14825-14835 SW 106TH AVENUE 14825-14835 SW 106TH DRIVE
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OWN R _� � r� . �. CONNECTION F F E ��
P A I D 8 Y
TY� OF GUIt_DING _ -%i : � DATE CONNECTED
SEi BICE RATE , INSPECTION FEE
CONTRACTOR PAID BY DATE
SIZE OF LONNECTION ASSESSMENT PAID _
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City of Tigard
INSPECTION REQUEST
for
1 INSPECTION PERMIT NO.:
DATE: 222-11 DATES� ISSUED:__Z
OWNERS NAME : r�--e, '
ADDRESS:
I CONTRACTOR
TEST* Air ❑, Water ❑ , Visual ❑ , Laboratory []
RESULT: Approved ❑ , Disapproved ❑ , Pending ❑
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MEEK
CITY OF
BUILDING PERMIT APPLICATION TIGARD DATE_ N° O 9 8 3
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNERPHONE—
onstructuin sarvice 1482b & 14835 Std 106th ST.
OWNER - _ ADDRESS OWLDER PHONE _
1vner ENGINEER
GUILDER ARCHITECT _ DESIGNER
�y�
STRUCTURE LJNEW 1:1 REMODEL ❑ADDITION C3 REPAIR ❑RENEWAL ❑FIRE DAMAGE ❑DEMOLITION
O R'-ESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CAR PORT ❑GARAGE ❑STORAGE❑SLAB [:]FENCEIg
MOND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS_
+'' J t. O
OCCUPANCY LAND USE ZONE BLDG.TYPE _FIRE ZONE_ PLAN CHECK BY_ HEAT
QOIA;yIt��(1i((�4:.Ab1d11�1,fey,xXRkilxRi��ttl�l6l,vR+'�I[1�Xpt rb11l.�Xp�t�t.rp IAIII�..�t �I�f. t� � ��.a�au—�_
x4txaaat>Kaaat x�xouctctn x x 4(%x x x ) AX
Construct 2400 n#486&x sq. fte flems duplex pir pen, Incluil2ing garages -
8 tl,ftdraam 8 bath . Tax Iota 8000-81LOTax Map, 2151-10AD __-----
1 •
C LOAD FLOOR LOAD HEIGHT NO.STORIES AREA VALUE
BUILDING DEPARTMENT SET BACKS FRONT REAR LEF'SIDE RIGHT SIDE
Permit ?15„C1(7 — — _ --- -----__:---
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODEZONING
Plan Check 1116(30 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
— RFSTRICTIVE COVENANTS. CONTRACTOR AND SUB CONI RACTORS TO HAVE CURRENT CITY BUSINESS
1%State 6o 7R LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
Total 131e. 75
By
— - - -
-- -- AP► ANT OR AGENT
Approved r� Hvi fi jpt Nri
ADDRE=SS pHON
DATE INSP. TYKE INSPECTION REMARKS PLUMBING DATE
Contractor
6 � Permit No. o 0
Roughin
Ja Fixture
Final
- HEATING
- _— Contractor
Permit No.
Gas or Oil -_- —
QC'.u�Cites _
Rough-in _—
_ Final
SEWER
Final
_ DRIVEWAY
Final
S!orm Drainage_____
(Rain Drain) Final
Sidewalk
Cwb&Street Final
Approach
BLDG.DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY
—7/ CERTIFICATE OCCUPANCY Final _
( 7"� Irming F anal
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UNIFIED SEWERAGE AGENCY NO. 10604
WASHINGTON COUNTY DATE
CITY OF Tioard _—__—
APPLICATION FOR SEWER CONNEL I WN PLHN,11 i
OWNER: _..
OWNER'S ADDRESS: ---- -
STREET
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---CITY - ---- - --- STATE - - ZIP
BUILDING SITE: LOT__ _ BLOCK -_ ADDITION
Tax (-lap 251-10AD residence
TAX LOT NO. _._8Dnn-AInn TYPE OF OCCUPANCY -
ADDRESS 14825-J& 1483.5 SW 1060_5.
DWELLING UNITS -__._-_2 _- --- FIXTURE UNITS ___—___—
SURCHARGE IF APPLICABLE -_--IIlD- nn nerry Dal 1
1150.00 35.00 1185. 00
PERMIT FEE - _--._ _ -- - -- INSPECTION FEE -- TOTAL DEPOSITED
(NEW) (EXISTING) BUILDING SEWER SYSTEM Fanno QxddkxCreek _ A
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 INSTALLER
RECEIVED BY
A NCY OR ITS AGENT)
COMMENTS: _ ._.___Bldg. ;;'0963
1-his Application and permit expires in one hundred and twenty (120) days.
The amount paid will be forfeited should expiration occur.
j
BUILDING ill-RN-111A131"I.]CAI-I0N DAFF.- 1719
THE UNDERSIG`41:01 HERL-BY AfPL11-S FOR APERMIT FOR Mr: W-REIN INDICATED
;1)�� Itt " .,
14 114C ACCOINIPANYING Pj.,,%N"�, Nt
OR AS APPRO'" I 5WI,
I/X - A D 1',R CS F!4t %F
13
V S I G IN E R
ul.
-TRUCTIJREJ JI;IRF DAMAGE
I ORA.f v lit fi
3 0 NO 1(,r)'JDITIONAL USE o r A,
.7 L..
F I It F P1. N CK BY lir rAT
-.F3I DG.
eZe4'
1:I.oUR I CAD HEIGHT I VAI AM-.A ------
mE Wi "
SI,T LA C Kw
S I 3N r H16HT SIDE
Permit
, - A-- -- o L,
/T7()v S
mm ck THIS PERMIT IS ISSW'.11) SLISJFCT 10 THE HEGULATiONS CONTAINED IN THE WILDING LUL E
FIEGULATIONS AND ALL APPLICARI E COMS ,YO CRIDINANCES, AND IT IS HERFSY AGREED T!
t,'A)RK WILL PL 00NE IN ACCORDANCE WITH T14E PLANS AND SPECIFICATIONS ANO IN
AtL APPLICAM-15 AND 01
I !:-IN'ANC!-.S. THE ISSUANCE OF 11115 P,FF;'.IIT DOES NOT
jrjIr.,rIVE j.0%11 C�--%IKAC:1QR ANO I-L13 CQN'1P.,%CTOHS TO HAVE CtjriSENT CITY
:!,PARAIFE lr_WMIJS Si"OUIMID rOR PLU41"ING AN) PEATIN43.
Total
By AM liLV4T 17;4 AGI.N-t
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