10260 SW GREENLEAF TERRACE 1
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10260 SW CREENLEAE TERPUNCE
ADDREIS L pERf9IT N0.
PERMIT CHARGE none
CONNECTION FEE
PAID BY
IYPE OF ROILOING �i1T�, ti DATE CONNECTED
SERVICE RATE , / INSPECTION FEE
CONTRACTOR _ PAID BY VATE
SIZE OF CONNECTION ASSESSMENT PAID
',' "� ; '��..�-�! ?. • 1 1 + V" (� + I ,.;. t '.1 +.. ' i 1 '�..-•` �( r :o> i� swl t��� 1 1 1..-. t-'i.►` �.i ";�n�.' �'1. '.-�3 �..
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OF ocet
� Yti
CITY OF TIGARD
� )^ Z•;'. Occupant
r OwnNr: _ Permit No.
10260 SW Greenleaf TerraceFuildin ; AddrN s
Y{, 4:1 Certificate is hereby liven this — day of _� 19_____
that said building may he occupied and that
} }•:`' � it complies with all requirements of the !� ,
Building Code for the City of Tigard, as � <:
approved by the Tigard City Council.
t 1
( i�,'r�l'II r . \ l '. �:•.c—lv�e'" •"'_�'�w'�:l�.:i�� _ — - `y �`'1:
Building Inspector `
rhe/"` ry.. �`Y.�d� yrb" �L- ':i_6- J�^ �"-� 'r � :.i •.1�,f ti.:: �' Ji' ,
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JOHN I. REIXIIAROT°IUMBING, INC 1.3UILDING DEPARTMEN 1 , TIGARD
i
P. 0 BOY 129 PLUMBING PERMITNO.
ti l rel, QRLGON 91132 holder or a valid plumbing contractors license is-hereby
authorized to cause plumbing work as herein noted to be installed in accordance with the plumbing Code of
Tigard. Such installations require inspection by the City Inspector who shall be notified not less than four
(4) hours prior to the time the installations are ready for inspection. City of Tigard Business License required
for all con actors and sub-contractors. �'-
Own� `" �" Address r, '� /.� Goel& Date
NUMBER OF TOTAL PERMIT NO.'S
TYPE OF PERMIT ITEMS FEE ON EACH AMOUNT (Office Use Only)
_EIII T I A L -- - - $ �g Single Family-1 beth-each ✓ _ 25A0 _c7 On
Ou !ems Each 1 bath unit _ 25,00
Acla,tlonal bethroo.ns-each -- -~-- 10.00
Mohile`�cme Spr,ce-each - 15.00 _
INDIVIDUAL FIXTURE FEES
1 to Gf %tyres in 1 building-each -` 3.00
51 to 100 Fixtures .n 1 building-each 2.50
101 to 7.0_0 fixtures in 1 building=each _ _ 7..00
201 or more Fixtures in 1 building-each
MISCELLANEOUS _
--f3uildrng Sewer-1st 50 ft. _- 10.00
I Sewer—oncn e1ditional 100 ft, 10.00 _
1.JWmter Service to building 5.00 _
Private Water S stems-each 100 tta 10,00
Other (Spaci(yl: -
`` Mom
__ ---- —'-
PERMIT - 11 l�e-� Ph
For Plumbing Inspection one 094r9l
% State_ 5 Plumbing Contractor By
TOTAL " RECEIPT NO. Issued By
City of Tigard
INSPECTION REQUEST
� for
INSPECTION TIME' — -- PERMIT __-
DATE: (' 6 FATE ISSUED
OWNERS NAME : �
T- f
C 0 N T R A C TO R : ----
TEST ' Air [], Waterff- Visual f]; i`^,-.,atory CJ
RESULT * Appruded [3---;Disapproved [: , Pending E]
SKETCH.
! PECTOR DATE
[NOTE Attach >luPPlam'wntol test data bereta7
*'�4'v4^+f'f'r:"'R'F'iN'41k:�,��._,,,,,yN,�:_ - ��v .rr,V�;,ytlr0+r+rrwl�r�y+.:r.,ra:r..,v,»...,,y,. ,. ,., _ �„.,..:, n .�.w,a ii-`�P'�'�."1C#M�!r,,.ww.^.ew.rrrr..w+wr-•w►M"w'fi',+w�rV,
+� ct'Tr OF
BUILDING PERMIT APPLICATION TIGARD DATE ���� �� , 1s ^�; �a U 9 r�
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED (IZW-3 I u
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING P'_a.NS AND SPECIFICATM1ONS OWNER PHONE
,.I I�Ti91�rQ::
ER — _ _^ADDRESS _r _ BU.ILDER PHONE_
ENGINEER denn0t't
IJUILDEEl— _ ARCHITECT _`—DESIGNER —
STRUCTURE ❑NEW ❑REMODEL ❑ADDITION _Q REPAIR ❑RENEWAL ❑FIREDAMAGFA ❑DEMOLITION
❑RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑6ELIGIOUF❑PATIO OCAR POPT ❑GARAGE ❑STOI,AGE❑SLAB nFEM1ICE
❑BOND CjMOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL Ar,'"OVED LISIGNS —`
nc.QUPANCY LAND USE ZONE BLDG.TYPE FIRE ZONE—_ PLAN CHECK BY HEAT—
Ir,>?tt. o1I6d t; lanht Xt ra ; 1. ,E fob r. r.Qrl W,/s'., achiird tort ugf. _
_ :.,a 2 M 1ti iron t; z —i cr+,. garage 484 MiVAIS iq. t
OCCLOAD_ FLOOR LOAD ,--HEIGHT — NO.STORIES a _ —AREA 1762 VALUE
BUILDING DEPARTMENT SET BACKS FRONT 13 REAR I'CEFT SIDE ""(1 RIGHT SIDE
Permit -
--"�` — THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUI1 DING CODE, ZONING
Plan Check 0( REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
WORK WILL.BE DONE IN ACCORDANCE WITH)HE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Recording ALL APPLiCARLE CODES AND OPOINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSI ESS
1`16 State • LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
Total 1 i9. 4wer inept 252 on
By
---------- -- — A^' 'ANI'OR AGENT
Approved Receipt No
-
At)DRF55
DATE INSP, TY 1E INSPECTION REMARKS PLUMEING I DATE
LLAI e Co
ntra
ctor
Permit
No.
e
Fixture
Final
HEATING
Contra,.tor
;2 1-/
Ga- )r Oil
Rough in
Final
SEWER
Final
DRIVEWAY
Final
Storm Drainage
(Rain Drain) Final
Sidewalk
Curb&Street Final
approach
BLDG.DEPT,FINAL TEMPORARY CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY Final
Landscaping
Zoning Final
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