9280 SW VIEW COURT 9280 SW VIEW TERRACE
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Address _ J l (� / �c �v r}e-Z t LL t_�_ Eoermi t No.
Permit cFarge
nwner _ t-- _ Connection fee
Paid by
Type of building ����, Date connected
Sarvice rate Inspection fee
Contractor Paid by _ date
Size of connection Assessment Paid
4 -11 -77 '—W3S 77 - 3 J
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C11"Y OF 7 IGARD
NCY e3 ,
1 OREGON
Owner:...Bob Smi t ..... ... ........ ... .. ..... . Pcrnit '�10......... ... ;��
1164
. f 9280 SW ViewTerrace ..... .
Building AddreGs..... ...................... ....... ....................... .
Certificate is hereby given this.--.1-.........day of..A.pr .l .•.
that said building may be o^cupied and
that it complies with all requirements of �
y
the Building Code for the City of Tigard, s r; �,•'(
as approved by the Tigard City Council.
r
Building Inspector
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City of Tigard
INSPECTION REQUEST
for
INSPECTION TIME: PERMIT NO. :—
DATE:
O. :_DATE: D k I'VE ISSUED :eI Z __
OWNERS NAME : r7t" _
ADDRESS: 2- 80 St& V/eyu
CONTRACTOR : 6,�W;-Jt–
TEST : Air f], Water[ , Visualot, Laboratory C7
RESULT: Approved , Disapproved C Pending O
SKETCH: �/DE����z�_ l��-!� /WY&7c T
77
INSPECTOR DATE
[,JrTF Attach suppl3m6mtal test data heretaJ
City of Tigard
INSPECTION REQUEST
for
7
INSPECTION TIME : PERMIT NO.:
DATE: Z�! DATE ISSUED:__L_I
OWNERS NAME :
ADDRESS : %.�a =
CONTRACTOR :_._,1S.a —=-�-1
TEST.Air L�, Water C] ,�, Discpproved
Visual 0 , Laboratory 0
RESULT: Approved C] 0 , Pending
SKETCH:
•
I,.&PECTOR DATE
COTE : Attech supplemental fest data herst-10
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City of Tigard
INSPECTION RE® UEST
for
INSPECTION TIME : — PERMIT NO. : _
DATE: y L DATE ISSUED..%1—
OWNERS NAME
ADDRESS :
CONTRACTOR :-
TEST .
ONTRACTOR :_TEST. Air ❑, Wat,,,r 1V�, Visua Laboratory ❑
RESULT. Approie Jam, Disapp oved 11 , Pending J
SKETCH:
i
1
1
I ,
1 _
IN ECTOR DATE
UNOTE . Attach supplemental test data hereto,
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Irid are notrf;Qd this... ....clay of.. ... .r.1�G�Fl,tr'�:�"...... 2..+ t
..' P1t ....,�r'.► I that no more NN nrk shall he donefin tlxoso rro irkis('s until the at}uNc
---iVU.1� 11,) Hyl': i�;,.��li �il•;I)-. ..
�..~ ...... ...._ ...............` ...................... ..
Building inspccfa+r
UNIFIED SEWERAGE AGENCY NO. . 10698
WASHINGTON COUNTY DATE .- 11•-10-76 _
CITY -
APPLICATION FOR SEINER CONNECTION PERMIT
OWNER: -- Bob 511ith
OWNER'S ADDRESS: -
STRrET
CITU STATE ZIF
BUILDING SITE: LOT_- _ B,._ - ADDITION
TAX LOT NO. TYPE uF OCCUPANCY res.
ADDRESS 928l SLI View Terrace
DWELLING UNITS __ --L-. -. _ _ FIXTURE UNITS
SURCHARGE :F APPLICABLE _ -- - -- -- -
PERMIT FEE -aZ..= -- INSPECTION FEE 2-5.1f!2- TOTAL DEPOSITED
(NEW) (EXISTING) BUILDING SEWER SYSTEM -- Ennnn rprk _
The Applicant agrees to comply with all rules and regulations of the Unified Sewerage Agency.
APPLICANT �7 -
SEWER PERMIT
THIS PERM:T AUTHORI/FS CONNECTION TO THE SEWER SYSTEM.
LINE SIZE __—___ INS I ALLER
RECEIVED BY_,-,.Z,<,- -------`�----�
(AGENCY OR ITS AGENT)
COMMENTS:__ Bldg. X1'1164
This Application and permit expires in one hundred and twenty (120) days
The arnount paid wiii be forfeited should expiration occur.
BUILDING PERMIT APPLICATION 11 Y TIC AR^ DATE 11-10-76 ,9 1 164
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED 13UII_DERPHONF _
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE__________^
Bob 5e11,th ;ii:i Ulmw CwZ'Z`I�c:+� LOT NO.._.._.
OWN _
ER M .OB ADDRESS
— HOME'ADDRESS
�t�t�1� ARCHITECT
BUILDER ADDRESS ENGINEER
-- DESIGr'ER _
STRUCTURE ❑ryEyy —❑REMO_DEL ❑ADDITION ❑REPAIR CRENEWAL_ ❑FIREpA_MAGE ❑DEMOLITION
O RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUSOPATIG ❑CAR PORT ❑GARAGE ❑STORAGE❑SLAB ❑FENCE
❑BOND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
OCCUPANCY I. ND USE NE . I � �—
PE__ _FIRE ZONE_ PL C KB HEAT__
l.. .i •�.al t3 e+
�.I+:..
17 b9druUM, 4 130thYom$-t,jyuut
BUILDING DEPARTMENT VALU'__
SETBACKS FRONT
i • REAR LEFT SIDE RIGHT SIDE
Permit
Plan Check —� • THIS PERMIT IS ISSUED SU8JEGT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
REGULATIONS AND ALL ..PPLICARI E CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Sub-total WORK WILL BE DON,-- IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
ALL APPLICARLF. CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
K RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax LICENSE SEPARATE PERMITS REOUIRED FOR SEWER, PLUMBING AND HEATING.
Total •
BY —
A ':ANI OR AGENT
Approved Receipt No.
aaR 1
UATE INSP. TYPE INSPECTION — REMARKS PLUMBING DATE
- 5-7 J Con-actor —�
Permit No. /'2- 1j'
q� Rough-in
0?6--2 . Fixture
— C+c-Z, f_ Final
77 Ala, HEATING
+ 4-iA.7- Contractor
_Art- Permit Nn l?// 1 1;2..
�' '�f-� - ----- ------ --
Gas or Oil
------ R ougi in ---- -- --- _.
Final
—�— — ---— - --G E W E R
_ Final
DRIVEWAY—
Final
Storm Drainage
(Rain Drain) Final
Sidewalk
Cuib&Street Final
Approach _
BLDG DEPT, FINAL TEMPORARY CERTIFICATE OCCUPANCY Final
CERTIFICATE OCCUPANCY _ — _
Landscaping
�:oning Final C�
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PERMIT N 0. __-
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PERMIT CHARGE
OWNER
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SERVICE
CONNECTION FEEPAID OYTYPE OF BUILDINGDATE CONNECTED RATE � 1INSPECTIO14 FEECONTRACTORPAID BYSIZE OF CONNECTIONASSESSMENT