13385 SW 115TH AVENUE-1 13385 SW 115TH AVENUE
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CITY Of �t
1pr.L;� 29 7 o
BUILDING PERMIT APPLICATION TIGARD DATE._ __�__., 19 !r– 0778
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED
OR AS SHOWN AND APPROVEC IN THE ACCOMPANYING PLANS AND SPECIFICAJIONS, OWNER PHONE -__
Price Eunice Pri
OWNER ADDRESS . _ ,. BUILDER PHONE
ULAInd Frank ' i.n ENGINEER
BUI DER ��yy _ ARCHITE T _ DESIGNER
STRUCTURE ONEW _ ❑REMODEL ❑4DDITION ❑REPAIR _❑REN_(WAI. __❑FIRE DAMAGE _❑DEMOLITION
❑ RESIDENCE ❑COMM [:]EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CAR PORT ❑GARAGE ❑STORAGE[ISI-As ❑FENCF
QBOND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW r_JCOUNCIL APPROVED ❑SIGIIIS _
OCCUPANCY_ "�_LAND USE ZONc BLDG.TYPE - FIRE ZONE— PLAN CHECK OY 1 1 1 HEAT �~
cunstru'A ['4,4 syo I'Lo I'lamw ger::, : accurdinW to c;arrectad plena.
OCC. LOAD FLOOR LOAD _ _ HEIGHT NO.STORIES _ AREA VALUE
BUILDING DEPARTMENT 43, + tj(14
SET BACKS FRONT REAR 1 FFT SIDE RIGHT SIDE
Permit -- - --_ ----------..-
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
WORK WIL L BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WI TH
Recording 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 LICENSE SEPARATE PERMITS REQUIRED FOR SEWER. PLUMBING AND HEATING.
Total $28084
By
--
APPLICANT OR AGENT -�
Ap�ro�ed Receipt No. '
--- ADDRESS
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
Contractor
Permit No,
le)-,-2,176 oah-jr!_
Fixture
Contractor—_
Final
r4 HEATING
Contractor
Permit No.
Gas or Oil
Finut
SEWER
Final
DRIVEWAY
Final
Storm Drain
—_qe
(Rain Drain) Final
Sidewalk
Curb&Street Final
Approach
BLDG.DEPT'. FINAL TEMPORARY CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY Final
Landscaping
Zc-iing Fio;Al
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Address 13385 S.W. 115th- -� p�rmt No�,.......l�lb,____..________.. ............
Permit
Owner. Robe L. Pape _--_ Connection fee__�QQs��,—.-
Paidby....._. .. _ ..�....__._...,._ ..._..,.....
Type of building� ^Re.,-,. Date connected. YJ�171
Service rate._.._ -__._..._. ...____..__._ Inspection
Cont;racto Paid by._._.�.��..__. Date_
Size of connoction " Assessment —i'e ► d �_..._._�__
��"h ', �; "�!� ;!' ���` � � .___- �<,[,/ etc K • 3 amu'
PERMIT TO CONNECT
Tigard Sanitary District
PERMIT N -
O 1516 DATE
PFRMIT IS GIVEN TO
OF
TO CONNECT A
TO THE SYSTEM OF TIGARD SANITARY DISTRICT
THIS PERMIT MUST BE POSTED ON THE DESCRIBED PREMISES UNTIL CON-
NECTION IS MADE AND INSPECTION OF CONNECTION HAS BEEN COM-
PLETED.
PERMIT FEE PAID #... !.t .� r...............TIGARD SANITARY DISTRICT
u
�
CONNECTION INSPECTED AND APPRO V a
vl
-8uperintendent