11935 SW SCHOLLWOOD COURT IM
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11935 SW SCHOLLVMD COURT
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Owner:... Art Lutz...&. Co ..............._Permit No.......121.3........ t �
• 11935 SW Schollwood Ct. '
Building Address ......................................... ....................................................
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} Certificate is hereby given this of.....-.Me.Y.'.. . 19.??.... <
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A, that said building may be occupied and
`• �� that it complies with all requirements of
the Building Code for the City of Tigard,
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' as approved by the Tigard City Council.
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• Iiuifding Inspector
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City of Tigard / f
INSPECTION REQUEST
for
INSPECTION Y'ME* — ' PERMIT NO. : .-
DATE: /� .� DATE ISSUED :__L_L_
OWNER% NAME :--
ADDRESS:
AME :__.._ADDRESS: � —
00NTRACTOR —
rE ST : Air , Or -I p , Laboratory p
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9ESULT'. Approvod (�?' ,� Disapproved C Pending p
KETCH:
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NSPECTOR DATE
CN07F Attach aupplementel test data hereto] I
1
1, , 1 i ' 1Eu SEWERAGE AGENCY NO.
W/N."3"HINGTON COUNTY DATE ____-.12-21-76____ ._. _--
C 11-Y O F __.Tg r� — - -- -- ---- _...---------- ---_- ---
APPLICATION FOR SEWER CONNECTION F ERMIT
OWNER: .. ---Art 11t7 -S-.
OWNER'S ADDRESS:
STREET
CITY STATE 21P
BUILDING SITE: LOT.__.__- .- BLOCK _ ______—_._ ADDITION
TAX LOT NO. . .
residence
_ - _ _ TYPE OF OCCUPANCY
ADDRESS 1.1935 SW Scholl(raod Ct. _.-. -...-
DWELLING UNITS 1__. FIXTURE UNITS _
SURCHARGE IF APPLICABLE
PERMIT FEE - 535.DD____-_ INSPECTION FEE -_25.0a TOTAL DEPOSITED 6170.012
Fanno Creek
(NEW) (EXISTING) BUILDING SEWER SYSTEM
The Applicant agrees to comply with all rules and regulations of the Unified Sewerage Agency.
APPLICANT
SEWER PERMIT
THIS PERMI i AUTHORIZES CONNECTION TO THE SEWER SYSTEM.
LINE SIZE ._ _ INSTALLER
RECEIVED BY f'
(AGENCY OR ITS~AGLNT)
COMMENTS: . Bldg. #1213
This Application and permit expires in one hundred and twenty (120) days.
The amount paid will be forfeited should expiration occur.
BUILDING PERMIT APPLICATION Co Y TIGARD DATE 12-2 r
THE UNDERSIGNED H9REBY APPLIES FOR APE RM I- FOR THE WORK HEREIN INDICATED BUILDER PHONE:------
OR
HONE —__`_OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
LOT
OWNER LUtz JOB ADDRESS J.93'3 SU Schr I lwc- t HOME
ADDRESS
ARCHITECT
BUILDER ENGINEER
—. ADDRESS DESIGNER _
STRUCTURE 4JNEW ❑REMODEL ❑ADDITION __
❑RFPAIR ❑_RENEWAL ❑FIRE DAMAGE ❑DEMOLITION
❑RESIDENCE
CI ❑EDUCATIONAL. ❑GO"'T CRELIGIOUS❑PA110 ❑CAR PORT ❑GARAGE ❑STORAGE❑SL.AB [:]FENCE
❑BOND ❑MOVING ❑_CONDITIONAL USE El DESIGN REVIEW CJCOUNCIL APPROVED^ ❑SIGNS
OCCUPANCY_ T _LAND USE LONE__ �7 BLDG.TYPE ^---FIRE ZONE PLAN CHECK BY �T HEAT_
w.4y w 4 Uu rocm 1�c L1,
vCC �QAD LOAD______-__HEIGHT NO.ETORIES I AREA 1.441 NO.BEDROOMS Q ,IgLUE /7f% •
BUILDING DEPARTMENT SET BACKS FRONT til REAR 33 LEFT SIDE s RIGHT SIDE 1r?
Permit --
1HIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN IHE BUILDING CODE, ZONING
Plan Check 10,11u, REGULATIONS AND ALL APPtICABLE CODES AND ORDINANCES, AND IT IS NEREBV AGREED THAT THE
WORK WILL OF DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPI-IANCE WITH
Subtotal ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE GF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTOFTS TO HAVE CURRENT CITY BUSINESS
State Tax 4,47 LICENSE SEPARATE PERMITS REOUIRFO FOR SEWER, PLUMBING ANO HEATING,
Total
BV
`-- APPLICANT OR AC:fNT -
- - ---
Approved Receipt No. ( 1
....._. ..u....rwr.+.swr�ciuwwr.w..Yl'wrLwrwu-.r4�.wro.N�rYi+.a _ � ..• _ rYb�•. .. .. s
I
GATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
b ^^ Ccntractor
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tt1dE2 J — Permit No. J55
f Rou h in N �.
Fixture
'Final
v�'' j' C�c-�.��� cE c� HEATING
°2 -y— Contractor
Permit No. ri i
Gas or Oil
S r8 _ Rough-in _
Final
SEWER
— Final
DRIVEWAY
Final
_. Storm Drainage
(Rain Diiin) Final _
-- _ [Aroach
walk
&Street Final
_BLDG DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY scaping
ng Final
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Address ^L/ .Q�'' •--� �� Permit No. 11031
Permit charge � 220Owner �
Connection r ce
C
Paid by
Type of building ,,�, Date connected
Service rate i % Inspection fee S
Contractor Paid by Cate
Size of connection Assessment paid __