11377 SW LAKEWOOD COURT 11377 SW LAKEWOOD COURT
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ADDRESS �/ 2� � -� � i PE R Pl 1 T "`U•.--fC�/� = '� ......_- �- --
PERMIT CNARC•E _ none
OWNER �`L �jT�.c� a� C0NNFCTI}: `
N FE
PAID aY
TYPE OF RUILOING •G • � ��+c-�. DATE CONNFCTEC+
SERVICE HATE It:SPECTIUN FEE
PAID BY DATE
5IZE OF CONNECTION _ ASSESSMENT _ _ PAID T�
I - s 17
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Y i •]
01
CITY OF HGARD
OREGON
t Lutz
Ouvner:..---..... ..... .... . ...... .... ............. .. .......... ..Perlr,it I�'o. ....99.3 .. . _!..
BuildingAddress. 11377 SW Lakewood Ct....... .. . . ........
....... ....
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Certificate is hereby given this.... ......._.day of.........� nuery.. ... 19..7..
4
1 l42" •t�y that said building may he occupied and �j '
that itcomplies kith all rr_yuiremet,ts of
the Building Code i7r the City of Tigard '♦ %/
` <
t cl as approved by the Tigard City Council. N �
Building Inspector
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City of Tigard
INSPECTION REQUEST
for
INSPECTION TIME : PERMIT NO. : _�
DATE: DATE ISSUED: -
OWNERS NAME :
AC DR ES S )137 7CONTRACTOR :
TEST' Air ❑, Water ❑ , Tssuol)i�, Laboratory ❑
RESULT: Approved)V, Disapproved ❑ , Pending (�
SKETCH:
INSPECTOR DATE
E"TE . Attach supplemental test date hsretc]
/ r �
City of Tigard
INSPECTION REQUEST
for
INSPECTION TIME : L'__ PERMIT NO. : _
DATE: =1111."_ DAT! ISSUED:14,
OWNERS NAME : (--U Z
ADDRESS : —_—
CONTRACTOR
TEST* Air U, Water r] , Visual 0 , Laboratory ID
RESULT: Approved �` Disapproved 0 , Pwidlnq Q
SKETCH:
I
I
I
INSPECTOR DATE
CNm
OTE Attach suppleertaI fart data horst]
I
._._�.,�_.. ..-M,Wwww»«.....,.„�.aeM_7`•�'..,MuWe..�M"lc'N l�IA"�FNS'�.•y!°7�*► "'W"� �' '1`:�''� ~•�,.n .
CITY 0111111 kigu4tt 11 19 7b N° 0993
BUILDING PERMIT APPLICATION TIG ARD DATE
THE UNDERSIISNED HEREBY APP:_IES FOR APERMIT FOR THE WORK HEREIN INDICATED OWNFR"HONE
OR AS S1iUWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS.
H)r Lut lz L.t�. .113771 ;W Lakewun-11 Ct- BUII-DER PHONE --
y�NNEfI ADDRESS
ENGINEER LOW
•!1411• i ARCHITECT DESIGNER
9L1LL+1 d--.-- -
} -1 ORENEWAL UFIRE DAMAGE ❑DEMOLITION
STRUCTI';�E [JWEW ❑REMODEL _ UAODITIONCJF�EPAIR _ ---
Q_.RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑ rr,,RELIGIOUSOPAT10 uCAR PORT` ❑GARAC9 ❑STORAGE OSLP-a ❑FENCE
[3BUND UMOVING ❑CONDITIONAL USE ❑DESIG`I REVIEW []COUNCIL APPROVED []SIGNS
Al-
OCCUPANCY � LAND USE ZONE__3 � BLDG.TYPE FIRE ZONE __ PLAN CHECK By__ HE
74-4Y.!
Construct no story du�111j,:-►j w7jtt*chod
IPI!,�r�.r �,,! 46 C�• � -
3 badr+�om 2 berth lax 1»Mp b�
FLOUR LOAD
HEIGHT NO.STORIES AREA ^VALUE_
LUAU ^_ --
B_UILDING DEPARTMENT REAR 211
LEFT SIDE — _ RIGHT SIDE
_ _ SET BACKS FRONT -
Permit 1 136oOCl –_—
_ --1-- THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
I?Ul.AT10NS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check 19.00 RE
WORK WILL BE DONE IN APPLICABLE WITH THE PIANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Recordinll ALL APPLICABLE CODES AND ORDINANCES. THi ISSUANCE OF 1 HIS PERMIT 'DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR ANIS SUB CONTRACTORS TO HAVE CURRENT CIT`. BUSINESS
1%State 4*38 LICENSE. SEPARATE PERMITS REQUIRED FOR SFWER, PLUMBING AND HEATING.
150.30
Total - t$„eF.�
By APF QNT OR AGENT
Approved :!1Receipi No. LL--- - _--
INKEWALPW n w
UNI 111:01 SEWERAGE AGENCY NO. __ 1UF07 -
WASHINGTON COUNTY DATE Au_iust 11. x97.6
CITY OF---__ Tigard - -- —
APPLICATION FOB SFVVER CONNECTION PERMIT
OWNER: ._ Art Luiz
OWNER'S ADDRESS: - - - - - - - --- - -
STREET
CITY -� STATE ZIP
BUILDING S17E: LOT Bl JCK -__ ADDITION --
Tax P1ap :tS1 34AB residence
TAX LOT NO. -�- - TYPE OF OCCUPANCY --
ADDRFSS 1-1377 5W Lakewuod Ct.
DWELLING UNITS _l�_ _ _-_ FIXTURE UNITS --
SURCHARGE IF APPLICABLE .
PERMIT FEE 575. 00 _ INSPECTION FEE 25. 00 TOTAL DEPOSITED 600. 00
(NEW) (EXISTING) BUILDING SEWER SYSTEM - Fenno Creek
The Applicant agrees to comply with all rules and efufatlu f the Unified Sewerage Agency.
APPLICAf9
SEWER PE MIT
THIS PERMIT AUTHORIZES CONNECTION TO THE SEWER SYSTEM.
LINE SIZE --- - - -- -- INSTALLER _ - -- - ----- - ---
RECEIVED BY-- --'`-� -" _._��-- -_.. -• ��—_---- __.. ----..-------
(AGENCY OR ITS AGENT)
COM'AENTS: __ 91_d3• 10993
This Application and permit expires in one hundred and twenty (1 2 0) nays.
The a nount paid will be forfeited should expiration occur.
..ter
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
Contractor
Permit No. �
L" -- - - Rough-in --
�p �J (�,[�1 —— Fixture
—�-f-� Q_ �,� -- -- Final — -
HEATING
lO//��(o _ C�t!?lt�� _ _ ______ Contractor —
- -� — -- - -- --- Permit No.
Gas or Oil
Rough-in
Final
-- -- ---- -------- - _
SEWER
Final
- -- - --- ---------- DRIVEWAY
Final
Storm Drainage —
(Rain Dvain) Final
Sidewalk
Curb&Street Final _
-- _ ---- ___ ------------ -
Approach
-
BLDG DEPT. FINAL TEMPORARY- CERTIFICATE OCCUPANCY Final —
i7 CERTIFICATE OCCUPANCY
7J Landscaping
( Zoning Final
i
b
. CITY OF TI GARD MECHANICAL PERMIT
DATE * _ _ PERMIT .NO. RECEIPT N0.
BY _ _ __------'---- -- .-- - — _ FEE
1.
•Permit shall be obtained prior to c'ommencemen't of installation:
2. Permit ,shall be obtained for all appliances which are to become
a fixture to the building. ' -
3, Relocation, replacements, alterations, or changes to burners an
duct work require permits.
• 4. All work to be concealed must be inspected before cover up.
New Inst.a].lation Replace Ej- Rerocation Addition, ❑ 'Alteration [-
_ OWNS
CONTR.
SOMERSET PLL I NG & UAT{NG • WORK ADDRESS t1�Z�L� d ,
ADDRESS
SEAVERTON, OREGON �! , . 1,PPLICANT
TELEPHONE 140.
FURNACE - PIAWUFACTURER _ Nl.,q __ _ .__ __ TELEPHONE NO..
HEAT In ut rat ___ f
ing (Btu Per Hour) Tg ��_ Vent Size _ g_- _ Flue
P
FUEL OIL IJ CAS b(I FLECT LJ OTHER .__------- -- ---- ----- _ .�
TOTAL SQ. FT. Top Floor l�t� Main Floor _ � _ Basement _
GENERAL .
� -- --' ITPA .---- - s N0. FEE � r ITEM N0.
For_ Xssuance. of Permit _ x.00 Boilers Over 50.E—�;__ -
11ew -• Under 100000 Ei;u Air HandlIng 10 00
----- -- -Over 10�000 Cb,M
New - Over 100000 --- -
Floor Furnace ___- _ __x+:00 __ , Evaporative Cooler
C�a1 Floor�_Suspende -_— T4 00^� _ went Fan
Install -Ven�:s �Z,DU-_ den _System
- _- Nona
Rair
- Neat_& Cao1r�; _
Boilersnder_ 3 �iP_ _ x+.00 �Domesoncinerator _ __
No-ile 15 Ham_ ____ _ 0_' �omm� Inc irTi'rM
Eoilers 1 too 11p _ 1.0.00 Otfier�Iojsed_
Boflers 5.00 ._
I14SPECTORI S COt✓MENTS11
APPROVED BY _ ----___-- -_ DATE _ -- - - ISSUED BY �_ __ .._ .. DATE