11970 SW SPRINGWOOD DRIVE 11970 SW SPRINGWOOD DRIVS
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.• : Ow•ner:.. ...Hcllickson................. . .. . ........Permit No....... ,
ti I Building Address........... . 1.9.7D...SLI..Spr.i.nw.as.d..Dr...................... . t ,,
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I. Certificate is hereby given t.his.....H........day of avember....... . . ,
.�. , • +,hat said building may be occupied and
that it complies with all requirements of
the Building Code for the City of Tigard, �� .•rr
as approved by the Tigard City Council.
i7`" �....l_:d"`•u'�TrJ............... .t
F • ' . Building Inspector
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- --- � I APPRO�D FOR CONSTRUCTION
CITY Or. TIOARI. 119 ?0 910
PERMIT NO. 2932, 13ITE ADEIRF -S' �,.�►„�,,�,�
RY � _--TITLE
DATE_ .
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BUILGING" PERMIT APPLICATION CI Y TIGARD DATE.... 9/20/ -- t9- (9
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDERPHONE. —
OWNER PHONE.—
OR
�—�
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. LOT NO.— ` --
``}},� I .
OWNER �"1'I �1 JOB ADDRESS'1't'97 `�Lj
��ePriTt 4I+JOr� 'l4�ME ADDRESS
_ ARCHITECT
ENGINEER
BUILDER ,iw.:!iv1ty Remo INIin-ADDR[;s__1049i 5'j 69th DESIGNER
fTRUCTURE ❑NEW �nFMODEL ❑ADDITION ❑REPAIR ❑RENEWAL [:]FIRE DAMAGE ❑UEMOUTION
u RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CAR PORT ❑GARAGE ❑STORAGE❑SLAB [3 FENCE
[:]BOND ❑MOVING ❑CONDITIONAL USE C1 DESIGN REVIEW []COUNCIL APPROVED []SIGNS
II>i :3 i i•-7PDulif'I HEAT,.-
OCCUPANCY LAND USE ZONE_�—.._BLDG.TYPE��_._FIRE ZONE� PLAN CHECK BY—
OCCUPANCY—LAND
Y _--
<;•Inutruct prefeb mff+t&l firOPIUCCR wrlit C29216ttw 2("' m:g* 9pC"'s,
plans and crude. E xieting ciwelling. _
9rc,.L4AQ- FL04H_L4AIa-•--.-- _ 1SaHL__._�______.L�L4.SY_4AIE __.__ _ALES_ _JNSLB�I?34I __YALS -��
BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
`�
Permit °,1 ,0(,I —_ ._
TH'S PERMIT IS ISSUED SUBJECT TO THF. REGULATIONS CONTAINED IN THE BUILDING CODE, 7.ONING
Plan Check r.)• Al REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
WORK WILL BE DONE IN ACCORDANCE 9a'ITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Sub-total f1 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 LICENSE. SEPARATE PERMITS REQUIRED FtJH SEWER, PLUMBING AND HEATING.
Total
By
- 40I1 APPLICANT C7 A6ENt _---_-
Approved Receipt No.
DATE INSP. TYPE INSPECTION REMARKS PLUMBING _ DATE
Contractor
Permit No.
Rough-in
—` Fixture
Final
— — HEATING
—'—' — — Contractor
Permit No.
Gas or Oil
-- -- Rough-in
Final
-- SEWER
--^—�—�—'
Final
—.. — -- — DRIVEWAY
Final
`-- — — ---�- J------.—J�-- —
Storm Drainage
(Rain Drain)Final
— — ----- ---- Sidevr.:L
Curb&Street Final
APProneh
BLDG. DEPT.PINAI. TCMPORARY CERTIFICATE OCCLPANCY Final
CERTIMCATE OCCUPANCY -- --
LendsceP ng
Zoning Final
1
II! 111 DING FERMI f APPLICATION `'o� TIC ARD ,,A,9,�4 20 _ 71
THE UNDERSIGNED HEREE" APPLIES FOR APERMIT F'OR THE WIr
WORK HEREIN , w-A1ED BUILGLr? °4
fohll420" 7
OR AS SHOWN AND APPRCVED IN THE: ACCOMPANYING PLANS ANO 5PFClf trr, i I(INS CVvNti! -d vj?-
c I.OT I'll- /!L 4Fj'efo*sd Y
WNER_._]Y �`�/ �!�A'^ JO ' AODRE', SSI_ _WQ�% �o►k 3 o AO
fJ
Q �w ENG 1 If 3Y 03A
R
BU11_OCR_ \ a� IIID AODRCSS�Of V¢--
STRUCTURE �NE r)1 %1' I,I.L (3AUnITION (IRE-AIR URENEWAL L i -HEGA'+AGE 00EMOL I,
RESIDENCE ❑COMM OEOUCATIONAL CJGOV'T T THELIGIUU`d]PATIO L]CAR PORT ❑GARAGE I a STnFIAGE LAP rjEFN
CCuPANC'r '. _l4ND-USE ? 9.7 fII O T_VPEw /F FIRE ZONE PI AN rI.4Frh: a -4 FA
ctm i 4 come 1 e'h�Q.
__.__._---_-.___ "��:�- �(��c-s, ����E._.!�_�'� • .fix,s��h� o�e�.�Py� .V 11
SEWER -PERmlT__..#_.__
• OCC..I.OAfI r l(r�p � rnn � IILll�llr _ ._'� - N!). SI4�►)�-$ - `, ni-{Lr. �. �I, ,.... /r]„0
V8 ""` REAR I FE i
—'—" 'Ills PURMIT IS ISSUFD -1)13j[-CT TO THE REGULATIpD NS C'ONTAINF IN THE P'JII DING c.r,'
PIA', Check I II! GIILATIONS AND ALL APPLICABLE CODES AND C)F70INArICE5 AND IT IS H .F tear AGR'-CL: IHAT T
-OAK WILL 6E DONE IN 4CCORDANCE WITH THE PLANS AND EC.IEICAiION; -ND IN COh.'I'' ' V._► "
S'.I'i•total J , t� I al L APPLI( ABLE CODES AND OROINANCF.5, THE ISSUANCE OF THIS PT:khglT DOl.% NOT V.
- - 1 Pf STRICTIVE COVENANTS. CONTPACTOR AND SUB C,TNfRACTORS TO HAVE CUPRPNT CI-,v AU
State Tax T.NSE SEPARATE PERMITS REDUIRED FOR SEWER, PLUMBING AND HEATING
Total - -- . / t ( IC
PDC#
_- APPLICANT Op AGENT
[A rlpruvPd '0-celP1 Nu
SDC -
PDC - --
SEWER CONNECTIONS
SEWER 1NSPLCTION
SEWER SURCHARGE
Cornmenta ;
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BUILDIr;G DEPARTMENT, TIGARD
PLUMBING PERMIT
Tualatin Valley Plumbing & Htg. Inc. Holder of a valid plumbing contractors licen.e ib hereby
authorized to cause plumbing work a , herein noted to be itStalled in accordance with the plumbing
code of Tigard. Such inytallations require in peetion by the City Inspector who Shall be notified not
le-s than four (4)hour4y prior to, t:e time the insta_iation are ready for iriSpection. City of Tigard
Bu,sinesS License required for all contractor:, and Sub-contractors.
Owner Don Heliick.�on Addres-7 11970 SW Springwood Drive Date Sept 6, 1976
Number of Total Permit
Type of Permit Item s Fee on Each A m ount ft's
ReSidentia:
Single Family - I bath each 1 $25. Ou $25. 00
Additional _groom - each 1 $10. 00 $10. 00
Permit 3 . 00 Plumbing Contractor by
3% State 1, 7�) R eceipt No. Is ued b,
Total 36. 05
I
City of Tigard
INSPECTION REOUEST
for
IINSPECTION TIME : /•$ PERMIT NO.:
I DATE: 1 DATE ISSUED:_.L�
OWNERS NAME : - " e'
ADDRESS : 112 `'- -�Al
CONTRACTOR : -V V`5 -
TEST. Air rJ, Water U , Visual) Loborato. ! p
RESULT: Approved* , Disapproved O Pending p
w SKETCH: --
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I INSPECTOR DATE
I [NOTE Attach supplemental fart data hest]
I'
1
City of Tigard
1N*',.,.".0' PF- ("T10N REGUEST
f
INSPECTION TIME: PERMIT NO.
*,-
DATE :
ED'
?AT E I S!-SQ,O
OWNERS NAME : c
C ON TR A C T 0 R 4-9 777-:-
rE ST : Air 0, WWer � Visual 0 , 1-01
4ESULT: Approved b--,-�17,,sdpprov9d E 'ing
SKETCH.
pe#11
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,.... ..»v�w+'��u•iy„d y-. .,. ., . ,..,. .,. ,. ,..u. �px. ..�rp,�r. .+N'. r.�-„rq#n'yf/1'+,,y.,�pr r....,,,,��.;�y,�rv'+M”v:a:ww.sm.o.+.�ruvIYMA•..>awY'+e"+�lw
CITY Of
BIliLDING PERMIT APPLICATION TI�GARD DATE---- -��_,19 ��° 0883
THE UNDERSIGNED HEREBY APFLIES FOR APE RMIT FOR THE WORK HEREIN INDICATED ":'413--.!102
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
OWNER '0n ADDRESS i1970 �'W' �p-r 1 gwuod L►d • BUILDER PHONE _
ENGINEER t gyne Hellicknan
0UiLpcA.—_— ARCHITECT ��-11 DESIGNER �7
STRUCTURE ❑NEW ❑REMODEL ❑_ADDITION OREPAIR RENEWAL O�-IREDAMAGE [_]DEMOLITION
0 RESIDENCE ❑COMM DEDUCATIONAL OGOV'T ❑RELIGIOUS❑PATIO DCAR F7R�T- ❑GARAGE 0 STORAGE❑`, AB FENCE
l I OND OMOVIN i ❑CONDITIONAL USE ❑DESIGN REVIEW LJCOUNCIL APPROVED OoIGNS__
OCCUPANCY—...--_LAND USE ZONE.--- _BLDG,TYPE FIRE ZONE_ PLAN CHECK BY_.______ HEAT _
Lunetru-t �w uj,ol ilpl femily dw Iw Loai. 3q. r �.
— - Tax Map 151 -340
OCC LOAD FLOOR LOAD HEIGHT N0.ST RIES AREA_ VALUE 39 o 600
BUILDING DEPARTMENT SET BACKS FRCN I 1'I,,?I REAR LEFT SIDE RIGHT SIDE 4 '
Permit 1•� �� �
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check 1L1�i` REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
WORK WILL BE DONE IN ACCORDANCE. WI rH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Recording ALL '1PPLiCABLE CODES AND ORDINANCES THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB LONTRACI'ORS TO `IAV: CURRENT CITY BUSINESS
1%State LICENSE, SEPARATE. PERMITS R :OIJIRED FOR SEWER, PLUMBING AND HEATING.
Total 1 7:U u t
By
�.�_.. NnF ANT DR AGENT
Approved ��� Receipt No - --
ADDRESS FIT45 JF
I
DATE INSP, TYPE 1 SPECTION REMARKS PLUMBING DATE
Contractor
Perm:No. In �'o
7- 'os-
Hough-in
I
'7w Fixture -_--
���� Z•, '�_L� _ Final ----—
//7/L
HEATING
Contractor
Dermit No.
Gas or Oil
Rough-in
-- - Final _
— — ----- � SEWER J-1 WJE
— �
Final _
DRIVEWAY?j77
Final
Storm Drainage_—
(Rain Drain) Firal _
---- ----- -_ _-------- Sidewalk_
--- - - - --_--_- -- '-- Curb&Street Final I _
—_� _._„-- -- ------------
Approach — �L.c:. 7•�' . 7
BLDG.DEPT.FINAL TEMPORARY CERTIFICATE Or ?ANCY Final
CERTIFICATE OCCUPANCY -
Landscaping
CZoning Final
CITY OF
BUILDING PERMIT APPLICATION TIGARD DATF_t7—�___ ., ?�__W U 6 0 .�
THE UNDERSIGNED HEREBY APPLIES I ORA PERMIT FOR THE WORK HEREIN INDICATED / y 7G
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATION OVINEq PHONE Ltd.y( ._
OWNE ��I� 1 _ � ,� - L!l�Od BUILDER PHO p
5 _ — ADDRESS /!9 D� -i%d 2'
ENGINEER `',_
ARCHITECT !�'
NEW �fQ DESIGNER
STRUCTURE REMODEL ❑ADDITION _ CIR AIR ❑RENEWAL ❑FIRE DAMAGE ❑DEMOLITION
FRESIDENCE OCOMM ❑EDUCATIONAL ❑GOV'T 0RELIGIOUS❑PATIO ❑CAR PORT ❑GARAGE ❑STORAGE[ISLAS [:]FENCE
Q.BCNDEIMOVING— �[]CONDITIONAL USE ❑DESIGN REVIEW _❑COUNCIL APOROVED [:]SIGNS
OCCUP NCY_,Z=__LAND USE ZONE. DG.TYPE FIR[ZONE_3PLAN CHECK BY__. i _ HEAT I&_
u 1
7C_C,—L—OAO fLUUR_LOAD HEIGHT_ �______NO.STORIES �___. _ AREA VALUE 60V
BUILDING DEPARTMENT_- SET BACKS FRONT ��+' /1 REAR �J �{�.) LEFT SIDC -_�, 'd RIGHT SIDE
Permit _ ._. _ _
]� �- THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING COr)E, ZONING
R/a1sC� I( C REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT 19 HEREBY AGREED THAT THa
Lim- - WORK WILL PE DONE IN ACCORDANCE WITH THE PLANS ANO SPECII•ICATIONS AND IN COMPLIANCE WITH
Recording 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 SY,,I LICCNSE. SEPARATk PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
Total
BY _
APPLICANT OR AGENT
Approved I Receipt No.
ADDRESS
)` dc'
S 7S_I
C�'
RN I/J
6,117176
UNIFIED SEWERAGE AGENCY NO. 9573
WASH ; NGTON COUNTY DATE - June
CITY
APPLICATION FOR SEWER CONNECTION PERMIT
OWNER: - Dun He 111 c:k son
OWNER'S ADDRESS- _---2�780
STREET
97123
fsT&tF
CITY
BUILDING SITE: :.OT 124 — BLOCK ADDITION
Ta- Map 1S1 -34B residence
TAX LOT N6. TYPE OF OCCUPANCY
ADDRESS 11970 SW So
DWELLING UNITS FIXTURE UNITS
SURCHARGE IF APPLICABLE
PERMIT FEE 550.00... - INSPECTION FEE 25.-O(IOFAL PE?osirED 535. 00
(NEW) (EXISTING) BUILDING SEWER SYSTEM
----I
The Applicant agrees to comply with all rules and regulations of the Unified Sc Ngency.
APPLICANT n-
SEWER PERMIT
THIS PERMIT AUTHORIZES CONNECTION TO THE SEWER SYSI
LINE SIZE INSTALLER
RECEIVED BY_
---
(AGENCY OR ITS AGENT)
COMMENTS: -,Bldg* -a 06 3
This Application and permit expires in ninety (90) days. The i,mount paid will be forfeited
should expiration occur.
City of Tigard Mechanical Permit Permit .00
New hstaliation Replace 'E] Relocatio., ❑ Addition ❑ Alteration ❑ / _ -- Fee cJ
TOTAL
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CONTRACTOR 1'! (�15 0VANER
ADDRESS �L/ /9Cr,_ 3 / WORK ADCRESS �!-� �d� ����>�x -Q,
Ci
?HONE APPU;'ANT � v - �
Heat Input Rating (BTU Per Hour) Vena bi••e Flue Size
FUEL OIL ❑ GAS Z ELECT OTHER
ITEM NO. FEE ITEM NO. FEE
For Issuance (.` Permit 3.00 Boilers Over 50 HP 15.00
"!c v - Under 100,000 BTU ; 4.00 Air Handlinq 10.000 CF.M 3.00
New - Over 100,000 BTU 5.00 Air Handiin Over 10,000 CFtiI 5.00
Floor Furnace �—
4.00 I Evaporative Cooler 3.00
Wail - Floor - Suspended 4.00 Vent Fan 2.00
Install Vents 2.00 Vert Svsten 3.00
Repair - Heat & Cooling 4.00 F ood 3.00
Bo iers Under 3 HP 4.00 ! Domes'Lic Incirerator 5.00
Boilers 3 to 15 HP 1 7.50 Comm. 1nci,,erator 1 20.00
Boilers 15 to 30 HP 10.00 Other Not Listed 300
Boilers 30 to 50 HP 1500
INSPECTOR'S COM
iY BUSINESS LICENSE REQUIRED FOR ALL is)NTRACTORS OR SUB-CONTRACTORS
APPROVED BY DATE ISSUED BY _DATE
RECEIPT NO.
74 Signature of Applicant
a�.
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none.
OWNER 'ItCONNECTION FEE
� -ems . -
PAID BY
TYPE OF BUILDING ��t�+d-�s�-r�-�-L- DATE CONNECTED
r o0
`,ERUICE RATE INSPECTION FEE
CONTRACTOR _ _ PAID BY DATE
SIZE OF CONNECTION ASSESSMENT _ PAID
5 P R N �� v.
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