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14830-14840 SW 106TH AVENUE WN in-in v 14830-40 SW 106TH DRIVE ! I i ' 1 I Y m 04 o m o � P [f] J W � Y n v W rJ C3 f'` Q r+{ •� ,r r� v Oil IFMF PERMIT NO. -- ADDRESS PERMIT CHARGE - OWNER CONNECTION FEE C PAID BY — DATE CONNECTED TYPE OF OUILDING Sr � SERVICE RATE INSPECTION FEE PAID BY DATE .CONTRACTQ�t - ---- -- SIZE OF CONNECTION ,ycASSESSMENT PAID 7V ADDRESS 14 b C' �.{- - C►� � �, PERMIT NO. -�- PERMIT CHARGE OWNER CONNECTION FEE PAID BY TYPE OF BUILDING . BATE CONNECTED SERVICE RATE �. _ INSPECTION FEE s' CONTRACTOR PAID BY W':Tf SIZE -IF CONNECTION _ ASSESSMENT __ PAli) w !► City of Tigard INSPECTION REQUEST for r' r/ INSPECTION TIME: L 5PERMIT NO. DATE:_` DATE ISSUED : I Z OWNERS NAME ADDRESS: CONTRACTOR : .TEST ' Air p, Water Visual !� , Laboratory p RESULT: Approved ki Disapproved p Pending p S KET%H NSPECTOR DATE LN)' !: Attach supplemental test data beret] I I City of Tigard INSPECTION REQUES "r for I INSPECTION TIME ' PERMIT NO. : DATE : DATE ISSUED OWNERS NAME : 4� y 'y cJ / n C^ ADDRESS' _�— _ .�.L� �- CONTRAC"i_0 k : _---- - --- -- - --- — -- — I TEST : Ai, L-,, Waterp , Visual [1 , Laboratory GI RESULT : Approved ❑ DisapprovedW, , Pending ❑ SKETCH.' I C /rtivvC moi,< !- 7 6/px,1 S E►��� c.��, ,v t�rccas I INSPECTOR DATE I C01E : Attach supplemental teat data tier eta] I i i City of Tigard INSPECTION REQUEST for INSPECTION TI ME : PERMIT NO. : ._- DATE : /A LULL DATE ISSUED'_ OWNERS NAME ' &A 1LCA, x-d I ADDRESS : 1,4301- CONTRACTOR ' ,43a +-CONTRACTOR : ITEST ' A r J, Water, Visual % La'- ,rutory [t RESULT: Approverl`,0 Disapproved J Pending p I SKETCH: I I I I I INSPECTOR DATE IOTE : Attach supplemental test data hereto] r OWN MOM Type of Fixture fee Permit No. j3-�7�:*'_ Permit fee W water C1os / :-� Permit Issued Approved by vs ory TAn�iTa83nT Dial Laing Perms y- owe Receipt No. 4U0 I-5 nks. KI 14hon n 5 Ms. Ord na Loc ion odini - —_ Bar 1,6 ` ---. a o o • tom4tir, D1- a was er _ a oma f®r Namer 6 Address of Owner - rea r'iaera or - an Drains uoma c sa er Name 6 Address i' Plumber our a n A n n ou=nts no, "'ode ot e er IM .n e erv;ce ze Urinals buildin Old or, New Alter. Repair or c as n - or AIMIL aL)Einkler System Other ilK er .�8 Pm , This permit becomes null and void if work or construction authorized is not commenced within 60 days, or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. All plumbing firma must be licenaed by the City of Tigard and post a $1.,000 bond. I hereby certify that l have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this typ of work will be complied w vh whether specified herein or not, the granting of a permit does riot presume to give authority to violate or cancel the provisions of e.ny other state or local low regulating conitru.;tion or the performance of construction. Signature of Applicant R 2592 L)GUPIT "A„ CITY OF TIGARD He•.identin; Structure Gccujanay Ne:,trictiun KNOW ALL K.:N BY TIC—';E URE:;EN'P.;, That occupancy ur residential :aructure (a) on the folioving described laruis prior tc the recordink of an uccurency lwsrmit releasing the restriction in the Deems Recorun of Wat;hington County, Orej;on, in i.rohibiteu by the ordinance of the City of TiMrd, Oregon: DE304IITIUN OF i'RUIERTY: OF iAul t.R'I'Y: + ? •� �� •� -�- - s_ :Mt. OF UWYEH A:1D:i�w; OF UW`XUiL :N WITNIZ-1 WWILOF, the undernigned hao cau,.ed thi reArirtion •,o be executeu thi . day of OW'IFy4 ;lame APPROVED: By: t, T.tle L e Ir it By: ldine orricia. ty of Tisard STATE OF OREJGUN ) ®e• County of Washington ) ,; , � , 1'� • ler,;onaa.; il,eared :afore we the above t,aneed�..� 1 �- vul a:Anovledged the foregoing instruw-n be site voles ;.ar, a:t and used. Notary 1 t.lic for Ore&m)t txpires: n46929 n Y ,7 7 reg t « /,' w ►x, ii ! )M 1' :929 haus r„oaaan. a,.•.,• -d ft"w"a �>.�,... ���� U � � ����� � :- � � _ ��E � �4 � �YW �j �hill� �Q7 � � � �� f ��� , ; _ x r � �� �� 3 '� � � r UNIFIED SEWERAGE AGENCY NO. - 4892 WASHINGTON COUNTY DATE CITY O F Uw_r0__.__ APPLICATION FOR SEWER CONNECTION PERMIT OWNER: -------- __-Stan OWNER'S ADDRESS: STREET —__-- ---Par ti and-------- �^ CITY 441, 45 STATE - --- ZIP - BUILDING SITE: LOT- ___ BLOCK - ___- ADDITION L849-Hill __ TAX LOT NO. TYPE OF OCCUPANCY -- Q11p1Y-X_ I ADDRESS -___ 16830 and 1414.E-L41, 106th )WELLING; UNITS _______. 2 `_--_ FIXTURE UNITS SURCHARGE IF APPLICABLE --100-to- PERMIT FEE --900-- - -- INSPECTION FEE 35_ - _ TOTAL DEPOSITED1035 _ (NEW) (EXISTING) BUILDING SEWER SYSTEM Tigard The Applicant agrees to comply with all rules and regulatio �:vif the Unified Sewerage Agency. APPLICA� _. SEWER PERMIT THIS PERMIT AUTHORIZES CONNECTION TO THE SE. 'ER SYSTEM. LINE SIZE -_-4"-- - - -- --- - INSTALLER 4 RECEIVED BY_ _. . 'SZAGFIa) ENCY(Dl� ITS AGENT) COMMENTS: a , CITY OF TIGARD �14,10 % W w!� Sty 114AM OR100M fnU APPLICATION FUR BUILDING'. PERMIT Q Addition 0 Remodel Move Addit New Construction ® Denolleh BUILDING P E R.M I T TONING_D,p DATE: ISSUED , No. BUILDING FEE DATE RECEIVED__._- PLAN CHECK $ 'lf;Mcecording fj&LUATION S_40,lj BY __-- — OTHER $ .....&rv4Q-."r c h a r 9 9 RECEIPT TOTAL $ TWO SjT!: ne PLANS AND PLOT PLANS MUST BE FURNISHED WITH APPLICATION n CENSUS TRACT _yam__.__. JOB 1 LOT 1—,ii.11lJ�--•9`� MAP 1__._-ZSl I--gam-- Architect or Engineer_ ��Lsp_ane a* Add roe Phone s -jg42 1-ti rt-_Y�tatae�--�---- lINNMXANX Sten Adkins Builder - Owner ___-- - Address Builder Sten Adkins Builder -- - _Phone —� Address_.__ Multi Rea. duplex Comm. 0 Industrial Q BUILDING USE Single Res. � 1 No. of Stories 2 Total Height_______ Area of Lot. OCCUPANCY GROUP ------- 1IYXXYYXXMXXTRX V Floor Area Type of Construction B_----_ Back L.Side - R.Side,__ Set Backs: Front____-_ .___--- (� Tank Private Sewer Pipe Size__—�•_ Sewer q4a j ,_q[&;eptic l.J E • Storm Sewer © Ditch DryweI El dater Service Pipe Size_,__ Street and Curb Requirements____111LAZIL" XX _EYisLino ----' Driveway Width_r___.,_jli._ ---.__-__ _...___ _ _... No. of Parklnq Spacesy SEPARATE PERMITS REQUIRED FOR SEWER AND PLL'MyING SPECIAL INFORMATION ADDRESS ASSIGNED_ _.__. 1AL34-lr.i0ii1>~ � �a1►44 X•W• lkA - ---"'-' - DATE_- --9-1Z�- FIELD CHECK PERMIT APPROVED IIYL���f�v_� It is understood that All work will conform with applicable codes and ordinances of the rtate of !)re,ton and the City of Tigard, oregon, an-1 that the building wil until a Certificate of Occup&ncy has been issued by the City of not he occupied Tigard Building inspector. ` a Ute nT A�+l irAn►