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12030 SW SPRINGWOOD DRIVE ■ 12030 SW SPRINOMD LRIVE N 1 N �J �'1 � ,.* ''i '9 (� �6 ,�1 '� �; '[.� r1 T>..C! ('.1 �•:+ r "� f.` T t�.'I�•?°•� l':) .-�+ (l :'9 �'1 !'+ 1 ,� �� r ) OREGON � { Owner:.........Wayne .He,111ck.csun__.......... .. .. ..........1'crmit n V'_ . 1.001 i \ A Building Address... .. ..... . 1203.0. SW..Sprinywood.. Dr. ............... Certificate is hereby given this ...1........(lay of April,...... ........... 19.....77 \ . that said building may be occupied and that it complies with all requirements of 1. I the Building Code for the City of Tigard, as approved by the Tigard City Council. ) ' Building Inspector h1 r � ' l - j na i T':�� .� .. /.a'�, ('.) .y l_ ! �; .+ l •:�s� / -� ( i` �T t, .;,� � , ov . _. �. .- �;� `��"i'•'.i��'a�-%'� '''�G��>.. � - '� � �_ y .a ,rte. Address /2�?3 - _ Permit No. L permit charge 77077 tt_ Owner Cnn,iection fee 7S P d i d by Type of building ft :���c_ Date connected _ Service rate Inspection fee o?�° Contractor Paid by _ date Size of conner '.;ion Assessment Paid 3 -7-77 31st a City of T i acrd iNSPECTIQN REQUES fcr INSPECTION TIME : �'� PERMIT NO. : ----- DATE: O. :DATE: LG I!1242— DATE ISSUED* _..l—Z OWNERS NAME : -- - -- -- ADDRFSS : CONTRACTOR : --- TEST' Air Q, Water [] , Visual ❑ , Laboratory p RESULT: Approved -', Disapproved 0 , Pending [] SKETCH: SPECTOR DATE FNOTE Attach supplemental telt dale heretu1 I V �� / �/ �� �� `�� �� � i i BUILDING DEPARTMENT, TIGARD PLUMBING PEMMIT Tualatin Valley Plumbing Htg. Inc. holder of a valid plumbing contractors license is hereby aut` prized to cause plumbing work as herein noted to be installed in accordance wit;-1 the plumbing code of Tigard. Such installations require inspection by ,.he City Inspector who shall be notified not less than four � j4j hours prior to the time the installations are ready for inspection. City of Tigard Business License required for all contractors and sub-contractors. Owner 2-4;n- HeL o'- on Address 12 30 -AV Springrwood Dr. Date 9- 1-76 NUMBER OF TOTAL PERMIT NO.'S TYPE OF PERMIT ITEMS FEE ON EACH AMOUNT (0mce Use Only) --riTIALS Singie Family-1 oath—each 1 25.00 25, 00 P 1iex -Each I bath unit 25.00 Additional bathrooms—each 1 I 1000 10. OC 1 Mobile Home Space—each 15.00 INDWIDUAL FIXTURE FEES 1 ti 50 Fixtures in 1 buildi —each 3.00 51 to 100 Fixtures in 1 building—ea h 2.50 101 to 200 Fixtures in 1 building—each 2.00 201 or more Fixtures in 1 build;ng—eech 1.50 (MISCELLANEOUS --�- Building Sewer-1st 50 ft. I 10.00 1—S------_—�h additional 100 ft. 1U.00 Water Service to building 5.00 Private Water Systems—each 100 ft. 1000 Other iS i --PEEFIMIT 25 00 ( For Plumbing Msp"Ction Phone 6-9-4191 ' 1% State pj Plumbing Contractor By TOTAL 36. 05 RECEIPT NO. Issued By I i 'I l I 1 a / CITY ',3�. • BUILDING PERMIT AP","LICATIC'N of TIGARO [LATE I9 ". -'666 IHE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR IHE WORK HEREIN INDICATED BUILDER PHONE OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS OWNER PHONE---- V-v�0 4W, LOT NO._ __ t, OWNER JOB ADDRESS �. �� �1�HOML�'ADDRESS ARCHITECT ENGINEER BUILDER _ADDRESS DESIGNER STR_Lr-1IJURE ONEW CIREMODEL ❑ADV'TION OREPAIR ❑RENEWAL ❑FIRE DAMAGE IJOEMOLITION © RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELI GIOUS❑PATIO ❑CAR PORT ❑GARAGE ❑STORA(E❑SLAB ❑FENCE ❑BOND DMOVING ❑CONDITIONAL USE ❑DESIGN REVIEW []COUNCIL APPROVED []SIGNS OCCUPANCY LAND USE ZONE �} BLDG. I YPE.___ FIF_ZONE.._ PLAN CHECK BY__Q'YLHEAT V:n -- N_Q STQ IFi " – -- AREA 1 BEDROOMS 4S�.JLOAD —FJ.4�'F_J.9AD -- –!i€15�1:1L_ - BUILDING DEPARTMENT SET BACKS FRONT 2() REAR _ LEFT SIDE 12 RIGHT SIDL1jM(+ ( Permit THIS PERMIT IS ISSUED SIIBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING Plan Check f K) REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE WORK WILL BE DONE IN ACCORDANCE WITH THE PIANS AND SPECIFICATIONS AND IN COMPLIANCE WITH Sub-total ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONT9ACTORS TO HAVE CURRENT CITY GUS:NESS State Tax Q, , LI,:ENSE, SEPARATE PERMITS REGUIRED FOR SEWER, PLUMBING AND HEATING. Total ,.i0.4k. By fi AP` +CANT OR AGENT ------- ------ Approved �._. _ Receipt No.' , ADDFE55 /00� 77 119-1 G q -,17--260 �- d� , CITY OF BL�I��JIC pEu 'T AP?'_'CAT'n� 'G DATE �- --�_. ,9z� THE llNDERS'C-NED HE?EBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED OR AS SHOWN AND A PROVED IN THE ACCOMPANYING PtLANS�Ir�"! �S OWNER PHONE c� , OWNER ADDRES^ SCS 1 Dti , :;::'LDER PHONE ENGINEER Rtll I I�FR r-� ARCHITECT �r--}f DESIGNER T ��yy STRUCUPE ! NEW REMO^EL CADDITION :_1REPAIR rRENEWAL r2FIRE DAMAGE '—DEIdOL.!-TION RES.OENCE r7COMM =^_CAT!ONAL wOV'T r7REL!GICI.:S JPATIO ^CAR PORT r2GARAGE 'STORAGE CSLAB nFENCF ^?^• 7 MOVING /L1C•nNCtTIONALUSE -DESIGN REVIEW ❑COUNCILAPPROVED ❑SIGNS Cr AND USF ZONE „" BLDG TYPE � FIRE ZONE PLAN CHECK BY HEAT Z P-s r 5 /fil CCC. LOAD FLOOR LOAD ® HE!GP-r WO.STORIES I AREA VALUE SET �- . BACKS FRONT �.Q _EAR �-� LEFTSIOE 2- R'GHTSID_ 3// THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING 'tan Check /p crjj REGULATIONS AND A_L APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE - WORK WILL BE DONE IN ACCOROP110E WITH THE PLANS AND SPECIFICATIONS AND IN COVPLIA.NCE WITH Recordi^c ALL APPLICABLE CODEZ AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE �- � RESTRICTIVE COVENIAN-S. CO".TI7ACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS I%State (,& d4g�' L!CENSE. SEPARAT_ PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING. A^' AGENT ;: o�uved Receipt No. --. DRESS PHONE i UNIFIED SEVVFRAGE AGENCY NO. WASHINGTON COUNTY DATE C I-I,\1,, 0 F APPLICATION FOR SEWER CONNECTION PERMIT OWN E R: V. Wayne Hellickson OWNER'S ADDRESS- 302_Td.E. 18 ...... STREET Mllsboro 97123 IP CITY BUILDING SITE: LOT_ ___1-2..1._ BLOCK ADDITION Englewood Subd. TAX LOT NO. - TYPE OF OCCUPANCY .-__res, ADDRESS 12030 S-W- S-crintn,iood Dr. DWELLING UIqITS___ FIXTURE SURCHARGE IF APPLIrABLE _ PERMIT FEE575-- T17 . INSl-ECTION FEE _25 -_ TOTAL DEPOSITED _LNEAL (EXISTING; BUILDING SEWER SYSTEM The Applicant agrees to comply with all rules and regulations of the Unified Sewerage Agency. APPLICANT - SEWER PERMIT THIS PERMIT AUTHG.1IZES CONNECTION TO THE SEWEk SYSTEM. 411 Tual-tln Valley Pl.bc-. LINE SIZE INSTALLER RECEIVED BY- (AGENCY OR ITS AGENT) COMMENTS: builr"Ang permit 1001 This Application and permit expires in one hu nd;ed and twenty (120) days. The amount paid will be rfeite,i should expiration occur. o - pi,f `o Y S` O 1 Pe k •o Q , V I�JAY. '-1 f1 t rG.M,Ri?7~toyleklLFQRl„.��!STEUCTION y!1 %ice” - ! 'Dy CITY OF P , IT NO. _-- _-- _ SITE AU TITLEUA[E --l' BY_. 1i�,.�� -t�---- - i i Otv all Tigard Mechanical Permit �,� :� S�� Paw $3410 �. I New lnstallation 'Replace 711 Relocation ElAddition ❑ Alteration El - Fee TOTAL CONTRACTOR OWNER ADDRESS WORK ADDRESS PHONE APPLICANT seat Input Rating (BTU Per Hour) Vent Size - Flue Size FUEL OIL El GAS--B ELECT i_.., OTHER ITEM NO. FEE ITEM NO. FEE For Issuance of Permit 3.00 -� Boilers Over 50 HPf 25.00 Ne— - Under 100,000 BTU 4.00 1 Air Hanoling 110,000 CFM —3-.00 New - Over 100,000 BTU 5.00 4ir Handling Over 10,000 AFM I 5.00 Floor Furnace 4.00 Evaporative Cooler ! 3,00 Wall - Floor - Suspended j 4.00 gent Fan j 00 install Vents 2.00 Vint System i 3.00 Repair - Heat & Ccolinq 4.00 Hoed 3 00 Boilers Under 3 HP j 4.00 11 Do,restic incinerator i i r 5.00 Boiiers 3 to 15 HP 7.50 Currin Incinerator 20.00 Boilers 15 to 30 HP 10.00 Other Not Listed 3,00 Boilers 30 to 50 HP 15,30 ! INSPECTOR'S COMMENTS CITY BUSINESS L!r,ENSE RE_}WIRED FOR ALL CON' -ACTORS OR :;'!B-CONTRACTORS APPROVED BY DATE ;SSUED BY DA-E RECEIPT NO., 771 - Signature of Applicant - �C