9655 SW MURDOCK STREET 9655 SW MURDOCK STREET
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BUILDING PERMIT APPLICA1ION TIGARD DATE June h tenb_ ��y4870
1.90 C/
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE 11011 lth6_
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER
NO P ZS r j QAC 22
OWNER JOB ADDRESS 5W aurdgfk St. __ -- --- --
_ ARCHITECT
[NGINEER
BUILDER Sarne ADDRESS DES'GNER
STRUCTURE ❑ NEW [4 REMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL ❑ FI REDAMAGE—_[J DEMOLITION
Cx� RESIDENCE ❑ COMM ❑ EDUCArIONAL D GOWT ❑ RELIGIOUS LJ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB El FENCE
OCCUPANCY - ;i_1—LAND USE 70NE .��_BLDG.TYPE 5N —FIRE ZONE PLAN CHECK BY�KT44 HEAT
...natriict ,s_aW aLUiLisi � 7J1 X 24 a rut wil ify exiaLil1iaYea to
SEWER PERMIT# 'OnC?
OCC.LOAD FLOOR LOAD +1,) HEIGHT _Ly,ANO.STORIES I AREA 4>I 0 NO.BEDROOMS VALUE (,U(10..
BUILDING DEPARTMENT SEI BACKS FRONT L, REAR 11% LEFT SIDE —_ RIGHT SIDE
Permit ]f1.5t1 THIS PERMIT 19 ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
-----
REGULATIONS AND ALL APPLICA3LE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check jy.i_;SWORK WILL BE DONE IN A(:CORUANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF Ti;:!- PERMIT DOES NOT WAIVE
Subtotal i .2Mt RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
LICENSE.SEPARATE PERMITS REQUIRED FOR SE'..FR,PLUMBING AND HEATING.
State Tax 2.2o
SDC-- ' % r, ,, t J
Total 95,49 PDCM
APPLICANT OR AGENT
By LF1
Receipt Naf PHONE
Approved -.-- }�[�{� ADDRE88 —"—___�_ _.,.
I
�s
_ REMARK4 PLUMBING DATE
DATE INSP. TYPE INSPECTION Contractor
_ "I mit No.
Rough-in
Fixture
-- -
Final�
�_ - 11Eh'FING
Contractor
Permit No.
Gas or Oil
Rough-in
Final
-+`—U
SEWER
��_ -
infil
--- -- -�-_ DRIVEWAY
final-
-- -� Storm Drainage._
olsin Drain)Final
Sidewalk
Cuurr-b&Street Final
Approach
BLDG. DEPT.FINAL TEMPORARY CI RTIrICATE OCCUPANCY I Final
CERTWICATE OCCUPANCY —
Landsceping
Zonin 'Inel
w w1w ■Ir �[ t tip +ger a
City of Tigard
INSPECTION REQUEST
for
INSPECTION TIME :- A-SAlb _ PERMIT NO. : _.
DATE : _ 1/21 75- DATE ISSUED: _.Z
OWNERS NAME : a-0-60
ADDRESS : "�L �[.y M4.4
1 CONTRACTOR :----
TEST. Air O, Water [3 , Visuax, Laboratory p
RESULT. Approved , Disapproved O , Pending [j
SKETCH c,'4 .5 a,� s11
G �'� r�
I
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I INSPECTOR DATE
IE:NQTE : Attach supplemental test data keret]
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City of Tigard
I
INSPECTION REQUESr +
for
41 Ile
INSPECTION TIME: PERMIT NO. :
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DATE: DATE ISSUED '.—,--,Z--/--
OWNERS
SSUED :_.__l.1—OWNERS NAME '.
ADDRESS.' —
CONTRACTOR :
DDRESS: _CONTRACTOR :
TF 3T .' Air F-1, Woter q , ViauaX Laboratory p
Mote a••-v' ; n Pending [] "
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UNIFIED SEWERAGE AGENCY NO. 5072
WASHINGTON COUNTY DATE
C'I 'TY U F..___ T' (-,�,r d
APPLICATION FOR SEWER CONNECTION PERMIT
OWNER: _---_. -�-- Eugene E._Hanson
OWNER'S ADDRESS: 9655 S.W. Murdock
..- -- -.__ ___
STREET�
Tigard Oregon 97223
CITY STATE Zip
BUILDING SITE: LOT __ BLOCK __ ADDITION ._._
TAX LOT N0. __— TYPE OF OCCUPANCY residence
ADDRESS 9655 S.W. Murdock St.
DWELLING UNITS-.. ___ -__ 1 -_._. FIXTURE UNITS .-
SURCHARGE
NITS .-SURCHARGE IF APPLICABLE __
PERMIT FEE . - 98_300_ _ INSPECTION FEE _25__ TOTAL DEPOSITED _. 325
(NEW) (EXISTING) BUILDING SEWER SYSTEM ._. Fanno Creek T
The Applicant agrees to comply with all rules and regulations of the Unified Sewerage Agency.
APPLICANT-.-_
Gi
SEWER PERMIT
THIS PERMIT AUTHORIZES CONNECTION TO THE SEWER SYSTEM.
LINE SIZE -_------ -__ -- - INSTALLER
RECEIVED By--.
-(AGENCY OR ITS AGENT --
COMMENTS: .-_ s-ewer became available the beginning of 1975
This Application and permit expires in ninety (90) days. The amount p iid will be forfeited
should expir;,tion occur.
-D
DER P'1064E.La?
THE UNDERSIGNED HEREBY APPLIES FOR APLAMIT FOR THE 1NOIliK fIL.IN INOICAi LD uulL .Tk!C�Nf
GR
SHOWN)ANDAPPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. LOT No� ?
!09 ADDRESS ARCHITECT
-" ENGINEER
DEjIG
c�1
I� ADOITIO'J A ❑RE'IE'-lq�•. FIRE DA?RAGE ❑DE1dOLIT1
STRUCTURE _ CEL C ----
�-f1ESIL�E^I::C ❑CQ►t�.1 ❑EDUCATIONAL C]GOvT ❑RELIGICUSC]PAnO IJ CAR PORT ❑GARAGE []ST�ORAG ❑SLAB ❑FEn
S -FIRE ZOtIF �-PLAN CHECK BY_ HEAT- -
CCCQP.\t__Y��L . USEXONE OLOG.TYPE_ -
'G L t
_�E lJ ER PERMIT
1T �t41� -- - ---�►
.:.0_p _ FLOOR l-Q R. G---�IFIGHT r� `- NO STORIES ANE SLID ~- VALUE �C _
!.� q
w 5111LQIN ,DEPARTMENT SET 8ACK5 FRON�L l LE
, REAR �7 FT 51[�F ^� -RIGHT SIDE C�
V_ --
-Z.. - J
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATION" CONTA1N713 IN THE BUILDING CODE, ZON
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�hrck
/. REGULATIONS AND ALL APPLICABLE CODES AND ORDIF'AACES, ANO IT IS HEREBY AGREED THAT
r�.
WORK WILL BE DONE IN ACCORDANCE 1YITH THE PLANS AND SPECIFICATIONS AND IN CGh1PL1ANi.E K
$UJ t�tdl ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF Ti-'.IS PERMIT ODES NOT WA
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB COVTRACTORS TO HAVE CURREt1T CITY 9USIN
Tax LICENSE. SEPARATE PERMITS REQUIRED FCR SEWER. PLUMBING AND HEATING.
- _
SDC
T PDCr
".�.i APPLICANT OR AGEr'T
Receipt No
]DC -- $
PDC
SEWER CONNECTION $
SEWER INSPECTION
SEWER SURCHARGE $
C o mm h n t s : --
l +
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ADDRF_SS_ci5S PERMIT MO.
PERMIT CHARGE none
OWNER CONNECTION FEE t> k
PAID BY
TYPE OF BUILDING , CRATE CONNECTCD
SERVICE RATE „��{,�
INSPECTION FEE
CONTRACTOR PAID BY ...�aDATE
SIZF OF CONNECTION ASSESSMENT PAID