8645 SW GREENSWARD LANE-1 i
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8645 SW GREENFWARD LANE
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Owner: _ _.______Permit No. _.__ �
_.—tlala -�- --
8645 5W Greensward Lane
Building Address
II � .: �'" • 17 March 7t] �"
ICertificate is hereby given this day of _ 19
q l that said building may be ucc��l,:frd and th�.t.
it complies •with all req.iirernants of the 4
Building Codc for the City of Tigard, as
approved by the Tigard City Counri .
rA
Building Inspector
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CITY,. _��..........._ _.. _..�......� -` -...,�,,......�...�..,...._.�..__....-�._._.___...r...,.,,�
BUILDING PERMIT APPLICATION OF TIGARQ DATE.—_____:�1 ;
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FON THE WORK HE?F_IN INDtCA1ED BUiL.DERPHONF
OR AS SI;OWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
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OWNER Uale S.oyat* JOB ADDRESS 0645 Sid Greer, iwara L HOME ADDRESS
ARCHITECT
some ENGINEER
BUILDER ^^_— ADDRErSS ^ DESIGNER^^
STRLICIURE IV W L�REMODEL UADOITIONQREPAIR QRENEWAL OFIRE DAMAGE _❑DEMOLITION
0FfIEI1SIDENCE ❑COMM ❑EDUCATIONAL `JGOV'T ❑RFLIGIOUS_U!ArIO ❑CARPORT ❑GARAGE ❑S"FORAGEQSLAB LJFENC;F
—LIBOND - UMOVING ❑CONDITIONAL USE ❑DESIGN REVIEW UCOUNCIL APPROVED — ❑SIGNS —
CCUPANCY--=LAND USE ZONE j BLDG.TYPE FIRE ZONE--iPLAN CHECK BY—atu HEAT
Iitre,lling W/attached 9are ie 4 bodroam 3 bat?, ---
�.43JZ_ FLpOR LS?9f1._ LiEJ9liL– —.114.-SZQ9l.ES x ARBA �C� @ NUII.EAJ34S?nn ___1�LAL.i1E-_ 4 2P
BUILDING DEPARTMENT SET BACKS FRONT REAR - � LEFT SIDE RIGHT SIDE L j
Permit 141*O� _
THIS PERMIT IS ISSUED SUBJECT TO THL° RE,ZULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan ChecH 7l*O!3 REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREo'i AGREED THAT THE
WORK WILL BE DONE IN ACCORDANCE WITH TH4 PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Sub-total ALL APPLICABLE conES AND ORDINANCES. THE ISSUANCE OF 'f HIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax 6o'.39 LICENSE. S�PA�ATE PERMITS NEaVLREP Fpq SEWED P UMIW�G AND HEATING.
-- �:i+.r ,i6J1�1:1F}fi;. �"lli�l"rrit� ($J u*iJ...
Total ?19* ...
By
Ap L1�ANT 04 AGEN -- --- --
Approved Rote pt No
-- —_
ADDRESS
UATE INSP. TYPE INSPECTION REMARKS —�jCcLn_t,
PLUMBING DATE
actorrmit No.
c2;7,I o --_ Fixture_
Final -
�- HEATING
Contractor
Permit No.
Gas or Oil _ -
P
Ri rL -- - _
Final---.... ------_ --
SEWER
Final
DRIVEWAY
Final
v— — - Storm Drainage
(Rain Drain) Final
- ------ _ Sidewalk
-�- - Curb&Street Final _
----�_ - _--_.---_ A roach _
BLDG DEPT. FINAL — TEMPORARY CERTIFICATE OCCUPANCY FlnaI
CERTIFICATE OCCUPANCY --- -
Landscaping
�. Zoning Final
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N? 13445
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Unified Sewerage Agency
of Washington County CITY DATE 6-23-77
OWNER : Oile Const. PHONE s 620-2234
O W N F R ' S
TYPE OF INSTALLATION:
[;]BUILDING SEWER []BUILDING SEWER AND SIDE SEWER
! YPE OF OCCUPANCY,
ONEW SINGLE FAMILY COMMERCIAL
OEXIST . (PRIOR TO 7- 1-70 ) ❑ MUL.T . RES. ❑ INDUSTRIAL
FIXTURE UNI'rs DWELLING UNITS
PERMIT CONDITIONS, THE APPLICANT AGREES TO COMPLY WITH ALL RULES
AND REGULATIONS OF THE UNIFIED SEWERAGE AGENCY . WHEN CALLING FOR
INSPECTION, PLEASE REFER TO THE PERMIT NUMBER. THIS APPLICATION
EXPIRES IN ONE--HUNDRED AND TWEN'ry ( 120 ) DAYS. THE AMOUNT PAID WILL
BE FORFEITED SHOULD EXPIRATION OCCUR .
F E E 5 1
PERMIT PEE 25. —
CONNECTION CHARGE 575, —
SIDE SEWER INSTAI. LAT ION
ISSUED By
OTHER
TOTAL
/E APPL.,rCXNT
SEWER PERMIT N .' 13445
f,DDRESS OF STRUCTURF__-____�364E 5!j -0req
'I'A X MAP T AX L 0 F S S T F M
I'mT
APPROVED BY LATE ISSUED BY DATE
RE MAR 60
�C_ y of I lo, l d Mechanical Permit N? PeriFeenit_`—$"—
New Inrtallation if7✓geolace ❑ Relocation [ J Addition ❑ Alt'eration 30t; State_.__.._.._
TOTAL---- -----.___
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r;,NTRACIOR -- ,_7I1. -- �� s-- .�1�._ OWNER - /i/��CG''• itJSZ�� �O&I
1 7
1! gpnREs✓ ._ �� `� - WORK ADDRESS
1 r,HnNE _ X05 r APPLICANT.
Heat Input Rating (BTU Per Hour).______—� Vent Size —_ Flue Size
FUEL. OIL ❑ GAS ❑ ELECT OTHER_.____
ITEM NO. FEE ITEM NO. FEE
-__ -----— t O.OG
-- 3.00 Air Condition Compressor 15 to 30 HP _
For Issuanre of Permit -- - ---
New• Unde, 100,000 6TU 4.00 _Air Handling 10,000 CFM rY - 3.00
New 100,000 BTU&over 5.00 Air Hen Over 10,000 CFM 5.00
Floor Furnace 4.00 —Evaporative Cooler — -- 3 00
Wall • Floor Suspended 4.00 Range Vent Fan -_ _- 2.00
3.00
Install Vents Only 2.00 Vent System
Repair - Heat&Cooling 4.00 Hood Commercial___ 3
Air_Condition Compressor Under 3 HP 4.00 Commercial Duct System 10.00
Air Condition Compressor 3 to 15 HP _ 7.50 �— _ �_� _
INSPECTOR'S COMMENTS_
�a CITY BUSINESS LICENSE REQUIRED FOR ALL CONTRACTOFIS OR SUB CONTRACTORS
APPROVED BY_.--, DATE ISSUED BY�_. DATE
RECEIPT NO
774
r�, 774 Signature of Applicant