNDRED AND TWENTY ( 120 ) DAYS. THE AMOUNT PAID WILL BE FORFEITED SHOULJ
1=XPIRATLON OCCUR ,
FEES:
PERMIT FEE $ 25.00
CONNECTION CHARGE 600.00
SIDE SEWER INSTALLATION Loreea Wilson
ISSUED BY
OTHER
TOTA $
`___ Junes
C., h'RE I i, �� 1 DA EE
z
`WILL MIA Ril' Tfil- M 15954
.,.+IT. SEWER PERMIT
ADDRESS OF STkUCTURE 15780 SW Oak Meadow Drive
TAX MAI' TAX LOT _ SYSTEM l:anno Creek
LOT 606 BLOCK OF _ Summerfield
_6
ETW � r� -
L20 78 r�, �_ 6/2U 78
APPROVED BY DATE ISSUED BY DATE
1) . U. 1 5 1 PEMAR KS _ Bldg Permit # 2147