15800 SW OAK MEADOW LANE 15800 SW OAK MEADOW LANE
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?(.� PERMIT
ADDRE SS5�� —�- —
PERMIT CHARGE non_ e_____��_
CONNECTION FEE 6-.6-L
O U N E RPAID B Y
TYPE OF BUILDING DATE CON"�ECTED
SERVICE RATE INSPECTION FEC
PAID DYDA (E
M%rRACTOR
SIZE OF CONNECTION _M ASSESSM1 NT r PAID ;
141
BUILDING PERMIT APPLICATION IQ Y TIGARD DATA -_----. 19
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE------
OR
HONE- ---._OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIF'CATIONS. OWNER PHONE__—
LOT NO.
' + —_ JOt3 AUDRE55 — HOME ADDRESS
OWNER _
NE
E
NGINEGINEER
BUILDER _ • — ADDRESS DESIGNER^
SIRVCTURE ❑NEW ❑RFMODEL []ADDITION ❑REPAIR ❑RENEWAL- t-1FIREDISMAGE__ LJDFMO- ION
❑ Rv�NCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIG;OUS❑PATIO []CAR PORT ❑GPRAGE ❑STORAGE❑SLAB ❑FENCE
❑BOND ' [:]MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED _ []SIGNS
OCCUPANCY E
LAND USE ZONE =--BLDG. TYPE FIRE ZONE PLAN CHECK By _. HEAT
;22•� E'ei+��t,�• ��ae r: . I �;;k,l�c�td y�rirr� — �Et�rrr riw�ll�'�� ---�_.._._:_.�__-___--
`'u-- ___�€!_�►iI ` _-- NQI.4. �_ _AP9 `— .—�`!S?B><>Zi894 —yA1.�F f 3: •
BUILDING DEPARTMENT SET BACKS FRONT LX REAR 1.4) LEFT SIDE L, -- RIGHT SIDE6
Permit — THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check .,X: REGULATIONS AND ALL AP?LICABL.E CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT 'THE
- WORK WILL BE DONE IN AC,-OROANCE WITH THE PLANS AND SPECIFICATIONS AN.- -.COP' MANCE WITH
SUb-total ALL APPLICABLE CODES AND ORDINANCES,
THE ISSUANCE OF THIS PERkIf D..eS NOT WAIVE
RESTRICTIVE L.GVENANTS. CONTRACTOR AND SUB CONTRACTORS TO NAVE CURRENT CITU BI1StNESS
State lax LICENSE. SEPARATE PERMITS REDUIRFD FOR SEWER, PLUMBING AND HEATING.
Total �_,�_ Mif«4k: a1�•l�
VIA' #2 41011010111100
BY APpL�CANt On AGENt
Approved Receipt No.
ADDRESS
,I
DATE INSP TYPE IMSPECTION REMARKS _ PLUMBING DATE -
- ContractorAA
Permit No. 2 3
._..._.�.--
rj3
Fixrllre__�.__.
— Final^�--
i MEATiNG
Contractor c
— Parr it No,.—�, r7 i7C2 —1d
Gar or Oil
Rough-min
Final
$1 NERyy w,
Finaly`
DRIVEWAY
Final
Stom Drainage
(Rain Orsini Final
Sidawolk
Curb&Street Final
Approach
mEm BUT FINAL TBTAPORARY CERTIFICATE OCCUPANCY Final
CERTIFICATE OCCUPANCY -_--�--------- -- —
L andecaping
Zoning Final
l
11
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N" 15953
SEWER PERMIT
UnifiedSewF, �+:0k0nc% ,�rcl DATE June 20. 3.978
of Washingtc r:County C I T'Y 0 F __T.i.f� - -
OWNER : 1.u.C. _.
PHONE : 639-3101
OWNER ' S ADDRESS 15300 SW 116th Avenue, Tigard, Oregon _�
TYPE OF INSTALLATION:
® BUILDING SEWER [] BUILDING SEWER AND SIDE SEWER
TYPE OF OCCUPANCY:
❑ NEW Q SINGLE FAMILY ❑ COMMERCIAL
❑ EXIST. (PRIOR TO 7- 1--70 ) ❑ MULT. RES. ❑ INDUSTRIAL
FIXTURE. UNITS DWELL-ING UNITS__ _
ADDRESS OF STRUCTURE - Lot o07 —1580 5WaU k Meadow llrive
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 PEPMIT NUMBER. THIS APPLICATION EXPIRES IN ONE-
HUNDRED AND TWENTY ( 120 ) DAYS. THE AMOUNT PAID WILL. BE FORFEITED SHOU'_D
EXPIRATION OCCUR.
FEES:
PERMIT FEE $ 25.00 _
CONNECTION CHARGE 600.00
SIDE SEWER INSTALLATION _ __Loree Wilton ..
ISSUED BY
OTHER
�l T TIAL_ 625.00 --
DATE
N ) t 5953
.,i� �a1iLl aEGI-1 Fs,n T;;i SEWER PERMIT
f Eit'IT.
ADDRESS OF STRUCTURE Lot 607`_ 15800 _SW Oak Meadow llrive
TAX MAP TAX LOT SYSTEM Fanno Creek___
LOT 607 BLOCK _ OF Summerfield
_ ETW 620 78 � j"�` 6/20/78 -
APPROVED BY DATF !Sr,UED 3Y DATE
D.U. 'S 1 REMARKS Bldg Permit # 2146