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11570 SW GLENWOOD COURT 1 11570 SW GLENWOOD COURT v 0 0 c CD .-4 Li Ln 0 N tn 1-4 I N f ` a y � OF � i O C` • CITY OF TIGARD C OREGON 9 Bob Smith ...........Permit No...101.. Ove-ner:......................._. .. ..... .........................__.. � . 11570 5W Glenwood Ct. Bvi)�iing Address............... ... . . {T , Certificate is heroby given thio................day of..........enuery ]u- 77 that said building may be occupied and that it complies with all requirer.nents of } ' the Building Cude for the City of Tigard, • as approved by the Tigard City Council. 13; Duiw ng inspector �.',.1 -� tr '•oil �l �� I'� "�w ��.J > (,:i ^ `:/ �'< :i _ ` > LJ AOS � a .j .mss J r';� '\ We s � z>s t e, es ear e>a ear City of Tigard INSPECTION REQUEST , for INSPECTION TIME: PERMIT NO. : DATE: DATE ISSUED : / OWNERS NAME; _ ADDRESS: //s ZO -S-- CONTRACTOR : CONTRACTOR : _ TEST : Air p, Woter [j , Visual ,D , Laboratory ❑ RESULT: Approved LJ ; Dirgpproved C , Pending ❑ SKETCH: _Z O SPEbTOR DATE (NOTE Attach iupr1*mantof reef data beret0� UNIFIED SEWERAGE AGENCY NO. WASHINGTON COUNTY DATE August CITY 01-- T-id APPLICATION FOR SEWER CONNECT- ION PERMIT OWNER: Smith bob OWNER'S ADDRESS: —r TREET ----g-T-ATE --------- CITY BUILDING SITE: I-OT------ -.-- BLOCK ADDITION TAX LOT NO. TYPE OF OCCUPANCY ADDRESS - -lJ-a7A1--qW--G-1v1W=d- C-t DWELLING UNITS FIXTURE UNITS SURCHARGE IF APPLICABLE -------- ------ 25. 00600.00 PERMIT FEE 575. 00---.---- INSPECTION FEE TOTAL DEPOSITED (NEW) (EXISTING) BUILDING SEWER SYSTEM 9 Fenno Creek The Applicant agrees to comply with Fill rules and®regs of the Unified Sewerage Agency. APPLICA SEWER PERMIT THIS PERMIT AUTHORIZES CONNECTION TO THE SEWER SYSTEM. LINE SIZE INSTALLER - RECEIVED BY1AGENCY OR ITS LRTI COMMENTS: . . Bldg 4 1017 This Application and permit expires in one hundred and twenty (120) days. The amount paid will be forfeited should expiration occur. BUILDING PERMIT APPLICATIL, COF YI��R� DAlE �� a9 , ,9�8 1117 THE UNDERSIGNED HEREBY APPLIES FOR APE RMI i FOr-1 THE WORK HEREIN INDICATED BUILDERPHONF OR AS SHOWN AND APPROVED !N THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNERPHONE-- Smith lizoo su fa enwood ctr LOT NO. OWN6R JOB ADDRESS HOME ADDRESS — ARCHITECT ENGINtKR BUILDER �11 ADDRESS -1 DESIGNER V STRUCIURE )UNEW 0REMODEL CIADDITION ❑REPAIR ORENEWAL L-IFIREDAMAGE ❑DEMOLITION ©'RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CAH PORT ❑GARAGE ❑STORAGE❑SLAB ❑FENCE ❑BOND ❑MOVING []CONDITIONAL USE y❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS OCCUPANCY I LAND USE ZONE BLDG.TYPE If FIRE ZONE.L PLAN CHECK BY f TU HEAT-_Qok_. Conot. 2 story dwol.ling a/stteohsd garage 4 bedroom 3 both garelglB 462 eco.rt, ---- ----- 01 Qgc,.L 9_—B_ —FLOOR LOAL__ - .4IJ__EIGHT_—'gyp NO,STORIES 2— AREAR0185 BUILDING DEPARTMENT SET BACKS FRONT JQ� REAR 3n� LEFT SIDE ],Q9 RIGHT SIDEJLOI Permit 157000 THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINFD IN THE BUILDING CODE, -ONiNG Plan Check 78.51.3 REGULATIONS AND AL1- APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH Sub-total 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 -1.06 LICENSE SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING. Total 242.56 By APPLICANT 0A AGENT �— Approved u Receipt No. ADDRESS J�Nt51'V --- ... r—•�-„�.••:...•-- =s.y:y..wr_W...�.1.ro.+..u;�<.w:..r�i.4rat+MtnMauYww�t;�.au.,. wid.�+... dW+..4noa`iAit+.+ra..-.:+Mw,..w,.,...r..+..,;wW1'46W:.-.,--•-:..r.u,.. _��_--___..�.........__....r. Q/�e�r?b (�-B ��i.''�.y OS72- �►3�,os ��/.lt �l�%6 �3 is/�h6 � li1�-� s3 � - ��'� '���% ` �� � - - � �` r l a-�b�b ,. � c �. -7 Addr ss //�'� � Permit No. Permit charge Owner -.!_sem- y ¢�. Connection fee S P,--.id b y Type of building Date connected a Service rate S Inspection fee �C2-2� �— Contractor _ Paid by Date Size of connection Assessment paid 911 - i � I - S- 7r7