11825 SW SCHOLLWOOD COURT 11825 SW SCHOLLWOOD COURT
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Address `� , ,�'�� X-y �-n�,,�C� Permit No.
Permit he me 22 C-5 12
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Owner _ r� 9 �,� .�� �' �a�� � �_ Connection fee
Type of building /Zed/ _ Date connected
Service rete Inspection fee 415
Contractor Paid by Date
Size of connection Assessment paid
`>�7LA7
City of -Tigard
II
NSPECTION REQUEST
for E
1 '18PECTI( .A TIME: —.1 PERMIT NO. : __..
DATE.' �.1' i ?� DATE ISSUED .
OWNERS NAME ' --.--
A
AME : __._-A D D R E S S: --
3N rRACTOR
S ST : Air ❑, W-!or
g❑ ,, Visual ❑ , Labnratory p
'ESULT: Approved I7- , Disapproved C Pending 0
� 'SKETCH.
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INSPE OR DATE �^ I
[nr6: Attach supplemental teat datn hereto I
1
-3- 77
UNIFIED SEWERAGE AGENCY NO. _ __ 11672 ___ -_
WASHINGTON COUNTY DATE --- 3-2-7-7
CITY OF Tigard . - - -- -----
APPLICATION FOR SEWER CONNECTION FERMIT
OWNER: . Trademark Homes -
Oti"d^1' R'S ADDRESS: .--------- - —
tiTRrET
- ---CITY-- ------STATE ZIP
BUILDING SITE: LOT- 110 BLOCK -- -- ADDITION -_-
TAX LOT NO. _ - TYPE OF OCCUPANCY __ _r®aidence
ADDRESS _ 11625 SW LgL4Xk9KWAAd Schollwood C-�.
DWELLING UNITS__l._____—_- - FIXTURE UNITS ---
SURCHARGE
NITS -- - -SURCHARGE IF APPLICABLE -
PERMIT
PPLICABLE _PERMIT FEE - 575, --- INSPECTION FEE -?5• TOTAL_ DEPOSITED 600.
(NO) (EXISTING) BUILDING SEWER SYSTEM _enno -Creek______ .
The Applicant agrees to comply with all rules and regulations cf the Unified Sewerage Agency.
APPLICANT
SEWER PERMIT
THIS PERMIT AUTHORIZES CONNECTION TO THE SEWER SYSTEM.
LINE SIZE
G
RECEIVED BY __t- _- --- - ------- -
(AGENCY 01 ENT)
COMMENTS: L31dg.- #1326 - -- -This Application and permit expires in one hundred and twenty (120) days.
The amount paid will be forfeited should expiration occur.
BUILDING PERMIT APPLICATION I'T TIC ARD C1A1 E. �—�—T� �__._ 19___ _ R 326
OF
THE UNDERSIGNFD HEREBY APPLIES FOR APE RMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE r"�•-t rt�C��
OR AS SHOWN AND APPROVED IN THE ACC01`4PANYING PLANS AND SPECIFICATIONS. OWNERPHONE
9 Lo-r NO..
OWNER ri. tgAomai _ JOB ADDRESS 0 11=+x�rl��l' HOME_ADDRESS _
ARCHITECT
ENGINEER
BUILDER ADDRESS DESIGNER
TS�TLRUCTURE UNEW ❑REMODEL C1 ADDITION ❑REPAIR ❑RENEWAL ❑FIRE QAMAGE EI
❑DEMOLITION
'1.:7'RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CAR PORT ❑GARAGE ❑ ❑
STORAGE SLAB []FENCE
❑BOND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED OSIGNS
CUPojNCY°—LAND USE ZONE 1 BLDG.TYPE FIRE ZONE_ PLAN CHECK BY �.W HEAT
C11nat- &tngls fma-ily dW� iyllinu w1attac;-iced garage, 3 bedroom 2batli Lgt i .1�-----
-- garage 428 aag, ft, `. --- -
(OCC. LOAD --fLgQR LOAD 211 dOa,STQRIES1—�1BEg13 2 _VALUE
BUILDING DEPARTMENT i f .L
_ _--- SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permit
THIS PERMIT IS ISSUED SUBJECT TO TFIE REGULATIONS CONTAINED IN THE BUILDING CODE. ZONING
Plan Check REGULA'IONS 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 PERMIT DOES NOT WAIVE
— — RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax 5170 LICENSE. SEPARATE PERMITS REOUIRED FOR SEWER, PLUMPING ANr' HEATING.
Total 196.WC
By
-- - APeI ICAN1 OR AGEN 1
Approved Receipt No
ADnaEs� ---- Piir��dF
...4v..IwWwY\w:WIM•—"'—:... •—•: ..L� yl..... ... ''.y11wr++wrw..wrWk4YJ1.W4wWiI.Ydu.•4„-. �.—=—._. •., _.rYWr..�
I
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
Contractor
Permit No. oss
ciftp Rough in
Fixture
Final
0 HEATING
Contractor
S -
t- Permit No.
Gas or Oil _
.S '$ Rough-in
4 final,---
—�t—=��-- SEWER
Final
- --�- DRIVEWAY
Final __—
Storm Drainage _
(Rain Drain) Final
Sidewalk
Curb&Street Final
A 2roach
BLDG DEPT. FINAr- TEMPORARY CERTIFICATE OCCUPANCY Final
CERTIFII,ATE OCCUPANCY -- -- -- ---
Landscaping r•-
1 Zoning Final
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