11845 SW SCHOLLWOOD COURT 11845 SW SCHOLLWOOD COURT
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Address �.� ��� ,, u� Cf Permit ND.
Permit charge
Ouner _ ' Connection fee
Paid by
Type of buildingDate connected
Service rate Inspection fee
�/ Ins
Cu•�tractor __ Paid by Date
Size of uuImeci-ion Assessment paid
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Owner:.........J.L. ..Light.............................................Permit No........... ............ E
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Building Address........ ......11.84.5..SW..S.choll.Woad Ct.
,+ da o March , 19.....77
Certificate is hereby given this.... y f .. ,r.
that said building may be occupied and •
'
t.. that it complies with all requirements of
r. 4 the Building Code for the City of Tigard,
as approved by the Tigard City Council.
� `.................
Building Inspector �+f
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City of Tigard
INSPECTION REQUEST
for
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INSPECTION TIME: LL. PERMIT NO. : ___
DATE: ; DATE ISSUED .___�_
OWNERS NAME : .ter. `/ , _
I
A DD R E S S:
CONTRACTOR
TEST : Air ❑, Water❑ , Visual Laboratory ❑
QESULT: Approved Disapproved C , Pending ❑
SKETCH.
7
'INSPECTOR DATE
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CNOTF : Attach supplemental test data bereta�
a
n �
City of Tigard
INSPECTION REQUEST
for
INSPECTION TIME: '� PERMIT NO
DATE : - / ? DATE ISSUED .__11_
OWNERS NAME ,' J �—
ADDRESS: J171Jim000 I
CONTRACTOR :
"'EST : Air 0, Water[] , Visual p , Laboratory n
RESULT: Approved 0 , Disapproved E , Pending (� I
SKETCH,
INSPECTOR GATE
J
UTE . Attach supplemental test data beretgl
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City of Tigard
INSPECTION REQUEST'
for r> I
INSPECTION TIME: � T"—' PERMIT NO. :._
DATE: DATE ISSUED :---L-,'
OWNERS
SSUED :__—L-,'OWNERS NAME : -- --
ADDRESS: J _'
CONTRACTOR,
TEST : Air ❑, Woterj , Vlsual J3 Laboratc,y
RESULT'. Approved Disapproved O , Pending p
SKETCH: ' ,�'6 maµ. �' ��_....
NS ECTOR DATE
ENOT6: Attoch supp,ementnl test data hereto]
UNIFIED SEWERAGE AGENCY NO. ___ 10676
WASHINGTON COUNTY DATE - 10-13-76
CITY
APPLICATION FOR SEWER CONNECTION PERMIT
OWNER: --- -..1.
OWNER'S ADDRESS: ---------- _ �TsaeET — — ------ -----�_
CITY
BUILDING SITE: LOT-------- - BLOCK __ ADDITION ---
TAX LOT N0. _ ___--_----- TYPE OF OCCUPANCY _ _ residence
ADDRESS
DWELLING UNITS ------
1 FIXTURE UNITS �_-- --
_-.----- ---
SURCHARGE IF APPLICABLE
PERMIT INSPECTION FEE _2.5_.0- TOTAL DFPOSITED
(NEW) (EXISTING) BUILDING SEWER SYSTEM ------
The Applicant agrees to comply with all rules and regulations of the Unmed Sewerage Agency.
APPLICANT. -�._ J = -- -------- -- —
SEWER PERMIT
THIS PERMIT AUTHORIZES CONNECTION TO THE SEWER SYSTEM.
LINE S'ZE --._- --.__ ----.._ - ----.-_ -_ INSTALLERS
RECEIVED -
(AGENCV OR I -AGENT)
COMMENTS: E1dg•^#1129
This Application and permit expires in one hundred and twenty (120) days
The amount paid will be forfeited should expiration occur.
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BUILDING PERMIT APPLICATION cOF TBGAltD QATE_ 10-13-76 122
THE UNDERSIGNED HERL-BY APPLIES FOR APERMIT FOR THE W}RK HEREIN INDICATED BUILDER PHONE _
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNERPHONF _
LOT NO.
OWNER �,.� Lijtl7t JOB AruRL5SliH45 51.I SchDilwood (14aME ADDRESS
ARCHITECT
gZgrn
ENGINEER
BUILDER ADDRESS DESIGNER___ _
STRUCTURE 43NEW ❑REMODEL ❑ADDITION ❑REPAIR ❑RENEWAL ❑FIRE DAMAGE ,,-11 []DEMOLITIONRESIDENCE ❑COMM [:]EDUCATIONAL ❑GOV'T ❑RELIGIOUSEIPATIO ❑CARPORT ❑GARAGE ❑STORAGECISLA13 ❑FENCE
OBOND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
OCCUPANCY—j—LAND USE ZONE_I I"7 BLDG.TYPE N FIRE ZONG -,LAN CHECK BYL-T W HEAT g*e
Const, dingle family dwelling q Wfat.tarhed Warac;ie, 3 ra9droom 2 beth
garag9 eq. Pt.
QCC.LOAD �LQgR LOAD HEIQHT N0,STORI S AREA NO.B gQQ VA�J�1 36
8000/
BUILDING DEPARTMENT SET BACKS FRONT REAR An LEFT SIDE 7 RIGHT SIDE 1
Permit isle
L1 -
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check ,1Q,Qq REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT 1% HEREBY AGREED THAT THE
WORK WILL BE DONE IN ACCORDANCE WITH rHF PLANS AND SPECIFICA(IONS AND IN COMP!IANCE WITH
Sub total ALL APPLICABLE CODES AND ORDINANCES THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS 10 HAVE CURRENT CITY BUSINESS
State'fax Q,53 LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
Total 165*03
6y
APP} ANT OR AGENT - - --`-- --.-....---- -----
Approved r Receipt No, .f
-- — ADSS
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
a4 Jou L-� _ Contractor
Permit No.h —7
Rough-in
c r ,_ 0_,a _7q /_Q �C � � Fixture5
— —
LA-.e
Final _HEATING(41 J& — Contractor
Pe,mit No.
Gas or Oil 2 �'716
Rou h-in
Final _
- _----- _ SEWE 1 ► � �_G L ----
�_�� Final _
DRIVEWAY
Final
Storm Drainage
_. (Rain Drain) Final
Sidewalk
_— --_ Curb&Street Final
Approach
BLDG DEPT. FINAL TEMPORARY CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY Final
Landscaping
C" Zoning Final
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J. L. LIGHT Constructio. Co.
15890 S.W. Colony [Drive / Tigard, Oregon 97223 / Phone 639-9560
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APPaOVED FOR CONS-TnUC l'l'-,,
CITY OF TIS-,ARD C�'
NO. �'� SITE ADDRrSS
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