14430 SW 93RD AVENUE �w w �.
14430 SW 93RD AVENUE
m
a
v
N
3
cn
0
Q
]t
���\ ,}/`0 rt �►4 �^� �}..�'* �.'/ 'F.nr+ �� �'�-.�' I'� '.�'..1 �, ^�,�4 �� .tom^�� n . w� 1'.1 0N
74
C_ A CITY OF T IGAI�D (.
-A OREGON
t Owner:.......... D.W.D•..................... _..........................Permit No...969........... .........14430 SW 93rd, Ave. �� •'
1 Building Address...... ..... ......................................... ....................................... .........
Certificate is hereby given this.......
........d,,^ of...December 19... 76
that said building may be occupied and
that it complies with all requirements of
the Building Code for the City of Tigard,
as approved by the Tigard City Council.
J 'r
' Building Inspector 1.g
,(� '�' r ,._�.;_.,au,,� .'s'i' 1 ry�o ab .7 3<w� r,, M� 1} x`-'w� �✓ —� �n.
Y�.�,•• yb�?."J;i •:.� �d�jvv� y�''.%:. '�&�r+J„�l.\��Sd:.:.'_4�f J .,•..��\ _.%r \°'�'k���j-� �x .::
4 sou•n. nwo m U!•
A170
UNIFIED SEWERAGE AGENCY NO.WASHINGTON COUNTY DATE
CII-Y OF----__Ti yard -
APPLICATION FOR SEWER CONNECTION PERMIT
OWNER: .-D.W.D. Contractor -
JWNER'S ADDRESS: .— ---- -- --- ---- _ - -
STREET
_
CIT v ZIP
- STATE
BUILDING SITE: LOT -- BLOCK _ ADDITION _
Tpx (nap 251-11AB
TAX LOT NO. _-_t 501711 TYPE OF OCCUPANCY re—i-dance
ADDRESS 14430 SW 93rd Ave. --
DWELLING UNITS 1 - - - FIXTURE UNITS
SURCHARGE IF APPLICABLE -- --
575. 00 25. D0 600. 00
PERMIT FEE - _ - -- INSPECTION FEE ._,_—_ TOTAL DEPOSITED __- —
(NEW) (EXISTING) BUILDING SEWE=R SYSTEM -_ Fannc -Croak- - -----
The Applicant agrees to comply with all rules and regulations of the Unified Sewerage Agency.
APPLICANT
SEWER PERMIT
THIS PERMIT AUTHORIZES CONNECTION TO THE SEWER SYSTEM.
LINE SIZE - __._.____-__ INSTALI-FR
RECEIVED BY
(AGENCY OR Its A(ANT)
COMMENTS: bldg. ;, 0969
This Application and permit expires in one hundred and twenty (120) days.
The amount paid will be forfeited should expiration occur.
t
- .. ... . ,, �,.;.rt•;t�„} .• , ,.-...,yp.,....:. .. ...,. •.sm.:r..e.. , ., ,..w.rv,�y�pM-,pr^,,. c. �,w.�w�:.y. ,-..,,.,.. „ .. .__"`__
CITY Of
BUILDING PERMIT APPLICATION TIGARD DATE-= 0969
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED 639-6801
OR AS SHOWN AND APPROVED IN SHE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
t).W*U. Contr.
C WNER ADDRESS 144jU Ave. BUILDER PHONE _Same _
l+i. Goi1L•:"„ ENGINEER
BUILDER tt�� • . t�' ARCHITECT DESIGNER
STRUCTUREONEW OREMODEL — ❑.ADDITION _ ❑REPAIR ❑RF`IEWAL ❑FIRE DAMAGE ❑DEMOLITION
® RESIDENCE ❑COMM CIEDUCATIONAL 0GOV'T ❑RELIGIOUS❑PA110 ❑CAR PORT ❑GARAGE ❑STORAGE❑SLAB ❑FENCE
OBOND ❑MOVING [:]CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
OCCUPANCY--LAND USE ZONE BLDG.TYPE FIRE ZONE— PLAN CHECK BY HEAT
i.,la!'tt,�rur,-L �. sL41a.y Idol >' euri•uun i Orta
Tax ;"tlsp 2SI lX IIAO Lot 6bOQ garage 505 44, Ft.
OCC.LOAD FLOOR LOAD w HEIGHT NO.S1 ORIES 1 AREA 1476 VALUE 319000.
BUILDING DEPARTMENT SET BACKS FRONT s? REAR 25 LEFT SIDE 1� RIGHT SIDE
Permit 130100
__ -- -- — -
THIS PERMIT IS ISSUED SUBJECT TO '.HE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check 1 REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
— WORK WILL BE DONE IN ACCORDANCE WITH THE.PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Recording ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
r RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
1%State "8 5 LICENSE. SEPARATE PERMITS REOUIRED FOR SEWER, PLUMBING AND HEATING.
Total j
BY
-- t - A ' '.ANT OR AGENT 1
Approved Receipt No.
-- ADDRESS
R / w F
DATE INSP. TYPE INSPECTION t REMARKS PLUMBING DAT-
"S Gontractor
?& cm>J _ Permit No.
Rough-in _
Fixture —
G i _ o,•� — Final
HEATING -
-� _ Contractor
Permit No.
Gas or Oil
Rough-in _
Final
�� y176 4 5'IQS SEWER -/S -;T,
_ Final
DRIVEWAY
Final
(Rain Drain) Final
Sidewalk
Curb&Street Final
AL� rod ach
BLDG. DEPT. FINAL- TEMPORARY CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY Filial
Landscaping
l ( Zcning Final
r I (9wSwvf
Z
U ( OZ 01,
LL ( � I O NQU 7
Y
w0 m n F \ w O p J z 1
„n
Ll
Q O Q N Q O LU
Uwe uU
vJi n w V -i w 0� OOF
❑ ❑ 2 �. -'1 Q N ZQUOLL
7 w V O
w w � � F- � Y _ F.. 0. w
p R
O I Q Q O�OwZ2p
�I ¢ W T 2 N !a 1 n S UJ UJ
(� a w w p F i S > H
w O C7 w0 �.Y� EAo � = w
O m O ¢ ❑ O (` w pF QF OFn
ILI❑ 0 n. y �'q � ZZLLU.OccQ
N Q �
LLO1 �,J Q ._, Y + O Hwti UOz
Q U U
U to
U �'N QJ O ? I N a Z Z Q tL 2
!VV! U w F- a
Z LL iv w F- ❑ ? ^ ~ w O Q I U a
Z u t� ¢ O d �' cn O J i m w
W W Wv ❑ a w Zw � u3, z
d '' cr lT - 2 w
Q w to .� r Q 1 1 Y O n C 1 I vi O N w
v U � F- V rwza
o z L , f w w 0 ^( ,cw = UQp 4
Z LL
Y M w OI O WU ~ 4cr ¢
cr �� p z I0 7 0 a O
O cn 2 N s1-
/y 3 z) C^ w a z w Q pw W0U � z n
IL 4J W Q ¢ a - w � wZC) rr j V ui
_j n u T O w
❑ El w ~ QQ 1- w Q
Q
� � o _Z P o ❑ CL 0
m6oQ � �_ Q
U. } tL U O v1 - J HQUEA
Z N w LL' J I �( -J Q w Z tL
a. z I O ¢ w WQzaanw
aa ( /- v:D w �J w
W 0 O Z m ❑ vi > ^ I Z N Q Z j F-
z du Q w 4 0 � o a0
U L: El >0 'V Y w LL yyLL tD �w1
!!! ~ Z _
O W O O J cn 20 , > In
w O
d '� _ p U ¢ 4 � auu; z
U w ~ n z a.. � YQ ¢ 'A a
J Q a {� 11 CLQ JNU
CL a O w z _I w rrw xw _ J
cL < W U a E.) a � rr
cn O w
W cr Off. tr 0 O \_ Ll
5 zQ El w N a z � `0 LLJ
p0 Elz a t I > n Q Q
W w Z p
• d w a t< �; a
3 ' z o ❑ -� w
z ai L� U
� _ I
w
�J Q rr u u, ? O Y . ° x
J Z ; O 1 U O ; w c
m h O v v7 to a +� U rn V :' O J
thif O maQ
p d O H m Q
ADDRESS � 1VU-0 _ „amu' ;'j 4.d`L- PERIriIT N0._ lr6 ,2/ _.
PESMIT CHARGE none _
OWNERCONNECTION FEE
PAID BY
TYPE OF BUILDING ���r�/ Vic_ _ _ DATE C'ONNFCTED
SERVICE RATE '��(�� INSPECTION FEE
CONTRACTOR _ PAID BY _ _ DATE
SIZE OF CONNECTION ASSESSMENT _ PAID
City of Tigard
INSPECTION RE® UEST
for
INSPECTION TIME '. PERMIT NO.: _.
DATE: ��DATE ISSUED:
OWNERS NAME '.
ADDRESS : --
CONTRACTOR
i
I
TEST. Air C1, Water p , oual 0 , Laboratory p
RESULT: A provod L Pending Q
Approved , DisaP
SKETCH: !
I
i
I
1
I
I --1k9PECTOR DATE:
I50TE Attach supplemental teat data hereto
I
I
-_Z,7 J