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8615 SW GREENSWARD LANE x rn tr. Lr) E G7 H (D (D N E OJ H CL r Dl Z) tI 1 8615 SW GREENSWARD LANE ADDRESS_ ,;',�,L,"-_ cr�Q1 _haOr.w � n,,, PERMIT NO. PERMIT CHARGE none OWNER 4j, CONNECTION FEE PAID BY ' TYPE OF OUIL_DING � DATE C0NNLuiED SERVICE RVE « INSPECTION FEE CONTRACTOR PAID BY DATE SIZE OF CONNLCTIO?i �` ASSESSMENT ___ PAID z SEWER SEWER PERMIT N! 13904 Unified Sewerage Agency T] C aTd of Washington County CITY OF DATE 2-14-7B OWNER : _ Dales Const. PHONE - OWNER ' S HONE :OWNER ' S ADDRESS: TYPE OF INSTALLATION: QCUILDING SEWER BUILDING SEWER AND SIDE SEWER d TYPE OF OCCUPANCY: Q-NEW )akINGLE FAMILY COMMERCIAL ❑EXIST . (PRIOR TO 7- 1-70 ) MUST. RES. U INDUSTRIAL. FIXTURE UNITS DWELLING UNITS 1 PERMIT CONDITIONS: THE APPLICANT AGREES TO COMPLY WITH ALL RULES 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 ( 12.0 ) DAYS . THE AMOUNT PAID WILL. BE FORFEITED SHOULD EXPIRATION OCCUR . FEES: PERMIT FEE $ 25. CONNECTION CHARGE 600. SIDE SEWER INSTALLATION _ ISSUED BY OTHER TOTAL E 625• APPI l( ANT DATE 1 ' ,r #0 SEWER PERMIT " 13!���4 FUR TdIs ADDRESS OF STRUCTURE 8615 SW Greensward Lane TAX MAP TAX LO'I _ - - SYSTEM a o �,reekT_. LOT _ _ BLOCK — OF _ APPROVED BY DATE 1SSU D BY DATE REMARKS bldg. #1883 �_ BUILDING PERMIT APPLICATION COF IT TIGARD DATE_-Z�n �6=,i` _ - 1A � 1HE UNDERSIGNED HEREBY APPLIES FOR APE RMIT FOR THE WORK HEREIN INDI'.ATED BUILDER PHONE___, CIR AS SHOWN AND APPROVED IN THE ACCOMPANYIN.3 PLANS AND SPECIFICATIONS. OWNER PHONE--. OWNER '•1.618 t,.onat.. 8615 11,E fii'1 enswardt�,g LOTNO.,- JOB ADDRESS WADDRESS ARCHITECT---- BUILDER �pt1A— ADDRESS ENGINEER r^t ff----tt DESIGNER LI _ STRUCTURE ❑REMUDEh ❑ADDITION _ ❑REPAIR_ RENEWAL _ (-]FIRE DAMAGE CJDEMOLITION tfl--�EJgIDENCF ❑CON,M ❑EDUCATIONAL ❑GOV'T ❑RF.LIGIOUSLOPATIO ❑CAR PORT ❑GARAGE ❑STORAGE USLAB ❑FENCE _IBOND ❑MOVING ❑CONDITIONAL USE DESIGN REVIEW ❑COUNCIL APPROVED JSIGNS r ; ---- - OCCUPANCY a LAND USE ZONE ` —BLDG TYPE_ FIRE.T.ONEPLAN CHECK BY 4EAT_„- _ ,_ 1rJt• t.littl_,lr URmily duallinl,.l Ij/Qtt aL:t1dd �L44C gu 9 4 badrootn 3 bath rtwt i parmtt: 13904 68ti.sr conn. sower inep. $25. OCG,LQAp—_----F1QQP_LOA2 4020 21 `1 Q ~ �IEIGMT NO.SQFC$. AREAT I . t NO, nwnn BUILDING DEPARTMENT "� �- - SET BACKS FRONT _ REAR LEFT SIDE i' RIGHT SIDE Permit187.0 s -------- - I_ THIS PERMIT IS ISSUED SUBJECT TO THE RFC;UI.ATIONS CONTAINED IN THE BUILDING CODE, ZONING Plan Check 93 •50 REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HERFBY AGREED THAT THE WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH Sub-total 280*50 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 7.48 LICENSE. SEPARATE PERMITS REQUIRED FOR SFWER• PLUMBING AND HEATING. Total — 287,96 .U•C• t; i 110. By F1L1./ -` ApoLICANT Approved Receipt No. A[l7ftf55 -- DATE iNSP. TYPE INSPECTION REMARKS — PLUMBING DATE Contractor / _ Permit No. I -- 3- a x- Rough-in ]�Er-- Fixture (j-� a,� - —_- _-- Final - r HEATING _ Contractor Permit No. � �t� —� Gas or Oil Rough-in _ Final --- -__—_--- ----- — SEWER VIV Final DRIVEWAY Final -`- ---— — -- — — Storm Drainage --- (Rain Drain) Final Sidewalk Curb&Street Final A w oac_h _ BLDG DEPT FINAL TEMPORARY �— CERTIFICATE OCL UPANCY �— CERTIFICATE OCCUPANCY Final V — Landscaping Zoning Final `. clard Mt?c1lanical Formit NY city ot iFee I Relocation 0 Addition Ah"er ation 3"6 State.—- "—-.---- New In. .I;a, on 7OTAL--Xk­Z-�LJe-- ONN CONTRACTOR p ALL .7c"IS)WORK ADDRESS_ APPLICANT PHONE Heat Input Rating (BTU Per Hour) Vent Size Flue Size— FUEL OIL IJ GAS Ll ELECT OTHER----- ITEM No. FEE ITEM NO. FEE ---- Air Condition Compressor 1u 1 30 HP For issuance of Permit 4.0 Air Handling 10,000 CFM New • Under 166,055 PTU - — -jr-f67 --- — 5.01 New- 100_,000 BTU & over --560 Air Handling(�v-- CFO CFhi---- -- Evaporative Cooler ---3.01 4.00 Floor F• ��nL!_ Range Vent Fan 2.0c 1ia—ilFloor - Suspended 4,00 2.01) Vent System 3.00 Install Vents Only 3.00 4.00 Hood Commercial -\if Condition 4.00 Co.ri Heat & Cooling Repair -imetcitil Duct Symern 10.01 — Air Condition Coml)(PssOr Under 3 HP 7.50 — ; —Co—m-p,—e s­s�r 3 t 15 HP j INSPECTOR'S COMMENTS BUSINESS LICENSE REQUIRED FOR ALL CONTRACTORS OR SUB-CONTRACTORS 4CITY 5*41 DATE ISSUED BY DATE APPROVED By---- -� RECEIPT NO. rY Signature of Applicw, 774