14325 SW 80TH PLACE �r
14325 SW 80TH PLACE
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CITY OF TIGARD BLDG. DEPT.
12420 S.W. MAIN STREET
TICAPD, OREGON' 97223
PHONE 639.4171
CONTRACTOR:
Pursuant to Section(s) of the Uniform Building Code, the
following item(s) require correcting:
nate: /—'s-r _ Permit I 'o. _
Inspectot ^'
CALL FOR PEINSPECTION
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BUILDING DEPAPTIAZNT, TIGARD
PLUMBING N0.
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c ,J', MBING PERMIT —!
k oC� holder of a velid plumbinc, contractors license is here 1b I
au.hori ed to cause plumbing work as heruir, noted to be insta„ed in accordanda"with tl^s piumbin; code of
Tigard. Such installations require inspectio.t by the City Inspector who sha:i be notified not less than four
hr�urs prior to the time the installations are ready•for inspection. City of i igard Business License requirad
for aii contractors and sub-contractors.
e' - Address l ��
NU'.ur:l' Or ,
_ TYPE OF ?c R?JIIT ITEMS -Cc ON :ACH A',`OUNT , (Oltize Ust On0j
.y�F._SDF.'4T1AL
5 :n.•n';y-1 bath—each L _ '25.00 v� — •r
Dun ax—inch 1 bath unit Ia_ 25.00 I �r
:NDIVI1DUAL FIXTURE FEES
1 to 50 Fixture; in 1 h,lildinn_—each___
at to '00 Fixtures in 1 buildlnn—eneh 2.50 i
— J1 to NO Fixtures in 1 building—each 1 2•CO
2,2', or more `ix;ures in 1 buildin —c,ch _� � 1.50
i:.�.ELLAN1-0US
lui�_tli P, Scwer-1st 50 ft.
Scwar—cath additional 100 ft. i _ 10.00
�4'.• e•Service to building _ _ 5.03
2r!v,.,c Water Systems—etch 1Jr, ft. ; 10.C3
_ 3,. .r• ispnnri_yit
For Plumbing Inspe.::ion Phone 639-:191
Plumbi% Contractor By
R"CE,P"; NO. Issued By _
A 0 D R E S S. 'l _- ��Daic �_. P E R M I T NO .
PEP.PII TCHARGE: _ . .._none
OWNER � CONNECTION FETE
I
PAID BY
TYPE OF' BUILDING DATE CONNECTED
SEPVICC AA1E �� C INSPECTION FEE LIZ
CONTRACTOR PAID BY DATE _
a I ZE OF CONNECTION - �� � ASSESSMENT PAIDA_
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BUILDING PERMIT APPLICATION 1IT TIGARD DA1F_ 9OF
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'THE UNDERSIGNED HEREB APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDERPHONF _
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNERPHONE
LOT NO.
OWNER tjy0r]tyC�tiatT« JOB ADDRESS .L` :' HOME ADDRESS • oA 4 1 2C.-H u 1.)L i
V~ �^ ARCHITECT
ENGINEER
DEFZ Tti ADDRESS DESIGNER
!TRUCTURE ANEW ❑RFMODEL ❑ADDITION ❑REPAIR ❑RENEWAL_ ❑FIRRE DAMAGE ❑DFM(iLITION
U RLSIDENCE ❑COMM COEDUCATIONAL ❑GOV'T ❑RELIGIOUS[:]PATIO ❑CAN PORT ❑GARAGE n STORAGE QSLAB EIFFNCE
BOND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW CICOUNCIL APPROVFD LJSIGN _
OCCUPANCY ,' LAND USE ZONE� 7 BLDG.TYPE _FIRE ZONE_' PLAN CHECK BV HEAT__���I
fiiptily IJwwllan�. ufatt..iGhov tjarai tw 3 osuruojub - 0!
-r' t" 1l6tL; 7ItJt1 `,H 'T Ia1TnNCO« - --
fig—Issue tit Pwrmit pl`bfirS —
aewe r Psirmit I•,18759 3w 1962S,00 — --_
GC—Q, LO9LZ__._�_F1.9QR. QAC� �._ HEIGHT._ 21STORIES_ A Q, � 1�,1�NO JjE.DR0Q-NjL--�Ly.ALW
7 f tl 0740.
BUILDING DEPARTMENT 1e> 24 11 C'a t
SET BACKS FRONT HEAR LEFT SIDE RIGHT SIDE
Permit 1�1ca+3.00 _—
`— THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
L
Plan Check J,fl�(3CI REGUATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HERE3Y AGREED THAT THF
'- WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Subtotal 203.00 ALL APPLICABLE CODES AN" JRDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RE'.7TRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax + 7.72 LICL'NSE. SEPARATE PERMITS REOUIRED FOR SEWER, PLUMBING AND HEATING
Total $210.72
BY i+1
-- -- Q APPI If ANT OR AC.FNI
' � 7
Approved ' '�___ Receipt Nr, v�
!IPXw-KwjLwr, w 3S
DATE iNSP. TYPE INSPECTION REMARKS — PLUM.9ING I DATE a
Contractor
—� Permit No.
Rough-in
Fixture
—� Final—_
- r V HEATING
Contractor
Permit No.
Gas or Cil
— -- Rough-in
_- -_- Final
SEWER
—__ Final
DRIVEWAY
�— — -------- Final
StnMt Ora negr
(Rain Drat 0 Fwr-1
Si:leyAlk
t Curb A Street Final
- ---~-- -- Apprwch
IILm DEPT.FINAL TEMPORARY CERTIFICATE OCCLPA
CERTIFICATE OCCUPANCY Final
Landscaping
Znniny Final
MIN 14wro
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� CITIC�IRSDATE MAR- 196 1(4 Nn
� IIL_DNG P NUT APPLICATION
'li 11NOF HSt(,NF i7 HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATE(.) I L/t f4 F•r40NF_io—'(�'77<�
r AS SHOWN ANL- APPROVED IN THE ACCOMPANYING PLANS AND SPFCIF IC;AI ICINS U,04Lk PHONF
LOT NO.___J8--- j
�✓A�/FRdl('_`'C��r7T JOB ADDRESS 14-3-z5 tC IE ADDF+twS - ! I r tIR �, j'�•�2C
4RC—Hi r-
ENGINEER
_ ADDRESS _ _ DESIGNER ^ _
— ❑RFMODEL ❑ADDITION OHLPAIRW
_ [3RFNFAL nFIP.t DAMn-
AGt. DEMO L1710P
1-]EDUCATIONAL ❑GOV'T DRE LIr,1C1t'�1 �PATIO DCaF+ P(!Rr GARAGE ST04AGEOSLAS LIFE NC)
LJ L�MOVING []CONDITIONAL USE C'DLStCN REVIEW nCOUNCIL APPROVED ❑SIGNS
NCY no,
..tA'JC USE 20NE _ '��=BLDG.TYPE!_.!,___FIRE 70NF _ rl AN CHECK FIY IN HEAT
gip his —IS -a-- " I ,c�E .LTA '53 --
WP UM4 0- MEwo c.Js-_ fir
t
'--AO - - Fl C'QA J.4AD_.-- HEI ,HT._ .NQ $iry�1 -.._ARE_A, lJq_ Br.000QN1 . Y-AL('
BUILDING DEPARTMENT—_ SEI BACKS -FRONT REAR— •/`�-- LFF T SIDE ZI F RIGHT SIDE ��2F
1
THIS PERMIT IS ISSUED SUBJECT TO THE RFGULATIONS CONTAINED IN THE BUILDING COJF, IUNIN
'.dr ,"fleck REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT 10-4
- WORK WILL BE DONE IN ACCORDANCE WITH THE PI ANS AND SPECIFICATIONS AND IN COMPI IANCE VOT
,It ,r ,al " ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DnES NOT WAIV
RESTRICTIVE COVENANTS CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT C17Y RIr'.INI!I
fax 7. LICENSE SEPARATE PFRMITS REQUIRED FOR SEWER, PtUMBING AND HEATING
1, WAVERLY h CONSTRUCTIF UGG.—__A PP I I I A 7M,7 X 4 12C
F trcwed Receipt No. HUBBARD ORE. 87032
PHONEY
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