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11090 SW 106TH AVENUE
• SW 106TH AVENUE A con • cri 1-4 r r _ _ _ I 1 ddrass1 ( D`�O j (-� 1 n� Permit 1!p. Permit char. e 0-72 user _ Connection fee ----------- ,. Paid by Date connected ;orviry ra` _ In,;pection foe 2,5'- ontractir Paid by da; ize of ction Assessment Paid l 7C'�'w-Krs,ifl�,ti:-. �p,�.&�.y.ti T,.y�,y,,,.•.,� „s„+. ...i.�.....-�.�......,..�r.,..,_.a..,,�._._., _.�..�.�- y�r_�,.��,,�w BUILDING PERMIT APf L.ICATIUN 10F TIG ARD OAT A_""''�_ `' ' ' ;9 THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER RTNE LOT NO.. C� _ OWNER is OV f :.iipliegial JOE!ADDRESS 11090 stj 106th HOME ADDRESS "51'.j'.j :,Li Mill,,, i t r ARCHITECT tAVe �D )Ad bI� 6515 SCJ miles Ut. ENGINEER FiUILDER E ADDRESS n DESIGNER STRUCTURE - L_.JNEW _❑_RI MODEL _❑ADDITION „,REPAIR ❑RENEWAL_ ❑FIRE DAMAGE ❑DEMOLITION ❑ RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CAR PORT ❑GARAGE ❑STORAGE❑SLAB ❑FENCE OBOND ❑MOV ING []CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS rt — OCCUPANCY._ LAND USE ZONE._- t BLDG.TYPE_' FIRE ZONE j PLAN CHECK BY_.._ instruct single family duelling dwellinij w/attrachad yarsge --- 3 bbidroom -- 1397 Q. .laQ�D f LQ.Qt3_LQA2 HEIGHT _ NO,STORE -_ AREA __NSL..0F.�?�Q _--VA I BUILDING DEPARTMENT 3ENT t BACKS FRONT 22 REAR LEFT SIDE RIGHT SIDE160 - - T - --, Permit . - -- - — - — - — - — -------- "_' THIS PERMIT IS ISSIJED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING Plan Check REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE WORK WILL BE DONE IN ACCORDANCE WITH fHE PLANS AND SPECIFICATiONS AND IN COMPLIANCE WITH Subtotal � _ ALL APPLICABLE CODES AN ) ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS State Tax LIC,EN$j. $EPAgAtEA,ERMITS REOL'!RFD FOR SEWER PLUMB,NG AND HEATING. Total w • -- • • . I B Y -------- APPLICANT OR AGFN1 ---- '--__ _ -. Approved Receipt No DATE IN3PP, TYPE INSPECTION REMARKS PLUMBING DATE Contractor Permit No. y /J �j/� .2 0 Rough-in r Fixture Final ,! r HEATING Contractor 4� Permit Na _ r =Vp 7`''[7 7c� �--YT t-�� Ges or Oil Rough-in Final SEWER p� Final DRIVEWAY Final Storm Drainage (Rain Drain)Final Sidewalk Curb&Stree,Firal Approach BLDG. DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY Final 1.7_Ili IFICATE OCCUPANCY Landscaping Zoning Final PW Nr t a er} air w SEWER PERMIT NY 15961 Uf Unified Sewerag4 e Agency of Washington County CITY OF _Tigard DATE 6/21/78 _ OWNER: Steve Spiegel PHONE: 246-0538 _ OWNER 'S ADDRESS: 6515 S.W. Biles ST. Portland, Oregon TYPE OF INSTALLATION: El BUILDING SEWER ❑ BUILDING SEWER AND SIDE SEWER TYPE OF OCCUPANCY: © NEW ® SINGLE FAMILY ❑ CGMMERCIAL ❑ EXIST. (PRIOR TO 7-1-70 ) ❑ MUL1 . RES. ❑ INDUSTRIAL FIXTURE UNITS_ DWELLING UNITS 1 ADDRESS OF STRUCTURE : 11090 SW 106th PERMIT CONDITIONS: THE APPLICANT AGREES TC 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 SHOULD EXPIRATION OCCUR. FEES: PERMIT FEE $ 25. CONNECTION CHARGE 600. SIDE SEWER INSTALLATION _ D. burgess OTHER ISSUED BY TOTAL s 62,5, __ _ / -- APPLICAN _ DATE _ SEWER PERMIT Nt' ADDRESS OF STRUCTURE _ J. ey . ur 1Tfi;-'OR , TAX MAP TAX LOT SYSTEM Fanno Creek LOT 10 BLOCK OF E. Walden Q/21/78 APPROVED BY DATE ISSUED BY DATE + D. U. 15 ____�" REMARKS "o °v µ I C,� CI�I Ci nI GI C i C' - 1 � I Li a L u. ti I m m � O .1 f f r f L1 1.j c c c LLI -� � ► � � Il � illlli � �� _ LL I = , R C) r_ w LU ` u LC) 7 _ c a € � � �i `-,Ir Lr U C) ul a A y� r a c c co F- nq o A VJ W p • i `. " ` �I a r . a Q = v C ' p ; C AIN v c' - cl o. ul v z 4 n 2 u. u_ ! 7 u c'i