11985 SW SPRINGWOOD DRIVE 11985 3W S;-RTN(3WOOD DRIVE
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CITY OF J IGARD
OREGON
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Art Lutz . .Permit No......1.15.�...
Ove-ner........................ ............ ................. ..
........... ......
11985 SW Springwor,d Or.
BuildingAddress.................. ...................... .... ........ ....... .. .............
Certificate is hereby given this.......1..... ..day of. April.. .............. 1977 .
hl that said building may be occupied and
t;tat it complies with all requirements of
( ` the Building Code for the City of Tigard,
as approved by the Tigard City Council.
> =�i suitdmg Inspector (+
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P ddress ` - .SJ �. ,fY� _ Fr-rmit No. l��IL AL' –
Permit charge 22 v y7
Owner ._(� �-- -- _ Connection fee ',7S
Paid by �—
Type of building �/ c-g-, _ _ Date connected
Service rate Inspection fee��'� / -- — ----
Contru L. .•.• ----
Paid b� __ Date
Wize of cunridui.ion _ Assessment _ paid
y �� -7 7
IF
City of Tigard
INSPECTION REQUES
for
INSPECTION TIME: PERMIT NC). :—._.
DATE: IAI DATE ISSUED .,LL
OWNERS NAME ' --- -- —
ADDRESS: ___1
CONTRACTOR : I
*EST : Air U, Woter6 , Visual f , Laboratory (]
RESULT: App�rovedd. Disapproved C , Pending p
`SKETCH: —
_
.y e
Tis Yl
9 P�CTOR DATE
MOTE : Attach aupplemer-tcl that data bereta�
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BUILDING PERMIT APPLICATION tory TIGARD DATE_
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK He REIN INDICATED BUILDERPHONw297-4"5 l
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPEC!"'ICATIONS OWNERPHONE _
LOT NO.
Lute 119b5 Stu I r.i�i wArIJ�.3u
OWNER ..�. _ JOB ADDRESS � I40ME ADDRESS
ARCHITECT
ENGI JEER
OUILCER ADDRESSDESIGNER
STRUCTURE 0114EW 11REMODEL ❑ADDI1 ION ❑REPAIR ORENEW=.L ❑FIRE. DAMAGE ❑DEMOLITION
d OESIOENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑P4T10 []CARPORT ❑GARAGE ❑STORAGE❑SLAFS ❑FENCE
OBOND ❑MOVING ❑CONDIT ONAL.USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
OCCUPANCY 1. LAND USE ZONE- " BLDG. TYPE_e. FIRE 40NE--1- PLAN CHECK BY_ LI.0 HEAT-'-
r'onst. single family dualling as/attaahlad garage 3bddfoom 2 hath
floor arwe 1407 sq/ ft.,, garage 441 sq. ft.
O .IQA�—__- FLOOR LOAD 4�� -AQ 1Q jf& 1 AREA 177 f�
C�. NO 0f.QRQ4M5..__VALUE''�� �RLII♦
BUILDING DEPARTMENT SET BACKS I HoNT 1� REAR 1l3. :' LEFT SIDE RIGHT SIDE r
Permit 133.OU
-- 1-141S PERMIT IS ISSUED SUBJECT TO 1'HE REGULATIONS CONTAINED IN THE BUILDING CGDE, ZONING
Plan Check (]�Oill REGULATIONS AND ALL APPI ICABLE 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
Sub-total ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE. OF TMS PERMIT DOES NOT WAIVE
---� — RESTRICTIVE COVENANTS, CONTRACTOR ANC SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tart 4,2 ,, LICENSE SEPARATE PERMITS REOUI9ED FOR ';EWER, PLUMBING AND HEATING,
Total 147.2i�
By
APPLICANT Or AGEN1
Approved Receipt No.
A MESS-_.. _ P1•j()NE - ---- -
_...-.ii- - .Lures.real..�UWI�.n.u.wiar�:.,Ywrwu..�w.4..M`rY,L.JYF++4�MLMVY�M..r+n..WMw�9Ma�WLa.Nw..n.wk--
-.<'r'f�1.i4�L�.11M1Y1�Fw.rMY•1WiWaw.W:i{�Yi1�IW4° •••�Y'!• _.l VM1..
1
1
DATE INSP. TYPE INSPECT"ION REMARKS PLUMBING DATE
Contractor
f/�p Permit No.
-
/ 7 = Fixture
/ ` 4 Final _
BEATING
_ Contractor _
Permit Not
8 77 ,,,ra r . Grg cc�IJI ¢�� d#,)/ Gas or Oil
l.j !'6'� M1 ✓ ✓ C G4Ji Final
_ �'C�rO✓NG U�) _ 31J '� t��flc �,���v� _ --SEWERL-7;t
iW C;4IVX * ;y4'fAG U Me%p 4114- Final - - --
C 6aapG�O L� Lyi,S ;e ,0 t•�- DRIVEWAY
.r Final ----- -- --- --—
'i L Storm Drainage
(Rain Drain) Final
Sidewalk
Curb&Street Final
Approach
BLDG DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCYI Final
CERTIFICATE OCCUPANCY -
,r Landscaping
C ` Zoning Final
CITY OF --:
r�tN/'1 r1r-!�S tT 11! Irl/r,T+/'1�f ';�'G A �J 1
DATE_/p— "'_Y �;
—14S '.INCERSIGNED HERESY APPLIES FCR APERVIT FOR THE WORK HEREIN INDICATED
OR AS SHO `' O r"^VE'D 'N THE ACCslVPANl Y!NG- PLANS AND SPECIFICATIONS. OWNER PHONE S�
rfytirFQ %2'! - ADDRESS ( l r7r� Iii r Z.,2 BUILDER PHONE
ENGINEER
m••• nca .+ ARCHITECT ^^ DESIGNER
STgUC"_mac lEYJ acVtODcI ADDITION L^1 REPAIR Cr
- rcIRE DAMAGE n'3EMOLITION
REStDE4lCE ^Coyy _EDUCATIONAL r7GOV'T CRELIGIOUS 2PATIO SCAR POP.T GARAGE a STORAGE - St SB nFENCE
__BOND MOVING _'CONDITIONAL USE ^`DESIGN REVIEW -COUNCIL APPROVED OSIGNS
UC `NCY.' !AND USE 70NE�Pl_0G TYPE FtRE 20NE PLAN CHECK BY_ _ ! FAT �''�
OCC.LOA^ 0-f FLOOR LOAD `4 U HEIGHT NO.STOg'FS / AREA L;Z7 rp VALUE/
I-
9_ _DING DEnAP",l T-� o $I
SET BACKS FRONT Z REAR-;?Y- LEFTSIDE L_ DE17R:GHT SIDE
permit ��Z ;[r-z� -- - -
O TL41S PERMIT IS ISSUED SUB:ECT TO THE REGUL. TIONS CONTAINED IN THE BUILDING CODE, ZONING
REGULATIONS 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
Recording ALL APPLICABLE CODES AND ORDINANCES THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
3% — RESTRICTIVE COVENANTS. CONT!I ACTOR A' B CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State �� !_!CENSE. SEPARATE PERMITS REQUtPED FOk ER, PLUMBING AND HEATING.
Total
- APPLICAN1 u-+hG°
}Approved 9ece-ot No.
ADDRESS PHONE
i'
UNIFIED SEWERAGE /AGENCY N0. __ 10689
W!`tSIAHNGTON COUNTY DATE
CITY MJF
APPLICATION FOR SEWER CONNECTION PERMIT
O`N N E R: Art Lutz ------ --------------- ------- --- _ --_
OWNER'S ADDRESS:
STREET _-
- CITU -- _ -...-- ------- STATZIP
E- --
BUILDING SITE: LOT_.-_--.- BLOCK __ ___.-__ ArnIT10N ---
residenc•e
TAX LOT NO. ----------- --- TYPE OF OCCUPAN.
ADDRESS 11985 SW 5p.ingl.rood Dr.
DWELLING UNITS__.__. 1 FIXTURE UNITS - --
SURCHARGE IF APPLICABLE .__- _ _---.-------- _-- _
PI_ RMIT FEE ___575. 00 INSPECTION FEE 25. 0gOTAL DEPOSITED __600. 00 - -
(NEW) (EXISTING) E'Jll_DING SEWER SY5'iEVI _ .___-Fanno CrE^ek
The Applicant agrees to comply with all rules and regulations of the Unified Sewerage Agency.
APPLICANTS
SEWER PERMIT
THIS PERMIT AUTHORIZES CONNECTION TO THE SF\P/ER IIS7EM.
LINE SIZE ------ ------ -_. INSTALLER _
RECEIVED BY_.
(AGENCY OR ITS AGENT)
COMMENTS:
This Application and permit expires in one hundred and twenty (120) days. r
The amount paid will be forfeited should expiration occur.
City Of Ttgae a Mechanical Permit Aju Permit "![
Y
Nev: in.*ailation Replace ❑ Relocation ❑ Adcition ❑ Alteration ❑ - Fee
TOTAL
CONTRACTO16(0MUSE! pj �4flNGOWNER
ADDR:.SS_ 17005 N. Vy'. CQRNF; ! .Ro IVORY ADURESSIL C.i �'.
BE,AVERTON s�'4 Lt�;G-ic- -d bfZ
PHONE OREG APPLICANT SOrnerset PI-a�Lr
__ afi;n
Heat Input Rating {gTU Per Hour) Vent Size T/`-a
Flue Size
FUEL OIL a GAS ELECT ❑ OTHER
ITEM NO. FE= ITEM NO. FEE
For Issuance of Permit 3.)0 Boilers Over 50 HP •
New - Under 100.000 BTU 4 JO 25.00
Air liandlin iQ__;OQQ CF11 1.00
New • Over 100,000 BTU 5.)0 Air Handling Ov(!r 10,0t)O CFt,t
Floor Furnace u 00
4.00 E vaporative Cooler j 'l 3.00
Wail - Floor - Sus need 4.(0 Vent Fan
200
Install Vents 2"0 Vent System �—
Repair - Heat & Cooling < i
4,01 flood 3.00
Boilers Under 3 HP t 3.QO
' 4A�) � Domestic Incinerator � ! 5.00
Boilers 3 to .5 HP TK Cc-nm. incinerator I 20.00
Boilers 15 to 30 HP 10A0� Other Not Listed 1—j
Balers 30 to 50 HP
15.00
!r.SPEC,TOR'S COM:.IENTS
c
CITY BUSINESS LICENSE REQUIRED FOR"ALL CONTRACTORS OR SUS-CONTRACTOR
APPROVED BY DATE ISSL,CD BY
DATE
RECEIPT NO.
774
- - -- - ----- --- - $.; a ure o ppiic:utt
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