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11970 SW SPRINGWOOD DRIVE 11970 SW SPRINGWOOD DRIVS 0 v 0 0 3 CT C N CL u� «n O N 14 1 �,, C� rte. /"� /�, �",, f1 � ,�"``, ,�'•, r, n /'1. � � C .c�f OF wl, t, <11 TIS>,1- RD CITY Q� } �,. • , • _ . .• : Ow•ner:.. ...Hcllickson................. . .. . ........Permit No....... , ti I Building Address........... . 1.9.7D...SLI..Spr.i.nw.as.d..Dr...................... . t ,, } ; IS17.6.... 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 �- y� '�.Lt '�I'..x. /' � �h y��•� I`�l�y, ��.+1 ^"� /'�?tel ,.r��; /!� /�W �► .'� i •, IIT,M'.NUS.A- 4 SII! w s w �C I iI , r I - --- � I APPRO�D FOR CONSTRUCTION CITY Or. TIOARI. 119 ?0 910 PERMIT NO. 2932, 13ITE ADEIRF -S' �,.�►„�,,�,� RY � _--TITLE DATE_ . i aE G ✓ o E Mi.✓ 70 ri,x✓N�. cA.4OSE' Tv dCi+ �►tti'r Y /ri��f� F��2�S;ori 47- PZ - PL �' 'IiG1► sem' .Gw�4Mn•�:illl�tlyG6�jY9i�'�°'�'�"�...,^wrrl R 6d 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 ; M1� r 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: -- I I I I 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 1)h T F I I ,.... ..»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 J ^v t 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�. i f 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. ' rq. fj n �I ,, i') N r L. o T Ic � 0T 124 EJVuLEVti00D in r3