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8630 SW GREENSWARD LANE ` J
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Ow.ier:� Dal e ;_Lunst. Permit No.__1 Q.2 ____...
Certificate is hereby given this .-1D__ day of
that said building may be occupied and that
( % it complies with all requirements of the �
Building Code for the City of Tigard, as
approved by the Tigar(i City Council.
ii Building Inslipanr
1
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A d d r s ? �$ 30 _���`�_� Permit No. �.�`��.�_. _ ._ ........_
�..._...._�. .... _.._
Permit c h o r. ri
Ounor. ( Connection for,
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Sory i..ro ratars/ Inap�c,t ion fi1r: S Cd
Contractor. Paid by
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SERA
PERMIT V1 368
Unified Sewerage Agency
of Washington County CITY OF Tigard _ DATE 7-6 -77_
OWNER : nnio rmnat — _ PHONE :
OWNER ' S ADDRESS:
TYPE OF INSTALLATION:
n-66ILDING SEWER []BUILDING SEWER AND SIDE SEWER
TYPE. OF OCCUPANCY:
nf�L?lW BXSINGLE FAMILY C] COMMERCIAL
❑EXIST . (PRIOR TO 7- 1-70 ) MOLT . RES. [❑ 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 1N ONE--HUNDRED AND TWENTY ( 120 ) DAYS . THE AMOUNT PAID WILL
BE FORFEITED SHOULD EXPIRATION OCCUR .
FEES:
PERMIT FEE $ 25.
CONNECTION CHARGE 600. l
SIDE SEWER INSTALLATIONS--✓
ISSUED BY
OTHER
TOTAL R 6259
APPLICANT DATE
SEWER PERMIT N 1 , 468
ADDRESS OF SIROCTURC _ 8630 SW Greensward Lane
TAX MAP_ — TAX LOT SYSTEM _fanno creek
LOT B L 0 C K OF
APPROVED BY DATE ISSUED BY DATE
REMARKS bldg. #1589
BUILDING PERMIT APPLICATION COF TIGARD DATE
THE UNDERSIGNED HERUBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE._
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONF
LOT NO.
OWNER 1JAIra LWnSt. JOB ADDRESS 1 _- NOME ADDRESS
ARCHITECT
ENGINEER
BUILDER t0 tlu ADDRESS DESIGNER _
STRUCTURE MEW _ ❑REMODEL UADDITION ❑REPAIR ❑RENEWAL ❑FIRE DAMAGE ❑DEMOLITION
t--
ESIDENCE ❑COMM ❑EDUCATIO14AL ❑GO,/'T ❑REL-IGIOUS❑PATIO ❑CARPORT ❑GARAGE ❑STORAGE❑SLAB [-]FENCE
OBOND C3 MOVING ❑CONDITION\L USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
OCCUPANCY LAND USE ZONE_c)•`7 BLDG. 1 vPE— rr — FIRE ZONES PLAN CHECK BY HEAT,
aonsto simile family duolliny 9/attached gersge 3 brodroom 2 sbath _ ^
E.LWH—L-QA.2___. HEIG I_ BPEA ._ L� �_jyO.eEUVALUE.'!
BUiLDINV DEPARTMENT SET BACKS FRONT REAR 29 LEFT SIDE 6 RIGHT SIDE ("
Permit
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check 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 ALL APPLICARLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PFP MIT DOES NOT WAIVE
RESTRICTIVE COVENANTS, CONTRACTOR AND SUB CONTRACTORS T6 HAVE C1i7RFNT CITY BUSINESS
State Tax �,�(] LICFNrSE. SEPARATE PERMITS REQUIRED FOR SEWER, PL.,UMTNG AND HEATING.
Total 22,G,20 Z-)1�
By ,
APP 1GAN1 OR AGENT
Approved Receipt No
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DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
Contractorli
_
Permit No.
-�
Rough-in
1� "1i v-f6Fixture — —_--
tiFinal— —
HEATING
f
_ Contractor
6 Iia/L�I�+r7hN _ Permit No.
�__—� F'/'+�t%To�; cG �L�-- Gas or Oil -- _
-- -f r- L' L -ty✓1 1ou h-in --- --- -- -
-_ Ccp//_/,I,y G ?I?.f1tl �'hG _-- ovi•iFinal.-- ----
��pp ra.,'7,ayL �— --- -- S E W E R
�3�__L� ;�k Final
DRIVF•WAY
Final
Storm Drainage
(Rain Drain) Final_ —_
-- — -- -- _-- -- Sidewalk
Curb&Street Final
Approach _
BLDG DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY Final
Landscaping
(.. Zoning Final
Permit—
City of liciard Mechooical Permit N? 5-0 C,
,/ Fee-,
'New installationReplace ❑ Relocation 0 AIV
Add !ration 1,7j 301". State
OTAL�--IW!71�+-3-Z�--
CONTRACTOR 040ec! A
WORK ADDRESS 4-j
ADnRESS__;aDj
T
APPLICAN
Ven, Size
Heat Input Rating (BTU Per Hour) S- Flue Size
Qe 06C ---- ----— —
FUEL OIL ❑ GAS 2--** ELECT ❑ OTHER_
ITEM NO. FEE ITEM NO. FEE
For issuance of Permit .1.00 Air Condition Compressor 15 to 30 HP -1-000
4.00 Air Handling 10,000 CFM
3.00
New. Onder 1-00,000 BTU 5.00 -'Air Handling Over 110,0130 CFM
New. I 00000 BTU 81 Over — 3-00
4.00 Evaporative Cooler_
Floor Furnace -- --- Range Vent Fan 2.00
Wall - Floor -Suspended 4.00 3.00
Install Vents Only 2.00 Vent System 4.00 Hood Commercial 3.00
Repair - Heat & Cciolin-9---- 4.00 Commercial Duct System-- 10.00
Air Compressor Under 3 HP
Condition Cci;�preM
om
C
Air Condition Compressor 3 to 15 HP 7.50
COMMENTS INSPECTOR'S COM
ALL CONTRACTORS OR SUB-CONTRACTORS
CITY BUSINESS LICENSE REOUIRED FOR
APPROVFD BYDATE ISSUED BY DATE ..-----
— -
RECEIPT NO.
Signature of Applice
774