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9300 SW HILL STREET-1 9300 SW HILL STREET i I •-i �i 7 i Q tTl OF OC CITY Off, T'ICARD ()121GON Paul Johnson 0261 jJ Owner:.. .............................................. Permit No. I �,,• Bifliding Address................y30..... ..w'...Hi1......Street .........-........................... � Cerlificnip is hereb �•i 24th October 75 P4 y vcn this....... ........day of .... ...........-........---- -, 19.......... that aid building may be occupied and that it complies with all requirements of • ' � the Building Code for the City of Tigard, Z " its approved by the Tigard City Council .: >, ....... ........................ ..... ........................ , f. ayr Bu?lAtn.. ..Inspector � V A � •• u+wen U!♦. � �. wre� � ww wr ■+r +wr I I City of Tigard I INSPECTION REQUEST for INSPECTION TIM ,PERMIT NO. : I DATE : _ DATE ISSUED:_._, OWNERS N:41VIE : IADDRESS : -9.3oo ICONTRACTOR :----- -- — -- - --- -- TEST: Air ❑, Water Cj , visual ❑ , Laboratory ❑ f RESULT. Approved Disapproved 0 , Pending p SKETCH: Q Z7 � � z NSPECTOR DATE [OTE: Attoch supplemental test dato herst1 ADDRESS -3 �.- PERMIT N0. -6- :.��,u.L'u `�- " PERMIT CHARGE none OWNS _�1,�,` CONNECTION FEE �a� PAID BY TYPE OF BUILDING a �U +��� DATE CONNECTED SERVICE RATE �tir�d z�N INSPECTION FEE PAID BY DATE CONTRACTOR ��� ;.�------- � �i ASSESSMENT PAID _. SIZE OF CONNECTION �J` - """" City of T ilgord INSPECTION REQUEST for INtprC-TION TIME: PERMIT NO. :---- DATE: DAT E 15 S UE D 0WOERS NAME : ADDRESS: C 0 NT R A C TO R : TEST *. Air El, Water(1 , VisuclIx, Luboratory E) RESULT: Approved 0 , Disapprove endinq o SKETCH. INSPECTOR DATE FrTF Attach supplemental test data beret ZY City of Tigard INSPE^TION REQUEST for INSPECTION TIME: �l� ��� PERVIT NO. : DATE: _' DATt ISSUED :- 1_ QV.NERS NAME ' _ - ADDRESS: _--1710v f/+- CONTRACTOR : - TEST ONTRACTOR : -TEST : Air ❑, Waterd, visual X, Laboratory D RESULT: Approved , Disapproved O Fending [] SKETCH. l - C7 ' 1 6131 � INSPECTOR DATE ' FYOTF Attach •, ,r emnntrl '.es' data Aereta7 I UNIFIED SEWERAGE AGENCY NO 5034 WASHINGTON COUNTY OA 11 J-2-7S CITY Uf= --- --- Tigard - APPI_ICAT 10N 1-013 SEWER CONNECTION PERMIT OWNER: —_.._— Pay.1.--J0son-A__RoQor Grahn contractor) OWNER'S ADDRESS:------ 9655 S_.W. Cypress STREET _ Beaver_tonOregon 97005 CITU STATE BUILDING SITE: LOT_11 BLOCK ADDITION — Burnham Park Subd. TAX LOT N0. - _.... TYPE OF OCCUPANCY _ residence ADDRESS_._ .-----9300 54U. Hill DWELLING UNITS_.---...,---- - -- FIXTURE UNITS _ SURCHARGE IF APPLICABLE..__ PERMIT FEE.—.3215.--._—. INSPECTION FEE ___75_ TOTAL DEPOSITED I W (EXISTING) BUILDING SEWER SYSTEM .__.,_Fenno Creek The Applicant agree! to comply with all rules and re ul tions of the Urified Sewerage Agency. APPLICANT— SEWER PPLICANT.__SEWER PERMIT THIS PERMIT AUTHORIZES CONNECTION TO THE SEWER SYSTEM. LINE SIZE -_ 411 - -- INSTALLER RECEIVED BY f m kt,1,4 �1 --.._...—._— AGENCY OR ITS AOENTI COMMENTS:.__buil dr ng # 0261 This Application and permit expires in ninety (90) days. The amount paid will be forfeited should expiration occur. �„�p,,,�..,,+�rrr!„R•av�Mlw�yl,tt.,q+�rewwv.,.w.q�wa1M►�.^�IMt'9nw-llw:r�'�'"".w'�.'°rR.,.�..�c+eM�1�.w�r�.ww. CITY ar 5-2 75 N2 0261 BUILDING PERMIT APPLICATION TIGARD DATE — t9--- THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED WNER PHOT` ---- OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPEi1,fjCAi!!0 �irniliiam P ark' QWNER i)dkjj w1dPlTA�t3n ADDRESS ?I� ` Ftp _ BUILDER PHONE ENGINEER S"n,jar G+rahn ASI E DESIGNER — -- }]j,+ILDER �— STRUCTURE _ ONEW ❑REMODEL _ ❑ADDITION ❑-1REPAIR []RENEWAL �OFI��RE DAMAGEODEV101_IT,ON 0RESIDENCE COMM ❑EDUCATIONAL_ ❑GOV'T ❑RELIGIOUSQPATIO ❑CARPORT ❑GARAGE 0STORAGE[:]SLAB OFEN�;E BOND ❑MOVING — ❑CONDI'TIONAL USE ❑DESIGN REVIEW (:]COUNCIL APPROVED ❑SIGNS r S {'i! Nay�.t�r:• OCCUPANCY_...__—LAND USE ZONE _7 —BLDG. TYPE FIRE ZONE PLAN CHECK BY WEAT curistlruc t, 1187 sq,. ft. frame dwallirlg attached garege ---- no iaanomant mccordinq to approved pleas — _-- ---- - 1 1813 trot 24#800 QCC. LOAD 0.11b NO.STORIES AREA'' VALUE FLOQR LOAD HEIGrIT -- il0; 20 RIGHT SIDE BUILDING DEPARTMENT SETBACKS FRONT REAR— LEFT SIDE Permit x.1x•GO -- THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING Plan Check 56 03 REGULATIONS AND ALL APPLICABLF CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH Recording — ALI. APP!.ICABLE CODES AND ORDINANCES. THE ISSUANCE' OF THIS PERMIT DOES NOT WAIVE -- RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS 1%State 1.17 LICENSE. SEPARATE PERMITS REQUIRED Fn:. SEWER, PLUMBING AND HEATING. Total By APPLICANT OR AGENT - _-- v --�-. Approved -- Raceipt No _ -- -'— ADDRESS r DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE JI- z ` o'� o cy� Contractor acv OCL) Permit No. b o 3 — V Rough-in — Fixture Final ----- — -- �p,Q'--7r HEATING '^� _II�K►�L— -,_y-_' i— contractor —_ �/ "� 7S — C�r�c.Pi✓ -- v� --- - Permit No. -- �f" _.- ,l.,r Tr`j n c k �►�P� — R ou h i n - .z _ Final SEWER —-- Final _ DRIVEWAY Final Storm Drainage _ (Rain Drain) Final _ --_ — — — _ Sidewalk-.—_7-_Z '- Ci —� F &Street Final -- BLDG.DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY i CERTIFICATE OCCUPANCY Final —_ —^-- Landscaping Zoning Final t i I I 1 }} r �7 y Waskington Counf y Tine Company, Inc. 9820 S.W.Beaverton-Hillsdale Hwy. 158 East Main Street Beaverton,Oregon 97005 Hillsboro, Oregon 97123 Phone 643-5655 Phone 648-0531 G Ca here is a di f f erencv �s w w w w o w wap Order No. 518960 EXHIBIT "A" PARCEL I A portion of Lot 12 , BURNHAM PARK, Washington County, Oregon, more particularly described as follows; Beginning at the most Northerly corner of. said Lot 12 ; thence South 46°50 ' 34" West along the Westerly line of said Lot 1.2 , 30 feet to the most Southerly corner of Lot 10 , BURNHAM PARK: thence South 411 50 ' 36" East, 48 feet more or less to a point on the Northeasterly line of said Lot 12 ; thence North 09007111" West along said Northeasterly line, 55 feet more or less to the true point of beginning. PARCEL II Lot 11 , BURNHAM PARK , Washington County, Oregon, EXCEPTING THEREFROM the following described portion thereof: Beginning at the most Southerly corner of sald Lot 11; thence North 09107111" West along the Southwesterly line of said Lot 11 , 50 feet more or less to the point of intersection with the Southeasterly extention of the Southwesterly line of Lot 10 , BURNHAM PARK: thence South 41°50 ' 36" East along said Southeasterly extention, 60 feet more or less to a point on the Southeasterly line of said Lot 11 ; thence Southwesterly along said Southeasterly line 32 feet more or less to the true point of beginning. J r� iij HA >\/J r wI-.E ,1 :1� � 8 S 41 G> THIS MAP !S FURNISHED AS CONVENIENCE BY: 301 WASHINGI ON C.0UNT'( LF Co. 174 nc Hiil nboro, Oro- �, 6,43 05311 �6 _5635 THIS MAP IS NOT A EY AND DOr Tr HOU/ THE LOCA-[!') OF ANY IPAPRRVE- M. 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