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11475 SW SPRINGWOOD DRIVE 114/5 SW SPRINGWOOD DRIVE 1 ca n v n n an t- N d cn Ln C- d .-I 1 1 ! ■l'll�'ir � � � � ADDRESS �y� ..J PERMIT r.O.___ PFRMIT CHARGE .___._..none LIiJNER ✓—+jCONNECTION FEE SSS PAID R Y TYPE OF BUILDING S GATE CONNECTED SERVICE RATE � INSPECTION FEE CONTRACTOR PAID BY DATE SIZE OF CONNECTION ASSESSMENT PAID 3l So -/ y City of Tigard INSPECTION REQUEST for INSPECTION TIME:: .. L� PERMIT NO. : DATE: Z- DATE ISSUED . . OWNERS NAME .,--/--e./�Z-- /lf�T SP,uNGu-a�n� ADDRESS: -LtE•, ..< <a CONTRACTOR : tES i : Air p, Water Q , Vie,ual,k(, Laboratory Q 3ULT: Approved Disapproved C Pending Q SKETCH. INSPECTOR GATE COTE: Attach supplemental test data bereta-1 w City of Tigard INSPECTION REQUEST for INSPECTION TI VIE * % �,_ PERMIT NO. : DATE: -- DATc ISSUED: J-- OWNERS NAME : ADDRESS : CONTRACTOR TEST. Air 0. Water ❑ , yiaual, , LaborotorY r RE$.1Li y- Approved Uiaapproved ❑ , pending J . � , SKETCH: /Iy T I I I I I INSPECTOR DATE C�iTE Attach supplemental tett data heroig I City of Tigard INSPECTION REQUEST for INSPECTION TIME :__ % a PERMIT NO. : .._...�__ DATE: 131ZZ DATE ISSUED:_._.L_L_. OWNERS ADDRESS . CONTRACTOR :- TEST . ONTRACTORTEST. Air [J, Water u , Visual ❑ , Laboratory p I RESULT: Approved 0 Disapproved 0 Pending !J I SKETCH: i I I e 1 ,L__L._ INSPECTOR DATE CNIDTE Attnch supplemental lest data hereto 1 1 i . City of Tigard INSPECTION REQUEST i for 1�710� INSPECTION TIME : PERMIT NO. : — DATE: O. : __._DATE: `� DATE ISSUED:_..,'L_ OWNERS NAME ADDRESS : CONTRACTOR :--------- TEST'. ONTRACTOR :__ —_---_TEST. Air 0, Water [] , VisualorLaboratory ❑ IRESULT: Approved , Disapproved 0 , Pending i j SKETCH: —' --- --- I I i INSPECI,7R DATE _ COTE Attach supplemental test data hsreta1 xwww M City of Tigard INSPECTION REQUEST for '1"0 U INSPECTION TIME :.aL%.Z_ PERMIT NO. : —w.._ DATE: 1--e1WJ2L DATE ISSUED' �._L OWNERS NAME .' — ADDRESS : AME . —ADDRESS : —.�:=_ '•� ,�_�z� ` I CONTRACTOR TEST. Air L7, Water I� , Visual !�1 , Lohnratory [] RESULT: Approved , jisapprloved O , Pending I SKETCH: I 1 ECTOR DATE COTE . Attach supplemental f� ft dare hereto ., ra*sw.�s+wr.c!!•--- ---^^1r..��w-'�'•--" --..-.�•q,_-.`---••'�W�.-..,�.-�r7-•TC•R,•..-.sl,,,..,.,,�.w _. BUILDING PERMIT APPLICATION SOF TIC ARIDDATE 11-10-76__' 19__1—lfl-75 THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATL'j 3UILDER PHONE _. OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNERPHONE Job Stith LOT wO. OWNER JOB ADDRESS HOME ADDRESS 38010 ARCHITECT ENGINEER BUILDER ADDRESS DESIGNER STRUCTURE ❑NEW 0REMODELrr--tt ❑ADDITION ❑REPAIRS, ❑ rI--U ❑RENEWAL ❑FIRE DAMAGE ❑DEMOttLITION GRF.SIDENCE ❑COMM ❑EDUCATIONAL LJGOV'T ❑REL.IGIOUSOPATIO L_ICARPORT ❑GARAGE STORAGEQSLAB FENCE ❑BOND OMOVING OCONDITIONAL.USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS OCL!IPAN Y U Er-Z — BLDG. T E FIZONE.__ 1. LA PN C`ECK B1' —Z.T rRE • Ter 340 OCS. L06D--,_--FLOO R LOAD HEJSHT---.._ a Nt sg�l) S- �rj�.4REANO•B0V.F30.QM5 _VALUE __y - BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE Permit —1. —�— -- --- THIS PERMIT IS ISSUED SUBJECT TO THE P.EGULATIONS CONTAINED IN THE BUILDING CODE, ZONING Plan Check REGULATIONS AND ALL APPLICABLE 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 Subtotal ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PFRMIT DOES NOT WAIVE -- RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS State Tax J LICENSE. SEPARATE PERMITS REOUIRED FOR SEWER, PLUMBING AND HEATING. Total BY -- -- -- --- -------._.._. W nNT OR AFFNi f - Approved Receipt No. __.. DATE INV. TYPE INSPECTION REMARKS -� Pi UMBING DATE --- _-__ Contractor _ - Permit No. �/fC- �.2-6-762 4,76 - " a Fixture _.. - .— ? Final _ -- HEATING — l�Le.ad.-s� Contractor Permit No p --._— -- Gas or Gi; ------ Rou -in —_. -- -- —� Find _—_ — — SEWER/?. •�► — -- _— Final — — --_ DRIVEWAY — ---- Final Storm Drainage Rain Drain) Final it —� —_ — Sidewalk _ - - ----'----- Curb&Street Final BLDG DEPT.FINAL — TEMPORARY — A roach CERTIFICATE OCCUPANCY CFRTIF C4TE OCCUPANCY Final © Lan,*capinp — Zoning Final ,f 'i ;,;w �N�,�.��i.: NM°H�4��'l��p�;a„ ,,41� ';yt+F�;3''�•a�F,�' i'��;i'.�'� '`' `'' I i CITY GFS �� qlo — 2►�!I1 f�rt]1/.iT A�Tr1t !J/lT?/1i!' ;� '� DATE. �� O r9!a V �C� -wS 'INDERSIGNED HEREBY APPLIES FOR APERM'.T FOR THE WORK HEREIN HYDICATED OR AS SHOWN AND APPROVED !N THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWN_R PHONE 0,.-4%-rt3 ADDRFSS / ly7.Y"11jV /1l�.t�r BUILDER PHONE ENG'NEER a.•,. rlcP w Q APCH'TECT 06SIGNER ST4UCTL'PE (EW RE.jOOEL _�A1ODITION C]REPAIR ^RENEWALyFIRREDAM4GE r�DEMCLITION REStOENCE COVY _EDL'CAT'ONAL -GOV- CRELIGIOUS12PATIO ^CAP PORT ^GARAGE CSTjRAGE 01SLAB ^FENCE BOND —MOVING ^CONDMONALUSE 2DESIGYPEVIEW uCOUNCtLAPPROVED JSIGNS r P E c E cS/y FIRE ZOME3 PLAN CHECK BY �T�� HEATQ&_% _ OCCUPANCY ' AND USE ZON_ 3_DG.T 1© OCC LOAD FLOOR LOAD HEIGHT NO.STORIES A4 11!y 0 VALUFSS TW — SETBACKS FRONT ;L0 REAR 3„�� LEFT SIDE f� li RIGHT SIDE s U hermit , Y Z 0-v THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING Ptan Check �� OZ REGULATI!'NS AND ALL APP!(CABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE WORK WILL BE DONE ?N ACCORDA�:CE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH Recording ALL APPLICABLE CODES ANO ORDINANCES. THE !SCJANCE OF THIS PERMIT DOES NOT WAIVE RESTRICTIVE COVENANTS. CONTI?ACTOR A B CONTRACTORS TO HAVE CURRENT CtTY BUSINESS r' %State LICENSE. SEPARATE PERMITS REOL'TBED FOh .ER, PLUMBING AND HEATING. Total APP'LICANi uv mG` Aonroved Receipt No. ADOnESS PHONE UNIlFIE ' SEWERAGE AGENCY NO. 10697 WASHINGTON COUNTY DATE ii -i n-_76 -- CITY OF. Tigard - APPLICATION FOR SEWER CONNECTION PERMIT Bob SMith OWNER: ----- - OWNER'S ADDRESS- STREET ---- CITU_._.�-.__- _----STATE----- •-------- 21P BUILDING SITE: LOT— BLOCK —__ ADDITION TAX LOT NO. TYPE OF OCCUPANCY _residence ADDRESS 11475 SW Springwood Dr. DWELLING UNITS__________ 1 FIXTURE UNITS SURCHARGE IF APPLICABLE ._—..__________-___— PERMIT FEE 575. 00 —_ INSPECTION FEE _25L-0O TOTAL DEPOSITED 600. 00____ LNM (EXISTING) BUILDING SEWER SYSTEM Fannonreek______ _ The Applicant. agrees to comply with all rules and regulations of the Unified Sewerage Agency. APPLICANT.._- . .. -� -... SEWER PERMIT THIS PERMIT AUTHORIZES CONNECTION TO THE SEWER SYSTEM. LINE SIZE — -- - --- INSTALLER --- ------ ---- ----- - ---- -- - _ — RECEIVED ��-- (AOENCV OR ITS AOENT) COMMENTS: -----------___--- This Application and pc;-mit expires in one hundred and twenty (120) days. The amount paid will be forfeited should expiration occur.