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11_900 SW 1J 3TH PLACE
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' `herb Morissette ........ . .Permit No... .. 11.70
O\\TIE'r .................................. .... ......... ........_...... k
11900 SW 113th P1..• ...._...
Building Address.......... ....... ....... -- ,"
' Certificate is hereby given this......?9......day of......3une.........- 19..7.7. p
that said building may be occupied and
that it complies with all requirements of
the Building Code for the City of Tigard,
as approved by the Tigard City Cou.uil.
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hlid nR Inspector
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City of Tigard
INSPECTION REQUEST
QUEST
for
INSPECTION TIME: 411-4 PERMIT NO. :
DATE: 3 /zf/V DATE ISSUED : I I
OWNERS NAME : hIoris so 7Yv
ADDRESS: -- J-v� IV ll900sc,i //a.or
CONTRACTOR : -(l/W
TE"T : Air D, Water [I Visual , Laboratory �]
RESJI_T: Approved Disapproved C Pending [I '
SKETCH:
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INSPECTOR DATE
F—MOTE: Attach supplemental test data hereto]
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I City of Tigard
I
INSPECTION REQUEST
for
INSPECTION TIME : in - PERMIT NO. :
DATE: .S-L�/,172 DATE ISSUED:__1_1_
OWNERS NAME : �Zc/'IsSF r7 ,
IADDRESS : /�®®--/ C—)
CONTRA
C T 0 R :
TEST: Air I D Water� [� , visual Laboratory ❑
RESULT: Approved ;)X/, Disapproved D Pending p
SKETCH.'
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INSPECTOR DATE
! COTE ' Attach supplemental feet data hereto
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City of Tigard
INSPECTION REQUEST
for
INSPECTION TIME ' -L PERMIT NO. :
DATE * _2 // / DATE ISSUED _ I Z i
OWNERS NAME .* �Qc
ADDRESS r=K iii
CONTRACTOR : - //7& Q Z/44*O �
'EST . Air U, Water ❑ ,, Visual 0 , Laboratory [] i
RESULT: Approved EY , Disapproved C , Pending p
'SKETCH. I
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Ifol0kCTOR DATE
r ILOTS Attach supplemental tett data bereto�
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City of Tigard
INSPECTION REQUEST
for
INSPECTION TIME: PERMIT NO. :
DATE : J Pyl ?2 DATE ISSUED -
OWNERS
SSUED .__OWNERS NAME :
ADDRESS: �� ✓4' _.�� 1/� '�� -'�'. -
CONTRACTOR : __._
TEST : Air [], Water C] , Visual C3 , Laboratory ❑
RESULT: Approved 0 Disapproved r , Pending D
SKETCH.
INSPECTOR DATE
[OTE: Attach supplemental test data beret]
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UNIFIED SEWERAGE AGENCY NO. 11004
WASHINGTON COUNTY DATE 11-22-76
CITY OF___Tinard
APPLICATION FOR SEWER CONNECTION PERMIT
OWNER: ---H2ZbL M r'rj-SjS-2P6-t P
OWNER'S ADDRESS: --- - ------
STREET -
CITY
BUILDING SITE: LOT 14 ---- BLOCK ADDITION
residence
TAX I.OT NO. TYPE OF OCCUPANCY
11900 SU, 113th P1.
ADDRESS
DWELLING UNITS FIXTURE
SURCHARGE IF APPLICABLE .
PERMIT FEE INSPECTION Fr-E ?5-.DJ3.- TOTAL DEPOSITED -611.12.00
(NEWj (EXISTING) BUILDING SFWLR SYSTEM X----r2nnac-rmsek- -
The Applicant agrees to comply with all rules and reg,ulatibns of the Unified Sewerage AgencN
APPLICANT--.,
SEWER PERMIT
THIS PERMIT AUTHORIZFS CONNECTION TO THE SEWER SYSTEM.
LINE SIZE - INSTALLER
C-
BY---
RECEIVED '_`"_.-._.__-
(AGENCY 04 ITS GENT)
COMMENTS: Bldg. ;-1170 Laron Heights
This Application and permit expires in one hundred and twenty (120) days.
'The amount paid will be forfeited should expiration occur.
i
BUILDING PERMIT APPLICATION 10 Y TIGARD DATE 11-22-76 —_ f t"0
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED 13UILDERPHONE 246-8603
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS OWNERPHON97
LOT NO.
OWNER Harb Morisset`E' JOB ADDRESS 1900 S%J 113th P1, HOME ADDRESS
ARCHITECT
ENGINEER 1�11ch
BUILDER 5�me ADDRESS DESIGNER "
STRUCTURE _ ; NEW ❑REMODEL ❑ADDITION ❑REPAIR ❑RENEWAL ❑FIRE DAMAGE ❑DEMOLITION
RESIDENCE ❑CO'AM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CAR PORT ❑GARAGE ❑STORAGE❑SLAB ❑FENCF.
_ ❑BOND ❑MOV ING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑_SIGNS
OCCUPANCY_1LAND USE ZONE d-7 BLDG.TYPE FIRE ZONE .� FLAN CHECK BY HEAT yesyes—___
cona►t. viule fine#ly utielling w s flreplaco & wj'garegc�. per plans efiests 1-2-3
The on
_ 3 bedr iom w beth _ ksra'p 420 sq/ ft+
(SCC.LOAD FLOOR LOAD HEIGHT 15 NO.STORIES 1 AREA1204 NO.BEDROOM 3 VALUE30 ��_r14"
BUILDING DEPARTMENT SETBACKS FRONT 20 REAR 31 LEFT SIDE 8 _RIGHT SIDE 21 _
Permit 130'70
THIS PERMI I IS ISSUED SUB,IF.CT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check fJa+nO REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
WORK WILL BE DONE IN ACCORDANCE WITH THF PLANS AND SPECIFICATIONS AND IN COMPLIANCF WITH
Sub-total ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax 1
J 5 LICENSE. SEPARATE PERMITS REOUIRED FOR SEWER, PLUMPING AND HEATING.
Total 10Q Q J
By
APPI ICAN t (?R AGF"I
Approved Receipt No. l
ADDRESS ----
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DATEINSP. TYPE I PECTION REMARKS PLUMBING DATE
J�7-`�� 6 Contractor
✓� b __ Permit No. 6 os S/-7(_
Rough-in
/ - Fixture _
Final
HEATING
aQ Contractor
Permit No. 7/ /1 ;la-A
_ Gas or Oil _
Rou h-in
Final _ T—
_�— _ SEWER
Final
DRIVEWAY
--- ---- ----- ------ __ Final
Storm Drainage
(Rain Drain) Final
-- -- --- —._�� ---_— Sidewalk
Curb&Street Final
__- F, roactiLG 3—V 1
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BLDG DEPT. FINAL TEMPORARY CERTIFICATE OCCUPANCY i—
CERTIFICATE OCCUPANCY F final
L anrlsral)1ng
7onuiy F final (\
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7o Address .�/9�) ,�,u //.3 Permit No.
Permit charge 0 Z t!_
Owner _� �1��?� , . 7` _ Connection fee
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Paid by
Type of building 'L -� Date connected
Service rate /5� Inspection fees
Contractor Paid by date
Size of connection Assessmont Paid