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11770 SW 113TH PLACE 11770 3W 113TH PLACE dY i'1' ME �;;PIZ ' 2�t 1M US ,.v , 4�.i�►L '" wY• �.�i�,-.iu,S�rT.-_KL. ,fig I `� OF l4 CCS 1 � r I' C I -FY OF T'IGAR U C �J OREGON 42 I, Ow-ner:. .... .............................. ...... .Permit No. . .J2.00 Building Address Address..... 1 .7.7Q...SiJ..].1..3..t.h.....P..1...:.............. ' is Certificate is hereby given this......I4t.h.day of......N.oy,P.mbQ_r...,. ., 1977 ; �{ that said building may be occupied and that it complies with all requirements of the Building Code for the i ' T g e C ty of Ti ard, t i as approved by the Tigard City Council. �i ................. I r ( r ►i" ;� Building InspecturAW +ZVI s ZW '1 /A .7 �yN Y 3 q�#, ,J� f y` City of Tigar INSPECTION REQ PES IT T01 INSPECTION TIM, PERMIT NO " —-------- DAT', qJ .0 77 ATE ISSUED...'-l– OWNERS NAME ADDRES ', CONTRACTOR TEST*. AiF 0, water vigu�: Laboratory RESULT: Approved roved 0 Pending SKETCH. Tj e _ .—IiNSPECTOR DATE CNUTE A 10 C h U JJ P I e'r e"I U test data hotel: .n N r• • S'i N U �7 N � r' I V G ... "'U3 I• I] y ,. I +J J� 11 a C� !•' O O N I• .�: u� Ate'+( .� 1� I +1 41 O � 1 I ) r3 C3 h ti t I I 17 PC .:I q rill • i. (J N 1;l O '• to W I w ; l i aI' ( ; EH-' w �' I • w, I I tc I f cn N q tl �J 1-4 t f r ,c N f� I O Ir, U-) rye in '� O E x r_ 0 0 h ( G cq t In ' I . ; ;; ;� . . UNIFIED SLMERAGE AGENCY NO. 11023_ WASHINGTON COUN-'I-Y DATE CITY OF-- --Trd APPLICATION FOR SEWER CONNECTION PERMIT OWNER: OWNER'S ADDRESS: -- __-__-- ------ -- STREET - CITY STATE LIP BUILDING SITE: LOT.___-- _ -. BLOCK _ - - ADDITIG --- ------- - TAX LOT NO. - TYPE OF OCCUPANCY residence ADDRESS -_117W- SIJ 113th P1. - DWELLING UNITS . - - a. FIXTURE UNITS .__ _ SURCHARGE IF APPLICABLE - PERMIT FEE ---575.00 . INSPECTION FEE 25.00- TOTAL DEPOSII ED 600.00 (NEW.' (EXISTING) BUILDING SEWER SYSTEM ___Tanno Creek - The Applicant agrees 10 comply with all rules and regulations of the Unified Sew(,rage Agency. APPLICANT SFWL= R PLRMIT THIS PERMIT AUTHORIZES CONNECTION TO THE SEWER SYSTEM. LINE SIZE INSTAL 1 LR RECEIVED BY (AGENCY OR ITS AGENT) COMMENTS: Bldg. #1200 Paid to Leron Heights 1150. 00 This Application and permi' expires in one hundred and twenty 1120' days. The amount paid Nill be forfeited should expiration occur. •' ,. a;- , ..,o«ie '4'. .. 'h.l',?iB�il.., .�,,.- a;M�;rl:;!1'ep'f9•pit✓."�p'"'1V'""q."_'i'SfM la, cY TIC ARD DATE BUILDING PERMIT APPLICATION o F _____ THE IJNDERSIGNED HEREBY APPLIES FOR APEPMIT FOR THE WORK HEREIN INDICATED L ILDERPHONF OR AS SHOWN A6 D APPROVED IN THE ACCOMPAN PING PLANS AND SPECIFICATIONS. OWNER PHONE — LOT NO. ^_ OWNER JOB ADDRESS W SU 113th HOME ADDRESS ARCHITECT BUILDER ADDRESS ENGINEE-? DESIGNER STRUCTURE ,❑NEW ❑REMODEL ❑ADDITION _ ❑REPAIR ❑RENEWAL _ OF IRE DAMAGE []DEMOLITION © RESIDENCE ❑COMM_❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CARPOOT ❑GARAGE ❑S AGE❑SLAB []FENCE ❑BOND C1 MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS OCCUPANCY__ LAN 0 USE ZONE__ BLDG.TYPE__.__—FIRE ZONE_ PLAN CHECK 0". LO F190R LOQ`_ HEIGHT i1 N0.STORIES. AREA.114, NO.BEDROOMS VALUE.: BUILDING DEPARTMENT SET BACKS FRONT REAR :,lt LEFT SIDE RIGHT SIDE Permit THIS PEOMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING Plan Check I'« REGUI ATI')NS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE WORK WII.1_ RE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH Subtotal ALL APPLICABLE CODFS AND ORDINANCES THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS State Tax . ( LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING. Total By �^ -'-" --' - APPLICANT OR AGENT - - Approved RI'ct�ipt No AD pE55 fIInN� id TE IIJSP. TYPE INSPECTION MARKS '-~-� �- ~� Z'(_tJ;t4blidii —~ r`.ATE " Contractor Permit Na.__©7S3 /fl'7Q/rte /U„ tita -c-L- Final III ^,i INt3 I -- � �` y� p�tc.�-tom 'Contr e�to, permit NO - ra I as or Oil -1 Rou Final i DRIVEWAY Final Storm Drainage Rain Drain) Final Sidewalk Curb&Street Final __.. A pre ch BLbd DEPT, FINAL TEMPORARY CERTIFICATE Orr.UPANL CLRTIPICAT®OCCUPANCY [Final andscaping oning F final q � w = wv1 w( lw i n Q W i LL -P C.I ( uiF Qpm ma 2 ul o r'CD � 7 V u, v n c•1 w w or W C) Cl > ° QQzw W zWCI w h J - ~ Z 0a 2 cr w Q 0 U� Q ylwNww7 a 1 Cl 2 J Hcr 0J I'y°N= mo>QW y >ul ui c V 0 2 W h NY a " ¢o wCa 0 cr ZZ ' uZo2hz" Qa Y Ox LLIZU a a UU ° Z V y 2 U a a Q 3 [ I o U LLI UaQz oLLI 07Q 2 .1 Z F V Q '� 2b oa ul Q ❑ 1 l ¢ 7w Va Z () do a ul Jnai w H Q CL w [ M Q 7z 0 41 N v i /I o coa x s F w h Y z U cr > z (r Q o cr N ,� zC zpO //�� 7 ° !- 7 ul Q h ur u1 7 U G 2 u. i•..d U l Q � Q as 0 Q w o J U ¢ '" I H ul 0�� I d w LL� h < 'to o u C l Cl d F C7 j ° w U a: (A a O F �p, 0 0 [_� � aUQui~ a la J o > a ? i� o a " V .j H rn _laul � O 1 ` w w F! 1 0 z w o rznzW S Q Z ?: O Q1 n h 7QwciTa W Q Z Q h CI ui > r 2 V� C' Z w � UO a w a n F C7 OI QO ui > cr a C) Q v a > a 0 = xi `-" HLL ova r �) Q ['I � o a, 2 c V w o. V1U. w ° � � yvwi o C,.) tnF CI F J U� UZyavui ul 7 7I 1 ` m� n. �Ya f u vLl U, = W o _1 W W d Q ul C' 0 l > Cl r a' w Ltl CU ul iia I cl Irl ri l n, , a f1 1 ul u, p Cl j Itr3 cc Ll 1 w z� Cl Q u,l of ° C7 O u c Ul �► a W inul rn 1 �I Q 7 = n n! 01 Q ? [11 f Cl cl I r o > 171 Q. II t I Cid 0f 70- and Mechanic�ar Permit D New Installation ($ )Pepiare ❑ lelocation ❑ Wdition ❑ Alteration ❑ `"- __ CONTRACTOR OWNER r y_ AnOft r, WORK AUI)9ESS_-11-7-7_p f'hI01Vf_ i 1 1 i'77i-1 c APPLICANT I Hoot Input Rating (13TU Per hour) °f i f i I'!'' t`a Vent Size F!ve Size FU% OIL C GAS aXx%►=LECT ❑ OTH1=rc - 1'CL_A� P1`f: ITEM MIl f_rr_ :1_c)0 P.uflers Over 50 1.11' �r ''ryr Isst��nre of ('r�rrnit _ ..__._,, _.- _._. _ �y-t�nr!Pr 1 !0,000 (1TU l !!t.Oq_ Air�I-jndfinrl ray,,. Air f-ImIlinr!. yrr lfl,r r r, r r1' .� `!�trtr t n. i Eve grntivr C:polcr v Ftif r,r. __ ---r •,',,�� f''no_• Su�penr!a<!- - --� i Vent rnn � �• Irll'. f�n,ltm 'n(-:n votrtr .� .•�, r„Y,...��.-�.n ,-.,...�,••. .,",-'�,i'.'?7 r'C^'ALL C��NTi'.;1�Tnf”' ntl r'.r'.{�i�^1^rnACTCif�� DAT" 11,y nATr .t t r , N O °mnntur`a 'nf An!,r'r,r,nt +.�.M�+-�... -r '.Y.+Y/yMti..W�V,It✓M1„IYw�A.N'IIAAtr�f. i i I t1 I r..,...r..... .. .+. .� ...».++rvwr.w+rf..«.•........+.... • ...r.....�....r--fir.....-...�—..».�.. _. ... _ .»».. ... ,..r .. _.......a..—... � ...r.«..... ...re. Address / , Permit No. Permit charge ?7C»7 Owner , 1� ��,����.�. - Connection fee Paid by Type of building ,�-e-a - Date connected Service rate inspection fee Contractor _ _ Paid by date Size of connection Assessment Paid