11342 SW COTTONWOOD LANE N
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11342 SW COTTONWOOD LANE
Address
c`rr�r! Permit No. _ /Permit charge 72C�>
Owner2,��(Z� ,`tet ,fConnection Fee
- Pa. d by
Typa of building �� D_3te connected
Cor
�_. v.ice rata y� Iiicpertion fee �5
C,intractor Piid by d=ite _
' lize of connection Assessment Paid '
8-d 0 /'1 (v PA)
BUILDING DEPARTMENT, TIGARD r�'•�
PLUM..BING PERMIT �l
holder of a valid plumbing contractors license is hereby
auth d to cause plurnbi work as herein noted to be installed in accordance with the plumbing code oi•
Tigard. Suc!r installations require inspection by the City Inspector who shall be notified not less than four I
' (4) hours prior to the time the installations are ready for inspection. City of Tigard Business License required
for all contractors and sub-contractors.
0wr.er_al1' Addresj. �.zlyl"`y� aDate_ i
NUMBER O. TOTAL PERMIT NO.'S
TYPE OF PERMIT ITEMS FEE ON EACH AMOUN i (Office Use Only)
—Single Family-1 beth-each -_ V _ 25.00
IL_
_Duplex-Each 1 both unit — 25.00__ -�
Additional bathrooms-each _ `-_-_ _ 10.00 — LL•e)0 -
Mobile Home Spaceesach _ _ 15.0.0
INDIVIDUAL FIXTURE FEES
Ito W Fixtures in 1 buildingeach x.00
~51 to 100 Fixtures in 1 building_-each 2
10I to 200 Fi• •ores in 1 bu;lding-each 2.00
_201 or morns Fin_u•es in I buildnt
Sl 15 C E L L A N E O U 3_ _-
Building Seg>r-1st 50 ft. �- _ 10.00
Sewer-each additional 100 ft. _ 10.00 -
_Water Service to builLtg-__ - 5.00 -
Private Water Systems..e3eh 100 it. 10.00
Other (Specity); �� _-' --._r.. -----•--__ .
PERMIT o v F'or P umbing Inspection Phone 63844171
�'ln Srate _ _
.�_ /y/v Plumbing Contractor By
TOTAL —�( /�, R T NO. lasued By --- -�� --
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SEWER PERMIT N! 13886
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Unified Sewerage Agency
of Washington County CITY OF Tigard DATE 1-26_7A _
0,4NER : Trademark Homes w PHONE 64�_,q491
OWNER 'S ADDRESS:
TYPE OF INSTALLATION :
Rjj6UILDING SEWER ❑Bl. ILDING SEWER AND SIDE SEWER,
TYPE OF OCCUPANCY:
r.cic NEW x1a SINC;L.E FAMILY LJ C9MMERCIAL_
❑EXIST . (PRIOR TO 7-1 -70 ) ❑ MUL T . RES. ❑ INDUSTRIAL_
FIXTURE UNITS DWELLING UNITS 1
PERMIT CONDITIONS: THE APPLICANT AGREES TO COMPLY WITH ALL RULES
AND REGULATIONS OF THE UNIFIED SEWERAGE AGENCY . WHET! CALLING FOR
INSPECTION , PLEASE REFER TO THE PERMIT NUMBE=R , THIS APPLICATION
EXPIRES IN ONE-HUNDRED AND TWENTY ( 120 ) DAYS . THE AMOUNT PAID WILL.
BE FORFEITED SHOULD EXPIRATION OCCUR .
FEES:
PERMIT FEE S 25,
CONNECTION CHARGE 600-
SIDE
00 SIDE SEWER INSTALLATION _
ISSUED BY
JTHER
T01A1_ S 625.
I AF PI I(, .NT DATE
N73 nF T31
rOH I'AIS SEWER PERMIT M 13886
ADDRESS OF STRUCTURE k*iQfxRwxwii*)rmxwm"AxRtx 11342 SW Cot.Lonwood Lane
r creek fann
TAX MAP TAX LUT SYSTEM
LOT 228 BLOCK OF
oll
APPROVED BY DATE ISSUED BY DATE
REMARKS bldg. X11858
BUILDING PERMIT APPLICATION 1O1F TIGARD DATE_—
THE UNDERSIGNED FIEREBY APPLIES FOR APE RMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE_
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNERPHONE__
11342 SW t.o t Lonwooi4 Lu r NC_
OWNER Trademck Noma JOB ADDRESS t*%'X"WXkti'*WMXWQGW :i„l+IOME ADDRESS
ARCHITECT
BUILDER sarfiC '. ENGINEERADCIRES. DESIGNER
STRUCTURE — ONEW ❑REMODE I. ❑A_DDITICN 0RFPAIR ❑RENEWAL- ❑_FIRE DAMAGE ❑DEMOLITION
CI_''FSIDENCE ❑COMM ❑EDUCATIONAL. ❑GOVT ❑RELIGIOUS❑PATIO ❑CARPORT ❑GARAGE ❑STORAGE❑S-AB ❑FENCE
OBOND ❑MOV ING ❑CONDITIONAL USE ❑DES13N REVIEW ❑COUNCIL APPROVED ❑SIGNS
OCCUPANCY LAND USE ZONE_—x~ BLDG.TYPE__ :. FIRE ZONE ^I-AN CHECK BY—_” ti" IICAT__
AFH 3 bedrooal 2 bath COUSIL. st.ngle fandly dwelUng w/att»cbed garage
svve!r PCLxntL {11.1;.3?i6 corm. $600. ioalp. $25.
HEIGHT.-J8 NO.STORIES 1 .BEA 175`� NO.BEDROQM.$?____VAWI_E4tA9y 5.0(,
BUILDING DEPARTMENT SET BACKS FRONT 20 REAR 36 LEFT SIDE 10 RIGHT SIDE 7
Permit 178.0:3 — -- —
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE. ZONING
Plan Check lU•(N(J REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGRF.FD THAT THE.
WORK WILL BE DONE IN ACCORDANCE WITI4 THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Subtotal 188.UU ALL APPLICABLE CODES AND ORDINANCES, THE ISSUANCE OF 1HIS PERMIT DOES NOI WAIVE
RESTriLTIVE i.OVFNANTS. CONTRACTOR AND SUB CONTRACTORS )0 HAVE CURRENT CITY BUSINESS
State Tax 7.12 UC
ter• • • � •Mt%SrLPJ►ELATE PERMITS REOUIRED FOR SFWEH, PLUMBING AND HEATING.
Total 1`6.12 P.P.C. $L(r.
BY e trVt
— APPLICANT OR AGENT
- - -- -
Approved ;) Receipt No. 1(
AD SS
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DATE IN r'. TYPE INSPEC(ION REMARKS Pl. ,MBING DATE
•,� `� _ __ Contrar_tor
Permit Na. 2_ � �
U/<22-
• Fixture
Final _
HEATING --
frr1JnAi ryf l ♦� _ Contractor _
/fl�sr� �j1.�s���,s Permit No� Uq,7
aas of Oil
_ _-- Final
SEWER - —
Final 414"-eA 3 -17- V
_ DRIVEWAY _—
Final
Storm Drainage
:Rain Drain) Final
---- Sidewalk
Curb&Street Final
Approach _
BLDG DEPT. FINAL TEMPORARY —CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY Final
C Landscaping
Zoning Final
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