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10245 SW SERENA WAY xwfw JEW 10245 SW SERENA WAY 1 3 z v W :i Ln s N O s x OF . ; CSR Y . . I>F C CITY OF TIG_ RD _ OREGON - ' Omer: Jay Miller Builder Permit No. 4193 Address: P.O. Box 23291 � - 10245 SW Serena Way . Building Address: Occupancy: R-3 Land Use Zone: R-7PD Bldg. Type 5N Comments: q� Certificate is hereby given this 29th day of December 19 a2 that said building mai• be occupied and that it complies with all requirements of the Building Code for the City of Tigard, as approved by the Tigard City Council. i = Fire Dept. Spector _ wilding Official °x = Pon` Certificate in Conspicuous Place -- - y1wO.N Y S•. INSPECTION NOTICE City of Tigard Building Department 12420 S.W.Main St. Tigard,Oreqon 97223 Phone: 639-4171 v Type of Inspection Date Raquestod �'�:�"R Time A.M. P.M. Address _� �/� �J�_ _✓�'��... 0 Permit 001 _— Owner _ t - /: Lot Builder The following Building Code deficiencies are required to be corrected: Presented to _- _ _--__.---__—_-- _ - -- --_— Approved Irc,)ector -- Disapproved Gate CALL FOR REINSPECTION D YES y NO INSPECTION NOTICE City of Tigard Building Dopartment 12420 S.W.Main St. Tigard,Oregon 97223 Phone: 639.4171 Type of Inspection --�t_��� ✓ — - Date Requested Time_—_ A. !' P.M. Address Per.nit #-•--- Owner.__ _ �— Lot # Builder_ .04 j -- - j The followin uilding Code deficiencies are required to he corrected: oo — / m- Presented to — [_� Approved Inspector — Disapproved Data CALL FOR REINSPECTION YES ❑ NO 10F. rm INSPECTION NOTICE City of Tigard Building Department 12.420 S.W. Main St. Tigard,Oregon 97223 Phone: 639-4171 Type of Inspection Date Requested Time-_- P.M. Address ermit Owner Lot Builder The following Building Code deficiencies are required to be corrected: Presented to Approved Inspector Disapproved Date CALL FOR REINIPECTION F-1 YES NO BUILDING PERMIT APPLICATION TIGARD DATE— ------- 'y _ 419 THE LINDER'3IGNED HEHEBY APPLIE:,FOR A PERMIT FORT iiE WORK HEREIII INDICATED BUILDER PHONE �.— OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND&PECIFICATIONS. LOOT WNENO. RP�IONE�C_T___. ,717 O\NNFR 111er. 1"'rMB ADDRESS 10'4 5 � --- I - `--- ARCHITEC" t'. 5ax 23251 ENGINEEP BUILDER ADDRESS DESIGNtR STRUCTURE I_f NEW U RU EMODEL _ ADDITION [n REPAIR _ ❑ RENEWAL I0 FIRE DAMAGE ❑ DEMOLITION - - -- 1'flESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ noy,T Ll RELIGIOUS ❑ PATIO ,i CARPORT ❑ GARAGE O STORAGE FJ SLAB❑ FENCE OCCUPANCY -LAND USE ZONE _BLDG.TYPE r'" FIRE ZONE._ PLAN CHECK 8Y HEAT—..-- -- - -- _ " .—r,,st1'nc't Cf.11clj o f.inily 01V7011.ir, r ,1, of 1'er,,li.t: f Yl', 12].tl;� . ...anti 1.>.L<tcf• -- ; , ,r �t7' —� 2T.1;?a ��0.C1f11 H , am SEWER PERMIT# -- — OCC.LOAD FLOOR LOAD 40 HEIGHT l NO.STORIES (' AHEA NO.BEDROOMS ., VALUE_^ BUILDING DEPARTMENT SETBACKS_ FRONT REARH LEFTSIDE RIGHT SIDE Permit THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING -�L REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE Plan Check WORK WILL BE DONE. IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE Subtotal RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS 1:a LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMB NG AND HEATING. State Tax Total - pDGq A-W-10,04- OR AGENT By - Roceipt 140. - - Approved —^_ - AD- DIa1€56 PHONE 1 � DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE /o-✓' V: /Z �� --- - A—------ -- -- Contractor s'�— t✓ �o- 2/^�Z. Permit No. I/� lay ) 0 1' G-ta✓ 4�a�_ Rough _in — �� FIxt-ae i 4 , s f Fir91 --- i�'-I HEATING Contractor�`��- Permit No. ee 23Z Ga r Oil Final -- SEWER _ Final /_ DRIVEWAY _ Final 49- Storm Drainage (Rain Drain)Final Sidewalk Curb&Street Final _ Approach BLDG. DEPT. FINAL �— TEMFURARY ~~ CERTIFICATE OCCUPANCY (CERTIFICATE OCCUPANCY Final Landccuping Jnr;ny Final k �l i t BUILDING PERMIT APPLICATION TIGARD DATE &,+g, THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR Ti IE WORK HEREIN INDICATED BUILDER PHONE OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. oUr4�-n PI-+rn.F - n --T� _ ,_1 LOT NO. a OWNER 1 149,.'JOB ADDRESS 10 7.4i -S 4A! -_�- -_ _ -- - --- ARCHITECT ENGINEER BUILDER ADDRESS� x�3L4( I DESIQNER _ STRUCTURE NEW ❑ RiEMODE_ ❑ ADDITION ❑ REPAIR ❑ RENEWAL ❑ FmEDAM': ❑ DEMOLITION RESIDENCE C❑ COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT C GARAGE ❑ STORAGE ❑ SLAB❑ FENCE or-C; i ANCY --R,---3-.LAN D USEZONO _BLDG.TYPE " FIRREZONE- PLAN CHECK HY -_HEAT _ _.marls? -�----- - SEWER F.ERMIT M 2'312,+ 1 Q I�' 0 0 -- - --- Game. OCC.LOAD FLOOR LOAD 4 iEIGHT �," NO..STORIES AREA ' MNO.BEDROOMS YALU� BUILDING TZPARTMENT SE JACKS FRONT to REAR OL LEFT SIDE ,f.A,r RIGHT SIDE f* J P�rrnit _7 16 •� THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE,;ON!NG O a REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREEIY AGREED TYAT THE Plan Coack WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE Sudtotel •bd RESTRICTIVE COVENANTS.CONTRACTC,i AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS �•G� LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING. i State Tax SDC- Total - ---------------- --' PDC# ^PPLICANT OR AGENT By .T.- Receipt No. _�..,------- -- — Approved _ ADDRESS PHONE SDC - G� , PDC - S 0 V01,b i "qt lseued 4 J. SEWER CONNECTION $ ?0 �p � „ S3�Z R�" G•ZQ ,�?°'� SEWER INSPECTION $ �LAYrR%iv4tat -*J , -_— S E W E R SURCHARGE S ,�-^� Up-lite utme a-�i,7 eva 700 - -----$y3•G. + 49�D--� _ ''"--�'�' ale '" --� __ _ '�C C�.•[ti E� ,C-'�'!tib ,,� ,3 �!''1 b' �- � � � � � �. , l"�' ��I��7rvv °�. ,2 �� �;�� ay . � ,�/��rZ�o l-i ,�r�rL-���-..-- S p J '�°�j l-�,��z7 ��� L�r�� t BUILDING PERMIT APPLICATION -rIGARD DATE_ _.'"`u'' __,1e____ 41 6 THE UNDERSIGNED HEREBY APPI IFS FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PH _ OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER P E ilodga.7n & SC►II 0245 Geriena SAY LOT OWNER 108 ADDRESS ARCH'(7 ECT BUILDER ADDRESS <tt 3. ._ _ LAS sharw S13NE I`lr rc1, i'.trc'j: STRUCTURE U NEW El REMODEL ❑ ADDITION EJ REPAIR F-1RENEW ❑ FIRE DAMAGE L7 DEMOLITION ❑ RESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ P,,TIO ❑ CARPO GARAGE ❑ STORAGE El SLAB❑ FENCE OCCUPANCY ,_LAND USE ZONE _K-7 F 1)BLDG.TYPE ii:_— 'IRE ZON _ PLAN CHECK BY r jLHEAT y� '.un:- uct Sil'Ac, waLA1yudwrjj*1% w/aLtac' .4 arab. �e�t�,a�4w�►4e►r r•rectioc, sheet. .it ;..; ;stili . Ltuilti to providt,. en ,ineerce r :. c avation 'Anspection by a0i13 :ac: }: SEWERPERMITN ` �/+ yd N i P t ;r' li �i'' 1 ae>iynf-d Permit OCC.LOAD FLOOR LOAD HVISPER I T 1 + N0.STORIES AREA 1 1 ti NU.BEDROOMS VALUE BUILDING DEPARTMENT S ONT i REArl J, LEFT SIDE RIGHT SIDE _ P_ermitA IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING ~— NS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT TFIE Plan Check L BE DONE IN ACCORDANCE WITH THE PIANS AND SPECIFICATIONS AND IN COMPLIANCE APPLICABLE CODES AND ORDINANCES. THC ISSUANCE OF THIS PERMIT DOES NOT WAIVE Subtotal , VE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS O. LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING. State Tax { SDC - Total PDCN AP LICAN r OR AGEN T By r4 Receipt No. `Approved L *1. ADDiiE88 - —— PHONE - DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATA Contractor Permit No. Hough-in Fixture HEATING Contractor Permit No, Gas or Oil Rough-in Final SEWER Fine( DRIVEWAY Final S"orm Drainer -7 lRain Drain)Final f' /I� Sidevolk Curb&Street Final Approach BLDG. DEPT.FINAL TEMPORARYC E R TfFl Cj�-T-6—OE77tjijjN-Cy— CERTIFICATr MC PANCY Final Landscaping Zoning Final BUILDING PERMIT APPLICATION T1ZiAP:] OATE_-__.___� ' t9 THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK.-IEREIN INDICATED BUILDER PHONE OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER HIT PRONE _ LOT NO. � OV'JNER t�eh �M►. JOB ADDRESS �U.Z�r�� ha�aVs AR CT G E BUILDER JC.�MQ— ADDRESS R Qpl _ //�� ENGINEER p ��QZt,2�0�7�CNwoK. DESIGN — smucTURC NEW ❑ REMODEL _ 0 A001TION_ ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DE►rIOL117t7N RESIDENCE. ❑ COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB FENCE OCCUPANCY ��.LAND USE ZONE -BLDG.TY,P�E��_FIRE ZONE___"PLAN CHECK BY ^ -HEAL'—�— 04/4 (74"4 e- 111-441CAVII ewft�l6w a id °aQ L (' Cwro, J18110414 SEWER PERMIT a 2 3 CJ24-- d. ICfte�f /D lr X1.1 ft -'/�00 - - - — OCC.LOAD FLOOR LOAD HEIGHT !yl NO.STORIES AREA 3/a NO.BEDROOMS VA.LUF BUILDING DEPARTMENT __� SETBACKS FRONT /Q REAR 3 � LEFT SIDE RIGHT SIDE Permit -------7-' THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE,ZON?NG Q REGULATIONS AND ALL APPLICABLE CODES ANO ORDINANCES, AND IT IS HERr.BY AGREED THAT TF.E Plan Check 7. '�y WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COfAPL:ANCE � WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE 1Sub-total RESTRICTIVE COVENANTS. CONTRACTOR AND SUB t;ONTRACTORS TO HAVE CURRENT CITY BUSINESS 1f� LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING. j State Tax __! -� �q `-- Total 7• �r SDC- Pull PGCE APPI ICANT OR A � By _ Receipt No. _ Approved ArIDRE.SS -- — -�-� PHONE Feeg ct,ll�e� , �dpe .+,� # V00 3 PDC - - rr,, 1 SEWER CONNECTION SEWER INSPECTION $ __ SEWER SURCHARGE 8 n rrI m a rI f a; � lJ /�0�'1• �•/� � �Q�P • �'J"�� �D d �brJ �� looseSW � * t ,#air. Flea- 2v-G x $ -&x 3a 2s9 4 x 39 3 err 7 x 23 IG( Fp X- co to 4/21 � 20-& 5 7)Pe Cal- Of 3 7G VNM T" _ m SIX P�JGc Sow 1310 1310 I LOT*.27Wc,"Le»j N j 1 JOHN McDONALD ENGINEERING; SOILS- CIVIL - GEOTECHNICAL 10116 SE STANLEY AVENUE PORTLAND, OREGON 97722 (503)774-0077 June 6, 1982 I Waverly Construction Route 1 Hubbard, Oregon 97032 I Attn: K.L. Waymire Gentlemen: At your request holes were drilled in Lot 27 of Pick's Landing subdivision to delineate the fill areas. The attached rough sketch shows the depLAS to original soil in the various levels of the lot. The indication is that on the right hand edge of the existing trench the fill is about ten feet deep, and tapering up to zero as shown. In the May 18, 1982 letter to Jim Hodgson different ways of dealing with the fill situation were mentioned. The ground has been cut up such that it is hard to tell whether it would be better to continua cutting to put the footings on original soil with tall stem walls or to excavate for an engineered fill. As things stand there would be a fair amount of fill. Very truly yours, --n PRD � G:N easy >' o3eEcon l/ h �V y`'c y e titi � M oo� l�' !► >•f >1•' B a 4 Curb I Upper, . ,ughly level area I � I I � 0' Approximate limit of fill material Pench about 3' down from upper area trench about 7' down from upper area Sewer easement limit line I I I N _ — — � A Lot 27 Pick's Landing Rough sketch showing depths to original sui.1 , Approximate scale: 1" + 20' June 6, 1982 John McDonald Engineering • Ldf Z� PI-A4 c „I x CC. .x//l'/(&r lo•il•�Z JOAN WDONALD ENGINEERING SOILS - CIVIL - GEOTECHNICAL 10116 SE STANLEY AVENUE PORTLAND, OREGON 97222 (503) 774-0077 May 18, 1982 Jim Hodgson Route 2 Box 286A Sherwood, Oregon 97140 Dear Mr. Hodgson: At your request an inspection has been made of Lot 27, Pick's Landing subdivision in Tigard. According to your information a sewer is said to be buried twenty feet deep about fourteen feet from the planned rear foundation line of a house, and problems arose with wet soil and running sand during sewer construction. The question is whe- ther the lot is suitable for house 'oundation support using shallow spread footings. At the time of inspection the house area had been clea—d of brush and up to three feet of surface soil had been removed. wide trench an additional four feet deep had been made along most of the rear building line. A number of sticks and branches were visible in the upper walls of the trench and some of the upper soil had a sour smell. The bottom of the trench soil was of a gravish brown color with areas of brown color. On the slopes of the adjacent Lot 26, which is slightly lower than Lot 27, marsh type plants wr.re growing. Several hand auger holes were made to check the depth of the fill soils, which were recognizable by the mixed brown and gray colors, the stones and pieces of wood, and at times by the smell. Over much of the existing trench bottom there was two feet of fill before the brown sand was reached that represented original ground. No organic layer was found in any of the auger holes. The deeper soils were wet enough to show a glossy surface sheen when shaken in the hand. The findings are consistent with the idea of a trench that widened during construction. In the absence of documentation of trench backfill quality it is my opinion that the house foundations should not be placed on the fill. Part of the reasoning is that if it were ever necessary to dig up and repair the sewer the fill soil might wash out. Therefore it is recommen- ded that either the footings be placed on original soil or on an engin- erred fill, or that a piled foundation be made for part of the house. Placing the footings on the original soil would mean that stem walls 8 or 9 feet tall would be needed for parts of the house. Rather than form such walls and work in a deep trench it might be better to dig a narrow trench and fill it with concrete. If concrete could be placed 2. at $100 per yard, which is low, a trench 12 inches wide could easily cost $4000 or more as a foundation. This might. be the safest foundation in the case of sewer repair. An engineered fill in a treTLch to original ground is recommP:Lcted to be either of clean beach sand or graded crushed rock. Excavation inspecrion and fill testing would be required to insure that densities achieved were at least equal to 95% of laboratory ,ASTM D698 results. Backfill of un- compacted pea gravel in such deep trenches is not recommended. For safety, a second backhoe with vibrating compactor has worked well on other Wes. The cost of an engineered fill in a trench would probably be about $2,000. A foundation drain should be installed as low as possible tor open dis- charge to reduce the hazard of cave-in during sewer repair, and it is clear that any repair trent_h would have to be heavily shored. Cast-in-place piles come to mind as buildinv, supports but, depending in the groundwater condition, open augered holes might not stay open long enough to be poured. Therefore, wood piles might be more to the point. Even though piles might be needed only on part of the foundation the pile- driving move-in costs are significant and would probably result in founda- tion costs a minimum of $6000 or $7000 over a standard shallow footing foundation. In summary, my opinion is that Lot 27 is not suitable for shallow footing usage and that the other possible foundation types willcost more money. Cutting so much o� the lot off with the sewer construc' ion really does not leave much ground to work with. Presumably the lot will le devel- oped, but to make a proper judgment as to the potentiml of the lot, more information should have been available before the purchase was made. Very truly yours, � � aRIEGO-4 SEINER PERMIT N? 28924 V � Unified Sewerage Agency of Washin n County CITY OF DATE OWNER: •-----��f----�______ �/ �zp� � P H f)N L c OWNER 'S ADDRESS: TYPE OF INSTALLATION: Cl SIDE SEWER ❑ LINE TAP AND SIDE SEWER ❑ LINE TAP TYPE OF OCCUPANCY: 0 NEW ❑ EXISTING SINGLE FAMILY ❑ COMMERCIAL ❑ EXIST. (PRIOR TO 7- 1-70 ) ❑ MULT. RES. ❑ INDUSTRIAL FIXTURE UNITS DWELLING UNITS ADDRESS OF STRUCTURE : via), Permit Cenditions: The applicant agiees to comply with all rules and regulations of the Unified Sewerano Agency. When calling for Inspection, please refer to the Permit Number. The Application expires in one hundred twenty (120) days. The amount paid will be forfeited should expiration occur. The Agency does not guarantee the accuracy of the location of side sewer laterals. If the sewer is not located at the measurement given, the installer shall prospect three feet in all directions from the distance and depth given. If not so located, the installer shall purchase a and Side Sewer' Permit at the current charge and the Agency will Install a lateral at the location specified by it,., installer. I FEES: PEOMIT FEE $ CONNECTION CHARGE LINE TAP INSTALLATION 01HER ISSUED BY TOTAL g APPLICANT DATE NOTICE. - fikY$flr Tri€ . --- -- --- --- - - ------------ - ---- - ABOVE DATE sLv"Eft SERISSESWER PERMIT f,NARGE WILL BEGii� X09 THIS, PERMIT. N:U 23924 ADDRESS OF STRUCTURE TAX MAP TAX LOT SYSTEM LOT BLOCK OF APPROVED BY DATE ISSUED BY f)Alf D. U. ' S REMARKS r BUILDING PERMIT APPLICATION TIGARD DATE.— May 3' 19_� THE UNDERSIGNED HEREBY APPLIES FOP A PERMIT F OH HE WORK HEREIN INDICATED BUILDER PHONE 05'7077 OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNFR PHON E _ LOT NO. 87 —' OWNER -i i.iIf yTadgaala JOB ADDRESS 10245 S.W. rena lfaw Landint .i oOe ARCHITECT BUILDER ADDRESS r Bos 28611r �l1e>R7100dDESIIGNER Pica Baralay STRUCTURE JNEW ❑ REMODEL ❑ ITION REPAIR ❑ RENEWAL ❑ FIRE DAMAGE U DEMOLITION h4 RESIDENCE U COMM ❑ ED_UCATI VIT_ IpI0U8 ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE OCCUPANCY _ LANDUSEIE ---- p L G.TYPE S �_ FIRE !ONE— PLAN CHECK BY — HEAT Cbn --� Ing w/attached garage 3 bedws 3 - baths -- - rzeati eet attached �— re-- --_ SEWER PERMIT# 23 24 $ NT) m 310.00 Garage 420 sq. ><t. � — OCC LOAD _ FLOOR LOAD I-_HEIGHT 16 NO.STORIES Z AREA 2054 NO.BEDROOMS VALUE 77,71)o _ BUILDING DEPARTMENT SET BACKS FRONT 19 REAR 31 LEFT SIDE RIGHT SIDE 46 1. (1 - - - -- —-- _ Permit $' U THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE ZONING 3.��55 REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE. Pian Check WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE 6Ur� r WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE Subtotal _ RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS State Tax 14.68 LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING. SDC-- ; 400 Total 620.23— /•J��r� —._-- — _ II 100 i PDC# APPLICANT OR AGENT' d� Y �' -- ._ ` Receipt No. Approved __ ADDRESS hHC)NF BUILDING PERMIT APPLICATION TIGARD DAT !R Tl�Ari� �is THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE W OFIK HEREIN I Dlr,ATED BUILDER PHONE ���0•I rJ OR AS SHOWN AND Ari-HO'r'`n IN THE ACC'N",PANYING PLANS AND SPECIFICATIONS. OWNER PHONE J LOT NO. O'rJr�EFl `j QY1 JOB ADDRESS It) 4S' S4� SMIaba a +� H I TECT n A Q�� ENGINEER (�r BUILDER Q� ADDRESS gait .20&4 ins SIGNER STRUCTURE NEW ❑ REMODEL _ ❑ ADDITION_ ❑ REPAIR ❑ RENEWAL_ ❑ FIRE DAMAGE ❑ DEMOLITION RESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOVT ❑YRELIGIOUS_�❑3 PATIO L7 CARPORT C3 GARAGE G STORAGE C3SLAB❑ FENCE OC;�iiPANC ,LAND UgE ZONE BLDG.TYPE7.1-M-FIRE ZONE "PLAN CHECK BY HEAT _ SEWER PERMIT M 3'Z 0 OCC.LOAD FLOOR LOAD�4J HEIGHT �� NO.STORIES �, AREA 20$4 NO.BEDROOMS __- -- A _ ODMS VAL_Ur77.1700 BUILDING DEPARTMENT SET BACKS FRONT q REAR LEFT SIDE RIGHT SIDE tp Permit 00•doD THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE,ZON!NI /I� ?���� REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED TN,AT THE I.Plan Check C 7 WORK WILL BE DONE IN ACCORDANCE. WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOY WAIVE Sub total RESTRICTIVE COVENANTS. CONTRACTO AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS _sT /�-GB LICENSE.SEPARATE PERMITS REOUIR6b FOR SEWER,PLUMB�i�jj AND HEATING. j State Tax v `[, A SDC-- V Total �.�2 n• •Z 3 � Q __ PDC# APPUG AF0 OR AGENT --"T -- By Receipt No. Approved — ADDR SS -'�- PHONE SEWER CONNECTION $ ?,s SEWER INSPECTION $ 3S' SEWER SURCHARGE $ Cnr�rnncl�c,� —_\ A01A � Lta . � �� i� 7� 8) IN^QsIIRAA r 3VA h1o� so „� '�1 19l z 4wv,,,a Watt Lp+�.��• P��,LA�.��� d AdItrw FloW 41a x 22 too �G -G x r P s 'k II x 3 33 F ion : 14z.,t Y-lo ,zo$ 7-aM // 7a 240x ? 234 /O-ax 3 3L AWA 3 . 2 x ?-4 �1 8 K 1p-io 3t .n� 17-4x /— L 2 3 ell Q"Q /4 /3-�• x 13 M ��ae �w• 7�