11330 SW COTTONWOOD LANE 1
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11330 SW COTTONWOOD LANE
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Owner:�Art Lu17162."l t
.---.---________.___Permit No.
Building Address_ 11330 SW Cotto_nwu_od _Lane
- ^rt Certificate is hereby given this 17 `day of Farah
that said building may Le occupied and that
it complies with all requirements of the
; I Building Code for the City of Tigard, as ! �:
approved by the Tigard City Council.
BuiWing Inspector + `\
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ADDRESS_„ �/3�0 /',+ r lLoz�,. � PERMIT NO.
PERMIT CHARGE none
OWN .R c_ r _y_'� +% [ �f CONNECT'I ON FEE , c?w�
PAID BY C �
TYPE OF BUILDING _ DATE CONNECTED
SERVICE RATE /c��_. INSPECTION FEE
CONTRACTOR PAID BY DATE
SI'E OF CONNECTION ASSESSMENT PAID
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BUILDING DEPARTMENT, TIGARD
PLUMBING, PERMIT 1�I •
hc-,;der of a valid plumbing contractors license is her�!by
authorized to cause plumbing work as herein noted to be installed in accordance with tht- plumbinU coda of
Tigard. Such installations require inspection by the City Inspector who shall be notifitid not less than four
(4) hours prior to the time the installations are ready for inspection. City of Tirlard Business License required
for all corAractors ar d sub contractors.
Owner. C --__ Address Llr�rz._s_��� �7 ate 8r/a.37 7
TYPE OF PeZ1' ITEMS FEE ON EACH AMOUNT (Orficr. Ute Only)
FI E.S.I Q-E N_L19)s—_.-- -
Sin le Fanily--1 bath-each 25.00 S.eyG I
25.00
pupie+c�-Each 1 bath unit ___------J-_-----
Additional bathrooms-each 10.00 CO r
i Mobile Ha ie 15.00 _-
INDIVIDUAL FIXTURE FEES i
t to 50 Fixtures In 1 buildinq-aach - 3.00_
_ 51 to 100 Fixtures in 1building-each_.._- - --- ---- 2.50 ------ ---'___.-_
_ -_ -_—.
101 to 200 Fixtures in I building-aach — __-- _- - - _- __ 2.00
201 or more Fixtures in 1 hulrlin 9erh 1.50 f
MISCELLANEOUS
8uild_inq.$ewer--1st 50 Ft. 10.00
Sewer-each additional 100 It, 10.00
i Water Service to building+ - --_ _ 5.00`__
_Private Watet Systems--each 100 ft. 10.00
Other ISoecif k
PERMIT - OC For Plumbing Inspection Phone 6394171
-- .- �___._.__
y State _ Plumbing Contractor By
TOIAL L L,�Bo RECEIPT NO. Issued By -_
�.'"..,.,. ,....,,-..,,,,.,.- ,. ....,,,.... ,, .., .,,..•mow+-.,.�..m..,4,.��,T-,�. .. . . _ ,
- 1
17
4SEWER PERMITUf N? 13491
Unified Sewerage Agency I
of Washington County CITY OF _ T_ig_3 rd___ DATE 8-8-77 I!
OWN[ k Art. Lutz & Co. _ PHONF : 6 '6-5174
OWNER 'S ADDRESS:
f
TYPE OF INSTALLATIrrJ,
Xj BUILDING SFWER ❑BUILDING SEWER AND SIDE SEWER
TYPE OF OCCUPANCYi
17)�NEW >0y : SINGLE FAMILY ❑ COMMERCIAL
❑EXIST . (PRIOR TO 7-1--70 ) ❑ MULT . RES. ❑ INDUSTRIAL
FIXTURE UNITS DWELLING UNITS 1
I
PERMIT CONDITIONSt THE APPLICANT AGREES TO COMFY WITH ALL RULES
AND REGULATIONS OF THE UNIFIED SEWERAGE tGENCY . VHEN CALLING FOR
INSPECTION, PLEASE REFER TO THE PERMIT NUMBER . THIS APPLICATION
EXPIRES IN ONE-HUNDRED AND TWENTY ( 120 ) DAYS. THE AMOUNT PAID WILL
BE FORFEITED SHOULD EXPIRATION OCCUR.
FEESt
PERMIT FEE $ 25.
CONNECTION CHARGE 600,
SIDE SEWER INSTALLATION
ISSUED BY
OTHER
TOTAL
U APPLICANT DATF
SEWER PERMIT N" 13491
ADDRESS OF STRUCTURE 11330 SW Cottonwood Lane
TAX MAP TAX LOT SYS1 E M _fannn 1 T,pek
LOT 224 BLOCK OF
e� 'Of 1;��7_
APPROVED BY DATE ISS BY DATE
❑.
REMARKS R1 1627
6�BUILDING PERMIT APPLICATION cOF TIGARD DATE Q--0-77 'FP
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDERPHONE _
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNERPHONF
LOT NO._
OWNER 'Irt. Lutz $ Lo, JOBADDRESS 11330 JW CottunwooLIHOMEADDRESS _
ARCHITECT -_ I
ENGINEER
BUILDOWER ADDRESS DESIGNER
STRUCTURE _ ❑N6W ❑REMODEL ❑ADDITION _ ❑REPAIR —❑RENEWAL_ ❑FIRE DAMAGE _ ❑DEMOLITION
❑RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑REL iIOUS❑PATIO ❑CAR PORI ❑GARAGE ❑STORAGE❑SLAB L)FENCE
_❑BO_ND 0 M/ING ❑CONDITIONAL.USE ❑DESIGN REVIEW ❑COUNCIL AFPROVED ❑SIGNS
OCCUPANCY - LANC USE ZONE BLDG.TYPE JrJ FIRE ZONE—
PLAN CHECK BY etw HEAT_—
c:utist. single family dwelling w attached garage 3 bedroom 3 babb
Lot #224
OC��LQ9J2__-- FLOQ$LUAD HEIGHT ZO I�IQ._STOBIF$._=:—__AAEA 1�1�3 N_Q�.�QP-QQM$__3 V-A L-V_E_.
_ BUILDING DEPARTMENT SET BACKS FRCNT 20 REAR 42 LEFT SIDE 10 RIGHT SIDE
Permit
BiaG THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check i REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND I* IS HEREBY AGREED THAT THE
WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS A-0 IN COMPLIANCE WITH
Sub-total ALL APPLICABLE CODES AND ORDINANCES THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
- RESIRICTIVF COVENANTS, CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax ��� LICENSE,$,6LPf "TE{PERhjlulj)p �REPLFOR >G EpPLUMBING AND HEATING,
Total 254.28
By
APP- -,ANT OR AGENT
Approved Receipt No r)) 1`. .)
ADDRESS PHONE
-.._u..yop"'"'_•R.uYir.�K:_..,___.. .,.._-_.....- y,. - .W.-.wrw•vw WuHMIM'w+.11LLa.:1......W...sr�rY.YOMY•acl .�ly .fiW
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DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
Contractor
10-- UYj Permit No. -2
t 0--5 — Rou hcLrn —
_ Fixture
:2t'u Yt C�C�� - Final ---
!0 -21-11 T3 a , ���c�,Q If 4HEATING
A, 2g- A.+� „pct .c,�.fi Contractor
11- - ✓ye t, _ _ Permit No.
_7/� -2,� _ _`_ Gas or Oil —_
Rough-in
i
_ Final
.—__ —..---------- - — SEWER
Final
-- -- -- ------ -----
Final
-
--_ Storm Drainage
(Rain Drain) Final
Sidewalk
Curb&Street Final
A roach
BLDG DEPT. FINAL TEMPORARY CERTIFICATE OCCUPANCY
CERTIFICATF OCCUP/NCY Final_— `--Landscaping
Zoning Final
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