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11349 SW GREENBURG ROAD F-' rw F-� LA U7 E G7 H m m Q c h La m A t 11349 SW GREENBURG ROAD /� PERMIT N 0. ADDRESS ✓ " _ PERMIT CHARGE none --� CONNECTION FEE God OWNER PAID BY t=:! --- DATE CONNECTED TYPE OF BUILDING �',2c-C SERVICE RATE d INSPEC?ION FEE PAID BY — DATE __________' CONTRACTOR -------• i ASSESSMENT PAID SIZE OF CONNECTION _ i j tSUla_L)INU L)f'.F'r\1'i I P�ICi`I 1 r 1 IUHI't J PLWAfMNG PER, NO i �11Y1S 1�—=--'—J� �h Id•� o a valid p!Urnbiny contractors I;cens,3 is hareby t authorized to cause plumbing Iry rka§ herein noted to be ins`.311u i In accordance with the plumbing co to of i Tigard. Such installations require inspection by the City Inspector who shall be notified not less than four f (4) hours prior to the tirne the ins.2llations are ready for ins ection. City of Tigard Business license required 1 for all contractors an subcontractors. rz— a , /�TT 6 -___ - t NUMV:R OF TOTAL PERMIT NO.'S. TYPE OF PERMIT ITEMS FEF' ON F_ACH AMOUNT —_ (7ffice Use only) Sin la Femil -1 barh-tech w -_ 25.00 Oti lct-Each 1 ba;h unit Y9.00 Add1--ch __ 10.00 Mabile Name 5pa:e-oath _ 15.00 ~_ INDIVIDUAL FIXTURE FEES "— Lc 1 to 50 Fixturei in 1 uuildinq-each 3.00 51 to 100 Fix.urea in i buildirL-each 2.50 .' 101to ?011 Fi t,uret in 1 bvilAirtyl-each i`•' 201 or mors Fie;ur., ;n 11 Su:IH.ing -etrh� ,— - 1.50 NI 13CEtLANE000S aui!dir;Stover-lit 5J i• _ Y —{ — 10.00 - - Sewer-each additional 100 ft, —�.�- 10.00 Warer 5 mire to buiiJin2 5.o0 Privars_:`tt!or S_vstarrs-eich 1Go ft. 10.00 fff PeRIMlr ` Ipso' ForPlumWnrIn.\,c•::-t:-!r, P'7one633.4171 ^� ��3 =.__ Plumbing Contractor By _ TOTAL. -7, U RECEIPT NO, Issued 8y ns SEWER P A"IT NY151 Unified Sewpraqq Agency of Washington County CITY OF T rd DATE March. - OWNER : Ge—Parker PHONE t .245-6613 OWNER ' 's ADDRESS, TYPE OF INSTALLATION: 0 BUILDING SEWER ❑ BUILDING SEWER AND SIDE SEWER TYPE OF OCCUPANCYs [I N E W ❑ SINGLE FAMILY ❑ COMMERCIAL [] EXIST. (PRIOR TO 7- 1--70 ) EIMULT. RES. [j INDUSTRIAL FIXTURE UNITS — DWELLING UNITS 5 ADDRES-5 OF STRUCTURE PERMIT CONDIT13NSs THE APPLICANT AGREES TO COMPLY WITH ALL RULES AND REGULATION.','; OF THE UNIFIED SEWERAGE AGENC . WHEN CALLING FOR INSPECTION, PLEASE REFFR TO THE PERMIT NUMBER. THIS APPLICAl"TON EXPIRES IN ONE- HUNDRFD AND TWENTY ( i,,o ) DAYS. THE AMOUNF PAID WILL BE FORFEITED SH(Illin EXPIRATION OCCUR. FEES.- PERMIT FEE $ 35.00 CONNECTION CHARGE 3000.00 SIDE: SEWER INSTALLATION ISSUED BY OT 11 F R (.1 TA L. $— 303; ...951 ------- APPLICf,141' DATE VEIINER PERMIT AbDRESS OF Sl R U CTU R F - `LAX MAP TAX LOT S YS T UI Fan-,,o Creek LOT --.—.--F3LOCK OF APPROVED BY D AT'F ISSUED E;Y -FA 1) . Li. 5 REMARKS Bld&.. Permtt 0 1062 1. BUILDING PERMIT APPLICATION 10 Y TIGARD DATE M&rch 16, __. I9'�$___._. InF? THE UNDERSIGNED HEREBY APPLIES FOR APE RMIT FOR THE WORK HEREIN INDICATED BUILDERPHONE-'4'1,16LI I OR AS SHOWN AND APPROVED IN THE AJ('�C ylr�/�ING PLANS AND SPECIFICATIONS OWNER PHONE AJ ��� LOT NO. OWNER C1-`t1® ParKer JOB ADDRESS 'tom t I)tJ _ HOME ADDRESS ARCHITECT ENGINEER /A.1sta to DeV. DUILDEP_ ADDRESS _ ��--J tt rr--utt DESIGNER _ STRUCTURE ^_ONEW 13 REMODEL ❑ADDIITIONLREPAIR � R ❑ ENEWAL []FIRE DAMAGE ❑DEMOLITION © RESIDENCE CDCOMM CIEDUCAI-IONAL ❑GOV'T URELI(i'UUS❑PATIO ❑CAR PORT EIGARAGE lJ STORAGE CISLAB CJFENCE ❑BOND 'OMOVING CICONDITIONAL.USE ❑DESIGN REVIEW ❑COUNCI'_APPRUV"cD []SIGNS OCCUPANCY_A ___.LANE)USE ZONE_A2.._-_BLDG.TYPE_:,1yI_____FIREZONE.- PLAN CHECK BY.,,', HEAT_ multi-f ami ly Siwe l l is A _Uui t"Ud__L 5;,i pe_ic----- ----- `i' beth Sewer # 15816 - 3.n00 tee + 35.00 lar>sogf. OCC.LQA(Z_,..UQDfl LOAD_ 4O__ HEM{L��U NQ_$I�P�� ._ �__-AnEA-4_08____nQ,_@t-L)0.._QOMS V LU9-fi, — BUILDING DEPARTMENT SET BACKS FRONT tela j�1aMEAR_ LEFT SIDE - RIGHT SIDE Permit 283,00 MIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING Pi,.n Check 142.50 I"EGULATIONS AND ALL APPLICABLE CODES AND ORhINANCES, AND IT IS HEREBY AGREED THAT THE -1—WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH Subtotal 427." ALL APPLICABLE CODES AND ORDINANCES THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE RESTRICTIVE COVENANTS, CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS State Tax 4%1 111,40 LICENSE. SFPARATE PERMITS REOUIRED FOR SEWER, PLUMBING AND HEATING. Total — �- 3b.9A SDC - 1.200.00 By PDC #1 - 300.++0 A41 I ICANT OR AGF NT Approved Receipt No dDU_RFS� �•.IINt I UATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE O[/o 9 .1) r2/ — - Contractor 13 :2-2 Permit No. / 3 J�/ (n A20 _ GN C Rough in .//fisc _b C� 1L�'17 ��'1 Fixture -- — --- —C.a�I�—L��_)e—j E"� � --S, i# L_-------- Final — 7 h !L ,_ ��-f./ �C+'«,,L/ --- HEATING Contractor �'- ,2L�C _—_--- Permit No. c>r l Gas or Oil — - ---..-- -- � .. Rou h•in Final _ �� ------ —SEWER -- —— — Final DRIVEWAY Final Storm Drainage _ (Rain Drain) Final Sidewalk T Curb&Street Final _ Approach BLDG DEPT. FINAL TEMPORARY CERTIFICATE OCCUPANCY CERTIFICATE OCCUPANCY Final Landscaping C._ Zoning Final