10270 SW GREENLEAF TERRACE i
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]O270 SW GREENLEAF TERRACE
ADDRESS PERMIT NO.
PLRI,II T CHARGE none
fJUiJERLX CONNECTION FEE
PAID BY _
TYPE OF BU T;.DI NC � � DATE CONNECTED, _
SERVICE RATE � 5`" INSPECY10N FEE
CONTRACTOR _ PMD BY DATE
SI7.E OF CONNIECTION A ,FSWEiIT PAID
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CITY 4F '41GOREGON
ARD
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` ! Qu•ner: .-....Y..O.C.............. ... ......... ..... ............... r c.•i n,i1 �.. ........ w
Building Address.............. .10270 5W G•reenleaf terrace ........... .
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Certificate is hereby given thls.........A....day of ......�anuery.. j4_77 �
that said building may be occupied and j
that it compliee with all reyuimolents of
the Building? Code for the City of Tigarl,
•�i*� as approved by the :igard City Council. "� f
Building Inspector
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City of Tigard
INSPECTION REQUEST
for
INSPECTION TIME : ,�, PERMIT NO. :
DATE; _ DATE ISSUED:._L.L_
OWNERS NAME : - -�� ( c;
ADDRESS :
CONTRACTOR
TEST: Air ❑, Waier p/'Visual ❑ , Laboratory U
RESULT: Approved Ilk , Disapproved 0 Pending C7
SKETCH:
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DATE
OTE Attach su 1
pplementn� feef dato hereto
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CITY OP
7 BUILDING PERMIT APPLICATION TIGARD DATE July- 71 , 19 7 n Q 54
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INI;ICATED
OR ,%S SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS, OWNER PHONE
2NNER -- _ ADDRESS —BUI ER PHGNE
E_NGINELR
=ODER _ARCHITECT {�At'1fTl4tt _ DESIGNER —
STRUCTURE Q_NEW �t--11❑REMODEL ❑ADDITION ❑REPAIR ❑RENEWAL ❑FIaEDAMAGE ❑DEM�O�LITION
❑AESIUENCE ❑ >_,I
COMM EDUCATIONAL—❑GOV'T ❑ E.
R1_IGIOUS❑PATIO L'CAH POP ❑
I GARAGE C STORAGE❑SLAB []FENCE
l INONDL.IMOVING []CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIuNS
�-------- ,_ .I,i SMO
QCCUPANCY .._LAND USE ZONE W-1 BLDG. TYPE FIRE.ZL`INE— PLAN CHECK BY_ HEAT_—
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6;ZAL--k6UuL.1 60JAW; . ,,, 616 oil* f t. 2 bedroom 2 both --- -
f�N-ieB►�t�I
OCC.LOAD FLUOR LOAD HEIGHT NO.$TORIES �'.— ARE#. T'°__ VALUE t,�a1•
BUILDING DEPARTMENT SETBACK-, FRONT L3 fMli11°REAR 1�� 1 i LEFT SIDE �.� 1144t� RIGHT SIDE min
Permit a,.:a 7. THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check a+���+ REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
"RK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Recording ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTR.CTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
i%State LIC@NSb,^ "AT 4RJMIB RkpU1RED FOH SEWER. PLUMBING AND HEATING.
otal
BY --
�_��— APP ANT OR AGI,N1
Approved Receipt No.
maws'
DATE ' INSP. TYPE INSPECTION REMARKS PLUMBING DATE
Contracto•
�' ------ Permit No. ela pS /D A-?4
(< J 2[ps C't1 t n --_ Rough-in
r -l4 ��/ ---- -- Fixture
.� 7e Final —
uta HEATING _
Contractor
Permit Now. .�
. S0 74
Gas or Oil
Rough-in
Final
SEWER t-e �L
DRIVEWAY
_-- -- _--- Final
Storm Drainage
(Rain Drain) Final
Sidewalk
Curb&Street Final
--
Approach
BLDG.DEPT. FINAL TEMPORARY CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY Final
Landscaping
( toning Final
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BUILDING DLPAIi tMILN l , rlGAHD NO.
JOHN E. AEINIIANDT PLUMBING, INC PLUMBING I'E fi rvi yr -
P. 0. BOY 121
, holder of a valid plumbing contractors license is hereby
authorized to cause plumbing work as herein noted to `)e installed in accordance with the plurnbing code of
Tigard. Such installations require inspection by the Cite Inspeccor who shall be notified not less than four
(4) ho"rs ,it for to the time the installations are ready for inspection. City of T igard Business License required
for all conyractors and sub-con ractors. xe r- " ";134 ac-��
? Address le? __' Date —
Ow _
NUMBER OF TOTAL PERMIT NO.'S
TYPE OF PERMIT ITEMS
AMOUNT (Office FEE ON EACH Uwe Only)
----�------,—
�r_ 25.00
Single FtmilY -1 both—each_.,,__ .—�_— - —'--
Duplex—Each 25_00
Additional bathro,ns—each — __ _� __ 10.00
Mobile Home Sstact�each _ 15.00 ---
INOIViDUAL FIXTURE FEES n0
--. — —
1 to 50 Fixtures in 1 building—each 1'0 - --
__51 to 100 Fixtures in 1 buildin —ench _ 2.50 _--`
101 to 200 Fixtures in 1 buildin —tach _ 2.00 _ --
201 or more Fixtures in 1 building—each _ 1.50 —_-- --
MISCE_L_LANEOUS _ — --
Building Sewar-1st 50 ft. 10.00 _
St_w!r—each additional 100 ft. _ 1O.OU
Wow Service to building � 5'00
Private Water S stems—each 100 ft. _ 10'00 — _---
other (Specify): _ —'—��-
PERMIT �? 5— -����--Y��For Plumbing Inspection Phone 6394191
'x, State CE�Jr Plumbing Contractor By
TOTAL G� RECEIPT NO. Issued Ey
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