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13065 SW 107TH COURT 13165 SW 107TH COURT _ I +9 u t 0 ,4 Ln Ln 0 M V ti OF 0C. \C ' �'R CITY OF TIGARD A'C3 OREGON M.L . Clayton 1143 Owner:... ............................. .......Permit No...... ................................. ....... ..................................... ............ Building Address -13D6 Certificate is hereby given thi.s.....3.Q.......day of...Jun.v.................... 19....7.7. that sail building n,-y be ow,pied and that it complies with all requirements of the Building Code .or the City of Tigard, as approved by the Tigard City Council. > ....... . 7........................ Building Inspector City of Tigard INSPECTION RE' UE I � S � for INSPECTION TIME : __._ PEP.MIT Np. DATE ' DATE D_ ATE ISSUED OWNERS NAME * f ADDRESS: � j CON TRACTOR rE ST : Air Q, Water 0 , Visual ❑ , l.abnrotory p ! 9ESULT: Approved Disapproved C Pending D S KETCH I I I c I �r IN E T©R DATE [N l ttach supplemental tett data hereto] i ....-+.._..." 1w!7�}+n+.'.wiw�.� R'w7.a^�w.�►ww;'ti.a..+"^' rrt* T BUILDING PERMIT APPLICATION Co Y TIGARD DATE_-1021-7L _. is THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDLF?PHONE OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNERPHON97 LOT NO. OWNER r I-• claytufl _JOB ADDRESS.t 30VJ 3L.' 107th i,`a HOME ADDRESS ARCHITEC T ENGINEER BUILDER ADDRESS DESIGNER STRUCTURE X)EINEW ❑REMODEL ❑ADDITIL.N ❑REPAIR ❑RENEWAL ❑F IRE DAMAGE ❑DEMOLITION O RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CAR PORT ❑GARAGE ❑STORAGE❑SLAB ❑FENCE ❑BOND ❑MOVING ❑CONDITIONAL USE Cl DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS OCCUPANCYI LAND USE ZONE BLDG TYPE-----FIRE ZONE PLAN CHECK 8V L NEAT �Iaf, — I-,onst z_#nQ1* rsmily duallinu w/ratt+ached rareQc. Tex Lpt ~26 Tax Ten 251-3AD an change in plans to be approved Uy bldg. oPficial. See Uir. of Public Uorkas a towed for encrmchment on raaasment. ,sorsgss 462 sgoft. OCC. LOAD __.F_,QQR LOAD HEIGHT NO.STOREAREA 2900 NO,BEDRQQMS VALUE44 111,300• BUILDING DEPARTMENTSET BACKS FRONT 20 c REAR `-' LEF T SIDE ? RIGHT SIDE Permit 172,00 — -- "— THIS PERMIT IS ISSUED SUBJECT TO TNF REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING PlanjCheck 86--0 REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES. AND IT IS HEREBY AGREED THAT THE WORK WILL BE DONE IN ACCORDAr;CE WITH THE PIANS AND SPECIFICATIONS AND IN COMPLIANCE WITH Subtal ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF 1"HIS PERMIT DOES NOT WAIVE RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS StataX 7.74 LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING. Totr.By — APPLICANT OR AGENTAppved Receipt No ADDRESS — P►ipryE ...rw............+».rr.rwre.riw.....w...».....wr..,._ -.. ,u_..,r.:rtb,rkn.....r.....a ....�.v»........w�......... »:-....i...uwiyr.Wr.dM:w. .......r..r .rw>..ei ri rr v.m._,swa l I I I� { wmuuwxw w DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE Contractor i Permit No. 9 b Rough-in Fixture '7G a Final -7 HEATING aA :z _ a«� Conti a ztor 3IV e _ Permit No. 1 Gas or Oil Rough in Final _ SEWER/�/J•J Eta Final DRIVEWAY Final Storm Drainage (Rain Drain) Final Sidewalk Curb&Street Final A roach BLDG DEPT. FINAL TEMPORARY CERTIFICATE OCCUPANCY CERTIFICATE OCCUPANCY Final Landscaping r C Zoning Final {� UNIFIED SEWERAGE Pit "" ENCY NO. _ 10688WASHINGTON COUNTY DATE CITY OF.______ Tigard ___-- APPLICATION FOR SEWER CONNECTION PERMI T OWNER: M.L. Cyton OWNER'S ADDRESS:— STREET CITY STATE �- ZIP BUILDING SITE: LOT_ . __ BLOCK ..__ _ ADDITION Tax [lap 251-3110 - – TAX LOT NO. __ . .26TYPE OF OCCUPANCYresidence ADDRESS _ 13065 SW 107th Ct. DWELLING UNITS—._ 1__ FIXTURE UNITS - SURCHARGE IF APPLICABLE PERMIT FEE ..__5.75._00 _ INSPECTION FEE 25. OOTOTAL DEPOSITED 600. 00 (NEW) (EXISTING) BUILDING SEWER SYSTEM Fanno_Creek The Applicant agrees to comply with all rules and regulations of the Unified ewerage Agency. APPLICANT SEWER PERMIT THIS PERMIT AUTHORIZES CONNECTION TO THE SEWER SYSTEM. t_Ilvt 'S1lE INSTALLER RECEIVED BY_ ,� ',r�-. `-t r 'l_ (AGENCY OR IT! AGENT) COMMENTS: F1 d;. "1143 This Application and permit expires in one hundred and twenty (120) days. The amount paid will be forfeited should expiration occur. r � O W = w 2U I � O z h W O ~ ui O 3 n CI V "I N =' ZF' to V w V) 00 - 7 to Z 11 p w J H ct� O J 0 ¢ W U U'l C I H rn w Q O Q O O 1 El El _ .� H oQzpW w L. F N Q Z ff�� W LU ' 1 U T 'u O z O a 4 U a)¢ ZcrUa II I Cc V a 0. !Z 2 W W W a W z IL TT W z ui O y 0 � �, 0VI4c 4 CTI W 0 0 � ; = z z vi L_C� a ago o m o Q �r w �I OOL) � O [I o a Y a zaLLoxa ¢ 4 O Q W N t t J w V WO H W N V V z F¢ Q U �j Q J L7 z W VZOafLr1 0w U 7 w Z7 ¢ yza �1 z LL W F Q -1 O 2 z u j C z G Q 6 V1 HQ 0 T c U) d. ujJ o w W ui d E) ¢ Q 7Zw O = z C7LU z �' �n � iaLL Q T Y W a - ir l Q o M o � z ¢ F U z - z W Q z Q W Q � � � a: wa o Q 0 J ' G a V W o�''� x a ❑ Cl n u tujUnOs Q a o } cr 7U. O C 1 ` Cc U Q Q F-t� p F yaUNN z N Q u z �' O o zc, 7 W �- a•- Q u, uw F O w W Q Q a 0. r a g C. ¢ f., z a ~ F HozUww ` � a U z w � n C1 F HQOui> ✓1 1 C) IA to U Q < °a > a c i u � Z M W IL ^f C7 cuiiF � I F.. �' 4i d� aH O Y. ►... Ul 7. 7 Q1 H p¢ F W 'y 1 i Q Q uwIuiv L CL L n ci 21 �c� I ¢ 3-am J Q Ul C) al Cr- } < u, u U 7 h v Cl" n I G N LOOOP f �I t o C li 7� ula IDo \ 1 1 1 w z > O• 7 C LJ my [I� C �' r+ c; 7 ;! a :1 rl1 (A C w u u. f{ n U O c� °' LI 7 4 n( r0 7 c! F L o ] Q a f o 4 C( 1 F C, C I c C all �a a 0 ` Address /_,. ' o ;g�.y , -,V ��° Permit No. Permit charge Owner ��, Connection fee Paid by ---- Type of buiIdino _'- -�� � Date connected Service rate � .c�.� inspection fee Contractor \ `— Paid by _ date _ Size of connection Assessment Pcid