11322 SW COTTONWOOD LANE 1
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11322 SW COT'1'ONW000 LANE
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CITY OF T1G � ,
OREGON
-:....... . ........Permit No....1324.....
;. thcn�,t .Homes............................. ...
z� 11322 SW Cottonwood Lane
t Building Address...............
9 September 77 �+
Certificate is hereby given this........... .. .day of............................... , 19..........
+ that said building may be occupied and
that it crnnplies with all requirements of
the Building Code for the City of Tigard,
, r "
as approve1 by the Tigard City Council.
Y
Building Inspector 4�c
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Address /3,2.,L" 'x-4t.1Z'vPermit No.
Permit charge 22 0/Z z
Owner , Connection fee-21
Paid by
Type of building -7 oo Date connected
Service rate Inspection fee a a5
Contractor Paid by Date _
Size of connection Assessment paid
e;5�1/7
i
City of Tigard
INSPECTION REOUE T
for
,-�LA-
INSPECTION TIME ' PERMIT NO.: .
DATE: DATE ISSUED: ...L.L...
OWNERS NAME : 4'►ti � Gr� s
ADDRESS : Ll-'' Z_ s<�, ?.o.�.w U P, i
CONTRACTOR :-AL,si,►ray ems _
TEST'. Air G, Water ❑ , Visual -,—Laboratory ❑
RESULT: Approved C11 iaapproved ❑ , Pending ❑
SKETCH:
'/ 8PECIOR DATE
CNOTE Attach supplamentol fool date hast]
UNIFIED SEWERAGE AGENCY NO.
WASHING FON COUNTY DATE 2-28-77 _
CITY OF., __ Tigard
APPI_-ICATION FOR SEWER CONNECTION PERMIT
OWNER: _ -_ _- (sonogram Homes
OWNERS ADDRESS: --
Si Nf`ET
CITY---- __- STATE -- --- - - ZIP -
BUILDING SITE: LO-T-_2i.3-.— BLOCK ADDITION
TAX LAT N0. ___. .___.� _ TYPE OF OCCUPANCY - residence___ _
11322 SW Cottonwood Lane
ADDRESS -- -- ----- - -- - - - -- - - - - - ----- - -- - --
DWELLING UNITS----..__._------ _-_-_ FIXTURE UNITS _.._-_---.__.__._------...._--
S U R C H A R G E IF APPLICABLE -
PERMIT
PPLICABLE ._-PERMIT FEE ._ 575o - INSPECTION FEE . 25s__ TOTAL DEPOSITED
(NEW) (EXISTING) BUILDING SEWER SYSTEM
The Applicant agrees to comply with all rules and regulailons of the Unified Sewerage Agency. I
SEWER PERMIT
i
THIS PLRMIT AUTHORISES CONNECTION TO THE SEWER SYSTEM.
(.INF -----.__._.,._
r;-
RECEIVED BY.
(AGENCY OR ITS AGENT)
COMMENTS:.___-B1dp. ,1- 1324
This Application and permit expires in one hundred and twenty (170) days.
The amount paid will he forfeited shOLIld expiration occur.
y� BUILDING PERMIT APPLICATION cOF TIGARD DATE- x"'2 �7=__, 19- '?"�4
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED '2::ILDERPHONtf �. .
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATION OWNERPHdN1
LOT NO.
OWNER JOB ADDRESS 113" J4: i3OttvIlWtaud 46kft ADDRI:SS
ARCHITECT
ENGINEER
BUILDER f'I ADDRESS ___DESIGNER
STRUCTURE ,JyEW L_,REMODEL ❑ADDITION C1 REPAIR ❑RENEWAIIL ❑FIRE DAMAGE ❑DEMOLITION
SIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PA 110 ❑CARPORT EJGARAGE ❑STORAGE❑SLAB ❑FENCE
❑BOND ❑MOVING CONDI 110NAL. USE ❑DESIGN REVIEW ❑':OUi!CIL APPROVED ❑SIGNS
OCCUPANCY 1 LAND USE ZONE--BLDG.TYPE_ rr__I-IHE ZONE___ PLAN CHECK By HEAT_.
�-.inmt- sin4X® familydWw 1lirTtJ w attached t� ra6u -- 3 bodroum 1 oath
Lot 4223 Q ar8+_e 440 eft' . ft« 44
OCC.LOAD FLOOR LOAD -4n HEIHT ` -----ND.5T_ORIES_�--AREA?-0"'T 'W-HJMQQM52 VALUE •001,
BUILDING DEPARTMENT_ SET BACKS FRONT c'�) REAR 3M LEFT SIDE 1 RIGHT SIDE
Permit I L49"fit,
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check ESQ•5 REG01.ATIONS AND ALL APPLICAULE 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 THIS PERMIT DOES NOt WAIVE
-- - RESTRICTIVL COVENANTS CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax 7,60 LIE-P)SF.. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
Total 261.101
By ...
-- �----- A IC,ANT OR AGEN f -.-__� -----------____
Approved -- - - Y eipt No. i
AMR'tsS — f O�7)NE"—
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DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
Contractor
Permit No.
Rou h-in —_
Fixture
-- = -""' Final ----
HEATING
TO Contractor
Permit No.
Gas or Oil
Rough-in
sinal
SEWER
Final
DRIVEWAY
Final
Storm Drainage
(Rain Drain) Final
Sidewalk
Curb&Street Final
A roach_
BLDG DEPT,FINAL TEMPORARY CERTIFICATE OCCUPANCY final –
CERTIFICATE OCCUPANCY _
C / Landscaping
1 Zoning Final
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