8605 SW GREENSWARD LANE e
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860K SW GFEENSWARJ LANE
Address �LC� �> �>C� ,�y,Y f � C.� Permit No.
{permit charge
Owner Connection fee � 00
Paid by /
Typs of huilding 4 '_.. Date connscte
Ssrvice rate / Inspection fee S
Cuntractor Paid by _ date
Size of connection Assessment Paid
i
SEWER PERMITUf v! 13906
Unified Sewerage Agency 41-1- 7,j/
of Washington County CITY OF T i qr rri DATE 2Z=93m18..
OWNER : Dales Conat. PHONE s
OWNER 'S ADDRESS: __
TYPE OF JNSTALLAi-JO'v:
XILDING SEWER []BUILDING SEWER AND SIDE SEWER
TYPE OF OCCUPANCY;
X>0'4EW X>0XSINGL.E FAMILY ❑ COMMERCIAL
❑EXIST . (PRIOR TO 7--1-70 ) ❑ MULT. RES. ❑ INDUSTRIAL
FIXTURE U141TS DWELLING UNITS —_ 1
PERMIT CONDITIONS : THE APPLICANT AGREES TO COMPLY WITH ALL RULL-S
AND REGULATIONS OF THE UNIFIED SEWERAGE AGENCY. WHEN CALLING FOR
INSPECTION, PLEASE REFER TO THE PERMIT NUMBER. THIS APPLICATION
EXPIRES IN ONE-HUNDRED AND TWENTY ( 3.20 ) DAYS. THE AMOUNT PAID WILL
BE FORFEITED SHFiULD EXPIRATION OCCUR .
FEES:
PERMIT 'r Ei= g 25.
C,'NNECTION Cr'ARGE _600.
SIDE SEWER INSTALLATION
ISSUED BY
OTHER
TOTAL 625.
A P P L I Cit-" T" DATE
;',�i:)U'E 11PE, SEWER SE?"
r:i �GF WILL I1ECIN FOR � SEWER PERMIT
Nl 13906
... .,.
ADDRESS OF' STRUCTURE 0605 Std Greensward Lane.
TAX MAP JAX LOT SYSTEM fanny creek_
LOT _ _ 13LOCK OF
APPROVED BY DATE I1;1;U61 Ry DATE
REMARKS bldg._ #1005 __
�- CITY .•,..- ;- ,,,:. .. r;
BUILDING PERMIT APPLICATION of TIGARD DATE_ ��4_ —_.____, 19 � (] t .'
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUIL.DERPHON u20"1234
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
-
LOT NO..
1+
OWNER Td1FJli 1}iii$ • JOB ADDRESSJjj_ ;$M ADDP.ESS
ARCHITECT
211111111 9T mej ENGINEER
BUILDER1 _ ADDRESS DESIGNER
CS!T�R_U_CTURE_ a LJf�_ EW C1 REMODEL _❑ADDITION r3 REPAIR ❑RENEWAL ❑FIRE DAMAGE ❑DEMOLITION
L..� RESIDENCE ❑COMM ❑EDUCATIONAL—❑GOV'T ❑RELIGIOUS❑PATIO ❑CARPORT ❑GARAGE ❑STORAGE❑SLAB ❑FENCE
❑BOND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED _ ❑SIGNS
OCCUPANCY --LAND USE ZONE1�� 1_—BLDG.TYNE �C FIRE ZONE -3FLAN CHECK BY '}-L' HEAT.
consto single family dwoll6fty w/otteched garage 3 bedroom 2 beth
garage 490
sawar permit #13906 sower conn. 9600e sewer inapt M.
SLr�1Q81� a0 __. _7-._C. _ .- i 1397 -QOZ --YB _44011685.._� �-
.
L.09RJ.4A� NO.BLUE
BUILDING
DEPARTMENT SET BACKS FROM —_20 _RFAR-- 43 LEFT SIDE lU RIGHT SIDE 7
Permit
160,00 ~�
--- THIS PERMI f M ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check 89.Ute REGULATIONS AND ALL 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 xao.oo 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 Tar. 6,40 LIrFNSE. SEP IE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
(..t r UJ
Total 246,4n J).D.C.#2 6100•
By
AMIL WANT OR Al3EN T
Approved — L1 Receil;t fJo
--
ADDRESS
-....y....W.•t.rri..au..A:rAtit'.,9i'.ti`iw''u.o,m.ruiil/M4w.W.6giYJ�{MX.�4 :...«..... ... .....W a. �..a.. ,. 1.. -..6Mry.Ys1J..�......r6.-.�.,..w.rl..,ewa�r,.�........... ,. _........ .......- .._..,....-- ---,-i..
DATE INSP. TYPE INSPECTION REMAPIKS PLUMBING DATE
PLUM'
r
to:::
Cr -actor
J161
Permit No.
y_31-
—FR
Fixture
Final
HEATING
e2 a, Contractor
72t�-T �,t)
Permit No.
�
e:RA?; 19 GS /172 Gas or Oil
Rough—i
Final
SEWER
Final
DRIVEWAY
Final
Storm Drains e___
(Rain Drain) Final
Sidewalk
Curb&Street Final.
Approach
BLDG, OEP. FINAL TEMPO",ARY CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY Final
Landscaping
Zoning Final
City of Tigard Mechanical Permit NTO Permit_
New Instal ation � Realace ❑ Relocation ❑ Addition ❑ Alteration ❑ 39G State
CC^,TRAC.fOH ---- _]-. ._..�7I ?'��C� 1rr ! T•-_� 01'1'NER_� .[ C-eNr>-7�'!1S-'YiII�d.�---.----
ADDRESS.--- O�L�?.2..-- -�. /rf ��-_.. WORK ADDRESS-_�J'�QJ��S:4�� --�. a�rrc�
PHONt �J[ /!� 77�N$ } APPLICANT.. --- - — Z
Heat Input Rating (BTU Per Hour) 1dU ct9L -_ Vent Size _ _ N Flue Size
---- --�5- -rte•----- -
FUEL 01L ED GAS Alk' ELECT ❑ OTHER -
y ITEM NO. FEE ITEM NO. FEE
For Issuance of Permit _ 3.00 Air Condition Compressor 15 to 30 HP 10.00
New -On 100,OD0 BTU - 4.00
_ Air Handling 10,00UCFM3.00
' + New• 100,000 BTU& over - 5.0_0 "Air Handling Over 10,000 CFM 5.00
• Floor Furrac_e _ _-4.00 Evaporative Cooler _ 3.00
Wall-
Floor • Suspended - _ 4.0_0 Range Vent Fan -� -- - 2.00
_ __- _---
Install Vents Only +_ u� 2.00 Vent System3.00
"} RepairW at & Cooling4.00 Hood Commercial- - -� 3.00
Air Condition Compressor Under 3 HP a 00 Commercial Duct, System 1000
'4 Alt Condition Compressor 3 to 15 HP -� 7.50
r ,' INSPECTOR'S COMMENTS_-.____
CITY BUSINESS LICENSE REQUIRED FOR ALL CONTRACTORS OR SUB-CONTRACTORS
..-:.. APPROVED BYDA'TE - ------_-, ISSUED BY DATE--
.��•�- RECEIPT N0.
Cinnatiiro of Arinlirint